TW201238973A - MiRNAs in joint disease - Google Patents

MiRNAs in joint disease Download PDF

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TW201238973A
TW201238973A TW100146393A TW100146393A TW201238973A TW 201238973 A TW201238973 A TW 201238973A TW 100146393 A TW100146393 A TW 100146393A TW 100146393 A TW100146393 A TW 100146393A TW 201238973 A TW201238973 A TW 201238973A
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mir
disease
sample
amount
tissue
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Kathrin Heermeier
Hans Schneider
Thomas Leeuw
Christiane Metz-Weidmann
Joachim Saas
Jochen Beninga
Uwe Dietz
Tilo Weiss
Eckart Bartnik
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Sanofi Sa
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    • C12Q1/6883Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • C12N15/113Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing
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    • C12Q2600/00Oligonucleotides characterized by their use
    • C12Q2600/178Oligonucleotides characterized by their use miRNA, siRNA or ncRNA

Abstract

The present invention concerns microRNAs (miRNA), in particular mir-22, as an indicator of a tissue status or a disease such as osteoarthritis (OA) and as a target molecule for the discovery of a substance for the treatment of a joint disease. Further provided are methods and compounds for investigation, analysis and/or treatment of a joint disease, especially OA.

Description

201238973 六、發明說明: 【發明所屬之技術領域】 本發明係關於微RNA(miRNA),特別是mir-22,作 為組織狀態或疾病例如骨性關節炎(〇A)之指標,及作為 找出治療關節炎物質之目標分子。進一步係提供用於調 查刀析及/或治療關郎疾病,特別是QA之方法和化人 物。 〇 【先前技術】 關節炎為人類最常見的關節疾病,特徵為關節疼 痛、發炎、發紅和腫大。已知有數種不同形式的關節炎、。 類風濕性關節炎(RA),-紐性全身發炎性疾病,主 2 =液關節a;而僵直性脊椎炎(AS),亦為慢性發炎 Μ-Γ: ’主要是f彡響雜和骨盆關節。幼年特發性 即火(JIA)其特徵為㈣的⑽發炎及發生在年齡16 痛風其特徵為經常性發作之急性發炎性 關即火,其係因血液中升高的尿酸量所 二炎係因關節感染所造成,及乾癬性關節炎可:二: 在^乾癬之病患。骨性關節炎_其^ = 異常’例如關節軟骨和軟骨下骨退化。〜 幾械 OA為西方國家最f見的疾病之—, :美L曰本和德國有超過2千1百萬個診斷症狀0广0 t卜由於人口老化,須面對不斷增加的0A病=狀病 ,、生活品f嚴重受到影響。此外,OA帶來F Γ 經濟之直接和間接的成本負擔。目前的治療; 201238973 與〇A有關的疼痛營拽,m、 緩、停止或甚至;/1 因為長久以來雖尋求可能減 式,但仍不可r逆轉OA過程和其效應之藥理學治療方 ;广伙作《造成滑液關節之結構和功能障礙之病 和病理結果。其係發生在當關節組織的分 心二1二動態平衡被破壞時。軟骨之結構性失能可 = w·: _巾的機械應變傷害健康的軟骨’以及在生理和 、/、響下,失能的病理學上受損之軟骨退化所 k成二0Α其特徵為漸進式的軟骨退化,最後導致受傷 的關節失π S QA慢性的進展期間,軟骨被破壞,釋 放出下層骨組織,最後需要手術置換受傷關節。 除了軟骨破壞外’亦發生滑賴和㈣之病理性退 化。ΟΑ的第二效應為產生發炎。 ΟΑ中觀察到的形態變化包括軟骨侵蝕以及不同程 度的滑膜發炎。這些變化係歸因於生化因子之複雜網 絡,包括導致軟骨大分子,特別是膠原蛋白π、χ和蛋 白多糖(aggrecan)分解之蛋白質水解酵素。細胞激素例 如藉由活化的滑膜細胞、單核細胞,或藉由軟骨本身所 產生的IL-1和TNF-α,顯著地上調基質金屬蛋白酶 (MMP)和細胞激素基因表現,以及鈍化補償合成路 確切的OA病因仍無解,但某些成因係與疾病的笋 生和進程有關。最重要的因子為年齡,但週期性的超χ 荷、肥胖、關節鬆弛和先天性亦扮演重要的角色。^ 基質組份之退化一般認同係由於胞外蛋白酶,主^月 201238973 MMP之合成增加和活化,以及細胞激素擴大了退化過 程0 OA的診斷一般係以病患關節之臨床檢查出現緩起 症狀和徵兆為基準,以X-光確認診斷。經由光可觀 察到的典型變化包括關節空間窄化、關節邊緣形成骨 刺、軟骨下硬化、軟骨下囊腫形成、骨骼重塑和關節積 液。診斷OA之實驗室試驗仍尚未取得’因為習用之標 記在OA中仍為正常的。這些試驗僅可用於辨別〇A^ 其他形式的關節炎,特別是發炎類型的關節炎。因此, 僅在關節退化已惡化至足以用χ_光看出之階段時才可 能診斷出OA。就目前看來,早期發生之此疾病尚無法 偵測,防礙了可能從一開始避免關節破壞之及時治療\ 因此,能在早期階段鑑定0A之改良性工具仍為所1希望 ^ 叫、丨工征狀必炳囚性醫藥治療並不可 月匕,因為並無〇Α疾病緩解藥(DMOAD)存在。因此, 現今之疾病管理為降低翻醫藥,主要 炎__之投予,舒緩疼痛並因而 良性:缺陷,對於得以鑑定早期疾病:改 = : = =給予預防及…早期治癒性 【發明内容】 及適狀改良方法以 席夂物負和組成物。精由本發明不同 201238973 的方面’以提供在軟骨細胞之分化雜期間差異性表達 之imRNA為基礎之方法和4勿質,及培養骨 (BMCS)可得到解決。 卿、,,胞 本發明絲於發明者意外發現,在軟骨細胞中 mir-22專一性的抑制作用增加了軟骨形成標記,而軟骨 細胞中mir-22之過度表現則導致軟骨形成標記下降。 在第一方面,本發明係提供用作組織狀態或疾病指 標之mir-22,及在第二方面為mir_22作為組織狀 病指標之用途。 在第三方面,本發明係提供於個體中鑑定組織狀態 改變,或疾病(較佳地關節疾病)發生風險及/或鑑定疾病 存在及/或監控疾病進程之方法,其係包括偵測樣本中 mir-22之量。 在第四方面,本發明係提供於個體中測定用於組織 狀態改麦或預防或治療疾病,較佳地關節疾病之醫藥劑 量之方法,其包括下列步驟:(幻測定個體樣本中mir 22 之量’及(b)依照試驗樣本中mir_22之量決定醫藥劑量。 在第五方面,本發明係提供調整用於組織狀態改變 或預防或治療關節疾病之醫藥劑量之方法,其包括下列 步驟:(a)測定樣本中mir_22之量,及(b)測定一或多個參 照樣本中mir-22之量,(c)檢驗試驗樣本關於存在該樣本 中mir-22之量是否與一或多個參照樣本中mir_22之量不 同’(d)依照試驗樣本中mir-22之量是否與一或多個參照 樣本中mir-22之量不同,調整醫藥劑量。 在第六方面’本發明係提供測定一物質對組織狀態 201238973 或發生㈣疾病之制及/麵#效狀方*,盆包括 下列步驟··⑷駭試驗樣本中偷_22之量 ; 中-22之量,及⑷檢驗試驗二 存在该樣本中mir_22之量是否與—或多個參照樣本中 mir22之5_不同,其中$試驗樣本暴露於該物 係與一或多種參照樣本不同。 在第七方面’本發明係提供mir_22於第三至第六方 面任一方面之方法中的用途。 ^ 在第八方面’本發明係提供用於第三至第六方面任 一 ^面之方法中的套組,其包括—或多種偵測秦批 工具。 在第九方面,本發明係提供第八方面 至第六方面任一方面之方法中的用途。第二 在第十方面,本發明係於第三至第六方面任一方面 之方法中’提供一或多種用於偵測mir-22基因、基因產 物或其功能活性變體之核酸。 在第十一方面,本發明係於第三至第六方面任一方 面之方法中’提供用於偵測秦22基因 功能活性變體之胜肽、多肽或蛋白。 ^ j第十二方面,本發明係提供第十方面之核酸,或 第十方面之胜肽、多肽或蛋白於第三至第六方面任一 方面之方法中的用途。 、在第十二方面,本發明係提供篩選mir-22拮抗劑之 方法其中该方法包括下列步驟:⑻提供mir-22或mir-22 基因’(b)提供概化合物,及_量或制試驗化合 7 201238973 物對mir-22或mir-22基因之影響。 在第十四方面’本發明係提供用於組織狀態改變或 預防或治療關節疾病之mir-22拮抗劑。 在第十五方面,本發明係提供包括第十四方面之 mir-22拮抗劑之醫藥。 在第十六方面,本發明係提供用於組織狀態改變或 預防或治療關節疾病之方法,其中係將一治療上有效量 之第十五方面的醫藥投予處於發生或罹患關節疾病風 險之個體。 本發明詳細說明 在詳述本發明之前’應了解,本發明不限於文中所 述之特定的方法、方案及試劑,因為這些可改變。亦應 了解,文中所用的術語僅供描述特定的實施例之目的, 而不希望限制本發明之範圍,.本發明之範圍僅受限於所 附的申請專利範圍。如本發明所屬的技術之一般技術者 正常之理解,除非另有說明,否則所有文中所用的技術 和科學術語具有相同意義。 較佳地,文中所用的術語係如”A multilingual glossary of biotechnological terms : (IUPAC Recommendations)”,Leuenberger,H.G.W, Nagel, B.及 Kolbl, H. eds. (1995), Helvetica Chimica Acta, CH-4010 Basel,Switzerland)中所述來定義。 本說明書全文引述數種文件。各文中所引述的文件 201238973 (包括:所有的專利、專利申請書、科學刊物、製造商 說明書、指南、基因銀行(GenBank)登錄號序列提交 專)’無論上文或是下文,其全文係以引用的方式併入。 在文中不應視為核准,本發明並無權藉由先前的發明提 早此揭示文。 定義 整個說明書及其後的申請專利範圍,除非文中需 要,否則「包括」一詞及其變化應了解係指包含陳述的 整體或步驟,或整體或步驟之群組,但並不排除其他的 整體或步驟,或整體或步驟之群組。 「核酸」分子應了解為由核苷酸單體所合成之聚合 或券合大分子。核苷酸單體係由核鹼基、五碳糖(例如(但 不限於)核糖或2’-去氧核糖)及一至三個磷酸基團所級 成。典型地,多核苷酸係經由個別核苷酸單體間的磷醆 二酯鍵所形成。在本發明内文中係指核酸分子包括(值 不限於)核糖核酸(RNA)、去氧核糖核酸(DNA)及其混合 物,例如RNA-DNA雜合物。術語「多核苷酸」和「核 酸」在本文中可父換使用。核酸可例如以化學合成, 如依填酸二S日法(參見’例如uhlmann, E. & Peyman A (1990) Chemical Reviews, 90, 543-584) 〇 ’ 核酸可藉由核酸内切酶或核酸外切酶降解,特別β 細胞中可發現的DNΑ酶和RNΑ酶。因此,有利的係= 飾核酸,以便使其安定,對抗降解,藉此確保長期維^ 細胞中咼的核酸濃度(Beigelman等人(1995) Nucle. 201238973 WO 95/11910201238973 VI. Description of the invention: [Technical field to which the invention pertains] The present invention relates to microRNAs (miRNAs), particularly mir-22, as indicators of tissue status or diseases such as osteoarthritis (〇A), and as an indication The target molecule for the treatment of arthritic substances. Further, methods and humans for investigating knife formation and/or treating Klang disease, particularly QA, are provided. 〇 [Prior Art] Arthritis is the most common joint disease in humans and is characterized by joint pain, inflammation, redness and swelling. Several different forms of arthritis are known. Rheumatoid arthritis (RA), neonatal systemic inflammatory disease, primary 2 = fluid joint a; and ankylosing spondylitis (AS), also chronic inflammation Μ-Γ: 'mainly f彡 彡 和 and pelvis joint. Juvenile idiopathic instant fire (JIA) is characterized by (4) inflammation (10) and occurs in age 16 gout, characterized by frequent episodes of acute inflammatory stagnation, which is due to elevated uric acid levels in the blood. Caused by joint infections, and dry arthritis can be: Two: in the dry disease patients. Osteoarthritis _ its ^ = abnormalities such as articular cartilage and subchondral bone degeneration. ~ Several OAs are the most common diseases in Western countries -: US L 曰 Ben and Germany have more than 21 million diagnosed symptoms 0 guang 0 t Bu due to population aging, must face increasing 0A disease = Symptoms, life products f are seriously affected. In addition, OA brings the direct and indirect cost burden of the F Γ economy. Current treatment; 201238973 Pain camp related to 〇A, m, slow, stop or even; /1 Because of the long-term search for possible subtraction, it is still not possible to reverse the OA process and the pharmacological treatment of its effects; The work "the disease and pathological results that cause structural and dysfunction of the synovial joint. It occurs when the distraction of the joint tissue is destroyed. The structural disability of cartilage can be = w:: The mechanical strain of the towel damages the healthy cartilage' and the pathologically damaged cartilage degradation in the physiological and/or ringing, disability is characterized by Progressive cartilage degradation, which eventually leads to the loss of the injured joint π S QA During the chronic progression, the cartilage is destroyed, the underlying bone tissue is released, and the injured joint needs to be surgically replaced. In addition to cartilage destruction, there is also a pathological regression of slippage and (d). The second effect of sputum is to produce inflammation. Morphological changes observed in sputum include cartilage erosion and varying degrees of synovial inflammation. These changes are attributed to the complex network of biochemical factors, including proteolytic enzymes that cause the breakdown of cartilage macromolecules, particularly collagen π, sputum and aggrecan. Cytokines significantly up-regulate matrix metalloproteinase (MMP) and cytokine gene expression, and passivation-compensated synthesis, for example, by activated synoviocytes, monocytes, or by IL-1 and TNF-α produced by cartilage itself. The exact cause of OA remains unsolved, but some causes are related to the birth and progress of the disease. The most important factor is age, but cyclical overload, obesity, joint relaxation and congenitality also play an important role. ^ Degradation of matrix components is generally recognized due to the extracellular protease, the increase and activation of MMP synthesis by the main moon 201238973, and the cytokine enlargement of the degenerative process. The diagnosis of 0 OA is generally based on the clinical examination of the affected joints. The indication is based on the indication, and the diagnosis is confirmed by X-ray. Typical changes that can be observed through light include narrowing of joint space, formation of bone spurs at the edges of the joints, subchondral sclerosis, subchondral cyst formation, bone remodeling, and joint effusion. Laboratory tests for diagnosing OA have not yet been achieved' because the standard of use is still normal in OA. These tests can only be used to identify other forms of arthritis, particularly inflammatory types of arthritis. Therefore, OA can only be diagnosed if the joint degradation has deteriorated enough to be seen with χ光. At present, it seems that the early disease is still undetectable, which hinders the timely treatment of joint damage that may be avoided from the beginning. Therefore, the improved tool for identifying 0A at an early stage is still a hope. The symptoms of the disease must not be treated by prisoner medicine because there is no drug-relieving drug (DMOAD). Therefore, today's disease management is to reduce the conversion of medicine, mainly inflammation, soothing pain and thus benign: defects, for the identification of early diseases: change = : = = to give prevention and ... early cure [invention] and A suitable method of improvement is to use a sputum negative and a composition. The aspect of the present invention differs from the aspect of 201238973 by providing an imRNA-based method and differentially expressed during the differentiation of chondrocytes, and the cultured bone (BMCS) can be solved. The inventors of the present invention unexpectedly discovered that mir-22-specific inhibition in chondrocytes increases cartilage formation markers, whereas overexpression of mir-22 in chondrocytes leads to a decrease in cartilage formation markers. In a first aspect, the invention provides for the use of mir-22 as a tissue state or disease indicator, and in the second aspect mir_22 as a tissue disease indicator. In a third aspect, the invention provides a method of identifying a change in tissue status, or a risk of a disease, preferably a joint disease, and/or identifying the presence of a disease and/or monitoring the progression of the disease in an individual, including detecting a sample The amount of mir-22. In a fourth aspect, the present invention provides a method for determining a medical dosage for tissue state or for preventing or treating a disease, preferably a joint disease, in an individual comprising the steps of: (final determination of mir 22 in an individual sample) The quantity 'and (b) determines the medical dose according to the amount of mir_22 in the test sample. In a fifth aspect, the present invention provides a method of adjusting a medical dose for tissue state change or preventing or treating a joint disease, comprising the following steps: a) determine the amount of mir_22 in the sample, and (b) determine the amount of mir-22 in one or more reference samples, and (c) test whether the amount of mir-22 in the sample is related to one or more references The amount of mir_22 in the sample is different' (d) The medical dose is adjusted according to whether the amount of mir-22 in the test sample is different from the amount of mir-22 in one or more reference samples. In the sixth aspect, the present invention provides assay 1 Substance-to-tissue state 201238973 or occurrence of (d) disease system and / face #effect square *, basin includes the following steps · (4) 骇 test sample stealing _22 amount; medium -22 amount, and (4) test test 2 exists Sample m Whether the amount of ir_22 is different from - or 5_ of mir22 in a plurality of reference samples, wherein the test sample is exposed to the system different from the one or more reference samples. In the seventh aspect, the present invention provides mir_22 in the third to the first Use of the method of any of the six aspects. ^ In an eighth aspect, the invention provides a kit for use in the method of any of the third to sixth aspects, comprising - or a plurality of detection tools In a ninth aspect, the invention provides the use of the method of any of the eighth to sixth aspects. In a tenth aspect, the invention is in the method of any of the third to sixth aspects Providing one or more nucleic acids for detecting a mir-22 gene, a gene product, or a functionally active variant thereof. In an eleventh aspect, the invention is provided in the method of any of the third to sixth aspects The peptide, the polypeptide or the protein of the functional activity variant of the Qin 22 gene is detected. The j of the twelfth aspect, the invention provides the nucleic acid of the tenth aspect, or the peptide, polypeptide or protein of the tenth aspect is the third to the Use in any of the six aspects of the method In a twelfth aspect, the invention provides a method of screening for a mir-22 antagonist, wherein the method comprises the steps of: (8) providing a mir-22 or mir-22 gene' (b) providing a compound, and In the fourteenth aspect, the present invention provides a mir-22 antagonist for tissue state alteration or prevention or treatment of joint diseases. In a sixteenth aspect, the present invention provides a method for modifying a tissue state or preventing or treating a joint disease, wherein the treatment is An effective amount of the fifteenth aspect of the pharmaceutical is administered to an individual at risk of developing or suffering from a joint disease. DETAILED DESCRIPTION OF THE INVENTION Before the present invention is described in detail, it should be understood that the invention is not limited to the specific methods, protocols and reagents described herein, as these may vary. It is also understood that the terminology used herein is for the purpose of describing the particular embodiments, and is not intended to limit the scope of the invention. The scope of the invention is limited only by the scope of the appended claims. As will be understood by those of ordinary skill in the art to which the present invention pertains, the technical and scientific terms used herein have the same meaning unless otherwise indicated. Preferably, the terms used herein are as "A multilingual glossary of biotechnological terms : (IUPAC Recommendations)", Leuenberger, HGW, Nagel, B. and Kolbl, H. eds. (1995), Helvetica Chimica Acta, CH-4010 Defined in Basel, Switzerland). Several documents are cited throughout this specification. The documents cited in the text 201238973 (including: all patents, patent applications, scientific publications, manufacturer's instructions, guides, GenBank registration number sequence submission) 'above or below, the full text is The manner of reference is incorporated. It is not to be considered as an approval in the text, and the present invention is not entitled to the present disclosure by the prior invention. The definition of the entire specification and the scope of the patent application, unless the context requires, the word "including" and its variations should be understood to mean the whole or the steps, or the group of the whole or the steps, but not the other. Or steps, or groups of whole or steps. A "nucleic acid" molecule is understood to be a polymeric or valency macromolecule synthesized from a nucleomonomer. A nucleotide single system is composed of a nucleobase, a five carbon sugar such as, but not limited to, ribose or 2'-deoxyribose, and one to three phosphate groups. Typically, polynucleotides are formed via phosphodiester bonds between individual nucleotide monomers. In the context of the present invention is meant a nucleic acid molecule comprising, by way of example not limited to, ribonucleic acid (RNA), deoxyribonucleic acid (DNA) and mixtures thereof, such as RNA-DNA hybrids. The terms "polynucleotide" and "nucleic acid" are used interchangeably herein. Nucleic acids can be synthesized, for example, by chemical synthesis, such as by the acid-based S-day method (see 'eg uhlmann, E. & Peyman A (1990) Chemical Reviews, 90, 543-584) 〇' nucleic acids can be endonuclease or Exonuclease degradation, particularly DN chymase and RN chymase found in beta cells. Therefore, it is advantageous to decorate the nucleic acid in order to stabilize it against degradation, thereby ensuring the nucleic acid concentration of sputum in the long-term cells (Beigelman et al. (1995) Nucle. 201238973 WO 95/11910

Acids Res. 23:3989-94 WO 98/37240 ; WO 97/29116)。典型地,此安定化作 用可藉由導入一或多個核苷釀間磷基團或藉由導入一 或多個非磷的核苷酸間基團來達成。 適合的修飾核苦酸間基圑係匯編於Uhlmann和 Peyman (1990),上文(亦參見 Beigdman 等人(1995)Acids Res. 23: 3989-94 WO 98/37240; WO 97/29116). Typically, this stabilization can be achieved by introducing one or more nucleoside interphosphorus groups or by introducing one or more non-phosphorus internucleotide groups. Suitable modified nucleotide structures are compiled in Uhlmann and Peyman (1990), supra (see also Beigdman et al. (1995)).

Nucleic Acids Res. 23:3989-94 ; WO 95/11910 ; WO 98/37240,WO 97/29116)。可用於本發明用途之 一的修飾核苷酸間磷酸基及/或核酸間之非磷橋包括例 如膦酸曱酯、硫代磷酸酯、胺基磷酸酯、二硫代磷酸酯 及/或磷酸酯,而非磷的核苷酸間類似物包括,例如矽 氧烷橋;碳酸橋;羧酸曱酯、胺基乙酯橋及/或硫醚橋。 亦所欲的,此修飾應改善可用於本發明用途之一的醫藥 組成物之效期。 核酸可由下列組成之群中選出:多核苷酸探針、引 子(例如引子對)’較佳地用於聚合酶連鎖反應(pCR)、 反轉錄(RT)反應或DNA排序之引子、胜肽核酸(PNA)、 鎖核酸(LNA)、二醇核酸(〇Na)、蘇糖核酸(TNA)、微 RNA (miRNA)和小的干擾 RNA(siRNA)。 術語「探針」如文中所用係指單股寡核苷酸,其典 型地係用於偵測與探針序列互補的目標RNA及/或DNA 序列。探針與單股的核酸(DNA4RNA)雜交,因為探針 和目標序列互補,其核苷酸序列能使核苷酸配對。探針 長度係依照所欲用途以及探針所需的專一性而定。典型 地’板針為20-500 (亦即50、55、60、65、70、75、80、 201238973 85、90、95、100、110、120、130、140 ' 150、i6〇、 〇〇、180、190、200、300、400、500)個核苷酸長,較 佳地20-100個核苷酸,更佳地2〇_5〇個。對於偵測微RNA 探針係介於12至3 0個核苷酸之間。探針係用在各種實驗 設定例如(但不限於)南方墨點和北方墨點,即時pcR和 原位雜交(ISH)以及微陣列實驗。探針可為未標示、直 接標示或間接標示,例如以稍後可結合鏈黴親合素複合 物之生物素。該標示可為以光譜、光化學、生物化學、 免疫化學、化學或其他物理方法可偵測之分子。例如, 適合的標示包括32P、螢光染劑、高電子密度試劑、酵 素(例如常用於ELISA)、生物素、地高辛(dig〇xigenin) 或半抗原及其他可偵測之實體。標示可在任何位置併入 核酸,例如在3,端、5,端或之間。術語「探針」亦涵蓋 其架構組成上不同的核酸,例如(但不限於)胜肽核酸 (PNA)、鎖核酸(LNA)、二醇核酸(GNA)和蘇糖核酸 (TNA)。 術語「引子」如文中所用係指單股寡核苷酸,其典 型地係作為DNA-複製酵素之起始點。引子係與DNA模 板結合或雜交及典型地係包括本應與〇]^八序列結合的 序列相互補之序列。引子亦可包括另㈣賴,例如作 為核酸酶裂解位置(例如Bam m、Hind m等)之序列。 号丨子的長度係依照所欲的用途來選擇。例如,聚合酶連 鎖反應(PCR)中用於增幅DNA之引子典型地具有至少1〇 個核皆I ’較佳地介於1()至5()(亦即15、16、、18、 19、20、21、22、Μ^ 201238973 31、32、33、34、35、36、37、38、39、40、45、50) 個核苷酸,更佳地介於15至30個核苷酸。至少5個核苷 酸之較短的引子可用於DNA模板之定序。術語「引子」 亦包括術語「簡併引子」,其為類似,但非相同引子的 混合物。引子可以光譜、光化學、生物化學、免疫化學、 化學或其他物理方法可偵測之標記分子加標籤或標示。 如文中所用’術語「微RNA」及其變化例如「miRNA」 和「miR」包括可自然生成之人類111汉1^八、成熟的單股 miRNA、前驅物miRNA(前-miR)及其變體。在某些例子 中,術語「miRNA」包括初級miRNA轉錄本和雙螺旋 miRNA。除非另有註解,否則當用本文時,特定miRNA 之名稱係指成熟的miRNA。例如,mir-22係指衍生自前 -mir-22之成熟的miRNA序列。miRNA之序列,包括人 類成熟的和前驅物序列(亦稱為莖環序列),係提報於下 列數據庫中: miRBase-微RNA數據庫,可經由下列連接: http://microrna.sanger.ac.uk or http://www.mirbase.org/ 包括miRNA序列之出版品有:Griffiths-Jones等人, Nucleic Acids Research, 2008,36,Database Issue, D154-D158; Griffiths-Jones 等人,Nucleic Acids Research, 2006, 34, Database Issue, D140-D144 ; Griffiths-Jones, Nucleic Acids Research, 2004, 32, Database Issue, D109-D111, Griffiths-Jones 等人,Nucleic Acids Research, 2011, Vol. 39, Database Issue, D152-D157) ° 12 201238973 mir-22:之序列 智人mir 22莖環序列hsa_mir-22(登錄號: MI0000078): GGCUGAGCCGCAGUAGUUCUUCAGUGGCAAG CUUUAUGUCCUGACCCAGCUAAAGCUGCCAGUUG AAGAACUGUUGCCCUCUGCC (SEQ ID ΝΟ:1) 成熟序列: hsa-miR-22(登錄號:MIMAT0000077): AAGCUGCCAGUUGAAGAACUGU (SEQ ID NO:2) 子序列: hsa-miR-22*(登錄號:MIMAT0004495): AGUUCUUCAGUGGCAAGCUUUA (SEQ ID NO:3) 此miRNA序列係以與來自小鼠驗證過的miRNA 同源性為基準所描繪「’Identification of novel genes coding for small expressed RNAs” Lagos-Quintana M, Rauhut R, Lendeckel W, Tuschl T Science. 294:853-858(2001), "Reduced accumulation of specific microRNAs in colorectal neoplasia" Michael MZ, O’ Connor SM, van Holst Pellekaan NG, Young GP, James RJ Mol Cancer Res. 1:882-891(2003)]。其表現後來於人類 中驗證「”Kaposi’s sarcoma-associated herpes virus expresses an array of viral microRNAs in latently infected cells” Cai X, Lu S, Zhang Z, Gonzalez CM, Damania B, 13 201238973Nucleic Acids Res. 23: 3989-94; WO 95/11910; WO 98/37240, WO 97/29116). Modified internucleotide phosphate groups and/or non-phosphorus bridges between nucleic acids useful in one of the uses of the present invention include, for example, phosphonium phosphonates, phosphorothioates, amino phosphates, phosphorodithioates, and/or phosphoric acid The internucleotide analogs of esters, but not phosphorus, include, for example, a decane bridge; a carbonic acid bridge; a carboxylic acid oxime ester, an aminoethyl ester bridge, and/or a thioether bridge. Also, such modifications should improve the effectiveness of the pharmaceutical composition that can be used in one of the uses of the present invention. Nucleic acids can be selected from the group consisting of: polynucleotide probes, primers (eg, primer pairs)'s preferred primers for polymerase chain reaction (pCR), reverse transcription (RT) reactions, or DNA sequencing, peptide nucleic acids (PNA), locked nucleic acid (LNA), diol nucleic acid (〇Na), threose nucleic acid (TNA), microRNA (miRNA) and small interfering RNA (siRNA). The term "probe" as used herein refers to a single-stranded oligonucleotide, which is typically used to detect a target RNA and/or DNA sequence that is complementary to a probe sequence. The probe hybridizes to a single strand of nucleic acid (DNA4 RNA), and because the probe is complementary to the target sequence, its nucleotide sequence enables nucleotide pairing. The length of the probe depends on the intended use and the specificity required for the probe. Typically, the plate needle is 20-500 (ie 50, 55, 60, 65, 70, 75, 80, 201238973 85, 90, 95, 100, 110, 120, 130, 140 '150, i6〇, 〇〇 180, 190, 200, 300, 400, 500) nucleotides long, preferably 20-100 nucleotides, more preferably 2 〇 5 〇. For detection of microRNA probes between 12 and 30 nucleotides. Probes are used in various experimental settings such as, but not limited to, Southern and Northern blots, instant pcR and in situ hybridization (ISH), and microarray experiments. The probe may be unlabeled, directly labeled or indirectly labeled, for example, biotin which may later bind to the streptavidin complex. The label can be a molecule detectable by spectroscopic, photochemical, biochemical, immunochemical, chemical or other physical methods. For example, suitable labels include 32P, fluorescent dyes, high electron density reagents, enzymes (e.g., commonly used in ELISA), biotin, dig〇xigenin or haptens, and other detectable entities. The labeling can incorporate nucleic acids at any position, such as at 3, 5, 5, or between. The term "probe" also encompasses nucleic acids whose composition is different in composition, such as, but not limited to, peptide nucleic acid (PNA), locked nucleic acid (LNA), glycol nucleic acid (GNA), and threose nucleic acid (TNA). The term "introduction" as used herein refers to a single-stranded oligonucleotide, which is typically used as the starting point for DNA-replicase. The primer system binds or hybridizes to the DNA template and typically comprises sequences that are complementary to the sequence to which the sequence is bound. The primer may also include another (d), for example, as a sequence of nuclease cleavage sites (e.g., Bam m, Hind m, etc.). The length of the tweezers is chosen according to the intended use. For example, a primer for amplifying DNA in a polymerase chain reaction (PCR) typically has at least 1 nucleus I' preferably preferably between 1 () and 5 (), ie 15, 16, 16, 18, 19 , 20, 21, 22, Μ^ 201238973 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 45, 50) nucleotides, more preferably between 15 and 30 nucleosides acid. A shorter primer of at least 5 nucleotides can be used for the sequencing of the DNA template. The term "priming" also includes the term "degenerate primer" which is a mixture of similar but not identical primers. Primers can be labeled or labeled by detectable molecules that are detectable by spectroscopic, photochemical, biochemical, immunochemical, chemical or other physical methods. As used herein, the term 'microRNA' and its variations such as "miRNA" and "miR" include naturally occurring human 111, mature single miRNA, precursor miRNA (pre-miR) and variants thereof. . In some instances, the term "miRNA" includes both primary miRNA transcripts and duplex miRNAs. Unless otherwise noted, the name of a particular miRNA refers to a mature miRNA when used herein. For example, mir-22 refers to a mature miRNA sequence derived from pre-mir-22. Sequences of miRNAs, including human mature and precursor sequences (also known as stem-loop sequences), are reported in the following databases: The miRBase-microRNA database can be linked via the following link: http://microrna.sanger.ac. Uk or http://www.mirbase.org/ Publications including miRNA sequences are: Griffiths-Jones et al., Nucleic Acids Research, 2008, 36, Database Issue, D154-D158; Griffiths-Jones et al., Nucleic Acids Research , 2006, 34, Database Issue, D140-D144; Griffiths-Jones, Nucleic Acids Research, 2004, 32, Database Issue, D109-D111, Griffiths-Jones et al., Nucleic Acids Research, 2011, Vol. 39, Database Issue, D152-D157) ° 12 201238973 mir-22: The sequence of Homo sapiens mir 22 stem loop sequence hsa_mir-22 (Accession number: MI0000078): GGCUGAGCCGCAGUAGUUCUUCAGUGGCAAG CUUUAUGUCCUGACCCAGCUAAAGCUGCCAGUUG AAGAACUGUUGCCCUCUGCC (SEQ ID ΝΟ:1) Mature sequence: hsa-miR-22 (Login No.: MIMAT0000077): AAGCUGCCAGUUGAAGAACUGU (SEQ ID NO: 2) Subsequence: hsa-miR-22* (Accession number: MIMAT0004495): AGUUCUUCAGUGGCAAGCUUUA (SEQ ID NO: 3) This miRNA The column is "Identification of novel genes coding for small expressed RNAs" based on homology to miRNAs verified from mice. Lagos-Quintana M, Rauhut R, Lendeckel W, Tuschl T Science. 294: 853-858 (2001), "Reduced accumulation of specific microRNAs in colorectal neoplasia" Michael MZ, O' Connor SM, van Holst Pellekaan NG, Young GP, James RJ Mol Cancer Res. 1:882-891 (2003)]. Its performance was later verified in humans ""Kaposi's sarcoma-associated herpes virus expresses an array of viral microRNAs in latently infected cells" Cai X, Lu S, Zhang Z, Gonzalez CM, Damania B, 13 201238973

Cullen BR Proc Natl Acad Sci USA. 102:5570-5575(2005)., "A mammalian microRNA expression atlas based on small RNA library sequencing" Landgraf P, Rusu M, Sheridan R, Sewer A, Iovino N, Aravin A, Pfeffer S, Rice A, Kamphorst AO, Landthaler M, Lin C, Socci ND, Hermida L, Fulci V, Chiaretti S, Foa R, Schliwka J, Fuchs U, Novosel A, Muller RU, Schermer B, Bissels U, Inman J, Phan Q, Chien M Cell. 129:1401-1414(2007)。 微RNAs (miRNAs)為内生性的小RNA分子,其係 涉及在在轉譯層級調節基因表現。再者,其為細胞RNA 干擾(RNAi)機制之部分。miRNA係由從DNA轉錄但非 轉譯成蛋白之基因所編碼(非-蛋白-編碼RNA)。其首先 係在秀麗隱桿線蟲中發現,並存 在於植物和動物中。許多miRNA的序列在不同的物種 間被高度保留,其顯示miRNA路徑為相當古老和重要 調節機制之部分(Grosshans 等人 J Cell Biol 156: 17-21 (2002))。已發現miRNA調節約3〇%的哺乳動物基因 (Czech, NEJM 354:1194-1195 (2006) ; Mack, Nature Biotech. 25:631-638 (2007) ; Eulalio,等人,Cell 132:9-14 (2008))。最近,已發現miRNA藉由阻斷轉譯 ^造成轉錄退化來抑制蛋白產生,藉此調控基因表現。 單二miRNA可能以25〇-5〇〇種不同的mRNA為目標, 其也明此類的RNA在廣泛的細胞功能中為極重要的介 201238973 子。許多藉由miRNA調節之基因乃致病基因。因此, 任何miRNA-調節功能性具有很大的治療潛力。 在動物中,miRNA首先係由作為RNA轉錄本稱為 初級miRNA(pri-miRNA)之基因體所表現。其係由rnA 聚合酶II轉錄,並形成髮夾結構。在核中,dsRNA-專 一性核糖核酸酶Drosha將pri-miRNA作用成更短的約 70-至100-核苦酸長,稱為pre-miRNA之莖環結構,然 後可能是以Exportin-5 (Exp5)將其輸出至細胞質。(γί, 等人 Genes Dev. 17 :3011-3016 (2003))。在細胞質中, Dicer’RNA酶III核糖核酸酶家族之成員,將前_miRNA 裂解成在二端帶有3’突出之雙股的引導/乘客 (miRNA/miRNA*)雙螺旋。miRNA雙螺旋之二股,在其 序列上因不完全互補常會有錯配,且當其分開,成熟的 miRNA ’在許多案例中,介於約19至23個核苷酸長, 被RNA-誘導沉默複合物(RISC)或類似的蛋白複合物所 束缚。RISC亦為蛋白複合物,其可招致由小的或短的 干擾RNA(siRNA)媒介的目標專一性mRNA降解。 目前,咸信其係以RISC之催化性組份argonaute 作為引導股,成熟的miRNA則被整合到RISC複合物 中,並與具有即使非完全但相當大程度互補序列的信使 RNA(mRNA)分子結合。乘客股miRNA*,可降解。然 後被miRNA-RISC複合物束縛之mRNA的轉錄受到抑 制,造成對應基因之表現減低。在某些案例中,該受束 缚的mRNA被裂解或去腺苷酸化及降解。對於特定的 miRNA,單一前驅物包含一種以上的成熟序列。在其他 5 15 201238973 的實例中’多前驅物miRNA含有相同的成熟序列。 術語「蛋白」和「多肽」在文中可交換使用且係指 任何胺基酸之胜肽連結鏈,無關長度或後轉譯修飾。可 用於本發明之蛋白(包括蛋白衍生物、蛋白變體、蛋白 斷片、蛋白片段、蛋白表位或蛋白結構域)可進一步以 化學修飾來修飾。此等方法例如化學修飾多肽係包括扣 種天然胺基酸以外的其他化學基團。此等其他化學基團 之貫例包括(不限於)醣基化胺基酸和鱗酸化胺基酸。相 較於原多肽,化學修飾之多肽可提供有利的性質,例如 一或多項增進安定性、增加生物半衰期或增加水溶解 度。適用於本發明可用變體之化學修飾包括(不限於): PEG化、非糖基化母體多肽之糖基化或存在母體多肽中 糖基化之修飾。 如文中所用,術語「變體」應了解為一種多核苷酸 或蛋白,其相較於從其衍生之多核苷酸或蛋白,其差異 在於長度或序列上有一或多種改變。衍生蛋白或核酸變 體之多肽或多核苷酸亦稱為母體多肽或多核苷酸。術語 「變體」包括母體分子之「斷片」或「衍生物」。典型 地’「斷片」在長度或尺寸皆比母體分子小,而「衍生 物」’相較於母體分子,則在序列上具有一或多種差異。 又涵蓋的修飾分子例如包括(但不限於)後轉譯修飾白 (例如糖基化、生物素化、磷酸化、泛素化、棕櫚醯化 或蛋白質水解性裂解蛋白和修飾核酸例如曱基化 DNA。術語「變體」亦涵蓋不同分子之混合物例如(但 不限於)RNA-DNA雜合物。典型地,變體係由人工建構 16 201238973 =車乂仏地以基因工程方法,而母體多肽或多核苷酸則 二=生型蛋白或多核純。然而,應了解,天财成的 受體亦涵蓋在文中所用的術語「變體」中。另外,可用 於本發明H何衍生自母體分子之_物、直系同 源物或旁系同源物,或衍生自人工建構的變體,其限制 條件為該變體具有至少一種母體分子之生物活性,亦即 功能活性。 替代地或另外地,如文中所用「變體」可由與從其 衍生的母體多肽或母體多核苷酸之特定程度的序列一 致f生來疋性。更精確地,本發明内文中之蛋白變體與其 母體多肽具有至少8〇%序列一致性。本發明内文中之多 核苷酸變體與其母體多核苷酸具有至少8〇%序列一致 性。整個說明書中所用的術語「至少8〇%序列一致性」 係有關多肽和多核苷酸序列比較。此詞語較佳地係指與 個別的參照多肽或個別的參照多核苷酸具至少8〇%,至 少81%,至少82% ’至少83%,至少84%,至少85%,至 少86%,至少87%,至少88%,至少89%,至少90%,至 少91°/。’至少92%,至少93%,至少94%,至少95%,至 少96% ’至少97% ’至少98%,或至少99%序列一致性。 核苷酸和胺基酸序列之相似性,亦即序列一致性百 分比,可經由序列比對來測定。此等比對可以數種技術 中已知的演算法來進行,較佳地以Karlin和Altschul之數 學演算法(Karlin & Altschul (1993) 90 : 5873-5877),以 hmmalign (HMMER package, http://hmmer.wustl.edu/)或以 CLUSTAL 演算法 17 201238973 (Thompson, J. D., Higgins, D. G. & Gibson, T. J. (1994) Nucleic Acids Res. 22, 4673-80)可於例如 http://www.ebi.ac.uk/Tools/clustalw/ 或 於 http://www.ebi.ac.uk/Tools/clustalw2/index.html 或於 http://npsa-pbil.ibcp.fr/cgi-bin/npsa_automat.pl?page=/N PSA/npsa_clustalw.html取得。所用較佳的參數為系統内 定參數 , 而其係 設置在 http://www.ebi.ac.uk/Tools/clustalw/ 或 http://www.ebi.ac.uk/Tools/clustalw2/index.html。序歹ij 一 致性(序列配對)之等級可使用例如BLAST、BLAT或 BlastZ (或BlastX)來計算。一類似的演算法係併入 Altschul 等人(1990) J. Mol. Biol. 215 : 403-410 之 BLASTN和BLASTP程式。BLAST多核苷酸搜尋係以 BLASTN程式,得分= 100,字長=12來進行,得到與編 碼mir-22之核酸同源之多核苷酸序列。BLAST蛋白搜尋 係以BLASTN程式,得分=50,字長=3來進行,得到與 mir-22同源之胺基酸序列。為了得到比較用之缺位比 對,係利用 Altschul 等人(1997) Nucleic Acids Res. 25 : 3389-3402 所述的 Gapped BLAST。當利用 BLAST 和 Gapped BLAST程式時,則使用個別程式之内定參數。 序列比對分析可藉由己建立的同源性定位技術如 Shuffle-LAGAN (Brudno M., Bioinformatics 2003b, 19 Suppl 1:154-162)或Markov隨機場來補充。當本申請書中 指出序列一致性之百分比時,若無特別指出,則這些百 分比係以相對於較長序列之全長所計算。 201238973 術語「雜交」亦可用作二種核酸序列間序列一致性 或同源性之計量標準。編碼miRNA之核酸序列或其部 分,根據標準的雜交技術可用作「雜交探針」。mir_22 探針與試驗來源的DNA或RNA之雜交為試驗來源中 mir-22 DNA或RNA存在之指標。雜交條件已為熟習本項 技術者所知並可參見,例如Current Pr〇t〇c〇ls in Molecular Biology, John Wiley & Sons, N. Y., 6.3.1-6.3.6,Cullen BR Proc Natl Acad Sci USA. 102:5570-5575(2005)., "A mammalian microRNA expression atlas based on small RNA library sequencing" Landgraf P, Rusu M, Sheridan R, Sewer A, Iovino N, Aravin A, Pfeffer S, Rice A, Kamphorst AO, Landthaler M, Lin C, Socci ND, Hermida L, Fulci V, Chiaretti S, Foa R, Schliwka J, Fuchs U, Novosel A, Muller RU, Schermer B, Bissels U, Inman J , Phan Q, Chien M Cell. 129: 1401-1414 (2007). MicroRNAs (miRNAs) are endogenous small RNA molecules involved in regulating gene expression at the translational level. Furthermore, it is part of the cellular RNA interference (RNAi) mechanism. miRNAs are encoded by genes that are transcribed from DNA but not translated into proteins (non-protein-encoding RNA). It is first found in Caenorhabditis elegans and is found in plants and animals. The sequence of many miRNAs is highly retained among different species, showing that the miRNA pathway is part of a fairly ancient and important regulatory mechanism (Grosshans et al. J Cell Biol 156: 17-21 (2002)). miRNAs have been found to regulate approximately 3% of mammalian genes (Czech, NEJM 354: 1194-1195 (2006); Mack, Nature Biotech. 25:631-638 (2007); Eulalio, et al., Cell 132: 9-14 (2008)). Recently, miRNAs have been found to inhibit gene production by blocking transcriptional degradation resulting in transcriptional degradation, thereby regulating gene expression. A single miRNA may target 25 〇-5 不同 different mRNAs, which also indicates that such RNA is extremely important in a wide range of cellular functions 201238973. Many genes regulated by miRNAs are pathogenic genes. Therefore, any miRNA-regulatory functionality has great therapeutic potential. In animals, miRNAs are first expressed by genomic bodies called RNA transcripts called primary miRNAs (pri-miRNAs). It is transcribed by rnA polymerase II and forms a hairpin structure. In the nucleus, the dsRNA-specific ribonuclease Drosha acts on the pri-miRNA to a shorter length of about 70- to 100-nucleotide, called the stem-loop structure of the pre-miRNA, and then possibly Exportin-5 ( Exp5) Output it to the cytoplasm. (γί, et al. Genes Dev. 17:3011-3016 (2003)). In the cytoplasm, members of the Dicer' RNase III ribonuclease family cleave the pre-miRNA into a double-stranded guide/passenger (miRNA/miRNA*) duplex with a 3' overhang at the two ends. The two strands of the miRNA duplex are often mismatched in their sequence due to incomplete complementation, and when separated, the mature miRNA 'in many cases, between about 19 and 23 nucleotides long, is RNA-induced silenced Complex (RISC) or similar protein complexes are bound. RISC is also a protein complex that can cause target-specific mRNA degradation by small or short interfering RNA (siRNA) vectors. At present, the sensible miRNA is integrated into the RISC complex and binds to messenger RNA (mRNA) molecules with even complementary but substantial complements. . Passenger strands miRNA*, degradable. Transcription of the mRNA bound by the miRNA-RISC complex is then inhibited, resulting in reduced performance of the corresponding gene. In some cases, the bound mRNA is cleaved or de-adenylated and degraded. For a particular miRNA, a single precursor contains more than one mature sequence. In the other examples of 5 15 201238973 'multiple precursor miRNAs contain the same mature sequence. The terms "protein" and "polypeptide" are used interchangeably herein and refer to a peptide linking chain of any amino acid, irrespective of length or post-translational modification. Proteins (including protein derivatives, protein variants, protein fragments, protein fragments, protein epitopes or protein domains) useful in the present invention may be further modified by chemical modification. Such methods, such as chemically modifying polypeptides, include other chemical groups than native amino acids. Examples of such other chemical groups include, without limitation, glycosylated amino acids and squaric acid amino acids. A chemically modified polypeptide can provide advantageous properties, such as one or more to enhance stability, increase biological half-life, or increase water solubility, as compared to the original polypeptide. Chemical modifications suitable for use with the variants of the invention include, without limitation, PEGylation, glycosylation of the non-glycosylated parent polypeptide, or modification of the glycosylation in the parent polypeptide. As used herein, the term "variant" is understood to mean a polynucleotide or protein which differs in the length or sequence of one or more changes from the polynucleotide or protein from which it is derived. A polypeptide or polynucleotide of a derivative protein or nucleic acid variant is also referred to as a parent polypeptide or polynucleotide. The term "variant" includes "fragments" or "derivatives" of the parent molecule. Typically, a "fragment" is smaller in length or size than the parent molecule, and a "derivative" has one or more differences in sequence compared to the parent molecule. Also contemplated are modified molecules including, for example, but not limited to, post-translationally modified white (eg, glycosylation, biotinylation, phosphorylation, ubiquitination, palmitoylation or proteolytic lytic proteins and modified nucleic acids such as thiolated DNA) The term "variant" also encompasses mixtures of different molecules such as, but not limited to, RNA-DNA hybrids. Typically, the system is constructed by humans 16 201238973 = rutting by genetic engineering, and parent polypeptide or multinuclei Glycosylate is bis = biotin or polynuclear pure. However, it should be understood that the receptor of Tiancaicheng also covers the term "variant" as used herein. In addition, it can be used in the present invention to derive from the parent molecule. a substance, ortholog or paralog, or derived from an artificially constructed variant, the restriction being that the variant has at least one biological activity of the parent molecule, ie, functional activity. Alternatively or additionally, As used herein, a "variant" may be homologous to a particular degree of sequence from a parent polypeptide or a parent polynucleotide derived therefrom. More precisely, the protein variant and its parent in the context of the present invention The polypeptide has a sequence identity of at least 8%. The polynucleotide variants of the invention herein have at least 8% sequence identity with their parent polynucleotide. The term "at least 8% homologous sequence identity" is used throughout the specification. Reference to polypeptide and polynucleotide sequence comparison. This term preferably refers to at least 8%, at least 81%, at least 82% 'at least 83%, at least 84%, with respect to an individual reference polypeptide or an individual reference polynucleotide. At least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91°/' at least 92%, at least 93%, at least 94%, at least 95%, at least 96%' At least 97% 'at least 98%, or at least 99% sequence identity. The similarity of nucleotide and amino acid sequences, ie the percent sequence identity, can be determined by sequence alignment. These alignments can be several Algorithms known in the art are carried out, preferably by the mathematical algorithms of Karlin and Altschul (Karlin & Altschul (1993) 90: 5873-5877), with hmmalign (HMMER package, http://hmmer.wustl. Edu/) or by CLUSTAL algorithm 17 201238973 (Thompson, JD, Higgins, D. G & Gibson, TJ (1994) Nucleic Acids Res. 22, 4673-80) can be found, for example, at http://www.ebi.ac.uk/Tools/clustalw/ or at http://www.ebi.ac. Uk/Tools/clustalw2/index.html or available at http://npsa-pbil.ibcp.fr/cgi-bin/npsa_automat.pl?page=/N PSA/npsa_clustalw.html. The preferred parameters used are system default parameters, which are set at http://www.ebi.ac.uk/Tools/clustalw/ or http://www.ebi.ac.uk/Tools/clustalw2/index. Html. The order of sequence ij consistency (sequence pairing) can be calculated using, for example, BLAST, BLAT or BlastZ (or BlastX). A similar algorithm is incorporated into the BLASTN and BLASTP programs of Altschul et al. (1990) J. Mol. Biol. 215: 403-410. The BLAST polynucleotide search was carried out in a BLASTN program with a score = 100 and a word length = 12 to obtain a polynucleotide sequence homologous to the nucleic acid encoding mir-22. The BLAST protein search was carried out in a BLASTN program with a score = 50 and a word length = 3 to obtain an amino acid sequence homologous to mir-22. In order to obtain a comparative vacancy alignment, Gapped BLAST as described in Altschul et al. (1997) Nucleic Acids Res. 25: 3389-3402 was used. When using the BLAST and Gapped BLAST programs, the default parameters for individual programs are used. Sequence alignment analysis can be supplemented by established homology localization techniques such as Shuffle-LAGAN (Brudno M., Bioinformatics 2003b, 19 Suppl 1:154-162) or Markov random fields. When the percentage of sequence identity is indicated in this application, these percentages are calculated relative to the full length of the longer sequence unless otherwise indicated. 201238973 The term "hybridization" can also be used as a measure of sequence identity or homology between two nucleic acid sequences. The nucleic acid sequence encoding the miRNA or a portion thereof can be used as a "hybridization probe" according to standard hybridization techniques. Hybridization of the mir_22 probe to the DNA or RNA of the test source is an indicator of the presence of mir-22 DNA or RNA in the test source. Hybridization conditions are known to those skilled in the art and can be found, for example, in Current Pr〇t〇c〇ls in Molecular Biology, John Wiley & Sons, N. Y., 6.3.1-6.3.6,

1991。「中度雜交條件」係定義為相當在於2χ氣化 鈉/獰檬酸鈉(ssc)中雜交,接著alx ssc、〇 1〇/。SDS 於50°C清洗。「高嚴格條件」係定義為相當在45〇c於6χ 氯化鈉/檸檬酸鈉(SSC)中雜交,接著以02XSSc、〇 1% SDS於65°C清洗。 ’ 術語「組織」如文中所用,係指一致地實行特定功 能之相同起源的細胞集群。組織之實例包括(但不限於) 骨、軟骨、結締組織、肌肉組織、神經組織和上皮組織。 多種組織共同形成一個器官用以實行特定的功能。器官 之實例包括(但不限於)關節、骨骼、肌肉、血液、腦、 心、肝、腎、胃和皮膚。例如,關節係由不同的組織所 形成,例如(但不限於)骨、軟骨、滑膜、肌肉、韌帶和 肌腱。 術語「關節」如文中所用係指讓二或多根骨頭相接 觸的位置。此術語可指可動關節或不可動關節。另外, 關節可為纖維關節,其中骨頭係以富含膠原蛋白的緻密 性結締組織連附;或軟骨關節,其中骨頭係以軟骨連 附。關節亦可為滑液關節,其中骨頭並不直接相連但具 201238973 ,她㈣㈣帶#σ肌腱連結的關節軟骨之 =囊=。細_包括(但不限於)球窩關結‘ ,關即或肩關郎1圓關節和平面關節,例如 肘部、膝蓋、騍«手指和腳趾關節 椎之關節。 胃郎,及樞軸關郎,例如寰椎與樞 術香「組織狀態」或「組織之狀態」在文中可交換 使用’其係指組織之狀況。組織狀態可以此等組織弃 定的形態來表示特徵或可藉由—或多種特定分子,例如 |仁不限於)胜肽、蛋白和核酸或其組合之表現來表示特 徵。若此組織之狀況類似無疾病或損傷並足以實行其特 定功能時,組織狀態可被視為「健康」或「正常」了若 此組織因患病或損傷而無法實行其功能時,組織狀態可 視為「退化」、「疾病」或「異常」。另外,若此組二之 形態或其分子表現模式與正常組織相比較時「改變」或 「變化」,則組織狀態可視為「退化」、「疾病」或「異 常」。因此,組織之形態或組織中特定分子之表現模式 可作為組織狀態之指標。組織狀態之指標包括(但不^ 於)組織退化,例如軟骨退化、骨退化和滑膜退化、組 織發炎例如軟骨發炎或滑膜發炎、組織重塑例如軟骨重 塑、硬化、液體堆積或增生性組織例如受傷癒合過程之 增生、囊腫形成或癌症。 術語「疾病」和「病症」在文中可交換使用,直係 指異常狀況,特別是異常的f學狀況例如患病或剔备, 其中組織、器官或個體不再能充分實行其功能。典型 20 201238973 地,但非必要,疾病係與顯示此疾病出現之特定的癥狀 或徵兆有關。因此,此癥狀或徵兆之出現可為組織、器 官或個體患有疾病之指標。這些癥狀或徵兆之改變可為 此疾病進程之指標。疾病之進程典型地其特徵為可顯示 疾病「加重」或「好轉」之此等薇狀或徵兆增加或減少。 疾病「加重」其特徵為組織、器官或個體充分實行其功 能之能力減低,而疾病「好轉」典型地其特徵為組織、 器官或個體充分實行其功能之能力增加。組織、器官或 個體處於疾病「發生之風險」係在健康的狀態下,但顯 示疾病出現之潛在性。典型地,發生疾病之風險係與此 等疾病之早期或微弱的徵兆或癥狀有關。在此情況下, 疾病之發生仍可藉由治療來預防。疾病之實例包括(但 不限於)創傷性疾病、發炎性疾病、感染性疾病、皮膚 症狀、内分泌疾病、腸疾病、神經病症、關節疾病、遺 傳性病症、自體免疫疾病及各種類型的癌症。 術語「關節疾病」如文中所用,係指關節之異常症 狀,特別是因受傷、創傷、退化、發炎、感染或自體免 疫因素。關節疾病包括類風濕性關節炎(RA)、僵直性脊 椎炎(AS)、幼年特發性關節炎(JIA)、痛風、感染性關節 炎、乾癖性關節炎和骨性關節炎(OA)、癌症例如軟骨肉 瘤、骨肉瘤、纖維肉瘤和多發性骨髓瘤、肌腱炎、滑液 囊炎、骨折和軟骨或骨骼傷害。 疾病之「癥狀」為具有此疾病之組織、器官或個體 顯見的疾病暗示,並包括(但不限於)組織、器官或個體 之疼痛、虛弱、柔軟、拉緊、剛硬和痙攣。疾病之「徵 21 201238973 兆」或化唬」包括(但不限於)變化或改變,例如特定 W如生物標記或分子標記之有、無、增加或提升、降 低或減广’或癥狀發生、出現或加重。 、a術語「指標」如文中所用,係指症狀之徵兆或信號, 或疋用於監測症狀。此「症狀」係指細胞、組織或器官 之生物狀態或指個體之健康及/或疾病狀態。指標可為 分子,包括(但不限於)胜肽、蛋白和核酸之有或無,或 可為細胞或組織、器官或個體中此分子之表現量或模式 改變。指標可為個體中疾病開始、發生或出現之徵兆, 或進一步為此疾病之進程。指標亦可為個體中發生疾病 風險之徵死。例如’於關節疾病例如〇A有關的指標包 括(但不限於)轉錄因子例如Sox-5、Sox-6、Sox-9、1991. "Moderate hybridization conditions" are defined as the equivalent of hybridization in 2 χ sodium/sodium citrate (ssc) followed by alt ssc, 〇 1 〇 /. The SDS is cleaned at 50 °C. "High stringency conditions" are defined as being relatively hybridized at 45 ° C in 6 氯化 sodium chloride / sodium citrate (SSC) followed by 02XSSc, 〇 1% SDS at 65 °C. The term "organization" as used herein refers to a cluster of cells of the same origin that consistently perform a particular function. Examples of tissues include, but are not limited to, bone, cartilage, connective tissue, muscle tissue, nerve tissue, and epithelial tissue. A variety of tissues work together to form an organ for performing a specific function. Examples of organs include, but are not limited to, joints, bones, muscles, blood, brain, heart, liver, kidney, stomach, and skin. For example, the joint system is formed by different tissues such as, but not limited to, bone, cartilage, synovium, muscle, ligament, and tendon. The term "joint" as used herein refers to the location where two or more bones are touched. This term can refer to a movable joint or an immovable joint. Alternatively, the joint may be a fibrous joint in which the bone is attached by a dense collagen-rich connective tissue; or a cartilage joint in which the bone is attached by cartilage. The joint can also be a synovial joint, in which the bone is not directly connected but has 201238973, she (4) (four) with the #σ tendon-linked articular cartilage = cyst =. Fine _ includes (but is not limited to) ball joints ‘, off or shoulder lang 1 joint and plane joints, such as elbows, knees, 骒« finger and toe joints. The stomach, and the pivot, such as the sacral spine and the pivotal "organic state" or "state of the organization" are used interchangeably in the text. The state of the tissue may be characterized by the morphology rejected by such tissue or may be characterized by the performance of - or a plurality of specific molecules, such as, without limitation, peptides, proteins, and nucleic acids, or combinations thereof. If the condition of the organization is similar to disease-free or injurious and sufficient to perform its specific function, the state of the organization can be considered "healthy" or "normal". If the tissue is unable to perform its function due to illness or injury, the state of the tissue can be visualized. It is "degraded", "disease" or "abnormal". In addition, if the form of the group 2 or its molecular expression pattern is "changed" or "changed" when compared with the normal tissue, the state of the organization can be regarded as "degradation", "disease" or "exception". Therefore, the pattern of organization or the pattern of expression of specific molecules in an organization can be used as an indicator of organizational status. Indicators of tissue status include (but do not) tissue degradation, such as cartilage degradation, bone degeneration and synovial degeneration, tissue inflammation such as cartilage inflammation or synovial inflammation, tissue remodeling such as cartilage remodeling, hardening, fluid accumulation or hyperplasia Tissues such as hyperplasia of wound healing processes, cyst formation or cancer. The terms "disease" and "disease" are used interchangeably herein and refer to abnormal conditions, particularly abnormal conditions such as illness or segregation, in which a tissue, organ or individual is no longer able to fully perform its function. Typical 20 201238973 Ground, but not necessarily, the disease system is associated with a specific symptom or symptom that indicates the onset of the disease. Therefore, the presence of this symptom or symptom can be an indicator of disease in a tissue, organ or individual. These changes in symptoms or signs can be indicators of the progression of the disease. The progression of the disease is typically characterized by an increase or decrease in the shape or sign of the "exacerbation" or "improvement" of the disease. Aggravation of a disease is characterized by a reduced ability of the tissue, organ, or individual to fully perform its function, and the "improvement" of the disease is typically characterized by an increased ability of the tissue, organ, or individual to fully perform its function. A tissue, an organ, or an individual at a risk of developing a disease is in a healthy state, but shows the potential for the disease to appear. Typically, the risk of developing a disease is associated with early or weak signs or symptoms of such diseases. In this case, the occurrence of the disease can still be prevented by treatment. Examples of diseases include, but are not limited to, traumatic diseases, inflammatory diseases, infectious diseases, skin symptoms, endocrine diseases, intestinal diseases, neurological disorders, joint diseases, genetic disorders, autoimmune diseases, and various types of cancers. The term "joint disease" as used herein refers to an abnormal condition of the joint, especially due to injury, trauma, degeneration, inflammation, infection or autoimmune factors. Joint diseases include rheumatoid arthritis (RA), ankylosing spondylitis (AS), juvenile idiopathic arthritis (JIA), gout, infectious arthritis, dry arthritis, and osteoarthritis (OA), Cancers such as chondrosarcoma, osteosarcoma, fibrosarcoma and multiple myeloma, tendonitis, bursitis, fractures and cartilage or bone damage. A "symptom" of a disease is a disease indication that is apparent to a tissue, organ, or individual having the disease, and includes, but is not limited to, pain, weakness, tenderness, strain, stiffness, and spasm of the tissue, organ, or individual. The "symptom 21 201238973 mega" or phlegm of the disease includes (but is not limited to) changes or changes, such as the presence, absence, increase or increase, reduction or reduction of specific W such as biomarkers or molecular markers, or the occurrence of symptoms Or increase. a The term "indicator" as used herein refers to a symptom or signal of a symptom, or is used to monitor symptoms. By "symptom" is meant the biological state of a cell, tissue or organ or the health and/or disease state of an individual. The indicator can be a molecule, including but not limited to, the presence or absence of a peptide, protein, and nucleic acid, or can be a change in the amount or pattern of such a molecule in a cell or tissue, organ, or individual. An indicator can be a sign of the onset, occurrence, or occurrence of a disease in an individual, or a further progression of the disease. The indicator can also be the death of the disease in the individual. For example, indicators related to joint diseases such as 〇A include, but are not limited to, transcription factors such as Sox-5, Sox-6, Sox-9,

Nfatl、pitxl、FoxO、HIF2A、SAF-1、RUNX-2、cytokines such as IL-Ιβ、IL-2、IL-7、IL_12、IL-18、GM-CFS、 TNF-ci、NF-kB和INF-γ,磷酸酶例如鹼性磷酸酶(ALP), 蛋白酶例如金屬蛋白酶(例如MMP-1、MMP-2、 MMP-3、MMP-8、MIyIP-9、MMP-13、MMP-14),蛋白 多糖酶(例如 ADAM-8、ADAM-12、ADAM-TS4、 ADAM-TS5)和半耽胺酸蛋白酶[例如組織蛋白酶 B(cathepsin B)、組織蛋白酶 K(cathepsin K)、組織蛋白 酶S(cathepsin S)、鈣蛋白酶(caipain)、凋亡蛋白酶 -3(caspases-3)、调亡蛋白酶-3(caspase-9)]、金屬蛋白酶 之組織抑制子(例如TIMP-1、TIMP-2、TIMP-3、 TIMP-4),胞外基質組份例如膠原蛋白(例如膠原蛋白 II、VI、IX、X、XI),蛋白多酷(proteoglycan)(例如硫 22 201238973 酸乙醯肝素、硫酸軟骨素、硫酸角質素)、蛋白多糖 (aggrecan)、彈力蛋白、玻尿酸、纖維糖連蛋白、基祺 黏連蛋白、CD-RAP、CDMP、軟骨調節素 (chondromodulin)和多效蛋白(piei〇tr〇phin)。典型地,在 患有關節炎,特別是OA之組織、器官或個體中,一或 多個此等指標會高於或低於未患有關節炎之組織、器官 或個體。例如,相較於未患有θΑ或未處於發生〇八風 險之組織、盗官或個體,胞外基質組份膠原蛋白Η和X 以及蛋白多糖和CD-RAP在患有ΟΑ或處於發生〇Α風 險之組織、器官或個體中會較低。另外相較於 〇A或未處於發生〇A風險之組織、器官或個體,^錄 因子S〇x9的量以及金屬蛋白酶ΤΙΜΡ-1和ΤΙΜΡ-4之組 織抑制子在患有QA或處於發生QA風險之組織、器官 或個體中會降低。相反的,相較於未患有〇A或未處於 發生OA風險之組織、器官或個體,細胞激素正-丨、il_6 矛TNF ct以及金屬蛋白酶mmP-1、MMP-2、MMP-3 和MMP_9及磷酸酶ALp之量在患有〇A或處於發生 〇A風險之組織、器官或個體中會提高。 在本發明内文中,較佳的組織狀態或疾病之指標為 miRNA ’其包括(但不限於)如卜21、⑽·22、mir l4〇、 =r-146a和mir_199a。個體中隱_22為疾病例如關節 犬,特別是OA之特佳的指標。 M,文中所用,「個體」係指任何可由本發明獲得利 =爵乳動物、;^蟲類或烏類。較佳地,個體係由下列 、且、之群中選出.實驗室動物(例如小鼠、大氣或兔)、 23 201238973 家養動物(包括例如天竺鼠、兔、馬、驢子、牛、綿 山羊、豬、雞、鴨、駱駝、貓、狗、烏龜、陸龜:: 蜥踢)或靈長類包括(黑麵、倭㈣、大麵 匕或 特佳地,該「個體」為人類。 1。 術語「樣本」或「相關樣本」可交換使用, 組織、器官或個體之部分或碎片,典型地係小於^曰 器官或個體,目的在於代表整個組織、器官或個體-、 照分析,樣本健供㈣組織狀態,或器官或 = J疾病狀態之資訊。樣本之實例包括(但不限於)液二’ 本例如血液、血清H滑液、尿液、唾液和淋巴= 或固體樣本例如組織萃取物、軟骨、骨、滑膜、軟’ =结締組織。另外的樣本實例有細胞培養或養 =(但不限於)軟骨、骨、滑膜、视細胞、軟骨?田月;養 細胞、破軟骨細胞、滑液細胞、骨細胞、破 '田 胞、成骨幹細胞及/或葉間幹細胞。 喂月、,、田 樣本之分析可以視覺或化學基礎來輯。 包括(但不限於)可作樣本之形態學評估、二: 個體的顯微鏡顯影或放射線攝影掃目苗 = (二限於)偵測有或無特定指標之存在或其量:程ί之 術語「參照樣本」如文中所用,係指 貫質上相同的方式分析之樣本彳樣本 :資料作比較。參照樣本藉此提供!標;本 本所得到的資料得以評估。 表由相關樣 參照樣本可衍生自健康或正常的組織、器官或個 24 201238973 體,藉此提供健康的組織、器官或個 常的參照樣本之狀態和相關樣本之狀熊^準。正 為疾病發生或存在或此疾病或病症進_^步3展差異可能 參照樣本可衍生自異常或羅病的組織、票。 藉此提郷病的組織m個體狀態卻準或= J疾病發生風險低或無疾病或此疾病或病4轉 參照樣本亦可衍生自和相關樣本相同 :間點所採集之組織、器官或個體。較早採集 本之狀態及相關樣本之狀態間的差異 > 樣 指標’亦即隨時間變化之疾病好轉或加重:若之 樣本和採集相關樣本間有時間落差,參照樣 二> 照 或較晚的時間點採集。此時間期可為年(例如^較^ 4'5、10、15、20、25、3〇、35、4〇、45、5〇6〇、、、 8〇、90、100 年)、月(卜2、3、4、5、6、7、8、9、1〇、 1卜12個月)、週(例如卜2、3、4、56、7、8週 日(例如卜 2、3、4、5、10、15、20、25、30、35、40、 45、50、60、70、80、9〇、1〇〇、2〇〇、3〇〇、4〇〇、5〇〇 日)、小時(1、2、3、4、5、6、7、8、9、1〇、η、12 小時)、分鐘(例如 1、2、3、4、5、1〇、15、2〇、25、 30、35、40、45、50、60 分鐘,或秒(例如!、2、3、4、 5、10、15、20、25、30、35、40、45、50、60 秒)。 術語「低」或「降低」量之指標’例如mir-22,係 指相較於參照物或參照樣本,在樣本中此指標之量減 25 201238973 少。術語「升高」或「增加」量之指 射=較於參㈣或參照樣本,在縣中Nfatl, pitxl, FoxO, HIF2A, SAF-1, RUNX-2, cytokines such as IL-Ιβ, IL-2, IL-7, IL_12, IL-18, GM-CFS, TNF-ci, NF-kB and INF -γ, phosphatase such as alkaline phosphatase (ALP), protease such as metalloproteinase (eg MMP-1, MMP-2, MMP-3, MMP-8, MIyIP-9, MMP-13, MMP-14), protein Polysaccharidase (eg ADAM-8, ADAM-12, ADAM-TS4, ADAM-TS5) and hemi-prolinase [eg cathepsin B, cathepsin K, cathepsin S) ), calpain, caspases-3, caspase-9, tissue inhibitors of metalloproteinases (eg TIMP-1, TIMP-2, TIMP-3) , TIMP-4), extracellular matrix components such as collagen (eg collagen II, VI, IX, X, XI), proteoglycan (eg sulfur 22 201238973 acid heparin, chondroitin sulfate, sulfuric acid) Keratin), aggrecan, elastin, hyaluronic acid, fibronectin, vasopressin, CD-RAP, CDMP, chondromodulin, and pleopoi piei〇tr〇phin). Typically, in tissues, organs or individuals with arthritis, particularly OA, one or more of these indicators will be higher or lower than tissues, organs or individuals that do not have arthritis. For example, compared to tissues, thieves, or individuals who do not have θΑ or are at risk of developing sputum, the extracellular matrix components collagen Η and X, and proteoglycans and CD-RAP are suffering from convulsions or are occurring. The risk of tissue, organs or individuals will be lower. In addition, compared with 〇A or tissues, organs or individuals not at risk of developing 〇A, the amount of factor S〇x9 and the tissue inhibitors of metalloproteinases ΤΙΜΡ-1 and ΤΙΜΡ-4 are in QA or in QA The risk of tissue, organs or individuals will decrease. Conversely, the cytokine positive-丨, il_6 spear TNF ct, and the metalloproteinases mmP-1, MMP-2, MMP-3, and MMP_9 are compared to tissues, organs, or individuals that do not have 〇A or are at risk of developing OA. The amount of phosphatase ALp is increased in tissues, organs or individuals with sputum A or at risk of developing sputum A. In the context of the present invention, a preferred indicator of tissue state or disease is miRNA' which includes, but is not limited to, MU21, (10).22, mir l4〇, =r-146a and mir_199a. Individual _22 is an excellent indicator of diseases such as joint dogs, especially OA. M. As used herein, "individual" means any benefit that can be obtained by the present invention. Preferably, the system is selected from the group consisting of: laboratory animals (eg, mice, atmosphere or rabbits), 23 201238973 domestic animals (including, for example, guinea pigs, rabbits, horses, scorpions, cattle, cotton goats, pigs) , chickens, ducks, camels, cats, dogs, tortoises, tortoises:: lizards) or primates include (black, scorpion (four), large scorpion or super good, the "individual" is human. "Sample" or "related sample" may be used interchangeably. A part or fragment of a tissue, organ or individual, typically less than an organ or an individual, intended to represent the entire organization, organ or individual - analysis, sample health supply (4) Information on the state of the tissue, or organ or state of disease. Examples of samples include, but are not limited to, fluids such as blood, serum H synovial fluid, urine, saliva, and lymphoids = or solid samples such as tissue extracts, cartilage , bone, synovial membrane, soft ' = connective tissue. Additional sample examples are cell culture or culture = (but not limited to) cartilage, bone, synovium, visual cells, cartilage? Tianyue; foster cells, chondrocytes, Synovial cells, bone cells Breaking 'cells, osteoblasts and/or inter-leaf stem cells. The analysis of the feeding month, field, and field samples can be based on visual or chemical basis. Includes (but is not limited to) morphological evaluation of the sample, 2: individual Microscope development or radiography Sweeping seedlings = (2) Detecting the presence or absence of a specific indicator or quantity: The term "reference sample" as used in the text refers to a sample of the sample analyzed in the same way. : The data is compared. The reference sample is used to provide the target; the information obtained in this book can be evaluated. The reference sample can be derived from healthy or normal tissues, organs or a body, thereby providing a healthy organization, The state of the organ or the usual reference sample and the shape of the relevant sample are positive. For the occurrence or presence of the disease or the disease or disease, the difference may be based on the tissue or ticket from which the sample may be derived from abnormal or Luo disease. In this way, the tissue status of the rickets is accurate or = J disease risk is low or no disease or the disease or disease 4 reference sample can also be derived from the same sample: the collection of points Tissue, organ or individual. The difference between the state of the earlier collection and the state of the relevant sample> The indicator--that is, the disease that changes with time is improved or aggravated: if there is a time gap between the sample and the relevant sample, reference Second > or at a later time point. This time period can be years (eg ^^^4'5, 10, 15, 20, 25, 3〇, 35, 4〇, 45, 5〇6〇, , 8〇, 90, 100 years), month (Bu 2, 3, 4, 5, 6, 7, 8, 9, 1〇, 1 Bu 12 months), week (for example, Bu 2, 3, 4, 56, 7, and 8 Sundays (for example, Bu 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60, 70, 80, 9〇, 1〇〇, 2〇 〇, 3〇〇, 4〇〇, 5〇〇日), hours (1, 2, 3, 4, 5, 6, 7, 8, 9, 1〇, η, 12 hours), minutes (for example 1, 2, 3, 4, 5, 1〇, 15, 2〇, 25, 30, 35, 40, 45, 50, 60 minutes, or seconds (for example! , 2, 3, 4, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 60 seconds). The term "low" or "decreasing" means, such as mir-22, means that the amount of this indicator in the sample is less than 25 201238973 compared to the reference or reference sample. The indication of the term "raised" or "increased" is = in comparison to the reference (4) or reference sample, in the county

ΟΛ 5 ^^iRNA 之里同於未患有〇A之個體的滑液,則其 ’樣本(例如滑液)中升高的量係顯示〇A间存在 或易罹患性增加或發生〇Α的可能性增加。 在 參照樣本可經與相關樣本「不同處理 露」,若二種樣本除了單一因素外,係以實質二本 方式處理。此單一因素包括(但不限於)暴 ^目冋的 ::間、濃度或溫度。因此,相關樣本可暴露於 樣本不_量之敎㈣,或可暴露於與參 間間Ϊ,或可暴露於與參照樣本不同的溫度。相關 ^可暴露之不_量包括(但不限於)參照樣本所暴』 f量之2_倍、5-倍、10·倍、20-倍、30-倍、4〇_倍、+ 〇、100-倍及/或1000_倍的增加或減低劑量。相° _滑 5 ^^iRNA is the same as the synovial fluid of an individual who does not have 〇A, and the increased amount in the 'sample (eg, synovial fluid) indicates the presence or susceptibility of 〇A or the occurrence of convulsions. The possibility increases. In the reference sample, it can be "differently treated" with the relevant sample. If the two samples are treated in a substantial two way except for a single factor. This single factor includes, but is not limited to, the ::, concentration, or temperature of the storm. Therefore, the relevant sample may be exposed to the sample (4), or may be exposed to the inter-parameter or may be exposed to a different temperature than the reference sample. The quantity that can be exposed is not limited to 2 times, 5 times, 10 times, 20 times, 30 times, 4 times _ times, + 〇, 100-fold and/or 1000-fold increase or decrease in dose. Phase ° _

:暴露之不同時間包括(但不限於)比參照樣本暴露時 更 =更長2-倍、5_倍、1〇_倍、2〇_倍、3〇_倍、4〇 J 。、100-倍及/或1000-倍的時間。相關樣本可暴^ 比參照樣本暴露溫度増二或降 --倍、5务 1〇_倍、20-倍、3〇·倍、40_倍、5〇 倍、 •倍及/或1000-倍。在非限定的實例中,相關樣^ ^露在比參照樣本增加1〇_倍的物質濃度中。然後管 質上相_方式進行二觀本之分析,測定效用 增加的此物質濃度對相關樣本之有利或有害效用。: 技術者應了解,此實例係經必要的修改應驗不同的濃 26 201238973 度範圍、不同的暴露時間及/或不同的暴露溫度。 術語「激動劑」如文中所用’係指引起組織、器官 或個體之作用,例如受體訊號傳遞、基因表現、蛋白入 成和蛋白降解之物質。典型地,激動劑係藉由與受體分 子之活性位或異位結合’觸發特定反應來作用。激動劑 之實例包括(但不限於)核酸分子,例如mRN A戈 miRNA,或蛋白例如荷爾蒙、細胞激素、生長因子、神 經傳遞質和轉錄因子。 術語「拮抗劑」如文中所用,係指阻斷激動劑作斥 之物質。典型地’拮抗劑係藉由與受體分子之活性位_ 異位結合來作用,或與非一般涉及受體活性調節之1 結合位相互作用。典型地,拮抗劑係在結構定義結入' 與激動劑競爭,或以讓激動劑不能引起一般因其 造成的作用之方式,改變激動劑的結合位。拮 性依照拮抗劑-受體複合物之交互作用备人 4之/3 逆的或不可逆的。拮抗劑之實例包括ϋ限 子,例如siRNA或miRNA,或蛋白例^酸女 激素、生長因子或神經傳遞質 拉、象、細用 術語「模擬物」如文中二 如目標分子如組織、器官或個〜日线目標分子(# :作用,例如受體訊號傳遞、基"因夺了動/或拮抗劑 白降解之物質。因此 ^表現、蛋*合成和蛋 如激動劑或拮抗劑)結構上可不7模擬之目標分子(例 特定反應,例如藉由與㈣可造成相同的 (亦即藉由運用至少其之活性位或異 種激動劑或拮抗劑之活性 201238973 典型地,模擬物係實行與個別的激動劑或拮抗劑相同之 功能,亦即為功能上同等物。例如,mir_22的模擬物為 給予至少其巾-種秦22活性、具有論_22功能及/或 模擬mir-22作用之物質。 術5吾「文體」如文中所用,係指與一或多個特定訊 =遞分子相結合之分子,例如蛋白❹核紐。訊號 4、’刀子可作為激動劑或拮抗劑,其包括(不限於)核酸 为子’例如siRNA或miRNA,或蛋白例如荷爾蒙、細 胞激素、生長因子或神經傳遞質、抗體或轉錄因子。受 體可侷限在細胞膜、細胞質内及/或胞内隔室。 如文中所用,疾病或病症之「治療」係指達成下列 一或多項:(a)降低病症之嚴重度;(b)限制或防止所治 療病症之癥狀特徵發生;(c)抑制所治療病症之癥狀特徵 加重;(d)限制或防止之前患有該病症之個體再發生此病 症;及(e)限制或防止之前具有該病症癥狀之病患再發生 癥狀。 如文中所用,疾病或病症之「防止」或「預防」係 指於病患中防止此疾病或病症。 術5吾「醫藥」、「醫藥品」和「藥物」在文中可交換 使用,其係指用於測定、預防或治療組織狀態或疾病之 物質或物質之組合物。 「醫藥上可接受」係指經聯邦或州政府管理當局核 准或列於美國藥典或其他一般用於動物(更特言之,^ 類)之已知的藥峨。 術語「活性成份」係指在醫藥組成物或調配物中具 28 201238973 生物活性,亦即提供醫藥價值之物f。t藥組成 括一或多種可聯合或各自獨立作用之活性成份。 活性成份可調配為中性或_式。醫藥上為趟 類包括與_胺基基團所形成H例如" 石粦酸、乙酸、草酸、酒石酸等之鹽類,及^^其 團所形成之鹽例如(但不限於)衍生自納、鉀、:竣二基 =化鐵、異丙胺、三乙胺、2_乙基胺基乙醇、二酸、 普卡因及其類似物。 術語「製備物」和「組成物」希望係包括活性化合 勿與包膠物質作為制提供膠囊之調配物, 二 ^他載劑之活性組份係被載劑所包圍與其=結 術語「載劑」如文中所用,係指藥理學上 例如(但不限於)稀釋劑、賦形劑或媒劑,盆係虚 ^ 性成份—起給藥。此等醫藥_可為液體或固 =體制包括(但秘於)無菌㈣,例如食鹽水溶 f =包括,、動物、植物或合成來源,例如花生 ί 油、礦物油、芝麻油及其類似物。食鹽水溶液 糖和二醇溶液亦可用作液體載劑,特別是用 溶液為較=載Ϊ醫藥組成物係以腔内給藥時,食鹽水 劑、Γΐ形1製備物適合用於口服給藥並包括散劑、錠 固體賦形劑:亦袋劑、栓劑和可分散顆粒。 y了為或多種亦可作為稀釋劑、調味劑、結 29 201238973 著劑、防腐劑、錠劑崩解劑或包膠物質之物質。 在散劑中,賦形劑較佳地為細粉狀固體,其係混合 在細粉狀活性成份之混合物中。在錠劑中,本發明之活 性成份係與具有所需結合性質之載劑,以適合的比例混 合並壓縮成所欲的形狀和大小。散劑和錠劑較佳地係含 有從5%至80%,更佳地從20%至70%的活性化合物。 適合的醫藥「賦形劑」包括澱粉、葡萄糖、乳糖、 蔗糖、明膠、果膠、糊精、麥芽、米、趣粉、白堊土、 矽膠、碳酸鎂、硬脂酸鈉、硬脂酸鎂、甘油單水合物、 滑石、氣化鈉、黃耆膠、甲基纖維素、羧曱基纖維素鈉、 脫脂奶粉、甘油、丙二醇、水、乙醇、低熔點蠟、可可 脂及其類似物。 對於製備栓劑,係將低熔點蠟,例如脂肪酸甘油酯 之混合物或可可脂,先熔解並將活性組份,如以攪拌均 勻地分散在其中。然後將熔解均勻的混合物倒入方便大 小的模型中,使其冷卻,及據此固化。適合的醫藥載劑 之實例亦描述於’’Remington丨s Pharmaceutical Sciences” by E. W. Martin 中。 術語「佐劑」係指在細胞或體液層級上增加、刺激、 活化、加強或調節對組成物之活性成份的免疫反應之試 劑,例如免疫學佐劑刺激免疫系統對實際抗原之反應, 但其本身不具有免疫學效用。此等佐劑之實例包括(但 不限於),無機佐劑(例如無機金屬鹽類如磷酸鋁或氫氧 化鋁)、有機佐劑(例如皂素或鮫鯊烯)、油基佐劑(例如 費氏(Freund’s)完全佐劑和費氏不完全佐劑)、細胞激素 201238973 (例如 IL-Ιβ、IL-2、IL-7、IL-12、IL-18、GM-CFS和 INF-γ)、微粒佐劑(例如免疫_刺激複合物(ISC〇MS)、微 脂體或生物可降解微球體)、病毒小體、細菌性佐劑(例 如單碟酸化脂質A或胞壁醯肽)、合成佐劑(例如非離子 ,段共聚物、胞壁醯肽類似物或合成的脂質八)或合成的 多核苷酸佐劑(例如聚精胺酸或聚絲胺酸)。 如文中所用’「給藥」包括活體内給藥 ,以及活體 外直接投予組織,例如靜脈移植。在本發明内文中,口 服、局p部、皮膚滲透及/或腔内(例如靜脈内)給藥為較佳。 曰 冶療上有效量」為足以達成所欲目的之醫藥劑的 =。給予的治療劑之有效量將隨例如試劑性質、給藥路 控▲大小和接文治療劑之動物物種以及給藥目的等因素 又各個別案例中之有效量可由熟習技術者根據本項 技術已建立的方法依經驗決定。 本發明之實施例 ^在第^方^ ’本發0㈣提供用仙織狀態或疾病η 75 mir毛明者意外的發現mir-22之有或盔影塑已 知疾病指標(例如轉錄因子、胞外基質組份和蛋白酶曰 之㈣組織㈣或疾狀有、無或進展 旦瞻-22為組織狀態或疾病之指標。秦22 有…或里改變為組織狀態或疾病之 徵兆。在本發明内文中,改二,進展的 為組織比讀地其特徵 的參22量。疾广狀二It的㈣紐織具有不同 疾病狀態較佳地其特徵為··與正常器宫 31 201238973 或個體器官比較,或與較早時間點之相同的器官或個體 比較,其具有不同的mir-22量。 立 在第二方面,本發明係關於mir_22作為組織狀態 或疾病指標之用途。由於在疾病發生及/或進展期間 mir-22的表現量不同,mir_22係用作組織狀態或疾病之 指標。 在本發明第一及/或第 —r-vx "不,八一乃囬又乃外的貫施例中, r 22之里為(a)組織狀態或疾病及/或作)發生組織狀態 改變或疾病之風險及/或(c)個體具有組織狀態改變或疾 =及/或(d)個體中組織狀態或疾病之進展或階段之指 標。mir-22之量為mir-22之表現量或mir_22的存在量。 ^匕’ mir-22之表現量或mir_22的存在量為⑷組織狀 =、或疾病及/或(b)發生組織狀態改變或疾狀風險及/ 體具有組織狀態改變或疾病及/或(d)個體中組織 =或疾狀進展或祕之指標。在—更佳的實施例 m『22之量為個體中或個體樣本中她·22之量。 改變實施财,此22纽㈣顯示組織狀態 改=病,例如組織狀態或疾病加重或好轉。 織狀態或疾病好轉。 標,更佳地二生升 之風險指標。mir_22量改變,^植祕化或疾病 為個體具有組織狀態改變或疾=tr22量升高,亦 中秦22量改變,例如之^。再者,在個體 置升南或降低,係顯示 32 201238973 組織狀態或疾病之進展或階段。較佳地,mir_22旦古 為組織狀態或疾病加重之指標。 里升1¾ 符住地,imr-u之量為組織狀態或疾病之指 中該組織係由下列組成之群中選出:骨、軟骨、纟^ ^ 織、肌肉組織、神經組織和上皮組織。較二,::: 狀態為組織退化,例如(但不限於)軟骨退化、骨艮〆° 滑膜退化、組織發炎例如軟骨發炎或滑膜發炎二 塑例如軟骨重塑、硬化、液體堆積或增生性組織例:為 傷癒合過程之增生、囊腫形成或癌症。特佳地,此組ς 狀態係關於組織退化或組織發炎,更佳地係關於軟艮 化、滑膜退化、軟骨發炎及/或滑膜發炎。 人月以 另外較佳的,mir-22之量為疾病之指標,其中該疾 病為關節疾病,例如(但不限於)關節炎,例如類風=性 關節炎(RA)、僵直性脊椎炎(AS)、幼年特發性關^炎 (JIA)、痛風、感染性關節炎、乾癬性關節炎和骨性關節 炎(OA)、癌症例如軟骨肉瘤、骨肉瘤、纖維肉瘤和多發 性骨趙瘤、肌腱炎、滑液囊炎、骨折和軟骨或骨絡傷害。 在特佳的貫把例中,此疾病為關節炎,更佳地骨性關節 炎0 在第三方面,本發明係提供於個體中鑑定(a)組織狀 悲之改變,或疾病存在及/或(b)發生組織狀態改變或疾 病之風險及/或(c)及/或監控組織狀態或疾病之進展或 階段之方法,其包括偵測樣本中mir_22之量。較佳地, 係於RNA或DNA層級上來偵測mir_22,更佳地經由已 知的方法例如(但不限於)能與mir-22 RNA或cDNA專 33 201238973 一性結合及/或雜交之抗體、引子或核酸探針。 直較佳地’ mir-22之量為個體中或個體樣本中恤_22 之:。車父窃佳地,imr-22之量為個體中或個體樣本中他_22 之表現量或mir-22的存在量。 ^卜較佳的,該個體為哺乳動物、爬赫或鳥類。 更佳地’該健係由下顺叙群巾選出:實驗^動物 (例如小鼠、大鼠或兔)、家養動物(包括例如天竺鼠、兔、 綿羊、山羊、豬、雞、鴨,、描、 狗、烏龜、陸龜、蛇或渐場)或靈長類 娜猩、大麵和人類。特佳地,該個體為人^ 组=樣3 一 Ϊ多種固體樣本,例如(但不限於) 組織t物、軟骨、骨、滑膜、軟骨膜、囊、皮膚和社 /月聚、液、料、麵和淋巴液。在—較佳 施例中,職本係由下顺成之群巾選出:財貫 囊、血液n血清、尿液和滑液。在特佳 、 中’該樣本為軟骨、滑膜、血漿、血清及/或滑液 跡22之量係經由任何已知方法,使用用於 酸例如能與所論及之miRNA結合的專一性核酸 之已知工具來彳貞測。適合的方法包括(但不限於)聚 連鎖反應(PCR)技術’例如反轉錄酶pCR或定^ σ往 PCR’雜交技術例如北方墨點、原位雜交或晶片^ ’、 免疫組織學或免疫化學或免疫細胞化學技術,例如太 墨點、免疫螢光或ELISA、質譜(MS),例如Lc/m 高效液相層析(HPLC),特別是以互補股標定後之離子交 201238973 換 HPLC。 偵測存在個體或個體樣本中之mir_2 限於)該等典加於上文所提及方法中之/具^= 括(但不限於)—或多套能專一性偵測mir-22 RNA或 cDNA(例如用於定量RT pCR)、一或多種在標準條件下 能專-性與mi卜22 RNA《cDNA雜交之核酸探針(例如 用於北方墨點或晶片雜交技術中),-或多種能專一性 偵測mir-22之抗體(例如用於免疫組織學或免疫組織化 學或免疫化學技術,例如偵測組織學組織切片中之 mir-22或固定在適合載體如膜、晶片、EusA板上之 mir-22) ° 社♦贫明另外較佳的實施例中,係將該個體中或個 體樣本中之ιηΰ:·22量與-❹個參照物及/或參照樣本 相比較。較佳地,此參照物係由下列組成之群中選出: 健康個體、罹病個體或與試驗個體相同之較早或較晚時 =的個體。另外或替代地,此參照物為無組織狀態改 j疾病存在、有組織狀態改變或疾病存在,或發生組 ,狀1改變或疾病之風險增加或降低之偷.22量的代 表值。 白盘樣本較佳地射Μ自健康個體、‘_個體或來 自”相關樣本相同之個體。t參照樣本係由與相關樣本 才目同之個體所採集合’該參照樣本較佳地係在比相關樣 或更晚時間點所採集。採集參照樣本和採集相關 樣本間之時間落差,較佳地係以年(例如卜2、3、4、5、 201238973 90、100 年)、月 1 12個 W、 、2、3、4、5、6、7、8、9、10、11、 12個月)、週(例如 如 1、2、3、4、5 ln ”、4、5、6、7、8週)、曰(例 5〇、6〇、7〇、8〇 9〇 2〇、25、30、35、40、45、 小時(卜 2、3 〇、100、2〇〇、30〇、400、500 日)、 分糊如卜;、;5/,6:7、8、9、10、1…2—)、 40、4S π 4、5、10、b、20、25、30、35、 :5 20: 2; 6〇 分鐘),或秒,^ 或替代地,此Γ、35、40、45、50、60秒)表示。另外 或無组織崎本為帶有代表健康個體,或代表有 變二= = 或代表發生組織狀態改 9加或降低之mir-22量的參照樣本。 個㈣^例中’其中參照物或參照樣本射丨生自健康 .^ ^發生組織狀態改變或疾病之風險降低或帶 有代表無組織狀態改變或疾病存在之mir-22量的個 體士’相較_參照物,相隨本巾恤_22量升高係顯 示°亥個體中(a)有組織狀態惡化或疾病之存在及/或(b)發 生組織狀態惡化或疾病之驗増加及/或(e)組織狀態惡 化或疾病之進展。在實施例中,其中該參照物係衍生自 罹病的個體或帶有發生組織狀態改變或疾病之風險增 加或代表有組織狀態改變或疾病存在之值的個體,類似 的mir-22量係顯示該個體中(a)有組織狀態惡化或疾病 之存在及/或(b)發生組織狀態惡化或疾病之風險增加及 /或(c)組織狀態惡化或疾病之進展。 在實施例中,其中參照物或參照樣本係衍生自健康 個體或帶有發生組織狀態改變或疾病之風險降低或帶 36 201238973 有代表無組織狀態改變或疾病存在之mir_22量的個 體’相較於該參照物,相關樣本中類似的mir_22量係 顯示該個體中(a)組織狀態改變或改善或無疾病存在及/ 戍生組織狀悲惡化或疾病之風險降低及/或(〇)組織 狀態惡化或疾病之進展減緩。 在實施例中,其中參照物或參照樣本係衍生自健康 個體或▼有發生組織狀態改變或疾病之風險降低或帶 有代表無組織狀態改變或疾病存在之mir_22量的個 體’相較於該參照物’相關樣本中mir_22量降低係顯 示該個體中(a)組織狀態改變或改善或無疾病存在及/或 (b)發生組織狀態惡化或疾病之風險降低及/或(c)組織狀 態惡化或疾病之進展減緩。 在實施例中,其中該參照物或參照樣本係衍生自罹 病的個體或帶有發生組織狀態改變或疾病之風險增加 或代表有組織狀態改變或疾病存在之值的個體,類似的 mir-22量係顯示該個體中(a)有組織狀態惡化或疾病之 存在及/或(b)發生組織狀態惡化或疾病之風險增加及/ 或(c)組織狀態惡化或疾病之進展。 在實施例中,其中該參照物或參照樣本係衍生自罹 病的個體或帶有發生組織狀態改變或疾病之風險增加 或代表有組織狀態改變或疾病存在之值的個體,升高的 mir-22量係顯示該個體中(a)有組織狀態惡化或疾病之 存在及/或(b)發生組織狀態惡化或疾病之風險增加及/ 或(c)組織狀態惡化或疾病之進展。 在實施例中,其中該參照物或參照樣本係衍生自罹 37 201238973 病的個體或帶有發生組織狀態改變或疾病之風險增加 或代表有組織狀態改變或疾病存在之值的個體,減低的 mir-22量係顯示該個體中(a)組織狀態改變或改善或無 疾病存在及/或(b)發生組織狀態惡化或疾病之風險降低 及/或(c)組織狀態惡化或疾病之進展減緩。 在實施例中,其中§玄參照物或參照樣本係衍生自與 相關個體相同之較早時間點的個體,相關樣本中升高的 mir-22-a量係顯不9亥個體中(a)有組織狀態惡化或疾病 之存在及/或(b)發生組織狀態惡化或疾病之風險增加及 /或(c)組織狀態惡化或疾病之進展。 在實施例中,其中該參照物或參照樣本係衍生自與 相關個體相同之較早時間點的個體,相關樣本中減低的 mir-22-a量係顯示該個體中(a)組織狀態改變或改善或 無疾病存在及/或(b)發生組織狀態惡化或疾病之風險降 低及/或(c)組織狀態惡化或疾病之進展減緩。 在實施例中,其中該參照物或參照樣本係衍生自與 相關個體相同之較早時間點的個體,相關樣本中類似的 mir-22-a量係顯示該個體中(a)發生組織狀態惡化或疾 病之類似風險及/或(b)組織狀態惡化或疾病之進展停滯 及/或(c)組織狀態惡化或疾病持續。 在第四方面’本發明係提供用於測定供個體中組織 狀態改變或預防或治療疾病之醫藥劑量之方法,其包括 下列步驟(a)測定個體樣本中mir-22之量,及視需要測定 參照物或參照樣本中mir-22之量,及(b)依照相關樣本中 mir-22之量’視需要依照相關樣本和參照物和參照樣本 38 201238973 中mir-22之量的_交,決定醫藥劑量。 在本电明内文中,mi卜22之量較佳地係於 RNA或 DNA層級上來偵測’更佳地經由已知的方法例如(但不 限於)能與rmm基因、基因產物及/或其魏活性變體 專-性結合及/或雜交之抗體、引子或核酸探針。 樣本可為液體或固體,較佳地液體樣本 例如(但不限於)血液、金清、血漿、滑液、尿液、= 和淋巴液’及固體樣本為組織樣本,例如(但不限 骨、骨、賴、軟骨膜、囊、皮膚和結軌織。參照樣 本較佳地物生自健康個體、罹病個體或來自與相關 本相同之個體。當參照樣本係由與相關樣本相同之個體 所採集合時’參照樣本健地係在比相祕本較早 晚時間點所採集。替代地或另外地,參照樣本為帶 表健康個體,或代表有或無組織狀態改變或疾病存在, 之 或代表發生組織狀態改變或疾病之風險增加或, mir-22量的參照樣本。 民 在較佳的實施例中,維持或改變,亦即増加或降 醫藥劑量之必要性係依樣本中mir_22的測定量來決 定’較佳地係與參照物或參照樣本相比較。 、 设想,在實施例中,其中參照物或參照樣本係衍生 自健康個體或帶有發生組織狀態改變或疾病之風險降 低或帶有代表無組織狀態改變或疾病存在之mir_22旦 的個體:且相較於該參照物或參照樣本,須仏到相關二 本中升高㈤論-22 f: ’則決定必須轉醫_量或辦 加有利於個體中組織狀態改變或預防或治療疾病之^ 39 201238973 藥劑量。 亦設想,在實施例中,其中參照物或參照樣本係衍 生自健康個體或帶有發生組織狀態改變或疾病之風= 降低或帶有代表無組織狀態改變或疾病存在之m i 量的個體’且相較於該參照物或參照樣本,測定到相關 樣本中減低的mir-22量,則決定必須維持醫藥劑量< 降低有利於個體中組織狀態改變或預防或治療疾 醫藥劑量。 ’、、力 亦設想’在實施例中’其中參照物或參照樣本係衍 生自健康個體或帶有發生組織狀態改變或疾病之風^ 降低或帶有代表無組織狀態改變或疾病存在之 量的個體,且相較於該參照物或參照樣本,測定到相關 樣本中類似的mir_22量,則決定必須維持醫藥劑量或 降低有利於個體中組織狀態改變或預防或治療疾病之 醫藥劑量。 在實施例中,其中參照物或參照樣本係衍生自羅病 =個體或帶有發生組織狀態改變或疾病之風險增加^ =有代表有組織狀態改變或疾病存在之值的個體,且二 較於該參照物或參照樣本,測定到相關樣本中類似的 rmr-22量,則決定必須維持醫藥劑量或增加有利於個體 中組·織狀態改變或預防或治療疾病之醫藥劑量。 在實施例中,其中參照物或參照樣本係衍生自罹病 =個體或帶有發生組織狀態改變或疾病之風險增加或 ▼有代表有組織狀態改變或疾病存在之值的個體,且相 較於。亥參照物或參照樣本,測定到相關樣本中降低的 201238973 、必須_㈣猶或降鱗利於個體 =文.交或預防或治療疾病之醫藥劑量。 的個ΐΓ;::生其或參照樣本係衍生自罹病 帶有代表有^狀離之風險增加或 較於該參昭物或二/或疾病存在之值的個體,且相 略22量,則決/乂:百本,測定到相關樣本中升高的 中組織狀態改^預量或增加有利於個體 右眚*或治療疾病之醫藥劑量。 相關個體二:較2:亥參照物或參照樣本係衍生自與 或參照樣本Hu間點的個體’且相較於該參照物 決定必須維持醫升高的_22量,則 改變或騎或、、里或增加有利於個體中組織狀態 戎療疾病之醫藥劑量。 相關個體相同^上中轉照物或參照樣本係衍生自與 或參照樣本,^間點_體’且相較於該參照物 決定必須維持本中降低的秦22量,則 改變或預防5feV 、里或降低有利於個體中組織狀態 在實施療疾病1藥劑量。 相關個體相同^ 一中5亥參照物或參照樣本係衍生自與 或參照樣本,、^早時間點的個體,且相較於該參照物 決定^須維持樣本中類似的Mr·22量,則 織狀態改缴洗”片里或增加或降低有利於個體中組 在第五^預防或治療疾病之醫藥劑量。 變或預防或仏面,本發明係提供用於調整供組織狀態改 3 b療關節疾病之醫藥劑量之方法,其包括下 201238973 列步驟:(a)測定樣本中mir-22之量,及(b)測定一或多個 參照物或參照樣本中mir_22之量,(c)檢驗試驗樣本關於 存在該樣本中mir_22之量是否與一或多個參照樣本中 mir-22之量不同’(d)依照試驗樣本中mir-22之量是否與 一或多個參照物或參照樣本中mir-22之量不同,調整醫 藥劑量。 mir-22之量較佳地係於RNA或DNA層級上來偵 /貝j ’更佳地經由已知的工具例如(但不限於)能與mir-22 基因、基因產物及/或其功能活性變體專一性結合及/或 雜父之抗體、引子或核酸探針。樣本可為液體或固體, 較佳地液體樣本為體液樣本例如(但不限於)血液、血 /月、血漿、滑液、尿液、唾液和淋巴液,及固體樣本為 組織樣本,例如(但不限於)軟骨、骨、滑膜、軟骨膜、 囊、皮膚和結締組織。 在較佳的實施例中,係與一或多個參照物或參照樣 本相比較,依照樣本中mir_22的測定量來維持或改變, 亦即增加或降低醫藥劑量。 设想,在實施例中,其中參照物或參照樣本係衍生 自健康個體或帶有發生組織狀態&變或疾病之風險降 低或帶有代表無組織狀態改變或疾病存在之mir_22量 之個體二且相較於該參照物或參照樣本,測定到相關樣 本中升问的mir-22量,則維持或增加有利於個體中组 織狀態改變或預防或治療疾病之醫藥劑量。 v 在實施例中’其中參照物或參照樣本係射自健康 個體或帶有發生組織狀態改變或疾病之風險降低或帶 42 201238973 有代表無組織狀態改變或疾病存在之mir-22量之個 體,且相較於該參照物或參照樣本,測定到相關樣本中 ,低的mir-22量,則維持或降低有利於個體中組織狀 態改變或預防或治療疾病之醫藥劑量。 在實施例中,其中參照物或參照樣本係衍生自健康 個體或可有發生组織狀態改變或疾病之風險降低戋帶 =代表無組織狀態改變或疾病存在之mir-22量之個 肢’且相較於該參照物或參照樣本,測定到相關樣本中 =的^mn-22 i ’則維持、降低或減少有利於個體中 、’且”’0狀f改變麵防或治療疾病之醫藥劑量。 的個其中參照物或參照樣本係衍生自罹病 組織狀態改變或疾病之風險增加或 較於該^照dt改變或疾病存在之值的個體,且相 *22^ Γ則维2持本,測定到相關樣本中類似的 預防或治療疾病之醫利於個體中組織狀態改變或 的二物或參照樣本係衍生自罹病 帶有代表;疾病之風險增加或 較於該參照物或參照樣^或疾;1 存在之值的個體,且相 mir-22量,則維持或降’測疋到相關樣本中降低的 預防或,疾病之㈣體中組織狀態改變或 的個樣柄衍生自羅病 帶有代表杨^ 43 201238973 較於該^照物或參照樣本,測定到相 mir-22量,則維持或掸Λ 7本中升尚的 或預㈣治療疾病狀態改變 在實施例中’其中該參照物 相關個體相同之較早時間點的個體,相較== 持或增加有利於個體的變:== 病之醫藥劑量。 文飞頂防或治療疾 在:,例中’其中該參照物或參照樣本係 間點的個體,相較於該參照物或 參”,、樣本則疋到相關樣本中降低的mir22旦 持或降低有利於個體中組織狀態改變或預防:二广 病之醫藥劑量。 貝丨方或治療疾 在實施例其中該參照物或 相同之較早時間點的個體,相較於二= 參…、樣本”則定到相關樣本中類似的mir_2 維 持、增加或降低有利於個體中組織狀態改 療疾病之醫藥劑量。 頂I万欢Λ3 在第六方面,本發明係提供測定物質 發生疾病之有利及/或有害效應之方法,其包 驟·⑷測定相關樣本中—η之量,及(b)測定—或多^ 照樣本中mir_22之量,及⑷檢測相關樣本關 於存f °亥相關樣本中mir-22之量是否與-或多個來昭 物或ς照樣本中mir_22之量不同,其中相關樣本暴^ 該物貝之方式係與—或多種參照樣本不同。'J' 44 201238973 較佳地,mir-22之量係在RNA或dna層級上偵測, 更佳地經由已知的工具例如(但不限於)能與mir_22基 因、^因產物及/或其功能活性變體專一性結合及/或雜 父之抗脰、引子或核酸探針。樣本可為液體或固體,較 佳地液體樣本為體液樣本例如(但不限於)血液、血清、 血聚、滑液、尿液、讀和淋⑽,及固體樣本為組織 樣本,例如(但不限於)軟骨、骨、滑膜、軟骨膜、囊、 皮膚和結締纟且織。 在較佳的實施例中,物質對組織狀態或疾病發生之 有利及/或有害效應係依照樣本中mir_22的測定量來決 定’ ^佳地,健—或多個參照物或參照樣本相比較〕 設想,在實施例中,其中參照物或參照樣本係衍生 自健f個體或帶有發生組織狀態改變或㈣之風險降 低或V有代表無組織狀態改變或疾病存在之量 之個體且相杈於該參照物或參照樣本,測定到相關樣 ^升高的_22量’則蚊該物質對組織狀態或疾 病發生具有有害效應。 亦設想,在實關巾’其巾參照物或參職本係衍 生自健康個體或帶有發生組織狀態改變或疾病之風險 =低或帶有代表無組織狀態改變或疾病存在之mir_22 量之個體’且相較於該參照物或參照樣本,測定到相關 樣本中降低的量,則蚊該物f對組織狀態或 疾病發生具有有利效應。 亦設想,在實施例中,其中參照物或參照樣本係衍 生自健康個體或帶有發生組織狀態改變或疾病之風險 45 201238973 降低或帶有代表無組織狀態改變或疾病存在之m i r- 2 2 量之個體,且相較於該參照物或參照樣本,測定到相關 樣本中類似的mir-22量,則決定該物質對組織狀態或 疾病發生不具效應或僅具有非常有限的效應。 在實施例中’其中參照物或參照樣本係衍生自罹病 =個體或帶有發生組織狀態改變或疾病之風險增加或 可有代表有組織狀態改變或疾病存在之值的個體,且相 較於°亥參照物或參照樣本,測定到相關樣本中類似的 mir 22里,則決定該物質對組織狀態或疾病發生不具效 應或僅具有非常有限的效應。 〃 在實_巾,其中細物或參難本係衍生自羅: =體或帶有發生組織狀態改變或 …物或參照樣本,測定到相關樣本中降低έ 利效 蚊該物__狀態或錢發生具有习 的個體其中參照物或參照樣本係衍生自罹a 帶有代狀風險増加s 較;^$A 心蜓或疾病存在之值的個體,且^ 本,«本中升高Ϊ 害效應^ 物狀誠“發生具有; 相關個鸿Γ Τ琢參照物或參照樣本係衍生 參照樣ϊ目同ϊ i較早時間點的個體’相較於該參辟 ’、、’,測定到相關樣本中升高的mir_22量, 46 201238973 定該物質對組織狀態或疾病發生具有有害效應。 在實施例中,其中該參照物或參照樣本係衍生自與 相關個體相同之較早日夺間點的個豸,相較於該參照物或 參照樣本,測定到相關樣本中降低的mir_22量,則決 定該物質對組織狀態或疾病發生具有有利效應。 在實施例中,其中該參照物或參照樣本係衍生自與 相關個體相同之較早時間點的個體,相較於該參照物或 參照樣本’測疋到相關樣本中類似的mir-22量,則決定 該物質對組織狀態或疾病發生不具效應或僅具有非常 有限的效應。 在第七方面,本發明係提供mir-22於任一本發明前 述方面之方法中的用途。 因此,mir-22之用途係提供於測定個體中,如上所 詳述(a)組織狀態改變或疾病存在及/或(b)發生組織狀態 改.變或疾病之風險及/或(c)監測組織狀態改變或疾病之 進展和階段之方法中,其包括彳貞測mir-22之量。mir-22 之用途亦提供於供測定個體中組織狀態改變或預防或 治療疾病之醫藥劑量的方法中,其包括下列步驟(a)測定 個體樣本中mir-22之量,及視需要測定參照物或參照樣 本中mir-22之量,及(b)依照相關樣本中mir-22之量,視 需要依照相關樣本和參照物和參照樣本中mir-22之量 的比較,決定醫藥劑量。再者’ mir-22之用途係設想用 於調整供組織狀態改變或預防或治療關節疾病之醫藥 劑量的方法中,如上所詳述’其包括下列步驟:(a)測定 樣本中mir-22之量,及(b)測定一或多個參照物或參照樣 201238973 本中mir-22之罝’(c)檢驗試驗樣本關於存在該樣本中 mir-22之量是否與一或多個參照樣本中mir-22之量不 同’(d)依照試驗樣本中mir-22之量是否與一或多個參照 物或參照樣本中mir-22之量不同,調整醫藥劑量。又 mir-22之用途係提供於測定物質對組織狀態或疾病發 生之有利及/或有害效應之方法中,如上所詳述,其包 括下列步驟.(a)測定相關樣本中mir-22之量,及(b)測定 或夕個參照物或參照樣本中mir 22之量及(c)檢測相 關樣本關於存在該相關樣本中mir 22之量是否與一或 照物或參照樣本中_22之量不同,其中相關樣 ^暴^該物質之方式係與—或多種參照樣本不同。在 任一上述所指方法中之如卜2 因產物及/或其功能活性變二 固體之較㈣實施财,相關樣本為 體樣本為體液樣本。又體樣本為_樣本而液 之群中選出:於Α χ 、,組織樣本係由下列組成 締組織’而液體i本二;:骨囊、皮膚和結 血清、血漿、滑液、】、,且成之群中選出:血液、 施例中,樣本係由下=二唾液和淋巴液。在更佳的實 囊、血液、血毁、血且成之群中選出:軟骨、滑膜、 中,樣本騎骨、:、尿液和滑液。在特佳的實施例 外地,樣本為細胞许養血:月及’或滑》夜。替代地或另 列組成之群中選出養樣本,較佳地係由下 細胞、軟骨母細胞::滑膜、骨髓細胞、軟骨 軟月細胞、滑液細胞、骨細胞、 48 201238973 破骨細胞、成骨幹細胞、幹細胞及/或葉間幹細胞。 在第八方面,本發明係提供用於本發明任何方面之 、’且一其包括一或多種偵測mir_22之工具。在較佳的套 、、且之貫%例中,—或多種偵測mir 22之工具為測定 mir 22表現里之工具,更佳地,係在基因及/或RNA層級 上:特佳的,偵測_22之__或多種工具係由下列組成 ,群中f出:核酸,較佳地DNA或RNA、胜肽和蛋白。 較佳地單株或多株抗體。較佳地,偵測πιίι··22之工具為 與rmr-22及/或其前驅物之序列互補之天然生成的核酸 例如DNA或RNA或化學修飾核酸。 在更佳的套組之實施例中,進一步包括(a)—容器, 及/或(b)數據載器。特佳的,數據載器包括例如(但不限 於)下列貢訊:(1)有關測定關節疾病之發生風險及/或測 定關節疾病存在及/或監測關節疾病之進展的方法說 明’(ii)偵測,較佳地樣本中,更佳地來自個體樣本中 mir-22之工具及/或套組之使用說明,(出)品質資訊例如 有關用於偵測mir_22之工具及/或套組批號、製造或組裝 地或到期曰或保存期限之資訊,有關套組之正確保存或 操作之負A ’(iv)有關用於偵測mir-22之緩衝劑、稀釋 劑、試劑之組成物及/或偵測mir-22之工具的資訊,(v) 當進行上述方法測定及/或監測關節疾病進展時,所得 到的資料解釋之相關資訊,(vi)當應用不適合的方法及/ 或不適合的工具時,可能的誤解或錯誤結果之相關警 告’及/或(vii)當使用不適合的試劑及/或緩衝劑時,可 能的誤解或錯誤結果之相關警告。 49 201238973 在第九方面,本發明係提供第八方面之套組於本發 明任何方法中之用途。 因此,該套組之用途係提供於測定個體中,如上所 詳述(a)組織狀態改變或疾病存在及/或(b)發生組織狀態 改變或疾病之風險及/或(c)監測組織狀態改變或疾病之 進展或階段之方法中,其包括偵測mir-22之量。該套 組之用途亦提供於測定用於個體中組織狀態改變或預 防或治療疾病之醫藥劑量的方法中,如上所詳述,其包 括下列步驟:(a)測定個體樣本中mir-22之量,及視需 要測定參照物或參照樣本中mir_22之量,用於與相關 樣本中的mir-22量作比較,及(b)依照相關樣本中mir 22 之量’視需要依照相關樣本和參照物和參照樣本中 mir-22之量的比較,決定醫藥劑量。再者,該套組之用 途係設想用於調整供組織狀態改變或預防或治療關節 疾病之醫藥劑量之方法中,如上所詳述,其包括下列步 驟:(a)測定樣本中mir-22之量,(b)測定一或多個參照 物或參照樣本中mir-22之量,(c)檢測試驗樣本關於存 在該樣本中mir_22之量是否與一或多個參照樣本中 mir-22之量不同,及(d)依照相關樣本中mir_22之量是 否與一或多個參照物或參照樣本中mir_22之量不同, 凋整醫藥劑量。該套組之用途亦提供於測定物質對組織 狀態或疾病發生之有利及/或有害效應之方法中,如上 所f述,其包括下列步驟:(幻測定相關樣本中mir_22 之量’及(b)測定一或多個參照物或參照樣本中mir_22 之量’及(c)檢驗相關樣本關於存在該相關樣本中mir_22 201238973 之量是否與一或多個參照物或參照樣本中mir_22之量 不同,其中该相關樣本暴露於該物質之方式係與一或多 種參照樣本不同。 在第十方面,本發明,如上所詳述,係於本發明任 何方面之方法中,提供一或多種供偵測mir-22基因、基 因產物或其功能活性變體之核酸。在較佳的實施例中, 該核酸為天然生成的核酸例如D N A或RN A或經化學修 飾。較佳地,該核酸係由下列組成之群中選出:核酸探 針、聚酿胺或胜肽核酸(pna)、微RNA(miRNA)、小干 擾RNA(siRNA)、鎖核酸(LNA)、聚合酶連鎖反應(PCR) 之引子、反轉錄(RT)反應之引子及DNA定序之引子。特 佳的’此核酸具有對mir-22強烈的結合性。因此,約8 個核苷酸之示例性LNA適合用於偵測mir-22,只要此序 列在整體微RNA序列中為獨一無二的。 在第十一方面,本發明,如上所詳述,係於本發明 任何方面之方法中,提供用於偵測mir-22基因、基因產 物、其功能活性變體及/或微RNA上標記之胜肽、多肽 或蛋白。在較佳的實施例中’該胜肽、多肽或蛋白為蛋 白配體,較佳地抗體、斷片或其衍生物、朵平(darpin) 或抗運載蛋白(anticalin),或該多肽或胜肽為探針,較 佳地質譜探針。 在較佳的實施例中,蛋白配體為經重組製備的抗 體及,若適當,經修飾’例如鼓合抗體、人源化抗體、 多功能抗體、雙專一性或寡專一性抗體、單股抗體及 F(ab)或 F(ab)2 斷片(參見,例如 EP-B1-0 368 684、 51 201238973 US 4,816,567 、 US 4,816,397 、 WO 88/01649 、 WO 93/06213或WO 98/24884)。另外地或替代地,對於 抗mir-22之經典抗體蛋白骨架係用作蛋白配體,例如 以脂約蛋白(lipocalin)為主的抗運載蛋白(Beste等人 (1999) Proc. Natl. Acad. Sci. USA, 96, 1898-1903)。脂i弓 蛋白之天然的配體結合位,例如視黃醇結合蛋白或後膽 色素結合蛋白,可被改變,例如以「組合蛋白設計」法, 在此法中,其係與所選的不完全抗原結合,本文係與 mir-22 結合(Skerra,2000, Biochim. Biophys. Acta,1982, 337-50)。其他已知的蛋白骨架可作為分子測定之抗體的 替代物(Skerra (2000) J. Mol· Recognit.,13, 167-187)。 在第十二方面,本發明係提供本發明第十方面之核 酸,及/或本發明第十一方面之胜肽、多肽或蛋白於本 發明任何方面之方法中的用途。在較佳的實施例中,該 核酸係以裸型、轉基因載體或與微脂體或黃金粒子複合 之形式來使用。轉基因載體之實例有病毒載體,例如腺 病毒載體或反轉錄病毒載體(Lindemann等人(1997), Mol. Med.,3, 466-76; Springer等人(1988) Mol. Cell.,2, 549-58)。帶有微脂體之複合物通常係達到非常高效的轉 染,特別是皮膚細胞(Alexander and Akhurst,1995, Hum. Mol. Genet. 4:146-a79-85)。在脂質轉染中,由陽離子脂 質組成的單層脂質體係藉由將微質體懸浮液以超音波 處理來製備。DNA係以保持總電荷正電之比例及所有的 質體DNA係被微脂體複合之方式離子性結合在微脂體 的表面。除了 Feigner,p. L.等人(1987),Proc. Natl. Acad. 52 201238973: Different times of exposure include (but are not limited to) more than 2-fold, 5_times, 1〇_倍, 2〇_倍, 3〇_倍, 4〇 J when exposed to the reference sample. , 100-times and/or 1000-times. Related samples can be violent ^ compared to the reference sample exposure temperature 増 or drop - double, 5 〇 1 〇 _ times, 20-times, 3 〇 · times, 40_ times, 5 times times, • times and / or 1000-times . In a non-limiting example, the correlation is exposed to a concentration of material that is 1 〇 times greater than the reference sample. The tube phase is then analyzed to determine the beneficial or detrimental effect of the increased concentration of the substance on the relevant sample. : The technician should be aware that this example is subject to the necessary modifications to meet different concentrations of 201238973 degrees, different exposure times, and/or different exposure temperatures. The term "agonist" as used herein refers to a substance that causes the action of a tissue, organ or individual, such as receptor signaling, gene expression, protein incorporation, and protein degradation. Typically, an agonist acts by triggering a specific reaction by binding to the active or ectopic binding of the acceptor molecule. Examples of agonists include, but are not limited to, nucleic acid molecules, such as mRN Ago miRNAs, or proteins such as hormones, cytokines, growth factors, neurotransmitters, and transcription factors. The term "antagonist" as used herein refers to a substance that blocks agonist repulsion. Typically, an antagonist acts by ectopic binding to the active site of the receptor molecule or to a binding site that is not normally involved in the regulation of receptor activity. Typically, the antagonist changes the binding site of the agonist in a manner that the structure defines the incorporation of 'in competition with the agonist, or in such a way that the agonist does not cause the effects normally caused by it. Antagonistically, according to the interaction of the antagonist-receptor complex, 4/3 is inverse or irreversible. Examples of antagonists include a scorpion, such as an siRNA or miRNA, or a protein such as a female hormone, a growth factor or a neurotransmitter, an image, or a term "mimetic" such as a target molecule such as a tissue, an organ, or a target line of the target line (#: role, such as receptor signal transmission, base " substances that are degraded by the action/or antagonist white. Therefore ^ structure, egg * synthesis and eggs such as agonists or antagonists) structure The target molecule may not be simulated (eg, by a specific reaction, for example, by (4) being the same (ie, by using at least its active site or the activity of a heterologous agonist or antagonist 201238973 typically, the simulated system is Individual agonists or antagonists have the same function, i.e., functionally equivalent. For example, a mimetic of mir_22 is administered at least its towel-type 22 activity, has a _22 function, and/or mimics mir-22 action. Substance 5 My "speech" as used herein refers to a molecule that binds to one or more specific molecules, such as peptone nucleus. Signal 4, 'knife can be used as an agonist or antagonist, including (Do not The nucleic acid is a sub-like 'siRNA or miRNA, or a protein such as a hormone, a cytokine, a growth factor or a neurotransmitter, an antibody or a transcription factor. The receptor can be localized in the cell membrane, in the cytoplasm and/or in the intracellular compartment. As used herein, "treatment" of a disease or condition means achieving one or more of the following: (a) reducing the severity of the condition; (b) limiting or preventing the symptomatic characteristics of the condition being treated; (c) inhibiting the symptomatic characteristics of the condition being treated (d) limiting or preventing the recurrence of the disease in an individual previously suffering from the condition; and (e) limiting or preventing the recurrence of symptoms in a patient previously having symptoms of the condition. As used herein, "prevention" of the disease or condition Or "preventing" means preventing the disease or condition in a patient. "5" "medicine", "pharmaceutical" and "drug" are used interchangeably herein to mean the use of a tissue, or a tissue or A substance or combination of substances. "Pharmaceutically acceptable" means approved by the federal or state government or listed in the US Pharmacopoeia or other general use for animals (more specifically The term "active ingredient" means a substance that has a biological activity in a pharmaceutical composition or formulation, that is, a pharmaceutical value. The composition of the drug is one or more Or the active ingredients which act independently. The active ingredient can be adjusted to be neutral or _. The medicinal oxime includes salts formed with _amino group, such as salts of sarnic acid, acetic acid, oxalic acid, tartaric acid, etc. And salts formed by the group such as, but not limited to, derived from sodium, potassium, bismuth=iron, isopropylamine, triethylamine, 2-ethylaminoethanol, diacid, Puka The term "preparation" and "composition" are intended to include both active compounding and encapsulating materials as a formulation for providing a capsule, and the active component of the carrier is surrounded by a carrier. The term "carrier" as used herein refers to pharmacologically, for example, but not limited to, a diluent, excipient or vehicle, and a potent ingredient. Such medicines may be liquid or solid = system including (but secret) sterile (iv), such as saline solution f = including, animal, plant or synthetic sources such as peanut oil, mineral oil, sesame oil and the like. The saline solution and the glycol solution can also be used as a liquid carrier, especially when the solution is used for intracavitary administration of the pharmaceutical composition, the saline preparation and the scorpion 1 preparation are suitable for oral administration. It also includes bulk and ingot solid excipients: also bag, suppository and dispersible granules. y A variety of substances may also be used as a diluent, a flavoring agent, a preservative, a preservative, a tablet disintegrating agent or an encapsulating substance. In the powder, the excipient is preferably a finely powdered solid which is admixed in a mixture of finely divided active ingredients. In the lozenge, the active ingredient of the present invention is mixed with a carrier having the desired binding properties in a suitable ratio and compressed into a desired shape and size. The powders and lozenges preferably contain from 5% to 80%, more preferably from 20% to 70%, of the active compound. Suitable pharmaceutical "excipients" include starch, glucose, lactose, sucrose, gelatin, pectin, dextrin, malt, rice, fun powder, chalk, tannin, magnesium carbonate, sodium stearate, magnesium stearate Glycerin monohydrate, talc, sodium carbonate, tragacanth, methylcellulose, sodium carboxymethylcellulose, skim milk powder, glycerin, propylene glycol, water, ethanol, low melting wax, cocoa butter and the like. For the preparation of suppositories, a low melting wax such as a mixture of fatty acid glycerides or cocoa butter is first melted and the active ingredient is uniformly dispersed therein, e.g., with stirring. The melted homogeneous mixture is then poured into a convenient size mold, allowed to cool, and solidified accordingly. Examples of suitable pharmaceutical carriers are also described in ''Remington® Pharmaceutical Sciences' by EW Martin. The term "adjuvant" refers to the addition, stimulation, activation, enhancement or modulation of activity on a composition at the cellular or humoral level. The immune response agent of the component, such as an immunological adjuvant, stimulates the immune system's response to the actual antigen, but does not itself have immunological effects. Examples of such adjuvants include, but are not limited to, inorganic adjuvants (eg, inorganic metal salts such as aluminum phosphate or aluminum hydroxide), organic adjuvants (eg, saponin or squalene), oil-based adjuvants (eg, Freund's complete adjuvant and Freund's incomplete adjuvant), cytokine 201238973 (eg IL-Ιβ, IL-2, IL-7, IL-12, IL-18, GM-CFS and INF-γ) , microparticle adjuvants (eg, immuno-stimulating complexes (ISC〇MS), microlipids or biodegradable microspheres), virions, bacterial adjuvants (eg, single-acidified lipid A or cell wall purine peptides), Synthetic adjuvants (eg, nonionic, segmented copolymers, cell wall purine peptide analogs or synthetic lipids VIII) or synthetic polynucleotide adjuvants (eg, polyarginine or polyserine). As used herein, "administering" includes in vivo administration, as well as direct administration to tissues, such as intravenous transplantation, in vitro. In the context of the present invention, oral administration, topical p, skin permeation and/or intraluminal (e.g., intravenous) administration are preferred.有效 The effective amount in the treatment is “a medical agent sufficient to achieve the desired purpose”. The effective amount of the therapeutic agent to be administered will vary depending on factors such as the nature of the agent, the size of the drug delivery, the animal species to which the therapeutic agent is administered, and the purpose of administration, and the effective amount in each case may be determined by a skilled practitioner according to the present technology. The method of establishment is determined by experience. Embodiments of the present invention are provided in the first section of the present invention, in which the mir-22 is found to be accidentally discovered by the genus or the disease η 75 mir Maoming. The external matrix component and the protease (4) tissue (4) or the presence, absence or progression of the disease are indicators of the state of the tissue or disease. Qin 22 has ... or changes to the state of the tissue or the symptoms of the disease. Within the present invention In the text, the second is the progress of the organization is more than the characteristics of the reading of the ginseng 22. The typhoid two It's (four) woven fabrics have different disease states, preferably characterized by ... compared with normal organs 31 201238973 or individual organs Or, compared to the same organ or individual at an earlier time point, which has a different amount of mir-22. In a second aspect, the invention relates to the use of mir_22 as a tissue state or disease indicator. Or the amount of mir-22 is different during the progression, and mir_22 is used as an indicator of the state of the tissue or disease. In the first and/or the first - or - r-vx " In, r 22 is (a) tissue state or disease / Or for) the occurrence of a state change or risk tissue diseases and / or (c) having an individual tissue or disease state change = and / or (d) refers to an individual tissue or target state or stage of progression of the disease. The amount of mir-22 is the amount of expression of mir-22 or the amount of mir_22 present. ^匕' mir-22 performance or mir_22 is present (4) histological =, or disease and / or (b) tissue state change or disease risk and / body with tissue state changes or disease and / or (d An indicator of tissue or progression or individuality in an individual. In the preferred embodiment m"22 is the amount of her 22 in an individual or in an individual sample. Change the implementation of the wealth, this 22 New (four) shows the state of the organization changed = disease, such as organizational status or disease aggravation or improvement. The state of the woven or disease has improved. Target, better risk indicators for the second Shengsheng. The amount of mir_22 changes, ^ physiochemical or disease for individuals with tissue state changes or disease = tr22 increased, also the amount of Zhong Qin 22 changes, such as ^. Furthermore, in the case of individual elevation or decline, the system shows the progress or stage of the tissue status or disease of 2012. Preferably, mir_22 is an indicator of tissue state or disease exacerbation. The amount of imr-u is the state of tissue or disease. The tissue is selected from the group consisting of bone, cartilage, sputum, muscle tissue, nerve tissue, and epithelial tissue. Second, the ::: state is tissue degradation, such as (but not limited to) cartilage degradation, osteophyte, synovial degeneration, tissue inflammation such as cartilage inflammation or synovial inflammation, such as cartilage remodeling, hardening, fluid accumulation or hyperplasia Sexual tissue: for the healing process of the wound healing, cyst formation or cancer. Particularly preferably, the group ς state is related to tissue degeneration or tissue inflammation, and more preferably to soft sputum, synovial degeneration, cartilage inflammation and/or synovial inflammation. Human month is another preferred, mir-22 amount, which is a disease of the joint, such as (but not limited to) arthritis, such as wind-like arthritis (RA), ankylosing spondylitis ( AS), juvenile idiopathic stagnation (JIA), gout, infectious arthritis, dry arthritis and osteoarthritis (OA), cancer such as chondrosarcoma, osteosarcoma, fibrosarcoma and multiple bone tumors , tendonitis, bursitis, fractures and cartilage or bone injury. In a particularly preferred embodiment, the disease is arthritis, and more preferably osteoarthritis. In a third aspect, the invention provides for identification in a subject (a) a change in tissue sorrow, or the presence of a disease and/or Or (b) a method of detecting a change in tissue state or disease and/or (c) and/or monitoring the progress or stage of the state of the tissue or disease, including detecting the amount of mir_22 in the sample. Preferably, it is at the RNA or DNA level to detect mir_22, more preferably via known methods such as, but not limited to, antibodies that bind and/or hybridize to mir-22 RNA or cDNA 33 201238973, Primer or nucleic acid probe. It is straightforward that the amount of 'mir-22' is in the individual or in the individual sample. The car thief is good, the amount of imr-22 is the amount of his _22 or the presence of mir-22 in the individual or individual sample. Preferably, the individual is a mammal, a creeper or a bird. More preferably, the health line is selected by the Xia Shun group of animals: experimental animals (such as mice, rats or rabbits), domestic animals (including, for example, guinea pigs, rabbits, sheep, goats, pigs, chickens, ducks, and , dogs, turtles, tortoises, snakes or gradual fields) or primates, horns, and humans. Particularly preferably, the individual is a human group = a sample of a plurality of solid samples, such as (but not limited to) tissue t, cartilage, bone, synovial membrane, perichondrium, sac, skin and social/monthly, liquid, Material, noodles and lymph. In the preferred embodiment, the job title is selected from the group of Shun Cheng group: the sac, the blood n serum, the urine and the synovial fluid. In particular, the sample is cartilage, synovial membrane, plasma, serum and/or synovial trace 22 by any known method using a specific nucleic acid for use in an acid such as a miRNA that binds to the miRNA in question. Known tools to speculate. Suitable methods include, but are not limited to, poly-linked reaction (PCR) techniques such as reverse transcriptase pCR or sequencing to PCR 'hybridization techniques such as northern blots, in situ hybridization or wafers', immunohistology or immunochemistry Or immunocytochemical techniques, such as too blotting, immunofluorescence or ELISA, mass spectrometry (MS), such as Lc/m high performance liquid chromatography (HPLC), especially ion exchange 201238973 for HPLC after calibration. Detecting the presence of mir_2 in an individual or individual sample is limited to the above-mentioned methods plus / (but not limited to) - or multiple sets of specific detection of mir-22 RNA or cDNA (eg for quantification of RT pCR), one or more nucleic acid probes that are capable of specificity and mib 22 RNA cDNA hybridization under standard conditions (eg for use in northern blot or wafer hybridization techniques), or multiple energies Specific detection of antibodies to mir-22 (eg for immunohistology or immunohistochemistry or immunochemical techniques, such as detection of mir-22 in histological tissue sections or immobilization on suitable carriers such as membranes, wafers, EusA plates) In the other preferred embodiment, the amount of ιη ΰ:·22 in the individual or individual sample is compared with - 参照 reference and/or reference sample. Preferably, the reference system is selected from the group consisting of: a healthy individual, a rickety individual, or an individual earlier or later than the test subject. Additionally or alternatively, the reference is an unorganized condition in which the presence of a disease, an altered state of the tissue, or the presence of a disease, or a representative value of a group, a change in the shape, or an increased or decreased risk of the disease. The white plate sample is preferably shot from a healthy individual, '_individual or from the same individual from the relevant sample. The t reference sample is collected by the individual who is the same as the relevant sample. The reference sample is preferably tied to The time difference between the reference sample and the relevant sample is collected, preferably in years (eg, 2, 3, 4, 5, 201238973 90, 100 years), 1 12 in the month. W, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 months), weeks (for example, 1, 2, 3, 4, 5 ln ”, 4, 5, 6, 7, 8 weeks), 曰 (Example 5〇, 6〇, 7〇, 8〇9〇2〇, 25, 30, 35, 40, 45, hours (Bu 2, 3 〇, 100, 2〇〇, 30 〇, 400, 500 days), confusing;;; 5/, 6:7, 8, 9, 10, 1...2—), 40, 4S π 4, 5, 10, b, 20, 25, 30, 35, : 5 20: 2; 6 〇 minutes), or seconds, ^ or alternatively, this Γ, 35, 40, 45, 50, 60 seconds). In addition, or unorganized, it is a reference sample with a representative of a healthy individual, or a representative of a mir-22 that has a change of == or represents a tissue state change or decrease. (4) In the case of 'the reference or reference sample, the shot is born from health. ^ ^ The risk of a change in the state of the tissue or the risk of the disease or the presence of a mir-22 that represents the absence of an unorganized state or the presence of the disease Compared with the reference material, the increase in the amount of _22 with the towel indicates that (a) the tissue state deteriorates or the disease exists and/or (b) the tissue state deteriorates or the disease is tested and/or (e) Deterioration of the state of the organization or progress of the disease. In an embodiment wherein the reference is derived from an individual with a rickets or an individual with an increased risk of developing a tissue state change or disease or representing a change in the state of the tissue or the presence of the disease, a similar mir-22 quantity indicates In the individual (a) there is a deterioration of the tissue state or the presence of the disease and/or (b) an increase in the risk of tissue deterioration or disease and/or (c) a deterioration in the state of the tissue or progression of the disease. In an embodiment, wherein the reference or reference sample is derived from a healthy individual or is associated with a reduced risk of developing a tissue state change or disease, or an individual having a mir_22 amount that represents an unorganized state change or disease present in 201238973 compared to The reference, a similar mir_22 quantity in the relevant sample, shows (a) a change in tissue status or improvement or absence of disease and/or a decrease in the risk of aggravation of the tissue or a decrease in the risk of the disease and/or a deterioration in the state of the tissue. Or the progress of the disease has slowed down. In an embodiment, wherein the reference or reference sample is derived from a healthy individual or has an increased risk of developing a tissue state or a disease or an individual having an amount of mir_22 representative of an unorganized state change or disease present compared to the reference A decrease in the amount of mir_22 in the subject's sample indicates (a) a change in tissue status or improvement or absence of disease and/or (b) a decrease in the risk of developing a tissue condition or disease and/or (c) a deterioration in the state of the tissue or The progress of the disease has slowed down. In an embodiment, wherein the reference or reference sample is derived from an individual with a rickets or an individual with an increased risk of developing a tissue state change or disease or representing a value of a tissue state change or disease, a similar amount of mir-22 The system shows (a) the presence of tissue deterioration or the presence of the disease and/or (b) an increased risk of developing tissue deterioration or disease and/or (c) a deterioration in tissue status or progression of the disease. In an embodiment, wherein the reference or reference sample is derived from a rickety individual or an individual with an increased risk of developing a tissue state change or disease or representing a tissue state change or a disease present value, elevated mir-22 The quantity system shows (a) the presence of tissue deterioration or disease and/or (b) an increased risk of tissue deterioration or disease and/or (c) progression of tissue condition or progression of the disease. In an embodiment, wherein the reference or reference sample is derived from an individual having a disease of 201237 201238973 or an individual having an increased risk of developing a tissue state or disease or representing a change in the state of the tissue or the presence of the disease, the reduced mir The -22 amount indicates that the individual has (a) a change in tissue status or an improvement or absence of disease and/or (b) a decrease in the risk of developing a tissue condition or disease and/or (c) a deterioration in the state of the tissue or a slow progression of the disease. In an embodiment, wherein the § Xuan reference or the reference sample is derived from an individual at an earlier time point that is the same as the related individual, the elevated mir-22-a amount in the relevant sample is not in the 9 Hai individual (a) Deterioration of the tissue state or the presence of the disease and/or (b) an increased risk of tissue deterioration or disease and/or (c) deterioration of the tissue state or progression of the disease. In an embodiment, wherein the reference or reference sample is derived from an individual at an earlier time point that is the same as the relevant individual, the reduced mir-22-a amount in the relevant sample indicates (a) a change in tissue state in the individual or Improved or no disease present and/or (b) decreased tissue risk or decreased risk of disease and/or (c) worsened tissue condition or slow progression of disease. In an embodiment, wherein the reference or reference sample is derived from an individual at an earlier time point that is the same as the related individual, a similar mir-22-a amount in the relevant sample indicates that (a) tissue deterioration occurs in the individual Or a similar risk of disease and/or (b) deterioration of tissue status or progression of disease and/or (c) deterioration of tissue status or disease persistence. In a fourth aspect, the invention provides a method for determining a pharmaceutical dosage for a change in tissue status or for preventing or treating a disease in an individual, comprising the steps of: (a) determining the amount of mir-22 in an individual sample, and determining if necessary The amount of mir-22 in the reference or reference sample, and (b) in accordance with the amount of mir-22 in the relevant sample, as determined by the amount of mir-22 in the relevant sample and reference sample and reference sample 38 201238973, Medical dose. In the context of the present invention, the amount of mi 22 is preferably ligated at the RNA or DNA level to detect 'better via known methods such as, but not limited to, the rmm gene, the gene product and/or An antibody, primer or nucleic acid probe that specifically binds to and/or hybridizes. The sample may be a liquid or a solid, preferably a liquid sample such as, but not limited to, blood, gold, plasma, synovial fluid, urine, = and lymph, and a solid sample is a tissue sample, such as (but not limited to bone, Bone, larvae, perichondrium, sac, skin, and symmetry. The reference sample is preferably produced from a healthy individual, a rickety individual, or from an individual associated with the same. When the reference sample is collected by the same individual as the relevant sample The reference time sample is collected at a later time point than the phase secret. Alternatively or additionally, the reference sample is a healthy individual with a table, or represents a presence or absence of a tissue state change or disease presence, or represents a A change in the state of the tissue or an increased risk of the disease or a reference sample of the amount of mir-22. In a preferred embodiment, the need to maintain or change, ie, to increase or decrease the dose of the drug, is based on the amount of mir_22 in the sample. The decision 'is preferably compared to a reference or reference sample. It is envisaged that in the embodiment where the reference or reference sample is derived from a healthy individual or has a tissue state change or The risk of disease is reduced or with an mir_22dan representing an unorganized state change or disease: and compared to the reference or reference sample, it must be raised in the relevant two books (five) -22 f: 'then decide It is necessary to transfer to a doctor to increase the amount of tissue in the individual or to prevent or treat the disease. It is also envisaged that in the examples, where the reference or reference sample is derived from a healthy individual or occurs with Wind of tissue status or disease = reduced or with an individual representing the amount of mi in the absence of an unorganized state or disease and comparing the reduced amount of mir-22 in the relevant sample compared to the reference or reference sample, Decided to maintain medical dose < Reduce the dose of medicine that is beneficial to the change of tissue status in an individual or to prevent or treat a disease. ', force also envisages 'in the examples' where the reference or reference sample is derived from a healthy individual or with a wind that has undergone a change in tissue state or disease, or with an amount that represents a change in the state of the tissue or the presence of the disease. The individual, and comparing the reference or reference sample, to determine a similar amount of mir_22 in the relevant sample, determines whether the medical dose must be maintained or a medical dose that would favor tissue changes in the individual or prevent or treat the disease. In an embodiment, wherein the reference or reference sample is derived from a disease of the individual = or has an increased risk of developing a tissue state change or disease; = an individual having a value indicative of an altered state of the tissue or the presence of the disease, and The reference or reference sample, which determines a similar amount of rmr-22 in the relevant sample, determines whether the medical dose must be maintained or a medical dose that is beneficial to the change in the tissue state of the individual or to prevent or treat the disease. In an embodiment, wherein the reference or reference sample is derived from a rickety = individual or an individual with an increased risk of developing a tissue state change or disease, or an individual having a value indicative of an altered state of the tissue or the presence of the disease, and comparable. The reference object or the reference sample is measured, and the reduced dose of 201238973 in the relevant sample is determined, and the medical dose must be _(d) or reduced in the individual = text, or prevent or treat the disease. Individuals:: The raw or reference sample is derived from an individual with a rickety with an increased risk or a value greater than the value of the reference or second disease, and is approximately 22决/乂: Hundreds, determine the elevated median state in the relevant sample to change the amount or increase the medical dose that is beneficial to the individual's right sputum* or treatment of the disease. Related Individual 2: Compared with 2: the reference object or reference sample is derived from the individual with or from the reference sample Hu, and compared to the reference to determine the amount of _22 that must be maintained by the doctor, then change or ride or , or increase the amount of medicine that is beneficial to the tissue state of the individual to treat the disease. The relevant individual is the same as the upper or secondary reference or the reference sample is derived from the reference or reference sample, and the point is _ body', and compared with the reference, it is necessary to maintain the reduced amount of Qin 22, then change or prevent 5feV, In or lower the amount of the drug that is beneficial to the tissue state in the individual. The related individuals are the same ^ 1 zhonghai reference or reference sample is derived from the reference or reference sample, ^ early point of the individual, and compared to the reference to determine the need to maintain a similar amount of Mr · 22 in the sample, then The state of the woven state is changed to "washing" or increasing or decreasing the medical dosage of the group in the fifth prevention or treatment of the disease. The invention provides for adjusting the state of the tissue for treatment. A method of medical dose of joint disease, comprising the steps of 201238973: (a) determining the amount of mir-22 in a sample, and (b) determining the amount of mir_22 in one or more reference or reference samples, (c) testing Whether the amount of mir_22 in the sample is different from the amount of mir-22 in one or more reference samples' (d) according to whether the amount of mir-22 in the test sample is related to one or more reference or reference samples The amount of mir-22 is different, and the dose is adjusted. The amount of mir-22 is preferably tied to the RNA or DNA level to better detect the mir-22 by better known means such as, but not limited to, mir-22. Gene, gene product and/or its functionally active variant specificity An antibody, primer or nucleic acid probe of the parent and/or parent. The sample may be a liquid or a solid, preferably the liquid sample is a body fluid sample such as, but not limited to, blood, blood/month, plasma, synovial fluid, urine, Saliva and lymph, and solid samples are tissue samples such as, but not limited to, cartilage, bone, synovium, perichondrium, sac, skin, and connective tissue. In a preferred embodiment, one or more references The sample or reference sample is maintained or changed according to the measured amount of mir_22 in the sample, that is, the dose is increased or decreased. It is envisaged that, in the embodiment, the reference or reference sample is derived from a healthy individual or has an occurrence tissue. The state & or the risk of the disease is reduced or with an amount of mir_22 representing the presence of an unorganized state change or disease, and the amount of mir-22 raised in the relevant sample is determined as compared to the reference or reference sample, The pharmaceutical dosage is then maintained or increased to facilitate changes in the state of the tissue or to prevent or treat the disease in the individual. v In the examples where the reference or reference sample is injected from a healthy individual or with a hair Decreased tissue status or risk of disease or band 42 201238973 Individuals with mir-22 levels representing changes in tissue status or disease, and compared to the reference or reference sample, the relevant sample was measured, low mir- 22, which maintains or reduces the pharmaceutical dosage which is beneficial to the change of the tissue state in the individual or the prevention or treatment of the disease. In an embodiment, wherein the reference or reference sample is derived from a healthy individual or may have a change in tissue state or disease. Risk reduction 戋 = = represents the limb of the mir-22 in the absence of an unorganized state change or disease and compared to the reference or reference sample, the ^mn-22 i ' in the relevant sample is determined to be maintained and lowered Or reducing the amount of the drug that is beneficial to the individual, 'and' '0-like change, or to treat the disease. The reference or reference sample is derived from an individual whose risk of rickets tissue changes or the risk of the disease increases or is greater than the value of the change in the dt or the presence of the disease, and the phase is 22% Similar treatments for the prevention or treatment of diseases in the relevant sample benefit from changes in the state of the tissue in the individual or the secondary or reference sample is derived from the rickets; the risk of the disease is increased or compared to the reference or reference sample or disease; The value of the individual, and the amount of mir-22, then maintain or decrease the measurement to reduce the prevention of the relevant sample or the disease in the (four) body tissue state changes or the stalk derived from the disease with a representative of Yang ^ 43 201238973 Compared to the illuminant or reference sample, the amount of phase mir-22 is determined, then the maintenance or 掸Λ 7 is elevated or pre- (four) treatment of disease state changes in the example where the reference-related individual Individuals at the same earlier time point are better than == holding or increasing the individual's change: == medical dose of the disease. Wenfeiding prevention or treatment of diseases: in the case where the individual of the reference or reference sample is compared with the reference or reference, the sample is reduced to the relevant sample or Decrease the medical condition that is beneficial to the change or prevention of tissue status in an individual: the medical dose of Erguang disease. In the embodiment, the reference substance or the same earlier time point, compared to the second = reference, sample "It is determined that similar mir_2 in the relevant sample maintains, increases or decreases the medical dose that is beneficial to the tissue state in the individual. In a sixth aspect, the present invention provides a method for determining the beneficial and/or deleterious effects of a disease in a substance, comprising the steps of (4) determining the amount of η in the relevant sample, and (b) determining - or more ^ According to the amount of mir_22 in the sample, and (4) detecting whether the amount of mir-22 in the relevant sample is different from that of - or more than mir_22 in the sample or reference sample, where the relevant sample is violent^ The method of the object is different from - or a plurality of reference samples. 'J' 44 201238973 Preferably, the amount of mir-22 is detected at the RNA or dna level, more preferably via known tools such as, but not limited to, the mir_22 gene, the product and/or Functionally active variants specifically bind to and/or heterozygous anti-sputum, primer or nucleic acid probes. The sample may be a liquid or a solid, preferably the liquid sample is a body fluid sample such as, but not limited to, blood, serum, blood pooling, synovial fluid, urine, reading and leaching (10), and the solid sample is a tissue sample, for example (but not Limited to cartilage, bone, synovium, perichondrium, sac, skin and connective ridges and woven. In a preferred embodiment, the beneficial and/or detrimental effects of the substance on the state of the tissue or the disease are determined according to the measured amount of mir_22 in the sample. ^ ^佳地,健—or comparison of multiple reference or reference samples] It is envisaged that in an embodiment, wherein the reference or reference sample is derived from a healthy individual or an individual with a reduced risk of developing a tissue state or (4) or a V representative of an unorganized state change or disease, and is equivalent to The reference substance or the reference sample is determined to have an amount of _22 increased by the relevant sample, and the substance has a detrimental effect on the state of the tissue or the occurrence of the disease. It is also envisaged that in the actual towel, the towel reference or the participating body is derived from a healthy individual or is at risk of having a tissue state change or disease = low or with a mir_22 amount representing the absence of an unorganized state or disease. 'And compared to the reference or reference sample, the amount of decrease in the relevant sample is determined, and the mosquito f has a favorable effect on the tissue state or disease occurrence. It is also envisaged that in embodiments, wherein the reference or reference sample is derived from a healthy individual or carries a risk of developing a tissue state change or disease 45 201238973 reduced or with mi r- 2 2 representing an unorganized state change or disease present The individual of the quantity, and comparing the reference or reference sample, to determine a similar amount of mir-22 in the relevant sample, determines that the substance has no effect on the tissue state or disease occurrence or has only a very limited effect. In an embodiment where the reference or reference sample is derived from a rickety = individual or an individual with an increased risk of developing a tissue state change or disease or may have a value representative of an altered state of the tissue or the presence of the disease, as compared to ° The reference or reference sample is measured in a similar mir 22 in the relevant sample, and it is determined that the substance has no effect on the tissue state or disease occurrence or has only a very limited effect. 〃 In the actual _ towel, where the fine or refractory system is derived from Luo: = body or with the occurrence of tissue state changes or ... or reference samples, determine the relevant sample to reduce the έ έ 该 该 __ status or An individual who has a habit of money, in which a reference or reference sample is derived from an individual with a risk of dying; ^ 较 ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ The effect ^ 物 诚 "has occurred; the relevant Γ Τ琢 Τ琢 或 或 或 或 或 或 或 或 或 或 或 或 或 或 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关 相关The amount of elevated mir_22 in the sample, 46 201238973 determines that the substance has a detrimental effect on the state of the tissue or the occurrence of the disease. In an embodiment, wherein the reference or reference sample is derived from the same earlier point as the relevant individual.豸, comparing the reduced amount of mir_22 in the relevant sample compared to the reference or reference sample, determines that the substance has a beneficial effect on the tissue state or disease occurrence. In an embodiment, wherein the reference or reference sample is derived Self and phase An individual at an earlier point in time at the same time determines that the substance has no effect on the tissue state or disease occurrence or has only a very limited effect compared to the reference or reference sample 'measured to a similar amount of mir-22 in the relevant sample. In a seventh aspect, the invention provides the use of mir-22 in any of the methods of the aforementioned aspects of the invention. Thus, the use of mir-22 is provided in a subject, as detailed above (a) In the presence of a change in state or disease and/or (b) a risk of developing a tissue state change or disease and/or (c) a method of monitoring the state of the tissue or the progression and stage of the disease, including the detection of mir-22 The use of mir-22 is also provided in a method for determining a change in tissue status or a medical dose for preventing or treating a disease in an individual, comprising the steps of: (a) determining the amount of mir-22 in an individual sample, and determining if necessary The amount of mir-22 in the reference or reference sample, and (b) according to the amount of mir-22 in the relevant sample, the medical dose is determined according to the comparison of the amount of mir-22 in the relevant sample and the reference sample and the reference sample as needed. Furthermore, 'mir-2 The use of 2 is contemplated as a method for adjusting a medical dose for a change in tissue state or prevention or treatment of a joint disease, as detailed above - which comprises the steps of: (a) determining the amount of mir-22 in the sample, and (b) Determination of one or more reference or reference samples 201238973 in this mir-22 罝 '(c) test sample for the presence of mir-22 in the sample and the amount of mir-22 in one or more reference samples Different '(d) adjust the dose according to whether the amount of mir-22 in the test sample is different from the amount of mir-22 in one or more reference or reference samples. The use of mir-22 is provided for the determination of substance to tissue. A method for the beneficial and/or deleterious effects of a state or disease occurrence, as detailed above, comprising the steps of: (a) determining the amount of mir-22 in the relevant sample, and (b) determining or measuring or referenced The amount of mir 22 in the sample and (c) the detection of the relevant sample is whether the amount of mir 22 in the relevant sample is different from the amount of _22 in one or the reference sample, wherein the relevant method is Different from—or multiple reference samples. In any of the above-mentioned methods, if the product and/or its functional activity becomes a solid (4), the relevant sample is a body fluid sample. The body sample is _ sample and the liquid group is selected: Α χ , , the tissue sample is composed of the following tissue and the liquid i is the second; the bone capsule, skin and knot serum, plasma, synovial fluid, 】, And in the group selected: blood, in the case, the sample is from the lower = two saliva and lymph. Among the better sacs, blood, blood, blood, and blood, they are selected: cartilage, synovium, medium, sample ossicle, :, urine, and synovial fluid. In a particularly preferred embodiment, the sample is a cell for nourishing blood: month and ' or slippery night. An alternative sample is selected from the group consisting of lower cells, chondroblasts: synovial membrane, bone marrow cells, cartilage soft moon cells, synovial cells, bone cells, 48 201238973 osteoclasts, Osteogenic stem cells, stem cells and/or inter-leaf stem cells. In an eighth aspect, the invention provides a tool for use in any aspect of the invention, and which includes one or more detection mir_22. In the preferred set, and in the case of %, or a plurality of tools for detecting mir 22 are tools for determining the performance of mir 22, and more preferably at the gene and/or RNA level: particularly good, ___ or a plurality of tools consisting of the following: a nucleic acid, preferably DNA or RNA, a peptide and a protein. Preferably, single or multiple antibodies are used. Preferably, the means for detecting πιίι··22 is a naturally occurring nucleic acid such as DNA or RNA or chemically modified nucleic acid complementary to the sequence of rmr-22 and/or its precursor. In a preferred embodiment of the kit, further comprising (a) a container, and/or (b) a data carrier. Particularly preferably, the data carrier includes, for example, but is not limited to, the following: (1) a description of the method for determining the risk of joint disease and/or determining the presence of joint disease and/or monitoring the progression of joint disease' (ii) Detection, preferably in the sample, preferably from the instructions of the tool and/or kit of mir-22 in the individual sample, (out) quality information such as the tool and/or kit batch number used to detect mir_22 Information on the correct storage or operation of the kit, manufacturing or assembly, or expiration or shelf life. A '(iv) information about buffers, diluents, reagents used to detect mir-22 and / or information on tools that detect mir-22, (v) information about the interpretation of the data obtained when performing the above methods for measuring and/or monitoring joint disease progression, (vi) when the application is unsuitable and/or unsuitable Warnings related to possible misunderstandings or erroneous results 'and/or (vii) warnings of possible misunderstandings or erroneous results when using unsuitable reagents and/or buffers. 49 201238973 In a ninth aspect, the invention provides the use of the kit of the eighth aspect in any of the methods of the invention. Thus, the use of the kit is provided for determining the individual, as detailed above (a) changes in tissue status or disease and/or (b) risk of tissue state changes or disease and/or (c) monitoring of tissue status In a method of altering the progression or stage of a disease, it includes detecting the amount of mir-22. The use of the kit is also provided in a method for determining a pharmaceutical dosage for tissue state change or prevention or treatment of a disease in an individual, as detailed above, comprising the steps of: (a) determining the amount of mir-22 in an individual sample. And, if necessary, determine the amount of mir_22 in the reference or reference sample for comparison with the amount of mir-22 in the relevant sample, and (b) in accordance with the amount of mir 22 in the relevant sample, as appropriate, in accordance with the relevant sample and reference The drug dose is determined by comparison with the amount of mir-22 in the reference sample. Furthermore, the use of the kit is contemplated as a method for adjusting a medical dose for tissue state change or prevention or treatment of joint disease, as detailed above, comprising the steps of: (a) determining the mir-22 in the sample. (b) determining the amount of mir-22 in one or more reference or reference samples, and (c) detecting whether the amount of mir_22 in the sample is related to the amount of mir-22 in one or more reference samples. Different, and (d) according to whether the amount of mir_22 in the relevant sample is different from the amount of mir_22 in one or more reference or reference samples, the dose of medicine is withered. The use of the kit is also provided in a method for determining the beneficial and/or detrimental effects of a substance on the state of the tissue or the occurrence of a disease, as described above, which comprises the following steps: (the determination of the amount of mir_22 in the relevant sample and (b) Measuring the amount of mir_22 in one or more reference or reference samples and (c) examining whether the amount of mir_22 201238973 in the relevant sample is different from the amount of mir_22 in one or more reference or reference samples, Wherein the related sample is exposed to the substance in a different manner than the one or more reference samples. In a tenth aspect, the invention, as detailed above, in the method of any aspect of the invention, provides one or more for detecting mir A nucleic acid of a -22 gene, a gene product or a functionally active variant thereof. In a preferred embodiment, the nucleic acid is a naturally occurring nucleic acid such as DNA or RN A or chemically modified. Preferably, the nucleic acid is composed of the following Selected from the group: nucleic acid probe, polyaluminum or peptide nucleic acid (pna), microRNA (miRNA), small interfering RNA (siRNA), locked nucleic acid (LNA), primer of polymerase chain reaction (PCR), anti Transcription (RT) The primer and the primer for DNA sequencing. The excellent 'this nucleic acid has strong binding to mir-22. Therefore, an exemplary LNA of about 8 nucleotides is suitable for detecting mir-22, as long as this sequence It is unique in the overall microRNA sequence. In an eleventh aspect, the invention, as detailed above, is provided in a method of any aspect of the invention for providing a mir-22 gene, a gene product, and a functional activity thereof a peptide, polypeptide or protein labeled on a variant and/or microRNA. In a preferred embodiment 'the peptide, polypeptide or protein is a protein ligand, preferably an antibody, fragment or derivative thereof, (darpin) or anti-alcoal, or the polypeptide or peptide is a probe, preferably a mass spectrometric probe. In a preferred embodiment, the protein ligand is a recombinantly produced antibody and, if appropriate, Modified 'for example, a buccal antibody, a humanized antibody, a multifunctional antibody, a bispecific or oligo specific antibody, a single antibody, and a F(ab) or F(ab)2 fragment (see, for example, EP-B1-0) 368 684, 51 201238973 US 4,816,567 , US 4,816,397 , WO 88/01649 , WO 9 3/06213 or WO 98/24884). Additionally or alternatively, the classical antibody protein backbone for anti-mir-22 is used as a protein ligand, for example, lipoalin-based anti-carrier protein (Beste et al. Human (1999) Proc. Natl. Acad. Sci. USA, 96, 1898-1903). The natural ligand binding site of lipoprotein, such as retinol binding protein or post-biliary binding protein, can be altered, For example, the "combined protein design" method, in which the system binds to a selected incomplete antigen, is conjugated to mir-22 (Skerra, 2000, Biochim. Biophys. Acta, 1982, 337-50). Other known protein backbones can be used as an alternative to antibodies for molecular assays (Skerra (2000) J. Mol. Recognit., 13, 167-187). In a twelfth aspect, the invention provides the use of the nucleic acid of the tenth aspect of the invention, and/or the peptide, polypeptide or protein of the eleventh aspect of the invention, in a method of any aspect of the invention. In a preferred embodiment, the nucleic acid is used in the form of a naked, transgenic vector or complexed with a liposome or gold particle. Examples of transgenic vectors are viral vectors, such as adenoviral vectors or retroviral vectors (Lindemann et al. (1997), Mol. Med., 3, 466-76; Springer et al. (1988) Mol. Cell., 2, 549 -58). Complexes with liposomes typically achieve very efficient transfection, particularly skin cells (Alexander and Akhurst, 1995, Hum. Mol. Genet. 4: 146-a79-85). In lipofection, a monolayer lipid system consisting of cationic lipids is prepared by ultrasonic treatment of the microplast suspension. The DNA is ionically bound to the surface of the liposome in such a manner that the ratio of the total charge positive charge and all the plastid DNA lines are combined by the liposome. Except for Feigner, p. L. et al. (1987), Proc. Natl. Acad. 52 201238973

Sci USA,84, 7413 - 7414所用的DOTMA(l,2-二油基氧 基丙基-3-三曱基溴化銨)和DOPE(二油基磷脂醯基乙醇 胺)脂質混合物外,目前已有合成許多的脂質調配物並 就其在轉染各種細胞株之效能上進行試驗(B ehr等人 (1989) Proc. Natl. Acad. Sci. USA, 86, 6982-6986 ; Zhao and Huang (1991), Biochim. Biophys. Acta, 1189, 195-203 ; Feigner 等人(1994) J. Biol. Chem·,269, 2550-2561)。脂質調配物之實例有DOTAP N-[l-(2,3-二 油基氧基)丙基]-N,N,N-三甲基甲基硫酸銨或DOGS (二-十八基酿胺基甘醯基精胺)。增加核酸轉染至細胞的辅 助物質可為’例如與DNA結合之蛋白或胜肽,或能使核 酸被轉運到細胞的細胞核中之合成的胜肽-DNA分子 (Schwartz等人(1999) Gene Therapy 6:282 ; Brand6n等 人(1999) Nature Biotech.,17, 784)。辅助物質亦包括能 讓核酸釋放至細胞的細胞質之分子(Planck等人(1994) J. Biol. Chem” 269,12918 ; Kichler 等人(1997) Bioconj. Chem,8,213) ’ 或例如微脂體(uhlmann和 Peyman (1990),上文)。另外,特別適合的形式可藉由 將上述的核酸塗覆在黃金粒子上並將這些粒子使用所 謂的基因搶射入組織或細胞中(Wang等人(1999) J.Sci USA, 84, 7413 - 7414 used in the lipid mixture of DOTMA (1,2-dioleyloxypropyl-3-tridecyl ammonium bromide) and DOPE (dioleylphospholipid thioglycolamine) There are many synthetic lipid preparations and their efficacy in transfecting various cell lines (B ehr et al. (1989) Proc. Natl. Acad. Sci. USA, 86, 6982-6986; Zhao and Huang (1991) ), Biochim. Biophys. Acta, 1189, 195-203; Feigner et al. (1994) J. Biol. Chem., 269, 2550-2561). Examples of lipid formulations are DOTAP N-[l-(2,3-dioleyloxy)propyl]-N,N,N-trimethylammonium sulfate or DOGS (di-octadecylamine) Glycinel spermine). An auxiliary substance that increases the transfection of a nucleic acid into a cell can be, for example, a protein or peptide that binds to DNA, or a synthetic peptide-DNA molecule that enables the nucleic acid to be transported into the nucleus of a cell (Schwartz et al. (1999) Gene Therapy 6:282; Brand6n et al. (1999) Nature Biotech., 17, 784). Auxiliary substances also include molecules that release nucleic acids into the cytoplasm of cells (Planck et al. (1994) J. Biol. Chem" 269, 12918; Kichler et al. (1997) Bioconj. Chem, 8, 213) ' or for example, lipoproteins (uhlmann and Peyman (1990), supra). In addition, a particularly suitable form can be obtained by coating the above-mentioned nucleic acids on gold particles and blasting them into tissues or cells using so-called genes (Wang et al. People (1999) J.

Invest. Dermatol. 112:775-81, Tuting 等人(1998) J. Invest. Dermatol. 111:183-8)。 在第十二方面’本發明係提供mir-22或mir-22基因 或其功能活性變體作為目標分子供找出mir-22拮抗劑 或其模擬物之用途。在較佳的實施例中,係讓mir-22或 53 201238973 接觸土:目丨ί :功能活性變體與試驗化合直接或間接 或偵測試驗化合物細-22或秦22基因 ρρ二二也試驗化合物為化學分*,例如(但不 二接& 7。:有機化合物、脂質、碳水化合物、胜肽, :25個二SI有上勺1〇至約8〇個胺基酸’特別是帶有10 接辦^ 土欠及寡核苷酸,較佳地帶有約10至約90個核 特^帶有15至纖核苷酸。特佳的為小化學分 約15^^·實驗室合成或天'然的’具有約細克’莫耳至 祛八早曰莫耳,特別是400克/莫耳至1000克/莫耳之較 佳刀子1之非聚合性有機化合物。 較佳地,試驗化合物改變了 mir—22之量,例如增加 或降低表現量或此22的存在1^在本發明内文中 低mir-22量之試驗化合物為特佳的。 在本發明第十四方面,係提供篩選mir_22拮抗劑 模擬物之方法,其包括下列步驟:⑷提供mir22 ,22基因,(b)提供試驗化合物,及(c)測量或彳貞測 试驗化合物對mir-22或mir-22基因之影響。 在本發明第十五方面,係提供用於組織狀態改變或 預防或治療關節疾病之mir-22拮抗劑或其模擬物。 在本發明内文中,mir_22拮抗劑或其模擬物可為任 何,低或抑制mir-22功能或減低mir-22表現程度或存 在里=分子或組成物。實例包括(但不限於):1.核酸, 例如募核苷酸、寡核糖核苷酸,特別是本項技術中已知 的 dsRNA、ssRNA、siRNA、miRNA、shRNA 等,2. 抬抗胜狀或蛋白,例如失穩或抑制所指之miRNA功能 54 201238973 的蛋白、拮抗性抗體或其斷片或所指之miRNA的轉錄 拮抗劑,及/或3.帶有拮抗作用之小分子化合物。替代 地或另外地,本發明之拮抗劑可為粗製的或純的天然產 物萃取物之形式。萃取物可根據標準製程來製造,例如 水及/或醇及/或有機溶劑萃取,及/或管柱層析及/或由動 物、植物或微生物來源如蛇毒、葉子或微生物發酵液沉 澱。 本發明之另一方面為此拮抗劑或其模擬物用於治 療關節疾病’特別是退化性關節炎例如骨性關節炎之用 途。較佳的,mir-22拮抗劑或其模擬物係用於治療疼 痛’特別疋降低退化性關節疾病之關節疼痛。此外, mir-22拮抗劑係用於製造醫藥品供治療關節疾病及/或 供治療如上所示之關節疼痛。 在本發明第十六方面’係提供用於本發明或治療關 節疼痛之包括mir-22拮抗劑或其模擬物的醫藥。在較佳 的實施例中,此醫藥進一步包括醫藥上可接受載劑^及/ 或賦形劑和視需要一或多種另外的活性物質。另外的活 性物質可有效對抗相同疾病或對抗不同疾病或病症或 症狀。因此,另外的活性物質包括該等對治療關節疾病 及/或治療如上所示之關節疼痛具有有利效用之物質。 再者,亦包括適合與本發明活性成份組合、針對治療不 同疾病或病症或症狀之另外的活性物質。亦涵蓋影塑另 外的miRNA及/或其基因產物,例如個別的miRN^^激 動劑或拮抗劑之例示性另外的活性物質。另外的活性物 質亦包括被認為有利於個人飲食及/或治療關節疾病及/ 55 201238973 或治療如上所示之關節疼痛及/或任何及他疾病、病症 或症狀之食品增補劑,例如(但不限於)維生素、礦物質、 纖維、脂肪酸或胺基酸。 就醫藥之製造,本發明之mir-22拮抗劑或其模擬 物,依照給藥的種類,通常係與一或多種醫藥上可接受 添加劑或佐劑物質,例如生理緩衝溶液,例如氣化納、= 液、去離子水,安定劑例如蛋白酶或核酸酶拮抗劑,= 佳地抑肽酶(aprotinin)、ε-胺基己酸亦 = . 4仰肽素 (pepstatin)A或螯合劑例如EDTA ’凝膠調配物例如白凡 士林、低黏度石蠟及/或黃臘等一起調配。另外適人的 添加劑有’例如洗務劑例如Triton mir-22-1 〇〇戍去氧脾 酸鈉,以及多醇類,例如聚乙二醇或甘油,糖例如嚴^ 或葡萄糖’二性離子化合物例如胺基酸如甘胺酸或^牙 是牛胺酸或甜菜驗,及/或蛋白,例如牛或人血清蛋白 洗滌劑、多醇及/或二性離子化合物為較佳的。 ° 生理緩衝溶液較佳地具有約6.0-8.0之ρίΙ,特別曰 大約7.4之pH及/或大約200-400毫滲克分子/公升,= 佳地大約290-310毫滲克分子/公升之滲透壓。醫藥。= pH —般係使用適合的有機或無機緩衝劑,例如佳 地使用磷酸緩衝劑、tris緩衝劑(叁(羥基甲基)胺基 燒)、HEPES緩衝劑([4-(2-羥乙基)哌畊]乙磺酸)或 緩衝劑(3-嗎啉-1-丙磺酸)來調整。個別的緩衝劑之選擇 一般係依照所欲的緩衝劑莫耳濃度而定。磷酸緩衝=係 適合’例如用於注射和輸注溶液。 就醫藥之製造’本發明之mir-22拮抗劑或其模擬 56 201238973 物,亦可與奈粒子、微脂體或其他脂質複合物一起調 配,或可接合一蛋白、胜肽、核酸(例如適體(aptamer)) 或凝膠,例如以玻尿酸為基底,或類似的緩釋調配物。 醫藥較佳地為單位劑型。在此形式中,製備物可細 分成含適當量活性組份之單位劑量。單位劑型可為包裝 製備物,此包裝含有離散量之製備物,例如包裝錠劑、 膠囊及小瓶或安瓶散劑。又,單位劑型本身可為膠囊、 注射安瓶、錠劑、袋劑或口含錠,或其可為適當數目之 任何此等包裝形式。 第十七方面,本發明係提供用於改變組織狀態或預 防或治療關節疾病之方法,其中係將治療上有效量之第 十六方面的醫藥投予處於發生或罹患關節疾病風險之 個體。在較佳的實施例中,此醫藥係以口服、局部、經 皮滲透或腔内給藥。腔内給藥包括(但不限於)靜脈内和 關節内給藥。 醫藥可以習用的方式,例如藉由口服劑型、例如錠 劑或膠囊,藉由黏膜,例如鼻子或口腔,以植入皮膚下 之儲藏物形式,藉由注射、輸注或含有本發明醫藥品之 凝膠來給藥。另外可能的係局部給予醫藥品,用以治療 如上所述之特定關節炎,若適當,以微脂體複合物之形 式。再者,治療可藉由經皮治療系統(TTS)來進行,該 系統能以時間控制醫藥品之釋放。TTS可從例如,ΕΡ0 944 398 A卜 EP 0 916 336 A卜 EP 0 889 723 A1 或EP 0 852 493 A1得知。若僅相當小量的溶液或懸浮液,例如 約1至約20毫升,投予身體,則一般係使用注射溶液。 57 201238973Invest. Dermatol. 112:775-81, Tuting et al. (1998) J. Invest. Dermatol. 111:183-8). In a twelfth aspect the invention provides the use of the mir-22 or mir-22 gene or a functionally active variant thereof as a target molecule for the discovery of a mir-22 antagonist or mimetic thereof. In a preferred embodiment, the mir-22 or 53 201238973 is contacted with soil: see: ί : functionally active variants and experimental combinations directly or indirectly or detecting test compound fine-22 or Qin 22 gene ρρ二二The compound is a chemical score*, for example (but not the same & 7.: organic compound, lipid, carbohydrate, peptide, : 25 two SI has 1 scoop to about 8 amino acids' especially There are 10 receivers and oligos, preferably with about 10 to about 90 cores with 15 to fibrils. Particularly good for small chemical groups of about 15^^·laboratory synthesis Or, it is a non-polymerizable organic compound having a knives of about gram of gram, which is preferably from 400 g/m to 1000 g/mole. The test compound changes the amount of mir-22, for example, increasing or decreasing the amount of expression or the presence of 22. The test compound having a low mir-22 amount in the context of the present invention is particularly preferred. In the fourteenth aspect of the present invention, A method of screening for a mire 22 antagonist mimetic comprising the steps of: (4) providing a mir22, 22 gene, and (b) providing a test compound And (c) measuring or speculating the effect of the test compound on the mir-22 or mir-22 gene. In a fifteenth aspect of the invention, there is provided a mir for tissue state alteration or prevention or treatment of joint disease. An antagonist or a mimetic thereof. In the context of the present invention, a mir-22 antagonist or mimetic thereof can be any, low or inhibit mir-22 function or reduce the extent or presence of mir-22 expression = molecule or composition. Examples include (but not limited to): 1. Nucleic acids, such as nucleotides, oligoribonucleotides, especially dsRNA, ssRNA, siRNA, miRNA, shRNA, etc. known in the art, 2. Lifting resistance or protein , for example, destabilizing or inhibiting the protein of miRNA function 54 201238973, an antagonist antibody or fragment thereof or a transcriptional antagonist of the indicated miRNA, and/or 3. a small molecule compound with antagonism. Alternatively or additionally The antagonist of the present invention may be in the form of a crude or pure natural product extract. The extract may be prepared according to standard procedures such as water and/or alcohol and/or organic solvent extraction, and/or column chromatography. And/or by animal, plant or microorganism Sources such as snake venom, leaves or microbial fermentation broth precipitation. Another aspect of the invention is the use of the antagonist or mimetic thereof for the treatment of joint diseases, particularly degenerative arthritis such as osteoarthritis. Preferably, mir -22 antagonists or mimics thereof are used to treat pain 'particularly to reduce joint pain in degenerative joint diseases. In addition, mir-22 antagonists are used in the manufacture of pharmaceuticals for the treatment of joint diseases and/or for treatment as shown above Joint pain. In a sixteenth aspect of the invention, a medicament comprising a mir-22 antagonist or a mimetic thereof for use in the present invention or for the treatment of joint pain is provided. In a preferred embodiment, the medicament further comprises a pharmaceutically acceptable carrier and/or excipient and, if desired, one or more additional active substances. Additional active substances are effective against the same disease or against different diseases or conditions or symptoms. Thus, additional active substances include such materials which have a beneficial effect on the treatment of joint diseases and/or the treatment of joint pain as indicated above. Further, additional active substances suitable for treating different diseases or conditions or symptoms in combination with the active ingredients of the present invention are also included. It also encompasses the characterization of additional miRNAs and/or their gene products, such as exemplary additional active agents of individual miRN^ agonists or antagonists. Additional active substances also include food supplements believed to be beneficial to the individual's diet and/or for the treatment of joint disorders and for the treatment of joint pain and/or any of his or her diseases, conditions or symptoms as described above, for example (but not Limited to vitamins, minerals, fiber, fatty acids or amino acids. For the manufacture of a medicament, the mir-22 antagonist of the present invention or a mimetic thereof is usually administered with one or more pharmaceutically acceptable additives or adjuvant substances, such as a physiological buffer solution, such as a gasified sodium, depending on the type of administration. = liquid, deionized water, stabilizers such as proteases or nuclease antagonists, = aprotinin, ε-aminocaproic acid also. 4. pepstatin A or chelating agents such as EDTA ' Gel formulations such as white petrolatum, low viscosity paraffin and/or yellow wax are blended together. Further suitable additives are, for example, detergents such as Triton mir-22-1 sodium sulphonate, and polyols such as polyethylene glycol or glycerol, sugars such as sulphur or glucose 'd-ion Compounds such as amino acids such as glycine or gums are taurine or beet, and/or proteins such as bovine or human serum albumin detergents, polyols and/or zwitterionic compounds are preferred. ° The physiological buffer solution preferably has a pH of about 6.0 to 8.0, particularly a pH of about 7.4 and/or about 200 to 400 milliosmoles per liter, = preferably about 290 to 310 milliosmoles per liter of penetration. Pressure. medicine. = pH is generally based on the use of suitable organic or inorganic buffers, such as phosphate buffer, tris buffer (叁 (hydroxymethyl) amine burn), HEPES buffer ([4-(2-hydroxyethyl)) ) Piper] ethanesulfonic acid) or buffer (3-morpholin-1-propanesulfonic acid) to adjust. The choice of individual buffers will generally depend on the desired molar concentration of the buffer. Phosphate buffer = is suitable for use, for example, in injection and infusion solutions. For the manufacture of medicines, the mir-22 antagonist of the present invention or its simulation 56 201238973 may also be formulated with nevi, microlipids or other lipid complexes, or may be conjugated to a protein, peptide, nucleic acid (for example, An aptamer or gel, for example based on hyaluronic acid, or a similar sustained release formulation. The medicament is preferably in unit dosage form. In this form, the preparation can be finely divided into unit doses containing appropriate amounts of the active ingredient. The unit dosage form can be a package preparation containing discrete quantities of preparation such as a packaged lozenge, capsules and vials or ampoules. Further, the unit dosage form can be a capsule, an injection ampule, a lozenge, a sachet, or a lozenge, or it can be in any suitable form. In a seventeenth aspect, the present invention provides a method for altering a tissue state or preventing or treating a joint disease, wherein a therapeutically effective amount of the medicament of the sixteenth aspect is administered to an individual at risk of developing or suffering from a joint disease. In a preferred embodiment, the medicament is administered orally, topically, percutaneously, or intraluminally. Intraluminal administration includes, but is not limited to, intravenous and intraarticular administration. The medicine may be used in a conventional manner, for example, by an oral dosage form, such as a lozenge or a capsule, by means of a mucous membrane, such as a nose or an oral cavity, in the form of a deposit under the skin, by injection, infusion or coagulation of the medicament of the present invention. Glue is administered. It is also possible to administer the drug locally for the treatment of the specific arthritis as described above, if appropriate, in the form of a liposome complex. Furthermore, the treatment can be carried out by a transdermal therapeutic system (TTS) which is capable of controlling the release of the drug over time. The TTS is known, for example, from ΕΡ 0 944 398 A, EP 0 916 336 A, EP 0 889 723 A1 or EP 0 852 493 A1. If only a relatively small amount of a solution or suspension, for example from about 1 to about 20 ml, is administered to the body, an injectable solution is generally employed. 57 201238973

’ή經由所謂的繞道來進行。 相η發二月任何方面之較佳的實施例中,組織狀態為 况、"貝%較佳地係由下列組成之群中選出:骨、軟骨、 二,軟骨膜、囊和結締組織之傷害,及/或其特徵為 二、’且織巾之調控分子、訊號傳遞分子及/或退化分子 的量改變》 ,本發明任何方面之另外較佳的實施例中 ’此疾病 二I# i卩疾病,較佳地係由下列組成之群中選出:骨性關 1 X '類風濕性關節炎、乾癬性關節炎、感染性關節炎、 僵直性,椎炎、滑囊炎(發炎)、皮肌炎、纖維肌痛、痛 $性關節炎、幼年特發性關節炎(史迪爾氏症)、混合的 結締組織疾病、風濕性多發性肌痛症、多發性肌炎、反 應性關節炎(萊特氏症候群)、硬皮病、肩肌腱炎、薛格 連氏症候群、全身性紅斑性狼瘡,及/或特徵為由關節 發炎或關節退化所致之關節物理性或代謝性損傷,更佳 58 201238973 地,其中該疾病為骨性關節炎。 另外,本發明之非限定方面和實施例係如下所述 診斷方法包括測量病患樣本中一或多種miRNA之 量和使用試驗、结果來診斷及/或預測對病患之最適治療 療法。本發明所述之組成物包括用作miRNA拮抗劑之 mir_22拮抗劑,其可導入病患中用以治療和降低一或多 種與關節疾病,特別是與骨性關節炎有關的症狀。 诊斷方法包括測1病患樣本中一或多種miRNA之 量和使用試驗結果來診斷及/或預測對治療病患之最適 治療療法。本發明所述之組成物包括用作 miRNAs/miRNA激動劑/拮抗劑之mir_22激動劑/mir_22 拮抗劑,其可導入病患中用以治療和降低一或多種與發 炎疾病,特別是與骨性關節炎有關的症狀。 在本發明一或多方面之内容中(例如使用miRNA# 為生物標記),偵測m i RN A可藉由任何已知的方法使用 =知用則貞測核gt,例如能與所指之麻祖結合的特 定核酸之工具來進行。本發明一方面係關於用於生物樣 本中僧柄之量,供製造帛於!靖碳水化合 物或脂質代謝魏障礙U具的料。'ή is carried out via so-called detours. In a preferred embodiment of any aspect of the phase in February, the tissue state is "Bei% is preferably selected from the group consisting of bone, cartilage, II, perichondrium, sac and connective tissue. Injury, and/or characterized by it, 'and the amount of regulatory molecules, signal-transferring molecules, and/or degenerate molecules of the woven towel,' in another preferred embodiment of any aspect of the invention 'this disease II I# i The sputum disease is preferably selected from the group consisting of: osteogenic 1 X 'rheumatoid arthritis, dry arthritis, infectious arthritis, stiffness, vertebral inflammation, bursitis (inflammation), Dermatomyositis, fibromyalgia, pain, arthritis, juvenile idiopathic arthritis (Stil's disease), mixed connective tissue disease, rheumatic polymyalgia, polymyositis, reactive joints Inflammation (Wright's syndrome), scleroderma, scapular tendonitis, Sjogren's syndrome, systemic lupus erythematosus, and/or characterized by joint physical or metabolic damage caused by joint inflammation or joint degeneration, preferably 58 201238973, where the disease is Arthritis. Additionally, non-limiting aspects and embodiments of the invention are as follows. The diagnostic methods include measuring the amount of one or more miRNAs in a patient sample and using assays, results to diagnose and/or predict optimal treatment for the patient. The compositions of the present invention include mir-22 antagonists useful as miRNA antagonists which can be introduced into patients for the treatment and reduction of one or more symptoms associated with joint diseases, particularly osteoarthritis. Diagnostic methods include measuring the amount of one or more miRNAs in a patient sample and using the test results to diagnose and/or predict the optimal treatment for the patient. The composition of the present invention comprises a mir_22 agonist/mir_22 antagonist for use as a miRNAs/miRNA agonist/antagonist, which can be introduced into a patient for the treatment and reduction of one or more inflammatory diseases, particularly bony Arthritis-related symptoms. In one or more aspects of the invention (eg, using miRNA# as a biomarker), detecting mi RN A can be performed by any known method = knowing the nuclear gt, for example, with the indicated ancestors The combination of specific nucleic acid tools is performed. One aspect of the present invention relates to a material for use in a biological sample for the manufacture of a material for the treatment of a carbohydrate or a lipid metabolism.

偵測存在生物樣本中所指m丨RN A 定狀可為任何镇測所指miRNA之工具。其 如套月b專一性債測所指miRNA或cDNA之弓丨子:你 如用於定量RT ΡΓ1? p ^ 下能與所指二Α另:的工具例如可為在標糊 酸探針,例如=、:ΓΑ或―Α專一性雜交之相 :北方墨點或晶片雜交技術。另外的工 59 201238973Detecting the presence of m丨RN A in a biological sample can be a tool for any miRNA to be tested. It can be used as a marker for the miRNA or cDNA. For example, if you use it for quantitative RT ΡΓ1? p ^, you can use the same tool as the labeling reagent. For example, =, ΓΑ or Α Α specific hybridization phase: northern ink dot or wafer hybridization technology. Additional work 59 201238973

本發明係關於測定關節疾病例如 听採集的樣本 OA或個體中發生關節疾病The present invention relates to the determination of joint diseases such as listening to collected samples of OA or joint disease in an individual.

照樣本不同。存有升高的量顯示該個體罹患《生關銘According to the sample. There is an increase in the amount showing that the individual suffers from "Sheng Guanming"

1疾病’例如OA的風險增加之方 听採集的樣本,有關mir-22之 mir-22活性是否與一或多個參 Γ御料⑽萃取物、滑液、血清或血幻,特別是來 曰受4個體’與來自H组不具有該關節疾病,特別 疋ΟΑ之比較樣本中的miRNA量相比較時,已知的組 織或組織祕本巾miRNA之量,在特定條件下,具有 可偵測量。例如,miRNA其在患有〇A個體之滑膜中 比有。A個體之滑膜中可_到較高量者,係具有 升高量。就mir-22,病患中具升高量係顯示〇A存在或 發生OA之易罹患性增加或可能性增加。 在某些案例中,將miRNA標記之量與對照組比 較,用以測定此量是降低或增加。對照組可為外部對照 組,例如來自已知無關節疾病,特別是〇A之病患樣本 中的miRNA。在其他的情況下,此外部對照組可為來 自^知不具有可偵測量(或通常等量,不論個體之疾病 狀態)所指miRNA之組織/組織液樣本的miRNA或已知 201238973 量的合成RNA。内部對照組可為來自受試組織/組織液 樣本之miRNA。miRNA對照組之特性可與所測量之來 自病患血清或血漿miRNA之特性相同或不同。 在本發明内文中,miRNA之拮抗劑可為任何降低 或抑制所指miRNA之功能或量的分子或組成物。實例 包括(但不限於): 1. 核酸,例如,如本項技術中所知,寡核苷酸、寡 核糖核苷酸,特別是本項技術中已知的dsRNA、1 disease 'such as the increased risk of OA listening to the collected samples, whether the mir-22 activity of mir-22 is related to one or more ginseng (10) extracts, synovial fluid, serum or blood illusion, especially 4 The number of known miRNAs in tissue or tissue secrets is comparable to the amount of miRNA in the comparison sample from the H group without the joint disease, especially the sputum, under certain conditions, with detectable amount . For example, miRNAs are more common in synovial membranes of individuals with 〇A. In the synovial membrane of the individual A, the amount can be increased to a higher amount. In the case of mir-22, an elevated amount in the patient showed an increase or increased likelihood of 〇A presence or occurrence of OA. In some cases, the amount of miRNA labeling is compared to a control group to determine whether this amount is reduced or increased. The control group can be an external control group, such as a miRNA from a patient sample known to have no joint disease, particularly 〇A. In other cases, the external control group may be a miRNA derived from a tissue/tissue fluid sample of a miRNA that is not detectable (or generally equivalent, regardless of the disease state of the individual) or a known amount of 201238973. RNA. The internal control group can be a miRNA from a test tissue/tissue fluid sample. The characteristics of the miRNA control group may be the same or different from those measured from the patient's serum or plasma miRNA. In the context of the present invention, an antagonist of a miRNA can be any molecule or composition that reduces or inhibits the function or amount of the miRNA referred to. Examples include, but are not limited to: 1. Nucleic acids, for example, as known in the art, oligonucleotides, oligoribonucleotides, particularly dsRNAs known in the art,

ssRNA、siRNA、miRNA、shRNA、ssDNA、ssDNA/RNA 雜交物或化學修飾核酸等。 2. 拮抗胜肽或蛋白’例如失穩或抑制所指之 功月b的蛋白、拮抗性抗體或其斷片或所指miRNA的 錄枯抗劑, 3. 帶有拮抗作用之小分子化合物, 4. 包括一或多種1-4和可能的賦形劑之組成物。 因此,本發明之一主題為拮抗劑用於治療關節疾 病,特別是退化性關節疾病,例如骨性關節炎之用途: nnRNA拮抗劑亦可用於治療關節疾疼痛,特別是減低 退化性關節赫之關節疼痛。此外,miRNA拮抗劑可 5 St::、π療關-疾病及/或供治療如上所述之關節 疾病的醫樂品。 化合:ίΓ:術語「化學分子」涵蓋非聚合性《 ini a s曰/〜妷水化合物、胜肽,較佳地胜肽帶有約 及篡枝二,基酸’特別是帶有1GJL 25個胺基酸, 人-文,父佳地帶有約10至約9〇個核苷酸,特別 61 201238973 是2有15至25個核苷酸。特佳的為小化學分子,特別 是實驗室合成或天然的,具有約200克/莫耳至約15〇〇 克f耳,特別是400克/莫耳至1〇〇〇克/莫耳之較佳分 子量的非聚合性有機化合物。 刀 替代地,本發明之拮抗劑可為粗製的或純的天然產 物萃取物之形式。萃取物可根據標準製程來製造,^如 水及/或醇及/或有機溶劑萃取,及/或管柱層析及/或由動 物、植物或微生物來源如蛇毒、葉子或微生物發酵液沉 澱。 ’ 術語「結合蛋白」或「結合胜肽」係指結合和抑制 mir-22之蛋白或胜肽種類,其包括(但不限於)多株或單 株抗體、抗體斷片和抗mir-22之蛋白骨架,例如抗 mir-22之抗運載蛋白。 製備抗體或抗體斷片之製程係依照熟習技術者熟 知之方法來進行,例如以mir-22使哺乳動物,例如兔 子產生免疫’若適當’例如在費氏(Freund’s)佐劑及/或 乳氧化銘凝膠之存在下(參見,例如Diamond,Β·Α·等人 (1981) The New England Journal of Medicine · 1344-1349)。在動物中因免疫反應所形成的多株抗體隨 後可使用熟知之方法,及例如藉由管柱層析純化從血液 中分離出。單株抗體可,例如依照已知的Winter &ssRNA, siRNA, miRNA, shRNA, ssDNA, ssDNA/RNA hybrid or chemically modified nucleic acid, and the like. 2. Antagonizing a peptide or protein, such as a protein that inhibits or inhibits the function of the moon b, an antagonist antibody or a fragment thereof or a miRNA of the indicated miRNA, 3. a small molecule compound with an antagonistic action, 4 A composition comprising one or more of 1-4 and possible excipients. Thus, one subject of the invention is the use of an antagonist for the treatment of joint diseases, in particular degenerative joint diseases, such as osteoarthritis: nnRNA antagonists can also be used to treat joint pain, in particular to reduce degenerative joints. joint pain. In addition, the miRNA antagonist can be 5 St::, π therapy-disease and/or medical treatment for the treatment of joint diseases as described above. Compound: Γ: The term "chemical molecule" covers non-polymeric "ini as曰 / ~ hydrophobic compound, peptide, preferably peptide with about and lychee, basic acid', especially with 1GJL 25 amines The base acid, human-text, parent has about 10 to about 9 nucleotides, especially 61 201238973 is 2 with 15 to 25 nucleotides. Particularly preferred are small chemical molecules, especially laboratory synthetic or natural, having from about 200 g/mol to about 15 gf, especially from 400 g/m to 1 g/mole. A non-polymerizable organic compound of a preferred molecular weight. Knife Alternatively, the antagonist of the present invention may be in the form of a crude or pure natural product extract. The extract may be prepared according to standard procedures, such as water and/or alcohol and/or organic solvent extraction, and/or column chromatography and/or precipitation from animal, plant or microbial sources such as snake venom, leaves or microbial fermentation broth. ' The term "binding protein" or "binding peptide" refers to a protein or peptide species that binds to and inhibits mir-22, including, but not limited to, multiple or monoclonal antibodies, antibody fragments, and anti-mir-22 proteins. A scaffold, such as an anti-carrier protein against mir-22. The preparation of antibodies or antibody fragments is carried out according to methods well known to those skilled in the art, for example, immunization of mammals, such as rabbits, with mir-22, if appropriate, for example, in Freund's adjuvant and/or milk oxidation. In the presence of a gel (see, for example, Diamond, Β·Α· et al. (1981) The New England Journal of Medicine 1344-1349). Multiple antibodies formed by an immune response in an animal can then be isolated from the blood using well known methods and, for example, by column chromatography purification. Individual antibodies can be, for example, according to known Winter &

Milstein 之方法來製備(winter,G. & Milstein,C. (1991) Nature, 349, 293-299) ° 根據本發明,術語抗體或抗體斷片,亦請了解,係 指抗體或其抗原結合部分,其係經重組製備,且若適 62 201238973 當,經修飾,例如嵌合抗體、人源化抗體、多功能抗 體、雙專一性或寡專一性抗體、單股抗體及F(ab)或 F(ab)2 斷片(參見,例如 EP-B1-0 368 684、 US 4,816,567 、 US 4,816,397 、 WO 88/01649 、 WO 93/06213 或 WO 98/24884)。 亦可使用抗mir-22之蛋白骨架作為經典抗體之替 代物,例如以脂約蛋白(lipocalin)為主的抗運載蛋白 (Beste 等人(1999) Proc. Natl. Acad. Sci. USA, 96, 1898-1903)。脂鈣蛋白之天然的配體結合位,例如視黃 醇結合蛋白或後膽色素結合蛋白,可被改變,例如以 「組合蛋白設計」法,以此法其係與選擇的不完全抗原 結合,本文係與 mir-22 結合(Skerra,2000,Biochim. Biophys. Acta, 1982,337-50)。其他已知的蛋白骨架已 知可作為分子測定之抗體的替代物(Skerra (2000) J. Mol. Recognit.,13, 167-187)。 術語「抗mir-22基因或mir-22本身之核酸」係指 雙股或單股DNA或RNA,其例如,抑制或活化mir-22 基因之表現或mir-22之活性,並包括(不限於)反義核 酸、適體、siRNA (小干擾 RNA)、miRNA、shRNA(短 的髮夾RNA)和核糖酶。 核酸可,例如以化學合成,例如依照磷酸三酯法(參 見,例如 Uhlmann,E. & Peyman,A. (1990) Chemical Reviews,90, 543-584)。適體為以高親和力與多肽結合 之核酸,本文為mir-22。適體可藉由選擇法例如來自大 的不同單股RNA分子池之SELEmir-22來分離(參見, 63 201238973 例如 Jayasena (1999) Clin. Chem·,45,1628-50 ; Klug and Famulok (1994) M. Mol. Biol. Rep., 20, 97-107 ; US 5,582,981)。適體液可以其鏡像形式合成和選擇,例 如 L-核糖核苷酸(Nolte 等人(1996)Nat. Biotechnol.,14, 1116-9 ; Klussmann 等人(1996) Nat. Biotechnol.,14, 1112-5)。以此法分離出的形式享有不被天然核糖核酸酶 降解之好處,而因此具有更佳的安定性。 核酸可被核酸内切酶或核酸外切酶降解,特別是被 細胞中可發現的DNA酶和RNA酶降解。因此,有利的 係修飾核酸以使其安定,對抗降解,藉此確保長期維持 細胞中高的核酸濃度(Beigelman等人(1995) Nucleic Acids Res. 23:3989-94 ; WO 95/11910 ; WO 98/37240 ’ WO 97/29116)。典型地,此安定化作 用可藉由導入一或多個核苷酸間磷基團或藉由導入一 或多個非磷的核苷酸間基。 適合的經修飾核苷酸間基係匯編於Uhlmann和 Peyman (1990),上文(亦參見 Beigdman 等人(1995)Milstein's method for preparation (Winter, G. & Milstein, C. (1991) Nature, 349, 293-299) ° According to the invention, the term antibody or antibody fragment, also know, refers to an antibody or antigen-binding portion thereof , which is recombinantly prepared, and if modified, 2012 2012973, modified, eg, chimeric, humanized, multifunctional, bispecific or oligo specific, single antibody, and F(ab) or F (ab) 2 Fragments (see, for example, EP-B1-0 368 684, US 4,816,567, US 4,816,397, WO 88/01649, WO 93/06213 or WO 98/24884). An anti-mir-22 protein backbone can also be used as a surrogate for classical antibodies, such as lipocalin-based anti-carrier proteins (Beste et al. (1999) Proc. Natl. Acad. Sci. USA, 96, 1898-1903). The natural ligand binding site of lipocalin, such as retinol binding protein or post-biliary binding protein, can be altered, for example, by the "combined protein design" method, whereby the system binds to the selected incomplete antigen, This is in combination with mir-22 (Skerra, 2000, Biochim. Biophys. Acta, 1982, 337-50). Other known protein backbones are known as alternatives to antibodies for molecular assays (Skerra (2000) J. Mol. Recognit., 13, 167-187). The term "nucleic acid against mir-22 gene or mir-22 itself" refers to double-stranded or single-stranded DNA or RNA, for example, which inhibits or activates the expression of the mir-22 gene or the activity of mir-22, and includes (not limited to Antisense nucleic acids, aptamers, siRNA (small interfering RNA), miRNA, shRNA (short hairpin RNA) and ribozyme. The nucleic acid can, for example, be chemically synthesized, for example according to the phosphotriester method (see, for example, Uhlmann, E. & Peyman, A. (1990) Chemical Reviews, 90, 543-584). An aptamer is a nucleic acid that binds to a polypeptide with high affinity, and this is mir-22. Aptamers can be isolated by selection methods such as SELEmir-22 from a large pool of different single stranded RNA molecules (see, 63 201238973 eg Jayasena (1999) Clin. Chem., 45, 1628-50; Klug and Famulok (1994) M Mol. Biol. Rep., 20, 97-107; US 5,582,981). The aptamer fluid can be synthesized and selected in its mirror image form, such as L-ribonucleotides (Nolte et al. (1996) Nat. Biotechnol., 14, 1116-9; Klussmann et al. (1996) Nat. Biotechnol., 14, 1112- 5). The form isolated by this method enjoys the advantage of being not degraded by natural ribonuclease, and thus has better stability. Nucleic acids can be degraded by endonucleases or exonucleases, particularly by DNase and RNase found in cells. Therefore, it is advantageous to modify the nucleic acid to stabilize it against degradation, thereby ensuring high nucleic acid concentration in the cells for a long period of time (Beigelman et al. (1995) Nucleic Acids Res. 23: 3989-94; WO 95/11910; WO 98/ 37240 'WO 97/29116). Typically, this stabilization can be accomplished by introducing one or more internucleotide phosphorus groups or by introducing one or more non-phosphorus internucleotide groups. Suitable modified internucleotide systems are compiled in Uhlmann and Peyman (1990), supra (see also Beigdman et al. (1995)

Nucleic Acids Res. 23:3989-94 ; WO 95/11910 ; WO 98/37240 ; WO 97/29116”可用於本發明用途之 一的磷酸中經修飾核苷酸間磷酸基及/或非磷橋包括例 如膦酸曱酯、硫代磷酸酯、胺基磷酸酯、二硫代磷酸 醋及/或填酸醋,而非碌的核苦酸間基類似物包括,例 如石夕氧院橋;碳酸橋;羧酸曱酯、胺基乙酯橋及/或硫 謎橋。亦所欲的’此修飾應改善可用於本發明用途之 一的醫藥組成物之效期。 64 201238973 適合的反義核酸係另外描述於,例如Zheng和 Kemeny (1995) Clin. Exp. Immunol., 100, 380-2 ; Nellen 和 Lichtenstein (1993) Trends Biochem. Sci·,18, 419-23, Stein (1992) Leukemia,6, 697-74 或 Yacyshyn, B. R.等人 (1998) Gastroenterology,114, 1142)中。 於下調或關閉基因表現(本文為mir-22基因表現) 過程中作為RNA干擾工具之siRNA的製造和用途,係 例如描述於 Elbashir,S. M.等人(2001) Genes Dev., 15, 188或Elbashir,S.M.等人(2001)Nature,411,494 中。 核糖酶亦為抑制核酸轉譯之適合的工具,本處為 RAK基因,因為其能專一性結合及切斷mRNA。其, 例如係描述於 Amarzguioui 等人(1998) Cell. Mol. Life Sci·, 54, 1175-202 ; Vaish 等人(1998) Nucleic Acids Res., 26, 5237-42 ; Persidis (1467) Nat. Biotechnol., 15, 921-2 或 Couture and Stinchcomb (1996) Trends Genet·,12, 510-5 中。 所述的核酸較佳地係須用作或作為mir-22之拮抗 劑。 就醫藥之製造’本發明之mir-22拮抗劑’依照給 藥的種類,通常係與一或多種醫藥上可接受添加劑或 佐劑物質,例如生理緩衝溶液,例如氣化鈉溶液、去 離子水,安定劑例如蛋白酶或核酸酶拮抗劑,較佳地抑 肽酶(aprotinin)、ε-胺基己酸或抑肽素(pepstatin)A或螯 合劑例如EDTA,凝膠調配物例如白凡士林、低黏度石 堪及/或黃臘等一起調配。 65 201238973 mir 22 lL%口二添广劑有例如洗條劑例如Trit〇n 或甘、、由,,以及多醇類,例如聚乙二醇 或甘油糖例如择糖或葡兹 清蛋白。洗膝劑一二性離子化 生理緩衝溶液較佳地具有大約6.G-8.0之PH,特別 疋大約6.8-7.8之pH,特別是大約7 *之pH,及/或大 約2〇0_4〇0毫參克分子/公升,較佳地大約携··毫參 克分子/公升之渗透壓。醫藥品之PH -般係使用適合的 有機或無機緩衝劑,例如,較佳地使_酸緩衝劑、⑽ 緩衝劑(叁(羥基曱基)胺基甲烷)、HEpES緩衝劑 (0(2-羥乙基)哌η井]乙磺酸)或M〇ps缓衝劑(3嗎啉 -1-丙磺酸)來調整》個別的緩衝劑之選擇一般係依照所 欲的緩衝劑莫耳濃度而定。.磷酸緩衝劑係適合,例如用 於注射和輸注溶液。 醫藥可以習用的方式,例如藉由口服劑型、例如 銳劑或膠囊’藉由黏膜’例如鼻子或口腔,以植入皮 膚下之儲藏物形式’藉由注射、輸注或含有本發明醫 藥品之凝膠來給藥。另外可能的係局部給予醫藥品,’ 以治療如上所述之特定關節炎,若適當,以微脂體複 合物之形式。再者,治療可藉由經皮治療系統(TTS)來 進行,該系統能以時間控制醫藥品之釋放。TTS可從 例如,EP 0 944 398 Al、EP 0 916 336 A1、 EP 0 889 723 A1 或 EP 0 852 493 A1 得知0 66 201238973 古斗若小量的溶液或懸浮液,例如約1至約20 旦的身η ’則—般係使用注射溶液。若投予較大 液’例如約—或多公升,則—般係使用 二ΐ二?二相對於輸注溶液,就注射溶液的情況, 毛.,'主射中,ΡΗ和血液或組織液之滲透 =Γ、ϊ異對其本身並不明顯或本身僅注意到不明顯 ς之%痛感覺。因此般並不需要在使用前稀釋本 發明之調配物。然而,在相當大量給藥的情況下,本發 ^之調配物應在給藥前簡單稀釋到至少大約得到等張 溶液之程度。等張溶液之實例為G9%^度的氯化納溶 液。在輸注的情況下,可進行稀釋,例如使用無菌水, 而給藥可經由所謂的繞道來進行。 上述核酸可以裸型、轉基因載體或與脂質(特別是 陽離子脂質)或黃金粒子複合之形式來使用。其可調配 為微脂體(其中核酸係如貨物被攜帶在膜脂質層例如脂 雙層内),或可以奈粒子’例如葡聚糖、胜肽或其他聚 合物為基底。 轉基因載體之實例有病毒載體,例如腺病毒載體 或反轉錄病毒載體(Lindemann等人(1997),Mol. Med., 3,466-76 ; Springer 等人(1988) Mol. Cell.,2, 549-58)。帶有微脂體之複合物通常達到非常高的轉染 效能,特別是皮膚細胞(Alexander and Akhurst,1995,Nucleic Acids Res. 23:3989-94; WO 95/11910; WO 98/37240; WO 97/29116" may be used in phosphoric acid in one of the uses of the invention, modified internucleotide phosphate groups and/or non-phosphorus bridges For example, decyl phosphonate, phosphorothioate, amino phosphate, dithiophosphoric acid vinegar and/or acid vinegar, and non-nuclear acid acid analogs include, for example, Shixia oxygen bridge; carbonation bridge A carboxylic acid oxime ester, an aminoethyl ester bridge, and/or a sulphur bridge. It is also desirable that this modification should improve the effectiveness of the pharmaceutical composition that can be used in one of the uses of the present invention. 64 201238973 Suitable antisense nucleic acid system Also described, for example, in Zheng and Kemeny (1995) Clin. Exp. Immunol., 100, 380-2; Nellen and Lichtenstein (1993) Trends Biochem. Sci·, 18, 419-23, Stein (1992) Leukemia, 6, 697-74 or Yacyshyn, BR et al. (1998) Gastroenterology, 114, 1142). Manufacture and use of siRNA as an RNA interference tool in down-regulating or shutting down gene expression (herein the mir-22 gene expression) Described in Elbashir, SM et al. (2001) Genes Dev., 15, 188 or Elbashir, SM, etc. Human (2001) Nature, 411, 494. Ribozyme is also a suitable tool for inhibiting the translation of nucleic acids. This is the RAK gene because it can specifically bind and cleave mRNA. For example, it is described in Amarzguioui et al. 1998) Cell. Mol. Life Sci·, 54, 1175-202; Vaish et al. (1998) Nucleic Acids Res., 26, 5237-42; Persidis (1467) Nat. Biotechnol., 15, 921-2 or Couture and Stinchcomb (1996) Trends Genet, 12, 510-5. The nucleic acid is preferably used as or as an antagonist of mir-22. For the manufacture of the medicine 'the mir-22 antagonist of the invention' is in accordance with The type of administration, usually with one or more pharmaceutically acceptable additives or adjuvant substances, such as physiological buffer solutions, such as sodium carbonate solution, deionized water, stabilizers such as proteases or nuclease antagonists, preferably Aprotinin, ε-aminocaproic acid or pepstatin A or a chelating agent such as EDTA, a gel formulation such as white petrolatum, low viscosity stone and/or yellow wax, etc. are formulated together. 65 201238973 mir 22 lL% of the second addition agent is, for example, a stripping agent such as Trit〇n or glycerin, by, and a polyhydric alcohol such as polyethylene glycol or glycerol sugar such as sugar or glucosinolate. The knee-washing-dimerizing physiological buffer solution preferably has a pH of about 6.G-8.0, particularly a pH of about 6.8-7.8, especially a pH of about 7*, and/or about 2〇0_4〇0. The milligrams per liter, preferably about osmolality per liter of osmolality. The pH of the pharmaceutical product is generally a suitable organic or inorganic buffer, for example, preferably an acid buffer, (10) a buffer (叁 (hydroxy) aminomethane), HEpES buffer (0 (2) Hydroxyethyl) piperidine] ethanesulfonic acid) or M 〇 ps buffer (3 morpholin-1-propane sulfonic acid) to adjust the choice of individual buffers generally in accordance with the desired buffer molar concentration And set. Phosphate buffers are suitable, for example, for injection and infusion solutions. The medicine may be used in a conventional manner, for example, by an oral dosage form, such as a sharp agent or a capsule, by means of a mucous membrane such as a nose or an oral cavity, in the form of a skin under the skin implanted by injection, infusion or containing the medicament of the present invention. Glue is administered. Further, it is possible to administer the drug locally, to treat the specific arthritis as described above, and if appropriate, in the form of a liposome complex. Furthermore, the treatment can be carried out by a transdermal therapeutic system (TTS) which is capable of controlling the release of the drug over time. The TTS can be known, for example, from EP 0 944 398 Al, EP 0 916 336 A1, EP 0 889 723 A1 or EP 0 852 493 A1, to a solution or suspension of 0 66 201238973, for example from about 1 to about 20 The body η 'is generally used injection solution. If a larger liquid is administered, for example, about - or more liters, then the second is used. Second, in relation to the infusion solution, in the case of injecting the solution, hair., 'in the main shot, the penetration of sputum and blood or tissue fluid = Γ, ϊ is not obvious to itself or only notices that it is not obvious ς% pain sensation . It is therefore not necessary to dilute the formulation of the invention prior to use. However, in the case of a relatively large amount of administration, the formulation of the present invention should be diluted to a degree at least about the isotonic solution before administration. An example of an isotonic solution is a G9% sodium chloride solution. In the case of infusion, dilution can be carried out, for example using sterile water, and administration can be carried out via so-called bypass. The above nucleic acids can be used in the form of naked, transgenic vectors or in combination with lipids (especially cationic lipids) or gold particles. It may be formulated as a liposome (wherein a nucleic acid such as a cargo is carried in a membrane lipid layer such as a lipid bilayer), or may be a substrate such as a glucan, a peptide or other polymer. Examples of transgenic vectors are viral vectors, such as adenoviral vectors or retroviral vectors (Lindemann et al. (1997), Mol. Med., 3, 466-76; Springer et al. (1988) Mol. Cell., 2, 549 -58). Complexes with liposomes typically achieve very high transfection efficiencies, especially skin cells (Alexander and Akhurst, 1995,

Hum· Mol· Genet· 4:146-a79-85)。在脂質轉染中,由陽 離子脂質組成的單層脂質體係藉由將微質體懸浮液以 超音波處理來製備。DNA係以保持總電荷正電之比例 67 201238973 及所有的質體DNA係被微脂體複合之方式離子性結合 在微脂體的表面。除了 Feigner, P.L.等人(1987),Proc. Natl. Acad· Sci USA,84,7413 - 7414 所用的 DOTMA(l,2-二油基氧基丙基-3-三曱基溴化銨)和 DOPE(二油基磷脂醯基乙醇胺)脂質混合物外,目前已 有合成大量的脂質調配物並就其在轉染各種細胞株之 效能上進行試驗(Behr 等人(1989) Proc. Natl. Acad. Sci. USA, 86,6982-6986 ; Zhao *Huang(1991),Biochim· Biophys. Acta, 1189,195-203 ; Feigner 等人(1994)】· Biol. Chem.,269,2550-2561)。脂質調配物之實例有 DOTAP N-[l-(2,3-二油基氧基)丙基]-N,N,N-三曱基曱 基硫酸敍或DOGS(二-十八基酿胺基甘酿基精胺)。 增加核酸轉染至細胞的輔助物質可為,例如與 DNA結合之蛋白或胜肽,或能使核酸被轉運到細胞的 細胞核中之合成的胜肽-DNA分子(Schwartz等人(1999) Gene Therapy 6:282 ; Brand0n 等人(1999) Nature Biotech·,17, 784)。輔助物質亦包括能讓核酸釋放至細 胞質之分子(Planck 等人(1994) J. Biol. Chem., 269, 12918 ; Kichler 等人(1997) Bioconj. Chem,8,213), 或例如微脂體(Uhlmann和Peyman (1990),上文)。 另外,特別適合的形式可藉由將上述的核酸塗覆 在黃金粒子上並將這些粒子使用所謂的基因搶射入組 織或細胞中(Wang 等人(1999) J· Invest. Dermatol. 112:775-81,Tuting 等人(1998) J. Invest. Dermatol. 111:183-8)。 68 201238973 本發明另一主題為mir-22或mir-22基因作為找出 mir-22拮抗劑之標的,用於治療關節疾病,特別是退化 性關節疾病,例如骨性關節炎,或關節疾病,例如類風 濕性關節炎,及/或用於治療關節疾疼痛,特別是減低 退化性關節疾病之關節疼痛的用途。較佳地,該mir-22 拮抗劑可以如上述之醫藥品形式來使用。 因此,本發明亦指篩選mir-22拮抗劑之方法,其 中該方法包括下列步驟: (a) 提供 mir-22 或 mir-22 基因, (b) 提供試驗化合物,及 (c) 測量或偵測試驗化合物對mir-22或mir-22基因 之影響。 一般而言,mir-22或mir-22基因係提供於分析系統 中並使其與試驗化合物,特別的生物學或化學試驗化合 物,例如化學化合物庫之形式,直接或間接接觸。然後 測量或彳貞測試驗化合物對mir-22或mir-22基因之影 響。之後,分析及/或分離適合的拮抗劑。就化學化合 物庫之篩選,使用熟習技術者已知或市售的高通量分析 為較佳。 根據本發明,術語「化學化合物庫」係指,從任何 多來源,包括化學合成分子和天然產物,經組合,或由 組合化學技術所產生之多數個化學化合物。 一般而言,試驗化合物對mir-22或mir-22基因之 影響係以異相或均相分析來測量或偵測。如文中所用, 異相分析為包括一或多個清洗步驟之分析,而在均相分 69 201238973 析中並不需要此等清洗步驟。僅將試劑和化合物混合並 測量。 適合的功能性分析可以mir-22之表現為基準。 特言之,本發明係關於下列各方面: 1. Mir-22用作組織狀態或疾病之指標。 2. Mir-22作為組織狀態或疾病指標之用途。 3. 根據第1方面之Mir-22或根據第2方面Mir-22之用 途,其中mir-22之量為下列之指標: (a) 組織狀態或疾病及/或 (b) 發生組織狀態改變或疾病之風險,及/或 (c) 個體具有組織狀態改變或疾病,及/或 (d) 個體中組織狀態或疾病之進展或階段。 4. 一種測定個體中 (a) 組織狀態改變或疾病存在,及/或 (b) 發生組織狀態改變或疾病之風險,及/或 (c) 監測組織狀態或疾病之進展或階段 之方法,其包括偵測mir-22之量。 5. 根據第3方面之Mir-22或Mir-22之用途或第4方面 之方法’其中mir-22之量為個體中或個體樣本中mir-22 之量。 6. 根據第5方面之Mir-22或Mir-22之用途,進一步包 括將該個體或樣本中Mir-22之量與一或多個參照物或 參照樣本中mir-22之量作比較。 201238973 7·根據第6方面之Mir-22或Mir-22之用途或方法,其 中該參照物係由下列組成之群中選出:健康個體、罹病 個體或與試驗個體相同之較早或較晚時間點的個體,或 代表無組織狀態改變或疾病存在、有組織狀態改變或疾 病存在或代表發生組織狀態改變或疾病之風險增加或 降低之mir-22量之值。 8. 根據第7方面之Mir-22或Mir-22之用途或方法,其 中該參照樣本係由下列組成之群中選出:衍生自健康個 體的參照樣本、衍生自罹病個體的參照樣本或衍生自與 相關樣本相同在較早或較晚時間點所採集之參照樣 本’或帶有代表健康個體或代表有或無組織狀態改變或 疾病存在’或代表發生組織狀態改變或疾病之風險增加 或降低之mir-22量的參照樣本。 9. 根據第7方面之Mir-22或Mir-22之用途或方法’其 中该參照物·為健康個體,或帶有發生組織狀態改變或疾 病之風險降低之個體’或代表無組織狀態改變或疾病之 mir-22量’或根據第8方面之之用途或方 法,其中該參照樣本係衍生自健康個體,或衍生自帶有 發生組織狀態改變或疾病之風險降低之個體,或包括代 表健康個體或無疾病狀態,或發生組織狀態改變或疾病 之風險降低之mir_22量,其中升高的Mir_22量係顯示個 體中: (a) 有組織狀態惡化或疾病之存在及/或 (b) 發生組織狀態惡化或疾病之風險增加及/或 (c) 組織狀態惡化或疾病之進展。 201238973 10.根據第7方面之Mir-22或Mir-22之用途或方法, 其中5亥參照物為罹病的個體’或帶有發生組織狀態改變 或疾病之風險增加之個體,或代表有組織狀態改變或疾 病之值,或根據第8方面之Mir-22或Mir-22之用途或方 法,其中該參照樣本係衍生自罹病的個體,或衍生自帶 有發生組織狀態改變或疾病之風險增加之個體,或包括 代表罹病個體或有疾病存在之狀態’或發生組織狀態改 變或疾病之風險增加之mir-22程度或量,其中類似的 Mir-22量係顯示個體中: (a) 有組織狀態惡化或疾病之存在及/或 (b) 發生組織狀態惡化或疾病之風險增加及/或 (c) 組織狀態惡化或疾病之進展。 11 ·根據第7方面之Mir-22或Mir-22之用途或方法, 其中該參照物為較早時間點之相同個體,或根據第8方 面之]VIir-22或Mir-22之用途或方法,其中該參照樣本係 衍生自與相關樣本相同在較早時間點所採集之個體,其 中 〃 (i) 相關樣本中升高的mir-22量係顯示個體+ (a) 有組織狀態惡化或疾病之存在及/或 (b) 發生組織狀態惡化或疾病之風險增加及/或 (c) 組織狀態惡化或疾病之進展, (ii) 相關樣本中降低的mir-22量係顯示 (a) 組織狀態改變或改善或無疾病存在及/或 (b) 發生組織狀態惡化或疾病之風險降低及/或 (c) 組織狀態惡化或疾病之進展減緩。 72 201238973 (iii)相關樣本中類似的mir_22量係顯示個體中 (a) 發生組織狀態惡化或疾病之類似風險及/或 (b) 組織狀態惡化或疾病之進展停滯及/或 (c) 組織狀態惡化或疾病持續。 12. —種用於測定個體中組織狀態改變或預防或治 療疾病之醫藥劑量之方法,其包括下列步驟 (a) 測定個體樣本中mir-22之量,及視需要測定參照 物或參照樣本中mir_22之量,用於與相關樣本中的 mir-22量作比較,及 (b) 依照相關樣本中mir-22之量,視需要依照相關樣 本和參照物或參照樣本中mir-22之量的比較,決定醫藥 劑量。 13. —種調整用於組織狀態改變或預防或治療關節 疾病之醫藥劑量之方法,其包括下列步驟: (a) 測定樣本中mir_22之量,及 (b) 測定一或多個參照物或參照樣本中mir-22之量, (C)檢驗試驗樣本關於存在該相關樣本中mir-22之 量是否與一或多個參照物或參照樣本中mir-22之量不 同, (d) 依照相關樣本中mir-22之量是否與一或多個參 照物或參照樣本中之量不同,調整醫藥劑量。 14 _ 一種測定物質對組織狀態或疾病發生之有利及/ 或有害效應之方法,其包括下列步驟: ⑻測定相關樣本中mir_22之量, 73 201238973 (b) 測定一或多個參照物或參照樣本中mir-22之 量,及 (c) 檢驗相關樣本關於存在該相關樣本中mir-22之 量是否與一或多個參照物或參照樣本中之量不同, 其中相關樣本暴露於該物質之方式係與一或多個 參照物或參照樣本不同。 15. 根據第5至11方面任一方面中之Mir-22或mir-22 之用途,或根據第5至14方面任一方面中之方法,其中 該相關樣本為組織及/或體液。 16. 根據第15方面之Mir-22或Mir-22之用途或方 法,其中該組織樣本係由下列組成之群中選出:組織萃 取物、滑液組織和軟骨,而體液係由下列組成之群中選 出:滑液、血清、血聚和尿液。 17. —種mir-22於根據第4至16方面任一方面之方法 中的用途。 18. —種用於根據第4至16方面任一方面之方法中 之套組,係包括一或多種偵測mir-22之工具。 19. 根據第18方面之套組,其中該一或多種偵測 mir-22之工具為測定mir-22表現量之工具,較佳地,係 在基因及/或RNA層級上。 20. 根據第18或19方面之套組,其中該一或多種偵 測mir-22之工具係由下列組成之群中選出:核酸,較佳 地DNA或RNA、二者之混合物或化學修飾核酸、胜肽和 蛋白,較佳地單株或多株抗體。 74 201238973 21. 根據第18至20方面任一方面中之套组,其中該 套組進一步包括 (a) —容器,及/或 (b) 數據載器,其中該數據載器包括例如下列資訊: Ο)有關測定關節疾病之發生風險及/或測定關節疾 病存在及/或監測關節疾病之進展的方法說明, (ii) 偵測,較佳地樣本中,更佳地來自個體樣本中 mir-22之工具及/或套組之使用說明, (iii) 品質資訊例如有關用於偵測mir-22之工具及/或 套組批號、製造或組裝地或到期日或保存期限之資訊, 有關套組之正確保存或操作之資訊, (iv) 有關用於偵測mir-22之缓衝劑、稀釋劑、試劑之 多且成物及/或彳貞測mir-22之工具的資訊, (v) 當進行上述方法測定及/或監測關節疾病進展 時,所得到的資料解釋之有關資訊, (vi) 當應用不適合的方法及/或不適合的工具時,可 能的誤解或錯誤結果之相關警告,及/或 (vii) 當使用不適合的試劑及/或緩衝劑時,可能的誤 解或錯誤結果之相關警告。 22. —種如第18至21方面任一方面之套組於第4至 16方面任一方面之方法中之用途。 23. —或多種於第4至16方面任一方面之方法中供 偵測mir-22基因、基因產物或其功能活性變體之核酸。 24. 根據第23方面之核酸,其中該核酸係由下列組 成之群中選出:鎖核酸(LNA)、核酸探針、聚醯胺或胜 75 201238973 肽核酸(PNA)、微RNA (miRNA)、小干擾rna (siRNA)、 聚合酶連鎖反應(PCR)之引子、反轉錄(RT)反應之引子 及DNA定序之引子。 25·根據第24方面之核酸’係包括至少8個核苦酸之 核苷酸序列。 26. —種於第4至16方面任一方面之方法中供债測 mir-22基因、基因產物或其功能活性變體之胜狀、多狀 或蛋白。 27·根據第25方面之胜肽、多肽或蛋Hum·Mol·Genet·4:146-a79-85). In lipofection, a monolayer lipid system consisting of cation lipids is prepared by ultrasonic treatment of the microplast suspension. The DNA system maintains the ratio of positive charge to total charge. 67 201238973 and all plastid DNA systems are ionicly bound to the surface of the liposome by means of liposome recombination. In addition to Feigner, PL et al. (1987), Proc. Natl. Acad. Sci USA, 84, 7413 - 7414, DOTMA (1,2-dioleyloxypropyl-3-tridecyl ammonium bromide) and In addition to the DOPE (dioleylphospholipid thioglycolamine) lipid mixture, a large number of lipid formulations have been synthesized and tested for their efficacy in transfecting various cell lines (Behr et al. (1989) Proc. Natl. Acad. Sci. USA, 86, 6982-6986; Zhao * Huang (1991), Biochim Biophys. Acta, 1189, 195-203; Feigner et al. (1994)] Biol. Chem., 269, 2550-2561). Examples of lipid formulations are DOTAP N-[l-(2,3-dioleyloxy)propyl]-N,N,N-trimethylsulfonylsulfate or DOGS (di-octadecylamine) Glycolyl spermine). Auxiliary substances that increase the transfection of a nucleic acid into a cell can be, for example, a protein or peptide that binds to DNA, or a synthetic peptide-DNA molecule that enables the nucleic acid to be transported into the nucleus of a cell (Schwartz et al. (1999) Gene Therapy 6:282; Brand0n et al. (1999) Nature Biotech, 17, 784). Auxiliary substances also include molecules that release nucleic acids into the cytoplasm (Planck et al. (1994) J. Biol. Chem., 269, 12918; Kichler et al. (1997) Bioconj. Chem, 8, 213), or for example, liposome (Uhlmann and Peyman (1990), supra). In addition, a particularly suitable form can be obtained by coating the above nucleic acids on gold particles and blasting them into tissues or cells using so-called genes (Wang et al. (1999) J. Invest. Dermatol. 112:775 -81, Tuting et al. (1998) J. Invest. Dermatol. 111: 183-8). 68 201238973 Another subject of the invention is the mir-22 or mir-22 gene as a marker for finding mir-22 antagonists for the treatment of joint diseases, in particular degenerative joint diseases such as osteoarthritis, or joint diseases, For example, rheumatoid arthritis, and/or for the treatment of joint pain, in particular the reduction of joint pain in degenerative joint diseases. Preferably, the mir-22 antagonist can be used in the form of a pharmaceutical as described above. Thus, the invention also relates to a method of screening for a mir-22 antagonist, wherein the method comprises the steps of: (a) providing a mir-22 or mir-22 gene, (b) providing a test compound, and (c) measuring or detecting The effect of the test compound on the mir-22 or mir-22 genes. In general, the mir-22 or mir-22 gene line is provided in an assay system and is brought into direct or indirect contact with a test compound, in particular a biological or chemical test compound, such as a chemical compound library. The effect of the test compound on the mir-22 or mir-22 gene is then measured or speculated. Thereafter, the appropriate antagonist is analyzed and/or isolated. For the screening of chemical compound libraries, high throughput analysis known or commercially available to those skilled in the art is preferred. According to the present invention, the term "chemical compound library" means a plurality of chemical compounds derived from any of a variety of sources, including chemically synthesized molecules and natural products, combined, or by combinatorial chemistry techniques. In general, the effect of a test compound on the mir-22 or mir-22 gene is measured or detected by heterogeneous or homogeneous analysis. As used herein, heterogeneous analysis is an analysis that includes one or more washing steps, and such cleaning steps are not required in the analysis of the homogeneous phase 69 201238973. Only reagents and compounds are mixed and measured. A suitable functional analysis can be benchmarked against the performance of mir-22. In particular, the present invention relates to the following aspects: 1. Mir-22 is used as an indicator of tissue status or disease. 2. Use of Mir-22 as a tissue status or disease indicator. 3. The use of Mir-22 according to aspect 1 or Mir-22 according to aspect 2, wherein the amount of mir-22 is the following indicator: (a) tissue state or disease and/or (b) tissue state change or The risk of the disease, and/or (c) the individual has a tissue state change or disease, and/or (d) the progress or stage of the tissue state or disease in the individual. 4. A method of determining (a) a change in tissue status or the presence of a disease, and/or (b) a risk of developing a tissue state change or disease, and/or (c) monitoring the progress or stage of a tissue state or disease, This includes detecting the amount of mir-22. 5. The use according to the Mir-22 or Mir-22 of the third aspect or the method of the fourth aspect wherein the amount of mir-22 is the amount of mir-22 in the individual or in the individual sample. 6. The use of Mir-22 or Mir-22 according to aspect 5, further comprising comparing the amount of Mir-22 in the individual or sample to the amount of mir-22 in one or more of the reference or reference samples. 201238973 7. The use or method of Mir-22 or Mir-22 according to the sixth aspect, wherein the reference is selected from the group consisting of: a healthy individual, a rickety individual or an earlier or later time than the test subject The individual of the point, or the value of the amount of mir-22 that represents an increase or decrease in the risk of an unorganized state or disease, an altered state of the tissue, or the presence or presence of a disease or a change in the state of the disease. 8. The use or method of Mir-22 or Mir-22 according to the seventh aspect, wherein the reference sample is selected from the group consisting of: a reference sample derived from a healthy individual, a reference sample derived from a ricket individual, or derived from The reference sample collected at an earlier or later time point, as with the relevant sample, has an increased or decreased risk of representing a healthy individual or representing the presence or absence of a tissue state change or disease present or representing a change in tissue state or disease. Reference sample of mir-22 amount. 9. The use or method of Mir-22 or Mir-22 according to aspect 7, wherein the reference is a healthy individual, or an individual with a reduced risk of developing a tissue state or disease, or represents an unorganized state change or The mir-22 amount of the disease or the use or method according to the eighth aspect, wherein the reference sample is derived from a healthy individual, or is derived from an individual having a reduced risk of developing a tissue state or disease, or includes a representative of a healthy individual Or no disease state, or a decrease in the amount of mir_22 in which the tissue state changes or the risk of the disease decreases, wherein the elevated Mir_22 amount is indicative of: (a) the presence of tissue deterioration or disease and/or (b) tissue status Increased risk of exacerbation or disease and/or (c) deterioration of tissue status or progression of the disease. 201238973 10. The use or method of Mir-22 or Mir-22 according to the seventh aspect, wherein the 5 HAI reference is an individual with rickets' or an individual with an increased risk of developing a tissue state or disease, or represents an organized state The value of the change or disease, or the use or method of Mir-22 or Mir-22 according to the eighth aspect, wherein the reference sample is derived from a rickets, or is derived from an increased risk of developing a tissue state change or disease. An individual, or a mir-22 degree or amount that represents an individual in the presence or absence of a disease, or an increased risk of a change in tissue status or disease, wherein a similar Mir-22 quantity is displayed in the individual: (a) an organized state Deterioration or the presence of disease and/or (b) increased risk of tissue deterioration or disease and/or (c) deterioration of tissue status or progression of the disease. 11. Use or method according to the Mir-22 or Mir-22 of the seventh aspect, wherein the reference is the same individual at an earlier time point, or the use or method of VIir-22 or Mir-22 according to the eighth aspect , wherein the reference sample is derived from an individual collected at an earlier time point as the relevant sample, wherein 〃 (i) the elevated mir-22 amount in the relevant sample shows the individual + (a) tissue deterioration or disease Presence and/or (b) increased tissue risk or increased risk of disease and/or (c) deterioration of tissue status or disease progression, (ii) decreased mir-22 levels in relevant samples (a) tissue status Alteration or improvement or absence of disease and/or (b) decreased tissue risk or decreased risk of disease and/or (c) deterioration of tissue status or progression of disease. 72 201238973 (iii) A similar mir_22 quantity in the relevant sample shows (a) a similar risk of tissue deterioration or disease and/or (b) deterioration of tissue status or progression of disease and/or (c) tissue status Deterioration or disease persists. 12. A method for determining a medical dosage of a tissue state change or preventing or treating a disease in an individual, comprising the steps of: (a) determining the amount of mir-22 in the individual sample, and determining the reference or reference sample as needed The amount of mir_22 is used to compare with the amount of mir-22 in the relevant sample, and (b) according to the amount of mir-22 in the relevant sample, as needed, according to the amount of mir-22 in the relevant sample and the reference or reference sample. Compare, determine the dose of medicine. 13. A method of adjusting a medical dose for tissue state change or preventing or treating a joint disease, comprising the steps of: (a) determining the amount of mir_22 in the sample, and (b) determining one or more reference or reference The amount of mir-22 in the sample, (C) test the test sample as to whether the amount of mir-22 in the relevant sample is different from the amount of mir-22 in one or more reference or reference samples, (d) according to the relevant sample Whether the amount of mir-22 is different from the amount in one or more reference or reference samples, the medical dose is adjusted. 14 _ A method of determining the beneficial and/or detrimental effects of a substance on the state of a tissue or disease, comprising the steps of: (8) determining the amount of mir_22 in the relevant sample, 73 201238973 (b) determining one or more reference or reference samples The amount of mir-22, and (c) the relevant sample. The amount of mir-22 in the relevant sample is different from the amount in one or more reference or reference samples, and the manner in which the relevant sample is exposed to the substance It is different from one or more reference or reference samples. 15. The use of Mir-22 or mir-22 according to any one of aspects 5 to 11 or the method of any of aspects 5 to 14, wherein the relevant sample is tissue and/or body fluid. 16. The use or method of Mir-22 or Mir-22 according to the fifteenth aspect, wherein the tissue sample is selected from the group consisting of tissue extract, synovial tissue and cartilage, and the body fluid system is composed of the following group Selected from: synovial fluid, serum, blood pooling and urine. 17. Use of mir-22 in a method according to any of aspects 4 to 16. 18. A kit for use in a method according to any of aspects 4-16, comprising one or more tools for detecting mir-22. 19. The kit of claim 18, wherein the one or more tools for detecting mir-22 are tools for determining the amount of mir-22 expression, preferably at the gene and/or RNA level. 20. The kit according to the 18th or 19th aspect, wherein the one or more tools for detecting mir-22 are selected from the group consisting of: a nucleic acid, preferably DNA or RNA, a mixture of the two or a chemically modified nucleic acid , peptides and proteins, preferably single or multiple antibodies. The method of any one of clauses 18 to 20, wherein the kit further comprises (a) a container, and/or (b) a data carrier, wherein the data carrier includes, for example, the following information: Ο) A description of the method for determining the risk of joint disease and/or measuring the presence of joint disease and/or monitoring the progression of joint disease, (ii) detecting, preferably in the sample, preferably from the individual sample mir-22 Instructions for the use of tools and/or kits, (iii) quality information such as information on the tools and/or kit batch numbers used to detect mir-22, manufacturing or assembly locations or expiration dates or shelf life, Information on the correct storage or operation of the group, (iv) Information on the tools used to detect mir-22 buffers, diluents, reagents and/or mir-22, (v (c) information about the information obtained when performing the above methods for measuring and/or monitoring the progression of joint disease, (vi) warnings of possible misunderstandings or erroneous results when applying unsuitable methods and/or unsuitable tools, And / or (vii) when not suitable for use When the agent and / or buffers, possible misunderstandings errors or warnings Results. 22. The use of the kit of any of the aspects of any of the aspects of any of the aspects of any of 23. A nucleic acid for detecting a mir-22 gene, a gene product or a functionally active variant thereof, in a method of any of aspects 4 to 16. 24. The nucleic acid according to the 23rd aspect, wherein the nucleic acid is selected from the group consisting of a locked nucleic acid (LNA), a nucleic acid probe, a polyamine or a sinus 75 201238973 peptide nucleic acid (PNA), a microRNA (miRNA), Small interfering RNA (siRNA), primers for polymerase chain reaction (PCR), primers for reverse transcription (RT) reactions, and primers for DNA sequencing. The nucleic acid according to the 24th aspect comprises a nucleotide sequence of at least 8 nucleotides. 26. A method of any one of the methods of any one of the 4 to 16 aspect, wherein the mir-22 gene, the gene product or a functionally active variant thereof is tested for a triumph, polymorphism or protein. 27. The peptide, polypeptide or egg according to the 25th aspect

^ > 一一 ”,具中該J 白或多肽為蛋白配體,較佳地抗體、斷片或其衍生物 朵平或抗運載蛋白,或其中該多肽或胜肽為探2 地質譜探針❶ $ 28.—種根據第23至25方面任一方面中之核 g 根據第26或27方面之胜肽、多肽或蛋白,於第々至“^ 面任一.方面之方法中之用途。 ’ 29· —種mir-22或mir-22基因或其功能活性个 為目標分子供找出mir-22拮抗劑之用途。^ > -1", wherein the J white or polypeptide is a protein ligand, preferably an antibody, a fragment or a derivative thereof, or an anti-carrier protein, or wherein the polypeptide or peptide is a mass spectrometric probe 28. 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。. The mir-22 or mir-22 gene or its functional activity is used for the target molecule to find a mir-22 antagonist.

3〇.根據第29方面之用途,其中係將叻卜” ^ m心22基因或其功能活性變體與試驗化合物直接或J 接接觸,並測量或偵測試驗化合物對mir_22 ° E 基因之影響。 虱mir-2 31. —種篩選mir-22拮抗劑之方法,其中該方法爸 括 / (a) 提供 mir-22 或 mir-22 基因, (b) 提供試驗化合物,及 76 201238973 (c)測量或债測試,驗化合物對mir-22或mir-22基因 之影響。 32. —種用於組織狀態改變或預防或治療關節疾病 之mir-22拮抗劑。 33. —種包括mir-22拮抗劑之醫藥,係用於預防或治 療關節疾病,較佳地發炎性關節疾病。 34. 如第33方面之醫藥,其進一步包括醫藥上可接 受載劑及/或賦形劑,及視需要一或多種另外的活性物 質。 35. —種改變組織狀態或預防或治療關節疾病之方 法,其中係將根據第33或34方面之治療上有效量醫藥投 予處於發生或罹患關節疾病風險中之個體。 36. 如第35方面之方法,其中該醫藥係以口服、局 部、經皮滲透或腔内,較佳地靜脈内或關節内給藥。 37. 根據第5至11方面任一方面中之Mir-22或 mir-22,或根據第5至14方面和第35至36方面任一方面 之方法,第22方面之套組之用途,第23或25方面任一方 面之核酸,第26或27方面之胜肽、多肽或蛋白,或第28 方面之核酸、胜肽、多肽或蛋白之用途,或第32方面之 Mir-22拮抗劑,其中該組織狀態為組織損傷,較佳地係 由下列組成之群中選出:骨、軟骨、滑膜、軟骨膜、囊 和結締組織之損傷,及/或其特徵為存在組織中之調控 分子、訊號傳遞分子及/或退化分子的量改變。 77 201238973 38.根據第5至11方面任一方面中之Mir-22或 mir-22,或根據第5至14方面和第35至36方面任一方面 之方法,第22方面之套組之用途,第23或25方面任一方 面之核酸,第26或27方面之胜肽、多肽或蛋白,或第28 方面之核酸、胜肽、多肽或蛋白之用途,或第32方面之 Mir-22结抗劑,其中該疾病為關節疾病,較佳地係由下 列組成之群中選出:骨性關節炎、類風濕性關節炎、乾 癬性關節炎、感染性關節炎、僵直性脊椎炎、滑囊炎(發 炎)、皮肌炎、纖維肌痛、痛風性關節炎、幼年特發性 關節炎(史迪爾氏症)、混合的結締組織疾病、風濕性多 發性肌痛症、多發性肌炎、反應性關節炎(萊特氏症候 群)、硬皮病、肩肌腱炎、薛格連氏症候群、全身性紅 斑性狼瘡,及/或特徵為由關節發炎或關節退化所致之 關節物理性或代謝性損傷,更佳地,其中該疾病為骨性 關節炎。 本發明之其他方面係如下: 1.[預測方法]一種於一受試者中測定關節炎疾病風 險增加之方法,其包括: a) 測量該對象之生物樣本中mir-22之量;及 b) 將樣本中的mir-22量與適合對照組之mir-22量作 比較,其中,相較於對照組,在樣本中測定到增加的 mir-22量,藉此測定該受試者具有關節疾病之增高的風 險。 78 201238973 2. [診斷方法]一種於受試者中診斷關節炎疾病之方 法,該方法包括: a) 測量該對象之生物樣本中mir-22之量;及 b) 將樣本中的mir-22量與適合對照組之mir-22量作 比較, 其中,相較於對照組,在樣本中測定到增加的 mir-22量,藉此測定該受試者具有關節疾病。 3. [病患分類]一種治療患有關節疾病之對象之方 法,該方法包括: a) 測量該對象之生物樣本中mir-22之量; b) 將樣本中的mir-22量與適合對照組之mir-22量作 比較;及 c) 當相較於對照組,在樣本中測定到增加的mir-22 量,則將治療關節疾病之醫藥組成物投予該病患,藉此 治療該對象。· 4. [劑量最適化]一種測定用於治療患有關節疾病之 對象的醫藥劑量之方法,該方法包括: a) 測量該對象之生物樣本中mir-22之量; b) 將樣本中的mir-22量與適合對照組之mir-22量作 比較;及 c) 當相較於對照組,在樣本中測定到增加的mir-22 量,則增加醫藥組成物之劑量;或當相較於對照組,在 樣本中測定到減少的mir-22量,則減少醫藥組成物之劑 量, 藉此決定該對象之醫藥劑量。 79 201238973 5. [篩選分析]一種測定物質或試驗化合物對關節疾 病之效應之方法,該方法包括: ”矢 a) 測量經物質或試驗化合物治療之樣本中mir_22之 重, b) 將治療樣本中的mir-22量與適合對照組之_ 量作比較;及 _3. The use according to the 29th aspect, wherein the m ” ” ^ ^ core 22 gene or a functionally active variant thereof is directly or in contact with the test compound, and the effect of the test compound on the mir_22 ° E gene is measured or detected.虱mir-2 31. A method for screening mir-22 antagonists, wherein the method comprises/(a) providing a mir-22 or mir-22 gene, (b) providing a test compound, and 76 201238973 (c) Measurement or debt test, the effect of the compound on the mir-22 or mir-22 gene. 32. A mir-22 antagonist for tissue state change or prevention or treatment of joint disease. 33. The medicine for the prevention or treatment of a joint disease, preferably an inflammatory joint disease. 34. The medicine according to the 33rd aspect, further comprising a pharmaceutically acceptable carrier and/or excipient, and optionally Or a plurality of additional active substances. 35. A method of altering tissue status or preventing or treating a joint disease, wherein the therapeutically effective amount of the pharmaceutical according to the 33rd or 34th aspect is administered to an individual at risk of developing or suffering from a joint disease 36. As in the 35th aspect The method wherein the medicine is administered orally, topically, percutaneously, or intraluminally, preferably intravenously or intra-articularly. 37. Mir-22 or mir-22 according to any one of aspects 5 to 11, Or a method according to any one of aspects 5 to 14 and 35 to 36, the use of the kit of the 22nd aspect, the nucleic acid of any of the 23 or 25 aspect, the peptide or polypeptide of the 26th or 27th aspect or The protein, or the use of the nucleic acid, peptide, polypeptide or protein of the 28th aspect, or the Mir-22 antagonist of the 32nd aspect, wherein the tissue state is tissue damage, preferably selected from the group consisting of: bone Damage to cartilage, synovium, perichondrium, sac, and connective tissue, and/or characterized by changes in the amount of regulatory molecules, signaling molecules, and/or degenerating molecules present in the tissue. 77 201238973 38. According to Sections 5 through 11 Or a method according to any one of aspects 5 to 14 and 35 to 36, the use of the kit of the 22nd aspect, any aspect of the 23rd or 25th aspect Nucleic acid, a peptide, polypeptide or protein of the 26th or 27th aspect, or a nuclear of the 28th aspect The use of a peptide, a polypeptide or a protein, or the Mir-22 antagonist of the 32nd aspect, wherein the disease is a joint disease, preferably selected from the group consisting of osteoarthritis and rheumatoid joints. Inflammation, dry arthritis, infectious arthritis, ankylosing spondylitis, bursitis (inflammation), dermatomyositis, fibromyalgia, gouty arthritis, juvenile idiopathic arthritis (Stil's disease) Mixed connective tissue disease, rheumatic polymyalgia, polymyositis, reactive arthritis (Wright's syndrome), scleroderma, scapular tendonitis, Sjogren's syndrome, systemic lupus erythematosus, and / Or characterized by physical or metabolic damage to the joint caused by inflammation of the joint or joint deterioration, and more preferably, the disease is osteoarthritis. Other aspects of the invention are as follows: 1. [predictive method] A method for determining an increased risk of arthritic disease in a subject, comprising: a) measuring the amount of mir-22 in the biological sample of the subject; and b The amount of mir-22 in the sample is compared to the amount of mir-22 suitable for the control group, wherein an increased amount of mir-22 is measured in the sample compared to the control group, thereby determining that the subject has a joint The risk of increased disease. 78 201238973 2. [Diagnostic method] A method for diagnosing an arthritic disease in a subject, the method comprising: a) measuring the amount of mir-22 in the biological sample of the subject; and b) placing the mir-22 in the sample The amount was compared with the amount of mir-22 suitable for the control group, wherein an increased amount of mir-22 was measured in the sample compared to the control group, whereby the subject was determined to have joint disease. 3. [Patient Classification] A method of treating a subject suffering from a joint disease, the method comprising: a) measuring the amount of mir-22 in the biological sample of the subject; b) measuring the amount of mir-22 in the sample with a suitable control The amount of mir-22 in the group is compared; and c) when the amount of mir-22 is increased in the sample compared to the control group, the pharmaceutical composition for treating joint disease is administered to the patient, thereby treating the patient Object. · 4. [Dose optimization] A method for determining a medical dose for treating a subject suffering from a joint disease, the method comprising: a) measuring the amount of mir-22 in the biological sample of the subject; b) The amount of mir-22 is compared with the amount of mir-22 suitable for the control group; and c) when the amount of mir-22 is increased in the sample compared to the control group, the dose of the pharmaceutical composition is increased; or when compared In the control group, a reduced amount of mir-22 was measured in the sample, and the dose of the pharmaceutical composition was reduced, thereby determining the medical dose of the subject. 79 201238973 5. [Screening analysis] A method for determining the effect of a substance or test compound on a joint disease, the method comprising: "vector a" measuring the weight of mir_22 in a sample treated with a substance or test compound, b) in a therapeutic sample The amount of mir-22 is compared with the amount of _ for the control group; and _

若相較於對照組,在樣本中測定到增加的^ 量,則測定該物質具有有害效應,或若相較於對照級, 在樣本中測定到減少的mir-22量’則測定該物質耳有有 利效應,藉此決定由此決定該物質或試驗化合物對關〜 疾病之效應。 BP 6. 如第1-4方面任一方面中之方法,其中係使用一气 多種核酸探針來債測mir-22之量。 7. 如第1-6方面任一方面中之方法,其中該適合的對 照組為來自健康對象之生物樣本。 8. 如第6方面之方法,其中該適合的對照組為未縫 物質治療之樣本。 、 9_如前述方面任一方面中之方法,其中該關節疾病 為骨性關節炎。 ’ 1 〇·[以mir-22拮抗劑治療之方法]一種於一對象中+ 療關節疾病之方法,其包括將mir-22拮抗劑投予|亥_ 象,藉此治療該對象之關節疾病。 11.如第10方面之方法,其中該mir-22拮抗劑係由^ 列組成之群中選出:siRNA、shRNA、反義RNA和核轉 酶。 201238973 12. 如第10方面之方法,其中該mir-22拮抗劑實質上 係與至少一部分的mir-22前驅物型(SEQ ID ΝΟ:1)相互 補。 13. 如第10方面之方法,其中該mir-22拮抗劑實質上 係與至少一部分的mir-22成熟型(SEQ ID NO:2)或 mir-22*(SEQIDNO:3)相互補。 14. 如第10方面之方法,其中miRNA-146a拮抗劑為 長度約6至約20個核苷酸之核酸分子。 15. 如第10方面之方法,其中miRNA-146a拮抗劑為 經修飾LNA或經修飾PNA之核酸分子。 16. 如第10方面之方法,其中該關節疾病為骨性關 節炎。 17. 如第10方面之方法,其中係投予miR-146拮抗 劑,使該對象軟骨細胞中的一或多種軟骨形成標記增 加。 18. 如第17方面之方法,其中該一或多種軟骨形成 標記係由下列組成之群中選出:膠原蛋白II、蛋白多糠、 Sox9、膠原蛋白 X、ALP、CD-Rap、MMP-1 和 mMP-3。 19. 如第11方面之方法,其中該哺乳動物為人類。 20. —種包含一或多種偵測mir-22之工具和適合對 照物之套組。 【實施方式】 本發明以實例和圖式更詳細描述,其不應理解為限 制本發明之範圍。 201238973 實例 實例1:在其培養期間軟骨細胞和幹細胞中mir_22之表 現特徵 於初級軟骨細胞和骨髓衍生的間葉幹細胞(BMSC) 之培養期間測定mir-22之表現,以評估於所指的時間 期間内這些細胞中mir-22表現量之正常波動。 將軟骨細胞以團狀培養於添補2mM L-麵醯胺酸 (Sigma-Aldrich)、lx 非必需胺基酸(Sigma-Aldrich)、 10nM 地赛米松(dexamethasone)(Sigma-Aldrich)、 10pg/ml胰島素、5.5pg/ml運體蛋白、5ng/ml亞硒酸鈉 (Sigma-Aldrich)、44pg/ml 抗壞血酸(Sigma-Aldrich)和 \10ng/ml TGF-βΙ (R&D Systems)之DMEM培養基中培 養0、1、4、7或14天。將BMSC以團狀培養於相同的培 養基中培養0、1、4、7、14或21天。收取軟骨細胞和BMSC 並個別處理各團塊進行RN A分離p就分泌蛋白之分析係 於整個培養期間收集上清液並集中。就RNA之萃取,係 在培養七天後收集團塊並分別以Mixermill(Retsch)均 質。在均質的細胞上進行蛋白酶K消化。從Qiagen miRNeasyPlusMicro套組溶離總RNA(包括miRNA)。根 據製造商的說明,使用反轉錄酶套組和RNA酶抑制劑 (Life Technologies)將RNA反轉錄至cDNA。根據熟習技 術者熟知的方法,經由miRNA專一性定量即時PCR,使 用Taqman探針測定軟骨細胞和BMSC中mir-22表現特 徵。使用 ABI Taqman® microRNA低密度陣列(TLDA, Applied Biosystems,Foster City, CA)定出 668 miRNA和 82 201238973 另外參照基因之特徵。此分析包括三個步驟:多重RT、 前置增幅和單重TaqMan PCR。所有的步驟皆根據製造 商之s兒明來進行。即時PCR係於AB 7900HT序列偵測系 統上進行。就表現分析,係應用比較性Ct法。 圖la係說明培養期間軟骨細胞團中mir_22之表 現’而圖2係說明培養期間BMSC中mir_22之表現。 mir-22之表現在軟骨細胞團中可偵測到約23循環㈨= 23)之循環閥值,而BMSC於整個實驗期間為23。培養 條件係選擇例如健康分化的軟骨之反射條件。如可從圖 la和圖2看出,在培養期間二種細胞類型之mir_22表 現量仍穩定,僅具有非常小的波動。此穩定的表現代表 與在相同條件於平行實驗進行之隨時間增加的 mir-199a 和 mir-140 的表現(圖 lb)相反,而 mir_199a 和 mir-140為二種已被本發明者測定出作為生理軟骨狀態 標記之微RNA ;在另一方面,本發明者已揭示與骨性 關節炎軟骨有關之mir-146a的表現’在整個培養其間顯 現與mir-22相同的表現穩定性。因此,mir_22之表現 量在生理軟骨中比分化的生理(亦即非骨性關節炎)軟骨 之標記中更低。因此,相對於分化的生理(亦即非骨性 關節炎)軟骨之標記,較低mir-22表現量係為無〇A存 在之指標。 實例2 : BMSC中mir-22之過度表現和敲減 蛋白質膠原蛋白II、蛋白多糖、Sox9、膠原蛋白X、 ALP和CD-Rap之表現已知在關節炎之關節中會改變。 83 201238973 因此其個別的表現量為有無OA存在之指標。為了研究 mir-22在〇A中的角色,係在軟骨細胞分化後於bmsC 中’於mRNA(膠原蛋白II、蛋白多糖、sox9和膠原蛋 白X)或蛋白(CD-Rap)層級上測量,分析其過度表現或 敲減對這些分子之效應。 在三個獨立的實驗(V15、V18、V20)中,以包括編 碼mir-22之DNA(本文另係指:mir-22)或MRP((本文另 係指:空載體)之泛病毒粒子轉染BMSOMir-22已選 殖至pLenti9(—種含部分HIV1 LTR序列(參見下圖)之 慢病毒載體)。泛病毒粒子係由Vectalys公司(Toulouse, France)為客戶服務所製造。BMSC之轉染係以5之感染 複數(MOI)來進行。為了增進感染,係加入8pg/ml凝聚 胺(Polybrene)並將測定盤以50〇xg於32°C離心90分 鐘。隔天,藉由離心(30〇xg,5分鐘)在96孔錐形底的測 定盤(Eppendorf)形成由2.5χ105個細胞組成的高密度團 塊。If the amount of increase is measured in the sample compared to the control group, the substance is determined to have a detrimental effect, or if the amount of mir-22 is decreased in the sample compared to the control level, the substance is determined. There is a beneficial effect by which the decision determines the effect of the substance or test compound on the disease. The method of any of aspects 1-4, wherein the amount of mir-22 is measured by using a plurality of nucleic acid probes. 7. The method of any of aspects 1-6, wherein the suitable control group is a biological sample from a healthy subject. 8. The method of claim 6, wherein the suitable control group is a sample treated with an unsewed substance. The method of any of the preceding aspects, wherein the joint disease is osteoarthritis. ' 1 〇 · [Method of treatment with mir-22 antagonist] A method for treating joint disease in a subject, which comprises administering a mir-22 antagonist to a joint disease, thereby treating a joint disease of the subject . 11. The method of claim 10, wherein the mir-22 antagonist is selected from the group consisting of: siRNA, shRNA, antisense RNA, and nuclear transzyme. The method of claim 10, wherein the mir-22 antagonist is substantially complementary to at least a portion of the mir-22 precursor form (SEQ ID NO: 1). 13. The method of claim 10, wherein the mir-22 antagonist is substantially complementary to at least a portion of the mir-22 mature (SEQ ID NO: 2) or mir-22* (SEQ ID NO: 3). 14. The method of claim 10, wherein the miRNA-146a antagonist is a nucleic acid molecule of from about 6 to about 20 nucleotides in length. 15. The method of claim 10, wherein the miRNA-146a antagonist is a nucleic acid molecule of modified LNA or modified PNA. 16. The method of claim 10, wherein the joint disease is osteoarthritis. 17. The method of claim 10, wherein the miR-146 antagonist is administered to increase one or more markers of cartilage formation in the subject chondrocytes. 18. The method of clause 17, wherein the one or more chondrogenic markers are selected from the group consisting of collagen II, protein polysaccharide, Sox9, collagen X, ALP, CD-Rap, MMP-1 and mMP-3. 19. The method of clause 11, wherein the mammal is a human. 20. A kit containing one or more tools for detecting mir-22 and a suitable pair of objects. The invention is described in more detail by way of examples and figures, which are not to be construed as limiting the scope of the invention. 201238973 EXAMPLES Example 1: Characterization of mir_22 in chondrocytes and stem cells during its culture characteristics The performance of mir-22 was measured during the culture of primary chondrocytes and bone marrow-derived mesenchymal stem cells (BMSC) to evaluate during the indicated time period. Within these cells, the amount of mir-22 expression fluctuated normally. Chondrocytes were cultured in pellets to supplement 2 mM L-face valeric acid (Sigma-Aldrich), lx non-essential amino acid (Sigma-Aldrich), 10 nM dexamethasone (Sigma-Aldrich), 10 pg/ml Insulin, 5.5 pg/ml transport protein, 5 ng/ml sodium selenite (Sigma-Aldrich), 44 pg/ml ascorbic acid (Sigma-Aldrich) and \10 ng/ml TGF-β(R&D Systems) in DMEM medium Train for 0, 1, 4, 7 or 14 days. BMSCs were cultured in pellets in the same medium for 0, 1, 4, 7, 14 or 21 days. Chondrocytes and BMSCs were collected and each pellet was individually processed for RN A isolation. The analysis of secreted proteins was performed by collecting supernatants throughout the culture period and pooling them. For the extraction of RNA, the pellets were collected after seven days of culture and homogenized by Mixermill (Retsch). Protease K digestion was performed on homogeneous cells. Total RNA (including miRNA) was eluted from the Qiagen miRNeasyPlus Micro kit. RNA was reverse transcribed to cDNA using a reverse transcriptase kit and an RNase inhibitor (Life Technologies) according to the manufacturer's instructions. The mir-22 expression characteristics of chondrocytes and BMSCs were determined by Taqman probes by miRNA-specific quantitative real-time PCR according to methods well known to those skilled in the art. The characteristics of the 668 miRNA and 82 201238973 additional reference genes were determined using ABI Taqman® microRNA low density array (TLDA, Applied Biosystems, Foster City, CA). This analysis consists of three steps: multiple RT, pre-amplification, and single-tap TaqMan PCR. All steps are performed according to the manufacturer's instructions. The real-time PCR was performed on the AB 7900HT sequence detection system. For performance analysis, a comparative Ct method is applied. Figure la illustrates the performance of mir_22 in the chondrocyte mass during culture and Figure 2 illustrates the expression of mir_22 in BMSC during culture. The performance of mir-22 was detectable in the chondrocyte mass of about 23 cycles (9) = 23), while BMSC was 23 throughout the experiment. The culture conditions are such as to select the reflection conditions of the healthy differentiated cartilage. As can be seen from Fig. la and Fig. 2, the mir_22 expression of the two cell types was stable during the culture, with only very small fluctuations. This stable performance represents the opposite of the performance of mir-199a and mir-140 (Fig. lb) which increased over time in parallel experiments under the same conditions, while mir_199a and mir-140 have been determined by the inventors. MicroRNAs labeled in the physiological cartilage state; on the other hand, the inventors have revealed that the expression of mir-146a associated with osteoarthritic cartilage 'appears the same performance stability as mir-22 throughout the culture. Therefore, the amount of expression of mir_22 is lower in physiological cartilage than in the marker of differentiated physiological (i.e., non-osteoarthritis) cartilage. Therefore, the lower mir-22 expression is an indicator of the presence of innocent A relative to the marker of differentiated physiology (i.e., non-osseous arthritis) cartilage. Example 2: Overexpression and knockdown of mir-22 in BMSCs The expression of protein collagen II, proteoglycan, Sox9, collagen X, ALP and CD-Rap is known to be altered in the joints of arthritis. 83 201238973 Therefore, its individual performance is an indicator of the presence or absence of OA. In order to study the role of mir-22 in 〇A, it was measured at the level of mRNA (collagen II, proteoglycan, sox9 and collagen X) or protein (CD-Rap) in bmsC after chondrocyte differentiation. It overexpresses or knocks down the effects on these molecules. In three independent experiments (V15, V18, V20), transfection of pan-virions containing DNA encoding mir-22 (herein referred to as: mir-22) or MRP (also referred to herein as empty vector) BMSOMir-22 has been cloned into pLenti9 (a lentiviral vector containing a portion of the HIV1 LTR sequence (see figure below). Pan-virions are manufactured by Vectalys, Inc. (Toulouse, France). The infection was performed at a multiplicity of infection (MOI) of 5. To enhance the infection, 8 pg/ml polybrene was added and the assay disk was centrifuged at 50 〇 xg for 90 minutes at 32 ° C. The next day, by centrifugation (30 〇xg, 5 minutes) A high-density mass consisting of 2.5χ105 cells was formed in a 96-well cone-shaped assay dish (Eppendorf).

84 201238973 團狀培養7天後,收集細胞並依照實例1所示之相 同方法分離其RNA。根據製造商的說明,使用反轉錄 酶套組和RNA酶抑制劑(Life Technologies)進行cDNA 合成。經由定量即時PCR測定四種軟骨形成標記膠原 蛋白II、蛋白多糖、Sox9和勝原蛋白X之表現量。使 用 TaqMan® Universal PCR Master Mix 和目標基因為 ACAN、COL2A1、COL10A1 和 SOX9(參見下表)之 FAMTM-標定基因專一性分析進行TaqMan反應。所有 的基因專一性分析係由FAM™染劑-標定的TaqMan® MGB探針所組成。使用ABI Prism 7900 (Life Technologies)進行 PCR。使用核醣體蛋白 L37a (RPL37a) 作為參照基因。就RPL37a係選擇下列序列:參照前置 引子:GGCACTGTGGTTCCTGCAT,參照反置引子: ACAGCGGAAGTGGTATTGTACGT。MGB 參照探針係 以 VIC 標定並具有下列.序列 : CCGCCAGCCACTGTCT。就表現分析,係應用比較性 Ct法。 目標基因 基因符號 登錄號 基因專一性分析ID 蛋白多糖 ACAN ΝΜ—0132 27 Hs00153936_ml 膠原蛋白, 第I型,αΐ COL2A1 ΝΜ_0331 50 Hs00264051_ml 膠原蛋白, 第X型,αΐ COL10A1 ΝΜ_0004 93 Hs00166657一ml 85 201238973 SRY(性別決 SOX9 NM—0003 Hs00165814 ml 定區)-box 9 46 在一種不同各蜀立的實驗(亦即V15、V18、V20) 中,-·22過度表現對四種不同標記蛋白(亦即膠原蛋 白11、蛋白多糖、S〇x9和膠原蛋白X)表現量之效應係 如圖3所不(參見圖3 A_D)。各實驗包括四個樣本化= 4)。 於實驗V15、V18和V20(參見圖3Ε),使用elisa, 依照熟習技術者熟知之方法,試驗標記蛋白CD RAp之 表現量。蛋白量係以團狀培養上清液,使用ELISA套 組,根據製造商的說明加以定量:CD RAp (MIA)(Roehe)。收集並集中整個三星期的培養期間於每 次培養基更換時所得來的各單一團狀培養上清液,對單 -團塊以ELISA測定蛋白之量。各團在培養期間用於 團塊之培養基量為相同的。 相較於對照組細胞所測的表現量,所試驗的全部五 種標記蛋白之表現量因mir_22過度表現皆顯著降低。 mir-22過度表現顯示下調這些蛋白之表現。因此高 mir-22量為這些標記之表現量下降之指標。因此,相較 於正常的對照組’升高的mir_22量為〇A存在之指標。 在三種不同的實驗中(V21、V22、V23),使用84 201238973 After 7 days of lumps culture, cells were harvested and their RNAs were isolated according to the same method as shown in Example 1. cDNA synthesis was performed using a reverse transcriptase kit and an RNase inhibitor (Life Technologies) according to the manufacturer's instructions. The expression levels of the four chondrogenic markers collagen II, proteoglycan, Sox9, and serotonin X were determined by quantitative real-time PCR. The TaqMan reaction was performed using the TaqMan® Universal PCR Master Mix and the FAMTM-calibrated gene specificity analysis of the target genes ACAN, COL2A1, COL10A1, and SOX9 (see table below). All gene specificity analyses consisted of FAMTM dye-calibrated TaqMan® MGB probes. PCR was performed using ABI Prism 7900 (Life Technologies). The ribosomal protein L37a (RPL37a) was used as a reference gene. The following sequences were selected for the RPL37a line: reference pre-introduction: GGCACTGTGGTTCCTGCAT, reference anti-introduction: ACAGCGGAAGTGGTATTGTACGT. The MGB reference probe is calibrated with VIC and has the following sequence: CCGCCAGCCACTGTCT. For performance analysis, a comparative Ct method is applied. Target gene gene symbol accession number gene specificity analysis ID proteoglycan ACAN ΝΜ—0132 27 Hs00153936_ml Collagen, type I, αΐ COL2A1 ΝΜ_0331 50 Hs00264051_ml Collagen, type X, αΐ COL10A1 ΝΜ_0004 93 Hs00166657-ml 85 201238973 SRY (Sex SOX9 NM—0003 Hs00165814 ml (box) -box 9 46 In a different experiment (ie V15, V18, V20), -22 overexpresses four different labeled proteins (ie collagen 11) The effect of the amount of proteoglycan, proteoglycan, S〇x9 and collagen X) is shown in Figure 3 (see Figure 3 A_D). Each experiment included four samples = 4). In experiments V15, V18 and V20 (see Figure 3A), the amount of expression of the marker protein CD RAp was tested using elisa according to methods well known to those skilled in the art. The amount of protein was cultured in pellets and quantified using an ELISA kit according to the manufacturer's instructions: CD RAp (MIA) (Roehe). Each of the single pellet culture supernatants obtained at the time of each medium change during the entire three-week culture period was collected and concentrated, and the amount of the protein was measured by ELISA for the mono-branches. The amount of the medium used for the pellets during the culture was the same. The performance of all five labeled proteins tested was significantly reduced by mir_22 overexpression compared to the amount of performance measured by the control cells. Overexpression of mir-22 showed a downregulation of the performance of these proteins. Therefore, the high mir-22 amount is an indicator of the decrease in the performance of these markers. Therefore, the amount of mir_22 increased as compared to the normal control group is an indicator of the presence of 〇A. Used in three different experiments (V21, V22, V23)

miRIDIAN 髮夾抑制劑 hsa-mir-22 (Dharmacon)於 BMSC 中敲減mir-22(本文另係指:mir-22 inh)並相較於對照 組細胞,觀察對四種標記蛋白膠原蛋白Π、蛋白多糖、 86 201238973The miRIDIAN hairpin inhibitor hsa-mir-22 (Dharmacon) knocked out mir-22 in BMSC (this article also refers to: mir-22 inh) and compared the four labeled proteins to collagen, compared to the control cells. Proteoglycan, 86 201238973

Sox9和膠原蛋白X表現之效應。在單層培養中以濃度 30 nM之miRIDIAN髮夾抑制劑hsa-mir-22處理 BMSC。以miRIDIAN微RNA髮夾抑制劑負對照 (Negative Control)# 1 (Dharmacon)作為負對照組。隔 天,藉由離心(30〇xg,5分鐘)在96孔錐形底測定盤 (Eppendorf)形成由2.5xl05個細胞組成的高密度團塊。 將團塊培養最多3星期。如已於mir-22過度表現中所 描述,進行所有後續之分析步驟。 在二種不同、獨立的實驗中(亦即V21、V22、V23), mir-22敲減對五種標記蛋白(亦即膠原蛋白π、蛋白多 於細胞所測的表現量,所有四種試驗的標記蛋白The effect of Sox9 and collagen X. BMSCs were treated in a monolayer culture with a 30 nM miRIDIAN hairpin inhibitor hsa-mir-22. The miRIDIAN microRNA hairpin inhibitor Negative Control # 1 (Dharmacon) was used as a negative control group. On the next day, a high-density mass consisting of 2.5 x 105 cells was formed by centrifugation (30 〇 x g, 5 minutes) in a 96-well conical bottom assay disk (Eppendorf). The pellets are cultured for up to 3 weeks. All subsequent analytical steps were performed as described in the mir-22 overexpression. In two different, independent experiments (ie, V21, V22, V23), mir-22 knockdown on five marker proteins (ie, collagen π, protein more than cells measured, all four trials Marker protein

之表現(Pujol JP 糖、S〇X9、膠原蛋白Χ和CD-RAP)表現量之效應係如 Ε所示。母個貫驗係檢驗四個樣本& = 4)。相較 1IL-1抑制軟骨基質中第^和IX ujol JP 1998)及減少蛋白多醣 87 201238973 (proteoglycan)之合成。已證實其存在於〇A關節中。因 此測定分化的BMSC中IL-1處理對標記蛋白:膠原蛋 白II、蛋白多糖、Sox9和膠原蛋白X表現量之效應。 為了研究IL-1之效應,在實驗V22和V23中製備 另外的樣本,其中細胞係另外以細胞激素〗L-l處理。 如早先所述,製備BMSC團狀培養。分化7天後(如前 面所述)’將團塊另於無TGF及在〇.〇5 ng/ml IL-1 (R&D Systems)存在下下培養。從團狀培養開始後2星期,以 IL-1刺激7天後,萃取RNA。於IL-1刺激期間,收集 2星期的上清液(總培養期3星期)。 IL-1處理對mir-22敲減之效應係如圖5 A-D所示。 相較於對照組細胞所測的表現量,因IL-1處理,膠原 蛋白II、蛋白多糖、Sox9和膠原蛋白X表現量稍微增 加。然而,此增加量低於無IL-1時所增加的表現量(參 見上文實例2和圖4),其顯示部分反向的mir-22敲減 效應。 圖6係進一步說明相較於未處理的對照組,因 mir-22過度表現或敲減,四種標記蛋白:膠原蛋白π、 蛋白多糖、Sox9和膠原蛋白X表現量變化之百分比 (A),以及IL-1處理對mir-22敲除之效應(B)。 【圖式簡單說明】 圖la :培養期間,軟骨細胞團中mir-22表現。 圖lb :培養期間,軟骨細胞團中mir_22、mir-140、 mir-146a 和 mir-199a 之表現。 88 201238973 圖2 :培養期間,間葉幹細胞團中mir-22表現。 圖3 :於三個不同的實驗中,mir-22過度表現對三 種標記基因和1種標記蛋白之效應:膠原蛋白H (A); 蛋白多糖(Β) ; Sox9(C);膠原蛋白 x(D) ; CD-RAP (Ε)。The effect of the performance (Pujol JP sugar, S〇X9, collagen Χ and CD-RAP) is shown in Ε. The parental test system tested four samples & = 4). Compared with 1IL-1, it inhibited the synthesis of the second and IX ujol JP 1998) and decreased the synthesis of proteoglycan 87 201238973 (proteoglycan). It has been confirmed to be present in the 〇A joint. Therefore, the effect of IL-1 treatment on the expression levels of the marker proteins: collagen II, proteoglycan, Sox9 and collagen X in differentiated BMSCs was determined. To investigate the effect of IL-1, additional samples were prepared in experiments V22 and V23, in which the cell lines were additionally treated with cytokine L-1. BMSC pellet culture was prepared as described earlier. After 7 days of differentiation (as described above), the pellet was cultured in the absence of TGF and in the presence of 〇.〇5 ng/ml IL-1 (R&D Systems). Two weeks after the start of the agglomeration, RNA was extracted after stimulation with IL-1 for 7 days. During the IL-1 stimulation, the supernatant was collected for 2 weeks (total culture period of 3 weeks). The effect of IL-1 treatment on mir-22 knockdown is shown in Figures 5A-D. The amount of collagen II, proteoglycan, Sox9, and collagen X was slightly increased by IL-1 treatment compared to the amount of expression measured by the control cells. However, this increase was lower than the increased amount of expression without IL-1 (see Example 2 and Figure 4 above), which shows a partially reversed mir-22 knockdown effect. Figure 6 is a graph further showing the percentage change in the amount of expression of four marker proteins: collagen π, proteoglycan, Sox9 and collagen X (A) due to overexpression or knockdown of mir-22 compared to the untreated control group. And the effect of IL-1 treatment on mir-22 knockout (B). [Simple description of the diagram] Figure la: mir-22 expression in the chondrocyte mass during culture. Figure lb: Performance of mir_22, mir-140, mir-146a and mir-199a in the chondrocyte mass during culture. 88 201238973 Figure 2: mir-22 expression in mesenchymal stem cell mass during culture. Figure 3: Overexpression of mir-22 on three marker genes and one marker protein in three different experiments: collagen H (A); proteoglycan (Β); Sox9 (C); collagen x ( D); CD-RAP (Ε).

圖4 :於三個不同的實驗中,mir-22敲減對三種標 記基因和1種標記蛋白之表現量的效應:膠原蛋白IIFigure 4: Effect of mir-22 knockdown on the expression of three marker genes and one marker protein in three different experiments: Collagen II

(A);蛋白多糖(b) ; Sox9 (C);膠原蛋白 X(D) ; CD-RAP (E)。 圖5 :於三個不同的實驗中,在的存在下, mir-22敲減對三種標記基因和1種標記蛋白之表現量的 效應:膠原蛋白11(A);蛋白多糖(B) ; Sox9(C);膠原蛋 白 X(D)。 ' 圖6 :三種標記基因和1種標記蛋白回應mir_22過 度表現或敲減之表現量的相對變化(A),及IL-Ιβ處理對 mir-22敲減之效應(B)。 序列表-自由文本資料 SEQ ID NO : 1智人 mir22 莖環序列 hsa-mir-22(登錄號:MI0000078) SEQ ID NO · 2 hsa-miR-22(登 錄 號 . MIMAT0000077) SEQ ID NO : 3 hsa-miR-22*(登錄號 : MIMAT0004495) 參考文獻 1. Grosshans et al., J Cell Biol 156 · 17-21 (2〇〇2) 89 201238973 2. Czech, NEJM 354:1194-1195 (2006); 3. Mack,Nature Biotech. 25:631-638 (2007); 4. Eulalio et al., Cell 132:9-14 (2008) 5. Yi, et al. Genes Dev. 17 · 3011-3016 (2003) 6. Leuenberger et al., Helvetica Chimica Acta, CH-4010 Basel, Switzerland (1995) 7. Uhlmann and Peyman, Chemical Reviews, 90, 543-584 (1990) 8. Jayasena, Clin. Chem., 45, 1628-50 (1969) 9. Klug and Famulok, Mol. Biol. Rep., 20, 97-107 (1994) 10. US 5,582,981 11. Nolte et al., Nat. Biotechnol., 14, 1116-9 (1996) 12. Klussmann et al.,Nat. Biotechnol.,14,1112-5 (1996) 13. Beigelman et al·,Nucleic Acids Res· 23:3989-94 (1995) 14. WO 95/11910 15. WO 98/37240 16. WO 97/29116 17. Beigelman et al., Nucleic Acids Res. 23:3989-94 (1995) 18. Griffiths-Jones et al., Nucleic Acids Research, 36, Database Issue, D154-D158 (2008) 90 201238973 19. Griffiths-Jones et al., Nucleic Acids Research, 34, Database Issue,D140-D144 (2006) 20. Griffiths-Jones, Nucleic Acids Research, 32, Database Issue, D109-D111 (2004) 21. Lagos-Quintana et al.,Science. 294:853-858 (2001) 22. Michael et al., Cancer Res. 1:882-891 (2003) 23. Cai et al., Proc Natl Acad Sci USA. 102:5570-5575 (2005) 24. Landgraf et al., Cell. 129:1401-1414(2007) 25. Karlin & Altschul,Proc. Natl. Acad. Sci. USA 90 : 5873-5877 (1993) 26. Thompson et al·, Nucleic Acids Res. 22, 4673-80 (1994) 27. Altschul et al., J. Mol. Biol. 215 : 403-410 (1990) 28. Altschul et al.,Nucleic Acids Res. 25 : 3389-3402 (1997) 29. Brudno, Bioinformatics 2003b, 19 Suppl 1:154-162 30. Current Protocols in Molecular Biology, John Wiley & Sons, N.Y., 6.3.1-6.3.6, (1991) 31. Martin, Remington's Pharmaceutical Sciences 32. EP 0 368 684 B1 33. US 4,816,567 34. US 4,816,397 91 201238973 35. WO 88/01649 36. WO 93/06213 37. WO 98/24884 38. Beste etal.,Proc. Natl. Acad. Sci. USA,96, 1898-1903 (1999) 39. Skerra,Biochim. Biophys. Acta, 1482,337-50 (2000) 40. Skerra, Mol. Recognit., 13, 167-187 (2000) 41. Lindemann et al.,Mol. Med·, 3, 466-76 (1997) 42. Springer et al·,Mol. Cell·,2, 549-58 (1988) 43. Alexander and Akhurst, Hum. Mol. Genet. 4:146-a79-85 (1995) 44. Feigner et al.,Proc. Natl. Acad. Sci USA, 84, 7413 . 7414 (1987) 45. Behr et al” Proc. Natl. Acad. Sci. USA, 86, 6982-6986 (1989) 46. Zhao and Huang, Biochim. Biophys. Acta, 1189, 195-203 (1994) 47. Feigner et al., J. Biol. Chem., 269, 2550-2561 (1994) 48. Schwartz et al., Gene Therapy 6:282(1999) 49. Branden et al., Nature Biotech., 17, 784 (1969) 50. Planck et al., J. Biol. Chem., 269, 12918 (1994) 51. Kichler et al., Bioconj. Chem, 8, 213 (1997) 92 201238973 52. Wang et al., J. Invest. Dermatol. 112:775-81 (1999) 53. Tuting et al., J. Invest. Dermatol. 111:183-8 (1998) 54. EP 0 944 398 A1 55. EP 0 916 336 A1 56. EP 0 889 723 A1 57. EP 0 852 493 A1 58. Diamond et al” The New England Journal of Medicine : 1344-1349 (1981) 59. Winter and Milstein, Nature, 349, 293-299 (1991) 60. Zheng and Kemeny, Clin. Exp. Immunol., 100, 380-2(1995) 61. Nellen and Lichtenstein, Trends Biochem. Sci., 18, 419-23 (1993) 62. Stein, Leukemia, 6, 697-74 (1992) 63. Yacyshyn et al., Gastroenterology, 114, 1142 (1998) 64· Elbashir et al., Genes Dev.,15, 188 (2001) 65. Elbashir et al.,Nature, 411,494 (2001) 66. Amarzguioui et al., Cell. Mol. Life Sci., 54, 1175-202 (1998) 67. Vaish et al., Nucleic Acids Res., 26, 5237-42 (1998) 68. Persidis, Nat. Biotechnol., 15, 921-2 (1997) 93 201238973 69. Couture and Stinchcomb, Trends Genet., 12, 510-5 (1996) 94 201238973 序列表 <11 〇>賽諾菲公司 <120>關節疾病之miRNAs( —) <130> DE2010/287 <160> 3 <170> BiSSAP 1.0 <210> 1 <211> 85 <212> RNA <213>智人 <220〉 <221〉來源 <222> 1..85 <223〉/分子_類型="RNA" /生物體="智人" <400〉 1 ggcugagccg caguaguucu ucaguggcaa gcuuuauguc cugacccagc uaaagcugcc 60 aguugaagaa cuguugcccu cugcc 85 <210> 2 <211> 22 <212> RNA <213>智人 <220〉 <221>來源 <222〉 1..22(A); proteoglycan (b); Sox9 (C); collagen X (D); CD-RAP (E). Figure 5: Effect of mir-22 knockdown on the expression levels of three marker genes and one marker protein in three different experiments: collagen 11 (A); proteoglycan (B); Sox9 (C); Collagen X (D). Figure 6: Relative changes in the performance of three marker genes and one marker protein in response to mir_22 overexpression or knockdown (A), and the effect of IL-Ιβ treatment on mir-22 knockdown (B). Sequence Listing - Free text data SEQ ID NO: 1 Homo sapiens mir22 Stem loop sequence hsa-mir-22 (Accession number: MI0000078) SEQ ID NO · 2 hsa-miR-22 (Accession No. MIMAT0000077) SEQ ID NO : 3 hsa -miR-22* (accession number: MIMAT0004495) References 1. Grosshans et al., J Cell Biol 156 · 17-21 (2〇〇2) 89 201238973 2. Czech, NEJM 354: 1194-1195 (2006); 3. Mack, Nature Biotech. 25:631-638 (2007); 4. Eulalio et al., Cell 132:9-14 (2008) 5. Yi, et al. Genes Dev. 17 · 3011-3016 (2003) 6. Leuenberger et al., Helvetica Chimica Acta, CH-4010 Basel, Switzerland (1995) 7. Uhlmann and Peyman, Chemical Reviews, 90, 543-584 (1990) 8. Jayasena, Clin. Chem., 45, 1628- 50 (1969) 9. Klug and Famulok, Mol. Biol. Rep., 20, 97-107 (1994) 10. US 5,582,981 11. Nolte et al., Nat. Biotechnol., 14, 1116-9 (1996) 12 Klussmann et al., Nat. Biotechnol., 14, 1112-5 (1996) 13. Beigelman et al., Nucleic Acids Res 23: 3989-94 (1995) 14. WO 95/11910 15. WO 98/37240 16. WO 97/29116 17. Beigelman et al., Nucleic Acids Res. 23:3989-94 (1995) 18. Griffiths-Jones et al., Nucleic Acids Research, 36, Database Issue, D154-D158 (2008) 90 201238973 19. Griffiths-Jones et al., Nucleic Acids Research, 34, Database Issue, D140-D144 (2006) 20. Griffiths-Jones, Nucleic Acids Research, 32, Database Issue, D109-D111 (2004) 21. Lagos-Quintana et al., Science. 294: 853-858 (2001) 22. Michael et al., Cancer Res. 1:882-891 (2003) 23. Cai et al., Proc Natl Acad Sci USA. 102:5570-5575 (2005) 24. Landgraf et al., Cell. 129:1401-1414 (2007) 25 Karlin & Altschul, Proc. Natl. Acad. Sci. USA 90: 5873-5877 (1993) 26. Thompson et al., Nucleic Acids Res. 22, 4673-80 (1994) 27. Altschul et al., J Mol. Biol. 215: 403-410 (1990) 28. Altschul et al., Nucleic Acids Res. 25: 3389-3402 (1997) 29. Brudno, Bioinformatics 2003b, 19 Suppl 1:154-162 30. Current Protocols In Molecular Biology, John Wiley & Sons, NY, 6.3.1-6.3.6, (1991) 31. Martin, Remington's Pharmaceutical Sciences 32. EP 0 368 684 B1 33. US 4,816,567 34. US 4,816,3 97 91 201238973 35. WO 88/01649 36. WO 93/06213 37. WO 98/24884 38. Beste et al., Proc. Natl. Acad. Sci. USA, 96, 1898-1903 (1999) 39. Skerra, Biochim Biophys. Acta, 1482, 337-50 (2000) 40. Skerra, Mol. Recognit., 13, 167-187 (2000) 41. Lindemann et al., Mol. Med·, 3, 466-76 (1997) 42. Springer et al., Mol. Cell., 2, 549-58 (1988) 43. Alexander and Akhurst, Hum. Mol. Genet. 4: 146-a79-85 (1995) 44. Feigner et al., Proc Natl. Acad. Sci USA, 84, 7413 . 7414 (1987) 45. Behr et al” Proc. Natl. Acad. Sci. USA, 86, 6982-6986 (1989) 46. Zhao and Huang, Biochim. Biophys. Acta, 1189, 195-203 (1994) 47. Feigner et al., J. Biol. Chem., 269, 2550-2561 (1994) 48. Schwartz et al., Gene Therapy 6:282 (1999) 49. Branden Et al., Nature Biotech., 17, 784 (1969) 50. Planck et al., J. Biol. Chem., 269, 12918 (1994) 51. Kichler et al., Bioconj. Chem, 8, 213 (1997) 92 201238973 52. Wang et al., J. Invest. Dermatol. 112:775-81 (1999) 53. Tuting et al., J. Invest. Dermatol. 111:183-8 (1998) 54. EP 0 944 398 A1 55. EP 0 916 336 A1 56. EP 0 889 723 A1 57. EP 0 852 493 A1 58. Diamond et al” The New England Journal of Medicine : 1344-1349 (1981) 59. Winter and Milstein, Nature, 349, 293-299 (1991) 60. Zheng and Kemeny, Clin. Exp. Immunol., 100, 380-2 (1995) 61. Nellen and Lichtenstein, Trends Biochem. Sci., 18, 419-23 (1993) 62. Stein, Leukemia, 6, 697-74 (1992) 63. Yacyshyn et al., Gastroenterology, 114, 1142 (1998) 64· Elbashir et al., Genes Dev., 15, 188 (2001) 65. Elbashir Et al., Nature, 411, 494 (2001) 66. Amarzguioui et al., Cell. Mol. Life Sci., 54, 1175-202 (1998) 67. Vaish et al., Nucleic Acids Res., 26, 5237 -42 (1998) 68. Persidis, Nat. Biotechnol., 15, 921-2 (1997) 93 201238973 69. Couture and Stinchcomb, Trends Genet., 12, 510-5 (1996) 94 201238973 Sequence Listing <11 〇 > Sanofi <120> miRNAs of joint diseases (-) <130> DE2010/287 <160> 3 <170> BiSSAP 1.0 <210> 1 <211> 85 <212> RNA <213> Homo sapiens <220> &l t;221>Source<222> 1..85 <223>/Molecule_Type="RNA" /Body ="Homo sapiens"<400> 1 ggcugagccg caguaguucu ucaguggcaa gcuuuauguc cugacccagc uaaagcugcc 60 aguugaagaa cuguugcccu Cugcc 85 <210> 2 <211> 22 <212> RNA <213> Homo sapiens <220>221>Source<222>

<223〉/分子_類型="RNA 201238973 /生物體="智人" <400〉 2 aagcugccag uugaagaacu gu 22 <210〉 3 <211> 22 <212> RNA <213>智人 <220〉 <221>來源 <222> 1..22 <223〉/分子_類型=" /生物體="智人” <400〉 3 aguucuucag uggcaagcuu ua 22 2<223>/Molecule_Type="RNA 201238973/Organization="Homo sapiens"<400〉 2 aagcugccag uugaagaacu gu 22 <210> 3 <211> 22 <212> RNA <213&gt Homo sapiens <220> <221>Source<222> 1..22 <223>/Molecule_Type=" /Body ="Homo sapiens<400> 3 aguucuucag uggcaagcuu ua 22 2

Claims (1)

201238973 七、申請專利範圍: 1. 一種用作組織狀態或疾病指標之Mir_22。 2. —種Mir-22作為組織狀態或疾病指標之用途。 3. —種在個體中測定下列的方法, (a) 組織狀態改變或疾病存在,及/或 (b) 發生組織狀態改變或疾病之風險,及/或 (c) 監測組織狀態或疾病之進展或階段,其包括偵測 mir-22 之量。 4 · 一種測定用於個體中改變組織狀態或預防或治療疾 病之醫藥劑量之方法,其包括下列步驟 (a) 測定個體樣本中mir_22之量,及視需要測定參照物 或參照樣本中mir-22之量,用於與相關樣本中的 mir-22量作比較,及 (b) 依照相關樣本中mir_22之量,視需要依照相關樣本 和參照物或參照樣本中mir_22之量的比較,決定醫藥 劑量。 5. —種,整用於組織狀態改變或預防或治療關節疾病 之醫藥劑量之方法,其包括下列步驟: (a) 測定樣本中mir-22之量,及 (b) 測定—或多個參照物或參照樣本中mir-22之量, (C)檢驗試驗樣本關於存在該相關樣本中mir-22之量 201238973 是否與一或多個參照物或參照樣本中mir-22之量不 同,及 (d)依照相關樣本中mir-22之量是否與一或多個參照 物或參照樣本中之量不同,調整醫藥劑量。 6. —種測定物質對組織狀態或疾病發生之有利及/或有害 效應之方法,其包括下列步驟: (a) 測定相關樣本中mir-22之量, (b) 測定一或多個參照物或參照樣本中mir-22之量,及 (c) 檢驗相關樣本關於存在該相關樣本中mir-22之ι 是否與一或多個參照物或參照樣本中之量不同, 其中該相關樣本暴露於該物質之方式係與一或多個 參照物或參照樣本不同。 7. —種mir-22於如申請專利範圍第3至6項中任一項之方 法中的用途。 8. —種用於如申請專利範圍第3至6項中任一項之方法中 的套組,其包括一或多種偵測mir-22工具。 9. 一種如申請專利範圍第8項之套組之用途,係用於如申 請專利範圍第3至6項中任一項之方法。 201238973 10. —或多種用於偵測mir-22基因、基因產物或其功能活 性變體之核酸,係用於如申請專利範圍第3至6項中任 一項之方法。 11. 一種用於偵測mir-22基因、基因產物或其功能活性變 體之胜肽、多肽或蛋白,係用於如申請專利範圍第3 至6項中任一項之方法。 12. —種如申請專利範圍第10項之核酸或如申請專利範 圍第11項之胜肽、多肽或蛋白之用途,係用於如申請 專利範圍第3至6項中任一項之方法。 13. —種mir-22或mir-22基因或其功能活性變體作為供 找出mir-22拮抗劑之目標分子的用途。 14. 一種篩選mir-22拮抗劑之方法,其中該方法包括下 列步驟: ⑻提供mir-22或mir-22基因, (b) 提供試驗化合物,及 (c) 測量或彳貞測試,驗化合物對mir-22或mir-22基因之 影響。 15. —種用於改變組織狀態或預防或治療關節疾病之 mir-22拮抗劑。 201238973 16. —種包括mir-22拮抗劑之醫藥,係用於預防或治療 關節疾病,較佳為發炎性關節疾病。 17. —種改變組織狀態或預防或治療關節疾病之方法, 其中係將一治療上有效量之如申請專利範圍第15項 之拮抗劑,或如申請專利範圍第16項之醫藥投予處 於發生關節疾病風險之個體或罹患關節疾病之個201238973 VII. Scope of application for patent: 1. A kind of Mir_22 used as a tissue state or disease indicator. 2. Use of Mir-22 as a tissue status or disease indicator. 3. The following methods are determined in an individual, (a) changes in tissue status or disease, and/or (b) risk of tissue state changes or disease, and/or (c) monitoring of tissue status or disease progression Or stage, which includes detecting the amount of mir-22. 4. A method for determining a medical dose for altering tissue status or preventing or treating a disease in an individual, comprising the steps of: (a) determining the amount of mir_22 in an individual sample, and optionally determining a reference or reference sample in mir-22 The amount is used to compare the amount of mir-22 in the relevant sample, and (b) according to the amount of mir_22 in the relevant sample, the medical dose is determined according to the comparison of the amount of mir_22 in the relevant sample and the reference or reference sample as needed. . 5. A method of using a medical dosage for tissue state change or for preventing or treating a joint disease, comprising the steps of: (a) determining the amount of mir-22 in the sample, and (b) determining - or multiple references The amount of mir-22 in the sample or reference sample, (C) test the test sample for the presence of the amount of mir-22 in the relevant sample 201238973 is different from the amount of mir-22 in one or more reference or reference samples, and d) Adjust the medical dose according to whether the amount of mir-22 in the relevant sample is different from the amount in one or more reference or reference samples. 6. A method of determining the beneficial and/or deleterious effects of a substance on the state of a tissue or disease, comprising the steps of: (a) determining the amount of mir-22 in the relevant sample, and (b) determining one or more reference species Or refer to the amount of mir-22 in the sample, and (c) test whether the relevant sample is different from the amount in one or more of the reference or reference samples in the presence of the mir-22 in the relevant sample, wherein the relevant sample is exposed to The manner of the substance is different from one or more of the reference or reference samples. 7. Use of mir-22 in a method as claimed in any one of claims 3 to 6. 8. A kit for use in a method according to any one of claims 3 to 6, which comprises one or more detection mir-22 tools. 9. The use of a kit as set forth in claim 8 for use in the method of any one of claims 3 to 6. A method for detecting a mir-22 gene, a gene product, or a functionally active variant thereof, for use in a method according to any one of claims 3 to 6. A peptide, polypeptide or protein for detecting a mir-22 gene, a gene product or a functionally active variant thereof, for use in a method according to any one of claims 3 to 6. 12. The use of a nucleic acid as claimed in claim 10 or a peptide, polypeptide or protein according to claim 11 of the patent application, for use in the method of any one of claims 3 to 6. 13. Use of the mir-22 or mir-22 gene or a functionally active variant thereof as a target molecule for the discovery of a mir-22 antagonist. 14. A method of screening for a mir-22 antagonist, wherein the method comprises the steps of: (8) providing a mir-22 or mir-22 gene, (b) providing a test compound, and (c) measuring or testing a test compound The effect of the mir-22 or mir-22 genes. 15. A mir-22 antagonist for use in altering tissue status or preventing or treating joint disease. 201238973 16. A medicine comprising a mir-22 antagonist for preventing or treating a joint disease, preferably an inflammatory joint disease. 17. A method of altering tissue status or preventing or treating a joint disease, wherein a therapeutically effective amount of an antagonist as in claim 15 of the patent application, or a pharmaceutical administration as in claim 16 of the patent application is in the process of occurrence Individuals at risk of joint disease or those suffering from joint disease
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