TW201733599A - Medicines for inflammatory diseases - Google Patents

Medicines for inflammatory diseases Download PDF

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TW201733599A
TW201733599A TW106105119A TW106105119A TW201733599A TW 201733599 A TW201733599 A TW 201733599A TW 106105119 A TW106105119 A TW 106105119A TW 106105119 A TW106105119 A TW 106105119A TW 201733599 A TW201733599 A TW 201733599A
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cells
aforementioned
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後藤重則
木村佳司
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醫療法人社團滉志會
邁世耐特股份有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/46Cellular immunotherapy
    • A61K39/462Cellular immunotherapy characterized by the effect or the function of the cells
    • A61K39/4621Cellular immunotherapy characterized by the effect or the function of the cells immunosuppressive or immunotolerising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/46Cellular immunotherapy
    • A61K39/461Cellular immunotherapy characterised by the cell type used
    • A61K39/4613Natural-killer cells [NK or NK-T]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/46Cellular immunotherapy
    • A61K39/464Cellular immunotherapy characterised by the antigen targeted or presented
    • A61K39/4643Vertebrate antigens
    • A61K39/46433Antigens related to auto-immune diseases; Preparations to induce self-tolerance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2239/00Indexing codes associated with cellular immunotherapy of group A61K39/46
    • A61K2239/31Indexing codes associated with cellular immunotherapy of group A61K39/46 characterized by the route of administration

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  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)

Abstract

The present invention addresses the problem of providing a treatment for inflammatory disease, in particular, a method and a drug for alleviating the symptoms associated with ulcerative colitis. Cytoimmunotherapy is also used for patients suffering from inflammatory disease.

Description

以發炎性疾病為對象之醫藥 Medicine for inflammatory diseases

本發明係關於以發炎性疾病為對象之醫藥。 The present invention relates to medicines for inflammatory diseases.

目前,作為癌免疫細胞治療,係盛行1)樹狀細胞疫苗療法、2)NK細胞療法、3)γδT細胞療法、4)αβT細胞療法、5)細胞傷害性T細胞(CTL)療法等(專利文獻1及非專利文獻1)。 At present, as a cancer cell immune therapy, 1) dendritic cell vaccine therapy, 2) NK cell therapy, 3) γδT cell therapy, 4) αβ T cell therapy, 5) cytotoxic T cell (CTL) therapy, etc. Document 1 and Non-Patent Document 1).

所謂的樹狀細胞疫苗療法,係使自末梢血液中之單球分化出之樹狀細胞(Dendritic Cells:DC)吞噬成為其標的之癌細胞並送回至體內,使其作為擔負將癌或病原體的標記(抗原)傳遞至具傷害癌細胞之能力的細胞(主要為T細胞)或持有抗體產生機能的B細胞之角色之「抗原提呈細胞(Antigen Presenting Cell:APC)」而發揮功能,藉此治療癌之方法。 The so-called dendritic cell vaccine therapy phagocytizes the dendritic cells (Dendritic Cells: DC) differentiated from the single blood in the peripheral blood into the target cancer cells and sends them back to the body to serve as cancer or pathogens. The label (antigen) functions as a cell (mainly a T cell) that has the ability to damage cancer cells or an "antigen presenting cell (APC)" that has the role of an antibody-producing B cell. This is a method of treating cancer.

所謂的NK(Natural Killer)細胞療法,係使用IL-2等複數刺激物質使末梢血液中所包含之NK細胞等傷害異常細胞之能力較高的細胞活化、增殖並送回至體 內,而治療癌之方法。NK細胞為擔負自然免疫系統之淋巴球之1種,其具有較強的細胞傷害能力,特定而言,具有識別並殺傷MHC class I分子表現降低或消失的細胞之機制、以及作為抗體依存性細胞傷害(ADCC)中之主要的效應細胞而發揮功能等,因而對拒絕腫瘤細胞或病毒感染細胞而言屬重要的細胞。 The so-called NK (Natural Killer) cell therapy uses a complex stimulating substance such as IL-2 to activate, proliferate, and return the cells having high ability to damage abnormal cells such as NK cells contained in the peripheral blood. Inside, and the method of treating cancer. NK cells are one type of lymphocytes that bear the natural immune system. They have strong cytotoxicity, specifically, mechanisms for recognizing and killing cells whose MHC class I molecules are reduced or disappeared, and as antibody-dependent cells. A major effector cell in injury (ADCC) functions as a function, and thus is an important cell for rejecting tumor cells or virus-infected cells.

γδT細胞為擔負被稱為淋巴球壓力(細胞傷害)監視機制(lymphoid stress-surveillance)之生體防禦反應之中心性細胞,所謂的γδT細胞療法,係使自患者採血而得之末梢血液中少量存在(1~5%)之持有γδ型T細胞受體(Vγ9Vδ2受體)之γδT細胞選擇性地增殖,並送回至體內之治療法。γδT細胞可獲得在不依存於αβT細胞所識別之「抗原」之情形下,藉由識別在癌細胞表面比較共通表現之分子等而殺傷癌之「抗原非特異性」抗腫瘤效果。 γδT cells are central cells responsible for the biological defense response known as lymphoid stress-surveillance. The so-called γδT cell therapy is a small amount of blood in the peripheral blood obtained from the patient. There are (1 to 5%) γδ T cells holding the γδ-type T cell receptor (Vγ9Vδ2 receptor) which selectively proliferate and are returned to the body for treatment. The γδT cells can obtain an "antigen non-specific" antitumor effect of killing cancer by recognizing molecules that are commonly expressed on the surface of cancer cells without depending on the "antigen" recognized by the αβ T cells.

所謂的αβT細胞療法,係將末梢血液中所包含之淋巴球使用介白素-2(IL-2)及抗CD3抗體進行培養約2週,使其整體活化/增殖之後送回至體內之治療法。末梢血液之T淋巴球多半為持有αβ型T細胞受體(T Cell Receptor:TCR)之αβT細胞,即是說經增殖之細胞多數亦為αβT細胞。αβT細胞係由上述樹狀細胞等提呈抗原,並對持有該抗原之細胞加以攻擊。 The so-called αβ T cell therapy is a method in which the lymphocytes contained in the peripheral blood are cultured for about 2 weeks using interleukin-2 (IL-2) and an anti-CD3 antibody, and the whole is activated/proliferated and returned to the body for treatment. law. The T lymphocytes of the peripheral blood are mostly αβT cells holding the αβ type T cell receptor (T Cell Receptor: TCR), that is, the proliferating cells are mostly αβ T cells. The αβ T cell line presents an antigen by the above dendritic cells or the like, and attacks the cells holding the antigen.

細胞傷害性T細胞(CTL)療法為藉由在體外使用癌細胞刺激末梢血液單核球中之T細胞而誘導細胞 傷害性T細胞(CTL),並送回至體內之治療法。癌細胞本身係扮演作為抗原提呈細胞(APC)之角色,能夠有效率地增加持有對自身的癌之攻擊能力之細胞傷害性T細胞(CTL)。 Cytotoxic T cell (CTL) therapy induces cells by stimulating T cells in peripheral blood mononuclear cells using cancer cells in vitro Injury T cells (CTL) are returned to the body for treatment. Cancer cells themselves act as antigen-presenting cells (APCs) and can efficiently increase cytotoxic T cells (CTLs) that possess the ability to attack cancers of their own.

免疫細胞治療相較於以往的外科治療、放射線治療、化學治療之三大療法而言具有幾乎無副作用之優點,已作為第4種癌治療法對實際的肺癌患者當作先進醫療進行施用。 Compared with the previous three treatments of surgical treatment, radiation therapy, and chemotherapy, immune cell therapy has almost no side effects, and has been applied as an advanced medical treatment to actual lung cancer patients as a fourth cancer treatment method.

〔先前技術文獻〕 [Previous Technical Literature] 〔專利文獻〕 [Patent Document]

[專利文獻1]國際公開第2006/006720號小冊 [Patent Document 1] International Publication No. 2006/006720

[非專利文獻1] MEDINET網頁 [Non-Patent Document 1] MEDINET Website

http://www.medinet-inc.co.jp/english/service/technology.html Http://www.medinet-inc.co.jp/english/service/technology.html

作為本案發明者之醫師等人為將上述癌免疫細胞療法實際施用於患者之臨床醫師等人。本案發明者等人進行經施行癌免疫療法之患者的症狀的經時觀察之後,發現潰瘍性大腸炎發病之患者的症狀係緩和減輕。 The physician or the like as the inventor of the present invention is a clinician or the like who actually applies the cancer immunocytotherapy to the patient. When the inventors of the present invention performed the observation of the symptoms of the patient who performed the cancer immunotherapy, it was found that the symptoms of the patient with the onset of ulcerative colitis were alleviated.

即,本案發明之目的為免疫細胞治療之另一用途,擴 大適應症至發炎性疾病,特定而言,潰瘍性大腸炎。 That is, the object of the present invention is another use of immune cell therapy, From large indications to inflammatory diseases, in particular, ulcerative colitis.

所謂的發炎性疾病,係指伴隨著發炎性細胞介素的過剩生成之疾病。作為發炎性細胞介素,有IL-1、IL-6、IL-8、IL-12、IL-18、腫瘤壞死因子(TNFα/β)等。 The term "inflammatory disease" refers to a disease accompanied by an excessive production of inflammatory interleukins. Examples of inflammatory interleukins include IL-1, IL-6, IL-8, IL-12, IL-18, and tumor necrosis factor (TNFα/β).

從而,所謂的發炎性疾病,雖然並不限定於此,但克隆氏症(Crohn's disease)、類風濕性關節炎、乾癬(包含尋常性乾癬、關節症性乾癬、膿疱性乾癬、乾癬性紅皮症)、強直性脊椎炎、潰瘍性大腸炎、貝西氏症(Behcet's disease)所引發之難治性網膜葡萄膜炎等係符合於此。 Therefore, the so-called inflammatory disease is not limited thereto, but Crohn's disease, rheumatoid arthritis, and dryness (including cognac vulgaris, joint dryness, pustular dryness, dry red skin) Symptoms, ankylosing spondylitis, ulcerative colitis, and refractory omental uveitis caused by Behcet's disease are consistent with this.

所謂的發炎性腸疾病(IBD:inflammatory bowel disease),係包含克隆氏症及潰瘍性大腸炎,其係以引起下痢及腹痛之消化管各部的慢性發炎為特徵之反覆復發及緩解之病態。 The so-called inflammatory bowel disease (IBD) includes Crohn's disease and ulcerative colitis, which is characterized by recurrence and remission of chronic inflammation of the digestive tract that causes diarrhea and abdominal pain.

發炎係由於消化管黏膜中之細胞性免疫反應而產生。針對病因雖不明,但在免疫反應中,係牽涉到細胞介素、介白素、腫瘤壞死因子(TNF)、及脂質媒介物等發炎媒介物的釋放。 Inflammation is caused by a cellular immune response in the mucosa of the digestive tract. Although the cause is unknown, in the immune response, the release of inflammatory mediators such as interleukins, interleukins, tumor necrosis factor (TNF), and lipid mediators is involved.

<潰瘍性大腸炎> <ulcerative colitis>

所謂的潰瘍性大腸炎(UC:Ulcerative colitis),係 在大腸的黏膜中出現糜爛或潰瘍之大腸的發炎性疾病。作為特徵性症狀,係發生伴隨著或未伴隨著下血之下痢及腹痛。病變有從直腸連續性地並且上行性地擴展之性質,最大從直腸擴展至結腸整體。潰瘍性大腸炎係藉由病變的擴展或經過而如下述般加以分類。 The so-called ulcerative colitis (UC: Ulcerative colitis) An inflammatory disease of the large intestine that is eroded or ulcerated in the mucosa of the large intestine. As a characteristic symptom, it is accompanied by or not accompanied by sputum and abdominal pain under the blood. The lesion has the property of extending continuously and ascending from the rectum, maximally extending from the rectum to the colon as a whole. Ulcerative colitis is classified as follows by expansion or passage of lesions.

1)經由病變的擴展之分類:全大腸炎、左側大腸炎、直腸炎 1) Classification through the expansion of lesions: colitis, left colitis, proctitis

2)病期之分類:活動期、緩解期 2) Classification of the disease period: active period, remission period

3)經由重症度之分類:輕症、中等症、重症、激症 3) Classification by severity: mild, moderate, severe, inflammatory

4)經由臨床經過之分類:再燃緩解型、慢性持續型、急性激症型、初次發作型 4) Classification by clinical course: reburning remission type, chronic persistent type, acute irritability type, primary attack type

日本的潰瘍性大腸炎的患者數為約16萬人,從年幼者至高齡者皆會發病,看不出性別所造成之差異。關於潰瘍性大腸炎的原因,一般認為自體免疫反應的異常或飲食生活等為原因,但目前仍不明。 The number of patients with ulcerative colitis in Japan is about 160,000, and it will occur from young to old, and there is no difference in gender. Regarding the cause of ulcerative colitis, it is generally considered that the abnormality of autoimmune response or eating life is the cause, but it is still unknown.

若潰瘍性大腸炎發病,則可看出下痢或血便,有時伴隨著痙攣性或持續性腹痛。若演變成重症,則會發生發熱、體重減少、貧血等全身症狀。此外,有時亦會出現皮膚的症狀、關節或眼部的症狀作為腸管以外之併發症。 If ulcerative colitis occurs, it can be seen that sputum or bloody stools are sometimes accompanied by spastic or persistent abdominal pain. If it develops into a serious illness, systemic symptoms such as fever, weight loss, and anemia may occur. In addition, symptoms of the skin, joints or eye symptoms may sometimes occur as complications other than the intestinal tract.

對於潰瘍性大腸炎,可藉由例如5-胺基水楊酸藥(5-ASA)製藥的經口/從直腸投予、腎上腺皮質類固醇藥、血球成分去除療法、免疫調節藥/抑制藥、抗TNFα受體拮抗藥、抗TNFα抗體等內部治療法抑制腸的發炎而 改善症狀,但導致完全治好之方法並不存在。在於內科治療下症狀並未改善之情況,有時亦施行大腸全摘術等外科治療。 For ulcerative colitis, oral/retinal administration, adrenal corticosteroids, blood cell component removal therapy, immunomodulatory/inhibitory drugs, by pharmaceuticals such as 5-aminosalicylic acid (5-ASA), Internal treatments such as anti-TNFα receptor antagonists and anti-TNFα antibodies inhibit intestinal inflammation The symptoms are improved, but the method that leads to complete cure does not exist. In the case of medical treatment, the symptoms have not improved, and sometimes surgical treatment such as total enema is performed.

由於一般認為起因於細胞性免疫反應,故除了上述藥物療法/外科療法以外,亦使用血球成分去除療法(CAP療法)等作為非藥物療法之治療法。舉例而言,對於重症激症患者及難治性患者,亦應用去除顆粒球、單球之GCAP療法,對於類固醇治療抵抗性患者,亦應用白血球(顆粒球、單球及淋巴球)去除療法(LCAP療法)等,儘管取得一定的成果,但尚未確立普遍有效的治療法,而被指定為日本厚生勞動省的特定醫療疾病。 Since it is generally considered to be caused by a cellular immune response, in addition to the above-described drug therapy/surgical therapy, blood cell component removal therapy (CAP therapy) or the like is also used as a treatment for non-drug therapy. For example, for patients with severe septic disease and refractory patients, GCAP therapy for removing granules and single balls is also applied. For steroid-resistant patients, white blood cells (granule ball, single ball and lymphocyte) removal therapy (LCAP) is also applied. Therapy, etc., although it has achieved certain results, has not yet established a universally effective treatment, but has been designated as a specific medical disease in the Ministry of Health, Labor and Welfare of Japan.

本案發明者等人係除了經施行上述免疫細胞療法之患者的經時觀察以外,尚施行生化學參數的驗證,確認藉由與上述血球成分去除療法相反地將在體外增殖之免疫細胞送回至患者之免疫細胞療法,確實達到發炎性腸疾病的症狀的減輕緩和,遂完成本案發明。 The inventors of the present invention verified the biochemical parameters in addition to the time-lapse observation of the patient who performed the above-described immunocytotherapy, and confirmed that the immune cells proliferating in vitro were returned to the opposite to the above-described blood cell component removal therapy. The patient's immune cell therapy did achieve the alleviation of the symptoms of inflammatory bowel disease, and completed the invention.

從而,關於本發明,本發明之構成係如以下[1]至[29]。 Thus, with respect to the present invention, the constitution of the present invention is as follows [1] to [29].

[1]一種發炎性疾病治療用或預防用醫藥組成物,其係包含免疫細胞; [1] A pharmaceutical composition for treating or preventing an inflammatory disease, which comprises an immune cell;

[2]如[1]之醫藥組成物,其中,免疫細胞為淋巴球; [2] The pharmaceutical composition according to [1], wherein the immune cell is a lymphocyte;

[3]如[1]之醫藥組成物,其中,免疫細胞為經培養之淋巴球; [3] The pharmaceutical composition according to [1], wherein the immune cell is a cultured lymphocyte;

[4]如[3]之醫藥組成物,其中,淋巴球係以αβT細 胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分; [4] The pharmaceutical composition according to [3], wherein the lymphocyte system is composed of any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells;

[5]如[1]之醫藥組成物,其中,免疫細胞係源自末梢血液單核球; [5] The pharmaceutical composition according to [1], wherein the immune cell line is derived from a peripheral blood mononuclear sphere;

[6]如[1]~[5]中任一項之醫藥組成物,其中,發炎性疾病為發炎性腸疾病; [6] The pharmaceutical composition according to any one of [1] to [5] wherein the inflammatory disease is an inflammatory bowel disease;

[7]如[6]之醫藥組成物,其中,發炎性腸疾病為潰瘍性大腸炎; [7] The pharmaceutical composition according to [6], wherein the inflammatory bowel disease is ulcerative colitis;

[8]如[1]~[7]中任一項之醫藥組成物,其係與TNFα阻礙劑的投予共同地或接續地進行投予。 [8] The pharmaceutical composition according to any one of [1] to [7] which is administered in combination with the administration of a TNFα inhibitor.

[9]如[8]之醫藥組成物,其中,TNFα阻礙劑為抗TNFα抗體。 [9] The pharmaceutical composition according to [8], wherein the TNFα inhibitor is an anti-TNFα antibody.

[10]一種經單離之免疫細胞之用途,其係用於製造發炎性疾病治療用或預防用醫藥; [10] Use of an isolated immune cell for the manufacture of a medicament for the treatment or prevention of an inflammatory disease;

[11]如[10]之用途,其中,免疫細胞為經單離之淋巴球; [11] The use of [10], wherein the immune cells are isolated lymphocytes;

[12]如[11]之用途,其中,免疫細胞為經單離後,經培養之淋巴球; [12] The use of [11], wherein the immune cell is a lymphocyte that has been cultured after being isolated;

[13]如[12]之用途,其中,淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分; [13] The use of [12], wherein the lymphocyte system has as a main component of any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells;

[14]如[10]之用途,其中,免疫細胞係源自末梢血液單核球; [14] The use of [10], wherein the immune cell line is derived from a peripheral blood mononuclear sphere;

[15]如[10]~[14]中任一項之使用,其中,發炎性疾病 為發炎性腸疾病; [15] The use of any one of [10] to [14], wherein the inflammatory disease For inflammatory bowel disease;

[16]如[15]之用途,其中,發炎性腸疾病為潰瘍性大腸炎。 [16] The use of [15], wherein the inflammatory bowel disease is ulcerative colitis.

[17]一種發炎性疾病之治療或預防方法,其係包含將經單離之免疫細胞投予至患者; [17] A method of treating or preventing an inflammatory disease, comprising administering an isolated immune cell to a patient;

[18]如[17]之方法,其中,免疫細胞為淋巴球; [18] The method of [17], wherein the immune cell is a lymphocyte;

[19]如[17]之方法,其中,免疫細胞為經培養之淋巴球; [19] The method according to [17], wherein the immune cell is a cultured lymphocyte;

[20]如[19]之方法,其中,淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分; [20] The method according to [19], wherein the lymphocyte system has as a main component of any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells;

[21]如[17]之方法,其中,免疫細胞係源自末梢血液單核球; [21] The method of [17], wherein the immune cell line is derived from a peripheral blood mononuclear sphere;

[22]如[17]~[21]中任一項之方法,其中,發炎性疾病為發炎性腸疾病; [22] The method according to any one of [17], wherein the inflammatory disease is an inflammatory bowel disease;

[23]如[22]之方法,其中,發炎性腸疾病為潰瘍性大腸炎。 [23] The method according to [22], wherein the inflammatory bowel disease is ulcerative colitis.

[24]一種發炎性疾病之治療或預防方法,其係包含1)自患者單離出末梢血液單核球之步驟、2)將末梢血液單核球進行培養而獲得免疫細胞之步驟、以及3)將所獲得之免疫細胞投予至患者之步驟; [24] A method for treating or preventing an inflammatory disease, comprising the steps of: 1) a step of removing a peripheral blood mononuclear ball from a patient, 2) a step of culturing a peripheral blood mononuclear ball to obtain an immune cell, and 3 a step of administering the obtained immune cells to a patient;

[25]如[24]之方法,其中,免疫細胞為淋巴球; [25] The method of [24], wherein the immune cell is a lymphocyte;

[26]如[25]之方法,其中,淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分; [26] The method according to [25], wherein the lymphocyte system has as a main component of any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells;

[27]如[24]~[26]中任一項之方法,其中,發炎性疾病為發炎性腸疾病; [27] The method according to any one of [24], wherein the inflammatory disease is an inflammatory bowel disease;

[28]如[27]之方法,其中,發炎性腸疾病為潰瘍性大腸炎。 [28] The method according to [27], wherein the inflammatory bowel disease is ulcerative colitis.

[29]一種發炎性腸疾病治療劑或預防劑之製造方法,其係包括將所採取之末梢血液單核球進行培養而取得組成物所成,且該治療劑或預防劑係以該組成物作為有效成分。 [29] A method for producing a therapeutic or prophylactic agent for an inflammatory bowel disease, comprising culturing a peripheral blood mononuclear ball to obtain a composition, and the therapeutic or prophylactic agent is the composition As an active ingredient.

藉由使用本案發明,便能夠施行患者之QOL(Quality of Life)較高的發炎性疾病的治療、發炎的減輕緩和。 By using the present invention, it is possible to perform treatment and inflammation reduction of inflammatory diseases with high QOL (Quality of Life) of patients.

以下,針對用於實施本發明之形態進行說明。 Hereinafter, embodiments for carrying out the invention will be described.

<免疫細胞調製的準備> <Preparation of immune cell modulation>

首先,準備成為免疫細胞的細胞源之末梢血液單核球(PBMCs)。在此處所謂的PBMCs,係意味自末梢血液 分離出之包含淋巴球(NK細胞、NKT細胞、αβT細胞、γδT細胞等)、單球等之細胞集團。準備PBMCs之方法並無特別限定。舉例而言,將藉由採血所獲得之末梢血液藉由密度梯度離心法進行分離,便可獲得PBMCs。一次採血量只要因應免疫細胞療法的種類及施行治療之患者而適宜設定即可,例如為20~75mL左右。 First, peripheral blood mononuclear cells (PBMCs) which are the source of cells of immune cells are prepared. The so-called PBMCs here mean the blood from the peripheral blood. A cell group containing lymphocytes (NK cells, NKT cells, αβT cells, γδT cells, etc.), single spheres, and the like is isolated. The method of preparing the PBMCs is not particularly limited. For example, PBMCs can be obtained by separating the peripheral blood obtained by blood collection by density gradient centrifugation. The amount of blood to be collected at a time may be appropriately set in accordance with the type of immune cell therapy and the patient to be treated, for example, about 20 to 75 mL.

此外,在需要確保大量的細胞之情況,藉由使用成分採血裝置採取單核球成分,便能夠直接取得PBMCs。 Further, in the case where it is necessary to secure a large number of cells, PBMCs can be directly obtained by using a single-core ball component using a component blood collection device.

所採取之PBMCs係懸浮於培養液(培養基)中,因應欲增殖或活化之免疫細胞的種類,添加細胞介素等並施行培養。所謂的培養,係包含以淋巴球等細胞的增殖、活化或加工為目的而實施之步驟。 The PBMCs taken are suspended in a culture medium (medium), and intercellular substances are added and cultured in accordance with the type of immune cells to be proliferated or activated. The so-called culture includes a step carried out for the purpose of proliferation, activation or processing of cells such as lymphocytes.

使PBMCs懸浮之培養液的種類只要是可使免疫細胞增殖,即無特別限定。作為該種培養液之例,可列舉AIM-V培養基、RPMI-1640培養基、Dulbecco改良Eagle培養基(DMEM)、Iscove培養基等。在此等培養液中亦可視需要添加血清。作為所添加之血清之例,可列舉自體血漿。 The type of the culture solution in which the PBMCs are suspended is not particularly limited as long as it can proliferate the immune cells. Examples of such a culture solution include AIM-V medium, RPMI-1640 medium, Dulbecco modified Eagle medium (DMEM), and Iscove medium. Serum may also be added to these cultures as needed. As an example of the serum to be added, autologous plasma can be mentioned.

PBMCs之培養條件只要是可使免疫細胞增殖及活化,即無特別限定。通常只要在34~38℃(較佳為37℃)且2~10%(較佳為5%)CO2條件下,培養7~20日左右即可。此時,因應所培養之細胞數,適宜追加培養液。再者,配合培養液量的增加,適宜追加IL-2等。 The culture conditions of the PBMCs are not particularly limited as long as they can proliferate and activate the immune cells. Usually, it can be cultured for 7 to 20 days at 34 to 38 ° C (preferably 37 ° C) and 2 to 10% (preferably 5%) CO 2 . At this time, it is appropriate to add a culture solution in accordance with the number of cells to be cultured. Further, in combination with an increase in the amount of the culture solution, it is preferable to add IL-2 or the like.

<NK細胞之製造方法> <Method of manufacturing NK cells>

在製造NK細胞之情況,一般為將抗CD16抗體等在NK細胞中特異性表現之分子之促效劑、或IL-2等添加至培養基中並進行培養之方法(例如日本專利4275680等)。作為本發明之醫藥所使用之NK細胞,使用其任何方法皆無妨。此外,使用藉由專利文獻WO2009/151183等所記載之方法所調製之CD16+及/或CD56+細胞作為NK細胞亦無妨。 In the case of producing NK cells, an agonist of a molecule which specifically expresses an anti-CD16 antibody or the like, or IL-2 or the like is added to a medium and cultured (for example, Japanese Patent No. 4275680). As the NK cells used in the medicine of the present invention, any method can be used. Further, it is also possible to use CD16 + and/or CD56 + cells prepared by the method described in the patent document WO 2009/151183 or the like as NK cells.

<γδT細胞之製造方法> <Method for producing γδT cells>

其次,針對γδT細胞之製造方法進行例示。 Next, an example of a method for producing γδT cells will be exemplified.

將所採取之PBMCs接種於添加有雙膦酸鹽及IL-2之培養液,培養γδT細胞。藉由將PBMCs在雙膦酸鹽及IL-2之存在下進行培養,可使γδT細胞選擇性地增殖及活化,而調製高純度地包含活化γδT細胞之細胞集團(參照專利文獻1)。 The PBMCs taken were inoculated to a culture solution supplemented with bisphosphonate and IL-2, and γδT cells were cultured. By culturing PBMCs in the presence of bisphosphonate and IL-2, γδT cells can be selectively proliferated and activated to prepare a cell group containing high-purity γδT cells (see Patent Document 1).

在本發明中,所謂的雙膦酸鹽,並無特別限制,係指具有P-C-P的骨架之化合物。關於本發明所使用之雙膦酸鹽,可列舉例如下述一般式[化1]所示之化合物、其鹽、及該等之水合物。 In the present invention, the so-called bisphosphonate is not particularly limited and refers to a compound having a skeleton of P-C-P. The bisphosphonate to be used in the present invention is, for example, a compound represented by the following general formula [Chemical Formula 1], a salt thereof, and the like.

上述[化1]中,R為氫原子或低級烷基,R1及R2係各自獨立地選自氫原子、鹵素原子、羥基、胺基、硫醇基、可經取代之芳基、可經取代之烷基、低級烷胺基、芳烷基、環烷基及雜環式基所組成群組,此外,R1及R2亦可形成相同環狀構造之一部分。 In the above [Chemical Formula 1], R is a hydrogen atom or a lower alkyl group, and R 1 and R 2 are each independently selected from a hydrogen atom, a halogen atom, a hydroxyl group, an amine group, a thiol group, a substituted aryl group, or the like. A group consisting of a substituted alkyl group, a lower alkylamino group, an aralkyl group, a cycloalkyl group, and a heterocyclic group, and R 1 and R 2 may form part of the same cyclic structure.

作為上述R1及R2中之取代基,係選自例如鹵素原子、低級烷基、羥基、硫醇基、胺基、烷氧基、芳基、芳硫基、芳氧基、烷硫基、環烷基、雜環式基等所組成群組。 The substituents in the above R 1 and R 2 are selected, for example, from a halogen atom, a lower alkyl group, a hydroxyl group, a thiol group, an amine group, an alkoxy group, an aryl group, an arylthio group, an aryloxy group or an alkylthio group. a group consisting of a cycloalkyl group, a heterocyclic group, and the like.

在本說明書中,個別而言,作為鹵素原子,係示出例如氟原子、氯原子、溴原子等;作為烷基,係示出例如甲基、乙基、丙基、異丙基、丁基、戊基、庚基、辛基、十五基等直鏈或分枝鏈C1-C30烷基等;作為低級烷基,係示出例如直鏈或分枝鏈C1-C10烷基等;作為芳基,係示出例如苯基、萘基等;作為芳烷基,係示出例如芳基-低級烷基等;作為環烷基,係示出例如環辛基、金剛烷基等C1-C10環烷基等;作為雜環式基,係示出吡啶基、呋喃基、吡咯啶基、咪唑基、喹啉基、異喹啉基等。 In the present specification, as the halogen atom, for example, a fluorine atom, a chlorine atom, a bromine atom or the like is shown, and as the alkyl group, for example, a methyl group, an ethyl group, a propyl group, an isopropyl group or a butyl group is shown. a straight or branched chain C 1 -C 30 alkyl group, etc.; a pentyl group, a heptyl group, an octyl group, a fienyl group, etc.; as a lower alkyl group, for example, a linear or branched chain C 1 -C 10 alkane is shown. Examples of the aryl group include, for example, a phenyl group, a naphthyl group, and the like; as the aralkyl group, for example, an aryl-lower alkyl group; and the cycloalkyl group, for example, a cyclooctyl group or an adamantane group; The group is a C 1 -C 10 cycloalkyl group or the like; and the heterocyclic group is a pyridyl group, a furyl group, a pyrrolidinyl group, an imidazolyl group, a quinolyl group or an isoquinolyl group.

此外,在本發明中,雙膦酸鹽較佳為藥學上 容許者,可列舉具有骨吸收抑制作用,一般使用作為骨質疏鬆症治療藥者。作為其例,包含帕米膦酸(pamidronic acid)、阿倫膦酸(alendronic acid)、唑來膦酸(zoledronic acid)、利塞膦酸(risedronic acid)、伊班膦酸(ibandronic acid)、英卡膦酸(incadronic acid)及該等之鹽、以及該等之水合物。此等為具有氮原子之胺基雙膦酸鹽,特佳為帕米膦酸、阿倫膦酸、唑來膦酸及該等之鹽、以及該等之水合物。作為市售之雙膦酸鹽系骨代謝改善藥,可列舉例如帕米膦酸二鈉五水合物(AREDIA(註冊商標);Novartis Pharma股份有限公司)、唑來膦酸水合物(ZOMETA(註冊商標);Novartis Pharma股份有限公司)等。 Further, in the present invention, the bisphosphonate is preferably pharmaceutically The permissible form is a bone resorption inhibiting action, and is generally used as a therapeutic drug for osteoporosis. As an example, it includes pamidronic acid, alendronic acid, zoledronic acid, risedronic acid, ibandronic acid, Incadronic acid and the salts thereof, and the hydrates thereof. These are amine bisphosphonates having a nitrogen atom, particularly preferably pamidronic acid, alendronate, zoledronic acid, and the like, and the hydrates thereof. As a commercially available bisphosphonate bone metabolism improving agent, for example, pamidronate disodium pentahydrate (AREDIA (registered trademark); Novartis Pharma Co., Ltd.), zoledronic acid hydrate (ZOMETA (registered) Trademark); Novartis Pharma Co., Ltd.), etc.

在PBMCs的培養時所添加之雙膦酸鹽的濃度較佳為0.05~100μM之範圍內,更佳為0.1~30μM之範圍內。更具體而言,在添加帕米膦酸或其鹽或該等之水合物、阿倫膦酸或其鹽或該等之水合物作為雙膦酸鹽之情況,雙膦酸鹽的濃度較佳為1~30μM之範圍內。此外,在添加唑來膦酸或其鹽或該等之水合物作為雙膦酸鹽之情況,雙膦酸鹽的濃度較佳為0.1~10μM之範圍內。 The concentration of the bisphosphonate added during the culture of the PBMCs is preferably in the range of 0.05 to 100 μM, more preferably in the range of 0.1 to 30 μM. More specifically, in the case where pamidronic acid or a salt thereof or the hydrate, alendronic acid or a salt thereof or the hydrate thereof is added as a bisphosphonate, the concentration of the bisphosphonate is preferably It is in the range of 1~30μM. Further, in the case where zoledronic acid or a salt thereof or the hydrate thereof is added as the bisphosphonate, the concentration of the bisphosphonate is preferably in the range of 0.1 to 10 μM.

在PBMCs的培養時所添加之IL-2的濃度較佳為50~2000U/mL之範圍內,更佳為400~1000U/mL之範圍內。 The concentration of IL-2 added during the culture of PBMCs is preferably in the range of 50 to 2000 U/mL, more preferably in the range of 400 to 1000 U/mL.

PBMCs之培養條件只要可使γδT細胞增殖及活化,即無特別限定。通常只要在34~38℃(較佳為 37℃)且2~10%(較佳為5%)CO2存在下,培養7~14日左右即可。此時,因應所培養之細胞數,適宜追加培養液。再者,配合培養液量的增加,以成為50~2000U/mL,更佳為400~1000U/mL之方式適宜追加IL-2。 The culture conditions of the PBMCs are not particularly limited as long as the γδT cells can be proliferated and activated. Usually, it can be cultured for 7 to 14 days in the presence of 34 to 38 ° C (preferably 37 ° C) and 2 to 10% (preferably 5%) CO 2 . At this time, it is appropriate to add a culture solution in accordance with the number of cells to be cultured. Further, in combination with the increase in the amount of the culture solution, IL-2 is suitably added so as to be 50 to 2000 U/mL, more preferably 400 to 1000 U/mL.

藉由以上順序,可獲得大量包含γδT細胞之細胞集團。所獲得之細胞集團可如後述般在γδT細胞療法中利用作為投予至患者之細胞。 By the above sequence, a large number of cell groups including γδT cells can be obtained. The obtained cell group can be used as a cell to be administered to a patient in γδT cell therapy as will be described later.

培養係在34~38℃,較佳為37℃,且2~10%,較佳為5%的CO2條件下施行,培養期較佳為1日~20日,特佳為1~2週左右。 The culture system is carried out at 34 to 38 ° C, preferably 37 ° C, and 2 to 10%, preferably 5% of CO 2 , and the culture period is preferably from 1 to 20 days, particularly preferably from 1 to 2 weeks. about.

所使用之培養基並無特別限定,可使用AIM-V培養基(Invitrogen)、RPMI-1640培養基(Invitrogen)、Dulbecco改良Eagle培養基(Invitrogen)、Iscove培養基(Invitrogen)、KBM培養基(Kohjin Bio)、ALyS培養基(細胞科學研究所)等細胞培養所使用之市售的培養基。此外,可視需要添加5~20%的牛血清、牛胎兒血清、人類血清、人類血漿等。 The medium to be used is not particularly limited, and AIM-V medium (Invitrogen), RPMI-1640 medium (Invitrogen), Dulbecco modified Eagle medium (Invitrogen), Iscove medium (Invitrogen), KBM medium (Kohjin Bio), ALyS medium can be used. A commercially available medium used for cell culture such as (Cell Science Research Institute). In addition, 5 to 20% of bovine serum, bovine fetal serum, human serum, human plasma, and the like may be added as needed.

<αβT細胞之製造方法> <Method for producing αβ T cells>

其次,針對αβT細胞之製造方法進行例示。 Next, an example of a method for producing αβ T cells will be described.

作為培養αβT細胞之方法,較佳為使用抗CD3抗體及IL-2之方法。 As a method of culturing αβ T cells, a method using an anti-CD3 antibody and IL-2 is preferred.

抗CD3抗體可添加至培養基中,亦可固相化於培養容器,已知藉由將淋巴球接種於固相化有抗CD3抗體之 燒瓶等培養容器,可更適合地進行培養(例如日本專利3056230)。關於IL-2的濃度,較佳係以在培養基中成為100~2000IU/mL的濃度之方式進行添加。 The anti-CD3 antibody may be added to the culture medium or may be solid-phased in the culture vessel, and it is known to inoculate the lymphocytes with the anti-CD3 antibody by immobilizing the lymphocytes. A culture vessel such as a flask can be cultured more suitably (for example, Japanese Patent No. 3056230). The concentration of IL-2 is preferably added so as to be in a concentration of 100 to 2000 IU/mL in the medium.

培養係在34~38℃,較佳為37℃,且2~10%,較佳為5%的CO2條件下施行,培養期較佳為1日~20日,特佳為1~2週左右。 The culture system is carried out at 34 to 38 ° C, preferably 37 ° C, and 2 to 10%, preferably 5% of CO 2 , and the culture period is preferably from 1 to 20 days, particularly preferably from 1 to 2 weeks. about.

所使用之培養基並無特別限定,可使用AIM-V培養基(Invitrogen)、RPMI-1640培養基(Invitrogen)、Dulbecco改良Eagle培養基(Invitrogen)、Iscove培養基(Invitrogen)、KBM培養基(Kohjin Bio)、ALyS培養基(細胞科學研究所)等細胞培養所使用之市售的培養基。此外,可視需要添加5~20%的牛血清、牛胎兒血清、人類血清、人類血漿等。 The medium to be used is not particularly limited, and AIM-V medium (Invitrogen), RPMI-1640 medium (Invitrogen), Dulbecco modified Eagle medium (Invitrogen), Iscove medium (Invitrogen), KBM medium (Kohjin Bio), ALyS medium can be used. A commercially available medium used for cell culture such as (Cell Science Research Institute). In addition, 5 to 20% of bovine serum, bovine fetal serum, human serum, human plasma, and the like may be added as needed.

<包含免疫細胞之醫藥> <medicine containing immune cells>

本發明之醫藥係用於治療/預防發炎性疾病之醫藥,其係包含藉由上述本發明之製造方法所製造之免疫細胞。 The medicine of the present invention is a medicine for treating/preventing an inflammatory disease, which comprises the immune cells produced by the above-described production method of the present invention.

本發明之醫藥係例如為使藉由本發明之製造方法所製造之免疫細胞懸浮於能夠利用作為醫藥品之液體(例如生理食鹽水)中而成之注射劑(細胞懸浮液)。此注射劑可注射至靜脈內或皮內、皮下等,亦可直接注入病變部,亦可作為點滴進行全身投予。 The pharmaceutical system of the present invention is, for example, an injection (cell suspension) obtained by suspending immune cells produced by the production method of the present invention in a liquid (for example, physiological saline) which can be used as a pharmaceutical. The injection can be injected intravenously or intradermally, subcutaneously, etc., or directly into the lesion, or can be administered as a drip systemic administration.

本發明之醫藥包含免疫細胞作為必需成分,亦可包含其他成分作為任意成分。 The medicine of the present invention contains immune cells as an essential component, and may contain other components as an optional component.

本發明之醫藥中所包含之免疫細胞的數量可因應投予方法或疾病的種類而適宜設定。通常只要以成為108~1012個/人(較佳為109個/人)之方式進行設定即可。 The number of immune cells contained in the medicine of the present invention can be appropriately set depending on the administration method or the type of the disease. Usually, it is set so as to be 10 8 to 10 12 /person (preferably 10 9 /person).

本發明之醫藥之製造方法並無特別限定。舉例而言,本發明之醫藥可藉由1)將經培養之免疫細胞藉由離心分離法等進行回收;2)將所回收之免疫細胞以洗淨液(例如生理食鹽水或PBS等)加以洗淨;3)將經洗淨之免疫細胞藉由離心分離法等進行回收;4)使所回收之免疫細胞懸浮於能夠利用作為醫藥品之液體(例如生理食鹽水)中,而製造作為能夠經靜脈投予之點滴劑。 The method for producing the medicine of the present invention is not particularly limited. For example, the medicine of the present invention can be recovered by centrifugation or the like by 1) the cultured immune cells; 2) the recovered immune cells are washed with a washing solution (for example, physiological saline or PBS). Washing; 3) recovering the washed immune cells by centrifugation or the like; 4) suspending the recovered immune cells in a liquid (for example, physiological saline) that can be used as a pharmaceutical, and manufacturing as A drip that is administered intravenously.

以下,針對本發明參照實施例詳細地進行說明,但本發明並不受此等實施例所限定。 Hereinafter, the present invention will be described in detail with reference to the embodiments, but the present invention is not limited by these examples.

〔實施例1〕 [Example 1] <1.免疫細胞的培養及投予> <1. Culture and administration of immune cells>

自已徵得同意之患者採取末梢血液67.5mL,藉由離心分離法施行末梢血液單核球的培養。在瀨田Clinic新橫濱CPC(細胞加工設施)中,施行大約14日的培養,調製活化自體NK細胞。品質檢查後,將所獲得之活化自體NK細胞調製作為點滴劑,對患者施行經靜脈投予。 The patient who had obtained the consent had 67.5 mL of peripheral blood, and the peripheral blood mononuclear sphere was cultured by centrifugation. In the Putin Clinic Yokohama CPC (Cell Processing Facility), approximately 14 days of culture was carried out to prepare and activate autologous NK cells. After the quality inspection, the obtained activated autologous NK cells were prepared as a drip, and the patient was administered intravenously.

<2.結果> <2. Results>

該患者自數年前因潰瘍性大腸炎而出現血便、頻便的症狀,即便服用美沙拉嗪(mesalazine;5-胺基水楊酸:5-ASA)亦看不出改善。於是,自2年前開始進行英夫利昔單抗(infliximab)的投予,依照一般的用法/用量自2週間隔的投予延長至4週間隔,來院時已以6~8週間隔進行投予。藉由英夫利昔單抗(抗人類TNFα單株抗體)的投予,雖可看出症狀的緩和,但血便的症狀仍持續。 The patient developed bloody stools and frequent symptoms from ulcerative colitis several years ago, and no improvement was observed even with mesalazine (5-aminosalicylic acid: 5-ASA). Therefore, since the administration of infliximab was started 2 years ago, it was extended from the interval of 2 weeks to the interval of 4 weeks according to the general usage/dosage, and it was performed at intervals of 6 to 8 weeks. Cast. With the administration of infliximab (anti-human TNFα monoclonal antibody), although the symptoms were alleviated, the symptoms of bloody stools continued.

在2015年3月NK細胞第1次投予後,自翌日起血便減輕,再過不久血便消失。因此,便與潰瘍性大腸炎的主治醫師商談,中止英夫利昔單抗的投予,變成施行經過觀察。至今為止實施共計5次的投予,患者無血便或其他潰瘍性大腸炎的自覺症狀,持續著緩輕狀態(2017年1月末現在)。此外,藉由在第3次投予後實施之內視鏡檢查之結果,亦確認到發炎狀態的明顯改善。 After the first dose of NK cells in March 2015, the blood will be relieved from the next day, and soon the blood will disappear. Therefore, it was discussed with the attending physician of ulcerative colitis that the administration of infliximab was discontinued and it became observed. A total of five doses have been administered so far, and the patient has no symptoms of bloody stools or other ulcerative colitis, and continues to be mild (as of the end of January 2017). In addition, a significant improvement in the inflammatory state was also confirmed by the results of the endoscopic examination performed after the third administration.

(總結) (to sum up)

即便長期投予潰瘍性大腸炎之治療藥亦未改善之症狀係藉由進行免疫細胞的投予而在未投予治療藥之情形下持續著緩輕狀態,因而在臨床醫師的綜合性診斷下確認免疫細胞治療係有效於發炎性疾病,尤其是潰瘍性大腸炎的症狀的治癒緩和。 Even if the long-term administration of the therapeutic drug for ulcerative colitis is not improved, the administration of the immune cells is continued in a state of slowing down without administration of the therapeutic drug, and thus, under the comprehensive diagnosis of the clinician It is confirmed that the immunocyte treatment is effective for the inflammatory disease, especially the healing of the symptoms of ulcerative colitis.

從而,本案發明所涉及之免疫療法可作為諸如美沙拉嗪或英夫利昔單抗等之藉由阻礙發炎性細胞介素之生成作用而產生症狀的治癒緩和之醫藥的代用或者在併 用下使用。 Therefore, the immunotherapy according to the present invention can be used as a substitute for a medicine for remedy the symptoms caused by the formation of an inflammatory interleukin, such as mesalazine or infliximab. Use it below.

作為治療疾病對象,不僅是潰瘍性大腸炎,亦可應用於與發炎性細胞介素,尤其是TNFα相關之疾病,例如克隆氏症、類風濕性關節炎、乾癬(包含尋常性乾癬、關節症性乾癬、膿疱性乾癬、乾癬性紅皮症)、強直性脊椎炎、貝西氏症所引發之難治性網膜葡萄膜炎等。 As a therapeutic target, it is not only ulcerative colitis, but also a disease associated with inflammatory interleukins, especially TNFα, such as Crohn's disease, rheumatoid arthritis, and dryness (including cognac vulgaris, joint disease). Sexual dryness, pustular dryness, dry erythroderma), ankylosing spondylitis, refractory omental uveitis caused by Bezi's disease.

〔產業上之可利用性〕 [Industrial Applicability]

本發明之治療藥能夠藉由以往無法完全治好之內科手法,施行發炎性疾病的治療,尤其是潰瘍性大腸炎的症狀減輕緩和。 The therapeutic agent of the present invention can be used for the treatment of inflammatory diseases, particularly the symptoms of ulcerative colitis, by a medical technique that has not been completely cured in the past.

Claims (29)

一種發炎性疾病治療用或預防用醫藥組成物,其係包含免疫細胞。 A pharmaceutical composition for treating or preventing an inflammatory disease, which comprises an immune cell. 如請求項1之醫藥組成物,其中,前述免疫細胞為淋巴球。 The pharmaceutical composition according to claim 1, wherein the aforementioned immune cells are lymphocytes. 如請求項1之醫藥組成物,其中,前述免疫細胞為經培養之淋巴球。 The pharmaceutical composition according to claim 1, wherein the aforementioned immune cells are cultured lymphocytes. 如請求項3之醫藥組成物,其中,前述淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分。 The pharmaceutical composition according to claim 3, wherein the lymphocyte system comprises, as a main component, any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells. 如請求項1之醫藥組成物,其中,前述免疫細胞係源自末梢血液單核球。 The pharmaceutical composition of claim 1, wherein the aforementioned immune cell line is derived from a peripheral blood mononuclear ball. 如請求項1至5中任一項之醫藥組成物,其中,前述發炎性疾病為發炎性腸疾病。 The pharmaceutical composition according to any one of claims 1 to 5, wherein the inflammatory disease is an inflammatory bowel disease. 如請求項6之醫藥組成物,其中,前述發炎性腸疾病為潰瘍性大腸炎。 The pharmaceutical composition according to claim 6, wherein the inflammatory bowel disease is ulcerative colitis. 如請求項1至7中任一項之醫藥組成物,其係與TNFα阻礙劑的投予共同地或接續地進行投予。 The pharmaceutical composition according to any one of claims 1 to 7, which is administered in combination with the administration of the TNFα inhibitor. 如請求項8之醫藥組成物,其中,前述TNFα阻礙劑為抗TNFα抗體。 The pharmaceutical composition according to claim 8, wherein the TNFα inhibitor is an anti-TNFα antibody. 一種經單離之免疫細胞之用途,其係用於製造發炎性疾病治療用或預防用醫藥。 The use of an isolated immune cell for the manufacture of a medicament for the treatment or prevention of an inflammatory disease. 如請求項10之用途,其中,前述免疫細胞為經單離之淋巴球。 The use of claim 10, wherein the aforementioned immune cells are isolated lymphocytes. 如請求項11之用途,其中,前述淋巴球為經單離後,經培養之淋巴球。 The use of claim 11, wherein the lymphocytes are cultured lymphocytes after isolation. 如請求項12之用途,其中,前述淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分。 The use of claim 12, wherein the lymphocyte system comprises as the main component any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells. 如請求項10之用途,其中,前述免疫細胞係源自末梢血液單核球。 The use of claim 10, wherein the aforementioned immune cell line is derived from a peripheral blood mononuclear sphere. 如請求項10至14中任一項之用途,其中,前述發炎性疾病為發炎性腸疾病。 The use according to any one of claims 10 to 14, wherein the aforementioned inflammatory disease is an inflammatory bowel disease. 如請求項15之用途,其中,前述發炎性腸疾病為潰瘍性大腸炎。 The use of claim 15, wherein the aforementioned inflammatory bowel disease is ulcerative colitis. 一種發炎性疾病之治療或預防方法,其係包含將經單離之免疫細胞投予至患者。 A method of treating or preventing an inflammatory disease comprising administering an isolated immune cell to a patient. 如請求項17之方法,其中,前述免疫細胞為淋巴球。 The method of claim 17, wherein the aforementioned immune cells are lymphocytes. 如請求項18之方法,其中,前述淋巴球為經培養之淋巴球。 The method of claim 18, wherein the lymphocytes are cultured lymphocytes. 如請求項19之方法,其中,前述淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分。 The method of claim 19, wherein the lymphocyte system comprises as the main component any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells. 如請求項17之方法,其中,前述免疫細胞係源自末梢血液單核球。 The method of claim 17, wherein the aforementioned immune cell line is derived from a peripheral blood mononuclear sphere. 如請求項17至21中任一項之方法,其中,前述發炎性疾病為發炎性腸疾病。 The method of any one of claims 17 to 21, wherein the aforementioned inflammatory disease is an inflammatory bowel disease. 如請求項22之方法,其中,前述發炎性腸疾病為潰瘍性大腸炎。 The method of claim 22, wherein the aforementioned inflammatory bowel disease is ulcerative colitis. 一種發炎性疾病之治療或預防方法,其係包含1)自患者單離出末梢血液單核球之步驟、2)將末梢血液單核球進行培養而獲得免疫細胞之步驟、以及3)將所獲得之免疫細胞投予至患者之步驟。 A method for treating or preventing an inflammatory disease, comprising the steps of: 1) a step of removing a peripheral blood mononuclear ball from a patient, 2) a step of culturing a peripheral blood mononuclear ball to obtain an immune cell, and 3) The step of administering the obtained immune cells to the patient. 如請求項24之方法,其中,前述免疫細胞為淋巴球。 The method of claim 24, wherein the aforementioned immune cells are lymphocytes. 如請求項25之方法,其中,前述淋巴球係以αβT細胞、γδT細胞、NK細胞或CD16+及/或CD56+細胞之任一者作為主成分。 The method of claim 25, wherein the lymphocyte system comprises as the main component any one of αβT cells, γδT cells, NK cells, or CD16 + and/or CD56 + cells. 如請求項24至26中任一項之方法,其中,前述發炎性疾病為發炎性腸疾病。 The method of any one of claims 24 to 26, wherein the aforementioned inflammatory disease is an inflammatory bowel disease. 如請求項27之方法,其中,前述發炎性腸疾病為潰瘍性大腸炎。 The method of claim 27, wherein the aforementioned inflammatory bowel disease is ulcerative colitis. 一種發炎性腸疾病治療劑或預防劑之製造方法,其係將所採取之末梢血液單核球進行培養而取得組成物所成,且該治療劑或預防劑係以該組成物作為有效成分。 A method for producing a therapeutic or prophylactic agent for an inflammatory bowel disease, which comprises culturing a peripheral blood mononuclear ball to obtain a composition, and the therapeutic or prophylactic agent uses the composition as an active ingredient.
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