CN114425056A - Stem cell exosome composition for improving asthma - Google Patents
Stem cell exosome composition for improving asthma Download PDFInfo
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- CN114425056A CN114425056A CN202011098420.XA CN202011098420A CN114425056A CN 114425056 A CN114425056 A CN 114425056A CN 202011098420 A CN202011098420 A CN 202011098420A CN 114425056 A CN114425056 A CN 114425056A
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Abstract
The invention relates to a stem cell exosome composition for improving asthma, which is characterized by comprising stem cell exosomes as active ingredients and 1-3% of ectoin, and compared with the prior art, the stem cell exosome composition has the following advantages: the composition of the stem cell exosome and the ectoin can reduce or block the release of TNF-alpha and IL-1 beta, and can improve the synthesis of IL-10, and is expected to become an effective method for treating asthma in the future.
Description
Technical Field
The invention relates to the technical field of pharmaceutical compositions for improving asthma, in particular to a specific stem cell exosome composition for improving asthma.
Background
Asthma is a chronic respiratory disease affecting approximately 3 million people worldwide, causing 25 million deaths each year. Current asthma therapies, including corticosteroids and beta-agonists, subjects treated with beta-agonist based therapies may relieve their asthmatic symptoms, but their underlying airway inflammation remains. Thus, subjects requiring long-term use of beta-agonists are at greater risk of severe exacerbation of asthma, resulting in hospitalization and death. Severe asthma patients are reported to often require treatment with high doses of corticosteroid hormones, which may be associated with systemic side effects and do not necessarily improve lung function or quality of life. In addition, asthma sufferers continue to develop sporadic asthma attacks, which are often associated with provocative factors, including viral or bacterial infections, air pollution in the environment, and the inability to prevent asthma attacks in most patients. After long-term use, the blood sugar and blood pressure in the body can be increased, the resistance of the human body is reduced, the gastric mucosa can be stimulated to induce gastrointestinal bleeding, and the elderly are easy to suffer from osteoporosis. This therefore highlights an urgent need for effective treatment of asthma.
For example, chinese patent application No. CN201880059290.3 (application publication No. CN 111093680A), entitled "method for treating Allergic Airway Disease (AAD)/asthma", discloses a method for treating allergic airway disease/asthma using mesenchymal stem cells, which has been demonstrated by an allergic airway disease mouse model simulating several features of human asthma that exhibit immunomodulatory and anti-inflammatory properties through direct cell contact and paracrine factor secretion. Administration of exogenous mesenchymal stem cells was shown to reduce Th2 proliferation and to reduce Th2 preference, which contributed to AAD, and inhibition of dendritic cell activation, migration, and antigen presentation had been observed. A reduction in eosinophil-associated proinflammatory cytokines was observed in bronchoalveolar lavage fluid, and mesenchymal stem cells were shown to actively reduce the presence and activity of inflammation-causing cells in these models compared to AI-inhibiting corticosteroids. However, since the exact cause of asthma is not clear, the therapeutic effect of a single component (e.g., mesenchymal stem cells) may be temporary and may occur only in certain patients, and thus, continuous research and clinical trials are required. To overcome these limitations, it is necessary to develop a new therapeutic agent for treating asthma.
Disclosure of Invention
The first technical problem to be solved by the present invention is to provide a novel pharmaceutical composition for improving asthma in view of the current state of the art.
The second technical problem to be solved by the present invention is to provide a use of a stem cell exosome isolated from umbilical cord-derived mesenchymal stem cells in the preparation of a medicament for preventing or treating asthma, aiming at the current situation of the prior art.
The technical scheme adopted by the invention for solving the first technical problem is as follows: the pharmaceutical composition for improving asthma is characterized in that: comprises a stem cell exosome as an active ingredient.
Further, the stem cell exosomes are isolated from the inter-umbilical stem cells cultured under hypoxic conditions.
Further, the hypoxic conditions are induced by 2% to 9% oxygen or by a hypoxic cell sensitizer.
Further, the stem cell exosomes comprise bioactive factors indoleamine 2,3 dioxygenase (IDO) and interleukin-10.
Further, the pharmaceutical composition comprises a stem cell exosome and ectoin.
Further, the concentration of the ectoin is 1% to 3%.
Further, the pharmaceutical composition comprises the stem cell exosomes at a concentration of 150-200 ug/ml.
Further, the pharmaceutical composition is for intratracheal administration or inhalation.
Further, the pharmaceutical composition is an aerosolized medicament.
In order to solve the second technical problem, the present invention also provides a use of a stem cell exosome isolated from umbilical cord-derived mesenchymal stem cells in the preparation of a medicament for preventing or treating asthma.
Compared with the prior art, the invention has the following advantages: the composition of the stem cell exosome and the ectoin can reduce or block the release of TNF-alpha and IL-1 beta, and can improve the synthesis of IL-10, and is expected to become an effective method for treating asthma in the future.
Drawings
FIG. 1 is a flowchart for the preparation of a pharmaceutical composition for ameliorating asthma according to example 1 of the present invention;
FIG. 2 is a reference chart showing the steps of the nebulization treatment of asthma rats of different groups with the pharmaceutical composition according to example 3 of the present invention;
FIG. 3 is a bar graph showing the relative expression levels of TNF- α in lung tissue in normal rats and in asthmatic rats of different groups according to example 3 of the present invention;
FIG. 4 is a bar graph showing the relative expression levels of serum TNF- α in normal rats and in asthmatic rats of different groups according to example 3 of the present invention;
FIG. 5 is a bar graph showing the relative expression levels of IL-1. beta. in lung tissue in normal rats and in asthmatic rats of different groups in example 3 of the present invention;
FIG. 6 is a bar graph showing the relative expression levels of serum IL-1. beta. in normal rats and in asthmatic rats of different groups in example 3 of the present invention;
FIG. 7 is a bar graph showing the relative expression amounts of IL-10 in lung tissue in normal rats and asthmatic rats of different groups in example 3 of the present invention;
FIG. 8 is a bar graph showing the relative expression levels of serum IL-10 in normal rats and in asthmatic rats of different groups in example 3 of the present invention.
Detailed Description
The invention is further described by the following embodiments in conjunction with the drawings.
Example 1 preparation of Stem cell exosome composition for ameliorating asthma
The stem cell Exosome (Exosome) is a lipid inclusion structure, and substances such as cell factors, mRNA and the like are wrapped inside the stem cell Exosome, so that the immunity of a human body can be adjusted through immune cells, inflammatory reaction can be inhibited through the cell factors, and the lung function is improved and protected. Ectoin (Ectoin) is an amino acid derivative and belongs to an extremophilic enzyme component. Extreme electrolytes are protective molecules with little stress that can protect extreme microorganisms and plants from the harmful environmental effects of habitats such as salt lakes, spas, ice cubes, deep sea or desert survivors (Ectoin). The anti-pollution efficacy of Ectoin (Ectoin) has been demonstrated in a number of studies (in vitro and in vivo clinical). To date, it is also the only antipollution active ingredient approved for use in medical products and medical applications, including the prevention of pollution-induced pulmonary diseases such as asthma. Exosomes are tiny vesicles secreted by umbilical cord stem cells, with a diameter of about 30-200nm, and 5um sized particles can reach the bronchioles and alveoli, thus the volume of exosomes is very suitable for aerosolization.
The method comprises the following specific steps:
[ primary bronchial epithelial cells/tracheal epithelial cells derived from asthma patients were purchased from LONZA under the accession number (LONZA CC2932s), cultured with 500mL of LONZA's medium CC-3171(BEBM bronchial epithelial cell growth basal medium), and CC-4175(BEGM SingleQuots supplement and growth factor) until day 22, and differentiated into transepithelial resistance, mucin production, and cilia production. When the cell fusion degree reaches 70-80%, washing the cells with normal saline for 2 times, and performing starvation culture with compound electrolyte injection; after starvation culture for 12-24 hours, the fusion degree of the first batch of cells reaches 90% -95%, cell supernatant is collected, centrifuged for 5-8min under the condition of 3000-4500g, sediment is removed, and centrifuged to obtain supernatant for later use (A);
② culturing umbilical cord mesenchymal stem cells: selecting 3 tubes of P3 generation mesenchymal stem cells from the stem cell bank for resuscitation, and recovering 1 × 10e in total7Cells, the inoculation density of which is 30% -60% of the maximum fusion degree respectively; complete culture medium of T4 for culturing cells plus 10% human blood platelet lysate; after the inoculation of the cells is finished, the cells are placed in a culture box with the temperature of 37 ℃, the hypoxia concentration of 2-9 percent and the volume concentration of 5 percent of carbon dioxide for hypoxia culture, and the stem cells are activated under the condition of simulating the lack of oxygen of human asthmaRelease of hypoxia inducible factor, HIF, and related factors; when the cell fusion degree reaches 70-80%, washing the cells with normal saline for 2 times, adding the supernatant (A) obtained in the first step with compound electrolyte injection, and performing starvation culture; after starvation culture is carried out for 12-24 hours, the cell fusion degree reaches 90% -95%, 2-3 × 10e7 stem cell culture supernatant is collected, centrifugation is carried out for 5-8min under the condition of 3000-4500g to remove precipitates, the centrifuged supernatant is filtered by an ultracel-10 ultrafiltration membrane, and finally 200ul volume of concentrated supernatant containing various cell factors and exosomes (B) is obtained;
③ the composition of the specific stem cell exosome and ectoin: the concentrated supernatant exosomes (B) are added into 10ml of normal saline containing 1-3% of ectoin to be re-suspended to prepare an atomizing agent, so that the specific stimulation umbilical cord stem cell exosomes and 1-3% of ectoin are combined according to a formula to improve asthma in an atomizing mode, and the specific preparation process refers to the figure 1.
Example 2 establishment of asthma rat animal model
(1) Method and material
Selecting female SD rats with the weight of 120-180g, and raising the SD rats in a controlled environment at a 12-hour illumination/12-hour dark illumination cycle to freely obtain water and laboratory food; before any experiment was performed, all mice were provided with an adaptation period of 4-5 days, divided into normal (group a), asthmatic (group B), asthmatic (group C), asthmatic (group D) groups of 13 rats each.
(2) Experimental reagent and instrument
Physiological saline; 25 g/bottle of egg white albumin; 2 ml/count of inactivated bordetella pertussis vaccine; 500g of aluminum hydroxide per bottle; an ultrasonic atomizer.
(3) Molding method
Firstly, adaptively feeding rats for one week before the rats are modeled.
② the rats in groups B to D are sensitized by injecting 1ml of antigen liquid (each ml of antigen liquid contains 100mg of ovalbumin, 100mg of aluminum hydroxide dry powder and 5 × 10e9 inactivated Bordetella pertussis vaccines) into the abdominal cavity. When asthma is stimulated after 2 weeks, each group of rats is respectively placed in a semi-closed mouse cage, 5% egg white albumin physiological saline is atomized and inhaled for 40min, and the stimulation is carried out for 1 time every day for 8 days continuously. The mice in group A are injected with normal saline instead of antigen solution, the injection site and the injection dosage are the same as those in group B, group C and group D, wherein the injection is atomized and inhaled into the normal saline of ovalbumin, and the concentration of the ovalbumin is 0.05 mg/mL.
(4) Asthma rat model Observation
Asthmatic rats develop several main features: asthmatic rats (group B), asthmatic rats (group) and asthmatic rats (group D) exhibited tachypnea, slowed breathing or dysrhythmia in the critically ill, mild cyanosis, flaccid limbs, sluggishness of movement, unresponsiveness and were accepted in the art as a clinical model of asthma.
EXAMPLE 3 nebulization treatment of asthma rat animals Using pharmaceutical compositions
After the asthma rat animal model is established, the pharmaceutical composition is used for carrying out atomization treatment on the asthma rat animal, and the specific steps are as follows:
the normal group (group A) of rats uses physiological saline to replace antigen liquid;
② asthma rats (group B) receive the composition of the specific exosome (containing stem cell factor) and ectoin in the ultrasonic atomizer for 7 days in the box, and the composition is sprayed 30 minutes per day;
③ asthma rats (group C) received 7 days in the box by the ultrasonic atomizer, and sprayed with physiological saline 30 minutes a day;
(iv) asthma rats (group D) receive the treatment for 7 days in the chamber with the ultrasonic nebulizer, and spray physiological saline + 1-3% ectoin 30 minutes per day, and the specific nebulization treatment step chart can refer to fig. 2;
anaesthetizing normal group (A group) and asthma rat (B), asthma rat (C) and asthma rat (D) on day 8, collecting 20 ml blood, centrifuging to obtain serum, dissecting to obtain 50mg lung tissue, homogenizing in frozen lysis buffer, centrifuging at 4 deg.C for 5 min at 12000rpm to obtain 50ul supernatant;
sixthly, performing enzyme-linked immunosorbent assay (ELISA) on the serum and the supernatant to analyze the IL-1 beta, TNF-alpha and IL-10 levels, and referring to the results of FIGS. 3 to 8;
wherein, as can be seen from FIGS. 3-6, the effect of the pharmaceutical composition on TNF- α and IL-1 β in lung tissue is semi-quantitatively determined from HE stained lung sections, and both play a key role in asthma and are the activators of inflammatory cytokine networks, accelerating and strengthening factors and tissue injury factors, TNF- α and IL-1 β in lung tissue and in serum are the same as in normal group (group A) rats after asthma rats (group B) received 7 consecutive days of specific stem cell exosomes and the atomization of the ectoine composition, but TNF- α and IL-1 β levels in lung tissue and serum are significantly higher in asthma rats (group C) after receiving 7 consecutive days of physiological saline than in control SD rats (group A) and asthma rats (group B), TNF- α and IL-1 β in lung tissue and serum after asthma rats (group D) received 7 consecutive days of 1-3% ectoine The level of blood has been slightly increased.
Effect of specific pharmaceutical compositions on TNF- α and IL-1 β in pulmonary tissue:
note: group C in TNF- α of lung tissue, P < 0.01 compared to group a; p < 0.01 compared to group B; p < 0.05 compared to group D;
lung tissue IL-1 β in group C, P < 0.001 compared to group a; p < 0.01 compared to group B.
Effect of specific pharmaceutical compositions on serum TNF- α and IL-1 β:
note: group C in TNF- α of serum, P < 0.01 compared to group a; p < 0.01 compared to group B; p < 0.05 compared to group D;
serum IL-1 β in group C, P < 0.001 compared to group a; p < 0.001 compared to group B.
The effect of specific pharmaceutical compositions on pulmonary IL-10 and serum IL-10:
note: lung IL-10 in group C, P < 0.01 compared to group a; p < 0.01 compared to group B; p < 0.05 compared to group D;
serum IL-1 β in group C, P < 0.01 compared to group a; p < 0.01 compared to group B.
The results of fig. 7 and 8 show that IL-10 is a cytokine discovered in recent years, is produced by mononuclear macrophages, T cells, B cells and the like, is a strong immunosuppressive factor with multi-directional biological activity, has an anti-inflammatory effect, and has potential application prospects in treating bronchial asthma by IL-10. The level of IL-10 in lung tissue and serum after 7 consecutive days of physiological saline in asthmatic rats (group C) was significantly lower than in control SD rats (group A) and asthmatic rats (group B). After 7 consecutive days of nebulization of the specific stem cell exosomes and ectoin composition with asthma rats (group B), the IL-10 levels in lung tissue and serum were identical to those of the control SD rats (group a), and after 7 consecutive days of 1-3% ectoin asthma rats (group D), the IL-10 levels in lung tissue and serum were slightly reduced. Therefore, the composition of the stem cell exosome and 1-3% of ectoin can trigger the generation of IL-10 to inhibit inflammation promoting factors including TNF-a and IL-1b beta, and is expected to become an effective method for treating asthma in the future. While one advantage of the present invention is that stem cell exosomes in combination with ectoin can be used alone to treat asthma, it is to be understood that stem cell exosomes in combination with ectoin can be combined with another asthma therapy, e.g., when an asthma subject has an existing asthma treatment regimen comprising, for example, corticosteroid or beta-agonist therapy, and is subsequently treated in combination with ectoin, a physician can still treat the asthma subject with the other asthma therapy.
Claims (10)
1. A stem cell exosome composition for ameliorating asthma, characterized by: comprises a stem cell exosome as an active ingredient.
2. The stem cell exosome composition according to claim 1, characterized in that: the stem cell exosomes are isolated from inter-umbilical stem cells cultured under hypoxic conditions.
3. The stem cell exosome composition according to claim 2, characterized in that: the hypoxic conditions are induced by 2% to 9% oxygen or by hypoxic cell sensitizers.
4. The stem cell exosome composition according to claim 1, characterized in that: the stem cell exosomes comprise the bioactive factors indoleamine 2,3 dioxygenase (IDO) and interleukin-10.
5. A stem cell exosome composition according to any one of claims 1 to 4, characterised in that: the stem cell exosome preparation composition comprises stem cell exosomes and ectoin.
6. The stem cell exosome composition according to claim 5, characterized in that: the concentration of the ectoin is 1% -3%.
7. The stem cell exosome composition according to claim 6, characterized in that: the pharmaceutical composition contains stem cell exosomes at a concentration of 150-200 ug/ml.
8. A stem cell exosome composition according to claim 5 or 6, characterised in that: the pharmaceutical composition is for intratracheal administration or inhalation.
9. The stem cell exosome composition according to claim 8, characterized in that: the pharmaceutical composition is an aerosolized medicament.
10. Use of a stem cell exosome isolated from umbilical cord-derived mesenchymal stem cells in the preparation of a medicament for the prevention or treatment of asthma.
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