CN118879636A - A cell line AlmoR1 and its application - Google Patents
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Abstract
本申请公开了一种细胞株AlmoR1及其应用,涉及细胞生物学技术领域,旨在解决现有技术中缺乏稳定的非小细胞肺癌脑转移瘤靶向耐药细胞株的技术问题。所述细胞株AlmoR1保藏于中国微生物菌种保藏管理委员会普通微生物中心,保藏地址是北京市朝阳区北辰西路1号院3号,保藏日期为2024年05月09日,保藏编号为CGMCC NO.45858。
The present application discloses a cell line AlmoR1 and its application, which relates to the field of cell biology technology and aims to solve the technical problem of the lack of stable non-small cell lung cancer brain metastasis targeted resistant cell line in the prior art. The cell line AlmoR1 is deposited in the General Microbiology Center of China Microbiological Culture Collection Administration, with the deposit address of No. 3, Yard No. 1, Beichen West Road, Chaoyang District, Beijing, the deposit date is May 9, 2024, and the deposit number is CGMCC NO.45858.
Description
技术领域Technical Field
本申请涉及细胞生物学技术领域,尤其涉及一种细胞株AlmoR1及其应用。The present application relates to the technical field of cell biology, and in particular to a cell line AlmoR1 and applications thereof.
背景技术Background Art
肺癌是临床上最常见的肿瘤之一,且脑转移发生率高,半数肺癌患者在疾病进展过程中会出现脑转移,而驱动基因阳性(如EGFR突变、ALK融合)肺癌患者脑转移发生率高达70.3%。肺癌脑转移一旦确诊,预后极差,平均生存时间仅有2-3个月。Lung cancer is one of the most common tumors in clinical practice, and the incidence of brain metastasis is high. Half of lung cancer patients will develop brain metastasis during the progression of the disease, and the incidence of brain metastasis in lung cancer patients with positive driver genes (such as EGFR mutations and ALK fusions) is as high as 70.3%. Once lung cancer brain metastasis is diagnosed, the prognosis is extremely poor, with an average survival time of only 2-3 months.
近年来,基于驱动基因的小分子 TKIs(酪氨酸激酶受体抑制剂)类药物因血脑屏障穿透力好、局控率高为脑转移瘤的治疗带来了希望。其中靶向 EGFR、ALK 的 TKIs 药物可延长患者中位生存时间至 10-19个月;并且,根据指南推荐,小分子 TKIs 已经成为驱动基因阳性肺癌脑转移患者的一线用药。然而,临床研究发现,有大量患者在长期使用靶向治疗期间出现颅内疾病进展。目前,TKIs治疗进展后的治疗策略以局部切除、放疗为主,手段有限且疗效不佳。由于中枢系统微环境的特殊性,原发灶的治疗手段及药物的作用机制与颅内耐药具有差异性,因此临床上缺乏有效的系统治疗手段以控制耐药后进展的颅内病灶。但是,由于颅内耐药病灶的获取难度较高,当前仍缺乏对脑转移瘤 TKIs 耐药的机制理解。In recent years, small molecule TKIs (tyrosine kinase receptor inhibitors) drugs based on driver genes have brought hope for the treatment of brain metastases due to their good blood-brain barrier penetration and high local control rate. Among them, TKIs targeting EGFR and ALK can prolong the median survival time of patients to 10-19 months; and, according to the guidelines, small molecule TKIs have become the first-line drug for patients with brain metastases from driver gene-positive lung cancer. However, clinical studies have found that a large number of patients have intracranial disease progression during long-term use of targeted therapy. At present, the treatment strategy after progression of TKIs treatment is mainly local resection and radiotherapy, which has limited means and poor efficacy. Due to the particularity of the microenvironment of the central nervous system, the treatment methods and drug mechanisms of the primary lesions are different from intracranial resistance. Therefore, there is a lack of effective systemic treatment methods in clinical practice to control intracranial lesions that progress after resistance. However, due to the difficulty in obtaining intracranial resistant lesions, there is still a lack of understanding of the mechanism of TKIs resistance in brain metastases.
目前国内外报道的非小细胞肺癌脑转移瘤的耐药模型主要分为体内、体外两种,其中体外诱导细胞耐药的方式脱离了肿瘤微环境,而体内诱导耐药模型大多缺少颅内转移过程,不能完全模拟人体非小细胞肺癌脑转移靶向耐药进程。因此,建立稳定的非小细胞肺癌脑转移瘤靶向耐药细胞株,能够为颅内靶向治疗抵抗的基础研究提供一个很好的研究工具,为非小细胞肺癌脑转移靶向耐药后的治疗提供新的思路。At present, the drug resistance models of brain metastases of non-small cell lung cancer reported at home and abroad are mainly divided into in vivo and in vitro. Among them, the in vitro method of inducing cell resistance is separated from the tumor microenvironment, and most of the in vivo drug resistance models lack the intracranial metastasis process and cannot completely simulate the process of targeted drug resistance of brain metastases of non-small cell lung cancer in the human body. Therefore, the establishment of a stable targeted drug-resistant cell line of brain metastases of non-small cell lung cancer can provide a good research tool for the basic research of intracranial targeted therapy resistance and provide new ideas for the treatment of brain metastases of non-small cell lung cancer after targeted drug resistance.
发明内容Summary of the invention
本申请提供了一种细胞株AlmoR1及其应用,旨在解决现有技术中缺乏稳定的非小细胞肺癌脑转移瘤靶向耐药细胞株的技术问题。The present application provides a cell line AlmoR1 and its application, aiming to solve the technical problem of the lack of stable non-small cell lung cancer brain metastasis targeted resistant cell line in the prior art.
为解决上述技术问题,本申请实施例提供了:一种细胞株AlmoR1,所述细胞株AlmoR1保藏于中国微生物菌种保藏管理委员会普通微生物中心,保藏地址是北京市朝阳区北辰西路1号院3号,保藏日期为2024年05月09日,保藏编号为CGMCC NO. 45858。To solve the above technical problems, the embodiments of the present application provide: a cell line AlmoR1, the cell line AlmoR1 is deposited in the General Microbiology Center of China Microorganism Culture Collection Administration, the deposit address is No. 3, Yard No. 1, Beichen West Road, Chaoyang District, Beijing, the deposit date is May 9, 2024, and the deposit number is CGMCC NO. 45858.
作为本申请一些可选实施方式,所述细胞株AlmoR1具有EGFR E746_A750del(ex19del)突变。As some optional embodiments of the present application, the cell line AlmoR1 has an EGFR E746_A750del (ex19del) mutation.
作为本申请一些可选实施方式,所述细胞株AlmoR1在EGFR基因上存在15个snp突变位点,以及2个indel突变位点。As some optional embodiments of the present application, the cell line AlmoR1 has 15 SNP mutation sites and 2 indel mutation sites on the EGFR gene.
作为本申请一些可选实施方式,所述snp突变位点的编号分别为rs712830、rs2072454、rs2270247、rs2075109、rs2075110、rs11506105、rs3735059、rs4947987、rs1558544、rs759162、rs17336919、rs6970262、rs1140475、rs139068680和rs2692456;As some optional embodiments of the present application, the numbers of the SNP mutation sites are rs712830, rs2072454, rs2270247, rs2075109, rs2075110, rs11506105, rs3735059, rs4947987, rs1558544, rs759162, rs17336919, rs6970262, rs1140475, rs139068680 and rs2692456;
所述indel突变位点的编号分别为rs121913421和rs34723095。The indel mutation sites are numbered rs121913421 and rs34723095, respectively.
作为本申请一些可选实施方式,所述细胞株AlmoR1在ALK基因上存在30个snp突变位点,以及5个indel突变位点。As some optional embodiments of the present application, the cell line AlmoR1 has 30 SNP mutation sites and 5 indel mutation sites on the ALK gene.
作为本申请一些可选实施方式,所述snp突变位点的编号分别为rs1728828、rs1881421、rs1881420、rs1670283、rs12619135、rs1728826、rs1670284、rs3738870、rs4666178、rs3820712、rs6748797、rs1625283、rs1534545、rs1569156、rs3795850、rs4666182、rs2276550、rs12714270、rs2256740、rs4666183、rs4589708、rs2272409、rs4666194、rs11127213、rs11127214、rs11127215、rs2293564、rs13428230、rs2256376和rs4358080;As some optional embodiments of the present application, the numbers of the SNP mutation sites are rs1728828, rs1881421, rs1881420, rs1670283, rs12619135, rs1728826, rs1670284, rs3738870, rs4666178, rs3820712, rs6748797, rs1625283, rs1534545, rs15691 56, rs3795850, rs4666182, rs2276550, rs12714270, rs2256740, rs4666183, rs4589708, rs2272409, rs4666194, rs11127213, rs11127214, rs11127215, rs2293564, rs13428230, rs2256376, and rs4358080;
所述indel突变位点的编号分别为rs1391843363、rs397706189、rs10623528、rs3832036和rs540486879。The indel mutation sites are numbered rs1391843363, rs397706189, rs10623528, rs3832036 and rs540486879, respectively.
作为本申请一些可选实施方式,所述细胞株AlmoR1在MET基因上存在4个snp突变位点,以及1个indel突变位点。As some optional embodiments of the present application, the cell line AlmoR1 has 4 SNP mutation sites and 1 indel mutation site on the MET gene.
作为本申请一些可选实施方式,所述snp突变位点的编号分别为rs62469056、rs38860、rs13223756和rs6947629;所述indel突变位点的编号为rs35212357。As some optional embodiments of the present application, the SNP mutation sites are numbered rs62469056, rs38860, rs13223756 and rs6947629; the indel mutation site is numbered rs35212357.
作为本申请一些可选实施方式,所述细胞株AlmoR1对酪氨酸激酶抑制剂具有耐药性,所述酪氨酸激酶抑制剂包括:IC50为7.142μM的奥西替尼、IC50为7.289μM阿美替尼。As some optional embodiments of the present application, the cell line AlmoR1 is resistant to tyrosine kinase inhibitors, and the tyrosine kinase inhibitors include: osimertinib with an IC50 of 7.142 μM and ametinib with an IC50 of 7.289 μM.
另一方面,本申请还提供了一种如上所述细胞株AlmoR1的应用,即在对酪氨酸激酶抑制剂进行药效性能测试中以及对EGFR抑制剂靶向耐药的分子机制进行研究中的应用。On the other hand, the present application also provides an application of the cell line AlmoR1 as described above, namely, its application in testing the efficacy of tyrosine kinase inhibitors and in studying the molecular mechanism of targeted resistance to EGFR inhibitors.
本申请提供了另一种如上述和细胞株AlmoR1的应用,即在建立非小细胞肺癌脑转移瘤动物模型的应用。The present application provides another application of the above-mentioned cell line AlmoR1, namely, application in establishing an animal model of brain metastasis of non-small cell lung cancer.
与现有技术相比,本申请所述细胞株AlmoR1为首次从离体颅脑组织中提取出具有EGFR基因突变的靶向耐药细胞株,其与所述离体颅脑组织的来源患者为同一种属来源,原代细胞与肿瘤组织均存在EGFR 19外显子缺失突变,并对第三代EGFR-TKIs表现出普遍耐药性。此外,AlmoR1细胞系在脑内原位移植模型中表现出良好的成瘤性。此原代细胞株可在体外连续传代,目前代数已超过50代,体外持续培养时间超过9月。传代过程中,细胞形态,增殖动力学和遗传特征稳定。经过液氮冻存,复苏后的细胞形状保持不变,是一株稳定的细胞株。所述细胞株AlmoR1保藏于中国微生物菌种保藏管理委员会普通微生物中心,保藏地址是北京市朝阳区北辰西路1号院3号,保藏日期为2024年05月09日,保藏编号为CGMCC NO.45858。Compared with the prior art, the cell line AlmoR1 described in the present application is the first targeted drug-resistant cell line with EGFR gene mutation extracted from ex vivo brain tissue. It is of the same species as the source patient of the ex vivo brain tissue. Both primary cells and tumor tissues have EGFR 19 exon deletion mutations and show general resistance to the third-generation EGFR-TKIs. In addition, the AlmoR1 cell line shows good tumorigenicity in the in situ transplantation model in the brain. This primary cell line can be continuously passaged in vitro, and the current generation has exceeded 50 generations, and the in vitro continuous culture time exceeds 9 months. During the passage process, the cell morphology, proliferation dynamics and genetic characteristics are stable. After liquid nitrogen freezing, the cell shape after recovery remains unchanged, and it is a stable cell line. The cell line AlmoR1 is deposited in the General Microbiology Center of the China Microbiological Culture Collection Administration Committee, and the preservation address is No. 3, No. 1, Beichen West Road, Chaoyang District, Beijing. The preservation date is May 9, 2024, and the preservation number is CGMCC NO.45858.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
为了更清楚地说明本申请具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单的介绍。在所有附图中,类似的元件或部分一般由类似的附图标记标识。附图中,各元件或部分并不一定按照实际的比例绘制。In order to more clearly illustrate the specific implementation of the present application or the technical solution in the prior art, the following is a brief introduction to the drawings required for the specific implementation or the prior art description. In all drawings, similar elements or parts are generally identified by similar reference numerals. In the drawings, each element or part is not necessarily drawn according to the actual scale.
图1为获取第三代EGFR-TKIs耐药的人非小细胞肺癌脑转移瘤标本示意图;其中,A部分表示一例携带EGFR突变非小细胞肺癌脑转移患者的诊疗时间轴;B部分表示对应A图不同治疗阶段该患者的颅脑磁共振影像图,脑转移瘤为红色箭头所指部分;C部分表示末次手术(2023.7.23)脑转移瘤标本的HE及免疫组化(Ki-67、CK)染色图像。Figure 1 is a schematic diagram of obtaining brain metastases specimens of human non-small cell lung cancer resistant to the third-generation EGFR-TKIs; Part A represents the diagnosis and treatment timeline of a patient with brain metastases of non-small cell lung cancer carrying EGFR mutations; Part B represents the brain magnetic resonance imaging of the patient at different treatment stages corresponding to Figure A, and the brain metastasis is the part indicated by the red arrow; Part C represents the HE and immunohistochemistry (Ki-67, CK) staining images of the brain metastasis specimens of the last surgery (2023.7.23).
图2为AlmoR1细胞系的培养和鉴定结果示意图;其中,A部分表示AlmoR1细胞系的形态学,第1、10、20、30、40和50代AlmoR1细胞的光学显微镜(分别放大10倍和20倍),比例尺200μm;B部分表示利用免疫荧光技术检测AlmoR1细胞表达pan-CK的情况。绿色荧光信号为pan-CK,蓝色荧光信号为DAPI;C部分和D部分表示AlmoR1细胞系的短串联重复序列(STR)分析图谱,显示各个基因座的特征峰值。Figure 2 is a schematic diagram of the culture and identification results of the AlmoR1 cell line; Part A shows the morphology of the AlmoR1 cell line, optical microscopy of the 1st, 10th, 20th, 30th, 40th and 50th generations of AlmoR1 cells (magnified 10 times and 20 times, respectively), and the scale bar is 200μm; Part B shows the expression of pan-CK in AlmoR1 cells using immunofluorescence technology. The green fluorescent signal is pan-CK, and the blue fluorescent signal is DAPI; Parts C and D show the short tandem repeat sequence (STR) analysis map of the AlmoR1 cell line, showing the characteristic peaks of each locus.
图3为AlmoR1细胞系具有EGFR 19外显子缺失突变示意图;其中,A部分和B部分表示AlmoR1细胞中检测到的知名的肺癌相关基因(TP53、PTEN、PIK3CA、NF1、MSH2、MET、KRAS、EGFR、APC、ALK、MET、BRAF)的单核苷酸变异(SNVs)和插入缺失(indels)的数量和突变类型。Figure 3 is a schematic diagram of the AlmoR1 cell line with EGFR exon 19 deletion mutation; wherein, Part A and Part B represent the number and mutation types of single nucleotide variations (SNVs) and insertions and deletions (indels) of well-known lung cancer-related genes (TP53, PTEN, PIK3CA, NF1, MSH2, MET, KRAS, EGFR, APC, ALK, MET, BRAF) detected in AlmoR1 cells.
图4为AlmoR1细胞系的耐药性验证结果图;其中,A部分为用CCK8实验连续监测AlmoR1细胞系的增殖情况,并绘制的生长曲线图;B部分表示采用MTT实验检测EGFR-mut细胞PC9对阿美替尼和奥西替尼的敏感性测试图;C部分表示采用MTT实验检测AlmoR1对阿美替尼和奥西替尼的敏感性测试图;D部分表示用Western blot验证在对照组、奥西替尼处理组和阿美替尼处理组中,AlmoR1细胞的EGFR及下游生存信号AKT、ERK的活化情况示意图。Figure 4 is a diagram showing the drug resistance verification results of the AlmoR1 cell line; wherein, Part A is a growth curve diagram drawn by continuously monitoring the proliferation of the AlmoR1 cell line using the CCK8 experiment; Part B shows a sensitivity test diagram of the EGFR-mut cell PC9 to ametinib and osimertinib detected by the MTT experiment; Part C shows a sensitivity test diagram of AlmoR1 to ametinib and osimertinib detected by the MTT experiment; Part D shows a schematic diagram of the activation of EGFR and downstream survival signals AKT and ERK of AlmoR1 cells in the control group, osimertinib treatment group and ametinib treatment group verified by Western blot.
图5为AlmoR1细胞系的颅内成瘤性验证结果图;其中,A部分为裸鼠AlmoR1细胞脑原位种植瘤种植3周后的第1、4、8、12、16、20、24、28、32天的活体成像图;B部分为AlmoR1细胞脑原位种植的生长曲线图;C部分表示AlmoR1荷瘤裸鼠的新鲜颅脑图像,在荷瘤裸鼠的疾病终末期将裸鼠的颅脑取出,肿瘤为蓝色箭头所指部分;D部分表示小鼠的脑原位种植瘤的HE、pan-CK染色图像。Figure 5 is a diagram showing the verification results of the intracranial tumorigenicity of the AlmoR1 cell line; wherein, Part A is the in vivo imaging of the nude mouse brain AlmoR1 cell orthotopic implanted tumor on days 1, 4, 8, 12, 16, 20, 24, 28, and 32 3 weeks after implantation; Part B is a growth curve of the orthotopic implanted AlmoR1 cells in the brain; Part C shows the fresh brain image of the AlmoR1 tumor-bearing nude mouse, the brain of the tumor-bearing nude mouse was removed at the terminal stage of the disease, and the tumor is the part indicated by the blue arrow; Part D shows the HE and pan-CK staining images of the orthotopic implanted tumor in the mouse brain.
本申请目的的实现、功能特点及优点将结合实施例,参照附图做进一步说明。The realization of the purpose, functional features and advantages of this application will be further explained in conjunction with embodiments and with reference to the accompanying drawings.
具体实施方式DETAILED DESCRIPTION
下面将结合本申请实施例中的附图,对本申请实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本申请的一部分实施例,而不是全部的实施例。基于本申请中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本申请保护的范围。The following will be combined with the drawings in the embodiments of the present application to clearly and completely describe the technical solutions in the embodiments of the present application. Obviously, the described embodiments are only part of the embodiments of the present application, not all of the embodiments. Based on the embodiments in the present application, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of this application.
本申请涉及一种EGFR抑制剂耐药的人非小细胞肺癌(NSCLC)脑转移瘤细胞系,命名为AlmoR1。该细胞系通过从一名携带EGFR突变非小细胞肺癌患者的脑转移瘤耐药组织中分离和培养而得。AlmoR1细胞系具有EGFR 19外显子缺失突变,并展现出对EGFR-TKIs广泛耐药且具有良好的颅内成瘤性。The present application relates to an EGFR inhibitor-resistant human non-small cell lung cancer (NSCLC) brain metastasis cell line, named AlmoR1. The cell line is isolated and cultured from brain metastasis-resistant tissue of a patient with non-small cell lung cancer carrying EGFR mutations. The AlmoR1 cell line has an EGFR exon 19 deletion mutation, exhibits extensive resistance to EGFR-TKIs, and has good intracranial tumorigenicity.
该细胞系的建立有助于研究EGFR抑制剂靶向耐药的分子机制,并为开发新型治疗方法提供了宝贵的实验材料。AlmoR1细胞系不仅保留了原始肿瘤EGFR 19外显子缺失突变的主要分子特征,还展示了在体内外环境中的生长优势,使其成为研究EGFR抑制剂耐药机制和药物筛选的理想模型。此外,AlmoR1细胞系可以用于体内外药物敏感性测试、新药研发和靶向治疗研究,为个性化治疗策略的制定提供了依据。The establishment of this cell line is helpful for studying the molecular mechanism of targeted resistance to EGFR inhibitors and provides valuable experimental materials for the development of new treatment methods. The AlmoR1 cell line not only retains the main molecular characteristics of the original tumor EGFR 19 exon deletion mutation, but also shows growth advantages in both in vivo and in vitro environments, making it an ideal model for studying the mechanism of resistance to EGFR inhibitors and drug screening. In addition, the AlmoR1 cell line can be used for in vivo and in vitro drug sensitivity testing, new drug development and targeted therapy research, providing a basis for the formulation of personalized treatment strategies.
本申请的细胞系AlmoR1已在细胞库中保存,保藏编号为CGMCC No.45858。该细胞株为首个人源化的肺癌脑转移瘤细胞系,具有驱动基因突变,且对第三代EGFR-TKIs获得性耐药;因此该细胞系可以作为靶向耐药研究的工具细胞,尤其在肺癌脑转移瘤靶向耐药研究领域具有开创性意义。The cell line AlmoR1 of the present application has been preserved in the cell bank with the deposit number CGMCC No. 45858. This cell line is the first humanized lung cancer brain metastasis cell line with driver gene mutations and acquired resistance to the third-generation EGFR-TKIs; therefore, this cell line can be used as a tool cell for targeted drug resistance research, especially in the field of targeted drug resistance research of lung cancer brain metastasis.
非小细胞肺癌(NSCLC)是最常见的肺癌类型,研究中使用NSCLC细胞系有助于理解其生物学特性和开发新的治疗方法。以下是现有的非小细胞肺癌研究中使用的具有突变的细胞系:ZX2021H、NCI-H2030、NCI-H1975、NCI-H2228、NCI-H2122、NCI-H23、Calu-3、PC9、NCI-H3255、NCI-H3122、NCI-H1792、NCI-H1435。这些具有突变的NSCLC细胞系对TKIs都具有敏感性,无法真正模拟临床耐药情况,且目前尚无脑转移来源的细胞株。而本发明的细胞系AlmoR1是一种对TKIs耐药的具有突变的NSCLC脑转移细胞系,能够为非小细胞肺癌颅内靶向抵抗提供一个很好的研究平台。Non-small cell lung cancer (NSCLC) is the most common type of lung cancer. The use of NSCLC cell lines in research helps to understand its biological characteristics and develop new treatments. The following are cell lines with mutations used in existing non-small cell lung cancer research: ZX2021H, NCI-H2030, NCI-H1975, NCI-H2228, NCI-H2122, NCI-H23, Calu-3, PC9, NCI-H3255, NCI-H3122, NCI-H1792, NCI-H1435. These NSCLC cell lines with mutations are sensitive to TKIs and cannot truly simulate clinical drug resistance. At present, there are no cell lines derived from brain metastases. The cell line AlmoR1 of the present invention is a NSCLC brain metastasis cell line with mutations that is resistant to TKIs, which can provide a good research platform for intracranial targeted resistance of non-small cell lung cancer.
此外,目前对于脑转移瘤的研究较为关键的一个问题是脑转移瘤的造模问题。脑转移瘤的造模方式包括原位脑转移模型(例如:皮下注射黑色素瘤形成的脑转移、乳垫接种乳腺癌细胞形成的脑转移)、异位脑转移模型(尾静脉注射、左心室注射以及颈动脉注射)以及颅内移植瘤模型。但目前可及的脑转移模型都无法完整模拟脑转移的全步骤,导致脑转移瘤的造模方式存在着各种缺陷。其中较为重要的一个缺陷是在脑转移瘤造模过程中使用的是肺癌细胞系,无法模拟真实的脑转移瘤的颅内肿瘤环境,且当前缺乏对脑转移瘤靶向耐药的研究。而本发明的AlmoR1细胞系是直接从NSCLC患者颅内肿瘤组织中提取的,因此使用此细胞株进行造模,更具有符合脑转移瘤的耐药现实情况及更好的说服力。In addition, one of the key issues in the current research on brain metastases is the modeling of brain metastases. Modeling methods for brain metastases include in situ brain metastasis models (for example, brain metastases formed by subcutaneous injection of melanoma, brain metastases formed by breast cancer cells inoculated in breast pads), ectopic brain metastasis models (tail vein injection, left ventricular injection, and carotid artery injection), and intracranial transplant tumor models. However, the currently available brain metastasis models cannot fully simulate the full steps of brain metastasis, resulting in various defects in the modeling methods of brain metastases. One of the more important defects is that lung cancer cell lines are used in the modeling process of brain metastases, which cannot simulate the intracranial tumor environment of real brain metastases, and there is currently a lack of research on targeted drug resistance of brain metastases. The AlmoR1 cell line of the present invention is directly extracted from the intracranial tumor tissue of NSCLC patients, so the use of this cell line for modeling is more in line with the actual drug resistance of brain metastases and better persuasiveness.
综上,本申请的目的在于提供一种TKIs耐药的EGFR突变非小细胞肺癌脑转移细胞株,为非小细胞肺癌颅内靶向抵抗的基础研究提供了一个很好的研究平台。In summary, the purpose of this application is to provide a TKIs-resistant EGFR mutant non-small cell lung cancer brain metastasis cell line, which provides a good research platform for basic research on intracranial targeted resistance of non-small cell lung cancer.
实施例1:获取第三代EGFR-TKIs耐药的人非小细胞肺癌脑转移瘤标本:为了建立EGFR抑制剂耐药的人非小细胞肺癌脑转移瘤细胞系,本申请首先获取一例携带EGFR突变非小细胞肺癌患者的脑转移瘤耐药组织。Example 1: Obtaining a human non-small cell lung cancer brain metastasis specimen resistant to third-generation EGFR-TKIs: In order to establish a human non-small cell lung cancer brain metastasis cell line resistant to EGFR inhibitors, the present application first obtains a brain metastasis resistant tissue from a patient with non-small cell lung cancer carrying an EGFR mutation.
如图1中A部分所示,该患者在2021年6月确诊肺癌脑转移,并在7月行脑转移瘤切除术。2022年5月复查头颅磁共振发现右侧大脑半球新发病灶,穿刺活检提示EGFR 19外显子缺失合并MET扩增。自2022年5月25日患者先后接受了阿美替尼联合安罗替尼(6个月),阿美替尼联合克唑替尼(2个月),以及阿美替尼(2个月)单药直至病灶进展,并接受了第二次脑转移瘤切除术(2023年3月10日),病灶同样提示19外显子缺失合并MET扩增。As shown in part A of Figure 1, the patient was diagnosed with brain metastasis from lung cancer in June 2021 and underwent brain metastasis resection in July. A new lesion in the right cerebral hemisphere was found in a cranial MRI reexamination in May 2022, and a puncture biopsy indicated EGFR exon 19 deletion combined with MET amplification. Since May 25, 2022, the patient has successively received ametinib combined with anlotinib (6 months), ametinib combined with crizotinib (2 months), and ametinib (2 months) alone until the lesion progressed, and underwent a second brain metastasis resection (March 10, 2023), and the lesions also indicated exon 19 deletion combined with MET amplification.
随后给予奥西替尼联合贝伐珠单抗治疗(3个月),2023年7月23日病灶再次进展,患者接受了第三次脑转移瘤切除术(图1 中B部分)。Subsequently, osimertinib combined with bevacizumab was given for treatment (3 months). On July 23, 2023, the lesion progressed again, and the patient underwent a third brain metastases resection ( Figure 1 , part B).
将末次手术标本进行HE及免疫组化染色,明确该病灶是具有增殖活性的非小细胞肺癌脑转移瘤组织(图1 中C部分)。HE and immunohistochemical staining of the last surgical specimen confirmed that the lesion was a brain metastasis tissue of non-small cell lung cancer with proliferative activity (part C in Figure 1 ).
实施例2:AlmoR1细胞系的培养和鉴定:从末次手术的新鲜脑转移瘤组织中,提取原代细胞株,并通过差速贴壁法对原代细胞株进行纯化,连续体外培养50代后成功构建一株细胞系,命名为AlmoR1。Example 2: Cultivation and identification of AlmoR1 cell line: Primary cell lines were extracted from fresh brain metastasis tissues of the last surgery and purified by differential adhesion method. After 50 generations of continuous in vitro culture, a cell line was successfully constructed and named AlmoR1.
如图2中A部分所示,在AlmoR1的体外连续培养过程中,通过光学显微镜连续采集了第1、10、20、30、40和50代细胞的形态,观察结果显示该细胞系的形态稳定。As shown in part A of FIG2 , during the continuous in vitro culture of AlmoR1, the morphology of cells at the 1st, 10th, 20th, 30th, 40th and 50th generations was continuously collected by optical microscopy, and the observation results showed that the morphology of the cell line was stable.
利用免疫荧光技术检测到AlmoR1细胞广泛表达pan-CK,这一结果初步证实该细胞为上皮来源肿瘤细胞(图2 中B部分)。Immunofluorescence technology detected that AlmoR1 cells widely expressed pan-CK, which preliminarily confirmed that the cells were epithelial tumor cells (Figure 2, part B).
接着,对AlmoR1细胞系进行了STR鉴定,通过测试8个STR基因座(CSF1PO、D13S317、D16S539、D5S818、D7S820、THO1、TPOX、vWA)的信息发现AlmoR1细胞系具有独特的STR谱,并且排除了与其他细胞交叉污染的可能性(图 2 C-图 2D)。Next, the AlmoR1 cell line was subjected to STR identification. By testing the information of eight STR loci (CSF1PO, D13S317, D16S539, D5S818, D7S820, THO1, TPOX, and vWA), it was found that the AlmoR1 cell line had a unique STR profile and the possibility of cross-contamination with other cells was ruled out ( Figure 2 C-Figure 2D).
综上数据,表明本申请建立了一个新的、稳定的肺癌脑转移瘤细胞系。The above data indicate that the present application has established a new and stable lung cancer brain metastasis cell line.
实施例3:AlmoR1细胞系具有EGFR 19外显子缺失突变:为了明确AlmoR1细胞系的突变位点信息,对其进行全外显子测序。Example 3: AlmoR1 cell line has EGFR exon 19 deletion mutation: In order to clarify the mutation site information of the AlmoR1 cell line, whole exon sequencing was performed on it.
其中知名的肺癌相关基因(TP53、PTEN、PIK3CA、NF1、MSH2、MET、KRAS、EGFR、APC、ALK、MET、BRAF)突变类型主要有单位点突变(SNVs)和插入缺失突变(indels)(图3中A部分和图3中B部分)。Among them, the mutation types of well-known lung cancer-related genes (TP53, PTEN, PIK3CA, NF1, MSH2, MET, KRAS, EGFR, APC, ALK, MET, BRAF) are mainly single-site mutations (SNVs) and insertion-deletion mutations (indels) (Figure 3, part A and Figure 3, part B).
进一步,本申请对EGFR、ALK、MET的位点进行检索发现,只有EGFR E746_A750del位点突变为有义突变,该突变类型是19外显子缺失最常见的类型(表1)。Furthermore, the present application searched the sites of EGFR, ALK, and MET and found that only the EGFR E746_A750del site mutation was a sense mutation, which is the most common type of exon 19 deletion (Table 1).
而ALK和MET的突变位点均为无义突变如表2-表3所示。上述结果提示本申请构建的肺癌脑转移瘤细胞系AlmoR1具有EGFR 19外显子缺失突变。The mutation sites of ALK and MET are nonsense mutations as shown in Table 2-Table 3. The above results suggest that the lung cancer brain metastasis cell line AlmoR1 constructed in the present application has an EGFR 19 exon deletion mutation.
表1:Table 1:
表2:Table 2:
表3:Table 3:
实施例4:AlmoR1细胞系的耐药性验证:首先本申请采用CCK8实验连续监测AlmoR1细胞系的增殖情况,并绘制生长曲线(图4中A部分),该曲线呈S型分布,提示AlmoR1细胞呈指数增长,状态良好。为了证实AlmoR1细胞对第三代EGFR-TKIs抵抗,本申请采用MTT实验检测EGFR-mut细胞PC9以及AlmoR1对阿美替尼和奥西替尼的敏感性,得出PC9对第三代EGFR-TKIs的IC50是0.9μM,AlmoR1对第三代EGFR-TKIs的IC50约为7μM(图4中B部分和图4中C部分)。进一步,本申请在Western blot实验当中证实了,阿美替尼和奥西替尼可以抑制EGFR的磷酸化,但无法抑制下游生存信号AKT和ERK的活化(图4 中D部分)。这些结果表明,本申请构建的原代肺癌脑转移瘤细胞系AlmoR1对EGFR-TKIs普遍耐药。Example 4: Drug resistance verification of AlmoR1 cell line: First, the present application uses CCK8 experiment to continuously monitor the proliferation of AlmoR1 cell line and draws a growth curve (Part A in Figure 4). The curve is S-shaped, indicating that AlmoR1 cells are growing exponentially and in good condition. In order to confirm that AlmoR1 cells are resistant to the third-generation EGFR-TKIs, the present application uses MTT experiment to detect the sensitivity of EGFR-mut cells PC9 and AlmoR1 to ametinib and osimertinib, and it is concluded that the IC50 of PC9 to the third-generation EGFR-TKIs is 0.9μM, and the IC50 of AlmoR1 to the third-generation EGFR-TKIs is about 7μM (Part B in Figure 4 and Part C in Figure 4). Further, the present application confirms in the Western blot experiment that ametinib and osimertinib can inhibit the phosphorylation of EGFR, but cannot inhibit the activation of downstream survival signals AKT and ERK (Part D in Figure 4). These results indicate that the primary lung cancer brain metastasis cell line AlmoR1 constructed in this application is generally resistant to EGFR-TKIs.
实施例5:AlmoR1细胞系的颅内成瘤性验证:为了评估AlmoR1细胞是否具有颅内成瘤能力,本申请利用慢病毒转染实验成功构建了稳定表达绿色荧光的AlmoR1/luc,并利用这株细胞构建脑原位种植瘤模型。3周后,小鼠活体成像结果显示(3/4,75%)裸鼠颅内可形成脑原位种植瘤,且从增殖曲线中可以看出肿瘤生长状态良好(图5中A部分和图5中B部分)。随后,本申请提取小鼠的脑原位种植瘤并进行HE、pan-CK染色,结果显示该病理类型与患者手术切除的脑转移瘤组织特征保持高度一致(图5中C部分和图5中D部分)。总的来讲,AlmoR1细胞表现出良好的颅内成瘤性。Example 5: Verification of intracranial tumorigenicity of AlmoR1 cell line: In order to evaluate whether AlmoR1 cells have intracranial tumorigenicity, the present application successfully constructed AlmoR1/luc stably expressing green fluorescence using a lentiviral transfection experiment, and used this cell line to construct a brain orthotopic tumor model. After 3 weeks, the results of in vivo imaging of mice showed that (3/4, 75%) brain orthotopic tumors could be formed in the nude mice, and the tumor growth was good as can be seen from the proliferation curve (Part A in Figure 5 and Part B in Figure 5). Subsequently, the present application extracted the orthotopic brain tumors of mice and performed HE and pan-CK staining. The results showed that the pathological type was highly consistent with the tissue characteristics of brain metastases surgically removed by patients (Part C in Figure 5 and Part D in Figure 5). In general, AlmoR1 cells exhibit good intracranial tumorigenicity.
综上所述,本申请原代提取的非小细胞肺癌脑转移瘤细胞系AlmoR1具有EGFR 19外显子缺失突变,并展现出对EGFR-TKIs广泛耐药且具有良好的颅内成瘤性。该细胞株为首个人源化的肺癌脑转移瘤细胞系,具有驱动基因突变,且对第三代EGFR-TKIs获得性耐药;因此该细胞系可以作为靶向耐药研究的工具细胞,尤其在肺癌脑转移瘤靶向耐药研究领域具有开创性意义。In summary, the primary non-small cell lung cancer brain metastasis cell line AlmoR1 extracted in this application has an EGFR 19 exon deletion mutation, and exhibits extensive resistance to EGFR-TKIs and good intracranial tumorigenicity. This cell line is the first humanized lung cancer brain metastasis cell line, with driver gene mutations and acquired resistance to third-generation EGFR-TKIs; therefore, this cell line can be used as a tool cell for targeted drug resistance research, especially in the field of targeted drug resistance research of lung cancer brain metastasis.
以上仅为本申请的优选实施例,并非因此限制本申请的专利范围,凡是利用本申请说明书及附图内容所作的等效结构或等效流程变换,或直接或间接运用在其他相关的技术领域,均同理包括在本申请的专利保护范围内。The above are only preferred embodiments of the present application, and are not intended to limit the patent scope of the present application. Any equivalent structure or equivalent process transformation made using the contents of the present application specification and drawings, or directly or indirectly applied in other related technical fields, are also included in the patent protection scope of the present application.
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