TW200533754A - Preparation method of cytokine-induced killer cells and the application thereof - Google Patents

Preparation method of cytokine-induced killer cells and the application thereof Download PDF

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TW200533754A
TW200533754A TW93109203A TW93109203A TW200533754A TW 200533754 A TW200533754 A TW 200533754A TW 93109203 A TW93109203 A TW 93109203A TW 93109203 A TW93109203 A TW 93109203A TW 200533754 A TW200533754 A TW 200533754A
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cells
cik
preparation
cancer cell
cancer
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TW93109203A
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Chinese (zh)
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Qiang Li
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Innolife Biotech Corp
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Abstract

The present invention relates to a kind of preparation method of cytokine-induced killer (CIK) cells, which is capable of identifying and directly killing cancer cells, and to a preparation method of auto-CIK, which is capable of identifying cancer cells so as to treat sarcoma cancer, comprising offering of cancer cell antigen, dendritic cell and CIK cells. Dendritic cells are co-incubated together with cancer cell antigen and then these dendritic cells, which are co-incubated with cancer cell antigen, are co-incubated with CIK cells, so that CIK cells can acquire the ability to identify cancer cells. The CIK cells are further injected back into patient body by means of intravenous injection, or directly injected into the tumor region of patient body, so as to kill cancer cells and tissues of patient particularly efficiently. This invention also relates to the product derived from the above method and to preparation method of dendritic cells and CIK cells.

Description

200533754 玖、發明說明: 【發明所屬之技術領域】 本發明相關於一種培養癌症患者自體細胞激素誘導的 殺手細胞的製備方法以及產物,以及用於治療癌症之自體 細胞激素誘導的殺手細胞的製備方法。 【先前技術】 在人體組織裏’原本就有抑制體内不正常組織生長, 及對抗病毒細菌入侵的免疫系統,而免疫系統包括免疫器 官(如淋巴組織)、免疫細胞(如B細胞、T細胞及淋巴 細胞、殺手細胞(Nature Killer cell,NK)等,但由於病 患之所以會生病,多由於免疫系統功能衰弱,各類免疫細 胞數量減少或功能變差等所致,雖然目前已經有於病人體 外早獨大里複I細胞激素誘導的殺手細胞(Cyt〇kine induced killer cell,CIK),再注射回體内,藉以提高免疫 力的治療實驗,以及於病人體外僅誘導樹突細胞( Dendritic Cell,DC )呑噬病原體之抗原,再注射回體内, 藉以令體内的CIK細胞能辨識攻擊目標的治療實驗,然此 二種單獨作業方式’卻往往因為CIK細胞未經DC轉植訊 號而無法有效地辨識出癌細胞,故雖有大量的CIK細胞, 卻僅能提昇免疫力,而達不到令其直接殺除癌細胞的療效 ’至於注射與病原體抗原共同培育之樹突細胞於體内,期 許與體内游離之CIK細胞結合,令結合後之CIK細胞具辨 識及攻擊癌細胞的能力,此方式亦經常因為體内之CIK細 200533754 匕本身/舌性差’導致與DC結合效果不好,或I 細胞 數量太少,故無法有效地清除體内的癌細胞。 【發明内容】 本發明之一較佳具體事實在於使用病人自體的白血球 細胞’以及病人自體的癌細月包,在體外將白血球以人工的 方式,轉化為比白血球毒殺性更強的CIK細胞,但由於 CIK細胞本身無法直接與病體抗原結合,而必須要透過基 因轉殖的方式,令其載有病體抗原訊號,才能得以準確地 辨識攻擊病體組織及游離的癌細胞,故本發明另外使用病 人自體的白血球細胞,以人工的方式將之轉化為DC,再 將病人自體的癌細胞抗原以人工的方式與DC共同培育, 而後再將與癌細胞抗原共同培育的DC與CIK細胞共同培 育’如此以人工的方式再大量複製出來具有辨識癌細胞抗 原汛號的CIK細胞,對於病人自體内癌細胞的辨識率將可 幾近100% ’且運用於治療時不會產生排斥狀況,相較於 其他體外僅培養單項細胞,再注入體内期許與體内之免疫 細胞作用後’才能產生治療效果之方法’本發明將格外地 直接有效。 於本發明較佳之具體事實中,本發明提供一培養具有 辨識癌細胞能力之CIK細胞的製備方法,包括: 提供癌細胞抗原; 提供樹突細胞(Dendritic Cell,DC ); 提供細胞激素誘導的殺手細胞(CIK ); 將樹突細胞與癌細胞抗原共同培育; 200533754 將與癌細胞抗原共同培育之樹突細胞與CIK細胞共同 培育;及 獲付具有辨識癌細胞抗原訊息之cik細胞。 較佳地,本發明所述之製備方法中,使用人工方式製 造癌細胞抗原’以免不易自病人體液内或組織中直接採集 分離抗原。200533754 发明 Description of the invention: [Technical field to which the invention belongs] The present invention relates to a method for preparing and cultivating autologous hormone-induced killer cells from cancer patients, and a method for treating autologous hormone-induced killer cells for treating cancer. Preparation. [Previous technology] In human tissues, there is already an immune system that inhibits the growth of abnormal tissues in the body and resists the invasion of viral bacteria. The immune system includes immune organs (such as lymphatic tissue) and immune cells (such as B cells, T cells). And lymphocytes, killer cells (NK), etc., but because the patient will become ill, mostly due to the weakened immune system function, the number of various types of immune cells is reduced or the function becomes worse, etc. Cytokine induced killer cells (CIK) were injected into the body of the patient in vitro, and then injected back into the body to improve the immunity. In addition, only the dendritic cells were induced in vitro. , DC) phagocytose the pathogen's antigen and then inject it back into the body, so that the CIK cells in the body can identify the therapeutic experiment to attack the target. However, these two separate methods of operation are often because CIK cells have not been signaled by DC transplantation. Cancer cells cannot be effectively identified, so although there are a large number of CIK cells, they can only improve immunity but not kill them directly The efficacy of cancer cells. As for the injection of dendritic cells co-cultivated with pathogen antigens in the body, it is expected to combine with the free CIK cells in the body, so that the combined CIK cells have the ability to identify and attack cancer cells. This method is often because CIK in the body 200533754 The dagger itself / poor tongue result in poor binding effect with DC, or the number of I cells is too small to effectively remove cancer cells in the body. [Summary of the Invention] One of the preferred specific facts of the present invention It consists of using the patient ’s own white blood cells and the patient ’s own cancer cell pack to artificially convert white blood cells into CIK cells that are more toxic than white blood cells in vitro, but because the CIK cells themselves cannot directly interact with the patient ’s antigen In combination, the gene transfection method must be used to carry the disease antigen signal in order to accurately identify attacking disease tissues and free cancer cells. Therefore, the present invention additionally uses the patient's own white blood cells in an artificial manner. It will be converted into DC, and the patient's own cancer cell antigen will be artificially cultivated with DC, and then will be combined with cancer DCs co-cultivated with cell antigens are co-cultivated with CIK cells 'so that artificially reproduced a large number of CIK cells with the identification number of the cancer cell antigen flood number, the identification rate of cancer cells from patients in vivo will be nearly 100%' and When applied to treatment, it does not produce a rejection condition. Compared with other cultured single cells in vitro, which is injected into the body and expected to interact with the immune cells in the body, 'the method of producing a therapeutic effect', the present invention will be particularly directly effective. In a preferred specific fact of the present invention, the present invention provides a method for preparing a CIK cell capable of recognizing cancer cells, including: providing a cancer cell antigen; providing dendritic cells (DC); and providing cytokine-induced killer cells (CIK); co-cultivation of dendritic cells with cancer cell antigens; 200533754 co-cultivation of dendritic cells co-cultivated with cancer cell antigens and CIK cells; and payment of cik cells with the ability to recognize cancer cell antigen information. Preferably, in the preparation method described in the present invention, the cancer cell antigen ' is artificially produced to avoid the difficulty in directly collecting and isolating the antigen from the patient's body fluid or tissue.

較佳地,本發明所述之製備方法中,使用人工方式將 白血球培養轉化為DC細胞,以免病人血液内分離出之DC 細胞數量太少或品質差。 較佳地, 化DC,以免 本發明所述之製備方法中, DC細胞與癌細胞共同培育時 運用微型磁珠純 ,若混雜有白血 球,則可能會受其影響而使得效果不佳。 使用人工方式將 病人血液内抽取 ’若導致病人免 〇 使用人工方式誘 較佳地,本發明所述之製備方法中, 白血球培養轉化為CIK細胞,以免大量自 分離出CIK細胞後,其活性可能低下之外 疫功能衰退,則反而易造成其他病症產生 較佳地,本發明所述之製備方法中, 導DC細胞吞噬癌細胞抗原,而獲得攜帶有部分癌細胞抗 原之DC細胞,並利用微型磁珠將攜帶有部分癌細胞抗原 之DC細胞與其他多餘之癌細胞抗原純化分離 較佳地,本發明所述之 DC與CIK細胞共同培育, 以直接有效地轉植至CIK細 癌細胞,並予以殺除之。 製備方法中’使用人工方式使 如此DC之部分癌細胞抗原得 胞,令CIK細胞能辨識體内的 200533754 較佳地,本發明所述之各製備方法中,使用之培養美 為RPMI1 640並可進一步加入患者自體血清。 較佳地,本發明所述之各製備方法中,亦可使用一般 無血清之培養基。 較佳地,本發明所述之製備方法中,使用人工方式將 與癌細胞抗原共同培育之DC與CIK細胞共同培育,以 1:10之比例(1個DC細胞對1〇個CIK細胞)將細胞混合 培養,如此可獲得最佳效果。 於本發明之一較佳具體事實中,本發明之製備方法中 ,&供癌細胞抗原的步驟係包括癌細胞利用反覆冷凍及解 凍3至5次方式,令癌細胞自然碎裂而做為癌細胞抗原材 料。 較佳地’本發明所述之製備方法中,該癌細胞抗原進 一步冷凍方式保存備用。 較佳地,本發明所述之製備方法中,提供樹突細胞的 步驟係包括: 培養白血球細胞; 將貼附培養容器壁之白血球細胞加入含有細胞激素的 培養基;及 獲得樹突細胞。 較佳地,本發明所述之製備方法中,該細胞激素包括 顆粒及巨噬細胞生長激素(GM-CSF )及介白素4 ( interlukin_4,IL-4 )。 較佳地,本發明所述之製備方法中,該培養基於每三 200533754 天更換補充新鮮的培養基,使得貼壁之白血球細胞轉化為 樹突細胞。 較佳地,本發明所述之製備方法中,該樹突細胞係運 用表面具有辨識DC之特異性單株抗體的微型磁珠進行純 化。 較佳地,本發明所述之製備方法中,該樹突細胞培養 於第七天時,加入解凍之癌細胞碎塊抗原,令純化後的樹 突細胞吞噬碎塊抗原,再補充新鮮的培養基、gm_csf與 IL-4培養。 較佳地,本發明所述之製備方法中,該細胞激素誘導 的殺手細胞係經由未貼附培養容器壁之白血球細胞轉化而 成0 較佳地’本發明所述之製備方法中,該細胞激素誘導 的殺手細胞係將未貼附之白血球使用培養基培養,並加入 干擾素(r -interferon),於培養24小時後再加入介白 素 1 ( intedukin-i,IL-i ),介白素 2 ( _仙^2,μ ),及CD3單株抗體,並且每二至三天補充新培養基及 IL-2,使得未貼附之白血球細胞得以轉化為細胞。 較佳地,本發明所述之製備方法中,在與癌細胞抗原 共同培育之㈣細胞與CIK細胞分料養第十天時,分別 將與癌細胞抗原共同培育之樹突細胞肖⑽細胞以ι:ι〇 :比例混合至同-個培養瓶’使得尚未載有癌細胞抗原訊 心之細胞激素誘導的殺手細胞形成為具有辨識癌細胞之 CIK細胞。 200533754Preferably, in the preparation method described in the present invention, the white blood cell culture is converted into DC cells by artificial means, so as to avoid too few or poor quality DC cells isolated from the patient's blood. Preferably, the DC is converted, so that in the preparation method of the present invention, when DC cells and cancer cells are co-cultivated, miniature magnetic beads are used. If white blood cells are mixed, the effects may be affected and the effect may be poor. Extraction of blood from the patient by artificial means' If the patient is exempted, it is better to use artificial means to induce, in the preparation method of the present invention, white blood cell culture is transformed into CIK cells, so as to avoid a large number of CIK cells from being isolated, their activity may be Decreased epidemic function declines, but it is easy to cause other diseases. Preferably, in the preparation method of the present invention, DC cells are induced to engulf cancer cell antigens, and DC cells carrying part of the cancer cell antigens are obtained. Purification and separation of DC cells carrying some cancer cell antigens from other excess cancer cell antigens by magnetic beads. Preferably, the DCs and CIK cells described in the present invention are co-cultivated for direct and effective transplantation into CIK fine cancer cells, and Kill it. In the preparation method, the part of the cancer cell antigens of such DCs is obtained by artificial means so that CIK cells can recognize in vivo 200533754. Preferably, in each of the preparation methods described in the present invention, the cultured beauty is RPMI1 640 and Patient autologous serum was further added. Preferably, in each of the preparation methods described in the present invention, a generally serum-free medium can also be used. Preferably, in the preparation method described in the present invention, the DC and CIK cells co-cultivated with the cancer cell antigen are co-cultivated by artificial means, and the ratio is 1:10 (1 DC cell to 10 CIK cells). Cells are mixed for optimal results. In a preferred specific fact of the present invention, in the preparation method of the present invention, the step of supplying the cancer cell antigen includes the method of repeatedly freezing and thawing the cancer cells 3 to 5 times, so that the cancer cells naturally fragment and act as Cancer cell antigen material. Preferably, in the preparation method of the present invention, the cancer cell antigen is further frozen for storage. Preferably, in the preparation method of the present invention, the step of providing dendritic cells comprises: culturing white blood cells; adding white blood cells attached to the wall of the culture container to a medium containing a cytokine; and obtaining dendritic cells. Preferably, in the preparation method of the present invention, the cytokines include granules and macrophage growth hormone (GM-CSF) and interleukin 4 (IL-4). Preferably, in the preparation method described in the present invention, the medium is replaced with fresh medium every three 200533754 days, so that adherent white blood cells are transformed into dendritic cells. Preferably, in the preparation method according to the present invention, the dendritic cell line is purified using micromagnetic beads having a specific monoclonal antibody recognizing DC on the surface. Preferably, in the preparation method of the present invention, when the dendritic cells are cultured on the seventh day, the defrosted cancer cell fragment antigen is added, so that the purified dendritic cells can engulf the fragment antigen, and then supplemented with fresh culture medium. , Gm_csf and IL-4 culture. Preferably, in the preparation method of the present invention, the cytokine-induced killer cell line is transformed into 0 by white blood cells not attached to the wall of the culture container. Preferably, in the preparation method of the present invention, the cell In the hormone-induced killer cell line, unattached white blood cells were cultured in a medium, and interferon (r-interferon) was added. After cultured for 24 hours, interleukin 1 (IL-i) was added. 2 (_xian ^ 2, μ), and CD3 monoclonal antibodies, and supplemented with new medium and IL-2 every two to three days, so that unattached white blood cells can be transformed into cells. Preferably, in the preparation method of the present invention, the dendritic cells and the shrew cells that are co-cultivated with the cancer cell antigen are separately cultured on the tenth day of the culturing of the thallium cells and the CIK cells that are co-cultivated with the cancer cell antigen. ι: ι〇: The ratio is mixed into the same culture flask, so that the cytokine-induced killer cells that have not yet contained the cancer cell antigen Xinxin are formed into CIK cells with identifying cancer cells. 200533754

較佳地,本發明所述之製備方法中 較佳地, 胞抗原之CIK細胞,以每三 方法中,該具有辨識癌細 爾方法中,將具有辨識癌細 天添加補充新培養基及IL_2 於培養瓶内的方式大量複製培養。 另一方面,於本發明之—較佳具體事實中,本發明提 供-種如上所述之製備丨法所製備的具有辨識癌細胞的自 體CIK細胞。 另一方面,於本發明之—較佳具體事實中,本發明提 供一種如上所述之製備方法所製備的用於治療癌症之具有 辨識癌細胞的自體CIK細胞。 另一方面,於本發明之一較佳具體事實中,本發明提 供一種用於治療癌症之自體CIK細胞的製備方法,包括: 提供癌細胞抗原; 提供樹突細胞(DC); 提供細胞激素誘導的殺手細胞(CIK ); 將樹突細胞與癌細胞抗原共同培育; 將與癌細胞抗原共同培育之樹突細胞與CIK細胞共同 培育,及 獲得具有辨識癌細胞抗原之CIK細胞。 較佳地,本發明所述之製備方法中,該癌細胞抗原、 樹突細胞以及CIK細胞係來自於自體。 較佳地,本發明所述之製備方法中,該樹突細胞以及 CIK細胞係由自體白血球體外培養而成。 200533754 另一方面,於本發明之一較佳具體事實中,本發明提 供一種製備樹突細胞的方法,包括·· 提供白血球; 培養白血球於培養液中; 分離出貼附之白血球;及 將貼附之白血球培養於含有顆粒及巨噬細胞生長激素 (GM-CSF )及介白素 4 ( interlukin-4,IL-4 )培養液中; 及 獲得樹突細胞。 另一方面,於本發明之一較佳具體事實中,本發明提 供一種製備細胞激素誘導的殺手細胞的方法,包括: 提供白血球; 培養白血球於培養液中; 分離出未貼附之白血球;及 將未貼附之白血球培養於含有r _干擾素之培養液,經 過一段時間後,再加入介白素以匕如丨此‘卜匕]), 介白素,及⑽單株抗體於培 # 液中;及 獲得細胞激素誘導的殺手細胞。 藉由本發明之轉化培養方法,僅需使用少量病患自體 的白血球細胞,即足以培養出大量具辨識癌細胞能力且能 攻擊癌細胞的CIK細胞’不但於治療時能直接攻擊癌細胞 t其組織,且由於是使用病患自體的細胞,雖然經過轉化 複製’也幾乎不會導致任何過敏反應造成患者的不適,不 10 200533754 像一般化學治療會引起大量脫髮,或造成免疫系統被破壞 的不良副作用症狀;而其中使用轉化方式將白血球變成 DC及CIK細胞,不僅可先在人體外檢測這些細胞的活性 ,將品質最佳之DC及CIK細胞篩選出,再轉化成具有辨 識癌細胞抗原之CIK細胞,並且可依療程需要,而培養出 所需要的數量,以治療癌症。 本發明所製備的具有辨識癌細胞抗原之CIK細胞可施 用於任何一期(早期、中晚期)的癌症患者,但是對於大 型實體瘤,原則上還是先以外科手術儘量切除後,再予以籲 左射CIK細胞,如此可獲得最有效地抑制癌細胞轉移,及 完全鏟除原部位癌細胞組織的最高療效。 本發明中所使用之名詞『癌細胞』意指各種惡性新生 物。 本發明中所使用之名詞『癌細胞抗原』意指各種碎裂 之癌細胞。Preferably, in the preparation method described in the present invention, the CIK cells of the cytoantigen, in each of the three methods, the method for identifying cancer cells is supplemented with new medium and IL_2 in the method for identifying cancer cells. Bulk culture in a flask-like manner. On the other hand, in a preferred specific fact of the present invention, the present invention provides a kind of autologous CIK cells prepared by the preparation method as described above and having the ability to recognize cancer cells. On the other hand, in a preferred specific fact of the present invention, the present invention provides an autologous CIK cell for recognizing cancer cells prepared by the preparation method described above. In another aspect, in a preferred specific fact of the present invention, the present invention provides a method for preparing autologous CIK cells for treating cancer, including: providing cancer cell antigens; providing dendritic cells (DC); providing cytokines Induced killer cells (CIK); co-cultivation of dendritic cells and cancer cell antigens; co-cultivation of dendritic cells co-cultivated with cancer cell antigens and CIK cells, and obtaining CIK cells with recognition of cancer cell antigens. Preferably, in the preparation method of the present invention, the cancer cell antigen, the dendritic cells and the CIK cell line are derived from the autologous body. Preferably, in the preparation method of the present invention, the dendritic cells and CIK cell lines are cultured from autologous white blood cells in vitro. 200533754 On the other hand, in one of the preferred specific facts of the present invention, the present invention provides a method for preparing dendritic cells, including: providing white blood cells; culturing white blood cells in a culture solution; separating the attached white blood cells; and The attached white blood cells are cultured in a culture solution containing granules and macrophage growth hormone (GM-CSF) and interlukin-4 (IL-4); and dendritic cells are obtained. On the other hand, in one of the preferred specific facts of the present invention, the present invention provides a method for preparing cytokine-induced killer cells, comprising: providing white blood cells; culturing white blood cells in a culture solution; separating unattached white blood cells; and The unattached white blood cells were cultured in a culture medium containing r_interferon, and after a period of time, interleukin was added (such as this 卜)], interleukin, and 抗体 single antibody Yupei # Solution; and obtaining cytokine-induced killer cells. With the transformation culture method of the present invention, only a small number of patient's own white blood cells are needed, which is enough to cultivate a large number of CIK cells capable of recognizing cancer cells and capable of attacking cancer cells. Not only can they directly attack cancer cells during treatment. Tissue, and because it is using patient's own cells, although it is transformed and replicated, it will hardly cause any allergic reactions to cause discomfort to the patient, no 10 200533754 like ordinary chemotherapy can cause a lot of hair loss or damage the immune system Symptoms of adverse side effects; and the use of transformation methods to turn white blood cells into DC and CIK cells, not only can detect the activity of these cells in vitro, screen the best quality DC and CIK cells, and then transform them into cells that recognize cancer cell antigens. CIK cells can be cultured in the number required to treat cancer. The CIK cells prepared by the invention and having the ability to recognize cancer cell antigens can be applied to any stage (early, middle and advanced stage) cancer patients, but for large solid tumors, in principle, they should be removed as much as possible by surgery before they are called. By irradiating CIK cells, the highest effect of inhibiting cancer cell metastasis and completely eradicating cancer cell tissue in the original site can be obtained. The term "cancer cell" used in the present invention means various malignant neoplasms. The term "cancer cell antigen" used in the present invention means various fragmented cancer cells.

本發明中所使用之名詞『自體』意指同一個人體。 【實施方式】 本發明其他的特徵及優點將可明顯見於下列較佳具體 事實及申請專利範圍。 實例 口下列實施例用於示範說明本發明。這些實施例不以任The term "self" used in the present invention means the same individual. [Embodiment] Other features and advantages of the present invention will be apparent from the following preferred specific facts and scope of patent application. Examples The following examples are provided to illustrate the invention. These examples are inadmissible

可方式意欲限制本發明之範圍,但用於指示如何實施本發 明的材料及方法。 X 11 200533754 抗原訊號ctk細胞的製備 (以下各項步驟均需要無菌操作) 1 ·1 · ii田胞抗原的掣借舟哪 1·採集實體癌腫瘤(solidtumor)組織塊; 2·用PBS溶液沖洗癌腫瘤組織塊至無血跡後,在培 養JBL中剪成〇 2x0.2mm大小; 3 ·加到含有膠原蛋白酵素,玻尿酸酵素,及dNa酵 素的D-Hanks溶液中消化組織塊,令細胞呈游離狀態; 4· /肖化後以1〇〇目篩網濾出單個細胞,用η⑶η液分 離癌細胞及其他纖維細胞,收取癌細胞後使用pBs沖洗, 然後計算癌細胞數量; 5·取適量癌細胞加入無菌純水中,反覆冷凍及解凍3 至5次,令癌細胞自然碎裂;及 6·以攝氏-20度冷凍保存備用。 1 ·2·掛突細胞(dendritic cell,DC)的製備 1·將病人血液中之白血球分離後,置於培養瓶中於攝 氏37度培養約30分鐘; 2·將未貼壁白血球轉移到另一培養瓶中,保留原瓶中 貼壁的白血球,並加入培養基培養;The methods are intended to limit the scope of the invention, but are used to indicate how to implement the materials and methods of the invention. X 11 200533754 Preparation of antigen signal ctk cells (the following steps need to be performed aseptically) 1 · 1 · ii The field cell antigen is used to pick up the 1. 1. Collect solid tumor tumor (solidtumor) tissue blocks; 2. Rinse with PBS solution After the cancerous tumor tissue block has no blood stains, it is cut to a size of 002x0.2mm in the cultured JBL. 3. Add it to the D-Hanks solution containing collagenase, hyaluronidase, and dNa enzyme to digest the tissue block to make the cells free. State; 4 · / Single filter out a single cell with a 100-mesh sieve, separate the cancer cells and other fibroblasts with η⑶η solution, collect the cancer cells and wash them with pBs, then calculate the number of cancer cells; 5. Take an appropriate amount of cancer Cells are added to sterile pure water, frozen and thawed 3 to 5 times repeatedly to allow the cancer cells to fragment naturally; and 6. Store frozen at -20 ° C until use. 1 · 2 · Preparation of Dendritic Cells (DCs) 1. After separating the white blood cells from the patient's blood, place them in a culture flask and culture at 37 ° C for about 30 minutes; 2.Transfer the non-adherent white blood cells to another In a culture bottle, retain the adherent white blood cells in the original bottle and add medium to culture;

3 ·在培養基中補充顆粒及巨噬細胞生長激素(〇Μ_ CSF)及介白素4(interlukin-4,IL-4)刺激令其轉化為DC 細胞; 200533754 4.每三天移除舊的培養基後,&入新鮮的培養基及細 胞生長因子(GM-CSF與IL-4); - 5·第七天此貼壁之白血球細胞應至少有3〇%之數量會 轉化為DC細胞; 6·加入表面載有對DC有特異性之單株抗體的微型磁 珠(目前使用Dynabeads廠牌),與已轉化為DC的細胞結 合; 7·利用磁鐵從培養瓶外部將Dc吸附於瓶壁,移除培 養基後,使用PBS緩衝液沖洗培養觀内2至3次,將其他鲁 非DC之細胞及雜物清洗掉後,移除外部磁鐵,分離Dc 與磁珠後,再使用PBS緩衝液沖洗培養瓶内丨次,並加入 新培養基; 8 ·加入1 ♦ 1方法所製備的解凍後之腫瘤細胞碎塊為抗 原’令DC呑嗟此抗原碎塊; 9·繼續補充新鮮的培養基及細胞因子(GM-CSF與IL_ 4)培養及轉化DC。 1 ·3 ·每胞激素誘導的殺手細胞(cytokine induced killer gillj^ciK)的製備 i·上述1·2方法之第2步驟中未貼壁之白血球取另外 部份轉移到新培養瓶中後,立即加入培養基開始培養; 2·加入7 —干擾素(7 -interferon),再培養24小時後 入’丨白素 l(interlukin-l,IL-1),介白素 2(interlukin-2, 2)及 CD3 早株抗體(CD3 monoclonal antibody,CD3 13 2005337543. Supplement the granules and macrophage growth hormone (OMM_CSF) and interlukin-4 (IL-4) in the medium to stimulate them to transform into DC cells; 200533754 4. Remove the old one every three days After the culture medium, & add fresh culture medium and cell growth factor (GM-CSF and IL-4);-5. On the seventh day, at least 30% of the adherent white blood cells will be transformed into DC cells; 6 · Add micro-magnetic beads with a specific antibody specific to DC on the surface (currently using Dynabeads brand) to bind to cells that have been transformed into DC; 7. Adsorb Dc to the bottle wall from the outside of the culture flask using a magnet, After removing the culture medium, rinse the culture cells 2 or 3 times with PBS buffer solution. After washing other Lufi DC cells and debris, remove the external magnet, separate Dc and magnetic beads, and then rinse with PBS buffer solution. In the culture flask, add new medium; 8 · Add 1 ♦ 1 thawed tumor cell fragments prepared by the method as the antigen 'let DC to this antigen fragment; 9 · continue to add fresh medium and cytokines (GM-CSF and IL_ 4) Culture and transform DC. 1 · 3 · Preparation of cytokine induced killer gillj ^ ciK i. After the other part of the white blood cells not adherent in the second step of the above 1.2 method was transferred to a new culture bottle, Add the medium immediately to start the culture; 2. Add 7-interferon, and then incubate for 24 hours, then add '丨 interlukin-1 (IL-1), interleukin-2 (interlukin-2, 2 CD3 monoclonal antibody (CD3 monoclonal antibody, CD3 13 200533754)

McAb)刺激令其轉化為CIK細胞; 3·每二至三天補充新培養基及IL-2; 4.在第七天時,觀察到此白血球細胞應至少有50%之 數量會轉化為CIK細胞; 5·繼續補充新培養基及IL-2,以增加CIK細胞之數 1.4. DC與CIK細胞共同培育 1·在第十天時,將1.2方法所製備之DC與1.3製備之 CIK細胞分別單離出,再以i: 10之比例(1個dc細胞對 10個CIK細胞)混合至同一個新培養瓶培養; 2·每三天補充新培養基及il-2以支持DC與CIK細胞 結合及複製繁殖; 3·以顯微鏡觀察轉化及生長狀況; 4·在第十四到二十一天間,即可收穫大量可辨識癌細 胞抗原訊息之轉化後的CIK複製細胞。 實jfe例2:生物試驗 將上述培養出之可辨識癌細胞抗原的cikMcAb) stimulated the cells to transform into CIK cells; 3. supplemented with new medium and IL-2 every two to three days; 4. on the seventh day, it was observed that at least 50% of the number of white blood cells would be transformed into CIK cells 5. Continue to add new medium and IL-2 to increase the number of CIK cells 1.4. DC and CIK cells co-cultivate 1. On the tenth day, separate DC prepared by method 1.2 and CIK cells prepared by 1.3 separately Out, then mix in the ratio of i: 10 (1 dc cell to 10 CIK cells) into the same new culture flask; 2. Supplement the new medium and il-2 every three days to support the binding and replication of DC and CIK cells Reproduction; 3. Observe the transformation and growth status with a microscope; 4. In the fourteenth to twenty-one days, a large number of transformed CIK replicating cells that can recognize the antigen message of cancer cells can be harvested. Actual jfe example 2: Biological test The cultured cik that can recognize cancer cell antigens

覆六次為一個療程, 的CIK細胞,以流 胞活性,及測試毒性反應,再以 水稀釋,經靜脈注射回輸患者體内以 ,每二個禮拜為患者實施注射一次, 休息’然德 Ji ; 、、+ a. . ^Six times as a course of treatment, the CIK cells were tested for cytotoxicity and toxicity, and then diluted with water and injected back into the patient's body by intravenous injection. The patients were injected once every two weeks and rested. Ji;,, + a.. ^

CIK細胞總數 200533754 原則上應至少需要 (早期、中晚期)Total number of CIK cells 200533754 In principle, it should be at least required (early, middle and late)

Uxio9個,此種方法可施用於任何一期 的癌症患者。 很據本3各明 _ 乃j作之不同修正及變化對於熟習該項技相 口句”、、員然不會偏離本發明的範圍與精神。雖然本發^ 已=述特定的較佳具體事實,必須瞭解的是本發明不應1 不▲地限制於該等特宏 ^ B“、、 4特疋具體事貫上。事實上,在實施本系 月之已述模式方面,掛於孰習二古κ 于、…I该項技術者而言顯而易知4 不同修正亦被涵蓋於下列巾請專利範圍之内。 【圖式簡單說明】 (一)圖式部分 無 (二)元件代表符號 無Uxio 9, this method can be applied to any stage of cancer patients. It is based on the three amendments and changes made by this book. For those who are familiar with the technique, they will not deviate from the scope and spirit of the present invention. In fact, it must be understood that the present invention should not be limited to these special macros ^ B ", 4 and the specific matters. In fact, in terms of implementing the mode described in this month, it is obvious to those skilled in the study of Ergu κ,… I. 4 Different amendments are also covered by the following patents. [Schematic description] (I) Schematic part None (II) Symbols for components None

1515

Claims (1)

200533754 拾、申請專利範圍: 1 · 一種具辨識癌細胞能力,且能直接殺死癌細胞的 細胞激素誘導的殺手細胞(cytokine induced killer cell, - CIK)之製備方法,包括: 提供癌細胞抗原; 提供樹突細胞(dendritic cell,DC ); 提供細胞激素誘導的殺手(CIK)細胞; 將樹突細胞與癌細胞抗原共同培育; 將與癌細胞抗原共同培育之樹突細胞與CIK細胞共同鲁 培育;及 獲得具有辨識癌細胞抗原之CIK細胞。 2 ·如申請專利範圍第1項所述之製備方法,其中提 供癌細胞抗原的步驟係包括將癌細胞利用反覆冷;東及解康 3至5次方式,令癌細胞自然碎裂而做為癌細胞抗原材料 〇 3 ·如申睛專利範圍第2項所述之製備方法,其中該 癌細胞抗原進一步以冷束方式保存備用。 鲁 4 ·如申晴專利範圍第1項所述之製備方法,其中提 供樹突細胞的步驟係包括: 培養白血球細胞; 將貼附於培養容器壁之白血球細胞加入含有細胞激素 的培養基,及 獲得樹突細胞。 5 ·如申請專利範圍第4項所述之製備方法,其中該 16 200533754 細胞激素包括顆粒及巨噬細胞生長激素(GM-CSF )及介 白素 4 ( interlukin-4,IL-4)。 6 ·如申請專利範圍第5項所述之製備方法,其中該 培養基係每三天更換補充新鮮的培養基。 7 ·如申請專利範圍第6項所述之製備方法,其中該 樹突細胞進一步運用表面具有辨識樹突細胞之特異性單株 抗體的微型磁珠而進行純化樹突細胞。 8 ·如申請專利範圍第7項所述之製備方法,其中該 樹突細胞與癌細胞抗原共同培育步驟包括將樹突細胞培養 _ 至少七天,加入解凍之癌細胞碎塊抗原,再補充新鮮的培 養基、GM-CSF與IL-4培養樹突細胞。 9 ·如申請專利範圍第1項所述之製備方法,其中該 CIK細胞係培養自未貼附培養容器壁之白血球細胞。 1 0 ·如申請專利範圍第9項所述之製備方法,其中 該提供CIK細胞的步驟包括: 培養白血球細胞; 將未貼附培養容器壁之白血球培養於含有干擾素(籲 τ -interferon )之培養基中培養至少24小時; 加入介白素1 ( interlukin_l,IL_1 ),介白素2 ( interlukin-2, IL-2),及 CD3 單株抗體(CD3 mono-antibody , CD3 McAb) 於培養基中; 每二至三天補充新培養基及IL-2 ;及 獲得CIK細胞。 1 1 ·如申請專利範圍第1項所述之製備方法,其中 17 200533754 ”胞抗原共同培育之樹突細胞與cik細胞至少培養 十天後HH)之比例共同培育至培養容器中。 目士12.如申請專利範圍第1項所述製備方法,其中該 八有辨識癌細胞抗原之CIK細胞進—步於培養基内培養。 13 ·如巾請專利範㈣12項所述之製備方法其 中違具有辨識癌細胞抗原之CIK細胞以每三天添加補充新 培養基及IL-2於培養瓶内的方式培養。 • 1 4 ·如巾請專㈣圍第1 i 1 3項中任-項所述之200533754 Patent application scope: 1. A method for preparing cytokine induced killer cells (CIK) capable of identifying cancer cells and directly killing cancer cells, including: providing cancer cell antigens; Provide dendritic cells (DCs); Provide cytokine-induced killer (CIK) cells; co-cultivate dendritic cells with cancer cell antigens; co-cultivate dendritic cells co-cultivated with cancer cell antigens and CIK cells ; And obtaining CIK cells that recognize cancer cell antigens. 2 · The preparation method described in item 1 of the scope of the patent application, wherein the step of providing cancer cell antigens includes repeatedly applying the cancer cells to the cold; Dong and Jie Kang 3 to 5 times, the cancer cells are naturally fragmented as Cancer cell antigen material 03. The preparation method as described in item 2 of Shenyan's patent scope, wherein the cancer cell antigen is further stored in a cold beam for future use. Lu 4. The preparation method as described in item 1 of Shen Qing's patent scope, wherein the step of providing dendritic cells comprises: culturing white blood cells; adding white blood cells attached to the wall of the culture container to a cytokine-containing medium, and obtaining Dendritic cells. 5. The preparation method as described in item 4 of the scope of the patent application, wherein the 16 200533754 cytokines include granules and macrophage growth hormone (GM-CSF) and interlukin-4 (IL-4). 6. The preparation method according to item 5 of the scope of patent application, wherein the medium is replaced with fresh medium every three days. 7. The preparation method according to item 6 of the scope of the patent application, wherein the dendritic cells are further purified by using micromagnetic beads with specific monoclonal antibodies recognizing dendritic cells on the surface. 8. The preparation method as described in item 7 of the scope of the patent application, wherein the step of co-cultivating the dendritic cells with the cancer cell antigen includes culturing the dendritic cells for at least seven days, adding the thawed cancer cell fragment antigen, and then replenishing the fresh Culture medium, GM-CSF and IL-4 culture dendritic cells. 9. The preparation method according to item 1 of the scope of the patent application, wherein the CIK cell line is cultured from white blood cell cells that are not attached to the wall of the culture container. 10 · The preparation method as described in item 9 of the scope of the patent application, wherein the step of providing CIK cells includes: culturing white blood cells; culturing white blood cells that are not attached to the wall of the culture container to a cell containing interferon (τ-interferon) Incubate in the culture medium for at least 24 hours; add interleukin-1 (IL-1), interlukin-2 (IL-2), and CD3 monoclonal antibody (CD3 mono-antibody, CD3 McAb) to the culture medium; New medium and IL-2 were replenished every two to three days; and CIK cells were obtained. 1 1 · The preparation method as described in item 1 of the scope of patent application, wherein the ratio of dendritic cells and cik cells co-cultured with 17 200533754 "cytoantigens is cultured in a culture container at least ten days later. Head 12 . The preparation method described in item 1 of the scope of the patent application, wherein the CIK cells having the recognition of cancer cell antigens are further cultured in the culture medium. 13 · The preparation method described in item 12 of the patent specification, which is in violation of identification CIK cells of cancer cell antigens are cultured by adding new medium and IL-2 in culture flasks every three days. • 1 4 · Please refer to any of the items 1-1 in item 1-1 製備方法’其中所使用之培養基為RPMI1640。 ;丄5·如中請專利範圍第i4項所述之製備方法,其 中該培養基進一步包括1〇%病患自體的血清。 16如申研專利範圍第1至1 4項任一項所述之製 備方法,其中該癌細胞抗原、樹突細胞収cik細胞係來 自於自體。 1 7 ·如申請專利範圍第丄6項所述之製備方法,其 中4树犬細胞以及CIK細胞係培養自體白血球而獲得。 1 8 · 一種如申請專利範圍第1至1 5項任-項所述籲 之製備方法所製備的自體CIK細胞。 1 9 · 一種用於治療癌症之如申請專利範圍第1至1 5項任一項所述之製備方法所製備的具有辨識癌細胞的自 體CIK細胞。 z u ·—種用於治療癌症之具有辨識癌細胞的自體 CIK細胞的製備方法,包括: 提供癌細胞抗原; 18 200533754 提供樹突細胞; 提供細胞激素誘導的殺手(CIK)細胞; 將樹突細胞與癌細胞抗原共同培育; · 將與癌細胞抗原共同培育之樹突細胞與CIK細胞共同 培育:及 獲得具有辨識癌細胞抗原之CIK細胞。 2 1 ·如申請專利範圍第2 〇項所述之製備方法,其 中該癌細胞抗原、樹突細胞以及CIK細胞係來自於自體。 2 2 ·如申請專利範圍第2 1項所述之製備方法,其_ 中該樹突細胞以及CIK細胞係培養自體白血球而獲得。 2 3 · —種製備樹突細胞的方法,包括: 提供白血球; 培養白血球於培養液中; 分離出貼附培養容器壁之白血球;及 將貼附之白血球培養於含有顆粒及巨噬細胞生長激素 (GM-CSF )及介白素 4 ( interlukin_4,IL_4 )培養液;及 獲得樹突細胞。 · 2 4 . -種製備細胞激素誘導的殺手細胞的方法,包 提供白血球; 培養白血球於培養液中; 分離出未貼附培養容器壁之白血球; 7 -干擾素之培養液中 ’ IL-1 ),介白素2 將未貼附之白血球培養於含有 加入介白素1 ( interlukin-1 19 200533754 interlukin-2,IL-2),及 CD3 單株抗體(CD3 monoclone antibody,CD3 McAb )於培養液中;及 獲得細胞激素誘導的殺手細胞。 拾壹、圖式: 無Production method 'wherein the medium used is RPMI1640.丄 5. The preparation method as described in item i4 of the patent scope, wherein the medium further comprises 10% of the patient's autologous serum. 16 The preparation method according to any one of claims 1 to 14 in the scope of the Shenyan patent, wherein the cancer cell antigen and the dendritic cell-receiving cik cell line are derived from an autologous body. 17 · The preparation method as described in item 26 of the scope of patent application, wherein 4 canine cells and CIK cell lines are obtained by culturing autologous white blood cells. 18 · An autologous CIK cell prepared as described in any one of claims 1 to 15 of the scope of patent application. 19 · An auto-CIK cell having the ability to recognize cancer cells prepared by the preparation method according to any one of claims 1 to 15 of the scope of patent application for treating cancer. zu · A method for preparing autologous CIK cells with cancer cell recognition for treating cancer, including: providing cancer cell antigens; 18 200533754 providing dendritic cells; providing cytokine-induced killer (CIK) cells; dendritic cells Co-cultivation of cells with cancer cell antigens; Co-cultivation of dendritic cells co-cultured with cancer cell antigens and CIK cells: and obtaining CIK cells with identification of cancer cell antigens. 2 1. The preparation method according to item 20 of the scope of the patent application, wherein the cancer cell antigen, dendritic cells and CIK cell line are derived from autologous body. 2 2 · The preparation method according to item 21 of the scope of the patent application, wherein the dendritic cells and the CIK cell line are obtained by culturing autologous white blood cells. 2 3 · A method for preparing dendritic cells, comprising: providing white blood cells; culturing white blood cells in a culture solution; isolating white blood cells attached to a wall of a culture container; and culturing the attached white blood cells in a cell containing granules and macrophage growth hormone (GM-CSF) and interlukin_4 (IL_4) culture medium; and obtaining dendritic cells. · 2 4.-A method for preparing cytokine-induced killer cells, including providing white blood cells; culturing white blood cells in a culture solution; isolating white blood cells not attached to the wall of a culture container; 7-interferon culture medium 'IL-1 ), Interleukin 2 The unattached white blood cells are cultured in the medium containing interleukin-1 (interlukin-1 19 200533754 interlukin-2, IL-2), and CD3 monoclone antibody (CD3 McAb). Solution; and obtaining cytokine-induced killer cells. First, schema: None 20 200533754 柒、指定代表圖: (一) 本案指定代表圖為:第( )圖。 (二) 本代表圖之元件代表符號簡單說明: 無 捌、本案若有化學式時,請揭示最能顯示發明特徵的化學式20 200533754 (1) Designated representative map: (1) The designated representative map in this case is: (). (2) Brief description of the representative symbols of the components in this representative drawing: None 捌 If there is a chemical formula in this case, please disclose the chemical formula that can best show the characteristics of the invention
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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103525762A (en) * 2012-07-05 2014-01-22 富禾生医股份有限公司 Formula and method for preparing specific T cells and formula preparation method thereof
CN103525764A (en) * 2012-07-05 2014-01-22 富禾生医股份有限公司 Formula and method for culturing dendritic killer cells
CN103520208B (en) * 2012-07-05 2015-11-04 富禾生医股份有限公司 Application of dendritic killer cell group in preparation of medicine and pharmaceutical composition thereof

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103525762A (en) * 2012-07-05 2014-01-22 富禾生医股份有限公司 Formula and method for preparing specific T cells and formula preparation method thereof
CN103525764A (en) * 2012-07-05 2014-01-22 富禾生医股份有限公司 Formula and method for culturing dendritic killer cells
CN103520208B (en) * 2012-07-05 2015-11-04 富禾生医股份有限公司 Application of dendritic killer cell group in preparation of medicine and pharmaceutical composition thereof
CN103525764B (en) * 2012-07-05 2016-03-23 富禾生医股份有限公司 Formula and method for culturing dendritic killer cells
CN103525762B (en) * 2012-07-05 2016-08-10 富禾生医股份有限公司 Formula and method for preparing specific T cells and formula preparation method thereof

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