JP2019182873A - 膵臓炎、腎損傷および腎臓癌を治療および予防するための組成物および方法 - Google Patents
膵臓炎、腎損傷および腎臓癌を治療および予防するための組成物および方法 Download PDFInfo
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Abstract
Description
本願は、2014年5月16日に提出された米国特許仮出願第61/994,279号の優先権を主張するものであり、その全内容が参照により本明細書に組み込まれる。
本発明は、国立衛生研究所からの助成金RC1DK086465、RC1DK086402、およびR01DK081037として政府の支持を得てなされた。政府は本発明に対して特定の権利を有する。
レナラーゼ(RNLSおよび遺伝子C10orf59ともいう)は、新規な分泌性フラボタンパク質オキシダーゼである(Farzaneh-Far et al., 2010, PLoS One 5:e13496; Desir et al., 2012, J. Am. Heart Assoc. 1:e002634; Desir et al., 2012, 6:417-426; J. Am.Soc.Hypertension; Xu et al., 2005, J. Clin.Invest. 115:1275-1280; Li et al., 2008, Circulation 117:1277-1282)。この遺伝子に存在する一塩基多型は高血圧症、心臓病、および糖尿病と関連づけられている(Farzaneh-Far et al., 2010, PLoS One 5:e13496; Barrett et al., 2009, Nat.Genet. 41:703-707; Buraczynska et al., 2011, Neuromolecular Med. 13:321-327; Malyszko et al., 2012, Ren. Fail. 34:727-731; Zhao et al., 2007, J. Mol. Med. (Berl). 85:877-885)。レナラーゼの結晶構造は解明されており(Milani et al., 2011, J. Mol.Biol. 411:463-473)、そのタンパク質はエピネフリンと結合して(Xu et al., 2005, J. Clin. Invest. 115:1275-1280)、オキシダーゼ/アノメラーゼとして機能し、酸素分子を用いてα−NAD(P)Hとβ−NAD+に変換し、反応副生物として過酸化水素を生成する(Beaupre et al., 2013, J. Am.Chem.Soc. 135:13980-13987)。
一態様では、本発明は、必要とする対象に少なくとも1種のPMCA4b活性剤を含む組成物の治療有効量を投与することにより、前記対象の腎臓病または腎臓障害を治療または予防する方法である。様々な態様では、前記PMCA4b活性剤は、化合物、タンパク質、ペプチド、ペプチド模倣物、抗体、小分子化合物、またはこれらの組み合わせである。一態様では、前記PMCA4b活性剤は、レナラーゼポリペプチド、またはその断片、結合体、類似体、または相同体である。一態様では、前記レナラーゼポリペプチドは、配列番号8のアミノ酸配列、またはその断片、結合体、類似体、または相同体を含む。他の態様では、前記レナラーゼポリペプチドは、配列番号9のアミノ酸配列、またはその断片、結合体、類似体、または相同体を含む。他の態様では、前記PMCA4b活性剤は、レナラーゼポリペプチド断片である。一態様では、前記レナラーゼポリペプチド断片は配列番号3のアミノ酸配列、またはその断片、結合体、類似体、または相同体を含む。他の態様では、前記レナラーゼポリペプチド断片は、配列番号4のアミノ酸配列、またはその断片、結合体、類似体、または相同体を含む。一態様では、前記レナラーゼポリペプチド断片は、配列番号5のアミノ酸配列、またはその断片、結合体、類似体、または相同体を含む。いくつかの態様では、前記少なくとも1種のPMCA4b活性剤は、1回で投与される。いくつかの態様では、前記少なくとも1種のPMCA4b活性剤は繰り返し投与される。いくつかの態様では、前記少なくとも1種のPMCA4b活性剤は、局所、領域、または全身に投与される。様々な態様では、前記PMCA4b活性剤は、PMCA4b発現の活性剤、PMCA4b活性の活性剤、またはその組み合わせである。様々な態様では、治療または予防される腎臓病または腎臓障害は、急性腎損傷(AKI)、慢性腎臓病(CKD)、腎臓虚血性損傷、腎臓再かん流損傷、腎臓虚血性再かん流損傷、毒性腎損傷、尿細管壊死、尿細管炎症、尿細管アポトーシス、高血圧症、およびこれらのいずれかの組み合わせからなる群から選択される。一態様では、前記対象はヒトである。
本発明は、レナラーゼ受容体の調節剤PMCA4bが様々な病気や障害の治療または予防に有用であるという発見に関する。一態様では、前記PMCA4bはPMCA4b活性剤である。よって、本発明は、PMCA4b活性剤を含む組成物と、腎臓病または腎臓障害および膵臓病または膵臓障害を治療および予防する方法に関する。いくつかの態様では、前記組成物および本発明の方法を用いて治療または予防される腎臓病または腎臓障害は急性腎損傷(AKI)または慢性腎臓病(CKD)である。いくつかの態様では、前記組成物および本発明の方法を用いて治療または予防される膵臓病または膵臓障害は、急性膵臓炎または慢性膵臓炎である。他の態様では、前記PMCA4bはPMCA4b阻害剤である。したがって、本発明はまた、PMCA4b阻害剤を含む組成物と、癌を治療および予防する方法に関する。
定義
PMCA4b活性剤組成物並びに治療および予防方法
PMCA4b阻害剤組成物、並びに治療および予防方法
レナラーゼ受容体の調節剤を同定する方法
組成物、並びに治療および予防方法
診断方法
治療阻害剤組成物および方法
キット
医薬品組成物および投与
実験例
本明細書に記載される結果から、レナラーゼ受容体およびレナラーゼ依存MAPK信号伝達の主要媒介体としてPMCA4bが同定される。ヒト近位尿細管細胞株HK−2のRP−220を用いたビオチントランスファー研究および質量分析によるタンパク質同定を用いて、PMCA4bをレナラーゼ結合タンパク質と同定した。この事前に特徴づけられた細胞膜ATP分解酵素は、細胞の信号伝達および心臓肥大に関わる。共免疫沈殿および共免疫学的局在決定から、内因性レナラーゼとPMCA4bのタンパク質−タンパク質相互作用が確認された。siRNA形質移入による内因性PMCA4b発現の下方制御、あるいは特定のペプチド阻害剤カロキシン1bによるその酵素活性の阻害により、RP−220に依存するMAPK信号伝達および細胞保護作用が抑止された。対照研究では、これらの操作は上皮成長因子が媒介する信号伝達に何の効果も及ぼす、PMCA4bとレナラーゼの相互作用の特異性が確認された。
これらの実験で用いた材料および方法を以下に記載する。
レナラーゼおよびレナラーゼペプチドの合成および分析
レナラーゼペプチド(配列番号1〜7;図1A)をアミノ末端でアセチル化し、98%均質になるまで精製した(United Peptide、ヴァージニア州ハーンドン)。前述の通り、組換えレナラーゼを合成した(Desir et al., 2012, J. Am. Heart Assoc. 1:e002634)。レナラーゼペプチドRP−220(hRenalase1のアミノ酸220〜239;配列番号4)に対して生成された抗レナラーゼモノクローナル抗体を用いてレナラーゼの発現を検出した。
レナラーゼペプチド220(RP−220;配列番号4)および組み換えレナラーゼペプチド(RP−Scr220、対照ペプチド;配列番号7)(図1A)に存在する単一のアミノ末端システインによって形成される可能性があるジスルフィド結合を、固定化還元カラム(#77701, Pierce Biotechnology, イリノイ州ロックフォード)を用いて切断した。この還元ペプチドを溶出により回収して、浮遊スルフヒドリル基の濃度をエルマン試薬(#22582, Pierce Biotechnology, イリノイ州ロックフォード)を用いて推定した。
siRNAを用いたPMCA4b発現の下方制御
PMCA4bおよびレナラーゼの内因性共発現の検出
内因性PMCA4bおよびレナラーゼの共免疫沈殿
遺伝子発現の分析
シスプラチン毒性の体外モデル
統計分析
実験結果を以下に記載する。
これまで示されているように、レナラーゼKOマウスでは、レナラーゼの欠乏が虚血性AKIを悪化させるが、組み換えレナラーゼを投与するとAKIが大きく衰退する(Lee et al., 2013, J. Am. Soc. Nephrol. 24:445-455)。追加の研究では、虚血性AKIおよびシスプラチンAKIに対するレナラーゼの保護効果はレナラーゼの酵素活性に依存するものではなく、むしろ、レナラーゼまたは短いレナラーゼペプチド(RP−224、RP−220、およびRP−H220、図1a)と受容体との相互作用によって媒介される。組み換えレナラーゼペプチドRP−Scr220は、MAPK信号伝達を活性化せず、よって細胞を保護しなかった(Wang et al., 2014, J. Am. Soc. Nephrol. DOI:10.1681/asn.2013060665)。レナラーゼペプチドの保護効果は、細胞の生存率を促進する細胞内信号伝達の活性化に対応していた(Wang et al., 2014, J. Am. Soc. Nephrol. DOI:10.1681/asn.2013060665)。
細胞外レナラーゼと相互作用する細胞膜タンパク質を同定するプローブとしてRP−220を用いた。RP−220のN終端に位置する単一のシステインに結合した標識トランスファー試薬Mts−Atf−ビオチンによるビオチン標識トランスファー法を用いた。標識化RP−220を4℃で24時間HK−2細胞と共に培養して内部移行を最少にし、UV光に暴露させて相互作用するタンパク質に結合させた。このビオチン標識化タンパク質をストレプトアビジンカラムを用いて精製し、質量分析により同定した。この細胞膜カルシウムATP分解酵素イソ型PMCA4bを再生可能な方法でRP−220に結合させた(図4A)。PMCA4bをHK−2細胞で大量に発現させて(図4B)、HK−2細胞の細胞膜(矢印)および細胞質内にレナラーゼと共局所化した(図4C)。
PMCA4bは、細胞信号伝達および細胞保護作用に及ぼすレナラーゼの作用を媒介する
レナラーゼポリペプチド配列およびペプチド配列
RP 128:FRHRVTQINLRDDKWEVSKQ(配列番号2)
RP 224:CVSIDNKKRNI(配列番号3)
RP 220:CIRFVSIDNKKRNIESSEIG(配列番号4)
RP H220:HHHHHHCIRFVSIDNKKRNIESSEIG(配列番号5)
RP A220:IRFVSIDNAAANIESSEIG(配列番号6)
RP 220組み換え:CSKRIFKVISSIEDNNERG(配列番号7)
MAQVLIVGAGMTGSLCAALLRRQTSGPLYLAVWDKAEDSGGRMTTACSPHNPQCTADLGAQYITCTPHYAKKHQRFYDELLAYGVLRPLSSPIEGMVMKEGDCNFVAPQGISSIIKHYLKESGAEVYFRHRVTQINLRDDKWEVSKQTGSPEQFDLIVLTMPVPEILQLQGDITTLISECQRQQLEAVSYSSRYALGLFYEAGTKIDVPWAGQYITSNPCIRFVSIDNKKRNIESSEIGPSLVIHTTVPFGVTYLEHSIEDVQELVFQQLENILPGLPQPIATKCQKWRHSQVTNAAANCPGQMTLHHKPFLACGGDGFTQSNFDGCITSALCVLEALKNYI(配列番号8)
MAQVLIVGAGMTGSLCAALLRRQTSGPLYLAVWDKAEDSGGRMTTACSPHNPQCTADLGAQYITCTPHYAKKHQRFYDELLAYGVLRPLSSPIEGMVMKEGDCNFVAPQGISSIIKHYLKESGAEVYFRHRVTQINLRDDKWEVSKQTGSPEQFDLIVLTMPVPEILQLQGDITTLISECQRQQLEAVSYSSRYALGLFYEAGTKIDVPWAGQYITSNPCIRFVSIDNKKRNIESSEIGPSLVIHTTVPFGVTYLEHSIEDVQELVFQQLENILPGLPQPIATKCQKWRHSQVPSAGVILGCAKSPWMMAIGFPI(配列番号9)
実施例2:PMCA4bの活性の調節がレナラーゼの細胞保護作用を媒介する
本明細書の他の箇所で記載されるように、膵臓炎および細胞信号伝達応答に影響を及ぼすレナラーゼの領域は、酵素活性を欠く分子の領域において単離されている。この活性を含むペプチドRP−220は、すべてのレナラーゼイソ型に保存されているが、組み換えレナラーゼのアミンオキシダーゼ活性を欠いており、代わりに信号伝達分子としてのみ作用する。本明細書に記載される研究では、レナラーゼは完全な長さの組み換えヒトレナラーゼまたは20アミノ酸ペプチド(RP−220)として投与される。RP−220は、その酵素活性とは独立してWTマウスの炎症性虚血性急性腎損傷を大きく低減する。
膵臓炎に繋がる腺房細胞事象はCa2+に依存し、病的な細胞質カルシウム信号伝達と関連づけられている。また、細胞膜Ca2+ATP分解酵素(PMCA)で修正することができる。生理的条件下で、腺房細胞の先端部から出る協調振動Ca2+信号は、不活性酵素前駆体の腺房細胞から膵管への分泌と結びつけられている(Williams, 2001, Annu Rev Physiol 63, 77-97)。膵臓炎では、異なる腺房細胞Ca2+信号伝達パターンが観察される。振動が生理的に増加し、細胞質Ca2+が何倍も増加する代わりに、膵臓炎は、Ca2+がより大きく増加した後、低濃度で維持されるという全体のピーク−水平パターンと関連づけられている(Matozaki et al., 1990, JMV-180.J Biol Chem 265, 6247-6254)。病的Ca2+信号伝達およびCa2+過負荷は、急性膵臓炎の発症の初期事象(酵素前駆体の活性化、分泌の阻害、炎症、および壊死を含む)のほとんどと結びつけられている(Raraty et al., 2000, Proc Natl Acad Sci U S A 97, 13126-13131; Muallem et al., 1995, J Cell Biol 128, 589-598; Criddle et al., 2006, Gastroenterology 130, 781-793; Gerasimenko et al., 2002, J Cell Sci 115, 485-497; Huang et al., 2013, Gut; Awla et al., 2012, Gastroenterology 143, 1352-1360 e1357)。
レナラーゼはマウス腺房細胞に存在し、その濃度は実験の急性膵臓炎の誘発後に低下する
レナラーゼの遺伝子欠失は急性膵臓炎の悪化に繋がる
レナラーゼは膵臓腺房の損傷を低減する
外来性組み換えレナラーゼによる予備処理が生体外(腺房)および生体内で膵臓炎損傷の症状を低減した
生体内で膵臓炎が発症した後に外来性組み換えレナラーゼで治療すると、損傷の症状が低減した
外因性レナラーゼは細胞質Ca2+−信号伝達に影響を及ぼし、細胞膜Ca2+ATP分解酵素(PMCA)を活性化すると思われる
Claims (49)
- 腎臓病または腎臓障害の治療または予防を必要とする対象の当該疾患を治療または予防する方法であって、少なくとも1種のPMCA4b活性剤を含む組成物の治療有効量を当該対象に投与することを含む、方法。
- 前記PMCA4b活性剤が、化合物、タンパク質、ペプチド、ペプチド模倣物、抗体、および小分子化合物からなる群から選択される少なくとも1つである、請求項1に記載の方法。
- 前記PMCA4b活性剤が、レナラーゼポリペプチドである、請求項1に記載の方法。
- 前記レナラーゼポリペプチドが配列番号8のアミノ酸配列を含む、請求項3に記載の方法。
- 前記レナラーゼポリペプチドが配列番号9のアミノ酸配列を含む、請求項3に記載の方法。
- 前記PMCA4b活性剤がレナラーゼポリペプチド断片である、請求項1に記載の方法。
- 前記レナラーゼポリペプチド断片が配列番号3のアミノ酸配列を含む、請求項6の方法。
- 前記レナラーゼポリペプチド断片が配列番号4のアミノ酸配列を含む、請求項6の方法。
- 前記レナラーゼポリペプチド断片が配列番号5のアミノ酸配列を含む、請求項6の方法。
- 前記少なくとも1種のPMCA4b活性剤が1回で投与される、請求項1に記載の方法。
- 前記少なくとも1種のPMCA4b活性剤が繰り返し投与される、請求項1に記載の方法。
- 前記少なくとも1種のPMCA4b活性剤が、局所、領域、または全身に投与される、請求項1に記載の方法。
- 前記PMCA4b活性剤が、PMCA4b発現の活性剤、PMCA4b活性の活性剤、またはこれらの組み合わせである、請求項1に記載の方法。
- 前記腎臓病または腎臓障害が、急性腎損傷(AKI)、慢性腎臓病(CKD)、腎臓虚血性損傷、腎臓再かん流損傷、腎臓虚血性再かん流損傷、毒性腎損傷、尿細管壊死、尿細管炎症、尿細管アポトーシス、高血圧症、およびこれらの任意の組み合わせからなる群から選択される、請求項1に記載の方法。
- 前記対象はヒトである、請求項1に記載の方法。
- 癌を治療または予防を必要とする対象において当該疾患を治療または予防する方法であって、少なくとも1種のPMCA4b阻害剤を含む組成物の治療有効量を当該対象に投与することを含む、方法。
- 前記PMCA4b阻害剤が、化合物、タンパク質、ペプチド、ペプチド模倣物、抗体、リボザイム、小分子化合物、およびアンチセンス核酸分子からなる群から選択される少なくとも1つである、請求項16の方法。
- 前記PMCA4b阻害剤がカロキシン1bである、請求項16に記載の方法。
- 前記PMCA4b阻害剤がシスプラチンである、請求項16に記載の方法。
- 前記癌が、脳癌、膀胱癌、乳癌、頸部癌、結腸直腸癌、肝臓癌、腎臓癌、リンパ腫、白血病、肺癌、黒色腫、転移性黒色腫、中皮腫、神経芽細胞腫、卵巣癌、前立腺癌、膵臓癌、腎臓癌、皮膚癌、胸腺腫、肉腫、非ホジキンリンパ腫、ホジキンリンパ腫、子宮癌、およびこれらの任意の組み合わせからなる群から選択される、請求項16に記載の方法。
- 前記対象はヒトである、請求項16に記載の方法。
- 膵臓病または膵臓障害の治療または予防を必要とする対象において当該疾患を治療または予防する方法であって、少なくとも1種の薬剤を含む組成物の治療有効量を当該対象に投与することを含み、前記少なくとも1種の薬剤が、レナラーゼポリペプチド、レナラーゼポリペプチド断片、およびレナラーゼの活性剤からなる群から選択される少なくとも1つである、方法。
- 前記レナラーゼポリペプチドが、組み換えレナラーゼポリペプチドである、請求項22に記載の方法。
- 前記レナラーゼポリペプチドが配列番号8のアミノ酸配列を含む、請求項22に記載の方法。
- 前記レナラーゼポリペプチドが配列番号9のアミノ酸配列を含む、請求項22に記載の方法。
- 前記レナラーゼポリペプチド断片が配列番号3のアミノ酸配列を含む、請求項22に記載の方法。
- 前記レナラーゼポリペプチド断片が配列番号4のアミノ酸配列を含む、請求項22に記載の方法。
- 前記レナラーゼポリペプチド断片が配列番号5のアミノ酸配列を含む、請求項22に記載の方法。
- 前記少なくとも1種の薬剤が1回で投与される、請求項22に記載の方法。
- 前記少なくとも1種の薬剤が繰り返し投与される、請求項22に記載の方法。
- 前記少なくとも1種の薬剤が局所、領域、または全身に投与される、請求項22に記載の方法。
- 前記レナラーゼの活性剤が、レナラーゼ発現の活性剤、レナラーゼ活性の活性剤、またはこれらの組み合わせである、請求項22に記載の方法。
- 前記レナラーゼの活性剤が、化合物、タンパク質、ペプチド、ペプチド模倣物、および小分子化合物からなる群から選択される少なくとも1つである、請求項22に記載の方法。
- 前記膵臓病または膵臓障害が、急性膵臓炎および慢性膵臓炎からなる群から選択される少なくとも1つである、請求項22に記載の方法。
- 膵臓病または膵臓障害の診断を必要とする対象において、当該疾患を診断する方法であって、
a.前記対象の生体試料中のレナラーゼ濃度を決定すること、
b.前記対象の生体試料中のレナラーゼ濃度を比較対照と比較すること、および
c.前記対象の生体試料のレナラーゼ濃度が前記比較対照のレナラーゼ濃度に比べて低い場合に、前記対象が膵臓病または膵臓障害を有すると診断すること
を含む、方法。 - 膵臓病または膵臓障害を有すると診断された前記対象に治療を施す工程をさらに含む、請求項35に記載の方法。
- 前記生体試料中のレナラーゼmRNAの濃度を測定して前記生体試料のレナラーゼ濃度を決定する、請求項35に記載の方法。
- 前記生体試料中のレナラーゼポリペプチドの濃度を測定して前記生体試料のレナラーゼ濃度を決定する、請求項35に記載の方法。
- 前記生体試料中のレナラーゼポリペプチドの酵素活性を測定して前記生体試料のレナラーゼ濃度を決定する、請求項35に記載の方法。
- 前記比較対照が、陰性対照、歴史的対照、歴史的基準、または前記生体試料中の基準分子濃度からなる群から選択される少なくとも1つである、請求項35に記載の方法。
- 前記膵臓病または膵臓障害が、急性膵臓炎および慢性膵臓炎からなる群から選択される少なくとも1つである、請求項35に記載の方法。
- 前記対象はヒトである、請求項35に記載の方法。
- 試験化合物をレナラーゼ受容体の活性の調節剤として同定する方法であって、
a.試験化合物の存在下でレナラーゼ受容体の活性度を求めること、
b.試験化合物の非存在下でレナラーゼ受容体の活性度を求めること、
c.前記試験化合物の存在下でのレナラーゼ受容体の活性度を前記試験化合物の非存在下でのレナラーゼ受容体の活性度と比較すること、および
d.前記試験化合物の存在下でのレナラーゼ受容体の活性度が前記試験化合物の非存在下でのレナラーゼ受容体の活性度と異なる場合に、前記試験化合物をレナラーゼ受容体の活性の調節剤として同定することを含む、方法。 - 前記試験化合物の存在下でレナラーゼ受容体の活性度が高まる場合は、前記試験化合物が活性剤として同定される、請求項43に記載の方法。
- 前記試験化合物の存在下でレナラーゼ受容体の活性度が下がる場合は、前記試験化合物が阻害剤として同定される、請求項43に記載の方法。
- マイトジェン活性化タンパク質キナーゼ(MAPK)信号伝達の濃度を測定してレナラーゼ受容体の活性度を決定する、請求項43に記載の方法。
- ATP分解酵素活性を測定してレナラーゼ受容体の活性度を決定する、請求項43に記載の方法。
- 前記レナラーゼ受容体がPMCA4bである、請求項43に記載の方法。
- 前記試験化合物が、化合物、タンパク質、ペプチド、ペプチド模倣物、抗体、核酸、アンチセンス核酸、siRNA、miRNA、shRNA、リボザイム、アロステリック調節剤、および小分子化合物からなる群から選択される少なくとも1つである、請求項43に記載の方法。
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