Disclosure of Invention
The application mainly aims at providing a regulatory protein kinase CK2 for realizing the purpose of regulating tumor immunotherapy.
In order to achieve the above object, according to one aspect of the present application, there is provided the use of CK2 inhibitor CX4945 for the preparation of a medicament for preventing immune cell depletion in tumor therapy.
The application also provides an inhibitor for preventing immune cell depletion in tumor treatment, wherein the inhibitor comprises a CK2 inhibitor.
The inhibitor provided according to the present application is CX4945.
The application also provides a combination for preventing immune cell depletion in tumor treatment, wherein the combination comprises an anti-PD-1 antibody and a CK2 inhibitor CX4945.
The beneficial effects of the application are as follows:
the CK2 inhibitor can effectively improve the depletion condition of effector T cells in tumor tissues, and simultaneously enhance the treatment effect of the anti-PD-1 medicament. The medicine has no obvious side effect, can be prepared into tumor immunotherapy medicine, and provides a new combined therapy mode. The medicine can be prepared into oral medicine, is convenient to treat, and has high patient compliance.
Drawings
The accompanying drawings, which are included to provide a further understanding of the application and are incorporated in and constitute a part of this specification, illustrate embodiments of the application and together with the description serve to explain the application. In the drawings:
FIG. 1 shows the in vitro heterodimer induced CD8 of the present application + Flow cytometry of T cell depletion.
FIG. 2 shows CX4945 inhibiting CD8 + Flow cytometry of T cell depletion.
FIG. 3 shows that CX4945 in combination with anti-PD-1 of the application effectively enhances CD8 + The mean fluorescence intensity of granorubicin B for T cell function (co-culture with tumor cells).
FIG. 4 shows that CX4945 in combination with anti-PD-1 of the application effectively enhances CD8 + Statistical plots of granorubin B for T cell function (co-culture with tumor cells).
FIG. 5 shows that CX4945 in combination with anti-PD-1 of the application effectively enhances CD8 + The mean fluorescence intensity of interferon gamma for T cell function (co-culture with tumor cells).
FIG. 6 shows that CX4945 in combination with anti-PD-1 of the application effectively enhances CD8 + Statistical plots of interferon gamma for T cell function (co-culture with tumor cells).
FIG. 7 shows that CX4945 in combination with anti-PD-1 of the application effectively enhances CD8 + Flow cytometry of T cell function (co-culture with tumor cells).
FIG. 8 is a schematic representation of CX4945 in combination with anti-PD-1 in the treatment of lung adenocarcinoma in mice according to the application.
Figure 9 is a statistical plot of the effective tumor weight inhibition of the CX4945 combination anti-PD-1 treatment of the application.
FIG. 10 is a graph showing that CX4945 in combination with anti-PD-1 treatment of the application is effective in inhibiting tumor growth.
FIG. 11 CX4945 in vivo according to the application is effective in promoting CD8 + T cell infiltrating CD8 + T cell duty cycle plot.
Detailed Description
The application is described in further detail below with reference to the drawings and examples. It is to be understood that the specific embodiments described herein are merely illustrative of the application and are not limiting thereof. It should be further noted that, for convenience of description, only some, but not all experimental results related to the present application are shown in the drawings.
Example 1 in vitro CD8 + And (6) constructing a T cell depletion model.
1. Peripheral blood mononuclear cell extraction:
(1) Peripheral blood of healthy volunteers was added to a 15 mL centrifuge tube, diluted with PBS (buffer), and diluted in equal volume;
(2) Ficoll: the above diluent=1:1 or 1:2, and the diluent is slowly added into Ficoll (separating liquid of specific density cells) along the pipe wall to form a dividing surface, which cannot be uniformly mixed;
(3) Centrifuging at 1800 rpm for 18 min, quickly rising and slowly falling, and reducing the speed to zero;
(4) Aspirating the buffy coat (PBMC layer, peripheral blood mononuclear cell layer) (between yellow serum layer and Ficoll fluid) with a sterile pipette;
(5) The aspirated buffy coat was centrifuged and the supernatant was discarded and washed once with PBS to obtain PBMCs (peripheral blood mononuclear cells).
2. CD8 + Construction of a T cell depletion model:
(1) Separation of CD8 from PBMC Using magnetic beads + T CELLs stimulated with 25. Mu.L/mL of STEM CELL, inc. T CELL activator to activate CD8 + T cells (containing IL-2 (10 ng/mL) in the medium) were maintained expanded with IL-2 for 3 days after incubation until day 7.
(2) Heterodimers were prepared and antibodies to rat anti-human CD3 and goat anti-rat IgG were mixed in a molar ratio of 2:1.
(3) Adding the prepared heterodimer into a culture medium (containing 10ng/mL IL-2) to induce CD8 + T cells were depleted for two days to obtain CD8 + T cells.
Results:
as shown in FIG. 1, PD-1 increased with the heterodimer concentration in the culture system + Tim-3 + CD8 + The proportion of T cells is also gradually increased, suggesting that heterodimers can significantly promote CD8 + Depletion of T cells.
As shown in fig. 2: CX4945 for CD8 under normal culture conditions + The proportional effect of T cells is not apparent. While in the induction of depletion of CD8 + CX4945 can obviously inhibit PD-1 in a T cell model + Tim-3 + T cell ratio and promote PD-1 - Tim-3 - The ratio of T increases, p value<0.05 p value<0.01 p value<0.001 p value<0.0001. Suggesting that CX4945 may inhibit CD8 + Depletion of T cells.
Example 2 in vitro CD8 + Co-culture of T cells and tumor cells
A549 cells (lung cancer human alveolar basal epithelial cells) were cultured and expanded in vitro using 1640 medium containing 10% fbs and 1% diabody;
when the confluence of A549 reaches 70%, performing digestion counting;
CD8 to induce depletion + T cells and tumor cells were co-cultured in a 1 to 1 ratio, and PBS, CX4945 (10. Mu.M) or anti-PD-1 (20. Mu.g/mL) was added during co-culture to treat.
Results:
as shown in fig. 3, 4, 5, and 6, anti-PD-1 in combination with CX4945 further enhanced CD8 depletion compared to the single drug group + Capacity of T cells to produce IFN- γ (interferon γ) and granzyme (GzmB) (granamycin B), p value<0.05 p value<0.01 p value<0.001 p value<0.0001; as shown in fig. 7, 8, anti-PD-1 in combination with CX4945 further restored CD8 depletion compared to the single drug group + Functional cell populations of T cells (i.e., IFN-r - GzmB - T cell populations were significantly reduced). The results suggest that CX4945 combined with anti-PD-1 can effectively improve the depletion of CD8 + T cell function.
Example 3 in vivo CX4945 in combination with anti-PD-1 treatment of lung adenocarcinoma in mice.
Construction of tumor-bearing mice:
(1) Female C57BL/6 mice of 5-6 weeks of age were used for the construction of tumor-bearing models:
(2) Lewis cells after digestion and counting were according to 1X10 6 mu.L/100. Mu.L was inoculated subcutaneously into mice;
(3) The size of the tumor to be transplanted is as long as 100 mm 3 Grouping treatment is carried out left and right;
(4) A total of four groups of 6 mice, PBS group, CX4945 group (100 mg/kg once a day), anti-PD-1 group (150. Mu.g/dose twice a week) and combination treatment group were treated accordingly as in FIG. 8.
Results:
as shown in fig. 9 and 10, the anti-PD-1 combined CX4945 significantly inhibited the increase in tumor volume, increased weight, and did not cause significant side effects compared to the single drug group, and the effective rate reached 83.3% (5/6).
As shown in fig. 11, anti-PD-1 in combination with CX4945 significantly promoted CD8 compared to the single drug group + Infiltration of T cells. The result suggests that CX4945 combined with anti-PD-1 can effectively enhance the therapeutic effect of anti-PD-1.
The disclosed embodiments of the application are described in detail herein using a number of examples, but are not to be construed as limiting the application. It should also be noted that although preferred embodiments have been described in detail herein, it should be emphasized that the present application is not limited to these specific embodiments. Indeed, any obvious modification, equivalent replacement or other improvement made by those skilled in the art without departing from the inventive concept shall fall within the scope of the present application.