JPWO2020049135A5 - - Google Patents

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JPWO2020049135A5
JPWO2020049135A5 JP2021512725A JP2021512725A JPWO2020049135A5 JP WO2020049135 A5 JPWO2020049135 A5 JP WO2020049135A5 JP 2021512725 A JP2021512725 A JP 2021512725A JP 2021512725 A JP2021512725 A JP 2021512725A JP WO2020049135 A5 JPWO2020049135 A5 JP WO2020049135A5
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cognitive impairment
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Priority claimed from PCT/EP2019/073775 external-priority patent/WO2020049135A1/en
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認知障害を有するか、または発症するリスクがある対象における、限定されるものではないが、アルツハイマー病を含む認知障害の診断を補助するための方法であって、
(a)前記対象から単離された生体試料中で、表1~6に列挙されるlncRNAから選択される少なくとも1つのlncRNAを含むか、またはそれからなるlncRNAシグナチャー中の発現レベルを検出すること;
)試料中での発現レベルと、参照中での発現レベルとを比較すること
を含み、
参照中でのレベルと比較した試料中での発現レベルの増加または減少が、認知障害を有するか、または認知障害を発症するリスクがある対象を同定する、方法。
Figure 2020049135000001
Figure 2020049135000002
Figure 2020049135000003
Figure 2020049135000004
Figure 2020049135000005
Figure 2020049135000006
A method for aiding diagnosis of cognitive impairment, including but not limited to Alzheimer's disease, in a subject having or at risk of developing cognitive impairment, comprising:
(a ) detecting in a biological sample isolated from said subject the level of expression in a lncRNA signature comprising or consisting of at least one lncRNA selected from lncRNAs listed in Tables 1-6 ;
( b ) comparing the level of expression in the sample with the level of expression in a reference;
A method wherein an increase or decrease in expression levels in a sample compared to levels in a reference identifies a subject with or at risk of developing cognitive impairment.
Figure 2020049135000001
Figure 2020049135000002
Figure 2020049135000003
Figure 2020049135000004
Figure 2020049135000005
Figure 2020049135000006
lncRNAシグナチャーが、54のlncRNA(lnc-ANAPC11-2:8、lnc-CLLU1-2:6、lnc-KLHL36-2:2、lnc-LRRC10-1:1、lnc-RMDN2-3:24、lnc-SMN2-4:2、lnc-SPRYD3-1:17、lnc-USP47-2:1、lnc-ZC3H12B-1:5、TCONS_00019798、TSPOAP1-AS1:39、TCONS_00035093、lnc-OCM-3:4、lnc-KIF14-1:2、PCBP1-AS1:302、lnc-CA6-8:1、NEAT1:22、lnc-CA6-8:2、STARD7-AS1:5、lnc-IL31RA-1:1、lnc-ANKRD36-1:4、lnc-ATP6AP2-13:1、lnc-SOCS6-10:1、lnc-CDIPT-2:1、lnc-USP47-2:1、RBM26-AS1:1、MIR181A2HG:1、TTC21B-AS1:2、LEF1-AS1:1、lnc-SLC35E3-8:1、lnc-ZCCHC13-4:1、lnc-NEMF-1:4、TCONS_00011994、lnc-EVX1-15:1、lnc-REC8-2:1、OIP5-AS1:36、MYLK-AS1:13、lnc-PCP4L1-3:2、lnc-CGREF1-2:1、ZC3H12B-11:1、PSMB8-AS1:14、lnc-STX10-2:1、lnc-TCFL5-6:1、lnc-UQCC3-2:1、lnc-ZNF516-14:1、lnc-PDGFA-6:2、lnc-FOXD4L5-16:1、lnc-SAMD11-12:4、lnc-ADAD1-3:1、lnc-SLC35E3-8:2、lnc-NID1-4:4、FTX:19、TCONS_00017372、lnc-GRAP-1:2)(「lncRNAシグナチャー2」)から選択される少なくとも1つのlncRNAを含むか、またはそれからなる、請求項1に記載の方法。 The lncRNA signature spans 54 lncRNAs (lnc-ANAPC11-2:8, lnc-CLLU1-2:6, lnc-KLHL36-2:2, lnc-LRRC10-1:1, lnc-RMDN2-3:24, lnc- SMN2-4:2, lnc-SPRYD3-1:17, lnc-USP47-2:1, lnc-ZC3H12B-1:5, TCONS_00019798, TSPOAP1-AS1:39, TCONS_00035093, lnc-OCM-3:4, lnc- KIF14-1:2, PCBP1-AS1:302, lnc-CA6-8:1, NEAT1:22, lnc-CA6-8:2, STARD7-AS1:5, lnc-IL31RA-1:1, lnc-ANKRD36- 1:4, lnc-ATP6AP2-13:1, lnc-SOCS6-10:1, lnc-CDIPT-2:1, lnc-USP47-2:1, RBM26-AS1:1, MIR181A2HG:1, TTC21B-AS1: 2, LEF1-AS1:1, lnc-SLC35E3-8:1, lnc-ZCCHC13-4:1, lnc-NEMF-1:4, TCONS_00011994, lnc-EVX1-15:1, lnc-REC8-2:1, OIP5-AS1:36, MYLK-AS1:13, lnc-PCP4L1-3:2, lnc-CGREF1-2:1, ZC3H12B-11:1, PSMB8-AS1:14, lnc-STX10-2:1, lnc- TCFL5-6:1, lnc-UQCC3-2:1, lnc-ZNF516-14:1, lnc-PDGFA-6:2, lnc-FOXD4L5-16:1, lnc-SAMD11-12:4, lnc-ADAD1- 3:1, lnc-SLC35E3-8:2, lnc-NID1-4:4, FTX:19, TCONS_00017372, lnc-GRAP-1:2) ("lncRNA signature 2") 2. The method of claim 1, comprising or consisting of. lncRNAシグナチャーが、6つのlncRNA(TCONS_00045364、TCONS_00035023、TCONS_00035091、TCONS_00035022、TCONS_00035092、TCONS_00035093)(「lncRNAシグナチャー6」)から選択される少なくとも1つのlncRNAを含むか、またはそれからなる、請求項1に記載の方法。 2. The method of claim 1, wherein the lncRNA signature is selected from six lncRNAs (TCONS_00045364, TCONS_00035023, TCONS_00035091, TCONS_00035022, TCONS_00035092, TCONS_00035093) ("lncRNA signature 6"), or at least one lncRNA of claim 1, or consisting of . 工程()において、lncRNAの発現レベルが、神経認知検査、神経イメージング法および/またはCSFバイオマーカーなどの認知障害の検出にとって好適な別のバイオマーカーと組み合わせて検出される、請求項1から3のいずれか一項に記載の方法。 4. Claims 1 to 3, wherein in step ( a ) the lncRNA expression level is detected in combination with another biomarker suitable for detection of cognitive impairment such as neurocognitive tests, neuroimaging methods and/or CSF biomarkers. The method according to any one of . 認知機能の喪失もしくは障害または認知症に罹患する対象における認知障害の発症または進行をモニタリングするための請求項1から4のいずれか一項に記載の方法であって、工程(a)および(b)、ならびに
)前記同定された認知障害に従って治療的処置を設計すること
を含む、前記方法。
5. The method of any one of claims 1-4 for monitoring the onset or progression of cognitive impairment in a subject suffering from cognitive loss or impairment or dementia, comprising steps (a) and (b) ), and ( c ) designing a therapeutic treatment according to the identified cognitive impairment.
生体試料が、血液、血漿、血清、唾液、涙液、尿または脳脊髄液から選択される、請求項1から5のいずれか一項に記載の方法。 6. A method according to any one of claims 1 to 5 , wherein the biological sample is selected from blood, plasma, serum, saliva, tears, urine or cerebrospinal fluid. 認知障害もしくは任意の認知症型が診断される(健康な対照に対する差異)か、または特定の型の認知症が、限定されるものではないが、アルツハイマー病(AD)、AD型の軽度認知障害(MCI)、前頭側頭型認知症(FTD)およびFTD型のMCI、レヴィー小体型認知症(DLB)およびDLB型のMCI、パーキンソン病型認知症(PDD)およびPDD型のMCI、血管性認知症、進行性核上麻痺(PSP)、および大脳皮質基底核変性症(CBD)を含む他の型の認知症に対して診断される、請求項1から6のいずれか一項に記載の方法。 Cognitive impairment or any type of dementia is diagnosed (difference to healthy controls), or a specific type of dementia, including but not limited to Alzheimer's disease (AD), AD type mild cognitive impairment (MCI), frontotemporal dementia (FTD) and MCI of type FTD, dementia with Lewy bodies (DLB) and MCI of type DLB, dementia of Parkinson's disease (PDD) and MCI of type PDD, vascular cognition 7. The method of any one of claims 1 to 6 , wherein the patient is diagnosed for other forms of dementia, including dementia, progressive supranuclear palsy (PSP), and corticobasal degeneration (CBD). . 限定されるものではないが、ADを含む認知障害を診断および/またはモニタリングするためのキットであって、54のlncRNA(lnc-ANAPC11-2:8、lnc-CLLU1-2:6、lnc-KLHL36-2:2、lnc-LRRC10-1:1、lnc-RMDN2-3:24、lnc-SMN2-4:2、lnc-SPRYD3-1:17、lnc-USP47-2:1、lnc-ZC3H12B-1:5、TCONS_00019798、TSPOAP1-AS1:39、TCONS_00035093、lnc-OCM-3:4、lnc-KIF14-1:2、PCBP1-AS1:302、lnc-CA6-8:1、NEAT1:22、lnc-CA6-8:2、STARD7-AS1:5、lnc-IL31RA-1:1、lnc-ANKRD36-1:4、lnc-ATP6AP2-13:1、lnc-SOCS6-10:1、lnc-CDIPT-2:1、lnc-USP47-2:1、RBM26-AS1:1、MIR181A2HG:1、TTC21B-AS1:2、LEF1-AS1:1、lnc-SLC35E3-8:1、lnc-ZCCHC13-4:1、lnc-NEMF-1:4、TCONS_00011994、lnc-EVX1-15:1、lnc-REC8-2:1、OIP5-AS1:36、MYLK-AS1:13、lnc-PCP4L1-3:2、lnc-CGREF1-2:1、ZC3H12B-11:1、PSMB8-AS1:14、lnc-STX10-2:1、lnc-TCFL5-6:1、lnc-UQCC3-2:1、lnc-ZNF516-14:1、lnc-PDGFA-6:2、lnc-FOXD4L5-16:1、lnc-SAMD11-12:4、lnc-ADAD1-3:1、lnc-SLC35E3-8:2、lnc-NID1-4:4、FTX:19、TCONS_00017372、lnc-GRAP-1:2)(「lncRNAシグナチャー2」)から選択される少なくとも1つのlncRNAを含むか、またはそれからなるlncRNA発現プロファイルの決定のための少なくとも1つの試薬を含む、キット。 A kit for diagnosing and/or monitoring cognitive disorders, including but not limited to AD, comprising 54 lncRNAs (lnc-ANAPC11-2:8, lnc-CLLU1-2:6, lnc-KLHL36 -2:2, lnc-LRRC10-1:1, lnc-RMDN2-3:24, lnc-SMN2-4:2, lnc-SPRYD3-1:17, lnc-USP47-2:1, lnc-ZC3H12B-1 :5, TCONS_00019798, TSPOAP1-AS1:39, TCONS_00035093, lnc-OCM-3:4, lnc-KIF14-1:2, PCBP1-AS1:302, lnc-CA6-8:1, NEAT1:22, lnc-CA6 -8:2, STARD7-AS1:5, lnc-IL31RA-1:1, lnc-ANKRD36-1:4, lnc-ATP6AP2-13:1, lnc-SOCS6-10:1, lnc-CDIPT-2:1 , lnc-USP47-2:1, RBM26-AS1:1, MIR181A2HG:1, TTC21B-AS1:2, LEF1-AS1:1, lnc-SLC35E3-8:1, lnc-ZCCHC13-4:1, lnc-NEMF -1:4, TCONS_00011994, lnc-EVX1-15:1, lnc-REC8-2:1, OIP5-AS1:36, MYLK-AS1:13, lnc-PCP4L1-3:2, lnc-CGREF1-2:1 , ZC3H12B-11:1, PSMB8-AS1:14, lnc-STX10-2:1, lnc-TCFL5-6:1, lnc-UQCC3-2:1, lnc-ZNF516-14:1, lnc-PDGFA-6 :2, lnc-FOXD4L5-16:1, lnc-SAMD11-12:4, lnc-ADAD1-3:1, lnc-SLC35E3-8:2, lnc-NID1-4:4, FTX:19, TCONS_00017372, lnc -GRAP-1:2) (“lncRNA signature 2”), comprising at least one reagent for the determination of a lncRNA expression profile, comprising or consisting of at least one lncRNA selected from: 少なくとも1つの試薬が、目的のlncRNAと相補的な特異的オリゴヌクレオチドを含む、請求項8に記載のキット。 9. The kit of Claim 8 , wherein at least one reagent comprises a specific oligonucleotide complementary to the lncRNA of interest. 68のlncRNA(TCONS_00050539、TCONS_00062555、TCONS_00024916、TCONS_00059198、TCONS_00066462、TCONS_00033653、LINC-PINT:16、lnc-ATP6V1C1-12:1、lnc-GABBR1-1:2、lnc-PMM2-6:2、MALAT1:23、MALAT1:48、lnc-LTBP3-2:6、lnc-LTBP3-2:3、lnc-ANAPC11-2:8、lnc-CLLU1-2:6、lnc-KLHL36-2:2、lnc-LRRC10-1:1、lnc-RMDN2-3:24、lnc-SMN2-4:2、lnc-SPRYD3-1:17、lnc-USP47-2:1、lnc-ZC3H12B-1:5、TCONS_00019798、TSPOAP1-AS1:39、TCONS_00035093、lnc-OCM-3:4、lnc-KIF14-1:2、PCBP1-AS1:302、lnc-CA6-8:1、NEAT1:22、lnc-CA6-8:2、STARD7-AS1:5、lnc-IL31RA-1:1、lnc-ANKRD36-1:4、lnc-ATP6AP2-13:1、lnc-SOCS6-10:1、lnc-CDIPT-2:1、lnc-USP47-2:1、RBM26-AS1:1、MIR181A2HG:1、TTC21B-AS1:2、LEF1-AS1:1、lnc-SLC35E3-8:1、lnc-ZCCHC13-4:1、lnc-NEMF-1:4、TCONS_00011994、lnc-EVX1-15:1、lnc-REC8-2:1、OIP5-AS1:36、MYLK-AS1:13、lnc-PCP4L1-3:2、lnc-CGREF1-2:1、ZC3H12B-11:1、PSMB8-AS1:14、lnc-STX10-2:1、lnc-TCFL5-6:1、lnc-UQCC3-2:1、lnc-ZNF516-14:1、lnc-PDGFA-6:2、lnc-FOXD4L5-16:1、lnc-SAMD11-12:4、lnc-ADAD1-3:1、lnc-SLC35E3-8:2、lnc-NID1-4:4、FTX:19、TCONS_00017372、lnc-GRAP-1:2)(「lncRNAシグナチャー1」)から選択される少なくとも1つのlncRNAに特異的な核酸を含む、次世代シーケンシングのための標的シーケンシングパネル。 68のlncRNA(TCONS_00050539、TCONS_00062555、TCONS_00024916、TCONS_00059198、TCONS_00066462、TCONS_00033653、LINC-PINT:16、lnc-ATP6V1C1-12:1、lnc-GABBR1-1:2、lnc-PMM2-6:2、MALAT1:23、 MALAT1:48, lnc-LTBP3-2:6, lnc-LTBP3-2:3, lnc-ANAPC11-2:8, lnc-CLLU1-2:6, lnc-KLHL36-2:2, lnc-LRRC10-1: 1, lnc-RMDN2-3:24, lnc-SMN2-4:2, lnc-SPRYD3-1:17, lnc-USP47-2:1, lnc-ZC3H12B-1:5, TCONS_00019798, TSPOAP1-AS1:39, TCONS_00035093, lnc-OCM-3:4, lnc-KIF14-1:2, PCBP1-AS1:302, lnc-CA6-8:1, NEAT1:22, lnc-CA6-8:2, STARD7-AS1:5, lnc-IL31RA-1:1, lnc-ANKRD36-1:4, lnc-ATP6AP2-13:1, lnc-SOCS6-10:1, lnc-CDIPT-2:1, lnc-USP47-2:1, RBM26- AS1:1, MIR181A2HG:1, TTC21B-AS1:2, LEF1-AS1:1, lnc-SLC35E3-8:1, lnc-ZCCHC13-4:1, lnc-NEMF-1:4, TCONS_00011994, lnc-EVX1- 15:1, lnc-REC8-2:1, OIP5-AS1:36, MYLK-AS1:13, lnc-PCP4L1-3:2, lnc-CGREF1-2:1, ZC3H12B-11:1, PSMB8-AS1: 14, lnc-STX10-2:1, lnc-TCFL5-6:1, lnc-UQCC3-2:1, lnc-ZNF516-14:1, lnc-PDGFA-6:2, lnc-FOXD4L5-16:1, lnc-SAMD11-12:4, lnc-ADAD1-3:1, lnc-SLC35E3-8:2, lnc-NID1-4:4, FTX:19, TCONS_00017372, lnc-GRAP-1:2) ("lncRNA signature 1") at least one lncRNA selected from A targeted sequencing panel for next-generation sequencing comprising nucleic acids specific for . 軽度認知障害または認知障害を有するか、または発症するリスクがある対象における、脳疾患、特に、軽度認知障害(MCI)およびアルツハイマー病または別の認知障害の処置における使用のためのlncRNAを含む組成物であって、処置が、対象に、脳および/または末梢中のlncRNAの発現をモジュレートする(誘導する、または阻害する)有効量の医薬品を投与することを含み、lncRNAが、以下のlncRNAシグナチャー:
(i)21のlncRNA(TCONS_00050539、TCONS_00062555、TCONS_00024916、TCONS_00059198、TCONS_00066462、TCONS_00033653、TCONS_00040878、TCONS_00000634、TCONS_00050178、TCONS_00055496、TCONS_00033736、TCONS_00023309、TCONS_00027765、TCONS_00062602、TCONS_00005325、TCONS_00011974、TCONS_00023240、TCONS_00023401、TCONS_00066358、TCONS_00062306、TCONS_00027438)(「lncRNAシグナチャー12」);
(ii)10のlncRNA(LINC-PINT:16、lnc-ATP6V1C1-12:1、lnc-GABBR1-1:2、lnc-PMM2-6:2、MALAT1:23、MALAT1:48、lnc-LTBP3-2:6、lnc-LTBP3-2:3、MALAT1:11、lnc-LTBP3-2:2)(「lncRNAシグナチャー13」);
(iii)17のlncRNA(TCONS_00035022、TCONS_00035023、TCONS_00035094、TCONS_00035093、TCONS_00035021、TCONS_00035090、TCONS_00035024、TCONS_00035091、TCONS_00012059、TCONS_00035092、TCONS_00012060、TCONS_00050014、lnc-ENC1-5:1、lnc-SNAP25-3:1、lnc-HMGA1-2:4、PEG3-AS1:1、lnc-UNC80-1:1)(「lncRNAシグナチャー14」);
(iv)17のlncRNA(lnc-NEK6-2:1、lnc-PMM2-6:4、UGDH-AS1:10、lnc-RMDN2-3:24、lnc-EIF1AD-1:1、lnc-FANCL-4:1、lnc-FAAP100-2:1、TCONS_00011974、lnc-FEM1B-4:1、lnc-GNA14-3:1、lnc-PINK1-2:1、lnc-PRSS27-4:24、lnc-SLC25A3-7:1、lnc-FEM1B-4:1、NORAD:2、NORAD:8、CACTIN-AS1:5)(「lncRNAシグナチャー42」)の1つから選択される少なくとも1つのlncRNAである、組成物
Compositions comprising lncRNAs for use in the treatment of brain disorders, particularly mild cognitive impairment (MCI) and Alzheimer's disease or another cognitive disorder, in subjects having or at risk of developing mild cognitive impairment or cognitive impairment wherein treatment comprises administering to the subject an effective amount of a pharmaceutical agent that modulates (induces or inhibits) expression of a lncRNA in the brain and/or periphery, wherein the lncRNA has the following lncRNA signature :
(i)21のlncRNA(TCONS_00050539、TCONS_00062555、TCONS_00024916、TCONS_00059198、TCONS_00066462、TCONS_00033653、TCONS_00040878、TCONS_00000634、TCONS_00050178、TCONS_00055496、TCONS_00033736、TCONS_00023309、TCONS_00027765、TCONS_00062602、TCONS_00005325、TCONS_00011974、TCONS_00023240、TCONS_00023401、TCONS_00066358、TCONS_00062306、TCONS_00027438)( "lncRNA signature 12");
(ii) 10 lncRNAs (LINC-PINT:16, lnc-ATP6V1C1-12:1, lnc-GABBR1-1:2, lnc-PMM2-6:2, MALAT1:23, MALAT1:48, lnc-LTBP3-2 :6, lnc-LTBP3-2:3, MALAT1:11, lnc-LTBP3-2:2) (“lncRNA signature 13”);
(iii)17のlncRNA(TCONS_00035022、TCONS_00035023、TCONS_00035094、TCONS_00035093、TCONS_00035021、TCONS_00035090、TCONS_00035024、TCONS_00035091、TCONS_00012059、TCONS_00035092、TCONS_00012060、TCONS_00050014、lnc-ENC1-5:1、lnc-SNAP25-3:1、lnc-HMGA1 -2:4, PEG3-AS1:1, lnc-UNC80-1:1) (“lncRNA signature 14”);
(iv) 17 lncRNAs (lnc-NEK6-2:1, lnc-PMM2-6:4, UGDH-AS1:10, lnc-RMDN2-3:24, lnc-EIF1AD-1:1, lnc-FANCL-4 :1, lnc-FAAP100-2:1, TCONS_00011974, lnc-FEM1B-4:1, lnc-GNA14-3:1, lnc-PINK1-2:1, lnc-PRSS27-4:24, lnc-SLC25A3-7 : 1, lnc-FEM1B-4:1, NORAD:2, NORAD:8, CACTIN -AS1:5) (“lncRNA signature 42”).
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