WO2008015942A1 - Therapeutic agent for neuroblastoma, method for screening for the therapeutic agent, and method for determination of prognosis of neuroblastoma - Google Patents
Therapeutic agent for neuroblastoma, method for screening for the therapeutic agent, and method for determination of prognosis of neuroblastoma Download PDFInfo
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- WO2008015942A1 WO2008015942A1 PCT/JP2007/064597 JP2007064597W WO2008015942A1 WO 2008015942 A1 WO2008015942 A1 WO 2008015942A1 JP 2007064597 W JP2007064597 W JP 2007064597W WO 2008015942 A1 WO2008015942 A1 WO 2008015942A1
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7088—Compounds having three or more nucleosides or nucleotides
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/5005—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells
- G01N33/5008—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells for testing or evaluating the effect of chemical or biological compounds, e.g. drugs, cosmetics
- G01N33/5011—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells for testing or evaluating the effect of chemical or biological compounds, e.g. drugs, cosmetics for testing antineoplastic activity
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61K38/00—Medicinal preparations containing peptides
Definitions
- the present invention relates to a therapeutic agent for neuroblastoma, a screening method thereof, and a method for determining prognosis of neuroblastoma.
- Neuroblastoma is a tumor that arises from the sympathetic nervous system (paraspinal sympathetic nerve trunk and adrenal medullary nerve cells), and is most common in malignant solid tumors in children.
- the most common sites of neuroblastoma are the adrenal gland, the retroperitoneum, the posterior mediastinum, the neck, the sympathetic ganglion of the pelvis, and the midline of the abdominal cavity.
- Neuroblastoma is extremely interesting clinically! / In cases where the onset age is less than 1 year of age, neuroblastoma has obvious spontaneous regression and maturation, while onset age is more than 1 year of age. In these cases, metastasis and growth of the tumor progress rapidly, resulting in a poor prognosis that is difficult to treat.
- TrkA is present in the cell membrane, stimulated by nerve growth factor NGF, and transmits the stimulation as a signal via TrkA and various proteins in the cell. As a result, TrkA is thought to cause suppression of cell differentiation and proliferation. However, the molecular mechanism involved in TrkA in neuroblastoma remains unclear.
- the present inventors have developed novel genes from a plurality of neuroblastoma cDNA libraries in order to develop therapeutic methods for neuroblastoma, to identify genes involved in neuroblastoma development and biological characteristics thereof.
- Patent Documents 1 to 5 and Non-Patent Document 2 have been isolated.
- Patent Document 1 Pamphlet of International Publication No. 01/66719
- Patent Document 2 Pamphlet of International Publication No. 01/66733
- Patent Document 3 International Publication No. 02/97093 Pamphlet
- Patent Document 4 International Publication No. 02/103017 Pamphlet
- Patent Document 5 Pamphlet of International Publication No. 2004/39975
- Non-patent literature l Nakagawara, Med. Pediatr. Oncol. 31, 1 13 (1998)
- Non-patent literature 2 OhiraM et al., Oncogene, 22, 5525-5536 (2003) Disclosure of the invention
- an object of the present invention is to provide a therapeutic agent for neuroblastoma and a screening method thereof.
- TrkA in neuroblastoma
- expression of TrkA in neuroblastoma is currently considered as one candidate for determining the prognosis of the disease.
- TrkA it is unclear how TrkA is involved in determining good and poor prognosis of neuroblastoma.
- the prognosis may not always be good if there is an abnormality in the TrkA intracellular signaling pathway. Therefore, an object of the present invention is to clarify the molecular mechanism that controls the prognosis of neuroblastoma and to provide a method for determining the prognosis of neuroblastoma.
- the inventors of the present invention mediate the interaction between signal molecules, and a gene encoding Shf called adapter protein is highly expressed in a good prognosis group. Found that. Furthermore, the present inventors have found that the expression level of Shf gene is highly correlated with the prognosis of neuroblastoma, and in addition, is highly correlated with the expression level of TrkA gene. In addition, Shf and TrkA The inventors have shown that they co-localize and interact with each other. This suggests that Shf binds to TrkA to regulate TrkA signaling and may be involved in the determination of neuroblastoma prognosis. Based on the above findings, the present inventors have completed the present invention.
- the present invention includes a step of culturing a cell under each condition in the presence and absence of a test compound, and a step of measuring the expression level of the Shf gene in each cultured cell. If the expression level of the Shf gene in the cells cultured in the presence of the test compound is higher than the expression level of the Shf gene in the cells cultured in the absence of the test compound, the test compound is And a method for screening a therapeutic agent for neuroblastoma, comprising the step of determining that the therapeutic agent is a neuroblastoma.
- the screening method of the present invention is based on the knowledge newly discovered by the present inventor that the expression level of Shf gene strongly correlates with good prognosis and poor prognosis of neuroblastoma. This makes it possible to develop therapeutic agents for improving the prognosis of neuroblastoma.
- the screening method of the present invention also includes a step of culturing cells in the presence and absence of a test compound, and the Shf gene and TrkA gene in each cultured cell.
- the expression level of Shf gene and TrkA gene in cells cultured in the presence of the test compound !, Shf in cells cultured in the absence of the test compound And a step of determining the test compound as a therapeutic agent for neuroblastoma when the expression level of the gene and the TrkA gene is higher.
- the screening method of the present invention also comprises a step of culturing cells in the presence and absence of a test compound, and the mutual relationship between Shf and TrkA in each cultured cell.
- the interaction force of Shf and TrkA in the cells cultured in the presence of the test compound S, Shf and in the cells cultured in the absence of the test compound And a step of determining the test compound as a therapeutic agent for neuroblastoma when the interaction is stronger than TrkA interaction.
- the screening method of the present invention It applies the molecular mechanism that Shf and TrkA interact with each other. This molecular mechanism has been newly discovered by the present inventor, which enables the control of Trk A signaling by Shf and the new molecular mechanism based on the new molecular mechanism. Development is possible.
- the cell to be used in the screening method of the present invention is a cell derived from a clinical sample of human neuroblastoma.
- the cell is derived from a clinical sample of human neuroblastoma having a poor prognosis. It is preferable. This makes it possible to develop therapeutic agents for improving the prognosis of human neuroblastoma, particularly for the treatment of patients with poor prognosis.
- the present invention provides a therapeutic agent for neuroblastoma comprising a vector having a nucleic acid consisting of the nucleotide sequence set forth in SEQ ID NO: 1.
- the present invention also relates to the use of a vector having a nucleic acid consisting of the nucleotide sequence set forth in SEQ ID NO: 1 for the manufacture of a therapeutic agent for neuroblastoma, and to a neuroblastoma patient described in SEQ ID NO: 1.
- a method for treating neuroblastoma comprising a step of administering a vector having a nucleic acid comprising a base sequence.
- the present invention provides a therapeutic agent for neuroblastoma comprising a vector having a nucleic acid encoding a protein consisting of the amino acid sequence set forth in SEQ ID NO: 2.
- the present invention also relates to the use of a vector having a nucleic acid encoding a protein consisting of the amino acid sequence shown in SEQ ID NO: 2 for the manufacture of a therapeutic agent for neuroblastoma, and to a neuroblastoma patient, SEQ ID NO: 2
- a method for treating neuroblastoma comprising the step of administering a vector having a nucleic acid encoding a protein comprising the amino acid sequence described in 1.
- the base sequence described in SEQ ID NO: 1 corresponds to the Shf gene
- the amino acid sequence described in SEQ ID NO: 2 corresponds to Shf.
- the Shf gene and Shf GenBank Accession No. is NM138356.
- the prognosis improvement of neuroblastoma disease can be expected by the expression of Shf gene and the enhancement of Shf function.
- the therapeutic agent of the present invention further includes a vector having a nucleic acid consisting of the nucleotide sequence set forth in SEQ ID NO: 3 or a vector having a nucleic acid encoding a protein consisting of the amino acid sequence set forth in SEQ ID NO: 4.
- the base sequence described in SEQ ID NO: 3 corresponds to the Trk A gene
- the amino acid sequence described in SEQ ID NO: 4 corresponds to TrkA (GenBank Accession No .: NP002529).
- TrkA GenBank Accession No .: NP002529
- the present invention further comprises a step of measuring the expression level of Shf gene in a clinical sample of human neuroblastoma with unknown prognosis, and the expression level of Shf gene with a good prognosis and a poor prognosis.
- a method for determining the prognosis of human neuroblastoma comprising the step of comparing the expression level of the Shf gene in a clinical sample of neuroblastoma.
- the determination method of the present invention is based on the finding that the expression level of the Shf gene is strongly correlated with the survival rate of patients with neuroblastoma, that is, with a good prognosis and poor prognosis of neuroblastoma.
- Such a molecular mechanism has been newly discovered by the present inventor, and this makes it possible to determine the prognosis of human neuroblastoma whose prognosis is unknown.
- the determination method of the present invention comprises a step of measuring the expression level of Trk A gene in a clinical sample of human neuroblastoma of unknown prognosis, and the expression level of TrkA gene is determined with good prognosis and poor prognosis. It is preferable to further comprise a step of comparing the expression level of the TrkA gene in a clinical sample of human neuroblastoma.
- the determination method of the present invention is an application of the knowledge of the present inventors that the expression level of Shf gene is highly correlated with the prognosis of neuroblastoma, and also highly correlated with the expression level of TrkA gene. It is. By analyzing the expression level of the TrkA gene in addition to the analysis of the Shf gene, the prognosis of human neuroblastoma with an unknown prognosis can be determined with higher reliability.
- the screening method of the present invention it is possible to develop a therapeutic agent for improving the prognosis of neuroblastoma, which has a different mechanism of action from the past.
- the therapeutic agent of the present invention can be expected to improve the prognosis of neuroblastoma disease.
- the determination method of the present invention makes it possible to determine the prognosis of a human neuroblastoma whose prognosis is unknown. By combining the determination method of the present invention with the screening method and / or therapeutic agent, it becomes possible to develop a therapeutic agent and select a therapeutic method in accordance with the prognosis good and poor prognosis of neuroblastoma.
- FIG. 1 Compared to electrophoretic photographs showing the measurement results of the expression level of Shf mRNA in clinical samples of neuroblastoma (eight samples each with good prognosis and poor prognosis) by semi-quantitative RT-PCR.
- FIG. 1 Compared to electrophoretic photographs showing the measurement results of the expression level of Shf mRNA in clinical samples of neuroblastoma (eight samples each with good prognosis and poor prognosis) by semi-quantitative RT-PCR.
- FIG. 2 is a graph showing the correlation between Shf mRNA expression level and prognosis.
- FIG. 3 is a graph showing the correlation between expression levels of TrkA mRNA and Shf mRNA.
- FIG. 4 is a diagram corresponding to an electrophoretic photograph showing the measurement result of the expression level of Shf mRNA in a normal tissue by a semiquantitative RT-PCR method.
- FIG. 5 is a diagram corresponding to a stained image showing expression of Shf mRNA by an in situ hybridization method.
- sp spinal cord
- DRG dorsal root ganglion
- dien C e phalon diencephalon.
- FIG. 6 is a diagram corresponding to a stained image showing the localization of Shf and TrkA in rat pheochromocytoma PC 12 cells by immunostaining experiments.
- FIG. 7 is a view corresponding to a Western plot image showing the interaction between Shf and TrkA by a coimmunoprecipitation experiment.
- Shf and TrkA expression constructs were cotransfected into H1299 cells.
- Anti-Shf antibody and anti-TrkA antibody were used for immunoprecipitation and Western blot analysis.
- FIG. 8 is a schematic diagram showing a signal transduction mechanism model of Shf and TrkA.
- the therapeutic drug screening method in the present embodiment includes a screening method for the first and second therapeutic drugs using the expression level of the Shf gene as an index, and a third treatment using the interaction between Shf and TrkA as an index. There are drug screening methods.
- the first therapeutic drug screening method involves the step of culturing cells in the presence and absence of a test compound, and the expression level of Shf gene in each cultured cell.
- the measurement step and the expression level S of Shf gene in cells cultured in the presence of the test compound are higher than the expression level of Shf gene in cells cultured in the absence of the test compound, Determining the test compound as a therapeutic agent for neuroblastoma.
- the expression level of the gene means the expression level of mRNA that is a transcription product of the gene and / or Indicates the expression level of the protein which is the translation product.
- the measurement of mRNA expression can be performed using a measurement system known to those skilled in the art. Specifically, quantitative RT-PCR, quantitative real-time RT-PCR, quantitative northern blot And the like, and quantitative ribonuclease protection method.
- the protein expression level may be measured using a measurement system known to those skilled in the art, for example, quantitative Western blotting and ELISA.
- the expression level of the target gene such as the Shf gene is standardized using the expression level of mRNA and / or protein such as GADPH, which is a housekeeping gene, and beta-actin.
- GADPH which is a housekeeping gene
- beta-actin a housekeeping gene
- the expression level of the target gene and / or control gene in a plurality of samples collected from the same target force and / or the same sample may be measured, and the expression level may be obtained from the average value of each.
- a test compound in which the expression level of the Shf gene in the presence of the test compound is larger than the expression level of the Shf gene in the absence of the test compound can be determined as a therapeutic agent for neuroblastoma.
- the therapeutic agent is most preferably an agent that improves the prognosis of neuroblastoma, but any agent that improves the prognosis is suitable for the purpose of the present invention.
- the expression level of the TrkA gene which is a candidate gene involved in the prognosis determination of neuroblastoma disease, in addition to the expression level of the Shf gene.
- expression levels of genes that are differently expressed between two subsets of a well-known group and a poor-prognosis group, which are conventionally known may be analyzed simultaneously.
- the cells used for screening may be cultured cells such as H1299 derived from human lung cancer cells, PC 12 derived from rat adrenal pheochromocytoma, or may be cultured cells derived from neural tissue. Further, it is more preferable that the cultured cell derived from neuroblastoma is a cell derived from a preferred clinical sample of human neuroblastoma, more preferably a cell derived from a clinical neuron of human neuroblastoma having a poor prognosis. .
- Test compounds include, but are not limited to, low molecular weight compounds, peptides, proteins, nucleic acids (DNA, RNA, PNA) and the like. Also, for screening, any screen Compound library may be used. It should be noted that cell culture conditions and test compound administration conditions can be appropriately adjusted by those skilled in the art.
- a third method for screening for therapeutic agents is a step of culturing cells in each condition in the presence and absence of a test compound, and a step of measuring the interaction of Shf and TrkA in each cultured cell. And the interaction force S of Shf and TrkA in the cells cultivated in the presence of the test compound, and the interaction force Shf and TrkA in the cells cultivated in the absence of the test compound, And determining the test compound as a therapeutic agent for neuroblastoma.
- Shf and TrkA expressed in cells are preferably endogenous, but in this case, Shf and TrkA can be expressed by tags such as GST and HA. May be labeled with a fluorescent protein which may be fused. Interaction refers to direct and / or indirect interaction between proteins, where Shf and Tr kA form a complex or are in close proximity to be functionally linked. It means doing.
- a system for measuring protein interactions known to those skilled in the art can be used. Specifically, the measurement by co-immunoprecipitation method or fluorescence resonance energy transfer (FRET) is applied. Measurement and the like. The obtained quantitative measurement value is compared between the presence and absence of the test compound to determine the utility of the test compound as a therapeutic agent for neuroblastoma.
- FRET fluorescence resonance energy transfer
- the therapeutic agent for neuroblastoma which is an embodiment of the present invention, includes a vector having the Shf gene (SEQ ID NO: 1).
- the therapeutic agent comprises a vector having a nucleic acid encoding Shf (SEQ ID NO: 2).
- the therapeutic agent preferably further comprises a vector having a TrkA gene (SEQ ID NO: 3) or a vector having a nucleic acid encoding TrkA (SEQ ID NO: 4).
- Vectors can be prepared based on DNA or RNA viruses. Any virus vector such as a MoMLV vector, a herpes virus vector, an adenovirus vector, an AAV vector, an HIV vector, an SIV vector, or a Sendai virus vector may be used. In addition, one or more of the viral protein component proteins are replaced with a heterologous virus component protein, or a part of the base sequence constituting the genetic information is replaced with a heterologous virus base sequence.
- a pseudo-type virus vector can also be used in the present invention.
- viruses having a host range other than humans can be used as virus vectors as long as they have a therapeutic effect.
- a vector other than a virus a complex of calcium phosphate and nucleic acid, a liposome, a cationic lipid complex, a Sendai virus ribosome, a polymer carrier having a polycation as a main chain, and the like can be used.
- the expression cassette used for the expression of the gene in the vector can be used without particular limitation as long as it can express the gene in the target cell.
- One skilled in the art can readily select such an expression cassette.
- it is an expression cassette capable of gene expression in animal-derived cells, more preferably an expression cassette capable of gene expression in mammal-derived cells, and particularly preferably in human-derived cells. This is an expression cassette capable of gene expression.
- the gene promoter used in the expression cassette is, for example, adenovirus, cytomegalovirus, human immunodeficiency virus, simian virus 40, rous sarcoma virus, herpes simplex virus, mouse leukemia virus, symbis virus, hepatitis A Virus, Hepatitis B virus, Hepatitis C virus, Papilloma virus, Human T-cell leukemia virus, Influenza virus, Japanese encephalitis virus, JC virus, Parvovirus B19, Poliovirus-derived promoter, albumin, SR a, promoters derived from mammals such as heat shock proteins and elongation factors, chimeric promoters such as CAG promoters, promoters whose expression is induced by tetracycline, steroids, and the like.
- adenovirus cytomegalovirus
- human immunodeficiency virus simian virus 40
- rous sarcoma virus herpes simplex virus
- the method of determining the prognosis of neuroblastoma in the present embodiment includes a step of measuring the expression level of Shf gene in a clinical sample of human neuroblastoma with an unknown prognosis, and the expression level of Shf gene with a good prognosis, and Shf remains in clinical samples of human neuroblastoma with poor prognosis And a step of comparing with the expression level of the gene.
- the prognosis is determined based on the knowledge of the present invention that the prognosis of neuroblastoma is good when the expression level of the Shf gene is high.
- the expression level of Shf gene in clinical samples of human neuroblastoma with good prognosis is a statistically processed measurement of the expression level obtained from multiple cases with good prognosis (good prognosis group). However, the same is true for the expression level of the Shf gene in clinical samples of human neuroblastoma with poor prognosis.
- the expression level of Sh f gene in clinical samples of human neuroblastoma with unknown prognosis is the same as the expression of Shf gene in clinical samples of human neuroblastoma with good prognosis. If the amount is higher than the dose and / or statistically falls within the distribution range of the good prognosis group in comparison with the expression level obtained from the good prognosis group, the prognosis of the subject is determined to be good. can do. In addition, judgment of poor prognosis can be performed in the same way as judgment of good prognosis.
- good prognosis refers to a state of a neuroblastoma where the tumor is localized or has become a regression or benign sympathetic ganglion cell, N — Judging from myc and other tumor markers, the grade is low.
- the N-myc gene is usually only one per haploid in normal cells and neuroblastomas with good prognosis, whereas in neuroblastoma with poor prognosis, it is amplified several tens of times. Is an oncogene.
- stage 1, 2 or 4 s based on the international neuroblastoma staging age of onset is less than age, and survives 5 years or more after surgery without recurrence.
- this is not limited to such a specific example, in which N-myc amplification is not recognized as a good prognosis in human neuroblastoma.
- the term "poor prognosis” as used herein refers to a state in which tumor progression is observed among neuroblastomas, and is highly malignant as judged from N-myc and other tumor markers. It is judged.
- humans are those whose stage 3 or 4 has an onset age of 1 year or more, died within 3 years after surgery, and N-myc amplification was observed in clinical tissues.
- Force S which is a poor prognosis in neuroblastoma, is not limited to such a specific example.
- the method for determining the prognosis of neuroblastoma includes the expression level of the Shf gene, Ability to analyze the expression level of the TrkA gene, which is a candidate gene for determining the prognosis of neuroblastoma disease.
- the expression levels of genes that are differently expressed between two subsets of a well-known group and a poor-prognosis group, which are conventionally known may be analyzed simultaneously.
- Superscript II reverse transcriptase was purchased from LifeTechnologies. Random primers were purchased from Takara Sake Brewery. TaqMan (registered trademark) Universal PCR Master Mix was purchased from Perkin—Elmer Applied Biosystems. Shf probed primers were purchased from Applied Biosystems. Anti-Shf antibody was purchased from MBL. Anti-Trk antibody was purchased from SANTA CRUZ BIOTECHNOLOGLY, and anti-Tubul in antibody was purchased from Neo MARKERS.
- the semi-quantitative RT-PCR method, immunostaining method and immunoprecipitation method are the same as those described in Hanamoto et al., J. Biol. Chem., 280: 16665-166675, 2005.
- the experimental system was optimized.
- the experimental system was optimized.
- Example 1 Expression analysis by RT-PCR method
- Total RNA was prepared from clinical samples of human neuroblastoma with good prognosis and poor prognosis, and the expression level of Shf mRNA was analyzed by semi-quantitative RT-PCR using these total RNAs as templates. The results are shown in Fig. 1. It was confirmed that the Shf gene was highly expressed in the good prognosis group, suggesting that there is a functional relationship between the expression level of the Shf gene and the prognosis of neuroblastoma.
- FIG. 4 shows the results of comparing the expression level of Shf mRNA in each normal tissue by semi-quantitative RT-PCR. High expression of Shf mRNA was observed in the brain, cerebellum and fetal brain. Furthermore, Fig. 5 shows the results of analysis by the in situ hybridization method. Embryonic 13. Examination of Shf mRNA expression tissue on day 5 revealed expression in the spinal cord, dorsal root ganglia and diencephalon. Therefore, it was suggested that the Shf gene is expressed in the nervous system and is involved in the maintenance and differentiation of neural tissues.
- TrkA is transmembrane type Considering that it is a receptor for Sf, it was suggested that Sh f and TrkA co-localize in the cytoplasm and / or cell membrane and interact functionally with each other.
- H1299 cells were cotransduced with Shf and TrkA expression constructs. After the cultivation, the cell suspension was fractionated into a soluble fraction and an insoluble fraction, and the obtained soluble fraction was subjected to an immunoprecipitation experiment. Both Shf and TrkA were detected in the soluble fraction.
- Figure 7 shows the analysis results of the coimmunoprecipitation experiment. From this result, it was shown that Shf and TrkA co-expressed together in H1299 cells form an immune complex.
- FIG. 8 is a schematic diagram showing a signal transduction mechanism model of Shf and TrkA.
- NGF nerve growth factor
- TrkA cell membrane-like nerve growth factor receptor
- the signal is transmitted to the inside of the cell and to the nucleus, and responses such as nerve cell differentiation and cell growth arrest occur.
- Shf is involved in the NGF / TrkA signal by binding to TrkA and is further involved in determining the prognosis of neuroblastoma by transmitting the signal downstream. The possibility of! / Was suggested.
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Abstract
Description
明 細 書 Specification
神経芽腫の治療薬及びそのスクリーニング方法、並びに、神経芽腫の予 後の判定方法 Neuroblastoma therapeutic agent and screening method thereof, and method for determining prognosis of neuroblastoma
技術分野 Technical field
[0001] 本発明は、神経芽腫の治療薬及びそのスクリーニング方法、並びに、神経芽腫の 予後の判定方法に関する。 [0001] The present invention relates to a therapeutic agent for neuroblastoma, a screening method thereof, and a method for determining prognosis of neuroblastoma.
背景技術 Background art
[0002] 神経芽腫は交感神経系(傍脊椎交感神経幹と副腎髄質神経細胞)から発生する腫 瘍であり、小児の悪性固形腫瘍では最も頻度が高い。神経芽腫の好発部位は副腎と 後腹膜 ·後縦隔 ·頸部 ·骨盤部の交感神経節、及び腹腔正中部である。神経芽腫は 臨床的にも極めて興味深!/、腫瘍で、発症年齢が 1歳未満の症例では神経芽腫の明 らかな自然退縮や成熟化がみられる一方、発症年齢が 1歳以上の症例では腫瘍の 転移及び増殖が急速に進行し、治療の困難な予後不良症例となる。 [0002] Neuroblastoma is a tumor that arises from the sympathetic nervous system (paraspinal sympathetic nerve trunk and adrenal medullary nerve cells), and is most common in malignant solid tumors in children. The most common sites of neuroblastoma are the adrenal gland, the retroperitoneum, the posterior mediastinum, the neck, the sympathetic ganglion of the pelvis, and the midline of the abdominal cavity. Neuroblastoma is extremely interesting clinically! / In cases where the onset age is less than 1 year of age, neuroblastoma has obvious spontaneous regression and maturation, while onset age is more than 1 year of age. In these cases, metastasis and growth of the tumor progress rapidly, resulting in a poor prognosis that is difficult to treat.
[0003] 近年、神経芽腫の予後良好なサブセットと予後不良のサブセット間で遺伝子の発 現レベルに差異があることが明らかになった。その一つが神経成長因子受容体 Trk Aをコードする遺伝子である。 TrkA遺伝子は予後不良群において発現が低ぐ逆に 予後良好群では発現が高!、 (非特許文献 1)。 [0003] In recent years, it has been clarified that there is a difference in gene expression level between a good prognosis subset and a poor prognosis subset of neuroblastoma. One of them is a gene encoding nerve growth factor receptor Trk A. The expression of TrkA gene is low in the poor prognosis group, whereas the expression is high in the good prognosis group (Non-patent Document 1).
[0004] TrkAは細胞膜に存在し、神経成長因子 NGFによって刺激を受け、その刺激を Tr kAおよび細胞内の様々な蛋白質を介したシグナルとして細胞内に伝達する。その結 果、 TrkAは細胞の分化や増殖の抑制を引き起こすと考えられている。しかし、神経 芽腫における TrkAの関与する分子機構は未だ明らかになっていない。 [0004] TrkA is present in the cell membrane, stimulated by nerve growth factor NGF, and transmits the stimulation as a signal via TrkA and various proteins in the cell. As a result, TrkA is thought to cause suppression of cell differentiation and proliferation. However, the molecular mechanism involved in TrkA in neuroblastoma remains unclear.
[0005] また、本発明者らは、神経芽腫の治療法開発、神経芽腫の発生およびその生物学 的特性にかかわる遺伝子の同定のために、複数の神経芽腫 cDNAライブラリーから 新規遺伝子を含む約 5300個の遺伝子を単離してきた(特許文献 1〜5及び非特許 文献 2)。さらに、予後良好群及び予後不良群の 2つのサブセット間で異なる発現を 示した遺伝子を多数同定してきた。 [0005] In addition, the present inventors have developed novel genes from a plurality of neuroblastoma cDNA libraries in order to develop therapeutic methods for neuroblastoma, to identify genes involved in neuroblastoma development and biological characteristics thereof. About 5300 genes, including the above, have been isolated (Patent Documents 1 to 5 and Non-Patent Document 2). In addition, we have identified a number of genes that showed differential expression between the two subsets, the good prognosis group and the poor prognosis group.
[0006] 特許文献 1:国際公開第 01/66719号パンフレット 特許文献 2:国際公開第 01/66733号パンフレット [0006] Patent Document 1: Pamphlet of International Publication No. 01/66719 Patent Document 2: Pamphlet of International Publication No. 01/66733
特許文献 3:国際公開第 02/97093号パンフレット Patent Document 3: International Publication No. 02/97093 Pamphlet
特許文献 4 :国際公開第 02/103017号パンフレット Patent Document 4: International Publication No. 02/103017 Pamphlet
特許文献 5:国際公開第 2004/39975号パンフレット Patent Document 5: Pamphlet of International Publication No. 2004/39975
非特許文献 l : Nakagawara, Med. Pediatr. Oncol. 31 , 1 13 (1998) 非特許文献 2 : OhiraM et al. , Oncogene, 22, 5525— 5536 (2003) 発明の開示 Non-patent literature l: Nakagawara, Med. Pediatr. Oncol. 31, 1 13 (1998) Non-patent literature 2: OhiraM et al., Oncogene, 22, 5525-5536 (2003) Disclosure of the invention
発明が解決しょうとする課題 Problems to be solved by the invention
[0007] 神経芽腫は最も高頻度な小児悪性腫瘍でありながら、予後不良例と予後良好例が 混在して!/、る興味深!/、疾患である。従来の治療法は化学療法 ·放射線療法 ·外科的 切除を組み合わせた集学的治療法であるが、 1歳以上の進行症例では予後不良で あり、生存率の顕著な改善は見られていない。神経芽腫の予後を制御する分子機構 を解明し、新たな機構に基づく治療薬を開発することができれば、神経芽腫の予後 改善のための治療の選択の幅を広げることができる。そこで、本発明は、神経芽腫の 治療薬及びそのスクリーニング方法を提供することを目的とする。 [0007] Although neuroblastoma is the most frequent childhood malignant tumor, it is a disease with a mixed prognosis and good prognosis! The conventional treatment is a multidisciplinary treatment combining chemotherapy, radiation therapy, and surgical resection, but the prognosis is poor in advanced cases over 1 year of age, and there is no significant improvement in survival. If we can elucidate the molecular mechanisms that control neuroblastoma prognosis and develop therapeutics based on new mechanisms, we can broaden the range of treatment options for improving neuroblastoma prognosis. Accordingly, an object of the present invention is to provide a therapeutic agent for neuroblastoma and a screening method thereof.
[0008] また現在、神経芽腫での TrkAの発現は疾患の予後を決定する因子の一つの候補 と考えられている。し力、しながら、神経芽腫の予後良好及び予後不良の決定に TrkA がどのような機構で関与しているのか、その詳細は不明である。さらに、 TrkA遺伝子 が高い発現を示していても、 TrkAの細胞内シグナル伝達経路のどこかに異常があ る場合には、予後は必ずしも良好ではない可能性がある。したがって、本発明は、神 経芽腫の予後を制御する分子機構を明らかにし、神経芽腫の予後の判定方法を提 供することを目的とする。 [0008] In addition, expression of TrkA in neuroblastoma is currently considered as one candidate for determining the prognosis of the disease. However, it is unclear how TrkA is involved in determining good and poor prognosis of neuroblastoma. Furthermore, even if the TrkA gene is highly expressed, the prognosis may not always be good if there is an abnormality in the TrkA intracellular signaling pathway. Therefore, an object of the present invention is to clarify the molecular mechanism that controls the prognosis of neuroblastoma and to provide a method for determining the prognosis of neuroblastoma.
課題を解決するための手段 Means for solving the problem
[0009] 本発明者らは、神経芽腫の臨床サンプルにおける発現解析の実験結果から、シグ ナル分子同士の相互作用を仲介し、アダプタータンパクと呼ばれる Shfをコードする 遺伝子が予後良好群で高発現を示していることを見出した。また、 Shf遺伝子の発現 レベルは、神経芽腫の予後と高い相関を示し、加えて、 TrkA遺伝子の発現レベルと も高い相関を示すことを本発明者らは見出した。さらに、 Shfと TrkAとが神経細胞内 で共局在し、互いに相互作用することを本発明者らは明らかにした。このことは、 Shf が TrkAに結合することによって TrkAのシグナル伝達を制御し、神経芽腫の予後の 決定に関与している可能性を示唆している。以上の知見から、本発明者らは本発明 を完成するに至った。 [0009] Based on the results of an expression analysis in a clinical sample of neuroblastoma, the inventors of the present invention mediate the interaction between signal molecules, and a gene encoding Shf called adapter protein is highly expressed in a good prognosis group. Found that. Furthermore, the present inventors have found that the expression level of Shf gene is highly correlated with the prognosis of neuroblastoma, and in addition, is highly correlated with the expression level of TrkA gene. In addition, Shf and TrkA The inventors have shown that they co-localize and interact with each other. This suggests that Shf binds to TrkA to regulate TrkA signaling and may be involved in the determination of neuroblastoma prognosis. Based on the above findings, the present inventors have completed the present invention.
[0010] すなわち、本発明は、被検化合物の存在下および非存在下のそれぞれの条件に おいて、細胞を培養する工程と、それぞれの培養した細胞中の Shf遺伝子の発現量 を測定する工程と、被検化合物の存在下において培養した細胞中の Shf遺伝子の 発現量が、被検化合物の非存在下において培養した細胞中の Shf遺伝子の発現量 よりも高い場合に、当該被検化合物を神経芽腫の治療薬と判定する工程と、を備える 、神経芽腫の治療薬のスクリーニング方法を提供する。本発明のスクリーニング方法 は、 Shf遺伝子の発現レベルが神経芽腫の予後良好及び予後不良と強く相関すると いう本発明者が新たに発見した知見に基づくものである。これによつて、神経芽腫の 予後改善のための治療薬の開発が可能となる。 [0010] That is, the present invention includes a step of culturing a cell under each condition in the presence and absence of a test compound, and a step of measuring the expression level of the Shf gene in each cultured cell. If the expression level of the Shf gene in the cells cultured in the presence of the test compound is higher than the expression level of the Shf gene in the cells cultured in the absence of the test compound, the test compound is And a method for screening a therapeutic agent for neuroblastoma, comprising the step of determining that the therapeutic agent is a neuroblastoma. The screening method of the present invention is based on the knowledge newly discovered by the present inventor that the expression level of Shf gene strongly correlates with good prognosis and poor prognosis of neuroblastoma. This makes it possible to develop therapeutic agents for improving the prognosis of neuroblastoma.
[0011] 本発明のスクリーニング方法は、また、被検化合物の存在下および非存在下のそ れぞれの条件において、細胞を培養する工程と、それぞれの培養した細胞中の Shf 遺伝子及び TrkA遺伝子の発現量を測定する工程と、被検化合物の存在下にお!/、 て培養した細胞中の Shf遺伝子及び TrkA遺伝子の発現量力 S、被検化合物の非存 在下において培養した細胞中の Shf遺伝子及び TrkA遺伝子の発現量よりも高い場 合に、当該被検化合物を神経芽腫の治療薬と判定する工程と、を備えることを特徴と する。上記構成によって、 Shf遺伝子の発現レベルが、神経芽腫の予後と高い相関 を示し、さらに、 TrkA遺伝子の発現レベルとも高い相関を示すという知見に基づい た神経芽腫の予後改善のための治療薬を開発することができる。 [0011] The screening method of the present invention also includes a step of culturing cells in the presence and absence of a test compound, and the Shf gene and TrkA gene in each cultured cell. The expression level of Shf gene and TrkA gene in cells cultured in the presence of the test compound !, Shf in cells cultured in the absence of the test compound And a step of determining the test compound as a therapeutic agent for neuroblastoma when the expression level of the gene and the TrkA gene is higher. With the above configuration, a therapeutic drug for improving the prognosis of neuroblastoma based on the finding that the expression level of Shf gene is highly correlated with the prognosis of neuroblastoma and also highly correlated with the expression level of TrkA gene Can be developed.
[0012] 本発明のスクリーニング方法は、また、被検化合物の存在下および非存在下のそ れぞれの条件において、細胞を培養する工程と、それぞれの培養した細胞中の Shf 及び TrkAの相互作用を測定する工程と、被検化合物の存在下にお!/、て培養した細 胞中の Shf及び TrkAの相互作用力 S、被検化合物の非存在下において培養した細 胞中の Shf及び TrkAの相互作用よりも強い場合に、当該被検化合物を神経芽腫の 治療薬と判定する工程と、を備えることを特徴とする。本発明のスクリーニング方法は 、 Shfと TrkAとが、互いに相互作用するという分子機構を応用したものである。力、か る分子機構は、本発明者が新たに発見したものであり、これによつて、 Shfによる Trk Aシグナル伝達の制御と!/、う新たな分子機構に基づく、新たな治療薬の開発が可能 となる。 [0012] The screening method of the present invention also comprises a step of culturing cells in the presence and absence of a test compound, and the mutual relationship between Shf and TrkA in each cultured cell. In the presence of the test compound! /, The interaction force of Shf and TrkA in the cells cultured in the presence of the test compound S, Shf and in the cells cultured in the absence of the test compound And a step of determining the test compound as a therapeutic agent for neuroblastoma when the interaction is stronger than TrkA interaction. The screening method of the present invention It applies the molecular mechanism that Shf and TrkA interact with each other. This molecular mechanism has been newly discovered by the present inventor, which enables the control of Trk A signaling by Shf and the new molecular mechanism based on the new molecular mechanism. Development is possible.
[0013] 本発明のスクリーニング方法に力、かる細胞は、ヒト神経芽腫の臨床サンプル由来の 細胞であること力 S好ましく、また、予後不良のヒト神経芽腫の臨床サンプノレ由来の細 胞であることが好ましい。これによつて、ヒト神経芽腫の予後改善のため、特に、予後 不良例の治療のための治療薬を開発することができる。 [0013] It is preferable that the cell to be used in the screening method of the present invention is a cell derived from a clinical sample of human neuroblastoma. Preferably, the cell is derived from a clinical sample of human neuroblastoma having a poor prognosis. It is preferable. This makes it possible to develop therapeutic agents for improving the prognosis of human neuroblastoma, particularly for the treatment of patients with poor prognosis.
[0014] 本発明は、配列番号 1に記載の塩基配列からなる核酸を有するベクターを含む、神 経芽腫の治療薬を提供する。また本発明は、神経芽腫の治療薬の製造のための、配 列番号 1に記載の塩基配列からなる核酸を有するベクターの使用、及び、神経芽腫 の患者に、配列番号 1に記載の塩基配列からなる核酸を有するベクターを投与する 工程を含む、神経芽腫の治療方法を提供する。さらに、本発明は、配列番号 2に記 載のアミノ酸配列からなるタンパク質をコードする核酸を有するベクターを含む、神経 芽腫の治療薬を提供する。また本発明は、神経芽腫の治療薬の製造のための、配列 番号 2に記載のアミノ酸配列からなるタンパク質をコードする核酸を有するベクターの 使用、及び、神経芽腫の患者に、配列番号 2に記載のアミノ酸配列からなるタンパク 質をコードする核酸を有するベクターを投与する工程を含む、神経芽腫の治療方法 を提供する。ここで、配列番号 1に記載の塩基配列は、 Shf遺伝子に相当し、配列番 号 2に記載のアミノ酸配列は、 Shfに相当する。 Shf遺伝子及び Shfの GenBank A ccession No.は、 NM138356である。 Shf遺伝子が発現し、 Shfの機能が亢進す ることによって、神経芽腫疾患の予後改善が期待できる。 [0014] The present invention provides a therapeutic agent for neuroblastoma comprising a vector having a nucleic acid consisting of the nucleotide sequence set forth in SEQ ID NO: 1. The present invention also relates to the use of a vector having a nucleic acid consisting of the nucleotide sequence set forth in SEQ ID NO: 1 for the manufacture of a therapeutic agent for neuroblastoma, and to a neuroblastoma patient described in SEQ ID NO: 1. Provided is a method for treating neuroblastoma, comprising a step of administering a vector having a nucleic acid comprising a base sequence. Furthermore, the present invention provides a therapeutic agent for neuroblastoma comprising a vector having a nucleic acid encoding a protein consisting of the amino acid sequence set forth in SEQ ID NO: 2. The present invention also relates to the use of a vector having a nucleic acid encoding a protein consisting of the amino acid sequence shown in SEQ ID NO: 2 for the manufacture of a therapeutic agent for neuroblastoma, and to a neuroblastoma patient, SEQ ID NO: 2 A method for treating neuroblastoma comprising the step of administering a vector having a nucleic acid encoding a protein comprising the amino acid sequence described in 1. Here, the base sequence described in SEQ ID NO: 1 corresponds to the Shf gene, and the amino acid sequence described in SEQ ID NO: 2 corresponds to Shf. The Shf gene and Shf GenBank Accession No. is NM138356. The prognosis improvement of neuroblastoma disease can be expected by the expression of Shf gene and the enhancement of Shf function.
[0015] 本発明の治療薬は、さらに、配列番号 3に記載の塩基配列からなる核酸を有するベ クタ一又は配列番号 4に記載のアミノ酸配列からなるタンパク質をコードする核酸を 有するベクターを含むことが好ましい。ここで、配列番号 3に記載の塩基配列は、 Trk A遺伝子に相当し、配列番号 4に記載のアミノ酸配列は、 TrkAに相当する(GenBa nk Accession No. : NP002529)。 Shf及び TrkAの機能が亢進し、 Shfの関与 する TrkAシグナル伝達が正常に機能することによって、神経芽腫疾患の予後改善 が期待できる。 [0015] The therapeutic agent of the present invention further includes a vector having a nucleic acid consisting of the nucleotide sequence set forth in SEQ ID NO: 3 or a vector having a nucleic acid encoding a protein consisting of the amino acid sequence set forth in SEQ ID NO: 4. Is preferred. Here, the base sequence described in SEQ ID NO: 3 corresponds to the Trk A gene, and the amino acid sequence described in SEQ ID NO: 4 corresponds to TrkA (GenBank Accession No .: NP002529). Improves the prognosis of neuroblastoma disease by enhancing the function of Shf and TrkA and normal functioning of TrkA signaling involving Shf Can be expected.
[0016] 本発明は、さらに、予後が不明のヒト神経芽腫の臨床サンプル中における Shf遺伝 子の発現量を測定する工程と、 Shf遺伝子の発現量を、予後良好な、及び予後不良 なヒト神経芽腫の臨床サンプル中における Shf遺伝子の発現量と比較する工程と、を 備える、ヒト神経芽腫の予後の判定方法を提供する。本発明の判定方法は、 Shf遺 伝子の発現レベルが神経芽腫の患者の生存率、すなわち、神経芽腫の予後良好及 び予後不良と強く相関するという知見を応用したものである。かかる分子機構は、本 発明者が新たに発見したものであり、これによつて、予後が不明のヒト神経芽腫の予 後を判定することが可能となる。 [0016] The present invention further comprises a step of measuring the expression level of Shf gene in a clinical sample of human neuroblastoma with unknown prognosis, and the expression level of Shf gene with a good prognosis and a poor prognosis. A method for determining the prognosis of human neuroblastoma, comprising the step of comparing the expression level of the Shf gene in a clinical sample of neuroblastoma. The determination method of the present invention is based on the finding that the expression level of the Shf gene is strongly correlated with the survival rate of patients with neuroblastoma, that is, with a good prognosis and poor prognosis of neuroblastoma. Such a molecular mechanism has been newly discovered by the present inventor, and this makes it possible to determine the prognosis of human neuroblastoma whose prognosis is unknown.
[0017] 本発明の判定方法は、予後が不明のヒト神経芽腫の臨床サンプル中における Trk A遺伝子の発現量を測定する工程と、 TrkA遺伝子の発現量を、予後良好な、及び 予後不良なヒト神経芽腫の臨床サンプル中における TrkA遺伝子の発現量と比較す る工程と、をさらに備えることが好ましい。本発明の判定方法は、 Shf遺伝子の発現レ ベルが、神経芽腫の予後と高い相関を示し、加えて、 TrkA遺伝子の発現レベルとも 高い相関を示すという本発明者らによる知見を応用したものである。 Shf遺伝子の解 析に加え、さらに、 TrkA遺伝子の発現量の解析を行うことによって、予後が不明のヒ ト神経芽腫の予後を、より信頼度高く判定することが可能となる。 [0017] The determination method of the present invention comprises a step of measuring the expression level of Trk A gene in a clinical sample of human neuroblastoma of unknown prognosis, and the expression level of TrkA gene is determined with good prognosis and poor prognosis. It is preferable to further comprise a step of comparing the expression level of the TrkA gene in a clinical sample of human neuroblastoma. The determination method of the present invention is an application of the knowledge of the present inventors that the expression level of Shf gene is highly correlated with the prognosis of neuroblastoma, and also highly correlated with the expression level of TrkA gene. It is. By analyzing the expression level of the TrkA gene in addition to the analysis of the Shf gene, the prognosis of human neuroblastoma with an unknown prognosis can be determined with higher reliability.
発明の効果 The invention's effect
[0018] 本発明のスクリーニング方法によれば、今までとは作用機序の異なる、神経芽腫の 予後改善のための治療薬を開発することができる。また、本発明の治療薬により、神 経芽腫疾患の予後改善が期待できる。さらに、本発明の判定方法によって、予後が 不明のヒト神経芽腫の予後を判定することが可能となる。本発明の判定方法とスクリ 一ユング方法及び/又は治療薬とを組み合わせることによって、神経芽腫の予後良 好及び予後不良に合わせた治療薬の開発及び治療法の選択を行うことが可能とな 図面の簡単な説明 [0018] According to the screening method of the present invention, it is possible to develop a therapeutic agent for improving the prognosis of neuroblastoma, which has a different mechanism of action from the past. In addition, the therapeutic agent of the present invention can be expected to improve the prognosis of neuroblastoma disease. Furthermore, the determination method of the present invention makes it possible to determine the prognosis of a human neuroblastoma whose prognosis is unknown. By combining the determination method of the present invention with the screening method and / or therapeutic agent, it becomes possible to develop a therapeutic agent and select a therapeutic method in accordance with the prognosis good and poor prognosis of neuroblastoma. Brief Description of Drawings
[0019] [図 1]半定量的 RT— PCR法による神経芽腫臨床検体(予後良好群及び予後不良群 、それぞれ 8検体)での Shf mRNAの発現量の測定結果を示す電気泳動写真に対 応する図である。 [0019] [Fig. 1] Compared to electrophoretic photographs showing the measurement results of the expression level of Shf mRNA in clinical samples of neuroblastoma (eight samples each with good prognosis and poor prognosis) by semi-quantitative RT-PCR. FIG.
[図 2] Shf mRNAの発現レベル及び予後の相関を示すグラフである。 FIG. 2 is a graph showing the correlation between Shf mRNA expression level and prognosis.
[図 3]TrkA mRNA及び Shf mRNAの発現レベルの相関を示すグラフである。 FIG. 3 is a graph showing the correlation between expression levels of TrkA mRNA and Shf mRNA.
[図 4]半定量的 RT— PCR法による正常組織での Shf mRNAの発現量の測定結果 を示す電気泳動写真に対応する図である。 FIG. 4 is a diagram corresponding to an electrophoretic photograph showing the measurement result of the expression level of Shf mRNA in a normal tissue by a semiquantitative RT-PCR method.
[図 5]in situ ハイブリダィゼーシヨン法による Shf mRNAの発現を示す染色像に 対応する図である。 sp、脊髄; DRG、後根神経節; dienC ephalon、間脳。 FIG. 5 is a diagram corresponding to a stained image showing expression of Shf mRNA by an in situ hybridization method. sp, spinal cord; DRG, dorsal root ganglion; dien C e phalon, diencephalon.
[図 6]免疫染色実験による Shf及び TrkAのラット褐色細胞腫 PC 12細胞における局 在を示す染色像に対応する図である。 FIG. 6 is a diagram corresponding to a stained image showing the localization of Shf and TrkA in rat pheochromocytoma PC 12 cells by immunostaining experiments.
[図 7]共免疫沈降実験による Shf及び TrkAの相互作用を示すウェスタンプロット像に 対応する図である。 Shf及び TrkAの発現コンストラクトを H 1299細胞に同時形質導 入した。免疫沈降及びウェスタンブロット解析には、抗 Shf抗体及び抗 TrkA抗体を 用いた。 FIG. 7 is a view corresponding to a Western plot image showing the interaction between Shf and TrkA by a coimmunoprecipitation experiment. Shf and TrkA expression constructs were cotransfected into H1299 cells. Anti-Shf antibody and anti-TrkA antibody were used for immunoprecipitation and Western blot analysis.
[図 8] Shf及び TrkAのシグナル伝達機構モデルを示す概略図である。 FIG. 8 is a schematic diagram showing a signal transduction mechanism model of Shf and TrkA.
発明を実施するための最良の形態 BEST MODE FOR CARRYING OUT THE INVENTION
[0020] 以下、本発明の好適な実施形態について詳細に説明する。 Hereinafter, preferred embodiments of the present invention will be described in detail.
[0021] (治療薬のスクリーニング方法) [0021] (Method for screening therapeutic agents)
本実施形態における治療薬のスクリーニング方法には、 Shf遺伝子の発現量を指 標とする、第一及び第二の治療薬のスクリーニング方法と、 Shfと TrkAの相互作用を 指標とする第三の治療薬のスクリーニング方法とがある。 The therapeutic drug screening method in the present embodiment includes a screening method for the first and second therapeutic drugs using the expression level of the Shf gene as an index, and a third treatment using the interaction between Shf and TrkA as an index. There are drug screening methods.
[0022] まず、 Shf遺伝子の発現量を指標とする治療薬のスクリーニング方法を説明する。 [0022] First, a method for screening a therapeutic agent using the expression level of the Shf gene as an index will be described.
第一の治療薬のスクリーニング方法は、被検化合物の存在下および非存在下のそれ ぞれの条件において、細胞を培養する工程と、それぞれの培養した細胞中の Shf遺 伝子の発現量を測定する工程と、被検化合物の存在下において培養した細胞中の Shf遺伝子の発現量力 S、被検化合物の非存在下において培養した細胞中の Shf遺 伝子の発現量よりも高い場合に、当該被検化合物を神経芽腫の治療薬と判定する 工程と、を備える。 The first therapeutic drug screening method involves the step of culturing cells in the presence and absence of a test compound, and the expression level of Shf gene in each cultured cell. When the measurement step and the expression level S of Shf gene in cells cultured in the presence of the test compound are higher than the expression level of Shf gene in cells cultured in the absence of the test compound, Determining the test compound as a therapeutic agent for neuroblastoma.
[0023] ここで、遺伝子の発現量とは、遺伝子の転写産物である mRNAの発現量及び/又 はその翻訳産物である蛋白質の発現量を指す。 mRNAの発現量の測定は、当業者 にとつて公知の測定系を用いて行えばよぐ具体的には、定量的 RT— PCR法、定量 的 real— time RT— PCR法、定量的ノザンブロッテイング法、定量的リボヌクレア一 ゼプロテクション法などが挙げられる。蛋白質の発現量の測定は、当業者にとって公 知の測定系を用いて行えばよぐ例えば、定量的ウェスタンブロッテイング法、 ELIS A法などが挙げられる。コントロールとして、ハウスキーピング遺伝子である GADPH や、ベータァクチンなどの mRNA及び/又は蛋白質の発現量を用い、 Shf遺伝子な どの目的の遺伝子の発現量を標準化する。また、同一の対象力 採取した複数のサ ンプル及び/又は同一のサンプルに由来するァリコットにおける目的遺伝子及び/ 又はコントロール遺伝子の発現量を測定し、それぞれの平均値から発現量を求めて もよい。これら方法を用いることによって、遺伝子発現を定量的に測定することが可能 である。 [0023] Here, the expression level of the gene means the expression level of mRNA that is a transcription product of the gene and / or Indicates the expression level of the protein which is the translation product. The measurement of mRNA expression can be performed using a measurement system known to those skilled in the art. Specifically, quantitative RT-PCR, quantitative real-time RT-PCR, quantitative northern blot And the like, and quantitative ribonuclease protection method. The protein expression level may be measured using a measurement system known to those skilled in the art, for example, quantitative Western blotting and ELISA. As a control, the expression level of the target gene such as the Shf gene is standardized using the expression level of mRNA and / or protein such as GADPH, which is a housekeeping gene, and beta-actin. Alternatively, the expression level of the target gene and / or control gene in a plurality of samples collected from the same target force and / or the same sample may be measured, and the expression level may be obtained from the average value of each. By using these methods, it is possible to quantitatively measure gene expression.
[0024] 被検化合物の存在下の Shf遺伝子の発現量が被検化合物の非存在下の Shf遺伝 子の発現量よりも多い被検化合物を神経芽腫の治療薬と判定することができる。治 療薬とは、神経芽腫の予後を良好にするものであることが最も好ましいが、予後を改 善するものであれば本発明の目的に適うものである。 [0024] A test compound in which the expression level of the Shf gene in the presence of the test compound is larger than the expression level of the Shf gene in the absence of the test compound can be determined as a therapeutic agent for neuroblastoma. The therapeutic agent is most preferably an agent that improves the prognosis of neuroblastoma, but any agent that improves the prognosis is suitable for the purpose of the present invention.
[0025] 第二の治療薬のスクリーニング方法では、 Shf遺伝子の発現量に加え、神経芽腫 疾患の予後決定に関わる候補遺伝子である TrkA遺伝子の発現量を解析することが 好ましい。さらに別の実施形態では、従来知られている、予後良好群及び予後不良 群の 2つのサブセット間で異なる発現を示す遺伝子の発現量を同時に解析してもよ い。 [0025] In the second therapeutic drug screening method, it is preferable to analyze the expression level of the TrkA gene, which is a candidate gene involved in the prognosis determination of neuroblastoma disease, in addition to the expression level of the Shf gene. In yet another embodiment, expression levels of genes that are differently expressed between two subsets of a well-known group and a poor-prognosis group, which are conventionally known, may be analyzed simultaneously.
[0026] スクリーニングに用いる細胞は、例えば、ヒト肺癌細胞由来の H1299や、ラット副腎 褐色細胞腫由来の PC 12などの培養細胞でもよく、神経組織由来の培養細胞でもよ い。また、神経芽腫由来の培養細胞が好ましぐヒト神経芽腫の臨床サンプル由来の 細胞であること力 Sより好ましく、予後不良のヒト神経芽腫の臨床サンプノレ由来の細胞 であることが特に好ましい。 [0026] The cells used for screening may be cultured cells such as H1299 derived from human lung cancer cells, PC 12 derived from rat adrenal pheochromocytoma, or may be cultured cells derived from neural tissue. Further, it is more preferable that the cultured cell derived from neuroblastoma is a cell derived from a preferred clinical sample of human neuroblastoma, more preferably a cell derived from a clinical neuron of human neuroblastoma having a poor prognosis. .
[0027] 被検化合物は、低分子化合物、ペプチド、蛋白質、核酸 (DNA, RNA, PNA)な どが挙げられる力 これらに限定しない。また、スクリーニングには、任意のスクリー二 ング用化合物ライブラリーを用いてもよい。なお、細胞の培養条件及び被検化合物の 投与条件は、当業者であれば、適宜調整することが可能である。 [0027] Test compounds include, but are not limited to, low molecular weight compounds, peptides, proteins, nucleic acids (DNA, RNA, PNA) and the like. Also, for screening, any screen Compound library may be used. It should be noted that cell culture conditions and test compound administration conditions can be appropriately adjusted by those skilled in the art.
[0028] 次に、 Shfと TrkAの相互作用を指標とする第三の治療薬のスクリーニング方法を 説明する。第三の治療薬のスクリーニング方法は、被検化合物の存在下および非存 在下のそれぞれの条件において、細胞を培養する工程と、それぞれの培養した細胞 中の Shf及び TrkAの相互作用を測定する工程と、被検化合物の存在下において培 養した細胞中の Shf及び TrkAの相互作用力 S、被検化合物の非存在下において培 養した細胞中の Shf及び TrkAの相互作用よりも強い場合に、当該被検化合物を神 経芽腫の治療薬と判定する工程と、を備える。 [0028] Next, a third therapeutic drug screening method using the interaction between Shf and TrkA as an index will be described. A third method for screening for therapeutic agents is a step of culturing cells in each condition in the presence and absence of a test compound, and a step of measuring the interaction of Shf and TrkA in each cultured cell. And the interaction force S of Shf and TrkA in the cells cultivated in the presence of the test compound, and the interaction force Shf and TrkA in the cells cultivated in the absence of the test compound, And determining the test compound as a therapeutic agent for neuroblastoma.
[0029] 細胞中に発現する Shf及び TrkAは、内在性であることが好ましいが、形質導入に よって強制的に発現させてもよぐその場合、 Shf及び TrkAは、 GSTや HAなどのタ グが融合されていてもよぐ蛍光蛋白質によって標識されていてもよい。相互作用と は、蛋白質間の直接的及び/又は間接的な相互作用を指し、この場合、 Shf及び Tr kAが複合体を形成しているか、又は、機能的に連携するように近接して存在してい ることを指す。相互作用の測定は、当業者にとって公知の蛋白質の相互作用を測定 する系が利用可能であり、具体的には、共免疫沈降法による測定や、蛍光共鳴エネ ルギ一転移 (FRET)を応用した測定などが挙げられる。得られた定量的な測定値を 、被検化合物の存在下と非存在下との間で比較し、被検化合物の神経芽腫の治療 薬としての効用を判定する。 [0029] Shf and TrkA expressed in cells are preferably endogenous, but in this case, Shf and TrkA can be expressed by tags such as GST and HA. May be labeled with a fluorescent protein which may be fused. Interaction refers to direct and / or indirect interaction between proteins, where Shf and Tr kA form a complex or are in close proximity to be functionally linked. It means doing. For the measurement of the interaction, a system for measuring protein interactions known to those skilled in the art can be used. Specifically, the measurement by co-immunoprecipitation method or fluorescence resonance energy transfer (FRET) is applied. Measurement and the like. The obtained quantitative measurement value is compared between the presence and absence of the test compound to determine the utility of the test compound as a therapeutic agent for neuroblastoma.
[0030] (治療薬) [0030] (Therapeutic)
また、本発明の実施形態に力、かる神経芽腫の治療薬は、 Shf遺伝子(配列番号 1) を有するベクターを含む。また別の実施形態では、治療薬は Shf (配列番号 2)をコー ドする核酸を有するベクターを含む。さらなる実施形態では、治療薬はさらに TrkA遺 伝子(配列番号 3)を有するベクター又は TrkA (配列番号 4)をコードする核酸を有す るベクターを含むことが好ましレ、。 Further, the therapeutic agent for neuroblastoma, which is an embodiment of the present invention, includes a vector having the Shf gene (SEQ ID NO: 1). In yet another embodiment, the therapeutic agent comprises a vector having a nucleic acid encoding Shf (SEQ ID NO: 2). In a further embodiment, the therapeutic agent preferably further comprises a vector having a TrkA gene (SEQ ID NO: 3) or a vector having a nucleic acid encoding TrkA (SEQ ID NO: 4).
[0031] ベクターは、 DNAまたは RNAウィルスをもとに作製できる。 MoMLVベクター、へ ノレぺスウィルスベクター、アデノウイルスベクター、 AAVベクター、 HIVベクター、 SI Vベクター、センダイウィルスベクター等のいかなるウィルスベクターであっても良い。 また、ウィルスベクターの構成タンパク質群のうち 1つ以上を、異種ウィルスの構成タ ンパク質に置換する、もしくは、遺伝子情報を構成する塩基配列のうち一部を異種ゥ ィルスの塩基配列に置換する、シユードタイプ型のウィルスベクターも本発明に使用 できる。例えば、 HIVの外皮タンパク質である Envタンパク質を、小水痘性口内炎ゥ ィルス(Vesicularstomatitis Virus :VSV)の外皮タンパク質である VSV— Gタンパ ク質に置換したシユードタイプウィルスベクターが挙げられる。さらに、治療効果を持 つウィルスであれば、ヒト以外の宿主域を持つウィルスもウィルスベクターとして使用 可能である。ウィルス以外のベクターとしてはリン酸カルシウムと核酸の複合体、リポ ソーム、カチオン脂質複合体、センダイウィルスリボソーム、ポリカチオンを主鎖とする 高分子キャリア一等が使用可能である。 [0031] Vectors can be prepared based on DNA or RNA viruses. Any virus vector such as a MoMLV vector, a herpes virus vector, an adenovirus vector, an AAV vector, an HIV vector, an SIV vector, or a Sendai virus vector may be used. In addition, one or more of the viral protein component proteins are replaced with a heterologous virus component protein, or a part of the base sequence constituting the genetic information is replaced with a heterologous virus base sequence. A pseudo-type virus vector can also be used in the present invention. For example, a pseudo-type virus vector in which the Env protein, which is the coat protein of HIV, is replaced with the VSV-G protein, which is the coat protein of the small vesicular stomatitis virus (VSV). Furthermore, viruses having a host range other than humans can be used as virus vectors as long as they have a therapeutic effect. As a vector other than a virus, a complex of calcium phosphate and nucleic acid, a liposome, a cationic lipid complex, a Sendai virus ribosome, a polymer carrier having a polycation as a main chain, and the like can be used.
[0032] さらに、ベクター中の遺伝子の発現のために用いられる発現カセットは、標的細胞 内で遺伝子を発現させることができるものであれば、特に制限されることなく用いるこ と力できる。当業者はそのような発現カセットを容易に選択することができる。好ましく は、動物由来の細胞内で遺伝子発現が可能な発現カセットであり、より好ましくは、哺 乳類由来の細胞内で遺伝子発現が可能な発現カセットであり、特に好ましくは、ヒト 由来の細胞内で遺伝子発現が可能な発現カセットである。発現カセットに用いられる 遺伝子プロモーターは、例えばアデノウイルス、サイトメガロウィルス、ヒト免疫不全ゥ ィルス、シミアンウィルス 40、ラウス肉腫ウィルス、単純へルぺスウィルス、マウス白血 病ウィルス、シンビスウィルス、 A型肝炎ウィルス、 B型肝炎ウィルス、 C型肝炎ウィル ス、パピローマウィルス、ヒト T細胞白血病ウィルス、インフルエンザウイルス、 日本脳 炎ウィルス、 JCウィルス、パルボウイルス B19、ポリオウイルス等のウィルス由来のプロ モーター、アルブミン、 SR a、熱ショック蛋白、ェロンゲーシヨン因子等の哺乳類由来 のプロモーター、 CAGプロモーター等のキメラ型プロモーター、テトラサイクリン、ステ ロイド等によって発現が誘導されるプロモーターを含む。 [0032] Further, the expression cassette used for the expression of the gene in the vector can be used without particular limitation as long as it can express the gene in the target cell. One skilled in the art can readily select such an expression cassette. Preferably, it is an expression cassette capable of gene expression in animal-derived cells, more preferably an expression cassette capable of gene expression in mammal-derived cells, and particularly preferably in human-derived cells. This is an expression cassette capable of gene expression. The gene promoter used in the expression cassette is, for example, adenovirus, cytomegalovirus, human immunodeficiency virus, simian virus 40, rous sarcoma virus, herpes simplex virus, mouse leukemia virus, symbis virus, hepatitis A Virus, Hepatitis B virus, Hepatitis C virus, Papilloma virus, Human T-cell leukemia virus, Influenza virus, Japanese encephalitis virus, JC virus, Parvovirus B19, Poliovirus-derived promoter, albumin, SR a, promoters derived from mammals such as heat shock proteins and elongation factors, chimeric promoters such as CAG promoters, promoters whose expression is induced by tetracycline, steroids, and the like.
[0033] (神経芽腫の予後の判定方法) [0033] (Method for determining prognosis of neuroblastoma)
本実施形態における神経芽腫の予後の判定方法は、予後が不明のヒト神経芽腫の 臨床サンプル中における Shf遺伝子の発現量を測定する工程と、 Shf遺伝子の発現 量を、予後良好な、及び予後不良なヒト神経芽腫の臨床サンプル中における Shf遺 伝子の発現量と比較する工程と、を備える。 The method of determining the prognosis of neuroblastoma in the present embodiment includes a step of measuring the expression level of Shf gene in a clinical sample of human neuroblastoma with an unknown prognosis, and the expression level of Shf gene with a good prognosis, and Shf remains in clinical samples of human neuroblastoma with poor prognosis And a step of comparing with the expression level of the gene.
[0034] Shf遺伝子の発現量が高い場合に、神経芽腫の予後が良好となるという本発明の 知見に基づき、予後を判定する。予後良好なヒト神経芽腫の臨床サンプル中におけ る Shf遺伝子の発現量とは、予後良好な複数の症例(予後良好群)から得られた発 現量の測定値を統計的に処理したものでもよぐまた、予後不良なヒト神経芽腫の臨 床サンプル中における Shf遺伝子の発現量についても同様である。予後良好の判定 に関しては、具体的には、予後が不明のヒト神経芽腫の臨床サンプル中における Sh f遺伝子の発現量が、予後良好なヒト神経芽腫の臨床サンプル中の Shf遺伝子の発 現量よりも多い場合及び/又は予後良好群から得られた発現量との比較において、 統計的に予後良好群の分布範囲に該当する場合に、被験者の神経芽腫の予後は 良好であると判定することができる。また、予後不良の判定も、予後良好の判定と同 様にして fiうこと力 Sできる。 [0034] The prognosis is determined based on the knowledge of the present invention that the prognosis of neuroblastoma is good when the expression level of the Shf gene is high. The expression level of Shf gene in clinical samples of human neuroblastoma with good prognosis is a statistically processed measurement of the expression level obtained from multiple cases with good prognosis (good prognosis group). However, the same is true for the expression level of the Shf gene in clinical samples of human neuroblastoma with poor prognosis. Regarding the determination of good prognosis, specifically, the expression level of Sh f gene in clinical samples of human neuroblastoma with unknown prognosis is the same as the expression of Shf gene in clinical samples of human neuroblastoma with good prognosis. If the amount is higher than the dose and / or statistically falls within the distribution range of the good prognosis group in comparison with the expression level obtained from the good prognosis group, the prognosis of the subject is determined to be good. can do. In addition, judgment of poor prognosis can be performed in the same way as judgment of good prognosis.
[0035] 本明細書で使用する「予後良好」とは、神経芽細胞腫のうち、腫瘍が限局して存在 するか、または退縮や良性の交感神経節細胞腫になった状態を指し、 N— mycその 他腫瘍マーカーから判断して、悪性度が低いと判断される。なお、 N— myc遺伝子 は、正常細胞や予後良好な神経芽細胞腫では通常 1倍体当たり 1つしか存在しない のに対し、予後不良の神経芽細胞腫においては数十倍に増幅される神経の癌遺伝 子である。本発明の好適な実施の形態では、国際神経芽腫病期分類に基づく病期 1 、 2又は 4s、発症年齢力 歳未満であって、手術後 5年以上再発なく生存し、臨床組 織中に N— mycの増幅が認められないものをヒト神経芽細胞腫における予後良好例 とした力、このような特定の例には限定されない。 [0035] As used herein, "good prognosis" refers to a state of a neuroblastoma where the tumor is localized or has become a regression or benign sympathetic ganglion cell, N — Judging from myc and other tumor markers, the grade is low. The N-myc gene is usually only one per haploid in normal cells and neuroblastomas with good prognosis, whereas in neuroblastoma with poor prognosis, it is amplified several tens of times. Is an oncogene. In a preferred embodiment of the present invention, stage 1, 2 or 4 s based on the international neuroblastoma staging, age of onset is less than age, and survives 5 years or more after surgery without recurrence. However, this is not limited to such a specific example, in which N-myc amplification is not recognized as a good prognosis in human neuroblastoma.
[0036] また、本明細書でいう「予後不良」とは、神経芽細胞腫のうち、腫瘍の進行が認めら れる状態を指し、 N— mycその他腫瘍マーカーから判断して、悪性度が高いと判断 されるものである。本発明の好適な実施の形態では、病期 3又は 4、発症年齢が 1歳 以上であって、手術後 3年以内に死亡、臨床組織中に N— mycの増幅が認められた ものをヒト神経芽細胞腫における予後不良例とした力 S、このような特定の例には限定 されない。 [0036] The term "poor prognosis" as used herein refers to a state in which tumor progression is observed among neuroblastomas, and is highly malignant as judged from N-myc and other tumor markers. It is judged. In a preferred embodiment of the present invention, humans are those whose stage 3 or 4 has an onset age of 1 year or more, died within 3 years after surgery, and N-myc amplification was observed in clinical tissues. Force S, which is a poor prognosis in neuroblastoma, is not limited to such a specific example.
[0037] 別の実施形態では、神経芽腫の予後の判定方法は、 Shf遺伝子の発現量に加え、 神経芽腫疾患の予後決定に関わる候補遺伝子である TrkA遺伝子の発現量を解析 すること力 S好ましい。さらに別の実施形態では、従来知られている、予後良好群及び 予後不良群の 2つのサブセット間で異なる発現を示す遺伝子の発現量を同時に解析 しても良い。 [0037] In another embodiment, the method for determining the prognosis of neuroblastoma includes the expression level of the Shf gene, Ability to analyze the expression level of the TrkA gene, which is a candidate gene for determining the prognosis of neuroblastoma disease. In yet another embodiment, the expression levels of genes that are differently expressed between two subsets of a well-known group and a poor-prognosis group, which are conventionally known, may be analyzed simultaneously.
実施例 Example
[0038] 以下、実施例を挙げて本発明をより詳細に説明するが、本発明はこれらの実施例 に限定されるものではない。 [0038] Hereinafter, the present invention will be described in more detail with reference to examples. However, the present invention is not limited to these examples.
[0039] (実験材料) [0039] (Experimental material)
Superscript II逆転写酵素は LifeTechnologies社から購入した。ランダムプライ マーは Takara酒造社から購入した。 TaqMan (商標登録) Universal PCR Mast er Mixは Perkin— Elmer Applied Biosystems社から購入した。 Shfのプロ一 ブ付きプライマーは Applied Biosystems社から購入した。坑 Shf抗体は MBL社か ら購入した。坑 Trk抗体は SANTA CRUZ BIOTECHNOLOGLY社、坑 Tubul in抗体は Neo MARKERS社から購入した。 Superscript II reverse transcriptase was purchased from LifeTechnologies. Random primers were purchased from Takara Sake Brewery. TaqMan (registered trademark) Universal PCR Master Mix was purchased from Perkin—Elmer Applied Biosystems. Shf probed primers were purchased from Applied Biosystems. Anti-Shf antibody was purchased from MBL. Anti-Trk antibody was purchased from SANTA CRUZ BIOTECHNOLOGLY, and anti-Tubul in antibody was purchased from Neo MARKERS.
[0040] RT— PCR法及び Real— time RT— PCR法に用いた各種プライマーは以下の通 りである。 [0040] The various primers used in the RT-PCR method and the Real-time RT-PCR method are as follows.
Shf : 5' -TATGAGCCAGAGAGGAGGATGG-3 ' (配列番号 5) Shf: 5 '-TATGAGCCAGAGAGGAGGATGG-3' (SEQ ID NO: 5)
5 ' - CTGTCCAGCTGTCCCACAGGTG- 3 ' (配列番号 6) GAPDH: 5 ' -ACCTGACCTGCCGTCTAGAA-3 ' (配列番号 7) 5 '-CTGTCCAGCTGTCCCACAGGTG-3' (SEQ ID NO: 6) GAPDH: 5 '-ACCTGACCTGCCGTCTAGAA-3' (SEQ ID NO: 7)
5 ' -TCCACCACCCTGTTGCTGTA-3 ' (配列番号 8) 5 '-TCCACCACCCTGTTGCTGTA-3' (SEQ ID NO: 8)
[0041] (実験方法) [0041] (Experimental method)
以下の方法は各文献に沿って行なった。 The following method was performed according to each document.
半定量的 RT— PCR法、免疫染色法及び免疫沈降法は、 Hanamoto et al., J. Biol. Chem., 280: 16665- 166675, 2005. に記載の方法と同様の方法を用 い、適宜実験系の最適化を行った。定量的 real— time RT— PCR法及び in situ ノヽィフ、、リダイゼーシヨン法 (ま、 Machida et al., Oncogene., 25: 1931— 1942, 2006. に記載の方法と同様の方法を用い、適宜実験系の最適化を行った。 The semi-quantitative RT-PCR method, immunostaining method and immunoprecipitation method are the same as those described in Hanamoto et al., J. Biol. Chem., 280: 16665-166675, 2005. The experimental system was optimized. Quantitative real—time RT—PCR method and in situ nof, redisaction method (Machida et al., Oncogene., 25: 1931— 1942, 2006. The experimental system was optimized.
[0042] (実施例 1 : RT— PCR法による発現解析) 予後良好な、及び予後不良なヒト神経芽腫の臨床サンプルから全 RNAを調整し、 これらの全 RNAをテンプレートとして、半定量的 RT— PCR法により Shf mRNAの 発現量を解析した。その結果を図 1に示す。 Shf遺伝子が予後良好群で高発現を示 していることが認められ、 Shf遺伝子の発現レベルと神経芽腫の予後との間に機能的 な関わりがある可能性が示唆された。 [0042] (Example 1: Expression analysis by RT-PCR method) Total RNA was prepared from clinical samples of human neuroblastoma with good prognosis and poor prognosis, and the expression level of Shf mRNA was analyzed by semi-quantitative RT-PCR using these total RNAs as templates. The results are shown in Fig. 1. It was confirmed that the Shf gene was highly expressed in the good prognosis group, suggesting that there is a functional relationship between the expression level of the Shf gene and the prognosis of neuroblastoma.
[0043] (実施例 2:力プランマイヤー法による生存分析) [0043] (Example 2: Survival analysis by force plan Meyer method)
神経芽腫の患者より採取した臨床サンプル 105例を用いて定量的 real— time R T PCRを行い、 Shf mRNAの発現レベルと診断後の患者の生存率との関係を検 討した。図 2に力プランマイヤー法による解析結果を示す。予後良好群と Shfの高発 現との間には有意な相関(p = 0. 045)が認められた。このこと力ゝら、 Shf mRNAが 高発現を示している症例では、予後が良好であることが示された。 Quantitative real-time RT PCR was performed on 105 clinical samples collected from patients with neuroblastoma to examine the relationship between Shf mRNA expression levels and patient survival after diagnosis. Figure 2 shows the results of analysis by the force plan Meyer method. There was a significant correlation (p = 0.045) between the good prognosis group and the high expression of Shf. This proved that the prognosis was good in the case of high expression of Shf mRNA.
[0044] (実施例 3 : Shf mRNA及び TrkA mRNAの発現の相関) [Example 3: Correlation of Shf mRNA and TrkA mRNA expression]
さらに、神経芽腫の臨床サンプルを用いて定量的 real— time RT— PCRを行い、 Shf mRNAの発現レベルと TrkA mRNAの発現レベルとを比較した。その結果、 図 3に示すように、両者は有意に相関し (p< 0. 00005)、予後の決定に関わる候補 遺伝子 TrkAの mRNAが高発現している症例では、 Shf mRNAが有意に高発現し ていることが示された。 Furthermore, quantitative real-time RT-PCR was performed using clinical samples of neuroblastoma, and the expression level of Shf mRNA was compared with the expression level of TrkA mRNA. As a result, as shown in Fig. 3, both were significantly correlated (p <0.00055), and in cases where the mRNA of the candidate gene TrkA involved in prognosis was highly expressed, Shf mRNA was significantly high expressed. It was shown that
[0045] (実施例 4: Shf mRNAの発現の組織特異性の確認) (Example 4: Confirmation of tissue specificity of Shf mRNA expression)
半定量的 RT— PCR法によって、それぞれの正常組織での Shf mRNAの発現量 を比較した結果を図 4に示す。 Shf mRNAは、脳、小脳及び胎児脳において高発 現が認められた。さらに、 in situ ハイブリダィゼーシヨン法による解析結果を図 5に 示す。胎生 13. 5日目における Shf mRNAの発現組織を検討したところ、脊髄、後 根神経節及び間脳においてその発現が認められた。したがって、 Shf遺伝子が神経 系において発現し、神経組織の機能維持や分化に関与している可能性が示された。 Figure 4 shows the results of comparing the expression level of Shf mRNA in each normal tissue by semi-quantitative RT-PCR. High expression of Shf mRNA was observed in the brain, cerebellum and fetal brain. Furthermore, Fig. 5 shows the results of analysis by the in situ hybridization method. Embryonic 13. Examination of Shf mRNA expression tissue on day 5 revealed expression in the spinal cord, dorsal root ganglia and diencephalon. Therefore, it was suggested that the Shf gene is expressed in the nervous system and is involved in the maintenance and differentiation of neural tissues.
[0046] (実施例 5:免疫染色実験による Shf及び TrkAの細胞内局在の確認) [Example 5: Confirmation of intracellular localization of Shf and TrkA by immunostaining experiment]
Shf及び TrkAの細胞内局在を明らかにする目的で、ラット褐色細胞腫 PC12細胞 を用いて免疫染色実験を行った結果、内在性の Shfと TrkAが細胞質に共に局在す ることが明らかとなった。図 6に、免疫染色による解析結果を示す。 TrkAは膜貫通型 の受容体であることを考え合わせると、細胞質及び/又は細胞膜の内部において Sh fと TrkAが共局在し、互いに機能的に相互作用する可能性が示唆された。 In order to clarify the intracellular localization of Shf and TrkA, immunostaining experiments using rat pheochromocytoma PC12 cells revealed that endogenous Shf and TrkA colocalized in the cytoplasm. became. Fig. 6 shows the results of immunostaining analysis. TrkA is transmembrane type Considering that it is a receptor for Sf, it was suggested that Sh f and TrkA co-localize in the cytoplasm and / or cell membrane and interact functionally with each other.
[0047] (実施例 6: Shf及び TrkAの免疫複合体形成の検出) (Example 6: Detection of Shf and TrkA immune complex formation)
H1299細胞に、 Shf及び TrkAの発現コンストラクトを同時形質導入した。培養の 後、細胞の懸濁液を可溶性画分と不溶性画分とに分画し、得られた可溶性画分を免 疫沈降実験に呈した。 Shf及び TrkAは、共に可溶性画分において検出された。共 免疫沈降実験の解析結果を図 7に示す。この結果より、 H1299細胞内で共に強制 発現させた Shf及び TrkAが免疫複合体を形成することが示された。 H1299 cells were cotransduced with Shf and TrkA expression constructs. After the cultivation, the cell suspension was fractionated into a soluble fraction and an insoluble fraction, and the obtained soluble fraction was subjected to an immunoprecipitation experiment. Both Shf and TrkA were detected in the soluble fraction. Figure 7 shows the analysis results of the coimmunoprecipitation experiment. From this result, it was shown that Shf and TrkA co-expressed together in H1299 cells form an immune complex.
[0048] 図 8は Shf及び TrkAのシグナル伝達機構モデルを示す概略図である。神経細胞 において神経成長因子 NGFが細胞膜状の神経成長因子受容体 TrkAに結合する と、そのシグナルが細胞内及び核へと伝達され、神経細胞の分化や細胞増殖の停止 といった応答が生じる。本発明によって得られた知見を考え合わせると、 Shfが TrkA に結合することで NGF/TrkAシグナルに関与し、さらにその下流へとシグナルを伝 達することで神経芽腫の予後の決定に関与して!/、る可能性が示唆された。これらの 知見は、予後不良神経芽腫や、他の神経系腫瘍に対する新たな治療薬開発におい て、 Shfをターゲットとした研究開発が有用である可能性を示唆しており、さらに臨床 面における治療法の選択の改善やオーダーメード医療への応用も期待される。 [0048] FIG. 8 is a schematic diagram showing a signal transduction mechanism model of Shf and TrkA. In nerve cells, when nerve growth factor NGF binds to cell membrane-like nerve growth factor receptor TrkA, the signal is transmitted to the inside of the cell and to the nucleus, and responses such as nerve cell differentiation and cell growth arrest occur. Considering the findings obtained by the present invention, Shf is involved in the NGF / TrkA signal by binding to TrkA and is further involved in determining the prognosis of neuroblastoma by transmitting the signal downstream. The possibility of! / Was suggested. These findings suggest that research and development targeting Shf may be useful in the development of new therapeutic agents for neuroblastoma with poor prognosis and other nervous system tumors, as well as clinical treatment. It is expected to improve the choice of law and apply to custom-made medicine.
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