CN114712515A - 一种dll4抑制剂联合parp抑制剂在制备治疗卵巢癌药物中的应用 - Google Patents
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Abstract
本发明涉及一种DLL4抑制剂联合PARP抑制剂在制备治疗卵巢癌药物中的应用,有增效、逆转耐药作用,具有显著的效果。
Description
技术领域
本发明属于药物领域,特别涉及一种DLL4抑制剂联合PARP抑制剂在制备治疗卵巢癌药物中的应用。
背景技术
卵巢癌是病死率最高的女性生殖系统恶性肿瘤,70%的卵巢癌患者就诊时已是临床晚期。卵巢癌首选治疗模式为手术联合以铂类为基础的化疗。虽然,大多数患者经过初始治疗可获得临床缓解,但仍有70%的患者在3年内复发,部分患者会经历多次复发,且复发间歇期越来越短,5年生存率只有40%左右。
发明内容
本发明所要解决的技术问题是提供一种DLL4抑制剂联合PARP抑制剂在制备治疗卵巢癌药物中的应用。
本发明的一种DLL4抑制剂联合PARP抑制剂在制备治疗卵巢癌药物中的应用。
本发明的一种所述DLL4抑制剂联合PARP抑制剂在制备治疗BRCA野生型卵巢癌药物中的应用。
本发明的一种所述DLL4抑制剂联合PARP抑制剂在制备协同治疗BRCA野生型卵巢癌药物中的应用。
本发明的一种DLL4在制备治疗BRCA卵巢癌药物的增敏剂或逆转耐药剂中的应用。
所述DLL4抑制剂为DLL4为靶标的抑制剂。
DLL4基因增强PARP抑制剂的敏感性。
所述药物为的制剂剂型包括口服液、胶囊剂、油滴剂、粉剂、片剂或注射剂。
有益效果
本发明中表明敲低Delta样配体(DLL4)基因能显著增加卵巢癌PARP抑制剂的敏感性,DLL4抑制剂联合PARP抑制剂作为新的多靶点联合治疗药物,有增效、逆转耐药作用、两者联合应用有增效作用,具有显著的效果。
附图说明
图1为CRISPR/cas9初步筛选PARP抑制剂(尼拉帕利)耐药相关基因;A:SKOV3-GeCKO细胞系构建成功;B:CRISPR/cas9筛选模式图;C:DNA凝胶示PCR产物位置正确;
图2为CRISPR/cas9文库阴性筛选结果。A,RIGER分析图,排名靠前的基因,包括MRGBP、KPNA3、DLL4、USP47、POLD1、BRD2等;B,气泡图,差异大的基因已被标注出来;
图3为qPCR验证各个候选基因的siRNA敲除效率;
图4中A-F为CCK-8验证干扰候选基因后SKOV3细胞对PARP抑制剂尼拉帕利敏感性变化;
图5为DLL4在卵巢癌中表达升高。A,realtime PCR检测13例正常卵巢组织和27例卵巢癌组织中DLL4的mRNA水平;B,western blot检测5例正常卵巢组织和5例卵巢癌组织中DLL4的蛋白水平;C,qPCR检测7株卵巢癌细胞系中DLL4 mRNA表达水平;D,Western blot检测7株卵巢癌细胞系中DLL4蛋白表达水平。N代表正常的卵巢;T代表卵巢癌;
图6中A,在高表达DLL4的A2780及SKOV3细胞中,用siRNA干扰DLL4表达后,CCK8法测定细胞生长,检测细胞对尼拉帕利的敏感性,发现干扰DLL4后,IC50值降低;B,在SKOV3细胞中,干扰DLL4或PARP抑制剂处理后,细胞的凋亡增加,联合应用对细胞凋亡有叠加作用;C,在A2780细胞中,干扰DLL4或应用PARP抑制剂后,能抑制细胞克隆形成,联合应用对细胞克隆形成抑制作用更显著。*P<0.05。**P<0.01。D,DLL4在SKOV3尼拉帕利耐药株中表达升高;E,在SKOV3耐药株中干扰DLL4表达后,尼拉帕尼的IC50值明显降低;F,在SKOV3耐药株中干扰DLL4表达后,能促进细胞凋亡,再加尼拉帕尼处理后,对细胞凋亡有进一步促进作用;
图7为调降DLL4后卵巢癌细胞DNA损伤修复功能受损。A,SKOV3细胞尼拉帕尼处理后,敲低DLL4,细胞免疫荧光检测到γ-H2AX foci增加;B,SKOV3细胞中,干扰DLL4联合尼拉帕尼处理后,DNA损伤修复蛋白RAD51 foci形成显著减少。
具体实施方式
下面结合具体实施例,进一步阐述本发明。应理解,这些实施例仅用于说明本发明而不用于限制本发明的范围。此外应理解,在阅读了本发明讲授的内容之后,本领域技术人员可以对本发明作各种改动或修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。
实施例1
卵巢癌PARP抑制剂耐药相关基因筛选的细胞模型构建方法。
利用CRISPR/Cas9文库系统,从全基因组水平筛选BRCAWT卵巢癌细胞中影响PARP抑制剂敏感性的分子靶点。GeCKO v2文库包含123,411个sgRNA,靶向19,050个基因,平均每个基因6个位点。选取的SKOV3细胞已进行全外显子组测序,证实为BRCAWT且HRD阴性;在低感染复数(MOI=0.3)下转染SKOV3细胞并进行嘌呤霉素选择,构建稳定CRISPR/cas9敲除细胞系SKOV3-GeCKO。用临床试验中证实对全人群有效的PARP抑制剂尼拉帕利(Niraparib)4μM处理48h后撤药,继续扩增细胞至14天,以进行阴性筛选。分别收取Day7、Day14的细胞全基因组DNA,深度测序筛选出与对照组相比减少的sgRNA,整个筛选流程如图1所示。
从CRISPR/Cas9基因敲除文库筛选中,鉴定了靶向1238个基因的sgRNA的子集,这些基因在尼拉帕利处理后的细胞中显著消耗(Z评分>1.4),表明这些基因可能与PARP抑制剂敏感性相关(如图2所示)。选取排名靠前的17个基因:VSIG4、XPC、XRCC1、SOCS6、RET、TRIM4、RAD51、PRDX1、POU5F1、POLD1、KPNA3、KDM6A、HSP90B1、DLL4、CDKN2D、BRD2和FLI1,进行初步验证。首先验证siRNA的敲除效率,可以看到敲低候选基因后,其mRNA均显著下调(如图3所示)。利用siRNA敲低候选基因后,CCK-8检测细胞生长情况,可以看到发现敲低TRIM4、DLL4、KDM6A、XRCC1、RAD51后,SKOV3细胞对尼拉帕利的IC50值均显著降低,其中DLL4的作用最为显著;而敲低SOCS6后,细胞对尼拉帕利的IC50值增加了(如图4)。
qPCR和western blot分析DLL4在人卵巢癌组织中的表达情况,发现DLL4的mRNA和蛋白水平在卵巢癌组织中明显上调(如图5A和B)。还分析了7株卵巢癌细胞中DLL4的表达情况,可以看到DLL4在SKOV3和A2780两株细胞中表达最高(图5C和D)。
选取DLL4高表达的卵巢癌细胞株SKOV3和A2780,进行siRNA干扰试验,验证敲低DLL4是否影响卵巢癌细胞对PARP抑制剂,观察到敲低DLL4后细胞对尼拉帕尼的敏感性增加(图6A)。且敲低DLL4和PARP抑制剂联合应用后,对卵巢癌细胞的凋亡促进作用更显著,对细胞的克隆形成抑制作用更显著(图6B和6C)。
进一步建立尼拉帕尼耐药细胞株:选取卵巢癌细胞系SKOV3,采用尼拉帕利低浓度逐步加量诱导法历时9个月成功构建SKOV3尼拉帕利耐药株(SKOV3-NR),耐药指数为22.5。发现DLL4在耐药株中表达明显升高(图6D),而敲低SKOV3-NR中DLL4后,SKOV3-NR细胞对尼拉帕尼的敏感性明显增加。(图6E)。
在SKOV3细胞中,尼拉帕利处理后,进一步干扰DLL4表达,我们发现DNA损伤标志物γ-H2AX表达显著增强(图7A),DNA损伤修复蛋白RAD51集落形成显著减少,提示下调DLL4可能通过减少DNA损伤修复增加了尼拉帕利的敏感性(图7B)。
Claims (6)
1.一种DLL4抑制剂联合PARP抑制剂在制备治疗卵巢癌药物中的应用。
2.一种权利要求1所述DLL4抑制剂联合PARP抑制剂在制备治疗BRCA野生型卵巢癌药物中的应用。
3.一种权利要求1所述DLL4抑制剂联合PARP抑制剂在制备协同治疗BRCA野生型卵巢癌药物中的应用。
4.根据权利要求1所述应用,其特征在于,所述DLL4抑制剂为DLL4为靶标的抑制剂。
5.根据权利要求1所述应用,其特征在于,DLL4基因增强PARP抑制剂的敏感性。
6.根据权利要求1所述应用,其特征在于,所述药物为的制剂剂型包括口服液、胶囊剂、油滴剂、粉剂、片剂或注射剂。
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CN116716349A (zh) * | 2023-08-01 | 2023-09-08 | 江苏集萃药康生物科技股份有限公司 | 一种dll4人源化小鼠模型的构建方法及其应用 |
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