KR20120089475A - 결핵균 감염을 예방 또는 치료하기 위한 신규한 방법 - Google Patents
결핵균 감염을 예방 또는 치료하기 위한 신규한 방법 Download PDFInfo
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- KR20120089475A KR20120089475A KR1020127008426A KR20127008426A KR20120089475A KR 20120089475 A KR20120089475 A KR 20120089475A KR 1020127008426 A KR1020127008426 A KR 1020127008426A KR 20127008426 A KR20127008426 A KR 20127008426A KR 20120089475 A KR20120089475 A KR 20120089475A
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- ala
- gly
- mtb72f
- polypeptide
- val
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Abstract
Description
도 2는 화학요법으로 치료하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐에서의 IgG1 및 IgG2a 항체 반응 면역 반응을 보여준다. 생쥐들은 치료를 받지 않거나, 화학요법 치료를 받거나(음료수 리터 당 50㎎ 리팜핀/85㎎ 이소니아지드), 화학요법 치료를 받고 애주번트 없이 제형화된 1회분 당 8㎍의 Mtb72f로 3회 근내 면역화된다. 마지막 면역처치 후 10일째에 생쥐들로부터 채혈하고, IgG1(적색) 및 IgG2a(흑색) 동족체 둘 모두에 대한 항-Mtb72f 항체 반응을 분석하기 위해 ELISA로 혈청을 검정하였다.
도 3은 화학요법으로 치료하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐에서의 IgG1 및 IgG2a 항체 반응 면역 반응을 보여준다. 생쥐들은 치료를 받지 않거나, 화학요법 치료를 받거나(음료수 리터 당 50㎎ 리팜핀/85㎎ 이소니아지드), 화학요법 치료를 받고 애주번트 AS01B와 함께 제형화된 1회분 당 8㎍의 Mtb72f로 3회 근내 면역화된다. 마지막 면역처치 후 10일째에 생쥐들로부터 채혈하고, IgG1(적색) 및 IgG2a(흑색) 동족체 둘 모두에 대한 항-Mtb72f 항체 반응을 분석하기 위해 ELISA로 혈청을 검정하였다.
도 4는 화학요법으로 치료하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐에서의 인터페론-감마(IFN-γ) 반응을 도시한 도면이다. 다양한 시점에 생쥐로부터 비장 세포를 획득하고 기재된 바와 같이 rMtb72f 또는 구성성분들(Mtb32c 및 Mtb39) 중 어느 하나를 1O㎍/㎖ 사용하여 3일간 시험관내에서 자극하였다. 대조군으로써, PPD(3㎍/㎖), BCG 용해물(10㎍/㎖), conA(3㎍/㎖) 또는 단독의 배지를 사용하여 비장림프구(splenocyte) 배양물을 또한 자극시켰다. 그 후 ELISA로 IFN-γ 생성을 측정하였다.
도 5는 화학요법으로 치료하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐에서의 IFN-γ 반응을 도시하고 있다. 다양한 시점에 생쥐로부터 비장 세포를 획득하고 기재된 바와 같이 rMtb72f 또는 구성성분들(Mtb32c 및 Mtb39) 중 어느 하나를 10㎍/㎖ 사용하여 3일간 시험관내에서 자극하였다. 대조군으로써, PPD(3㎍/㎖), BCG 용해물(10㎍/㎖), conA(3㎍/㎖) 또는 단독의 배지를 사용하여 비장림프구(splenocyte) 배양물을 자극시켰다. 그 후 ELISA로 IFN-γ 생성을 측정하였다.
도 6은 화학요법으로 치료하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐에서의 CD4+ T 세포 및 IFN-γ 사이토카인 반응을 도시하고 있다. 다양한 시점에 생쥐로부터 비장 세포를 획득하고 밤새 시험관내에서 10㎍/㎖ rMtb72f로 자극시켰다. 그런 다음 상기 세포를 CD4 및 IFN-γ에 관한 염색을 실행하였다. 대조군으로써, 비장림프구 배양물을 배지만으로 자극시켰다. 세포내 사이토카인 염색(intracellular cytokine staining, ICS)으로 CD4+ T 세포 특이적 IFN-γ+ 생성을 측정하였다.
도 7은 Mtb 감염 후 120일째에 CD4+ 및 CD8+ T 세포 특이적 IFN-γ+ 생성 수치에 대해 정리한 표를 도시하고 있다. 치료하지 않았거나, 복합 화학요법으로 30일, 60일 또는 90일 치료하였거나, Mtb72f 백신을 위한 애주번트로서 복합 화학요법(combination chemotherapy)으로 치료한 생쥐 군으로부터 비장 세포를 획득하였다. 시험관내에서 밤새 비장림프구를 10㎍/㎖ rMtb72f로 자극시켰다. 그런 다음 상기 세포를 CD4, CD8 또는 IFN-γ에 관한 염색을 실행하였다. 대조군으로써, 또한 비장림프구 배양물을 배지만으로 자극시켰다. 세포내 사이토카인 염색으로 CD4+ 및 CD8+ T 세포 특이적 IFN-γ+ 생성을 측정하였다.
도 8은 화학요법으로 치료하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐의 생존율을 도시하고 있다. 50-100CFU의 MtbH37Rv를 에어로졸을 통해 감염시키고 30일 후 하위그룹의 생쥐를 대상으로 화학요법(음료수 리터 당 50㎎ 리팜핀/85㎎ 이소니아지드)을 개시하였다. 화학요법을 60일간 지속하였다. 화학요법을 처치받은 상기 생쥐들 중 절반을 애주번트 AS01B와 함께 제형화된 1회분 당 8㎍의 Mtb72f로 3회 근육내 면역화시켰다.
도 9는 화학요법제를 처치하고 그 다음에 Mtb72f로 면역화시킨, 결핵균 감염된 SWR/J 생쥐의 생존율을 도시하고 있다. 50-100CFU의 MtbH37Rv를 에어로졸을 통해 감염시키고 30일 후 하위그룹의 생쥐를 대상으로 화학요법(음료수 리터 당 50㎎ 리팜핀/85㎎ 이소니아지드)을 개시하였다. 화학요법을 별개의 생쥐 하위그룹을 대상으로 30일, 60일 또는 90일간 지속하였다. 화학요법을 처치받은 상기 생쥐들 중 절반을 애주번트 AS01B와 함께 제형화된 1회분 당 8㎍의 Mtb72f로 3회 근육내 면역화시켰다.
Claims (41)
- 서열번호:4의 아미노산 서열을 포함하는 폴리펩티드.
- 제 1항에 있어서, 서열번호:4의 아미노산 서열로 이루어진 폴리펩티드.
- 서열번호:4의 아미노산 서열을 엔코딩하는 핵산 서열을 포함하는 폴리뉴클레오티드.
- 제 3항에 있어서, 서열번호:3의 핵산 서열을 포함하는 폴리뉴클레오티드.
- 제 1항에 따른 폴리펩티드를 포함하는 약제 조성물.
- 제 5항에 있어서, 추가로 리포좀 제형 중의 3D-MPL 및 QS21을 포함하는 약제 조성물.
- 제 4항에 따른 폴리뉴클레오티드를 포함하는 약제 조성물.
- 제 7항에 있어서, 상기 폴리뉴클레오티드가 바이러스 벡터 내에 도입된 약제 조성물.
- 제 7항에 있어서, 상기 폴리뉴클레오티드가 박테리아 숙주 세포 내에 도입된 약제 조성물.
- 제 9항에 있어서, 상기 박테리아가 바실러스 칼메트-게링(Bacillus Calmette-Guerin)인 약제 조성물.
- 개체에서의 결핵 재활성화(reactivation)를 예방 또는 치료하기 위한 방법으로서, 결핵균(Mycobacterium tuberculosis)에 이미 감염된 포유동물에게 결핵균 군(complex) 중의 마이코박테리움(Mycobacterium) 종으로부터의 Mtb72f 융합 단백질 또는 이의 면역원성 단편 및 애주번트를 포함하는 약제 조성물을 면역학적으로 유효한 양으로 투여하는 단계를 포함하며, 상기 Mtb72f 융합 단백질이 결핵균에 대한 면역 반응을 유도하며, 그로 인하여 결핵 재활성화를 예방하는 방법.
- 제 11항에 있어서, 상기 포유동물이 활동성 결핵균 감염을 지님을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 포유동물이 잠복성 결핵균 감염을 지님을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 포유동물이 다-약제 내성 결핵균 종에 감염된 것을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 포유동물이 바실러스 칼메트-게링(Bacillus Calmette-Guerin, BCG)으로 사전 면역화되었음을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 Mtb72f가 마이코박테리움 튜버큘로시스(Mycobacterium tuberculosis)로부터 나온 것임을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 Mtb72f가 서열번호:2의 잔기 8-729를 포함하는 폴리펩티드임을 특징으로 하는 방법.
- 제 17항에 있어서, 상기 Mtb72f가 서열번호:2의 잔기 1 및 최초 메티오닌(Met) 잔기의 바로 다음에 삽입된 히스티딘 태그(His tag)를 수반하거나 수반하지 않는 잔기 8-729로 이루어진 폴리펩티드임을 특징으로 하는 방법.
- 제 17항에 있어서, 상기 Mtb72f가 서열번호:2의 폴리펩티드임을 특징으로 하는 방법.
- 제 17항에 있어서, 상기 Mtb72f가 서열번호:6의 폴리펩티드임을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 Mtb72f가 서열번호:4의 잔기 4-725를 포함하는 폴리펩티드임을 특징으로 하는 방법.
- 제 21항에 있어서, 상기 Mtb72f가 서열번호:4의 잔기 1 및 최초 메티오닌(Met) 잔기의 바로 다음에 삽입된 히스티딘 태그(His tag)를 수반하거나 수반하지 않는 잔기 4-725로 이루어진 폴리펩티드임을 특징으로 하는 방법.
- 제 21항에 있어서, 상기 Mtb72f가 서열번호:4의 폴리펩티드임을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 포유동물이 인간임을 특징으로 하는 방법.
- 제 11항에 있어서, 상기 애주번트가 리포좀 제형 중의 3D-MPL 및 QS21, 수중유 에멀젼 중의 3D-MPL 및 QS21으로 구성된 군에서 선택됨을 특징으로 하는 방법.
- 제 11항에 있어서, 결핵균 감염 치료에 효과적인 하나 이상의 화학요법제의 투여를 더 포함함을 특징으로 하는 방법.
- 제 26항에 있어서, 상기 하나 이상의 화학요법제가 이소니아지드(isoniazid) 및 리팜핀(rifampin) 중에서 선택됨을 특징으로 하는 방법.
- 제 26항에 있어서, 상기 포유동물이 처음에 소정 시간에 걸쳐 하나 이상의 화학요법제를 투여 받고 그 다음에 제 11항의 약제 조성물을 투여받음을 특징으로 하는 방법.
- 제 26항에 있어서, 상기 포유동물이 처음에 제 11항의 약제 조성물을 투여받고, 그 다음에 소정 시간에 걸쳐 하나 이상의 화학요법제를 투여받음을 특징으로 하는 방법.
- 제 26항에 있어서, 상기 하나 이상의 화학요법제 및 약제 조성물의 투여가 동시에 개시됨을 특징으로 하는 방법.
- 제 11항에 있어서, 제 11항의 약제 조성물을 1회 이상 연속 투여함을 특징으로 하는 방법.
- 제 11항에 있어서, 결핵균 군 중의 마이코박테리움 종으로부터의 Mtb72f 융합 단백질 또는 이의 면역원성 단편을 엔코딩하는 핵산을 연속하여 투여함으로써 프라이밍 및 부스팅하는 것을 더 포함하는 것을 특징으로 하는 방법.
- 개체에서의 결핵 재활성화(reactivation)를 예방 또는 치료하기 위한 방법으로서, 결핵균(Mycobacterium tuberculosis)에 이미 감염된 포유동물에게 결핵균 군(complex) 중의 마이코박테리움((Mycobacterium) 종으로부터의 Mtb72f 융합 단백질 또는 이의 면역원성 단편을 엔코딩하는 핵산을 포함하는 약제 조성물을 면역학적으로 유효한 양으로 투여하는 단계를 포함하며, 발현된 Mtb72f 융합 단백질이 결핵균에 대한 면역 반응을 유도하며, 그로 인하여 결핵 재활성를가 예방하는 방법.
- 제 33항에 있어서, 상기 핵산이 서열번호:1임을 특징으로 하는 방법.
- 제 33항에 있어서, 상기 핵산이 서열번호:1의 뉴클레오티드 63-2222를 포함함을 특징으로 하는 방법.
- 제 33항에 있어서, 상기 핵산이 서열번호:3임을 특징으로 하는 방법.
- 제 33항에 있어서, 상기 핵산이 서열번호:3의 뉴클레오티드 10-2175을 포함함을 특징으로 하는 방법.
- 제 33항에 있어서, 상기 핵산이 아데노바이러스 벡터로 운반되어 짐을 특징으로 하는 방법.
- 제 33항에 있어서, 상기 핵산이 돌연변이 마이코박테리움 또는 바실러스 숙주 세포 벡터임을 특징으로 하는 방법.
- 제 33항에 있어서, 결핵균 군 중의 마이코박테리움 종으로부터의 Mtb72f 융합 단백질 또는 이의 면역원성 단편을 연속하여 투여함으로써 프라이밍 및 부스팅하는 것을 더 포함하는 것을 특징으로 하는 방법.
- 결핵균(Mycobacterium tuberculosis) 감염에 대한 화학요법의 경과 시간을 단축하는 방법으로서, 결핵균에 이미 감염된 포유동물에게 결핵균 감염에 효과적인 하나 이상의 화학요법제 및 결핵균 군(complex) 중의 마이코박테리움(Mycobacterium) 종으로부터의 Mtb72f 융합 단백질 또는 이의 면역원성 단편 및 애주번트를 포함하는 약제 조성물을 면역학적으로 유효한 양으로 투여하는 단계를 포함하며, 상기 Mtb72f 융합 단백질이 결핵균에 대한 면역 반응을 유도하며, 그로 인하여 결핵균 감염에 대한 화학요법의 경과 시간을 단축하는 방법.
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2013
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2014
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- 2014-10-24 JP JP2014217282A patent/JP2015057403A/ja active Pending
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