JP2007077103A - Prophylactic or therapeutic agent for alzheimer's disease - Google Patents

Prophylactic or therapeutic agent for alzheimer's disease Download PDF

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JP2007077103A
JP2007077103A JP2005269545A JP2005269545A JP2007077103A JP 2007077103 A JP2007077103 A JP 2007077103A JP 2005269545 A JP2005269545 A JP 2005269545A JP 2005269545 A JP2005269545 A JP 2005269545A JP 2007077103 A JP2007077103 A JP 2007077103A
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brain
alzheimer
disease
antibody
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Yuichi Tamura
友一 田村
Kenji Hamashima
健治 浜島
Kiyohiko Matsui
清彦 松井
Kenji Okuda
研爾 奥田
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Yokohama National University NUC
Yokohama City University
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a prophylactic or therapeutic agent for Alzheimer's disease having reduced adverse effects but nevertheless exhibiting high prophylactic or therapeutic effects. <P>SOLUTION: The prophylactic or therapeutic agent for the Alzheimer's disease comprises the following as an active ingredient. an F(ab')<SB>2</SB>fragment of an anti-β-amyloid peptide antibody or a fragment which is a part thereof and contains at least a variable region thereof or a conjugate of the fragment maintaining a binding ability to the β-amyloid peptide. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

本発明は、アルツハイマー病の予防又は治療剤に関する。   The present invention relates to a preventive or therapeutic agent for Alzheimer's disease.

脳内にβ−アミロイドペプチド(以下、「Aβ」ということがある)プラークが形成されることがアルツハイマー病の特徴である神経変性において中心的な役割を果たしている(非特許文献1、2)。Aβペプチドの能動免疫や抗Aβモノクローナル抗体(以下、モノクローナル抗体を「mAb」と記載することがある)を全身投与することにより、マウスアルツハイマー病モデルにおいてアミロイドの沈着を減少させることができ(非特許文献3〜6)、認知行動が改善される(非特許文献7、8)ことが報告されている。さらに、より最近、抗Aβ抗体を脳室内投与することにより、アルツハイマー病のモデルであるTgマウスにおいて、脳内のアミロイド沈着及びそれに付随する神経病理学的症状が低減されることが報告された(非特許文献9)。   Formation of β-amyloid peptide (hereinafter sometimes referred to as “Aβ”) plaques in the brain plays a central role in neurodegeneration that is characteristic of Alzheimer's disease (Non-patent Documents 1 and 2). Amyloid deposition can be reduced in a mouse Alzheimer's disease model by active administration of Aβ peptide and systemic administration of anti-Aβ monoclonal antibody (hereinafter, monoclonal antibody may be referred to as “mAb”) (non-patented) Documents 3 to 6) have been reported to improve cognitive behavior (Non-patent Documents 7 and 8). Furthermore, it has been reported more recently that intra-ventricular administration of an anti-Aβ antibody reduces amyloid deposition in the brain and the associated neuropathological symptoms in Tg mice, a model of Alzheimer's disease ( Non-patent document 9).

Yankner BA, Duffy LK, Kirschner DA. 1990. Neurotrophic and neurotoxic effects of amyloid beta protein: Reversal by tachykinin neuropeptides. Science 250:279-282.Yankner BA, Duffy LK, Kirschner DA. 1990. Neurotrophic and neurotoxic effects of amyloid beta protein: Reversal by tachykinin neuropeptides. Science 250: 279-282. Hyman BT. 1998. New neuropathological criteria for Alzheimer disease. Arch. Neural. 55:1174-1176.Hyman BT. 1998. New neuropathological criteria for Alzheimer disease. Arch. Neural. 55: 1174-1176. Schenk D, Barbour, R., Dunn, W., Gordon, G., Grajeda, H., Guido, T., Hu, K., Huang, J., Johnson-Wood, K., Khan, K., Kholodenko., D., Lee, M., Liao, Z., Lieberburg, I., Motter, R., Mutter, L., Soriano, F., Shopp, G., Vasquez, N., Vandevert, C., Walker, S., Wogulis, M., Yendnock, T., Games, D., Seubert, P. 1999. Immunization with amyloid-beta attenuates Alzheimer-disease-like pathology in the PDAPP mouse. Nature 400.Schenk D, Barbour, R., Dunn, W., Gordon, G., Grajeda, H., Guido, T., Hu, K., Huang, J., Johnson-Wood, K., Khan, K., Kholodenko., D., Lee, M., Liao, Z., Lieberburg, I., Motter, R., Mutter, L., Soriano, F., Shopp, G., Vasquez, N., Vandevert, C. , Walker, S., Wogulis, M., Yendnock, T., Games, D., Seubert, P. 1999. Immunization with amyloid-beta attenuates Alzheimer-disease-like pathology in the PDAPP mouse.Nature 400. Bard F, Cannon, C., Barbour, R., Burke, R.L., Games, D., Grajeda, H., Guido, T., Hu, K., Huang, J., Johnson-Wood, K., Khan, K., Kholodenko, D., Lee, M., Lieberberg, I., Motter, R., Nguyen, M., Soriano, F., Vasquez, N., Weiss, K., Welch, B. 2000. Peripherally administered antibodies against amyloid b -peptide enter the central nervous system and reduce pathology in a mouse model of Alzheimer's disease. Nat. Med. 6:916-919.Bard F, Cannon, C., Barbour, R., Burke, RL, Games, D., Grajeda, H., Guido, T., Hu, K., Huang, J., Johnson-Wood, K., Khan , K., Kholodenko, D., Lee, M., Lieberberg, I., Motter, R., Nguyen, M., Soriano, F., Vasquez, N., Weiss, K., Welch, B. 2000. Peripherally administered antibodies against amyloid b -peptide enter the central nervous system and reduce pathology in a mouse model of Alzheimer's disease. Nat. Med. 6: 916-919. DeMattos RB, Bales, K.R., Cummins, D.J., Dodart, J.C., Paul, S.M., Holtzman, D.M. 2001. Peripheral anti-Ab antibody alters CNS and plasma Ab clearance and decreases brain Ab burden in a mouse model of Alzheimer's disease. Proc. Natl. Acad. Sci. USA. 98:8850-8855.DeMattos RB, Bales, KR, Cummins, DJ, Dodart, JC, Paul, SM, Holtzman, DM 2001.Peripheral anti-Ab antibody alters CNS and plasma Ab clearance and decreases brain Ab burden in a mouse model of Alzheimer's disease.Proc. Natl. Acad. Sci. USA. 98: 8850-8855. Bard F, Barbour, R.,Cannon, C., Carretto, R., Fox, M., Games, D., Guido, T., Hoenow, K., Hu, K., Johnson-Wood, K., Khan, K., Kholodenko, D., Lee, C., Lee, M., Motter, R., Nguyen, M., Reed, A., Schenk, D., Tang, P., Vasquez, N., Seubert, P., Yednock, T. 2003. Epitope and isotype specificities of antibodies to beta-amyloid peptide for protection against Alzheimer's disease-like neuropathology. Proc Natl. Acad. Sci. USA. 100:2023-2028.Bard F, Barbour, R., Cannon, C., Carretto, R., Fox, M., Games, D., Guido, T., Hoenow, K., Hu, K., Johnson-Wood, K., Khan, K., Kholodenko, D., Lee, C., Lee, M., Motter, R., Nguyen, M., Reed, A., Schenk, D., Tang, P., Vasquez, N., Seubert, P., Yednock, T. 2003. Epitope and isotype specificities of antibodies to beta-amyloid peptide for protection against Alzheimer's disease-like neuropathology. Proc Natl. Acad. Sci. USA. 100: 2023-2028. Dodart JC, Bales, K.R., Gannon, K.S., Greene, S.J., DeMattos, R.B., Mathis, C., DeLong, C.A., Wu, S., Wu, X., Holtzman, D.M., Paul, S.M. 2002. Immunization reverses memory deficits without reducing brain Abeta burden in Alzheimer's disease model. Nat. Neurosci. 5:452-457.Dodart JC, Bales, KR, Gannon, KS, Greene, SJ, DeMattos, RB, Mathis, C., DeLong, CA, Wu, S., Wu, X., Holtzman, DM, Paul, SM 2002. Immunization reverses memory deficits without reducing brain Abeta burden in Alzheimer's disease model. Nat. Neurosci. 5: 452-457. Schenk D, Yednock, T. 2002. The role of microglia in Alzheimer's disease: Neurobiol Aging 23:677-679.Schenk D, Yednock, T. 2002.The role of microglia in Alzheimer's disease: Neurobiol Aging 23: 677-679. Chauhan NB, Siegel GJ. 2003. Intracerebroventricular passive immunization with anti-Ab antibody in Tg2576. J. Neurosci. Res 74:142-147.Chauhan NB, Siegel GJ. 2003. Intracerebroventricular passive immunization with anti-Ab antibody in Tg2576. J. Neurosci. Res 74: 142-147. Check E. 2002. Nerve inflammation halts trial for Alzheimer's drug. Nature 415:462.Check E. 2002. Nerve inflammation halts trial for Alzheimer's drug.Nature 415: 462. Hock C, Konietzko, U., Parassotiropoulos, A., Wollmer, A., Streffer, J., Von Rotz, R.C., Davey, G., Moritz, E., Nitsch, R.M. 2002. Generation of antibodies specific for bete-amyloid by vaccination of patients with Alzheimer disease. Nat. Med. 8:1270-1275.Hock C, Konietzko, U., Parassotiropoulos, A., Wollmer, A., Streffer, J., Von Rotz, RC, Davey, G., Moritz, E., Nitsch, RM 2002. Generation of antibodies specific for bete- amyloid by vaccination of patients with Alzheimer disease. Nat. Med. 8: 1270-1275.

しかしながら、上記した能動免疫又は受動免疫によるアルツハイマー病の予防又は治療は、副作用がある。能動免疫については、治験まで行なわれたが、一部の患者で髄膜脳炎が起き、治験は中止された(非特許文献10、11、8)。   However, the prevention or treatment of Alzheimer's disease by active immunity or passive immunity described above has side effects. Although active immunization was conducted until clinical trials, meningoencephalitis occurred in some patients and the clinical trials were discontinued (Non-patent Documents 10, 11, and 8).

従って、本発明の目的は、副作用が低減され、それでいて高い予防又は治療効果を発揮することができる、アルツハイマー病の予防又は治療剤を提供することである。   Therefore, an object of the present invention is to provide a preventive or therapeutic agent for Alzheimer's disease, which has reduced side effects and can still exhibit a high preventive or therapeutic effect.

本願発明者らは、鋭意研究の結果、抗Aβモノクローナル抗体のF(ab')2フラグメントが、抗Aβモノクローナル抗体と同様の優れた予防又は治療効果を発揮するにもかかわらず、副作用の炎症が低減されることを見出し本発明を完成した。 As a result of diligent research, the inventors of the present application have found that the F (ab ′) 2 fragment of the anti-Aβ monoclonal antibody exhibits the same excellent preventive or therapeutic effect as the anti-Aβ monoclonal antibody, but has side effects of inflammation. As a result, the present invention was completed.

すなわち、本発明は、抗β−アミロイドペプチド抗体のF(ab')2フラグメント又は該フラグメントの一部であって少なくともその可変領域を含む断片若しくは該断片の結合物であってβ−アミロイドペプチドとの結合能を維持するものを有効成分として含有する、アルツハイマー病の予防又は治療剤を提供する。 That is, the present invention provides an F (ab ′) 2 fragment of an anti-β-amyloid peptide antibody, a fragment that is a part of the fragment and includes at least the variable region, or a conjugate of the fragment, and a β-amyloid peptide The present invention provides a preventive or therapeutic agent for Alzheimer's disease containing an active ingredient that maintains the binding ability of

本発明により、高い予防又は治療効果を発揮することができ、それでいて副作用が低減された新規なアルツハイマー病の予防又は治療剤が提供された。   According to the present invention, a novel prophylactic or therapeutic agent for Alzheimer's disease that can exhibit a high preventive or therapeutic effect and yet has reduced side effects has been provided.

上記の通り、本発明のアルツハイマー病の予防又は治療剤は、抗β−アミロイドペプチド抗体のF(ab')2フラグメント又は該フラグメントの一部であって少なくともその可変領域を含む断片若しくは該断片の結合物であってβ−アミロイドペプチドとの結合能を維持するものを有効成分として含有する。ここで、F(ab')2フラグメントの一部であって少なくともその可変領域を含む断片としては、FabフラグメントやFvフラグメントを例示することができる。また、これらの結合物としては、scFvフラグメント、Fvフラグメントを2個〜4個結合させた2価〜4価抗体、Fabフラグメントを2個又は3個結合させたFab二量体及び三量体等を例示することができる。これらのフラグメントやその結合物は、抗体医薬の分野において周知である。また、抗体フラグメントは、遺伝子工学的手法によっても生産できるので、F(ab')2フラグメント中の可変領域をそっくり含み、Aβとの結合能を有するものであれば、遺伝子工学的手法により作製された任意の断片やその結合物を用いることも可能である。もっとも、これらのうち、F(ab')2フラグメントが、薬効の観点から最も好ましい。 As described above, the preventive or therapeutic agent for Alzheimer's disease of the present invention is an F (ab ′) 2 fragment of an anti-β-amyloid peptide antibody, or a fragment that is a part of the fragment and includes at least the variable region thereof, A binding substance that maintains the ability to bind to β-amyloid peptide is contained as an active ingredient. Here, examples of the fragment that is a part of the F (ab ′) 2 fragment and includes at least the variable region thereof include Fab fragments and Fv fragments. In addition, these conjugates include scFv fragments, bivalent to tetravalent antibodies in which 2 to 4 Fv fragments are bound, Fab dimers and trimers in which 2 or 3 Fab fragments are bound, etc. Can be illustrated. These fragments and conjugates thereof are well known in the field of antibody medicine. In addition, since antibody fragments can be produced by genetic engineering techniques, they can be produced by genetic engineering techniques as long as they contain the variable region in the F (ab ′) 2 fragment and have the ability to bind Aβ. It is also possible to use any fragment or its conjugate. Of these, the F (ab ′) 2 fragment is most preferable from the viewpoint of drug efficacy.

本発明に用いられるF(ab')2フラグメント等は、ポリクローナル抗体由来のものであってもよいが、薬効の再現性を高める観点からモノクローナル抗体由来のフラグメントが好ましい。抗Aβ mAbは、Aβ又は抗原性を有するその断片を動物に免疫し、常法によりモノクローナル抗体を産生するハイブリドーマを作出し、その培養上清や該ハイブリドーマを腹腔に投与した動物の腹水からモノクローナル抗体を回収することにより得ることができる。Aβの塩基配列及びアミノ酸配列は、公知であるので、Aβ又は抗原性を有するその断片は、ペプチド合成機や遺伝子工学的手法により容易に調製することができる。ヒトAβのアミノ酸配列を配列表の配列番号1に示す。後述の実施例では、ヒトAβ(配列番号1)のN末端から1〜42のアミノ酸残基から成るポリペプチド(配列番号2)をペプチド合成機により化学合成し、これを免疫原として動物に免疫した。なお、Aβの断片を免疫原として用いる場合には、十分な抗原性と特異性を確保するために、アミノ酸残基の数は20以上が好ましく、さらに好ましくは30以上である。モノクローナル抗体を得た後、酵素処理等の常法により有効成分として用いる抗体フラグメントを得ることができる。例えば、F(ab')2フラグメントは、常法に従い、モノクローナル抗体をペプシンで処理することにより得られる。 The F (ab ′) 2 fragment and the like used in the present invention may be derived from a polyclonal antibody, but a fragment derived from a monoclonal antibody is preferable from the viewpoint of enhancing the reproducibility of the drug effect. Anti-Aβ mAb immunizes an animal with Aβ or an antigenic fragment thereof, produces a hybridoma that produces a monoclonal antibody by a conventional method, and produces a monoclonal antibody from the culture supernatant or ascites of the animal administered the hybridoma intraperitoneally It can obtain by collect | recovering. Since the base sequence and amino acid sequence of Aβ are known, Aβ or a fragment thereof having antigenicity can be easily prepared by a peptide synthesizer or a genetic engineering technique. The amino acid sequence of human Aβ is shown in SEQ ID NO: 1 in the sequence listing. In Examples described later, a polypeptide (SEQ ID NO: 2) consisting of amino acid residues 1 to 42 from the N-terminus of human Aβ (SEQ ID NO: 1) is chemically synthesized by a peptide synthesizer, and this is used as an immunogen to immunize animals. did. When an Aβ fragment is used as an immunogen, the number of amino acid residues is preferably 20 or more, more preferably 30 or more, in order to ensure sufficient antigenicity and specificity. After obtaining a monoclonal antibody, an antibody fragment used as an active ingredient can be obtained by a conventional method such as enzyme treatment. For example, F (ab ′) 2 fragment can be obtained by treating a monoclonal antibody with pepsin according to a conventional method.

本発明のアルツハイマー病の予防又は治療剤は、アルツハイマー病の予防及び治療の両方に有効である。なお、本発明において、「治療」には、軽症のアルツハイマー病がより重症に進行することを防止し、又はその進行速度を遅らせることも包含する。   The preventive or therapeutic agent for Alzheimer's disease of the present invention is effective for both prevention and treatment of Alzheimer's disease. In the present invention, “treatment” includes preventing the progression of mild Alzheimer's disease more severely or delaying its progression rate.

本発明のアルツハイマー病の予防又は治療剤の投与経路は、特に限定されるものではないが、非経口投与が好ましく、特に静脈注射のような全身投与及び脳室内投与のような脳への局所投与が好ましい。投与量は、患者の症状や投与の目的(予防か治療か等)、有効成分の種類等により適宜設定されるが、通常、患者1人当り、1日当り有効成分の量として2.5mg〜2500mg、好ましくは25mg〜250mg程度である。   The route of administration of the preventive or therapeutic agent for Alzheimer's disease of the present invention is not particularly limited, but parenteral administration is preferable, and systemic administration such as intravenous injection and local administration to the brain such as intraventricular administration are particularly preferred. Is preferred. The dose is appropriately set according to the patient's symptoms and purpose of administration (prophylaxis or treatment, etc.), the type of active ingredient, etc., but usually 2.5 mg to 2500 mg as the amount of active ingredient per patient per day, Preferably, it is about 25 mg to 250 mg.

有効成分の抗体フラグメントは、医薬製剤分野で常用されている方法により製剤して本発明のアルツハイマー病の予防又は治療剤を調製することができる。例えば、有効成分の抗体フラグメントを、注射剤用の担体(例えばリン酸緩衝液等)に溶解して注射液に製剤することができる。注射液の場合、注射液中の抗体フラグメントの濃度は特に限定されないが、通常、250mg/L〜2500mg/L程度が適当である。   The antibody fragment of the active ingredient can be prepared by a method commonly used in the pharmaceutical preparation field to prepare the preventive or therapeutic agent for Alzheimer's disease of the present invention. For example, the antibody fragment of the active ingredient can be dissolved in an injectable carrier (for example, a phosphate buffer solution) and formulated into an injectable solution. In the case of an injection solution, the concentration of the antibody fragment in the injection solution is not particularly limited, but usually about 250 mg / L to 2500 mg / L is appropriate.

下記実施例において具体的に示されるように、本発明のアルツハイマー病の予防又は治療剤は、全抗体を用いる公知の方法に匹敵する予防又は治療効果を発揮し、それでいて、炎症の指標となる、脳組織内に生じるCD11b陽性細胞の数は非常に少ない。従って、本発明のアルツハイマー病の予防又は治療剤は、公知の予防又は治療剤と同様な高い予防又は治療効果を発揮することができ、それでいて副作用が低減されている。   As specifically shown in the following examples, the preventive or therapeutic agent for Alzheimer's disease of the present invention exhibits a preventive or therapeutic effect comparable to a known method using all antibodies, and still serves as an index of inflammation. There are very few CD11b-positive cells occurring in brain tissue. Therefore, the prophylactic or therapeutic agent for Alzheimer's disease of the present invention can exhibit the same high prophylactic or therapeutic effect as known prophylactic or therapeutic agents, and yet has reduced side effects.

以下、本発明を実施例に基づきより具体的に説明する。もっとも、本発明は下記実施例に限定されるものではない。   Hereinafter, the present invention will be described more specifically based on examples. However, the present invention is not limited to the following examples.

材料と方法
Aβ特異的ハイブリド−マの作製
ヒトAβ の1-42アミノ酸を含むペプチド(Aβ1-42)を合成し、BALB/c マウス1匹当たり100μgにて3回の免疫を行った。すなわち、初回免疫は合成したペプチドにフロインドの完全アジュバンドを混合し行い、初回免疫から2週間の後、ペプチドにフロインドの不完全アジュバンドを混合し追加免疫を行った。追加免疫から3週間の後、ペプチドのみにて最終免疫を行った後、Aβ1- 13に対する血清中の抗体価が高力価のマウスの脾臓を摘出した。摘出した脾臓よりリンパ球を採取し、常法により細胞融合を行い抗Aβ1-13抗体産生ハイブリド−マ細胞を作製した。
Materials and methods
Preparation of Aβ-specific hybridoma A peptide containing human Aβ 1-42 amino acids (Aβ 1-42 ) was synthesized and immunized 3 times at 100 μg per BALB / c mouse. That is, for the first immunization, Freund's complete adjuvant was mixed with the synthesized peptide, and after 2 weeks from the initial immunization, Freund's incomplete adjuvant was mixed with the peptide and boosted. After 3 weeks from the booster, after the final immunization with peptide alone, the antibody titer in serum against A [beta] 1-13 was excised spleens of high titers of mice. Lymphocytes were collected from the excised spleen and cell fusion was performed by a conventional method to produce anti-Aβ 1-13 antibody-producing hybridoma cells.

抗Aβ1-42抗体産生ハイブリド−マ細胞の培養
抗Aβ1-13抗体産生ハイブリド−マ細胞(以下IIA2と略)はKBM 450 (Kohjin Bio Co., Ltd, Saitama, Japan)無血清培地にて培養を行った。培養後、培養上清を回収し、硫酸アンモニウムにて塩析沈殿を行って培養上清中の抗Aβ1-13抗体を粗精製した。粗精製した抗体はImmunopure F(ab')2 preparation kit (Pierce Biotechnology, Rockford IL, USA) を用いてF(ab')2 フラグメントとpFc'フラグメント(全抗体をペプシン処理して得られる、F(ab')2 フラグメントと異なるもう一方のフラグメント)の精製を行った。すなわち、5mg/ml になるように調整したサンプル1 ml はペプシンにて37℃、6 hにて切断を行った。切断後、反応液をProtein AカラムにてF(ab')2 と pFc' および切断されなかったIgGの分離を行った。このうち、F(ab')2 フラグメントはカラムから回収し、カットオフ分子量50,000 (MWCO: 50,000, Spectrum Medical Industries, Inc. CA, USA)のチューブを用いてリン酸緩衝液(PBS)に対して透析した。ペプシンで切断されなかったIgG と pFc' フラグメントはSephadex G-200 カラム(商品名)にて分離を行った。これら精製したF(ab')2 と pFc' をin vivo の実験に用いた。
Culture of anti-Aβ 1-42 antibody-producing hybridoma cells Anti-Aβ 1-13 antibody-producing hybridoma cells (hereinafter abbreviated as IIA2) in KBM 450 (Kohjin Bio Co., Ltd, Saitama, Japan) in serum-free medium Culture was performed. After the culture, the culture supernatant was collected and subjected to salting out precipitation with ammonium sulfate to roughly purify the anti-Aβ 1-13 antibody in the culture supernatant. Antibodies crude is Immunopure F (ab ') obtained by pepsin treatment (2 fragments and pFc' fragments (whole antibody 2 preparation kit (Pierce Biotechnology, Rockford IL, USA) F ab) using ', F ( ab ′) The other fragment different from the 2 fragment was purified. That is, 1 ml of the sample adjusted to 5 mg / ml was cleaved with pepsin at 37 ° C. for 6 hours. After cleavage, F (ab ′) 2 and pFc ′ and IgG that had not been cleaved were separated from the reaction solution using a Protein A column. Of these, the F (ab ′) 2 fragment was recovered from the column and was used against phosphate buffer (PBS) using a tube with a cutoff molecular weight of 50,000 (MWCO: 50,000, Spectrum Medical Industries, Inc. CA, USA). Dialyzed. IgG and pFc ′ fragments that were not cleaved with pepsin were separated on a Sephadex G-200 column (trade name). These purified F (ab ′) 2 and pFc ′ were used for in vivo experiments.

ELISA
ハイブリド−マ細胞の培養上清中の抗Aβ1-13抗体の測定にはELISAを用いて行った。ELISAは奥田らの方法(Okuda K, Kaneko T. 1993. Strong synergistic effects of polyvalent vaccine using synthetic peptide for human immunodeficiency virus. AIDS Res Hum Retrov 9 Suppl:S114; Okuda K, Bukawa H, Kawamoto S, Imai M, Saito T, Phanuphak P, Hamajima K. 1994. A serologic analysis and the amino acid sequence of the V3 region of human immunodeficiency virus from carriers in Bangkok. J Infect Dis 169:227-228.)に従って行った、すなわち、96穴のマイクロタイタ−プレ−トに0.15M PBSにて溶解した 40μg/mlのAβ1-42 ペプチドと陰性コントロ−ルとしてHIVIIIB envペプチド (IRIQRGPGRAFVTIGKIGN)およびミオグロビンペプチド (ISEAIIHVLHSRHP)を固相化した。固相化したプレ−トはPBSにて洗浄し、3% ウシ血清アルブミン (BSA) にて1hブロッキングを行った。ブロッキングが終了した後、ハイブリド−マ細胞の培養上清と4℃にて6 h 反応させた。反応終了後、セイヨウワサビペルオキシダーゼ(HRP)標識した抗マウス IgG (Pierce Chemicals )と反応させて検出を行った。
ELISA
Measurement of anti-Aβ 1-13 antibody in the culture supernatant of hybridoma cells was performed using ELISA. ELISA was performed by Okuda et al. (Okuda K, Kaneko T. 1993.Strong synergistic effects of polyvalent vaccine using synthetic peptide for human immunodeficiency virus.AIDS Res Hum Retrov 9 Suppl: S114; Okuda K, Bukawa H, Kawamoto S, Imai M, Saito T, Phanuphak P, Hamajima K. 1994.A serologic analysis and the amino acid sequence of the V3 region of human immunodeficiency virus from carriers in Bangkok.J Infect Dis 169: 227-228.) HIVIIIB env peptide (IRIQRGPGRAFVTIGKIGN) and myoglobin peptide (ISEAIIHVLHSRHP) were immobilized as a negative control and 40 μg / ml Aβ 1-42 peptide dissolved in 0.15 M PBS in a microtiter plate. The solid-phased plate was washed with PBS and blocked with 3% bovine serum albumin (BSA) for 1 h. After the blocking, the hybridoma cell culture supernatant was reacted at 4 ° C. for 6 h. After completion of the reaction, detection was carried out by reacting with horseradish peroxidase (HRP) -labeled anti-mouse IgG (Pierce Chemicals).

動物の免疫に用いたAβ1-42又はその部分ペプチドを被覆したビーズと、抗AβmAbとをインキュベートしてmAb吸着実験を行なった。ペプチド被覆ビーズは、mAbと4℃で12時間反応させた。上記HIVペプチド又はミオグロビンペプチドを対照に用いた。次いで抗体力価をELISAにより測定した。 MAb adsorption experiments were carried out by incubating beads coated with Aβ 1-42 or its partial peptide used for animal immunization and anti-Aβ mAb. The peptide-coated beads were reacted with mAb at 4 ° C. for 12 hours. The HIV peptide or myoglobin peptide was used as a control. The antibody titer was then measured by ELISA.

トランスジェニックマウスを用いたIn vivo 治療実験
ヒトのAβを発現するTg 2576マウス(Hsiao K, Chapman, P., Nilsen, S., Eckman, C., Harigaya, Y., Younkin, S., Yang, F., Cole, G. 1996. Correlative memory deficits, Abeta elevation, and amyloid plaques in transgenic mice. Science 274:99-102.)はTaconic Farms Inc. (German Town, NY, USA)より入手した。生後65週齢のマウスに0.5 mg/mlに調整した(溶媒はダルベッコズ PBS(-)、以下同様)0.5 ml のp-AβmAb(以下、「p-」は精製、「p-p」は部分精製を意味する)、p-F(ab')2 および p-pFc'(それぞれ、1群を6から7匹)を腹腔内に投与し治療を行った。これらのマウスが80週齢になった時点で脳を摘出した。さらに、60-70週齢 と75-85週例のマウスについても同様に治療を行った。摘出した脳の左側を免疫染色に右側をELISA による脳内のAβ量の測定に用いた。
In vivo treatment experiments using transgenic mice
Tg 2576 mice expressing human Aβ (Hsiao K, Chapman, P., Nilsen, S., Eckman, C., Harigaya, Y., Younkin, S., Yang, F., Cole, G. 1996. Correlative Memory deficits, Abeta elevation, and amyloid plaques in transgenic mice. Science 274: 99-102.) were obtained from Taconic Farms Inc. (German Town, NY, USA). Adjusted to 0.5 mg / ml in 65-week-old mice (solvent is Dulbeccos PBS (-), the same applies below) 0.5 ml of p-AβmAb (hereinafter “p-” means purification, “pp” means partial purification) PF (ab ′) 2 and p-pFc ′ (6 to 7 mice in each group) were administered intraperitoneally. The brains were removed when these mice were 80 weeks old. In addition, the same treatment was applied to mice aged 60-70 weeks and 75-85 weeks. The left side of the excised brain was used for immunostaining, and the right side was used for measuring the amount of Aβ in the brain by ELISA.

さらに、脳内の左右における前頭皮質に0.5 mg/mlに調整したp-AβmAb, p-F(ab')2および p-pFc'の0.02 mlを直接注入し治療を行った。治療後、5日間経過したマウスの左半球はクリオスタットミクロト−ムにて切片を作製、右半球はAβ量の測定に用いた。 Furthermore, treatment was performed by directly injecting 0.02 ml of p-AβmAb, pF (ab ′) 2 and p-pFc ′ adjusted to 0.5 mg / ml into the frontal cortex on the left and right in the brain. After the treatment, the left hemisphere of the mouse that had passed for 5 days was cut with a cryostat microtome, and the right hemisphere was used for measuring the amount of Aβ.

マウスの脳検体の調整
摘出した脳の左半球はTissue-Tek OCT Compound (商品名、Sakura Finetechnical Co., Ltd., Tokyo, Japan)に埋め込み、右半球は小脳を取り除いた。これらの脳はドライアイス−アセトンにて急速に凍結し、使用時まで-80℃ にて保存した。
Preparation of mouse brain specimen The left hemisphere of the removed brain was embedded in Tissue-Tek OCT Compound (trade name, Sakura Finetechnical Co., Ltd., Tokyo, Japan), and the cerebellum was removed from the right hemisphere. These brains were rapidly frozen in dry ice-acetone and stored at −80 ° C. until use.

メセナミン銀染色
脳内の海馬と大脳皮質におけるAβの検出にはメセナミン銀染色を用いた。染色はHaga ら方法に従って行い、同時にニッスル染色も行った。
Mesenamine silver staining Mesenamine silver staining was used to detect Aβ in the hippocampus and cerebral cortex in the brain. Staining was performed according to the method of Haga et al.

脳内Aβの蛍光染色
モノクロ―ナル抗体にて治療を行ったマウスの左脳を摘出し凍結切片をクリオスタットにて作製し、Aβの蛍光染色を行った。蛍光染色は内因性の非特異反応をブロックするためアビジン/ビオチンブロッキング・キット(NICHIREI CORPORATION. Tokyo, JAPAN) を用いた。その後、抗ヒトAβ1-42ウサギ抗体 (IBL Co., Ltd. Gunma, Japan), ビオチン標識抗ウサギIgG抗体 (MBL Co., Ltd. Nagoya, Japan) およびストレプトアビジン蛍光色素(FITC)(MBL Co., Ltd.) を用いて行った。同時に、自家調整したFITC 標識Aβ1-42 ウサギIgG抗体による直接染色も行った。蛍光染色を行った後、高感度CCDカメラを搭載した共焦点レーザ走査顕微鏡 (Carl Zeiss LSM510)を接続したOLYMPUS microscope BX60 にて観察を行った。また、Aβ1-42 と同時にミクログリア細胞(Microglial cells)の染色を抗マウスCD11b (Mac-1)、PE(phycoerythrin、Ebioscience Inc. CA, USA)標識したモノクロ―ナル抗体および PE-抗マウス I-Ab MHC Class II 抗体 (ebioscience Inc. CA, USA)を用いて行った。
Fluorescent staining of Aβ in the brain The left brain of a mouse treated with a monoclonal antibody was removed, a frozen section was prepared with a cryostat, and fluorescent staining of Aβ was performed. For fluorescent staining, an avidin / biotin blocking kit (NICHIREI CORPORATION. Tokyo, JAPAN) was used to block endogenous non-specific reactions. Thereafter, the anti-human A [beta] 1 - 42 Rabbit antibody (IBL Co., Ltd. Gunma, Japan ), biotin-labeled anti-rabbit IgG antibody (MBL Co., Ltd. Nagoya, Japan ) and streptavidin fluorescent dye (FITC) (MBL Co ., Ltd.). At the same time, FITC-labeled A [beta] 1 was self adjusting - direct staining with 42 rabbit IgG antibody was also performed. After fluorescent staining, observation was performed with an OLYMPUS microscope BX60 connected to a confocal laser scanning microscope (Carl Zeiss LSM510) equipped with a high-sensitivity CCD camera. Moreover, A [beta] 1 - 42 simultaneously with microglial cells (Microglial cells) staining anti-mouse CD11b (Mac-1), PE (phycoerythrin, Ebioscience Inc. CA, USA) labeled monochrome - monoclonal antibody and PE- anti-mouse IA b MHC Class II antibody (ebioscience Inc. CA, USA) was used.

ELISA による脳内Aβ蛋白の測定
脳内のAβ蛋白レベルを測定するため、ELISAを行った。ELISAは Kawarabayashiらの方法(Kawarabayashi T, Younkin, L.H., Saido, C.T., Shoji, M., Hsiao, K., Younkin, S. 2001. Age-dependent changes in brain, CSF, and Plasma Amyloid b protein in the Tg2576 transgenic mouse model of Alzheimer's disease. J. Neurosci. Res 21:372-381.)に従って行った。すなわち、凍結した右脳は超音波にて破砕し遠心した。遠心後、沈渣を再度超音波にて破砕し、1% triton x-100(商品名)を含むトリス緩衝液を加えた。抽出したAβは2%ドデシル硫酸ナトリウム (SDS) および 70% ギ酸 (FA)にて溶解した。溶解後、Aβ蛋白はヒトAmyloid β測定キット (IBL Co., Ltd. Gunma, JAPAN)を用いて定量を行った。
Measurement of brain Aβ protein by ELISA To measure the level of Aβ protein in the brain, ELISA was performed. ELISA is the method of Kawarabayashi et al. (Kawarabayashi T, Younkin, LH, Saido, CT, Shoji, M., Hsiao, K., Younkin, S. 2001.Age-dependent changes in brain, CSF, and Plasma Amyloid b protein in the Tg2576 transgenic mouse model of Alzheimer's disease. J. Neurosci. Res 21: 372-381.). That is, the frozen right brain was crushed with an ultrasonic wave and centrifuged. After centrifugation, the sediment was crushed again with ultrasonic waves, and a Tris buffer containing 1% triton x-100 (trade name) was added. The extracted Aβ was dissolved in 2% sodium dodecyl sulfate (SDS) and 70% formic acid (FA). After lysis, Aβ protein was quantified using a human Amyloid β assay kit (IBL Co., Ltd. Gunma, JAPAN).

Aβ F(ab')2 の腹腔内投与後における脳内のAβプラ―クの抗Aβ F(ab')2フラグメントの結合の検出
腹腔内に投与したAβ F(ab')2 が脳内に移行できるか検討を行った。検討には、Aβモノクロ―ナル抗体(IIA2) より作製したF(ab')2フラグメントはビオチン標識(Biotinyl-N-hydroxysuccimide, COSMO BIO CO., LTD Tokyo. Japan)を用いて行った。すなわち、1mg/mlに調整した精製フラグメントの1 mlを0.1 Mの炭酸ナトリウムに溶解し、1 mg/mlの DMSO 60μlと混合した。混合した精製フラグメントとDMSOは、室温にて4 h 撹拌を行った。撹拌後、混合液は終濃度が1mg/mlになるように PBSにて調整し, 60週齢のTg2576 マウスに0.5ml腹腔内に投与 を行った。投与後、4時間経過したマウスの脳を摘出し凍結切片を作製した。この切片をストレプトアビジンFITCにて処置し蛍光顕微鏡下にて脳内のAβの検出を行った。
Aβ F (ab ') 2 intraperitoneal A [beta] plug in the brain after administration - click anti Aβ F (ab') 2 Detection of fragment coupling
We investigated whether Aβ F (ab ′) 2 administered intraperitoneally could enter the brain. For the examination, F (ab ′) 2 fragment prepared from Aβ monoclonal antibody (IIA2) was subjected to biotin labeling (Biotinyl-N-hydroxysuccimide, COSMO BIO CO., LTD Tokyo. Japan). That is, 1 ml of the purified fragment adjusted to 1 mg / ml was dissolved in 0.1 M sodium carbonate and mixed with 60 μl of 1 mg / ml DMSO. The mixed purified fragment and DMSO were stirred at room temperature for 4 h. After stirring, the mixture was adjusted with PBS to a final concentration of 1 mg / ml, and 0.5 ml was administered intraperitoneally to 60-week-old Tg2576 mice. After administration, the mouse brain after 4 hours was removed and a frozen section was prepared. This section was treated with streptavidin FITC, and Aβ in the brain was detected under a fluorescence microscope.

結果
Tg2576 マウスの脳内における Aβの分布
ヒトのアルツハイマ―病を発現する遺伝子導入Tg2576 マウスの脳内における Aβプラ―クの分布を図1に示した。80週齢のマウスにおいては脳内の海馬および大脳皮質に多くのAβプラ―クが認められた。
result
Distribution of Aβ in the brain of Tg2576 mice FIG. 1 shows the distribution of Aβ plaques in the brain of transgenic Tg2576 mice expressing human Alzheimer's disease. In 80-week-old mice, many Aβ plaques were found in the hippocampus and cerebral cortex in the brain.

ハイブリド―マ細胞から誘導した抗Aβモノクロ―ナル抗体IIA2の解析
抗Aβモノクロ―ナル抗体(mAb)IIA2の解析ELISA の結果より作製したmAbはAβ1-42 と Aβ1-13ペプチドに反応する結果が得られた。しかしながら、Aβ13-28、Aβ28-42ペプチドおよびAβとは関係ない蛋白には反応が見られなかった(表1)。さらに、mAbがAβ蛋白のN末端領域であるAβ1-13を固相化したビ―ズに特異的に反応したがAβ蛋白全領域には反応性は見られなかった(表2)。これらの結果より、ハイブリド―マ細胞から誘導した抗Aβモノクロ―ナル抗体IIA2はAβ蛋白のN末端側の13アミノ酸に対して特異性があるものと示唆された。さらに、このmAbのアイソタイプはIgG1であった (データ示さず)。
Analysis of Anti-Aβ Monoclonal Antibody IIA2 Induced from Hybridoma Cells Analysis of Anti-Aβ Monoclonal Antibody (mAb) IIA2 mAb prepared from the results of ELISA reacts with Aβ 1-42 and Aβ 1-13 peptides was gotten. However, no reaction was observed with Aβ 13-28 , Aβ 28-42 peptide and proteins not related to Aβ (Table 1). Furthermore, mAb specifically reacted with the beads on which Aβ 1-13 , which is the N-terminal region of Aβ protein, was immobilized, but no reactivity was observed in the entire region of Aβ protein (Table 2). These results suggested that anti-Aβ monoclonal antibody IIA2 derived from hybridoma cells has specificity for 13 amino acids on the N-terminal side of Aβ protein. Furthermore, the mAb isotype was IgG1 (data not shown).

Figure 2007077103
Figure 2007077103

Figure 2007077103
Figure 2007077103

上記の通り、mAb およびmAbから作製したF(ab')2 を投与した80週齢のTg 2576マウスにおける脳内のAβに対する親和性を調べた。すなわち、該80週齢のTg 2576マウスの切片を、10μg/mLの(A)IIA2培養液、(B)精製Aβ-mAb、(C)精製F(ab')2フラグメント、(D)精製pFc'フラグメント又は(E)対照血清とインキュベートした。結合を、FITC結合第2抗体で逆染色し、顕微鏡観察(倍率200倍)して検出した。 As described above, the affinity for Aβ in the brain of 80-week-old Tg 2576 mice administered with mAb and F (ab ′) 2 prepared from mAb was examined. That is, a section of the 80-week-old Tg 2576 mouse was subjected to 10 μg / mL (A) IIA2 culture solution, (B) purified Aβ-mAb, (C) purified F (ab ′) 2 fragment, (D) purified pFc. 'Incubated with fragment or (E) control serum. The binding was detected by reverse staining with a FITC-conjugated second antibody and microscopic observation (magnification 200 times).

その結果、(B)及び(C)では多数のプラークが蛍光染色された。(A)では(B)及び(C)よりは明らかに少ないが蛍光染色されたプラークが観察された。(D)及び(E)では蛍光はほとんど観察されなかった。このことから、F(ab')2フラグメントは、全モノクローナル抗体と同様、脳内のAβによく結合することが明らかになった。 As a result, a large number of plaques were fluorescently stained in (B) and (C). In (A), plaques that were fluorescently stained were clearly fewer than in (B) and (C). In (D) and (E), almost no fluorescence was observed. From this, it was revealed that the F (ab ′) 2 fragment binds well to Aβ in the brain, like all monoclonal antibodies.

Tg 2576 マウスを用いたmAbのAβに対する治療効果
65週齢のTg 2576マウスに毎週1回250μgのp-Aβ-mAb、p-F(ab')2又はpFc'を腹腔内投与した後、80週齢においてマウスの脳を摘出して脳内のAβを調べた。Aβの沈着を、脳の左半球から調製した脳組織の免疫組織化学染色により調べた。倍率200倍で顕微鏡観察した。その結果、無処置のマウス及びpFc'を投与したマウスでは、多量のAβの沈着が観察されたが、p-Aβ-mAb又はp-F(ab')2を投与したマウスでは、染色された部分はほとんど認められず、Aβの沈着がほとんど見られなかった。これにより、F(ab')2フラグメントも、全抗体と同様、アルツハイマー病の治療効果を有することが確認された。
Therapeutic effect of mAb on Aβ using Tg 2576 mice
After intraperitoneal administration of 250 μg of p-Aβ-mAb, pF (ab ′) 2 or pFc ′ once weekly to a 65-week-old Tg 2576 mouse, the mouse brain was removed at 80-week-old and Aβ in the brain was removed. I investigated. Aβ deposition was examined by immunohistochemical staining of brain tissue prepared from the left hemisphere of the brain. Microscopic observation was performed at a magnification of 200 times. As a result, a large amount of Aβ deposition was observed in the untreated mouse and the mouse administered with pFc ′, but in the mouse administered with p-Aβ-mAb or pF (ab ′) 2 , the stained portion was Almost no Aβ deposition was observed. As a result, it was confirmed that the F (ab ′) 2 fragment also has a therapeutic effect on Alzheimer's disease, like all antibodies.

p-Aβ-mAb 、p-F(ab')2 又はp-pFc にて治療したマウスの脳内のSDS可溶化 Aβ1-40 とAβ1-42 についてELISA を用いて定量した結果を図2Aに示した。p-Aβ-mAbで治療したマウスでは何も治療していないマウスと比較してAβ1-40 とAβ1-42 はそれぞれ90.1% と80.4%(p<0.01)の減少が見られた。同様に、p-F(ab')2 で治療したマウスはAβ1-40 とAβ1-42 が92.8 % と 90.8% (p<0.01)の減少が見られた。しかしながら、p-pFcを投与したマウスでは治療効果が殆ど見られなかった。一方、ギ酸で処理した不溶化Aβ1-40 とAβ1-42 の結果については図2Bに示したとおりである。可溶化Aβと同様な結果が観察された。これらの結果からも、F(ab')2フラグメントも、全抗体と同様、アルツハイマー病の治療効果を有することが確認された。 FIG. 2A shows the result of quantification of SDS-solubilized Aβ 1-40 and Aβ 1-42 in the brain of mice treated with p-Aβ-mAb, pF (ab ′) 2 or p-pFc using ELISA. It was. In mice treated with p-Aβ-mAb, Aβ 1-40 and Aβ 1-42 decreased 90.1% and 80.4% (p <0.01), respectively, compared to mice not treated with anything. Similarly, mice treated with pF (ab ′) 2 showed 92.8% and 90.8% (p <0.01) decrease in Aβ 1-40 and Aβ 1-42 . However, almost no therapeutic effect was observed in mice administered with p-pFc. On the other hand, the results of insolubilized Aβ 1-40 and Aβ 1-42 treated with formic acid are as shown in FIG. 2B. Similar results to solubilized Aβ were observed. From these results, it was confirmed that the F (ab ′) 2 fragment also has a therapeutic effect on Alzheimer's disease, like all antibodies.

Tg 2576 マウスの脳内に直接mAbを注入した治療効果
60-70週齢のTgマウスの脳内に一度だけ10μg のp-Aβ-mAb, p-F(ab')2 又はp-pFcを注入し、アミロイドの沈着を調べた。p-Aβ-mAbを投与した場合、アミロイドプラーク形成は劇的に少なくなったが、p-Aβ-mAbではCD11b陽性細胞が多く観察された。一方、p-F(ab')2を注入した後も同様なパタ―ンが観察されたが、この時はCD11b陽性細胞は殆ど観察されなかった。p-pFc では、治療効果が認められないにも関わらずCD11b陽性細胞が活性化された。さらに、共焦点顕微鏡による観察では、CD11b陽性細胞 ばかりでなくミクログリア細胞(microglial cell)も同様に観察された(データ示さず)。
Therapeutic effect of direct injection of mAb into the brain of Tg 2576 mice
10 μg of p-Aβ-mAb, pF (ab ′) 2 or p-pFc was injected into the brain of a 60-70 week-old Tg mouse only once, and amyloid deposition was examined. When p-Aβ-mAb was administered, amyloid plaque formation decreased dramatically, but many CD11b positive cells were observed with p-Aβ-mAb. On the other hand, a similar pattern was observed after pF (ab ′) 2 injection, but at this time, almost no CD11b positive cells were observed. p-pFc activated CD11b-positive cells despite no therapeutic effect. Furthermore, in the observation with a confocal microscope, not only CD11b-positive cells but also microglial cells were observed in the same manner (data not shown).

Aβ-mAbの治療によって脳内のアミロイドが排除された効果を2% SDS可溶化Aβによって定量した結果を図3Aに示した。p-Aβ mAb および p-F(ab')2を一度だけ脳室内注入したマウスでは Aβ1-40 と Aβ1-42 のいずれにおいても効果が認められた。一方、p-pFc'を注入したマウスでは脳内のAβ1-40 と Aβ1-42 のいずれにおいても効果は認められなかった。75-85 週齢のマウスについても検討を行ったところ同様な結果が得られた (図3B、図3C、図3D)。 FIG. 3A shows the result of quantifying the effect of eliminating amyloid in the brain by the treatment of Aβ-mAb with 2% SDS-solubilized Aβ. In mice injected with p-Aβ mAb and pF (ab ′) 2 only once in the ventricle, effects were observed in both Aβ 1-40 and Aβ 1-42 . On the other hand, in mice injected with p-pFc ′, no effect was observed in either Aβ 1-40 or Aβ 1-42 in the brain. Similar results were obtained when 75-85-week-old mice were examined (FIGS. 3B, 3C, and 3D).

抗Aβ F(ab')2の腹腔内投与後に抗Aβ F(ab')2が血液−脳関門(BBB)を通過しAβを排除できるかの検討
検討には、80週齢のADマウスを用い、抗Aβフラグメント(0.8mg/ml)の腹腔内投与を行った。投与後、4時間を経過したマウスの脳の凍結切片を作製し蛍光染色を行った。染色には、抗ヒトAβ1-42ウサギ抗体、ビオチン標識抗ウサギIgG抗体とストレプトアビジンFITC抗体を用いた。蛍光染色の結果、腹腔内に投与した抗AβF(ab')2がマウスの脳内のAβと結合していることが確認された。さらに、非特異的な染色であるか確認するためビオチン標識抗ウサギIgG抗体をストレプトアビジンFITCで処理したところ蛍光が見られなかった。このことから、抗AβF(ab')2は特異的に脳内のAβと結合したものと推察され抗AβF(ab')2は血液−脳関門(BBB)を通過したと考えられる。
Anti Aβ F (ab ') after the second intraperitoneal administration anti Aβ F (ab') 2 blood - The study investigated whether through the brain barrier (BBB) can be eliminated A [beta], 80-week-old AD mice The anti-Aβ fragment (0.8 mg / ml) was administered intraperitoneally. A frozen section of the brain of a mouse that had passed 4 hours after administration was prepared and fluorescently stained. For staining, anti-human Aβ 1-42 rabbit antibody, biotin-labeled anti-rabbit IgG antibody and streptavidin FITC antibody were used. As a result of fluorescent staining, it was confirmed that anti-AβF (ab ′) 2 administered intraperitoneally was bound to Aβ in the mouse brain. Further, when the biotin-labeled anti-rabbit IgG antibody was treated with streptavidin FITC to confirm whether it was non-specific staining, no fluorescence was observed. From this, it is speculated that anti-AβF (ab ′) 2 specifically binds to Aβ in the brain, and it is considered that anti-AβF (ab ′) 2 passed through the blood-brain barrier (BBB).

ウサギIg とF(ab')2 の抗 Aβに対する結合の特異性の比較
アミロイド特異的ウサギ IgによるAβプラ―クの抑制効果を評価した。F(ab')2 による治療を行ったマウスの脳切片をAβ特異的ウサギIgGによって直接染色行った結果を顕微鏡観察した。その結果、F(ab')2は脳切片の Aβプラ―クに特異的に結合している結果が得られた。さらに、このF(ab')2抗体はAβ特異的ウサギIgG 抗体をブロックできなかったのでウサギ抗血清とはエピト―プが異なることが示唆された。
Comparison of binding specificity of rabbit Ig and F (ab ') 2 to anti-A.BETA.
The inhibitory effect of Aβ plaque by amyloid specific rabbit Ig was evaluated. The result of direct staining of brain sections of mice treated with F (ab ′) 2 with Aβ-specific rabbit IgG was observed under a microscope. As a result, F (ab ′) 2 was found to bind specifically to the Aβ plaque in the brain section. Furthermore, since this F (ab ′) 2 antibody could not block the Aβ-specific rabbit IgG antibody, it was suggested that the epitope differs from the rabbit antiserum.

皮質及び海馬におけるAβの局在部位を示す顕微鏡写真である。Aは、脳内のAβプラークの概観を示す。黒の矢印はAβプラークを示す。バーは500μm(倍率10倍)である。Bは、海馬におけるAβプラークを示す。バーは100μm(倍率25倍)である。Cは、皮質におけるAβプラークを示す。バーは100μm(倍率25倍)である。It is a microscope picture which shows the localization site | part of A (beta) in a cortex and a hippocampus. A shows an overview of Aβ plaques in the brain. Black arrows indicate Aβ plaques. The bar is 500 μm (magnification 10 times). B shows Aβ plaques in the hippocampus. The bar is 100 μm (25 times magnification). C shows Aβ plaques in the cortex. The bar is 100 μm (25 times magnification). pAβ-mAb、p-F(ab')2又はp-pFc'で治療した後の脳内の、2%SDSで抽出されたAβ濃度を示す図である。It is a figure which shows the A (beta) density | concentration extracted by 2% SDS in the brain after treating with pA (beta) -mAb, pF (ab ') 2, or p-pFc'. pAβ-mAb、p-F(ab')2又はp-pFc'で治療した後の脳内の、70%ギ酸で抽出されたAβ濃度を示す図である。It is a figure which shows the A (beta) density | concentration extracted with 70% formic acid in the brain after treating with pA (beta) -mAb, pF (ab ') 2, or p-pFc'. pAβ-mAb、p-F(ab')2又はp-pFc'を60〜70週齢のマウスに脳室内投与した後の脳内の、2%SDSで抽出されたAβ濃度を示す図である。It is a figure which shows the A (beta) density | concentration extracted by 2% SDS in the brain after administering pA (beta) -mAb, pF (ab ') 2, or p-pFc' to the 60-70-week-old mouse | mouth intraventricularly. pAβ-mAb、p-F(ab')2又はp-pFc'を75〜85週齢のマウスに脳室内投与した後の脳内の、2%SDSで抽出されたAβ濃度を示す図である。It is a figure which shows the A (beta) density | concentration extracted by 2% SDS in the brain after administering pA (beta) -mAb, pF (ab ') 2, or p-pFc' to a 75-85 week-old mouse | mouth in the ventricle. pAβ-mAb、p-F(ab')2又はp-pFc'を60〜70週齢のマウスに脳室内投与した後の脳内の、70%ギ酸で抽出されたAβ濃度を示す図である。It is a figure which shows the A (beta) density | concentration extracted with 70% formic acid in the brain after administering pA (beta) -mAb, pF (ab ') 2, or p-pFc' to the 60-70 week-old mouse | mouth in the ventricle. pAβ-mAb、p-F(ab')2又はp-pFc'を75〜85週齢のマウスに脳室内投与した後の脳内の、70%ギ酸で抽出されたAβ濃度を示す図である。It is a figure which shows the A (beta) density | concentration extracted with 70% formic acid in the brain after administering pA (beta) -mAb, pF (ab ') 2, or p-pFc' to the 75-85 week-old mouse | mouth in the ventricle.

Claims (3)

抗β−アミロイドペプチド抗体のF(ab')2フラグメント又は該フラグメントの一部であって少なくともその可変領域を含む断片若しくは該断片の結合物であってβ−アミロイドペプチドとの結合能を維持するものを有効成分として含有する、アルツハイマー病の予防又は治療剤。 An F (ab ′) 2 fragment of an anti-β-amyloid peptide antibody, or a fragment that is a part of the fragment and includes at least the variable region thereof, or a conjugate of the fragment, and maintains the binding ability to the β-amyloid peptide A prophylactic or therapeutic agent for Alzheimer's disease, comprising an active ingredient as an active ingredient. 抗β−アミロイドペプチド抗体のF(ab')2フラグメントを有効成分として含有する請求項1記載の予防又は治療剤。 The preventive or therapeutic agent according to claim 1, comprising an F (ab ') 2 fragment of an anti-β-amyloid peptide antibody as an active ingredient. 前記抗β−アミロイドペプチド抗体はモノクローナル抗体である請求項1又は2記載の予防又は治療剤。

The preventive or therapeutic agent according to claim 1 or 2, wherein the anti-β-amyloid peptide antibody is a monoclonal antibody.

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