TW202120560A - Recombinant polypeptides and uses thereof - Google Patents

Recombinant polypeptides and uses thereof Download PDF

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TW202120560A
TW202120560A TW109127764A TW109127764A TW202120560A TW 202120560 A TW202120560 A TW 202120560A TW 109127764 A TW109127764 A TW 109127764A TW 109127764 A TW109127764 A TW 109127764A TW 202120560 A TW202120560 A TW 202120560A
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藍耿立
蔡政良
許斐婷
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國立陽明大學
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    • C07K2319/70Fusion polypeptide containing domain for protein-protein interaction

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Abstract

Disclosed herein is a recombinant polypeptide comprising a first polypeptide, and a second polypeptide operably linked to the N- or C- terminus of the first polypeptide, wherein the first polypeptide has an amino acid sequence at least 85% identical to IL-15, and the second polypeptide has an amino acid sequence at least 85% identical to albumin binding domain (ABD) or albumin binding peptide (ABP). Furthermore, the present disclosure is related to pharmaceutical compositions comprising the present recombinant polypeptide for preventing and/or treating a cancer in a subject in need thereof. Also encompassed within the scope of the present disclosure are methods for preventing and/or treating cancer using said pharmaceutical composition.

Description

重組多肽及其用途Recombinant polypeptide and its use

本揭示內容整體上是關於癌症治療的技術領域。更具體來說,本揭示內容是關於一種重組多肽(recombinant polypeptide),以及其於治療癌症的用途。The present disclosure as a whole is about the technical field of cancer treatment. More specifically, the present disclosure relates to a recombinant polypeptide (recombinant polypeptide) and its use in the treatment of cancer.

癌症是一種涉及細胞生長發生異常,並具有潛在侵犯或蔓延至身體其他部位的疾病。多年來,癌症已經變成一種所有人類所面臨的嚴峻問題,並且對於一個社會的健康照護體系造成沉重的負擔。Cancer is a disease that involves abnormal cell growth and has the potential to invade or spread to other parts of the body. Over the years, cancer has become a serious problem faced by all human beings and has caused a heavy burden on the health care system of a society.

因此,現今已發展出許多的治療選項來治療癌症,包含外科手術、化學療法、放射療法、荷爾蒙療法、標靶療法及安寧照護(palliative care)等。然而,這類常規方法通常會伴隨著激烈的副作用,例如會對正常組織會造成損傷或帶來細胞毒性等。近年來,在研究及臨床前的試驗中,正在試驗一些對於治療癌症具有較低副作用的相關替代療法。在該些治療中,利用生物大分子(例如,多肽、核酸、醣類等)的免疫療法是最具有前景的療法,因為該等療法是藉由調節該罹病個體的免疫系統功能來消除腫瘤。Therefore, many treatment options have been developed to treat cancer, including surgery, chemotherapy, radiation therapy, hormonal therapy, targeted therapy, and palliative care. However, such conventional methods are usually accompanied by severe side effects, such as damage to normal tissues or cytotoxicity. In recent years, in research and preclinical trials, some related alternative therapies with lower side effects for the treatment of cancer are being tested. Among these treatments, immunotherapies using biological macromolecules (for example, polypeptides, nucleic acids, carbohydrates, etc.) are the most promising therapies, because these therapies eliminate tumors by regulating the immune system function of the affected individual.

其中一種用於治療癌症的藥劑為IL-15。IL-15是共通γ鏈受體(common γ chain receptor,γc)細胞激素家族的一員,用於調控T細胞活化及增殖,並促進自然殺手細胞(natural killer,NK)細胞擴增及發育。在一些臨床前模式中,已顯示出IL-15具有增強CD8+ T細胞於對抗腫瘤之免疫性的功效(Klebanoff CA et al., PNAS 101 (7): 1969–74; Teague RM et al., Nature Medicine 12 (3): 335–41)。然而,現今對於製備出一種具有適當之藥物動力學圖譜(profile)的重組IL-15仍深感困難,因此大幅限制了IL-15於治療癌症的臨床用途。一些研究已顯示出,IL-15本身在血液循環中會很快被代謝掉。此外,相較於天然的IL-15或由E. coli所製備的重組IL-15來說,IL-15融合蛋白的生物活性通常會有所折損(compromised),所述IL-15融合蛋白是將IL-15與一額外的功能性結構域融合,並自哺乳類細胞中分離出的蛋白。One of the drugs used to treat cancer is IL-15. IL-15 is a member of the common γ chain receptor (γc) cytokine family. It is used to regulate the activation and proliferation of T cells, and promote the expansion and development of natural killer (NK) cells. In some preclinical models, IL-15 has been shown to enhance the immunity of CD8 + T cells against tumors (Klebanoff CA et al., PNAS 101 (7): 1969–74; Teague RM et al., Nature Medicine 12 (3): 335–41). However, it is still difficult to prepare a recombinant IL-15 with an appropriate pharmacokinetic profile, which greatly limits the clinical use of IL-15 in the treatment of cancer. Some studies have shown that IL-15 itself is quickly metabolized in the blood circulation. In addition, compared with natural IL-15 or recombinant IL-15 prepared from E. coli, the biological activity of IL-15 fusion protein is usually compromised. The IL-15 fusion protein is A protein isolated from mammalian cells by fusing IL-15 with an additional functional domain.

有鑑於此,相關領域亟需一種用以延長IL-15於血液循環之半衰期的改良方法,使其不會干擾到IL-15的生物活性,並可以具有一種最佳化的藥物動力學圖譜,據以達到IL-15於治療癌症之最大程度的運用。In view of this, the related field urgently needs an improved method for prolonging the half-life of IL-15 in the blood circulation so that it will not interfere with the biological activity of IL-15 and can have an optimized pharmacokinetic profile. According to this, IL-15 can be used to the greatest extent in the treatment of cancer.

下文呈現本揭示內容的簡單概要,以利讀者對本揭示內容有基本的理解。本概要並非對本揭示內容的廣泛性概觀,也非用以鑑別本揭示內容的關鍵性/決定性元件,或勾勒本揭示內容的範圍。它唯一的目的在於以一種簡化的形式呈現本揭示內容某些概念,以作為後續呈現更多詳細說明的序幕。The following presents a brief summary of the disclosure to facilitate readers to have a basic understanding of the disclosure. This summary is not a comprehensive overview of the content of this disclosure, nor is it used to identify the key/decisive elements of the content of this disclosure, or outline the scope of the content of this disclosure. Its sole purpose is to present certain concepts of the present disclosure in a simplified form as a prelude to the subsequent presentation of more detailed descriptions.

如在本文中所實施及廣泛描述的,本揭示內容的其中一態樣是關於一種重組多肽,其包含, 一第一多肽,其具有一與序列編號:1至少85%之序列相似度的胺基酸序列;以及 一第二多肽,其係可操作式地連接至該第一多肽的N-或C-端,其中該第二多肽具有一與序列編號:2或序列編號:3至少85%之序列相似度的胺基酸序列。As implemented and broadly described herein, one aspect of the present disclosure relates to a recombinant polypeptide comprising, A first polypeptide having an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO:1; and A second polypeptide which is operably linked to the N- or C-terminus of the first polypeptide, wherein the second polypeptide has a sequence of at least 85% of SEQ ID NO: 2 or SEQ ID NO: 3 Amino acid sequence of similarity.

依據本揭示內容的某些實施方式, 該第一多肽具有序列編號:1的胺基酸序列;以及 該第二多肽具有序列編號:2或序列編號:3的胺基酸序列。According to certain embodiments of the present disclosure, The first polypeptide has an amino acid sequence of SEQ ID NO: 1; and The second polypeptide has an amino acid sequence of SEQ ID NO: 2 or SEQ ID NO: 3.

依據本揭示內容的某些可任選的實施方式, 該重組多肽的N-端為乙醯化(acetylated)、甲醯化(formylated)、甲基化(methylated)、氨基甲醯化(carbamylated)、聚乙二醇化(pegylated)、磷酸化(phosphorylated),或醣基化(glycosylated);及/或 該重組多肽的C-端為醯胺化(amidated)、醣基磷脂醯肌醇化(glypiated)、生物素化(biotinylated),或醣基化。According to some optional embodiments of the present disclosure, The N-terminal of the recombinant polypeptide is acetylated, formylated, methylated, carbamylated, pegylated, phosphorylated , Or glycosylated; and/or The C-terminus of the recombinant polypeptide is amidated, glypiated, biotinylated, or glycosylated.

依據本揭示內容的某些實施方式,本揭示內容重組多肽更包含一第三多肽,其係可操作式地連接至該第一或該第二多肽的N-或C-端,其中該第三多肽為:β-半乳糖苷酶(β-galactosidase,lacZ)、氯黴素乙醯轉移酶(chloramphenicol acetyltransferase,CAT)、螢光素酶(luciferase)、綠螢光蛋白(green fluorescent protein,GFP)、紅螢光蛋白(red fluorescent protein,RFP)、青螢光蛋白(cyan fluorescent protein,CFP)、黃螢光蛋白(yellow fluorescent protein,YFP)、β-內醯胺酶(β-lactamase)、胺基糖苷-3’-磷酸轉移酶(aminoglycoside-3’-phosphotransferase,APH(3’))、乳清酸核苷-5'-磷酸脫羧酶(orotidine-5’-phosphate decarboxylase,ODCase)、幾丁質結合蛋白(chitin binding protein,CBP)、麥芽糖結合蛋白(maltose binding protein,MBP)、鏈黴素標籤(Strep-tag)、麩胱甘肽-S-轉移酶(glutathione-S-transferase,GST)、硫氧還蛋白(thioredoxin,TRX)、鹼性磷酸酶(alkaline phosphatase,AP)、生物素-羧基載體蛋白(biotin-carboxy carrier protein,BCCP)、攜鈣素結合胜肽(calmodulin binding peptide,CBP)、噬菌體T7表位(bacteriophage T7 epitope,T7-標籤(T7-tag))、聚組胺酸標籤(poly-histidine tag)、FLAG-標籤(FLAG-tag)、Myc-標籤(Myc-tag)、HA-標籤(HA-tag)、Spot-。標籤(Spot-tag)、NE-標籤(NE-tag),或其組合。According to certain embodiments of the present disclosure, the recombinant polypeptide of the present disclosure further comprises a third polypeptide, which is operably linked to the N- or C-terminus of the first or the second polypeptide, wherein the The third polypeptide is: β-galactosidase (lacZ), chloramphenicol acetyltransferase (CAT), luciferase, green fluorescent protein (green fluorescent protein) , GFP), red fluorescent protein (RFP), cyan fluorescent protein (CFP), yellow fluorescent protein (YFP), β-lactamase (β-lactamase), Aminoglycoside-3'-phosphotransferase (aminoglycoside-3'-phosphotransferase, APH(3')), orotidine-5'-phosphate decarboxylase (ODCase), several Chitin binding protein (chitin binding protein, CBP), maltose binding protein (maltose binding protein, MBP), streptomycin tag (Strep-tag), glutathione-S-transferase (glutathione-S-transferase, GST) ), thioredoxin (TRX), alkaline phosphatase (AP), biotin-carboxy carrier protein (BCCP), calmodulin binding peptide (calmodulin binding peptide, CBP), bacteriophage T7 epitope (bacteriophage T7 epitope, T7-tag (T7-tag)), poly-histidine tag, FLAG-tag (FLAG-tag), Myc-tag (Myc-tag) ), HA-tag (HA-tag), Spot-. Spot-tag, NE-tag, or a combination thereof.

依據本揭示內容的某些實施方式,該重組多肽更包含一連接子,其中該連接子係用於連接該第一、該第二及該第三多肽中的任兩種多肽。According to some embodiments of the present disclosure, the recombinant polypeptide further comprises a linker, wherein the linker is used to connect any two polypeptides of the first, second, and third polypeptides.

本揭示內容的另一態樣是關於一種藥學組合物,其係用以預防及/或治療一有需要之個體的癌症。該藥學組合物包含本揭示內容重組多肽,以及一藥學上可接受的載體。Another aspect of the present disclosure relates to a pharmaceutical composition for preventing and/or treating cancer in an individual in need. The pharmaceutical composition comprises the recombinant polypeptide of the present disclosure and a pharmaceutically acceptable carrier.

非必要地,本揭示內容藥學組合物更包含一抗PD-L1抗體。Optionally, the pharmaceutical composition of the present disclosure further includes a primary anti-PD-L1 antibody.

在另一態樣中,本揭示內容是關於一種用以預防及/或治療一有需要之個體的癌症的方法。該方法包含對該個體投予一治療有效量之上述本揭示內容藥學組合物。In another aspect, the present disclosure relates to a method for preventing and/or treating cancer in an individual in need. The method comprises administering to the individual a therapeutically effective amount of the above-mentioned pharmaceutical composition of the present disclosure.

依據本揭示內容的某些實施方式,可利用本揭示內容方法來治療的癌症包括,但不限於,膀胱癌(bladder cancer)、膽管癌(biliary cancer)、骨癌(bone cancer)、腦瘤(brain tumor)、乳癌(breast cancer)、子宮頸癌(cervical cancer)、大腸直腸癌(colorectal cancer)、結腸癌(colon cancer)、食道癌(esophageal cancer)、上皮癌(epidermal carcinoma)、胃癌(gastric cancer)、胃腸道間質瘤(gastrointestinal stromal tumor,GIST)、神經膠質瘤(glioma)、類淋巴系造血系統腫瘤(hematopoietic tumors of lymphoid lineage)、肝癌(hepatic cancer)、非霍奇金氏淋巴瘤(non-Hodgkin’s lymphoma)、卡波西氏肉瘤(Kaposi’s sarcoma)、血癌(leukemia)、肺癌(lung cancer)、淋巴瘤(lymphoma)、小腸癌(intestinal cancer)、黑色素瘤(melanoma)、骨髓性白血病(myeloid leukemia)、胰腺癌(pancreatic cancer)、前列腺癌(prostate cancer)、視網膜母細胞瘤(retinoblastoma)、卵巢癌(ovary cancer)、腎細胞癌(renal cell carcinoma)、脾臟癌(spleen cancer)、鱗狀細胞癌(squamous cell carcinoma)、甲狀腺癌(thyroid cancer),或甲狀腺濾泡癌(thyroid follicular cancer)。在本揭示內容的一較佳實施方式中,該癌症為結腸癌。在本揭示內容的另一較佳實施方式中,該癌症為黑色素瘤。一般來說,該癌症可以是一種原位癌(in situ cancer)或轉移癌(metastatic cancer)。According to certain embodiments of the present disclosure, cancers that can be treated with the methods of the present disclosure include, but are not limited to, bladder cancer, biliary cancer, bone cancer, and brain tumors. brain tumor, breast cancer, cervical cancer, colorectal cancer, colon cancer, esophageal cancer, epidermal carcinoma, gastric cancer cancer, gastrointestinal stromal tumor (GIST), glioma, hematopoietic tumors of lymphoid lineage, hepatic cancer, non-Hodgkin’s lymphoma (non-Hodgkin's lymphoma), Kaposi's sarcoma, leukemia, lung cancer, lymphoma, intestinal cancer, melanoma, myelogenous leukemia (myeloid leukemia), pancreatic cancer, prostate cancer, retinoblastoma, ovary cancer, renal cell carcinoma, spleen cancer, Squamous cell carcinoma, thyroid cancer, or thyroid follicular cancer. In a preferred embodiment of the present disclosure, the cancer is colon cancer. In another preferred embodiment of the present disclosure, the cancer is melanoma. Generally, the cancer can be an in situ cancer or metastatic cancer.

較佳地,該個體為人類。Preferably, the individual is a human.

依據本揭示內容的再其他實施方式,本揭示內容方法更包含使該個體進行一外科手術、一放射療法、一化學療法、一免疫療法、一荷爾蒙療法、一標靶療法、一熱療法,或其合併療法的之前、同時或之後,對該個體投予本揭示內容藥學組合物的步驟。According to still other embodiments of the present disclosure, the method of the present disclosure further includes subjecting the individual to a surgery, a radiotherapy, a chemotherapy, an immunotherapy, a hormonal therapy, a target therapy, a heat therapy, or Before, at the same time or after the combination therapy, the step of administering the pharmaceutical composition of the present disclosure to the individual.

依據本揭示內容的某些實施方式,本揭示內容方法的免疫療法包含對該個體投予一抗PD-L1抗體。According to certain embodiments of the present disclosure, the immunotherapy of the methods of the present disclosure comprises administering a primary anti-PD-L1 antibody to the individual.

在參閱以下的詳細說明及附隨圖式後,本揭示內容諸多伴隨的特徵及優點當可輕易瞭解。After referring to the following detailed description and accompanying drawings, many accompanying features and advantages of the present disclosure should be easily understood.

為使本揭示內容的敘述更加詳盡與完備,下文針對了本發明的實施態樣與具體實施例提出說明性的描述,但這並非實施或運用本發明具體實施例的唯一形式。實施方式中涵蓋多個具體實施例的特徵以及用以建構與操作這些具體實施例的方法步驟與其順序。然而,亦可利用其他具體實施例來達成相同或均等的功能與步驟順序。In order to make the description of the present disclosure more detailed and complete, the following provides an illustrative description for the implementation aspects and specific embodiments of the present invention, but this is not the only way to implement or use the specific embodiments of the present invention. The implementation manners cover the characteristics of multiple specific embodiments, and the method steps and sequences used to construct and operate these specific embodiments. However, other specific embodiments can also be used to achieve the same or equal functions and sequence of steps.

I.     定義I. Definition

為方便起見,本說明書、實施例及所附申請專利範圍中所使用的特定專有名詞集中在此。除非本說明書另有定義,否則此處所使用的科學與技術詞彙的含義與本發明所屬技術領域中具有通常知識者所理解與慣用的意義相同。並且,在和上下文不相衝突的情形下,本說明書所使用的單數名詞涵蓋該名詞的複數型,而所使用的複數名詞時亦涵蓋該名詞的單數型。具體而言,在本說明書與申請專利範圍中,單數形式「一」(a、an及the)包括複數參考值,但依據上下文而另有指示者除外。此外,在本說明書與申請專利範圍中,「至少一」(at least one)與「一或多」(one or more)的表述方式意義相同,兩者都代表包含了一、二、三或更多。除非本說明書另有指示,否則本揭示內容實務上係採用本發明所屬技術領域之分子生物學、微生物學、重組DNA及免疫學的常規技術。這類技術已在公開文獻中詳細闡述。For convenience, specific terms used in the specification, embodiments, and the scope of the attached patent application are collected here. Unless otherwise defined in this specification, the scientific and technical terms used herein have the same meaning as understood and used by those with ordinary knowledge in the technical field to which the present invention belongs. Moreover, as long as there is no conflict with the context, the singular nouns used in this specification cover the plural nouns, and the plural nouns used also cover the singular nouns. Specifically, in this specification and the scope of the patent application, the singular form "one" (a, an, and the) includes plural reference values, unless otherwise indicated based on the context. In addition, in this specification and the scope of the patent application, the expressions of "at least one" and "one or more" have the same meaning, and both of them mean that they include one, two, three or more. many. Unless otherwise indicated in this specification, the present disclosure actually uses conventional techniques in molecular biology, microbiology, recombinant DNA, and immunology in the technical field to which the present invention pertains. This type of technology has been described in detail in the open literature.

雖然用以界定本發明較廣範圍的數值範圍與參數皆是約略的數值,此處已盡可能精確地呈現具體實施例中的相關數值。然而,任何數值本質上不可避免地含有因個別測試方法所導致的標準偏差。並且,在此處,「約」(about)一詞通常係指實際數值在一特定數值或範圍的正負10%、5%、1%或0.5%之內。或者是,「約」一詞代表實際數值落在平均值的可接受標準誤差內,視本發明所屬技術領域中具有通常知識者的考量而定。除實施例以外,或除非另有明確的說明,當可理解此處所用的所有範圍、數量、數值與百分比(例如,用以描述材料用量、時間長短、溫度、操作條件、數量比例及其他類似者)均經過「約」的修飾。據此,除非另有相反的說明,本說明書與附隨申請專利範圍所揭示的數值參數皆為約略的數值,且可視需求而更動。至少,應將此等數值參數理解為所指出的有效位數與套用一般進位法所得到的數值。Although the numerical ranges and parameters used to define the broader scope of the present invention are approximate numerical values, the relevant numerical values in the specific embodiments are presented here as accurately as possible. However, any value inevitably contains the standard deviation caused by the individual test method. And, here, the term "about" usually refers to the actual value within plus or minus 10%, 5%, 1%, or 0.5% of a specific value or range. Alternatively, the term "about" means that the actual value falls within the acceptable standard error of the average value, depending on the consideration of a person with ordinary knowledge in the technical field of the present invention. Except for the examples, or unless otherwise clearly stated, all ranges, quantities, values and percentages used herein (for example, used to describe the amount of material, length of time, temperature, operating conditions, quantity ratios and other similar Those) have been modified by "about". Accordingly, unless otherwise stated to the contrary, the numerical parameters disclosed in this specification and the accompanying patent scope are approximate values and can be changed according to requirements. At least, these numerical parameters should be understood as the indicated effective number of digits and the value obtained by applying the general carry method.

本文所使用之「序列相似度」(identical)是指,當進行測量比較及比對(align)以求取最大對應(maximum correspondence)時,二或多條序列或子序列(subsequence)是相同,或具有特定百分比的胺基酸殘基是相同的。為確認序列相似度的百分比,序列是以達到最佳化之比較為目的來進行比對(例如,可在第一胺基酸序列的序列中引入間隙(gap),據以達到與第二胺基酸序列之最佳化的比對結果),並且不考慮任一種保守性置換(conservative substitution)作為該序列相似度的一部分。接著比較在對應的胺基酸位置下的胺基酸殘基。當在第一序列中的一個位置是由與在第二序列中的對應位置被相同的胺基酸殘基所佔據時,則該分子在該位置下為一致。可利用各種本領域技術人員所熟知的方法來進行比對,以確認序列相似度百分比,舉例來說,可利用例如BLAST、BLAST-2、ALIGN或Megalign (DNASTAR)等公開的電腦軟體來進行比對。本領域技術人員可決定測量比對的適當參數,包括任一種所需要的演算法以利所比對的全長序列達到最大比對值。為達本文的目的,兩條胺基酸序列之間的序列比對是利用國家生物技術訊息中心(Nation Center for Biotechnology Information,NCBI)於線上提供的電腦軟體Blastp(蛋白-蛋白BLAST)來分析。兩條序列之間的序列相似度百分比是一種函數,其係由序列之間所共享的具有一致性之位置的個數來決定(亦即,序列相似度%=具有一致性之位置的個數/全部位置的個數(例如,重疊位置)×100)。在某些實施方式中,兩條序列具有相同長度。As used herein, "sequence similarity" (identical) means that two or more sequences or subsequences are the same when performing measurement comparison and alignment (align) to obtain the maximum correspondence (maximum correspondence). Or the amino acid residues with a certain percentage are the same. In order to confirm the percentage of sequence similarity, the sequence is aligned for the purpose of optimal comparison (for example, a gap can be introduced in the sequence of the first amino acid sequence to achieve the comparison with the second amino acid sequence). The optimized alignment result of the base acid sequence), and does not consider any conservative substitution as part of the sequence similarity. Then compare the amino acid residues at the corresponding amino acid positions. When a position in the first sequence is occupied by the same amino acid residue as the corresponding position in the second sequence, then the molecule is identical at that position. Various methods well known to those skilled in the art can be used for comparison to confirm the percentage of sequence similarity. For example, public computer software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR) can be used for comparison. Correct. Those skilled in the art can determine the appropriate parameters for the measurement alignment, including any required algorithm to facilitate the alignment of the full-length sequence to achieve the maximum alignment value. For the purpose of this article, the sequence alignment between the two amino acid sequences is analyzed using the computer software Blastp (protein-protein BLAST) provided by the National Center for Biotechnology Information (NCBI) online. The percentage of sequence similarity between two sequences is a function, which is determined by the number of identical positions shared between the sequences (ie, sequence similarity% = number of identical positions /Number of all positions (for example, overlapping positions)×100). In some embodiments, the two sequences have the same length.

「連接子」(linker)一詞係指一種胜肽,其具有天然或合成的胺基酸殘基,並用於連接兩條多肽。舉例來說,連接子可用於連接人類IL-15和白蛋白結合域(ABD)或白蛋白結合肽(ABP),或用以連接ABD或ABP和6His(即,聚組胺酸標籤),據以形成本揭示內容的重組多肽。較佳地,連接子為一種具有至少5個胺基酸殘基長度的胜肽,例如5至100個胺基酸殘基的長度,更佳地,連接子是具有10至30個胺基酸殘基的長度。在本揭示內容重組多肽中,連接子是一種具有至少5個胺基酸殘基長度的胜肽,較佳是一種具有5至15個胺基酸殘基長度的胜肽。較佳地,連接子包含一種(Gn S)m 的序列,其中G為甘胺酸(glycine),S為絲胺酸(serine),且n及m個別為介於1到4之間的數字。The term "linker" refers to a peptide that has natural or synthetic amino acid residues and is used to link two polypeptides. For example, the linker can be used to connect human IL-15 and albumin binding domain (ABD) or albumin binding peptide (ABP), or to connect ABD or ABP and 6His (ie, polyhistidine tag), according to To form the recombinant polypeptide of the present disclosure. Preferably, the linker is a peptide having a length of at least 5 amino acid residues, for example, 5 to 100 amino acid residues in length, and more preferably, the linker is a peptide having 10 to 30 amino acid residues. The length of the residue. In the recombinant polypeptide of the present disclosure, the linker is a peptide having a length of at least 5 amino acid residues, preferably a peptide having a length of 5 to 15 amino acid residues. Preferably, the linker includes a sequence of (G n S) m , where G is glycine, S is serine, and n and m are individually between 1 and 4. digital.

在本揭示內容中,「癌症」(cancer)及「腫瘤」(tumor)一詞可替換使用,並且係指一種在哺乳動物(特別是人類)的生理條件中,通常以細胞生長不受控制為特徵。就這方面而言,癌症是包括原位癌(in situ cancer)、轉移癌(metastases cancer),及/或抗藥性癌症(drug-resistant cancer)。據此,可藉由本揭示內容來治療的癌症或腫瘤係發生於胸部、肺臟、結腸、大腸直腸、脾臟、腎臟、肝臟、膀胱、頭頸部、卵巢、前列腺、腦部、胰臟、皮膚、骨頭、血液、胸腺、子宮、睪丸、子宮頸及神經元等部位的癌症或腫瘤。In the present disclosure, the terms "cancer" and "tumor" can be used interchangeably, and refer to a physiological condition in mammals (especially humans) where uncontrolled cell growth is usually feature. In this respect, cancer includes in situ cancer, metastases cancer, and/or drug-resistant cancer. Accordingly, cancers or tumors that can be treated by the present disclosure occur in the chest, lungs, colon, colon and rectum, spleen, kidney, liver, bladder, head and neck, ovaries, prostate, brain, pancreas, skin, bones Cancer or tumors in the blood, thymus, uterus, testicles, cervix and neurons.

「個體」(subject)或「病患」(patient)一詞是指一種可利用本揭示內容重組多肽、藥學組合物及/或方法來治療的動物,包括人類。「個體」或「病患」一詞是指男性及女性兩者,除非有具體指出其中一種性別。據此,「個體」或「病患」一詞包含任一種可自癌症治療中獲益的哺乳動物。「個體」或「病患」的實例包括,但不限於,人類、大鼠、小鼠、天竺鼠、猴子、豬、山羊、乳牛、馬、狗、貓、鳥及家禽。較佳地,該個體是人類。The term "subject" or "patient" refers to an animal, including humans, that can be treated with the recombinant polypeptide, pharmaceutical composition and/or method of the present disclosure. The term "individual" or "patient" refers to both males and females, unless one gender is specifically indicated. Accordingly, the term "individual" or "patient" includes any mammal that can benefit from cancer treatment. Examples of "individuals" or "patients" include, but are not limited to, humans, rats, mice, guinea pigs, monkeys, pigs, goats, cows, horses, dogs, cats, birds, and poultry. Preferably, the individual is human.

本文所使用之「藥學上可接受的載體」(pharmaceutically acceptable carrier)一詞係指一種藥學上可接受的材料、組合物或載體,例如,液體或固體填充劑、稀釋劑、賦形劑、溶劑或包封(encapsulating)材料,其涉及自一器官或身體的一部分攜帶或輸送受試試劑(subject agent)至另一器官或身體的另一部分。各種載體必須是「可接受的」,就其意義而言是指可與該劑型中的其他成分相容。載體可以是一種固體、半固體或液體稀釋劑、乳膏或膠囊的形式。The term "pharmaceutically acceptable carrier" as used herein refers to a pharmaceutically acceptable material, composition or carrier, for example, liquid or solid fillers, diluents, excipients, solvents Or encapsulating material, which involves carrying or delivering a subject agent from one organ or part of the body to another organ or part of the body. Various carriers must be "acceptable", in the sense that they are compatible with the other ingredients in the dosage form. The carrier can be in the form of a solid, semi-solid or liquid diluent, cream or capsule.

本文所使用之「一治療有效量」(a therapeutically effective amount)或「一有效量」(an effective amount)一詞是指一種可達到期望之治療功效的預定劑量,亦即,在必要的期間內(如特定實施方式所述者),可阻滯(discourage)、對抗(combat)、緩解(ameliorate)、改善(improve)、防止(prevent)、抑制(inhibit)、阻礙(block),或逆轉(reverse)一種病患不想要的病症、疾病或症狀。舉例來說,在「一種治療方法」(a method of treating)的實施方式中所述之「治療有效量」,是一種用以達到欲求之治療功效的預定劑量,亦即,可阻滯、對抗、緩解或改善一種不想要的病症、疾病或症狀。舉例來說,在「一種預防方法」(a method of preventing)的實施方式中所述之「治療有效量」是一種用以達到欲求之治療功效的預定劑量,亦即,可在其發生之前,防止、抑制或阻礙一種不想要的病症、疾病或症狀。因此,治療有效量可以是一種足以使該病患必然暴露於本揭示內容重組多肽的劑量。在適當情形下,本揭示內容方法所預期的活性是包括醫學治療及/或預防兩個部分。本揭示內容重組多肽的治療有效量通常是指一種劑量,當它在以一生理上可容許的賦形劑組合物中來投予時,足以達到一有效的全身性濃度或組織中的局部性濃度。The term "a therapeutically effective amount" or "an effective amount" as used herein refers to a predetermined dose that can achieve the desired therapeutic effect, that is, within a necessary period (As described in the specific embodiment), it can be discouraged, combated, ameliorate, improved, prevented, inhibited, blocked, or reversed ( reverse) A condition, disease, or symptom that the patient does not want. For example, the "therapeutically effective amount" described in the implementation of "a method of treating" is a predetermined dose used to achieve the desired therapeutic effect, that is, it can block and resist , Alleviate or improve an unwanted condition, disease or symptom. For example, the "therapeutically effective amount" described in the implementation of "a method of preventing" is a predetermined dose used to achieve the desired therapeutic effect, that is, before it occurs, To prevent, inhibit, or hinder an unwanted condition, disease, or symptom. Therefore, the therapeutically effective amount can be a dose sufficient to make the patient necessarily exposed to the recombinant polypeptide of the present disclosure. Under appropriate circumstances, the expected activity of the method of the present disclosure includes two parts: medical treatment and/or prevention. The therapeutically effective amount of the recombinant polypeptide of the present disclosure generally refers to a dose that, when administered in a physiologically acceptable excipient composition, is sufficient to achieve an effective systemic concentration or locality in tissues. concentration.

「投予」或「施用」(administered、administering或administration)一詞在本文中可交替使用,是指直接施用本揭示內容的重組多肽或藥學組合物,或包含上述的合併治療(即,藥學套組)。The terms "administration" or "administration" (administered, administering, or administration) are used interchangeably herein, and refer to the direct administration of the recombinant polypeptide or pharmaceutical composition of the present disclosure, or the combination therapy described above (ie, a pharmaceutical package). group).

本文所使用之「治療」(treatment或treating)一詞可以是指一種治癒性或緩解性(palliative)的措施。具體來說,本文所使用之「治療」一詞是指對一個體投予本揭示內容的重組多肽或藥學組合物,或包含上述的合併治療(即,藥學套組),其中該個體具有癌症、與癌症相關的症狀、癌症的續發性疾病或病症,以期對於該一或多種癌症的症狀或病徵可達到部分或完全地減輕(alleviate)、改善、緩解(relieve)、延遲發作、抑制病程、降低嚴重性,及/或降低發病率等。The term "treatment" (treatment or treating) as used herein can refer to a curative or palliative measure. Specifically, the term "treatment" as used herein refers to administering the recombinant polypeptide or pharmaceutical composition of the present disclosure to an individual, or including the aforementioned combined treatment (ie, a pharmaceutical kit), wherein the individual has cancer , Symptoms related to cancer, subsequent diseases or conditions of cancer, in order to achieve partial or complete alleviate, ameliorate, relieve, delay onset, and inhibit the course of the symptoms or symptoms of the one or more cancers , Reduce the severity, and/or reduce the incidence, etc.

本文所使用之「協同作用」(synergistic effect)或其用語同義詞,是指並包含一種合作的作用(cooperative action),通常會在一種具有二或多種活性成分的組合中遇見,其中該二或多種活性成分於合併使用時的活性會超過各別活性成分於單獨使用時之活性的總和。As used herein, "synergistic effect" (synergistic effect) or its synonymous terms refers to and includes a cooperative action (cooperative action), which is usually encountered in a combination of two or more active ingredients, wherein the two or more The activity of the active ingredients when used in combination will exceed the sum of the activities of the individual active ingredients when used alone.

II.    發明詳述II. Detailed description of the invention

本揭示內容至少部分是基於發明人發現,當ABD或ABP多肽連接至天然IL-15(即野生型IL-15)的N-或C-端時,可大幅延長該天然IL-15在血液循環中的半衰期。先前研究顯示,在一些臨床前模式中,IL-15可藉由增強抗腫瘤的CD8+ T細胞的能力而具備抗癌活性。然而,利用IL-15來治療癌症的困難在於,IL-15在血液循環中會受到快速降解。有鑑於此,本揭示內容的目的即是在於延長IL-15的半衰期,利用將ABD或ABP連接至IL-5,以保護IL-15避免降解,進而增進其在血液循環中的半衰期,並達到欲求的藥物動力學圖譜(profiling)。The present disclosure is based at least in part on the inventor’s discovery that when ABD or ABP polypeptide is linked to the N- or C-terminus of natural IL-15 (ie wild-type IL-15), the circulation of the natural IL-15 in the blood can be greatly extended In the half-life. Previous studies have shown that in some preclinical models, IL-15 can have anti-cancer activity by enhancing the ability of anti-tumor CD8 + T cells. However, the difficulty of using IL-15 to treat cancer is that IL-15 is rapidly degraded in the blood circulation. In view of this, the purpose of the present disclosure is to prolong the half-life of IL-15 by connecting ABD or ABP to IL-5 to protect IL-15 from degradation, thereby increasing its half-life in the blood circulation, and achieve Desired pharmacokinetic profile (profiling).

1.    重組多肽1. Recombinant peptides

本揭示內容的第一態樣是關於一種重組多肽,其包含 一第一多肽,其具有一與序列編號:1至少85%之序列相似度的胺基酸序列;以及 一第二多肽,其係可操作式地連接至該第一多肽的N-或C-端,其中該第二多肽具有一與序列編號:2或序列編號:3至少85%之序列相似度的胺基酸序列。The first aspect of the present disclosure is about a recombinant polypeptide comprising A first polypeptide having an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO:1; and A second polypeptide which is operably linked to the N- or C-terminus of the first polypeptide, wherein the second polypeptide has a sequence of at least 85% of SEQ ID NO: 2 or SEQ ID NO: 3 Amino acid sequence of similarity.

依據本揭示內容的某些實施方式,該第一多肽具有一與序列編號:1至少85%之序列相似度的胺基酸序列,例如,與序列編號:1具有85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之序列相似度。在一特定的實施方式中,該第一多肽具有序列編號:1的胺基酸序列。依據本揭示內容的某些實施方式,該第二多肽具有一與序列編號:2至少85%之序列相似度的胺基酸序列,例如,與序列編號:2具有85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之序列相似度。在一實施方式中,本揭示內容重組多肽具有序列編號:2的胺基酸序列。依據本揭示內容的某些實施方式,該第二多肽具有一與序列編號:3至少85%之序列相似度的的胺基酸序列,例如,與序列編號:3具有85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之序列相似度。在一特定實施方式中,該第二多肽具有序列編號:3的胺基酸序列。According to some embodiments of the present disclosure, the first polypeptide has an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO:1, for example, 85%, 86%, 87% and SEQ ID NO: 1 %, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence similarity. In a specific embodiment, the first polypeptide has an amino acid sequence of SEQ ID NO:1. According to some embodiments of the present disclosure, the second polypeptide has an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO: 2, for example, 85%, 86%, 87% of SEQ ID NO: 2 %, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence similarity. In one embodiment, the recombinant polypeptide of the present disclosure has an amino acid sequence of SEQ ID NO: 2. According to some embodiments of the present disclosure, the second polypeptide has an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO: 3, for example, 85%, 86%, and 85% sequence similarity to SEQ ID NO: 3 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence similarity. In a specific embodiment, the second polypeptide has an amino acid sequence of SEQ ID NO: 3.

依據本揭示內容的某些實施方式,本揭示內容重組多肽在其N-端或C-端,或兩端上可以具有某些修飾。舉例來說,本揭示內容重組多肽的N-端可以具有乙醯化、甲醯化、甲基化、氨基甲醯化、聚乙二醇化、磷酸化或醣基化修飾;此外或可替代地,本揭示內容重組多肽的C-端可以是具有醯胺化、醣基磷脂醯肌醇化、生物素化或醣基化修飾。According to certain embodiments of the present disclosure, the recombinant polypeptide of the present disclosure may have certain modifications at its N-terminus, C-terminus, or both ends. For example, the N-terminus of the recombinant polypeptide of the present disclosure may have acetylation, fortylation, methylation, carbamylation, pegylation, phosphorylation, or glycosylation modification; in addition or alternatively The C-terminus of the recombinant polypeptide of the present disclosure may be modified with amidation, glycosylphospholipid inositolization, biotinylation, or glycosylation.

或是或除此以外,為用於不同目的,本揭示內容重組多肽可更包含一第三多肽,該第三多肽係可操作式地連接至該第一或該第二多肽的N-或C-端。該第三多肽可以是一種報導子,並且在此情形下,該報導子是選自由:β-半乳糖苷酶(lacZ)、氯黴素乙醯轉移酶(CAT)、螢光素酶、綠螢光蛋白(GFP)、紅螢光蛋白(RFP)、青螢光蛋白(CFP)及黃螢光蛋白(YFP)所組成的群組。或者是,該第三多肽可以是一種選擇標記(selection marker),並且在此情形下,該選擇標記是選自由:β-內醯胺酶、胺基糖苷-3’-磷酸轉移酶(APH(3’))及乳清酸核苷-5'-磷酸脫羧酶(ODCase)所組成的群組。依據某些替代性的實施方式,該第三多肽可以是一種親和性純化用標籤,並且在此情形下,該親和性純化用標籤是選自由:幾丁質結合蛋白(CBP)、麥芽糖結合蛋白(MBP)、鏈黴素標籤(Strep-tag)、麩胱甘肽-S-轉移酶(GST)、硫氧還蛋白(TRX)、白蛋白結合蛋白(albumin-binding protein,ABP)、鹼性磷酸酶(AP)、生物素-羧基載體蛋白(BCCP)、攜鈣素結合胜肽(CBP)、噬菌體T7表位(T7-標籤)、聚組胺酸標籤、FLAG-標籤、Myc-標籤、HA-標籤、Spot-標籤、NE-標籤,以及其組合所組成的群組。在本揭示內容的一特定實施例中,該第三多肽是一聚組胺酸標籤(即6His)。Alternatively or in addition, for different purposes, the recombinant polypeptide of the present disclosure may further comprise a third polypeptide which is operably linked to the N of the first or the second polypeptide. -Or C-terminal. The third polypeptide may be a reporter, and in this case, the reporter is selected from: β-galactosidase (lacZ), chloramphenicol acetyltransferase (CAT), luciferase, Green fluorescent protein (GFP), red fluorescent protein (RFP), cyan fluorescent protein (CFP) and yellow fluorescent protein (YFP). Alternatively, the third polypeptide may be a selection marker, and in this case, the selection marker is selected from: β-endoamidase, aminoglycoside-3'-phosphotransferase (APH (3')) and orotidine-5'-phosphate decarboxylase (ODCase). According to some alternative embodiments, the third polypeptide may be a tag for affinity purification, and in this case, the tag for affinity purification is selected from: chitin binding protein (CBP), maltose binding Protein (MBP), streptomycin tag (Strep-tag), glutathione-S-transferase (GST), thioredoxin (TRX), albumin-binding protein (ABP), alkali Phosphatase (AP), Biotin-Carboxy Carrier Protein (BCCP), Calcium Carrying Peptide (CBP), Phage T7 Epitope (T7-Tag), Polyhistidine Tag, FLAG-Tag, Myc-Tag , HA-tags, Spot-tags, NE-tags, and their combinations. In a specific embodiment of the present disclosure, the third polypeptide is a polyhistidine tag (ie, 6His).

在某些實施方式中,本揭示內容重組多肽依序包含該第一、該第二及該第三多肽,其中各多肽是直接與其相鄰的多肽連接。非必要性地,各該第一、該第二及該第三多肽是藉由適當的連接子彼此個別連接,舉例來說,該連接子是一種(Gn S)m 的形式,其中G為甘胺酸、S為絲胺酸,且n及m個別是一介於1至5之間的整數。在一實施例中,該連接子包含一(G4 S)1 的序列。在另一實施例中,該連接子包含一(G4 S)2 的序列。在另一實施例中,該連接子包含一(G4 S)3 的序列。In certain embodiments, the recombinant polypeptide of the present disclosure includes the first, the second, and the third polypeptide in sequence, wherein each polypeptide is directly linked to its neighboring polypeptide. Optionally, each of the first, the second, and the third polypeptides is individually connected to each other by an appropriate linker, for example, the linker is a form of (G n S) m , where G Is glycine, S is serine, and n and m are each an integer between 1 and 5. In one embodiment, the linker includes a (G 4 S) 1 sequence. In another embodiment, the linker includes a (G 4 S) 2 sequence. In another embodiment, the linker includes a (G 4 S) 3 sequence.

據此,在本揭示內容的某些實施方式中,本揭示內容重組多肽具有一與序列編號:4至少85%之序列相似度的胺基酸序列,例如,與序列編號:4具有85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之序列相似度。在一特定的實施方式中,本揭示內容重組多肽具有序列編號:4的胺基酸序列。在本揭示內容的某些實施方式中,本揭示內容重組多肽具有一與序列編號:5至少85%之序列相似度的胺基酸序列,例如,與序列編號:5具有85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之序列相似度。在一實施方式中,本揭示內容重組多肽具有序列編號:5的胺基酸序列。在本揭示內容的再某些實施方式中,本揭示內容重組多肽具有一與序列編號:6至少85%之序列相似度的胺基酸序列,例如,與序列編號:6具有85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之序列相似度。在一特定的實施方式中,本揭示內容重組多肽具有序列編號:6的胺基酸序列。Accordingly, in certain embodiments of the present disclosure, the recombinant polypeptide of the present disclosure has an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO: 4, for example, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence similarity. In a specific embodiment, the recombinant polypeptide of the present disclosure has an amino acid sequence of SEQ ID NO: 4. In certain embodiments of the present disclosure, the recombinant polypeptide of the present disclosure has an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO: 5, for example, 85%, 86%, SEQ ID NO: 5 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence similarity. In one embodiment, the recombinant polypeptide of the present disclosure has an amino acid sequence of SEQ ID NO: 5. In still other embodiments of the present disclosure, the recombinant polypeptide of the present disclosure has an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO: 6, for example, 85% and 86% of SEQ ID NO: 6 , 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence similarity. In a specific embodiment, the recombinant polypeptide of the present disclosure has an amino acid sequence of SEQ ID NO: 6.

2.    藥學組合物2. Pharmaceutical composition

依據本揭示內容的另一態樣,本揭示內容是關於一種藥學組合物,其係用以預防及/或治療一有需要之個體的癌症。該藥學組合物包含本揭示內容重組多肽,以及一藥學上可接受的載體。According to another aspect of the present disclosure, the present disclosure relates to a pharmaceutical composition for preventing and/or treating cancer in an individual in need. The pharmaceutical composition comprises the recombinant polypeptide of the present disclosure and a pharmaceutically acceptable carrier.

在所使用的劑量及濃度下,可接受的載體對接受者來說應是無毒的。依據本揭示內容的某些實施方式,該藥學上可接受的載體可以是任一種液體、凝膠、乳膏(cream)、軟膏(ointment)、乳液(lotion)、懸浮體、乳化劑(emulsion)、黏著劑、羊膜(amniotic membrane)、皮膚替代品(skin substitute)、人工皮膚或皮膚等效組織(skin equivalents)。在一特定的實施方式中,本揭示內容藥學組合物的藥學上可接受的載體是一種液體(如磷酸鹽緩衝液(phosphate buffers,PBS))。At the dosage and concentration used, the acceptable carrier should be non-toxic to the recipient. According to some embodiments of the present disclosure, the pharmaceutically acceptable carrier can be any liquid, gel, cream, ointment, lotion, suspension, emulsifier (emulsion) , Adhesive, amniotic membrane, skin substitute, artificial skin or skin equivalents. In a specific embodiment, the pharmaceutically acceptable carrier of the pharmaceutical composition of the present disclosure is a liquid (such as phosphate buffers (PBS)).

非必要性地,該藥學組合物可更包含一抗氧化劑(例如,抗壞血酸(ascorbic acid)或甲硫胺酸(methionine));一防腐劑(例如,十八烷二甲基苄基氯化銨(octadecyldimethylbenzyl ammonium chloride);氯化六甲雙銨(hexamethonium chloride);氯化苯甲烷銨(benzalkonium chloride)、氯化本索寧(benzethonium chloride);苯酚、丁基或苄基乙醇(butyl or benzyl alcohol);烷基對羥苯甲酸酯類(alkyl parabens)(例如,甲基或丙基對羥基苯甲酸酯(methyl or propyl paraben));兒茶酚(catechol);間苯二酚(resorcinol);環己醇(cyclohexanol);3-戊醇(3-pentanol);苯甲酸鹽(benzoates)、山梨酸酯(sorbate)及間甲酚(m-cresol));一低分子量(即,約少於10個殘基)多肽;一蛋白(例如,血清白蛋白、明膠(gelatin)或免疫球蛋白);一親水性聚合物(例如,聚乙烯氫吡咯酮(polyvinylpyrrolidone));一胺基酸(例如,甘胺酸、穀醯胺、天冬醯胺酸、組胺酸、精胺酸、絲胺酸、丙胺酸或離胺酸);一單醣、一雙醣,以及其他碳水化合物(例如,葡萄糖、甘露糖或葡聚糖(dextrans));一螯合劑(例如,EDTA);一糖類(例如,蔗糖、甘露醇(mannitol)、海藻糖(trehalose)或山梨醇(sorbitol));一成鹽相對離子(salt-forming counter-ion)(例如,鈉);一金屬離子複合體(例如,鋅-蛋白複合體);一非離子界面活性劑(例如,聚山梨醇酯(TWEEN™)、泊洛沙姆(poloxamers)(PLURONIC™)、聚乙二醇(polyethylene glycol,PEG));或其組合。Optionally, the pharmaceutical composition may further include an antioxidant (for example, ascorbic acid or methionine); and a preservative (for example, stearyl dimethyl benzyl ammonium chloride). (octadecyldimethylbenzyl ammonium chloride); hexamethonium chloride; benzalkonium chloride, benzethonium chloride; phenol, butyl or benzyl alcohol (butyl or benzyl alcohol) ; Alkyl parabens (alkyl parabens) (for example, methyl or propyl paraben (methyl or propyl paraben)); catechol (catechol); resorcinol (resorcinol); Cyclohexanol (cyclohexanol); 3-pentanol (3-pentanol); benzoates, sorbate and m-cresol); a low molecular weight (ie, about less Within 10 residues) polypeptide; a protein (for example, serum albumin, gelatin or immunoglobulin); a hydrophilic polymer (for example, polyvinylpyrrolidone); an amino acid (for example, polyvinylpyrrolidone); For example, glycine, glutamine, aspartic acid, histidine, arginine, serine, alanine or lysine); monosaccharides, disaccharides, and other carbohydrates (such as , Glucose, mannose or dextrans); a chelating agent (for example, EDTA); a sugar (for example, sucrose, mannitol, trehalose or sorbitol); Salt-forming counter-ion (for example, sodium); a metal ion complex (for example, zinc-protein complex); a nonionic surfactant (for example, TWEEN™) , Poloxamers (PLURONIC™), polyethylene glycol (PEG); or a combination thereof.

本揭示內容藥學組合物可以製成一種單位劑量的形式,例如,片劑(tablet)、丸劑(pill)、膠囊、粉劑、顆粒劑、凝膠、溶液或懸浮液,或塞劑(suppository),用以藉由口服、不經腸胃道或經直腸途徑來投予,或藉由吸入或灌氣、鞘內或大腦內等途徑來投予。在一實施方式中,本揭示內容藥學組合物是製成一種溶液的形式。The pharmaceutical composition of the present disclosure can be made into a unit dose form, for example, a tablet, pill, capsule, powder, granule, gel, solution or suspension, or suppository, It is used to administer by oral, parenteral or rectal route, or by inhalation or inhalation, intrathecal or intracerebral route. In one embodiment, the pharmaceutical composition of the present disclosure is in the form of a solution.

依據本揭示內容的某些實施方式,本揭示內容重組多肽的重量約佔本揭示內容藥學組合物總重量的0.1%至99%。在某些實施方式中,本揭示內容重組多肽的重量約佔本揭示內容藥學組合物總重量的至少1%。在某些實施方式中,本揭示內容重組多肽的重量約佔本揭示內容藥學組合物總重量的至少5%。在再其他實施方式中,本揭示內容重組多肽的重量約佔本揭示內容藥學組合物總重量的至少10%。在又再其他實施方式中,本揭示內容重組多肽的重量約佔本揭示內容藥學組合物總重量的至少25%。According to certain embodiments of the present disclosure, the weight of the recombinant polypeptide of the present disclosure accounts for about 0.1% to 99% of the total weight of the pharmaceutical composition of the present disclosure. In some embodiments, the weight of the recombinant polypeptide of the present disclosure accounts for at least 1% of the total weight of the pharmaceutical composition of the present disclosure. In some embodiments, the weight of the recombinant polypeptide of the present disclosure accounts for at least 5% of the total weight of the pharmaceutical composition of the present disclosure. In still other embodiments, the weight of the recombinant polypeptide of the present disclosure accounts for at least 10% of the total weight of the pharmaceutical composition of the present disclosure. In still other embodiments, the weight of the recombinant polypeptide of the present disclosure accounts for at least 25% of the total weight of the pharmaceutical composition of the present disclosure.

可藉由任一種藥理學領域所熟知的方法來製備本揭示內容的藥學組合物。一般來說,這類製備方法包含將本揭示內容重組多肽(即該「活性成分」)帶入一載體或賦形劑,及/或一或多種其他輔助成分中,接著,視需求來將該產物進行成形(shaping)及/或包裝,以製成一欲求的單一劑量(single-dose)或多次劑量(multi-dose)的單位。一「單位劑量」(unit dose)是指一種分立的(discrete)藥學組合物劑量,其包含該活性成分的一預定劑量。該活性成分的量(amount)通常是會等於對一個體投予該活性成分的劑量(dosage)及/或一種這類劑量的實用分數,例如,這類劑量的二分之一或三分之一。The pharmaceutical composition of the present disclosure can be prepared by any method well known in the field of pharmacology. Generally, such preparation methods include bringing the recombinant polypeptide of the present disclosure (ie, the "active ingredient") into a carrier or excipient, and/or one or more other auxiliary ingredients, and then, as required The product is shaped and/or packaged to make a desired single-dose or multi-dose unit. A "unit dose" (unit dose) refers to a discrete pharmaceutical composition dose, which contains a predetermined dose of the active ingredient. The amount of the active ingredient (amount) is usually equal to the dose of the active ingredient administered to a body and/or a practical fraction of such a dose, for example, one-half or one-third of such a dose One.

本揭示內容重組多肽通常是會製成單位劑量的形式,以便於劑量的投予及保持均一性。然而,當可理解,醫護人員可在合理的醫學判斷範圍內,決定本揭示內容藥學組合物的每天總用量,以達到一定的醫療功效。對特定個體或有機體的特定治療有效量將取決於各種因素而有所不同,包括欲治療的疾病及疾病的嚴重度;所使用特定活性成分的活性;所使用的組合物;個體的物種、年齡、體重、一般健康狀況、性別及飲食習慣、副作用或藥物異常情形的嚴重度;給藥時間、給藥途徑及活性成分的排出速度;治療的持續時間;與本揭示內容重組多肽併用於一藥學組合物中的特定活性成分的身分;以及醫療領域習知的其他因素。Recombinant polypeptides of the present disclosure are usually prepared in a unit dosage form to facilitate the administration of dosage and maintain uniformity. However, it should be understood that the medical staff can determine the total daily dosage of the pharmaceutical composition of the present disclosure within the scope of reasonable medical judgment to achieve a certain medical effect. The specific therapeutically effective amount for a specific individual or organism will vary depending on various factors, including the disease to be treated and the severity of the disease; the activity of the specific active ingredient used; the composition used; the species and age of the individual , Weight, general health, gender and eating habits, severity of side effects or drug abnormalities; time of administration, route of administration, and rate of discharge of active ingredients; duration of treatment; recombinant polypeptide with the present disclosure and used in a pharmacy The identity of the specific active ingredient in the composition; and other factors known in the medical field.

因此,本揭示內容亦涵蓋一種本揭示內容重組多肽於製備一藥學組合物的用途,其中該藥學組合物係用於治療一有需要之個體的癌症。Therefore, the present disclosure also covers the use of a recombinant polypeptide of the present disclosure in preparing a pharmaceutical composition, wherein the pharmaceutical composition is used to treat cancer in an individual in need.

非必要性地,本揭示內容藥學組合物可更包含一抗PD-L1抗體。例示性之用於本揭示內容藥學組合物的抗PD-L1抗體包括,但不限於,阿特珠單抗(atezolizumab;MPDL3280A、RO5541267、Tecentriq®)、阿維魯單抗(avelumab;Bavenciq®)、度伐魯單抗(durvalumab、MEDI4736, Imfinzi®)、抗PD-L1抗體(來自10F.9G2細胞株),或一種從多株抗體(即抗血清)經由製備單株抗體的常規步驟來產生的抗PD-L1抗體,或一種藉由全基因合成來製備的抗PD-L1抗體,該方法是藉由將欲求的DNA序列(例如,VH、VL、Fc、訊息肽(signal peptide)、IRES、連接子等)嫁接或融合至欲求的構建體中來製備。在本揭示內容的一較佳實施方式中,該抗PD-L1抗體係來自10F.9G2細胞株。Optionally, the pharmaceutical composition of the present disclosure may further include a primary anti-PD-L1 antibody. Exemplary anti-PD-L1 antibodies used in the pharmaceutical composition of the present disclosure include, but are not limited to, atezolizumab (atezolizumab; MPDL3280A, RO5541267, Tecentriq®), avelumab (avelumab; Bavenciq®) , Durvalumab (durvalumab, MEDI4736, Imfinzi®), anti-PD-L1 antibody (from the 10F.9G2 cell line), or a multi-strain antibody (ie antiserum) produced by the usual steps of preparing monoclonal antibodies The anti-PD-L1 antibody, or an anti-PD-L1 antibody prepared by total gene synthesis, by combining the desired DNA sequence (for example, VH, VL, Fc, signal peptide, IRES) , Linker, etc.) grafted or fused to the desired construct to prepare. In a preferred embodiment of the present disclosure, the anti-PD-L1 antibody system is derived from the 10F.9G2 cell line.

3.    用以治療癌症的方法3. Methods to treat cancer

本揭示內容的另一態樣在於提供一種用以預防及/或治療一有需要之個體的癌症的方法。該方法包含對該個體投予一治療有效量之前述重組多肽或一包含本揭示內容重組多肽的藥學組合物。Another aspect of the present disclosure is to provide a method for preventing and/or treating cancer in an individual in need. The method comprises administering to the individual a therapeutically effective amount of the aforementioned recombinant polypeptide or a pharmaceutical composition comprising the recombinant polypeptide of the present disclosure.

本揭示內容重組多肽或藥學組合物是有助於預防及/或治療一有需要之個體的癌症(例如,一罹患癌症、疑似罹患癌症,或具有罹患該癌症之風險的人類病患)。在某些實施方式中,可藉由本揭示內容方法來治療的癌症包括,但不限於,膀胱癌、膽管癌、骨癌、腦瘤、乳癌、子宮頸癌、大腸直腸癌、結腸癌、食道癌、上皮癌、胃癌、胃腸道間質瘤(GIST)、神經膠質瘤、類淋巴系造血系統腫瘤、肝癌、非霍奇金氏淋巴瘤、卡波西氏肉瘤、血癌、肺癌、淋巴瘤、小腸癌、黑色素瘤、骨髓性白血病、胰腺癌、前列腺癌、視網膜母細胞瘤、卵巢癌、腎細胞癌、脾臟癌、鱗狀細胞癌、甲狀腺癌,或甲狀腺濾泡癌。在本揭示內容的一實施方式中,該癌症是結腸癌。在本揭示內容的另一實施方式中,該癌症是黑色素瘤。該癌症可以是一種原位癌或轉移癌。The recombinant polypeptide or pharmaceutical composition of the present disclosure is helpful for preventing and/or treating cancer of an individual in need (for example, a human patient suffering from cancer, suspected of suffering from cancer, or at risk of suffering from the cancer). In certain embodiments, cancers that can be treated by the methods of the present disclosure include, but are not limited to, bladder cancer, bile duct cancer, bone cancer, brain tumors, breast cancer, cervical cancer, colorectal cancer, colon cancer, and esophageal cancer. , Epithelial cancer, gastric cancer, gastrointestinal stromal tumor (GIST), glioma, lymphoid system hematopoietic tumor, liver cancer, non-Hodgkin's lymphoma, Kaposi's sarcoma, blood cancer, lung cancer, lymphoma, small intestine Cancer, melanoma, myelogenous leukemia, pancreatic cancer, prostate cancer, retinoblastoma, ovarian cancer, renal cell carcinoma, spleen cancer, squamous cell carcinoma, thyroid cancer, or thyroid follicular cancer. In one embodiment of the present disclosure, the cancer is colon cancer. In another embodiment of the present disclosure, the cancer is melanoma. The cancer can be a carcinoma in situ or metastatic carcinoma.

在本揭示內容方法中,本揭示內容重組多肽或藥學組合物可藉由本領域所熟知的適當途徑來投予,包括:口服、顱內、脊椎內、鞘內、髓內、大腦內、腦室內、靜脈內、動脈內、心內、皮內、皮下、經皮、腹腔內或肌內等途徑來投予。一般來說,大部分適當的投予途徑會取決於各種不同的因素,包括:藥劑的本質(例如,其在血液循環中的穩定性),及/或該個體的病症(例如,該個體是否能夠忍受腹腔內或靜脈內(iv.)投予藥物)等。In the methods of the present disclosure, the recombinant polypeptide or pharmaceutical composition of the present disclosure can be administered by appropriate methods known in the art, including: oral, intracranial, intraspinal, intrathecal, intramedullary, intracerebral, and intracerebroventricular , Intravenous, intraarterial, intracardiac, intradermal, subcutaneous, transdermal, intraperitoneal or intramuscular administration. In general, most of the appropriate route of administration will depend on various factors, including: the nature of the agent (for example, its stability in the blood circulation), and/or the individual's condition (for example, whether the individual is Can tolerate intraperitoneal or intravenous (iv.) administration of drugs) and so on.

為達到本揭示內容重組多肽或藥學組合物之有效量的精確用量,會隨著個體的不同而有所不同,取決於上述之相關因素。一治療有效量可以涵蓋在一單一劑量(例如,單一的腹腔內注射劑量,或單一的靜脈內注射劑量),或多次劑量(例如,多次的腹腔內注射劑量,或多次的靜脈內注射量)內。在某些實施方式中,當對一個體投予多次劑量時,對該個體施用該多次劑量的頻率是一天三劑、一天兩劑、一天一劑、每兩天一劑、每三天一劑、每週一劑、每兩週一劑、每月一劑,或每兩月一劑。在某些實施方式中,對該個體施用該多次劑量的頻率是每天一劑。在某些實施方式中,對該個體施用該多次劑量的頻率是每兩天一劑(或每週三劑)。在某些實施方式中,對該個體施用該多次劑量的頻率是每三天一劑(或每週兩劑)。在某些實施方式中,當對一個體投予多次劑量時,該多次劑量的第一劑與最後一劑之間的期間是一天、兩天、四天、一週、兩週、三週、一個月、兩個月、三個月、四個月、六個月、九個月、一年、兩年、三年、四年、五年、七年、十年、十五年、二十年,或該個體的一生。在某些實施方式中,該多次劑量的第一劑與最後一劑之間的期間是三個月、六個月,或一年。在某些實施方式中,該多次劑量的第一劑與最後一劑之間的期間是該個體的一生。在一特定的實施方式中,該多次劑量的第一劑與最後一劑之間的期間是三週。In order to achieve the precise dosage of the effective amount of the recombinant polypeptide or pharmaceutical composition of the present disclosure, it will vary from individual to individual, depending on the above-mentioned related factors. A therapeutically effective dose can encompass a single dose (for example, a single intraperitoneal injection dose, or a single intravenous injection dose), or multiple doses (for example, multiple intraperitoneal injection doses, or multiple intravenous injections). Injection volume). In certain embodiments, when multiple doses are administered to an individual, the frequency of administering the multiple doses to the individual is three doses a day, two doses a day, one dose a day, one dose every two days, and every three days. One dose, one dose per week, one dose every two weeks, one dose per month, or one dose every two months. In certain embodiments, the frequency of administration of the multiple doses to the individual is one dose per day. In certain embodiments, the frequency of administration of the multiple doses to the individual is one dose every two days (or three doses per week). In certain embodiments, the frequency of administration of the multiple doses to the individual is one dose every three days (or two doses per week). In some embodiments, when multiple doses are administered to an individual, the period between the first and last dose of the multiple doses is one day, two days, four days, one week, two weeks, three weeks , One month, two months, three months, four months, six months, nine months, one year, two years, three years, four years, five years, seven years, ten years, fifteen years, two Ten years, or the individual's life. In certain embodiments, the period between the first and last dose of the multiple dose is three months, six months, or one year. In certain embodiments, the period between the first and last dose of the multiple dose is the individual's lifetime. In a specific embodiment, the period between the first and last dose of the multiple doses is three weeks.

在某些實施方式中,在此所述之一劑(例如,一單一劑量,或多次劑量中的任一劑量)個別包含約介於8奈克與80微克之間的劑量,該劑量包含本揭示內容重組多肽或藥學組合物在內,舉例來說,該劑量約為8、9、10、20、30、40、50、60、70、80、90、100、110、120、130、140、150、160、170、180、190、200、210、220、230、240、250、260、270、280、290、300、310、320、330、340、350、360、370、380、390、400、410、420、430、440、450、460、470、480、490、500、510、520、530、540、550、560、570、580、590、600、610、620、630、640、650、660、670、680、690、700、710、720、730、740、750、760、770、780、790、800、810、820、830、840、850、860、870、880、890、900、910、920、930、940、950、960、970、980、990奈克、1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49、50、51、52、53、54、55、56、57、58、59、60、61、62、63、64、65、66、67、68、69、70、71、72、73、74、75、76、77、78、79或80微克。在某些實施方式中,在此所述之一劑個別包含約介於40奈克與8微克之間的劑量,該劑量包含本揭示內容重組多肽或藥學組合物在內。在某些實施方式中,在此所述之一劑個別包含約介於80奈克與800奈克之間的劑量,該劑量包含本揭示內容重組多肽或藥學組合物在內。在某些實施方式中,在此所述之一劑個別包含約介於200奈克與500奈克之間的劑量,該劑量包含本揭示內容重組多肽或藥學組合物在內。在某些實施方式中,在此所述之一劑個別包含約介於270奈克與410奈克之間的劑量,該劑量包含本揭示內容重組多肽或藥學組合物在內。In some embodiments, one dose described herein (for example, a single dose or any one of multiple doses) individually contains a dose between about 8 nanograms and 80 micrograms, and the dose includes Including the recombinant polypeptide or pharmaceutical composition of the present disclosure, for example, the dose is about 8, 9, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110, 120, 130, 140, 150, 160, 170, 180, 190, 200, 210, 220, 230, 240, 250, 260, 270, 280, 290, 300, 310, 320, 330, 340, 350, 360, 370, 380, 390, 400, 410, 420, 430, 440, 450, 460, 470, 480, 490, 500, 510, 520, 530, 540, 550, 560, 570, 580, 590, 600, 610, 620, 630, 640, 650, 660, 670, 680, 690, 700, 710, 720, 730, 740, 750, 760, 770, 780, 790, 800, 810, 820, 830, 840, 850, 860, 870, 880, 890, 900, 910, 920, 930, 940, 950, 960, 970, 980, 990 nanograms, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79 or 80 micrograms. In some embodiments, one of the doses described herein individually comprises a dose between about 40 nanograms and 8 micrograms, which dose includes the recombinant polypeptide or pharmaceutical composition of the present disclosure. In certain embodiments, one of the doses described herein individually comprises a dose between about 80 nanograms and 800 nanograms, which dose includes the recombinant polypeptide or pharmaceutical composition of the present disclosure. In certain embodiments, one of the doses described herein individually contains a dose between about 200 nanograms and 500 nanograms, which dose includes the recombinant polypeptide or pharmaceutical composition of the present disclosure. In certain embodiments, one of the doses described herein individually contains a dose between about 270 nanograms and 410 nanograms, which dose includes the recombinant polypeptide or pharmaceutical composition of the present disclosure.

本揭示內容方法可更包含對該個體施用本揭示內容重組多肽或藥學組合物之前、同時或之後,對該個體施用一或多種額外的療法。該額外的療法是有助於預防及/或治療癌症,例如,一外科手術、一放射療法、一化學療法、一免疫療法、一荷爾蒙療法、一標靶療法、一熱療法,或其合併療法。在某些實施方式中,合併使用本揭示內容藥學組合物及該額外的療法對於癌症治療會展現出一種協同功效。當這類的合併療法於目前的治療期間內施用時,不同療法可在不同的時間間隔內,經由不同途徑投予至該癌症病患,係依據該療法的劑量及/或時程來決定。舉例來說,某些免疫療法(例如,抗體、干擾素及介白素),通常是在間隔一、二、三、或四週的時間內給予。舉例來說,抗PD-L1抗體(來自10F.9G2選殖株)是每三天一劑(或每週兩劑)、腹腔內給予,而本揭示內容藥學組合物則通常是每兩天一劑(或每週三劑)、腹腔內投予。The methods of the present disclosure may further comprise administering one or more additional therapies to the individual before, at the same time or after administering the recombinant polypeptide or pharmaceutical composition of the present disclosure to the individual. The additional therapy is helpful to prevent and/or treat cancer, for example, a surgery, a radiotherapy, a chemotherapy, an immunotherapy, a hormonal therapy, a target therapy, a heat therapy, or a combination therapy . In some embodiments, the combined use of the pharmaceutical composition of the present disclosure and the additional therapy will exhibit a synergistic effect for cancer treatment. When this type of combination therapy is administered during the current treatment period, different therapies can be administered to the cancer patient via different routes at different time intervals, depending on the dose and/or schedule of the therapy. For example, certain immunotherapies (eg, antibodies, interferons, and interleukins) are usually given at intervals of one, two, three, or four weeks. For example, the anti-PD-L1 antibody (from the 10F.9G2 clone) is given once every three days (or two doses per week), intraperitoneally, while the pharmaceutical composition of the present disclosure is usually once every two days. (Or three doses a week), intraperitoneal administration.

非限制性的化學治療劑實例包括,但不限於,放射菌素D(actinomycin D)、胺麩精(aminoglutethimide)、胺苯吖啶(amsacrin)、安納柔(anastrozole)、蒽環黴素(anthracycline)、貝沙羅汀(bexaroten)、博萊黴素(bleomycin)、布舍瑞林(buselerin)、硫酸布他卡因(busulfan)、喜樹鹼衍生物(camptothecin derivates)、卡培他濱(capecitabine)、卡鉑(carboplatin)、卡莫司汀(carmustine)、氯芥苯丁酸(chlorambucil)、順鉑(cisplatin)、克拉屈濱(cladribine)、環磷醯胺(cyclophosphamide)、阿糖胞苷(cytarabine或cytosinarabinoside)、達卡巴仁(dacarbazine)、放線菌素(dactinomycin)、道諾黴素(daunorubicin)、多西紫杉醇(docetaxel)、艾黴素(doxorubicin)、泛艾黴素(epirubicin)、雌莫司汀(estramustine)、依託泊苷(etoposide)、依西美坦(exemestane)、氟達拉濱(fludarabine)、氟尿嘧啶(fluorouracil)、福美斯坦(formestane)、吉西他濱(gemcitabine)、戈舍瑞林(goselerin)、托普迪肯(topotecan,癌康定(hycamtin))、艾達黴素(idarubicin)、異環磷醯胺(ifosfamide)、伊馬替尼(imatinib)、伊立替康(irinotecan)、來曲唑(letrozole)、亮丙瑞林(leuprorelin)、洛莫司汀(lomustine)、黴法蘭(melphalan)、巰嘌呤(mercaptopurine)、胺甲葉酸(methotrexate)、米替福辛(miltefosin)、絲裂黴素(mitomycin)、雙羥蒽醌(mitoxantrone)、尼莫司汀(nimustine)、奧沙利鉑(oxaliplatin)、紫杉醇(paclitaxel)、噴司他丁(pentostatin)、甲基苄肼(procarbazine)、替莫唑胺(temozolomide)、替尼泊苷(teniposide)、睪內脂(testolactone)、噻替哌(thiotepa)、硫鳥嘌呤(thioguanine)、蘇消安(treosulfan)、視網酸(tretinoin)、曲普瑞林(triptorelin)、曲磷醯胺(trofosfamide)、長春鹼(vinblastine)、長春新鹼(vincristine)、長春地辛(vindesine),以及長春瑞濱(vinorelbine)。Non-limiting examples of chemotherapeutic agents include, but are not limited to, actinomycin D, aminoglutethimide, amsacrin, anastrozole, anthracycline ), bexaroten (bexaroten), bleomycin (bleomycin), buserelin (buselerin), butacaine sulfate (busulfan), camptothecin derivatives (camptothecin derivates), capecitabine (capecitabine) ), carboplatin, carmustine, chlorambucil, cisplatin, cladribine, cyclophosphamide, cytarabine (cytarabine or cytosinarabinoside), dacarbazine, dactinomycin, daunorubicin, docetaxel, doxorubicin, epirubicin, Estramustine, etoposide, exemestane, fludarabine, fluorouracil, formestane, gemcitabine, gosere Goselerin, topotecan (hycamtin), idarubicin, ifosfamide, imatinib, irinotecan, Letrozole, leuprorelin, lomustine, melphalan, mercaptopurine, methotrexate, miltefosin , Mitomycin, mitoxantrone, nimustine, oxaliplatin, paclitaxel, pentostatin, procarbazine (procarbazine), temozolomide (temozolomide), teniposide (teniposide), testosterone ( testolactone), thiotepa, thioguanine, treosulfan, tretinoin, triptorelin, trofosfamide, vinblastine ( vinblastine, vincristine, vindesine, and vinorelbine.

非限制性的免疫治療劑實例包括,但不限於,抗PD-1抗體(例如,潘利珠單抗(pembrolizumab;Keytruda®)、尼伏單抗(nivolumab;Opdivo®));抗PD-L1抗體(例如,阿特朱單抗(atezolizumab;MPDL3280A、RO5541267、Tecentriq®)、阿維單抗(avelumab;Bavenciq®)、德瓦魯單抗(durvalumab;MEDI4736、Imfinzi®)、來自10F.9G2選殖株的抗體);抗CTLA-4抗體(例如,易普利單抗(ipilimumab;Yervoy®)、曲美木單抗(tremelimumab;CP-675,206))、利鲁唑(riluzole)、曲利鲁唑(trigriluzole)、IFN-γ、IL-2、IL-15、IL-23、M-CSF、GM-CSF、腫瘤壞死因子(tumor necrosis factor,TNF)、脂質A、CpG、CD80、CD86,以及ICAM-1。在本揭示內容的一較佳實施方式中,該免疫治療劑是抗PD-L1抗體(例如,來自10F.9G2選殖株的抗體)。Examples of non-limiting immunotherapeutics include, but are not limited to, anti-PD-1 antibodies (e.g., pembrolizumab (Keytruda®), nivolumab (nivolumab; Opdivo®)); anti-PD-L1 antibodies ( For example, atezolizumab (atezolizumab; MPDL3280A, RO5541267, Tecentriq®), avilumab (avelumab; Bavenciq®), devaluzumab (durvalumab; MEDI4736, Imfinzi®), antibodies from 10F.9G2 clones ); anti-CTLA-4 antibodies (for example, ipilimumab (ipilimumab; Yervoy®), tremelimumab (tremelimumab; CP-675,206)), riluzole, trigriluzole , IFN-γ, IL-2, IL-15, IL-23, M-CSF, GM-CSF, tumor necrosis factor (TNF), lipid A, CpG, CD80, CD86, and ICAM-1. In a preferred embodiment of the present disclosure, the immunotherapeutic agent is an anti-PD-L1 antibody (for example, an antibody from a 10F.9G2 clone).

非限制性的荷爾蒙治療劑實例包括,但不限於,普賴松(prednisone)、甲基培尼皮質醇(methylprednisolone;Solumedrol®)、地塞松(dexamethasone;Decadron®)、泰莫西芬(tamoxifen;Nolvadex®)、柳菩林(leuprolide;Leuplin®),以及醋酸環丙孕酮(cyproterone acetate;Androcur®)。Examples of non-limiting hormonal therapeutics include, but are not limited to, prednisone, methylprednisolone (Solumedrol®), dexamethasone (Decadron®), tamoxifen (tamoxifen ; Nolvadex®), leuprolide (Leuplin®), and cyproterone acetate (Androcur®).

非限制性的標靶治療劑實例包括,但不限於,吉非替尼(gefitinib;ZD1839)、鹽酸厄洛替尼(erlotinib HCl;Tarceva™)、CL-387,785、EKB-569、HKI-272、曲妥珠單抗(trastuzumab;Herceptin®)、吡唑并吡啶(pyrazolopyridine)、苯并氧雜(benzoxepin)、腺嘌呤衍生物(adenine derivatives),以及2-羧醯胺環胺基尿素衍生物(2-carboxamide cycloamino urea derivatives)。Non-limiting examples of targeted therapeutic agents include, but are not limited to, gefitinib (gefitinib; ZD1839), erlotinib HCl (Tarceva™), CL-387,785, EKB-569, HKI-272, Trastuzumab (trastuzumab; Herceptin®), pyrazolopyridine, benzoxepin, adenine derivatives, and 2-carboxamide cyclic aminourea derivatives ( 2-carboxamide cycloamino urea derivatives).

依據本揭示內容的某些實施方式,可藉由本揭示內容藥學組合物來治療的個體是一種哺乳動物。在一實施例中,該個體是小鼠。在另一實施例中,該個體是人類。According to certain embodiments of the present disclosure, the individual that can be treated by the pharmaceutical composition of the present disclosure is a mammal. In one embodiment, the individual is a mouse. In another embodiment, the individual is a human.

本揭示內容亦涵蓋一種用於治療本揭示內容任一種癌症的套組。本揭示內容套組可以包含本揭示內容重組多肽或藥學組合物。非必要性地,該套組可更包含一或多種本揭示內容所述之額外的藥學製劑。The present disclosure also covers a kit for treating any type of cancer in the present disclosure. The kit of the present disclosure may comprise a recombinant polypeptide or pharmaceutical composition of the present disclosure. Optionally, the kit may further include one or more additional pharmaceutical agents described in this disclosure.

下文提出多個實施例來說明本揭示內容的某些態樣,以利本發明所屬領域技術具有通常知識者實踐本發明。不應將此等實施例視為對本發明範圍的限制。據信本發明所屬領域技術具有通常知識者在閱讀此處提出的說明後,可在不需過度解讀的情形下,完整利用並實踐本揭示內容。本文引用的所有公開文獻在此藉由引用而併入全文。A number of embodiments are presented below to illustrate certain aspects of the present disclosure, so as to facilitate those skilled in the art to which the present invention belongs to practice the present invention. These embodiments should not be regarded as limiting the scope of the present invention. It is believed that those with ordinary knowledge in the art to which the present invention pertains can fully utilize and practice the content of this disclosure without excessive interpretation after reading the description presented here. All publications cited herein are hereby incorporated by reference in their entirety.

實施例Example

材料及方法Materials and methods

1.    細胞及動物1. Cells and animals

將小鼠T細胞淋巴瘤細胞株CTLL-2,以及小鼠結腸癌細胞株CT26培養在洛斯維·派克紀念研究所(Roswell Park Memorial Institute,RPMI)-1640的基礎培養基中,另將小鼠黑色素瘤細胞株B16F10培養在達爾伯克氏改良伊格爾氏培養基(Dulbecco’s Modified Eagle’s Medium,DMEM)的基礎培養基中。所有的基礎培養基均補充10%之胎牛血清(fetal bovine serum,FBS)、2毫體積莫耳濃度之L-麩醯胺(L-glutamine)、100單位/毫升之青黴素及100微克/毫升之鏈黴素、1毫體積莫耳濃度之丙酮酸鈉,以及10%之T-STIM含刀豆球蛋白A(Con A),並將細胞培養在37°C,含5%之CO2 的加濕培養箱中。The mouse T-cell lymphoma cell line CTLL-2 and the mouse colon cancer cell line CT26 were cultured in the basic medium of Roswell Park Memorial Institute (RPMI)-1640, and the mouse melanin was added The tumor cell line B16F10 was cultured in Dulbecco's Modified Eagle's Medium (DMEM) basal medium. All basal media are supplemented with 10% fetal bovine serum (FBS), 2 milli volume molar concentration of L-glutamine (L-glutamine), 100 units/ml penicillin and 100 micrograms/ml Streptomycin, sodium pyruvate at a molar concentration of 1 millivolume, and 10% T-STIM containing Concanavalin A (Con A), and the cells were cultured at 37°C with 5% CO 2 In a wet incubator.

在本研究中使用週齡約5或6週的雄性BALB/c及C57BL/6J小鼠。所有的動物均飼養在動物設施中,並控制溫度(20-24°C)、濕度(50-80%)及12小時/12小時的光/暗循環,且提供可任意採食的食物及水。Male BALB/c and C57BL/6J mice about 5 or 6 weeks old were used in this study. All animals are kept in animal facilities, and control temperature (20-24°C), humidity (50-80%) and 12 hours/12 hours light/dark cycle, and provide food and water that can be eaten at will .

2.    建構IL-15、IL-15-ABD及IL-15-ABP的表現載體2. Construct the performance carrier of IL-15, IL-15-ABD and IL-15-ABP

將用以表現人類IL-15-6His(序列編號:4)、人類IL-15-ABD(序列編號:5),以及人類IL-15-ABP(序列編號:6)重組多肽的核酸序列嵌入至一大腸桿菌(Escherichia coliE. coli )的表現質體pET56中。接著將該些構建體送入大腸桿菌表現菌株Rosetta gami B (DE3)細胞中。之後挑取可成功表現該些重組多肽的大腸桿菌菌落,並藉由標準的大腸桿菌培養步驟將其放大,以獲得大量的重組多肽。依據本領域所熟知的方法來進行自大腸桿菌包涵體(inclusion body)回收蛋白的步驟,包括包涵體的純化,以及蛋白的再摺疊等。在本揭示內容的所有實施例中,使用人類IL-15-6His作為IL-15的控制組。因此,為方便起見,所述「IL-15」、「IL-15-ABD」及「IL-15-ABP」一詞個別是用於代表本揭示內容中的人類IL-15-6His、人類IL-15-ABD及人類IL-15-ABP。The nucleic acid sequences used to express human IL-15-6His (SEQ ID NO: 4), human IL-15-ABD (SEQ ID: 5), and human IL-15-ABP (SEQ ID: 6) recombinant polypeptides were inserted into an E. coli (Escherichia coli, E. coli) in the expression plasmid pET56. These constructs were then sent to cells of the Escherichia coli expression strain Rosetta gami B (DE3). Then, the colonies of Escherichia coli that can successfully express the recombinant polypeptides are selected and amplified by standard Escherichia coli culture procedures to obtain a large amount of recombinant polypeptides. The steps of recovering proteins from E. coli inclusion bodies are carried out according to methods well known in the art, including the purification of inclusion bodies and the refolding of proteins. In all examples of the present disclosure, human IL-15-6His is used as the IL-15 control group. Therefore, for convenience, the terms "IL-15", "IL-15-ABD" and "IL-15-ABP" are individually used to represent human IL-15-6His, human IL-15-ABD and human IL-15-ABP.

3.    IL-15、IL-15-ABD及IL-15-ABP的藥物動力學3. Pharmacokinetics of IL-15, IL-15-ABD and IL-15-ABP

本揭示內容重組多肽的藥物動力學係利用活體內的小鼠模式來確認。將BALB/c小鼠(n=9)平均分為3組。將IL-15(3.33微克/劑)、IL-15-ABD(5微克/劑)及IL-15-ABP(4.5微克/劑)以腹腔內注射至小鼠中,並分別於注射後0、15、30、45、60、90、120、240、480、1,440、2,160及3,120分鐘時收集小鼠血液。以IL-15成對酵素免疫測定套組(IL-15 Duoset ELISA kit,R&D system)來定量血清中的IL-15濃度。The pharmacokinetics of the recombinant polypeptides of the present disclosure are confirmed using mouse models in vivo. The BALB/c mice (n=9) were equally divided into 3 groups. IL-15 (3.33 micrograms/dose), IL-15-ABD (5 micrograms/dose) and IL-15-ABP (4.5 micrograms/dose) were injected intraperitoneally into mice, and the mice were injected at 0, Mouse blood was collected at 15, 30, 45, 60, 90, 120, 240, 480, 1,440, 2,160 and 3,120 minutes. The IL-15 paired enzyme immunoassay kit (IL-15 Duoset ELISA kit, R&D system) was used to quantify the IL-15 concentration in the serum.

4.    本揭示內容重組多肽對於哺乳動物白蛋白的活體外結合試驗4. In vitro binding test of recombinant polypeptide to mammalian albumin

利用酵素免疫吸附法(ELISA)來確認本揭示內容重組多肽(包括IL-15、IL-15-ABD及IL-15-ABP)對於人類、狗及小鼠白蛋白的結合。將特定物種的白蛋白塗布於96孔微量盤中,其中該白蛋白是溶於ELISA塗布緩衝液(coating buffer;137毫體積莫耳濃度之NaCl、2.7毫體積莫耳濃度之KCl、10毫體積莫耳濃度之Na2 HPO4 ,以及1.8毫體積莫耳濃度之KH2 PO4 )中,並配製成300奈克/毫升的終濃度,且在4°C下反應過夜。清洗各孔,接著以3%之脫脂牛奶(溶於PBS中)在25°C下進行封閉2小時。清洗後,將特定濃度之本揭示內容重組多肽加入各孔中,並在25°C下反應2小時。接著清洗微量盤,再與一與HRP複合的抗6His抗體(1:2000稀釋)在25°C下反應1小時。利用3,3’,5,5’-四甲基聯苯胺(3,3’,5,5’-tetramethylbenzidine,TMB)來偵測HRP活性,並以0.5體積莫耳濃度之H2 SO4 終止反應。以微量盤分析儀測量微量盤於450奈米的吸光度。Enzyme immunosorbent assay (ELISA) was used to confirm the binding of recombinant polypeptides (including IL-15, IL-15-ABD, and IL-15-ABP) of the present disclosure to human, dog, and mouse albumin. Spread albumin of a specific species in a 96-well microplate, in which the albumin is dissolved in ELISA coating buffer (coating buffer; 137 millivol NaCl with a molar concentration, 2.7 millivol KCl with a molar concentration, 10 millivol Na 2 HPO 4 at a molar concentration and KH 2 PO 4 at a molar concentration of 1.8 milliliters were prepared to a final concentration of 300 ng/ml, and reacted overnight at 4°C. Each well was washed, and then blocked with 3% skimmed milk (dissolved in PBS) at 25°C for 2 hours. After washing, a specific concentration of the recombinant polypeptide of the present disclosure was added to each well and reacted at 25°C for 2 hours. Then wash the microplate, and react with an anti-6His antibody complexed with HRP (1:2000 dilution) at 25°C for 1 hour. Use 3,3',5,5'-tetramethylbenzidine (3,3',5,5'-tetramethylbenzidine, TMB) to detect HRP activity and terminate it with 0.5 volume molar concentration of H 2 SO 4 reaction. Measure the absorbance of the microplate at 450nm with a microplate analyzer.

5.    CTLL-2增殖性檢測5. CTLL-2 proliferation test

將已於IL-2中受挨餓(starved)2小時的小鼠胞毒型(cytotoxic)T淋巴球CTLL-2細胞培養於96孔微量盤中,並將業經連續稀釋的人類IL-2或IL15-ABD(溶於RPMI的完全培養基中)加入微量盤中。使細胞在37°C下反應15分鐘,接著立即以1.5%之甲醛在室溫(RT)下固定10分鐘,再以冰冷的100%之甲醇在4°C下進行通透30分鐘。將細胞以FACS緩衝液(0.8%之牛血清白蛋白(溶於PBS中,pH 7.2)清洗兩次,接著以抗STAT5之pY694抗體(ThermoFisher)(1:50稀釋於FACS緩衝液中)在RT反應2小時。清洗細胞,再將一與FITC複合的山羊抗兔Fc抗體(Jackson)加入細胞中。利用流式細胞儀(CytoFLEX, Beckman-Coulter)來確認細胞的平均螢光強度(mean fluorescence intensity,MFI)。The mouse cytotoxic T lymphocyte CTLL-2 cells that had been starved in IL-2 for 2 hours were cultured in a 96-well microplate, and serially diluted human IL-2 or IL15-ABD (dissolved in complete medium in RPMI) was added to the microplate. The cells were reacted at 37°C for 15 minutes, and then immediately fixed with 1.5% formaldehyde at room temperature (RT) for 10 minutes, and then permeabilized with ice-cold 100% methanol at 4°C for 30 minutes. The cells were washed twice with FACS buffer (0.8% bovine serum albumin (dissolved in PBS, pH 7.2)), and then washed with anti-STAT5 pY694 antibody (ThermoFisher) (1:50 diluted in FACS buffer) at RT React for 2 hours. Wash the cells, and then add a goat anti-rabbit Fc antibody (Jackson) compounded with FITC to the cells. Use a flow cytometer (CytoFLEX, Beckman-Coulter) to confirm the mean fluorescence intensity of the cells. , MFI).

6.    動物模式6. Animal mode

在建立黑色素瘤的動物模式之前,先建立一株具有生物發光的黑色素瘤細胞株(命名為B16F10/luc2)。為達本目的,使用一個含有CMV-螢光素酶2(CMV-luciferase2,pGL4.50[luc2/CMV])的載體。將B16F10細胞轉染5微克之上述載體。反應一天後,將200微克/毫升之潮黴素B(hygromycin B)加入培養皿中,再培養兩週,以取得表現Luc2的細胞(即,B16F10/luc2)。Before establishing the animal model of melanoma, first establish a melanoma cell line with bioluminescence (named B16F10/luc2). For this purpose, a vector containing CMV-luciferase 2 (CMV-luciferase2, pGL4.50[luc2/CMV]) is used. B16F10 cells were transfected with 5 micrograms of the above vector. After one day of reaction, 200 μg/ml of hygromycin B (hygromycin B) was added to the petri dish and cultured for another two weeks to obtain cells expressing Luc2 (ie, B16F10/luc2).

在外科手術期間內,以1-2%之異氟醚將動物進行麻醉。在黑色素瘤或結腸癌之動物模式的部分,是將5×104 個B16F10/luc2或CT26細胞皮下(sc.)注射至C57BL/6或BALB/c小鼠的右大腿(n=18;20-25公克)。將小鼠以腹腔內注射PBS、野生型IL-15(600,000國際單位(IU))或IL-15-ABP(600,000國際單位);或注射控制組(0.1%之DMSO溶於H2 O中)、IL-15(5微克/次)或IL-15-ABD(5微克/次),每週兩次,為期3週。每週3次以卡尺(calipers)測量腫瘤大小,並以下列公式來計算腫瘤體積:(0.523)×L×W2During the surgical operation, the animals were anesthetized with 1-2% isoflurane. In the animal model of melanoma or colon cancer, 5×10 4 B16F10/luc2 or CT26 cells were injected subcutaneously (sc.) into the right thigh of C57BL/6 or BALB/c mice (n=18; 20 -25 grams). Mice were injected intraperitoneally with PBS, wild-type IL-15 (600,000 international units (IU)) or IL-15-ABP (600,000 international units); or injection control group (0.1% DMSO dissolved in H 2 O) , IL-15 (5 micrograms/time) or IL-15-ABD (5 micrograms/time), twice a week for 3 weeks. The tumor size was measured with calipers three times a week, and the tumor volume was calculated with the following formula: (0.523)×L×W 2 .

在轉移型結腸癌之動物模式的部分,將BALB/c小鼠(n=9)平均分為3組。在第0天時,將5×105 個CT26細胞以靜脈內投予方式,經由尾靜脈注射至小鼠中。在第1天時以腹腔內注射,以及在第3、6及9天時以皮下注射,對小鼠投予PBS、IL-15(3.33微克),以及IL-15-ABD(5微克)。在第19天時,將小鼠犧牲,並觀察在肺臟中的腫瘤轉移。將所有的小鼠肺臟移除,以甲醛固定之,並照相。同時,計數在肺臟中的腫瘤團塊個數。In the part of the animal model of metastatic colon cancer, BALB/c mice (n=9) were equally divided into 3 groups. On day 0, 5×10 5 CT26 cells were injected intravenously into mice via the tail vein. PBS, IL-15 (3.33 micrograms), and IL-15-ABD (5 micrograms) were administered to mice by intraperitoneal injection on day 1, and subcutaneous injection on days 3, 6, and 9. On day 19, the mice were sacrificed and tumor metastasis in the lungs was observed. All mouse lungs were removed, fixed with formaldehyde, and photographed. At the same time, count the number of tumor masses in the lungs.

在IL-15-ABD及抗PD-L1抗體的合併治療的部分,將B16F10/luc2及CT26細胞分別接種至小鼠中,並使其生長約2週。當腫瘤達到50-80立方毫米時,接著將小鼠任意分為四組。對小鼠給予下列治療:(1)控制組(0.1%之DMSO溶於H2 O中,腹腔內注射);(2)IL-15-ABD組(每週三次IL-15-ABD(5微克/次),腹腔內注射);(3)抗PD-L1組(每週兩次抗PD-L1抗體(來自10F.9G2選殖株)(100微克/次),腹腔內注射);以及(4)合併治療組(IL-15-ABD(5微克/次),加上抗PD-L1抗體(來自10F.9G2選殖株;100微克/次),各用量如上所述)。在第21天時,將各組的腫瘤移除,並照相。每週3次以卡尺評估腫瘤體積。In the combined treatment of IL-15-ABD and anti-PD-L1 antibody, B16F10/luc2 and CT26 cells were respectively inoculated into mice and allowed to grow for about 2 weeks. When the tumor reached 50-80 cubic millimeters, the mice were then randomly divided into four groups. The mice were given the following treatments: (1) control group (0.1% DMSO dissolved in H 2 O, intraperitoneal injection); (2) IL-15-ABD group (IL-15-ABD (5 micrograms) three times a week) /Time), intraperitoneal injection); (3) Anti-PD-L1 group (anti-PD-L1 antibody (from 10F.9G2 strain) (100 micrograms/time), intraperitoneal injection twice a week); and ( 4) Combined treatment group (IL-15-ABD (5 micrograms/time), plus anti-PD-L1 antibody (from 10F.9G2 clone; 100 micrograms/time), each dosage is as described above). On the 21st day, the tumors in each group were removed and photographed. The tumor volume was assessed with calipers 3 times a week.

7.    評估小鼠中的免疫抑制性細胞(Treg 細胞及骨髓來源抑制細胞(MDSC))7. Assess immunosuppressive cells (T reg cells and bone marrow-derived suppressor cells (MDSC)) in mice

在第21天時,取出小鼠的腫瘤引流淋巴結(tumor-draining lymph node,TDLN)、脾臟及股骨的骨髓,並以ACK緩衝液溶解紅血球(RBC)。將含有Treg 細胞(CD4+ /CD25+ /FOXP3+ )或MDSC(CD11b+ /GR-1+ )的細胞群,分別以抗FOXP3-Alexa Fluor 488/抗CD4-PerCP-Cy™5.5/抗CD25-PE之抗體,或抗CD11b-FITC/抗Gr-1-PE之抗體(BD Bioscience)進行染色,再利用流式細胞儀(NovoExpress®)來確認Treg 細胞或MDSC在該細胞群中的百分比。以FlowJo軟體(Tree Star)來分析所得資料。On the 21st day, the tumor-draining lymph node (TDLN), spleen and femoral bone marrow of the mice were taken out, and red blood cells (RBC) were dissolved with ACK buffer. The cell populations containing T reg cells (CD4 + /CD25 + /FOXP3 + ) or MDSC (CD11b + /GR-1 + ) were treated with anti-FOXP3-Alexa Fluor 488/anti-CD4-PerCP-Cy™5.5/anti-CD25, respectively -PE antibody, or anti-CD11b-FITC/anti-Gr-1-PE antibody (BD Bioscience) for staining, and then use flow cytometry (NovoExpress®) to confirm the percentage of T reg cells or MDSC in the cell population . Use FlowJo software (Tree Star) to analyze the obtained data.

8.    評估在小鼠中的免疫細胞(CD8+ T細胞及NK細胞)8. Evaluation of immune cells (CD8 + T cells and NK cells) in mice

為評估CD8+ T細胞,以下列步驟來進行。腫瘤接種後三至四週,將小鼠進行安樂死,並收集其腫瘤、腹水、TDLN及脾臟。在從腫瘤中分離白血球的部分,將該腫瘤組織置於2.5毫克/毫升之膠原酶IV(collagenase IV;Worthington)中20分鐘,再接著利用一包有乙烯吡咯烷酮的矽膠顆粒(percoll)不連續密度梯度離心法(GE Healthcare)分離之。利用抗CD8之微珠(microbead;Miltenyi Biotec)及一MACS管柱來分離白血球中的CD8+ T細胞。在該白血球中,CD8+ T細胞佔有>5%的百分比。以抗CD8-FITC染色來確認在TDLN及脾臟中的CD8+ T細胞。為評估CD8+ T細胞中的IFN-γ或IL-2表現量,將該細胞進一步以抗IL-2-PerCP/Cy5.5或抗IFN-γ-PE之抗體(BD Bioscience)進行染色。利用流式細胞術偵測細胞內的IL-2及IFN-γ表現量,藉以確認CD8+ T細胞的活化情形。在每公克腫瘤中的浸潤性CD8+ T細胞總數是藉由將該CD8+ T細胞的百分比乘以該淋巴球的總數,再將所得個數除以100及該腫瘤的重量來計算之。To evaluate CD8 + T cells, proceed as follows. Three to four weeks after tumor inoculation, the mice were euthanized, and their tumors, ascites, TDLN and spleen were collected. In the part where the white blood cells are separated from the tumor, the tumor tissue is placed in 2.5 mg/ml collagenase IV (collagenase IV; Worthington) for 20 minutes, and then a silica gel particle (percoll) coated with vinylpyrrolidone is used for discontinuous density Separated by gradient centrifugation (GE Healthcare). Use anti-CD8 microbeads (Miltenyi Biotec) and a MACS column to separate CD8 + T cells in white blood cells. In the white blood cells, CD8 + T cells account for a percentage of >5%. Anti-CD8-FITC staining was used to confirm CD8 + T cells in TDLN and spleen. To evaluate the expression level of IFN-γ or IL-2 in CD8 + T cells, the cells were further stained with anti-IL-2-PerCP/Cy5.5 or anti-IFN-γ-PE antibodies (BD Bioscience). Use flow cytometry to detect the expression levels of IL-2 and IFN-γ in the cells to confirm the activation of CD8 + T cells. The total number of infiltrating CD8+ T cells per gram of tumor is calculated by multiplying the percentage of CD8+ T cells by the total number of lymphocytes, and then dividing the number by 100 and the weight of the tumor.

為評估NK細胞,以下列步驟來進行。在腫瘤接種後第21天收集小鼠脾臟,並以ACK緩衝液溶解及純化出脾細胞。在BALB/c的部分,藉由抗CD3-FITC/抗CD49b-PE/抗CD335-PerCP-Cy5.5之抗體進行染色,而在C57BL/6的部分,藉由抗CD3-FITC/抗CD49b-PE/抗NK1.1-PerCP-Cy5.5之抗體進行染色來確認在脾臟中的NK細胞。具有CD3- /CD49b+ 、CD3- /CD335+ 、CD3- /CD49b+ /CD335+ ,以及CD3- /CD49b+ 、CD3- /NK1.1+ 、CD3- /CD49b+ /NK1.1+ 標記者為NK細胞群。藉由流式細胞術(NovoExpress®)分析,以及藉由FlowJo軟體來分析相關數據資料,以獲得該些細胞種類的百分比。To evaluate NK cells, follow the steps below. The mouse spleens were collected on the 21st day after tumor inoculation, and spleen cells were lysed and purified with ACK buffer. In the BALB/c part, it was stained with anti-CD3-FITC/anti-CD49b-PE/anti-CD335-PerCP-Cy5.5 antibody, and in the C57BL/6 part, it was stained with anti-CD3-FITC/anti-CD49b- PE/anti-NK1.1-PerCP-Cy5.5 antibody was stained to confirm the NK cells in the spleen. Has CD3 - / CD49b +, CD3 - / CD335 +, CD3 - / CD49b + / CD335 +, and CD3 - / CD49b +, CD3 - /NK1.1 +, CD3 - / CD49b + /NK1.1 + is labeled reporter NK cell population. Analyze by flow cytometry (NovoExpress®) and analyze relevant data by FlowJo software to obtain the percentage of these cell types.

9.    生物發光造影9. Bioluminescence imaging

在造影前的10分鐘,將各組攜帶B16F10/luc2腫瘤的小鼠(n=10)以腹腔內注射200微升的150毫克/公斤之D-螢光素(D-luciferin;溶於PBS中),以及利用1-2%之異氟醚來麻醉之。接著將小鼠置於造影平臺上,並使其在整個擷取影像的時間內連續暴露於1-2%之異氟醚中。每週一次藉由一生物發光造影儀(IVIS50 Imaging System;Xenogen)來收集luc2訊號,其中擷取影像的時間為1分鐘。感興趣的區域(Regions of interest,ROI)是約在腫瘤附近,並以活體影像軟體(Living Image)定量之(單位為光子/秒/平方公分/球面度(photons/s/cm2/sr))。10 minutes before the contrast, each group of mice bearing B16F10/luc2 tumors (n=10) were injected intraperitoneally with 200 microliters of 150 mg/kg D-luciferin (D-luciferin; dissolved in PBS ), and use 1-2% isoflurane to anesthetize it. The mouse was then placed on the imaging platform and exposed to 1-2% isoflurane continuously during the entire image capture time. Once a week, a bioluminescence imaging system (IVIS50 Imaging System; Xenogen) was used to collect the luc2 signal, and the time to capture the image was 1 minute. Regions of interest (ROI) is approximately near the tumor and is quantified by Living Image (unit: photons/s/cm²/steradian (photons/s/cm2/sr)) .

10.  免疫組織化學(IHC)染色10. Immunohistochemistry (IHC) staining

將業經福馬林固定並以石蠟包埋的小鼠組織進行IHC染色如下。將石蠟包埋的腫瘤組織切片置於載玻片上,以二甲苯進行脫蠟,以連續調降濃度的乙醇(0、30、70、100%之H2O)進行復水(rehydrated),接著在3%之H2 O2 中反應10分鐘。在清洗後,將該載玻片以5%之正常山羊血清進行封閉5分鐘,接著再加入特定的初級抗體(稀釋倍率為1:100-500)在4°C下反應過夜。最後,將該載玻片以蘇木精(hematoxylin)進行對比染色。各組至少取三片載玻片用於IHC染色。利用一光學顯微鏡(Nikon ECLIPSE Ti-U)在200×放大倍率下獲得該載玻片的影像圖,並以ImageJ軟體定量之。The mouse tissues fixed with formalin and embedded in paraffin were subjected to IHC staining as follows. The paraffin-embedded tumor tissue sections were placed on a glass slide, deparaffinized with xylene, and rehydrated with ethanol (0, 30, 70, 100% H2O) with successively reduced concentrations, and then 3 React in %H 2 O 2 for 10 minutes. After washing, the slides were blocked with 5% normal goat serum for 5 minutes, and then specific primary antibodies (dilution ratio 1:100-500) were added to react overnight at 4°C. Finally, the slides were stained with hematoxylin for comparison. Take at least three slides for IHC staining in each group. An optical microscope (Nikon ECLIPSE Ti-U) was used to obtain an image of the slide under 200× magnification, and the image was quantified with ImageJ software.

11.  評估血清中的分泌型蛋白量11. Assess the amount of secreted protein in the serum

收集小鼠血清,以及利用酵素免疫測定法並依據個別的酵素免疫測定檢測套組(Elabscience)的使用說明來檢測分泌型蛋白IL-15及VEGF。利用一微量盤分析儀(SpectraMax iD3 microplate reader;Molecular Devices)來測量該酵素免疫測定法的OD450讀值。Collect mouse serum, and use enzyme immunoassay to detect secreted proteins IL-15 and VEGF according to the instructions of the individual enzyme immunoassay detection kit (Elabscience). A microplate analyzer (SpectraMax iD3 microplate reader; Molecular Devices) was used to measure the OD450 reading of the enzyme immunoassay.

12.  統計分析12. Statistical analysis

利用Excel 2017軟體(Microsoft)來進行統計分析。以平均值±標準差(mean±SD)來表示實驗數據,並以單因子變異數分析(ANOVA)及獨立的司徒頓t檢定方法來分析比較兩組之間的數據。實驗至少重複三次。P<0.05及P<0.01視為具有統計上的顯著意義。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比單獨的治療;b2:p<0.01,對比單獨的治療。Use Excel 2017 software (Microsoft) for statistical analysis. The experimental data was expressed as the mean±standard deviation (mean±SD), and the data between the two groups were analyzed and compared by single-factor analysis of variance (ANOVA) and independent Stuton's t test method. The experiment was repeated at least three times. P<0.05 and P<0.01 were regarded as statistically significant. a1: p<0.05, compared with control group; a2: p<0.01, compared with control group; b1: p<0.05, compared with single treatment; b2: p<0.01, compared with single treatment.

實施例1      確認本揭示內容的重組多肽Example 1 Confirm the recombinant polypeptide of the present disclosure

1.1  本揭示內容重組多肽的藥物動力學1.1 The pharmacokinetics of recombinant peptides in this disclosure

本揭示內容重組多肽(包括IL-15、IL-15-ABD及IL-15-ABP)的結構如第1A圖所示;而各重組多肽的藥物動力學結果如第1B及1C圖所示。實驗結果發現到IL-15-ABD在血液循環中約可持續3,000分鐘,而IL-15在3,000分鐘時的濃度則約為10,000皮克/毫升(第1B圖)。據此計算出IL-15-ABD的總體半衰期約為552.7分鐘。至於IL-15-ABP及IL-15,其在血液循環中約分別可持續1,440分鐘及240分鐘(第1C圖)。因此個別計算出IL-15-ABP及IL-15的總體半衰期約為560分鐘及44分鐘。全部的藥物動力學數據如表1所示。The structure of the recombinant polypeptides of the present disclosure (including IL-15, IL-15-ABD and IL-15-ABP) are shown in Figure 1A; and the pharmacokinetic results of each recombinant polypeptide are shown in Figures 1B and 1C. The results of the experiment found that IL-15-ABD can last for about 3,000 minutes in blood circulation, while the concentration of IL-15 at 3,000 minutes is about 10,000 picograms/ml (Figure 1B). Based on this calculation, the overall half-life of IL-15-ABD is approximately 552.7 minutes. As for IL-15-ABP and IL-15, they can last about 1,440 minutes and 240 minutes in the blood circulation respectively (Figure 1C). Therefore, the overall half-lives of IL-15-ABP and IL-15 are calculated individually to be approximately 560 minutes and 44 minutes. All pharmacokinetic data are shown in Table 1.

表1 本揭示內容重組多肽的藥物動力學   半衰期(分鐘) AUC(微克/毫升/分鐘) IL-15 44 1.021 IL-15-ABD 552.7 48.73 IL-15-ABP 560 8.505 Table 1 Pharmacokinetics of recombinant polypeptides of the present disclosure Half-life (minutes) AUC (μg/ml/min) IL-15 44 1.021 IL-15-ABD 552.7 48.73 IL-15-ABP 560 8.505

1.2  實施例1.1之重組多肽的生物學活性1.2 Biological activity of the recombinant polypeptide of Example 1.1

為研究實施例1.1之重組多肽(包括IL-15、IL-15-ABD及IL-15-ABP)對於血清白蛋白的結合能力,將各重組多肽培養於含有人類、狗或小鼠之白蛋白的血清中,其實驗結果分別如第2A至2C圖所示。相較於IL-15,IL-15-ABD及IL-15-ABP兩者皆顯示出對於血清白蛋白的結合活性,惟結合程度有所不同。整體上,相較於IL-15-ABP,不同濃度的IL-15-ABD會持續展現出較大程度對於血清白蛋白的結合能力。舉例來說,在濃度100、200或300奈體積莫耳濃度(nM)之IL-15-ABD對於人類血清白蛋白的結合能力會較高於在相同濃度下的IL-15-ABP。IL-15-ABD對於人類血清白蛋白的解離常數(Kd )約為3.040奈體積莫耳濃度,而IL-15-ABP則約為169.3奈體積莫耳濃度。類似的實驗結果可在狗血清白蛋白及小鼠血清白蛋白的實驗結果中發現到。IL-15-ABD對於狗血清白蛋白的解離常數約為2.252奈體積莫耳濃度,而IL-15-ABP則約為78.44奈體積莫耳濃度。並且,IL-15-ABD對於小鼠血清白蛋白的解離常數約為2.793奈體積莫耳濃度,而IL-15-ABP則約為33.73奈體積莫耳濃度。結合數據如表2所示。In order to study the binding ability of the recombinant polypeptides of Example 1.1 (including IL-15, IL-15-ABD and IL-15-ABP) to serum albumin, each recombinant polypeptide was cultured in albumin containing human, dog or mouse In the serum, the experimental results are shown in Figures 2A to 2C. Compared with IL-15, IL-15-ABD and IL-15-ABP both show binding activity to serum albumin, but the degree of binding is different. On the whole, compared with IL-15-ABP, different concentrations of IL-15-ABD will continue to show a greater degree of binding ability to serum albumin. For example, IL-15-ABD at a concentration of 100, 200, or 300 nanomolar (nM) has a higher binding capacity to human serum albumin than IL-15-ABP at the same concentration. The dissociation constant (K d ) of IL-15-ABD for human serum albumin is about 3.040 nanomolar concentration, while IL-15-ABP is about 169.3 nanomolar concentration. Similar experimental results can be found in the experimental results of dog serum albumin and mouse serum albumin. The dissociation constant of IL-15-ABD for dog serum albumin is about 2.252 nanomolar concentration, while IL-15-ABP is about 78.44 nanomolar concentration. In addition, the dissociation constant of IL-15-ABD for mouse serum albumin is about 2.793 nanomolar concentration, while IL-15-ABP is about 33.73 nanomolar concentration. The combined data is shown in Table 2.

表2 實施例1.1之重組多肽與哺乳動物之血清白蛋白的結合數據 人類白蛋白 奈體積莫耳濃度 IL-15 IL-15-ABD IL-15-ABP 最大結合值(Bmax) -0.002 1.615 0.961 解離常數(Kd) 0.0579 3.040 169.3 狗白蛋白 奈體積莫耳濃度 IL-15 IL-15-ABD IL-15-ABP 最大結合值(Bmax) 0.049 1.275 0.599 解離常數(Kd) 0.024 2.252 78.44 小鼠白蛋白 奈體積莫耳濃度 IL-15 IL-15-ABD IL-15-ABP 最大結合值(Bmax) * N/D 1.401 0.718 解離常數(Kd) * N/D 2.793 33.73 *N/D:未偵測出。Table 2 Binding data of the recombinant polypeptide of Example 1.1 with mammalian serum albumin Human albumin Nai volume molar concentration IL-15 IL-15-ABD IL-15-ABP Maximum binding value (Bmax) -0.002 1.615 0.961 Dissociation constant (Kd) 0.0579 3.040 169.3 Dog albumin Nai volume molar concentration IL-15 IL-15-ABD IL-15-ABP Maximum binding value (Bmax) 0.049 1.275 0.599 Dissociation constant (Kd) 0.024 2.252 78.44 Mouse albumin Nai volume molar concentration IL-15 IL-15-ABD IL-15-ABP Maximum binding value (Bmax) * N/D 1.401 0.718 Dissociation constant (Kd) * N/D 2.793 33.73 *N/D: Not detected.

為研究實施例1.1之重組多肽是否仍保有其天然對應物的生物學活性,於是測試實施例1.1之重組多肽對於刺激細胞生長的能力。如第2D圖所示,IL-2在此作為正向刺激物,用於引發細胞生長,並將不同濃度的IL-2與對應的細胞生長(以OD450值表示之)之間的關係繪製成一參考用的標準曲線。依據IL-2的標準曲線,IL-15(5奈克/毫升)及IL-15-ABP(5奈克/毫升)對於刺激細胞生長的能力分別對應為8.1單位/奈克(U/ng)及5.2單位/奈克,此即說明IL-15-ABP與其天然對應物相仿,可刺激細胞生長。In order to study whether the recombinant polypeptide of Example 1.1 still retains the biological activity of its natural counterpart, the ability of the recombinant polypeptide of Example 1.1 to stimulate cell growth was tested. As shown in Figure 2D, IL-2 is used here as a positive stimulus to induce cell growth, and the relationship between different concentrations of IL-2 and the corresponding cell growth (expressed in OD450 values) is plotted as one Standard curve for reference. According to the standard curve of IL-2, the ability of IL-15 (5 ng/ml) and IL-15-ABP (5 ng/ml) to stimulate cell growth corresponds to 8.1 units/ng (U/ng) And 5.2 units/nanogram, which means that IL-15-ABP is similar to its natural counterpart and can stimulate cell growth.

另一種生物學活性是去檢測該重組多肽是否可磷酸化STAT-5。實驗結果如第2E圖所示,在CTLL-2中,IL-15-ABD所導致的STAT-5磷酸化呈現出劑量依賴性的方式,換言之,實驗結果發現到細胞中具有較高濃度的IL-15-ABD會使STAT-5具有較高的磷酸化程度。Another biological activity is to detect whether the recombinant polypeptide can phosphorylate STAT-5. The experimental results are shown in Figure 2E. In CTLL-2, the phosphorylation of STAT-5 caused by IL-15-ABD showed a dose-dependent manner. In other words, the experimental results found that the cells had a higher concentration of IL. -15-ABD will make STAT-5 have a higher degree of phosphorylation.

簡言之,本實施例的數據確認實施例1.1之重組多肽具有延長半衰期的功效,同時保有其結合專一性及相關的生物學活性。In short, the data of this example confirms that the recombinant polypeptide of Example 1.1 has the effect of prolonging the half-life, while maintaining its binding specificity and related biological activities.

實施例2      實施例1.1之重組多肽對於腫瘤生長及腫瘤轉移的功效Example 2 The efficacy of the recombinant polypeptide of Example 1.1 on tumor growth and tumor metastasis

本實施例利用黑色素瘤及結腸癌兩種動物模式來研究實施例1.1之重組多肽對於抑制腫瘤生長及腫瘤轉移的能力。In this example, two animal models of melanoma and colon cancer were used to study the ability of the recombinant polypeptide of Example 1.1 to inhibit tumor growth and tumor metastasis.

2.1  實施例1.1之重組多肽會抑制黑色素瘤的生長及腫瘤轉移2.1 The recombinant polypeptide of Example 1.1 can inhibit the growth of melanoma and tumor metastasis

在黑色素瘤模式中,相較於PBS控制組及IL-15(第3A圖),IL-15-ABP展現出明顯的抑制腫瘤生長,其中IL-15-ABP組的腫瘤大小約為500立方毫米,PBS組及IL-15組兩者的腫瘤大小則皆約為1,000立方毫米。亦即,IL-15-ABP組的腫瘤大小約為PBS及IL-15兩組的一半。In the melanoma model, compared to the PBS control group and IL-15 (Figure 3A), IL-15-ABP showed a significant inhibition of tumor growth, and the tumor size in the IL-15-ABP group was about 500 mm3 The tumor size of both the PBS group and the IL-15 group was about 1,000 cubic millimeters. That is, the tumor size in the IL-15-ABP group was about half of that of the PBS and IL-15 groups.

在另一批次的實驗中,是研究包括PBS控制組、IL-15(60,000國際單位)、IL-15(200,000國際單位)、IL-15-ABP(60,000國際單位)及IL-15-ABP(200,000國際單位)的治療功效。如第3B圖所示,相較於PBS控制組,IL-15(兩者劑量分別為60,000國際單位及200,000國際單位)展現出部分的抑制腫瘤生長;而高劑量(200,000國際單位)的IL-15-ABP則展現出較高程度的抑制腫瘤生長。In another batch of experiments, the study included the PBS control group, IL-15 (60,000 international units), IL-15 (200,000 international units), IL-15-ABP (60,000 international units) and IL-15-ABP (200,000 International Units) of therapeutic efficacy. As shown in Figure 3B, compared with the PBS control group, IL-15 (both doses of 60,000 IU and 200,000 IU, respectively) showed partial inhibition of tumor growth; while the high dose (200,000 IU) of IL- 15-ABP showed a higher degree of inhibition of tumor growth.

利用一活體影像系統來記錄黑色素瘤轉移至小鼠小腸的情形。實驗結果如第3C圖所提供。在小鼠腹部中的光子數(photon count)表示轉移的黑色素瘤位於小鼠小腸中。在第12天(D12)時,相對於IL-15-ABP組,PBS組的轉移腫瘤更加明顯。類似的實驗結果可在D19及D28上見到。在D28時,所有在PBS組中的小鼠腸道都具有嚴重的腫瘤駐留(resided),但在IL-15-ABP組中的小鼠腸道卻僅偵測到極少的腫瘤。A live imaging system was used to record the metastasis of melanoma to the small intestine of mice. The experimental results are provided in Figure 3C. The photon count in the abdomen of the mouse indicates that the metastatic melanoma is located in the small intestine of the mouse. On the 12th day (D12), compared with the IL-15-ABP group, the metastatic tumors in the PBS group were more obvious. Similar experimental results can be seen on D19 and D28. At D28, all mice in the PBS group had severe tumors in the intestines, but in the IL-15-ABP group, only very few tumors were detected in the intestines of the mice.

在D28時,將小鼠犧牲,並測量在腸道中的腫瘤之腫瘤重量。如第3D圖所示,PBS組的腫瘤重量約為6公克,而IL-15-ABP組的腫瘤重量則約為0.5公克。本實驗記錄該些待測動物的體重(body weight,BW)及腫瘤重量(tumor weight,TW),並計算各組的TW/BW比率(表3)。PBS組的小鼠在整體上具有較大的腫瘤,其TW/BW比率分布於21.21至31.03的範圍,除了其中有一隻小鼠具有較小的腫瘤(其TW/BW比率約為7.66)以外。相反地,IL-15-ABP組的小鼠具有較小的腫瘤,其中其TW/BW比率落在0.00-0.21的範圍,除了其中一隻小鼠的TW/BW比率約為10.07以外,但仍是顯著低於PBS組的TW/BW比率。綜上所述,實施例1.1之重組多肽可抑制黑色素瘤的生長及腫瘤轉移。On D28, the mice were sacrificed, and the tumor weight of the tumor in the intestine was measured. As shown in Figure 3D, the tumor weight in the PBS group was about 6 grams, while the tumor weight in the IL-15-ABP group was about 0.5 grams. In this experiment, the body weight (BW) and tumor weight (TW) of the animals to be tested were recorded, and the TW/BW ratio of each group was calculated (Table 3). The mice in the PBS group had larger tumors as a whole, with a TW/BW ratio ranging from 21.21 to 31.03, except for one mouse with a smaller tumor (its TW/BW ratio was about 7.66). In contrast, mice in the IL-15-ABP group had smaller tumors, in which their TW/BW ratio fell within the range of 0.00-0.21, except for one mouse whose TW/BW ratio was about 10.07, but still It is significantly lower than the TW/BW ratio of the PBS group. In summary, the recombinant polypeptide of Example 1.1 can inhibit the growth of melanoma and tumor metastasis.

表3 待測動物的體重及腫瘤重量 治療 體重(公克) 腫瘤重量(公克) TW/BW(%) PBS 27.77 5.89 21.21 24.90 6.96 27.95 26.65 8.27 31.03 24.68 1.89 7.66 IL-15-ABP 23.94 2.41 10.07 21.60 0 0.00 24.22 0 0.00 23.90 0.05 0.21 Table 3 Body weight and tumor weight of the animals to be tested treatment Weight (g) Tumor weight (g) TW/BW(%) PBS 27.77 5.89 21.21 24.90 6.96 27.95 26.65 8.27 31.03 24.68 1.89 7.66 IL-15-ABP 23.94 2.41 10.07 21.60 0 0.00 24.22 0 0.00 23.90 0.05 0.21

2.2  實施例1.1之重組多肽會抑制結腸癌的生長及腫瘤轉移2.2 The recombinant polypeptide of Example 1.1 inhibits the growth and metastasis of colon cancer

本實驗並檢驗實施例1.1之重組多肽對於抑制結腸癌生長及腫瘤轉移的能力。為評估實施例1.1之重組多肽對於結腸癌生長的影響,對攜帶CT26腫瘤細胞的小鼠給予特定治療,該實驗結果說明,在治療後第9天時,IL-15-ABD組的腫瘤體積小於控制組或IL-15群組的腫瘤體積(第4A圖)。並且,在治療後第18天時測量腫瘤重量,顯示出IL-15-ABD組的小鼠具有最低的腫瘤重量,其個別約為控制組或IL-15組之腫瘤重量的三分之一或二分之一(第4B圖)。This experiment also tested the ability of the recombinant polypeptide of Example 1.1 to inhibit colon cancer growth and tumor metastasis. In order to evaluate the effect of the recombinant polypeptide of Example 1.1 on the growth of colon cancer, mice carrying CT26 tumor cells were given specific treatment. The experimental results showed that the tumor volume in the IL-15-ABD group was smaller than that on the 9th day after treatment. Tumor volume in the control group or IL-15 group (Figure 4A). In addition, the tumor weight was measured on the 18th day after treatment, and it was shown that mice in the IL-15-ABD group had the lowest tumor weight, which was about one-third or less of the tumor weight in the control group or IL-15 group One-half (Figure 4B).

進一步地,本實驗並檢查實施例1.1之重組多肽對於抑制結腸癌腫瘤轉移的能力。將投予特定治療的小鼠其肺臟中的腫瘤團塊個數進行計數,該實驗結果如第4C圖所示,其中IL-15-ABD組的腫瘤團塊個數明顯低於PBS及IL-15組。此外,本實驗並將小鼠肺臟、結腸及肝臟的腫瘤團塊個數進行計數,該實驗結果如第4D圖所示。與第4C圖的實驗結果類似,第4D圖的結果亦確認,相較於PBS或IL-15組,IL-15-ABD組的腫瘤團塊個數明顯較低。總結來說,該些數據說明,相較於IL-15,IL-15-ABD可更有效地抑制結腸癌生長及腫瘤轉移。Furthermore, this experiment also examined the ability of the recombinant polypeptide of Example 1.1 to inhibit colon cancer tumor metastasis. The number of tumor clumps in the lungs of the mice that were given a specific treatment was counted. The results of this experiment are shown in Figure 4C. The number of tumor clumps in the IL-15-ABD group was significantly lower than that of PBS and IL- 15 groups. In addition, in this experiment, the number of tumor masses in the lung, colon, and liver of the mice were counted. The results of the experiment are shown in Figure 4D. Similar to the experimental results in Figure 4C, the results in Figure 4D also confirmed that the number of tumor clumps in the IL-15-ABD group was significantly lower than that in the PBS or IL-15 group. In summary, these data show that IL-15-ABD can inhibit colon cancer growth and tumor metastasis more effectively than IL-15.

2.3  治療後的免疫細胞群變化2.3 Changes in immune cell population after treatment

為分析實施例1.1之重組多肽發揮腫瘤生長抑制功效的背後機制,特別是針對經由免疫調節的部分,本實驗著重於研究免疫細胞群的變化。In order to analyze the mechanism behind the recombinant polypeptide of Example 1.1 exerting its tumor growth inhibitory effect, especially for the part that undergoes immune regulation, this experiment focuses on the study of changes in immune cell populations.

首先,利用流式細胞術來偵測其中一種免疫抑制性細胞MDSC,其標記為CD11b+ /GR-1+ 。如第5A至5B圖所示,相較於控制組及IL-15組,在骨髓及脾臟中的IL-15-ABD組,兩者的CD11b+ /GR-1+ 細胞群百分比皆有減少。本實驗並偵測另一種免疫抑制性細胞Treg 細胞,旗標記為CD4+ /CD25+ /FOXP3+ 。相較於控制組及IL-15組,在TDLN及脾臟的IL-15-ABD組中,兩者的CD4+ /CD25+ /FOXP3+ 細胞群顯著減少(第5C至5D圖)。進一步地,有注意到IL-15-ABD組的Treg 細胞族群量減少至相當於控制組的二分之一的量,該量亦低於IL-15組的量。First, use flow cytometry to detect one of the immunosuppressive cells, MDSC, labeled CD11b + /GR-1 + . As shown in Figures 5A to 5B, compared to the control group and the IL-15 group, the IL-15-ABD group in the bone marrow and the spleen had a decrease in the percentage of CD11b + /GR-1 + cell populations. This experiment also detects another type of immunosuppressive cell T reg cells, the flag is labeled CD4 + /CD25 + /FOXP3 + . Compared with the control group and IL-15 group, in the IL-15-ABD group of TDLN and spleen, the CD4 + /CD25 + /FOXP3 + cell populations of the two were significantly reduced (Figures 5C to 5D). Furthermore, it has been noticed that the amount of T reg cell population in the IL-15-ABD group is reduced to one-half of the amount in the control group, which is also lower than the amount in the IL-15 group.

另一方面,本實驗亦偵測兩種免疫細胞,包括CD8+ T細胞及NK細胞,其分別代表後天性免疫(adaptive immunity)及先天性免疫(innate immunity)。在CD8+ T細胞的部分,有發現到在TDLN及脾臟的IL-15-ABD組中,兩者的CD8+ T細胞整體族群量皆有增加,並且約增加為控制組的兩倍(第5E至5F圖)。此外,在IL-15-ABD組中也有效引發NK細胞群(其標記為CD3- /CD49b+ 、CD3- /CD335+ 及CD3- /CD49b+ /CD335+ )的作用;相較於控制組或IL-15組,在IL-15-ABD組中的CD3- /CD49b+ 、CD3- /CD335+ 及CD3- /CD49b+ /CD335+ 細胞群數全部大幅上升(第5G圖)。有發現到在IL-15組中的小鼠體重有減少(第5H圖),代表長期使用IL-15治療可能會對正常生理造成有害影響。On the other hand, this experiment also detects two kinds of immune cells, including CD8 + T cells and NK cells, which represent adaptive immunity and innate immunity, respectively. In the part of CD8 + T cells, it was found that in the IL-15-ABD group of TDLN and spleen, the total population of CD8 + T cells of both increased, and the increase was about twice that of the control group (5E To Figure 5F). In addition, the IL-15-ABD group is also effective to elicit NK cell population (which is labeled as CD3 - / CD49b +, CD3 - / CD49b + / CD335 + - / CD335 + and CD3) action; compared to the control group or IL-15 group, CD3 IL--ABD 15 in the group - / CD49b +, CD3 - / CD335 + and CD3 - / CD49b + / CD335 + cell population number increased substantially all (FIG section 5G). It was found that the weight of mice in the IL-15 group decreased (Figure 5H), which means that long-term use of IL-15 treatment may have harmful effects on normal physiology.

總結上述,該些數據說明,IL-15-ABD對於腫瘤生長及腫瘤轉移的抑制能力可藉由調控宿主的免疫機制來達成,包括招聚免疫細胞及抑制免疫抑制性細胞等。In summary, these data show that the inhibitory ability of IL-15-ABD on tumor growth and tumor metastasis can be achieved by regulating the host's immune mechanism, including recruiting immune cells and suppressing immunosuppressive cells.

實施例3      合併治療可展現出對癌症治療的改善功效Example 3 Combined treatment can show improvement effect on cancer treatment

3.1  合併治療會抑制腫瘤生長3.1 Combined treatment can inhibit tumor growth

本實施例欲研究實施例1.1之重組多肽對於一個體的功效,是否可藉由對該個體共同投予一額外的療法(例如,免疫療法)來改善。為此目的,本實驗將一種抗PD-L1抗體與實施例1.1之重組多肽用於結腸癌及黑色素瘤的動物模式中。實驗結果提供於第6A至6J圖中。This example intends to investigate whether the efficacy of the recombinant polypeptide of Example 1.1 on an individual can be improved by co-administering an additional therapy (for example, immunotherapy) to the individual. For this purpose, an anti-PD-L1 antibody and the recombinant polypeptide of Example 1.1 were used in the animal model of colon cancer and melanoma in this experiment. The experimental results are provided in Figures 6A to 6J.

第6A至6B圖的數據說明,在結腸癌模式(第6A圖)及黑色素瘤模式(第6B圖)兩者中,相較於控制組,投予IL-15-ABD或抗PDL1抗體皆會有效地抑制腫瘤生長。本實驗有注意到,在兩種動物模式中,合併治療組(即,接受IL-15-ABD及抗PD-L1抗體兩者的動物)中的腫瘤生長幾乎完全受到抑制(第6A至6B圖)。在第18天時測量腫瘤重量可觀察到一致性的實驗結果,其中共同投予IL-15-ABD及抗PD-L1抗體可幾乎完全抑制腫瘤生長(第6C至6D圖)。The data in Figures 6A to 6B show that in both the colon cancer model (Figure 6A) and the melanoma model (Figure 6B), compared with the control group, IL-15-ABD or anti-PDL1 antibody will be administered Effectively inhibit tumor growth. This experiment has noticed that in the two animal models, the tumor growth in the combined treatment group (ie, animals that received both IL-15-ABD and anti-PD-L1 antibody) was almost completely inhibited (Figures 6A to 6B) ). A consistent experimental result can be observed by measuring the tumor weight on the 18th day. The co-administration of IL-15-ABD and anti-PD-L1 antibody can almost completely inhibit tumor growth (Figures 6C to 6D).

另外,本實施例藉由生物發光造影分析小鼠中的腫瘤生長情形。利用一活體影像系統來偵測腫瘤區域中會發出Luc2訊號的黑色素瘤。在合併治療組中僅偵測到極少的訊號(以總光子通量(total photon flux)表示)(第6E圖),說明相較於單藥治療,合併治療在抑制腫瘤生長上會具有一定的協同功效。In addition, this embodiment analyzes the tumor growth in mice by bioluminescence imaging. A live imaging system is used to detect melanomas that emit Luc2 signals in the tumor area. In the combined treatment group, only very few signals (indicated by total photon flux) were detected (Figure 6E), indicating that compared with single-agent treatment, combined treatment has a certain degree of inhibiting tumor growth. Synergistic effect.

本實施例並研究在結腸癌及黑色素瘤模式中所使用之各種治療的一般性毒性(general toxicity),實驗結果提供於第6F至6G圖中。在不同的治療組別中,未發現到小鼠有明顯的體重變化,此即說明本實驗所使用的治療方式於治療癌症上並不會帶來明顯的一般性毒性。This example also studies the general toxicity of various treatments used in colon cancer and melanoma models. The experimental results are provided in Figures 6F to 6G. In the different treatment groups, no significant weight changes were found in the mice, which means that the treatment used in this experiment does not cause obvious general toxicity in the treatment of cancer.

為探討導致腫瘤生長受阻的分子機制,以下研究各種治療對於細胞凋亡相關的分子(例如,BAX及經裂解的凋亡蛋白酶3)及細胞增殖相關的分子(例如,Ki-67)的效應。實驗結果指出,在結腸癌及黑色素瘤模式中,BAX及經裂解的凋亡蛋白酶3的蛋白表現量皆有增加,且在合併治療組中可偵測到最高的表現量(第6H至6I圖)。另一方面,在結腸癌及黑色素瘤模式中,Ki-67的表現量則是皆有下降,且在合併治療組中可偵測到最低的表現量(第6J圖)。In order to explore the molecular mechanisms that lead to the inhibition of tumor growth, the effects of various treatments on apoptosis-related molecules (for example, BAX and cleaved apoptotic protease 3) and cell proliferation-related molecules (for example, Ki-67) are studied below. The experimental results indicated that in the colon cancer and melanoma models, the protein expression levels of BAX and cleaved apoptotic protease 3 increased, and the highest expression levels were detectable in the combined treatment group (Figures 6H to 6I) ). On the other hand, in the colon cancer and melanoma models, the expression of Ki-67 decreased, and the lowest expression was detectable in the combined treatment group (Figure 6J).

總結來說,上述數據說明,對癌症病患投予合併治療(即,共同投予本揭示內容IL-15-ABD重組多肽與抗PD-L1抗體),對於腫瘤生長會產生一種協同抑制的功效,該功效係來自於抑制細胞增殖以及引發細胞凋亡所導致。In summary, the above data shows that the combined treatment of cancer patients (ie, the co-administration of IL-15-ABD recombinant polypeptide and anti-PD-L1 antibody of the present disclosure) will produce a synergistic inhibitory effect on tumor growth. , This effect comes from inhibiting cell proliferation and triggering cell apoptosis.

3.2  與抑制腫瘤生長有關的免疫反應3.2 Immune response related to inhibiting tumor growth

為研究在腫瘤抑制作用中,由實施例1.1之重組多肽或合併治療所引起之可能的免疫反應,本實施例遂研究其中的免疫細胞(例如,CD8+ T細胞及NK細胞),以及免疫抑制性細胞(例如,Treg 細胞及MDSC)的族群變化。In order to study the possible immune response caused by the recombinant polypeptide of Example 1.1 or the combined treatment in tumor suppression, this example studied the immune cells (for example, CD8 + T cells and NK cells) and immunosuppression Changes in the population of sex cells (e.g., T reg cells and MDSC).

3.2.1   CD8+ T細胞3.2.1 CD8 + T cells

首先,利用流式細胞術來偵測具有功能性之CD8+ T細胞群,該細胞群會表現IFN-γ及IL-2(分別標示為CD8+ /IFN-γ+ 或CD8+ /IL-2+ 細胞)。自經處理特定治療的小鼠TDLN及脾臟抽取細胞,接著以流式細胞術來分析該樣本中的CD8+ /IFN-γ+ 或CD8+ /IL-2+ 細胞群的百分比。在結腸癌及黑色素瘤兩種模式中,IL-15-ABD組中的小鼠TDLN及脾臟兩者的CD8+ /IFN-γ+ T細胞百分比皆高於控制組,且在合併治療組中的CD8+ /IFN-γ+ T細胞百分比則更高於控制組(第7A至7B圖)。與上述結果一致的是,IL-15-ABD組中的小鼠TDLN及脾臟兩者的CD8+ /IL-2+ T細胞百分比皆高於控制組,且在合併治療組中的CD8+ /IL-2+ T細胞百分比則更高於控制組(第7C至7D圖)。另一種關鍵指標為細胞毒性T細胞(CD8+ )及顆粒酶B,並以IHC染色來確認之。實驗結果說明,在結腸癌及黑色素瘤兩種模式中,IL-15-ABD治療後,CD8及顆粒酶B的表現量皆有上升,而共同投予IL-15-ABD及抗PD-L1抗體則進一步增強上述兩種標記的表現量(第7E至7F圖)。First, use flow cytometry to detect a functional CD8 + T cell population, which will express IFN-γ and IL-2 (labeled as CD8 + /IFN-γ + or CD8 + /IL-2, respectively) + cell). Cells were extracted from the TDLN and spleen of mice treated with specific treatments, and then flow cytometry was used to analyze the percentage of CD8 + /IFN-γ + or CD8 + /IL-2 + cell populations in the sample. In the two models of colon cancer and melanoma, the percentages of CD8 + /IFN-γ + T cells in the mouse TDLN and spleen in the IL-15-ABD group were higher than those in the control group. The percentage of CD8 + /IFN-γ + T cells was higher than that of the control group (Figures 7A to 7B). Consistent with the above results, the percentages of CD8 + /IL-2 + T cells in both TDLN and spleen of mice in the IL-15-ABD group were higher than those in the control group, and the CD8 + /IL in the combined treatment group The percentage of -2 + T cells was higher than that of the control group (Figures 7C to 7D). Another key indicator is cytotoxic T cells (CD8 + ) and granzyme B, which are confirmed by IHC staining. The experimental results show that in the two models of colon cancer and melanoma, after IL-15-ABD treatment, the expression of CD8 and granzyme B increased, and IL-15-ABD and anti-PD-L1 antibody were co-administered It further enhances the expression of the above two markers (Figures 7E to 7F).

總結上述,該些數據確認IL-15-ABD及抗PD-L1抗體在腫瘤抑制上的協同功效,可部分導因於增進在腫瘤區域中的功能性CD8+ T細胞,進而引發細胞介導的細胞毒性,使得腫瘤生長受阻。In summary, these data confirm that the synergistic effect of IL-15-ABD and anti-PD-L1 antibody on tumor suppression can be partly due to the promotion of functional CD8 + T cells in the tumor area, which in turn triggers cell-mediated Cytotoxicity prevents tumor growth.

3.2.2   NK細胞3.2.2 NK cells

本實施例並檢查在結腸癌及黑色素瘤兩種模式中,經特定治療處理的小鼠NK細胞群百分比。This example also examines the percentage of NK cell populations in mice treated with specific treatments in two models of colon cancer and melanoma.

在結腸癌模式中,本實驗研究了NK細胞標記(即,CD3- /CD49b+ 、CD3- /CD335+ 及CD3- /CD49b+ /CD335+ )的表現量,實驗結果如第8A圖所示。相較於控制組,IL-15-ABD的治療會顯著引發在小鼠脾臟中的NK細胞群,而共同投予IL-15-ABD及抗PD-L1抗體則會進一步增強IL-15-ABD於引發NK細胞群的功效(第8A圖)。In colon cancer model, the experimental study of NK cell marker (i.e., CD3 - / CD49b +, CD3 - / CD335 + and CD3 - / CD49b + / CD335 + ) in the amount of expression, as in the first experimental results shown in FIG 8A. Compared with the control group, IL-15-ABD treatment significantly triggered the NK cell population in the mouse spleen, while co-administration of IL-15-ABD and anti-PD-L1 antibody further enhanced IL-15-ABD The effect of inducing NK cell population (Figure 8A).

在黑色素瘤模式中,本實驗研究了NK細胞標記(即,CD3- /CD49b+ 、CD3- /NK1.1+ 及CD3- /CD49b+ /NK1.1+ )的表現量,第8B圖並提供相關實驗結果。類似於第8A圖的發現,相較於控制組,IL-15-ABD的治療會增加在小鼠脾臟中的CD3- /CD49b+ 、CD3- /NK1.1+ 及CD3- /CD49b+ /NK1.1+ NK細胞數,且共同投予IL-15-ABD及抗PD-L1抗體則會進一步增強IL-15-ABD於引發NK細胞群的功效(第8B圖)。In melanoma model, the experimental study of NK cell marker (i.e., CD3 - / CD49b +, CD3 - /NK1.1 + and CD3 - / CD49b + /NK1.1 +) expression amount, and Figure 8B provides Related experimental results. FIG 8A is similar to the first found, compared to the control group, IL-15-ABD will increase in the therapeutic mouse spleen CD3 - / CD49b +, CD3 - /NK1.1 + and CD3 - / CD49b + / NK1 .1 + the number of NK cells, and co-administration of IL-15-ABD and anti-PD-L1 antibody will further enhance the efficacy of IL-15-ABD in inducing NK cell population (Figure 8B).

另外,本實驗藉由測量該些功能性NK細胞的IFN-γ表現量,來測試該些NK細胞的功能性。實驗結果提供於第6A至6J圖。本實驗發現到在兩種模式的合併治療組中,CD3- /CD335+ /IFN-γ+ 及CD3- /NK1.1+ /IFN-γ+ 細胞量會顯著增加,此即說明在合併治療組中IFN-γ的活性會顯著受到引發(第8C至8D圖)。此外,本實驗進一步以IHC染色確認在結腸癌及黑色素瘤兩者中的CD49b及IFN-γ蛋白表現量。依據第8E至8F圖,CD49b及IFN-γ的蛋白表現量在所有的治療組中均有增加。In addition, this experiment measures the IFN-γ expression level of the functional NK cells to test the functionality of the NK cells. The experimental results are provided in Figures 6A to 6J. This study found that the combined treatment in group of two modes, CD3 - / CD335 + / IFN -γ + and CD3 - /NK1.1 + / IFN-γ + cells will increase significantly the amount, namely, in the combination therapy group described The activity of IFN-γ will be significantly triggered (Figures 8C to 8D). In addition, this experiment further confirmed the expression levels of CD49b and IFN-γ proteins in both colon cancer and melanoma by IHC staining. According to Figures 8E to 8F, the protein expression levels of CD49b and IFN-γ increased in all treatment groups.

總結上述,第8A至8F圖的數據說明,IL-15-ABD及抗PD-L1抗體在腫瘤抑制上的協同功效,可部分導因於增進在腫瘤區域中的NK細胞個數及活性,進而造成腫瘤生長的抑制功效。To summarize the above, the data in Figures 8A to 8F show that the synergistic effect of IL-15-ABD and anti-PD-L1 antibody on tumor suppression can be partly due to the increase in the number and activity of NK cells in the tumor area, and then Causes the inhibitory effect of tumor growth.

再者,以下實驗揭示其他可幫助個體對抗腫瘤的有益免疫反應。為此目的,從而確認VEGF(作為一發炎性指標)的分泌量。如第8G圖的實驗結果所示,在合併治療組中,小鼠血清的VEGF分泌量有大量降低,此即代表合併治療可幫助減少在小鼠中的發炎情形。更重要的是,合併治療會有效引發IL-15的分泌量。(第8H圖)。該些實驗結果證實,IL-15-ABD及抗PD-L1抗體的合併治療不僅會招聚免疫細胞(例如,CD8+ T細胞及NK細胞)至腫瘤區域,並且可發展出一種正向調節的免疫反應,以幫助個體對抗腫瘤。Furthermore, the following experiments reveal other beneficial immune responses that can help individuals fight tumors. For this purpose, the secretion of VEGF (as an inflammatory indicator) was confirmed. As shown in the experimental results in Figure 8G, in the combined treatment group, the amount of VEGF secretion in the serum of the mice was greatly reduced, which means that the combined treatment can help reduce inflammation in the mice. More importantly, the combined treatment will effectively trigger the secretion of IL-15. (Figure 8H). These experimental results confirmed that the combined treatment of IL-15-ABD and anti-PD-L1 antibody not only recruits immune cells (for example, CD8 + T cells and NK cells) to the tumor area, but also develops a positive regulation Immune response to help individuals fight tumors.

3.2.3   Treg 細胞3.2.3 T reg cells

接下來,本實驗確認在兩種腫瘤模式中的Treg 細胞群(標示為CD4+ /CD25+ /FOXP3+ 細胞)。依據流式細胞術分析該些來自經特定治療處理的小鼠TDLN及脾臟的細胞發現,顯示出在合併治療組中的Treg 細胞量有顯著減少,約低於控制組的5至10倍(第9A至9B圖)。Next, this experiment confirmed the T reg cell populations (labeled CD4 + /CD25 + /FOXP3 + cells) in the two tumor models. According to flow cytometry analysis of these cells from the TDLN and spleen of mice treated with specific treatments, it was found that the amount of T reg cells in the combined treatment group was significantly reduced, which was about 5 to 10 times lower than that of the control group ( Figures 9A to 9B).

3.2.4   MDSC3.2.4 MDSC

本實驗並以流式細胞術分析在兩種腫瘤模式中的小鼠骨髓及脾臟MDSC(標示為CD11b+ /Gr-1+ 細胞)群。該實驗結果說明,相較於控制組,在IL-15-ABD或抗PD-L1抗體的單藥治療組中,骨髓及脾臟兩者中的MDSC數有減少,且在合併治療組中,MDSC數為最低(第9C至9D圖)。In this experiment, the mouse bone marrow and spleen MDSC (labeled CD11b + /Gr-1 + cells) populations in the two tumor models were analyzed by flow cytometry. The experimental results show that compared with the control group, in the IL-15-ABD or anti-PD-L1 antibody monotherapy group, the number of MDSCs in both bone marrow and spleen decreased, and in the combined treatment group, MDSC The number is the lowest (Figures 9C to 9D).

基於上述發現,於是進一步以IHC染色驗證在兩種腫瘤中的FOXP3及IDO表現量,其中上述兩種標記皆為已知的關鍵免疫抑制性因子,可引導腫瘤細胞逃避免疫監視(immunosurveillance)。如第9E至9F圖所示,相較於控制組,在合併治療組中,兩種蛋白的表現量減少10至30%。綜上所述,該些實驗結果證明,IL-15-ABD及抗PD-L1抗體的組合在癌症治療中可阻止腫瘤細胞逃避免疫監視。Based on the above findings, IHC staining was used to further verify the expression levels of FOXP3 and IDO in the two tumors. The above two markers are known key immunosuppressive factors that can guide tumor cells to avoid immunosurveillance. As shown in Figures 9E to 9F, compared with the control group, in the combined treatment group, the expression of the two proteins was reduced by 10 to 30%. In summary, these experimental results prove that the combination of IL-15-ABD and anti-PD-L1 antibody can prevent tumor cells from evading immune surveillance in cancer treatment.

總結上述,本揭示內容重組多肽對於腫瘤生長展現出一種抑制性效應,並且該效應可進一步藉由共同投予一額外的療法(例如,投予一抗PD-L1抗體)來達到協同性增強功效。In summary, the recombinant polypeptides of the present disclosure exhibit an inhibitory effect on tumor growth, and this effect can be further synergistically enhanced by co-administering an additional therapy (for example, administering a primary anti-PD-L1 antibody) .

當可理解,上文有關實施方式的敘述僅作為例示性的實施方式,本發明所屬技術領域中具有通常知識者當可對其進行各種更動與修飾。上文的說明書、實施例及實驗數據對本揭示內容作為例示性實施方式中的結構及使用方式做出完整的描述。儘管上文已描述本揭示內容中各樣的實施方式有一定程度的特性,或參照一或多個個別的實施方式,本發明所屬領域技術具有通常知識者仍可在不悖離本揭示內容精神及範圍情形下,對已揭示的實施方式進行眾多修改。It should be understood that the above descriptions of the embodiments are only exemplary embodiments, and those with ordinary knowledge in the technical field to which the present invention pertains can make various changes and modifications. The above specification, examples and experimental data provide a complete description of the structure and usage of the present disclosure as an exemplary embodiment. Although the various embodiments in the present disclosure have been described above as having certain characteristics, or with reference to one or more individual embodiments, those with ordinary knowledge in the art to which the present invention pertains can still do not depart from the spirit of the present disclosure. Under the circumstances of scope and scope, many modifications have been made to the disclosed implementations.

no

在參閱以下的詳細說明,申請專利範圍及附隨圖式後,本揭示內容及其他特徵、態樣及優點將更明顯易懂,其中:After referring to the following detailed description, the scope of patent application and accompanying drawings, the content of this disclosure and other features, aspects and advantages will be more obvious and understandable, among which:

第1A-1C圖係依據本揭示內容的一實施方式,說明本揭示內容的重組多肽,以及其於活體內的藥物動力學結果。第1A圖為一示意圖,說明本揭示內容重組多肽的構建體;第1B圖為IL-15-白蛋白結合域(albumin binding domain,ABD)的藥物動力學結果;第1C圖為IL-15-白蛋白結合肽(albumin binding peptide,ABP)的藥物動力學結果,其中涵蓋IL-15作為比較基準。Figures 1A-1C illustrate the recombinant polypeptide of the present disclosure and its pharmacokinetic results in vivo according to an embodiment of the present disclosure. Figure 1A is a schematic diagram illustrating the construct of the recombinant polypeptide of the present disclosure; Figure 1B is the pharmacokinetic results of IL-15-albumin binding domain (ABD); Figure 1C is IL-15- The pharmacokinetic results of albumin binding peptide (ABP) included IL-15 as a benchmark for comparison.

第2A-2E圖說明本揭示內容重組多肽之生物學活性的實驗結果。第2A-2C圖本揭示內容重組多肽對於人類(第2A圖)、狗(第2B圖)及小鼠(第2C圖)之血清白蛋白的結合活性;第2D圖為本揭示內容重組多肽(5奈克/毫升)引發CTLL-2細胞增殖的結果;第2E圖為本揭示內容重組多肽引發CTLL-2細胞中的STAT-5磷酸化(STAT-5-p)的結果。Figures 2A-2E illustrate the experimental results of the biological activity of the recombinant polypeptide of the present disclosure. Figures 2A-2C The binding activity of recombinant polypeptides of the present disclosure on serum albumin of humans (Figure 2A), dogs (Figure 2B) and mice (Figure 2C); Figure 2D shows the recombinant polypeptides of the present disclosure ( 5 ng/ml) induced proliferation of CTLL-2 cells; Figure 2E is the result of the disclosure of recombinant polypeptides inducing STAT-5 phosphorylation (STAT-5-p) in CTLL-2 cells.

第3A-3D圖說明本揭示內容重組多肽對於黑色素瘤的治療功效。第3A圖為小鼠經特定治療處理後的腫瘤體積;第3B圖為小鼠經特定治療處理後的腫瘤重量;第3C圖為小鼠在腸道中的腫瘤轉移結果,其係利用活體內影像系統所得之監測結果;第3D圖為第28天在轉移病灶中的腫瘤重量,其中該腫瘤係取自於經處理PBS或IL15-ABP的小鼠腸道。Figures 3A-3D illustrate the therapeutic efficacy of the recombinant polypeptide of the present disclosure on melanoma. Figure 3A shows the tumor volume of mice treated with specific treatments; Figure 3B shows the tumor weight of mice treated with specific treatments; Figure 3C shows the results of tumor metastasis in the intestines of mice, using in vivo imaging The monitoring results obtained by the system; Figure 3D shows the tumor weight in metastatic lesions on the 28th day, where the tumor was taken from the intestines of mice treated with PBS or IL15-ABP.

第4A-4D圖說明本揭示內容重組多肽對於結腸癌的治療功效。第4A圖為經特定治療處理後的小鼠腫瘤體積;第4B圖為經特定治療處理後的小鼠,於第18天的腫瘤重量;第4C圖為經特定治療處理後的小鼠,其肺臟中的腫瘤團塊(lump)個數;第4D圖為經特定治療處理後的小鼠,其肺臟、結腸及肝臟中的腫瘤團塊個數。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比IL-15;b2:p<0.01,對比IL-15。Figures 4A-4D illustrate the therapeutic efficacy of recombinant polypeptides of the present disclosure on colon cancer. Figure 4A shows the tumor volume of mice treated with a specific treatment; Figure 4B shows the tumor weight of a mouse treated with a specific treatment on day 18; Figure 4C shows a mouse treated with a specific treatment. The number of tumor lumps in the lungs; Figure 4D shows the number of tumor lumps in the lungs, colon and liver of mice treated with specific treatments. a1: p<0.05, compared to the control group; a2: p<0.01, compared to the control group; b1: p<0.05, compared to IL-15; b2: p<0.01, compared to IL-15.

第5A-5H圖說明本揭示內容重組多肽對於免疫細胞群改變的影響,其中該免疫細胞群係取自於攜帶結腸癌,並經特定治療處理後的小鼠。第5A-5B圖為來自骨髓(第5A圖)及脾臟(第5B圖)的CD11b+ /GR-1+ 之骨髓來源抑制細胞(myeloid-derived suppressor cell,MDSC)群的百分比(%);第5C-5D圖為來自腫瘤引流淋巴結(tumor-draining lymph node,TDLN)(第5C圖)及脾臟(第5D圖)的CD4+ /CD25+ /FOXP3+ 之調節T細胞(regulatory T,Treg )群的百分比(%);第5E-5F圖為來自TDLN(第5E圖)及脾臟(第5F圖)的CD8+ T細胞群的百分比(%);第5G圖為來自脾臟的CD3- /CD49b+ 、CD3- /CD335+ 及CD3- /CD49b+ /CD335+ 之NK細胞群的百分比(%);第5H圖為小鼠在療程期間內的體重測量結果。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比IL-15;b2:p<0.01,對比IL-15。Figures 5A-5H illustrate the influence of the recombinant polypeptide of the present disclosure on the change of immune cell population, wherein the immune cell population is taken from mice carrying colon cancer and treated with specific treatments. Figures 5A-5B show the percentage (%) of CD11b + /GR-1 + myeloid-derived suppressor cells (MDSC) population from bone marrow (Figure 5A) and spleen (Figure 5B); Figures 5C-5D are CD4 + /CD25 + /FOXP3 + regulatory T cells (regulatory T, T reg ) from tumor-draining lymph node (TDLN) (Figure 5C) and spleen (Figure 5D) percentage (%) of the group; of 5E-5F and percentage graph TDLN from CD8 + T cell population in the spleen (FIG. 5F section) (first FIG. 5E) (%); 5G second graph from the spleen CD3 - / CD49b +, CD3 - / CD335 + and CD3 - / CD49b + percentage / CD335 + population of NK cells (%); weight during the course of the measurement result in the first graph 5H mice. a1: p<0.05, compared to the control group; a2: p<0.01, compared to the control group; b1: p<0.05, compared to IL-15; b2: p<0.01, compared to IL-15.

第6A-6J圖係依據本揭示內容的一實施方式,說明合併治療對於腫瘤生長的治療功效。第6A圖為攜帶結腸癌(CT26)的小鼠經特定治療處理後的腫瘤體積;第6B圖為攜帶黑色素瘤(B16F10)的小鼠經特定治療處理後的腫瘤體積;第6C-6D圖為第18天所測量之結腸癌(第6C圖)及黑色素瘤(第6D圖)的腫瘤重量;第6E圖為生物發光(bioluminescence) 影像的定量圖,用以測量經特定治療處理後的小鼠體內的B16F10/luc2腫瘤體積;第6F-6G圖為攜帶結腸癌(CT26)的小鼠(第6F圖)或攜帶黑色素瘤(B16F10)的小鼠(第6G圖)在療程期間內所測量的體重結果;第6H-6J圖為利用免疫組織化學(immunohistochemistry,IHC)染色來測量在結腸癌或黑色素瘤中的蛋白表現量:在結腸癌(第6H圖)及黑色素瘤(第6I圖)中的BAX及經裂解的凋亡蛋白酶3(cleaved caspase 3),以及在結腸癌及黑色素瘤(第6J圖)二者中的KI-67。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比IL-15-ABD及抗PD-L1抗體組;b2:p<0.01,對比IL-15-ABD及抗PD-L1抗體組。Figures 6A-6J are based on an embodiment of the present disclosure, illustrating the therapeutic effect of combined treatment on tumor growth. Figure 6A shows the tumor volume of mice carrying colon cancer (CT26) after specific treatment; Figure 6B shows the tumor volume of mice carrying melanoma (B16F10) after specific treatment; Figure 6C-6D shows Tumor weights of colon cancer (Figure 6C) and melanoma (Figure 6D) measured on day 18; Figure 6E is a quantitative graph of bioluminescence images to measure mice treated with specific treatments The volume of the B16F10/luc2 tumor in the body; Figures 6F-6G are measured during the course of treatment in mice with colon cancer (CT26) (Figure 6F) or mice with melanoma (B16F10) (Figure 6G) Weight results; Figures 6H-6J show the use of immunohistochemistry (IHC) staining to measure protein expression in colon cancer or melanoma: in colon cancer (Figure 6H) and melanoma (Figure 6I) BAX and cleaved caspase 3 (cleaved caspase 3), and KI-67 in both colon cancer and melanoma (Figure 6J). a1: p<0.05, compared with control group; a2: p<0.01, compared with control group; b1: p<0.05, compared with IL-15-ABD and anti-PD-L1 antibody group; b2: p<0.01, compared with IL-15 -ABD and anti-PD-L1 antibody group.

第7A-7F圖係依據本揭示內容的一實施方式,說明合併治療對於引發CD8+ T細胞活化的功效。第7A-7B圖為TDLN(第7A圖)或脾臟(第7B圖)中的CD8+ /IFN-γ+ T細胞群百分比(%),其中該細胞係取自於攜帶腫瘤,並經特定治療處理後的小鼠;第7C-7D圖為TDLN(第7C圖)或脾臟(第7D圖)中的CD8+ /IL-2+ T細胞群百分比(%),其中該細胞係取自於攜帶腫瘤,並經特定治療處理後的小鼠;第7E-7F圖利用IHC染色來檢測在結腸癌或黑色素瘤中的蛋白表現量:在結腸癌(第7E圖)及黑色素瘤(第7F圖)中的顆粒酶B(Granzyme B)及CD8。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比IL-15-ABD及抗PD-L1抗體組;b2:p<0.01,對比IL-15-ABD及抗PD-L1抗體組。Figures 7A-7F are based on an embodiment of the present disclosure, illustrating the efficacy of combination therapy in inducing CD8 + T cell activation. Figures 7A-7B show the percentage (%) of CD8 + /IFN-γ + T cell population in TDLN (Figure 7A) or spleen (Figure 7B), where the cell line was taken from a tumor-carrying tumor and treated with specific treatment Treated mice; Figure 7C-7D shows the percentage (%) of CD8 + /IL-2 + T cell population in TDLN (Figure 7C) or spleen (Figure 7D), where the cell line is taken from the carrier Tumors and mice treated with specific treatments; Figures 7E-7F use IHC staining to detect protein expression in colon cancer or melanoma: in colon cancer (Figure 7E) and melanoma (Figure 7F) Granzyme B (Granzyme B) and CD8. a1: p<0.05, compared with control group; a2: p<0.01, compared with control group; b1: p<0.05, compared with IL-15-ABD and anti-PD-L1 antibody group; b2: p<0.01, compared with IL-15 -ABD and anti-PD-L1 antibody group.

第8A-8H圖係依據本揭示內容的一實施方式,說明合併治療對於引發NK細胞聚積(accumulation)及發揮功能的功效。第8A圖為來自脾臟的CD3- /CD49b+ 、CD3- /CD335+ 及CD3- /CD49b+ /CD335+ NK細胞群百分比(%),其中該脾臟為來自攜帶結腸癌(CT26),並經特定治療處理後的小鼠;第8B圖為來自脾臟的CD3- /CD49b+ 、CD3- /NK1.1+ 及CD3- /CD49b+ /NK1.1+ NK細胞群百分比(%),其中該脾臟為來自攜帶黑色素瘤(B16F10),並經特定治療處理後的小鼠;第8C圖為來自脾臟的CD3- /CD335+ /IFN-γ+ NK細胞群百分比(%),其中該脾臟為來自攜帶結腸癌(CT26),並經特定治療處理後的小鼠;第8D圖為來自脾臟的CD3- /NK1.1+ /IFN-γ+ NK細胞群百分比(%),其中該脾臟為來自攜帶黑色素瘤(B16F10),並經特定治療處理後的小鼠;第8E-8F圖為利用IHC染色來檢測在結腸癌或黑色素瘤中的蛋白表現量:在結腸癌(第8E圖)及黑色素瘤(第8F圖)中的CD49b及IFN-γ;第8G-8H圖利用酵素免疫吸附法(enzyme-linked immunosorbent assay,ELISA)來檢測在血清中的蛋白表現量:分泌型VEGF(第8G圖)及分泌型IL-15(第8H圖)。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比IL-15-ABD及抗PD-L1抗體組;b2:p<0.01,對比IL-15-ABD及抗PD-L1抗體組。Figures 8A-8H are based on an embodiment of the present disclosure, illustrating the efficacy of combination therapy in inducing NK cell accumulation and functioning. 8A from the graph of spleen CD3 - / CD49b +, CD3 - / CD335 + and CD3 - / CD49b + / CD335 + NK cell population percentage (%), which is derived from the spleen carrying colon (of CT26), and the specific- treatment of mice after treatment; 8B second graph from the spleen CD3 - / CD49b +, CD3 - /NK1.1 + and CD3 - / CD49b + /NK1.1 + NK cell population percentage (%), which is the spleen from carrying melanoma (B16F10), and specific therapeutic mice after treatment; 8C second graph from the spleen CD3 - / CD335 + / IFN-γ + NK population percentage (%) cell, wherein the spleen is carried from the colon cancer (of CT26), and by the mice after a particular treatment process; 8D second graph from the spleen CD3 - /NK1.1 + / IFN-γ + NK population percentage (%) cell, wherein the spleen is carried from melanoma (B16F10), and treated mice with specific treatments; Figures 8E-8F are the use of IHC staining to detect protein expression in colon cancer or melanoma: in colon cancer (Figure 8E) and melanoma (Figure 8E) Figure 8F) CD49b and IFN-γ; Figure 8G-8H uses enzyme-linked immunosorbent assay (ELISA) to detect protein expression in serum: secreted VEGF (Figure 8G) and secretion Type IL-15 (Figure 8H). a1: p<0.05, compared with control group; a2: p<0.01, compared with control group; b1: p<0.05, compared with IL-15-ABD and anti-PD-L1 antibody group; b2: p<0.01, compared with IL-15 -ABD and anti-PD-L1 antibody group.

第9A-9F圖係依據本揭示內容的一實施方式,說明合併治療對於抑制免疫抑制性細胞聚積的功效。第9A-9B圖為TDLN(第9A圖)及脾臟(第9B圖)中的CD4+ /CD25+ /FOXP3+ Treg 細胞群百分比(%),其中該細胞係取自於攜帶腫瘤,並經特定治療處理後的小鼠;第9C-9D圖為骨髓(第9C圖)及脾臟(第9D圖)中的CD11b+ /GR-1+ MDSC群百分比(%),其中該細胞係取自於攜帶腫瘤,並經特定治療處理後的小鼠;第9E-9F圖利用IHC染色來檢測在結腸癌或黑色素瘤中的蛋白表現量:在結腸癌(第9E圖)及黑色素瘤(第9F圖)中的FOXP3及IDO。a1:p<0.05,對比控制組;a2:p<0.01,對比控制組;b1:p<0.05,對比IL-15-ABD及抗PD-L1抗體組;b2:p<0.01,對比IL-15-ABD及抗PD-L1抗體組。Figures 9A-9F are based on an embodiment of the present disclosure, illustrating the efficacy of the combination therapy for suppressing the accumulation of immunosuppressive cells. Figures 9A-9B show the percentage (%) of CD4 + /CD25 + /FOXP3 + T reg cell populations in TDLN (Figure 9A) and spleen (Figure 9B). Mice treated with specific treatment; Figure 9C-9D shows the percentage (%) of CD11b + /GR-1 + MDSC population in bone marrow (Figure 9C) and spleen (Figure 9D), where the cell line is taken from Mice carrying tumors and treated with specific treatments; Figures 9E-9F use IHC staining to detect protein expression in colon cancer or melanoma: in colon cancer (Figure 9E) and melanoma (Figure 9F) ) In FOXP3 and IDO. a1: p<0.05, compared with control group; a2: p<0.01, compared with control group; b1: p<0.05, compared with IL-15-ABD and anti-PD-L1 antibody group; b2: p<0.01, compared with IL-15 -ABD and anti-PD-L1 antibody group.

 

Figure 12_A0101_SEQ_0001
Figure 12_A0101_SEQ_0001

Figure 12_A0101_SEQ_0002
Figure 12_A0101_SEQ_0002

Figure 12_A0101_SEQ_0003
Figure 12_A0101_SEQ_0003

Figure 12_A0101_SEQ_0004
Figure 12_A0101_SEQ_0004

Claims (15)

一種重組多肽,包含: 一第一多肽,其具有一與序列編號:1至少85%之序列相似度的胺基酸序列;以及 一第二多肽,其係可操作式地連接至該第一多肽的N-或C-端,其中該第二多肽具有一與序列編號:2或序列編號:3至少85%之序列相似度的胺基酸序列。A recombinant polypeptide comprising: A first polypeptide having an amino acid sequence with a sequence similarity of at least 85% to SEQ ID NO:1; and A second polypeptide, which is operably linked to the N- or C-terminus of the first polypeptide, wherein the second polypeptide has a sequence of at least 85% of SEQ ID NO: 2 or SEQ ID NO: 3 Amino acid sequence of similarity. 如請求項1所述之重組多肽,其中 該第一多肽具有序列編號:1的胺基酸序列;以及 該第二多肽具有序列編號:2或序列編號:3的胺基酸序列。The recombinant polypeptide according to claim 1, wherein The first polypeptide has an amino acid sequence of SEQ ID NO: 1; and The second polypeptide has an amino acid sequence of SEQ ID NO: 2 or SEQ ID NO: 3. 如請求項1所述之重組多肽,其中 該重組多肽的N-端為乙醯化(acetylated)、甲醯化(formylated)、甲基化(methylated)、氨基甲醯化(carbamylated)、聚乙二醇化(pegylated)、磷酸化(phosphorylated),或醣基化(glycosylated);及/或 該重組多肽的C-端為醯胺化(amidated)、醣基磷脂醯肌醇化(glypiated)、生物素化(biotinylated),或醣基化。The recombinant polypeptide according to claim 1, wherein The N-terminal of the recombinant polypeptide is acetylated, formylated, methylated, carbamylated, pegylated, phosphorylated , Or glycosylated; and/or The C-terminus of the recombinant polypeptide is amidated, glypiated, biotinylated, or glycosylated. 如請求項1所述之重組多肽,更包含一第三多肽,其係可操作式地連接至該第一或該第二多肽的N-或C-端,其中該第三多肽是選自由:β-半乳糖苷酶(β-galactosidase,lacZ)、氯黴素乙醯轉移酶(chloramphenicol acetyltransferase,CAT)、螢光素酶(luciferase)、綠螢光蛋白(green fluorescent protein,GFP)、紅螢光蛋白(red fluorescent protein,RFP)、青螢光蛋白(cyan fluorescent protein,CFP)、黃螢光蛋白(yellow fluorescent protein,YFP)、β-內醯胺酶(β-lactamase)、胺基糖苷-3’-磷酸轉移酶(aminoglycoside-3’-phosphotransferase,APH(3’))、乳清酸核苷-5'-磷酸脫羧酶(orotidine-5’-phosphate decarboxylase,ODCase)、幾丁質結合蛋白(chitin binding protein,CBP)、麥芽糖結合蛋白(maltose binding protein,MBP)、鏈黴素標籤(Strep-tag)、麩胱甘肽-S-轉移酶(glutathione-S-transferase,GST)、硫氧還蛋白(thioredoxin,TRX)、鹼性磷酸酶(alkaline phosphatase,AP)、生物素-羧基載體蛋白(biotin-carboxy carrier protein,BCCP)、攜鈣素結合胜肽(calmodulin binding peptide,CBP)、噬菌體T7表位(bacteriophage T7 epitope,T7-標籤(T7-tag))、聚組胺酸標籤(poly-histidine tag)、FLAG-標籤(FLAG-tag)、Myc-標籤(Myc-tag)、HA-標籤(HA-tag)、Spot-標籤(Spot-tag)、NE-標籤(NE-tag),以及其組合所組成的群組。The recombinant polypeptide according to claim 1, further comprising a third polypeptide which is operably linked to the N- or C-terminus of the first or the second polypeptide, wherein the third polypeptide is Choose from: β-galactosidase (lacZ), chloramphenicol acetyltransferase (CAT), luciferase, green fluorescent protein (GFP) , Red fluorescent protein (RFP), cyan fluorescent protein (CFP), yellow fluorescent protein (YFP), β-lactamase, aminoglycoside -3'-phosphotransferase (aminoglycoside-3'-phosphotransferase, APH(3')), orotidine-5'-phosphate decarboxylase (ODCase), chitin binding Protein (chitin binding protein, CBP), maltose binding protein (maltose binding protein, MBP), streptomycin tag (Strep-tag), glutathione-S-transferase (glutathione-S-transferase, GST), sulfur Thioredoxin (TRX), alkaline phosphatase (AP), biotin-carboxy carrier protein (BCCP), calmodulin binding peptide (CBP), Phage T7 epitope (bacteriophage T7 epitope, T7-tag (T7-tag)), poly-histidine tag, FLAG-tag (FLAG-tag), Myc-tag (Myc-tag), HA -A group consisting of HA-tag, Spot-tag, NE-tag, and combinations thereof. 如請求項4所述之重組多肽,更包含一連接子,其係用於連接該第一、該第二及該第三多肽中的任兩種多肽。The recombinant polypeptide according to claim 4, further comprising a linker, which is used to connect any two of the first, second and third polypeptides. 一種藥學組合物,其係用以預防及/或治療一有需要之個體的癌症,其中該藥學組合物包含如請求項1-4中的任一項所述之重組多肽,以及一藥學上可接受的載體。A pharmaceutical composition for preventing and/or treating cancer of an individual in need, wherein the pharmaceutical composition comprises the recombinant polypeptide according to any one of claims 1-4, and a pharmaceutically acceptable Accepted carrier. 如請求項6所述之藥學組合物,更包含一抗PD-L1抗體。The pharmaceutical composition according to claim 6, further comprising a primary anti-PD-L1 antibody. 一種用以預防及/或治療一有需要之個體的癌症的方法,包含對該個體投予一治療有效量之如請求項5-6中的任一項所述之藥學組合物。A method for preventing and/or treating cancer in an individual in need thereof comprises administering to the individual a therapeutically effective amount of the pharmaceutical composition according to any one of claims 5-6. 如請求項8所述之方法,其中該癌症為膀胱癌(bladder cancer)、膽管癌(biliary cancer)、骨癌(bone cancer)、腦瘤(brain tumor)、乳癌(breast cancer)、子宮頸癌(cervical cancer)、大腸直腸癌(colorectal cancer)、結腸癌(colon cancer)、食道癌(esophageal cancer)、上皮癌(epidermal carcinoma)、胃癌(gastric cancer)、胃腸道間質瘤(gastrointestinal stromal tumor,GIST)、神經膠質瘤(glioma)、類淋巴系造血系統腫瘤(hematopoietic tumors of lymphoid lineage)、肝癌(hepatic cancer)、非霍奇金氏淋巴瘤(non-Hodgkin’s lymphoma)、卡波西氏肉瘤(Kaposi’s sarcoma)、血癌(leukemia)、肺癌(lung cancer)、淋巴瘤(lymphoma)、小腸癌(intestinal cancer)、黑色素瘤(melanoma)、骨髓性白血病(myeloid leukemia)、胰腺癌(pancreatic cancer)、前列腺癌(prostate cancer)、視網膜母細胞瘤(retinoblastoma)、卵巢癌(ovary cancer)、腎細胞癌(renal cell carcinoma)、脾臟癌(spleen cancer)、鱗狀細胞癌(squamous cell carcinoma)、甲狀腺癌(thyroid cancer),或甲狀腺濾泡癌(thyroid follicular cancer)。The method according to claim 8, wherein the cancer is bladder cancer, biliary cancer, bone cancer, brain tumor, breast cancer, and cervical cancer (cervical cancer), colorectal cancer (colorectal cancer), colon cancer (colon cancer), esophageal cancer (esophageal cancer), epithelial cancer (epidermal carcinoma), gastric cancer (gastric cancer), gastrointestinal stromal tumor (gastrointestinal stromal tumor, GIST), glioma, hematopoietic tumors of lymphoid lineage, hepatic cancer, non-Hodgkin's lymphoma, Kaposi's sarcoma ( Kaposi's sarcoma, leukemia, lung cancer, lymphoma, intestinal cancer, melanoma, myeloid leukemia, pancreatic cancer, prostate Cancer (prostate cancer), retinoblastoma (retinoblastoma), ovary cancer (ovary cancer), renal cell carcinoma (renal cell carcinoma), spleen cancer (spleen cancer), squamous cell carcinoma (squamous cell carcinoma), thyroid cancer ( thyroid cancer, or thyroid follicular cancer. 如請求項9所述之方法,其中該癌症為結腸癌。The method according to claim 9, wherein the cancer is colon cancer. 如請求項9所述之方法,其中該癌症為黑色素瘤。The method according to claim 9, wherein the cancer is melanoma. 如請求項8所述之方法,其中該癌症為一原位癌(in situ cancer)或一轉移癌(metastatic cancer)。The method according to claim 8, wherein the cancer is an in situ cancer or a metastatic cancer. 如請求項8所述之方法,其中該個體為人類。The method according to claim 8, wherein the individual is a human. 如請求項8所述之方法,更包含使該個體進行一外科手術、一放射療法、一化學療法、一免疫療法、一荷爾蒙療法、一標靶療法、一熱療法,或其合併療法的之前、同時或之後,對該個體投予如請求項5-6中的任一項所述之藥學組合物。The method according to claim 8, further comprising subjecting the individual to a surgical operation, a radiotherapy, a chemotherapy, an immunotherapy, a hormonal therapy, a target therapy, a heat therapy, or a combination therapy before , Simultaneously or afterwards, administer the pharmaceutical composition according to any one of Claims 5-6 to the individual. 如請求項14所述之方法,其中該免疫療法包含對該個體投予一抗PD-L1抗體。The method of claim 14, wherein the immunotherapy comprises administering a primary anti-PD-L1 antibody to the individual.
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