JP6531987B2 - Exosome recovery method for renal disease diagnosis - Google Patents
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Description
本発明はエクソソームの回収技術に関する。詳しくは、生体試料からメサンギウム細胞由来のエクソソームを選択的に回収する方法及びその用途に関する。 The present invention relates to exosome recovery technology. More specifically, the present invention relates to a method for selectively recovering mesangial cell-derived exosomes from a biological sample, and uses thereof.
エクソソームは、ほぼ全ての細胞が放出する50〜140nmの小嚢であり、その由来細胞が持つタンパク質、mRNA、microRNA(miRNA)等を内包する。脂質二重膜に覆われているが故にRNaseに耐性であり、且つ安定して長期保存できることから、バイオマーカーとして注目を集めている。従来、患者血漿、尿などの体液から超遠心法等を用いてエクソソームが分離されてきた(例えば非特許文献1を参照)。最近では、エクソソームの一般的な表面マーカーであるCD81などを用いて回収する方法(例えば特許文献1)も利用されている。 The exosome is a 50-140 nm vesicle released by almost all cells, and contains proteins, mRNA, microRNA (miRNA) and the like possessed by the cells derived from it. Because it is resistant to RNase because it is covered by a lipid bilayer membrane, and stable and can be stored for a long time, it has attracted attention as a biomarker. Conventionally, exosomes have been separated from body fluids such as patient plasma and urine using ultracentrifugation or the like (see, for example, Non-Patent Document 1). Recently, a method of recovering using, for example, CD81, which is a general surface marker of exosomes, has also been used (for example, Patent Document 1).
血中には様々な細胞由来のエクソソームが存在している。目的(標的)細胞由来のエクソソームを回収できれば、当該細胞が関与する疾患の診断や治療等に有益な情報が得られる可能性がある。実際、起始細胞に特異的なエクソソームを分離して解析すること(特許文献2)、尿試料中のエクソソームを特定のタンパク質に対する抗体を利用して濃縮すること(特許文献3)などが試みられている。 There are various cell-derived exosomes in the blood. If it is possible to recover the target (target) cell-derived exosome, there is a possibility that useful information can be obtained for diagnosis or treatment of a disease involving the cell. In practice, it is attempted to isolate and analyze exosomes specific to the cell of origin (Patent Document 2), to concentrate exosomes in urine samples using an antibody against a specific protein (Patent Document 3), etc. ing.
本邦には慢性腎臓病の患者が1,300万人いると想定されており、腎不全の進行に伴う血液透析を含めた腎代替療法の必要性や、合併症として、心筋梗塞などの心血管病の発症などから、社会的にも腎疾患の早期診断、治療に対するニーズが高まっている。多くの腎疾患は、検尿異常の指摘から腎臓内科専門医紹介となり、腎生検を行うことで確定診断がなされる。ただし、観血的な処置を行うリスクから、腎生検を行うことが出来る施設は限られており、検査の適応判断も一定とはいえない。 It is assumed that there are 13 million patients with chronic kidney disease in Japan, and there is a need for renal replacement therapy including hemodialysis accompanied by progression of renal failure and cardiovascular diseases such as myocardial infarction as a complication From the onset etc., there is an increasing social need for early diagnosis and treatment of kidney disease. Many renal diseases are referred to a specialist in renal medicine from the indication of urinalysis abnormalities, and a definitive diagnosis is made by performing a renal biopsy. However, due to the risk of performing invasive procedures, the facilities that can perform a renal biopsy are limited, and the indication judgment of the examination is not constant.
上記の通り、バイオマーカーとしてエクソソームが注目されており、腎疾患への適用も期待される。しかしながら、あらゆる細胞がエクソソームを分泌することから、従来の回収法では血管内皮細胞、上皮細胞、血小板など、様々な由来細胞をもつエクソソームが混在した状態で回収され、腎疾患に対する特異性に劣る。そこで本発明は、腎疾患の検査に有用な特定のエクソソームを回収する方法、及び回収されたエクソソームの用途(腎疾患の検査法等)を提供することを課題とする。 As mentioned above, exosomes are attracting attention as biomarkers, and their application to renal diseases is also expected. However, since all cells secrete exosomes, in the conventional recovery method, exosomes having various derived cells such as vascular endothelial cells, epithelial cells, platelets, etc. are recovered in a mixed state, and the specificity to renal disease is inferior. Therefore, an object of the present invention is to provide a method for recovering a specific exosome useful for examination of kidney disease, and a use of the recovered exosome (examination method for kidney disease etc.).
透析導入となる腎疾患として頻度の多い、糖尿病性腎症、IgA腎症及びループス腎炎ではメサンギウム細胞が病変の首座であることに着目し、メサンギウム細胞由来のエクソソームを選択的に回収することを目指した。メサンギウム細胞由来のエクソソームを選択的に回収できれば、糖尿病性腎症等の早期診断、それに基づく早期の治療介入等の実現に向け大きく前進する。 In diabetic nephropathy, IgA nephropathy and lupus nephritis, which are frequently used as renal diseases for dialysis induction, focusing on the fact that mesangial cells are the nucleus of the lesion, aiming to selectively recover mesangial cell-derived exosomes. The If it is possible to selectively recover exosomes derived from mesangial cells, it will greatly advance toward the realization of early diagnosis such as diabetic nephropathy and early therapeutic intervention based on it.
検討を重ねた結果、平滑筋細胞で発現が認められるとされるα8インテグリンがメサンギウム細胞由来のエクソソームを分離・回収するためのマーカーになることが判明するとともに、α8インテグリンに対する抗体を用いることによって、従来法で調製したエクソソーム(由来細胞が異なるエクソソームの集団)からメサンギウム細胞由来のエクソソームを選択的に回収することに成功した。即ち、メサンギウム細胞由来のエクソソームを選択的に回収する方法を開発した。この新規回収法の有効性を検証するために、当該方法で回収されたエクソソームを試料として、糖尿病腎症のマーカーの検出を試みたところ、高感度の検出が可能であった。即ち、当該回収方法の有効性が裏づけられるとともに、回収したエクソソームを利用して腎疾患の診断が可能であることが示唆された。
以下の発明は、主として以上の成果に基づく
[1]以下のステップ(1)及び(2)を含む、メサンギウム細胞由来のエクソソームの回収法:
(1)生体試料からエクソソームを分離するステップ;
(2)分離したエクソソームの中から、α8インテグリンを表面に発現しているエクソソームを分取するステップ。
[2]抗α8インテグリン抗体による捕捉によって、ステップ(2)の分取が行われる、[1]に記載の回収法。
[3]抗α8インテグリン抗体が固相担体に固定化されている、[2]に記載の回収法。
[4]固相担体が磁気ビーズである、[3]に記載の回収法。
[5]生体試料が血漿、血清又は尿である、[1]〜[4]のいずれか一項に記載の回収法。
[6]遠心処理、密度勾配遠心分離、フィルター処理、サイズ排除クロマトグラフィー及び超遠心処理からなる群より選択される一以上の処理によって、ステップ(1)の分離が行われる、[1]〜[5]のいずれか一項に記載の回収法。
[7]ステップ(2)の後、抗α8インテグリン抗体に捕捉された状態でエクソソームを回収する、[1]〜[6]のいずれか一項に記載の回収法。
[8]ステップ(2)の後、抗α8インテグリン抗体からエクソソームを脱離し、回収する、[1]〜[6]のいずれか一項に記載の回収法。
[9]α8インテグリンの発現を指標として回収したエクソソーム内又は表面の標的分子を検出することを特徴とする、腎疾患の検査法。
[10]標的分子がRNA、DNA又はタンパク質である、[9]に記載の検査法。
[11]RNAがmicroRNAである、[10]に記載の検査法。
[12]エクソソームが[1]〜[6]のいずれか一項に記載の回収法で回収されたものである、[9]〜[11]のいずれか一項に記載の検査法。
[13]エクソソームが[7]に記載の回収法で回収されたものであり、
抗α8インテグリン抗体に捕捉された状態のエクソソームを試料として標的分子を検出する、[9]〜[11]のいずれか一項に記載の検査法。
[14]α8インテグリンの発現を指標として一定量の生体試料から回収したエクソソームの量を検出することを特徴とする、検査法。
As a result of repeated studies, it has been found that α8 integrin, which is considered to be expressed in smooth muscle cells, is a marker for separating and recovering mesangial cell-derived exosomes, and by using an antibody against α8 integrin, We succeeded in selectively recovering mesangial cell-derived exosomes from exosomes (populations of exosomes with different cell origin) prepared by the conventional method. That is, a method was developed to selectively recover mesangial cell-derived exosomes. In order to verify the effectiveness of this new recovery method, detection of markers of diabetic nephropathy was attempted using the exosome recovered by this method as a sample, and highly sensitive detection was possible. That is, while the effectiveness of the said collection | recovery method was supported, it was suggested that a diagnosis of a renal disease is possible using the collect | recovered exosome.
The following invention is mainly based on the above results [1] A method for recovering mesangial cell-derived exosomes, which comprises the following steps (1) and (2):
(1) separating exosomes from a biological sample;
(2) A step of fractionating exosomes expressing α8 integrin on the surface from the separated exosomes.
[2] The recovery method according to [1], wherein the separation of step (2) is performed by capture with an anti-α8 integrin antibody.
[3] The recovery method according to [2], wherein the anti-α8 integrin antibody is immobilized on a solid phase carrier.
[4] The recovery method according to [3], wherein the solid support is magnetic beads.
[5] The recovery method according to any one of [1] to [4], wherein the biological sample is plasma, serum or urine.
[6] The separation in step (1) is performed by one or more treatments selected from the group consisting of centrifugation, density gradient centrifugation, filtering, size exclusion chromatography and ultracentrifugation, [1] to [1] The recovery method as described in any one of 5].
[7] The recovery method according to any one of [1] to [6], wherein after step (2), exosomes are recovered while being captured by the anti-α8 integrin antibody.
[8] The recovery method according to any one of [1] to [6], wherein after step (2), exosomes are detached from the anti-α8 integrin antibody and recovered.
[9] A test method for renal disease, which comprises detecting a target molecule in or on an exosome recovered using expression of α8 integrin as an index.
[10] The test according to [9], wherein the target molecule is RNA, DNA or protein.
[11] The test according to [10], wherein the RNA is a microRNA.
[12] The test method according to any one of [9] to [11], wherein the exosome is recovered by the method according to any one of [1] to [6].
[13] The exosome is recovered by the recovery method described in [7],
The test method according to any one of [9] to [11], wherein a target molecule is detected using an exosome in a state of being captured by an anti-α8 integrin antibody as a sample.
[14] A test method characterized by detecting the amount of exosome recovered from a fixed amount of biological sample by using expression of α8 integrin as an index.
本発明の第1の局面はメサンギウム細胞由来のエクソソームの回収法に関する。「メサンギウム細胞」は腎臓の糸球体を支持する結合組織(メサンギウム)の構成細胞である。糸球体係蹄の中軸部にメサンギウム細胞が認められる。「メサンギウム細胞由来」とは、メサンギウム細胞が産生したものであることを意味する。本発明は、メサンギウム細胞が産生したエクソソームを選択的に回収することにより、腎疾患の検査、腎疾患に対する治療効果の判定、腎疾患の発症ないし進展メカニズムの解明等に有用な試料を提供する。 A first aspect of the present invention relates to a method for recovering mesangial cell-derived exosomes. "Mesangium cells" are the constituent cells of connective tissue (mesangium) that support the glomerulus of the kidney. Mesangial cells are found in the central axis of the glomerular lock. "Mesangium cell-derived" means that it is produced by mesangial cells. The present invention provides a sample useful for examination of kidney disease, determination of therapeutic effect on kidney disease, elucidation of onset or progress mechanism of kidney disease and the like by selectively recovering exosomes produced by mesangial cells.
本発明の回収法では、以下のステップ(1)及び(2)を行う。
(1)生体試料からエクソソームを分離するステップ
(2)分離したエクソソームの中から、α8インテグリンを表面に発現しているエクソソームを分取するステップ
In the recovery method of the present invention, the following steps (1) and (2) are performed.
(1) Step of separating exosomes from a biological sample (2) Step of separating exosomes expressing α8 integrin on the surface from the separated exosomes
ステップ(1)は次のステップに適した試料、即ち、エクソソームの濃度が高められた(換言すれば、夾雑物の量が低減した)試料を調製するステップである。従って、当該ステップを、「試料中のエクソソームを濃縮するステップ」と言い換えることも可能である。ステップ(2)を実施する上で支障のない限り、当該ステップで得られる試料、即ち分離したエクソソームの濃度ないし純度は問わない。 Step (1) is a step of preparing a sample suitable for the next step, that is, a sample in which the concentration of exosomes is increased (in other words, the amount of contaminants is reduced). Therefore, the step can be paraphrased as "a step of enriching exosomes in a sample". There is no limitation on the concentration or purity of the sample obtained in the step, that is, the separated exosome, as long as there is no problem in carrying out the step (2).
ステップ(1)の分離は例えば従来法で行うことができる。従来法では、遠心処理、密度勾配遠心分離、フィルター処理、サイズ排除クロマトグラフィー、超遠心処理等が利用される(例えばThe impact of disparate isolation methods for extracellular vesicles on downstream RNA profiling.J Extracell Vesicles. 2014 Sep 18;3等を参照)。これらの手法の二つ以上を組み合わることにより、エクソソームの濃度がより高い試料を調製することが可能である。従来法の具体例を示すと、まず、生体試料(例えば血漿)をリン酸緩衝液(PBS)等で希釈した後、300G〜1200Gで20分〜30分の遠心処理を行う。次に、上清を口径0.1μm〜0.22μmのフィルターで処理した後100,000Gで60分〜180分の超遠心処理を行う。そして、リン酸緩衝液(PBS)等で溶解して沈渣(ペレット)を回収する。尚、エクソソームの濃縮のための装置や試薬(例えば、システムバイオサイエンス社が提供するExoQuick)を利用してステップ(1)の分離を行うことにしてもよい。 The separation of step (1) can be carried out, for example, in a conventional manner. In the conventional method, centrifugation, density gradient centrifugation, filtration, size exclusion chromatography, ultracentrifugation, etc. are used (for example, The impact of dissection isolation methods for extracellular vesicles on downstream RNA profiling. J Extracell Vehicles. 2014 Sep 18; see 3 etc.). By combining two or more of these techniques, it is possible to prepare samples with higher concentrations of exosomes. As a specific example of the conventional method, first, a biological sample (for example, plasma) is diluted with a phosphate buffer (PBS) or the like, and then centrifuged at 300 G to 1200 G for 20 minutes to 30 minutes. Next, the supernatant is treated with a filter with a diameter of 0.1 μm to 0.22 μm and then subjected to ultracentrifugation at 100,000 G for 60 minutes to 180 minutes. Then, it is dissolved in phosphate buffer (PBS) or the like to recover sediment (pellet). Alternatively, the separation in step (1) may be performed using an apparatus or reagent for enrichment of exosomes (for example, ExoQuick provided by System Biosciences).
生体試料としては、血漿、血清、尿等を用いることができる。中でも、血漿は特に好ましい生体試料である。血漿は、血清と異なり、エクソソームを放出し得る血小板を含まない。従って、血漿の使用は、本発明の目的物であるメサンギウム細胞由来エクソソームを、より夾雑物が少ない状態で調製することを可能にする。 Plasma, serum, urine or the like can be used as a biological sample. Above all, plasma is a particularly preferred biological sample. Plasma, unlike serum, does not contain platelets that can release exosomes. Thus, the use of plasma makes it possible to prepare mesangial cell-derived exosomes, which are the object of the present invention, in a less contaminated state.
ステップ(1)に続くステップ(2)では、分離したエクソソームから特定の特徴を示すエクソソームを分取する。「分取する」とは、目的物、即ち、メサンギウム細胞由来のエクソソームを選択的に回収することをいう。選択性は高いことが望ましいが、夾雑物がない状態での回収のみを意図したものではない。本発明ではメサンギウム細胞由来エクソソームを選択的に回収するために、エクソソーム表面に発現するα8インテグリンを利用する。具体的には、α8インテグリンの発現を指標とし、α8インテグリンの発現が認められるエクソソームを分取する。このような分取が可能である限り、その手法、操作などは特に限定されない。好ましくは免疫学的手法を利用する。典型的には、抗α8インテグリン抗体を用い、α8インテグリンを発現しているエクソソームを捕捉する。抗α8インテグリン抗体は常法で調製することができる。抗α8インテグリン抗体は市販もされており(例えばSanta Cruz Niotechnology社が提供する製品番号sc-365798の抗体等)、容易に入手することができる。尚、α8インテグリンは、タイプ1膜一回貫通型タンパクとして知られており、βプロペラドメインの構造を備える。
In step (2) following step (1), exosomes showing specific characteristics are separated from the separated exosomes. "Separating" refers to selectively recovering the target substance, ie, exosomes derived from mesangial cells. While high selectivity is desirable, it is not intended solely for recovery in the absence of contaminants. In the present invention, in order to selectively recover mesangial cell-derived exosomes, α8 integrin expressed on the surface of exosomes is used. Specifically, the expression of α8 integrin is used as an index, and exosomes in which expression of α8 integrin is observed are fractionated. As long as such separation is possible, the method, operation, etc. are not particularly limited. Preferably, immunological techniques are used. Typically, anti-α8 integrin antibodies are used to capture exosomes expressing α8 integrin. Anti-α8 integrin antibodies can be prepared by conventional methods. Anti-α8 integrin antibodies are also commercially available (eg, antibody of product number sc-365798 provided by Santa Cruz Niotechnology Inc., etc.) and can be easily obtained. The α8 integrin is known as a
固相担体に固定化されている(換言すれば、固相化された)抗α8インテグリン抗体を用いれば、簡便な操作によって効率的に目的物(メサンギウム細胞由来のエクソソーム)を分取することが可能である。ここでの固相担体として、磁気ビーズ、樹脂(ポリスチレン樹脂、ポリカーボネート樹脂、シリコン樹脂、ナイロン樹脂等)、ガラス等を採用することができる。好ましい固相担体の一つは磁気ビーズである。例えば、フェライトやマグネタイトなどの酸化鉄、酸化クロム、コバルトなどの磁性材料の粒子を磁気ビーズとして用いることができる。磁気ビーズの粒径は特に限定されないが、例えば、粒径が2.8nm〜4.5μmの磁気ビーズを用いることができる。磁気ビーズへの抗α8インテグリン抗体の結合には、例えば、プロテインGやプロテインA等の抗体結合性タンパク質(例えばInvitrogen; Exosomes Immunoprecipitatin(proteinG); 10612D)を利用すればよい。抗体結合性タンパク質が表面に固定された磁気ビーズと抗α8インテグリン抗体を適当な条件下で接触させることにより、抗体結合性タンパク質を介して抗α8インテグリン抗体が固相化された磁気ビーズを得ることができる。尚、ビオチンとストレプトアビジンの結合反応を利用して抗α8インテグリン抗体を磁気ビーズに固定化することも可能である(例えばInvitrogen; Exosomes-Streptavidin for isolation/Detection; 106-08Dを参照)。 Using the anti-α8 integrin antibody immobilized on a solid phase carrier (in other words, immobilized), it is possible to efficiently fractionate the target substance (mesophagus cell-derived exosome) by simple operation It is possible. Magnetic beads, resins (polystyrene resins, polycarbonate resins, silicone resins, nylon resins, etc.), glass, etc. can be adopted as the solid phase carrier here. One preferred solid support is magnetic beads. For example, particles of a magnetic material such as iron oxide such as ferrite and magnetite, chromium oxide and cobalt can be used as magnetic beads. Although the particle size of the magnetic beads is not particularly limited, for example, magnetic beads having a particle size of 2.8 nm to 4.5 μm can be used. For binding of the anti-α8 integrin antibody to magnetic beads, for example, an antibody binding protein such as protein G or protein A (for example, Invitrogen; Exosomes Immunoprecipitatin (protein G); 10612 D) may be used. Obtaining magnetic beads on which anti-α8 integrin antibody is immobilized via antibody binding protein by contacting magnetic beads on the surface of which antibody binding protein is immobilized and anti-α8 integrin antibody under appropriate conditions Can. In addition, it is also possible to immobilize the anti-α8 integrin antibody on magnetic beads by using a binding reaction of biotin and streptavidin (see, eg, Invitrogen; Exosomes-Streptavidin for isolation / Detection; 106-08D).
本発明の第1の態様では、ステップ(2)の後、抗α8インテグリン抗体に捕捉された状態でエクソソームを回収する。換言すれば、抗α8インテグリン抗体からの脱離操作を介することなく、エクソソームの回収が行われる。別の態様(第2の態様)では、ステップ(2)の後、抗α8インテグリン抗体からエクソソーム脱離し、回収する。この態様の場合、抗α8インテグリン抗体に結合していないエクソソームが得られる。 In the first aspect of the present invention, after step (2), exosomes are recovered while being captured by an anti-α8 integrin antibody. In other words, exosomes are recovered without the elimination of anti-α8 integrin antibody. In another embodiment (second embodiment), after step (2), exosomes are detached from the anti-α8 integrin antibody and recovered. In this embodiment, exosomes not bound to anti-α8 integrin antibody are obtained.
エクソソームが回収できていることの確認は、電子顕微鏡による観察、CD63等のエクソソーム特異的マーカーを利用した検出等によって行うことができる。 Confirmation that exosomes can be collected can be performed by observation with an electron microscope, detection using an exosome specific marker such as CD63, or the like.
回収したメサンギウム細胞由来エクソソームは、腎疾患の診断のための検査、治療効果の判定等に用いられる試料として有用である。そこで、本発明の第2の局面では、α8インテグリンの発現を指標として回収したエクソソーム内又は表面の標的分子を検出することを特徴とした、腎疾患の検査法を提供する。上記の第1の態様で回収したエクソソームの場合、抗α8インテグリン抗体に捕捉された状態のエクソソームを試料として標的分子を検出することができる。例えば、抗α8インテグリン抗体に捕捉された状態のエクソソームを直接、FACSでの解析に供し、エクソソームの表面に発現する標的分子を検出する。抗α8インテグリン抗体に捕捉された状態のエクソソームから特定の成分(例えば、エクソソームに含まれるmicroRNA(miRNA)等のRNA、タンパク質、DNA)を精製し、所望の検出に供することにしてもよい。上記の第2の態様で回収したエクソソームの場合にも、直接又は精製の操作を経た後、所望の検出に供される。ここでの精製は、例えば、溶解、抽出、遠心処理、フィルター処理、クロマトグラフィー等を単独で又は二以上を組み合わせて行うことができる。 The collected mesangial cell-derived exosomes are useful as samples used for examination for diagnosis of renal diseases, determination of therapeutic effects and the like. Therefore, in a second aspect of the present invention, there is provided a method for testing a renal disease characterized by detecting a target molecule in or on an exosome recovered using the expression of α8 integrin as an index. In the case of the exosome recovered in the first aspect described above, the target molecule can be detected using the exosome in a state of being captured by the anti-α8 integrin antibody as a sample. For example, the exosome in a state captured by an anti-α8 integrin antibody is directly subjected to analysis by FACS to detect a target molecule expressed on the surface of the exosome. Specific components (for example, RNA such as microRNA (miRNA) contained in exosome, protein, DNA) may be purified from the exosome in a state of being captured by the anti-α8 integrin antibody, and subjected to desired detection. Also in the case of the exosome recovered in the above second aspect, it is subjected to the desired operation after direct or purification operation. Purification here can be carried out, for example, by dissolving, extracting, centrifuging, filtering, chromatography and the like alone or in combination of two or more.
典型的には、腎疾患の指標として有用な標的分子が検出対象となる。該当する標的分子を例示すると、let-7a、let-7e、let-7g、let-7i、miR-16、miR-21、miR-29a、miR-29b,miR-29c,miR-93、miR-126、miR-141、miR-145、miR-146a、miR-205、miR-192、miR-192、miR-200a、miR-200b、miR-200c、miR-215、miR-216、miR-217、miR-377等のmicroRNA、TGF-β受容体やその下流シグナルのDNA変異等、IgA Fcレセプター(CD89)等のタンパク質である。標的分子の検出は常法で行えばよい。例えば、核酸分子(RNAやDNA)の検出には核酸増幅反応を利用した各種方法、タンパク質の検出にはウエスタンブロット法、酵素免疫測定法(EIA法)、蛍光免疫測定法(FIA法)、放射免疫測定法(RIA法)、ラテックス凝集法等を用いることができる。膜表面タンパクに関してはフローサイトメトリー(FCM)も利用可能である。microRNAを標的分子とした場合の検出法の具体例としてTaqMan microRNA Assay(Applied Biosystems社)を挙げることができる。尚、核酸増幅反応の例として、PCR(Polymerase chain reaction)法若しくはその変法、LAMP(Loop-Mediated Isothermal Amplification)法(Tsugunori Notomi et al. Nucleic Acids Research, Vol.28, No.12, e63, 2000; Kentaro Nagamine, Keiko Watanabe et al. Clinical Chemistry, Vol.47, No.9, 1742-1743, 2001)、ICAN(Isothermal and Chimeric primer-initiated Amplification of Nucleic acids)法(特許第3433929号、特許第3883476号)、NASBA(Nucleic Acid Sequence-Based Amplification)法、LCR(Ligase Chain Reaction)法、3SR(Self-sustained Sequence Replication)法、SDA(Standard Displacement Amplification)法、TMA(Transcription Mediated Amplification)法、RCA(Rolling Circle Amplification)を挙げることができる。 Typically, a target molecule useful as an indicator of kidney disease is to be detected. The corresponding target molecules are exemplified by let-7a, let-7e, let-7g, let-7i, miR-16, miR-21, miR-29a, miR-29b, miR-29c, miR-93, miR- 126, miR-141, miR-145, miR-146a, miR-205, miR-192, miR-200a, miR-200b, miR-200c, miR-215, miR-216, miR-217, It is a protein such as IgA Fc receptor (CD89), microRNA such as miR-377, DNA mutation of TGF-β receptor and its downstream signal, and the like. The detection of the target molecule may be performed by a conventional method. For example, various methods using nucleic acid amplification reaction for detection of nucleic acid molecules (RNA and DNA), Western blot method for detection of protein, enzyme immunoassay (EIA method), fluorescence immunoassay (FIA method), radiation Immunoassay (RIA), latex agglutination, etc. can be used. Flow cytometry (FCM) is also available for membrane surface proteins. TaqMan microRNA Assay (Applied Biosystems) can be mentioned as a specific example of a detection method in the case of using microRNA as a target molecule. In addition, as an example of the nucleic acid amplification reaction, PCR (Polymerase chain reaction) method or its modification, Loop-Mediated Isothermal Amplification (LAMP) method (Tsugunori Notomi et al. Nucleic Acids Research, Vol. 28, No. 12, No. e63, 2000; Kentaro Nagamine, Keiko Watanabe et al. Clinical Chemistry, Vol. 47, No. 9, 1742-1743 (2001), ICAN (Isothermal and Chimeric primer-initiated Amplification of Nucleic acids) method (Patent No. 3433929, Patent No. 3883476), NASBA (Nucleic Acid Sequence-Based Amplification) method, LCR (Ligase Chain Reaction) method, 3SR (Self-sustained Sequence Replication) method, SDA (Standard Displacement Amplification method), TMA (Transcription Mediated Amplification) method, RCA (Rolling Circle Amplification) can be mentioned.
本発明の検査法によって得られる情報、即ち検査結果は、腎疾患の診断や鑑別、腎疾患の重症度の判定、腎疾患に対する治療効果の判定、腎疾患に対する治療効果のモニタリング等に利用され得る。ここでの腎疾患としては、例えば、糖尿病性腎症、IgA腎症、IgA血管炎、ループス腎炎、膜性増殖性腎炎を挙げることができる。 The information obtained by the test method of the present invention, that is, the test results can be used for diagnosis and differentiation of kidney disease, determination of the severity of kidney disease, determination of treatment effect on kidney disease, monitoring of treatment effect on kidney disease, etc. . Examples of the renal disease here include diabetic nephropathy, IgA nephropathy, IgA angiitis, lupus nephritis, and membranoproliferative nephritis.
ところで、増殖能が高い、或いは増殖能が亢進した細胞ではエクソソーム産生量が増加するとの報告がある(例えばMicroRNA signature of tumor-derived exosomes as diagnostic biomarkers of ovarian cancer Gynecologic Oncology 110 (2008) 13-21を参照)。また、腎疾患の悪化段階ではメサンギウム細胞が増加する。これらの点を考慮すると、回収されるエクソソームの量は腎疾患の発症や病態を反映し得る。そこで本発明は、α8インテグリンの発現を指標として一定量の生体試料から回収したエクソソームの量を検出することを特徴とする検査法をも提供する。ここでのエクソソームの回収には、上記の本発明の回収法を利用できる。 By the way, it has been reported that the amount of exosome production increases in cells with high proliferative ability or proliferative ability (for example, MicroRNA signature of tumor-derived exosomes as diagnostic biomarkers of ovarian cancer Gynecologic Oncology 110 (2008) 13-21 reference). In addition, in the exacerbation stage of kidney disease, mesangial cells increase. In consideration of these points, the amount of exosome recovered can reflect the onset or pathological condition of renal disease. Therefore, the present invention also provides a test method characterized by detecting the amount of exosome recovered from a certain amount of biological sample by using the expression of α8 integrin as an index. The above-described recovery method of the present invention can be used to recover exosomes here.
腎疾患の診断に適した新規エクソソーム回収法を開発すべく、以下の検討を行った。
1.メサンギウム細胞由来エクソソームの表面抗原の解析
(1)方法
ヒト培養メサンギウム細胞(Normal human mesangium cell)(RONZA社)を5% CO2、37℃の条件で培養した。培養後の上清を回収し、従来法でエクソソームを濃縮した。得られた溶液と、抗CD63抗体が予め固相化された磁気ビーズExosomes-Human CD63 Isolation/Detection(Invitrogen; 10606D)とを混合し、1時間、常温でインキュベートした。専用マグネット台に静置することで磁気ビーズを回収し、抗α8インテグリン抗体を用いた免疫染色(電子顕微鏡)に供した。
The following studies were conducted to develop a novel exosome recovery method suitable for the diagnosis of kidney disease.
1. Analysis of surface antigen of mesangial cell-derived exosome (1) Method Human cultured mesangial cells (Normal human mesangium cell) (RONZA) were cultured under conditions of 5% CO 2 and 37 ° C. The supernatant after culture was collected, and exosomes were concentrated by a conventional method. The obtained solution was mixed with magnetic beads Exosomes-Human CD63 Isolation / Detection (Invitrogen; 10606D) on which anti-CD63 antibody was immobilized in advance, and incubated at room temperature for 1 hour. The magnetic beads were recovered by standing on a dedicated magnet stand and subjected to immunostaining (electron microscope) using an anti-α8 integrin antibody.
(2)結果
ヒト培養メサンギウム細胞由来のエクソソーム上には、メサンギウム細胞本体と同様に、α8インテグリンが発現していることが確認された(図1)。
(2) Results It was confirmed that α8 integrin was expressed on exosomes derived from human cultured mesangial cells as in the case of mesangial cell bodies (FIG. 1).
2.メサンギウム細胞由来エクソソームの選択的回収
(1)方法
プロテインGが固相化された磁気ビーズ(Exosomes Immunoprecipitation (proteinG) ;Imvitrogen ;10612D)を、マニュアルに沿って抗α8インテグリン抗体(Santa Cruz Niotechnology, INC; sc-365798)とインキュベートし、抗α8インテグリン抗体でコートされた磁気ビーズを作製した。
2. Selective recovery of mesangial cell-derived exosomes (1) Method: Magnetic beads (Exosomes Immunoprecipitation (protein G); Imvitrogen; 10612 D) on which protein G is immobilized are attached to an anti-α8 integrin antibody (Santa Cruz Niotechnology, INC) according to the manual. The magnetic beads coated with anti-α8 integrin antibody were prepared by incubation with sc-365798).
一方、EDTA採血管にて回収されたヒト血漿を500μl用意し、PBS 30mlで希釈した後、800G、20分間の条件で遠心処理した。得られた上清を0.22μmのフィルター(Pall社)に通した。その後、4℃、100,000G、70分間の条件で超遠心処理を行った。超遠心後の上清は廃棄し、エクソソームのペレットを500μlのPBSにて回収した。回収物を、事前に作製した磁気ビーズと混合し、常温で30分間、ローテーションをかけながらインキュベートした。処理後の磁気ビーズをPBSにて3回洗い、回収した。回収した磁気ビーズの表面を電子顕微鏡で観察した。 On the other hand, 500 μl of human plasma collected by an EDTA blood collection tube was prepared, diluted with 30 ml of PBS, and centrifuged at 800 G for 20 minutes. The resulting supernatant was passed through a 0.22 μm filter (Pall). Thereafter, ultracentrifugation was performed at 4 ° C., 100,000 G for 70 minutes. The supernatant after ultracentrifugation was discarded, and the exosome pellet was recovered with 500 μl of PBS. The harvest was mixed with previously made magnetic beads and incubated for 30 minutes at ambient temperature with rotation. The treated magnetic beads were washed three times with PBS and recovered. The surface of the recovered magnetic beads was observed with an electron microscope.
(2)結果
電子顕微鏡による観察の結果、磁気ビーズ表面にエクソソームが捕捉されていることが確認された(図2)。即ち、抗α8インテグリン抗体でコートされた磁気ビーズによって、ヒト血漿からα8インテグリンを発現する、メサンギウム細胞由来のエクソソームを回収することに成功した。尚、内皮細胞(HUVEC)からは、抗α8インテグリン抗体でコートされた磁気ビーズでエクソソームを回収することはできなかった。即ち、高い選択性があることが示された。
(2) Results As a result of observation with an electron microscope, it was confirmed that exosomes were captured on the surface of magnetic beads (FIG. 2). That is, by using magnetic beads coated with an anti-α8 integrin antibody, mesangial cell-derived exosomes expressing α8 integrin were successfully recovered from human plasma. It was not possible to recover exosomes from endothelial cells (HUVECs) with magnetic beads coated with anti-α8 integrin antibody. That is, it was shown that there is high selectivity.
3.回収したエクソソームを用いたRNA解析
(1)方法
回収したエクソソーム(磁気ビーズに捕捉された状態)から、Trizolを用いたRNA抽出法にてRNAを調製し、各種解析に供した。
3. RNA Analysis Using Recovered Exosome (1) Method From the recovered exosome (in a state of being captured by magnetic beads), RNA was prepared by an RNA extraction method using Trizol, and subjected to various analyses.
(2)結果
磁気ビーズで捕捉して回収したエクソソームからRNAを抽出し、バイオアナライザー(Agilent Technologies, Inc)にて解析した結果、十分な品質かつ量のRNAが回収できていた。得られたRNAをPCRにて解析したところ、メサンギウム細胞に異常を認める糖尿病性腎症の患者血漿では、糖尿病腎症のマーカーとして報告されたmiRNA(miR-21)の発現が有意差をもって変化していることがわかった(図3右)。尚、比較のために、抗CD63抗体でコートされた磁気ビーズを用いて非選択的に回収したエクソソームから抽出したRNAを試料とした場合の結果を図3左に示した。
(2) Results As a result of extracting RNA from exosomes captured and collected with magnetic beads and analyzing it with a bioanalyzer (Agilent Technologies, Inc), RNA of sufficient quality and amount could be recovered. Analysis of the obtained RNA by PCR revealed that the expression of miRNA (miR-21), which was reported as a marker for diabetic nephropathy, changed with a significant difference in plasma of patients with diabetic nephropathy with abnormalities in mesangial cells. It turned out that it is (Fig. 3 right). For comparison, the left side of FIG. 3 shows the results of the case where RNA extracted from exosomes non-selectively recovered using magnetic beads coated with anti-CD63 antibody was used as a sample.
これまでに、確固とした腎メサンギウム細胞特異的な表面マーカーは報告されていない。本発明の回収法によれば、腎メサンギウム細胞由来のエクソソームを選択的に回収することができる。本発明によって回収したエクソソームを試料とすれば、腎疾患特異的なバイオマーカーの高感度の検出、高精度の解析等が可能となる。本発明を利用することにより、例えば、腎疾患の診断や治療効果判定に役立つ、もしくは専門施設に紹介すべきかのメルクマールになるべき新しい基準を提供することができる。 To date, no robust renal mesangial cell specific surface markers have been reported. According to the recovery method of the present invention, exosomes derived from renal mesangial cells can be selectively recovered. If the exosome recovered by the present invention is used as a sample, it is possible to detect kidney disease-specific biomarkers with high sensitivity and analyze with high accuracy. By using the present invention, it is possible to provide a new standard to become a Merkmar, for example, useful for diagnosis of renal diseases and determination of therapeutic effect, or to be introduced to a specialized institution.
この発明は、上記発明の実施の形態及び実施例の説明に何ら限定されるものではない。特許請求の範囲の記載を逸脱せず、当業者が容易に想到できる範囲で種々の変形態様もこの発明に含まれる。本明細書の中で明示した論文、公開特許公報、及び特許公報などの内容は、その全ての内容を援用によって引用することとする。 The present invention is not limited to the description of the embodiments and examples of the above-mentioned invention. Various modifications are also included in the present invention as long as those skilled in the art can easily conceive without departing from the scope of the claims. The contents of articles, published patent publications, patent publications, etc. specified in the present specification are incorporated by reference in their entirety.
Claims (14)
(1)生体試料からエクソソームを分離するステップ;
(2)分離したエクソソームの中から、α8インテグリンを表面に発現しているエクソソームを分取するステップ。 A method of recovering exosomes from mesangial cells, comprising the following steps (1) and (2):
(1) separating exosomes from a biological sample;
(2) A step of fractionating exosomes expressing α8 integrin on the surface from the separated exosomes.
抗α8インテグリン抗体に捕捉された状態のエクソソームを試料として標的分子を検出する、請求項9〜11のいずれか一項に記載の検査法。 The exosome is recovered by the recovery method according to claim 7,
The test method according to any one of claims 9 to 11, wherein a target molecule is detected by using an exosome captured by the anti-α8 integrin antibody as a sample.
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