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WO2018030452A1 - Diagnostic marker for schizophrenia and related disorders, and application for diagnostic marker for schizophrenia and related disorders - Google Patents

Diagnostic marker for schizophrenia and related disorders, and application for diagnostic marker for schizophrenia and related disorders Download PDF

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WO2018030452A1
WO2018030452A1 PCT/JP2017/028870 JP2017028870W WO2018030452A1 WO 2018030452 A1 WO2018030452 A1 WO 2018030452A1 JP 2017028870 W JP2017028870 W JP 2017028870W WO 2018030452 A1 WO2018030452 A1 WO 2018030452A1
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antibody
schizophrenia
syncytin
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related disease
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岡本 尚
悠里名 日比
かおり 朝光
徳哲 飯島
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor

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  • the present invention relates to a diagnostic marker for schizophrenia and related diseases and use thereof. More specifically, a diagnostic marker for schizophrenia-related disease, a diagnostic kit for schizophrenia-related disease, a method of collecting data for identifying whether a subject has schizophrenia-related disease, And a method for testing whether a subject suffers from schizophrenia-related disease.
  • Schizophrenia is a type of mental illness characterized by symptoms such as hallucinations and delusions. As a result, the functions of living in the family and society are impaired while interacting with people (disability of life). It also has the feature that it is difficult to think back by thinking that "senses, thoughts, and actions are distorted due to illness" (disorder of disease). Schizophrenia is likely to follow a chronic course, and it is believed that the disease progresses several years after the onset of the disease, causing irreversible disability and permanent impairment of social functions.
  • HERV human endogenous retrovirus
  • Non-Patent Document 1 reports that syncytin-1 is ectopicly expressed outside the placenta in diseases such as multiple sclerosis and schizophrenia.
  • an object of this invention is to provide the technique which can diagnose the schizophrenia related disease objectively.
  • the present invention includes the following aspects.
  • a marker for diagnosing schizophrenia-related disease comprising an anti-syncytin-1 antibody.
  • a kit for diagnosing schizophrenia-related disease comprising syncytin-1 protein or a fragment thereof.
  • the diagnostic kit for a schizophrenia-related disease according to [2] or [3], which is a peptide consisting of a deleted, substituted or added amino acid sequence and recognized by an anti-syncytin-1 antibody.
  • [5] A method for collecting data for serologically identifying the possibility that a subject is suffering from schizophrenia-related disease, wherein anti-syncytin-1 antibody is present in blood from the subject The presence or absence of the antibody is data for serologically identifying the possibility that the subject is suffering from schizophrenia-related disease.
  • the method according to [5], wherein the step of detecting whether or not an anti-cincytin-1 antibody is present is performed by an ELISA method.
  • the method according to [7], wherein the step of detecting whether or not an anti-cincytin-1 antibody is present is performed by an ELISA method.
  • a technique capable of objectively diagnosing schizophrenia-related diseases can be provided.
  • FIG. 10 is a graph showing the results of epitope mapping in Experimental Example 3.
  • 6 is a graph showing the detection results of anti-scincytin-1 antibody in Experimental Example 5.
  • (A) to (e) are graphs showing the detection results of anti-syncytin-1 antibody in Experimental Example 6.
  • the present invention provides a diagnostic marker for schizophrenia-related diseases, comprising an anti-scincytin-1 antibody.
  • the anti-syncytin-1 antibody is an antibody specific for the syncytin-1 protein.
  • Syncytin-1 protein is also called ERVW-1.
  • the amino acid sequence of the syncytin-1 protein is shown in SEQ ID NO: 1.
  • schizophrenia-related disease means a mental disorder that requires therapeutic intervention, and more specifically, schizophrenia, an intermediate form of schizophrenia and manic depression, manic depression, And personality disorder.
  • anti-scincytin-1 antibody is present in the blood of patients with some schizophrenia-related diseases.
  • anti-syncytin-1 antibody is not substantially present in the blood of healthy people.
  • Some patients with schizophrenia-related diseases do not have anti-syncytin-1 antibody, and it is impossible to determine whether such patients are schizophrenia-related diseases. However, if anti-scincytin-1 antibody is detected in the blood of a patient suspected of suffering from schizophrenia-related disease, the patient can be objectively determined to be schizophrenia-related disease. .
  • the marker according to the present embodiment enables an objective diagnosis of schizophrenia-related disease, which is extremely difficult because there is no currently useful diagnostic method, for some patients. For this reason, the marker of this embodiment is useful.
  • the anti-syncytin-1 antibody can be obtained by, for example, contacting a syncytin-1 protein immobilized on a solid phase with serum or plasma derived from a subject, and subsequently detecting the antibody derived from the subject bound to the above-mentioned syncytin-1 protein. Or the like.
  • the subject-derived antibody include IgG antibody, IgM antibody, IgA antibody, and the like.
  • This embodiment can also be said to provide the use of an anti-scincytin-1 antibody as a diagnostic marker for schizophrenia-related diseases.
  • the present invention provides a kit for diagnosing schizophrenia-related disease comprising syncytin-1 protein or a fragment thereof. With the kit of the present embodiment, it can be objectively determined whether or not the subject suffers from schizophrenia-related disease.
  • the syncytin-1 protein the full-length protein consisting of the amino acid sequence shown in SEQ ID NO: 1 may be used, or a fragment of the syncytin-1 protein may be used.
  • the syncytin-1 protein may have a tag such as a histidine tag or a GST (glutathione-S-transferase) tag at the N-terminus or C-terminus.
  • a tag such as a histidine tag or a GST (glutathione-S-transferase) tag at the N-terminus or C-terminus.
  • the fragment of the syncytin-1 protein may be, for example, a peptide consisting of the 30th to 58th amino acid sequence of the amino acid sequence described in SEQ ID NO: 1, or the 193th to 221th amino acid sequence of SEQ ID NO: 1. It may be a peptide consisting of the amino acid sequence of position No. 1, or a peptide consisting of the amino acid sequence of positions 493 to 521 (SEQ ID NO: 9) of the amino acid sequence shown in SEQ ID NO: 1. Moreover, the partial peptide of these peptides may be sufficient.
  • the fragment of the syncytin-1 protein is the amino acid sequence described above, that is, the amino acid sequence of the 30th to 58th, the 193th to 221nd, and the 493th to 521st (SEQ ID NO: 9) amino acid sequences shown in SEQ ID NO: 1. It may be a peptide consisting of an amino acid sequence in which one or several amino acids are deleted, substituted or added, and recognized by an anti-scincytin-1 antibody.
  • the number may be 2 to 10, 2 to 8, 2 to 6, or 2 to 4. Also good. This is because an epitope usually consists of 6 to 8 amino acid residues.
  • the anti-scincytin-1 antibody is recognized as being recognized by the anti-scincytin-1 antibody.
  • the fragment of the syncytin-1 protein is a peptide having an amino acid sequence containing the 30th to 58th, the 193th to 221nd, or the 493th to 521st (SEQ ID NO: 9) of the amino acid sequence shown in SEQ ID NO: 1. May be.
  • the inventors have revealed that the anti-syncytin-1 antibody present in the blood of patients with schizophrenia-related diseases has the above-mentioned partial peptide of the syncytin-1 protein as an epitope. I made it. Therefore, anti-syncytin-1 antibody can be detected using the above peptide as an antigen.
  • Peptides are easy to handle because they can be chemically synthesized.
  • syncytin-1 protein or a fragment thereof on a solid phase, contacting serum or plasma derived from a subject, and detecting the binding between the syncytin-1 protein or fragment thereof and an anti-syncytin-1 antibody
  • the presence of anti-scincytin-1 antibody can be detected.
  • the binding between the syncytin-1 protein or a fragment thereof and the anti-scincytin-1 antibody is, for example, a surface plasmon resonance immunoassay using Biacore (trade name, GE Healthcare Japan) or the like, AFFINIXQ (trade name, Initium). It is possible to detect by a quartz vibrator type immunosensor system using an enzyme, etc., an enzyme linked immunosorbent assay (ELISA) method, a Western blotting method or the like.
  • ELISA enzyme linked immunosorbent assay
  • the diagnostic kit for schizophrenia-related disease of this embodiment may further include a specific binding substance for human antibodies.
  • a specific binding substance for human antibodies thereby, it becomes a more suitable structure in order to implement ELISA method, a Western blotting method, etc.
  • the syncytin-1 protein on the solid phase is immobilized by immobilizing the syncytin-1 protein or a fragment thereof on the solid phase, contacting serum or plasma derived from a subject, and then reacting with a specific binding substance for a human antibody.
  • anti-syncytin-1 antibody bound to the fragment can be detected.
  • the ELISA method and Western blotting method are already widely used as clinical test methods in many antibody measurements.
  • examples of the human antibody include an IgG antibody and an IgM antibody.
  • Specific binding substances include antibodies, antibody fragments, aptamers and the like.
  • antibody fragments include Fv, Fab, scFv and the like.
  • the above antibody may be a monoclonal antibody or a polyclonal antibody. A commercially available antibody may also be used.
  • the present invention relates to a method for collecting data for serologically identifying the likelihood that a subject has a schizophrenia-related disease, wherein the anti-syncytin is collected in blood from the subject. ⁇ 1 detecting whether or not the antibody is present, the presence or absence of the antibody is data for serologically identifying the possibility that the subject has a schizophrenia-related disease. Provide a way. The method of this embodiment does not include the step of determining whether or not the subject suffers from schizophrenia-related disease.
  • the same as described above can be used as the syncytin-1 protein or a fragment thereof.
  • the above-mentioned step of detecting whether or not an antibody specific for syncytin-1 protein or a fragment thereof is present in blood derived from a subject brings the serum or plasma from the subject into contact with the syncytin-1 protein or a fragment thereof And a step of detecting a subject-derived antibody bound to the syncytin-1 protein or a fragment thereof.
  • the above-described step of detecting whether or not anti-syncytin-1 antibody is present may be performed by an ELISA method.
  • the ELISA method can detect an anti-cincytin-1 antibody with higher sensitivity than the Western blotting method.
  • it is recommended to use the Western blotting method together with the ELISA method.
  • the serum or plasma derived from the subject is preferably diluted 1/100 to 1/10000 in order to prevent non-specific reaction.
  • the dilution ratio of serum or plasma derived from a subject may be, for example, 1/100 to 1/5000, for example, 1/100 to 1/1000, for example, 1/100 to 1/500. Also good.
  • the anti-syncytin-1 antibody is present in the blood derived from the subject, it can be determined that the subject is suffering from schizophrenia-related disease.
  • the present invention comprises a step of detecting whether or not an anti-scincytin-1 antibody is present in blood derived from a subject, and in the presence of the antibody, the subject is a schizophrenia-related disease.
  • the subject is suffering from schizophrenia-related disease by comparing to the criteria that the subject is not suffering from schizophrenia-related disease in the absence of the antibody.
  • the method of this embodiment may further include a step of clinically confirming whether or not the subject is suffering from schizophrenia-related disease.
  • the same as described above can be used as the syncytin-1 protein or a fragment thereof.
  • the above-mentioned step of detecting whether or not an antibody specific for syncytin-1 protein or a fragment thereof is present in blood derived from a subject brings the serum or plasma from the subject into contact with the syncytin-1 protein or a fragment thereof And a step of detecting a subject-derived antibody bound to the syncytin-1 protein or a fragment thereof.
  • Serum or plasma derived from the subject can be used at the same dilution rate as described above.
  • the above-described step of detecting whether or not anti-syncytin-1 antibody is present may be performed by an ELISA method.
  • the ELISA method can detect an anti-cincytin-1 antibody with higher sensitivity than the Western blotting method.
  • the ELISA method has high sensitivity, the specificity may be slightly reduced. For this reason, it is preferable to use together the ELISA method and the Western blotting method.
  • the present invention comprises a step of contacting a serum or plasma derived from a subject with a syncytin-1 protein or a fragment thereof, and a step of detecting an antibody derived from the subject bound to the syncytin-1 protein or a fragment thereof.
  • the same as described above can be used as the syncytin-1 protein or a fragment thereof.
  • serum or plasma derived from a subject can be used at the same dilution rate as described above.
  • the above-described step of detecting anti-syncytin-1 antibody may be performed by ELISA.
  • the ELISA method can detect an anti-cincytin-1 antibody with higher sensitivity than the Western blotting method.
  • the ELISA method has high sensitivity, but the specificity may be slightly reduced. For this reason, it is preferable to use together the ELISA method and the Western blotting method. Also in the diagnostic method of this embodiment, it is preferable to first perform serum screening by ELISA and confirm a positive sample by Western blotting.
  • the expressed syncytin-1 protein had a histidine tag at the N-terminus, it was partially purified using a HisTrap FF column (GE Healthcare Japan) and then subjected to electrophoresis using a 10% acrylamide gel. The band was cut out and purified to obtain syncytin-1 protein.
  • the PVDF membrane was reacted with a horseradish peroxidase (HRP) -labeled anti-human IgG antibody, and further an HRP substrate was reacted to detect an anti-cincytin-1 antibody.
  • HRP horseradish peroxidase
  • HERV-W originally called MSRV
  • valproic acid is a drug that is often administered during the excitement phase of schizophrenia, and is known to have an inhibitory action on deacetylase.
  • Valproic acid may also be administered as an anticonvulsant to patients who have undergone brain surgery, such as traffic trauma or brain tumor removal.
  • valproic acid activates HERV-W, which is potentially present in the genome, and expresses the syncytin-1 protein, undergoes brain surgery for traffic trauma, brain tumor removal, etc., and administers valproic acid Patients were also added to the subjects.
  • Table 1 shows the detection results of anti-scincytin-1 antibody in each subject.
  • S indicates a patient with schizophrenia
  • SM indicates a patient that is intermediate between schizophrenia and manic depression
  • M indicates a patient with manic depression
  • PD Indicates a patient with personality disorder
  • MS indicates a patient with multiple sclerosis.
  • Anti-syncytin-1 antibody ( ⁇ ) indicates the number of subjects in which anti-syncytin-1 antibody was not detected
  • anti-syncytin-1 antibody (+) indicates subjects in which anti-syncytin-1 antibody was detected.
  • HDAC inhibitor histone deacetylation inhibitor
  • anti-syncytin-1 antibody was not detected in the blood of healthy subjects and patients with multiple sclerosis.
  • FIG. 1 is a graph showing typical results of epitope mapping.
  • FIG. 1 shows the results of using sera from seven patients with schizophrenia-related diseases assigned with identification numbers S1 to 7.
  • FIG. 1 also shows the results of using a polyclonal antibody against a peptide consisting of the amino acid sequence of amino acids 33 to 312 of SEQ ID NO: 1 as a control instead of patient serum.
  • the vertical axis represents the amount (relative value) of the detected anti-scincytin-1 antibody.
  • a peptide consisting of the 30th to 58th amino acid sequence of the amino acid sequence shown in SEQ ID NO: 1 a peptide consisting of the 193th to 221st amino acid sequence of the amino acid sequence shown in SEQ ID NO: 1
  • a peptide consisting of the amino acid sequence of 493 to 521 of the described amino acid sequence can be used as an antigen for detecting anti-scincytin-1 antibody.
  • Table 2 below shows the gender ratio and age distribution of each subject.
  • S indicates a schizophrenic patient
  • M indicates a manic-depressed patient
  • MS indicates a patient with multiple sclerosis.
  • ⁇ ELISA method First, the syncytin-1 protein purified in Experimental Example 1 was immobilized on a 96-well plate. Subsequently, the serum derived from the subject was diluted to 1/100 and added to each of the wells to cause a reaction. Subsequently, an HRP-labeled anti-human IgG antibody was reacted, and further an HRP substrate was reacted to detect an anti-cincytin-1 antibody.
  • Table 2 below shows the number of subjects in which anti-syncytin-1 antibody was detected and the percentage (%) of subjects in which anti-syncytin-1 antibody was detected.
  • the ELISA method can detect the anti-syncytin-1 antibody with higher sensitivity than the Western blotting method. This result further supports the higher proportion of anti-scincytin-1 antibody detected in the serum of patients with schizophrenia-related diseases than in healthy individuals.
  • the subjects used were 8 patients who were diagnosed with schizophrenia by experienced doctors. In addition, healthy subjects (3 cases) were used for comparison.
  • peptides shown in Table 3 below were used as partial peptides of the syncytin-1 protein.
  • FIG. 2 is a graph showing the results of detection of anti-syncytin-1 antibody.
  • C1 to “C3” indicate the results of the serum of healthy subjects.
  • S1 to “S8” indicate the results of sera from patients with schizophrenia, respectively.
  • OD (A450) means absorbance at a wavelength of 450 nm.
  • peptide # 1 SEQ ID NO: 2
  • peptide # 3 SEQ ID NO: 4
  • Peptide # 5 SEQ ID NO: 6
  • peptide # 7 SEQ ID NO: 8
  • peptide # 8 SEQ ID NO: 9
  • FIGS. 3 (a) to 3 (e) are graphs showing the results of detection of anti-syncytin-1 antibody.
  • C1 indicates the result of the serum of a healthy person.
  • S1 and S2 indicate the results of sera from patients with schizophrenia, respectively.
  • M1 and M2 indicate the results of serum of manic-depressive patients, respectively.
  • OD (A450) means absorbance at a wavelength of 450 nm.
  • a technique capable of objectively diagnosing schizophrenia-related diseases can be provided.

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Abstract

A diagnostic marker for schizophrenia-related disorders that comprises an anti-syncytin-1 antibody.

Description

統合失調症とその関連疾患の診断用マーカー及びその使用Diagnostic markers for schizophrenia and related diseases and uses thereof

 本発明は、統合失調症とその関連疾患の診断用マーカー及びその使用に関する。より詳細には、統合失調症関連疾患の診断用マーカー、統合失調症関連疾患の診断用キット、被験者が統合失調症関連疾患に罹患しているか否かを識別するためのデータを収集する方法、及び被験者が統合失調症関連疾患に罹患しているか否かを試験する方法に関する。本願は、2016年8月12日に、日本に出願された特願2016-158681号に基づき優先権を主張し、その内容をここに援用する。 The present invention relates to a diagnostic marker for schizophrenia and related diseases and use thereof. More specifically, a diagnostic marker for schizophrenia-related disease, a diagnostic kit for schizophrenia-related disease, a method of collecting data for identifying whether a subject has schizophrenia-related disease, And a method for testing whether a subject suffers from schizophrenia-related disease. This application claims priority based on Japanese Patent Application No. 2016-158681 filed in Japan on August 12, 2016, the contents of which are incorporated herein by reference.

 統合失調症とは、幻覚や妄想等の症状が特徴的な精神疾患の1種であり、それに伴って人々と交流しながら家族や社会で生活を営む機能が障害を受け(生活の障害)、「感覚・思考・行動が病気のためにひずんでいる」ことを自分で振り返って考えることが困難になる(病識の障害)という特徴を併せ持っている。統合失調症は慢性の経過をたどりやすく、発症後数年で病状が進行して不可逆的な障害が引き起こされ、社会的機能の永続的な障害が生じると考えられている。 Schizophrenia is a type of mental illness characterized by symptoms such as hallucinations and delusions. As a result, the functions of living in the family and society are impaired while interacting with people (disability of life). It also has the feature that it is difficult to think back by thinking that "senses, thoughts, and actions are distorted due to illness" (disorder of disease). Schizophrenia is likely to follow a chronic course, and it is believed that the disease progresses several years after the onset of the disease, causing irreversible disability and permanent impairment of social functions.

 統合失調症の発症率は、人口の0.5~1.0%にも達するため患者数は非常に多い。しかしながら、その診断は精神科医の固有の診断基準に大きく依存するため、経験を積んだ医師のスキルに頼っているのが現状である。このため、治療的介入が遅れ、その結果、難治化している症例が少なくない。 The incidence of schizophrenia reaches 0.5 to 1.0% of the population, so the number of patients is very large. However, since the diagnosis is highly dependent on the specific diagnostic criteria of the psychiatrist, the current situation is to rely on the skills of experienced doctors. For this reason, there are many cases in which therapeutic intervention is delayed, resulting in intractable cases.

 他方、ヒトのゲノム中には、ヒト内在性レトロウイルス(HERV)と呼ばれるレトロウイルスに由来すると考えられるDNA配列が随所に存在する。そのほとんどの配列は長年の変異と分断の結果、不活化されている。しかしながら、約30種類のHERVの中の1つであるHERV-Wには、ウイルスのエンベロープタンパク質(ENV)が翻訳可能な状態でコードされており、その翻訳産物であるシンシチン-1は胎盤形成時の細胞融合過程において重要な役割を果たしていることが知られている。 On the other hand, in the human genome, there are DNA sequences that are considered to be derived from a retrovirus called human endogenous retrovirus (HERV). Most of the sequences are inactivated as a result of years of mutation and fragmentation. However, HERV-W, one of about 30 types of HERV, encodes a viral envelope protein (ENV) in a translatable state, and its translation product, syncytin-1, is present during placenta formation. It is known to play an important role in the cell fusion process.

 例えば、非特許文献1には、多発性硬化症や統合失調症等の疾患において、シンシチン-1が胎盤以外で異所発現していることが報告されている。 For example, Non-Patent Document 1 reports that syncytin-1 is ectopicly expressed outside the placenta in diseases such as multiple sclerosis and schizophrenia.

Perron H., et al., Endogenous retrovirus type W GAG and envelope protein antigenemia in serum of schizophrenic patients., Biol. Psychiatry, 64(12), 1019-1023, 2008.Perron H., et al., Endogenous retrovirus type W GAG and envelope protein antigenemia in serum of schizophrenic patients., Biol. Psychiatry, 64 (12), 1019-1023, 2008.

 このような状況のもと、専門外の医師でも統合失調症の発症を正しく疑うことができる客観的な基準に基づく診断法が求められている。そこで、本発明は、客観的に統合失調症関連疾患を診断することができる技術を提供することを目的とする。 Under such circumstances, there is a demand for a diagnostic method based on an objective standard that allows a non-specialist doctor to correctly suspect the onset of schizophrenia. Then, an object of this invention is to provide the technique which can diagnose the schizophrenia related disease objectively.

 本発明は以下の態様を含む。
[1]抗シンシチン-1抗体からなる、統合失調症関連疾患の診断用マーカー。
[2]シンシチン-1タンパク質又はその断片を備える、統合失調症関連疾患の診断用キット。
[3]ヒト抗体に対する特異的結合物質を更に備える、請求項2に記載の統合失調症関連疾患の診断用キット。
[4]シンシチン-1タンパク質の断片を備え、前記断片は、配列番号9に記載のアミノ酸配列からなるペプチドであるか、又は、配列番号9に記載のアミノ酸配列において1又は数個のアミノ酸が欠失、置換若しくは付加されたアミノ酸配列からなり且つ抗シンシチン-1抗体により認識されるペプチドである、[2]又は[3]に記載の統合失調症関連疾患の診断用キット。
[5]被験者が統合失調症関連疾患に罹患している可能性を血清学的に識別するためのデータを収集する方法であって、被験者由来の血液中に、抗シンシチン-1抗体が存在するか否かを検出する工程を備え、前記抗体の存在の有無が、前記被験者が統合失調症関連疾患に罹患している可能性を血清学的に識別するためのデータである方法。
[6]抗シンシチン-1抗体が存在するか否かを検出する前記工程がELISA法により行われる、[5]に記載の方法。
[7]被験者由来の血液中に、抗シンシチン-1抗体が存在するか否かを検出する工程を備え、前記抗体が存在する場合には前記被験者は統合失調症関連疾患に罹患している可能性があり、前記抗体が存在しない場合には前記被験者は統合失調症関連疾患に罹患していないという基準と比較することにより、前記被験者が統合失調症関連疾患に罹患しているか否かを試験する方法。
[8]抗シンシチン-1抗体が存在するか否かを検出する前記工程がELISA法により行われる、[7]に記載の方法。
The present invention includes the following aspects.
[1] A marker for diagnosing schizophrenia-related disease, comprising an anti-syncytin-1 antibody.
[2] A kit for diagnosing schizophrenia-related disease, comprising syncytin-1 protein or a fragment thereof.
[3] The kit for diagnosis of schizophrenia-related disease according to claim 2, further comprising a specific binding substance for a human antibody.
[4] A fragment of syncytin-1 protein, wherein the fragment is a peptide consisting of the amino acid sequence set forth in SEQ ID NO: 9, or one or several amino acids are missing from the amino acid sequence set forth in SEQ ID NO: 9. The diagnostic kit for a schizophrenia-related disease according to [2] or [3], which is a peptide consisting of a deleted, substituted or added amino acid sequence and recognized by an anti-syncytin-1 antibody.
[5] A method for collecting data for serologically identifying the possibility that a subject is suffering from schizophrenia-related disease, wherein anti-syncytin-1 antibody is present in blood from the subject The presence or absence of the antibody is data for serologically identifying the possibility that the subject is suffering from schizophrenia-related disease.
[6] The method according to [5], wherein the step of detecting whether or not an anti-cincytin-1 antibody is present is performed by an ELISA method.
[7] A step of detecting whether or not the anti-scincytin-1 antibody is present in the blood derived from the subject, and if the antibody is present, the subject may suffer from schizophrenia-related disease Test whether the subject is afflicted with schizophrenia-related disease by comparing to the criteria that the subject is not afflicted with schizophrenia-related disease in the absence of the antibody how to.
[8] The method according to [7], wherein the step of detecting whether or not an anti-cincytin-1 antibody is present is performed by an ELISA method.

 本発明によれば、客観的に統合失調症関連疾患を診断することができる技術を提供することができる。 According to the present invention, a technique capable of objectively diagnosing schizophrenia-related diseases can be provided.

実験例3のエピトープマッピングの結果を示すグラフである。10 is a graph showing the results of epitope mapping in Experimental Example 3. 実験例5における抗シンシチン-1抗体の検出結果を示すグラフである。6 is a graph showing the detection results of anti-scincytin-1 antibody in Experimental Example 5. (a)~(e)は、実験例6における抗シンシチン-1抗体の検出結果を示すグラフである。(A) to (e) are graphs showing the detection results of anti-syncytin-1 antibody in Experimental Example 6.

[統合失調症関連疾患の診断用マーカー]
 1実施形態において、本発明は、抗シンシチン-1抗体からなる、統合失調症関連疾患の診断用マーカーを提供する。ここで、抗シンシチン-1抗体とは、シンシチン-1タンパク質に特異的な抗体である。シンシチン-1タンパク質とは、ERVW-1とも呼ばれるものである。シンシチン-1タンパク質のアミノ酸配列を配列番号1に示す。
[Diagnosis marker for schizophrenia-related diseases]
In one embodiment, the present invention provides a diagnostic marker for schizophrenia-related diseases, comprising an anti-scincytin-1 antibody. Here, the anti-syncytin-1 antibody is an antibody specific for the syncytin-1 protein. Syncytin-1 protein is also called ERVW-1. The amino acid sequence of the syncytin-1 protein is shown in SEQ ID NO: 1.

 本明細書において、統合失調症関連疾患とは、治療的介入が必要な精神疾患を意味し、より具体的には、統合失調症、統合失調症と躁うつ病の中間型、躁うつ病、及びパーソナリティー障害が挙げられる。 As used herein, schizophrenia-related disease means a mental disorder that requires therapeutic intervention, and more specifically, schizophrenia, an intermediate form of schizophrenia and manic depression, manic depression, And personality disorder.

 実施例において後述するように、発明者らは、一部の統合失調症関連疾患の患者の血液中には、抗シンシチン-1抗体が存在することを見出した。また、健常人の血液中には、実質的に抗シンシチン-1抗体が存在しないことを見出した。 As will be described later in Examples, the inventors have found that anti-scincytin-1 antibody is present in the blood of patients with some schizophrenia-related diseases. In addition, the present inventors have found that anti-syncytin-1 antibody is not substantially present in the blood of healthy people.

 統合失調症関連疾患の患者の中には、抗シンシチン-1抗体が存在しない患者もおり、そのような患者については統合失調症関連疾患であるか否かを判断することはできない。しかしながら、統合失調症関連疾患への罹患が疑われる患者の血液中に抗シンシチン-1抗体が検出された場合には、その患者は統合失調症関連疾患であると客観的に判断することができる。 Some patients with schizophrenia-related diseases do not have anti-syncytin-1 antibody, and it is impossible to determine whether such patients are schizophrenia-related diseases. However, if anti-scincytin-1 antibody is detected in the blood of a patient suspected of suffering from schizophrenia-related disease, the patient can be objectively determined to be schizophrenia-related disease. .

 本実施形態のマーカーにより、現在有用な診断法が存在しないために困難を極めていた統合失調症関連疾患の客観的な診断が、一部の患者についてではあるが可能となる。このため、本実施形態のマーカーは有用である。 The marker according to the present embodiment enables an objective diagnosis of schizophrenia-related disease, which is extremely difficult because there is no currently useful diagnostic method, for some patients. For this reason, the marker of this embodiment is useful.

 抗シンシチン-1抗体は、例えば、固相上に固定したシンシチン-1タンパク質と被験者由来の血清又は血漿を接触させ、続いて、上記のシンシチン-1タンパク質に結合した被験者由来の抗体を検出すること等により検出することができる。被験者由来の抗体としては、例えばIgG抗体、IgM抗体、IgA抗体等が挙げられる。 The anti-syncytin-1 antibody can be obtained by, for example, contacting a syncytin-1 protein immobilized on a solid phase with serum or plasma derived from a subject, and subsequently detecting the antibody derived from the subject bound to the above-mentioned syncytin-1 protein. Or the like. Examples of the subject-derived antibody include IgG antibody, IgM antibody, IgA antibody, and the like.

 本実施形態は、抗シンシチン-1抗体の統合失調症関連疾患の診断用マーカーとしての使用を提供するものであるということもできる。 This embodiment can also be said to provide the use of an anti-scincytin-1 antibody as a diagnostic marker for schizophrenia-related diseases.

[統合失調症関連疾患の診断用キット]
 1実施形態において、本発明は、シンシチン-1タンパク質又はその断片を備える、統合失調症関連疾患の診断用キットを提供する。本実施形態のキットにより、被験者が統合失調症関連疾患に罹患しているか否かを客観的に判断することができる。
[Diagnostic kit for schizophrenia-related diseases]
In one embodiment, the present invention provides a kit for diagnosing schizophrenia-related disease comprising syncytin-1 protein or a fragment thereof. With the kit of the present embodiment, it can be objectively determined whether or not the subject suffers from schizophrenia-related disease.

 シンシチン-1タンパク質としては、配列番号1に記載のアミノ酸配列からなるタンパク質の全長を用いてもよいし、シンシチン-1タンパク質の断片を用いてもよい。また、シンシチン-1タンパク質は、N末端又はC末端にヒスチジンタグ、GST(グルタチオン-S-トランスフェラーゼ)タグ等のタグを有していてもよい。タグを有することにより、例えば、シンシチン-1タンパク質の調製を容易に行うことができる。 As the syncytin-1 protein, the full-length protein consisting of the amino acid sequence shown in SEQ ID NO: 1 may be used, or a fragment of the syncytin-1 protein may be used. In addition, the syncytin-1 protein may have a tag such as a histidine tag or a GST (glutathione-S-transferase) tag at the N-terminus or C-terminus. By having a tag, for example, a syncytin-1 protein can be easily prepared.

 シンシチン-1タンパク質の断片は、例えば、配列番号1に記載のアミノ酸配列の第30~58番目のアミノ酸配列からなるペプチドであってもよいし、配列番号1に記載のアミノ酸配列の第193~221番目のアミノ酸配列からなるペプチドであってもよいし、配列番号1に記載のアミノ酸配列の第493~521番目(配列番号9)のアミノ酸配列からなるペプチドであってもよい。また、これらのペプチドの部分ペプチドであってもよい。 The fragment of the syncytin-1 protein may be, for example, a peptide consisting of the 30th to 58th amino acid sequence of the amino acid sequence described in SEQ ID NO: 1, or the 193th to 221th amino acid sequence of SEQ ID NO: 1. It may be a peptide consisting of the amino acid sequence of position No. 1, or a peptide consisting of the amino acid sequence of positions 493 to 521 (SEQ ID NO: 9) of the amino acid sequence shown in SEQ ID NO: 1. Moreover, the partial peptide of these peptides may be sufficient.

 シンシチン-1タンパク質の断片は、上記のアミノ酸配列、すなわち、配列番号1に記載のアミノ酸配列の第30~58番目、第193~221番目、第493~521番目(配列番号9)のアミノ酸配列において、1又は数個のアミノ酸が欠失、置換若しくは付加されたアミノ酸配列からなり、且つ抗シンシチン-1抗体により認識されるペプチドであってもよい。 The fragment of the syncytin-1 protein is the amino acid sequence described above, that is, the amino acid sequence of the 30th to 58th, the 193th to 221nd, and the 493th to 521st (SEQ ID NO: 9) amino acid sequences shown in SEQ ID NO: 1. It may be a peptide consisting of an amino acid sequence in which one or several amino acids are deleted, substituted or added, and recognized by an anti-scincytin-1 antibody.

 ここで、数個とは、例えば、2~10個であってもよいし、2~8個であってもよいし、2~6個であってもよいし、2~4個であってもよい。これは、通常、エピトープはアミノ酸残基数でいえば6~8個からなるものであるためである。また、抗シンシチン-1抗体により認識されるとは、抗シンシチン-1抗体が結合するといいかえることができる。 Here, for example, the number may be 2 to 10, 2 to 8, 2 to 6, or 2 to 4. Also good. This is because an epitope usually consists of 6 to 8 amino acid residues. In addition, it can be said that the anti-scincytin-1 antibody is recognized as being recognized by the anti-scincytin-1 antibody.

 また、シンシチン-1タンパク質の断片は、配列番号1に記載のアミノ酸配列の第30~58番目、第193~221番目又は第493~521番目(配列番号9)を含むアミノ酸配列を有するペプチドであってもよい。 The fragment of the syncytin-1 protein is a peptide having an amino acid sequence containing the 30th to 58th, the 193th to 221nd, or the 493th to 521st (SEQ ID NO: 9) of the amino acid sequence shown in SEQ ID NO: 1. May be.

 実施例において後述するように、発明者らは、統合失調症関連疾患の患者の血液中に存在する、抗シンシチン-1抗体が、上記のシンシチン-1タンパク質の部分ペプチドをエピトープとしていることを明らかにした。したがって、上記のペプチドを抗原として抗シンシチン-1抗体を検出することができる。ペプチドは化学的に合成することが可能であるため取り扱いが容易である。 As will be described later in the Examples, the inventors have revealed that the anti-syncytin-1 antibody present in the blood of patients with schizophrenia-related diseases has the above-mentioned partial peptide of the syncytin-1 protein as an epitope. I made it. Therefore, anti-syncytin-1 antibody can be detected using the above peptide as an antigen. Peptides are easy to handle because they can be chemically synthesized.

 例えば、固相上にシンシチン-1タンパク質又はその断片を固定し、被験者由来の血清又は血漿を接触させて、シンシチン-1タンパク質又はその断片と、抗シンシチン-1抗体との結合を検出することにより、抗シンシチン-1抗体の存在を検出することができる。 For example, by immobilizing syncytin-1 protein or a fragment thereof on a solid phase, contacting serum or plasma derived from a subject, and detecting the binding between the syncytin-1 protein or fragment thereof and an anti-syncytin-1 antibody The presence of anti-scincytin-1 antibody can be detected.

 シンシチン-1タンパク質又はその断片と、抗シンシチン-1抗体との結合は、例えば、ビアコア(商品名、GEヘルスケア・ジャパン社)等を用いた表面プラズモン共鳴イムノアッセイ、AFFINIXQ(商品名、Initium社)等を用いた水晶振動子式免疫センサーシステム、Enzyme linked immunosorbent assay(ELISA)法、ウエスタンブロッティング法等で検出することができる。 The binding between the syncytin-1 protein or a fragment thereof and the anti-scincytin-1 antibody is, for example, a surface plasmon resonance immunoassay using Biacore (trade name, GE Healthcare Japan) or the like, AFFINIXQ (trade name, Initium). It is possible to detect by a quartz vibrator type immunosensor system using an enzyme, etc., an enzyme linked immunosorbent assay (ELISA) method, a Western blotting method or the like.

 本実施形態の統合失調症関連疾患の診断用キットは、ヒト抗体に対する特異的結合物質を更に備えていてもよい。これにより、ELISA法やウエスタンブロッティング法等を実施するためにより好適な構成となる。例えば、固相上にシンシチン-1タンパク質又はその断片を固定し、被験者由来の血清又は血漿を接触させた後、ヒト抗体に対する特異的結合物質を反応させることにより、固相上のシンシチン-1タンパク質又はその断片に結合した抗シンシチン-1抗体を検出することができる。ELISA法やウエスタンブロッティング法はすでに多くの抗体測定において広く臨床検査法として用いられている。 The diagnostic kit for schizophrenia-related disease of this embodiment may further include a specific binding substance for human antibodies. Thereby, it becomes a more suitable structure in order to implement ELISA method, a Western blotting method, etc. For example, the syncytin-1 protein on the solid phase is immobilized by immobilizing the syncytin-1 protein or a fragment thereof on the solid phase, contacting serum or plasma derived from a subject, and then reacting with a specific binding substance for a human antibody. Alternatively, anti-syncytin-1 antibody bound to the fragment can be detected. The ELISA method and Western blotting method are already widely used as clinical test methods in many antibody measurements.

 ここで、ヒト抗体としては、IgG抗体、IgM抗体等が挙げられる。また、特異的結合物質としては、抗体、抗体断片、アプタマー等が挙げられる。抗体断片としては、Fv、Fab、scFv等が挙げられる。上記の抗体は、モノクローナル抗体であってもよく、ポリクローナル抗体であってもよい。また、市販の抗体であってもよい。 Here, examples of the human antibody include an IgG antibody and an IgM antibody. Specific binding substances include antibodies, antibody fragments, aptamers and the like. Examples of antibody fragments include Fv, Fab, scFv and the like. The above antibody may be a monoclonal antibody or a polyclonal antibody. A commercially available antibody may also be used.

[データ収集方法]
 1実施形態において、本発明は、被験者が統合失調症関連疾患に罹患している可能性を血清学的に識別するためのデータを収集する方法であって、被験者由来の血液中に、抗シンシチン-1抗体が存在するか否かを検出する工程を備え、前記抗体の存在の有無が、前記被験者が統合失調症関連疾患に罹患している可能性を血清学的に識別するためのデータである方法を提供する。本実施形態の方法は、被験者が統合失調症関連疾患に罹患しているか否かを判断する工程を含まない。
[Data collection method]
In one embodiment, the present invention relates to a method for collecting data for serologically identifying the likelihood that a subject has a schizophrenia-related disease, wherein the anti-syncytin is collected in blood from the subject. −1 detecting whether or not the antibody is present, the presence or absence of the antibody is data for serologically identifying the possibility that the subject has a schizophrenia-related disease. Provide a way. The method of this embodiment does not include the step of determining whether or not the subject suffers from schizophrenia-related disease.

 本実施形態の方法において、シンシチン-1タンパク質又はその断片としては、上述したものと同様のものを使用することができる。 In the method of the present embodiment, as the syncytin-1 protein or a fragment thereof, the same as described above can be used.

 被験者由来の血液中に、シンシチン-1タンパク質又はその断片に特異的な抗体が存在するか否かを検出する上記工程は、被験者由来の血清又は血漿とシンシチン-1タンパク質又はその断片とを接触させる工程と、前記シンシチン-1タンパク質又はその断片に結合した被験者由来の抗体を検出する工程と、を備えていてもよい。 The above-mentioned step of detecting whether or not an antibody specific for syncytin-1 protein or a fragment thereof is present in blood derived from a subject brings the serum or plasma from the subject into contact with the syncytin-1 protein or a fragment thereof And a step of detecting a subject-derived antibody bound to the syncytin-1 protein or a fragment thereof.

 本実施形態の方法において、抗シンシチン-1抗体が存在するか否かを検出する上記工程は、ELISA法により行われてもよい。実施例において後述するように、発明者らは、ウエスタンブロッティング法よりもELISA法のほうが、感度よく抗シンシチン-1抗体を検出することができることを明らかにした。ただし、特異度を考慮する場合には、ELISA法と共に、ウエスタンブロッティング法を併用することが推奨される。 In the method of the present embodiment, the above-described step of detecting whether or not anti-syncytin-1 antibody is present may be performed by an ELISA method. As will be described later in the Examples, the inventors have clarified that the ELISA method can detect an anti-cincytin-1 antibody with higher sensitivity than the Western blotting method. However, when considering the specificity, it is recommended to use the Western blotting method together with the ELISA method.

 被験者由来の血清又は血漿は、非特異的反応を防止するために、1/100~1/10000に希釈することが好ましい。被験者由来の血清又は血漿の希釈倍率は、例えば1/100~1/5000であってもよく、例えば1/100~1/1000であってもよく、例えば1/100~1/500であってもよい。 The serum or plasma derived from the subject is preferably diluted 1/100 to 1/10000 in order to prevent non-specific reaction. The dilution ratio of serum or plasma derived from a subject may be, for example, 1/100 to 1/5000, for example, 1/100 to 1/1000, for example, 1/100 to 1/500. Also good.

 被験者由来の血液中に、抗シンシチン-1抗体が存在していた場合には、前記被験者が統合失調症関連疾患に罹患していると判断することができる。 If the anti-syncytin-1 antibody is present in the blood derived from the subject, it can be determined that the subject is suffering from schizophrenia-related disease.

[被験者が統合失調症関連疾患に罹患しているか否かを試験する方法]
 1実施形態において、本発明は、被験者由来の血液中に、抗シンシチン-1抗体が存在するか否かを検出する工程を備え、前記抗体が存在する場合には前記被験者は統合失調症関連疾患に罹患している可能性があり、前記抗体が存在しない場合には前記被験者は統合失調症関連疾患に罹患していないという基準と比較することにより、前記被験者が統合失調症関連疾患に罹患しているか否かを試験する方法を提供する。本実施形態の方法は、前記被験者が統合失調症関連疾患に罹患しているか否かを臨床的に確認する工程を更に備えていてもよい。
[Method for testing whether a subject has schizophrenia-related disease]
In one embodiment, the present invention comprises a step of detecting whether or not an anti-scincytin-1 antibody is present in blood derived from a subject, and in the presence of the antibody, the subject is a schizophrenia-related disease. The subject is suffering from schizophrenia-related disease by comparing to the criteria that the subject is not suffering from schizophrenia-related disease in the absence of the antibody. Provide a method to test whether or not. The method of this embodiment may further include a step of clinically confirming whether or not the subject is suffering from schizophrenia-related disease.

 本実施形態の方法において、シンシチン-1タンパク質又はその断片としては、上述したものと同様のものを使用することができる。 In the method of the present embodiment, as the syncytin-1 protein or a fragment thereof, the same as described above can be used.

 被験者由来の血液中に、シンシチン-1タンパク質又はその断片に特異的な抗体が存在するか否かを検出する上記工程は、被験者由来の血清又は血漿とシンシチン-1タンパク質又はその断片とを接触させる工程と、前記シンシチン-1タンパク質又はその断片に結合した被験者由来の抗体を検出する工程と、を備えていてもよい。被験者由来の血清又は血漿は上述したものと同様の希釈倍率で用いることができる。 The above-mentioned step of detecting whether or not an antibody specific for syncytin-1 protein or a fragment thereof is present in blood derived from a subject brings the serum or plasma from the subject into contact with the syncytin-1 protein or a fragment thereof And a step of detecting a subject-derived antibody bound to the syncytin-1 protein or a fragment thereof. Serum or plasma derived from the subject can be used at the same dilution rate as described above.

 本実施形態の方法において、抗シンシチン-1抗体が存在するか否かを検出する上記工程は、ELISA法により行われてもよい。実施例において後述するように、発明者らは、ウエスタンブロッティング法よりもELISA法のほうが、感度よく抗シンシチン-1抗体を検出することができることを明らかにした。しかしながら、ELISA法は感度は高いものの特異度がやや低下する場合がある。このため、ELISA法及びウエスタンブロッティング法を併用することが好ましい。通常は、まずELISA法で血清スクリーニングを行い、陽性を示した検体をウエスタンブロッティング法で確認することが好ましい。 In the method of the present embodiment, the above-described step of detecting whether or not anti-syncytin-1 antibody is present may be performed by an ELISA method. As will be described later in the Examples, the inventors have clarified that the ELISA method can detect an anti-cincytin-1 antibody with higher sensitivity than the Western blotting method. However, although the ELISA method has high sensitivity, the specificity may be slightly reduced. For this reason, it is preferable to use together the ELISA method and the Western blotting method. Usually, it is preferable to first perform serum screening by ELISA and confirm a positive sample by Western blotting.

[その他の実施形態]
 1実施形態において、本発明は、被験者由来の血清又は血漿とシンシチン-1タンパク質又はその断片とを接触させる工程と、前記シンシチン-1タンパク質又はその断片に結合した被験者由来の抗体を検出する工程と、前記抗体が検出された場合に前記被験者は統合失調症関連疾患に罹患していると判断する工程と、を備える、統合失調症関連疾患の診断方法を提供する。
[Other Embodiments]
In one embodiment, the present invention comprises a step of contacting a serum or plasma derived from a subject with a syncytin-1 protein or a fragment thereof, and a step of detecting an antibody derived from the subject bound to the syncytin-1 protein or a fragment thereof. Providing a method for diagnosing schizophrenia-related disease, comprising: determining that the subject is suffering from schizophrenia-related disease when the antibody is detected.

 本実施形態の診断方法において、シンシチン-1タンパク質又はその断片としては、上述したものと同様のものを使用することができる。また、被験者由来の血清又は血漿は上述したものと同様の希釈倍率で用いることができる。 In the diagnostic method of the present embodiment, the same as described above can be used as the syncytin-1 protein or a fragment thereof. Also, serum or plasma derived from a subject can be used at the same dilution rate as described above.

 本実施形態の診断方法において、抗シンシチン-1抗体を検出する上記工程は、ELISA法により行われてもよい。実施例において後述するように、発明者らは、ウエスタンブロッティング法よりもELISA法のほうが、感度よく抗シンシチン-1抗体を検出することができることを明らかにした。しかしながら、上述したように、ELISA法は感度は高いものの特異度がやや低下する場合がある。このため、ELISA法及びウエスタンブロッティング法を併用することが好ましい。本実施形態の診断方法においても、まずELISA法で血清スクリーニングを行い、陽性を示した検体をウエスタンブロッティング法で確認することが好ましい。 In the diagnostic method of the present embodiment, the above-described step of detecting anti-syncytin-1 antibody may be performed by ELISA. As will be described later in the Examples, the inventors have clarified that the ELISA method can detect an anti-cincytin-1 antibody with higher sensitivity than the Western blotting method. However, as described above, the ELISA method has high sensitivity, but the specificity may be slightly reduced. For this reason, it is preferable to use together the ELISA method and the Western blotting method. Also in the diagnostic method of this embodiment, it is preferable to first perform serum screening by ELISA and confirm a positive sample by Western blotting.

 次に実施例を示して本発明を更に詳細に説明するが、本発明は以下の実施例に限定されるものではない。 Next, the present invention will be described in more detail with reference to examples, but the present invention is not limited to the following examples.

[実験例1]
(大腸菌を用いたシンシチン-1タンパク質の調製)
 大腸菌のコドンに最適化したシンシチン-1遺伝子を化学合成し、大腸菌用タンパク質発現ベクターであるpET(ノバジェン社)に挿入することにより、シンシチン-1の発現プラスミドを作製した。これをBL21-CodonPlus(DE3)-RIPLコンピテントセル(アジレント・テクノロジー社)に導入し、1mM IPTG(Isopropyl β-D-1-thiogalactopyranoside)の存在下で20℃、4時間培養してタンパク質発現を誘導した。発現したシンシチン-1タンパク質は、ヒスチジンタグをN末端に有していたため、HisTrap FFカラム(GEヘルスケア・ジャパン社)を用いて部分精製した後、10%アクリルアミドゲルを用いて電気泳動し、目的のバンドを切り出して精製し、シンシチン-1タンパク質を得た。
[Experimental Example 1]
(Preparation of syncytin-1 protein using E. coli)
A syncytin-1 expression plasmid optimized for the codon of E. coli was chemically synthesized and inserted into pET (Novagen), which is a protein expression vector for E. coli, to prepare a syncytin-1 expression plasmid. This was introduced into BL21-CodonPlus (DE3) -RIPL competent cell (Agilent Technologies) and cultured in the presence of 1 mM IPTG (Isopropyl β-D-1-thiogalactopyroside) for 4 hours at 20 ° C. Induced. Since the expressed syncytin-1 protein had a histidine tag at the N-terminus, it was partially purified using a HisTrap FF column (GE Healthcare Japan) and then subjected to electrophoresis using a 10% acrylamide gel. The band was cut out and purified to obtain syncytin-1 protein.

[実験例2]
(血清中の抗シンシチン-1抗体の検出)
 ウエスタンブロッティング法により血清中の抗シンシチン-1抗体を検出した。具体的には、まず、精製したシンシチン-1タンパク質を10%SDS-ポリアクリルアミドゲル電気泳動(PAGE)にて分離後、定法によりポリフッ化ビニリデン(PVDF)膜に転写した。続いて、被験者由来の血清を1/300に希釈して上記のPVDF膜と反応させた。続いて、上記のPVDF膜とセイヨウワサビペルオキシダーゼ(HRP)標識抗ヒトIgG抗体とを反応させ、更にHRPの基質を反応させて抗シンシチン-1抗体を検出した。
[Experiment 2]
(Detection of anti-syncytin-1 antibody in serum)
Anti-syncytin-1 antibody was detected in the serum by Western blotting. Specifically, the purified syncytin-1 protein was first separated by 10% SDS-polyacrylamide gel electrophoresis (PAGE), and then transferred to a polyvinylidene fluoride (PVDF) membrane by a conventional method. Subsequently, serum derived from the subject was diluted to 1/300 and reacted with the PVDF membrane. Subsequently, the PVDF membrane was reacted with a horseradish peroxidase (HRP) -labeled anti-human IgG antibody, and further an HRP substrate was reacted to detect an anti-cincytin-1 antibody.

 被験者としては、経験豊かな医師により統合失調症であると診断された患者(42例)、統合失調症と躁うつ病の中間型である患者(4例)、躁うつ病の患者(15例)、パーソナリティー障害の患者(4例)、脳外科手術後バルプロ酸を投与された患者(9例)、健常者(20例)、多発性硬化症の患者(14例)を用いた。 The subjects included patients diagnosed with schizophrenia by experienced doctors (42 cases), patients with intermediate forms of schizophrenia and manic depression (4 cases), and patients with manic depression (15 cases). ), Patients with personality disorder (4 cases), patients who received valproic acid after brain surgery (9 cases), healthy subjects (20 cases), and patients with multiple sclerosis (14 cases).

 なお、多発性硬化症は、疾患症状において統合失調症との臨床的な類似性は認められないが、最初にHERV-W(当初はMSRVと呼ばれた)が分離された疾患である。また、バルプロ酸は、統合失調症の興奮期にしばしば投与される薬物であり、脱アセチル化酵素の阻害作用があることが知られている。バルプロ酸はまた、交通外傷や脳腫瘍除去等で脳外科手術を受けた患者に抗痙攣薬として投与される場合もある。そこで、バルプロ酸の投与がゲノムに潜在的に存在するHERV-Wを活性化し、シンシチン-1タンパク質を発現させる可能性を考慮し、交通外傷や脳腫瘍除去等で脳外科手術を受け、バルプロ酸を投与された患者も被験者に加えた。 It should be noted that multiple sclerosis is a disease in which HERV-W (originally called MSRV) was first isolated, although clinical similarity with schizophrenia was not observed in disease symptoms. In addition, valproic acid is a drug that is often administered during the excitement phase of schizophrenia, and is known to have an inhibitory action on deacetylase. Valproic acid may also be administered as an anticonvulsant to patients who have undergone brain surgery, such as traffic trauma or brain tumor removal. Therefore, taking into account the possibility that the administration of valproic acid activates HERV-W, which is potentially present in the genome, and expresses the syncytin-1 protein, undergoes brain surgery for traffic trauma, brain tumor removal, etc., and administers valproic acid Patients were also added to the subjects.

 表1に、各被験者における抗シンシチン-1抗体の検出結果を示す。表1中、「S」は統合失調症患者を示し、「SM」は統合失調症と躁うつ病の中間型である患者を示し、「M」は躁うつ病の患者を示し、「PD」はパーソナリティー障害の患者を示し、「MS」は多発性硬化症の患者を示す。また、「抗シンシチン-1抗体(-)」は抗シンシチン-1抗体が検出されなかった被験者の数を示し、「抗シンシチン-1抗体(+)」は抗シンシチン-1抗体が検出された被験者の数を示す。ここで、脳外科手術後患者を対象とした理由は、脳外科手術後では、通常、術後痙攣の予防のためにヒストン脱アセチル化阻害剤(HDAC阻害剤)を投与するからである。シンシチン-1遺伝子は全てのヒトのゲノムの中に存在し、HDACの作用によりその発現(蛋白質への翻訳)が抑制されているが、HDAC阻害剤の投与によりその発現が誘導される可能性があると考えられたからである。 Table 1 shows the detection results of anti-scincytin-1 antibody in each subject. In Table 1, “S” indicates a patient with schizophrenia, “SM” indicates a patient that is intermediate between schizophrenia and manic depression, “M” indicates a patient with manic depression, and “PD” Indicates a patient with personality disorder and “MS” indicates a patient with multiple sclerosis. “Anti-syncytin-1 antibody (−)” indicates the number of subjects in which anti-syncytin-1 antibody was not detected, and “anti-syncytin-1 antibody (+)” indicates subjects in which anti-syncytin-1 antibody was detected. Indicates the number of Here, the reason for targeting patients after brain surgery is that, after brain surgery, a histone deacetylation inhibitor (HDAC inhibitor) is usually administered to prevent postoperative convulsions. The syncytin-1 gene is present in all human genomes, and its expression (translation into protein) is suppressed by the action of HDAC, but its expression may be induced by administration of an HDAC inhibitor. Because it was thought that there was.

Figure JPOXMLDOC01-appb-T000001
Figure JPOXMLDOC01-appb-T000001

 その結果、相当数の統合失調症関連疾患の患者の血液中には、抗シンシチン-1抗体が存在することが明らかとなった。 As a result, it was revealed that anti-scincytin-1 antibody is present in the blood of a considerable number of patients with schizophrenia-related diseases.

 また、統合失調症患者(S)のうち、7例はバルプロ酸投与患者であった。また、これらの7例の患者のうち1例(14.2%)で抗シンシチン-1抗体が検出された。これに対し、脳外科手術後バルプロ酸を投与された患者(これらの患者は統合失調症関連疾患には罹患していなかった。)の血液中には、抗シンシチン-1抗体が存在しないことが明らかとなった。このことは、統合失調症関連疾患の患者の血液中における抗シンシチン-1抗体の存在が、バルプロ酸の投与によるものではないことを示す。 Of the schizophrenic patients (S), 7 were valproic acid patients. Also, anti-scincytin-1 antibody was detected in 1 of these 7 patients (14.2%). On the other hand, it is clear that anti-syncytin-1 antibody is not present in the blood of patients who received valproic acid after brain surgery (these patients did not suffer from schizophrenia-related diseases) It became. This indicates that the presence of anti-syncytin-1 antibody in the blood of patients with schizophrenia-related diseases is not due to the administration of valproic acid.

 また、健常者及び多発性硬化症患者の血液中からは、抗シンシチン-1抗体は検出されなかった。 In addition, anti-syncytin-1 antibody was not detected in the blood of healthy subjects and patients with multiple sclerosis.

 以上の結果は、抗シンシチン-1抗体が存在する患者は、統合失調症関連疾患に罹患していると客観的に判断することができることを示す。 The above results indicate that patients with anti-syncytin-1 antibody can be objectively determined to have schizophrenia-related diseases.

[実験例3]
(抗シンシチン-1抗体のエピトープマッピング)
 統合失調症関連疾患の患者から検出された抗シンシチン-1抗体のエピトープをエピトープマッピングにより検討した。
[Experiment 3]
(Epitope mapping of anti-syncytin-1 antibody)
The epitope of anti-syncytin-1 antibody detected from a patient with schizophrenia-related disease was examined by epitope mapping.

 具体的には、538アミノ酸からなるシンシチン-1タンパク質のアミノ酸配列に基づいて、2アミノ酸ずつずらした12アミノ酸からなるペプチドを合計264個合成し、セルロース膜上に固定化した。続いて、このセルロース膜に、統合失調症関連疾患の患者由来の血清を反応させ、HRP標識抗ヒトIgG抗体を用いて抗シンシチン-1抗体を検出した。 Specifically, based on the amino acid sequence of the 538 amino acid syncytin-1 protein, a total of 264 peptides consisting of 12 amino acids shifted by 2 amino acids were synthesized and immobilized on a cellulose membrane. Subsequently, this cellulose membrane was reacted with serum from a patient with a schizophrenia-related disease, and anti-syncytin-1 antibody was detected using an HRP-labeled anti-human IgG antibody.

 図1は、エピトープマッピングの代表的な結果を示すグラフである。図1では、S1~7の識別番号を付与した7例の統合失調症関連疾患の患者の血清を用いた結果を示す。図1には、コントロールとして、患者の血清の代わりに、配列番号1に記載のアミノ酸配列の第33~312番目のアミノ酸配列からなるペプチドに対するポリクローナル抗体を用いた結果も併せて示す。図1のグラフにおいて、縦軸は、検出された抗シンシチン-1抗体の量(相対値)を表す。 FIG. 1 is a graph showing typical results of epitope mapping. FIG. 1 shows the results of using sera from seven patients with schizophrenia-related diseases assigned with identification numbers S1 to 7. FIG. 1 also shows the results of using a polyclonal antibody against a peptide consisting of the amino acid sequence of amino acids 33 to 312 of SEQ ID NO: 1 as a control instead of patient serum. In the graph of FIG. 1, the vertical axis represents the amount (relative value) of the detected anti-scincytin-1 antibody.

 その結果、図1中の3ヶ所の網掛け部分には、7例の患者の抗シンシチン-1抗体が共通して認識するエピトープが存在すると考えられた。この結果は、配列番号1に記載のアミノ酸配列の第30~58番目のアミノ酸配列からなるペプチド、配列番号1に記載のアミノ酸配列の第193~221番目のアミノ酸配列からなるペプチド、配列番号1に記載のアミノ酸配列の第493~521番目のアミノ酸配列からなるペプチドを、抗シンシチン-1抗体検出用の抗原として使用できることを示す。 As a result, it was considered that the epitopes commonly recognized by the anti-scincytin-1 antibodies of 7 patients were present in the three shaded portions in FIG. As a result, a peptide consisting of the 30th to 58th amino acid sequence of the amino acid sequence shown in SEQ ID NO: 1, a peptide consisting of the 193th to 221st amino acid sequence of the amino acid sequence shown in SEQ ID NO: 1, It shows that a peptide consisting of the amino acid sequence of 493 to 521 of the described amino acid sequence can be used as an antigen for detecting anti-scincytin-1 antibody.

[実験例4]
(ウエスタンブロッティング法及びELISA法の比較)
 被験者の血清中の抗シンシチン-1抗体をウエスタンブロッティング法及びELISA法により検出し、検出感度を比較した。
[Experimental Example 4]
(Comparison of Western blotting and ELISA)
Anti-syncytin-1 antibody in the serum of the test subject was detected by Western blotting and ELISA, and the detection sensitivity was compared.

 被験者としては、経験豊かな医師により統合失調症であると診断された患者(46例)、及び躁うつ病の患者(25例)を用いた。また、比較のために、健常者(32例)及び多発性硬化症の患者(13例)を用いた。 As subjects, patients diagnosed as schizophrenia by experienced doctors (46 cases) and manic-depressed patients (25 cases) were used. For comparison, healthy subjects (32 cases) and multiple sclerosis patients (13 cases) were used.

 下記表2に、各被験者の男女比及び年齢分布を示す。表2中、「S」は統合失調症患者を示し、「M」は躁うつ病の患者を示し、「MS」は多発性硬化症の患者を示す。その結果、下記表2に示すように、各被検者の男女比及び年齢分布に有意差はないことが確認された。但し、多発性硬化症の患者には年齢分布に差が認められた。 Table 2 below shows the gender ratio and age distribution of each subject. In Table 2, “S” indicates a schizophrenic patient, “M” indicates a manic-depressed patient, and “MS” indicates a patient with multiple sclerosis. As a result, as shown in Table 2 below, it was confirmed that there was no significant difference in the sex ratio and age distribution of each subject. However, there was a difference in age distribution among patients with multiple sclerosis.

《ウエスタンブロッティング法》
 実験例1で精製したシンシチン-1タンパク質を用いて、実験例2と同様にして各被験者の血清中の抗シンシチン-1抗体を検出した。
<Western blotting method>
Using the syncytin-1 protein purified in Experimental Example 1, anti-syncytin-1 antibody in the serum of each subject was detected in the same manner as in Experimental Example 2.

《ELISA法》
 まず、実験例1で精製したシンシチン-1タンパク質を96ウェルプレートに固定化した。続いて、被験者由来の血清を1/100に希釈して上記の各ウェルに添加して反応させた。続いて、HRP標識抗ヒトIgG抗体を反応させ、更にHRPの基質を反応させて抗シンシチン-1抗体を検出した。
<< ELISA method >>
First, the syncytin-1 protein purified in Experimental Example 1 was immobilized on a 96-well plate. Subsequently, the serum derived from the subject was diluted to 1/100 and added to each of the wells to cause a reaction. Subsequently, an HRP-labeled anti-human IgG antibody was reacted, and further an HRP substrate was reacted to detect an anti-cincytin-1 antibody.

 下記表2に、抗シンシチン-1抗体が検出された被験者の数及び抗シンシチン-1抗体が検出された被験者の割合(%)を示す。 Table 2 below shows the number of subjects in which anti-syncytin-1 antibody was detected and the percentage (%) of subjects in which anti-syncytin-1 antibody was detected.

Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000002

 その結果、ウエスタンブロッティング法よりもELISA法のほうが、感度よく抗シンシチン-1抗体を検出することができることが明らかとなった。また、この結果は、健常者と比較して、統合失調症関連疾患患者の血清において、抗シンシチン-1抗体が検出される割合が高いことを更に支持するものである。 As a result, it was revealed that the ELISA method can detect the anti-syncytin-1 antibody with higher sensitivity than the Western blotting method. This result further supports the higher proportion of anti-scincytin-1 antibody detected in the serum of patients with schizophrenia-related diseases than in healthy individuals.

[実験例5]
(ELISA法における抗原ペプチドの検討)
 シンシチン-1タンパク質の部分ペプチドを固相化したプレートを用いた点以外は実験例4のELISA法と同様にして、被験者の血清中の抗シンシチン-1抗体をELISA法により検出し、検出感度を比較した。ペプチドは10μg/mLの濃度で使用し、血清は100倍希釈で使用した。
[Experimental Example 5]
(Examination of antigenic peptides in ELISA)
The anti-sincitin-1 antibody in the serum of the subject was detected by the ELISA method in the same manner as the ELISA method of Experimental Example 4 except that a plate on which a partial peptide of the syncytin-1 protein was immobilized was used, and the detection sensitivity was increased. Compared. Peptides were used at a concentration of 10 μg / mL and serum was used at a 100-fold dilution.

 被験者としては、経験豊かな医師により統合失調症であると診断された患者(8例)を用いた。また、比較のために、健常者(3例)を用いた。 The subjects used were 8 patients who were diagnosed with schizophrenia by experienced doctors. In addition, healthy subjects (3 cases) were used for comparison.

 また、シンシチン-1タンパク質の部分ペプチドとしては、下記表3に示すペプチドを使用した。 In addition, peptides shown in Table 3 below were used as partial peptides of the syncytin-1 protein.

Figure JPOXMLDOC01-appb-T000003
Figure JPOXMLDOC01-appb-T000003

 図2は抗シンシチン-1抗体の検出結果を示すグラフである。図2中、「C1」~「C3」はそれぞれ健常者の血清の結果であることを示す。また、「S1」~「S8」はそれぞれ統合失調症患者の血清の結果であることを示す。また「OD(A450)」は波長450nmにおける吸光度を意味する。 FIG. 2 is a graph showing the results of detection of anti-syncytin-1 antibody. In FIG. 2, “C1” to “C3” indicate the results of the serum of healthy subjects. In addition, “S1” to “S8” indicate the results of sera from patients with schizophrenia, respectively. “OD (A450)” means absorbance at a wavelength of 450 nm.

 その結果、シンシチン-1タンパク質の部分ペプチドとして、ペプチド#8(配列番号9)を固相化してELISA法を行うことにより、特に高い検出感度を得ることができることが明らかとなった。また、ペプチド#8に他のペプチドを混合すると抗シンシチン-1抗体の検出感度が低下することが明らかとなった。 As a result, it was revealed that particularly high detection sensitivity can be obtained by immobilizing peptide # 8 (SEQ ID NO: 9) as a partial peptide of the syncytin-1 protein and performing ELISA. It was also found that the detection sensitivity of the anti-scincytin-1 antibody is reduced when other peptides are mixed with peptide # 8.

[実験例6]
(ペプチドによるELISA反応の阻害)
 ペプチド#8(配列番号9)を固相化したプレートを用いたELISA法により、被験者の血清中の抗シンシチン-1抗体を検出した。この過程で、様々なシンシチン-1タンパク質の部分ペプチドを共存させ、ELISA反応の阻害効果を検討した。
[Experimental Example 6]
(Inhibition of ELISA reaction by peptide)
Anti-syncytin-1 antibody was detected in the serum of the subject by ELISA using a plate on which peptide # 8 (SEQ ID NO: 9) was immobilized. In this process, partial peptides of various syncytin-1 proteins were allowed to coexist and the inhibitory effect on the ELISA reaction was examined.

 シンシチン-1タンパク質の部分ペプチドとしては、終濃度0,0.01,0.1,1及び10μg/mLにそれぞれ調製した、ペプチド#1(配列番号2)、ペプチド#3(配列番号4)、ペプチド#5(配列番号6)、ペプチド#7(配列番号8)又はペプチド#8(配列番号9)を用いた。 As partial peptides of the syncytin-1 protein, peptide # 1 (SEQ ID NO: 2), peptide # 3 (SEQ ID NO: 4) prepared at final concentrations of 0, 0.01, 0.1, 1 and 10 μg / mL, respectively, Peptide # 5 (SEQ ID NO: 6), peptide # 7 (SEQ ID NO: 8) or peptide # 8 (SEQ ID NO: 9) was used.

 また、被験者としては、経験豊かな医師により統合失調症であると診断された患者(2例)、及び躁うつ病の患者(2例)を用いた。また、比較のために、健常者(1例)を用いた。 Also, as subjects, patients diagnosed as schizophrenia by experienced doctors (2 cases) and manic-depressed patients (2 cases) were used. In addition, healthy subjects (one example) were used for comparison.

 図3(a)~(e)は抗シンシチン-1抗体の検出結果を示すグラフである。図3(a)~(e)中、「C1」は健常者の血清の結果であることを示す。また、「S1」、「S2」はそれぞれ統合失調症患者の血清の結果であることを示す。また、「M1」、「M2」はそれぞれ躁うつ病患者の血清の結果であることを示す。また「OD(A450)」は波長450nmにおける吸光度を意味する。 FIGS. 3 (a) to 3 (e) are graphs showing the results of detection of anti-syncytin-1 antibody. In FIGS. 3 (a) to 3 (e), “C1” indicates the result of the serum of a healthy person. Further, “S1” and “S2” indicate the results of sera from patients with schizophrenia, respectively. In addition, “M1” and “M2” indicate the results of serum of manic-depressive patients, respectively. “OD (A450)” means absorbance at a wavelength of 450 nm.

 その結果、健常者の血清中には抗シンシチン-1抗体が検出されず、統合失調症関連疾患患者の血清中には抗シンシチン-1抗体が検出されることが確認されたた。また、ペプチド#8を固相化したプレートを用いたELISA法では、ペプチド#8を共存させた場合のみ抗シンシチン-1抗体の検出が阻害されることが確認された。 As a result, it was confirmed that anti-syncytin-1 antibody was not detected in the serum of healthy subjects, and anti-syncytin-1 antibody was detected in the serum of patients with schizophrenia-related diseases. In addition, in the ELISA method using a plate on which peptide # 8 was immobilized, it was confirmed that detection of anti-scincytin-1 antibody was inhibited only when peptide # 8 coexists.

 本発明によれば、客観的に統合失調症関連疾患を診断することができる技術を提供することができる。 According to the present invention, a technique capable of objectively diagnosing schizophrenia-related diseases can be provided.

Claims (8)

 抗シンシチン-1抗体からなる、統合失調症関連疾患の診断用マーカー。 A marker for diagnosing schizophrenia-related diseases, consisting of anti-syncytin-1 antibody.  シンシチン-1タンパク質又はその断片を備える、統合失調症関連疾患の診断用キット。 A kit for diagnosing schizophrenia-related diseases, comprising syncytin-1 protein or a fragment thereof.  ヒト抗体に対する特異的結合物質を更に備える、請求項2に記載の統合失調症関連疾患の診断用キット。 The diagnostic kit for schizophrenia-related disease according to claim 2, further comprising a specific binding substance for a human antibody.  シンシチン-1タンパク質の断片を備え、前記断片は、配列番号9に記載のアミノ酸配列からなるペプチドであるか、又は、配列番号9に記載のアミノ酸配列において1又は数個のアミノ酸が欠失、置換若しくは付加されたアミノ酸配列からなり且つ抗シンシチン-1抗体により認識されるペプチドである、請求項2又は3に記載の統合失調症関連疾患の診断用キット。 A fragment of a syncytin-1 protein, wherein the fragment is a peptide consisting of the amino acid sequence set forth in SEQ ID NO: 9, or one or several amino acids are deleted or substituted in the amino acid sequence set forth in SEQ ID NO: 9 Alternatively, the kit for diagnosing schizophrenia-related disease according to claim 2 or 3, which is a peptide comprising an added amino acid sequence and recognized by an anti-scincytin-1 antibody.  被験者が統合失調症関連疾患に罹患している可能性を血清学的に識別するためのデータを収集する方法であって、被験者由来の血液中に、抗シンシチン-1抗体が存在するか否かを検出する工程を備え、前記抗体の存在の有無が、前記被験者が統合失調症関連疾患に罹患している可能性を血清学的に識別するためのデータである方法。 A method for collecting data for serologically identifying the possibility that a subject is suffering from schizophrenia-related disease, wherein whether anti-scincytin-1 antibody is present in blood from the subject And the presence or absence of the antibody is data for serologically identifying the possibility that the subject has a schizophrenia-related disease.  抗シンシチン-1抗体が存在するか否かを検出する前記工程がELISA法により行われる、請求項5に記載の方法。 The method according to claim 5, wherein the step of detecting whether or not anti-syncytin-1 antibody is present is performed by ELISA.  被験者由来の血液中に、抗シンシチン-1抗体が存在するか否かを検出する工程を備え、前記抗体が存在する場合には前記被験者は統合失調症関連疾患に罹患している可能性があり、前記抗体が存在しない場合には前記被験者は統合失調症関連疾患に罹患していないという基準と比較することにより、前記被験者が統合失調症関連疾患に罹患しているか否かを試験する方法。 A step of detecting whether or not an anti-scincytin-1 antibody is present in blood derived from the subject, and if the antibody is present, the subject may suffer from schizophrenia-related disease A method for testing whether or not the subject suffers from schizophrenia-related disease by comparing with a criterion that in the absence of the antibody, the subject does not suffer from schizophrenia-related disease.  抗シンシチン-1抗体が存在するか否かを検出する前記工程がELISA法により行われる、請求項7に記載の方法。 The method according to claim 7, wherein the step of detecting whether or not anti-syncytin-1 antibody is present is performed by an ELISA method.
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