TW201815817A - Molecularly altered adiponectin, and pharmaceutical composition including molecularly altered adiponectin - Google Patents

Molecularly altered adiponectin, and pharmaceutical composition including molecularly altered adiponectin Download PDF

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TW201815817A
TW201815817A TW106133580A TW106133580A TW201815817A TW 201815817 A TW201815817 A TW 201815817A TW 106133580 A TW106133580 A TW 106133580A TW 106133580 A TW106133580 A TW 106133580A TW 201815817 A TW201815817 A TW 201815817A
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gad
hmat2cc
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柴田玲
室原豊明
上藤洋敬
與那嶺育子
新川武
瀬脇智満
岩田効志
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國立大學法人名古屋大學
日商大塚製藥工場股份有限公司
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Abstract

The purpose of the present invention is to provide molecularly altered adiponectin that can be produced as a uniform product, and has the same or greater activity compared to natural adiponectin. This molecularly altered adiponectin is prepared by obtaining a fusion protein that includes: a trimerized domain such as the coiled-coil domain of a matrilin family protein; and the globular region of adiponectin.

Description

分子修飾體脂聯素及包含分子修飾體脂聯素之醫藥組合物Molecularly modified adiponectin and pharmaceutical composition containing molecularly modified adiponectin

本發明係關於一種分子修飾體脂聯素。更詳細而言,關於一種包含脂聯素之C末端側球狀區域、與母系蛋白之捲曲螺旋區域的分子修飾體脂聯素。The present invention relates to a molecularly modified adiponectin. More specifically, the present invention relates to a molecularly modified adiponectin comprising a C-terminal side globular region of adiponectin and a coiled coil region of a parent protein.

已知因高脂肪食物或運動不足所引起之肥胖不僅會促進新陳代謝症候群或糖尿病等之發病及惡化,亦會增加心血管疾病之風險。尤其在日本,心臟疾病及腦血管疾病占死因之約27%,心血管疾病成為三大死因之一。近年來,心血管疾病隨著因飲食生活或生活習慣之變化所引起之肥胖、及運動不足而增加。例如在日本,急性心肌梗塞之發病人數推定為每年約25萬人,推定其中約有30%死亡。又,接受缺血性心臟病(狹心症及心肌梗塞)之持續醫療之患者人數推定為約90萬人。於缺血性心臟病之治療中,可進行心臟導管治療,但對於自發病起經過6小時以上、或肥胖症或糖尿病患者而言,尤其是無法預見心肌梗塞之病灶縮小之情形較多。因此,除目前所採用之心臟導管治療以外,業界亦期待開發出作為輔助治療之藥劑。 脂聯素係於1996年發現之由脂肪細胞特異性地表現並分泌之一種脂肪細胞激素。脂聯素與其他激素相比,極大量地存在於血漿中。已知脂聯素有各種功能,除控制葡萄糖水準、或控制包括脂肪酸分解在內之代謝過程,亦與動脈硬化抑制、心臟保護作用、心肌梗塞之病灶縮小、損傷之血管之修復、巨噬細胞對血管壁之接著、LDL(low density lipoprotein,低密度脂蛋白)之吞噬抑制等相關。脂聯素之血中濃度之降低係伴隨肥胖之新陳代謝症候群、糖尿病、心血管疾病、癌症等生活習慣疾病之發病及惡化之原因之一。一般認為脂聯素對於抑制平滑肌增生、治療動脈硬化症有效(專利文獻1)。 脂聯素係約30 kDa之多肽,於健康人之循環中,於2~30 mg/L之範圍內存在。脂聯素包含N末端之類似於膠原蛋白蛋白質之區域(類膠原蛋白區,cAd)、及C末端側之球狀區域(gAd)。其中,已知尤其是C末端側之球狀區域(gAd)可用於動脈硬化之預防及治療(專利文獻2)。 血漿中之脂聯素係於混合存在三聚物(低分子量三聚物)、六聚物(中等程度分子量六聚物)、十二~十八聚物(高分子量多聚物)等之狀態下存在。已知與脂聯素總量相比,十六聚物或其以上之高分子多聚物水準強烈地與肥胖、冠狀動脈疾病等相關,一般認為高分子多聚物之生理活性最高(非專利文獻1)。 因脂聯素引起之大部分心臟保護訊號之機制係藉由AMPK(adenosine monophosphate-activated protein kinase,單磷酸腺苷活化蛋白激酶)之活化而介導。脂聯素具有抗炎、抗氧化及抗細胞凋亡作用,確認到藉由該等作用而帶來對缺血再灌注之保護效果。揭示有對降低之脂聯素進行補充、或將AMPK或PPAR(peroxisome proliferator-activated receptor,過氧化體增生物活化受體)活化成為伴隨肥胖之新陳代謝症候群、糖尿病、心血管疾病、癌症之治療方法(非專利文獻2~4)。 [先前技術文獻] [專利文獻] [專利文獻1]日本專利第3538711號公報 [專利文獻2]國際公開第2003/099319號(日本專利第4147220號公報) [非專利文獻] [非專利文獻1]Am. J. Cardiovasc Dis 2012; 2(4): 253-366 [非專利文獻2]Nature, 503, 493-499(2013) [非專利文獻3]Nature Medicine, 11, 1096-1103(2005) [非專利文獻4]Cardiovascular Res. 74(2007)471-479It is known that obesity caused by high-fat food or insufficient exercise not only promotes the onset and deterioration of metabolic syndrome or diabetes, but also increases the risk of cardiovascular disease. Especially in Japan, heart disease and cerebrovascular disease account for about 27% of the causes of death, and cardiovascular disease has become one of the three major causes of death. In recent years, cardiovascular diseases have increased with obesity caused by changes in dietary habits or lifestyles and insufficient exercise. For example, in Japan, the number of patients with acute myocardial infarction is estimated to be about 250,000 people per year, and about 30% of them are estimated to die. In addition, the number of patients receiving continuous medical treatment for ischemic heart disease (stenosis and myocardial infarction) is estimated to be about 900,000. In the treatment of ischemic heart disease, cardiac catheterization can be performed, but for patients with obesity or diabetes more than 6 hours after the onset of the disease, the shrinkage of myocardial infarction can not be predicted in many cases. Therefore, in addition to the currently used cardiac catheterization, the industry is also looking forward to the development of medicaments for adjuvant therapy. Adiponectin is a fat cell hormone that was specifically expressed and secreted by adipocytes and was discovered in 1996. Compared to other hormones, adiponectin is present in extremely large amounts in plasma. Adiponectin is known to have a variety of functions, in addition to controlling glucose levels or controlling metabolic processes including fatty acid breakdown, it is also associated with arteriosclerosis inhibition, cardioprotective effects, reduction of lesions of myocardial infarction, repair of damaged blood vessels, macrophages It is related to the adhesion of blood vessel walls and the inhibition of phagocytosis by low density lipoprotein (LDL). The decrease in the blood concentration of adiponectin is one of the causes of the onset and deterioration of lifestyle-related diseases such as obesity-related metabolic syndrome, diabetes, cardiovascular disease, and cancer. It is generally considered that adiponectin is effective for inhibiting smooth muscle proliferation and treating arteriosclerosis (Patent Document 1). Adiponectin is a peptide of about 30 kDa, which exists in the range of 2-30 mg / L in the circulation of healthy people. Adiponectin includes a N-terminal collagen-like region (collagen-like region, cAd), and a C-terminal spherical region (gAd). Among them, it is known that a spherical region (gAd) on the C-terminal side can be used for the prevention and treatment of arteriosclerosis (Patent Document 2). Adiponectin in plasma is a mixture of trimer (low molecular weight trimer), hexamer (medium molecular weight hexamer), and twelve to eighteen polymers (high molecular weight polymer). Under there. It is known that compared with the total amount of adiponectin, the level of hexamer or higher polymer polymers is strongly related to obesity, coronary artery disease, etc., and it is generally considered that the polymer polymers have the highest physiological activity (non-patented Reference 1). Most of the mechanisms of cardioprotective signals caused by adiponectin are mediated by activation of AMPK (adenosine monophosphate-activated protein kinase). Adiponectin has anti-inflammatory, anti-oxidant, and anti-apoptotic effects, and it has been confirmed that these effects bring protective effects on ischemia-reperfusion. It is revealed that there is a treatment method for supplementing reduced adiponectin, or activating AMPK or PPAR (peroxisome proliferator-activated receptor) to become a metabolic syndrome accompanied by obesity, diabetes, cardiovascular disease, and cancer. (Non-patent documents 2 to 4). [Prior Art Literature] [Patent Literature] [Patent Literature 1] Japanese Patent No. 3538711 [Patent Literature 2] International Publication No. 2003/099319 (Japanese Patent No. 4147220) [Non-Patent Literature] [Non-Patent Literature 1 ] Am. J. Cardiovasc Dis 2012; 2 (4): 253-366 [Non-Patent Document 2] Nature, 503, 493-499 (2013) [Non-Patent Document 3] Nature Medicine, 11, 1096-1103 (2005) [Non-Patent Document 4] Cardiovascular Res. 74 (2007) 471-479

[發明所欲解決之問題] 天然型脂聯素係以經由類膠原蛋白區而混合存在三聚物、六聚物、十二~十八聚物等之狀態存在。因此,於製造使用有天然型脂聯素之醫藥品時,無法控制多聚物形成,難以獲得均一之脂聯素,故而就製造方面之品質等規格設定之方面而言存在問題,而難以處理。 本發明之目的在於提供一種可製造出均一之製品,且具有與天然之脂聯素同等以上之活性之分子修飾體脂聯素、及包含分子修飾體脂聯素之醫藥組合物。 [解決問題之技術手段] 於本案發明中,藉由製成包含三聚物化區及脂聯素之球狀區域之融合蛋白質,而製作分子修飾體脂聯素。本發明之分子修飾體脂聯素自然地締合而形成均一之三聚物。認為脂聯素之十二~十八聚物等多聚物具有活性,但驚奇地發現形成三聚物之本案發明之分子修飾體脂聯素具有與天然之脂聯素同等或超過其之程度的效果。 因此,於本發明中,提供一種包含脂聯素之C末端側球狀區域、與母系蛋白之捲曲螺旋區域之分子修飾體脂聯素。該分子修飾體脂聯素可利用母系蛋白之捲曲螺旋區域而有效率地形成三聚物。 本發明之分子修飾體脂聯素可使用母系蛋白之捲曲螺旋區域位於N末端側,且脂聯素球狀區域位於C末端側者。 本發明之分子修飾體脂聯素可進而包含至少1個葡萄球菌之蛋白質A之ZZ區,該蛋白質A之ZZ區亦可位於母系蛋白之捲曲螺旋區域之N末端側。 作為分子修飾體脂聯素中所包含之母系蛋白,可使用母系蛋白-2。 本發明之分子修飾型脂聯素可使用含有包含序列編號1之胺基酸114~244之胺基酸序列之多肽、包含序列編號2之胺基酸912~952之胺基酸序列之多肽、及包含序列編號3之胺基酸序列之多肽者。又,本發明之分子修飾體脂聯素可使用包含選自序列編號5、7、9及11中之胺基酸序列者。 作為本發明之另一實施態樣,提供一種上述分子修飾體脂聯素之三聚物。 又,作為本發明之又一實施態樣,提供一種編碼上述分子修飾體脂聯素之核酸。作為本發明之核酸,較佳為包含選自序列編號4、6、8及10中之核酸序列者。 進而又,作為本發明之實施態樣,提供一種包含上述核酸之載體。作為本發明之又一實施態樣,提供一種包含上述核酸或上述載體之宿主細胞。 作為本發明之又一態樣,提供一種包含分子修飾體脂聯素之三聚物、與製劑學上所容許之載體之醫藥組合物。本發明之醫藥組合物可用於治療或預防動脈硬化症,治療或預防糖尿病,或者治療或預防肥胖。動脈硬化症包括狹心症、心肌梗塞或腦梗塞。 [發明之效果] 根據本發明,可提供一種與形成多樣化之多聚物之天然型脂聯素相比,形成均一之三聚物,且具有與天然型脂聯素同等或超過其之生理學活性之分子修飾體脂聯素。例如,利用天然型脂聯素之約三分之一濃度的分子修飾體脂聯素,便可發揮出與天然型脂聯素同等之效果。 進而,本發明之分子修飾體脂聯素由於將由天然之脂聯素所介導之訊號傳遞機制活化,故而對於因脂聯素之缺乏引起之疾病、例如動脈硬化症之類的心血管疾病、包括心衰竭、心臟肥大在內之心臟疾病、致死性心律不整、腦梗塞、肥胖症、糖尿病、高血壓、高脂血症之類的所謂生活習慣疾病及惡性腫瘤(癌症)等之預防及治療有效。[Problems to be Solved by the Invention] Natural adiponectin exists in a state in which trimers, hexamers, twelve to octamers, and the like are mixed together via a collagen-like region. Therefore, in the manufacture of pharmaceuticals using natural adiponectin, it is impossible to control the formation of polymers and it is difficult to obtain uniform adiponectin. Therefore, there are problems in terms of specifications such as manufacturing quality and it is difficult to handle. . An object of the present invention is to provide a molecularly modified adiponectin and a pharmaceutical composition containing the molecularly modified adiponectin, which can produce a uniform product and have an activity equal to or higher than that of natural adiponectin. [Technical means to solve the problem] In the present invention, a molecularly modified adiponectin is produced by making a fusion protein including a trimerization region and a spherical region of adiponectin. The molecularly modified adiponectin of the present invention naturally associates to form a homotrimer. It is believed that polymers such as twelve to eighteen polymers of adiponectin are active, but surprisingly, it has been found that the molecularly modified adiponectin of the present invention, which forms a trimer, has the same or more than natural adiponectin Effect. Therefore, in the present invention, there is provided a molecularly modified adiponectin comprising a C-terminal side spherical region of adiponectin and a coiled coil region of a parent protein. The molecularly modified body adiponectin can effectively utilize the coiled-coil region of the parent protein to efficiently form a trimer. The molecularly modified adiponectin of the present invention may use a coiled coil region of a parent protein located at the N-terminal side and a spherical region of adiponectin located at the C-terminal side. The molecularly modified adiponectin of the present invention may further include at least one ZZ region of protein A of staphylococcus, and the ZZ region of protein A may also be located at the N-terminal side of the coiled-coil region of the parent protein. As the maternal protein included in the molecularly modified adiponectin, maternal protein-2 can be used. For the molecularly modified adiponectin of the present invention, a polypeptide containing an amino acid sequence of amino acids 114 to 244 of sequence number 1, a polypeptide containing an amino acid sequence of amino acids 912 to 952 of sequence number 2, And a polypeptide comprising an amino acid sequence of SEQ ID NO: 3. In addition, as the molecularly modified body adiponectin of the present invention, an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 7, 9, and 11 can be used. As another aspect of the present invention, a terpolymer of the aforementioned molecularly modified adiponectin is provided. In another aspect of the present invention, a nucleic acid encoding the molecularly modified adiponectin is provided. As the nucleic acid of the present invention, a nucleic acid sequence selected from the group consisting of SEQ ID NOs: 4, 6, 8 and 10 is preferred. Furthermore, as an embodiment of the present invention, a vector comprising the nucleic acid is provided. As another aspect of the present invention, a host cell comprising the nucleic acid or the vector is provided. As another aspect of the present invention, there is provided a pharmaceutical composition comprising a trimer of a molecularly modified body adiponectin and a carrier acceptable in formulation. The pharmaceutical composition of the present invention can be used for treating or preventing arteriosclerosis, treating or preventing diabetes, or treating or preventing obesity. Arteriosclerosis includes stenosis, myocardial infarction, or cerebral infarction. [Effects of the Invention] According to the present invention, it is possible to provide a homogeneous trimer as compared with the natural adiponectin, which forms a diversified polymer, and has a physiology equivalent to or exceeding that of the natural adiponectin Molecularly modified body adiponectin. For example, by using about one third of the concentration of natural adiponectin to modify the body adiponectin, the same effect as natural adiponectin can be exhibited. Furthermore, since the molecularly modified adiponectin of the present invention activates a signal transmission mechanism mediated by natural adiponectin, the disease caused by the lack of adiponectin, such as cardiovascular disease such as arteriosclerosis, Prevention and treatment of heart diseases including heart failure, cardiac hypertrophy, fatal arrhythmia, cerebral infarction, obesity, diabetes, hypertension, hyperlipidemia and other so-called lifestyle diseases and malignant tumors (cancer) effective.

(分子修飾體脂聯素) 本案發明之分子修飾體脂聯素係包含脂聯素球狀區域及母系蛋白之捲曲螺旋區域的融合蛋白質,較佳為於N末端側融合母系蛋白之捲曲螺旋區域,於C末端側融合脂聯素球狀區域而成者。藉由使捲曲螺旋區域與脂聯素球狀區域融合,可極高效率地形成三聚物。 又,分子修飾體脂聯素可進而包含作為葡萄球菌之蛋白質A之IgG結合區之ZZ區。ZZ區可與作為融合蛋白質之分子修飾體脂聯素之N末端或C末端、或者N末端及C末端兩者連結。較佳為於N末端連結Z區。已知藉由連結Z區,一般於自宿主細胞進行表現時,會促進可溶性組分中之蛋白質之表現。本案之分子修飾體脂聯素即便不包含ZZ區,亦發揮出與脂聯素同等之生理活性、例如AMPK活化效果、抗細胞凋亡效果、抗炎效果、心肌梗塞之病灶縮小效果等,但驚奇地確認到藉由導入ZZ區,不僅會促進可溶性組分中之表現,即便為更低濃度之蛋白質,亦發揮出與天然之脂聯素同等之生理活性。 本發明之分子修飾體脂聯素例如含有包含序列編號1之胺基酸114~244之胺基酸序列之多肽、包含序列編號2之胺基酸912~952之胺基酸序列之多肽、及包含序列編號3之胺基酸序列之多肽。又,本發明之分子修飾體脂聯素例如包含序列編號5、7、9及11之胺基酸序列。 本發明之分子修飾體脂聯素可藉由通常之基因工程學方法而製造。更詳細而言,可藉由將編碼分子修飾體脂聯素之基因引入至表現載體,並將其導入至適當之宿主細胞中進行表現,而製造本案發明之分子修飾體脂聯素。 (脂聯素) 本案發明之分子修飾體脂聯素中所包含之脂聯素之C末端側之球狀區域可源自天然之脂聯素。天然之脂聯素之胺基酸序列已確定,可藉由公知之方法取得。於本發明中,較佳為使用人類之脂聯素,例如可使用具有序列編號1(圖1)之胺基酸序列之脂聯素。脂聯素如上所述包含N末端之類似於膠原蛋白蛋白質之區域(類膠原蛋白區域,cAd)、及C末端側之球狀區域(gAd)。脂聯素之C末端之球狀區域之胺基酸序列係包含序列編號1之胺基酸114~244之胺基酸序列的多肽。只要具有脂聯素之活性,則不限於包含序列編號1之胺基酸114~244之胺基酸序列之多肽,亦可使用具有該等胺基酸序列之1個或複數個胺基酸經置換、缺失或者附加之胺基酸序列的變異體多肽。作為此種變異體多肽,可列舉對於序列編號1之胺基酸114~244之胺基酸序列具有胺基酸之保存性置換者。變異體多肽可例示與序列編號1之胺基酸114~244之胺基酸序列具有80%以上、85%以上、90%以上、95%以上或98%以上之同源性者。 (三聚物化區) 本發明之分子修飾體脂聯素於脂聯素之C末端側球狀區域之N末端側連結有多聚物化區。多聚物化區會促進與多聚物化區結合之多肽之多聚物化。多聚物化區較佳為三聚物化區,一般具有捲曲螺旋區。作為此種三聚物區之例,可例示:異白胺酸拉鏈、母系蛋白(matrilin)家族蛋白質、GCN4等之捲曲螺旋區。尤佳為母系蛋白家族蛋白質之捲曲螺旋區。母系蛋白家族蛋白質係分泌性細胞外基質蛋白質,包含母系蛋白-1至母系蛋白-4。於本說明書中,亦將包含母系蛋白-1至母系蛋白-4之母系蛋白家族蛋白質簡稱為母系蛋白。 母系蛋白-1係非關節性軟骨之細胞外基質之成分,主要由軟骨細胞分泌。母系蛋白-2係與基質締合相關之分泌性蛋白質。母系蛋白-3係於軟骨性組織中表現之分泌性蛋白質。母系蛋白-4係於胎兒腎、胚胎及胎盤中表現,對於軟骨之細胞外基質為重要之分泌性蛋白質。其中,尤其於本發明中,較佳為使用人類之母系蛋白作為三聚物化區,尤其適宜使用人類之母系蛋白-2之捲曲螺旋區。母系蛋白-2之胺基酸序列係以序列編號2(圖1)表示,捲曲螺旋區係包含序列編號2之胺基酸912~952之胺基酸序列之多肽。只要具有三聚物形成活性,且無損分子修飾體脂聯素之活性,則不限於包含序列編號2之胺基酸912~952之胺基酸序列之多肽,亦可使用具有該等胺基酸序列之1個或複數個胺基酸經置換、缺失或者附加之胺基酸序列的變異體多肽。作為此種變異體多肽,可列舉對於序列編號2之胺基酸912~952之胺基酸序列具有胺基酸之保存性置換者。變異體多肽可例示與序列編號2之胺基酸912~952之胺基酸序列具有80%以上、85%以上、90%以上、95%以上或98%以上之同源性者。 藉由使脂聯素之球狀區域與三聚物化區融合,所產生之融合蛋白質形成三聚物。天然之脂聯素係包含三聚物、六聚物、組合該等而成之多聚物之混合物,相對於此,關於本案之分子修飾體脂聯素,所表現之多肽之至少約60%、進而較佳為至少約70%、最理想為至少約75%係以三聚物之形式存在。 (ZZ區) 本發明之分子修飾體脂聯素亦可進而包含葡萄球菌之蛋白質A之Z區。Z區係源自葡萄球菌之蛋白質A之與抗體之Fc區域結合的區。Z區一般用於使未摺疊或者錯誤摺疊之蛋白質可溶化(例如參照Biochemistry 1994, 33, 4207-4211)。較佳為以將2個Z區串聯排列而成之ZZ區之形式使用。ZZ區可使用具有序列編號3(圖1)所記載之胺基酸序列之多肽。作為編碼ZZ區之核苷酸序列,例如可利用pEZZ18(GE Healthcare Japan股份有限公司)等市售之載體。只要促進蛋白質之可溶化,無損分子修飾體脂聯素之活性,則不限於包含序列編號3之胺基酸序列之多肽,亦可使用具有該等胺基酸序列之1個或複數個胺基酸經置換、缺失或者附加之胺基酸序列的變異體多肽。作為此種變異體多肽,可列舉對於序列編號3之胺基酸序列具有胺基酸之保存性置換者。又,變異體之多肽可例示與序列編號3之胺基酸114~244之胺基酸序列具有80%以上、85%以上、90%以上、95%以上或98%以上之同源性者。 (純化用標籤) 為了使純化變得容易,分子修飾體脂聯素亦可包含純化用標籤。純化用標籤為業者眾所周知,並無特別限定,例如可使用His(Histidine,組胺酸)標籤、GST(glutathione S-transferase,麩胱甘肽S-轉移酶)標籤、MBP(Maltose binding protein,麥芽糖結合蛋白)標籤、Strep(II)標籤等。於純化後,並非必須切斷包含標籤之區域,於切斷包含標籤之區域之情形時,可將蛋白酶等之識別部位導入至純化用標籤之鄰接部,而利用該蛋白酶進行切斷。 於脂聯素球狀區域與母系蛋白之捲曲螺旋區域之間,可包含任意之連接子。連接子並無特別限定,可使用源自母系蛋白之捲曲螺旋區域、或脂聯素球狀區域之鄰接之區域者。 (核酸) 本案發明中可使用之核酸包含分別編碼脂聯素之C末端側球狀區域及母系蛋白之捲曲螺旋區域的核酸序列。作為此種核酸序列,例如可例示包含分別編碼包含序列編號1之胺基酸114~244之胺基酸序列之多肽、及序列編號2之胺基酸912~952之胺基酸序列的核酸序列者。進而,可包含編碼葡萄球菌之蛋白質A之ZZ區之核酸序列。作為編碼蛋白質A之ZZ區之核酸,可使用源自pEZZ18(GE Healthcare Japan股份有限公司)等市售載體者。又,編碼蛋白質A之ZZ區的核酸例如可使用編碼包含序列編號3之胺基酸序列之ZZ區的核酸序列。 進而,為了使純化變得容易,本案發明中可使用之核酸中亦可包含編碼上述純化用標籤之核酸序列。又,亦可包含編碼任意之連接子序列之核酸序列。本案發明中可使用之核酸只要為編碼上述分子修飾體脂聯素之胺基酸序列者,則其序列並無特別限定。例如可使用序列編號4、6、8及10之核酸序列、或編碼序列編號5、7、9及11之胺基酸序列之核酸序列。 (載體) 表現載體可使用質粒載體、噬菌體載體、病毒載體、人工染色體載體等,例如可將pET-24a-d之類的pET系、pUC系、pBI系、pSMA系、pBluscript系、λgt11、λZAP、pUB110、pTP5、YEp13、YCp50、桿狀病毒、腺病毒、腺相關病毒、反轉錄病毒等任意之載體同時用於宿主細胞,並無特別限定。作為表現載體,可使用包含啟動子、促進子、剪切訊號、多聚腺苷酸化部位、終止子、選擇標記、複製起點等者。 宿主可使用原核生物及真核生物中之任一種。作為原核生物宿主,可使用大腸桿菌、枯草桿菌等,作為真核生物宿主,可使用酵母菌、哺乳動物細胞、昆蟲細胞等。 作為導入表現載體之方法,可使用任意之公知方法、例如磷酸鈣法、脂轉染法、電穿孔法等。分子修飾體脂聯素可藉由利用公知方法自宿主細胞之培養基回收,並進行純化而獲得。所表現之分子修飾體脂聯素係利用三聚物化區而形成三聚物,並蓄積於細胞內或分泌至細胞外。於回收及純化中,可藉由一般之方法進行,例如可使用親和性層析法、凝膠過濾層析法、離子交換層析法等各種層析法。又,是否形成三聚物可於非加熱及非還原之條件下藉由SDS-PAGE(sodium dodecyl sulfate-polyacrylamide gel electrophoresis,十二烷基硫酸鈉-聚丙烯醯胺凝膠電泳)分析及西方墨點分析等而容易地確認。 (醫藥組合物) 本發明之醫藥組合物可以本發明之分子修飾體脂聯素作為有效成分,進而加入藥學上所容許之載體,而製成各種投予形態之醫藥組合物。又,可以包含編碼本發明之分子修飾體脂聯素之核酸之基因治療用載體作為有效成分,進而加入藥學上所容許之載體,而製成各種投予形態之醫藥組合物。作為醫藥組合物之投予形態,可進行經口投予及非經口投予。於採用非經口投予之情形時,可為靜脈內、動脈內、皮下、肌內及腹腔內之投予等各種形態。 作為經口投予用醫藥組合物,例如可例示:錠劑、膠囊、顆粒、細粒、糖漿、腸溶劑、緩釋性膠囊等。經口投予用醫藥組合物中可使用乳糖、結晶纖維素、澱粉等賦形劑、硬脂酸鎂、滑石、硬脂酸鈣等潤滑劑之類的載體。進而,亦可利用乙基纖維素、羥丙基纖維素、鄰苯二甲酸乙酸纖維素酯、鄰苯二甲酸羥丙甲纖維素酯等塗佈劑進行塗佈。又,於採用膠囊之情形時,亦可利用腸溶性塗佈劑等而製成腸溶性膠囊。 靜脈內、動脈內、皮下、肌內及腹腔內投予用藥劑中,例如可包含蒸餾水、穩定劑、乳化劑、緩衝劑等載體。業者可考慮保存穩定性等而選擇載體。本案發明之醫藥組合物例如可以0.01~0.05 μg/天之投予量投予分子修飾體脂聯素,但該投予量可根據投予途徑、性別、年齡、體重、疾病之狀態等進行變更。 包含本案發明之分子修飾體脂聯素之醫藥組合物由於使藉由脂聯素結合於脂聯素受體而活化之AMPK活化,故而對藉由天然之脂聯素可預料治療及預防效果之疾病,可期待相同之高治療及預防效果。例如,包含本案發明之分子修飾體脂聯素之醫藥組合物對於動脈硬化症之類的心血管疾病、包含心衰竭、心臟肥大之心臟疾病、致死性心律不整、腦梗塞、肥胖症、糖尿病、高血壓、高脂血症之類的所謂生活習慣疾病及惡性腫瘤(癌症)等發揮出預防及治療效果。 預防及治療係不僅包括疾病之發病之預防及疾病之治療,亦包括該疾病所伴隨之症狀之預防及治療、該疾病之復發之抑制在內的概念。治療不僅包括根治治療,亦包括與治療前相比改善症狀之情形。 以下,基於實施例說明本發明,但下述實施例係用以說明本發明者,並非用以限定本發明者。 [實施例] <實施例1:hMat2cc-gAd表現大腸桿菌株之製作> 為了於大腸桿菌中表現於人類之脂聯素(序列編號1)之球狀區域(114殘基至244殘基)之胺基末端連結有人類之母系蛋白2(序列編號2)之捲曲螺旋區域(912殘基至952殘基)的多肽(以下,稱為hMat2cc-gAd)(序列編號5)(圖2),設計編碼該多肽之DNA序列(序列編號4)(圖2),並人工合成附加有用以選殖於表現載體之向5'末端之NdeI識別序列及向3'末端之XhoI識別序列的DNA。將該合成DNA插入至質粒pET-24a(+)(Merck股份有限公司)之T7啟動子之下游,將所獲得之質粒導入至大腸桿菌BL21(DE3)株(Merck股份有限公司)中,而獲得hMat2cc-gAd表現大腸桿菌株。 <實施例2:ZZ-hMat2cc-gAd表現大腸桿菌株之製作> 為了於大腸桿菌中表現於hMat2cc-gAd(序列編號5)之胺基末端連結有源自金黃色葡萄球菌之蛋白質A之ZZ區域(序列編號3)的多肽(以下,稱為ZZ-hMat2cc-gAd)(序列編號7)(圖3),設計編碼該多肽之DNA序列(序列編號6)(圖3),並人工合成附加有用以選殖於表現載體之向5'末端之NcoI識別序列及向3'末端之XhoI識別序列的DNA。將該合成DNA插入至質粒pET-24d(+)(Merck股份有限公司)之T7啟動子之下游,將所獲得之質粒導入至大腸桿菌BL21(DE3)株(Merck股份有限公司)中,而獲得ZZ-hMat2cc-gAd表現大腸桿菌株。 <實施例3:hMat2cc-gAd-ZZ表現大腸桿菌株之製作> 為了於大腸桿菌中表現於hMat2cc-gAd(序列編號5)之羧基末端連結有ZZ區域(序列編號3)之多肽(以下,稱為hMat2cc-gAd-ZZ)(序列編號9)(圖4),設計編碼該多肽之DNA序列(序列編號8)(圖4),並人工合成附加有用以選殖於表現載體之向5'端之NcoI識別序列及向3'末端之XhoI識別序列的DNA。將該合成DNA插入至質粒pET-24d(+)(Merck股份有限公司)之T7啟動子之下游,將所獲得之質粒導入至大腸桿菌BL21(DE3)株(Merck股份有限公司)中,而獲得hMat2cc-gAd-ZZ表現大腸桿菌株。 <實施例4:ZZ-hMat2cc-gAd-ZZ表現大腸桿菌株之製作> 為了於大腸桿菌中表現於hMat2cc-gAd(序列編號5)之胺基末端及羧基末端兩者連結有ZZ區域(序列編號3)之多肽(以下,稱為ZZ-hMat2cc-gAd-ZZ)(序列編號11)(圖6),設計編碼該多肽之DNA序列(序列編號10)(圖5),並人工合成附加有用以選殖於表現載體之向5'末端之NcoI識別序列及向3'末端之XhoI識別序列的DNA。將該合成DNA插入至質粒pET-24d(+)(Merck股份有限公司)之T7啟動子之下游,將所獲得之質粒導入至大腸桿菌BL21(DE3)株(Merck股份有限公司)中,而獲得ZZ-hMat2cc-gAd-ZZ表現大腸桿菌株。 <實施例5:hMat2cc-gAd之製備及性狀分析> 對hMat2cc-gAd表現大腸桿菌株,使用包含康黴素與異丙基-β-硫代半乳糖苷之2xYT培養基進行培養,將藉由離心分離而回收之菌體再懸浮於包含20 mM之Tris-HCl(pH值7.5)之緩衝液中,並進行超音波破碎。將所獲得之細胞破碎物藉由離心分離而分離為可溶性組分與不溶性組分,將可溶性組分利用HiTrap Q FF管柱(GE Healthcare Japan股份有限公司)及HiTrap TALON crude管柱(GE Healthcare Japan股份有限公司)連續地進行純化。針對該純化物,使用BCA蛋白分析套組(Thermo Scientific)進行蛋白質濃度測定。又,於非加熱及非還原之條件下進行SDS-PAGE分析及西方墨點分析,確認到hMat2cc-gAd形成三聚物且為高純度。 <實施例6:ZZ融合型hMat2cc-gAd之製備及性狀分析> 針對ZZ-hMat2cc-gAd表現大腸桿菌株、hMat2cc-gAd-ZZ表現大腸桿菌株及ZZ-hMat2cc-gAd-ZZ表現大腸桿菌株,分別使用包含康黴素及異丙基-β-硫代半乳糖苷之2xYT培養基進行培養,使藉由離心分離而回收之菌體再懸浮於包含20 mM之Tris-HCl(pH值7.5)之緩衝液中,並進行超音波破碎。將所獲得之細胞破碎物藉由離心分離而分離為可溶性組分與不溶性組分,將可溶性組分利用HiTrap TALON crude管柱(GE Healthcare)及HiLoad 16/60 Superdex 200 pg(GE Healthcare)管柱連續地進行純化。針對該純化物,使用BCA蛋白分析套組(Thermo Scientific)進行蛋白質濃度測定。又,於非加熱及非還原之條件下進行SDS-PAGE分析及西方墨點分析,確認到3種ZZ融合型hMat2cc-gAd形成三聚物且為高純度。 <實施例7:使用大鼠心肌細胞之因hMat2cc-gAd所引起之AMPK及Akt活性作用之研究> 使用大鼠之心肌細胞,確認到利用分子修飾體脂聯素hMat2cc-gAd使心臟保護訊號活化。 將大鼠之心肌細胞於DMEM(Dulbecco's modified Eagle medium,杜爾貝科改良伊格爾培養基)中進行培養,利用10 μg/ml之hMat2cc-gAd處理18小時。將心肌細胞於溶解緩衝液中進行均質化,使用10%聚丙烯醯胺凝膠,藉由變性條件下之SDS-PAGE而分離30 μg量之蛋白質。於電泳後,使分離之蛋白質轉印至膜,進行西方墨點分析。具體而言,以1:1,000之比率稀釋初級抗體,並以1:15,000之比率稀釋複合有HRP(Horseradish Peroxidase,辣根過氧化物酶)之二級抗體而使用。檢測係使用ECL-PLUS西方墨點檢測套組(Amersham Pharmacia Biotec製造)。所使用之初級抗體係針對p-AMPK(磷酸化AMPK)、p-Akt(磷酸化Akt)之抗體(Cell Signaling Technology公司)。抗微管蛋白抗體(Oncogene公司)係為了測定作為蛋白量之內部標準之微管蛋白量而使用。此處,AMPK係脂聯素訊號傳遞機制中之核心介質,且係藉由使脂聯素受體活化而進行磷酸化之蛋白質。已知若使AMPK磷酸化、活化,則會使作用於心肥大抑制、糖尿病性心肌病抑制、心肌梗塞抑制之心臟保護訊號活化(Am. J. Cardiovasc Dis 2012; 2(4): 253-366),又,使引起醣攝入或脂肪酸燃燒之訊號活化(Nature Medicine 2002: Vol.8, 1288-1295)。經磷酸化之AMPK(p-AMPK)進而將其下游之Akt磷酸化。將結果示於圖7。圖中,左側為P-AMPK、P-Akt,右側係為了慎重起見再次對P-AMPK進行西方墨點法之結果。+係利用hMat2cc-gAd進行了處理者,-係未處理者。 確認到關於利用hMat2cc-gAd進行了處理者,p-AMPK及p-Akt量與對照相比提高,利用分子修飾體脂聯素使脂聯素訊號活化。 <實施例8:使用大鼠心肌細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ引起之AMPK及Akt活性作用之研究> 使用大鼠之心肌細胞,以與實施例7相同之方式,確認到即便為其他分子修飾體脂聯素,亦使心臟保護訊號活化。 利用ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ,以與實施例7相同之方式對大鼠之心肌細胞進行處理。將心肌細胞於溶解緩衝液中進行均質化,使用10%聚丙烯醯胺凝膠,藉由變性條件下之SDS-PAGE而分離30 μg量之蛋白質。於電泳後,使分離之蛋白質轉印至膜,進行西方墨點分析。具體而言,以1:1,000之比率稀釋初級抗體,並以1:15,000之比率稀釋複合有HRP之二級抗體而使用。檢測係使用ECL-PLUS西方墨點檢測套組(Amersham Pharmacia Biotec製造)。所使用之初級抗體係針對p-AMPK(磷酸化AMPK)、T-AMPK(所有AMPK)、p-Akt(磷酸化Akt)、T-Akt(所有Akt)之抗體。抗微管蛋白抗體(Oncogene公司)係為了測定作為蛋白質之內部標準之微管蛋白量而使用。將結果示於圖8。右側及左側之照片係為了慎重起見而進行2次西方墨點法者。 確認到分子修飾體脂聯素均p-AMPK及p-Akt量與對照相比提高,利用分子修飾體脂聯素使脂聯素訊號活化。尤其對於ZZ-hMat2cc-gAd,AMPK及Akt之活化較明顯。 <實施例9:使用大鼠纖維母細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ引起之AMPK及Akt活性之研究> 確認到即便為大鼠纖維母細胞,利用其他種類之分子修飾體脂聯素亦使脂聯素訊號活化。 將大鼠纖維母細胞利用10 μg/ml之濃度之ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ或ZZ-hMat2cc-gAd-ZZ之分子修飾體脂聯素處理18小時。以與實施例8相同之方式,藉由西方墨點法檢測p-AMPK(磷酸化AMPK)(Cell Signaling Technology公司)、T-AMPK(所有AMPK)(Cell Signaling Technology公司)、p-Akt(磷酸化Akt)、T-Akt(所有Akt)。將結果示於圖9。確認到即便為纖維母細胞,利用分子修飾體脂聯素亦使脂聯素訊號活化。尤其對於ZZ-hMat2cc-gAd,AMPK及Akt之活化較明顯。 <實施例10:使用大鼠心肌細胞之因hMat2cc-gAd引起之抗細胞凋亡效果之研究> 確認到大鼠心肌細胞利用hMat2cc-gAd而抑制因低氧狀態引起之細胞凋亡。 將大鼠心肌細胞於無血清培養基中於氧正常狀態下處理48小時,或者於低氧狀態(<1%之O2 及5%之CO2 ,37℃)下處理12小時,其後於10 μg/ml之hMat2cc-gAd之存在下或非存在下之氧氣條件下(<21%之O2 及5%之CO2 ,37℃)靜置24小時。依據通常方法進行TUNEL(terminal deoxynucleotidyl transferase mediated dUTP nick end labeling,末端脫氧核苷酸轉移酶介導之dUTP缺口末端標記)染色(綠),將引起細胞凋亡之細胞染色。藉由DAPI(4',6-diamidino-2-phenylindole,4',6-二脒基-2-苯基吲哚)染色(藍)將所有死細胞染色。 將TUNEL染色及DAPI染色之結果之代表性照片示於圖10之上段,將定量地分析之因TUNEL陽性之細胞凋亡引起之死細胞的比率示於下段之圖表。顯示出低氧狀態下之TUNEL陽性細胞之比率、即因細胞凋亡所引起之死細胞之比率藉由hMat2cc-gAd處理,與對照相比顯著減少,hMat2cc-gAd發揮出抗細胞凋亡作用。 <實施例11:使用大鼠心肌細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ所引起之抗細胞凋亡效果之研究> 確認到大鼠心肌細胞即便利用其他種類之分子修飾體脂聯素,亦抑制因低氧狀態引起之細胞凋亡。 以與實施例10相同之方式,將大鼠心肌細胞利用ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ或ZZ-hMat2cc-gAd-ZZ進行處理,計測因細胞凋亡引起之死細胞之比率。 將TUNEL染色之結果之代表性照片示於圖11之上段,將定量地分析之因TUNEL陽性之細胞凋亡引起之死細胞的比率示於下段之圖表。顯示出低氧狀態下之TUNEL陽性細胞之比率、即因細胞凋亡所引起之死細胞之比率即便利用其他種類之分子修飾體脂聯素,與對照相比亦顯著減少,其他種類之分子修飾體脂聯素發揮出抗細胞凋亡作用。 <實施例12:使用大鼠心肌細胞之因hMat2cc-gAd引起之抗炎效果(TNFα及IL-1β之mRNA表現量之抑制)之研究> 確認到心肌細胞之炎症被hMat2cc-gAd所抑制。心肌細胞若受到因脂多糖(LPS)引起之刺激,則會產生TNFα及IL-1β,從而產生炎症。基於TNFα及IL-1β之mRNA量,而確認到hMat2cc-gAd抑制炎症。 將新生大鼠心肌細胞(NRVM)以250 μl/孔(2.5×105 細胞/孔)之濃度接種至24孔之培養皿中。利用10 μg/ml之濃度之hMat2cc-gAd處理1小時後,利用100 ng/ml之LPS處理6小時,而誘導作為炎症性細胞激素之TNFα及IL-1β之表現。藉由RT-PCR(Reverse Transcription-Polymerase Chain Reaction,反轉錄-聚合酶鏈反應)而測定TNFα及IL-1β之mRNA量。對照係使用PBS(phosphate buffer saline,磷酸鹽緩衝液)代替分子修飾體脂聯素。將結果示於圖12。 利用hMat2cc-gAd,TNFα及IL-1β之mRNA表現量與對照相比減少,確認到抑制炎症。 於如此使用分子修飾體脂聯素之情形時,於10 μg/ml之濃度下確認到抗炎效果。 另一方面,對於天然之脂聯素,於測定因LPS刺激引起之TNF-α產生之情形時,確認到於10 μg/ml之濃度下未抑制TNFα產生,但於30 μg/ml之濃度下抑制(Nature Medicine, 11, 1096-1103(2005))。由此顯示,本案發明之分子修飾體脂聯素即便為天然之脂聯素之約三分之一濃度,亦發揮出同等之效果。 <實施例13:使用大鼠心肌細胞之抗炎效果(TNF抑制)之研究> 確認到心肌細胞之炎症即便利用其他種類之分子修飾體脂聯素亦得到抑制。 將新生大鼠心肌細胞(NRVM)以250 μl/孔(2.5×105 細胞/孔)之濃度接種至24孔之培養皿中。利用10 μg/ml之濃度之ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ或ZZ-hMat2cc-gAd-ZZ處理1小時後,利用100 ng/ml之LPS處理6小時而誘導炎症。藉由RT-PCR而測定TNFα之mRNA量。對照係使用PBS代替分子修飾體脂聯素。將結果示於圖13。 利用ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ或ZZ-hMat2cc-gAd-ZZ,TNFα表現量與對照相比減少,而確認到抑制炎症。 <實施例14:因分子修飾體脂聯素處理引起之缺血再灌注損傷後之梗塞尺寸之影響> 確認到利用分子修飾體脂聯素hMat2cc-gAd,缺血再灌注損傷後之梗塞尺寸與野生型無處理小鼠相比減少。 將1.0 μg/g之分子修飾體脂聯素hMat2cc-gAd投予至複數隻C57BL/6系統小鼠之頸動脈內。對於對照之小鼠,投予PBS。 自投予起30分鐘後進行LAD(Left Anterior Descending,左前降支)血管結紮30分鐘,繼而再灌注48小時。將LAD動脈再縫合後,將1 ml之1.0%伊凡氏藍(Sigma Chemilal Co.)自頸靜脈注入,而將非梗塞組織染色。其後,取出心臟,利用PBS進行清洗後,製作橫截面之切片,於23℃下利用1.0 ml之1.5%之氯化2,3,5-三苯基四氮唑(Sigma Chemilal Co.)染色5分鐘,而將梗塞區域染色。 圖14中之照片表示藉由表示缺血區域(AAR)之伊凡氏藍、及表示梗塞區域(IA)之氯化2,3,5-三苯基四氮唑進行染色後之心臟組織的照片。藍色之部分表示未受到缺血之影響之健康之心肌,白色區域表示死亡之組織。進而,使用軟體ImageJ利用電腦進行面積測定,而確定左室區域(LV)、缺血區域(AAR)、梗塞區域(IA)之面積。將缺血區域(AAR)相對於左室區域(LV)之比率(AAR/LV)、梗塞區域(IA)相對於缺血區域(AAR)之比率(IA/AAR)、及梗塞區域(IA)相對於左室區域(LV)之比率(IA/LV)示於圖14之圖表。與對照相比,投予hMat2cc-gAd之群之IA/AAR及IA/LV減少。因此,顯示出hMat2cc-gAd對於心肌梗塞縮小有效。 <實施例15:因分子修飾體脂聯素處理引起之缺血再灌注損傷後之梗塞尺寸之影響> 確認到即便利用其他分子修飾體脂聯素,缺血再灌注損傷後之梗塞尺寸亦減少。 以與實施例14相同之方式投予1.0 μg/g之ZZ-hMat2cc-gAd或ZZ-hMat2cc-gAd-ZZ。對於對照之小鼠,投予PBS。 以與實施例14相同之方式,於缺血再灌注損傷後,進行伊凡氏藍染色及氯化2,3,5-三苯基四氮唑染色,並測定缺血區域(AAR)、梗塞區域(IA)及左室區域(LV)之面積並圖表化。將結果示於圖15。與對照相比,投予了分子修飾體脂聯素之群之IA/AAR及IA/LV減少。因此,顯示出ZZ-hMat2cc-gAd或ZZ-hMat2cc-gAd-ZZ對於心肌梗塞縮小有效。(Molecular Modified Adiponectin) The molecularly modified adiponectin of the present invention is a fusion protein comprising a spherical region of adiponectin and a coiled coil region of a parent protein, preferably a coiled coil region of a parent protein fused to the N-terminal side. A fusion of adiponectin globular regions at the C-terminal side. By fusing the coiled coil region and the adiponectin spherical region, a trimer can be formed extremely efficiently. The molecularly modified adiponectin may further include a ZZ region as an IgG-binding region of Staphylococcus protein A. The ZZ region may be linked to the N-terminus or C-terminus, or both the N-terminus and the C-terminus of the molecular modification body adiponectin, which is a fusion protein. Preferably, the Z region is connected to the N-terminus. It is known that the expression of proteins in soluble components is generally promoted by linking the Z regions when performing expression from a host cell. The molecular modified body adiponectin in this case exhibits the same physiological activity as adiponectin, such as AMPK activation effect, anti-apoptotic effect, anti-inflammatory effect, and myocardial infarction lesion reduction effect, even if it does not contain the ZZ region, but It was surprisingly confirmed that the introduction of the ZZ region not only promoted the performance in soluble components, but also exhibited the same physiological activity as the natural adiponectin even at a lower concentration of protein. The molecularly modified body adiponectin of the present invention includes, for example, a polypeptide comprising an amino acid sequence of amino acids 114 to 244 of sequence number 1, a polypeptide comprising an amino acid sequence of amino acids 912 to 952 of sequence number 2, and A polypeptide comprising an amino acid sequence of SEQ ID NO: 3. The molecularly modified adiponectin of the present invention includes, for example, amino acid sequences of SEQ ID NOs: 5, 7, 9, and 11. The molecularly modified adiponectin of the present invention can be produced by a common genetic engineering method. More specifically, the molecularly modified adiponectin of the present invention can be produced by introducing a gene encoding a molecularly modified adiponectin into a expression vector and introducing it into an appropriate host cell for expression. (Adiponectin) The spherical region on the C-terminal side of adiponectin contained in the molecularly modified adiponectin of the present invention can be derived from natural adiponectin. The amino acid sequence of natural adiponectin has been determined and can be obtained by known methods. In the present invention, human adiponectin is preferably used. For example, adiponectin having an amino acid sequence of SEQ ID NO: 1 (Fig. 1) can be used. As described above, adiponectin includes an N-terminal collagen-like region (collagen-like region, cAd), and a C-terminal side spherical region (gAd). The amino acid sequence of the spherical region at the C-terminus of adiponectin is a polypeptide comprising amino acid sequences of amino acids 114 to 244 of sequence number 1. As long as it has adiponectin activity, it is not limited to polypeptides containing amino acid sequences of amino acids 114 to 244 of SEQ ID NO. 1, and one or more amino acid sequences having such amino acid sequences may also be used. A variant polypeptide that is substituted, deleted, or added to an amino acid sequence. Examples of such a variant polypeptide include those having a preservation substitution of an amino acid sequence to the amino acid sequences of amino acids 114 to 244 of SEQ ID NO: 1. Examples of the variant polypeptide include those having amino acid sequences of amino acids 114 to 244 of SEQ ID NO: 1 that have homology of 80% or more, 85% or more, 90% or more, 95% or more, or 98% or more. (Trimerization region) A polymerized region is connected to the N-terminal side of the spherical region of the C-terminal side of adiponectin in the molecularly modified adiponectin of the present invention. The multimerization zone promotes multimerization of the polypeptide bound to the multimerization zone. The polymerized region is preferably a terpolymerized region, and generally has a coiled spiral region. Examples of such a trimer region include a coiled coil region such as an isoleucine zipper, a protein of the matrilin family, GCN4, and the like. Particularly preferred is the coiled-coil region of the parent protein family protein. Maternal protein family proteins are secreted extracellular matrix proteins, including maternal protein-1 to maternal protein-4. In the present specification, the maternal protein family proteins including maternal protein-1 to maternal protein-4 are also simply referred to as maternal proteins. Maternal protein-1 is a component of the extracellular matrix of non-articular cartilage and is mainly secreted by chondrocytes. Maternal protein-2 is a secreted protein associated with matrix association. Maternal protein-3 is a secreted protein expressed in cartilage tissue. Maternal protein-4 is expressed in the fetal kidney, embryo and placenta, and is an important secreted protein for the extracellular matrix of cartilage. Among them, especially in the present invention, it is preferable to use a human parent protein as a trimerization region, and it is particularly suitable to use a human parent protein-2 coiled coil region. The amino acid sequence of the parent protein-2 is represented by SEQ ID NO: 2 (Fig. 1), and the coiled coil region is a polypeptide comprising the amino acid sequences of amino acids 912-952 of SEQ ID NO: 2. As long as it has trimer-forming activity and does not impair the activity of the molecularly modified body adiponectin, it is not limited to polypeptides containing the amino acid sequences of amino acids 912 to 952 of SEQ ID NO: 2, and these amino acids can also be used A variant polypeptide in which one or more amino acids of the sequence are substituted, deleted, or added. Examples of such a variant polypeptide include those having a preservation substitution of an amino acid sequence to the amino acid sequence of amino acids 912 to 952 of SEQ ID NO: 2. Examples of the variant polypeptide include those having an amino acid sequence of amino acids 912 to 952 of SEQ ID NO: 2 with homology of 80% or more, 85% or more, 90% or more, 95% or more, or 98% or more. By fusing the spherical region of adiponectin with the trimerization region, the resulting fusion protein forms a trimer. Natural adiponectin is a mixture of trimer, hexamer, and a combination of polymers. In contrast, regarding the molecularly modified adiponectin of this case, at least about 60% of the expressed polypeptides Preferably, at least about 70%, and most preferably at least about 75%, is present as a trimer. (ZZ region) The molecularly modified adiponectin of the present invention may further include the Z region of protein A of Staphylococcus. The Z region is a region derived from Staphylococcus protein A that binds to the Fc region of an antibody. The Z region is generally used to solubilize unfolded or misfolded proteins (see, for example, Biochemistry 1994, 33, 4207-4211). It is preferably used in the form of a ZZ zone in which two Z zones are arranged in series. As the ZZ region, a polypeptide having the amino acid sequence described in SEQ ID NO: 3 (FIG. 1) can be used. As the nucleotide sequence encoding the ZZ region, for example, a commercially available vector such as pEZZ18 (GE Healthcare Japan Co., Ltd.) can be used. As long as the solubilization of the protein is promoted and the activity of the molecularly modified body adiponectin is not impaired, it is not limited to the polypeptide comprising the amino acid sequence of SEQ ID NO. A variant polypeptide in which an acid is substituted, deleted, or appended to an amino acid sequence. Examples of such a variant polypeptide include those having a conservative substitution with an amino acid to the amino acid sequence of SEQ ID NO: 3. Examples of the variant polypeptide include those having an amino acid sequence of amino acids 114 to 244 of SEQ ID NO: 3 that have a homology of 80% or more, 85% or more, 90% or more, 95% or more, or 98% or more. (Tag for purification) In order to facilitate purification, the molecularly modified adiponectin may include a tag for purification. Purification tags are well known to the industry and are not particularly limited. For example, His (Histidine) tag, GST (glutathione S-transferase) tag, MBP (Maltose binding protein, maltose) can be used. Binding protein) tag, Strep (II) tag, etc. After purification, it is not necessary to cut the area containing the tag. In the case where the area containing the tag is cut, a recognition site such as a protease can be introduced into an adjacent portion of the purification tag, and the protease can be used to cut the area. Any linker may be included between the adiponectin globular region and the coiled coil region of the parent protein. The linker is not particularly limited, and a coiled coil region derived from a parent protein or a region adjacent to a spherical region of adiponectin may be used. (Nucleic acid) The nucleic acid usable in the present invention includes a nucleic acid sequence encoding the C-terminal side globular region of adiponectin and the coiled coil region of the parent protein, respectively. As such a nucleic acid sequence, for example, a nucleic acid sequence including a polypeptide encoding an amino acid sequence including amino acids 114 to 244 of sequence number 1 and an amino acid sequence of amino acids 912 to 952 of sequence number 2 can be exemplified. By. Furthermore, a nucleic acid sequence encoding the ZZ region of protein A of Staphylococcus may be included. As the nucleic acid encoding the ZZ region of protein A, a commercially available vector derived from pEZZ18 (GE Healthcare Japan Co., Ltd.) can be used. As the nucleic acid encoding the ZZ region of the protein A, for example, a nucleic acid sequence encoding a ZZ region including the amino acid sequence of SEQ ID NO: 3 can be used. Furthermore, in order to facilitate purification, the nucleic acid usable in the present invention may include a nucleic acid sequence encoding the aforementioned purification tag. It may also include a nucleic acid sequence encoding an arbitrary linker sequence. The nucleic acid usable in the present invention is not particularly limited as long as it is an amino acid sequence encoding the molecularly modified adiponectin. For example, nucleic acid sequences with sequence numbers 4, 6, 8 and 10 or nucleic acid sequences encoding amino acid sequences with sequence numbers 5, 7, 9 and 11 can be used. (Vector) Expression vectors include plasmid vectors, phage vectors, viral vectors, artificial chromosome vectors, and the like. For example, pET-24a-d, pUC, pBI, pSMA, pBluscript, λgt11, λZAP can be used. Any vector, such as pUB110, pTP5, YEp13, YCp50, baculovirus, adenovirus, adeno-associated virus, retrovirus, etc., is used in the host cell at the same time, and it is not particularly limited. As the expression vector, a promoter, a promoter, a splicing signal, a polyadenylation site, a terminator, a selection marker, an origin of replication, and the like can be used. The host can use any of prokaryotes and eukaryotes. As the prokaryotic host, E. coli, Bacillus subtilis, and the like can be used, and as the eukaryotic host, yeast, mammalian cells, insect cells, and the like can be used. As a method for introducing the expression vector, any known method such as a calcium phosphate method, a lipofection method, an electroporation method, or the like can be used. The molecularly modified adiponectin can be recovered from a host cell culture medium by a known method and purified. The expressed molecularly modified adiponectin uses a trimerization region to form a trimer, and is accumulated in a cell or secreted outside the cell. The recovery and purification can be performed by a general method. For example, various chromatography methods such as affinity chromatography, gel filtration chromatography, and ion exchange chromatography can be used. In addition, whether a terpolymer is formed can be analyzed by SDS-PAGE (sodium dodecyl sulfate-polyacrylamide gel electrophoresis) under non-heating and non-reducing conditions and western ink Easy analysis by point analysis, etc. (Pharmaceutical composition) The pharmaceutical composition of the present invention can be made into the pharmaceutical composition of various administration forms by using the molecularly modified adiponectin of the present invention as an active ingredient, and further adding a pharmaceutically acceptable carrier. In addition, a gene therapy carrier encoding a nucleic acid encoding the molecularly modified adiponectin of the present invention may be used as an active ingredient, and a pharmaceutically acceptable carrier may be added to prepare a pharmaceutical composition in various administration forms. As an administration form of a pharmaceutical composition, oral administration and parenteral administration are possible. In the case of parenteral administration, various forms such as intravenous, intraarterial, subcutaneous, intramuscular, and intraperitoneal administration can be used. Examples of the pharmaceutical composition for oral administration include lozenges, capsules, granules, fine granules, syrups, enteric solvents, sustained-release capsules, and the like. Carriers such as lactose, crystalline cellulose, starch, and lubricants such as magnesium stearate, talc, and calcium stearate can be used in the pharmaceutical composition for oral administration. Furthermore, it can also apply with coating agents, such as ethyl cellulose, hydroxypropyl cellulose, cellulose acetate phthalate, and hypromellose phthalate. Moreover, when a capsule is used, an enteric capsule can be formed using an enteric coating agent and the like. Intravenous, intraarterial, subcutaneous, intramuscular, and intraperitoneal administration agents may include carriers such as distilled water, stabilizers, emulsifiers, and buffers. The operator may choose a carrier in consideration of storage stability and the like. The pharmaceutical composition of the present invention can be administered with a molecularly modified body adiponectin at a dosage of, for example, 0.01 to 0.05 μg / day, but the dosage can be changed according to the administration route, sex, age, weight, and disease state, etc. . The pharmaceutical composition containing the molecularly modified adiponectin of the present invention activates AMPK, which is activated by adiponectin binding to the adiponectin receptor. Therefore, the therapeutic and preventive effects of natural adiponectin are expected. Diseases can be expected to have the same high therapeutic and preventive effects. For example, a pharmaceutical composition comprising the molecularly modified adiponectin of the present invention is useful for cardiovascular diseases such as arteriosclerosis, heart diseases including heart failure, cardiac hypertrophy, fatal arrhythmia, cerebral infarction, obesity, diabetes, The so-called lifestyle diseases such as high blood pressure and hyperlipidemia, and malignant tumors (cancers), etc. exhibit preventive and therapeutic effects. Prevention and treatment include not only the prevention and treatment of the disease, but also the prevention and treatment of the symptoms accompanying the disease, and the suppression of the recurrence of the disease. Treatment includes not only radical treatment, but also conditions that improve symptoms compared to before treatment. Hereinafter, the present invention will be described based on examples, but the following examples are intended to illustrate the present inventors, and are not intended to limit the present inventors. [Example] <Example 1: Preparation of hMat2cc-gAd expressing E. coli strain> In order to express the spherical region (114 residues to 244 residues) of adiponectin (SEQ ID NO: 1) in humans in E. coli Polypeptide (hereinafter referred to as hMat2cc-gAd) (sequence number 5) (Figure 2) of a polypeptide (hereinafter referred to as hMat2cc-gAd) with a coiled coil region (912 residues to 952 residues) of human maternal protein 2 (SEQ ID NO: 2) linked to an amino group The DNA sequence (sequence number 4) (Figure 2) encoding the polypeptide was artificially synthesized with DNA added to the 5 'end of the NdeI recognition sequence and the 3' end of the XhoI recognition sequence for selection in the expression vector. This synthetic DNA was inserted downstream of the T7 promoter of plasmid pET-24a (+) (Merck Co., Ltd.), and the obtained plasmid was introduced into E. coli BL21 (DE3) strain (Merck Co., Ltd.) to obtain hMat2cc-gAd represents an E. coli strain. <Example 2: Production of ZZ-hMat2cc-gAd expressing Escherichia coli strain> The ZZ region of protein A derived from Staphylococcus aureus was linked to the amino group terminal of hMat2cc-gAd (SEQ ID NO: 5) in E. coli Polypeptide (SEQ ID NO: 3) (hereinafter referred to as ZZ-hMat2cc-gAd) (SEQ ID NO: 7) (FIG. 3), a DNA sequence encoding the polypeptide (SEQ ID NO: 6) (FIG. 3) is designed, and artificially synthesized is useful DNAs selected from the NcoI recognition sequence to the 5 'end and the XhoI recognition sequence to the 3' end selected from the expression vector. This synthetic DNA was inserted downstream of the T7 promoter of plasmid pET-24d (+) (Merck Co., Ltd.), and the obtained plasmid was introduced into E. coli BL21 (DE3) strain (Merck Co., Ltd.) to obtain ZZ-hMat2cc-gAd expresses an E. coli strain. <Example 3: Preparation of hMat2cc-gAd-ZZ-expressing E. coli strain> In order to express in E. coli a polypeptide having the ZZ region (sequence number 3) linked to the carboxy terminus of hMat2cc-gAd (sequence number 5) (hereinafter, referred to as For hMat2cc-gAd-ZZ) (SEQ ID NO: 9) (Figure 4), the DNA sequence encoding the polypeptide (SEQ ID NO: 8) (Figure 4) was designed, and it was artificially synthesized and added to the 5 'end of the expression vector. DNA with the NcoI recognition sequence and the 3 'end XhoI recognition sequence. This synthetic DNA was inserted downstream of the T7 promoter of plasmid pET-24d (+) (Merck Co., Ltd.), and the obtained plasmid was introduced into E. coli BL21 (DE3) strain (Merck Co., Ltd.) to obtain hMat2cc-gAd-ZZ represents an E. coli strain. <Example 4: Production of E. coli strain expressing ZZ-hMat2cc-gAd-ZZ> In order to express E. coli in hMat2cc-gAd (SEQ ID NO: 5), both the amino group terminal and the carboxyl terminal are linked to a ZZ region (sequence number 3) Polypeptide (hereinafter referred to as ZZ-hMat2cc-gAd-ZZ) (sequence number 11) (Figure 6), designing the DNA sequence (sequence number 10) (Figure 5) encoding the polypeptide, and artificially synthesize additional useful DNA cloned from the 5 'end NcoI recognition sequence and the 3' end XhoI recognition sequence of the expression vector. This synthetic DNA was inserted downstream of the T7 promoter of plasmid pET-24d (+) (Merck Co., Ltd.), and the obtained plasmid was introduced into E. coli BL21 (DE3) strain (Merck Co., Ltd.) to obtain ZZ-hMat2cc-gAd-ZZ represents an E. coli strain. <Example 5: Preparation and character analysis of hMat2cc-gAd> The hMat2cc-gAd-expressing E. coli strain was cultured in a 2xYT medium containing conomycin and isopropyl-β-thiogalactopyranoside, and was centrifuged. The separated and recovered bacterial cells were resuspended in a buffer solution containing 20 mM Tris-HCl (pH 7.5) and subjected to ultrasonic disruption. The obtained cell disrupted matter was separated into a soluble component and an insoluble component by centrifugation, and the soluble component was subjected to a HiTrap Q FF column (GE Healthcare Japan Co., Ltd.) and a HiTrap TALON crude column (GE Healthcare Japan). Co., Ltd.) was continuously purified. A protein concentration measurement was performed on the purified product using a BCA protein analysis kit (Thermo Scientific). Furthermore, SDS-PAGE analysis and Western blot analysis were performed under non-heating and non-reducing conditions, and it was confirmed that hMat2cc-gAd forms a trimer and has high purity. <Example 6: Preparation and character analysis of ZZ fusion hMat2cc-gAd> For ZZ-hMat2cc-gAd expressing E. coli strain, hMat2cc-gAd-ZZ expressing E. coli strain, and ZZ-hMat2cc-gAd-ZZ expressing E. coli strain, The cells were cultured in 2xYT medium containing concomycin and isopropyl-β-thiogalactoside, and the cells recovered by centrifugation were resuspended in 20 mM Tris-HCl (pH 7.5). Buffer and perform ultrasonic disruption. The obtained cell disrupted matter was separated into a soluble component and an insoluble component by centrifugation, and the soluble component was subjected to a HiTrap TALON crude column (GE Healthcare) and a HiLoad 16/60 Superdex 200 pg (GE Healthcare) column. Purification was performed continuously. A protein concentration measurement was performed on the purified product using a BCA protein analysis kit (Thermo Scientific). In addition, SDS-PAGE analysis and Western blot analysis were performed under non-heating and non-reducing conditions, and it was confirmed that the three types of ZZ fusion hMat2cc-gAd form a trimer and have high purity. <Example 7: Study of AMPK and Akt activity effects of hMat2cc-gAd using rat cardiomyocytes> Using rat cardiomyocytes, it was confirmed that the molecular protective body adiponectin hMat2cc-gAd was used to activate the cardioprotective signal . The cardiomyocytes of the rats were cultured in DMEM (Dulbecco's modified Eagle medium) and treated with 10 μg / ml hMat2cc-gAd for 18 hours. The cardiomyocytes were homogenized in a lysis buffer, and a 30% protein was separated by SDS-PAGE under denaturing conditions using a 10% polypropylene ammonium gel. After electrophoresis, the separated proteins were transferred to a membrane for Western blot analysis. Specifically, a primary antibody is diluted at a ratio of 1: 1,000, and a secondary antibody compounded with HRP (Horseradish Peroxidase, horseradish peroxidase) is used at a ratio of 1: 15,000. The detection system used ECL-PLUS Western Ink Dot Detection Kit (manufactured by Amersham Pharmacia Biotec). The primary antibody system used was an antibody against p-AMPK (phosphorylated AMPK) and p-Akt (phosphorylated Akt) (Cell Signaling Technology). An anti-tubulin antibody (Oncogene) is used to measure the amount of tubulin as an internal standard for the amount of protein. Here, AMPK is a core medium in adiponectin signal transmission mechanism, and is a protein that is phosphorylated by activating adiponectin receptor. Phosphorylation and activation of AMPK are known to activate the cardioprotective signals that act on the inhibition of cardiac hypertrophy, diabetic cardiomyopathy, and myocardial infarction (Am. J. Cardiovasc Dis 2012; 2 (4): 253-366 ), And activate signals that cause sugar intake or fatty acid burning (Nature Medicine 2002: Vol. 8, 1288-1295). Phosphorylated AMPK (p-AMPK) in turn phosphorylates Akt downstream. The results are shown in FIG. 7. In the figure, the left side is P-AMPK and P-Akt, and the right side is the result of performing Western blot method on P-AMPK again for the sake of caution. + Is treated by hMat2cc-gAd,-is untreated. For those treated with hMat2cc-gAd, it was confirmed that the amounts of p-AMPK and p-Akt were increased compared with the control, and the adiponectin signal was activated by the molecular modification of adiponectin. 〈Example 8: Study of AMPK and Akt activity caused by ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, and ZZ-hMat2cc-gAd-ZZ using rat cardiomyocytes〉 Rat cardiomyocytes were used to compare In the same manner as in Example 7, it was confirmed that the cardioprotective signal was activated even when adiponectin was modified by other molecules. Rat cardiomyocytes were treated in the same manner as in Example 7 using ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, and ZZ-hMat2cc-gAd-ZZ. The cardiomyocytes were homogenized in a lysis buffer, and a 30% protein was separated by SDS-PAGE under denaturing conditions using a 10% polypropylene ammonium gel. After electrophoresis, the separated proteins were transferred to a membrane for Western blot analysis. Specifically, a primary antibody is diluted at a ratio of 1: 1,000 and a secondary antibody complexed with HRP is used at a ratio of 1: 15,000. The detection system used ECL-PLUS Western Ink Dot Detection Kit (manufactured by Amersham Pharmacia Biotec). The primary antibodies used were directed against antibodies against p-AMPK (phosphorylated AMPK), T-AMPK (all AMPK), p-Akt (phosphorylated Akt), and T-Akt (all Akt). An anti-tubulin antibody (Oncogene) is used to measure the amount of tubulin as an internal standard for proteins. The results are shown in FIG. 8. The pictures on the right and left are for the sake of prudence and the Western blotting method was performed twice. It was confirmed that the amounts of p-AMPK and p-Akt in the molecularly modified adiponectin were increased compared with the control, and the molecularly modified adiponectin was used to activate the adiponectin signal. Especially for ZZ-hMat2cc-gAd, the activation of AMPK and Akt is more obvious. 〈Example 9: Study of AMPK and Akt activity caused by ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, and ZZ-hMat2cc-gAd-ZZ using rat fibroblasts > It was confirmed that even rat fibroblasts The use of other types of molecular modification of adiponectin also activates adiponectin signals. Rat fibroblasts were treated with a molecularly modified adiponectin, ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, or ZZ-hMat2cc-gAd-ZZ, at a concentration of 10 μg / ml for 18 hours. In the same manner as in Example 8, p-AMPK (phosphorylated AMPK) (Cell Signaling Technology), T-AMPK (all AMPK) (Cell Signaling Technology), p-Akt (phosphate Akt), T-Akt (all Akt). The results are shown in FIG. 9. It was confirmed that the adiponectin signal was activated by the molecular modification of adiponectin even in fibroblasts. Especially for ZZ-hMat2cc-gAd, the activation of AMPK and Akt is more obvious. <Example 10: Study on anti-apoptotic effect of hMat2cc-gAd using rat cardiomyocytes> It was confirmed that rat cardiomyocytes inhibited apoptosis due to hypoxia by using hMat2cc-gAd. Rat cardiomyocytes were treated in a serum-free medium under normal oxygen for 48 hours, or under hypoxia (<1% O 2 and 5% CO 2 at 37 ° C) for 12 hours, and then at 10 μg / ml of hMat2cc-gAd in the presence or absence of oxygen (<21% O 2 and 5% CO 2 at 37 ° C.) was left to stand for 24 hours. TUNEL (terminal deoxynucleotidyl transferase mediated dUTP nick end labeling) staining (green) according to the usual method (green) will stain cells that cause apoptosis. All dead cells were stained by DAPI (4 ', 6-diamidino-2-phenylindole, 4', 6-diamidino-2-phenylindole) staining (blue). Representative photographs of the results of TUNEL staining and DAPI staining are shown in the upper section of FIG. 10, and the ratio of dead cells due to TUNEL-positive apoptosis that is quantitatively analyzed is shown in the lower section of the graph. It was shown that the ratio of TUNEL-positive cells under hypoxia, that is, the ratio of dead cells due to apoptosis, was significantly reduced compared with the control by hMat2cc-gAd, and hMat2cc-gAd exerted an anti-apoptotic effect. 〈Example 11: Study of anti-apoptotic effects of rat cardiomyocytes due to ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, and ZZ-hMat2cc-gAd-ZZ > It was confirmed that rat cardiomyocytes were used Other types of molecularly modified adiponectin also inhibit apoptosis due to hypoxia. In the same manner as in Example 10, rat cardiomyocytes were treated with ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, or ZZ-hMat2cc-gAd-ZZ, and the ratio of dead cells due to apoptosis was measured. A representative photograph of the results of TUNEL staining is shown in the upper part of FIG. 11, and the ratio of dead cells due to TUNEL-positive apoptosis that is quantitatively analyzed is shown in the lower part of the graph. It shows that the ratio of TUNEL positive cells under hypoxia, that is, the ratio of dead cells due to apoptosis, even when other types of molecular modification body adiponectin are used, it is significantly reduced compared with the control, and other types of molecular modification Body adiponectin exerts an anti-apoptotic effect. <Example 12: Study of anti-inflammatory effects (inhibition of mRNA expression levels of TNFα and IL-1β) by hMat2cc-gAd in rat cardiomyocytes> It was confirmed that inflammation of cardiomyocytes was suppressed by hMat2cc-gAd. If cardiomyocytes are stimulated by lipopolysaccharide (LPS), they will produce TNFα and IL-1β, which will cause inflammation. Based on the mRNA amounts of TNFα and IL-1β, it was confirmed that hMat2cc-gAd inhibited inflammation. Neonatal rat cardiomyocytes (NRVM) were seeded into 24-well culture dishes at a concentration of 250 μl / well (2.5 × 10 5 cells / well). After treatment with hMat2cc-gAd at a concentration of 10 μg / ml for 1 hour, treatment with LPS at 100 ng / ml for 6 hours induced the expression of TNFα and IL-1β as inflammatory cytokines. The amount of mRNA of TNFα and IL-1β was measured by RT-PCR (Reverse Transcription-Polymerase Chain Reaction). The control system used PBS (phosphate buffer saline, phosphate buffer solution) instead of molecularly modified body adiponectin. The results are shown in FIG. 12. Using hMat2cc-gAd, the mRNA expression levels of TNFα and IL-1β were reduced compared to the control, and it was confirmed that inflammation was suppressed. When the molecularly modified body adiponectin was used in this way, an anti-inflammatory effect was confirmed at a concentration of 10 μg / ml. On the other hand, in the case of natural adiponectin, when TNF-α production due to LPS stimulation was measured, it was confirmed that TNFα production was not inhibited at a concentration of 10 μg / ml, but at a concentration of 30 μg / ml Inhibition (Nature Medicine, 11, 1096-1103 (2005)). This shows that the molecularly modified adiponectin of the present invention exerts the same effect even if it is about one third of the concentration of natural adiponectin. <Example 13: Study of anti-inflammatory effect (TNF inhibitory effect) using rat cardiomyocytes> It was confirmed that inflammation of cardiomyocytes was suppressed even when adiponectin was modified by another type of molecular modification. Neonatal rat cardiomyocytes (NRVM) were seeded into 24-well culture dishes at a concentration of 250 μl / well (2.5 × 10 5 cells / well). After 1 hour of treatment with ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ or ZZ-hMat2cc-gAd-ZZ at a concentration of 10 μg / ml, inflammation was induced by treatment with 100 ng / ml of LPS for 6 hours. The amount of TNFα mRNA was determined by RT-PCR. The control used PBS instead of the molecularly modified adiponectin. The results are shown in FIG. 13. Using ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, or ZZ-hMat2cc-gAd-ZZ, the expression of TNFα was reduced compared to the control, and inhibition of inflammation was confirmed. <Example 14: Effect of infarct size after ischemia-reperfusion injury due to molecular modification of adiponectin treatment> It was confirmed that the size of infarction after ischemia-reperfusion injury by molecular modification of adiponectin hMat2cc-gAd Reduced compared to wild-type untreated mice. 1.0 μg / g of the molecularly modified adiponectin hMat2cc-gAd was administered into the carotid artery of a plurality of C57BL / 6 mice. For control mice, PBS was administered. LAD (Left Anterior Descending) vessels were ligated for 30 minutes 30 minutes after administration, followed by reperfusion for 48 hours. After LAD arteries were re-sutured, 1 ml of 1.0% Ivan's Blue (Sigma Chemilal Co.) was injected from the jugular vein, and non-infarcted tissue was stained. Thereafter, the heart was taken out, washed with PBS, and a cross-sectional section was prepared, and then stained with 1.0 ml of 1.5% chlorinated 2,3,5-triphenyltetrazole (Sigma Chemilal Co.) at 23 ° C. 5 minutes while staining the infarcted area. The photograph in FIG. 14 shows the heart tissue stained with Ivan's blue showing the ischemic area (AAR) and 2,3,5-triphenyltetrazole chloride showing the infarcted area (IA). photo. The blue part indicates healthy heart muscle that is not affected by ischemia, and the white area indicates dead tissue. Furthermore, the area measurement of the left ventricle area (LV), ischemic area (AAR), and infarcted area (IA) was determined by performing area measurement using a computer using the software ImageJ. The ratio of ischemic area (AAR) to left ventricular area (LV) (AAR / LV), the ratio of infarcted area (IA) to ischemic area (AAR) (IA / AAR), and the infarcted area (IA) The ratio (IA / LV) to the left ventricular area (LV) is shown in the graph of FIG. 14. Compared with the control group, the IA / AAR and IA / LV of the group administered hMat2cc-gAd were reduced. Therefore, hMat2cc-gAd has been shown to be effective in reducing myocardial infarction. <Example 15: Effect of infarct size after ischemia-reperfusion injury due to molecular modification of adiponectin treatment> It was confirmed that infarction size after ischemia-reperfusion injury was reduced even when other molecular modifications of adiponectin were used . 1.0 μg / g of ZZ-hMat2cc-gAd or ZZ-hMat2cc-gAd-ZZ was administered in the same manner as in Example 14. For control mice, PBS was administered. In the same manner as in Example 14, Ivan's blue staining and 2,3,5-triphenyltetrazolium chloride staining were performed after ischemia-reperfusion injury, and the ischemic area (AAR) and infarction were measured. The area of area (IA) and left ventricular area (LV) are graphed. The results are shown in FIG. 15. Compared with the control, the IA / AAR and IA / LV of the group administered the molecularly modified adiponectin were reduced. Therefore, it has been shown that ZZ-hMat2cc-gAd or ZZ-hMat2cc-gAd-ZZ is effective for reducing myocardial infarction.

圖1係表示脂聯素之胺基酸序列(序列編號1)、母系蛋白-2胺基酸序列(序列編號2)及ZZ區胺基酸序列(序列編號3)的圖。於脂聯素之胺基酸序列及母系蛋白-2胺基酸序列中,分別以粗體字表示脂聯素球狀區域及捲曲螺旋區域之胺基酸序列。 圖2係表示hMat2cc-gAd之DNA序列(序列編號4)及hMat2cc-gAd之胺基酸序列(序列編號5)之圖。 圖3係表示ZZ-hMat2cc-gAd之DNA序列(序列編號6)及ZZ-hMat2cc-gAd之胺基酸序列(序列編號7)之圖。 圖4係表示hMat2cc-gAd-ZZ之DNA序列(序列編號8)及hMat2cc-gAd-ZZ之胺基酸序列(序列編號9)之圖。 圖5係表示ZZ-hMat2cc-gAd-ZZ之DNA序列(序列編號10)之圖。 圖6係表示ZZ-hMat2cc-gAd-ZZ胺基酸序列(序列編號11)之圖。 圖7係表示使用大鼠心肌細胞之因hMat2cc-gAd引起之AMPK及AKT之活化之西方墨點法的照片。 圖8係表示使用大鼠心肌細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ、ZZ-hMat2cc-gAd-ZZ引起之AMPK及AKT之活化之西方墨點法的照片。 圖9係表示使用大鼠纖維母細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ引起之AMPK及AKT之活化之西方墨點法的照片。 圖10係表示使用大鼠心肌細胞之因hMat2cc-gAd產生之抗細胞凋亡效果的照片及圖表。上段係TUNEL染色及DAPI染色之結果之代表性照片,下段係表示定量地分析之因TUNEL陽性之細胞凋亡引起之死細胞之比率的圖表。 圖11係表示使用大鼠心肌細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ引起之抗細胞凋亡效果之照片及圖表。上段係TUNEL染色之結果之代表性照片,下段係表示定量地分析之因TUNEL陽性之細胞凋亡引起之死細胞之比率的圖表。 圖12係表示使用大鼠心肌細胞之因hMat2cc-gAd引起之抗炎效果的圖表。右側之圖表表示IL-1β之表現量,左側之圖表表示TNFα之表現量。 圖13係表示使用大鼠心肌細胞之因ZZ-hMat2cc-gAd、hMat2cc-gAd-ZZ及ZZ-hMat2cc-gAd-ZZ引起之抗炎效果的圖表。圖表表示TNFα之表現量。 圖14係表示因hMat2cc-gAd引起之缺血再灌注損傷後之梗塞尺寸之影響的照片及圖表。照片係表示缺血區域(AAR)之伊凡氏藍染色、及藉由表示梗塞區域(IA)之氯化2,3,5-三苯基四氮唑進行染色後之心臟組織之切片的照片,圖表表示缺血區域(AAR)相對於左室區域(LV)之比率(AAR/LV)、梗塞區域(IA)相對於缺血區域(AAR)之比率(IA/AAR)、及梗塞區域(IA)相對於左室區域(LV)之比率(IA/LV)。 圖15係表示因ZZ-hMat2cc-gAd及ZZ-hMat2cc-gAd-ZZ引起之缺血再灌注損傷後之梗塞尺寸之影響的照片及圖表。照片係藉由伊凡氏藍及氯化2,3,5-三苯基四氮唑進行染色後之心臟組織之切片之照片,圖表表示AAR/LV、IA/AAR及IA/LV。FIG. 1 is a diagram showing the amino acid sequence (sequence number 1), the parent protein-2 amino acid sequence (sequence number 2), and the ZZ region amino acid sequence (sequence number 3). In the amino acid sequence of the adiponectin and the amino acid sequence of the parent protein-2, the amino acid sequences of the adiponectin globular region and the coiled coil region are indicated in bold type, respectively. FIG. 2 is a diagram showing the DNA sequence (sequence number 4) of hMat2cc-gAd and the amino acid sequence (sequence number 5) of hMat2cc-gAd. FIG. 3 is a diagram showing the DNA sequence (sequence number 6) of ZZ-hMat2cc-gAd and the amino acid sequence (sequence number 7) of ZZ-hMat2cc-gAd. FIG. 4 is a diagram showing the DNA sequence (sequence number 8) of hMat2cc-gAd-ZZ and the amino acid sequence (sequence number 9) of hMat2cc-gAd-ZZ. FIG. 5 is a diagram showing a DNA sequence (sequence number 10) of ZZ-hMat2cc-gAd-ZZ. Fig. 6 is a diagram showing a ZZ-hMat2cc-gAd-ZZ amino acid sequence (SEQ ID NO: 11). FIG. 7 is a photograph showing Western blot method of activation of AMPK and AKT caused by hMat2cc-gAd in rat cardiomyocytes. FIG. 8 is a photograph showing Western blotting methods for activation of AMPK and AKT caused by ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, ZZ-hMat2cc-gAd-ZZ using rat cardiomyocytes. FIG. 9 is a photograph showing Western blot method of activation of AMPK and AKT caused by ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ and ZZ-hMat2cc-gAd-ZZ using rat fibroblasts. FIG. 10 is a photograph and a graph showing an anti-apoptotic effect of hMat2cc-gAd using rat cardiomyocytes. The upper section is a representative photograph of the results of TUNEL staining and DAPI staining, and the lower section is a graph showing the quantitative analysis of the ratio of dead cells due to apoptosis of TUNEL-positive cells. FIG. 11 is a photograph and a graph showing the anti-apoptotic effect caused by ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, and ZZ-hMat2cc-gAd-ZZ using rat cardiomyocytes. The upper section is a representative photograph of the results of TUNEL staining, and the lower section is a graph showing quantitative analysis of the ratio of dead cells due to apoptosis of TUNEL-positive cells. Fig. 12 is a graph showing the anti-inflammatory effects of hMat2cc-gAd using rat cardiomyocytes. The graph on the right shows the expression of IL-1β, and the graph on the left shows the expression of TNFα. FIG. 13 is a graph showing the anti-inflammatory effects of rat cardiomyocytes due to ZZ-hMat2cc-gAd, hMat2cc-gAd-ZZ, and ZZ-hMat2cc-gAd-ZZ. The graph shows the expression level of TNFα. 14 is a photograph and a graph showing the effect of infarct size after ischemia-reperfusion injury due to hMat2cc-gAd. The photographs are of Ivan's blue staining showing the ischemic area (AAR) and sections of the heart tissue stained with 2,3,5-triphenyltetrazole chloride showing the infarcted area (IA). The graph shows the ratio of ischemic area (AAR) to left ventricular area (LV) (AAR / LV), the ratio of infarcted area (IA) to ischemic area (AAR) (IA / AAR), and the infarcted area ( IA) ratio to left ventricular area (LV) (IA / LV). 15 is a photograph and a graph showing the effect of infarct size after ischemia-reperfusion injury due to ZZ-hMat2cc-gAd and ZZ-hMat2cc-gAd-ZZ. The photograph is a photograph of a section of heart tissue stained with Ivan's Blue and 2,3,5-triphenyltetrazolium chloride. The diagram shows AAR / LV, IA / AAR, and IA / LV.

Claims (15)

一種分子修飾體脂聯素,其包含脂聯素之C末端側球狀區域、與母系蛋白之捲曲螺旋區域。A molecularly modified body adiponectin comprises a C-terminal side spherical region of adiponectin and a coiled coil region of a parent protein. 如請求項1之分子修飾體脂聯素,其中母系蛋白之捲曲螺旋區域位於N末端側,脂聯素球狀區域位於C末端側。For example, the molecularly modified adiponectin of claim 1, wherein the coiled-coil region of the parent protein is located at the N-terminal side, and the adiponectin spherical region is located at the C-terminal side. 如請求項1或2之分子修飾體脂聯素,其進而包含至少1個葡萄球菌之蛋白質A之ZZ區。The molecularly modified adiponectin of claim 1 or 2, further comprising at least one ZZ region of protein A of Staphylococcus. 如請求項3之分子修飾體脂聯素,其中蛋白質A之ZZ區位於母系蛋白之捲曲螺旋區域之N末端側。For example, the molecularly modified adiponectin of claim 3, wherein the ZZ region of protein A is located on the N-terminal side of the coiled-coil region of the parent protein. 如請求項1至4中任一項之分子修飾體脂聯素,其中母系蛋白為母系蛋白-2。The molecularly modified body adiponectin according to any one of claims 1 to 4, wherein the parent protein is parent protein-2. 如請求項3或4之脂聯素,其含有包含序列編號1之胺基酸114~244之胺基酸序列之多肽、包含序列編號2之胺基酸912~952之胺基酸序列之多肽、及包含序列編號3之胺基酸序列之多肽。For example, the adiponectin of claim 3 or 4, which comprises a polypeptide comprising an amino acid sequence of amino acids 114 to 244 of sequence number 1, a polypeptide comprising an amino acid sequence of amino acids 912 to 952 of sequence number 2 And a polypeptide comprising an amino acid sequence of SEQ ID NO: 3. 如請求項6之分子修飾體脂聯素,其包含選自序列編號5、7、9及11中之胺基酸序列。The molecularly modified adiponectin of claim 6, comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 5, 7, 9 and 11. 一種三聚物,其係如請求項1至7中任一項之分子修飾體脂聯素之三聚物。A trimer which is a trimer of the molecularly modified body adiponectin according to any one of claims 1 to 7. 一種核酸,其編碼如請求項1至7中任一項之分子修飾體脂聯素。A nucleic acid encoding a molecularly modified body adiponectin according to any one of claims 1 to 7. 如請求項9之核酸,其包含選自序列編號4、6、8及10中之核酸序列。The nucleic acid of claim 9, comprising a nucleic acid sequence selected from the group consisting of sequence numbers 4, 6, 8, and 10. 一種載體,其包含如請求項9或10之核酸。A vector comprising a nucleic acid as claimed in claim 9 or 10. 一種宿主細胞,其包含如請求項9或10之核酸、或如請求項11之載體。A host cell comprising a nucleic acid as claimed in claim 9 or 10, or a vector as claimed in claim 11. 一種醫藥組合物,其包含藥學有效量之如請求項8之修飾型脂聯素之三聚物、與製劑學上所容許之載體。A pharmaceutical composition comprising a pharmaceutically effective amount of a trimer of a modified adiponectin as claimed in claim 8 and a pharmaceutically acceptable carrier. 如請求項13之醫藥組合物,其係用以治療或預防動脈硬化症。The pharmaceutical composition according to claim 13, which is used for treating or preventing arteriosclerosis. 如請求項14之醫藥組合物,其中動脈硬化症為狹心症、心肌梗塞或腦梗塞。The pharmaceutical composition according to claim 14, wherein the arteriosclerosis is stenosis, myocardial infarction or cerebral infarction.
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