CN114788870B - Composition for targeting immune cells to supplement arginine and neutralize acid environment for long time and application - Google Patents
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Abstract
本发明提供靶向免疫细胞长效补充精氨酸并中和酸环境的组合物及应用。由L‑精氨酸、阳离子氨基酸转运蛋白2抑制剂及药学上可接受的缓释药物储库载体组成。本发明通过将L‑精氨酸和阳离子氨基酸转运蛋白2抑制剂共载于缓释药物储库中制备成抗肿瘤药物。本发明通过局部注射于肿瘤部位,抑制癌细胞及免疫抑制细胞的阳离子氨基酸转运蛋白2,同时在瘤内长效缓释碱性L‑精氨酸,实现靶向的肿瘤杀伤性免疫细胞L‑精氨酸补充和肿瘤细胞及免疫抑制细胞L‑精氨酸饥饿,并利用L‑精氨酸的碱性中和酸性环境,在酸性和营养两个层面完成对肿瘤微环境的促免疫改善,可以显著增强抗肿瘤免疫反应和提高肿瘤治疗效果。The invention provides a composition and application for long-term supplementation of arginine targeting immune cells and neutralizing the acid environment. It consists of L-arginine, cationic amino acid transporter 2 inhibitor and pharmaceutically acceptable slow-release drug storage carrier. The invention prepares an antitumor drug by co-loading L-arginine and cationic amino acid transporter 2 inhibitors in a slow-release drug storage. The present invention inhibits the cationic amino acid transporter 2 of cancer cells and immunosuppressive cells by local injection at the tumor site, and at the same time releases alkaline L-arginine in a long-term and sustained manner in the tumor to realize the targeted tumor-killing immune cell L- Arginine supplementation and L-arginine starvation of tumor cells and immunosuppressive cells, and the use of the alkalinity of L-arginine to neutralize the acidic environment, complete the immune-promoting improvement of the tumor microenvironment at the acidic and nutritional levels, It can significantly enhance the anti-tumor immune response and improve the therapeutic effect of tumors.
Description
技术领域technical field
本发明属于药物制剂领域,涉及一种靶向免疫细胞长效补充精氨酸并中和酸环境的组合物及应用,主要用于制备抗肿瘤药物。The invention belongs to the field of pharmaceutical preparations, and relates to a composition for long-term supplementation of arginine targeting immune cells and neutralizing acid environment and its application, which is mainly used for preparing antitumor drugs.
背景技术Background technique
肿瘤细胞在氧气充足的情况下,依旧偏向于无氧糖酵解的糖代谢模式以合成自身所需的能量,并随之产生大量的乳酸,该现象被称为“Warburg”效应。为维持胞内稳态,肿瘤细胞会把产生的乳酸外排到细胞间质中,造成间质酸化。由此产生的弱酸环境被认为与癌细胞的高侵袭性和转移性,及对包括化疗、免疫治疗在内的多种疗法的耐受性有高度关联。更重要的是,偏低的pH值对淋巴细胞具有毒性,会抑制白介素2(IL-2)刺激的淋巴细胞增殖过程,且已经证明酸性条件下细胞毒性T淋巴细胞对各种肿瘤细胞系的杀伤作用减弱。环境pH值降低到6.0-6.5时就足以在人和小鼠肿瘤特异性CD8+T细胞中引起无反应状态T淋巴细胞,这些细胞的细胞溶解活性和细胞因子分泌能力受损,IL-2受体α(IL-2Rα)和T细胞受体(TCR)的表达降低,以及TCR激活后信号转导和转录激活因子5(STAT5)和细胞外信号调节激酶(ERK)的激活减少。酸性环境引起的免疫抑制效果也同样作用在自然杀伤细胞(NK细胞)和巨噬细胞上。因此,中和酸性肿瘤微环境可以为免疫治疗提供环境基础(CancerRes.2016 Mar15;76(6):1381-90)。In the case of sufficient oxygen, tumor cells still prefer the sugar metabolism mode of anaerobic glycolysis to synthesize the energy they need, and then produce a large amount of lactic acid. This phenomenon is called the "Warburg" effect. To maintain intracellular homeostasis, tumor cells will efflux the produced lactic acid into the interstitium, resulting in acidification of the interstitium. The resulting weakly acidic environment is thought to be highly associated with the high invasiveness and metastases of cancer cells, as well as their resistance to various therapies including chemotherapy and immunotherapy. More importantly, a low pH value is toxic to lymphocytes and inhibits interleukin-2 (IL-2)-stimulated lymphocyte proliferation, and it has been demonstrated that cytotoxic T lymphocytes are effective against various tumor cell lines under acidic conditions. The killing effect is weakened. Reduction of environmental pH to 6.0–6.5 was sufficient to induce anergic state T lymphocytes in human and mouse tumor-specific CD8+ T cells with impaired cytolytic activity and cytokine secretion, IL-2 regulated Reduced expression of IL-2Rα and T cell receptor (TCR), as well as decreased activation of signal transducer and activator of transcription 5 (STAT5) and extracellular signal-regulated kinase (ERK) following TCR activation. The immunosuppressive effect caused by the acidic environment also acts on natural killer cells (NK cells) and macrophages. Therefore, neutralizing the acidic tumor microenvironment can provide an environmental basis for immunotherapy (CancerRes. 2016 Mar15; 76(6): 1381-90).
L-精氨酸(L-arg)是一种碱性氨基酸,在多种代谢产物合成过程中起着纽带的作用,其中包括NO,多胺,氨基酸和嘧啶等对细胞存活和增殖都必不可少的关键物质。而肿瘤环境的特征之一就是L-arg缺乏。一方面,因为肿瘤组织中异常的血管生成造成血管畸形,血流灌注异常和物质运输障碍,导致L-arg供给不足。而另一方面,肿瘤组织中快速增殖的癌细胞,高表达精氨酸酶1(ARG1)的髓源性抑制细胞(MDSC)和M2型巨噬细胞,又会造成L-arg的高消耗。在缺乏L-arg的情况下,T细胞会出现CD3ζ链表达减少,产生细胞因子的能力受损的情况,还会经由GCN2/eIF2α途径造成激活后进入分裂期的T细胞发生细胞周期阻滞引起增殖抑制。而与之相反,充足的L-arg水平可以诱导T细胞整体代谢模式发生变化,表现为激活的T细胞产能方式从糖酵解转变为氧化磷酸化,进而促进具有较高生存能力的中央记忆细胞的生成,在小鼠模型中能够表现出更强的抗肿瘤活性。此外,L-arg还是M1型巨噬细胞中诱导型一氧化氮合酶(iNOS)的底物,通过iNOS将L-arg催化为一氧化氮(NO)是M1细胞发挥免疫功能的重要方式,L-arg不足将限制M1生成NO的能力。L-arginine (L-arg) is a basic amino acid that acts as a link in the synthesis of various metabolites, including NO, polyamines, amino acids and pyrimidines, which are essential for cell survival and proliferation few key substances. One of the characteristics of the tumor environment is L-arg deficiency. On the one hand, due to abnormal angiogenesis in tumor tissue, vascular malformation, abnormal blood perfusion and material transport obstacles result in insufficient supply of L-arg. On the other hand, rapidly proliferating cancer cells in tumor tissue, myeloid-derived suppressor cells (MDSCs) and M2 macrophages that highly express arginase 1 (ARG1) will cause high consumption of L-arg. In the absence of L-arg, T cells will have reduced expression of CD3ζ chain and impaired ability to produce cytokines, and will also cause cell cycle arrest of T cells that enter the division phase after activation through the GCN2/eIF2α pathway proliferation inhibition. In contrast, sufficient L-arg levels induced a change in the overall metabolic pattern of T cells, manifested by a shift in energy production in activated T cells from glycolysis to oxidative phosphorylation, which in turn promoted central memory cells with higher viability The generation of the gene can show stronger anti-tumor activity in the mouse model. In addition, L-arg is also the substrate of inducible nitric oxide synthase (iNOS) in M1 macrophages, and the catalysis of L-arg to nitric oxide (NO) by iNOS is an important way for M1 cells to exert immune function. Insufficient L-arg will limit the ability of M1 to generate NO.
所以,向肿瘤组织中补充碱性L-arg可以在为免疫细胞提供需要营养支持的同时,利用其碱性改造原抑制性酸性环境,从而进一步促进免疫反应。已有研究证明,口服补充L-arg可以提升免疫治疗效果(Cancer Biol Ther.2017 Feb;18(2):94-100),有利于手术预后(Clin Nutr.2014 Dec;33(6):951-7)。但是口服L-arg所需剂量极大,病人不易耐受,且无法利用其碱性,而局部的溶液注射因为快速扩散无法实现持续的L-arg水平提高(Nature.2021 Oct;598(7882):662-666)。故能够局部且持续在肿瘤释放碱性L-精氨酸的制剂手段更适合L-arg补充疗法。Therefore, adding alkaline L-arg to tumor tissue can provide the necessary nutritional support for immune cells, and at the same time use its alkaline to modify the original inhibitory acidic environment, thereby further promoting the immune response. Studies have shown that oral supplementation of L-arg can improve the effect of immunotherapy (Cancer Biol Ther.2017 Feb; 18(2):94-100), which is beneficial to the prognosis of surgery (Clin Nutr.2014 Dec; 33(6):951 -7). However, the dose of L-arg required for oral administration is extremely high, which is not easily tolerated by the patient, and its alkalinity cannot be utilized, while local solution injection cannot achieve a sustained increase in L-arg levels due to rapid diffusion (Nature.2021 Oct; 598(7882) :662-666). Therefore, preparations that can locally and continuously release basic L-arginine in tumors are more suitable for L-arg supplementation therapy.
此外,L-arg同时也是肿瘤细胞增殖过程必需的一种营养物质,早先设计的人为消耗全身L-arg的饥饿策略虽对部分肿瘤有生长抑制作用,但是其治疗效果对肿瘤基因表型有严重的依赖性(JAMA Oncol.2017 Jan 1;3(1):58-66)且对免疫系统具有显著抑制效果(Cancer Res.2015 Jan 15;75(2):275-83),不利于治疗。综上所述,为使该策略的效果最大化,就必须阻止癌细胞从改善的环境中获益,即要在补充L-arg的环境下实现肿瘤细胞的营养饥饿。In addition, L-arg is also an essential nutrient for the proliferation of tumor cells. Although the previously designed starvation strategy of artificially consuming whole body L-arg can inhibit the growth of some tumors, its therapeutic effect has a serious impact on tumor genotypes. Dependence (JAMA Oncol.2017 Jan 1; 3(1):58-66) and has a significant inhibitory effect on the immune system (Cancer Res.2015 Jan 15; 75(2):275-83), which is not conducive to treatment. Taken together, in order to maximize the effectiveness of this strategy, it is necessary to prevent cancer cells from benefiting from an improved environment, that is, to achieve nutrient starvation of tumor cells in the context of L-arg supplementation.
细胞对环境L-arg的可用性和转运体的表达情况有关,哺乳动物细胞的L-arg转运主要由SLC7家族中的阳离子氨基酸转运蛋白(CAT)中的CAT-1(SLC7a1)和CAT-2(SLC7a2)主导。T细胞在活化阶段,会上调CAT-1的表达满足自身对L-arg的需求,且在L-arg不足的情况下增强,但不会上调CAT-2或其他转运体(Eur J Immunol.2016 Jan;46(1):92-103)。然而,对BRAF抑制剂产生耐药的黑色素瘤细胞,表现出从葡萄糖到精氨酸依赖的代谢转变并伴随CAT-2表达水平提高,沉默CAT-2表达显减弱其增殖能力(Mol Oncol.2017 Dec;11(12):1806-1825)。局部炎症和肿瘤部位的MDSCs表现出了CAT-2,ARG1和NOS2的协同上调,并通过消耗环境中的L-arg抑制T细胞免疫反应,在没有CAT-2的情况下,MDSCs在前列腺炎症和癌症模型中控制T细胞免疫的能力减弱(J Immunol.2015 Dec 1;195(11):5237-50.)。同样的,CAT-2缺陷小鼠的肺炎模型中可以观察到树突状细胞活化增加和记忆T细胞数量的增加(Proc Natl Acad Sci U S A.2006 Oct 3;103(40):14895-900)。这种CAT-1和CAT-2的差异表达情况,还没有在肿瘤环境调控中被利用,通过抑制肿瘤环境中的CAT-2,有望在为肿瘤杀伤性免疫细胞补充L-arg的同时实现肿瘤细胞特异性的L-arg饥饿。The availability of cells to the environment L-arg is related to the expression of transporters. The L-arg transport of mammalian cells is mainly composed of CAT-1 (SLC7a1) and CAT-2 ( SLC7a2) dominates. During the activation phase of T cells, the expression of CAT-1 will be up-regulated to meet their own needs for L-arg, and it will be enhanced in the absence of L-arg, but it will not up-regulate CAT-2 or other transporters (Eur J Immunol.2016 Jan; 46(1):92-103). However, melanoma cells resistant to BRAF inhibitors showed a metabolic shift from glucose to arginine dependence accompanied by increased expression of CAT-2, and silencing CAT-2 expression significantly weakened their proliferative ability (Mol Oncol.2017 Dec;11(12):1806-1825). MDSCs at local inflammation and tumor sites exhibited a synergistic upregulation of CAT-2, ARG1, and NOS2, and suppressed T cell immune responses by depleting environmental L-arg. Attenuated ability to control T cell immunity in cancer models (J Immunol. 2015 Dec 1;195(11):5237-50.). Similarly, increased activation of dendritic cells and increased numbers of memory T cells were observed in a pneumonia model of CAT-2-deficient mice (Proc Natl Acad Sci US A. 2006 Oct 3;103(40):14895-900) . This differential expression of CAT-1 and CAT-2 has not been utilized in the regulation of the tumor environment. By inhibiting CAT-2 in the tumor environment, it is expected to replenish L-arg for tumor-killing immune cells while achieving tumor Cell-specific L-arg starvation.
发明内容Contents of the invention
本发明的目的是提供一种靶向免疫细胞长效补充精氨酸并中和酸环境的组合物,所述组合物由L-精氨酸、阳离子氨基酸转运蛋白2抑制剂以及药学上可接受的缓释药物储库载体组成。The purpose of the present invention is to provide a long-term supplementation of arginine targeting immune cells and neutralizing the acid environment composition, the composition is composed of L-arginine, cationic
其中L-精氨酸浓度为10-160mg/mL,所述阳离子氨基酸转运蛋白2抑制剂可以为抑制性多肽和抗体,或者为基于阳离子氨基酸转运蛋白2基因序列的shRNA或siRNA。所述shRNA为基于阳离子氨基酸转运蛋白2基因序列的短发夹RNA,其序列可以为:Wherein the concentration of L-arginine is 10-160 mg/mL, the cationic
(1)gctttatgccctatggctttattcaagagataaagccatagggcataaagctttttt;(1) gctttatgccctatggctttatcaagagataaagccataggggcataaagctttttt;
(2)cgtccttacttgtctgctttattcaagagataaagcagacaagtaaggacgtttttt;(2) cgtccttacttgtctgctttattcaagagataaagcagacaagtaaggacgttttttt;
(3)cggcctttgctatgctgaatttcaagagaattcagcatagcaaaggccgtttttt。(3) cggcctttgctatgctgaatttcaagagaattcagcatagcaaaggccgtttttt.
所述siRNA为基于阳离子氨基酸转运蛋白2基因序列的小干扰RNA,其序列可以为:The siRNA is a small interfering RNA based on the cationic
(1)cgaaauacgggauaccgaaau;(1) cgaaauacgggauaccgaaau;
(2)gcaggaaugaacagacgaaau;(2) gcaggaaugaacagacgaaau;
(3)gccggaaacgauacgacuua。(3) gccggaaacgauacgacuua.
当阳离子氨基酸转运蛋白2抑制剂为抑制性多肽和抗体时,其浓度为1-20mg/mL;当阳离子氨基酸转运蛋白2抑制剂为shRNA时,其浓度为0.1-5mg/mL;当阳离子氨基酸转运蛋白2抑制剂为siRNA时,其浓度为10-200nmol/mL。当阳离子氨基酸转运蛋白2抑制剂为shRNA或siRNA时,需复合使用基因递送载体,包括但不限于阳离子脂质体、阳离子纳米乳、固体脂质纳米粒。所述缓释药物储库载体的类型包括但不限于微球、凝胶和多囊脂质体。When the cationic
本发明的另一个目的是提供所述组合物在制备抗肿瘤药物中的应用,所述肿瘤为黑色素瘤。Another object of the present invention is to provide the application of the composition in the preparation of antitumor drugs, and the tumor is melanoma.
本发明所述抗肿瘤是由所述组合物药物单独施用,或组合物与免疫治疗、手术治疗、化疗及放疗联合施用实现。The anti-tumor in the present invention is realized by administering the composition drug alone, or combining the composition with immunotherapy, surgical treatment, chemotherapy and radiotherapy.
本发明的抗肿瘤作用是通过阳离子氨基酸转运蛋白2抑制剂,抑制肿瘤组织中阳离子氨基酸转运蛋白2的功能,限制肿瘤细胞和免疫抑制性细胞对肿瘤环境中L-精氨酸的利用能力,避免其从改善的环境中获益,甚至迫使其处于L-精氨酸饥饿状态。利用L-精氨酸的碱性和缓释药物储库的释放特性,实现持续性的对肿瘤杀伤性免疫细胞的L-精氨酸靶向补充和弱酸环境中和,从pH环境和营养两个层面同时改善肿瘤微环境,实现对抗肿瘤免疫反应的增强。The anti-tumor effect of the present invention is to inhibit the function of cationic
本发明设计了一种靶向免疫细胞长效补充精氨酸并中和酸环境的组合物。该组合物通过抑制肿瘤组织中的CAT-2,限制肿瘤细胞及免疫抑制细胞对环境中的L-arg的摄取利用,联合局部碱性L-精氨酸缓释补充,可长时间改善肿瘤微环境中的营养条件和pH环境,同时实现强化抗肿瘤免疫、饥饿肿瘤和减弱免疫抑制的效果,并且可用于辅助免疫疗法、手术治疗、化疗及放疗,具备良好的临床应用潜力。The present invention designs a composition for long-term supplementation of arginine targeting immune cells and neutralizing the acid environment. The composition inhibits CAT-2 in tumor tissue, restricts the uptake and utilization of L-arg in the environment by tumor cells and immunosuppressive cells, and combined with local alkaline L-arginine slow-release supplementation, can improve tumor microbiology for a long time. The nutritional conditions and pH environment in the environment can simultaneously achieve the effects of strengthening anti-tumor immunity, starving tumors and weakening immunosuppression, and can be used for adjuvant immunotherapy, surgical treatment, chemotherapy and radiotherapy, and has good potential for clinical application.
本发明通过将L-精氨酸和阳离子氨基酸转运蛋白2抑制剂共载于缓释药物储库中制备成抗肿瘤药物。本发明通过局部注射于肿瘤部位,抑制癌细胞及免疫抑制细胞的阳离子氨基酸转运蛋白2,同时在瘤内长效缓释碱性L-精氨酸,实现靶向的肿瘤杀伤性免疫细胞L-精氨酸补充和肿瘤细胞及免疫抑制细胞L-精氨酸饥饿,并利用L-精氨酸的碱性中和酸性环境,在酸性和营养两个层面完成对肿瘤微环境的促免疫改善,可以显著增强抗肿瘤免疫反应和提高肿瘤治疗效果。The invention prepares the antitumor drug by co-loading L-arginine and cationic
本发明的创新性在于利用缓释制剂技术,完成了对高浓度碱性L-精氨酸和阳离子氨基酸转运蛋白2抑制剂的包封,实现了对弱酸肿瘤微环境的中和,对抗肿瘤免疫细胞的靶向L-精氨酸补充,对肿瘤细胞和免疫抑制细胞的特异性L-精氨酸饥饿。本发明的组合物,突破了肿瘤组织中环境和营养介导的双重免疫抑制作用,可显著提高机体的抗肿瘤免疫的响应性,除单独使用外,也可用于辅助化疗、放疗、免疫治疗和手术治疗,具备良好的临床应用前景,涉及的L-精氨酸药物储库制备技术,工艺简单成熟,物料成本低,稳定可靠,可用于商业化生产。The innovation of the present invention lies in the use of sustained-release preparation technology to complete the encapsulation of high-concentration alkaline L-arginine and cationic
附图说明Description of drawings
图1是组合物(微球剂型)的体外释放曲线。Figure 1 is the in vitro release profile of the composition (microsphere dosage form).
图2是组合物(多囊脂质体机型)的体外释放曲线。Figure 2 is the in vitro release profile of the composition (multivesicular liposome model).
图3是组合物(凝胶剂型)的体外释放曲线。Figure 3 is the in vitro release profile of the composition (gel dosage form).
图4是CAT-2 shRNA质粒/Lipo8000复合物抑制B16细胞CAT-2蛋白。Figure 4 shows that the CAT-2 shRNA plasmid/Lipo8000 complex inhibits the CAT-2 protein of B16 cells.
图5是CAT-2蛋白抑制对B16细胞增殖的影响。Figure 5 is the effect of CAT-2 protein inhibition on the proliferation of B16 cells.
图6是CAT-2蛋白抑制对CD8+ T细胞增殖的影响。Figure 6 shows the effect of CAT-2 protein inhibition on the proliferation of CD8+ T cells.
图7是CAT-2蛋白抑制对CD8+ T细胞分化的影响。Figure 7 shows the effect of CAT-2 protein inhibition on the differentiation of CD8+ T cells.
图8是组合物中和肿瘤酸性微环境的效果。Figure 8 is the effect of the composition on neutralizing the acidic microenvironment of the tumor.
图9是组合物对肿瘤生长的抑制作用。Figure 9 is the inhibitory effect of the composition on tumor growth.
图10是组合物对小鼠体重的影响。Figure 10 is the effect of the composition on the body weight of mice.
图11是组合物对小鼠生存期的影响。Figure 11 is the effect of the composition on the survival of mice.
图12是组合物对肿瘤中浸润CD8+ T细胞数量的影响。Figure 12 is the effect of the composition on the number of infiltrating CD8+ T cells in the tumor.
图13是组合物对肿瘤中浸润CD8+ T细胞分化的影响。Figure 13 is the effect of the composition on the differentiation of infiltrating CD8+ T cells in tumors.
图14是组合物对肿瘤相关巨噬细胞极化的影响。Figure 14 is the effect of the composition on the polarization of tumor-associated macrophages.
图15是组合物对肿瘤组织中细胞因子的影响。Figure 15 is the effect of the composition on cytokines in tumor tissue.
图16是组合物联合抗PD-1治疗对肿瘤生长的抑制作用。Figure 16 shows the inhibitory effect of the composition combined with anti-PD-1 therapy on tumor growth.
图17是组合物联合抗PD-1治疗对小鼠体重的影响。Figure 17 shows the effect of the composition combined with anti-PD-1 treatment on the body weight of mice.
具体实施方式Detailed ways
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图和实施例对本发明进行具体描述,有必要指出的是,以下实施例仅用于对本发明进行解释和说明,并不用于限定本发明。本领域技术人员根据上述发明内容所做出的一些非本质的改进和调整,仍属于本发明的保护范围。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be described in detail below in conjunction with the accompanying drawings and embodiments. It must be pointed out that the following embodiments are only used to explain and illustrate the present invention, not limit the invention. Some non-essential improvements and adjustments made by those skilled in the art based on the above content of the invention still belong to the protection scope of the present invention.
实施例1一种组合物(微球剂型)的制备方法Embodiment 1 A kind of preparation method of composition (microsphere dosage form)
组合物(微球剂型)的组成:The composition of the composition (microsphere dosage form):
L-精氨酸 5mgL-Arginine 5mg
CAT-2 siRNA/Lipo8000复合物 7nmol(以siRNA含量计)CAT-2 siRNA/Lipo8000 complex 7nmol (based on siRNA content)
Poly(lactic-co-glycolic)acid,1.5w,50:50 200mg。Poly(lactic-co-glycolic) acid, 1.5w, 50:50 200mg.
将处方量的L-精氨酸和CAT-2 siRNA/Lipo8000复合物溶于200μL的纯水中,作为内水相;处方量的Poly(lactic-co-glycolic)acid溶于4mL二氯甲烷中,作为油相。将内水相加入油相中,涡旋30秒后再经100W探头超声乳化2分钟。所得W/O乳剂加入到40mL含2%PVA的水溶液中,高速搅拌后,将其加入到100mL含0.2%PVA的水溶液中,低速搅拌过夜,除去二氯甲烷并完成微球固化。所得悬液经高速离心后,收集底部沉淀,即得组合物(微球剂型)。超纯水洗涤3遍后,于4℃储存。Dissolve the prescribed amount of L-arginine and CAT-2 siRNA/Lipo8000 complex in 200 μL of pure water as the inner aqueous phase; dissolve the prescribed amount of Poly(lactic-co-glycolic) acid in 4 mL of dichloromethane , as the oil phase. Add the inner water phase to the oil phase, vortex for 30 seconds, and then ultrasonic emulsify with a 100W probe for 2 minutes. Gained W/O emulsion was added to 40 mL of 2% PVA-containing aqueous solution, and after high-speed stirring, it was added to 100 mL of 0.2% PVA-containing aqueous solution, and stirred overnight at low speed to remove dichloromethane and complete microsphere solidification. After the obtained suspension is centrifuged at high speed, the bottom precipitate is collected to obtain the composition (microsphere dosage form). After washing three times with ultrapure water, store at 4°C.
实施例2组合物(微球剂型)的体外释放The in vitro release of
本实施例在实施例1的基础上,取组合物(微球剂型),重悬于pH为7.4的PBS溶液中,置于37℃恒温振荡箱中,于设定时间取样,高速离心后收集上清,经HPLC测定其中L-精氨酸含量,考察组合物(微球剂型)的体外释放行为。释放曲线表明,37℃条件下,组合物(微球剂型)在pH为7.4的PBS溶液中表现出了长达21天的缓释能力(图1)。In this example, on the basis of Example 1, the composition (microsphere dosage form) was taken, resuspended in PBS solution with a pH of 7.4, placed in a constant temperature shaking box at 37°C, sampled at a set time, and collected after high-speed centrifugation In the supernatant, the L-arginine content was determined by HPLC, and the in vitro release behavior of the composition (microsphere dosage form) was investigated. The release curve shows that, under the condition of 37°C, the composition (microsphere dosage form) exhibits a sustained release capability of up to 21 days in a PBS solution with a pH of 7.4 (Fig. 1).
所用HPLC条件为:The HPLC conditions used were:
流动相:甲醇:0.01M戊烷磺酸钠=(10:90),1mL/min;检测波长:206nm;色谱柱:Agilent ZORBAX C18 column(4.6×250mm,5μm)。Mobile phase: methanol: 0.01M sodium pentanesulfonate=(10:90), 1 mL/min; detection wavelength: 206nm; chromatographic column: Agilent ZORBAX C18 column (4.6×250mm, 5μm).
实施例3一种组合物(多囊脂质体剂型)的制备方法Embodiment 3 A kind of preparation method of composition (multivesicular liposome dosage form)
组合物(多囊脂质体剂型)的组成:Composition of the composition (multivesicular liposomal dosage form):
将处方量的L-arg和CAT-2 shRNA质粒/Lipo8000复合物溶于1mL纯水中,作为第一水相;处方量的蛋黄卵磷脂E80、胆固醇和α-生育酚溶于2mL二氯甲烷中,作为油相。将第一水相加入油相中,200W探头超声乳化4分钟,制得W/O乳剂。将含2%十二烷基硫酸钠的5mg/mL氯化钠水溶液作第二水相,将制得的W/O乳剂加入到10mL第二水相中,低速搅拌制得W/O/W型复乳,向其中加入5mg/mL的氯化钠溶液20mL,25℃水浴搅拌5小时,挥发去除有机溶剂,制得乳白色均匀状组合物(多囊脂质体剂型)悬液。所得悬液经低速离心富集组合物(多囊脂质体剂型),弃去上清并加入20mL的5mg/mL氯化钠溶液洗涤,重复3次。洗涤完毕后,收集组合物(多囊脂质体剂型),于4℃储存。Dissolve the prescribed amount of L-arg and CAT-2 shRNA plasmid/Lipo8000 complex in 1 mL of pure water as the first aqueous phase; dissolve the prescribed amount of egg yolk lecithin E80, cholesterol and α-tocopherol in 2 mL of dichloromethane In, as the oil phase. The first water phase was added to the oil phase, and a 200W probe was ultrasonically emulsified for 4 minutes to prepare a W/O emulsion. Use 5 mg/mL sodium chloride aqueous solution containing 2% sodium lauryl sulfate as the second water phase, add the prepared W/O emulsion into 10 mL of the second water phase, and stir at a low speed to obtain W/O/W Type double emulsion, 20 mL of 5 mg/mL sodium chloride solution was added thereto, stirred in a water bath at 25°C for 5 hours, and the organic solvent was volatilized to remove the milky white homogeneous composition (multivesicular liposome formulation) suspension. The resulting suspension was centrifuged at low speed to enrich the composition (multivesicular liposome formulation), the supernatant was discarded, and 20 mL of 5 mg/mL sodium chloride solution was added for washing, and this was repeated 3 times. After washing, the composition (multivesicular liposome formulation) was collected and stored at 4°C.
实施例4组合物(多囊脂质体剂型)的体外释放The in vitro release of
本实施例在实施例3的基础上,取组合物(多囊脂质体剂型),稀释于pH为7.4的PBS溶液中,置于37℃恒温振荡箱中,于设定时间取样,低速离心后弃去上清将收集的组合物用甲醇溶解后,以实施例2中的HPLC条件测定L-精氨酸含量,检测组合物(多囊脂质体剂型)体外释放行为。释放曲线表明,37℃条件下,组合物(多囊脂质体剂型)在pH为7.4的PBS溶液中表现出了长达216小时的缓释能力(图2)。In this example, on the basis of Example 3, take the composition (multivesicular liposome formulation), dilute it in a PBS solution with a pH of 7.4, place it in a constant temperature shaking box at 37°C, take samples at a set time, and centrifuge at a low speed Discard the supernatant and dissolve the collected composition with methanol, measure the L-arginine content with the HPLC conditions in Example 2, and detect the in vitro release behavior of the composition (multivesicular liposome formulation). The release curve showed that under the condition of 37°C, the composition (multivesicular liposome dosage form) exhibited a sustained release capability of up to 216 hours in a PBS solution with a pH of 7.4 (Fig. 2).
实施例5一种组合物(凝胶剂型)的制备方法Embodiment 5 A kind of preparation method of composition (gel dosage form)
组合物(凝胶剂型)的组成:Composition of the composition (gel dosage form):
将处方量的Poly(lactic-co-glycolic)acid和N-甲基吡咯烷酮混合后,静置2小时。待其完全溶胀后,加入处方量的L-精氨酸和anti-CAT-2抗体,混匀后得到组合物(凝胶剂型)前体溶液,于4℃储存。After mixing the prescribed amount of Poly(lactic-co-glycolic)acid and N-methylpyrrolidone, let it stand for 2 hours. After it was completely swollen, the prescribed amount of L-arginine and anti-CAT-2 antibody was added, and mixed to obtain a composition (gel formulation) precursor solution, which was stored at 4°C.
实施例6组合物(凝胶剂型)的体外释放The in vitro release of
本实施例在实施例5的基础上,取组合物(凝胶剂型)前体溶液,注射于透析袋中,将含有凝胶前体溶液的透析袋悬于pH为7.4的PBS溶液中,置于37℃恒温振荡箱中,于设定时间从外部释放介质中取样,以实施例2中的HPLC条件测定L-精氨酸含量,检测组合物(凝胶剂型)体外释放行为。释放曲线表明,37℃条件下,组合物(凝胶剂型)在pH为7.4的PBS溶液中表现出了长达30天的缓释能力(图3)。In this embodiment, on the basis of Example 5, the precursor solution of the composition (gel dosage form) is taken and injected into a dialysis bag, and the dialysis bag containing the gel precursor solution is suspended in a PBS solution with a pH of 7.4, and placed In a constant temperature shaking box at 37°C, samples were taken from the external release medium at a set time, and the content of L-arginine was determined by HPLC conditions in Example 2 to detect the in vitro release behavior of the composition (gel dosage form). The release curve shows that the composition (gel dosage form) exhibits a sustained release capability of up to 30 days in a PBS solution with a pH of 7.4 at 37°C ( FIG. 3 ).
实施例7对肿瘤细胞阳离子氨基酸转运体2(CAT-2)的抑制Example 7 Inhibition of Tumor Cell Cationic Amino Acid Transporter 2 (CAT-2)
实施例描述的体外细胞实验中,CAT-2 shRNA质粒工作均为1μg/mL,使用的阳离子载体剂量根据说明书中质粒与载体比例计算。In the in vitro cell experiments described in the examples, the CAT-2 shRNA plasmid was used at 1 μg/mL, and the dosage of the cationic carrier used was calculated according to the ratio of the plasmid to the carrier in the instructions.
将B16细胞接种于6孔板中,过夜贴壁后,分成3组分别进行如下处理:①加入生理盐水(Blank)共孵育24小时,②加入CAT-2 shRNA质粒/Lipo8000复合物(shRNA)共孵育24小时,③加入CAT-2 shRNA质粒/Lipo8000复合物(shRNA)共孵育24小时,再经嘌呤霉素筛选(shRNA-p)24小时。处理完成后收集细胞提取蛋白,经westernblot检测CAT-2表达的变化。实验结果显示,shRNA(CAT-2 shRNA质粒-Lipo8000复合物)可以下调B16的CAT-2表达水平约50%,经嘌呤霉素筛选再培养后,下调率可提高到80%,并且全过程中未见CAT-1表达补偿性增加(图4)。B16 cells were inoculated in 6-well plates, and after overnight adherence, they were divided into 3 groups and treated as follows: ① Add normal saline (Blank) and incubate for 24 hours; ② Add CAT-2 shRNA plasmid/Lipo8000 complex (shRNA) for co-incubation. Incubate for 24 hours, ③ add CAT-2 shRNA plasmid/Lipo8000 complex (shRNA) and incubate for 24 hours, and then select by puromycin (shRNA-p) for 24 hours. After the treatment was completed, the cells were collected to extract proteins, and the changes of CAT-2 expression were detected by western blot. The experimental results show that shRNA (CAT-2 shRNA plasmid-Lipo8000 complex) can down-regulate the expression level of CAT-2 of B16 by about 50%. No compensatory increase in CAT-1 expression was seen (Figure 4).
将B16细胞接种于96孔板中,过夜贴壁后,分成4组分别进行如下处理:①加入生理盐水(Blank),②加入Lipo8000(Lipo),③scramble shRNA质粒/Lipo8000复合物(Scramble),④CAT-2 shRNA质粒/Lipo8000复合物(shRNA),共孵育24小时后MTT法检测细胞活性。B16的CAT-2表达下调后,其在L-arg充足时的增殖活性变得与L-arg不足时的相似(图5),该结果证明CAT-2蛋白是B16细胞较为依赖的L-arg转运体,抑制该蛋白,可实现肿瘤在富精氨酸环境下的饥饿化。B16 cells were inoculated in 96-well plates, and after overnight adherence, they were divided into 4 groups and treated as follows: ① add normal saline (Blank), ② add Lipo8000 (Lipo), ③ scramble shRNA plasmid/Lipo8000 complex (Scramble), ④ CAT -2 shRNA plasmid/Lipo8000 complexes (shRNA), after co-incubating for 24 hours, the cell viability was detected by MTT method. After down-regulation of CAT-2 expression in B16, its proliferative activity when L-arg is sufficient becomes similar to that when L-arg is insufficient (Figure 5), which proves that CAT-2 protein is more dependent on L-arg of B16 cells transporter, inhibition of this protein enables starvation of tumors in an arginine-rich environment.
实施例8抑制肿瘤细胞阳离子氨基酸转运体2对免疫细胞的影响Example 8 Inhibiting the Effect of Tumor Cell Cationic
本实施例在实施例7的基础上,使用Transwell系统,将B16细胞接种于下室,激活的CD8+ T细胞接种于上室,两种细胞各20万。调整培养体系中L-精氨酸的浓度为50μM或100μM,并向下室中加入生理盐水或CAT-2 shRNA质粒/Lipo8000复合物,共培养48小时。结果表明,在L-arg不充足(50μM)的情况下共培养,T细胞的增殖受到严重抑制,向环境中补充L-arg可以缓解这种抑制效果,而对肿瘤细胞CAT-2的下调也起到了促进T细胞增殖的效果,且二者效果可以叠加,实现更好的免疫促进作用(图6)。并且二者的联合使用使得效应T细胞(CD44+CD62L-)和记忆T细胞(CD44+CD62L+)的数量都出现了显著增加,提示具有协同的促免疫效果(图7)。In this example, on the basis of Example 7, the Transwell system was used to inoculate B16 cells in the lower chamber, and activated CD8+ T cells in the upper chamber, with 200,000 cells each. The concentration of L-arginine in the culture system was adjusted to 50 μM or 100 μM, and physiological saline or CAT-2 shRNA plasmid/Lipo8000 complex was added to the lower chamber for co-cultivation for 48 hours. The results showed that the proliferation of T cells was severely inhibited when co-cultured with insufficient L-arg (50 μM), supplementing L-arg to the environment could alleviate this inhibitory effect, and the downregulation of CAT-2 in tumor cells also It has the effect of promoting the proliferation of T cells, and the two effects can be superimposed to achieve a better immune promotion effect (Figure 6). And the combined use of the two significantly increased the number of effector T cells (CD44+CD62L-) and memory T cells (CD44+CD62L+), suggesting a synergistic immune-promoting effect (Figure 7).
实施例9组合物中和肿瘤酸性微环境效果考察Example 9 Composition neutralizing effect of tumor acidic microenvironment
本实施例在实施例3的基础上,将1×106的B16细胞接种于成年雌性C57b/c小鼠皮下建立肿瘤模型,接种7天后,随机将小鼠分为2组(n=5),分别接受以下治疗:①生理盐水组(Saline),瘤内注射生理盐水50μL;②组合物组(Com),瘤内注射组合物(多囊脂质体剂型)50μL(L-arg剂量:20mg/kg;CAT-2 shRNA质粒剂量:0.7mg/kg)。治疗一次后,利用针式pH计测量肿瘤组织中的pH变化。对小鼠肿瘤组织中pH值的监测结果说明,组合物在释放期间,可以持续中和肿瘤组织内部的酸性环境,将环境pH提升至中性水平(图8)。In this example, on the basis of Example 3, 1×10 6 B16 cells were subcutaneously inoculated into adult female C57b/c mice to establish a tumor model. Seven days after inoculation, the mice were randomly divided into 2 groups (n=5) , respectively received the following treatment: ① saline group (Saline), intratumoral injection of
实施例10组合物对肿瘤生长的抑制作用考察Examination of the inhibitory effect of the composition of Example 10 on tumor growth
本实施例在实施例3的基础上,将1×106的B16细胞接种于成年雌性C57b/c小鼠皮下建立肿瘤模型,接种7天后,随机将小鼠分为4组(n=5),分别接受以下治疗:①生理盐水组(Saline),瘤内注射生理盐水50μL,一周一次;②纯L-精氨酸组合物组(L-arg),瘤内注射不含阳离子氨基酸转运蛋白2抑制剂的纯L-精氨酸组合物(多囊脂质体剂型)50μL(L-arg剂量:20mg/kg),一周一次;③纯阳离子氨基酸转运蛋白2抑制剂组合物组(iCAT-2),瘤内注射不含L-精氨酸的纯阳离子氨基酸转运蛋白2抑制剂组合物(多囊脂质体剂型)50μL(CAT-2shRNA质粒剂量:0.7mg/kg),一周一次;④组合物组(Com),瘤内注射组合物(多囊脂质体剂型)50μL(L-arg剂量:20mg/kg;CAT-2 shRNA质粒剂量:0.7mg/kg),一周一次,共治疗两个周期。治疗期间记录体重和肿瘤体积变化,当体重下降率超过10%或者肿瘤体积大于1500mm3时,判定小鼠死亡。肿瘤体积曲线表明单独的L-arg或iCAT-2的治疗,都无法引起有效的肿瘤排斥,因为前者具备支持肿瘤生长的作用,而后者无法对免疫抑制环境进行改善,但是组合物有效抑制了黑色素瘤的生长(图9)。治疗过程中,组合物组的小鼠体重没有发生明显下降(图10),生存期大幅延长(图11)。上述结果表明,本发明的组合物从环境改善,营养补充和癌细胞竞争力限制方面实现了对肿瘤生长的抑制效果。In this example, on the basis of Example 3, 1×10 6 B16 cells were subcutaneously inoculated into adult female C57b/c mice to establish a tumor model. Seven days after inoculation, the mice were randomly divided into 4 groups (n=5) , received the following treatments: ① saline group (Saline), intratumoral injection of
实施例11组合物抗肿瘤机制的研究The research of embodiment 11 composition anti-tumor mechanism
本实施例在实施例9的基础上,取各组小鼠肿瘤组织,切片后进行免疫荧光染色,观察组织中T细胞的浸润和分化情况。并取组织样品,处理成单细胞悬液后,通过流式分析M1型巨噬细胞和M2型巨噬细胞的比例变化。将组织样品匀浆后,离心收集上清液,通过ELISA试剂盒,检测组织中细胞因子变化情况。切片结果表明,组合物显著提高了肿瘤组织中CD8+ T细胞的数量,并且多为效应细胞(CD44+CD62L-,红)和记忆细胞(CD44+CD62L+,黄),而不是在其他三组中观察到的T细胞(CD44-CD62L+,绿)(图12,13)。流式结果说明,组合物改变了肿瘤组织中巨噬细胞的极化模式,M1型巨噬细胞比例显著提高,具有免疫抑制和促瘤发展的M2型巨噬细胞比例降低(图14)。细胞因子水平结果与上述实验结果相符,干扰素γ(IFN-γ)及NO水平在组合物组中明显提高,提示组合物产生了显著的抗肿瘤免疫反应,且白介素4(IL-4)水平没有明显变化,说明没有显著的免疫抑制反应发生(图15)。In this example, on the basis of Example 9, the tumor tissues of each group of mice were taken and sectioned for immunofluorescent staining to observe the infiltration and differentiation of T cells in the tissues. Tissue samples were taken, processed into a single cell suspension, and the ratio changes of M1 macrophages and M2 macrophages were analyzed by flow cytometry. After the tissue sample was homogenized, the supernatant was collected by centrifugation, and the changes of cytokines in the tissue were detected by an ELISA kit. Sectional results showed that the composition significantly increased the number of CD8+ T cells in tumor tissue, and they were mostly effector cells (CD44+CD62L-, red) and memory cells (CD44+CD62L+, yellow), not observed in the other three groups Arrived T cells (CD44-CD62L+, green) (Fig. 12, 13). The results of flow cytometry showed that the composition changed the polarization pattern of macrophages in tumor tissue, the proportion of M1 macrophages was significantly increased, and the proportion of M2 macrophages with immunosuppression and tumor promotion was decreased ( FIG. 14 ). The results of cytokine levels were consistent with the above experimental results. The levels of interferon gamma (IFN-γ) and NO were significantly increased in the composition group, suggesting that the composition produced a significant anti-tumor immune response, and the level of interleukin 4 (IL-4) There was no significant change, indicating that no significant immunosuppressive reaction occurred ( FIG. 15 ).
实施例12组合物联合抗PD-1抗体的治疗效果研究Study on the therapeutic effect of the composition of Example 12 combined with anti-PD-1 antibody
本实施例在实施例9的基础上,将1×106的B16细胞接种于成年雌性C57b/c小鼠皮下建立肿瘤模型,接种7天后,随机将小鼠分为3组(n=5),分别接受以下治疗:①抗PD-1抗体组(anti-PD-1),腹腔注射抗PD-1抗体(12.5mg/kg),一周一次;②组合物组(Com),瘤内注射组合物(多囊脂质体剂型)50μL(L-arg剂量:20mg/kg;CAT-2 shRNA质粒剂量:0.7mg/kg),一周一次;③联合组(anti-PD-1&Com),瘤内注射注射组合物(多囊脂质体剂型)50μL(L-arg剂量:20mg/kg;CAT-2 shRNA质粒剂量:0.7mg/kg),并腹腔注射抗PD-1抗体(12.5mg/kg),一周一次。共治疗两个周期,治疗期间记录体重和肿瘤体积变化,当体重下降率超过10%或者肿瘤体积大于1500mm3时,判定小鼠死亡。肿瘤体积曲线表明(图16),单独施用抗PD-1抗体并不能对B16肿瘤产生有效的抑制作用,而本发明的组合物能够逆转肿瘤对免疫疗法的无响应性,产生显著的抑制肿瘤生长作用,提高免疫治疗的效果,且没有造成明显的体重下降情况,具有良好的安全性(图17)。In this example, on the basis of Example 9, 1×10 6 B16 cells were subcutaneously inoculated into adult female C57b/c mice to establish a tumor model. After 7 days of inoculation, the mice were randomly divided into 3 groups (n=5) , received the following treatments: ① Anti-PD-1 antibody group (anti-PD-1), intraperitoneal injection of anti-PD-1 antibody (12.5mg/kg), once a week; ② Composition group (Com), intratumoral injection of combination (multivesicular liposome dosage form) 50 μL (L-arg dose: 20 mg/kg; CAT-2 shRNA plasmid dose: 0.7 mg/kg), once a week; ③ combined group (anti-PD-1&Com), intratumoral injection Injection composition (multivesicular liposome dosage form) 50μL (L-arg dose: 20mg/kg; CAT-2 shRNA plasmid dose: 0.7mg/kg), and intraperitoneal injection of anti-PD-1 antibody (12.5mg/kg), once a week. A total of two cycles of treatment were performed. Body weight and tumor volume changes were recorded during the treatment period. When the weight loss rate exceeded 10% or the tumor volume was greater than 1500 mm 3 , the mice were determined to be dead. The tumor volume curve shows (Fig. 16) that administration of anti-PD-1 antibody alone cannot produce an effective inhibitory effect on B16 tumors, while the composition of the present invention can reverse tumor non-responsiveness to immunotherapy and produce significant inhibition of tumor growth effect, improve the effect of immunotherapy, and did not cause significant weight loss, with good safety (Figure 17).
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| WO2003078578A2 (en) * | 2002-03-12 | 2003-09-25 | Lsu Medical Center | Modulation of the immune response through the manipulation of arginine levels |
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