JP6773952B2 - 免疫グロブリン又は抗Gr−1抗体を含む癌治療薬 - Google Patents
免疫グロブリン又は抗Gr−1抗体を含む癌治療薬 Download PDFInfo
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- JP6773952B2 JP6773952B2 JP2016010849A JP2016010849A JP6773952B2 JP 6773952 B2 JP6773952 B2 JP 6773952B2 JP 2016010849 A JP2016010849 A JP 2016010849A JP 2016010849 A JP2016010849 A JP 2016010849A JP 6773952 B2 JP6773952 B2 JP 6773952B2
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Description
[1] 抗Gr-1抗体を有効成分として含む癌治療薬。
[2] 免疫グロブリンGを有効成分として含む癌治療薬。
[3] 免疫グロブリンGがヒトプール血清より精製した免疫グロブリンGである、[2]の癌治療薬。
[4] 癌が膵臓癌である、[1]〜[3]のいずれかの癌治療薬。
[5] 抗Gr-1抗体が、定常領域がヒト抗体の定常領域である、キメラ抗体又はヒト化抗体である、[1]又は[4]の癌治療薬。
[6] 抗Gr-1抗体を有効成分として含む、炎症性疾患又はアレルギー疾患の治療薬。
[7] 採取した血液中の顆粒球を捕捉除去し得る、顆粒球吸着除去療法(GCAP)に用いるための顆粒球吸着器。
[8] 顆粒球に結合する物質を含む、[7]の顆粒球吸着器。
[9] 末梢血中のCD33+CD11b+細胞の数を指標にして、膵癌を検出する方法。
[10] 末梢血中のCD33+CD11b+細胞の数あるいは他の顆粒球系増覆を評価する方法にて、膵癌を検出する方法。
本発明で用いる抗体は、顆粒球の分化と成熟に関連する、顆粒球の特異的マーカーに対する抗体である。このような抗体として、GPI結合タンパク質であるヒトGr-1に対する抗体が挙げられる。Gr-1はCD66bともいう。本発明において、抗Gr-1抗体は抗CD66b抗体とも呼ぶ。また、本発明で用いる抗体は、抗CD33抗体及び抗CD11b抗体も含む。
本発明の治療薬は、抗Gr-1抗体(抗CD66b抗体)、抗CD33抗体、抗CD11b抗体の代りに、認識する抗原が限定されない免疫グロブリンを有効成分としても含んでいてもよい。免疫グロブリンとしては、免疫グロブリンG(IgG)が好ましい。免疫グロブリンとしては、ヒトプール血清から精製した免疫グロブリンや市販の免疫グロブリン製剤を用いることができる。
PAN02膵癌細胞1×106個をC57BL/6J雌マウスの腹腔内に接種し、膵癌腹膜播種モデルを作製した。PAN02膵癌細胞は、NCI(米国)より入手し、C57BL/6Jマウスは、日本チャールズリバーより入手した。抗マウスGr-1抗体は、Beckton and Dickinsonより入手した。抗体は膵癌細胞の接種前又は接種後に投与した。膵癌細胞接種前の投与をPre投与あるいはPre抗体治療と呼び膵癌細胞接種後の投与をPost投与あるいはPost抗体治療と呼ぶ。
図3及び図4に示すように、膵癌細胞を移植した後に抗マウスGr-1抗体を投与したPost-anti-Gr-1 Ab群では、コントロールに比べマウス生存率が有意に上昇した。一方、膵癌細胞を移植する前に抗マウスGr-1抗体を投与したPre-anti-Gr-1 Ab群では、マウスの生存率はコントロール群と同等であった。
ラット血清より精製したIgG(Sigma-Ardrich, カタログNo.:14131)を治療用抗体として用いた。
実施例1と同様に、PAN02膵癌細胞1×106個をC57BL/6J雌マウスの腹腔内に接種し、膵癌腹膜播種モデルを作製した。
図5に示すように、抗マウスGr-1抗体を投与した群では、Post-anti-Gr-1 Ab群において、コントロールに比べマウス生存率が有意に上昇した。また、ラットIgGを投与した群においても、抗マウスGr-1抗体を投与した群と同様にマウス生存率が有意に上昇した。
PAN02膵癌細胞1×106個をC57BL/6J雌マウスの腹腔内に接種し(0日)、膵癌腹膜播種モデルを作製した。PAN02膵癌細胞は、NCI(米国)より入手し、C57BL/6Jマウスは、日本チャールズリバーより入手した。7日後、14日後、21日後、28日後、35日後及び42日後に抗Gr-1抗体及び/又はゲムシタビン(GEM:4-amino-1-[3,3-difluoro-4-hydroxy-5- (hydroxymethyl) tetrahydrofuran-2-yl]- 1H-pyrimidin- 2-one)を投与した。抗Gr-1抗体は200μgを腹腔内投与し、ゲムシタビンは1mg(50mg/kg)を尾静脈投与した。
図6に示すように、抗マウスGr-1抗体はゲムタビシン単独よりも優れた癌治療効果を示した。また、抗マウスGr-1抗体及びゲムシタビンを投与した群で、抗マウスGr-1抗体のみを投与した群及びゲムシタビンのみを投与した群よりもマウス生存率が著しく上昇した。この結果は、抗マウスGr-1抗体と抗癌剤の併用の有効性を示す。
(1)ヒト膵癌患者を用いた検討
膵癌(PDAC:膵管腺癌(通常型膵癌))35例及び健常者9例の末梢血液を採取し、Lymphoprep(商標)(BD)を用いてフィコール密度勾配遠心にて単核球細胞層を分離した。
ブロッキング後、PEラベル抗ヒトCD11b抗体、APCラベル抗ヒトCD33抗体をFACSバッファー内で10分間インキュベートし、PBSでリンス、遠心の上、細胞をPBSへ懸濁した。
その後、FACSにてCD33+CD11b+二重陽性の顆粒球分画の頻度を評価した。
C57BL/6Jマウス(♀、10週齢)の腹腔内に1x106個/200μlの膵癌細胞株PAN02を投与、その後、11日後及び29日後の末梢血液(PB)及び脾細胞を採取した。採取した末梢血液及び脾細胞は、ACKバッファーにて赤血球を破砕した。獲得したそれぞれの細胞を、FACSバッファーにてブロッキングを行い、FITCラベル抗Gr-1抗体、PEラベル抗CD11b抗体を添加したFACSバッファーで10分間インキュベートし、PBSでリンス、遠心の上、細胞をPBSへ懸濁した。
その後、FACSにてGr1+CD11b+二重陽性の顆粒球分画の頻度を評価した。
FACSにてGr1+CD11b+二重陽性の顆粒球分画の頻度を評価した。
Claims (4)
- 抗Gr-1抗体を有効成分として含む膵臓癌腹膜播種治療薬。
- 抗Gr-1抗体が、定常領域がヒト抗体の定常領域である、キメラ抗体又はヒト化抗体である、請求項1記載の膵臓癌腹膜播種治療薬。
- アルキル化剤と併用するための請求項1又は2に記載の膵臓癌腹膜播種治療薬。
- アルキル化剤がゲムシタビンである、請求項3記載の膵臓癌腹膜播種治療薬。
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