CN116211860B - Application of CK2 inhibitor CX4945 in preparation of medicines for preventing immune cell depletion in tumor treatment, inhibitor and combination - Google Patents

Application of CK2 inhibitor CX4945 in preparation of medicines for preventing immune cell depletion in tumor treatment, inhibitor and combination Download PDF

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Publication number
CN116211860B
CN116211860B CN202310520332.1A CN202310520332A CN116211860B CN 116211860 B CN116211860 B CN 116211860B CN 202310520332 A CN202310520332 A CN 202310520332A CN 116211860 B CN116211860 B CN 116211860B
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inhibitor
application
tumor
cells
medicines
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CN116211860A (en
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孙倩
刘绍川
任秀宝
郝希山
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Cell Ecology Haihe Laboratory
Tianjin Medical University Cancer Institute and Hospital
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Cell Ecology Haihe Laboratory
Tianjin Medical University Cancer Institute and Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/4738Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4745Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having nitrogen as a ring hetero atom, e.g. phenantrolines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
    • A61K39/3955Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/04Immunostimulants

Abstract

The application belongs to the field of biological medicines, and relates to application of a CK2 inhibitor CX4945 in preparation of medicines, inhibitors and combinations for preventing immune cells from being exhausted in tumor treatment, and the CK2 inhibitor provided by the application can effectively improve the condition of exhausting effector T cells in tumor tissues and enhance the treatment effect of anti-PD-1 medicines. 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.

Description

Application of CK2 inhibitor CX4945 in preparation of medicines for preventing immune cell depletion in tumor treatment, inhibitor and combination
Technical Field
The application belongs to the field of biological medicine, and relates to an application of a CK2 inhibitor CX4945 in preparing medicines for preventing immune cell depletion in tumor treatment, an inhibitor and a combination.
Background
Malignant tumor is a progressive disease in which normal cells proliferate and differentiate abnormally and are uncontrolled. At present, the morbidity and mortality of malignant tumors continuously rise, a large number of patients with advanced tumors need to take medicines for a long time, and the conventional treatment has high medicine resistance and poor prognosis. At present, immunotherapy is widely applied in the field of tumors as an emerging tumor treatment mode, wherein anti-PD-1/PD-L1 drugs are outstanding in inhibiting tumor growth and improving tumor immune microenvironment. However, the anti-PD-1 drugs are often used in clinical applications to further exacerbate the patient's condition due to their low effectiveness and resistance.
Protein Kinase CK2, also known as Casein Kinase 2 (Casein Kinase ii), is a ubiquitous protein Kinase that regulates metabolic pathways, signal transduction, transcription, translation and replication. The enzyme is a tetrameric holoenzyme consisting of three subunits, α, α' and β. The alpha and alpha' subunits have a catalytic effect and the beta subunit has a regulatory effect. Enzymes are localized in the endoplasmic reticulum and golgi apparatus. Previous studies have shown that CK2 is involved in differentiation of Th17 and Treg cells, but the effect of CK2 on immune cell function, particularly on T cell depletion function, in tumor tissues has not been verified or solved by the ability to achieve an effect of enhancing immunotherapy through modulation of protein kinase CK 2.
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.

Claims (1)

1. Combination of CK2 inhibitor CX4945 and anti-PD-1 antibody for preventing CD8 in preparation of tumor treatment + Use of a T cell depleting drug.
CN202310520332.1A 2023-05-10 2023-05-10 Application of CK2 inhibitor CX4945 in preparation of medicines for preventing immune cell depletion in tumor treatment, inhibitor and combination Active CN116211860B (en)

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105560239A (en) * 2015-12-30 2016-05-11 耿炜 Use of CX4945 for preparation of drug having reversal effect on gastric cancer cisplatin-resistant radiation tolerance
WO2017070137A1 (en) * 2015-10-20 2017-04-27 Bristol-Myers Squibb Company Combination of ck2 inhibitors and immune checkpoint modulators for cancer treatment
TW201737940A (en) * 2016-04-08 2017-11-01 基利科學股份有限公司 Compositions and methods for treating cancer, inflammatory diseases and autoimmune diseases
CN112274642A (en) * 2020-10-15 2021-01-29 北京大学人民医院 Application of CK2 inhibitor in preparation of medicine for treating rheumatoid arthritis
CN112789292A (en) * 2018-07-31 2021-05-11 皮里斯制药有限公司 Novel fusion proteins specific for CD137 and PD-L1
CN113015529A (en) * 2018-10-19 2021-06-22 生华生物科技股份有限公司 Immunomodulatory combinations for cancer treatment
CN114617878A (en) * 2022-05-16 2022-06-14 深圳大学 Application of CK2 inhibitor in preparation of anti-aging drugs
RU2021114145A (en) * 2018-10-19 2022-11-21 Сенва Байосайенсиз, Инк. COMBINATIONS FOR IMMUNOMODULATION IN THE TREATMENT OF CANCER
CN115480062A (en) * 2021-06-15 2022-12-16 广州弘润生物科技有限公司 Key drug target screening for de-differentiating CD8+ T cells into CD8+ TCM (TCM) and application of key drug target in drugs thereof

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017070137A1 (en) * 2015-10-20 2017-04-27 Bristol-Myers Squibb Company Combination of ck2 inhibitors and immune checkpoint modulators for cancer treatment
CN105560239A (en) * 2015-12-30 2016-05-11 耿炜 Use of CX4945 for preparation of drug having reversal effect on gastric cancer cisplatin-resistant radiation tolerance
TW201737940A (en) * 2016-04-08 2017-11-01 基利科學股份有限公司 Compositions and methods for treating cancer, inflammatory diseases and autoimmune diseases
CN112789292A (en) * 2018-07-31 2021-05-11 皮里斯制药有限公司 Novel fusion proteins specific for CD137 and PD-L1
CN113015529A (en) * 2018-10-19 2021-06-22 生华生物科技股份有限公司 Immunomodulatory combinations for cancer treatment
RU2021114145A (en) * 2018-10-19 2022-11-21 Сенва Байосайенсиз, Инк. COMBINATIONS FOR IMMUNOMODULATION IN THE TREATMENT OF CANCER
CN112274642A (en) * 2020-10-15 2021-01-29 北京大学人民医院 Application of CK2 inhibitor in preparation of medicine for treating rheumatoid arthritis
CN115480062A (en) * 2021-06-15 2022-12-16 广州弘润生物科技有限公司 Key drug target screening for de-differentiating CD8+ T cells into CD8+ TCM (TCM) and application of key drug target in drugs thereof
CN114617878A (en) * 2022-05-16 2022-06-14 深圳大学 Application of CK2 inhibitor in preparation of anti-aging drugs

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Address after: No. 47 Binshui Road, Huanhu West Road, Hexi District, Tianjin City, 300060

Patentee after: TIANJIN CANCER HOSPITAL(TIANJIN MEDICAL University CANCERINSTITUTE& Hospital)

Patentee after: Cell Ecology Haihe Laboratory

Address before: 2-1-101, Building 1-3, Bolong Industrial Park, north of Yuexin Road and east of Huixin Road, Binhai Science and Technology Park, Binhai High-tech Zone, Binhai New District, Tianjin 300450

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Patentee before: TIANJIN CANCER HOSPITAL(TIANJIN MEDICAL University CANCERINSTITUTE& Hospital)