JP2018112496A5 - - Google Patents

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JP2018112496A5
JP2018112496A5 JP2017003710A JP2017003710A JP2018112496A5 JP 2018112496 A5 JP2018112496 A5 JP 2018112496A5 JP 2017003710 A JP2017003710 A JP 2017003710A JP 2017003710 A JP2017003710 A JP 2017003710A JP 2018112496 A5 JP2018112496 A5 JP 2018112496A5
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pancreatic
eps8
patient
reagent
exosome
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[33]膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8測定試薬を含むことを特徴とする、膵臓癌患者と膵臓癌以外の膵臓疾患患者とを鑑別するための試薬。
[34]前記EPS8測定試薬が、免疫学的測定試薬である、[33]に記載の試薬。[35]前記免疫学的測定試薬が、EPS8に結合する抗体又は該抗体断片を含む、[34]に記載の試薬。
[36]前記免疫学的測定試薬が、さらに、エクソソーム特異的抗原に結合する抗体又は該抗体断片を含む、[35]に記載の試薬。
[37]前記エクソソーム特異的抗原が、CD63、CD9、CD81、CD37、CD53、CD82、CD13、CD11、CD86、ICAM−1、Rab5、Annexin V、又はLAMP1である、[36]に記載の試薬。
[38]さらに、エクソソーム単離試薬を含む、[33]〜[37]のいずれか一つに記載の試薬。
[39]前記膵臓癌以外の膵臓疾患が、膵炎である、[33]〜[38]のいずれか一つに記載の試薬。
[40]前記検体が、血液である、[33]〜[39]のいずれか一つに記載の試薬。
[33] the pancreatic disorder in a specimen collected from a patient, exosomes characterized in that it comprises a EPS8 measuring reagent having the reagent for differentiating pancreatic diseases patients other than pancreatic cancer patients and pancreatic cancer.
[34] The reagent according to [33], wherein the EPS8 measurement reagent is an immunological measurement reagent. [35] The reagent according to [34], wherein the immunological measurement reagent contains an antibody that binds to EPS8 or an antibody fragment thereof.
[36] The reagent according to [35], wherein the immunological measurement reagent further comprises an antibody or an antibody fragment that binds to an exosome-specific antigen.
[37] The reagent according to [36], wherein the exosome-specific antigen is CD63, CD9, CD81, CD37, CD53, CD82, CD13, CD11, CD86, ICAM-1, Rab5, Annexin V, or LAMP1.
[38] The reagent according to any one of [33] to [37], further comprising an exosome isolation reagent.
[39] The reagent according to any one of [33] to [38], wherein the pancreatic disease other than pancreatic cancer is pancreatitis.
[40] The reagent according to any one of [33] to [39], wherein the specimen is blood.

酵素としては、例えば、アルカリホスファターゼ、ペルオキシダーゼ、ガラクトシダーゼ、グルクロニダーゼ、ルシフェラーゼ等が挙げられる。
蛍光物質としては、例えば、フルオレッセイン イソチオシアナート(FITC)、ローダミンB−イソチオシアナート(RITC)等が挙げられる。その他の蛍光物質としては、例えば、quantum dot(Science, 281, 2016−2018, 1998)、フィコエリスリン等のフィコビリ蛋白質、GFP(Green fluorescent Protein)、RFP(Redfluorescent Protein、YFP (Yellow fluorescent Protein)、BFP(Blue fluorescent Protein)等の蛍光を発する蛋白質が挙げられる。
発光物質としては、例えば、アクリジニウム及びその誘導体、ルテニウム錯体化合物、ロフィン等が挙げられる。ルテニウム錯体化合物としては、電子供与体と共に電気化学的に発光する、Clin.Chem.37,9,1534−1539, 1991に示されたものが好ましい。
放射性同位元素としては、例えば、H、14C、35S、32P、125I、131I等が挙げられる。
タグ配列を含むポリペプチドとしては、FLAGペプチド(FLAGタグ、Asp Tyr Lys Asp Asp Asp Asp Lys)、ポリヒスチジン(Hisタグ、His His His His His His)、mycエピトープペプチド(mycタグ、Glu Gln Lys Leu Ile Ser Glu Glu Asp Leu)、ヘマグルチニンエピトープペプチド(HAタグ、Tyr Pro Tyr Asp Val Pro Asp Tyr Ala)等が挙げられる。
Examples of the enzyme include alkaline phosphatase, peroxidase, galactosidase, glucuronidase, luciferase and the like.
Examples of the fluorescent substance include fluorescein isothiocyanate (FITC) and rhodamine B-isothiocyanate (RITC). Other fluorescent substances include, for example, quantum dot (Science, 281, 2016-2018, 1998), phycobiliproteins such as phycoerythrin, GFP (Green Fluorescent Protein ) , RFP (Redfluorescent Protein ) , and YFP (YFP). And proteins that emit fluorescence such as BFP (Blue Fluorescent Protein).
Examples of the light-emitting substance include acridinium and its derivatives, ruthenium complex compounds, lophine and the like. As the ruthenium complex compound, those described in Clin. Chem. 37, 9, 1534-1439, 1991, which emit electrochemically with an electron donor, are preferred.
Examples of the radioisotope include 3 H, 14 C, 35 S, 32 P, 125 I, 131 I and the like.
Examples of the polypeptide containing a tag sequence include a FLAG peptide (FLAG tag, Asp Tyr Lys Asp Asp Asp Lys), polyhistidine (His tag, His His His His His), and myc epitope peptide (myc tag, Glu GlnLy Ly). Ile Ser Glu Glu Asp Leu), hemagglutinin epitope peptide (HA tag, Tyr Pro Tyr Asp Val Pro Asp Tyr Ala) and the like.

また、前記測定方法3の工程(2B)において、被検者より採取した検体より単離したエクソソームを用いて、検体中の、エクソソームが有するEPS8濃度を測定することもできる。具体的には、以下の工程を含む方法が挙げられる。
[測定方法4]
(1C)膵臓疾患患者より検体を採取する工程;
(2C)工程(1C)で採取した検体からエクソソームを単離する工程;
(3C)工程(2C)で単離したエクソソームが有するEPS8濃度を測定する工程;(4C)工程(3C)で測定したEPS8濃度から、該検体中の、エクソソームが有するEPS8濃度を決定する工程;
(5C)工程(4C)で決定したEPS8濃度が、膵臓癌以外の膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度よりも高い場合には該被検者は膵臓癌に罹患している可能性が高いと判定し、膵臓癌以外の膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度と同じか又は低い場合には該被検者は膵臓癌以外の膵臓疾患に罹患している可能性が高いと判定する工程。
In the step (2B) of the measurement method 3, the exosome concentration of the exosome in the sample can be measured using the exosome isolated from the sample collected from the subject. Specifically, a method including the following steps can be mentioned.
[Measurement method 4]
(1C) collecting a sample from a patient with pancreatic disease;
(2C) a step of isolating exosomes from the sample collected in step (1C);
(3C) a step of measuring the EPS8 concentration of the exosome isolated in the step (2C); (4C) a step of determining the EPS8 concentration of the exosome in the sample from the EPS8 concentration measured in the step (3C);
(5C) If the EPS8 concentration determined in step (4C) is higher than the EPS8 concentration of exosomes in a sample collected from a patient with pancreatic disease other than pancreatic cancer, the subject suffers from pancreatic cancer. Is determined to be likely to be present, and if the EPS8 concentration of the exosomes in a sample collected from a patient with pancreatic disease other than pancreatic cancer is equal to or lower than the EPS8 concentration of the exosome, the subject suffers from pancreatic disease other than pancreatic cancer. A step of determining that it is highly probable that

<工程(5C)>
工程(5C)は、工程(4C)で決定された、該膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度と、膵臓癌以外の膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度とを対比する工程であり、膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度が、膵臓癌以外の膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度よりも高い場合には該膵臓疾患患者は膵臓癌に罹患している可能性が高いと判定され、膵臓癌以外の膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8濃度と同じか又は低い場合には、該膵臓疾患患者は膵臓癌以外の膵臓疾患に罹患している可能性が高いと判定される。
<Step (5C)>
In the step (5C), the EPS8 concentration of the exosome in the sample collected from the pancreatic disease patient and the exosome in the sample collected from the patient with pancreatic disease other than pancreatic cancer, determined in the step (4C). A step of comparing the EPS8 concentration with the EPS8 concentration, wherein the EPS8 concentration of the exosome in the sample collected from the pancreatic disease patient is higher than the EPS8 concentration of the exosome in the sample collected from the pancreatic disease patient other than pancreatic cancer. It is determined that the patient with pancreatic disease is likely to be suffering from pancreatic cancer, and in a sample collected from a patient with pancreatic disease other than pancreatic cancer, when the exosome has the same or lower EPS8 concentration, It is determined that the pancreatic disease patient is highly likely to be suffering from a pancreatic disease other than pancreatic cancer.

5.膵臓疾患患者において、膵臓癌と膵臓癌以外の膵臓疾患とを鑑別するための試薬
本発明の、膵臓疾患患者において、膵臓癌と膵臓癌以外の膵臓疾患とを鑑別するための試薬は、エクソソームが有するEPS8測定試薬を含有することを特徴とする試薬であり、本発明の、膵臓疾患患者において、膵臓癌と膵臓癌以外の膵臓疾患とを鑑別する方法に用いることができる。
5. In a patient with pancreatic disease, a reagent for distinguishing between pancreatic cancer and a pancreatic disease other than pancreatic cancer of the present invention, a reagent for distinguishing between pancreatic cancer and a pancreatic disease other than pancreatic cancer in a patient with pancreatic disease is an exosome. a reagent which is characterized by containing a EPS8 measurement reagent having, of the present invention, the pancreatic disorder patients, can be used in a method for differentiating pancreatic diseases other than pancreatic cancer and pancreatic cancer.

Claims (1)

膵臓疾患患者より採取した検体中の、エクソソームが有するEPS8(Epidermal growth factor Receptor kinase substrate 8:上皮成長因子受容体キナーゼ 基質8)測定試薬を含むことを特徴とする、膵臓癌患者と膵臓癌以外の膵臓疾患患者とを鑑別するための試薬。 A pancreatic cancer patient and a patient other than pancreatic cancer, characterized by containing a reagent for measuring EPS8 (Epidermal growth factor receptor kinase substrate 8) of an exosome in a sample collected from a patient with pancreatic disease. Reagent for differentiating pancreatic disease patients.
JP2017003710A 2017-01-12 2017-01-12 How to test a subject for possible pancreatic cancer Active JP6873460B2 (en)

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