CN114887046B - Application of SPINK4 in treating inflammatory bowel disease - Google Patents
Application of SPINK4 in treating inflammatory bowel disease Download PDFInfo
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- CN114887046B CN114887046B CN202210671028.2A CN202210671028A CN114887046B CN 114887046 B CN114887046 B CN 114887046B CN 202210671028 A CN202210671028 A CN 202210671028A CN 114887046 B CN114887046 B CN 114887046B
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Abstract
The invention discloses an application of SPINK4 in treating inflammatory bowel disease. According to the invention, through extensive and intensive research, the SPINK4 protein can inhibit the disease activity of inflammatory bowel diseases, improve the intestinal state of inflammatory bowel diseases and inhibit the inflammatory reaction of inflammatory bowel diseases, and provides a new target and thought for the treatment of clinical inflammatory bowel diseases.
Description
Technical Field
The invention relates to the technical field of inflammatory bowel disease treatment, in particular to application of SPINK4 in treatment of inflammatory bowel disease.
Background
Inflammatory bowel disease (Inflammatory Bowel Disease, IBD) is a chronic, non-specific inflammatory bowel disease caused mainly by disturbances of the intestinal microbiota and the immune system, including Crohn's Disease (CD) and ulcerative colitis (ulcerative colitis UC). IBD is much more affected worldwide, and is statistically about 100 tens of thousands of people in the united states, about 250 tens of thousands in europe, more worldwide, and the cost of diagnosis and treatment of IBD is relatively high, and IBD treatment remains a bottleneck, bringing a significant psychological and economic burden to the home and society.
Current treatments for IBD rely primarily on: 1) Traditional therapeutic drugs: including 5-aminosalicylic acid, glucocorticoids, immunomodulators, and the like; 2) A biological agent; 3) Other drugs: including probiotics, antibiotics, faecal fungus transplantation, etc. Traditional medicines have poor control curative effects on partial moderately severe patients and have serious side effects; with the rise of various biological agents, good news is brought to part of refractory patients, but part of patients still suffer from disease failure response clinically, and the high cost brings heavy economic pressure to patients and families, besides, other drug treatments are only used as auxiliary schemes of IBD treatment due to the uncertainty of curative effects. Thus, finding a positive and effective therapeutic regimen for IBD is a clinical problem that needs to be addressed urgently, defining the key cause of IBD pathogenesis.
Disclosure of Invention
Aiming at the technical problems existing in the prior art, the invention provides the application of SPINK4 in treating inflammatory bowel diseases.
In order to achieve the above purpose, the present invention adopts the following technical scheme:
in a first aspect, the invention provides the use of a SPINK4 protein or SPINK4 promoter in the manufacture of a medicament for the treatment of inflammatory bowel disease. Wherein, the gene sequence of the SPINK4 is shown as SEQ ID NO.1, and the amino acid sequence of the SPINK4 is shown as SEQ ID NO. 2.
In one embodiment, the inflammatory bowel disease is Crohn's Disease (CD) or ulcerative colitis (ulcerative colitis UC), and the inflammatory bowel disease treatment medicament has at least one of the following functions:
(1) Inhibiting the disease activity of inflammatory bowel disease;
(2) Improving the intestinal state of inflammatory bowel disease;
(3) Inhibiting inflammatory bowel disease intestinal inflammatory response;
the inflammatory bowel disease therapeutic agent in the above-described scheme, the SPINK4 promoter means a substance that increases the level of SPINK 4.
In particular, the increase in SPINK4 levels may be achieved by various chemical, physical, biological methods. Including but not limited to:
(1) Modulating the SPINK4 pathway to increase SPINK4 levels;
(2) Acting on inflammatory bowel disease cells directly increases the level of SPINK 4.
The method can be used for directly increasing the intracellular SPINK4 level of inflammatory bowel disease by delivering the SPINK4 protein or the SPINK4 mimic to an inflammatory bowel disease patient, or can be used for directly increasing the intracellular SPINK4 level of inflammatory bowel disease by over-expressing the SPINK4, and can be used for improving the SPINK4 activity or promoting the transcription or expression of the SPINK4 by adopting a SPINK4 agonist to regulate the SPINK4 channel, thereby improving the SPINK4 level. Increasing SPINK4 activity refers to increasing SPINK4 activity. Preferably, the SPINK4 activity is increased by at least 10%, preferably by at least 30%, more preferably by at least 50%, even more preferably by 70%, most preferably by at least 90% compared to before the increase.
In the above schemes, promotion of SPINK4 transcription or expression means: high expression of SPINK4, or increased transcriptional activity of SPINK4, can be achieved by those skilled in the art using conventional methods for regulating the transcription or expression of SPINK 4.
Preferably, the above regimen increases SPINK4 transcription or expression by at least 10%, preferably by at least 30%, more preferably by at least 50%, even more preferably by 70%, and most preferably by at least 90%.
Further, by means of over-expressing SPINK4, the intracellular SPINK4 level of inflammatory bowel disease is directly increased, the disease activity can be inhibited, the intestinal state can be improved, and the inflammatory reaction of the intestinal tract can be inhibited;
the medicine for treating inflammatory bowel disease necessarily comprises a SPINK4 protein or a SPINK4 promoter, and takes the SPINK4 protein or the SPINK4 promoter as the active ingredients of the functions, and in the medicine for treating inflammatory bowel disease, the active ingredients playing the functions can be only the SPINK4 protein or the SPINK4 promoter, and can also comprise other molecules which can play similar roles.
Preferably, the SPINK4 protein or SPINK4 promoter is the only active ingredient or one of the active ingredients of the therapeutic agent for inflammatory bowel disease.
In the above-described embodiment, the therapeutic agent for inflammatory bowel disease may be a single component substance or a multicomponent substance.
In the above-mentioned scheme, the dosage form of the therapeutic agent for inflammatory bowel disease is not particularly limited, and may be in the form of various substances such as solid, liquid, gel, semifluid, aerosol, etc.
In the above-mentioned scheme, the subject to which the therapeutic agent for inflammatory bowel disease is mainly directed is mammals, such as rodents, primates, etc.
In a second aspect, the invention provides a medicament for the treatment of inflammatory bowel disease, the medicament comprising a biological or chemical agent that targets SPINK4 and is capable of increasing the amount of SPINK4 expression or promoting the expression of SPINK 4.
In this embodiment, the inflammatory bowel disease treatment comprises an effective dose of a protein SPINK4 or a SPINK4 promoter and a pharmaceutically acceptable carrier.
In this embodiment, i.e., the SPINK4 protein or SPINK4 promoter is the only active ingredient or one of the active ingredients of the inflammatory bowel disease therapeutic drug.
In the above-described embodiment, the therapeutic agent for inflammatory bowel disease may be a single component substance or a multicomponent substance.
In the above-mentioned scheme, the dosage form of the therapeutic agent for inflammatory bowel disease is not particularly limited, and may be in the form of various substances such as solid, liquid, gel, semifluid, aerosol, etc.
In the above-mentioned scheme, the subject to which the therapeutic agent for inflammatory bowel disease is mainly directed is mammals, such as rodents, primates, etc.
In this embodiment, the inflammatory bowel disease is Crohn's Disease (CD) or Ulcerative Colitis (UC).
The subject may be a mammal. The mammal is preferably a rodent, artiodactyla, fanciful, lagomorpha, primate, etc., preferably a monkey, ape or human.
The subject may be a patient suffering from inflammatory bowel disease or an individual desiring to prevent or alleviate inflammatory bowel disease. Or may be isolated inflammatory bowel disease cells of a patient suffering from inflammatory bowel disease or of an individual desiring to prevent or ameliorate inflammatory bowel disease.
In such embodiments, the SPINK4 protein or SPINK4 promoter may be administered to the subject before, during, or after receiving the inflammatory bowel disease treatment.
In a third aspect the present invention provides the use of a SPINK4 gene or protein in the manufacture or screening of a medicament for the treatment of inflammatory bowel disease, in which embodiment the SPINK4 gene or protein is the target of action, in which embodiment the use is specifically: screening candidate substances by taking the SPINK4 gene or protein as an action target to find an SPINK4 promoter as an alternative inflammatory bowel disease treatment drug.
In summary, the invention adopts the technical proposal and has the beneficial effects that: according to the invention, through extensive and intensive research, the SPINK4 protein can inhibit the disease activity of inflammatory bowel diseases, improve the intestinal state of inflammatory bowel diseases and inhibit the inflammatory reaction of inflammatory bowel diseases, and provides a new target and thought for the treatment of clinical inflammatory bowel diseases.
Drawings
FIG. 1 is a graph showing the therapeutic effect of recombinant SPINK4 protein on inflammatory bowel disease model, wherein TNBS-treatment is TNBS enema group treated by recombinant SPINK4-Fc protein, TNBS-Fc is TNBS enema group treated by Fc, NC is enema control group; panel a) is weight change, panel B-C) is intestinal change, and panel D-E) is intestinal inflammatory response;
FIG. 2 shows a model of a SPINK4 intestinal epithelium-specific knockout mouse, wherein DSS-KO is a model of a SPINK4 knockout mouse DSS, DSS-WT is a model of a littermate control mouse DSS, KO-H 2 O is the water treatment group fed by SPINK4 knockout mice, and WT-H 2 O is the littermate control mice fed the water treatment group; panels a-B) are post-molding disease activity, panels C-D) are intestinal changes, and panels E-F) are intestinal inflammatory responses;
FIG. 3 is a graph showing the therapeutic effects of recombinant SPINK4 protein on inflammatory bowel disease model with SPINK4 intestinal epithelium-specific knockout, wherein WT-DSS is a littermate control mouse DSS-dosed group, WT-H 2 O is the littermate control mice fed the water treatment group; KO-DSS was used as a DSS administration group for SPINK4 knockout mice, KO-H 2 O is the water treatment group fed by the SPINK4 knockout mice, KO-DSS-rmSPINK4 is the recombinant SPINK4-Fc protein treatment group fed by the SPINK4 knockout mice DSS; panel a) is weight change, panel B) is disease activity, panels C-D) is intestinal change, and panels E-F) is intestinal inflammatory response.
Detailed Description
The present invention will be described in further detail with reference to specific examples so as to more clearly understand the present invention by those skilled in the art.
The following examples are given by way of illustration of the invention and are not intended to limit the scope of the invention. All other embodiments obtained by those skilled in the art without creative efforts are within the protection scope of the present invention based on the specific embodiments of the present invention.
In the examples of the present invention, all raw material components are commercially available products well known to those skilled in the art unless specified otherwise; in the embodiments of the present invention, unless specifically indicated, all technical means used are conventional means well known to those skilled in the art.
EXAMPLE 1 establishment of TNBS-induced inflammatory bowel disease model
1.1 Experimental materials
30C 57BL/6J male mice of the barrier environment of experimental animals, 6-8 weeks old, body mass (20+ -5 g), purchased from Jiangsu Jiujiaku Kangyaokang biotechnology Co., ltd., animal production license number: SCXK 2018-0008, SPF-grade feeding.
5% TNBS solution was purchased from sigma company; the absolute ethyl alcohol, the acetone and the olive oil are purchased uniformly by a first hospital affiliated to the university of Zhongshan, and the isoflurane is purchased at an animal center affiliated to the first hospital of the university of Zhongshan; histopathological embedding and slicing are accomplished by entrusted wuhansai wile biotechnology limited; microscope (Olympus corporation, japan); electronic balance (sartorius company, germany); micropipettes (Eppendorf, usa); the small animal anesthetic is provided by a first hospital animal center affiliated with the university of Zhongshan; other conventional reagents and surgical instruments are provided by the department of gastroenterology laboratory of the first hospital affiliated to the university of Zhongshan.
1.2 Experimental methods
Preparation of main reagents: pre-sensitization solution: acetone, olive oil and TNBS are prepared in a ratio of 16:4:5, and TNBS is not added in ethanol control group pre-sensitization; enema liquid: a50% ethanol solution and a TNBS-ethanol mixed solution were prepared (5% TNBS solution and ethanol solution were mixed at a ratio of 1:1 to prepare a mixed solution containing 2.5mg of TNBS per 100. Mu.L of 50% ethanol solution).
Animal grouping and establishment of TNBS colitis model 30C 57BL/6J mice were randomly divided into TNBS and ethanol control groups of 15 mice each. Pre-sensitization of the skin at the back of the neck of a mouse is carried out by taking 4:1 acetone olive oil as a solvent to prepare 1% TNBS (Sigma), fasted for 12-24 hours in advance, preparing 2.5% TNBS solvent containing 50% ethanol on the day of clysis, dipping a small amount of paraffin oil into 4cm of the tail end of a smooth thin catheter with the diameter of 1.2mm as a lubricant, slowly inserting the mouse from anus after isoflurane is inhaled for anesthesia, rapidly injecting 100 mu l of 2.5% TNBS solution to the depth of about 4cm, rapidly drawing a tube, and inverting the mouse for about 1min; the normal control group was given an equal amount of 50% ethanol solution, and then returned to the cage for normal feeding after awakening from anesthesia.
Model evaluation method the general state of mice was closely observed daily, the body mass was weighed, and diarrhea, hematochezia conditions and survival numbers were recorded. The modeling is successful by taking the mouse with loose stool, macroscopic blood stool and fecal occult blood as the model.
Experimental results: after 1d of modeling, TNBS mice begin to have the phenomena of listlessness, anorexia and weight loss accompanied by hypokinesia, and TNBS administration groups have 12 diarrhea with different degrees; the ethanol control group mice have good state and activity, normal fecal character, no diarrhea and hematochezia, and the weight is restored to be before fasted. After 3d of modeling, TNBS mice showed a significant trend of decreasing body mass compared with ethanol control mice, and the quality of the mice in 3-7d of modeling was slowly recovered, while the quality of the mice in ethanol control mice was always in a stable and growing state.
EXAMPLE 2 protective Effect of recombinant SPINK4 protein on inflammatory bowel disease model
On the basis of TNBS molding prepared in example 1, 10 mug of SPINK4-Fc (the SPINK4 recombinant protein purchased from Yizhushen, the product number is 50953-M02H) or Fc recombinant protein is injected intraperitoneally for 4 days from the same day as TNBS enema, the left side and the right side of the abdominal midline of a mouse are selected as injection sites, local alcohol is sterilized, then the mice are Z-shaped, the syringes are pushed in after withdrawal from blood, liquid leakage is prevented by anticlockwise rotation when the syringes are pulled out, the mice are fed normally, weighed and euthanized on the 4 th day after the enema. Colorectal length was recorded and HE staining was performed to observe pathological conditions.
The result shows that: the injection of 10 mug of the recombinant protein SPINK4 is given on the basis of the acute TNBS modeling, so that the intestinal inflammation condition of the mice can be improved, wherein the conditions are shown as lower activity of the diseases (figure 1. A), reduced intestinal shortening (figures 1.B and C) and lighter colon inflammation (figures 1.D and E) after the modeling;
EXAMPLE 3 protection of recombinant SPINK4 protein against SPINK4 knockout inflammatory bowel disease model
A CRISPR/Cas9 technology is adopted to establish a SPINK4 conditional knockout mouse model, and the completion of Jiangsu Jixiaokang biotechnology Co Ltd is entrusted, and two pairs of gRNA sequences are respectively as follows: gps 00001365-spine 4-5S: TCGAATGACATGATCCGATA (SEQ ID NO. 3); gps00001365-spin 4-5S4: AAGTCCTAGCTCTGCCTTAT (SEQ ID NO. 4); gps 00001365-spine 4-3S3: AGAGCCCGGATCAGCCACTG (SEQ ID NO. 5); gps00001365-spin 4-3S4: CAAAGCCTCAGTGGCTGATC (SEQ ID NO. 6). Screening the SPINK 4-/-homozygotes for breeding and constructing an acute DSS colonitis model, and finding that the SPINK4 intestinal epithelium-specific knockout mice are more sensitive to DSS than littermate control mice, and are characterized by higher disease activity after modeling (fig. 2.A and B), shorter intestinal tract (fig. 2.C and D) and more severe colonic inflammation (fig. 2.E and F).
On the basis of modeling of a SPINK4 knockout mouse DSS, a group for treating colonitis by the SPINK4-Fc recombinant protein is established, and concretely comprises a SPINK4 recombinant protein treatment+modeling knockout group, an Fc recombinant protein control+modeling littermate control group, a water knockout group, a water littermate control group and 10 mug of mouse SPINK4-Fc recombinant protein or 10 mug of Fc recombinant protein from the 4 th day of DSS modeling are established, and the mice are killed after 6 days of continuous administration. As a result, the overall disease activity of the SPINK4 recombinant protein treated group was found to be significantly reduced compared with that of the control intraperitoneal injection group, as shown in FIG. 3.
It should be noted that the above examples are only for further illustrating and describing the technical solution of the present invention, and are not intended to limit the technical solution of the present invention, and the method of the present invention is only a preferred embodiment and is not intended to limit the scope of the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
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Claims (7)
- Use of a SPINK4 protein or a SPINK4 promoter for the manufacture of a medicament for the treatment of inflammatory bowel disease, which is crohn's disease or ulcerative colitis, said SPINK4 promoter being a substance that increases the level of the SPINK4 gene or protein.
- 2. The use according to claim 1, wherein the agent modulates the SPINK4 pathway to increase the level of SPINK4 or acts to directly increase the level of SPINK4 in inflammatory bowel disease cells.
- 3. The use of claim 2, wherein the SPINK4 agonist is used to promote the transcription or expression of SPINK4, thereby increasing the level of SPINK4 gene or protein.
- 4. The use according to claim 1, wherein the medicament comprises a biological or chemical agent that targets SPINK4 and is capable of increasing the amount of SPINK4 expression or promoting the expression of SPINK 4.
- 5. The use according to claim 4, wherein the medicament is SPINK4 protein or SPINK4 promoter and is the sole active ingredient or one of the active ingredients of the medicament for the treatment of inflammatory bowel disease.
- 6. The use according to any one of claims 1 to 5, wherein the therapeutic agent for inflammatory bowel disease is in the form of a solid, liquid, gel, semifluid or aerosol.
- Use of the SPINK4 gene or protein in screening a therapeutic agent for inflammatory bowel disease, characterized in that the SPINK4 gene or protein is used as an action target, and candidate substances are screened to find a SPINK4 promoter, wherein the SPINK4 promoter is a substance for increasing the level of the SPINK4 gene or protein, and the inflammatory bowel disease is crohn's disease or ulcerative colitis, as an alternative therapeutic agent for inflammatory bowel disease.
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