CN101443080B - Use of peptides for the control of radiation injury - Google Patents
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Abstract
本发明涉及针对因暴露于高能电磁波(X射线、伽玛射线)或粒子(阿尔法粒子、贝塔粒子、中子)而引起的急性辐射损伤的药物研发领域。迄今尚无有效的药物能够减轻意外暴露于电离照射之后的辐射损伤。本发明提供用于治疗患有辐射损伤的对象的方法,其包含给所述对象施用小于30个氨基酸的肽或其功能性类似物或衍生物。此外,本发明提供小于30个氨基酸的肽或其功能性类似物或衍生物在制备用于治疗患有辐射损伤或被认为患有辐射损伤的对象的药物组合物中的用途。本发明具体提供抗辐射肽,其针对急性伽玛照射的剂量降低系数(DRF)为至少1.10,所述DRF可如下确定:测试何种剂量的辐射在全身照射(WBI)后30天导致测试组小鼠出现50%的死亡率(LD50/30),所述测试组小鼠在WBI后72小时用所述肽进行处理;测试何种剂量的辐射在全身照射(WBI)后30天导致对照组小鼠出现50%的死亡率(LD50/30),所述对照组小鼠在WBI后72小时仅用所述肽的载体进行处理;其中通过将肽处理组动物的LD50/30除以载体处理组动物的LD50/30来计算所述DRF。The present invention relates to the field of drug development against acute radiation damage caused by exposure to high energy electromagnetic waves (X-rays, gamma rays) or particles (alpha particles, beta particles, neutrons). To date there are no effective drugs to reduce radiation damage following accidental exposure to ionizing radiation. The present invention provides methods for treating a subject suffering from radiation damage comprising administering to said subject a peptide of less than 30 amino acids or a functional analogue or derivative thereof. Furthermore, the present invention provides the use of a peptide of less than 30 amino acids or a functional analogue or derivative thereof for the manufacture of a pharmaceutical composition for the treatment of a subject suffering from or believed to be suffering from radiation damage. The invention specifically provides radioresistant peptides having a Dose Reduction Factor (DRF) for acute gamma irradiation of at least 1.10, which DRF can be determined by testing which dose of radiation results in a test group 30 days after whole body irradiation (WBI). 50% mortality (LD50/30) in mice, the test group of mice was treated with the peptide 72 hours after WBI; it was tested which dose of radiation resulted in control group 30 days after whole body irradiation (WBI) A 50% mortality rate (LD50/30) was observed in the mice in the control group treated with the peptide vehicle alone 72 hours after WBI; wherein the LD50/30 of the peptide-treated animals was divided by the vehicle-treated The DRF was calculated from the LD50/30 of the group of animals.
Description
技术领域 technical field
本发明涉及针对因暴露于高能电磁波(X射线、伽玛射线)或粒子(阿尔法粒子、贝塔粒子、中子)而引起的急性辐射损伤的药物研发领域。迄今尚无有效的药物能够减轻意外暴露于电离照射之后的辐射损伤。The present invention relates to the field of drug development against acute radiation damage caused by exposure to high energy electromagnetic waves (X-rays, gamma rays) or particles (alpha particles, beta particles, neutrons). To date there are no effective drugs to reduce radiation damage following accidental exposure to ionizing radiation.
背景技术 Background technique
辐射损伤是暴露于辐射而引起的组织损伤。在此,辐射指的是由高能电磁波(X射线、伽玛射线)或粒子(阿尔法粒子、贝塔粒子、中子)产生的电离辐射。此类辐射由放射性物质(放射性同位素)例如铀、氡、和钚释放。此类辐射也可由人造辐射源产生,例如X射线和放疗仪器。辐射剂量的测量使用多种不同的单位,但它们均涉及能量沉积的量。这些单位包括伦琴(R)、戈瑞(gray,Gy)、和希沃特(sievert,Sv)。希沃特与戈瑞类似,不同之处在于希沃特考虑到了不同辐射类型的生物学效应。两种主要类型的辐射暴露是照射和污染。许多辐射事故使得人同时暴露于这两种类型。Radiation injury is tissue damage caused by exposure to radiation. Here, radiation refers to ionizing radiation produced by high-energy electromagnetic waves (X-rays, gamma rays) or particles (alpha particles, beta particles, neutrons). Such radiation is emitted by radioactive substances (radioisotopes) such as uranium, radon, and plutonium. Such radiation can also be produced by man-made radiation sources, such as X-rays and radiotherapy machines. Radiation dose is measured using a number of different units, but they all refer to the amount of energy deposited. These units include roentgen (R), gray (Gy), and sievert (Sv). Sievert is similar to Gray, except that it takes into account the biological effects of different radiation types. The two main types of radiation exposure are irradiation and contamination. Many radiation accidents expose people to both types at the same time.
照射是暴露于从体外直接穿透机体的辐射波。照射可立即致病(急性辐射病)。此外,照射、特别是高剂量辐射,可损害人的遗传物质(DNA),导致慢性(迟发性)疾病,例如癌症和先天缺陷。不过,照射不会造成人或其组织具有放射性。污染是接触并滞留放射性物质,后者典型地是灰尘或液体的形式。放射性物质可留在皮肤上,并可以从皮肤掉落或擦掉,污染其他人和物体。这些物质也可以通过肺、消化道或者皮肤破损处而被机体吸收。吸收的物质被转运到机体的各个部位,例如骨髓,在该处继续释放辐射。这种内在化的辐射不仅会引起急性辐射病例如内出血,而且也会产生慢性疾病如癌症。Irradiation is exposure to radiation waves directly penetrating the body from outside the body. Exposure can cause immediate illness (acute radiation sickness). In addition, exposure, especially high doses, can damage a person's genetic material (DNA), leading to chronic (delayed) diseases such as cancer and birth defects. However, exposure does not render a person or his tissues radioactive. Contamination is exposure to and retention of radioactive material, typically in the form of dust or liquid. Radioactive material can remain on the skin and can fall or rub off from the skin, contaminating other people and objects. These substances can also be absorbed by the body through the lungs, digestive tract or broken skin. The absorbed material is transported to various parts of the body, such as the bone marrow, where it continues to release radiation. This internalized radiation can cause not only acute radiation sickness such as internal bleeding, but also chronic diseases such as cancer.
人们长期暴露于低水平的天然辐射(背景辐射)。辐射来自于外层空间(宇宙辐射),不过其大部分被地球大气层阻挡。在高放射性元素条件中生活或工作的人暴露于更多的宇宙辐射,特别是氡气,其也存在于许多岩石和矿物中。这些元素最终出现在各种物质中,包括食物和建筑材料。此外,人们还暴露于来自人造辐射源的辐射,包括来自核武器试验的环境辐射和来自各种医学检查和治疗的辐射。普通人每年受到总量为大约3到4mSv(1mSv=1/1000Sv)的来自天然辐射和人造辐射源的辐射。工作中接触放射性物质和X射线源的人容易暴露于更高水平的辐射。接受癌症辐射治疗的人可受到很高水平的辐射。核武器释放大量的辐射。自1945年以来还没有对人类使用过此类武器。不过,现在许多国家拥有核武器,而一些恐怖分子集团也在设法获得核武器,这增加了此类武器有朝一日被再次使用的可能性。People are exposed to low levels of natural radiation (background radiation) for long periods of time. The radiation comes from outer space (cosmic radiation), but is mostly blocked by the Earth's atmosphere. People who live or work in conditions of highly radioactive elements are exposed to more cosmic radiation, especially radon gas, which is also found in many rocks and minerals. These elements end up in a variety of substances, including food and building materials. In addition, people are exposed to radiation from man-made sources, including environmental radiation from nuclear weapons testing and from various medical tests and treatments. The average person is exposed to radiation from natural radiation and artificial radiation sources in a total amount of about 3 to 4 mSv (1 mSv = 1/1000 Sv) per year. People who work with radioactive materials and X-ray sources are prone to exposure to higher levels of radiation. People receiving radiation therapy for cancer can be exposed to very high levels of radiation. Nuclear weapons release large amounts of radiation. Such weapons have not been used against humans since 1945. However, many countries now possess nuclear weapons, and some terrorist groups are seeking to acquire them, raising the possibility that such weapons could one day be used again.
辐射的损伤效应取决于多种因素,包括暴露的量(剂量)和持续时间。对整个机体的快速的单一剂量辐射可以是致死性的,而同一总剂量在数周或数月以上暴露则效应可明显轻得多。对于一给定的剂量,快速暴露更容易造成遗传学损害。辐射的效应也取决于机体的暴露范围。例如,超过6Gy的辐射如果分散于全身则通常导致死亡;但如果仅集中于一个小的区域,例如象癌症放疗那样,则可以施用3到4倍该剂量的辐射而对对象整体没有严重的伤害。辐射的分布也是重要的,因为机体的某些部分对辐射更加敏感。细胞迅速增殖的器官和组织例如肠道和骨髓,比细胞缓慢增殖的器官和组织例如肌肉和肌腱更容易受到辐射的损害。精子和卵细胞的遗传物质可被辐射破坏。因此,在癌症放疗过程中,要尽可能遮蔽机体这些更加脆弱的部位使之免于辐射,以便可以将高剂量的辐射主要施用于癌症。The damaging effects of radiation depend on many factors, including the amount (dose) and duration of exposure. A rapid single dose of radiation to the entire body can be lethal, whereas exposure of the same total dose over weeks or months can have significantly lesser effects. Rapid exposure is more likely to cause genetic damage for a given dose. The effects of radiation also depend on the extent of the body's exposure. For example, radiation in excess of 6 Gy usually results in death if dispersed throughout the body; but if concentrated only in a small area, as in cancer radiation, for example, 3 to 4 times that dose can be administered without serious harm to the subject as a whole . The distribution of radiation is also important because certain parts of the body are more sensitive to radiation. Organs and tissues with rapidly proliferating cells, such as the gut and bone marrow, are more susceptible to radiation damage than those with slow cell proliferation, such as muscles and tendons. The genetic material of sperm and egg cells can be damaged by radiation. Therefore, during cancer radiation therapy, it is important to shield these more vulnerable parts of the body from radiation as much as possible so that high doses of radiation can be delivered primarily to the cancer.
辐射暴露产生两种损伤:急性(即刻)和慢性(迟发性)。急性辐射损伤通过血管内皮损伤导致血管渗漏而引发炎症。随后是血管应答和细胞应答。电离辐射抑制免疫力并损害肠道上皮,两者均促进微生物自肠道发生移位。Radiation exposure produces two types of injury: acute (immediate) and chronic (delayed). Acute radiation injury triggers inflammation through vascular endothelial damage leading to vascular leakiness. Vascular and cellular responses follow. Ionizing radiation suppresses immunity and damages the gut epithelium, both of which facilitate translocation of microorganisms from the gut.
癌症放疗主要在机体接受辐射的部位产生症状。例如,在直肠癌的放疗中,由于辐射对小肠的影响,腹部绞痛和腹泻十分常见。Radiation therapy for cancer produces symptoms mainly in the part of the body that received radiation. For example, in radiation therapy for rectal cancer, abdominal cramps and diarrhea are common due to the radiation's effects on the small intestine.
第二次世界大战后不久便开始寻找非毒性的辐射防护剂,以保护正常组织抵抗辐射损伤。深入的放射生物学研究发现了多种防护剂,如果在辐射暴露之前施用,它们保护动物(主要是啮齿动物)免于辐射损伤[PrasadKN.Handbook of radiobiology.2nd edn.Boca Raton,FL:CRC Press,1995]。这些研究发现那些清除自由基和/或引起低氧的药剂具有辐射防护价值。不过,这些化合物的大多数在辐射防护剂量对人是有毒的。随着在冷战过程中出现的核对抗的危险性的下降,后来对辐射防护剂的研究兴趣显著下降。由于基于X射线的诊断仪器的迅速增多以及放射学方法在疾病早期诊断中的应用在增加,开始更加关心频率日益增加的体细胞和遗传性突变,其能够使当前的人们以及后代发生基因连锁疾病的危险升高。因此,一定要保护正常组织使之免于潜在的辐射损伤,哪怕这种损伤十分微小。The search for non-toxic radioprotectants to protect normal tissues against radiation damage began shortly after World War II. Intensive radiobiology studies have identified a variety of protective agents that protect animals (mainly rodents) from radiation damage if administered prior to radiation exposure [Prasad KN. Handbook of radiobiology. 2nd edn. Boca Raton, FL: CRC Press , 1995]. These studies found that agents that scavenge free radicals and/or induce hypoxia have radioprotective value. However, most of these compounds are toxic to humans at radioprotective doses. As the danger of nuclear confrontation declined during the course of the Cold War, interest in the study of radioprotectants declined significantly later. Due to the rapid proliferation of X-ray-based diagnostic instruments and the increased use of radiological methods in the early diagnosis of disease, greater concern has been given to the increasing frequency of somatic and hereditary mutations that can predispose to genetically linked diseases in current people and future generations increased risk. Therefore, it is important to protect normal tissue from potential radiation damage, even if the damage is minimal.
通常,辐射防护剂被定义为这样的化合物,所述化合物在暴露于电离辐射之前施用可降低辐射的损伤效应,包括辐射引起的死亡[H.B.Stone etal.,Models for evaluating agents intended for the prophylaxis,mitigation andtreatment of radiation injuries.Report of an NCI Workshop,December3-4,2003,Radiat Res162:711-728.]。它们可用于放射学恐怖主义、军事事件、临床肿瘤学、空间旅行、辐射点清除[R.H.Johnson,Dealing with the terror ofnuclear terrorism,Health Phys87:S3-7.,F.A.J.Mettler,G.L.Voelz,Majorradiation exposure what to expect and how to respond,N Engl J Med346:1554-1561,2001]C.K.Nair,D.K.Parida,T.Nomura,Radioprotectors inradiotherapy,J Radiat Res(Tokyo)42:21-37,J.K.Waselenko,T.J.MacVittie,W.F.Blakely,N.Pesik,A.L.Wiley,W.E.Dickerson,H.Tsu,D.L.Confer,C.N.Coleman,T.Seed,P.Lowry,J.O.Armitage,N.Dainiak,Medical managementof the acute radiation syndrome:Recommendations of the Strategic NationalStockpile Radiation Working Group,Ann Intern Med140:1037-1051.]。最近,美国科学技术政策局(U.S.Office of Science and Technology Policy)和国土安全部(Homeland Security Council)已经将开发新的辐射防护药物列为最优先研究项目。尽管合成的辐射防护药物如氨基硫醇类(aminothiols)可产生最高的防护系数,但通常它们比天然存在的防护剂毒性更大。通常,最好的辐射防护剂也被认为可导致最高的毒性。In general, radioprotectants are defined as compounds that, administered prior to exposure to ionizing radiation, reduce the damaging effects of radiation, including radiation-induced death [H.B. Stone et al., Models for evaluating agents intended for the prophylaxis, mitigation and treatment of radiation injuries. Report of an NCI Workshop, December 3-4, 2003, Radiat Res 162: 711-728.]. They can be used in radiological terrorism, military incidents, clinical oncology, space travel, radiation point clearance [R.H. Johnson, Dealing with the terror of nuclear terrorism, Health Phys87: S3-7., F.A.J. Mettler, G.L. Voelz, Major radiation exposure what to expect and how to respond, N Engl J Med346:1554-1561, 2001] C.K.Nair, D.K.Parida, T.Nomura, Radioprotectors inradiotherapy, J Radiat Res (Tokyo) 42:21-37, J.K.Waselenko, T.J.MacVittie, W.F.Blakely , N. Pesik, A.L. Wiley, W.E. Dickerson, H.Tsu, D.L. Confer, C.N. Coleman, T. Seed, P. Lowry, J.O. Armitage, N. Dainiak, Medical management of the acute radiation syndrome: Recommendations of the Strategic National Stockpile Radiation Working Group, Ann Intern Med 140:1037-1051.]. More recently, the U.S. Office of Science and Technology Policy and the Homeland Security Council have made developing new radiation-protective drugs a top research priority. Although synthetic radioprotective drugs such as aminothiols yield the highest protection factors, they are generally more toxic than naturally occurring protectants. Often, the best radioprotectants are also considered to result in the highest toxicity.
在军事辐射事件中,有效减轻辐射诱导的健康问题和战斗力下降效应可降低医学救治处的伤亡负荷,在辐射暴露事件后保持更加有效的行动力,允许指挥官在辐射地环境指导行动且受到急性组织损伤导致行动能力下降的危险减小,并降低那些在被污染环境中执行任务的人员的负面心理创伤。理想的辐射防护剂应该是无毒的,不会降低工作能力,并且单次施用之后即起效,特别是在需要快速进入具有外部辐射危险区域的情况下尤为如此。In military radiation incidents, effectively mitigating radiation-induced health problems and combat effectiveness reduction effects can reduce the casualty load of medical treatment units, maintain more effective action after radiation exposure events, and allow commanders to guide operations in radiation environments and suffer acute Reduced risk of reduced mobility due to tissue damage and reduced negative psychological trauma for those performing tasks in contaminated environments. An ideal radioprotectant should be non-toxic, not reduce working capacity, and be effective after a single application, especially if rapid access to areas with external radiation hazards is required.
在2005年6月21日在美国马里兰州Bethesda召开的NATO HumanFactors and Medicine Panel Research Task Group099“Radiation Bioeffects andCountermeasures”大会上报告(Landauer et al.,NATO RTG-0992005)并发表于AFRRI CD05-2的一篇文章中,提出染料木黄酮(genisteine)可保护小鼠免于伽玛辐射诱导的死亡,其在最佳剂量(200mg/kg;在照射前24小时施用该剂量可获得最高的存活率)时的“剂量降低系数”(dose reduction factor,DRF)为1.16。如果在全身照射(WBI)之前1小时施用则没有观察到辐射保护作用。在第51届辐射研究学会(2004年4月)上,其他研究报告了代号为ON-01210的药物的辐射防护作用,指出该药物ON-01210(与目前正在研究的针对辐射暴露的其他药物类似)仅在辐射暴露前施用才有保护作用。该药物具有巯基成分(4-carboxystyrl-4-chlorobenzylsulfone),可作为抗氧化剂起作用,将辐射损伤细胞时产生的自由基清除掉。Presented at the NATO HumanFactors and Medicine Panel Research Task Group099 "Radiation Bioeffects and Countermeasures" Conference, Bethesda, MD, USA, June 21, 2005 (Landauer et al., NATO RTG-0992005) and published in AFRRI CD05-2 In this article, it is proposed that genistein (genisteine) can protect mice from gamma radiation-induced death at the optimal dose (200 mg/kg; the highest survival rate was obtained when this dose was administered 24 hours before irradiation). The "dose reduction factor" (dose reduction factor, DRF) is 1.16. No radioprotective effect was observed if administered 1 hour before whole body irradiation (WBI). At the 51st meeting of the Radiation Research Society (April 2004), other studies reported the radiation protection effect of the drug code-named ON-01210, stating that the drug ON-01210 (similar to other drugs currently being studied for radiation exposure ) are only protective if applied before radiation exposure. The drug has a sulfhydryl component (4-carboxystyrl-4-chlorobenzylsulfone) that acts as an antioxidant to scavenge free radicals produced when cells are damaged by radiation.
同样,正如美国国防部大会的年度报告中所述(March2005;http://medchembio.amedd.army.mil/docs/CBDP_Report_To_Congress.pdf),目前还没有商品化的适合用于军事行动环境中的无毒药物或诊断能力。氨磷汀(amifostine)是一种氨基硫醇类化合物,已被FDA批准用于接受化疗或放疗的患者,但其降低性能的毒性不良反应使其无法用于合适的战斗部队,而其静脉施用途径需要专业医疗人员。其他药物如用于治疗骨髓损伤的造血细胞因子可由各个医生根据不同病例的具体情况而使用标注外的剂量,但此类用途的规定限制使其难以用于处理军事行动中的大量伤亡人员。抗生素常用于治疗放射学损伤的感染性后遗症,但必须经过适当选择以有效治疗外源性和内源性全身性感染而同时几乎不影响有益的肠道厌氧菌。为了解决目前可选择的医疗对策有限这一局面,Armed Forces RadiobiologyResearch Institute(AFRRI)已经在研究新化合物5-雄烯二醇(5-AED;Whitnall et al.,Experimental Biology and Medicine226:625-627(2001))。同样,该化合物在小鼠模型中在照射攻击之前施用可产生良好的辐射防护剂功效。在伽玛照射小鼠之前24小时和之后2小时皮下施用AED可提高存活率。从WBI之前施用的概率值存活曲线计算出的剂量降低系数为1.3。在随后接种或者不接种致死量肺炎克雷伯菌(Klebsiella pneumoniae)的雄性和雌性小鼠均观察到了保护作用。多种其他类固醇则没有观察到保护作用:去氢表雄酮(DHEA)、5-雄甾烯-3B,7B,17B-三醇(AET)、雄烯二酮、或雌二醇。不过,在过去的一年中,为了准备IND应用而在非人灵长类动物(NHP)模型上进行的深入研究证实,5-AED作为辐射防护剂施用时远不及在小鼠模型上那样有效,但在照射后不久以连续剂量治疗性施用时在NHP模型上产生了良好的功效。Also, as stated in the US Department of Defense Congress Annual Report (March 2005; http://medchembio.amedd.army.mil/docs/CBDP_Report_To_Congress.pdf), there are currently no commercially available wireless toxic drugs or diagnostic capabilities. Amifostine, an aminothiol compound, has been approved by the FDA for use in patients receiving chemotherapy or radiation, but its performance-degrading toxic side effects preclude its use in suitable combat units, and its intravenous administration The pathway requires professional medical personnel. Other drugs, such as hematopoietic cytokines used to treat bone marrow injury, may be used in off-label doses by individual physicians on a case-by-case basis, but regulatory limitations on such use make their use difficult to manage the high number of casualties in military operations. Antibiotics are commonly used to treat infectious sequelae of radiological injury, but must be appropriately selected to effectively treat both exogenous and endogenous systemic infections while barely affecting beneficial intestinal anaerobic bacteria. To address the limited medical options currently available, the Armed Forces Radiobiology Research Institute (AFRRI) has been investigating a new compound, 5-androstenediol (5-AED; Whitnall et al., Experimental Biology and Medicine 226:625-627( 2001)). Likewise, administration of this compound prior to irradiation challenge resulted in good radioprotectant efficacy in a mouse model. Subcutaneous administration of AED 24 hours before and 2 hours after gamma-irradiated mice improves survival. The dose reduction factor calculated from the probability-valued survival curve administered prior to WBI was 1.3. Protection was observed in both male and female mice subsequently vaccinated with or without a lethal dose of Klebsiella pneumoniae. No protective effect was observed with various other steroids: dehydroepiandrosterone (DHEA), 5-androstene-3B,7B,17B-triol (AET), androstenedione, or estradiol. Over the past year, however, intensive studies in nonhuman primate (NHP) models in preparation for IND applications have demonstrated that 5-AED is nowhere near as effective when administered as a radioprotectant as in mouse models , but produced good efficacy in the NHP model when administered therapeutically in continuous doses shortly after irradiation.
急性辐射病。急性辐射病通常出现于全身暴露于辐射的人。急性辐射病的进展有多个阶段,开始为早期症状(prodrome),随后是无症状阶段(潜伏期)。随后根据人所接受的辐射的量而出现不同的症状(症状谱)。辐射量越大,症状越严重,且自早期症状进展至急性综合征越快。对于特定的辐射暴露量,不同人之间的症状和时间过程是一致的。医生根据症状的时间过程和性质能够判断出人的辐射暴露情况。根据受累的主要器官系统,医生将急性辐射综合征分为三组,不过各组之间有重叠。Acute radiation sickness. Acute radiation sickness usually occurs in people who have been exposed to radiation all over their body. The progression of acute radiation sickness has multiple stages, beginning with early symptoms (prodrome), followed by an asymptomatic phase (latency). Different symptoms (symptom spectrum) subsequently appear depending on the amount of radiation a person has received. The greater the radiation dose, the more severe the symptoms and the faster the progression from early symptoms to acute syndrome. Symptoms and time course are consistent between individuals for a given amount of radiation exposure. Doctors can tell a person's radiation exposure based on the time course and nature of symptoms. Doctors divide acute radiation syndrome into three groups based on the major organ systems affected, although there is overlap between the groups.
造血综合征是由辐射对骨髓、脾脏和淋巴结—产生血细胞(造血)的主要部位—的影响引起的。食欲下降(厌食)、嗜睡、恶心和呕吐出现在暴露于2Gy或更高辐射后的2到12小时。在暴露后的24到36之内,这些症状缓解,在一周或更长的时间内人会感觉良好。在此无症状阶段中,骨髓、脾脏和淋巴结中的造血细胞开始耗竭并且没有更新,导致白细胞严重缺乏,随后缺少血小板,再后是红细胞。缺少白细胞可导致严重感染。缺少血小板可导致难以控制的出血。缺少红细胞(贫血)引起乏力、虚弱、苍白以及在体力活动时呼吸困难。4到5周后,如果人能够存活下来,则血细胞开始重新产生,但人会感觉虚弱乏力达数月。Hematopoietic syndrome is caused by the effects of radiation on the bone marrow, spleen, and lymph nodes—the main sites that produce blood cells (hematopoiesis). Decreased appetite (anorexia), lethargy, nausea, and vomiting occur 2 to 12 hours after exposure to 2 Gy or more. Within 24 to 36 days after exposure, these symptoms subside and the person feels fine for a week or more. During this asymptomatic phase, hematopoietic cells in the bone marrow, spleen, and lymph nodes become depleted and are not renewed, resulting in a severe deficiency of white blood cells, followed by platelets, and then red blood cells. A lack of white blood cells can lead to serious infections. A lack of platelets can lead to uncontrolled bleeding. A lack of red blood cells (anemia) causes fatigue, weakness, pallor, and difficulty breathing during physical activity. After 4 to 5 weeks, if the person survives, blood cells begin to regenerate, but the person feels weak and tired for several months.
胃肠道综合征由辐射对消化道被覆细胞层(cells lining the digestive tract)的效应引起。严重的恶心、呕吐和腹泻出现在暴露于4Gy或更高辐射后的2到12小时。这些症状可引起严重脱水,但2天后这些症状缓解。在随后4到5天内人会感觉良好,但通常作为保护屏障的消化道被覆细胞层在死亡病脱落。此后,再次出现严重的腹泻—通常是血性腹泻,导致脱水。来自消化道的细菌侵入体内,造成严重感染。接受这么强的辐射的人也很可能发生造血综合征,导致出血和感染,并增加其死亡风险。Gastrointestinal syndrome is caused by the effects of radiation on the cells lining the digestive tract. Severe nausea, vomiting, and diarrhea appear 2 to 12 hours after exposure to 4 Gy or more. These symptoms can cause severe dehydration but resolve after 2 days. The person feels fine for the next 4 to 5 days, but the layer of cells that normally coat the digestive tract as a protective barrier falls off during death. Afterwards, severe diarrhea—usually bloody—causes dehydration again. Bacteria from the digestive tract invade the body and cause serious infections. People who receive such intense radiation are also more likely to develop hematopoietic syndrome, which causes bleeding and infection and increases their risk of death.
辐射的总剂量超过20至30Gy时会出现脑血管(脑)综合征。人迅速发生意识模糊、恶心、呕吐、血性腹泻和休克。数小时内血压下降、伴有抽搐和昏迷。脑血管综合征被认为均是致死性的。Cerebrovascular (brain) syndromes occur when the total dose of radiation exceeds 20 to 30 Gy. People rapidly develop confusion, nausea, vomiting, bloody diarrhea and shock. Blood pressure drops within hours, accompanied by convulsions and coma. Cerebrovascular syndromes are considered fatal.
辐射的慢性影响。辐射的慢性影响由分裂细胞中遗传物质的损伤引起。这些改变可引起细胞生长异常,例如癌症。在受到严重照射的动物,已经发现生殖细胞的损伤引起缺陷后代(出生缺陷)。不过,在日本原子弹爆炸幸存者的后代中很少观察到照射引起的畸形。原因可能是低于特定(未知)水平的辐射暴露不足以产生导致出生缺陷的遗传物质改变。Chronic effects of radiation. The chronic effects of radiation are caused by damage to the genetic material in dividing cells. These changes can cause abnormal cell growth, such as cancer. In severely irradiated animals, damage to germ cells has been found to cause defective offspring (birth defects). However, irradiation-induced deformities have rarely been observed in the offspring of survivors of the atomic bombing in Japan. The reason may be that radiation exposure below a specific (unknown) level is not sufficient to produce the alterations in genetic material that lead to birth defects.
如果人在接受放疗或者意外暴露于辐射后生病,则可能是照射损伤。没有特殊的测试用于诊断这种病症,不过某些测试可用于检测感染、低血细胞计数或者器官功能异常。为确定辐射暴露的严重程度,医生会测量血液的淋巴细胞(一种白细胞)数量。暴露后48小时的淋巴细胞计数越低,则辐射暴露越严重。Radiation injury can occur if a person becomes ill after receiving radiation therapy or after being accidentally exposed to radiation. There are no specific tests for diagnosing this condition, although some tests can be used to detect infections, low blood counts, or abnormal organ function. To determine the severity of radiation exposure, doctors measure the number of lymphocytes (a type of white blood cell) in the blood. The lower the lymphocyte count 48 hours after exposure, the more severe the radiation exposure.
不同于照射的是,可通过能够检测辐射的Geiger计数器测量人体的放射性污染。来自鼻部、咽喉以及任何伤口的拭子也可用于检查放射性。Unlike exposure, radioactive contamination of the human body is measured by a Geiger counter capable of detecting radiation. Swabs from the nose, throat, and any wounds can also be used to check for radioactivity.
辐射损伤的后果取决于剂量、剂量速率(暴露发生的如何迅速)、以及在机体的分布,还取决于人原来的健康状态。总之,绝大多数受到超过6Gy的WBI的人会死于胃肠道综合征。由于医生难以得知人受到的精确辐射量,因此他们一般根据人的症状来判断结果。脑血管综合征通常在数小时至几天内导致死亡。胃肠道综合征通常在3到10天导致死亡,不过部分人能够存活数周。根据他们的总辐射量,许多接受了适当医疗救助的人没有死于造血综合征;那些没有存活下来的人通常是在8到50天后死亡。The consequences of radiation injury depend on the dose, the dose rate (how quickly the exposure occurs), and its distribution in the body, as well as on the person's pre-existing state of health. In conclusion, the vast majority of people who receive a WBI greater than 6 Gy will die from gastrointestinal syndrome. Because it is difficult for doctors to know the precise amount of radiation a person has received, they generally base their judgments on the person's symptoms. Cerebrovascular syndrome usually results in death within hours to days. Gastrointestinal syndrome usually leads to death within 3 to 10 days, although some people survive for several weeks. Depending on their total radiation exposure, many people who received appropriate medical attention did not die from hematopoietic syndrome; those who did not survived usually died after 8 to 50 days.
照射目前没有急诊治疗,但医生会密切监测人出现的各种症状,并在症状出现时进行治疗。同时,遗憾的是目前几乎没有什么对付由核攻击或放射攻击引起的各种急性和长期毒性的医药产品。遇到污染时需要立即清除放射性物质以防止其被机体摄取。被放射性物质污染的皮肤应该立即以大量肥皂和水或者以为此目的而设计的溶液(如果有的话)进行擦洗。小的破损伤口应该充分清洁以清除所有放射性颗粒,尽管擦洗可引起疼痛。污染的头发要剪掉而非刮掉,刮可擦伤皮肤并使得污染物进入机体。擦洗要持续至Geiger计数器显示放射性消失为止。如果人吞噬了放射性物质则要诱导呕吐。一些放射性物质具有特殊的解毒剂,可防止吞入的物质被吸收。大多数此类解毒剂仅用于暴露于显著放射性污染的人,例如是大的反应堆事故或核爆炸。碘化钾可防止甲状腺吸收放射性碘并降低发生甲状腺癌的风险。其他药物,例如二乙撑三胺五乙酸(diethylene triaminepentaacetic acid,DTPA)、乙二胺四乙酸(ethylenediamine tetraacetic acid,EDTA)、和青霉胺,可静脉施用以清除某些已经被吸收的放射性元素。There is currently no emergency treatment for exposure, but doctors closely monitor people for various symptoms and treat them when they occur. At the same time, unfortunately there are currently very few medicinal products for the various acute and long-term toxicities caused by nuclear or radiological attacks. Contamination requires immediate removal of radioactive material to prevent ingestion by the body. Skin contaminated with radioactive material should be immediately scrubbed with copious amounts of soap and water or a solution designed for this purpose, if available. Small broken wounds should be cleaned sufficiently to remove all radioactive particles, although scrubbing can be painful. Contaminated hair is cut rather than scraped, which can abrade the skin and allow contamination to enter the body. Scrubbing is to continue until the Geiger counter shows radioactivity disappears. Vomiting is induced if a person swallows radioactive material. Some radioactive materials have special antidotes that prevent swallowed material from being absorbed. Most of these antidotes are only used for people exposed to significant radioactive contamination, such as a major reactor accident or nuclear explosion. Potassium iodide prevents the thyroid gland from absorbing radioactive iodine and reduces the risk of developing thyroid cancer. Other drugs, such as diethylene triaminepentaacetic acid (DTPA), ethylenediamine tetraacetic acid (EDTA), and penicillamine, are given intravenously to remove certain absorbed radioactive elements .
当没有可疑污染时,可通过使用预防呕吐的药物(止吐剂)来减轻恶心和呕吐;这些药物是进行放疗的患者的常规用药。脱水可进行静脉补液治疗。When contamination is not suspected, nausea and vomiting can be reduced with drugs to prevent vomiting (antiemetics); these drugs are routinely prescribed in patients undergoing radiation therapy. Dehydration can be treated with intravenous fluids.
发生胃肠道或造血综合征的人应该隔离以便他们不会接触感染性微生物。可进行输血和注射刺激血细胞产生的生长因子(如促红细胞生成素和集落刺激因子)以减少出血并增加血细胞计数。如果骨髓严重受损,这些生长因子是无效的,有时需要进行骨髓移植,不过成功率较低。People who develop gastrointestinal or hematopoietic syndrome should be isolated so that they are not exposed to infectious organisms. Blood transfusions and injections of growth factors that stimulate blood cell production (such as erythropoietin and colony-stimulating factor) may be given to reduce bleeding and increase blood counts. If the bone marrow is severely damaged, these growth factors are ineffective, and a bone marrow transplant is sometimes required, although the success rate is low.
出现胃肠道综合征者需要止吐剂、静脉输液和镇静剂。一些人可以吃清淡饮食。可施用抗生素如新霉素以杀死肠道内的可能侵入机体的细菌。必要时静脉施用抗生素以及抗真菌和抗病毒药物。脑血管综合征治疗的目的是通过缓解疼痛、焦虑和呼吸困难而使得病人舒适。可施用抗抽搐药。Those who develop gastrointestinal syndrome require antiemetics, intravenous fluids, and sedatives. Some people can eat bland diets. Antibiotics such as neomycin are given to kill bacteria in the gut that might invade the body. Antibiotics and antifungal and antiviral drugs are administered intravenously as necessary. The goal of cerebrovascular syndrome treatment is to make the patient comfortable by relieving pain, anxiety, and dyspnea. Anticonvulsants may be administered.
出现放疗引起的辐射的慢性影响或疾病的人接受的是对症治疗。溃破或溃疡可进行外科清除或修复并使用高压氧以促进愈合。辐射诱导的白血病以化疗治疗。血细胞可通过输血来补充。不育症是无法逆转的,但卵巢和睾丸功能异常导致的性激素水平降低可通过激素替代进行治疗。研究者目前在研发采用细胞因子、生长因子和各种其他治疗来预防或降低辐射诱导的正常组织损伤的途径。已经发现氨磷汀或盐酸毛果芸香碱能够降低接受放疗的头颈部癌症患者的口干(口腔干燥)症状。People who develop chronic effects of radiation or disease caused by radiation therapy receive symptomatic treatment. Ulcers or ulcers may be surgically removed or repaired with hyperbaric oxygen to promote healing. Radiation-induced leukemia is treated with chemotherapy. Blood cells are replenished through blood transfusions. Infertility is irreversible, but low levels of sex hormones due to abnormal ovarian and testicular function can be treated with hormone replacement. Investigators are currently developing ways to prevent or reduce radiation-induced normal tissue damage using cytokines, growth factors, and various other treatments. Amifostine or pilocarpine hydrochloride have been found to reduce symptoms of dry mouth (xerostomia) in patients with head and neck cancer receiving radiation therapy.
关于辐射对细胞的急性和迟发性效应的临床和实验研究增强了我们在放射治疗方面的知识,使得现在能够优化辐射治疗方案和采用更加精确的辐射施用模式。不过,由于正常组织和癌组织对辐射暴露具有相似的反应,因此在放疗期间或者放疗完成之后可能出现辐射引起的对正常组织的损伤。研究确实发现NSAID类和前列腺素具有放射保护性的一些迹象。这两类药物均能够增加细胞的存活,但机制却完全不同。细胞动力学研究发现,与S早期和G1/G0期的细胞相比,处于细胞周期的有丝分裂期(M)和G2晚期的细胞通常对辐射最为敏感。此外,辐射导致细胞周期的有丝分裂延迟。因此,限制细胞周期中M和G2期的细胞比例的化学剂或增强细胞快速生长的化学剂原则上可用来研究其在注射过程中作为正常组织辐射防护药物的潜在用途。已经发现NSAID通过引起细胞周期停滞使得细胞趋向于静息状态(G0/G1)而发挥抗癌作用。在对正常组织的放射保护作用中观察到了相同的作用机制。暴露于NSAID后花生四烯酸浓度的增加还导致产生凋亡诱导剂神经酰胺。NSAID还升高细胞内超氧化物岐化酶的水平。热休克蛋白被NSAID活化后可通过改变细胞因子的表达而提高细胞的存活。NSAID还可能具有通过抗血管生成机制而抑制细胞增殖的作用。一些体内研究提供的证据提示NSAID可保护正常组织免受辐射损伤。前列腺素不调节细胞周期,但它们对细胞的生长和分化具有多种作用。PGE2介导血管生成,增加氧气和细胞存活和生长所必需的营养素的供给。因此,PGE2在足够高的血浆浓度能够通过抑制促炎细胞因子如TNF-a和IL-1β而增强细胞存活。因此,PGE2所起到的是炎症的调节物而非介导物的作用。前瞻性研究提示照射之前施用米索前列醇(misoprostol),即一种PGE1类似物,在预防辐射诱导的不良反应方面具有潜在用途。目前对NSAID类和前列腺素类药理学的理解说明,当预防性使用时,它们有可能将辐射对正常组织的不良反应最小化。Clinical and experimental studies of the acute and delayed effects of radiation on cells have enhanced our knowledge in radiation therapy, making it now possible to optimize radiation therapy regimens and employ more precise patterns of radiation administration. However, because normal and cancerous tissue respond similarly to radiation exposure, radiation-induced damage to normal tissue may occur during or after radiation therapy has been completed. Studies did find some signs of radioprotection from NSAIDs and prostaglandins. Both classes of drugs increase cell survival, but through completely different mechanisms. Cell dynamics studies have found that cells in the mitotic (M) and late G2 phases of the cell cycle are generally the most sensitive to radiation compared to cells in the early S and G1/G0 phases. Furthermore, radiation causes mitotic delay of the cell cycle. Thus, chemicals that limit the proportion of cells in the M and G2 phases of the cell cycle or that enhance rapid cell growth could, in principle, be investigated for their potential use as normal tissue radioprotective drugs during injection. NSAIDs have been found to exert anti-cancer effects by causing cell cycle arrest so that cells tend towards a quiescent state (G0/G1). The same mechanism of action was observed in the radioprotection of normal tissues. Increased concentrations of arachidonic acid after exposure to NSAIDs also lead to the production of the apoptosis inducer ceramide. NSAIDs also raise intracellular levels of superoxide dismutase. Activation of heat shock proteins by NSAID can improve cell survival by changing the expression of cytokines. NSAIDs may also have the effect of inhibiting cell proliferation through anti-angiogenic mechanisms. Several in vivo studies provide evidence that NSAIDs protect normal tissues from radiation damage. Prostaglandins do not regulate the cell cycle, but they have various effects on the growth and differentiation of cells. PGE2 mediates angiogenesis, increasing the supply of oxygen and nutrients necessary for cell survival and growth. Therefore, PGE2 at sufficiently high plasma concentrations can enhance cell survival by inhibiting pro-inflammatory cytokines such as TNF-α and IL-1β. Therefore, PGE2 acts as a modulator rather than a mediator of inflammation. Prospective studies suggest the potential use of misoprostol, a PGE1 analog, administered before irradiation to prevent radiation-induced adverse effects. Current understanding of the pharmacology of NSAIDs and prostaglandins suggests that, when used prophylactically, they have the potential to minimize adverse effects of radiation on normal tissues.
除了瞬时抑制细胞周期进程和杀死那些能够增殖的细胞之外,照射还干扰受细胞间通信的内源性介导物(组织应答于辐射的体液成分)影响的内稳态。介导物水平的变化可通过促进恢复正常(例如通过升高H型细胞系特异性生长因子)或者通过加重损害而调节辐射效应。后一种模式通过有关照射后类花生酸(eicosanoid)水平变化的报道以及有关使用抗炎药物经验性治疗辐射损伤的结果的报道而阐明。辐射的前驱、急性和慢性影响伴随过量产生类花生酸类(前列腺素、前列环素、血栓素和白三烯)。这些炎症反应的内源性介质可引起辐射暴露之后的血管扩张、血管收缩、微血管通透性增加、血栓形成和趋化作用。糖皮质激素通过干扰磷脂酶A2而抑制类花生酸合成,而非甾体抗炎药通过抑制环加氧酶而阻断前列腺素/血栓素合成。在照射后基于经验而施用属于这两类的药物均有助于在人和动物中减轻辐射的前驱、急性和慢性影响。In addition to transiently inhibiting cell cycle progression and killing those cells capable of proliferating, irradiation also disturbs homeostasis influenced by endogenous mediators of intercellular communication (the humoral components of tissue in response to radiation). Changes in the levels of mediators can modulate the effects of radiation by promoting reversion to normal (for example, by raising H-type cell line-specific growth factors) or by exacerbating damage. The latter pattern is illustrated by reports of changes in eicosanoid levels after irradiation and by reports of the results of empirical treatment of radiation injury with anti-inflammatory drugs. The precursor, acute, and chronic effects of radiation are accompanied by excess production of eicosanoids (prostaglandins, prostacyclins, thromboxanes, and leukotrienes). Endogenous mediators of these inflammatory responses can cause vasodilation, vasoconstriction, increased microvascular permeability, thrombosis, and chemotaxis following radiation exposure. Glucocorticoids inhibit eicosanoid synthesis by interfering with phospholipase A2, while NSAIDs block prostaglandin/thromboxane synthesis by inhibiting cyclooxygenase. Drugs belonging to both classes are administered empirically after irradiation to help mitigate the prodromal, acute and chronic effects of radiation in humans and animals.
Herron的美国专利5,380,668(Jan.10,1995)公开了各种具有hCG的抗原结合活性的化合物等等,在此通过引用将其全部内容并入本申请。其中一般性披露了所述寡肽的诊断用途。Gallo等的多个专利和专利申请(如美国专利5,677,275(相应于WO96/04008A1)、美国专利5,877,148(也相应于WO96/04008A1)、WO97/49721A1、美国专利6,319,504(相应于WO97/49373)、美国专利申请2003/0049273A1(也相应于WO97/49373)、美国专利5,968,513(相应于WO97/49418)、美国专利5,997,871(相应于WO97/49432)、美国专利6,620,416、美国专利6,596,688、WO01/11048A2、WO01/10907A2.和美国专利6,583,109)涉及不同的寡肽及其用途,如“抑制HIV感染”、“治疗或预防HIV感染”、“治疗或预防癌症”、“治疗或预防特征在于体细胞量下降的病症”、“治疗或预防与病理性血管生成有关的病症”、“治疗或预防造血缺陷”、“离体基因治疗”、体外扩增血细胞”和/或“将血细胞提供给患者”。如PCT国际公开文本No.WO03/029292A2(公开日:April10,2003)、PCT国际公开文本No.WO01/72831A2(公开日:October4,2001)和美国专利申请出版物20020064501A1(公开日:May30,2002)、20030119720A1(公开日:June26,2003)、20030113733A1(公开日:June19,2003)和20030166556A1(公开日:September4,2003)、美国专利申请No.11/249,541,申请日October13,2005、国际申请No.PCT/EP2005/003707,申请日April8,2005、美国专利申请No.10/821,256,申请日April8,2004、美国专利申请No.10/262,522,申请日September30,2002、国际申请No.PCT/NL01/00259(国际公开文本No.WO01/72831A2),申请日March3,2001、美国专利6,844,315和美国专利6,921,751所述,含有一些在此所述的寡肽的组合物具有免疫调节活性,可由于例如治疗败血症和其他疾病状态或者病症,通过引用将上述所有文献的内容并入本申请。US Patent 5,380,668 (Jan. 10, 1995) to Herron discloses various compounds having antigen binding activity of hCG, etc., the entire contents of which are hereby incorporated by reference. The diagnostic use of said oligopeptides is generally disclosed therein. Various patents and patent applications of Gallo et al. (such as US Patent 5,677,275 (corresponding to WO96/04008A1), US Patent 5,877,148 (also corresponding to WO96/04008A1), WO97/49721A1, US Patent 6,319,504 (corresponding to WO97/49373), U.S. Patent Patent Application 2003/0049273A1 (also corresponding to WO97/49373), US Patent 5,968,513 (corresponding to WO97/49418), US Patent 5,997,871 (corresponding to WO97/49432), US Patent 6,620,416, US Patent 6,596,688, WO01/11048A2, WO01/ 10907A2. and U.S. Patent 6,583,109) relate to different oligopeptides and uses thereof, such as "inhibiting HIV infection", "treating or preventing HIV infection", "treating or preventing cancer", "treating or preventing disorders characterized by decreased somatic cell mass ", "treatment or prevention of conditions associated with pathological angiogenesis", "treatment or prevention of hematopoietic defects", "ex vivo gene therapy", in vitro expansion of blood cells" and/or "providing blood cells to patients". Such as PCT International Publication No.WO03/029292A2 (publication date: April10, 2003), PCT International Publication No.WO01/72831A2 (publication date: October4, 2001) and US Patent Application Publication 20020064501A1 (publication date: May30, 2002), 20030119720A1 (publication date: June26, 2003), 20030113733A1 (publication date: June19, 2003) and 20030166556A1 (publication date: September4, 2003), U.S. Patent Application No.11/249,541, application date October13, 2005, International Application No.PCT/ EP2005/003707, application date April8, 2005, U.S. patent application No.10/821,256, application date April8, 2004, U.S. patent application No.10/262,522, application date September30, 2002, international application No.PCT/NL01/00259 ( International Publication No.WO01/72831A2), application date March3, 2001, U.S. Patent 6,844,315 and U.S. Patent 6,921,751, compositions containing some of the oligopeptides described herein have immunomodulatory activity, which can be used, for example, to treat sepsis and other Disease states or disorders, the contents of all of the above documents are incorporated into this application by reference.
本发明涉及机体调节重要生理学过程的天然途径,并基于PCT国际公开文本WO99/59617和WO01/72831和PCT国际申请PCT/NL02/00639中的认识,在此通过引用将上述文献的全部内容并入本申请。这些申请公开了存在于妊娠妇女体内的、由胎盘促性腺激素如hCG的蛋白水解断裂而产生的基因调节性肽。这些断裂产物的长度通常仅为2到6个氨基酸,已经发现它们具有优越的免疫活性,所述活性是通过调节编码炎性介质如细胞因子的基因表达而实现的。出乎意料的是,发现hCG的断裂产生了一系列有助于维持妊娠妇女的免疫学内稳态的肽。这些肽平衡免疫系统以确保母体保持免疫学稳定,同时其胎儿在孕期不会被排斥而是被安全地孕育直至出生。The present invention relates to the natural pathways by which the body regulates important physiological processes and is based on the knowledge in PCT International Publications WO99/59617 and WO01/72831 and PCT International Application PCT/NL02/00639, the entire contents of which are hereby incorporated by reference this application. These applications disclose gene regulatory peptides present in pregnant women produced by the proteolytic cleavage of placental gonadotropins such as hCG. These fragmentation products are typically only 2 to 6 amino acids in length and have been found to possess superior immunological activity by modulating the expression of genes encoding inflammatory mediators such as cytokines. Unexpectedly, it was found that cleavage of hCG produces a series of peptides that contribute to the maintenance of immunological homeostasis in pregnant women. These peptides balance the immune system to ensure that the mother remains immunologically stable while her fetus is not rejected during pregnancy but is safely gestated until birth.
此外,本发明涉及美国申请10/821,240,其提供了用于筛选和鉴定其他小的基因调节性肽并使用根据此类筛选的结果例如来自参照肽的肽的方法。例如,待分析的肽来自C反应蛋白(CRP)(如人CRP),此类肽包括LTSL、FVLS、NMWD、LCFL、MWDF、FSYA、FWVD、AFTV、和WDFV;来自β-连环蛋白(如人CTNB)的肽,例如GLLG、TAPS、VCQV、CLWT、VHQL、GALH、LGTL、TLVQ、QLLG、YAIT、LCEL、GLIR、APSL、ITTL、QALG、HPPS、GVLC、LCPA、LFYA、NIMR、NLIN、LHPP、LTEL、SPIE、VGGI、QLLY、LNTI、LWTL、LYSP、YAMT、LHNL、TVLR、和LFYA;来自β-hCG(如人CG)的肽,例如GLLLLLLLS、MGGTWA、TWAS、TLAVE、RVLQ、VCNYRDV、FESI、RLPG、PRGV、NPVVS、YAVALS、LTCDDP、EMFQ、PVVS、VSYA、GVLP、FQGL、和AVAL;来自布鲁顿型酪氨酸激酶(Bruton′styrosine kinase)(如人BTK)的肽,例如LSNI、YVFS、LYGV、YVVC、FIVR、NILD、TIMY、LESI、FLLT、VFSP、FILE、TFLK、FWID、MWEI、QLLE、PCFW、VHKL、LYGV、LESI、LSNI、YVFS、IYSL、和NILD;以及来自基质金属蛋白酶-2(如人MM02)的肽,例如FKGA、FFGL、GIAQ、LGCL、YWIY、AWNA、ARGA、PFRF、APSP、CLLS、GLPQ、TFWP、AYYL、FWPE、CLLG、FLWC、RIIG、WSDV、PIIK、GLPP、RALC、LNTF、LSHA、ATFW、PSPI、AHEF、WRTV、FVLK、VQYL、KFFG、FPFR、IYSA、和FDGI,等等。In addition, the present invention relates to US application 10/821,240, which provides methods for screening and identifying other small gene-modulating peptides and using peptides based on the results of such screening, eg, from reference peptides. For example, the peptides to be analyzed are from C-reactive protein (CRP) (such as human CRP), such peptides include LTSL, FVLS, NMWD, LCFL, MWDF, FSYA, FWVD, AFTV, and WDFV; from β-catenin (such as human CTNB), such as GLLG, TAPS, VCQV, CLWT, VHQL, GALH, LGTL, TLVQ, QLLG, YAIT, LCEL, GLIR, APSL, ITTL, QALG, HPPS, GVLC, LCPA, LFYA, NIMR, NLIN, LHPP, LTEL, SPIE, VGGI, QLLY, LNTI, LWTL, LYSP, YAMT, LHNL, TVLR, and LFYA; peptides from β-hCG (such as human CG), such as GLLLLLLLS, MGGTWA, TWAS, TLAVE, RVLQ, VCNYRDV, FESI, RLPG, PRGV, NPVVS, YAVALS, LTCDDP, EMFQ, PVVS, VSYA, GVLP, FQGL, and AVAL; peptides from Bruton's tyrosine kinase (e.g., human BTK), e.g., LSNI, YVFS , LYGV, YVVC, FIVR, NILD, TIMY, LESI, FLLT, VFSP, FILE, TFLK, FWID, MWEI, QLLE, PCFW, VHKL, LYGV, LESI, LSNI, YVFS, IYSL, and NILD; and from matrix metalloproteinases- 2 (such as human MM02) peptides such as FKGA, FFGL, GIAQ, LGCL, YWIY, AWNA, ARGA, PFRF, APSP, CLLS, GLPQ, TFWP, AYYL, FWPE, CLLG, FLWC, RIIG, WSDV, PIIK, GLPP, RALC, LNTF, LSHA, ATFW, PSPI, AHEF, WRTV, FVLK, VQYL, KFFG, FPFR, IYSA, and FDGI, among others.
发明内容 Contents of the invention
本发明涉及针对因暴露于高能电磁波(X射线/光子和/或天然伽玛射线)和/或其他高能电离粒子(阿尔法粒子、贝塔粒子、中子、质子、π-介子)而引起的急性辐射损伤的药物研发领域。迄今尚无有效的药物能够在意外暴露于电离照射之后,或者在治疗性辐射过程中或放射性模拟剂造成正常组织损伤之后减轻辐射损伤;也没有有效的预防性药物能够在事件之前(例如,第一应答者)施用来预防此类损伤或者使之最小化。本发明人出乎意料地观察到相对小的非毒性肽可有效地用作抗辐射损伤药物。重要的是,本发明的抗辐射肽不仅可用作预防剂,当在暴露于辐射后数小时施用时还具有保护作用。这使得它们特别适合用于军事辐射事件,例如用于对付核恐怖主义的恐怖活动。因此,本发明提供用于预防或治疗有需要的对象的辐射损伤的方法,包括给所述对象施用小于30个氨基酸的肽或其功能性类似物。优选地,在辐射后给所述对象施用所述肽或其功能性类似物,即在所述对象暴露于辐射源之后。此外,本发明提供小于30个氨基酸的肽或其功能性类似物在制备用于治疗患有辐射损伤或被认为患有辐射损伤的对象的药物组合物中的用途。具体地,本发明提供抗辐射肽,其针对急性全身照射的剂量降低系数(DRF)为至少1.10,所述DRF可如下确定:测试何种剂量的全身照射(WBI)在WBI后30天导致测试组实验啮齿动物(如小鼠)出现50%的死亡率(LD50/30),所述测试组在WBI后立即或最多72小时内用所述肽进行处理,与WBI后30天导致未处理对照组出现50%的死亡率(LD50/30)的WBI剂量相比,其中通过将肽处理组动物的LD50/30辐射剂量除以载体处理组动物的LD50/30辐射剂量来计算所述DRF。The present invention is directed against acute radiation exposure to high energy electromagnetic waves (X-rays/photons and/or natural gamma rays) and/or other high energy ionizing particles (alpha particles, beta particles, neutrons, protons, pions) Damaged drug development field. To date there are no effective drugs to reduce radiation damage after accidental exposure to ionizing radiation, or following normal tissue damage during therapeutic radiation or by radiosimulants; responder) to prevent or minimize such damage. The present inventors have unexpectedly observed that a relatively small non-toxic peptide can be effectively used as an anti-radiation damage drug. Importantly, the anti-radiopeptides of the present invention are not only useful as prophylactic agents, they are also protective when administered hours after exposure to radiation. This makes them particularly suitable for use in military radiation events, such as terrorism used to counter nuclear terrorism. Accordingly, the present invention provides a method for preventing or treating radiation damage in a subject in need thereof comprising administering to said subject a peptide of less than 30 amino acids or a functional analogue thereof. Preferably, said peptide or functional analogue thereof is administered to said subject after radiation, ie after exposure of said subject to a radiation source. Furthermore, the present invention provides the use of a peptide of less than 30 amino acids or a functional analogue thereof for the manufacture of a pharmaceutical composition for the treatment of a subject suffering from or believed to be suffering from radiation damage. In particular, the present invention provides radioresistant peptides that have a dose reduction factor (DRF) for acute total body irradiation (DRF) of at least 1.10, which can be determined by testing which dose of whole body irradiation (WBI) results in a test 30 days after WBI. A 50% mortality (LD50/30) occurred in groups of experimental rodents (such as mice) that were treated with the peptide immediately or within a maximum of 72 hours after WBI, compared to 30 days after WBI resulting in untreated controls. The group was compared to the WBI dose at which 50% mortality occurred (LD50/30), where the DRF was calculated by dividing the LD50/30 radiation dose of the peptide-treated animals by the LD50/30 radiation dose of the vehicle-treated animals.
本发明提供治疗患有辐射损伤或被认为患有辐射损伤的对象的方法,该方法包括给所述对象提供药物组合物,所述药物组合物包括小于30个氨基酸的抗辐射肽。目前的辐射保护剂是非肽性的或者包括大的蛋白质如细胞因子。本发明公开了可用于防护和治疗辐射损伤的小于30个氨基酸的肽,例如MTRVLQGVLPALPQVVC。这是首次发现在已经暴露于辐射之后施用肽类药物能够降低辐射的损伤效应。例如,所述抗辐射肽由至多29、至多28、至多27、至多26、至多25、至多24、至多23、至多22、至多21、至多20、至多19、至多18、至多17、至多16或至多15个氨基酸组成。The present invention provides a method of treating a subject suffering from, or believed to be suffering from, radiation injury comprising providing to said subject a pharmaceutical composition comprising a radioresistant peptide of less than 30 amino acids. Current radioprotectants are non-peptidic or include large proteins such as cytokines. The present invention discloses peptides less than 30 amino acids, such as MTRVLQGVLPALPQVVC, which can be used for protection and treatment of radiation damage. This is the first time a peptide drug has been found to reduce the damaging effects of radiation when administered after it has already been exposed. For example, the radioresistant peptide consists of at most 29, at most 28, at most 27, at most 26, at most 25, at most 24, at most 23, at most 22, at most 21, at most 20, at most 19, at most 18, at most 17, at most 16 or Composed of up to 15 amino acids.
不过,所述肽优选地小于15个氨基酸。例如,所述抗辐射肽优选地由至多14、至多13、至多12、至多11、至多10、至多9或至多8个氨基酸组成。一些有用的肽的实例是LPGCPRGVNPVVS、DINGFLPAL和QPLAPLVG。不过,如果肽是用于自身治疗,例如在此所述的使用自用式注射器(autoinjector)进行自身治疗,则出于安全性考虑,优选地所述肽小于7个氨基酸。这样的肽通常不会结合MHC受体,由此降低了发生由针对所施用的肽的免疫应答而引发的自身免疫的风险。However, the peptides are preferably less than 15 amino acids. For example, the radioresistant peptide preferably consists of at most 14, at most 13, at most 12, at most 11, at most 10, at most 9 or at most 8 amino acids. Some examples of useful peptides are LPGCPRGVNPVVS, DINGFLPAL and QPLAPLVG. However, if the peptide is to be used for self-treatment, eg, using an autoinjector as described herein, it is preferred that the peptide is less than 7 amino acids for safety reasons. Such peptides generally do not bind MHC receptors, thereby reducing the risk of autoimmunity induced by an immune response to the administered peptide.
小于7个氨基酸(aa)是特别优选的另一个原因是,发现大小为7个氨基酸的肽(当比较来自人的蛋白酶体的肽和来自病原体(特别是病毒或细菌)蛋白酶体的肽时(Burroughs et al.,Immunogenetics,2004,56:311-320))在自身和非自身之间仅有3%的重叠。对于6个氨基酸的肽,人类自身与病原体非自身之间的重叠被确定为30%,对于5个氨基酸的肽,人类蛋白酶体中存在的肽与病原体蛋白酶体中存在的肽之间的重叠被确定为90%,而对于4个氨基酸和更小的肽,该重叠被确定为100%。基于这些数据,现在认识到当不存在自身-非自身差异时,不良免疫反应例如过敏性休克的风险极大地减少,这对于未受过医学训练的人给自己或者他人施用任何药物而言是有益的。Another reason why less than 7 amino acids (aa) is particularly preferred is that peptides are found to be 7 amino acids in size (when comparing peptides from human proteasomes and peptides from pathogenic (especially viral or bacterial) proteasomes ( Burroughs et al., Immunogenetics, 2004, 56: 311-320)) have only 3% overlap between self and non-self. The overlap between human self and pathogen non-self was determined to be 30% for 6 amino acid peptides and 30% for 5 amino acid peptides between the peptides present in the human proteasome and those present in the pathogen proteasome by The overlap was determined to be 90%, while for peptides of 4 amino acids and smaller the overlap was determined to be 100%. Based on these data, it is now recognized that the risk of adverse immune reactions such as anaphylactic shock is greatly reduced when self-nonself differences are absent, which would be beneficial for a person with no medical training to administer any drug to self or others .
因此,就预防不良反应如过敏性休克而言,优选地所述肽由2到6个氨基酸、更优选地由3到5个氨基酸、且最优选地由3或4个氨基酸组成。就活性而言,基于一般性的观点,只要能够更长地经受完全的蛋白水解作用则肽越大活性便越显著,由此3个氨基酸的代谢片段仍具有活性,优选地,所述肽由4个氨基酸组成。上文和下文所描述的组合物优选地用于治疗急性辐射损伤。Thus, in terms of preventing adverse reactions such as anaphylactic shock, preferably the peptide consists of 2 to 6 amino acids, more preferably 3 to 5 amino acids, and most preferably 3 or 4 amino acids. In terms of activity, based on a general point of view, as long as it can withstand complete proteolysis for a longer period of time, the larger the peptide, the more active it will be. Thus, the metabolic fragment of 3 amino acids still has activity. Preferably, the peptide consists of Composed of 4 amino acids. The compositions described above and below are preferably used in the treatment of acute radiation injury.
现有技术已经提到使用肽来防护辐射损伤。日本专利申请JP09157291和JP09157292公开了具体的6聚体和9聚体肽序列,其具有体外抑制活性氧的作用、清除活性氧自由基和抗氧化活性。这些肽被认为可用于体内抑制与活性氧形成相关的包括辐射损伤在内的各种事件的不良反应。但其未进行体内辐射实验。The prior art has mentioned the use of peptides for protection against radiation damage. Japanese patent applications JP09157291 and JP09157292 disclose specific 6-mer and 9-mer peptide sequences, which have the effect of inhibiting active oxygen, scavenging active oxygen free radicals and antioxidant activity in vitro. These peptides are thought to be useful in vivo to inhibit the adverse effects of various events, including radiation injury, associated with the formation of reactive oxygen species. But it did not conduct in vivo radiation experiments.
JP09176187教导了含组氨酸的6聚体肽类似物,其具有清除活性氧的活性。照射前20分钟腹腔施用660mg/kg体重的肽使得小鼠的存活率由对照组的10%上升至处理组的70%。但其未进行体内的照射后实验。JP09176187 teaches histidine-containing 6-mer peptide analogues having active oxygen scavenging activity. Intraperitoneal administration of 660 mg/kg of peptide 20 minutes before irradiation increased the survival rate of mice from 10% in the control group to 70% in the treated group. However, post-irradiation experiments in vivo were not performed.
WO2006/032269公开了一种血细胞匀浆物,从中已经去除了分子量超过3kDa的成分。据报道该匀浆物适合用于改善对象的细胞免疫应答。在诸多不同的免疫学疾病和病理情况中,认为该匀浆物可在使用化疗和/或放疗的治疗中预防性施用于患者以改善患者的一般状况。但该研究没有涉及任何辐射实验。此外,尽管该匀浆物可能包括蛋白质的混合物,但活性成分的性质根本不清楚,而且活性成分也可能是非蛋白性的。不管怎样,该文献没有分离或鉴定任何具体的肽。WO2006/032269 discloses a homogenate of blood cells from which components with a molecular weight above 3 kDa have been removed. The homogenate is reported to be suitable for improving the cellular immune response of a subject. In many different immunological diseases and pathological conditions, it is believed that the homogenate can be administered prophylactically to patients during treatment with chemotherapy and/or radiotherapy to improve the general condition of the patient. But the study did not involve any radiation experiments. Furthermore, although the homogenate may include a mixture of proteins, the nature of the active ingredient is not at all known, and the active ingredient may also be non-proteinaceous. Regardless, the document does not isolate or identify any specific peptide.
EP0572688公开了包括14个氨基酸残基的具体的肽,该肽在20mg/kg体重能够保护小鼠抵抗全身照射。仅在辐射前1小时施用时观察到该肽的保护作用。而在暴露于照射后1小时施用该肽则没有观察到其与对照组数据具有区别。EP0572688 discloses a specific peptide comprising 14 amino acid residues which is able to protect mice against whole body irradiation at 20 mg/kg body weight. The protective effect of this peptide was only observed when administered 1 hour before irradiation. No difference from the control data was observed when the peptide was administered 1 hour after exposure to radiation.
这些现有技术公开的内容与本发明形成显著的对照;本发明的抗辐射肽甚至在全身照射后数小时施用仍有保护作用。These prior art disclosures are in marked contrast to the present invention; the antiradiogenic peptides of the present invention are protective even when administered several hours after whole body irradiation.
接受亚致死辐射剂量的对象已经可以从本发明所鉴定的一些小肽的抗炎特性中获益,但出乎意料的是,绝大部分获益来自这些小肽的抗胃肠道综合征活性,特别是来自当剂量为1mg/kg体重以上、优选地5mg/kg体重以上、更优选地10mg/kg体重以上时的3聚体和4聚体肽。考虑到小肽(即3到4个氨基酸的肽)的低免疫原性特征,小肽剂量可高达100mg/kg,且在一些情况下考虑到需要治疗的对象的情况需要紧急治疗,其剂量可高达200ng/kg、500mg/kg、或者甚至1g/kg。因此,现在可以对那些存在包括肠道被覆层(lining)损害即所谓的胃肠道综合征在内的辐射损伤的对象进行治疗;所述的肽能够使得上皮被覆层慢慢恢复。Subjects receiving sublethal radiation doses have been able to benefit from the anti-inflammatory properties of some of the small peptides identified in this invention, but surprisingly, the majority of the benefit comes from the anti-gastrointestinal syndrome activity of these small peptides , especially from 3- and 4-mer peptides when the dose is above 1 mg/kg body weight, preferably above 5 mg/kg body weight, more preferably above 10 mg/kg body weight. Given the low immunogenic profile of small peptides (i.e., peptides of 3 to 4 amino acids), small peptide doses can be as high as 100 mg/kg, and in some cases given the need for emergency treatment given the condition of the subject in need, the dose can be up to 100 mg/kg. Up to 200ng/kg, 500mg/kg, or even 1g/kg. Thus, it is now possible to treat subjects with radiation damage including damage to the intestinal lining, the so-called gastrointestinal syndrome; said peptides allow a slow recovery of the epithelial lining.
为了使得肽在高辐射剂量情况下具有更好的活性,优选地选择肽将其置于本发明的药物组合物或者本发明的自用式注射器中,所述肽具有的针对急性伽玛照射的剂量降低系数(DRF)为至少1.10,所述DRF可如下确定:测试何种剂量的辐射在全身照射(WBI)后30天导致测试组小鼠出现50%的死亡率(LD50/30),所述测试组小鼠在WBI后72小时用所述肽进行处理,和测试何种剂量的辐射在全身照射(WBI)后30天导致对照组小鼠出现50%的死亡率(LD50/30),所述对照组小鼠在WBI后72小时仅用所述肽的载体进行处理,和其中通过将肽处理组动物的LD50/30除以载体处理组动物的LD50/30来计算所述DRF。In order to make the peptide have better activity in the case of high radiation dose, it is preferable to select the peptide to be placed in the pharmaceutical composition of the present invention or the self-use injector of the present invention, and the peptide has a dose for acute gamma irradiation A reduction factor (DRF) of at least 1.10 can be determined as follows: test which dose of radiation causes 50% mortality (LD50/30) in the test group of mice 30 days after whole body irradiation (WBI), the Test group mice were treated with the peptide 72 hours after WBI, and it was tested which dose of radiation caused 50% mortality (LD50/30) in control group mice 30 days after whole body irradiation (WBI), so The control group mice were treated with the vehicle of the peptide only 72 hours after WBI, and wherein the DRF was calculated by dividing the LD50/30 of the peptide-treated animals by the LD50/30 of the vehicle-treated animals.
更加优选地,所使用的肽具有的剂量降低系数(DRF)为至少1.20,更加优选地为至少1.25,对于所述辐射损伤是照射损伤的情况尤其如此。本发明所鉴定的肽也称为抗辐射肽。本发明提供用于治疗照射损伤的方法和药物组合物,所述辐射是由放射性物质(放射性同位素)如铀、氡、和钚发出的或者是由人造辐射源例如X射线和放疗仪器所产生的。Even more preferably, the peptide used has a dose reduction factor (DRF) of at least 1.20, even more preferably at least 1.25, especially where said radiation damage is radiation damage. The peptides identified in the present invention are also referred to as radioresistant peptides. The present invention provides methods and pharmaceutical compositions for treating radiation damage emitted by radioactive substances (radioisotopes) such as uranium, radon, and plutonium or produced by artificial sources of radiation such as X-rays and radiotherapy equipment .
本发明还提供小于30个氨基酸的肽在制备用于治疗患有辐射损伤或被认为患有辐射损伤的对象的药物组合物中的用途。如上所述,所述肽优选地小于15个氨基酸,且用于自我医治或由非专业人士施用,更优选地,所述肽小于7个氨基酸。在此鉴定的一些可用来制备用于治疗辐射损伤的药物组合物的3聚体肽是VVC、LAG、和AQG。The invention also provides the use of a peptide of less than 30 amino acids for the manufacture of a pharmaceutical composition for the treatment of a subject suffering from or believed to be suffering from radiation damage. As mentioned above, the peptides are preferably less than 15 amino acids and are used for self-healing or administration by a layperson, more preferably the peptides are less than 7 amino acids. Some of the 3-meric peptides identified herein that can be used to prepare pharmaceutical compositions for the treatment of radiation damage are VVC, LAG, and AQG.
类似地,一些可用于治疗辐射损伤的4聚体肽是LQGV、QVVC、MTRV、AQGV、LAGV、LQAV、PGCP、VGQL、RVLQ、EMFQ、AVAL、FVLS、NMWD、LCFL、FSYA、FWVD、AFTV、LGTL、QLLG、YAIT、APSL、ITTL、QALG、GVLC、NLIN、SPIE、LNTI、LHNL、CPVQ、EVVR、MTEV、EALE、EPPE、LGTL、VGGI、RLPG、LQGA、和LCFL,可用于治疗辐射损伤的5聚体肽是TLAVE、VEGNL、和LNEAL,可用于治疗辐射损伤的6聚体肽是VLPALP、MGGTWA、LTCDDP,可用于治疗辐射损伤的7聚体肽是VLPAPLQ、VCNYRDV、和CPRGVNP,可用于治疗辐射损伤的8聚体肽是QPLAPLVG,且可用于治疗辐射损伤的9聚体肽是DINGFLPAL。Similarly, some 4-mer peptides useful in the treatment of radiation damage are LQGV, QVVC, MTRV, AQGV, LAGV, LQAV, PGCP, VGQL, RVLQ, EMFQ, AVAL, FVLS, NMWD, LCFL, FSYA, FWVD, AFTV, LGTL , QLLG, YAIT, APSL, ITTL, QALG, GVLC, NLIN, SPIE, LNTI, LHNL, CPVQ, EVVR, MTEV, EALE, EPPE, LGTL, VGGI, RLPG, LQGA, and LCFL, which can be used to treat radiation-damaged 5-mer The body peptides are TLAVE, VEGNL, and LNEAL, the 6-mer peptides that can be used to treat radiation damage are VLPALP, MGGTWA, LTCDDP, and the 7-mer peptides that can be used to treat radiation damage are VLPAPLQ, VCNYRDV, and CPRGVNP, which can be used to treat radiation damage The 8-mer peptide is QPLAPLVG, and the 9-mer peptide that can be used to treat radiation damage is DINGFLPAL.
可通过在增殖分析中测试肽的抗细胞周期活性而找到其他的肽,特别是3或4聚体肽,例如通过采用在此所述的植物生长分析法。在此特别提供由2至6个氨基酸组成的肽在制备用于治疗患有辐射损伤或被认为患有辐射损伤的对象的药物组合物中的用途。同样,就预防不良反应如过敏性休克而言,用于制备所述药物组合物的肽优选地由2到6个氨基酸、更优选地由3到5个氨基酸、且最优选地由3或4个氨基酸组成。如果仅就活性而言,基于一般性的观点,只要(施用后)能够更长地经受完全的蛋白水解作用则肽越大活性便越显著,由此3个氨基酸的代谢片段仍具有活性,优选地,所述肽由4个氨基酸组成。Additional peptides, particularly 3- or 4-mer peptides, can be found by testing the anti-cell cycle activity of the peptides in a proliferation assay, for example by employing the plant growth assays described herein. In particular provided herein is the use of a peptide consisting of 2 to 6 amino acids for the manufacture of a pharmaceutical composition for the treatment of a subject suffering from or believed to be suffering from radiation damage. Also, in terms of preventing adverse reactions such as anaphylactic shock, the peptide used for the preparation of the pharmaceutical composition preferably consists of 2 to 6 amino acids, more preferably 3 to 5 amino acids, and most preferably 3 or 4 amino acids. amino acid composition. If only in terms of activity, based on a general point of view, as long as (after administration) it can withstand complete proteolysis for a longer period of time, the larger the peptide, the more active it is, thus the metabolic fragment of 3 amino acids is still active, preferably Typically, the peptide consists of 4 amino acids.
此外,特别有用的是,那些需要治疗辐射损伤的对象现在可以通过简单的皮下或者肌肉内注射进行治疗,由此使得能够以自用式注射器进行自我治疗,或者由未经训练的或者非医疗人员进行治疗,由此在成千上万人需要治疗的紧急情况下使得救护组织工作极为便捷。而假如只有静脉注射或者同样危险的腹腔内注射才是有效的,那么相对于存在简单的施用工具如本发明提供的自用式注射器的情况,需要治疗的对象将更难得到救助。Furthermore, and of particular interest, those subjects requiring treatment for radiation damage can now be treated by simple subcutaneous or intramuscular injections, thereby enabling self-treatment with self-administered syringes, or by untrained or non-medical personnel treatment, thus facilitating the work of ambulance organizations in emergency situations where thousands of people need treatment. And if only intravenous injection or equally dangerous intraperitoneal injection is effective, it will be more difficult for the subject in need of treatment to be rescued than if there are simple administration tools such as the self-use syringe provided by the present invention.
具体地,本发明还提供小于30个氨基酸的肽在制备用于治疗辐射损伤的药物组合物中的用途,其中所述药物组合物被置于自用式注射器中。自用式注射器是一种医疗装置,用于施用单剂量的特殊药物(典型地是急救药物),有时也称为预充式注射器,用于自己注射或者由非医疗人员或非专业人士注射。在本申请中,术语"自用式注射器"并不是指在分析系统、如Husek et al.(J.of Chromatography B:Biomedical Sciences&Applications,Elsevier,Amsterda,Vol.767,no.1,(2002)pg.169-174)所述的色谱装置中用于自动化施加生物学样品(例如肽)的注射器。Specifically, the present invention also provides the use of a peptide less than 30 amino acids in the preparation of a pharmaceutical composition for treating radiation damage, wherein the pharmaceutical composition is placed in a self-use syringe. A self-administered syringe is a medical device used to administer a single dose of a specialty drug (typically emergency medicine), sometimes called a prefilled syringe, for self-injection or injection by a non-medical or layperson. In the present application, the term "self-contained syringe" does not mean that in the analytical system, such as Husek et al. (J.of Chromatography B: Biomedical Sciences & Applications, Elsevier, Amsterdam, Vol.767, no.1, (2002) pg. 169-174) Injectors for automated application of biological samples (e.g. peptides) in the chromatographic apparatus described.
通过设计,自用式注射器易于使用并可由患者给自己施用或者由非专业人士给患者施用。注射部位典型地是大腿或者臀部内,其中所述治疗包括皮下或肌肉内注射所述肽。由于自用式注射器可设计为自动而可靠地施用所需剂量的药物,因此它们有助于快速、简便和准确地施用药物。具体而言,自用式注射器很适合由那些必须给自己施用治疗物质的对象或者由那些必须在较短时间内给多个对象实施注射(如急诊的情况)的医护人员使用。此外,可设计具有针刺注射机构(needled injection mechanism)的自用式注射器,以便在注射操作之前、期间、甚至之后均看不到针头,由此降低或者消除与可见针头刺入对象组织时有关的任何焦虑。尽管针刺自用式注射器的具体规格差异很大,但它们通常包括体部或者壳体、针刺注射器或者类似装置、以及一或多个驱动机构,后者用于将针头刺入对象的组织并通过刺入的针头输送所需剂量的液体药物。现有的针刺自用式注射器中的驱动机构通常包括能够为驱动机构提供动力的能量源。这种能量源可以是例如机械式的(即弹簧加压式)、气动式的、机电式的、或者化学的,见美国专利6,149,626、6,099,504、5,957,897、5,695,472、5,665,071、5,567160、5,527,287、5,354,286、5,300,030、5,102,393、5,092,843、4,894,054、4,678,461、和3,797,489,通过引用将上述各专利的内容并入本申请。国际公开文本WO01/17593、WO98/00188、WO95/29720、WO95/31235、和WO94/13342也公开了包括不同驱动机构的各种注射器。大多数自用式注射器是(任选地弹簧加压式)注射器。By design, self-administered syringes are easy to use and can be self-administered by the patient or administered to the patient by a layperson. The injection site is typically within the thigh or buttock, wherein the treatment comprises subcutaneous or intramuscular injection of the peptide. Since self-injectors can be designed to automatically and reliably administer the required dose of a drug, they facilitate quick, easy and accurate drug administration. In particular, self-administered syringes are well suited for use by those subjects who must administer a therapeutic substance to themselves, or by medical personnel who must administer injections to multiple subjects within a relatively short period of time, as in the case of an emergency department. In addition, self-injectors with a needled injection mechanism can be designed so that the needle is not visible before, during, or even after the injection procedure, thereby reducing or eliminating complications associated with penetration of the visible needle into the subject's tissue. any anxiety. Although the exact specifications of needling self-use syringes vary widely, they generally include a body or housing, a needling syringe or similar device, and one or more drive mechanisms for penetrating the needle into a subject's tissue and The required dose of liquid medicine is delivered through a pierced needle. The drive mechanism in existing needle-punching self-use syringes usually includes an energy source capable of powering the drive mechanism. Such energy sources may be, for example, mechanical (i.e., spring-loaded), pneumatic, electromechanical, or chemical, see U.S. Pat. , 5,300,030, 5,102,393, 5,092,843, 4,894,054, 4,678,461, and 3,797,489, the contents of each of which are incorporated herein by reference. International publications WO01/17593, WO98/00188, WO95/29720, WO95/31235, and WO94/13342 also disclose various syringes including different drive mechanisms. Most self-contained syringes are (optionally spring loaded) syringes.
本发明的自用式注射器,特别是与肽直接接触的体部或者壳体,优选地由与肽具有最小亲和力的材料制得。这可最大程度减小肽粘附或黏着于自用式注射器。一种非常合适的材料是聚丙烯,特别是基本上纯的聚丙烯。The self-contained syringe of the present invention, especially the body or housing that is in direct contact with the peptide, is preferably made of a material that has minimal affinity for the peptide. This minimizes peptide sticking or sticking to the self-administering syringe. A very suitable material is polypropylene, especially substantially pure polypropylene.
自用式注射器最初被设计用于克服用针给自己施用药物时的犹豫感。此类自用式注射器的实例是Epipen或最近引入的Twinject,后者通常用于具有过敏性反应危险的人。自用式注射器的另一个实例是用于施用干扰素β以治疗多发性硬化的Rebiject。自用式注射器时常用于陆军以保护人员抵抗化学作战剂。在美国陆军中,每个生物或化学武器反应包中均有自用式注射器。该反应包被分发给每个可能面对生物或化学武器的士兵。一旦启动,针会自动对人进行注射,刺透人身上的任何衣物(甚至是多层衣物)。本发明的自用式注射器不仅包括上述的注射装置(通常是弹簧驱动的)以自动进行皮肤穿刺和/或药物注射,还包括预充式注射器或自用式注射药筒等等。Self-administered syringes were originally designed to overcome the hesitation of administering medication to oneself with a needle. An example of such a self-contained syringe is the Epipen or the recently introduced Twinject , the latter is usually used in people at risk of anaphylaxis. Another example of a self-administering syringe is Rebiject for the administration of interferon beta for the treatment of multiple sclerosis . Self-use syringes are often used by the Army to protect personnel from chemical warfare agents. In the U.S. Army, self-use syringes are included with each biological or chemical weapons response kit. This response kit is distributed to every soldier who may be confronted with a biological or chemical weapon. Once activated, the needle automatically injects the person, piercing any clothing (even layers of clothing) on the person. Self-injectors of the present invention include not only injection devices as described above (usually spring-driven) for automatic skin puncture and/or drug injection, but also prefilled syringes or self-injection cartridges and the like.
本发明提供可用于治疗(放)辐射损伤的此类自用式注射器,而无论辐射是由放射性物质(放射性同位素)例如铀、氡、和钚发出的,还是由人造辐射源例如X射线和放疗仪器产生的。本发明还提供保护的药物组合物的自用式注射器,所述药物组合物由小于30个氨基酸的肽(在此称为抗辐射肽)和合适的赋形剂组成。赋形剂是本领域已知的,例如见Handbook ofPharmaceutical Manufacturing Formulations(Sarfaraz K Niazi编辑;ISBN:0849317460,在此通过引用并不本申请)。The present invention provides such self-contained syringes that can be used to treat (radio)radiation damage, whether the radiation is emitted by radioactive substances (radioisotopes) such as uranium, radon, and plutonium, or by artificial sources of radiation such as X-rays and radiotherapy equipment produced. The present invention also provides a self-container syringe of the protected pharmaceutical composition consisting of a peptide of less than 30 amino acids (referred to herein as a radioantipeptide) and a suitable excipient. Excipients are known in the art, see for example Handbook of Pharmaceutical Manufacturing Formulations (edited by Sarfaraz K Niazi; ISBN: 0849317460, hereby incorporated by reference and not the present application).
赋形剂的组成为例如水、丙二醇、乙醇、苯甲酸钠和苯甲酸作为缓冲物、和苯甲醇作为防腐剂;或者为甘露醇、人血清白蛋白、乙酸钠、乙酸、氢氧化钠、以及注射用水。其他用于通过自用式注射器胃肠外施用的示例性组合物包括注射溶液或混悬液,其含有,例如,合适的非毒性、胃肠外可接受的稀释剂或溶剂,例如甘露醇、1,3-丁二醇、水、林格氏液、等张氯化钠溶液、或其他合适的分散剂或湿化剂和混悬剂,包括合成的甘油一酯或甘油二酯、和脂肪酸,包括油酸。Excipients consist of, for example, water, propylene glycol, ethanol, sodium benzoate, and benzoic acid as buffers, and benzyl alcohol as preservatives; or mannitol, human serum albumin, sodium acetate, acetic acid, sodium hydroxide, and injectable use water. Other exemplary compositions for parenteral administration via a self-administering syringe include injection solutions or suspensions containing, for example, a suitable non-toxic, parenterally acceptable diluent or solvent, such as mannitol, 1 , 3-butanediol, water, Ringer's solution, isotonic sodium chloride solution, or other suitable dispersing or wetting agents and suspending agents, including synthetic mono- or diglycerides, and fatty acids, including oleic acid.
在一个实施方式中,自用式注射器包括作为活性成分的抗辐射肽(或其功能性类似物),当在对象暴露于辐射后施用时其能够降低辐射的不良反应。优选地,如果在照射后至少30分钟、更优选地至少1小时、最优选地至少数小时或甚至数天(如3天)施用,所述肽能够产生针对辐射损伤的至少部分保护作用。此类自用式注射器也称为"急救自用式注射器",代表了其在突发紧急情况下的用途。In one embodiment, the self-administering syringe includes as an active ingredient a radioantipeptide (or a functional analog thereof), which, when administered after a subject has been exposed to radiation, is capable of reducing adverse effects of radiation. Preferably, the peptide is capable of at least partial protection against radiation damage if administered at least 30 minutes, more preferably at least 1 hour, most preferably at least hours or even days (eg 3 days) after irradiation. Such self-container syringes are also known as "first aid self-container syringes", representing their use in sudden emergency situations.
在一个实施方式中,本发明提供含有包装于注射器样装置内的无菌溶液的自用式注射器,启动后该注射器样装置能够自动输送其全部5mL内容物。每mL含有100mg,优选地200mg抗辐射肽和赋形剂,例如包括丙二醇、乙醇、苯甲酸钠和苯甲酸作为缓冲物、和苯甲醇作为防腐剂的赋形剂。在优选的实施方式中,用于治疗辐射损伤的自用式注射器携带小于15个氨基酸的抗辐射肽,更优选地小于7个氨基酸。In one embodiment, the present invention provides a self-contained syringe containing a sterile solution packaged in a syringe-like device capable of automatically delivering its entire 5 mL contents upon activation. Each mL contains 100 mg, preferably 200 mg, of the anti-radiopeptide and excipients such as those comprising propylene glycol, ethanol, sodium benzoate and benzoic acid as buffers, and benzyl alcohol as preservatives. In a preferred embodiment, the self-administered syringe for treating radiation damage carries a radioresistant peptide of less than 15 amino acids, more preferably less than 7 amino acids.
优选的用于治疗急性辐射损伤的自用式注射器携带长度为3到4个氨基酸的肽,优选地,肽具有的抗急性伽玛照射的剂量降低系数(DRF)为至少1.10,所述DRF可如下确定:测试何种剂量的辐射在全身照射(WBI)后30天导致测试组小鼠出现50%的死亡率(LD50/30),所述测试组小鼠在WBI后72小时用所述肽进行处理,和测试何种剂量的辐射在全身照射(WBI)后30天导致对照组小鼠出现50%的死亡率(LD50/30),所述对照组小鼠在WBI后72小时仅用所述肽的载体进行处理,且其中通过将肽处理组动物的LD50/30除以对照组动物的LD50/30来计算DRF。Preferred self-contained syringes for the treatment of acute radiation injury carry a peptide of 3 to 4 amino acids in length, preferably the peptide has a Dose Reduction Factor (DRF) against acute gamma irradiation of at least 1.10, said DRF may be as follows Determination: Test which dose of radiation causes 50% mortality (LD50/30) 30 days after whole body irradiation (WBI) in the test group of mice treated with the peptide 72 hours after WBI treatment, and to test which dose of radiation resulted in 50% mortality (LD50/30) 30 days after whole body irradiation (WBI) in control mice treated with only the The vehicle of the peptide was treated and the DRF was calculated by dividing the LD50/30 of the peptide-treated animals by the LD50/30 of the control animals.
更优选的自用式注射器携带的肽所具有的剂量降低系数(DRF)为至少1.20,更优选地为至少1.25。抗置于自用式注射器内的合适的肽还有那些如本发明所确定的在植物中具有抗细胞周期活性的肽。非常适合用于本发明的自用式注射器的肽是VVC、LAG、AQG、LQGV、QVVC、MTRV、AQGV、LAGV、LQAV、PGCP、VGQL、RVLQ、EMFQ、AVAL、FVLS、NMWD、LCFL、FSYA、FWVD、AFTV、LGTL、QLLG、YAIT、APSL、ITTL、QALG、GVLC、NLIN、SPIE、LNTI、LHNL、CPVQ、EVVR、MTEV、EALE、EPPE、LGTL、VGGI、RLPG、LQGA、LCFL、TLAVE、VEGNL或LNEAL。More preferred self-syringe carried peptides have a dose reduction factor (DRF) of at least 1.20, more preferably at least 1.25. Suitable peptides for anti-placement in self-administering syringes are also those peptides which have anti-cell cycle activity in plants as determined according to the present invention. Peptides well suited for use in the self-injector of the present invention are VVC, LAG, AQG, LQGV, QVVC, MTRV, AQGV, LAGV, LQAV, PGCP, VGQL, RVLQ, EMFQ, AVAL, FVLS, NMWD, LCFL, FSYA, FWVD , AFTV, LGTL, QLLG, YAIT, APSL, ITTL, QALG, GVLC, NLIN, SPIE, LNTI, LHNL, CPVQ, EVVR, MTEV, EALE, EPPE, LGTL, VGGI, RLPG, LQGA, LCFL, TLAVE, VEGNL or LNEAL .
本发明还提供用于治疗患有辐射损伤或被认为患有辐射损伤的对象的药物组合物,所述药物组合物包含:药用有效量的抗辐射肽或其功能性类似物,或如在此所鉴定的药物组合物以及药用可接受的稀释剂。本发明在此提供在有需要或者有潜在需要的对象中治疗或预防辐射损伤的方法,所述方法包括:给对象施用药物组合物,所述组合物包括治疗或预防辐射损伤的手段以及药用可接受的赋形剂,其中所述手段包含在此所鉴定的抗辐射肽或药物组合物,特别是其中所述辐射损伤包括照射损伤。The present invention also provides a pharmaceutical composition for treating a subject suffering from radiation damage or considered to be suffering from radiation damage, said pharmaceutical composition comprising: a pharmaceutically effective amount of a radioresistant peptide or a functional analog thereof, or as described in The identified pharmaceutical composition and pharmaceutically acceptable diluent. The present invention herein provides a method of treating or preventing radiation damage in a subject in need thereof or potentially in need thereof, the method comprising: administering to the subject a pharmaceutical composition comprising a means for treating or preventing radiation damage and a pharmaceutically acceptable An acceptable excipient, wherein said means comprises a radioresistant peptide or pharmaceutical composition identified herein, particularly wherein said radiation damage comprises radiation damage.
在一个实施方式中,本发明提供用于治疗患有辐射损伤的对象的方法,其包含给对象施用一种组合物,所述组合物包括寡肽,所述寡肽获得自或衍生自肽MTRVLQGVLPALPQVVC或肽LPGCPRGVNPVVS。优选地,所述寡肽选自由MTR、MTRV、LQG、LQGV、VLPALP、VLPALPQ、QVVC、VVC、AQG、AQGV、LAG、LAGV及其任意组合组成的组。在另一个实施方式中,优选地,所述寡肽选自LPGC、CPRGVNP和PGCP。当所述辐射损伤包括照射损伤时,此类寡肽特别有用。本发明还提供用于治疗辐射损伤的药物组合物,其包括寡肽,所述寡肽获得自或衍生自肽MTRVLQGVLPALPQVVC或肽LPGCPRGVNPVVS,例如寡肽选自由MTR、MTRV、LQG、LQGV、VLPALP、VLPALPQ、QVVC、VVC、AQG、AQGV、LAG、LAGV、LPGC、CPRGVNP和PGCP、及其任意组合,并提供所述(寡)肽在制备用于治疗辐射损伤的药物组合物中的用途。In one embodiment, the invention provides a method for treating a subject suffering from radiation damage comprising administering to the subject a composition comprising an oligopeptide obtained or derived from the peptide MTRVLQGVLPALPQVVC or the peptide LPGCPRGVNPVVS. Preferably, the oligopeptide is selected from the group consisting of MTR, MTRV, LQG, LQGV, VLPALP, VLPALPQ, QVVC, VVC, AQG, AQGV, LAG, LAGV and any combination thereof. In another embodiment, preferably, the oligopeptide is selected from LPGC, CPRGVNP and PGCP. Such oligopeptides are particularly useful when the radiation damage comprises radiation damage. The present invention also provides a pharmaceutical composition for treating radiation damage comprising an oligopeptide obtained or derived from the peptide MTRVLQGVLPALPQVVC or the peptide LPGCPRGVNPVVS, for example an oligopeptide selected from the group consisting of MTR, MTRV, LQG, LQGV, VLPALP, VLPALPQ , QVVC, VVC, AQG, AQGV, LAG, LAGV, LPGC, CPRGVNP and PGCP, and any combination thereof, and provide the use of the (oligo)peptide in the preparation of a pharmaceutical composition for treating radiation damage.
先前我们报道了衍生自人绒毛膜促性腺激素的β-链的6聚体寡肽(VLPALP)在小鼠中抑制感染性休克。同样,我们发现,衍生自hCG的β链环2(残基41-57)的其他一些短肽(自三聚体肽开始)以及通过以丙氨酸进行单个氨基酸取代而得到的所述肽的一些修饰物具有类似的抗炎活性。进而,我们产生了在这些肽中筛选出一些以继续研发用于治疗意外暴露于电离照射后的急性炎症的治疗性化合物的推理。We previously reported that a 6-mer oligopeptide (VLPALP) derived from the β-chain of human chorionic gonadotropin suppressed septic shock in mice. Likewise, we found that several other short peptides derived from beta-chain loop 2 (residues 41-57) of hCG (starting from the trimeric peptide) as well as those obtained by single amino acid substitutions with alanine Some modifications have similar anti-inflammatory activity. In turn, we generated the rationale to screen some of these peptides to continue the development of therapeutic compounds for the treatment of acute inflammation following accidental exposure to ionizing radiation.
人绒毛膜促性腺激素(hCG)是孕妇产生的一种异二聚体胎盘糖蛋白激素。其在孕妇的尿中和商品化hCG制剂中存在多种形式,包括断裂产物。由于推定其在妊娠过程中对预防胎儿同种异体移植物排异具有作用,因此一些研究者研究了异二聚体hCG及其变体对免疫系统的影响。一些报道提示完整的激素抗调节免疫系统,但断裂产物的此类作用还没有被报道过。先前我们(Khan et al.,Hum.Immunol.2002Jan;63(1):1-7)报道了衍生自人绒毛膜促性腺激素的β-链的6聚体寡肽(VLPALP)在小鼠中抑制感染性休克。给小鼠注射高剂量的脂多糖(LPS)后以这种六肽进行单次治疗抑制了小鼠的感染性休克。Benner和Khan(Scand.J.Immunol.2005Jul;62Suppl1:62-6)研究了体内释放的肽片段所可能具有的免疫学活性,所述肽片段通过hCGβ-亚单位环2的序列MTRVLQGVLPALPQVVC(残基41-57)的断裂而产生。在此报道了取自β-亚单位环2的一些3到7个氨基酸的肽——以及通过丙氨酸取代而自其衍生的一些肽——展现出显著的抗炎活性(通过抑制小鼠的感染性休克综合征而测定),并超过了被认为可用于治疗辐射损伤、特别是包括胃肠道综合征的辐射损伤的活性,也超过了被认为可用于制备用于治疗辐射损伤、特别是包括胃肠道综合征的辐射损伤的药物组合物的活性。Human chorionic gonadotropin (hCG) is a heterodimeric placental glycoprotein hormone produced by pregnant women. It occurs in various forms, including fragmentation products, in the urine of pregnant women and in commercial hCG preparations. Because of its putative role in preventing fetal allograft rejection during pregnancy, several investigators have investigated the effects of heterodimeric hCG and its variants on the immune system. Some reports suggest that intact hormones counter-regulate the immune system, but such effects of fragmentation products have not been reported. We previously (Khan et al., Hum. Immunol. 2002 Jan; 63(1): 1-7) reported that a 6-mer oligopeptide (VLPALP) derived from the β-chain of human chorionic gonadotropin was Suppresses septic shock. A single treatment with this hexapeptide after injecting mice with high doses of lipopolysaccharide (LPS) suppressed septic shock in mice. Benner and Khan (Scand. J. Immunol. 2005 Jul; 62 Suppl 1:62-6) investigated the possible immunological activity of peptide fragments released in vivo via the sequence MTRVLQGVLPALPQVVC of hCG β-subunit loop 2 (residues 41-57) fracture. It is reported here that some 3 to 7 amino acid peptides taken from loop 2 of the β-subunit—and some peptides derived therefrom by alanine substitution—exhibit significant anti-inflammatory activity (by inhibiting septic shock syndrome), and exceeds the activity considered to be useful for the treatment of radiation injury, especially radiation injury including gastrointestinal syndrome, and also exceeds the activity considered useful for the preparation of radiation injury, especially for the treatment of radiation injury, especially Is the activity of the pharmaceutical composition in radiation injury including gastrointestinal syndrome.
本发明还提供具有抗细胞周期活性的药物组合物。细胞周期是一组有序的事件,其结果是细胞生长并分裂为两个姊妹细胞。细胞周期的阶段是G1-S-G2-M。G1期代表"GAP1"。S期代表"合成(Synthesis)"。这是发生DNA复制的阶段。G2期代表"GAP2"。M期代表"有丝分裂(mitosis)",是发生细胞核(染色质分离)和细胞质(胞质分裂(cytokinesis))分裂的时候。术语“抗细胞周期活性”在此指的是所述肽能够改变细胞周期动力学。例如,其包括改变,即提高或降低,细胞分裂的频率。在一个实施方式中,其指的是抗增殖活性。The present invention also provides pharmaceutical compositions having anti-cell cycle activity. The cell cycle is an ordered set of events that results in a cell growing and dividing into two sister cells. The phases of the cell cycle are G1-S-G2-M. G1 phase stands for "GAP1". The S phase stands for "Synthesis". This is the stage where DNA replication occurs. The G2 phase stands for "GAP2". M phase stands for "mitosis" and is when the division of the nucleus (chromatin separation) and cytoplasm (cytokinesis) occurs. The term "anti-cell cycle activity" herein means that the peptide is capable of altering cell cycle kinetics. For example, it includes altering, ie increasing or decreasing, the frequency of cell division. In one embodiment, it refers to antiproliferative activity.
还提供了具有抗细胞周期活性的药物组合物,其包含PGCP;具有抗细胞周期活性的药物组合物,其包含VGQL;具有抗细胞周期活性的药物组合物,其包含RVLQ;具有抗细胞周期活性的药物组合物,其包含EMFQ;具有抗细胞周期活性的药物组合物,其包含AVAL;具有抗细胞周期活性的药物组合物,其包含FVLS;具有抗细胞周期活性的药物组合物,其包含NMWD;具有抗细胞周期活性的药物组合物,其包含LCFL;具有抗细胞周期活性的药物组合物,其包含FSYA;具有抗细胞周期活性的药物组合物,其包含FWVD;具有抗细胞周期活性的药物组合物,其包含AFTV;具有抗细胞周期活性的药物组合物,其包含LGTL;具有抗细胞周期活性的药物组合物,其包含QLLG;具有抗细胞周期活性的药物组合物,其包含YAIT;具有抗细胞周期活性的药物组合物,其包含APSL;具有抗细胞周期活性的药物组合物,其包含ITTL;具有抗细胞周期活性的药物组合物,其包含QALG;具有抗细胞周期活性的药物组合物,其包含GVLC;具有抗细胞周期活性的药物组合物,其包含NLIN;具有抗细胞周期活性的药物组合物,其包含SPIE;具有抗细胞周期活性的药物组合物,其包含LNTI;具有抗细胞周期活性的药物组合物,其包含LHNL;具有抗细胞周期活性的药物组合物,其包含CPVQ;具有抗细胞周期活性的药物组合物,其包含EVVR;具有抗细胞周期活性的药物组合物,其包含MTEV;具有抗细胞周期活性的药物组合物,其包含EALE;具有抗细胞周期活性的药物组合物,其包含EPPE;具有抗细胞周期活性的药物组合物,其包含LGTL;具有抗细胞周期活性的药物组合物,其包含VGGI;具有抗细胞周期活性的药物组合物,其包含RLPG;具有抗细胞周期活性的药物组合物,其包含LQGA;具有抗细胞周期活性的药物组合物,其包含LCFL;具有抗细胞周期活性的药物组合物,其包含TLAVE;具有抗细胞周期活性的药物组合物,其包含VEGNL;具有抗细胞周期活性的药物组合物,其包含LNEAL;具有抗细胞周期活性的药物组合物,其包含MGGTWA;具有抗细胞周期活性的药物组合物,其包含LTCDDP;具有抗细胞周期活性的药物组合物,其包含VCNYRDV;具有抗细胞周期活性的药物组合物,其包含CPRGVNP;和具有抗细胞周期活性的药物组合物,其包含DINGFLPAL。Also provided is a pharmaceutical composition with anti-cell cycle activity comprising PGCP; a pharmaceutical composition with anti-cell cycle activity comprising VGQL; a pharmaceutical composition with anti-cell cycle activity comprising RVLQ; A pharmaceutical composition comprising EMFQ; a pharmaceutical composition with anti-cell cycle activity comprising AVAL; a pharmaceutical composition with anti-cell cycle activity comprising FVLS; a pharmaceutical composition with anti-cell cycle activity comprising NMWD A pharmaceutical composition with anti-cell cycle activity comprising LCFL; A pharmaceutical composition with anti-cell cycle activity comprising FSYA; A pharmaceutical composition with anti-cell cycle activity comprising FWVD; A drug with anti-cell cycle activity A composition comprising AFTV; a pharmaceutical composition with anti-cell cycle activity comprising LGTL; a pharmaceutical composition with anti-cell cycle activity comprising QLLG; a pharmaceutical composition with anti-cell cycle activity comprising YAIT; Pharmaceutical composition with anti-cell cycle activity comprising APSL; pharmaceutical composition with anti-cell cycle activity comprising ITTL; pharmaceutical composition with anti-cell cycle activity comprising QALG; pharmaceutical composition with anti-cell cycle activity , which comprises GVLC; a pharmaceutical composition with anti-cell cycle activity, which comprises NLIN; a pharmaceutical composition with anti-cell cycle activity, which comprises SPIE; a pharmaceutical composition with anti-cell cycle activity, which comprises LNTI; A pharmaceutical composition with anti-cell cycle activity comprising LHNL; a pharmaceutical composition with anti-cell cycle activity comprising CPVQ; a pharmaceutical composition with anti-cell cycle activity comprising EVVR; a pharmaceutical composition with anti-cell cycle activity comprising Comprising MTEV; a pharmaceutical composition having anti-cell cycle activity comprising EALE; a pharmaceutical composition having anti-cell cycle activity comprising EPPE; a pharmaceutical composition having anti-cell cycle activity comprising LGTL; having an anti-cell cycle activity A pharmaceutical composition comprising VGGI; a pharmaceutical composition with anti-cell cycle activity comprising RLPG; a pharmaceutical composition with anti-cell cycle activity comprising LQGA; a pharmaceutical composition with anti-cell cycle activity comprising LCFL A pharmaceutical composition with anti-cell cycle activity comprising TLAVE; A pharmaceutical composition with anti-cell cycle activity comprising VEGNL; A pharmaceutical composition with anti-cell cycle activity comprising LNEAL; A drug with anti-cell cycle activity A composition comprising MGGTWA; a pharmaceutical composition having anti-cell cycle activity comprising LTCDDP; a pharmaceutical composition having anti-cell cycle activity comprising VCNYRDV; a pharmaceutical composition having anti-cell cycle activity comprising CPRGVNP; A pharmaceutical composition having anti-cell cycle activity comprising DINGFLPAL.
附图说明 Description of drawings
图1:以AQGV(肽EA-230)处理的全身照射的小鼠Figure 1: Whole body irradiated mice treated with AQGV (peptide EA-230)
"WBI"代表全身照射。使用麻醉的C57B1/6小鼠,在WBI(6.5至9.8Gy,Philips MG30,81cGy/min)之后评估对辐射损伤的体内保护作用,通过Kaplan-Meirer分析测量存活的差异。所有组的小鼠在WBI后3小时均首先注射肽或载体(对照组动物)。注射安慰剂的组死亡率为80%,与对该模型的预测一致。已知8.6戈瑞(=8.6Gy)的辐射剂量能够在该物种造成大约80%的死亡率,因此称为LD80(80%致死剂量)。死亡在第10天左右开始出现——这在动物或人的WBI是通常的情况:在第10天左右,肠道被覆层因辐射而损伤和泄漏导致细菌进入循环并引起胃肠道综合征,而骨髓的损伤导致无法产生足够的白细胞以抵抗感染(“骨髓综合征”),继而出现死亡。符号"x"代表的组接受首次静脉注射,首次注射3小时后第二次皮下注射(SC)。这些动物100%存活。图中没有显示它们其实根本没有出现任何疾病征象。对于不知情的观察者来说,它们看上去与完全正常的小鼠一样。三角符号代表的组通过SC途径首次注射肽,然后每48小时进行额外的SC注射,共3剂(除首剂之外)——即在第3、5、和7天。这些动物中仅有一只死亡。方块符号代表的组除了48小时SC注射持续进行共6剂(除首剂之外)之外,其他与三角符号组的程序相同。因此其给药持续至第13天。这种延长的治疗带来了完全的保护作用(该组无一死亡)。该组动物中没有出现任何疾病征象。从这些数据中我们可以得出结论,如果动物在第一天接受两倍剂量的肽(首剂为静脉注射),可对致死剂量的WBI产生完全的保护作用。如果动物接受较低水平的治疗(仅SC),则将治疗延长至第二周也产生完全的保护作用。"WBI" stands for Whole Body Irradiation. In vivo protection against radiation injury was assessed following WBI (6.5 to 9.8 Gy, Philips MG30, 81 cGy/min) using anesthetized C57B1/6 mice, with differences in survival measured by Kaplan-Meirer analysis. All groups of mice were first injected with peptide or vehicle (control animals) 3 hours after WBI. The placebo-injected group had an 80% mortality rate, as predicted by the model. A radiation dose of 8.6 Gray (=8.6Gy) is known to cause approximately 80% mortality in this species, hence the name LD80 (80% lethal dose). Mortality begins around day 10 - as is usual in animals or humans with WBI: around day 10, the intestinal lining is damaged and leaks from radiation allowing bacteria to enter the circulation and cause gastrointestinal syndrome, Damage to the bone marrow leads to an inability to produce enough white blood cells to fight infection ("myeloid syndrome") and death. The group represented by the symbol "x" received the first intravenous injection, and the second subcutaneous injection (SC) 3 hours after the first injection. 100% of these animals survived. What’s not shown in the picture is that they didn’t show any signs of disease at all. To an unsuspecting observer, they looked just like perfectly normal mice. The group represented by the triangle symbol received an initial injection of peptide by the SC route, followed by additional SC injections every 48 hours for a total of 3 doses (in addition to the initial dose) - ie on days 3, 5, and 7. Only one of these animals died. The group represented by the square symbol had the same procedure as the triangle symbol group, except that the 48-hour SC injection was continued for a total of 6 doses (except the first dose). Its administration was therefore continued until day 13. This prolonged treatment resulted in complete protection (no deaths in this group). There were no signs of disease in this group of animals. From these data we can conclude that complete protection against a lethal dose of WBI is conferred if animals receive double doses of the peptide on the first day (the first dose is given intravenously). If the animals received a lower level of treatment (SC only), extending the treatment to the second week also produced complete protection.
图2:以肽AQGV进行的第二组放射防护实验Figure 2: Second set of radioprotection experiments with peptide AQGV
采用剂量渐增的全身照射(WBI),对于各组均为单次暴露,而随后的组暴露剂量逐渐升高。皮下施用单剂肽EA-230(AQGV),但治疗延迟至WBI后3天(72hr)进行。该测试称为剂量降低系数(“DRF”),其被定义为处理组的LD50与对照组的LD50之间的比值。LD50代表的是导致50%的测试动物死亡的剂量。可接受的DRF值为1.20。为通过该测试,在WBI后第30天,一种候选药物必须使得LD50辐射剂量比对照动物的LD50剂量高至少20%(系数为1.20的升高)。例如,如果对照动物的LD50是8.2Gy,那么候选药物造成的LD50应该高至少20%,即在这种情况下该剂量应该为8.2x1.20=10.4Gy。Whole-body irradiation (WBI) with increasing doses was used, with a single exposure for each group and gradually increasing doses for subsequent groups. A single dose of peptide EA-230 (AQGV) was administered subcutaneously, but treatment was delayed until 3 days (72 hr) after WBI. This test is called the dose reduction factor ("DRF") and is defined as the ratio between the LD50 of the treated group and the LD50 of the control group. LD50 represents the dose which causes death in 50% of the tested animals. An acceptable DRF value is 1.20. To pass this test, a drug candidate must result in an LD50 radiation dose at least 20% higher than the LD50 dose in control animals (an increase by a factor of 1.20) at day 30 after WBI. For example, if the LD50 of the control animal is 8.2Gy, the candidate drug should result in an LD50 that is at least 20% higher, ie the dose in this case should be 8.2x1.20=10.4Gy.
图3:寡肽在拟南芥(Arabidopsis thaliana)细胞周期分析中作用。化合物NAK4(LQGV)和NAK9(VVC)对标测试的记物显示出明确的影响。对于细胞周期标记物(pCDG),在两个时间点均观察到对根有明确影响。在过渡区和子叶观察到了时间和/或剂量依赖性的影响。对于植物生长激素应答标记物(DR5::GUS),观察到了与细胞周期标记物相同的情况。NAK26(DINGFLPAL)显示出不太一致的时间依赖性影响。仅在根及时观察到了影响。在过渡区和子叶没有观察到影响。Figure 3: Function of oligopeptides in Arabidopsis thaliana cell cycle analysis. The compounds NAK4(LQGV) and NAK9(VVC) showed a clear effect on the markers tested. For the cell cycle marker (pCDG), a clear effect on roots was observed at both time points. Time and/or dose-dependent effects were observed in the transition zone and cotyledons. The same was observed for the auxin response marker (DR5::GUS) as for the cell cycle marker. NAK26(DINGFLPAL) showed less consistent time-dependent effects. The effects were observed in time only at the root. No effects were observed in the transition zone and cotyledons.
图4:测试代表性寡肽在通过CD3诱导的鼠单核细胞快速生长过程中当细胞发生迅速分裂时对细胞增殖的作用。小鼠(n=5)腹腔注射PBS、Nak4(LQGV)、Nak47(LAGV)、Nak46(AQGV)(Ansynth BV,The Netherlands提供)、或Nak46*(Diosynth BV,The Netherlands提供的AQGV)。以0.5mg/kg或5mg/kg的肽处理小鼠1小时,随后分离脾脏制备脾细胞悬液。汇集各组的脾细胞悬液并在存在PBS或抗CD3抗体的条件下体外培养(三份),在培养后0、12、24和48小时测定增殖。Figure 4: Representative oligopeptides tested for their effect on cell proliferation during rapid growth of murine monocytes induced by CD3 when cells undergo rapid division. Mice (n=5) were intraperitoneally injected with PBS, Nak4(LQGV), Nak47(LAGV), Nak46(AQGV) (Ansynth BV, provided by The Netherlands), or Nak46* (Diosynth BV, AQGV provided by The Netherlands). Mice were treated with 0.5 mg/kg or 5 mg/kg of the peptide for 1 hour, and then the spleen was isolated to prepare a splenocyte suspension. Splenocyte suspensions from each group were pooled and cultured in vitro (triplicate) in the presence of PBS or anti-CD3 antibody, and proliferation was measured at 0, 12, 24 and 48 hours after culture.
发明详述Detailed description of the invention
在本申请中,“纯化的、合成的或分离的”肽是已经自其天然来源或生物技术来源纯化出的肽,或者更优选地,是如本发明所述合成的肽。In this application, a "purified, synthesized or isolated" peptide is a peptide that has been purified from its natural or biotechnological source, or more preferably, a peptide synthesized as described in the present invention.
在本申请中,“组合物”指的是含有寡肽或者由寡肽组成的多种化合物。优选地,寡肽被分离之后再加入到组合物中。优选地,寡肽由2至6个氨基酸组成,更优选地,由3至4个氨基酸组成。In this application, "composition" refers to various compounds containing or consisting of oligopeptides. Preferably, the oligopeptide is isolated before being added to the composition. Preferably, the oligopeptide consists of 2 to 6 amino acids, more preferably, 3 to 4 amino acids.
例如,在一个实施方式中,优选的化合物可以是:NT A Q G V CT,其中N末端的NT选自H--、CH3--、酰基、或一般的保护基团;而C末端的CT选自小肽(如1至5个氨基酸)、--OH、--OR1、--NH2、--NHR1、--NR1R2、或--N(CH2)1-6NR1R2,其中R1和R2,如果存在的话,独立地选自H、烷基、芳基、(芳)烷基,且其中R1和R2可彼此连接成环。For example, in one embodiment, a preferred compound may be: NT A Q G V CT, wherein the NT at the N-terminal is selected from H--, CH3--, acyl, or general protecting groups; and the CT at the C-terminus is selected from small Peptide (eg, 1 to 5 amino acids), --OH, --OR1 , --NH2 , --NHR1 , --NR1R2 , or --N( CH2 ) 1-6NR1R 2 , wherein R 1 and R 2 , if present, are independently selected from H, alkyl, aryl, (aryl)alkyl, and wherein R 1 and R 2 may be connected to each other to form a ring.
在本申请中,“烷基”优选地是饱和的支链或直链的烃,具有1到6个碳原子,例如甲基、乙基和异戊基。In the present application, "alkyl" is preferably a saturated branched or linear hydrocarbon having 1 to 6 carbon atoms, such as methyl, ethyl and isopentyl.
在本申请中,“芳基”是芳烃基,优选地具有6到10个碳原子,例如苯基或萘基。In the present application, "aryl" is an aromatic hydrocarbon group, preferably having 6 to 10 carbon atoms, such as phenyl or naphthyl.
在本申请中,“(芳)烷基”是芳烃基(同时具有脂肪族部分和芳香族部分),优选地具有7到13个碳原子,例如苄基、乙基苄基、正丙基苄基、和异丁基苄基。In the present application, "(ar)alkyl" is an aromatic hydrocarbon group (having both an aliphatic part and an aromatic part), preferably having 7 to 13 carbon atoms, such as benzyl, ethylbenzyl, n-propylbenzyl base, and isobutylbenzyl.
在本申请中,“寡肽”是由肽键连接在一起的具有2到12个氨基酸的肽。寡肽的等价物是具有与寡肽中的特定氨基酸相同或等同侧链的化合物,且其排列顺序与所述肽的顺序相同,但通过非肽键连接在一起,例如通过等排连接(isosteric linkages)如酮等排物、羟基等排物、二酮等排物、或酮-二氟甲基等排物。In this application, an "oligopeptide" is a peptide of 2 to 12 amino acids linked together by peptide bonds. An equivalent of an oligopeptide is a compound having the same or equivalent side chains as the specified amino acids in the oligopeptide, arranged in the same order as the peptide in question, but linked together by non-peptide bonds, for example by isosteric linkages ) such as ketone isosteres, hydroxyl isosteres, diketone isosteres, or ketone-difluoromethyl isosteres.
“组合物”还包括例如寡肽的可接受的盐或标记的寡肽。在本申请中,“可接受的盐”指的是保留寡肽或等价化合物的所需活性的盐,优选地不会对寡肽或使用所述寡肽的系统中的其他组分产生不良影响。此类盐的实例为由无机酸如盐酸、氢溴酸、硫酸、磷酸、硝酸硝酸等等形成的酸加成盐。盐也可以是与有机酸如乙酸、草酸、酒石酸、琥珀酸、顺丁烯二酸、反丁烯二酸、葡糖酸、柠檬酸、苹果酸、抗坏血酸、苯甲酸、鞣酸、双羟萘酸、海藻酸、聚谷氨酸等等形成的。盐可以是与多价金属阳离子如锌、钙、铋、钡、镁、铝、铜、钴、镍等等、或是与由N,N′-二苄乙烯二胺(N,N′-dibenzylethylenediamine)或乙二胺形成的有机阳离子、或它们的组合(如鞣酸锌)形成的。A "composition" also includes, for example, an acceptable salt of an oligopeptide or a labeled oligopeptide. In this application, "acceptable salt" refers to a salt that retains the desired activity of the oligopeptide or equivalent compound, and preferably does not adversely affect the oligopeptide or other components of the system in which it is used. Influence. Examples of such salts are the acid addition salts formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid, and the like. Salts can also be combined with organic acids such as acetic acid, oxalic acid, tartaric acid, succinic acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, pamoate acid, alginic acid, polyglutamic acid, etc. Salts can be with polyvalent metal cations such as zinc, calcium, bismuth, barium, magnesium, aluminum, copper, cobalt, nickel, etc., or with N,N'-dibenzylethylenediamine (N,N'-dibenzylethylenediamine ) or organic cations formed from ethylenediamine, or a combination thereof (such as zinc tannate).
这样的药物组合物可通过胃肠外或口服施用于对象。这样的药物组合物可基本上由寡肽和PBS组成。优选地,寡肽是合成的。合适的治疗例如需要将药物组合物中的寡肽静脉施用于患者,施用的量为大约0.1至大约35mg/kg体重。药物组合物可以基本上由一至三种不同的寡肽组成。Such pharmaceutical compositions can be administered to a subject parenterally or orally. Such a pharmaceutical composition may consist essentially of oligopeptide and PBS. Preferably, the oligopeptide is synthetic. Suitable treatment, for example, requires intravenous administration of the oligopeptide in a pharmaceutical composition to the patient in an amount of about 0.1 to about 35 mg/kg body weight. The pharmaceutical composition may consist essentially of one to three different oligopeptides.
这样产生的化学实体可全身性地、表面地或局部地施用和引入体内。肽或其修饰物可以其实体本身施用或者作为药用可接受的酸或碱加成盐而施用,所述的酸或碱加成盐通过与无机酸(如盐酸、氢溴酸、高氯酸、硝酸、硫氰酸、硫酸和磷酸)反应而形成;或通过与有机酸(如甲酸、乙酸、丙酸、羟基乙酸、乳酸、丙酮酸、草酸、丙二酸、琥珀酸、顺丁烯二酸和反丁烯二酸)反应而形成;或通过与无机碱(如氢氧化钠、氢氧化铵、氢氧化钾)反应而形成;或通过与有机碱(如单胺、二胺、三胺、和芳胺以及取代的乙醇胺)反应而形成。选定的肽和任何衍生的实体还可偶联于糖、脂质、其他多肽、核酸和PNA;并作为偶联物在原位起作用或在达到靶组织或器官之后局部释放起作用。The chemical entities so produced can be administered and introduced into the body systemically, topically or locally. The peptide or a modification thereof can be administered as such or as a pharmaceutically acceptable acid or base addition salt obtained by reacting with an inorganic acid (such as hydrochloric acid, hydrobromic acid, perchloric acid) , nitric acid, thiocyanic acid, sulfuric acid and phosphoric acid); or by reaction with organic acids such as formic acid, acetic acid, propionic acid, glycolic acid, lactic acid, pyruvic acid, oxalic acid, malonic acid, succinic acid, maleic acid acid and fumaric acid); or by reaction with inorganic bases (such as sodium hydroxide, ammonium hydroxide, potassium hydroxide); or by reaction with organic bases (such as monoamines, diamines, triamines , and aromatic amines and substituted ethanolamines) formed by the reaction. Selected peptides and any derived entities may also be conjugated to sugars, lipids, other polypeptides, nucleic acids, and PNAs; and act as conjugates in situ or for local release upon reaching the target tissue or organ.
就各种氨基酸而言,“取代”通常涉及以例如烷氧基、卤素、羟基、氮或低级烷基的基团取代芳环上存在的氢。取代还可在连接芳香族部分与肽主链的烷基链上进行,例如以低级烷基取代氢。其他的取代还可在氨基酸的α位进行,也使用烷基。For various amino acids, "substitution" generally involves replacing hydrogen present on an aromatic ring with a group such as alkoxy, halo, hydroxy, nitrogen or lower alkyl. Substitutions can also be made on the alkyl chain linking the aromatic moiety to the peptide backbone, eg substitution of a lower alkyl for a hydrogen. Other substitutions can also be made alpha to amino acids, also using alkyl groups.
优选的取代使用氟或氯作为卤素以及使用甲氧基作为烷氧基。至于烷基和低级烷基,通常,具有较少(1至3个)碳原子的烷基是优选的。Preferred substitutions use fluorine or chlorine as halogen and methoxy as alkoxy. As for the alkyl and lower alkyl groups, generally, those having fewer (1 to 3) carbon atoms are preferred.
可采用制备这些化合物的常规方法制备符合通式的化合物。为此,将合适的N端α被保护(以及,如果存在反应性侧链时,侧链被保护的)氨基酸类似物或肽活化并在溶液中或固相支持物上偶联于合适的羧基被保护的氨基酸或肽衍生物。α-氨基官能团的保护通常以乌拉坦官能团进行,如使用耐酸的叔丁氧羰基(tertiary-butyloxycarbonyl group,“Boc”)、苄氧羰基(benzyloxycarbonyl,“Z”)和取代的类似物、或耐碱的9-芴甲氧羰基(9-fluoremyl-methyloxycarbonyl,“Fmoc”)。Z基团还可通过催化氢化作用而去除。合适的其他保护基包括Nps,Bmv,Bpoc,Aloc,MSC等等。氨基保护基团的综述见The peptides,Analysis,Synthesis,Biology,Vol.3,E.Gross and J.Meienhofer,eds.(Academic Press,New York,1981)。羧基保护可通过酯化进行,例如耐碱酯如甲酯或乙酯、耐酸酯如叔丁酯或取代的、苯甲酯或通过氢解反应进行。可使用前述基团进行侧链官能团如赖氨酸和谷氨酸或天冬氨酸的侧链的保护。巯基(虽然并不总是需要的)、胍基、醇和咪唑基团的保护可采用多种试剂实现,例如参见The Peptides,Analysis,Synthesis,Biology,id.或见Pure and Applied Chemistry,59(3),331-344(1987)。对合适的被保护的氨基酸或肽的羧基进行活化可使用叠氮化物、混合酸酐、活性酯、或碳二亚胺方法,特别是采用添加催化性的抑制外消旋化作用的化合物如1-N-N-羟基苯并三唑、N-羟基琥珀酰亚胺、3-羟基-4-氧代-3,4-二氢-1,2,3,-苯并三嗪、N-羟基-5降冰片烯-2,3-二羧酸亚胺。也可使用含磷的酸的酸酐。见,例如,The Peptides,Analysis,Synthesis,Biology,supra andPure and Applied Chemistry,59(3),331-344(1987)。Compounds conforming to the general formula can be prepared using conventional methods for preparing such compounds. For this, a suitable N-terminally alpha protected (and, if a reactive side chain is present, side chain protected) amino acid analogue or peptide is activated and coupled to a suitable carboxyl group in solution or on a solid support. Protected amino acid or peptide derivatives. The protection of the α-amino functional group is usually carried out with the urethane functional group, such as the use of acid-resistant tertiary-butyloxycarbonyl (tertiary-butyloxycarbonyl group, "Boc"), benzyloxycarbonyl (benzyloxycarbonyl, "Z") and substituted analogs, or resistant 9-fluoromyl-methyloxycarbonyl ("Fmoc") as a base. The Z group can also be removed by catalytic hydrogenation. Suitable other protecting groups include Nps, Bmv, Bpoc, Aloc, MSC and the like. Amino-protecting groups are reviewed in The peptides, Analysis, Synthesis, Biology, Vol. 3, E. Gross and J. Meienhofer, eds. (Academic Press, New York, 1981). Carboxyl protection can be carried out by esterification, for example base-resistant esters such as methyl or ethyl esters, acid-resistant esters such as tert-butyl esters or substituted, benzyl esters or by hydrogenolysis. Protection of side chain functional groups such as lysine and glutamic acid or aspartic acid can be carried out using the aforementioned groups. Protection of thiol (although not always required), guanidine, alcohol and imidazole groups can be achieved using a variety of reagents, see for example The Peptides, Analysis, Synthesis, Biology, id. or see Pure and Applied Chemistry, 59(3 ), 331-344 (1987). Activation of the carboxyl group of a suitable protected amino acid or peptide can be accomplished using the azide, mixed anhydride, active ester, or carbodiimide approach, particularly by the addition of catalytic racemization-inhibiting compounds such as 1- N-N-hydroxybenzotriazole, N-hydroxysuccinimide, 3-hydroxy-4-oxo-3,4-dihydro-1,2,3,-benzotriazine, N-hydroxy-5-nor Bornene-2,3-dicarboxyimine. Anhydrides of phosphorus-containing acids may also be used. See, e.g., The Peptides, Analysis, Synthesis, Biology, supra and Pure and Applied Chemistry, 59(3), 331-344 (1987).
还可通过Merrifield的固相方法制备所述化合物。不同的固相支持物和不同的策略是已知的,例如见Barany and Merrifield,The Peptides,Analysis,Synthesis,Biology,Vol.2,E.Gross and J.Meienhofer,eds.(Acad.Press,NewYork,1980);Kneib-Cordonier and Mullen,Int.J.Peptide Protein Res.,30,705-739(1987);和Fields and Noble,Int.J.Peptide Protein Res.,35,161-214(1990)。那些其中肽键被等排物取代的化合物通常可采用前述的保护基团和活化方法进行合成。合成修饰的等排物的方法可参考文献,例如有关--CH2--NH--等排物和--CO--CH2--等排物的文献。The compounds can also be prepared by Merrifield's solid phase method. Different solid supports and different strategies are known, see for example Barany and Merrifield, The Peptides, Analysis, Synthesis, Biology, Vol. 2, E. Gross and J. Meienhofer, eds. (Acad. Press, New York , 1980); Kneib-Cordonier and Mullen, Int. J. Peptide Protein Res., 30, 705-739 (1987); and Fields and Noble, Int. J. Peptide Protein Res., 35, 161-214 (1990) . Those compounds in which the peptide bond is replaced by an isostere can generally be synthesized using the aforementioned protecting groups and activation methods. For methods of synthesizing modified isosteres, reference can be made to literature, for example, literature on --CH 2 --NH--isosteres and --CO--CH 2 --isosteres.
根据保护基团的性质和固相肽合成方法中使用的连接于固相支持物的接头的类型,可采用不同方法去除保护基团以及自固相支持物上裂解。通常在酸性条件下和存在清除剂的情况下进行去保护。例如见volumes3,5and9of the series on The Peptides Analysis,Synthesis,Biology,supra。Depending on the nature of the protecting group and the type of linker attached to the solid support used in the solid phase peptide synthesis method, different methods can be used to remove the protecting group and cleavage from the solid support. Deprotection is usually carried out under acidic conditions and in the presence of scavengers. See for example volumes3, 5 and 9 of the series on The Peptides Analysis, Synthesis, Biology, supra.
另一种可能的方法是使用酶合成此类化合物。例如参见综述H.D.Jakubke in The Peptides,Analysis,Synthesis,Biology,Vol.9,S.Udenfriend andJ.Meienhofer,eds.(Acad.Press,New York,1987)。Another possible approach is to use enzymes to synthesize such compounds. See for example the review by H.D. Jakubke in The Peptides, Analysis, Synthesis, Biology, Vol. 9, S. Udenfriend and J. Meienhofer, eds. (Acad. Press, New York, 1987).
尽管从环境出发可能不太合适,但也可以采用重组DNA方法制备本发明的寡肽。此类方法涉及通过在合适的宿主微生物中表达重组多核苷酸的方法制备所需寡肽,所述多核苷酸的序列编码感兴趣的一或多个寡肽。此方法通常涉及将编码一或多种具体寡肽的DNA序列导入克隆载体(如质粒、噬菌体DNA、或能够在宿主细胞中复制的其他DNA序列),将克隆载体导入合适的真核或原核宿主细胞,并培养如此转化的宿主细胞。如果使用真核宿主细胞,化合物会含有糖蛋白部分。The oligopeptides of the invention can also be prepared using recombinant DNA methods, although it may be less appropriate from the circumstances. Such methods involve the preparation of the desired oligopeptide by expressing in a suitable host microorganism a recombinant polynucleotide whose sequence encodes one or more oligopeptides of interest. This method generally involves introducing a DNA sequence encoding one or more specific oligopeptides into a cloning vector (such as a plasmid, phage DNA, or other DNA sequence capable of replicating in a host cell), introducing the cloning vector into a suitable eukaryotic or prokaryotic host cells, and culturing the thus transformed host cells. If eukaryotic host cells are used, the compound will contain a glycoprotein moiety.
在本申请中,肽的“功能性类似物”包括氨基酸序列或其他序列单体,其序列已经被改变,使得序列的功能特性在性质上基本相同,但在量上不必完全相同。In this application, a "functional analog" of a peptide includes an amino acid sequence or other sequence monomer whose sequence has been altered such that the functional properties of the sequence are substantially identical in nature, but not necessarily identical in quantity.
肽或其功能性类似物的功能可采用体内和/或体外测试来确定。体外测试是优选的。在一个实施方式中,对功能性肽类似物进行比较测试,其中采用参比或者对照肽,例如仅由L氨基酸组成的肽类似物。合适的测试包括确定候选肽影响细胞周期动力学的能力。例如,可采用植物模型系统确定对细胞周期进程的影响,例如在此所例举的拟南芥系统,或采用培养的(哺乳动物)细胞。在另一方面其涉及确定候选肽抑制凋亡的能力,例如通过诱导(暂时性)G2-M细胞周期停滞。The function of a peptide or a functional analog thereof can be determined using in vivo and/or in vitro assays. In vitro testing is preferred. In one embodiment, a comparative test is performed on a functional peptide analogue using a reference or control peptide, eg a peptide analogue consisting only of L amino acids. Suitable tests include determining the ability of candidate peptides to affect cell cycle kinetics. For example, effects on cell cycle progression can be determined using plant model systems, such as the Arabidopsis system exemplified here, or using cultured (mammalian) cells. In another aspect it involves determining the ability of candidate peptides to inhibit apoptosis, eg by inducing (transient) G2-M cell cycle arrest.
可以多种方式产生类似物,例如通过“保守性氨基酸取代”。此外,可设计肽模拟物化合物,它们能够在功能上或结构上类似于作为起始点的原始肽,但例如由非天然氨基酸或聚酰胺组成。通过“保守性氨基酸取代”,一种氨基酸残基被另一种性质大体类似(大小、疏水性)的残基取代,由此总体功能基本不会受到严重影响。不过,一般更加期望能够改善具体的功能。也可通过全面提高氨基酸序列的至少一种所需特性而产生类似物。这可以例如通过Ala扫描(Ala-scan)和/或置换网制图(replacement net mapping)方法而实现。采用这些方法,可以基于原始的氨基酸序列产生很多不同的肽,但每一种均含有至少一个氨基酸残基的取代。氨基酸残基可被丙氨酸取代(Ala-扫描)或通过任何其他氨基酸残基取代(置换网制图)。这样便合成了原始氨基酸序列的许多位置性变体(positional variant)。筛选每个位置性变体的比活性。产生的数据用于设计特定氨基酸序列的改良的肽衍生物。Analogs can be produced in various ways, for example by "conservative amino acid substitutions". Furthermore, peptidomimetic compounds can be designed, which can be functionally or structurally similar to the original peptide as starting point, but for example consist of unnatural amino acids or polyamides. By "conservative amino acid substitutions", one amino acid residue is replaced by another residue of substantially similar properties (size, hydrophobicity), whereby the overall function is substantially not severely affected. However, it is generally more desirable to improve specific functions. Analogs can also be produced by generally improving at least one desired property of an amino acid sequence. This can be achieved, for example, by Ala-scan and/or replacement net mapping methods. Using these methods, many different peptides can be generated based on the original amino acid sequence, but each containing a substitution of at least one amino acid residue. Amino acid residues can be substituted by alanine (Ala-scan) or by any other amino acid residue (substitution grid mapping). In this way many positional variants of the original amino acid sequence are synthesized. Each positional variant was screened for specific activity. The data generated are used to design improved peptide derivatives of specific amino acid sequences.
也可通过例如将L-氨基酸残基替换为D-氨基酸残基而产生类似物。这种取代导致产生非天然存在的肽,可改善氨基酸序列的特性。可例如提供逆向反转(retro inversion)形式的全部由D氨基酸组成的已知活性的肽序列,由此能够保持其活性并增加半衰期。通过产生原始氨基酸序列的许多位置性变体并筛选其比活性,可设计具有进一步改进的特性的包括此类D氨基酸的改良的肽衍生物。现有技术已经发现,在一端或两端用D氨基酸保护的肽比仅由L氨基酸组成的肽更加稳定。其他类型的修饰包括本领域已知的研发肽类药物使之具有可用于药物组合物的有益效应的修饰。这些效应可包括功效提高、药代动力学改变、稳定性提高并导致半衰期延长、以及对冷链处理严格性要求的降低。Analogs can also be generated, for example, by substituting D-amino acid residues for L-amino acid residues. Such substitutions result in non-naturally occurring peptides with improved amino acid sequence properties. A known active peptide sequence consisting entirely of D amino acids can be provided, for example, in retro inversion form, thereby enabling its activity to be maintained and its half-life to be increased. By generating many positional variants of the original amino acid sequence and screening for their specific activity, improved peptide derivatives comprising such D amino acids can be designed with further improved properties. The prior art has found that peptides protected with D amino acids at one or both ends are more stable than peptides consisting only of L amino acids. Other types of modifications include those known in the art to develop peptide drugs with beneficial effects useful in pharmaceutical compositions. These effects may include improved efficacy, altered pharmacokinetics, increased stability resulting in increased half-life, and reduced stringency requirements for cold chain handling.
在本发明的一个实施方式中,抗辐射肽包括由其氨基和羧基之间的肽键连接在一起的氨基酸序列,其中至少一个氨基酸是D氨基酸。例如,抗辐射肽选自如下一组:VVC、LAG、AQG、LQGV、QVVC、MTRV、AQGV、LAGV、LQAV、PGCP、VGQL、RVLQ、EMFQ、AVAL、FVLS、NMWD、LCFL、FSYA、FWVD、AFTV、LGTL、QLLG、YAIT、APSL、ITTL、QALG、GVLC、NLIN、SPIE、LNTI、LHNL、CPVQ、EVVR、MTEV、EALE、EPPE、LGTL、VGGI、RLPG、LQGA、LCFL、TLAVE、VEGNL、LNEAL、VLPALP、MGGTWA、LTCDDP、VLPAPLQ、VCNYRDV、CPRGVNP、QPLAPLVG和DINGFLPAL,其中至少一个由标准的单字母代码表示的氨基酸残基是D氨基酸。In one embodiment of the present invention, the anti-radiation peptide comprises an amino acid sequence linked together by a peptide bond between its amino and carboxyl groups, wherein at least one amino acid is a D amino acid. For example, the radioresistant peptide is selected from the group consisting of: VVC, LAG, AQG, LQGV, QVVC, MTRV, AQGV, LAGV, LQAV, PGCP, VGQL, RVLQ, EMFQ, AVAL, FVLS, NMWD, LCFL, FSYA, FWVD, AFTV , LGTL, QLLG, YAIT, APSL, ITTL, QALG, GVLC, NLIN, SPIE, LNTI, LHNL, CPVQ, EVVR, MTEV, EALE, EPPE, LGTL, VGGI, RLPG, LQGA, LCFL, TLAVE, VEGNL, LNEAL, VLPALP , MGGTWA, LTCDDP, VLPAPLQ, VCNYRDV, CPRGVNP, QPLAPLVG, and DINGFLPAL, wherein at least one of the amino acid residues represented by the standard one-letter code is a D amino acid.
本领域人员能够产生氨基酸序列的类似物化合物。这可通过例如筛选肽文库而进行。这种类似物基本上具有与原序列相同的功能特性,但在量上不必完全相同。此外,肽或类似物可以被环化,例如通过给它们提供(末端)半胱氨酸;被二聚化或多聚化,例如通过连接于赖氨酸或半胱氨酸或其他具有允许发生连接或多聚化的侧链的化合物;形成串联或重复构型;偶联或以其他方式连接于本领域已知的载体,只要通过允许解离的可靠连接即可。如上所述的这些寡肽的合成物以及功能性类似物或断裂产物,可用于治疗辐射损伤和后续疾病的方法中。One skilled in the art is able to generate analog compounds of amino acid sequences. This can be done, for example, by screening peptide libraries. Such analogs have substantially the same functional properties as the original sequence, but need not be identical in quantity. Furthermore, peptides or analogs can be cyclized, for example by providing them with a (terminal) cysteine; be dimerized or multimerized, for example by attachment to lysine or cysteine or other Compounds with linked or multimerized side chains; formed in tandem or repeat configurations; coupled or otherwise linked to carriers known in the art, provided by a secure linkage that allows dissociation. Syntheses and functional analogs or fragmentation products of these oligopeptides as described above are useful in methods of treating radiation damage and subsequent disease.
在本申请中,肽的“功能性类似物”优选地小于衍生出它的肽,因此最好是通过缺失和/或取代来制备,而非增加其长度。此外,在本申请中,肽的“功能性类似物”不涉及那些含有在此被鉴定为抗辐射肽的氨基酸序列同时其一侧或两侧存在更多氨基酸的更大的蛋白质或肽。In this application, a "functional analog" of a peptide is preferably smaller than the peptide from which it is derived, and thus is preferably prepared by deletion and/or substitution rather than increasing its length. Furthermore, in this application, "functional analogs" of peptides do not refer to those larger proteins or peptides that contain the amino acid sequence identified herein as a radioresistant peptide with more amino acids on one or both sides of it.
术语“药物组合物”在此旨在同时涵盖本发明的活性组合物本身和含有本发明的组合物以及药用可接受的载体、稀释剂或赋形剂的组合物。药物组合物可含有至少两种在此所述的抗辐射肽或类似物的混合物。在此详述的寡肽的可接受的稀释剂例如为生理学盐溶液或磷酸缓冲盐溶液。在一个实施方式中,寡肽或组合物以有效浓度全身性施用于动物或人,例如通过静脉、肌肉内或腹腔内施用。另一种施用途径包括器官或组织灌注,可以在体内或体外,使用包括本发明的寡肽或组合物的灌注液进行。可以单一剂量施用,不连续的多剂量施用,或持续一段足以允许充分调节基因表达的时间。对于持续施用,持续施用的时间随多种因素而变,这是本领域人员容易理解的。The term "pharmaceutical composition" herein is intended to cover both the active composition of the present invention per se and compositions containing the composition of the present invention together with pharmaceutically acceptable carriers, diluents or excipients. The pharmaceutical composition may contain a mixture of at least two radioresistant peptides or analogs described herein. Acceptable diluents for the oligopeptides detailed herein are, for example, physiological saline or phosphate buffered saline. In one embodiment, the oligopeptide or composition is administered systemically to an animal or human at an effective concentration, eg, intravenously, intramuscularly or intraperitoneally. Another route of administration involves organ or tissue perfusion, which can be performed in vivo or in vitro, using a perfusate comprising an oligopeptide or composition of the invention. Administration may be in a single dose, in discrete multiple doses, or for a period of time sufficient to allow sufficient modulation of gene expression. For sustained administration, the duration of sustained administration will vary with a variety of factors, as will be readily understood by those skilled in the art.
活性分子的施用剂量可以有相当大的范围。可施用的活性分子的浓度通常受到较低浓度时的功效以及较高浓度时化合物的溶解度限制。对具体患者的最佳剂量应该而且能够由有关的医生或医学专家确定,其中药考虑到熟知的相关因素例如患者的病情、体重和年龄等等。The dose of active molecule administered can vary considerably. The concentration of active molecule that can be administered is generally limited by the efficacy at lower concentrations and the solubility of the compound at higher concentrations. The optimal dosage for a particular patient should and can be determined by the relevant physician or medical professional, taking into account well-known relevant factors such as the patient's condition, weight and age, and the like.
活性分子可在合适的载体中直接施用,例如磷酸缓冲液(“PBS”)或酒精或DMSO中的溶液。不过,根据本发明优选的实施方式,采用药物输送系统通过单剂输送施用活性分子。合适的药物输送系统应该是药理学无活性的或至少是可耐受的。其优选地既不具有免疫原性也不引起炎症反应,并且应该使得活性分子的释放能够在所需时间内维持其有效水平。适合于控释目的的可选方案是本领域已知的并属于本发明的范围之内。合适的输送载体包括但不限于:微胶囊或微球;脂质体和其他基于脂质的释放体系;粘滴(viscous instillates);可吸收和/或可生物降解的机械屏障和植入物;以及聚合物输送材料,如聚氧化乙烯/聚氧化丙烯嵌段共聚物、聚酯、交联聚乙烯醇、聚酐、聚甲基丙烯酸酯和聚甲基丙烯酰胺水凝胶、阴离子碳水化合物聚合物等等。可用的输送系统是本领域熟知的。The active molecule can be administered directly in a suitable vehicle, such as a solution in phosphate buffered saline ("PBS") or alcohol or DMSO. However, according to a preferred embodiment of the invention, the active molecule is administered by single dose delivery using a drug delivery system. A suitable drug delivery system should be pharmacologically inactive or at least tolerable. It is preferably neither immunogenic nor inflammatory, and should allow the release of the active molecule to maintain its effective level for the desired period of time. Alternatives suitable for controlled release purposes are known in the art and are within the scope of the present invention. Suitable delivery vehicles include, but are not limited to: microcapsules or microspheres; liposomes and other lipid-based delivery systems; viscous instillates; absorbable and/or biodegradable mechanical barriers and implants; and polymer delivery materials such as polyethylene oxide/polyoxypropylene block copolymers, polyesters, cross-linked polyvinyl alcohols, polyanhydrides, polymethacrylate and polymethacrylamide hydrogels, anionic carbohydrate polymers things and so on. Useful delivery systems are well known in the art.
实现活性分子释放的一种制剂包括注射用微胶囊或微球,其由可生物降解聚合物制得,如聚(dl-丙交酯)、聚(dl-丙交酯-共-乙交酯)、聚已酸内酯、聚乙交酯、聚乳酸-共-乙交酯、聚(羟丁酸)、聚酯或缩醛树脂。包括直径为大约50微米至大约500微米的微胶囊或微球的注射用系统较其他输送系统具有优势。例如,它们通常使用较少的活性分子并可由辅助医疗人员施用。此外,通过选择微胶囊或微球的大小、装药量和施用剂量,此类系统在不同药物释放的时间和速度的设计上具有内在的灵活性。此外,可通过伽玛照射使其无菌化。One formulation to achieve release of active molecules includes injectable microcapsules or microspheres made from biodegradable polymers such as poly(dl-lactide), poly(dl-lactide-co-glycolide ), polycaprolactone, polyglycolide, polylactic-co-glycolide, poly(hydroxybutyric acid), polyester or acetal resin. Injectable systems comprising microcapsules or microspheres having a diameter of about 50 microns to about 500 microns have advantages over other delivery systems. For example, they generally use fewer active molecules and can be administered by paramedical personnel. Furthermore, such systems have inherent flexibility in designing the timing and rate of release of different drugs by choosing the size of the microcapsules or microspheres, the amount of drug loaded, and the dose administered. In addition, it can be sterilized by gamma irradiation.
微胶囊和微球的设计、制备和使用是本领域人员熟知的,有关这方面的具体技术细节可参见文献。也可用可生物降解聚合物(如丙交酯、乙交酯和己内酯聚合物)制备微胶囊和微球以外的制剂;如含有活性分子的预制膜和喷涂膜可用于本发明。包含活性分子的滤膜或纤维也在本发明的范围内。The design, preparation and use of microcapsules and microspheres are well known in the art, and specific technical details in this regard can be found in the literature. Formulations other than microcapsules and microspheres can also be prepared using biodegradable polymers such as lactide, glycolide, and caprolactone polymers; for example, prefabricated and sprayed films containing active molecules can be used in the present invention. Filters or fibers comprising active molecules are also within the scope of the invention.
另一种高度适合用于单剂输送本发明的活性分子的制剂是脂质体。将活性分子包囊化于脂质体或多层囊泡是靶向药物输送和延长药物存留的熟知技术。装有药物的脂质体的制备和使用是本领域人员已知的并在文献中有详细描述。Another formulation that is highly suitable for single dose delivery of the active molecules of the invention is liposomes. Encapsulation of active molecules in liposomes or multilamellar vesicles is a well-known technique for targeted drug delivery and prolonged drug retention. The preparation and use of drug-loaded liposomes is known to those skilled in the art and is described in detail in the literature.
单剂输送本发明的活性分子的另一种合适的方式涉及粘滴。在该技术中,高分子量载体与活性分子混合使用,得到的结构可产生具有高粘度的溶液。合适的高分子量载体包括但不限于:葡聚糖和环糊精;水凝胶;(交联)粘性材料,包括(交联)粘弹性材料;羧甲纤维素;透明质酸;和硫酸软骨素。装有药物的粘滴的制备和使用是本领域人员已知的。Another suitable means of single-dose delivery of the active molecules of the invention involves sticky droplets. In this technique, high molecular weight carriers are used in combination with active molecules, resulting in structures that produce solutions with high viscosity. Suitable high molecular weight carriers include, but are not limited to: dextran and cyclodextrin; hydrogels; (cross-linked) viscous materials, including (cross-linked) viscoelastic materials; carmellose; hyaluronic acid; white. The preparation and use of drug-loaded sticky droplets is known to those skilled in the art.
根据另一种方式,活性分子可与可吸收机械屏障如氧化再生纤维素组合施用。活性分子可共价或非共价(如通过离子键)结合于这种屏障,或仅仅是分散于其上即可。According to another approach, the active molecule can be administered in combination with an absorbable mechanical barrier such as oxidized regenerated cellulose. Active molecules can be bound to this barrier covalently or non-covalently (eg, via ionic bonds), or simply dispersed thereon.
通过以下示例性实施例进一步解释本发明。The invention is further explained by the following illustrative examples.
实施例Example
肽的选择Peptide selection
基于hCGβ-亚单位环2的序列MTRVLQGVLPALPQVVC(残基41-57)上已知的优先裂解位点进行选择(Cole et al.,J.Clin.Endocr.Metab.1993;76:704-710;H.Alfthan,U.H.Stenman,Mol.Cell.Endocrinol.1996;125:107-120;A.Kardana,et al.,Endocrinology1991;129:1541-1550;Cole etal.,Endocrinology1991;129:1559-1567;S.Birken,Y.Maydelman,M.A.Gawinowicz,Methods2000;21:3-14),并在来自C反应蛋白(CRP)(β-连环蛋白,如人CTNB)、布鲁顿型酪氨酸激酶(如人BTK)、基质金属蛋白酶-2和p-53的氨基酸序列上进行选择。Selection was based on known preferential cleavage sites on the sequence MTRVLQGVLPALPQVVC (residues 41-57) of hCG β-subunit loop 2 (Cole et al., J. Clin. Endocr. Metab. 1993; 76: 704-710; H .Alfthan, U.H.Stenman, Mol.Cell.Endocrinol.1996; 125:107-120; A.Kardana, et al., Endocrinology 1991; 129:1541-1550; Cole et al., Endocrinology 1991; 129:1559-1567; S. Birken, Y.Maydelman, M.A.Gawinowicz, Methods2000; 21:3-14), and in C-reactive protein (CRP) (β-catenin, such as human CTNB), Bruton-type tyrosine kinase (such as human BTK ), matrix metalloproteinase-2 and p-53 amino acid sequences were selected.
肽的合成peptide synthesis
通过专有方法(Diosynth BV)或使用基于9-芴甲氧羰基(Fmoc)/叔丁基的方法以2-氯三苯甲基氯树脂(2-chlorotrityl chloride resin)作为固相支持物通过固相合成法(Ansynth BV)商品化制备在此所述的肽。以三苯甲基官能团保护谷胺酰胺的侧链。手工合成了这些肽。每个偶联包括以下步骤:(i)以二甲基甲酰胺(DMF)中的哌啶去除α-氨基的Fmoc保护,(ii)将Fmoc氨基酸(3eq)与二异丙基碳二亚胺(DIC)/1-羟基苯并三唑(HOBt)在DMF/N-甲基甲酰胺(NMP)中偶联,和(iii)以乙酸酐/二异丙基乙胺(DIEA)在DMF/NMP中对剩余的氨基官能团进行加帽。合成完毕,以三氟乙酸(TFA)/H2O/三异丙基硅烷(TIS)95:2.5:2.5的混合物处理肽树脂。30分钟后,加入TIS直至脱色。溶液在真空中脱水,以乙醚沉淀肽。粗制的肽溶解于水(50-100mg/ml)并通过反相高效液相层析(RP-HPLC)纯化。HPLC条件:柱:Vydac TP21810C18(10x250mm);洗脱体系:梯度系统为0.1%TFA溶于水v/v(A)和0.1%TFA溶于乙腈(ACN)v/v(B);流速6ml/分钟;在190-370nm测定到吸收。使用了不同的梯度体系。例如对于肽LQG和LQGV:10分钟100%A,继之以线性梯度0-10%B,50分钟。例如对于肽VLPALP和VLPALPQ:5分钟5%B,继之以线性梯度1%B/分钟。通过在40℃低压条件旋转膜蒸发将收集的组分浓缩至大约5ml。通过在醋酸盐形式的阴离子交换树脂(Merck II)柱上洗脱两次,使得残余的TFA与醋酸盐发生交换。浓缩洗脱物并冻干28小时。随后将肽溶解于PBS,备用。By a proprietary method (Diosynth BV) or using a 9-fluorenylmethoxycarbonyl (Fmoc)/tert-butyl-based method with 2-chlorotrityl chloride resin (2-chlorotrityl chloride resin) The peptides described herein were prepared commercially by Phase Synthesis (Ansynth BV). The side chain of glutamine is protected with a trityl functional group. The peptides were synthesized manually. Each coupling consists of the following steps: (i) removal of the Fmoc protection of the α-amino group with piperidine in dimethylformamide (DMF), (ii) addition of the Fmoc amino acid (3eq) with diisopropylcarbodiimide (DIC)/1-hydroxybenzotriazole (HOBt) was coupled in DMF/N-methylformamide (NMP), and (iii) was coupled with acetic anhydride/diisopropylethylamine (DIEA) in DMF/ The remaining amino functions were capped in NMP. After the synthesis, the peptide resin was treated with a mixture of trifluoroacetic acid (TFA)/H 2 O/triisopropylsilane (TIS) 95:2.5:2.5. After 30 minutes, TIS was added until decolorization. The solution was dehydrated in vacuo and the peptide was precipitated with ether. The crude peptide was dissolved in water (50-100 mg/ml) and purified by reverse phase high performance liquid chromatography (RP-HPLC). HPLC conditions: column: Vydac TP21810C18 (10x250mm); elution system: gradient system is 0.1% TFA dissolved in water v/v (A) and 0.1% TFA dissolved in acetonitrile (ACN) v/v (B); flow rate 6ml/ min; absorbance measured at 190-370 nm. Different gradient systems were used. For example for peptides LQG and LQGV: 100% A for 10 minutes, followed by a linear gradient of 0-10% B for 50 minutes. For example for peptides VLPALP and VLPALPQ: 5% B for 5 minutes followed by a linear gradient of 1% B/minute. The collected fractions were concentrated to about 5 ml by rotary film evaporation at 40°C under low pressure conditions. Residual TFA was exchanged for acetate by eluting twice on a column of anion exchange resin (Merck II) in the acetate form. The eluate was concentrated and lyophilized for 28 hours. Peptides were then dissolved in PBS for later use.
实施例1和实施例2Example 1 and Example 2
在第一个实验中,给12-周龄雌性BALB/c小鼠腹腔内单次注射PBS(n=9)或肽(LGQV、VLPALP、LPGCPRGVNPVVS、MTRVLQGVLPALPQVVC;n=8,10mg/kg)。处理后1个半小时小鼠全身暴露于单剂10Gy137Cs-γ-照射。在第二个实验中,12-周龄雌性BALB/c小鼠先全身暴露于单剂10Gy137Cs-γ-照射,然后在照射后1.5小时腹腔内单次注射PBS(n=9)或肽(n=8或9,10mg/kg)。实验过程中在不同时间点观察死亡率和临床征象(如,眼睛流泪代表结膜炎,以及体重减轻)。从表2可见,所有的测试肽在处理组小鼠中均具有良好的减轻结膜炎的作用,而对死亡率没有影响,这促使我们去选择一种最适合对抗急性炎症的肽,以便在后期进行的重复剂量的较低照射中对其进行测试。In the first experiment, 12-week-old female BALB/c mice were given a single intraperitoneal injection of PBS (n=9) or peptides (LGQV, VLPALP, LPGCPRGVNPVVS, MTRVLQGVLPALPQVVC; n=8, 10 mg/kg). Mice were systemically exposed to a single dose of 10 Gy 137 Cs-γ-irradiation 1.5 hours after treatment. In the second experiment, 12-week-old female BALB/c mice were systemically exposed to a single dose of 10Gy 137 Cs-γ-irradiation followed by a single intraperitoneal injection of PBS (n=9) or peptide (n=8 or 9, 10 mg/kg). Mortality and clinical signs (eg, watery eyes indicating conjunctivitis, and weight loss) were observed at various time points during the experiment. It can be seen from Table 2 that all the tested peptides have a good effect on reducing conjunctivitis in the treated mice, but has no effect on the mortality rate, which prompted us to choose a peptide that is most suitable for fighting acute inflammation, so that in the later stage It was tested in repeated doses of lower irradiation.
实施例3Example 3
在双盲动物实验中测试了6种寡肽(即A:LAGV,B:AQGV,C:LAG,D:AQG,E:MTR,和F:MTRV)并与PBS(对照)比较,测试各个肽在小鼠肾脏缺血再灌注试验中促进恢复的相对能力。实验中,将小鼠麻醉,切除一侧肾脏。另一侧肾脏结扎25分钟,血清尿素水平升高。结扎前后给30只不同小鼠静脉施用每种不同的肽(5mg寡肽/kg体重),随后在2小时、24小时和72小时确定各种肽处理的小鼠的死亡率以及BUN浓度。结果见表3(不包括实施例3获得的肽A(LAGV(SEQ ID NO:4))的结果)。Six oligopeptides (i.e. A: LAGV, B: AQGV, C: LAG, D: AQG, E: MTR, and F: MTRV) were tested in double-blind animal experiments and compared with PBS (control), each peptide was tested Relative ability to promote recovery in the mouse kidney ischemia-reperfusion assay. In the experiment, mice were anesthetized and one kidney was removed. The other kidney was ligated for 25 minutes, and the serum urea level increased. Each of the different peptides (5 mg oligopeptide/kg body weight) was intravenously administered to 30 different mice before and after ligation, and then the mortality and BUN concentration of each peptide-treated mice were determined at 2 hours, 24 hours and 72 hours. The results are shown in Table 3 (excluding the results of peptide A (LAGV (SEQ ID NO: 4)) obtained in Example 3).
在吸入麻醉条件下,分离出左侧肾脏连同其动脉和静脉并以微血管钳阻断25分钟。手术中动物放置在加热垫上以保持体温在37℃。放置血管钳之前5分钟和松开血管钳之前5分钟,给动物静脉施用5mg/kg的肽,溶解于0.1mL的无菌盐水中。左侧肾脏再灌注之后切除右肾。通过测定夹闭之前和再灌注后2、24、和72小时的血尿素氮评价肾功能。Under inhalational anesthesia, the left kidney was isolated with its arteries and veins and blocked with microvascular clamps for 25 minutes. Animals were placed on a heating pad during surgery to maintain body temperature at 37°C. Five minutes before placing the vascular clamp and 5 minutes before releasing the vascular clamp, the animals were administered intravenously with 5 mg/kg of peptide dissolved in 0.1 mL of sterile saline. The right kidney was resected after reperfusion of the left kidney. Renal function was assessed by measuring blood urea nitrogen before clipping and 2, 24, and 72 hours after reperfusion.
结果-表3(再灌注后72小时的死亡率)Results - Table 3 (mortality at 72 hours after reperfusion)
*2x2卡方检验。df=1 * 2x2 chi-square test. df=1
肽A(SEQ ID NO:4)是在肾脏缺血再灌注试验中施用的第一种肽。进行实验的人员在使用肽A时在熟悉学习曲线。在下腔静脉施用该肽过程中,一些动物在注射部位出现中度失血,但其他动物没有。无意中将这些动物送回笼子但在术后第一夜没有在笼中放饮用水。此外,这些动物本应该在72小时处死,但却错误地在再灌注后48小时被处死。对于肽B-F,实验过程中没有出现这些或者其他问题。Peptide A (SEQ ID NO: 4) was the first peptide administered in the renal ischemia-reperfusion assay. The person performing the experiment is familiar with the learning curve when using peptide A. During inferior vena cava administration of the peptide, some animals experienced moderate blood loss at the injection site, but others did not. The animals were inadvertently returned to their cages but were not given drinking water in the cages during the first postoperative night. In addition, the animals should have been sacrificed at 72 hours but were mistakenly sacrificed at 48 hours after reperfusion. For peptides B-F, these or other problems did not arise during the experiment.
可以看出,施用了寡肽MTRV且特别是AQGV的动物在存活(相对于PBS对照组死亡率明显降低)以及BUN浓度下降方面较对照组(PBS)或施用其他寡肽的组要好得多,有更多的小鼠存活且血清尿素水平较其他组低得多。不过,寡肽LAG、AQG、和MTR在本实验中没有降低BUN浓度,但与PBS对照组相比分别明显降低了死亡率,其中MTR甚至在72小时时使测试小鼠的BUN水平升高。It can be seen that the animals administered with oligopeptide MTRV and especially AQGV are much better in terms of survival (significantly reduced mortality relative to the PBS control group) and decreased BUN concentration than the control group (PBS) or the groups administered with other oligopeptides, More mice survived and serum urea levels were much lower than the other groups. However, oligopeptides LAG, AQG, and MTR did not reduce the BUN concentration in this experiment, but significantly reduced the mortality compared with the PBS control group, and MTR even increased the BUN level of the test mice at 72 hours.
实施例4Example 4
出于前面提到的原因,重新测试了一种寡肽(A)降低小鼠BUN水平的能力。结果见表4。可以看出,接受寡肽LAGV的小鼠相对于对照组(PBS)在存活(相对于PBS对照组死亡率明显降低)和降低BUN浓度方面均好得多。For the reasons mentioned previously, one oligopeptide (A) was retested for its ability to reduce BUN levels in mice. The results are shown in Table 4. It can be seen that the mice receiving the oligopeptide LAGV were much better than the control group (PBS) in terms of survival (significantly lower mortality compared to the PBS control group) and lower BUN concentration.
实施例5Example 5
在如上所述的小鼠实验中测试了另外4种寡肽(G(VLPALPQ),H(VLPALP),I(LQGV)和J(LQG))降低BUN水平的能力。结果见表4。可以看出,接受了寡肽LQG的小鼠在实验早期显示出BUN浓度降低(再灌注后24小时),而接受了VLPALPQ的小鼠在实验后期(再灌注后72小时)的降低BUN浓度方面较对照组(PBS)或其他寡肽处理组要好得多,有更多小鼠存活且血清尿素水平较其他组低得多。Four additional oligopeptides (G(VLPALPQ), H(VLPALP), I(LQGV) and J(LQG)) were tested for their ability to reduce BUN levels in the mouse experiments described above. The results are shown in Table 4. As can be seen, mice that received the oligopeptide LQG showed reduced BUN concentrations early in the experiment (24 hours after reperfusion), whereas mice that received VLPALPQ showed reduced BUN concentrations later in the experiment (72 hours after reperfusion) Much better than control (PBS) or other oligopeptide-treated groups, with more mice surviving and serum urea levels much lower than other groups.
表4:肾脏缺血25分钟的小鼠以肽A-J处理后的BUNTable 4: BUN after 25 minutes of renal ischemia in mice treated with peptides A-J
再灌注后2小时统计学分析得到的P值: P values obtained by statistical analysis 2 hours after reperfusion :
A p=0.0491 NMPF-47 LAGVA p=0.0491 NMPF-47 LAGV
-B p=0.0008 NMPF-46 AQGV-B p=0.0008 NMPF-46 AQGV
-C p=0.9248 NMPF-44 LAG-C p=0.9248 NMPF-44 LAG
-D p=0.4043 NMPF-43 AQG-D p=0.4043 NMPF-43 AQG
-E p=0.1848 NMPF-12 MTR-E p=0.1848 NMPF-12 MTR
-F p=0.0106 NMPF-11 MTRV-F p=0.0106 NMPF-11 MTRV
-G p=0.1389 NMPF-7 VLPALPQ-G p=0.1389 NMPF-7 VLPALPQ
-H p=0.5613 NMPF-6 VLPALP-H p=0.5613 NMPF-6 VLPALP
-I p=0.9301 NMPF-4 LQGV-I p=0.9301 NMPF-4 LQGV
-J p=0.0030 NMPF-3 LQG-J p=0.0030 NMPF-3 LQG
再灌注后24小时统计学分析得到的P值: P values obtained from statistical analysis 24 hours after reperfusion :
A p=0.0017 NMPF-47 LAGVA p = 0.0017 NMPF-47 LAGV
-B p<0.0001 NMPF-46 AQGV-B p<0.0001 NMPF-46 AQGV
-C p=0.8186 NMPF-44 LAG-C p=0.8186 NMPF-44 LAG
-D p=0.2297 NMPF-43 AQG-D p=0.2297 NMPF-43 AQG
-E p=0.0242 NMPF-12 MTR-E p=0.0242 NMPF-12 MTR
-F p=0.0021 NMPF-11 MTRV-F p=0.0021 NMPF-11 MTRV
G p=0.0049 NMPF-7 VLPALPQG p=0.0049 NMPF-7 VLPALPQ
H p=0.3297 NMPF-6 VLPALPH p=0.3297 NMPF-6 VLPALP
-I p=0.8328 NMPF-4 LQGV-I p=0.8328 NMPF-4 LQGV
-J p=0.9445 NMPF-3 LQG-J p=0.9445 NMPF-3 LQG
通过Mann Whitney U-检验(SPSS for Windows)计算出P值。P values were calculated by Mann Whitney U-test (SPSS for Windows).
实施例6Example 6
为了确定剂量应答关系,在如上所述的小鼠肾衰实验中测试了两种肽(D(AQG,在实施例3测试的小鼠中对死亡率表现出很好的结果)和B(AQGV,在实施例3测试的小鼠中对BUN具有优越的结果)的剂量应答方式。如实施例3所述以0.3、1、3、10和30mg/kg的剂量测试所述肽。相对于PBS的血清尿素水平,肽D组在夹闭后72小时的P值(通过MannWhitney U-test(SPSS for Windows)计算)为:0.3mg/kg0.001,1mg/kg0.009,3mg/kg0.02,10mg/kg0.000,和30mg/kg0.23,对于肽B组,这些P值为0.88,0.054,0.000,0.001和0.003。可以看出,相对于肽B(AQGV),肽D(AQG)在所测试的较低剂量在降低BUN水平方面出乎意料地好,而且在所测试的较低剂量对死亡率的有益作用也是显著的。To determine the dose-response relationship, two peptides (D(AQG, which showed good results for mortality in the mice tested in Example 3) and B(AQGV) were tested in the mouse renal failure experiment as described above. , had superior results to BUN in the mice tested in Example 3). The peptide was tested as described in Example 3 at doses of 0.3, 1, 3, 10 and 30 mg/kg. Relative to PBS The serum urea level of the peptide D group at 72 hours after clipping was calculated by MannWhitney U-test (SPSS for Windows) as: 0.3mg/kg0.001, 1mg/kg0.009, 3mg/kg0.02 , 10mg/kg0.000, and 30mg/kg0.23, for peptide B group, these P values are 0.88, 0.054, 0.000, 0.001 and 0.003. It can be seen that relative to peptide B (AQGV), peptide D (AQGV) It was unexpectedly good at reducing BUN levels at the lower doses tested, and the beneficial effect on mortality was also significant at the lower doses tested.
设置感染性休克实验以确定哪种肽最适合抵御急性炎症。Set up a septic shock experiment to determine which peptides work best against acute inflammation.
用于败血症或感染性休克实验的小鼠:8-12周龄的雌性BALB/c小鼠用于所有实验。按照Report of European Laboratory Animal ScienceAssociations(FELASA)Working group on Animal Health(Laboratory Animals28:1-24,1994)的方案,将动物饲养在无特定病原体条件下的设施中。Mice used for sepsis or septic shock experiments: 8-12 week old female BALB/c mice were used for all experiments. Animals were housed in facilities under specific pathogen-free conditions following the protocol of the Report of European Laboratory Animal Science Associations (FELASA) Working group on Animal Health (Laboratory Animals 28: 1-24, 1994).
注射方案:对于内毒素模型,给BALB/c小鼠腹腔注射150-300μg LPS(E.coli026:B6;Difco Lab.,Detroit,MI,USA)。对照组仅腹腔注射PBS。为了测试肽的作用,将肽溶解于PBS并在PBS处理后的预定时间点腹腔注射。Injection protocol: For the endotoxin model, BALB/c mice were injected intraperitoneally with 150-300 μg LPS (E. coli026:B6; Difco Lab., Detroit, MI, USA). The control group was only intraperitoneally injected with PBS. To test the effect of the peptides, the peptides were dissolved in PBS and injected intraperitoneally at predetermined time points after PBS treatment.
采用如下测量方案对小鼠疾病严重程度评分:The severity of disease in mice was scored using the following measurement scheme:
0 无异常0 no exception
1 毛皮渗出液,但与正常小鼠相比没有可检测到的行为差异1 Fur exudates, but no detectable behavioral differences compared to normal mice
2 毛皮渗出液,卷缩反射,应答于刺激(如拍打笼子),在触碰过程中同健康小鼠一样表现活跃2 Fur exudate, curling reflex, responding to stimuli (eg, slapping cage), as active as healthy mice during touch
3 对拍打笼子反应迟缓,触碰时被动或温顺,但独自处于新环境中仍然好奇3 Slow to slap on cage, passive or docile to touch, but still curious in new surroundings alone
4 缺乏好奇感,对刺激极少或没有应答,很少活动4 Lack of curiosity, little or no response to stimuli, little activity
5 呼吸费力,不动或在被翻倒后缓慢摆正(垂死,处死)5 labored breathing, motionless or slowly straightens up after being overturned (dying, execution)
D 死亡D death
设置第一组感染性休克实验以确定哪种肽LQG、LQGV、VLPALP、VLPALPQ、MTR、MTRV、VVC或QVVC能够在小鼠中抑制脂多糖(LPS)诱导的感染性休克,在LPS处理后2小时以单剂肽处理小鼠。使用5mg/kg体重的肽给BALB/c小鼠腹腔注射,LPS(E.coli026:B6;Difco Lab.,Detroit,MI,USA)的剂量是渐增的,预计LPS在24至72小时导致80-100%死亡。对照组仅腹腔注射PBS,无死亡。The first set of septic shock experiments was set up to determine which peptides LQG, LQGV, VLPALP, VLPALPQ, MTR, MTRV, VVC, or QVVC were able to inhibit lipopolysaccharide (LPS)-induced septic shock in mice, after LPS treatment 2 Mice were treated with a single dose of the peptide for 2 hours. BALB/c mice were injected intraperitoneally with peptides at 5 mg/kg body weight, and the dose of LPS (E.coli026:B6; Difco Lab., Detroit, MI, USA) was gradually increased. LPS was expected to cause 80 -100% death. In the control group, only PBS was injected intraperitoneally, and no death occurred.
设置第二组感染性休克实验以确定哪种肽LQG、LQGV、VLPALP、VLPALPQ、MTR、MTRV、VVC或AQG、AQGV、LAG和LAGV能够在小鼠中抑制高剂量LPS诱导的感染性休克,在LPS处理后2和24小时以双倍剂量的肽处理小鼠。在各处理组中,使用5mg/kg体重的肽。给BALB/c小鼠腹腔注射高剂量LPS(E.coli026:B6;Difco Lab.,Detroit,MI,USA),预计LPS在24至72小时导致80-100%死亡。对照组仅腹腔注射PBS,无死亡。A second set of septic shock experiments was set up to determine which peptides LQG, LQGV, VLPALP, VLPALPQ, MTR, MTRV, VVC or AQG, AQGV, LAG, and LAGV were able to inhibit high-dose LPS-induced septic shock in mice, at Mice were treated with double doses of peptides 2 and 24 hours after LPS treatment. In each treatment group, 5 mg/kg body weight of the peptide was used. BALB/c mice were injected intraperitoneally with high doses of LPS (E. coli026:B6; Difco Lab., Detroit, MI, USA), and LPS was expected to cause 80-100% death within 24 to 72 hours. In the control group, only PBS was injected intraperitoneally, and no death occurred.
设置另一组感染性休克实验以确定所研究的哪种肽LQG、LQGV、VLPALP、VLPALPQ、MTR、MTRV、VVC或AQGV最适合在休克发生早期和/或后期或整个过程中使用。为了确定以肽进行后期或早期处理的内毒素休克存活率的百分数,给BALB/c小鼠腹腔注射300μg LPS(E.coli026:B6;Difco Lab.,Detroit,MI,USA),预计无肽处理情况下在48小时导致100%死亡。对照组仅腹腔注射PBS,无死亡。Set up another set of septic shock experiments to determine which of the investigated peptides LQG, LQGV, VLPALP, VLPALPQ, MTR, MTRV, VVC or AQGV is most appropriate to use early and/or late in the onset of shock or throughout. To determine the percentage of endotoxic shock survival with late or early peptide treatment, BALB/c mice were injected intraperitoneally with 300 μg of LPS (E.coli026:B6; Difco Lab., Detroit, MI, USA), anticipating no peptide treatment Cases resulted in 100% death within 48 hours. In the control group, only PBS was injected intraperitoneally, and no death occurred.
设置比较实验以比较肽MTR和AQGV,均是商品化来源的。比较实验有6组,每组6只动物,其中两组(1A和1B)接受安慰剂(PBS),一组(2)接受肽MTR(来源:Pepscan),一组(3)接受肽MTR(来源:Ansynth),一组(4)接受肽AQGV(来源:Pepscan),以及另一组接受AQGV(来源:Ansynth)。肽/安慰剂在LPS之后2小时施用。LPS(来源)剂量为10-11mg/kg。在注射LPS后0、2、22、26、42和48小时进行疾病评分。A comparative experiment was set up to compare the peptides MTR and AQGV, both of commercial origin. The comparison experiment had 6 groups of 6 animals each, two groups (1A and 1B) received placebo (PBS), one group (2) received peptide MTR (source: Pepscan), and one group (3) received peptide MTR ( Source: Ansynth), one group (4) received the peptide AQGV (source: Pepscan), and another group received AQGV (source: Ansynth). Peptide/placebo was administered 2 hours after LPS. The LPS (source) dose was 10-11 mg/kg. Disease scores were performed at 0, 2, 22, 26, 42 and 48 hours after LPS injection.
结果result
肽的选择Peptide selection
我们选择合成肽MTR、MTRV、LQG、LQGV、VLPALP和VLPALPQ,以及QVVC和VVC。在研究的后期,我们还选择合成衍生自LQG和LQGV的丙氨酸取代的肽变体,其中将一个氨基酸取代为丙氨酸,对其中的4种(AQG、AQGV、LAG、和LAGV),结果如下。We chose the synthetic peptides MTR, MTRV, LQG, LQGV, VLPALP and VLPALPQ, and QVVC and VVC. Later in the study, we also chose to synthesize alanine-substituted peptide variants derived from LQG and LQGV, in which one amino acid was replaced by alanine, and for four of them (AQG, AQGV, LAG, and LAGV), The result is as follows.
感染性休克实验Septic shock experiment
为了测试肽在休克发生早期的作用,在以不同剂量的LPS处理后2小时或24小时给小鼠腹腔注射测试肽,剂量为5mg/kg体重。对无肽处理的小鼠,LPS的剂量在48-72小时导致100%死亡。结果见表8。在测试的7种肽中,肽VLPALP和LQGV显示出显著的抗LPS诱导的败血症的保护作用。In order to test the role of the peptide in the early stage of shock, mice were injected intraperitoneally with the test peptide at a dose of 5 mg/kg body weight 2 hours or 24 hours after treatment with different doses of LPS. Doses of LPS resulted in 100% death within 48-72 hours of no peptide treated mice. The results are shown in Table 8. Among the 7 peptides tested, the peptides VLPALP and LQGV showed significant protection against LPS-induced sepsis.
为了评价肽处理在休克发生早期或后期的作用,在注射LPS处理后2小时或24小时给小鼠腹腔注射测试肽,剂量为5mg/kg体重。观察小鼠84小时而不是先前实验中的48小时。结果见表10。在测试的所有肽中,仅有AQGV在发生休克的早期或后期给药时能够在LPS处理后84小时保持100%存活且没有遗留临床征象。In order to evaluate the effect of peptide treatment in the early or late stage of shock, mice were intraperitoneally injected with the test peptide at a dose of 5 mg/kg body weight 2 hours or 24 hours after injection of LPS treatment. Mice were observed for 84 hours instead of 48 hours as in previous experiments. The results are shown in Table 10. Of all the peptides tested, only AQGV was able to maintain 100% survival 84 hours after LPS treatment with no residual clinical signs when administered early or late in the onset of shock.
比较测试MTR和AQGV,两种肽均有两种来源,均以5mg/kg剂量施用。Comparative testing of MTR and AQGV, both peptides from two sources, both administered at a dose of 5 mg/kg.
表11Table 11
LPS=10-11mg/kgLPS=10-11mg/kg
#970=5mg/kg LPs 化合物#970=5mg/kg LPs compound
#971=5mg/kg 处理 处理#971=5mg/kg Treatment Treatment
#Ansynth12#Ansynth12
#Ansynth46疾病评分#Ansynth46 disease score
表11Table 11
LPS=10-11mg/kgLPS=10-11mg/kg
#970=5mg/kg LPS 化合物#970=5mg/kg LPS compound
#971=5mg/kg 处理 处理#971=5mg/kg Treatment Treatment
#Ansynth12#Ansynth12
#Ansynth46 疾病评分#Ansynth46 Disease Scoring
一些报道提示完整的hCG可调节免疫系统,但其断裂产物的此类在科技文献中未见报道。Benner and Khan(Scand.J.Immunol.2005Jul;62Suppl1:62-6)研究了hCGβ-亚单位环2的序列MTRVLQGVLPALPQVVC(残基41-57)裂解产生的体内释放肽片段可能具有的免疫活性,尽管事实是小到3至7个氨基酸的肽通常被认为没有明显的生物学活性。Some reports suggest that intact hCG can modulate the immune system, but such fragmentation products have not been reported in the scientific literature. Benner and Khan (Scand.J.Immunol.2005Jul; 62Suppl1:62-6) investigated the possible immunological activity of in vivo-released peptide fragments generated by cleavage of the sequence MTRVLQGVLPALPQVVC (residues 41-57) of hCGβ-subunit loop 2, although The fact is that peptides as small as 3 to 7 amino acids are generally considered to have no appreciable biological activity.
我们设计了在小鼠中能够完全阻断LPS诱导的感染性休克的肽,在一些情况下甚至在注射LPS后24小时开始以这些肽进行处理仍然有效。这些肽还能够抑制MIF的产生。这些发现为使用这些肽来治疗患有辐射损伤的患者的治疗用途提供了可能性。We designed peptides that completely blocked LPS-induced septic shock in mice, and in some cases treatment with these peptides was effective even starting 24 hours after LPS injection. These peptides are also able to inhibit the production of MIF. These findings open up the possibility of therapeutic use of these peptides to treat patients suffering from radiation damage.
实施例7Example 7
本实施例显示了肽AQGV对8.6Gy全身照射(WBI)的小鼠的实验结果,其中所有组的小鼠均在TBI后3小时接受第一次注射。接受安慰剂注射组的动物80%死亡,正如对该模型所预计的那样。已知所施用的辐射(8.6戈瑞=8.6Gy)的辐射剂量能够在该物种造成大约80%的死亡率,因此称为LD80(80%致死剂量)。死亡在第10天左右开始出现——这在动物或人的WBI是通常的情况:在第10天左右,肠道被覆层因辐射而损伤和泄漏导致细菌进入循环并因胃肠道综合征而引起败血症,而骨髓的损伤导致无法产生足够的白细胞以抵抗感染(“骨髓综合征”),继而出现死亡。This example shows the experimental results of peptide AQGV on mice subjected to 8.6Gy whole body irradiation (WBI), wherein all groups of mice received the first injection 3 hours after TBI. Eighty percent of the animals receiving placebo injections died, as expected for this model. The dose of radiation administered (8.6 Gy = 8.6 Gy) is known to cause approximately 80% mortality in this species, hence the name LD80 (80% lethal dose). Mortality begins around day 10 - as is usual in WBI in animals or humans: around day 10, the intestinal lining is damaged and leaks from radiation allowing bacteria to enter the circulation and die due to gastrointestinal syndrome Sepsis is caused, and damage to the bone marrow prevents the production of enough white blood cells to fight infection ("myeloid syndrome"), followed by death.
以符号"x"代表(图1)的第一组肽处理小鼠组接受首次的静脉注射AQGV,该首次注射3小时后接受第二次的皮下注射(SC)。出乎意料的是,这些动物100%存活。此外,这些动物没有出现任何疾病征象。对于不知情的观察者来说,它们看上去与完全正常的小鼠一样,特别是肽处理的这些小鼠没有出现GI综合征。The first group of peptide-treated mice represented by the symbol "x" (Fig. 1) received the first intravenous injection of AQGV, which received the second subcutaneous (SC) injection 3 hours after the first injection. Unexpectedly, 100% of these animals survived. Furthermore, the animals did not show any signs of disease. To an unsuspecting observer, they looked just like perfectly normal mice, especially those treated with the peptide that did not develop GI syndrome.
第二组小鼠通过SC途径接受首次的肽注射,然后每48小时进行额外的SC注射,共3剂(除首剂之外)——即在第3、5、和7天。这些动物中仅有一只死亡,其他没有出现任何GI综合征的症状。A second group of mice received an initial peptide injection via the SC route, followed by additional SC injections every 48 hours for a total of 3 doses (in addition to the initial dose) - ie on days 3, 5, and 7. Only one of these animals died and the others did not show any symptoms of GI syndrome.
除了48小时的SC注射持续进行共6剂(除首剂之外)之外,第三组的小鼠与第二组的程序相同。因此其给药持续至第13天。这种延长的治疗带来了完全的保护作用(该组无一死亡)。该组动物中没有出现任何疾病征象,同样没有出现任何GI综合征的症状。The mice in the third group followed the same procedure as the second group, except that the 48-hour SC injection was continued for a total of 6 doses (except for the first dose). Its administration was therefore continued until day 13. This prolonged treatment resulted in complete protection (no deaths in this group). There were no signs of disease in this group of animals, nor were there any symptoms of GI syndrome.
从这些数据中我们可以得出结论,如果动物在第一天接受两倍剂量的肽(首剂为静脉注射),AQGV可对致死剂量的WBI产生完全的保护作用,且特别是针对该剂量所伴随的GI综合征产生保护作用。如果动物接受较低水平的治疗(仅SC),则将治疗延长至第二周也产生完全的保护作用,且特别是针对该高剂量所伴随的GI综合征产生保护作用。From these data we can conclude that AQGV confers complete protection against a lethal dose of WBI if animals receive double the dose of peptide on day 1 (the first dose is given intravenously), and in particular against the Concomitant GI syndrome produces a protective effect. If the animals received a lower level of treatment (SC only), extending the treatment to the second week also produced complete protection, and in particular protection against the GI syndrome associated with this high dose.
当将这些结果与在第51届辐射研究学会(2004年4月)上报告的有关代号为ON-01210的药物的辐射防护作用的研究相比较时,可以发现该药物ON-01210(与目前正在研究的针对辐射暴露的其他药物类似)仅在辐射暴露前施用才有保护作用。这使得该药在对“脏弹”的防护上不是十分有用。该药物具有巯基成分(4-carboxystyrl-4-chlorobenzylsulfone),可作为抗氧化剂起作用,将辐射损伤细胞时产生的自由基清除掉。但如果在辐射暴露的当时体内没有该药,那么无论如何它都不会有作用。相反,使用本发明的肽来治疗可以在暴露后起作用。When comparing these results with the study on the radioprotective effect of the drug ON-01210 reported at the 51st Radiation Research Society (April 2004), it can be found that the drug ON-01210 (which is currently Similar to other drugs studied for radiation exposure) the protective effects were only present if administered before radiation exposure. This makes the drug not very useful in protection against "dirty bombs". The drug has a sulfhydryl component (4-carboxystyrl-4-chlorobenzylsulfone) that acts as an antioxidant to scavenge free radicals produced when cells are damaged by radiation. But if the drug isn't in your body at the time of radiation exposure, it won't work anyway. In contrast, treatment with the peptides of the invention may work after exposure.
同样,回顾以其他现有药物进行的治疗,关于这些药物的所有数据(即有关使用蛋白同化甾类的治疗)均显示现有的非肽类药物需要在WBI之前(即24小时)施用,以后施用对急性辐射损伤的防护没有支援作用。Likewise, reviewing treatment with other existing agents, all data on these agents (i.e., on treatment with anabolic steroids) indicate that existing non-peptidic agents need to be administered prior to WBI (i.e., 24 hours) Administration has no supportive effect on protection against acute radiation injury.
实施例8:DRF研究Example 8: DRF Study
在本实施例中,我们报道了对剂量渐增的全身照射(WBI)的研究,对于各组均为单次暴露,而随后的各组暴露剂量逐渐升高。皮下施用单剂肽AQGV,但治疗延迟至WBI后3天(72hr)进行。该测试称为剂量降低系数(“DRF”),其被定义为处理组的LD50与对照组的LD50之间的比值。LD50代表的是导致50%的测试动物死亡的剂量。In this example, we report a study of dose-escalating whole-body irradiation (WBI), with a single exposure for each group followed by escalating doses for each group. A single dose of peptide AQGV was administered subcutaneously, but treatment was delayed until 3 days (72 hr) after WBI. This test is called the dose reduction factor ("DRF") and is defined as the ratio between the LD50 of the treated group and the LD50 of the control group. LD50 represents the dose which causes death in 50% of the tested animals.
可接受的DRF比值是该系数至少为1.10;但优选地是至少1.20或甚至是至少1.25。为通过DRF1.20的测试,在WBI后第30天,一种候选药物必须使得LD50辐射剂量比对照动物的LD50剂量高至少20%(系数为1.20的升高)。例如,如果对照动物的LD50是8.2Gy,那么为了通过该测试,候选药物造成的LD50应该高至少20%,即在这种情况下该剂量应该为8.2x1.20=10.4Gy。An acceptable DRF ratio is a coefficient of at least 1.10; but preferably at least 1.20 or even at least 1.25. To pass the DRF1.20 test, a drug candidate must result in an LD50 radiation dose at least 20% higher than the LD50 dose in control animals (an increase by a factor of 1.20) at day 30 after WBI. For example, if the LD50 of the control animals is 8.2Gy, then in order to pass the test, the drug candidate should result in an LD50 that is at least 20% higher, ie in this case the dose should be 8.2x1.20=10.4Gy.
DRF测试中测试动物的数量和结果见表12。See Table 12 for the number and results of the test animals in the DRF test.
表12Table 12
讨论将治疗延迟72小时这一决定的理由是十分重要的:在一些放射性暴露的情况下(如暴露于运输轮船的核裂变装置,或飞机撞击到邻近中心城市的核反应堆等等),其破坏力之大可能导致需要数天才能将所有伤者送至治疗中心。因此军事科学家(其关注保护最初的反应者)和民间科学家(其关注治疗大量伤亡人员)会自然地需要确定一种候选药物是否能够以任何方式消除急性辐射的毒性(GI综合征,骨髓综合征),否则其将在如此长的延迟后突然爆发。It is important to discuss the rationale for the decision to delay treatment for 72 hours: in some cases of radioactive exposure (such as exposure to a nuclear fission device on a transport ship, or an aircraft hitting a nuclear reactor near a central city, etc.), the destructive power of So large that it may take days to get all the injured to a treatment center. Thus military scientists (who are concerned with protecting first responders) and civilian scientists (who are concerned with treating mass casualties) will naturally need to determine whether a candidate drug can in any way abrogate acute radiation toxicity (GI syndrome, myeloid syndrome ), otherwise it would burst after such a long delay.
AQGV的DFR测试结果。杀死50%对照组动物的辐射剂量为~8.2Gy。肽AQGV的保护作用如此之好,以至于必须将辐射剂量提高25%(系数为1.25)直至达到~10.4Gy,才能杀死50%的动物,而这是在延迟3天治疗的情况下得到的结果。假如这种治疗能够更快施用,例如在24hr或48hr时,那么杀死50%的动物的辐射将会更高。AQGV's DFR test results. The radiation dose to kill 50% of the control animals was -8.2 Gy. Peptide AQGV was so protective that the radiation dose had to be increased by 25% (by a factor of 1.25) until ~10.4Gy was reached to kill 50% of the animals, which was obtained with a 3-day treatment delay result. If the treatment could be administered sooner, eg at 24hr or 48hr, the radiation to kill 50% of the animals would be higher.
实施例9Example 9
为了进一步研究不同寡肽的抗细胞周期活性,在拟南芥幼苗中进行了增殖实验。目的是要测试一组140种不同长度的寡肽在发生迅速分裂的细胞快速生长过程中对植物标记物基因表达的影响。两种标记物基因均涉及细胞周期进程,高标记物活性代表高细胞周期活性,而无标记物活性代表没有细胞周期活性,因此也就没有增殖。寡肽在拟南芥细胞周期分析中的作用的实例见图3。To further investigate the anti-cell cycle activity of different oligopeptides, proliferation experiments were performed in Arabidopsis seedlings. The aim was to test the effect of a panel of 140 oligopeptides of different lengths on the expression of plant marker genes during rapid growth of rapidly dividing cells. Both marker genes are involved in cell cycle progression, with high marker activity indicating high cell cycle activity and no marker activity indicating no cell cycle activity and thus no proliferation. An example of the role of oligopeptides in Arabidopsis cell cycle analysis is shown in Figure 3.
方法method
肽重悬于1x磷酸缓冲液(PBS)pH8,终浓度为5mg/ml。所得溶液分配到96-孔圆底板中(Coming Incorporated),每孔40微升。板在-20℃存放4天备用。将拟南芥生态变种Ws-0的种子置于2%商品化漂白剂(Glorix)中10分钟进行表面消毒,以无菌MQ水洗涤5次。然后将种子重悬于0.1%的琼脂中并铺在MS20板上,其中补充了80mg/l的卡那霉素。Peptides were resuspended in 1x phosphate buffered saline (PBS) pH 8 at a final concentration of 5 mg/ml. The resulting solution was dispensed into 96-well round bottom plates (Coming Incorporated) at 40 microliters per well. Plates were stored at -20°C for 4 days until use. Seeds of Arabidopsis ecovarian Ws-0 were surface-sterilized in 2% commercial bleach (Glorix) for 10 minutes and washed 5 times with sterile MQ water. The seeds were then resuspended in 0.1% agar and plated on MS20 plates supplemented with 80 mg/l kanamycin.
板在4℃放置两夜,然后转移至气候室210℃,光照周期16/8小时。生长4天后,将幼苗转移至含有肽溶液的96-孔板中(每孔4株幼苗),孵育4到8小时。Plates were left overnight at 4°C and then transferred to a climate chamber at 210°C with a 16/8 hour photoperiod. After 4 days of growth, the seedlings were transferred to 96-well plates (4 seedlings per well) containing the peptide solution and incubated for 4 to 8 hours.
为了本实验,使用了携带融合于GUS的两种报告基因的拟南芥纯合子幼苗。使用的第一个报告基因是细胞周期标记物,pCDG(Carmona et al.,The Plant Journal,1999,20(4),503-508),第二个是植物生长激素应答标记物,DR5::GUS(Ulmasov et al.,The Plant Cell,Vol.9,1963-1971)。与化合物孵育后,针对GUS对幼苗进行染色。染色反应在100mM磷酸钠缓冲液(pH7.0)(含有10mM EDTA,10%DMSO,0.1%Triton X-100,2mM X-Gluc,0.5mM K3Fe(CN)6和0.5mM K4Fe(CN)6)中于37℃进行16小时。为了终止GUS反应并去除叶绿素,幼苗随后以96%乙醇处理1小时,然后存放于70%乙醇中。在立体显微镜下观察染色的幼苗,以出现化合物处理作用的幼苗制备切片。在水合氯醛溶液中固定并清洁幼苗以便显微镜下仔细观察,并在装备了DIC镜片的显微镜下拍照。For this experiment, Arabidopsis homozygous seedlings carrying the two reporter genes fused to GUS were used. The first reporter gene used was a cell cycle marker, pCDG (Carmona et al., The Plant Journal, 1999, 20(4), 503-508), and the second was an auxin response marker, DR5:: GUS (Ulmasov et al., The Plant Cell, Vol. 9, 1963-1971). After incubation with compounds, seedlings were stained for GUS. The staining reaction was performed in 100mM sodium phosphate buffer (pH7.0) (containing 10mM EDTA, 10% DMSO, 0.1% Triton X-100, 2mM X-Gluc, 0.5mM K 3 Fe(CN) 6 and 0.5mM K 4 Fe( CN) 6 ) at 37°C for 16 hours. To terminate the GUS reaction and remove chlorophyll, the seedlings were subsequently treated with 96% ethanol for 1 h and then stored in 70% ethanol. The stained seedlings were observed under a stereomicroscope, and sections were prepared from seedlings showing compound-treated effects. Seedlings were fixed and cleaned in chloral hydrate solution for careful observation under a microscope and photographed under a microscope equipped with DIC optics.
结果result
测试了肽对快速生长的拟南芥幼苗标记物基因表达的影响。通过GUS在不同器官内分布的变化对此进行监测:根、根-胚轴过渡区和子叶。The effect of the peptides on marker gene expression in rapidly growing Arabidopsis seedlings was tested. This was monitored by changes in the distribution of GUS in different organs: root, root-hypocotyl transition zone and cotyledons.
在所测试的140种化合物中,共有43种显示出对测试的两种标记物的表达有明确的影响。图3详细显示了测试化合物引起的明显变化的实例,肽LQGV,VVC和DINGFLPAL引起的显微镜水平的变化。出乎意料的是,这种作用明显与不同测试肽的长度相关。自表13可以看出,抗细胞周期活性在短肽中表现极强,而长度超过9个氨基酸的肽无一能够降低细胞周期活性。长度为5至9个氨基酸的肽中,大约22%显示出降低,但在测试的3聚体和4聚体中超过50%显示出降低细胞周期活性。A total of 43 of the 140 compounds tested showed a clear effect on the expression of the two markers tested. Figure 3 details examples of apparent changes caused by the test compounds, changes at the microscopic level caused by the peptides LQGV, VVC and DINGFLPAL. Unexpectedly, this effect was clearly related to the length of the different tested peptides. It can be seen from Table 13 that the anti-cell cycle activity is extremely strong in the short peptides, and none of the peptides longer than 9 amino acids can reduce the cell cycle activity. About 22% of peptides 5 to 9 amino acids in length showed a reduction, but more than 50% of the 3-mers and 4-mers tested showed reduced cell cycle activity.
表13:拟南芥细胞周期测试中发现的阳性测试肽/肽长度的频率分布。#AA=肽的长度(氨基酸);#=测试的数量;#+=阳性的数量;%+=阳性百分数Table 13: Frequency distribution of positive test peptides/peptide lengths found in Arabidopsis cell cycle assays. #AA = length of peptide (amino acids); # = number tested; #+ = number of positives; %+ = percent positive
实施例10Example 10
为了进一步研究不同寡肽的抗细胞周期活性,使用经抗CD3抗体刺激的小鼠外周血细胞进行体外实验。目的是测试在CD3诱导的鼠单核细胞快速生长过程中当细胞发生迅速分裂时一些代表性寡肽对细胞增殖的作用。小鼠(n=5)腹腔注射PBS、Nak4(LQGV)、Nak47(LAGV)、Nak46(AQGV)(Ansynth BV,The Netherlands提供)、或Nak46*(Diosynth BV,TheNetherlands提供的AQGV)。以0.5mg/kg或5mg/kg的肽处理小鼠1小时,随后分离脾脏制备脾细胞悬液。汇集每组的脾细胞悬液并在存在PBS或抗CD3抗体的条件下体外培养(三份),在培养后0、12、24和48小时测定增殖。所有的测试肽均显示出能够降低增殖(见图4)。In order to further study the anti-cell cycle activity of different oligopeptides, mouse peripheral blood cells stimulated with anti-CD3 antibody were used for in vitro experiments. The purpose is to test the effect of some representative oligopeptides on cell proliferation during the rapid growth of mouse monocytes induced by CD3 when the cells undergo rapid division. Mice (n=5) were intraperitoneally injected with PBS, Nak4(LQGV), Nak47(LAGV), Nak46(AQGV) (Ansynth BV, provided by The Netherlands), or Nak46 * (Diosynth BV, AQGV provided by The Netherlands). Mice were treated with 0.5 mg/kg or 5 mg/kg of the peptide for 1 hour, and then the spleen was isolated to prepare a splenocyte suspension. Splenocyte suspensions from each group were pooled and cultured in vitro in the presence of PBS or anti-CD3 antibody (triplicate), and proliferation was measured at 0, 12, 24 and 48 hours after culture. All tested peptides were shown to reduce proliferation (see Figure 4).
实施例9和10的结果Results of Examples 9 and 10
根据植物中的细胞周期研究和体外降低外周血细胞增殖的研究,经鉴定可用于治疗辐射损伤的3聚体肽是VVC、LAG、AQG。类似地,可用于治疗辐射损伤的4聚体肽是LQGV、QVVC、MTRV、AQGV、LAGV、LQAV、PGCP、VGQL、RVLQ、EMFQ、AVAL、FVLS、NMWD、LCFL、FSYA、FWVD、AFTV、LGTL、QLLG、YAIT、APSL、ITTL、QALG、GVLC、NLIN、SPIE、LNTI、LHNL、CPVQ、EVVR、MTEV、EALE、EPPE、LGTL、VGGI、RLPG、LQGA、LCFL,可用于治疗辐射损伤的5聚体肽是TLAVE、VEGNL、LNEAL,可用于治疗辐射损伤的6聚体肽是VLPALP、MGGTWA、LTCDDP,可用于治疗辐射损伤的7聚体肽是VLPAPLQ、VCNYRDV、CPRGVNP,可用于治疗辐射损伤的8聚体肽是QPLAPLVG,以及可用于治疗辐射损伤的9聚体肽是DINGFLPAL。Based on cell cycle studies in plants and in vitro studies of reduced proliferation of peripheral blood cells, 3-meric peptides identified as useful in the treatment of radiation injury are VVC, LAG, AQG. Similarly, 4-mer peptides useful in the treatment of radiation damage are LQGV, QVVC, MTRV, AQGV, LAGV, LQAV, PGCP, VGQL, RVLQ, EMFQ, AVAL, FVLS, NMWD, LCFL, FSYA, FWVD, AFTV, LGTL, QLLG, YAIT, APSL, ITTL, QALG, GVLC, NLIN, SPIE, LNTI, LHNL, CPVQ, EVVR, MTEV, EALE, EPPE, LGTL, VGGI, RLPG, LQGA, LCFL, 5-mer peptides that can be used to treat radiation damage It is TLAVE, VEGNL, LNEAL, the 6-mer peptides that can be used to treat radiation damage are VLPALP, MGGTWA, LTCDDP, the 7-mer peptides that can be used to treat radiation damage are VLPAPLQ, VCNYRDV, CPRGVNP, and the 8-mer peptides that can be used to treat radiation damage The peptide is QPLAPLVG, and a 9-mer peptide useful in the treatment of radiation damage is DINGFLPAL.
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PCT/NL2007/050092 WO2007102735A1 (en) | 2006-03-07 | 2007-03-06 | Use of peptides for the control of radiation injury |
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CN1238217A (en) * | 1999-06-24 | 1999-12-15 | 中国医学科学院血液学研究所 | A kind of polypeptide pharmaceutical composition for the treatment of radiation damage |
CN1717587A (en) * | 2002-11-25 | 2006-01-04 | 希克龙制药公司 | Methods of protecting against radiation damage using alpha thymosin |
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CN1238217A (en) * | 1999-06-24 | 1999-12-15 | 中国医学科学院血液学研究所 | A kind of polypeptide pharmaceutical composition for the treatment of radiation damage |
CN1717587A (en) * | 2002-11-25 | 2006-01-04 | 希克龙制药公司 | Methods of protecting against radiation damage using alpha thymosin |
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