CN102204901A - Reagent and method for regulating immune molecules - Google Patents
Reagent and method for regulating immune molecules Download PDFInfo
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- CN102204901A CN102204901A CN 201010134975 CN201010134975A CN102204901A CN 102204901 A CN102204901 A CN 102204901A CN 201010134975 CN201010134975 CN 201010134975 CN 201010134975 A CN201010134975 A CN 201010134975A CN 102204901 A CN102204901 A CN 102204901A
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Abstract
本发明涉及调节免疫分子的试剂和方法。本发明首次揭示,加巴喷汀是一种对于调节免疫有用的物质,其能够对部分异常上调的免疫分子产生抑制作用。从而为临床上免疫调节提供新的靶点。The present invention relates to agents and methods for modulating immune molecules. The present invention reveals for the first time that gabapentin is a substance useful for regulating immunity, which can inhibit some abnormally upregulated immune molecules. Thus providing a new target for clinical immune regulation.
Description
技术领域technical field
本发明属于药物学领域;更具体地,本发明涉及调节免疫分子的试剂和方法。The present invention is in the field of pharmacology; more particularly, the present invention relates to agents and methods for modulating immune molecules.
背景技术Background technique
加巴喷汀(Gabapentin,GBP)是一种抗癫痫药物,国外报导具有较好的安全性和治疗效果。上世纪90年代美国Warner-Lambert公司首先开发成功,于1993年首次在英国上市。我国于2004年研发成功,国家药监局正式批准生产。临床上发现加巴喷汀除了抗癫痫的效果外,还对神经病理性疼痛有明显的疗效,尤其是带状疱疹后神经痛(PHN)和糖尿病外周神经病(DPN)。研究发现,加巴喷汀对突触后背角神经元依赖电压的Ca2+通道电流具有独特的作用,因此,加巴喷汀可以中断导致神经性疼痛的整个过程,而不只是其中的一个环节。不同的动物疼痛模型均显示,加巴喷汀对神经痛病理性疼痛有着良好的效果。Gabapentin (Gabapentin, GBP) is an antiepileptic drug, and foreign reports have good safety and therapeutic effect. In the 1990s, the Warner-Lambert company of the United States first successfully developed it, and it was first listed in the UK in 1993. my country successfully developed it in 2004, and the State Food and Drug Administration officially approved its production. In addition to its antiepileptic effect, gabapentin has been found clinically to have a significant effect on neuropathic pain, especially postherpetic neuralgia (PHN) and diabetic peripheral neuropathy (DPN). The study found that gabapentin has a unique effect on voltage-dependent Ca2 + channel currents in postsynaptic dorsal horn neurons, thus, gabapentin can interrupt the whole process leading to neuropathic pain, not just one of them links. Different animal pain models have shown that gabapentin has a good effect on neuropathic pain.
然而,加巴喷汀的作用机制目前仍然不够明确;并且,加巴喷汀是否还有其它功能作用也还没有深入的研究。However, the mechanism of action of gabapentin is still unclear; and whether gabapentin has other functional effects has not been studied in depth.
发明内容Contents of the invention
本发明的目的在于提供调节免疫分子的试剂和方法。It is an object of the present invention to provide reagents and methods for modulating immune molecules.
在本发明的第一方面,提供加巴喷汀的用途,用于制备调节免疫的组合物。In the first aspect of the present invention, the use of gabapentin is provided for preparing a composition for regulating immunity.
在另一优选例中,所述的调节免疫是调节α-βT细胞受体复合体通路。In another preferred example, the regulation of immunity is regulation of α-βT cell receptor complex pathway.
在另一优选例中,所述的调节免疫是下调免疫相关基因的表达:骨成形蛋白-7(Bmp7),补体成分3a受体1(C3ar1),CD2抗原(Cd2),CD37抗原(Cd37),CD3抗原δ多肽(Cd3d),CD3抗原g(Cd3g),CD3抗原z(Cd3z),CD5抗原(Cd5),CD6抗原(Cd6),CD96抗原(Cd96),补体因子B(Cfb),高亲和性免疫球蛋白γFc受体I(Fcgr1),Fc受体(Fcgrt),白介素2受体(Il2rb),杀伤细胞血凝素样受体亚家族A(Klra22),T细胞受体L20993,T细胞激活链接蛋白(Lat),淋巴细胞特异蛋白1(Lsp1),白三烯B4 12-羟脱氢酶(Ltb4dh),大鼠α-2-巨球蛋白M84368,肌球蛋白IG(Myo1g),CD43抗原Spn,T-细胞受体β链(Tcrb),肿瘤坏死因子受体超家族Tnfrsf1b,肿瘤坏死因子受体超家族Tnfrsf4,肿瘤坏死因子受体超家族Tnfrsf5,肿瘤坏死因子受体超家族Tnfsf10或ζ-链(TCR)相关蛋白激酶70(Zap70)。In another preferred example, the regulation of immunity is to down-regulate the expression of immune-related genes: bone morphogenic protein-7 (Bmp7), complement component 3a receptor 1 (C3ar1), CD2 antigen (Cd2), CD37 antigen (Cd37) , CD3 antigen delta polypeptide (Cd3d), CD3 antigen g (Cd3g), CD3 antigen z (Cd3z), CD5 antigen (Cd5), CD6 antigen (Cd6), CD96 antigen (Cd96), complement factor B (Cfb), high affinity Neutral immunoglobulin γ Fc receptor I (Fcgr1), Fc receptor (Fcgrt), interleukin 2 receptor (Il2rb), killer cell hemagglutinin-like receptor subfamily A (Klra22), T cell receptor L20993, T Cell activation link protein (Lat), lymphocyte specific protein 1 (Lsp1), leukotriene B4 12-hydroxydehydrogenase (Ltb4dh), rat α-2-macroglobulin M84368, myosin IG (Myo1g), CD43 antigen Spn, T-cell receptor beta chain (Tcrb), tumor necrosis factor receptor superfamily Tnfrsf1b, tumor necrosis factor receptor superfamily Tnfrsf4, tumor necrosis factor receptor superfamily Tnfrsf5, tumor necrosis factor receptor superfamily Tnfsf10 or zeta-chain (TCR)-related protein kinase 70 (Zap70).
在另一优选例中,所述的调节免疫是降低CD3分子阳性的细胞率。In another preferred example, the regulation of immunity is to reduce the rate of CD3 molecule positive cells.
在另一优选例中,所述的CD3分子是活化T细胞的分子标记物,其阳性率异常升高或指示免疫亢进。In another preferred example, the CD3 molecule is a molecular marker of activated T cells, and its positive rate is abnormally increased or indicates immune hyperactivity.
在另一优选例中,所述的组合物还用于抑制异常上调的免疫分子。In another preferred example, the composition is also used for inhibiting abnormally up-regulated immune molecules.
在另一优选例中,所述的组合物是药物。In another preferred embodiment, the composition is a drug.
在本发明的另一方面,提供一种调节免疫的方法,所述方法包括:给予对象有效量的加巴喷汀。In another aspect of the present invention, a method of regulating immunity is provided, the method comprising: administering an effective amount of gabapentin to a subject.
本发明的其它方面由于本文的公开内容,对本领域的技术人员而言是显而易见的。Other aspects of the invention will be apparent to those skilled in the art from the disclosure herein.
附图说明Description of drawings
图1显示了QRT-PCR验证基因表达情况。其中,Figure 1 shows the QRT-PCR verification of gene expression. in,
A为相对于对照组,生理盐水组表达情况提高倍数;A is relative to the control group, the expression situation of the normal saline group improves the multiple;
B为相对于生理盐水组,加巴喷汀组表达情况提高倍数。B is relative to the normal saline group, the expression of the gabapentin group is increased by multiples.
图2上图显示了免疫荧光验证蛋白水平的改变。其中,荧光点表示CD3阳性细胞。The upper panel of Figure 2 shows the changes in protein levels verified by immunofluorescence. Among them, fluorescent dots represent CD3 positive cells.
图2下图显示了CD3分子的阳性细胞的检测结果。其中,相对于对照组,***p<0.001,Scale bar=50μm。The lower panel of Figure 2 shows the detection results of positive cells for CD3 molecules. Wherein, compared with the control group, *** p<0.001, Scale bar=50 μm.
具体实施方式Detailed ways
在本发明人的研究中首次揭示,加巴喷汀是一种对于调节免疫有用的物质,其能够对部分异常上调的免疫分子产生抑制作用。The research of the present inventor revealed for the first time that gabapentin is a substance useful for regulating immunity, and it can inhibit some abnormally up-regulated immune molecules.
加巴喷汀gabapentin
加巴喷汀(Gabapentin,GBP)是一种抗癫痫药物,其化学式为1-氨甲基环己烷乙酸,分子式C9H17NO2,结构式如式(I)所示:Gabapentin (Gabapentin, GBP) is an antiepileptic drug, its chemical formula is 1-aminomethylcyclohexaneacetic acid, its molecular formula is C 9 H 17 NO 2 , and its structural formula is shown in formula (I):
所述的加巴喷汀可通过化学合成的方式获得。The gabapentin can be obtained through chemical synthesis.
本发明的化合物可以是药学上可接受的盐、水合物或前体,只要它们也具有调节免疫的作用。所述的“药学上可接受的盐”是指一类化合物与无机酸、有机酸、碱金属或碱土金属等反应生成的盐。这些盐包括(但不限于):(1)与如下无机酸形成的盐:如盐酸、硫酸、硝酸、磷酸;(2)与如下有机酸形成的盐,如乙酸、草酸、丁二酸、酒石酸、甲磺酸、马来酸、或精氨酸。其它的盐包括与碱金属或碱土金属(如钠、钾、钙或镁)形成的盐,以酯、氨基甲酸酯,或其它常规的“前体药物”的形式。The compounds of the present invention may be pharmaceutically acceptable salts, hydrates or precursors as long as they also have an immune-modulating effect. The "pharmaceutically acceptable salt" refers to a salt formed by reacting a class of compounds with inorganic acids, organic acids, alkali metals or alkaline earth metals. These salts include (but are not limited to): (1) salts formed with inorganic acids such as hydrochloric acid, sulfuric acid, nitric acid, phosphoric acid; (2) salts formed with organic acids such as acetic acid, oxalic acid, succinic acid, tartaric acid , methanesulfonic acid, maleic acid, or arginine. Other salts include those formed with alkali or alkaline earth metals such as sodium, potassium, calcium or magnesium, in the form of esters, carbamates, or other conventional "prodrugs".
所述的“化合物的前体”指当用适当的方法服用后,该化合物的前体在病人体内进行代谢或化学反应而转变成具有结构式(I)所示化合物。The "precursor of the compound" refers to that the precursor of the compound undergoes metabolism or chemical reaction in the body of the patient and transforms into a compound represented by the structural formula (I) after being administered in an appropriate way.
本发明还包括上述化合物的异构体、外消旋体,只要它们也具有调节免疫的作用。化合物具有一个或多个不对称中心。所以,这些化合物可以作为外消旋的混合物、单独的对映异构体、单独的非对映异构体、非对映异构体混合物、顺式或反式异构体存在。The present invention also includes isomers and racemates of the above compounds, as long as they also have the effect of regulating immunity. Compounds possess one or more asymmetric centers. These compounds may thus exist as racemic mixtures, individual enantiomers, individual diastereoisomers, diastereomeric mixtures, cis or trans isomers.
用途use
本发明提供了加巴喷汀、其药学上可接受的盐的用途,用于制备调节免疫的组合物。The invention provides the use of gabapentin and its pharmaceutically acceptable salt for preparing the composition for regulating immunity.
所述的调节免疫包括:调节α-βT细胞受体复合体通路;或下调免疫相关基因的表达:Bmp7,C3ar1,Cd2,Cd37,Cd3d,Cd3g,Cd3z,Cd5,Cd6,Cd96,Cfb,Fcgr1,Fcgrt,Il2rb,Klra22,L20993,Lat,Lsp1,Ltb4dh,M84368,Myo1g,Spn,Tcrb,Tnfrsf1b,Tnfrsf4,Tnfrsf5,Tnfsf10或Zap70;或降低CD3分子阳性的细胞率。The immune regulation includes: regulating the α-βT cell receptor complex pathway; or down-regulating the expression of immune-related genes: Bmp7, C3ar1, Cd2, Cd37, Cd3d, Cd3g, Cd3z, Cd5, Cd6, Cd96, Cfb, Fcgr1, Fcgrt, Il2rb, Klra22, L20993, Lat, Lsp1, Ltb4dh, M84368, Myo1g, Spn, Tcrb, Tnfrsf1b, Tnfrsf4, Tnfrsf5, Tnfsf10, or Zap70; or reduce the rate of cells positive for CD3 molecules.
所说的加巴喷汀、其药学上可接受的盐的用途还包括:用于抑制异常上调的免疫分子。The use of said gabapentin and its pharmaceutically acceptable salt also includes: inhibiting abnormally up-regulated immune molecules.
组合物combination
如本文所用,术语“本发明的组合物”包括药物组合物和饮食补充剂(如保健品组合物),只要它们含有加巴喷汀作为调节免疫的活性成分。As used herein, the term "composition of the present invention" includes pharmaceutical compositions and dietary supplements (such as nutraceutical compositions) as long as they contain gabapentin as an active ingredient for regulating immunity.
本发明还提供了一种组合物,含有:(a)有效量的加巴喷汀或其药学上可接受的盐;以及(b)药学上可接受的载体或赋形剂。The present invention also provides a composition comprising: (a) an effective amount of gabapentin or a pharmaceutically acceptable salt thereof; and (b) a pharmaceutically acceptable carrier or excipient.
本发明中,术语“含有”表示各种成分可一起应用于本发明的混合物或组合物中。因此,术语“主要由…组成”和“由…组成”包含在术语“含有”中。In the present invention, the term "comprising" means that various components can be used together in the mixture or composition of the present invention. Accordingly, the terms "consisting essentially of" and "consisting of" are included in the term "comprising".
本发明中,“药学上可接受的”成分是适用于人和/或动物而无过度不良副反应(如毒性、刺激和变态反应)即有合理的效益/风险比的物质。In the present invention, a "pharmaceutically acceptable" ingredient is a substance suitable for use in humans and/or animals without undue adverse side effects (such as toxicity, irritation and allergic reactions), ie having a reasonable benefit/risk ratio.
本发明中,“药学上可接受的载体”是用于将本发明的加巴喷汀或其生理上可接受的盐传送给动物或人的药学上或食品上可接受的溶剂、悬浮剂或赋形剂。载体可以是液体或固体。In the present invention, "pharmaceutically acceptable carrier" is a pharmaceutically or food-acceptable solvent, suspending agent or solvent used to deliver gabapentin or a physiologically acceptable salt thereof to animals or humans. excipient. The carrier can be liquid or solid.
从易于制备和给药的立场看,优选的药物组合物是固态组合物,尤其是片剂和固体填充或液体填充的胶囊。药物组合物的口服给药是优选的。From the standpoint of ease of preparation and administration, preferred pharmaceutical compositions are solid compositions, especially tablets and solid-filled or liquid-filled capsules. Oral administration of the pharmaceutical composition is preferred.
本发明所述的药物组合物的剂型可以是多种多样的,只要是能够使活性成分有效地到达哺乳动物体内的剂型都是可以的。比如可选自:片剂、胶囊、粉末、颗粒、糖浆、溶液、悬浮液、或气雾剂。其中加巴喷汀可以存在于适宜的固体或液体的载体或稀释液中。The dosage form of the pharmaceutical composition of the present invention can be various, as long as it is the dosage form that can make the active ingredient reach the body of the mammal effectively. For example, it may be selected from: tablets, capsules, powders, granules, syrups, solutions, suspensions, or aerosols. Wherein gabapentin may exist in a suitable solid or liquid carrier or diluent.
本发明的加巴喷汀及其组合物也可储存在适宜于注射或滴注的消毒器具中。通常,在本发明的药物组合物中,加巴喷汀作为活性成分占总重量的0.1-50%(较佳地1-40%,更佳地2-30%),其余为药学上可接受的载体以及其他添加剂等物质。The gabapentin and the composition thereof of the present invention may also be stored in a sterile device suitable for injection or infusion. Usually, in the pharmaceutical composition of the present invention, gabapentin as an active ingredient accounts for 0.1-50% (preferably 1-40%, more preferably 2-30%) of the total weight, and the rest is pharmaceutically acceptable carriers and other additives.
给药方式和剂型Mode of Administration and Dosage Form
本发明的药物组合物可以通过常规方法制成任何常规的制剂形式。The pharmaceutical composition of the present invention can be made into any conventional preparation form by conventional methods.
通常,当所述化合物或其药学上可接受的盐及其组合物用于上述用途时,它们可与一种或多种药学上可接受的载体或赋形剂混合,如溶剂、稀释剂等,而且可以用如下形式口服给药:片剂、胶囊、可分散的粉末、颗粒或悬浮液(含有如约0.05-5%悬浮剂)、糖浆(含有如约10-50%糖)、和酏剂(含有约20-50%乙醇),或者以无菌可注射溶液或悬浮液形式(在等渗介质中含有约0.05-5%悬浮剂)进行非肠胃给药。例如,这些药物制剂可含有与载体混合的约1-90%,通常约为5-60%(重量)的活性成分。Generally, when the compounds or their pharmaceutically acceptable salts and compositions thereof are used for the above purposes, they can be mixed with one or more pharmaceutically acceptable carriers or excipients, such as solvents, diluents, etc. , and can be administered orally in the form of tablets, capsules, dispersible powders, granules or suspensions (containing e.g. about 0.05-5% suspending agent), syrups (containing e.g. about 10-50% sugar), and elixirs ( containing about 20-50% ethanol), or parenterally in the form of sterile injectable solutions or suspensions containing about 0.05-5% suspension in an isotonic medium. For example, these pharmaceutical formulations may contain from about 1 to 90%, usually from about 5 to 60%, by weight, of the active ingredient in admixture with a carrier.
所用的活性成分的有效剂量可随所用的化合物、给药的模式和待治疗的疾病的严重程度而变化。然而,通常当本发明的化合物每天以约10-300mg/kg动物体重的剂量给予时,能得到令人满意的效果,较佳地每天以1-3次分开的剂量给予,或以缓释形式给药。对大部分大型哺乳动物而言,每天的总剂量约为5-3600mg,较佳地约为10-500mg。适用于内服的剂量形式,包含与固态或液态药学上可接受的载体密切混合的约1-200mg的活性化合物。可调节此剂量方案以提供最佳治疗应答。例如,由治疗状况的迫切要求,可每天给予若干次分开的剂量,或将剂量按比例地减少。The effective dose of active ingredient employed may vary with the compound employed, the mode of administration and the severity of the disease being treated. Generally, however, satisfactory results are obtained when the compounds of the present invention are administered at a dose of about 10-300 mg/kg of animal body weight per day, preferably in 1-3 divided doses per day, or in sustained release form. medication. For most large mammals, the total daily dose is about 5-3600 mg, preferably about 10-500 mg. Dosage forms suitable for internal administration contain about 1-200 mg of the active compound in intimate admixture with a solid or liquid pharmaceutically acceptable carrier. This dosage regimen can be adjusted to provide the optimum therapeutic response. For example, several divided doses may be administered daily or the dose may be proportionally reduced as the exigencies of the therapeutic situation dictate.
所述化合物或其药学上可接受的盐及其组合物可通过口服以及静脉内、肌内或皮下等途径给药;优选的是口服给药。固态载体包括:淀粉、乳糖、磷酸二钙、微晶纤维素、蔗糖和白陶土,而液态载体包括:无菌水、聚乙二醇、非离子型表面活性剂和食用油(如玉米油、花生油和芝麻油),只要适合活性成分的特性和所需的特定给药方式。在制备药物组合物中通常使用的佐剂也可有利地被包括,例如调味剂、色素、防腐剂和抗氧化剂如维生素E、维生素C、BHT和BHA。The compound or its pharmaceutically acceptable salt and its composition can be administered orally, intravenously, intramuscularly or subcutaneously; oral administration is preferred. Solid carriers include: starch, lactose, dicalcium phosphate, microcrystalline cellulose, sucrose, and kaolin, while liquid carriers include: sterile water, polyethylene glycol, nonionic surfactants, and edible oils (such as corn oil, peanut oil and sesame oil), as appropriate to the profile of the active ingredient and the particular mode of administration required. Adjuvants commonly used in the preparation of pharmaceutical compositions may also advantageously be included, such as flavourings, colours, preservatives and antioxidants such as vitamin E, vitamin C, BHT and BHA.
所述活性化合物或其药学上可接受的盐及其组合物也可肠胃外或腹腔内给药。也可在适当混合有表面活性剂(如羟丙基纤维素)的水中制备这些活性化合物(作为游离碱或药学上可接受的盐)的溶液或悬浮液。还可在甘油、液体、聚乙二醇及其在油中的混合物中制备分散液。在常规储存和使用条件下,这些制剂中含有防腐剂以防止微生物的生长。The active compounds or their pharmaceutically acceptable salts and compositions thereof can also be administered parenterally or intraperitoneally. Solutions or suspensions of these active compounds (as free base or pharmaceutically acceptable salts) can also be prepared in water suitably mixed with a surfactant, such as hydroxypropylcellulose. Dispersions can also be prepared in glycerol, liquid, polyethylene glycols, and mixtures thereof in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
适应于注射的药物形式包括:无菌水溶液或分散液和无菌粉(用于临时制备无菌注射溶液或分散液)。在所有情况中,这些形式必须是无菌的且必须是流体以易于注射器排出流体。在制造和储存条件下必须是稳定的,且必须能防止微生物(如细菌和真菌)的污染影响。载体可以是溶剂或分散介质,其中含有如水、醇(如甘油、丙二醇和液态聚乙二醇)、它们的适当混合物和植物油。The pharmaceutical forms suitable for injection include: sterile aqueous solutions or dispersions and sterile powders (for the extemporaneous preparation of sterile injectable solutions or dispersion). In all cases, these forms must be sterile and must be fluid for easy syringe expulsion. Must be stable under the conditions of manufacture and storage and must be protected against the contaminating influence of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, alcohols (such as glycerol, propylene glycol, and liquid polyethylene glycol), suitable mixtures thereof, and vegetable oils.
加巴喷汀或其药学上可接受的盐及其组合物还可与其它活性成分或药物联合给药。Gabapentin or its pharmaceutically acceptable salts and compositions thereof can also be administered in combination with other active ingredients or drugs.
当两种或两种以上的药物联合给药时,一般具有优于两种药物分别单独给药的效果。When two or more drugs are administered in combination, the effect is generally better than that of the two drugs administered alone.
加巴喷汀及其药学上可接受的盐的制备方法Preparation method of gabapentin and pharmaceutically acceptable salt thereof
加巴喷汀的制备方法可采用本领域现有技术人员所了解的方法,比如化学合成的方法,或从植物中提取的方法。优选的,可采用从植物中提取加巴喷汀的方法。Gabapentin can be prepared by methods known to those skilled in the art, such as chemical synthesis or extraction from plants. Preferably, a method for extracting gabapentin from plants can be used.
下面结合具体实施例,进一步阐述本发明。应理解,这些实施例仅用于说明本发明而不用于限制本发明的范围。下列实施例中未注明具体条件的实验方法,通常按照常规条件如Sambrook等人,分子克隆:实验室指南(New York:Cold Spring Harbor Laboratory Press,1989)中所述的条件,或按照制造厂商所建议的条件。除非另外说明,否则百分比和份数按重量计算。Below in conjunction with specific embodiment, further illustrate the present invention. It should be understood that these examples are only used to illustrate the present invention and are not intended to limit the scope of the present invention. The experimental methods not indicating specific conditions in the following examples are usually according to conventional conditions such as Sambrook et al., molecular cloning: the conditions described in the laboratory guide (New York: Cold Spring Harbor Laboratory Press, 1989), or according to the manufacturer's suggested conditions. Percentages and parts are by weight unless otherwise indicated.
除非另行定义,文中所使用的所有专业与科学用语与本领域熟练人员所熟悉的意义相同。此外,任何与所记载内容相似或均等的方法及材料皆可应用于本发明中。文中所述的较佳实施方法与材料仅作示范之用。Unless otherwise defined, all professional and scientific terms used herein have the same meanings as commonly understood by those skilled in the art. In addition, any methods and materials similar or equivalent to those described can also be applied in the present invention. The preferred implementation methods and materials described herein are for demonstration purposes only.
I.材料和方法I. Materials and methods
动物模型的建立和筛选Establishment and screening of animal models
SD大鼠:220~250g,雄性,由中国科学院上海实验动物中心提供,合格证号SCX(沪)2007-0005。SD rats: 220-250 g, male, provided by the Shanghai Experimental Animal Center of the Chinese Academy of Sciences, certificate number SCX (Shanghai) 2007-0005.
手术过程:Surgical procedure:
1.初筛:稳定2~3天,剔除痛阈小于15g的大鼠(测痛方法见下面)。1. Preliminary screening: stable for 2 to 3 days, and exclude rats with a pain threshold of less than 15 g (see below for the pain measurement method).
2.手术:2. Surgery:
手术器械:麻药(水合氯醛10%),生理盐水,1ml注射器,手术刀(刀柄+刀片),75%酒精,结扎线(6-0丝线),缝合线,组织镊,止血钳,眼科剪刀,眼科镊,系结镊,棉球,棉签,缝合针,持针器,撑开器。Surgical instruments: anesthetic (chloral hydrate 10%), normal saline, 1ml syringe, scalpel (handle + blade), 75% alcohol, ligature (6-0 silk), suture, tissue forceps, hemostat, ophthalmology Scissors, ophthalmic tweezers, tie tweezers, cotton balls, cotton swabs, suture needles, needle holders, spreaders.
a.麻醉:称重,纪录体重,0.3ml/100g大鼠腹腔注射10%水合氯醛。a. Anesthesia: Weigh, record body weight, and inject 0.3ml/100g rats with 10% chloral hydrate intraperitoneally.
b.以大鼠两个髂前上脊连线为中线,剪去大鼠背毛,长约4cm,宽约2cm,用酒精消除剔毛部位皮肤。b. Taking the line connecting the two anterior superior iliac ridges of the rat as the midline, cut off the back hair of the rat, about 4 cm long and 2 cm wide, and use alcohol to remove the skin of the plucked area.
c.用手术刀轻轻沿脊柱方向(以髂前上脊连线为中线)切开,皮肤切口2~3cm,在距脊柱约2mm处钝性分离肌肉。c. Use a scalpel to cut gently along the direction of the spine (with the anterior superior iliac spine as the midline), make a skin incision of 2 to 3 cm, and bluntly separate the muscles at a distance of about 2 mm from the spine.
d.分离至视野内出现清晰的L6横突,将L6横突掰断并取出。d. Separate until a clear L6 transverse process appears in the visual field, break off the L6 transverse process and take it out.
e.L6横突掰断后会明显地看到两根神经并排行走,靠近脊柱的神经则为L5脊神经,另一条为L4脊神经,小心将L5脊神经分离出来,用系结镊将结扎线穿过并打上两个结,此过程不能碰伤L4脊神经(其中,L+数字代表腰部第*)。e. After breaking off the L6 transverse process, two nerves can be clearly seen running side by side. The nerve near the spine is the L5 spinal nerve, and the other is the L4 spinal nerve. Carefully separate the L5 spinal nerve and pass the ligature through it with forceps And tie two knots, this process can not hurt the L4 spinal nerve (among them, the number L+ represents the lumbar first *).
f.缝合f. Suture
3.手术后将动物饲养7天后给药。3. Animals were bred for 7 days after surgery and administered.
测痛方法、模型筛选、行为学测定:Pain measurement method, model screening, behavioral measurement:
测痛工具(von Frey filament)生产厂家:North Coast。Pain measuring tool (von Frey filament) manufacturer: North Coast.
纤毛克数:2.7g,3.9g,5.0g,6.9g,10.8g,15g,20g。Cilia in grams: 2.7g, 3.9g, 5.0g, 6.9g, 10.8g, 15g, 20g.
测定方法:术后第三天开始至第七天进行行为学测定。将大鼠置于半米高的铁丝网上,用棕色(8×8×18cm)塑料盒罩住,放置半小时到一小时后,大鼠会比较安静,走动减少,此时可以开始测痛。用纤毛(filament)垂直于大鼠脚面扎左脚小指与无名指之间,克数从小到大,若到某一克数大鼠出现急剧缩足或舔足行为,则此克数为大鼠的痛阈。若大鼠有超过3天术后痛阈为6.9g以下,则认为手术成功。Measuring method: Behavioral measurement was carried out from the third day to the seventh day after operation. Put the rats on a half-meter-high barbed wire and cover them with a brown (8×8×18cm) plastic box. After half an hour to one hour, the rats will be quieter and walk less. At this time, the pain measurement can be started. Use the cilia (filament) to pierce between the little finger and the ring finger of the left foot perpendicular to the surface of the rat's foot. The number of grams increases from small to large. pain threshold. If the pain threshold of the rat is less than 6.9 g after more than 3 days, the operation is considered successful.
分组情况:Grouping situation:
健康未作手术的大鼠作为对照组;模型成功的大鼠随机分为3组,纯手术组、盐水组、给药组。其中纯手术组(对照组)不做处理;给药组给加巴喷汀,剂量150mg/kg/d,加巴喷汀以生理盐水溶解;盐水组给以等体积的生理盐水。Healthy rats without surgery were used as the control group; rats with successful models were randomly divided into 3 groups, pure surgery group, saline group, and drug administration group. The pure operation group (control group) was not treated; the administration group was given gabapentin at a dose of 150 mg/kg/d, and gabapentin was dissolved in normal saline; the saline group was given an equal volume of normal saline.
芯片和PCR样品准备Microarray and PCR sample preparation
大鼠麻醉处死,10分钟内取出L5背根神经节(L5指腰5脊神经)(背根神经节缩写为DRG),迅速冻于液氮中,每组9只大鼠的DRG,随机分为3次生物学重复。用Trizol法抽提总RNA,并用RNeasy(Qiagen,Hilden,Germany)试剂盒进行纯化。The rats were anesthetized and killed, and the L5 dorsal root ganglion (L5 refers to the lumbar 5 spinal nerve) was taken out within 10 minutes (the dorsal root ganglion is abbreviated as DRG), and quickly frozen in liquid nitrogen. The DRGs of 9 rats in each group were randomly divided into 3 biological repeats. Total RNA was extracted by Trizol method and purified by RNeasy (Qiagen, Hilden, Germany) kit.
免疫荧光样品准备Immunofluorescence sample preparation
每组三只,10%的水合氯醛麻醉,剂量同上。剪开胸壁,充分暴露心脏及降主动脉。灌注针从左心尖插入,顺推至降主动脉,止血钳固定。推注50ml 37度的生理盐水冲净循环血液,接着推注50ml的37℃4%PFA(4%多聚甲醛,0.2%苦味酸,PH6.9)。紧接着5min内泵入200ml、4℃、4%的PFA,直至大鼠全身僵硬。取出L5背根神经节,置于4℃PFA中后固定2.5小时,最后用10%蔗糖溶液脱水24小时以上,待切片。Three rats in each group were anesthetized with 10% chloral hydrate and the dose was the same as above. Cut open the chest wall to fully expose the heart and descending aorta. The perfusion needle was inserted from the left apex, pushed forward to the descending aorta, and the hemostatic clamp was fixed. Inject 50ml of normal saline at 37°C to flush the circulating blood, and then inject 50ml of 37°
安捷伦芯片杂交及扫描Agilent chip hybridization and scanning
每份样品抽取的总RNA取100pmol,用Quick Amp Labeling Kit One-Color试剂盒(安捷伦芯片配套购买)进行Cy3标记染色及放大。标记好的cRNA经过RNeasy试剂盒的纯化以及NanoDrop ND-1000UV-VIS Spectrophotometer的质量检控,每组取1.5μg进行片段化后,分别上样于4×44K芯片,置于杂交炉中杂交过夜,温度65℃,转速10rpm,最后用Feature Extraction Software进行信号扫描。Take 100 pmol of total RNA extracted from each sample, and use the Quick Amp Labeling Kit One-Color kit (purchased with Agilent chips) for Cy3-labeled staining and amplification. The labeled cRNA was purified by RNeasy kit and quality controlled by NanoDrop ND-1000UV-VIS Spectrophotometer. After each group took 1.5 μg for fragmentation, they were loaded on 4×44K chips respectively, and hybridized overnight in a hybridization oven. 65°C, rotating speed 10rpm, and finally use Feature Extraction Software to scan the signal.
实时定量PCR(QRT-PCR)Real-time quantitative PCR (QRT-PCR)
每组取5μg RNA,与逆转录酶Superscript II及oligo(dT)18混合进行逆转录。肌动蛋白(Actin)cDNA作为质控,每个基因的引物设计如表1所示。Take 5 μg RNA from each group and mix with reverse transcriptase Superscript II and oligo(dT)18 for reverse transcription. Actin (Actin) cDNA was used as a quality control, and the primers for each gene were designed as shown in Table 1.
PCR的条件是:94℃5min,加上32个变性-退火-延伸循环,其中变性温度94℃,时间30s,退火58℃,30s,延伸72℃30s。最后72℃5min。此过程在ABI Power SYBR Green PCR Master Mix(ABI公司)完成,操作完全按照ABI公司提供的操作流程进行。The PCR conditions were: 94°C for 5min, plus 32 cycles of denaturation-annealing-extension, wherein denaturation temperature was 94°C for 30s, annealing was at 58°C for 30s, and extension was at 72°C for 30s. Finally, 72°C for 5 minutes. This process is completed in ABI Power SYBR Green PCR Master Mix (ABI Company), and the operation is carried out in full accordance with the operation process provided by ABI Company.
表1Table 1
免疫荧光(直接法)Immunofluorescence (direct method)
抗体:FITC小鼠抗人CD3单抗1∶500用光镜稀释液稀释。其中,光镜稀释液为:1×PBS,内含1%小牛血清蛋白和0.3%Triton X-100。Antibody: FITC mouse anti-human CD3 monoclonal antibody was diluted 1:500 with light microscope diluent. Among them, the diluent for light microscopy is: 1×PBS containing 1% bovine serum albumin and 0.3% Triton X-100.
固定好的DRG包埋于OCT(包埋剂,是一种聚乙二醇和聚乙烯醇的水溶性混合物)中,以14μm的厚度在Microm HM 525型冰冻切片机中连续切片。切好的片子每隔2张取一张,室温浸于0.01M PBS溶液中15分钟后,上一抗,4℃过夜,每张片子上样量80μl。之后以0.01M PBS溶液浸洗5min×3次,滴入封片液封片,在共聚焦显微镜下观察。The fixed DRG was embedded in OCT (embedding agent, which is a water-soluble mixture of polyethylene glycol and polyvinyl alcohol), and sliced serially in a Microm HM 525 cryostat with a thickness of 14 μm. The sliced slices were taken every two slices, immersed in 0.01M PBS solution at room temperature for 15 minutes, and then the primary antibody was applied, overnight at 4°C, with a loading volume of 80 μl per slice. After that, soak and wash with 0.01M PBS solution for 5min×3 times, drop into the mounting solution to seal the slide, and observe under the confocal microscope.
数据分析data analysis
多组之间的比较采用one way ANOVA和Tukey’s HSD检验。P值<0.05时认为有显著性差异。芯片扫描获得的原始数据导入Genespring GX 9.0后,首先筛选掉信号饱和及信号不足的点;有效的信号点进行Quartile标准化。之后,进行了组间双重标准差异筛选:1.Tukey’s HSD检验P值低于0.05;2.倍数改变>=1.5。筛选到的差异基因导入Genmapp2.0进行通路分析。Comparisons between multiple groups were performed using one-way ANOVA and Tukey's HSD test. A significant difference was considered when the P value was <0.05. After importing the raw data obtained by chip scanning into Genespring GX 9.0, the points with signal saturation and insufficient signal are first screened out; effective signal points are subjected to Quartile standardization. Afterwards, double-standard difference screening between groups was carried out: 1. Tukey’s HSD test P value lower than 0.05; 2. Fold change >= 1.5. The screened differential genes were imported into Genmapp2.0 for pathway analysis.
免疫荧光结果共取6张片子,每组动物有3只,进行双盲计数阳性细胞率。一人计数总神经元个数,一人计数阳性细胞个数(只计数具有明显清晰细胞核的),最后分别计算各组阳性率,比较差异。For the results of immunofluorescence, a total of 6 slices were taken, and there were 3 animals in each group, and the positive cell rate was counted double-blindly. One person counted the total number of neurons, the other counted the number of positive cells (only those with clear nuclei were counted), and finally calculated the positive rates of each group to compare the differences.
II.实施例II. Example
实施例1、芯片结果显示加巴喷汀可以扭转部分异常表达的免疫分子基因水平Example 1. Chip results show that gabapentin can reverse the level of some abnormally expressed immune molecule genes
在one way ANONA检验中,共9764个探针显示有组间差异(P<0.05)。其中,经过Tukey’s HSD检验之后,盐水组与对照组有7673个探针有差异,而盐水组和纯手术组只有267个有差异并且倍数比较>1.5。由于这267个探针代表的基因大部分是预测基因或者功能与痛觉无关,因此在之后的研究中,本发明人忽略了生理盐水造成的差别,直接用盐水组与给药组进行对比。经过上述双重标准筛选,盐水组与给药组有479个探针被筛选出来,479个探针全部包括在上述7673个探针中。除去部分功能尚未研究透彻的基因以及预测基因,本发明人共挑选出238个探针,其中包含了20个受体基因、14个离子通道、27个免疫分子(表2)及部分突触蛋白等,部分在之前的研究中被报导过。In the one way ANONA test, a total of 9764 probes showed differences between groups (P<0.05). Among them, after the Tukey's HSD test, there were 7673 probes that were different between the saline group and the control group, while only 267 probes were different between the saline group and the pure surgery group, and the multiple comparison was >1.5. Since most of the genes represented by these 267 probes are predicted genes or their functions are not related to pain sensation, in subsequent studies, the inventors ignored the difference caused by normal saline, and directly compared the saline group with the administration group. After the above-mentioned double-standard screening, 479 probes were screened out from the saline group and the administration group, and all 479 probes were included in the above-mentioned 7673 probes. Excluding some genes whose functions have not been thoroughly studied and predicted genes, the inventors selected a total of 238 probes, including 20 receptor genes, 14 ion channels, 27 immune molecules (Table 2) and some synaptic proteins etc., some of which have been reported in previous studies.
用Genmapp2.0进行通路分析显示,在免疫学方面,α-βT细胞受体复合体通路有显著改变(P<0.001)。Pathway analysis with Genmapp2.0 showed that in terms of immunology, the α-βT cell receptor complex pathway was significantly changed (P<0.001).
表2Table 2
实施例2、QRT-PCR验证Embodiment 2, QRT-PCR verification
本发明人从上述238个探针中随机挑选了13个进行QRT-PCR的验证,其中包含4个免疫分子的探针。The inventor randomly selected 13 probes from the above 238 probes for QRT-PCR verification, including 4 probes of immune molecules.
结果,表达的改变结果与芯片结果吻合,见图1。As a result, the change in expression was consistent with the chip results, as shown in Figure 1.
实施例3、免疫荧光验证Embodiment 3, immunofluorescence verification
除了基因水平,本发明人希望通过免疫荧光来进一步确认,是否蛋白水平也发生了改变,见图2上图。In addition to the gene level, the inventors hope to further confirm whether the protein level is also changed by immunofluorescence, as shown in the upper panel of FIG. 2 .
本发明人比较了CD3分子的阳性细胞率(CD3分子阳性指示活化的T细胞,异常升高表示免疫亢进),盐水组和对照组相比,阳性率明显升高,但是给药之后,阳性细胞率恢复到正常水平,与对照组不再有差别,见图2下图。The present inventor compared the positive cell rate of CD3 molecules (CD3 molecule positive indicates activated T cells, and abnormal increase indicates immune hyperactivity). The rate returned to the normal level, and there was no difference with the control group, as shown in the lower figure of Figure 2.
讨论discuss
免疫系统在神经痛的发生发展中所起到的作用,在很久之前已经被发现。目前已经证实,神经元的胞体、纤维可以被活化的免疫细胞及类免疫细胞的胶质细胞所调控。因此,免疫激活的过程可能对神经痛的发生、持续过程起到重要作用。在本发明人的研究中发现,SNL手术后的大鼠,背根神经节中部分免疫分子的基因存在显著的上调,但给药后有27个下调至正常或接近正常的水平。通路分析也显示,α-βT细胞受体复合体通路存在显著的改变。据此本发明人预测,加巴喷汀的镇痛作用中,可能存在一个抑制T细胞活化的机制:进入正常神经系统中的T细胞因为找不到合适的抗原表位会自行退出,因此,对照组中很少见到阳性细胞。然而在非对照组中,T细胞一旦确定了抗原表位,便会停留在此并释放一系列细胞因子,如白介素-2,肿瘤坏死因子和干扰素等。这些因子可以刺激施万细胞、巨噬细胞等,从而释放更多的细胞因子,如前炎症细胞因子和RO。这些细胞因子在神经系统自身免疫病的作用已经被证实,此外,它们可以通过交叉致敏的方式致敏TRPV1受体,从而改变神经元感受器的敏感性,通过这种方式对痛觉过敏的发生起作用。因此本发明人预测,在加巴喷汀的镇痛过程中,存在抑制T细胞活化的机理。The role of the immune system in the development of neuralgia has long been discovered. It has been confirmed that the cell bodies and fibers of neurons can be regulated by activated immune cells and immune cell-like glial cells. Therefore, the process of immune activation may play an important role in the occurrence and persistence of neuralgia. In the research of the present inventors, it was found that in rats after SNL surgery, some immune molecule genes in the dorsal root ganglia were significantly up-regulated, but 27 genes were down-regulated to normal or near-normal levels after administration. Pathway analysis also revealed significant alterations in the α-β T cell receptor complex pathway. Based on this, the inventors predicted that in the analgesic effect of gabapentin, there may be a mechanism for inhibiting T cell activation: T cells that enter the normal nervous system will withdraw by themselves because they cannot find a suitable antigenic epitope. Therefore, Positive cells were rarely seen in the control group. However, in the non-control group, once the T cells have determined the antigenic epitope, they will stay there and release a series of cytokines, such as interleukin-2, tumor necrosis factor and interferon. These factors can stimulate Schwann cells, macrophages, etc. to release more cytokines, such as pro-inflammatory cytokines and RO. The role of these cytokines in nervous system autoimmune diseases has been confirmed. In addition, they can sensitize TRPV1 receptors through cross-sensitization, thereby changing the sensitivity of neuronal receptors, and in this way play a role in the occurrence of hyperalgesia. effect. Therefore, the present inventors predicted that there is a mechanism of inhibiting T cell activation during the analgesic process of gabapentin.
在本发明提及的所有文献都在本申请中引用作为参考,就如同每一篇文献被单独引用作为参考那样。此外应理解,在阅读了本发明的上述讲授内容之后,本领域技术人员可以对本发明作各种改动或修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。All documents mentioned in this application are incorporated by reference in this application as if each were individually incorporated by reference. In addition, it should be understood that after reading the above teaching content of the present invention, those skilled in the art can make various changes or modifications to the present invention, and these equivalent forms also fall within the scope defined by the appended claims of the present application.
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CN110156888A (en) * | 2019-05-13 | 2019-08-23 | 沣潮医药科技(上海)有限公司 | CD96 recombinant protein is in preparation for the purposes in immunity disease pharmaceutical composition |
AU2014308552B2 (en) * | 2013-08-22 | 2020-02-13 | The Council Of The Queensland Institute Of Medical Research | Immunoreceptor modulation for treating cancer and viral infections |
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Cited By (10)
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WO2015024060A1 (en) | 2013-08-22 | 2015-02-26 | The Council Of The Queensland Institute Of Medical Research | Immunoreceptor modulation for treating cancer and viral infections |
CN105636985A (en) * | 2013-08-22 | 2016-06-01 | 昆士兰医学研究所理事会 | Immunoreceptor modulation for treating cancer and viral infections |
CN105636983A (en) * | 2013-08-22 | 2016-06-01 | 昆士兰医学研究所理事会 | Immunoreceptor modulation for treating cancer and viral infections |
EP3036258A1 (en) * | 2013-08-22 | 2016-06-29 | The Council of the Queensland Institute of Medical Research | Immunoreceptor modulation for treating cancer and viral infections |
JP2016530267A (en) * | 2013-08-22 | 2016-09-29 | ザ・カウンシル・オヴ・ザ・クイーンズランド・インスティテュート・オヴ・メディカル・リサーチ | Immune receptor modulation to treat cancer and viral infections |
EP3036255A4 (en) * | 2013-08-22 | 2017-03-22 | The Council Of The Queensland Institute Of Medical Research | Immunoreceptor modulation for treating cancer and viral infections |
EP3036258A4 (en) * | 2013-08-22 | 2017-03-29 | The Council of the Queensland Institute of Medical Research | Immunoreceptor modulation for treating cancer and viral infections |
AU2014308552B2 (en) * | 2013-08-22 | 2020-02-13 | The Council Of The Queensland Institute Of Medical Research | Immunoreceptor modulation for treating cancer and viral infections |
CN110156888A (en) * | 2019-05-13 | 2019-08-23 | 沣潮医药科技(上海)有限公司 | CD96 recombinant protein is in preparation for the purposes in immunity disease pharmaceutical composition |
CN110156888B (en) * | 2019-05-13 | 2021-07-30 | 沣潮医药科技(上海)有限公司 | Application of CD96 recombinant protein in preparation of pharmaceutical composition for immune diseases |
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