JP5906019B2 - Application of immunostimulation G9.1 to creation of anti-tuberculosis booster vaccine - Google Patents
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Description
本発明は、新規な抗結核ブースターワクチンに関する。 The present invention relates to a novel anti-tuberculosis booster vaccine.
世界人口の約3分の1に結核菌が感染し、年間約800万人の新規結核患者が発生し、約200万人が死亡している。このように結核は、現在も深刻な細菌感染症であり、世界規模での対応が求められている。 About one-third of the world's population is infected with tuberculosis, and about 8 million new tuberculosis patients occur each year, and about 2 million people die. In this way, tuberculosis is still a serious bacterial infection, and a worldwide response is required.
わが国では、乳児期に接種したBCGに対する免疫が低下する10代半ばから老年に至る世代の結核発症が問題となっている。世界で唯一の結核ワクチンであるBCGは、小児の結核性髄膜炎や粟粒結核には十分に有効であるが、成人の肺結核に対する効果は限定的である。しかも、成人結核に対するBCGの再接種の有効性は明確でない。 In Japan, the onset of tuberculosis among generations from the mid-teens to the elderly, whose immunity to BCG inoculated during infancy declines, has become a problem. BCG, the only tuberculosis vaccine in the world, works well in children with tuberculous meningitis and miliary tuberculosis, but has limited effects on pulmonary tuberculosis in adults. Moreover, the effectiveness of BCG revaccination against adult tuberculosis is not clear.
このため、BCGによる免疫効果を増強するために、結核菌のDNA結合タンパク質(MDP-1)(特許第4415200号;J. Immunol. 175, 441-449, 2005;結核 第82巻第10号2007年 第786-789頁)を使用することが提案されている。しかしながら、成人期において結核免疫を賦活するための更に効果的な方法の開発が課題となっている。 Therefore, in order to enhance the immune effect by BCG, DNA binding protein (MDP-1) of Mycobacterium tuberculosis (Patent No. 4415200; J. Immunol. 175, 441-449, 2005; Tuberculosis Vol. 82, No. 10 2007) Year pp. 786-789) is proposed. However, the development of more effective methods for stimulating tuberculosis immunity in adulthood has become a challenge.
わが国では、生後6ヶ月以内にBCG初回接種を行うことが定められているので、このことを前提として、本発明は、初回免疫の効果を増強し、成人期以降の低下した結核免疫を増強する抗結核ブースターワクチンを提供するものである。 In Japan, it is stipulated that the first BCG vaccination should be performed within the first 6 months of life. Therefore, on the premise of this, the present invention enhances the effect of the first immunization and enhances the reduced tuberculosis immunity after adulthood. An anti-tuberculosis booster vaccine is provided.
本発明者らは、上記の課題を解決するため、種々検討した結果、免疫刺激効果を有することが知られているオリゴヌクレオチドG9.1(GGGGGGGGGGACGATCGTCG)(特許第3976742号、米国特許第7718623号)と、結核菌DNA結合タンパク質(MDP1)との併用により、顕著な抗結核免疫賦活効果が得られることを見出し、本件発明を完成した。 As a result of various studies to solve the above problems, the present inventors have found that oligonucleotide G9.1 (GGGGGGGGGGACGATCGTCG) known to have an immunostimulatory effect (Patent No. 3976742, U.S. Pat. No. 7718623) And the combined use with M. tuberculosis DNA binding protein (MDP1), a remarkable anti-tuberculosis immunostimulatory effect was found, and the present invention was completed.
したがって、本発明は、次の塩基配列:GGGGGGGGGGACGATCGTCGから成るオリゴヌクレオチド(G9.1と称する場合がある)と結核菌DNA結合タンパク質(MDP1)との組み合わせを特徴とする、抗結核ブースターワクチンを提供する。上記結核菌DNA結合タンパク質(MDP1)は、好ましくは組換え生産されたものである。この抗結核ブースターワクチンは、好ましくは経鼻投与、皮内・皮下投与、筋肉内投与などにより投与される。 Accordingly, the present invention provides an anti-tuberculosis booster vaccine characterized by a combination of an oligonucleotide (sometimes referred to as G9.1) consisting of the following base sequence: GGGGGGGGGGACGATCGTCG and Mycobacterium tuberculosis DNA binding protein (MDP1) . The Mycobacterium tuberculosis DNA binding protein (MDP1) is preferably recombinantly produced. This anti-tuberculosis booster vaccine is preferably administered by nasal administration, intradermal / subcutaneous administration, intramuscular administration and the like.
下記の実施例の記載などから明らかなとおり、結核菌タンパク質MDP1のマウスへの経鼻投与においてG9.1がTh1型免疫反応を増強することが示され、この増強効果は既知の組換えコレラトキシンBサブユニット(rCTB)アジュバントより高かった。
また、あらかじめBCGを皮内接種し8週間経ったモルモットでは、G9.1が結核菌タンパク質MDP1に対するDTH反応を増強することが示された。
これらの結果より、G9.1は、結核菌タンパク質MDP1と組み合わせることで、抗結核ブースターワクチンの創出に応用しうることが示された。
As is apparent from the description of Examples below, G9.1 enhances Th1-type immune response in nasal administration of M. tuberculosis protein MDP1 to mice. It was higher than B subunit (rCTB) adjuvant.
Moreover, it was shown that G9.1 enhances the DTH response to M. tuberculosis protein MDP1 in guinea pigs that had been inoculated intradermally with BCG in advance for 8 weeks.
From these results, it was shown that G9.1 can be applied to the creation of an anti-tuberculosis booster vaccine by combining with M. tuberculosis protein MDP1.
オリゴヌクレオチドG9.1
本発明の活性成分であるオリゴヌクレオチドG9.1(GGGGGGGGGGACGATCGTCG)は、常法に従って化学合成など、任意の方法により入手することができる。
Oligonucleotide G9.1
Oligonucleotide G9.1 (GGGGGGGGGGACGATCGTCG) which is an active ingredient of the present invention can be obtained by any method such as chemical synthesis according to a conventional method.
結核菌DNA結合タンパク質MDP1
本発明における結核菌DNA結合タンパク質〔MDP1〕は、結核菌の免疫原性を示す、結核菌の主要な菌体タンパク質であり、特許第4415200号の明細書に記載されているような構造を有し、例えば、当該特許明細書に記載されている方法により得ることができる。このタンパク質MDP1は、結核菌から直接単離・精製することができ、また遺伝子組み換えにより製造することもできる。
Mycobacterium tuberculosis DNA binding protein MDP1
The Mycobacterium tuberculosis DNA-binding protein [MDP1] in the present invention is a major cell protein of Mycobacterium tuberculosis showing the immunogenicity of Mycobacterium tuberculosis, and has a structure as described in the specification of Japanese Patent No. 4415200. For example, it can be obtained by the method described in the patent specification. This protein MDP1 can be isolated and purified directly from Mycobacterium tuberculosis, and can also be produced by genetic recombination.
結核菌DNA結合タンパク質〔MDP1〕は、特許第4415200号明細書に記載されているように、配列番号1に記載のアミノ酸配列からなるタンパク質、及び配列番号1に記載のアミノ酸配列において、1又は複数個の置換、付加又は欠失してなるアミノ酸配列からなり、且つ、DNA結合能及び増殖遅延能を有するポリペプチドを含む。 As described in Japanese Patent No. 4415200, M. tuberculosis DNA-binding protein [MDP1] is one or more in the protein consisting of the amino acid sequence set forth in SEQ ID NO: 1 and the amino acid sequence set forth in SEQ ID NO: 1. It includes a polypeptide having an amino acid sequence obtained by substitution, addition or deletion, and having DNA binding ability and growth retardation ability.
最近の統計によれば、わが国において、新たな結核患者は、BCGによる免疫の効果が低下すると考えられる20歳前後から増加する。したがって、本発明の抗結核ブースターワクチンは、15歳から20歳までに投与するのが好ましい。
投与量は、結核菌DNA結合タンパク質[MDP1]は0.1-50μg/Kg体重であり、G9.1は1-50μg/Kg体重程度である。投与は、15歳から20歳までに1回行い、必要に応じ2-8週の間隔をおいて1-2回追加を行うのが好ましい。また、ハイリスク成人には随時追加投与を行うのが好ましい。
According to recent statistics, the number of new tuberculosis patients in Japan increases from around 20 years old when the effect of immunity by BCG is considered to decrease. Therefore, the anti-tuberculosis booster vaccine of the present invention is preferably administered from 15 to 20 years old.
The dosage is about 0.1-50 μg / Kg body weight for M. tuberculosis DNA binding protein [MDP1] and about 1-50 μg / Kg body weight for G9.1. The administration is preferably performed once from the age of 15 to 20 years, and it is preferably performed 1-2 times at intervals of 2-8 weeks as necessary. In addition, it is preferable to perform additional administration as needed for high-risk adults.
本発明の抗結核ブースターワクチンは、経鼻投与、皮内投与、皮下投与、筋肉内投与、経口投与などにより行うことができる。剤形は、投与経路に応じて、常法により選択することができる。 The anti-tuberculosis booster vaccine of the present invention can be administered by nasal administration, intradermal administration, subcutaneous administration, intramuscular administration, oral administration and the like. The dosage form can be selected by a conventional method according to the administration route.
次に、実施例により本件発明をさらに具体的に説明する。
実施例1. マウスにおけるMDP1の免疫応答に対するG9.1オリゴヌクレオチドの効果
実験1:
12匹のC57BL/6マウスを3群にわけ、1群(4匹)には、MDP1(5μg/マウス)のみを、2群(4匹)には、MDP1(5μg/マウス)とrCTB(20μg)とを、3群(4匹)には、MDP1(5μg/マウス)とG9.1(20μg)とを、それぞれ軽麻酔下で経鼻投与した。初回免疫(8週齢)の後、2週目、3週目、及び4週目に同じ組成を追加免疫し、5週目に採血し、MDP1特異的抗体IgG2cの抗体価を測定した。
なお、rCTBは、イナバ型コレラトキシン569B株由来のコレラトキシンBサブユニット遺伝子をバシルス・ブレビス(Bacillus brevis)にて発現させて組換え生産したものである(Ichikawa Y, Yamagata H, Tochikubo K, Udaka S. Very efficient extracellular production of cholera toxin B subunit using Bacillus brevis. FEMS Microbil lett. 1993 Aug 1; 111(2-3): 219-224)。
結果を、下記の表1及び図1に示す。
Next, the present invention will be described more specifically with reference to examples.
Example 1. Effect of G9.1 oligonucleotide on immune response of MDP1 in mice
Experiment 1:
Twelve C57BL / 6 mice were divided into 3 groups, 1 group (4 mice) had only MDP1 (5 μg / mouse), 2 groups (4 mice) had MDP1 (5 μg / mouse) and rCTB (20 μg ) And 3 groups (4 mice) were administered MDP1 (5 μg / mouse) and G9.1 (20 μg) nasally under light anesthesia, respectively. After the first immunization (8 weeks old), the same composition was boosted at 2 weeks, 3 weeks, and 4 weeks, blood was collected at 5 weeks, and the antibody titer of MDP1-specific antibody IgG2c was measured.
RCTB is a recombinantly produced product of the cholera toxin B subunit gene derived from Inaba-type cholera toxin 569B strain expressed in Bacillus brevis (Ichikawa Y, Yamagata H, Tochikubo K, Udaka). 1993 Aug 1; 111 (2-3): 219-224). S. Very efficient extracellular production of cholera toxin B subunit using Bacillus brevis. FEMS Microbil lett.
The results are shown in Table 1 below and FIG.
上記の結果から明らかなとおり、MDP1+G9.1共投与群では、MDP1単独投与群及びMDP1+rCTB共投与群に比べて、抗MDP1抗体IgG2cの抗体価が有意に高かった。
組換え結核菌タンパク質MDP1の経鼻投与において、Th1型免疫反応の指標であるIgG2cの産生が、G9.1を組み合わせることにより上昇したことは、G9.1が結核に対する細胞性免疫の増強に有用であることを意味する。
As is clear from the above results, the antibody titer of the anti-MDP1 antibody IgG2c was significantly higher in the MDP1 + G9.1 co-administration group than in the MDP1 single administration group and the MDP1 + rCTB co-administration group.
In nasal administration of recombinant Mycobacterium tuberculosis protein MDP1, the production of IgG2c, an indicator of Th1-type immune response, was increased by combining G9.1, which is useful for enhancing cellular immunity against tuberculosis It means that.
実験2:
12匹のBALB/cマウスを3群にわけ、1群(4匹)には、MDP1(5μg/マウス)のみを、2群(4匹)には、MDP1(5μg/マウス)とrCTB(20μg)とを、3群(4匹)には、MDP1(5μg/マウス)とG9.1(20μg)とを、それぞれ軽麻酔下で経鼻投与した。初回免疫(8週齢)の後、2週目、3週目、及び4週目に同じ組成を追加免疫し、5週目に採血し、MDP1特異的抗体IgG2aの抗体価を測定した。
結果を、下記の表2及び図2に示す。
Experiment 2:
Twelve BALB / c mice were divided into 3 groups, 1 group (4 mice) had only MDP1 (5 μg / mouse), 2 groups (4 mice) had MDP1 (5 μg / mouse) and rCTB (20 μg ) And 3 groups (4 mice) were administered MDP1 (5 μg / mouse) and G9.1 (20 μg) nasally under light anesthesia, respectively. After the first immunization (8 weeks old), the same composition was boosted at 2 weeks, 3 weeks and 4 weeks, blood was collected at 5 weeks, and the antibody titer of MDP1-specific antibody IgG2a was measured.
The results are shown in Table 2 below and FIG.
上記の結果から明らかなとおり、MDP1+G9.1共投与群では、MDP1単独投与群及びMDP1+rCTB共投与群に比べて、抗MDP1抗体IgG2aの抗体価が有意に高かった。
組換え結核菌タンパク質MDP1の経鼻投与において、Th1型免疫反応の指標であるIgG2aの産生が、G9.1を組み合わせることにより上昇したことは、G9.1が結核に対する細胞性免疫の増強に有用であることを意味する。
As is clear from the above results, the antibody titer of the anti-MDP1 antibody IgG2a was significantly higher in the MDP1 + G9.1 co-administration group than in the MDP1 single administration group and the MDP1 + rCTB co-administration group.
In nasal administration of recombinant M. tuberculosis protein MDP1, the production of IgG2a, an indicator of Th1-type immune response, was increased by combining G9.1, which is useful for enhancing cellular immunity against tuberculosis It means that.
実施例3. モルモットにおけるMDP1の免疫応答に対するG9.1オリゴヌクレオチドの効果
実験1:
8匹のモルモットを2群に分け、1群4匹では、5週齢のモルモットに、結核免疫誘導能の低いBCGIIを皮内接種した。8週経過後に、追加免疫として、20μg/動物のMDP1及び20μg/動物のG9.1の皮内接種を行った。その2ヶ月後に、MDP1(0.2及び2μg)に対する遅延型過敏反応(Delayed-Type Hypersensitivity; DTH)(mm)を測定した。2群4匹では、1群と同様の処理をしたが、追加免疫として20μg/動物のMDP1を単独で皮内接種した。DTH反応は1群と同様に測定した。
なお、BCGIIを皮内接種したモルモットは、結核免疫の低下した成人を模倣するモデル動物としたものである。
結果を、下記の表3及び図3に示す。
Example 3. Effect of G9.1 oligonucleotide on immune response of MDP1 in guinea pigs
Experiment 1:
Eight guinea pigs were divided into two groups, and four mice per group were inoculated intradermally with 5-week-old guinea pigs with a low ability to induce tuberculosis immunity. After 8 weeks, as a booster, 20 μg / animal MDP1 and 20 μg / animal G9.1 were inoculated intradermally. Two months later, a delayed-type hypersensitivity (DTH) (mm) against MDP1 (0.2 and 2 μg) was measured. In 2 groups of 4 animals, the same treatment as in
The guinea pig inoculated intradermally with BCGII is a model animal that mimics an adult with reduced tuberculosis immunity.
The results are shown in Table 3 below and FIG.
上記の結果から明らかなとおり、MDP1をG9.1と共に追加免疫したモルモットでは、MDP1のみを追加免疫したモルモットに比べて、遅延型過敏反応(DTH)が高く誘導された。
したがって、G9.1は、MDP1と組み合わせることで、成人において低下した結核免疫を増強するのに有効であることが示される。
As is clear from the above results, delayed hypersensitivity reaction (DTH) was induced higher in guinea pigs boosted with MDP1 together with G9.1 than in guinea pigs boosted with MDP1 alone.
Thus, G9.1 is shown to be effective in combination with MDP1 to enhance reduced tuberculosis immunity in adults.
実験2:
実験2は実験1と同様に行ったが、BCG II接種後の追加免疫を2回反復し、1回目は8週間後に接種し、2回目は16週間後に接種した。
2回目の接種の2ヶ月後に遅延型過敏反応(DTH)を測定した結果を、下記の表4及び図4に示す。
Experiment 2:
The results of measuring delayed hypersensitivity reaction (DTH) 2 months after the second inoculation are shown in Table 4 and FIG.
上記の結果から明らかなとおり、追加免疫を2回行った場合も、MDP1をG9.1と共に追加免疫したモルモットでは、MDP1のみを追加免疫したモルモットに比べて、遅延型過敏反応(DTH)が高く誘導された。
したがって、G9.1は、MDP1と組み合わせることで、成人において低下した結核免疫を増強するのに有効であることが示される。
As is clear from the above results, delayed sensitization (DTH) was higher in guinea pigs boosted with MDP1 together with G9.1 than in guinea pigs boosted with MDP1 alone, even when boosted twice. Induced.
Thus, G9.1 is shown to be effective in combination with MDP1 to enhance reduced tuberculosis immunity in adults.
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