JP2008279238A - Regeneration treatment of arthropathy (heberden's nodositas), rheumatism, severe collagenosis marginal disease patient by gene therapy - Google Patents

Regeneration treatment of arthropathy (heberden's nodositas), rheumatism, severe collagenosis marginal disease patient by gene therapy Download PDF

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JP2008279238A
JP2008279238A JP2007159514A JP2007159514A JP2008279238A JP 2008279238 A JP2008279238 A JP 2008279238A JP 2007159514 A JP2007159514 A JP 2007159514A JP 2007159514 A JP2007159514 A JP 2007159514A JP 2008279238 A JP2008279238 A JP 2008279238A
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tissue
arthropathy
rheumatism
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Makiko Funayama
万喜子 舟山
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Abstract

<P>PROBLEM TO BE SOLVED: To solve issues that the cause of disease has high probability of genetic disposition and the mechanism of disease generation and individual difference cannot be eludicated at genetic level though the cause of disease can be explained by genome in genome and gene judgement, genome drug creation, etc. <P>SOLUTION: Though it seems to be not executed in orthopedics, cell-regenerated tissue, erythropoietin, a kind of hormone, etc. and gene vector HGF protein etc. autologously transplanted, a small amount of appropriate tissue or cell collected from a patient to culture and increase the cell. structure of the tissue made according to circumstances, tissue regeneration by somatic stem cell, somatic stem cell separately collected from cells, and so forth are applied. <P>COPYRIGHT: (C)2009,JPO&INPIT

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再生医療とは機能不全に陥った臓器や何らかの原因で欠損した組織の機能を再生したり、臓器・組織の再生を促す、生理活性注射をして、人体内で自力での再生を助ける治療法です。
再生医療の解釈を広げるとエリスロポエチンの注射による貧血の治療や顆粒状コロニー刺激因子による白血球減少の治療も含まれます。
Regenerative medicine is a treatment method that regenerates the function of organs that have become dysfunctional or tissue that has been lost due to any cause, or promotes the regeneration of organs or tissues, and performs bioactive injection to help the body regenerate itself. is.
Broadening the interpretation of regenerative medicine includes the treatment of anemia with erythropoietin injection and the treatment of leukopenia with granular colony stimulating factor.

1995年、ADA欠損症・何種類かのがんに対して遺伝子治療が実施されております。In 1995, gene therapy was implemented for ADA deficiency and several types of cancer.

遺伝子治療による再生治療は整形外科分野ではまだ実施されていない様です。
広範囲熱湯で失なわれた皮膚部分を治すため、残った皮膚を培養して、シート状に増やした「再生皮膚」を用いる治療があります。
Regenerative treatment with gene therapy has not yet been implemented in the orthopedic field.
In order to cure the skin that has been lost with a wide range of hot water, there is a treatment that uses "regenerated skin" that has been cultivated and increased to form a sheet.

角膜潰瘍で失った角膜を治すため、口内の粘膜細胞などを培養して、増やして「再生上皮」で潰瘍部分を張り替える治療などがあります。
DNA(遺伝子)の構成は3つの塩基の配列になっている。染色体を構成するDNAは2本の分子がらせん状に結合したものです。分子の構造はデオキシリボースという糖とリン酸がつながって柱状になったもので一つのらせんは直径2nm(1nmは100万分の1mm)らせんの1セットは長さは3、4nmでこれがいくつもつながっています。らせんの内側は4種類の塩基(アデニン・グアニン・シトニン・チミン)が結合して、らせん階段のように整列している。この塩基にはペアとなるものが互いに決まっていて、アデニンはチミンとグアニンはシトニンと結合し他の組み合わせでは、結合することはない。そして、この4種類の塩基の並び方だけで遺伝情報を伝えている。タンパク質の合成では三つの塩基の配列が基本となり、これをコドンという。コドンによって、20種類のアミノ酸が決定され、アミノ酸が組み合わさって、さまざまなたんぱく質を構成している。約60兆の人体の細胞がつくられ、ひとりひとり違った姿、形となって活動している。ヒトゲノム解析により遺伝子治療が期待されている。尚ヒトゲノムとマウスの遺伝子の総数は2万3千個、ハエは1〜2万個とヒトのDNAに近い。 ヒトゲノム解析からわかることはヒト染色体の全遺伝情報です。ヒトゲノムプロジェクトにより、2003年にヒト染色体の全遺伝情報、すなわち、全DNA塩基配列情報の概要が明らかにされ、2004年、秋に完全に解読されました。ここで明らかにされたのは全塩基の配列です。それだけでは遺伝子と塩基配列の機能はわかりません。次なるゲノムの研究の目標は明らかとなったヒトゲノムの塩基配列情報の意義付けです。その目的は、塩基配列がその機能にどのように関わり、さらに遺伝子のお互いの作用の結果として、細胞の機能や、病気発症との関係、遺伝子の発現や機能の個人差に影響する多様性を明らかとすることです。環境変化に対してゲノムはどのような反応をするのか。どのような遺伝子が発現するのか。どのタンパク質が相互に作用するのか。など遺伝子情報の意義付けについて、新しいとらえ方や解釈がネットワークや回路(全体的な相互作用)の名のもとに生まれています。

Figure 2008279238
In order to cure the cornea lost by corneal ulcers, there are treatments that cultivate mucosal cells in the mouth, increase the number of ulcers by regenerating epithelium, and so on.
The composition of DNA (gene) is a sequence of three bases. The DNA that makes up a chromosome is a combination of two molecules in a spiral. The structure of the molecule is a columnar structure formed by connecting sugars and phosphoric acid called deoxyribose. One helix has a diameter of 2 nm (1 nm is 1 / 1,000,000 mm). It is. Inside the helix, four types of bases (adenine, guanine, cytonin, thymine) are combined and arranged like a spiral staircase. The bases are paired with each other, adenine binds thymine and guanine binds to cytonin, and other combinations do not. Genetic information is transmitted only by the arrangement of these four types of bases. Protein synthesis is based on a sequence of three bases, which is called a codon. Twenty kinds of amino acids are determined by codons, and amino acids are combined to form various proteins. Approximately 60 trillion cells of the human body are created, and each person is acting in a different form and shape. Gene therapy is expected by human genome analysis. The total number of human genome and mouse genes is 23,000, and flies are 1 to 20,000, which is close to human DNA. What can be understood from the human genome analysis is all genetic information of human chromosomes. The Human Genome Project unveiled the entire genetic information of human chromosomes, that is, the outline of all DNA base sequence information in 2003, and was completely decoded in the fall of 2004. What is revealed here is the sequence of all bases. That alone does not reveal the function of genes and nucleotide sequences. The next genome research goal is to clarify the significance of the human genome sequence information. Its purpose is to determine how the nucleotide sequence is related to its function and, as a result of the interaction of the genes, the cell function, its relationship with disease development, and the diversity that affects individual differences in gene expression and function. It is to clarify. How does the genome react to environmental changes? What genes are expressed? Which proteins interact with each other. A new way of understanding and interpreting the significance of genetic information, etc. has been born in the name of networks and circuits (overall interaction).
Figure 2008279238

21世紀の人類の進歩における重要な柱と位置付けられている。
バイオ技術、バイオ関連企業の動向、ゲノムや遺伝子診断、ゲノム創薬など、バイオテクノロジーに関する見出しが目立っている。病気の原因は遺伝子で説明されようとしている。
糖尿病・高脂症高血圧などの成人病・又は生活習慣病は家系内に多く発生している場合に同じ病気にかかる可能性が高く、原因として、病気の遺伝的素因の可能性が指摘されて来た。
心臓病・脳梗塞・感染症・悪性腫瘍(癌)とさまざまです。
今日、これらの多くの病気の原因は、多かれ少なかれ、遺伝子が関わっていると考えられている。
遺伝子解析技術の進歩により、さまざまな病気発症のしくみや個人差が遺伝子レベルで解明されるようになりました。
遺伝子検査はこれらの病気の原因遺伝子を検出することによって、病気の早期診断と適切な治療薬の選拓により、有効な治療、さらには重症化を防ぐことができるようになります。
これらの取り組みは、2003年にヒト染色体の全遺伝配列情報(ゲノム)の解読が完了したため、加速しております。
遺伝子検査によって得られる情報には限界があり、使い方を誤ると、高額な検査費用を浪費するばかりか、有害な情報を提供してしまう危険もあります。
遺伝子検査に関する適切な知識と理解が必要です。
It is positioned as an important pillar in human progress in the 21st century.
Biotechnology, biotechnology-related trends, genome and gene diagnosis, genome drug discovery, and other biotechnology headings are prominent. The cause of the disease is being explained by genes.
Adult diseases such as diabetes, hyperlipidemia, and hypertension, or lifestyle-related diseases are more likely to occur in the family if they occur frequently in the family, and the cause may be a genetic predisposition to the disease. I came.
There are various cases such as heart disease, cerebral infarction, infectious disease, malignant tumor (cancer).
Today, the causes of many of these diseases are more or less thought to be related to genes.
Advances in gene analysis technology have made it possible to elucidate the mechanisms of various diseases and individual differences at the genetic level.
Genetic testing detects the causative genes of these diseases, so that early treatment of the diseases and the selection of appropriate treatments can help prevent effective treatment and even worsening of the disease.
These efforts are accelerating because the complete genetic sequence information (genome) of the human chromosome was completed in 2003.
There is a limit to the information that can be obtained by genetic testing, and misuse can not only waste expensive testing costs but also provide harmful information.
Appropriate knowledge and understanding of genetic testing is required.

マウスによる遺伝子による検査をたくさん実施し、各疾患に対しての知識を得る事が必要と思われます。
関節症(ヘバーデン結節症)、リウマチ、膠原病数縁疾患は遺伝病ですから、遺伝病として扱い、それに対しての再生治療を実施した方が良いと考えます。
It would be necessary to conduct a lot of genetic testing with mice and gain knowledge of each disease.
Since arthropathy (Heberden tuberculosis), rheumatism, and collagen disease are genetic diseases, it is better to treat them as genetic diseases and to perform regenerative treatment for them.

何らかの原因(免疫機能不全)で欠損したすり減った軟骨部分が再生治療によって再生されると思います。I think that the worn cartilage part that is lost for some reason (immune dysfunction) will be regenerated by regenerative treatment.

整形外科分野のレベルを上げる事と、遺伝病対策としての遺伝子研究の充実を計る事です。
厚生省の遺伝病に対しての見直しが必要と思われます。
To raise the level of orthopedics and to improve genetic research as a measure against genetic diseases.
The Ministry of Health and Welfare needs to review genetic diseases.

遺伝病という認識不足の為、実施例はありません。There is no working example due to lack of recognition of genetic disease.

ヒトゲノムプロジェクトを実施することにより、産業上にも大きな利益をもたらす事と思っております。We believe that implementing the Human Genome Project will bring significant benefits to the industry.

再生医療として、細胞・再生組織あるいは再生に働く生理活性物質や遺伝子の局所注射などで投与する図Illustration of regenerative medicine administered by local injection of cells / regenerative tissues or physiologically active substances or genes that act on regeneration 遺伝子(DNA)の構造図と3つの塩基の配列図Structure diagram of gene (DNA) and sequence diagram of three bases

符号の説明Explanation of symbols

A アデニン
T チミン
G グアニン
C シトニン
A Adenine T Thymine G Guanine C Cytonin

Claims (1)

関節症(ヘバーデン結節症)リウマチ・膠原病数縁疾患重症者用遺伝療法による再生治療
遺伝子治療での再産医療であります。
がんと同様に関節症・リウマチ・膠原病数縁疾患は主に免疫機能の低下によるもだと思います。
整形外科の分野では実施応用化はされておりませんが、一種のホルモンであるエリスロポエチンの注射を患者に、細胞・再生した組織を自家移植して細胞培養による、組織再生、体性乾細胞による組織再生、胚性乾細胞(ES細胞)による組織再生、つまり、細胞組織あるいは、再生も働く生理活性物質や遺伝子を局所注射などで投与する事です。
要するに、関節症・リウマチ・膠原病数縁疾患者には、すり減った軟骨部分の再生も可能であると思います。
It is reproductive medicine by gene therapy for regenerative treatment with arthropathy (Heberden tuberculosis) rheumatism / collagen disease related diseases.
Like cancer, arthropathy, rheumatism, and collagen disease are thought to be mainly due to a decline in immune function.
Although it has not been applied in practice in the field of orthopedics, erythropoietin, a kind of hormone, is injected into a patient, and cells and regenerated tissue are transplanted by self-transplantation by cell culture, tissue regeneration, tissue by somatic dry cells Regeneration, tissue regeneration by embryonic dry cells (ES cells), that is, administration of cell tissues or physiologically active substances and genes that also work by local injection.
In short, I think that it is possible to regenerate the worn cartilage part for people with arthropathy, rheumatism, and collagen disease.
JP2007159514A 2007-05-10 2007-05-10 Regeneration treatment of arthropathy (heberden's nodositas), rheumatism, severe collagenosis marginal disease patient by gene therapy Pending JP2008279238A (en)

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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006346420A (en) * 2005-06-13 2006-12-28 Univ Nagoya Grafting material and bone improver

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006346420A (en) * 2005-06-13 2006-12-28 Univ Nagoya Grafting material and bone improver

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