JP2022107724A - 操作されたヘム結合性構成物およびその使用 - Google Patents
操作されたヘム結合性構成物およびその使用 Download PDFInfo
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Abstract
Description
本出願は、2013年5月21日に出願された米国仮出願第61/825,707号の米国特許法第119条(e)の下での恩典を主張し、この内容は参照によりそれらの全体が本明細書に組み入れられる。
本出願は、ASCIIフォーマットで電子的に提出され、参照によりその全体が本明細書に組み入れられる、配列表を含有する。2015年11月18日に作成された、前記ASCIIコピーは、002806-076886-JP_SL.txtという名称であり、51,140バイトのサイズである。
本明細書に記載の技術は、ヘムおよび/またはミオグロビン関連疾患および障害、例えば、敗血症、横紋筋融解症、圧挫損傷などの治療に関する方法および構成物に関する。
敗血症は、重篤な微生物感染症に関係していることが多い致死的な状態である。しかし、多くの仮説が提案されたが、敗血症性ショックの正確な原因は合意されておらず、これらの様々な仮説の源を標的化することに基づく治療法は、全般的に臨床試験において(または臨床試験前に)失敗した。現在の治療は一般に抗生物質の投与を含む。過去の臨床試験は、微生物感染症に対する免疫系反応を制限し、それによって敗血症の原因因子であると仮定された「サイトカインストーム」を減らすことに集中した。加えて、人々はサイトカインを除去するために透析の使用に目を向けた。
ヘムおよび/またはミオグロビン関連疾患および障害、例えば、敗血症および横紋筋融解症の治療に関する方法および構成物を本明細書に記載する。本明細書に記載の技術は、血液中の過剰な遊離ヘムが敗血症の進行において役割を果たし得るという認識に基づいている。敗血症患者または動物において、微生物感染は、赤血球(RBS)溶解の大幅な増加をもたらし得、これは、今度は、血流中の可溶性遊離ヘムの著しい増加をもたらす。この増加は、ヘムの内因性レベルを通常は除去するヘモペキシンの内因性レベルを圧倒し、ヘムの危険なほど高いレベルへ至る。血液中の過剰なヘムは、微生物病原体に容易に利用可能な鉄源を提供し、これは微生物増殖における制限因子であり得、細菌またはウイルス感染が血液と共存する場合、ヘモグロビンおよびヘムは、微生物誘発炎症に実質的に寄与し得る。
本明細書に記載されるように、本発明者らは、血液中の遊離ヘムを結合するために、あるヘモペキシン融合タンパク質を使用することができることを見出した。従って、これらの融合タンパク質に関する方法および構成物、ならびに、例えば、敗血症の治療のために、血液中のヘムレベルを減少させるためのそれらの使用を、本明細書に提供する。
またはEZN(SEQ ID NO: 30)を含むその断片、GSDEDCVLL(SEQ ID NO. 32)またはEを含むその断片、および
またはND(SEQ ID NO: 29)を含むその断片。そのようなCRD断片に対する修飾、例えば保存的置換による修飾もまた、本明細書に記載される範囲に含まれる。いくつかの態様において、本明細書に記載の操作された分子において使用されるMBLまたはその断片は、野生型分子または組換え分子であり得る。
またはそれらの任意の断片を含むがこれらに限定されない。
を含む。
1. ヘモペキシンドメインと、
リンカー;微生物結合性分子;および/または基質結合性ドメインからなる群より選択される第2ドメインと
を含む、操作されたヘム結合性分子であって、
第2ドメインがヘモペキシンドメインにコンジュゲートされている、操作されたヘム結合性分子。
2. 基質結合性ドメインがFcドメインまたはAKT(SEQ ID NO: 35)である、項目1の操作されたヘム結合性分子。
3. Fcドメインにコンジュゲートされたヘモペキシンドメインを含むヘム結合性構成物。
4. 検出可能な標識をさらに含む、項目1~3のいずれかの分子または構成物。
5. 項目1~4のいずれかのヘム結合性分子またはヘム結合性構成物を含み、さらに微生物結合性ドメインを含む、構成物。
6. 微生物結合性ドメインが、
MBLおよびCRP
からなる群より選択される、項目1または5の構成物。
7. ヘム結合性分子または構成物がコンジュゲートされている固体基板または支持体をさらに含む、項目1~6のいずれかの構成物または分子。
8. 固体基板または支持体が中空繊維である、項目7の構成物または分子。
9. ヘモペキシンドメインが、SEQ ID NO: 2の配列を含むポリペプチドである、項目1~8のいずれかのヘム結合性構成物または分子。
10. ヘモペキシンドメインが、SEQ ID NO: 2の配列を有するポリペプチドである、項目1~9のいずれかのヘム結合性構成物または分子。
11. ヘモペキシンドメインが、SEQ ID NO: 2の残基27~233に対応する配列を有するポリペプチドを含む、項目1~8のいずれかのヘム結合性構成物または分子。
12. ヘモペキシンドメインが、SEQ ID NO: 2の残基1~233に対応する配列を有するポリペプチドを含む、項目1~8のいずれかのヘム結合性構成物または分子。
13. ヘモペキシンドメインが、SEQ ID NO: 2の残基27~220に対応する配列を有するポリペプチドを含む、項目1~8のいずれかのヘム結合性構成物または分子。
14. ヘモペキシンドメインが、SEQ ID NO: 2の残基1~220に対応する配列を有するポリペプチドを含む、項目1~8のいずれかのヘム結合性構成物または分子。
15. ヘモペキシンドメインが、SEQ ID NO: 2の残基27~213に対応する配列を有するポリペプチドを含む、項目1~8のいずれかのヘム結合性構成物または分子。
16. ヘモペキシンドメインが、SEQ ID NO: 2の残基1~213に対応する配列を有するポリペプチドを含む、項目1~8のいずれかのヘム結合性構成物または分子。
17. ヘモペキシンドメインが、SEQ ID NO: 2の残基220~226に対応する残基が約1~10アミノ酸長のポリペプチドリンカーで置き換えられている突然変異を含む、項目1~16のいずれかのヘム結合性構成物または分子。
18. ヘモペキシンドメインが、SEQ ID NO: 2の残基220~226に対応する残基が配列GSGS(SEQ ID NO: 18)で置き換えられている突然変異を含む、項目1~17のいずれかのヘム結合性構成物または分子。
19. Fcドメインが、SEQ ID NO: 8、SEQ ID NO: 7、SEQ ID NO: 17の配列を有するポリペプチドである、項目1~18のいずれかのヘム結合性構成物または分子。
20. SEQ ID NO: 4またはSEQ ID NO: 5の配列を有する、項目3のヘム結合性構成物。
21. 対象の血液と、項目1~20のいずれかのヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子とを接触させる工程を含む、対象の血液中の遊離ヘムのレベルを減少させる方法。
22. 有効量の項目1~20のいずれかのヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子を投与する工程を含む、敗血症を治療する方法。
23. 対象の血液と、項目1~20のいずれかのヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子とを接触させる工程を含む、対象の血液中のミオグロビンのレベルを減少させる方法。
24. 有効量の項目1~20のいずれかのヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子を投与する工程を含む、横紋筋融解症または圧挫損傷を治療する方法。
25. 投与が、対象の血液と、ヘモペキシンドメインを含むヘム結合性構成物または分子とを接触させる工程を含む、項目22または24の方法。
26. 接触させる工程の前に対象の血液の一部分を取り出し、接触させる工程を体外で行い、次いで対象の血液の該一部分を対象へ戻す工程をさらに含む、項目21~25のいずれかの方法。
27. ヘモペキシンドメインを含むヘム結合性構成物または分子が、体外デバイスの固体基板に結合されている、項目26の方法。
28. 固体基板が、フィルター、アフィニティーカラム、ビーズ、または粒子である、項目27の方法。
29. ヘモペキシンドメインを含む分子が、ヘモペキシンドメインから本質的になる分子である、項目21~28のいずれかの方法。
30. ヘモペキシンドメインを含む分子が、ヘモペキシンドメインからなる分子である、項目21~29のいずれかの方法。
31. ヘモペキシンドメインを含む分子が、SEQ ID NO: 1~2または9~16のいずれかの配列を有する、項目21~30のいずれかの方法。
32. タンパク質の産生に適した条件下で項目1~20のいずれかのヘム結合性構成物または分子をコードする核酸を含む細胞を培養する工程;および
安定化ドメイン結合性試薬を用いたアフィニティー精製、イオン交換精製、またはサイズに基づく精製によって、該ヘム結合性構成物または分子を精製する工程
を含む、ヘム結合性構成物または分子を産生する方法。
33. 細胞が、
微生物細胞;哺乳動物細胞;昆虫細胞;および植物細胞
からなる群より選択される、項目32の方法。
34. タンパク質の産生に適したインビトロ転写および/またはインビトロ翻訳条件下で項目1~20のいずれかのヘム結合性構成物または分子をコードする核酸を維持する工程;ならびに
安定化ドメイン結合性試薬を用いたアフィニティー精製、イオン交換精製、またはサイズに基づく精製によって、該ヘム結合性構成物を精製する工程
を含む、ヘム結合性分子または構成物を産生する方法。
敗血症は、重篤な微生物感染症に関係していることが多い致死的な状態である。しかし、多くの仮説が提案されたが、敗血症性ショックの正確な原因は合意されておらず、これらの様々な仮説の源を標的化することに基づく治療法は、全般的に臨床試験において(または臨床試験前に)失敗した。研究によって、最近、血液中の過剰な遊離ヘムが敗血症の進行において役割を果たしているようであり、血液から過剰なヘムを除去する機構は、敗血症に苦しんでいる患者において非常に有用であり得ることが示唆された。宿主抗微生物機構は、病原体への鉄の利用可能性を減少させる。自然免疫反応に影響を与える鉄タンパク質としては、ヘプシジン、ラクトフェリン、シデロカリン(siderocalin)、ハプトグロビン、ヘモペキシン、Nramp1、フェロポーチンおよびトランスフェリン受容体が挙げられる(1)。
> aktFcヘモペキシン;N末端からC末端へ列挙された以下のモチーフの融合タンパク質:トリペプチドAla-Lys-Thr(SEQ ID NO: 35)、ヒトIgG1(N297D)のネックおよびFc領域、単一アラニン挿入、ヒトヘモペキシン(リーダー配列は除去されている)(SEQ ID NO:3)。
> aktFcヘモペキシンNT:N末端からC末端へ列挙された以下のモチーフの融合タンパク質:トリペプチドAla-Lys-Thr(SEQ ID NO: 35)、ヒトIgG1(N297D)のネックおよびFc領域、単一アラニン挿入、ヒトヘモペキシンのN末端ドメイン(発現されたタンパク質の残基24~256)(SEQ ID NO: 4)。
ミオグロビンへの様々なFcHx構築物の結合を測定した(表2)。
** gly 220からthr 219までの残基はgly-ser-gly-serリンカー(SEQ ID NO: 18)で置き換えられている
Claims (34)
- ヘモペキシンドメインと、
リンカー;微生物結合性分子;および/または基質結合性ドメインからなる群より選択される第2ドメインと
を含む、操作されたヘム結合性分子であって、
第2ドメインがヘモペキシンドメインにコンジュゲートされている、操作されたヘム結合性分子。 - 基質結合性ドメインがFcドメインまたはAKT(SEQ ID NO: 35)である、請求項1記載の操作されたヘム結合性分子。
- Fcドメインにコンジュゲートされたヘモペキシンドメインを含むヘム結合性構成物。
- 検出可能な標識をさらに含む、請求項1~3のいずれか一項記載の分子または構成物。
- 請求項1~4のいずれか一項記載のヘム結合性分子またはヘム結合性構成物を含み、さらに微生物結合性ドメインを含む、構成物。
- 微生物結合性ドメインが、
MBLおよびCRP
からなる群より選択される、請求項1または5記載の構成物。 - ヘム結合性分子または構成物がコンジュゲートされている固体基板または支持体をさらに含む、請求項1~6のいずれか一項記載の構成物または分子。
- 固体基板または支持体が中空繊維である、請求項7記載の構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の配列を含むポリペプチドである、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の配列を有するポリペプチドである、請求項1~9のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基27~233に対応する配列を有するポリペプチドを含む、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基1~233に対応する配列を有するポリペプチドを含む、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基27~220に対応する配列を有するポリペプチドを含む、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基1~220に対応する配列を有するポリペプチドを含む、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基27~213に対応する配列を有するポリペプチドを含む、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基1~213に対応する配列を有するポリペプチドを含む、請求項1~8のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基220~226に対応する残基が約1~10アミノ酸長のポリペプチドリンカーで置き換えられている突然変異を含む、請求項1~16のいずれか一項記載のヘム結合性構成物または分子。
- ヘモペキシンドメインが、SEQ ID NO: 2の残基220~226に対応する残基が配列GSGS(SEQ ID NO: 18)で置き換えられている突然変異を含む、請求項1~17のいずれか一項記載のヘム結合性構成物または分子。
- Fcドメインが、SEQ ID NO: 8、SEQ ID NO: 7、SEQ ID NO: 17の配列を有するポリペプチドである、請求項1~18のいずれか一項記載のヘム結合性構成物または分子。
- SEQ ID NO: 4またはSEQ ID NO: 5の配列を有する、請求項3記載のヘム結合性構成物。
- 対象の血液と、請求項1~20のいずれか一項記載のヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子とを接触させる工程を含む、対象の血液中の遊離ヘムのレベルを減少させる方法。
- 有効量の請求項1~20のいずれか一項記載のヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子を投与する工程を含む、敗血症を治療する方法。
- 対象の血液と、請求項1~20のいずれか一項記載のヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子とを接触させる工程を含む、対象の血液中のミオグロビンのレベルを減少させる方法。
- 有効量の請求項1~20のいずれか一項記載のヘム結合性構成物もしくは分子またはヘモペキシンドメインを含む分子を投与する工程を含む、横紋筋融解症または圧挫損傷を治療する方法。
- 投与が、対象の血液と、ヘモペキシンドメインを含むヘム結合性構成物または分子とを接触させる工程を含む、請求項22または24記載の方法。
- 接触させる工程の前に対象の血液の一部分を取り出し、接触させる工程を体外で行い、次いで対象の血液の該一部分を対象へ戻す工程をさらに含む、請求項21~25のいずれか一項記載の方法。
- ヘモペキシンドメインを含むヘム結合性構成物または分子が、体外デバイスの固体基板に結合されている、請求項26記載の方法。
- 固体基板が、フィルター、アフィニティーカラム、ビーズ、または粒子である、請求項27記載の方法。
- ヘモペキシンドメインを含む分子が、ヘモペキシンドメインから本質的になる分子である、請求項21~28のいずれか一項記載の方法。
- ヘモペキシンドメインを含む分子が、ヘモペキシンドメインからなる分子である、請求項21~29のいずれか一項記載の方法。
- ヘモペキシンドメインを含む分子が、SEQ ID NO: 1~2または9~16のいずれかの配列を有する、請求項21~30のいずれか一項記載の方法。
- タンパク質の産生に適した条件下で請求項1~20のいずれか一項記載のヘム結合性構成物または分子をコードする核酸を含む細胞を培養する工程;および
安定化ドメイン結合性試薬を用いたアフィニティー精製、イオン交換精製、またはサイズに基づく精製によって、該ヘム結合性構成物または分子を精製する工程
を含む、ヘム結合性構成物または分子を産生する方法。 - 細胞が、
微生物細胞;哺乳動物細胞;昆虫細胞;および植物細胞
からなる群より選択される、請求項32記載の方法。 - タンパク質の産生に適したインビトロ転写および/またはインビトロ翻訳条件下で請求項1~20のいずれか一項記載のヘム結合性構成物または分子をコードする核酸を維持する工程;ならびに
安定化ドメイン結合性試薬を用いたアフィニティー精製、イオン交換精製、またはサイズに基づく精製によって、該ヘム結合性構成物を精製する工程
を含む、ヘム結合性分子または構成物を産生する方法。
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JP2020090510A (ja) | 2020-06-11 |
HK1223560A1 (zh) | 2017-08-04 |
AU2014268603A1 (en) | 2015-12-10 |
WO2014190040A1 (en) | 2014-11-27 |
JP7121057B2 (ja) | 2022-08-17 |
EP3010522A4 (en) | 2017-01-04 |
JP2016520591A (ja) | 2016-07-14 |
EP3848045A1 (en) | 2021-07-14 |
US11939608B2 (en) | 2024-03-26 |
EP3848044A1 (en) | 2021-07-14 |
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