TW202246311A - Erbb3-specific chimeric antigen receptor and immune cell expressing the same - Google Patents
Erbb3-specific chimeric antigen receptor and immune cell expressing the same Download PDFInfo
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Abstract
Description
本發明係關於一種ErbB3(受體酪胺酸蛋白質激酶(receptor tyrosine-protein kinase)ErbB3)特異性嵌合抗原受體、包含其的免疫細胞及其用途。根據本發明之嵌合抗原受體展現出對ErbB3的高親和力及結合至ErbB3的能力,表現嵌合抗原受體的免疫細胞對於表現ErbB3的癌細胞具有優越的細胞毒性,故其可用於癌症治療的過繼性免疫療法。The present invention relates to an ErbB3 (receptor tyrosine-protein kinase (ErbB3) specific chimeric antigen receptor, an immune cell containing it and use thereof. The chimeric antigen receptor according to the present invention exhibits high affinity to ErbB3 and the ability to bind to ErbB3, and immune cells expressing chimeric antigen receptor have superior cytotoxicity to cancer cells expressing ErbB3, so it can be used for cancer therapy adoptive immunotherapy.
T細胞在介導適應性免疫中扮演重要的角色。T細胞透過刺激抗原辨識受體(T細胞受體(T-cell receptor,TCR))、共刺激分子及細胞介素而受到活化。並且,T細胞的TCR透過結合抗原的主要組織相容性複合體(major histocompatibility complex ,MHC)分子引起免疫反應,而癌細胞會抑制MHC分子的表現以逃避免疫反應。利用T細胞的這些特性的過繼性免疫療法(adoptive immune therapy)(過繼性細胞療法)正在被開發。T cells play an important role in mediating adaptive immunity. T cells are activated by stimulating antigen recognition receptors (T-cell receptor (TCR)), co-stimulatory molecules and cytokines. Moreover, the TCR of T cells induces an immune response by binding to major histocompatibility complex (MHC) molecules of antigens, and cancer cells inhibit the expression of MHC molecules to escape immune responses. Adoptive immune therapy (adoptive cell therapy) utilizing these properties of T cells is being developed.
使用免疫細胞的抗癌療法的發展以T細胞為中心,隨著腫瘤抗原特異性T細胞的離體( ex-vivo)培養及增殖變得可能,抗癌T細胞療法展現出實質的結果(Gattinoni L. et al., Nat. Rev. Immunol. 2006;6(5):383-93)。然而,患者體內存在的腫瘤抗原特異性T細胞的數量非常少,故為了透過離體增殖此種T細胞而獲得足夠數量的T細胞,需要一個月或更長的時間,此為不樂見的。 The development of anticancer therapy using immune cells is centered on T cells. As the ex vivo ( ex-vivo ) culture and proliferation of tumor antigen-specific T cells become possible, anticancer T cell therapy has shown substantial results (Gattinoni L. et al., Nat. Rev. Immunol. 2006;6(5):383-93). However, the number of tumor antigen-specific T cells in the patient is very small, so it takes a month or more to obtain a sufficient number of T cells by ex vivo proliferation of such T cells, which is not desirable .
因此,基於治療性抗體領域中開發的重組抗體製造技術,藉由對T細胞導入將重組抗體連接至傳訊域的嵌合抗原受體(chimeric antigen receptor,CAR)基因而開發出在短時間內獲得大量腫瘤特異性T細胞的技術,所述重組抗體辨識表現於癌細胞的表面上的腫瘤抗原,所述傳訊域誘導T細胞活化,此種T細胞被命名為CAR-T細胞(Kershaw M.H. et al., Nat. Rev. Immunol. 2005); 5(12):928-40; Restifo N.P. et al., Nat. Rev. Immunol. 2012; 12(4):269-81)。Therefore, based on the recombinant antibody production technology developed in the field of therapeutic antibodies, a chimeric antigen receptor (CAR) gene that connects the recombinant antibody to the signaling domain is introduced into T cells to develop a product that can be obtained in a short time. The technology of a large number of tumor-specific T cells, the recombinant antibody recognizes tumor antigens expressed on the surface of cancer cells, and the signaling domain induces the activation of T cells, such T cells are named CAR-T cells (Kershaw M.H. et al ., Nat. Rev. Immunol. 2005); 5(12):928-40; Restifo N.P. et al., Nat. Rev. Immunol. 2012; 12(4):269-81).
CAR蛋白質被設計成如下的形式,辨識癌抗原之抗體的可變區(單鏈可變片段(single-chain variable fragment,scFv))透過間隔區(胞外鉸鏈+跨膜域)連接於胞內傳訊域(Dotti G. et al., Immunol. Rev. 2014;257(1):107-26)。胞內傳訊域主要基於CD3ζ(zeta)鏈的胞內傳訊域,其為T細胞受體的傳訊次單元(第一代CAR),CAR已發展成於其添加促進T細胞的成長與分化之共刺激分子的胞內傳訊域之形式。舉例而言,目前市面上可用的兩種CAR-T細胞療法分別使用CD28及4-1BB共刺激分子的胞內傳訊域(第二代CAR),隨後嘗試有同時包含CD28及4-1BB的胞內傳訊域之CAR(第三代CAR)(van der Stegen S.J. et al., Nat. Rev. Drug Discov. 2015;14(7):499-509)。The CAR protein is designed in such a way that the variable region (single-chain variable fragment (scFv)) of an antibody that recognizes cancer antigens is linked to the intracellular space through a spacer (extracellular hinge + transmembrane domain) The messaging domain (Dotti G. et al., Immunol. Rev. 2014;257(1):107-26). The intracellular signaling domain is mainly based on the intracellular signaling domain of the CD3ζ (zeta) chain, which is the signaling subunit of the T cell receptor (the first generation CAR). Stimulatory form of the intracellular signaling domain of the molecule. For example, two CAR-T cell therapies currently available on the market use the intracellular signaling domains of CD28 and 4-1BB co-stimulatory molecules respectively (second-generation CARs), followed by attempts to have a cell that contains both CD28 and 4-1BB. CAR in the intra-communication domain (third-generation CAR) (van der Stegen S.J. et al., Nat. Rev. Drug Discov. 2015;14(7):499-509).
同時,ErbB3為受體酪胺酸激酶(receptor tyrosine kinases,RTKs)之ErbB/HER家族的成員。此群組的其他成員包含EGFR(亦稱為ErbB1或HER1)、ErbB2(亦稱為HER2或HER2/Neu)及ErbB4(亦稱為HER4)。ErbB受體透過活化誘導基因表現改變的胞內傳訊級聯來調節細胞增殖、存活與分化。ErbB3已被證實在多種類型的癌症中會過度表現,包含乳癌、胃腸癌及胰臟癌。Meanwhile, ErbB3 is a member of the ErbB/HER family of receptor tyrosine kinases (RTKs). Other members of this group include EGFR (also known as ErbB1 or HER1), ErbB2 (also known as HER2 or HER2/Neu), and ErbB4 (also known as HER4). ErbB receptors regulate cell proliferation, survival and differentiation by activating intracellular signaling cascades that induce changes in gene expression. ErbB3 has been shown to be overexpressed in several types of cancer, including breast, gastrointestinal and pancreatic cancers.
在先前技術中所揭示之資訊僅用於增進對本發明之背景的理解,這些資訊不應被解釋為包含於本發明所屬技術領域的通常知識或已知的技術內容。The information disclosed in the prior art is only used to enhance the understanding of the background of the present invention, and such information should not be interpreted as being included in common knowledge or known technical contents in the technical field to which the present invention belongs.
在此技術背景下,本發明人開發出一種包含特異性標靶癌細胞ErbB3之scFv的嵌合抗原受體,並確定表現其之免疫細胞具有優越的抗癌效果,從而完成本發明。Against this technical background, the present inventors developed a chimeric antigen receptor comprising scFv specifically targeting cancer cell ErbB3, and determined that the immune cells expressing it had superior anti-cancer effects, thus completing the present invention.
本發明之一目的在於提供針對表現ErbB3之癌症展現出高抗癌效果之新穎的嵌合抗原受體及包含其的免疫細胞。One object of the present invention is to provide novel chimeric antigen receptors exhibiting high anticancer effects against ErbB3-expressing cancers and immune cells comprising the same.
本發明之另一目的在於提供編碼嵌合抗原受體的核酸、包含核酸的表現載體及包含表現載體的病毒。Another object of the present invention is to provide a nucleic acid encoding a chimeric antigen receptor, an expression vector comprising the nucleic acid, and a virus comprising the expression vector.
本發明之又一目的在於提供包含免疫細胞之用於治療癌症的組合物、使用免疫細胞治療癌症的方法、免疫細胞用於癌症治療的用途及免疫細胞用於製造治療癌症之藥物的用途。Another object of the present invention is to provide a composition for treating cancer comprising immune cells, a method for using immune cells to treat cancer, a use of immune cells for cancer treatment, and a use of immune cells for manufacturing a drug for treating cancer.
為了達成上述目的,本發明提供一種嵌合抗原受體(CAR),包含:胞外結合域,包含特異性結合至ErbB3(受體酪胺酸蛋白質激酶ErbB3)的抗原結合域;跨膜域;及胞內傳訊域。In order to achieve the above object, the present invention provides a chimeric antigen receptor (CAR), comprising: an extracellular binding domain comprising an antigen binding domain specifically binding to ErbB3 (receptor tyrosine protein kinase ErbB3); a transmembrane domain; and intracellular signaling domains.
此外,本發明提供編碼嵌合抗原受體的核酸、包含核酸的表現載體、包含表現載體的病毒以及表現嵌合抗原受體的免疫細胞。In addition, the present invention provides nucleic acids encoding chimeric antigen receptors, expression vectors comprising nucleic acids, viruses comprising expression vectors, and immune cells expressing chimeric antigen receptors.
此外,本發明提供包含免疫細胞之用於治療癌症的組合物、使用免疫細胞治療癌症的方法、免疫細胞用於癌症治療的用途以及免疫細胞用於製造治療癌症之藥物的用途。In addition, the present invention provides a composition for treating cancer comprising immune cells, a method for treating cancer using immune cells, a use of immune cells for cancer treatment, and a use of immune cells for manufacturing a drug for treating cancer.
除非另有定義,否則本文所使用之所有技術及科學用語與本發明所屬技術領域中具有通常知識者所通常理解者具有相同的意義。一般而言,本文所使用之命名法為本領域中眾所周知且典型。Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. In general, the nomenclature used herein is well known and typical in the art.
根據本發明一實施例,分別使用特異性結合至表現於癌細胞中之ErbB3的五個ErbB3 scFvs(442S1、451M3、472S2、446及464)作為嵌合抗原受體(CAR)的外域(ectodomain)來製造CAR建構物。此外,使其在外域表現myc及鉸鏈(hinge),從而確認透過myc在細胞表面表現CAR,在內域(endodomain)中添加作為傳訊域之CD3ζ(zeta)以及作為共刺激分子之CD28及DAP10,進而創造第三代CAR。According to an embodiment of the present invention, five ErbB3 scFvs (442S1, 451M3, 472S2, 446 and 464) specifically binding to ErbB3 expressed in cancer cells were used as the ectodomain of the chimeric antigen receptor (CAR) to make CAR constructs. In addition, myc and hinge were expressed in the outer domain to confirm the expression of CAR on the cell surface through myc, and CD3ζ (zeta) as the signaling domain and CD28 and DAP10 as co-stimulatory molecules were added to the endodomain, And then create the third generation CAR.
因此,本發明之一態樣係關於一種嵌合抗原受體(CAR),其包含:胞外結合域,包含特異性結合至ErbB3的抗原結合域;跨膜域;及胞內傳訊域。Accordingly, one aspect of the present invention relates to a chimeric antigen receptor (CAR), comprising: an extracellular binding domain, including an antigen binding domain that specifically binds to ErbB3; a transmembrane domain; and an intracellular signaling domain.
嵌合抗原受體(CAR)係一種合成建構物,其設計成會誘導針對目標抗原及表現抗原的細胞的免疫反應。CAR包含胞外結合域、跨膜域及胞內傳訊域。藉由對免疫細胞導入編碼會辨識特異性表現於癌細胞的表面上之癌細胞表面抗原的受體的基因,可殺死癌細胞。含有會結合至特異性表現於癌細胞之抗原的受體的免疫細胞,可藉由僅標靶癌細胞來誘導免疫反應。A chimeric antigen receptor (CAR) is a synthetic construct designed to induce an immune response against a target antigen and the cells expressing the antigen. CAR includes an extracellular binding domain, a transmembrane domain and an intracellular signaling domain. Cancer cells can be killed by introducing into immune cells a gene encoding a receptor that recognizes a cancer cell surface antigen specifically expressed on the surface of the cancer cell. Immune cells containing receptors that bind to antigens specifically expressed on cancer cells can induce an immune response by targeting only cancer cells.
第一代CAR包含:胞外結合域,包含會辨識特異性結合於癌細胞之抗原的區域;跨膜域;及胞內傳訊域;並且其僅使用CD3ζ作為傳訊域,但其對於癌症的治療效果並不顯著且效果持續時間短,此為不樂見的。The first-generation CARs include: an extracellular binding domain, including a region that recognizes antigens specifically bound to cancer cells; a transmembrane domain; and an intracellular signaling domain; and it only uses CD3ζ as a signaling domain, but it is important for the treatment of cancer The effect is not significant and the duration of the effect is short, which is undesirable.
為了改善對免疫細胞的反應,製備了包含彼此偶合的共刺激域(CD28或CD137/4-1BB)與CD3ζ的第二代CAR,且含CAR免疫細胞殘留在體內的數量相較於第一代CAR顯著增加。與含有一個共刺激域的第二代CAR不同,第三代CAR含有兩個以上的共刺激域。共刺激域可與4-1BB、CD28或OX40偶合,以實現包含CAR之免疫細胞在體內的擴增及持續性。In order to improve the response to immune cells, a second-generation CAR containing co-stimulatory domains coupled to each other (CD28 or CD137/4-1BB) and CD3ζ was prepared, and the number of CAR-containing immune cells remaining in the body was compared with that of the first generation CAR significantly increased. Unlike second-generation CARs, which contain one co-stimulatory domain, third-generation CARs contain more than two co-stimulatory domains. The co-stimulatory domain can be coupled with 4-1BB, CD28 or OX40 to achieve the expansion and persistence of CAR-containing immune cells in vivo.
在第四代CAR中,包含編碼如IL-12或IL-15之細胞介素的額外基因,以允許額外表現細胞介素之基於CAR的免疫蛋白,第五代CAR更包含如IL-2Rβ之介白素(interleukin)受體鏈以提升免疫細胞活性。In the fourth-generation CARs, additional genes encoding interleukins such as IL-12 or IL-15 were included to allow the additional expression of CAR-based immune proteins of interleukins, and the fifth-generation CARs further included genes such as IL-2Rβ Interleukin (interleukin) receptor chain to enhance immune cell activity.
如本文所使用之用語「胞外結合域」係指CAR的一部分,其包含具有特異性結合至感興趣之目標抗原之能力的抗原結合域。胞外結合域可包含任何蛋白質、多肽、寡肽或胜肽,其保留特異性辨識並結合生物分子(例如細胞表面收體、腫瘤蛋白質、脂質、多醣、其他細胞表面目標分子或其部分)的能力。結合域包含感興趣的生物分子之任何天然存在、合成、半合成或重組的結合配偶體(binding partner)。The term "extracellular binding domain" as used herein refers to a portion of a CAR comprising an antigen binding domain having the ability to specifically bind to a target antigen of interest. The extracellular binding domain can comprise any protein, polypeptide, oligopeptide, or peptide that retains the ability to specifically recognize and bind biomolecules such as cell surface receptors, tumor proteins, lipids, polysaccharides, other cell surface target molecules, or portions thereof ability. A binding domain comprises any naturally occurring, synthetic, semi-synthetic or recombinant binding partner of a biomolecule of interest.
本文所使用之用語「特異性結合」係指一分子以大於背景結合力的結合親和力結合於另一分子。舉例而言,胞外結合域在結合(bind)至或締合(associate)於目標分子時以Ka(即,特定結合相互作用的平衡解離常數,單位為1/M)或約10 -5M以上的親和力特異性結合於目標分子。或者,親和力可定義為特定結合相互作用的平衡解離常數(Kd),單位為M(例如10 -5M至10 -13M以下)。 As used herein, the term "specifically binds" means that a molecule binds to another molecule with a binding affinity greater than background binding. For example, an extracellular binding domain binds to or associates with a target molecule with Ka (ie, the equilibrium dissociation constant for a particular binding interaction in units of 1/M) or about 10 −5 M The above affinity specifically binds to the target molecule. Alternatively, affinity can be defined as the equilibrium dissociation constant (Kd) in M for a particular binding interaction (eg, 10 −5 M to below 10 −13 M).
根據本發明之CAR與胞外結合域的親和力,可使用以下通常技術透過結合締合或取代分析來輕易確定,例如競爭性酶聯免疫吸附分析法(competitive enzyme-linked immunosorbent assay(ELISA))、經標記的配體、使用如Biacore T100(Biacore, Inc., Piscataway, New Jersey)之裝置的表面電漿子共振、可從Corning與PerkinElmer取得之EPIC系統、如EnSpire之光學生物感測器技術等。The affinity of the CAR according to the present invention to the extracellular binding domain can be easily determined by binding association or substitution analysis using the following common techniques, such as competitive enzyme-linked immunosorbent assay (ELISA), Labeled ligands, surface plasmon resonance using devices such as Biacore T100 (Biacore, Inc., Piscataway, New Jersey), EPIC systems available from Corning and PerkinElmer, optical biosensor technology such as EnSpire, etc. .
根據本發明,特異性結合至ErbB3的結合域可為抗ErbB3抗體或其抗原結合片段。According to the present invention, the binding domain that specifically binds to ErbB3 may be an anti-ErbB3 antibody or an antigen-binding fragment thereof.
較佳地,特異性結合至ErbB3的結合域為抗ErbB3抗體的單鏈可變片段(scFv),抗ErbB3抗體的單鏈可變片段包含: 重鏈CDR1,選自由SEQ ID NO: 1、9、17、25及33所組成之群組, 重鏈CDR2,選自由SEQ ID NO: 2、10、18、26及34所組成之群組, 重鏈CDR3,選自由SEQ ID NO: 3、11、19、27及35所組成之群組, 輕鏈CDR1,選自由SEQ ID NO: 4、12、20、28及36所組成之群組, 輕鏈CDR2,選自由SEQ ID NO: 5、13、21、29及37所組成之群組,以及 輕鏈CDR3,選自由SEQ ID NO: 6、14、22、30及38所組成之群組。 Preferably, the binding domain specifically binding to ErbB3 is a single-chain variable fragment (scFv) of an anti-ErbB3 antibody, and the single-chain variable fragment of an anti-ErbB3 antibody comprises: heavy chain CDR1 selected from the group consisting of SEQ ID NO: 1, 9, 17, 25 and 33, a heavy chain CDR2 selected from the group consisting of SEQ ID NO: 2, 10, 18, 26 and 34, a heavy chain CDR3 selected from the group consisting of SEQ ID NO: 3, 11, 19, 27 and 35, light chain CDR1 selected from the group consisting of SEQ ID NO: 4, 12, 20, 28 and 36, light chain CDR2 selected from the group consisting of SEQ ID NO: 5, 13, 21, 29 and 37, and A light chain CDR3 selected from the group consisting of SEQ ID NO: 6, 14, 22, 30 and 38.
根據本發明,結合至ErbB3的抗體或其抗原結合片段包含: 包含SEQ ID NO: 1之序列的重鏈CDR1、包含SEQ ID NO: 2之序列的重鏈CDR2、包含SEQ ID NO: 3之序列的重鏈CDR3、包含SEQ ID NO: 4之序列的輕鏈CDR1、包含SEQ ID NO: 5之序列的輕鏈CDR2以及包含SEQ ID NO: 6之序列的輕鏈CDR3; 包含SEQ ID NO: 9之序列的重鏈CDR1、包含SEQ ID NO: 10之序列的重鏈CDR2、包含SEQ ID NO: 11之序列的重鏈CDR3、包含SEQ ID NO: 12之序列的輕鏈CDR1、包含SEQ ID NO: 13之序列的輕鏈CDR2以及包含SEQ ID NO: 14之序列的輕鏈CDR3; 包含SEQ ID NO: 17之序列的重鏈CDR1、包含SEQ ID NO: 18之序列的重鏈CDR2、包含SEQ ID NO: 19之序列的重鏈CDR3、包含SEQ ID NO: 20之序列的輕鏈CDR1、包含SEQ ID NO: 21之序列的輕鏈CDR2以及包含SEQ ID NO: 22之序列的輕鏈CDR3; 包含SEQ ID NO: 25之序列的重鏈CDR1、包含SEQ ID NO: 26之序列的重鏈CDR2、包含SEQ ID NO: 27之序列的重鏈CDR3、包含SEQ ID NO: 28之序列的輕鏈CDR1、包含SEQ ID NO: 29之序列的輕鏈CDR2以及包含SEQ ID NO: 30之序列的輕鏈CDR3;或 包含SEQ ID NO: 33之序列的重鏈CDR1、包含SEQ ID NO: 34之序列的重鏈CDR2、包含SEQ ID NO: 35之序列的重鏈CDR3、包含SEQ ID NO: 36之序列的輕鏈CDR1、包含SEQ ID NO: 37之序列的輕鏈CDR2以及包含SEQ ID NO: 38之序列的輕鏈CDR3。 According to the present invention, the antibody or antigen-binding fragment thereof that binds to ErbB3 comprises: Heavy chain CDR1 comprising the sequence of SEQ ID NO: 1, heavy chain CDR2 comprising the sequence of SEQ ID NO: 2, heavy chain CDR3 comprising the sequence of SEQ ID NO: 3, light chain comprising the sequence of SEQ ID NO: 4 CDR1, light chain CDR2 comprising the sequence of SEQ ID NO: 5, and light chain CDR3 comprising the sequence of SEQ ID NO: 6; Heavy chain CDR1 comprising the sequence of SEQ ID NO: 9, heavy chain CDR2 comprising the sequence of SEQ ID NO: 10, heavy chain CDR3 comprising the sequence of SEQ ID NO: 11, light chain comprising the sequence of SEQ ID NO: 12 CDR1, light chain CDR2 comprising the sequence of SEQ ID NO: 13, and light chain CDR3 comprising the sequence of SEQ ID NO: 14; Heavy chain CDR1 comprising the sequence of SEQ ID NO: 17, heavy chain CDR2 comprising the sequence of SEQ ID NO: 18, heavy chain CDR3 comprising the sequence of SEQ ID NO: 19, light chain comprising the sequence of SEQ ID NO: 20 CDR1, light chain CDR2 comprising the sequence of SEQ ID NO: 21 and light chain CDR3 comprising the sequence of SEQ ID NO: 22; Heavy chain CDR1 comprising the sequence of SEQ ID NO: 25, heavy chain CDR2 comprising the sequence of SEQ ID NO: 26, heavy chain CDR3 comprising the sequence of SEQ ID NO: 27, light chain comprising the sequence of SEQ ID NO: 28 CDR1, light chain CDR2 comprising the sequence of SEQ ID NO: 29, and light chain CDR3 comprising the sequence of SEQ ID NO: 30; or Heavy chain CDR1 comprising the sequence of SEQ ID NO: 33, heavy chain CDR2 comprising the sequence of SEQ ID NO: 34, heavy chain CDR3 comprising the sequence of SEQ ID NO: 35, light chain comprising the sequence of SEQ ID NO: 36 CDR1, light chain CDR2 comprising the sequence of SEQ ID NO: 37, and light chain CDR3 comprising the sequence of SEQ ID NO: 38.
於本文所使用之用語「抗體」係指特異性結合至ErbB3的抗ErbB3抗體。特異性結合至ErbB3的完整抗體形式及抗體分子的抗原結合片段皆包含於本發明的範圍內。The term "antibody" as used herein refers to an anti-ErbB3 antibody that specifically binds to ErbB3. Whole antibody forms and antigen-binding fragments of antibody molecules that specifically bind to ErbB3 are encompassed within the scope of the present invention.
於本文所使用之用語「抗體可變域」係指包含互補決定區(complementarity-determining region,CDR;即CDR1、CDR2及CDR3)及骨架區(framework region,FR)之胺基酸序列的抗體分子之輕鏈及重鏈的部分。VH係指重鏈的可變域,VL係指輕鏈的可變域。The term "antibody variable domain" as used herein refers to an antibody molecule comprising the amino acid sequence of a complementarity-determining region (CDR; namely CDR1, CDR2 and CDR3) and a framework region (framework region, FR) Parts of the light chain and heavy chain. VH refers to the variable domain of the heavy chain and VL refers to the variable domain of the light chain.
「互補決定區」(CDR;即CDR1、CDR2及CDR3)係指抗原結合所需之抗體可變域的胺基酸殘基。各可變域通常具有三個CDR,標示為CDR1、CDR2及CDR3。"Complementarity determining regions" (CDRs; ie CDR1, CDR2 and CDR3) refer to the amino acid residues of an antibody variable domain that are required for antigen binding. Each variable domain typically has three CDRs, designated CDR1, CDR2 and CDR3.
完整的抗體具有含有兩條全長的輕鏈及兩條全長的重鏈,且輕鏈透過雙硫鍵分別連接於重鏈。重鏈恆定區具有γ(gamma)、μ(mu)、α(alpha)、δ(delta)及ε(epsilon)型,亦具有γ1(gamma 1)、γ2(gamma 2)、γ3(gamma 3)、γ4(gamma 4)、α1(alpha 1)及α2(alpha 2)子類。輕鏈恆定區具有κ(kappa)及λ(lambda)型。A complete antibody has two full-length light chains and two full-length heavy chains, and the light chains are respectively connected to the heavy chains through disulfide bonds. The heavy chain constant region has γ (gamma), μ (mu), α (alpha), δ (delta) and ε (epsilon) types, and also has γ1 (gamma 1), γ2 (gamma 2), γ3 (gamma 3) , γ4 (gamma 4), α1 (alpha 1) and α2 (alpha 2) subclasses. The light chain constant region has κ (kappa) and λ (lambda) types.
根據本發明,用語抗體的「片段」係指具有抗原結合功能的片段,並包含scFv、Fab、F(ab’) 2及Fv。在這些抗體片段之中,Fab具有含有輕鏈及重鏈可變區、輕鏈恆定區及第一重鏈恆定區(CH1)之結構,並具有一個抗原結合位。Fab’與Fab的不同之處在於Fab’在重鏈CH1域的C端具有包含至少一半胱胺酸殘基的鉸鏈區。F(ab’) 2抗體係藉由Fab’的鉸鏈區中之半胱胺酸殘基之間的雙硫鍵而產生。Fv係僅具有重鏈可變區及輕鏈可變區的最小抗體片段。雙鏈Fv係重鏈可變區及輕鏈可變區透過非共價鍵連接的片段,單鏈Fv(scFv)係重鏈可變區及輕鏈可變區通常透過其之間的胜肽連接鏈由共價鍵連接或是直接連接於C端的片段,形成二聚體結構,如雙鏈Fv。此種抗體片段可使用蛋白酶來獲得(舉例而言,Fab可使用木瓜酶(papain)限制性切割整個抗體來獲得,F(ab’) 2片段可使用胃蛋白酶(pepsin)限制性切割整個抗體來獲得),或可透過基因重組技術來製備。 According to the present invention, the term "fragment" of an antibody refers to a fragment having an antigen-binding function, and includes scFv, Fab, F(ab') 2 and Fv. Among these antibody fragments, Fab has a structure including light chain and heavy chain variable regions, light chain constant region and the first heavy chain constant region (CH1), and has an antigen-binding site. Fab' differs from Fab in that Fab' has a hinge region comprising at least a cysteine residue at the C-terminus of the CH1 domain of the heavy chain. F(ab') 2 antibodies are produced by disulfide bonds between cysteine residues in the hinge region of Fab'. Fv is the smallest antibody fragment that has only the variable region of the heavy chain and the variable region of the light chain. Double-chain Fv is a fragment in which the variable region of the heavy chain and the variable region of the light chain are connected by non-covalent bonds, and the single-chain Fv (scFv) is a fragment of the variable region of the heavy chain and the variable region of the light chain, usually through a peptide between them Linker chains are covalently linked or directly linked to C-terminal fragments to form dimeric structures, such as double-chain Fv. Such antibody fragments can be obtained using proteases (for example, Fab can be obtained by restriction cleavage of whole antibody with papain, and F(ab') 2 fragments can be obtained by restriction cleavage of whole antibody with pepsin). Obtained), or can be prepared by genetic recombination technology.
「單鏈Fv」或「scFv」抗體片段包含抗體的VH域及VL域,此種域存在於單一多肽鏈中。Fv多肽可更包含在VH域及VL域之間的多肽連接鏈,以使scFv可形成抗原結合的期望結構。A "single-chain Fv" or "scFv" antibody fragment comprises the VH and VL domains of an antibody, such domains being present in a single polypeptide chain. The Fv polypeptide may further comprise a polypeptide linker chain between the VH domain and the VL domain so that the scFv can form the desired structure for antigen binding.
根據本發明,在包含抗體的重鏈可變區(VH)及輕鏈可變區(VL)之scFv中,VH及VL可透過連接鏈連接。在本發明一實施例中,特異性結合至ErbB3的結合域可為抗ErbB3抗體的單鏈可變片段(scFv),抗ErbB3抗體的單鏈可變片段包含重鏈可變區,重鏈可變區包含選自由SEQ ID NO: 7、15、23、31及39所組成之群組之序列。特異性結合至ErbB3的結合域可為抗ErbB3抗體的單鏈可變片段(scFv),抗ErbB3抗體的單鏈可變片段包含輕鏈可變區,輕鏈可變區包含選自由SEQ ID NO: 8、16、24、32及40所組成之群組之序列。According to the present invention, in a scFv comprising a heavy chain variable region (VH) and a light chain variable region (VL) of an antibody, VH and VL can be connected via a linker chain. In an embodiment of the present invention, the binding domain that specifically binds to ErbB3 may be a single-chain variable fragment (scFv) of an anti-ErbB3 antibody, and the single-chain variable fragment of an anti-ErbB3 antibody includes a heavy chain variable region, and the heavy chain may be The variable region comprises a sequence selected from the group consisting of SEQ ID NO: 7, 15, 23, 31 and 39. The binding domain specifically binding to ErbB3 may be a single-chain variable fragment (scFv) of an anti-ErbB3 antibody, and the single-chain variable fragment of an anti-ErbB3 antibody comprises a light chain variable region, and the light chain variable region comprises a sequence selected from the group consisting of SEQ ID NO : Sequence of groups of 8, 16, 24, 32 and 40.
結合至ErbB3的抗體或其抗原結合片段可包含:包含SEQ ID NO: 7的重鏈可變區、包含SEQ ID NO: 8之序列的輕鏈可變區、包含SEQ ID NO: 15之序列的重鏈可變區、包含SEQ ID NO: 16之序列的輕鏈可變區、包含SEQ ID NO: 23之序列的重鏈可變區、包含SEQ ID NO: 24之序列的輕鏈可變區、包含SEQ ID NO: 31之序列的重鏈可變區、包含SEQ ID NO: 32之序列的輕鏈可變區、包含SEQ ID NO: 39之序列的重鏈可變區或包含SEQ ID NO: 40之序列的輕鏈可變區。The antibody or antigen-binding fragment thereof that binds to ErbB3 may comprise: a heavy chain variable region comprising SEQ ID NO: 7, a light chain variable region comprising the sequence of SEQ ID NO: 8, a sequence comprising SEQ ID NO: 15 Heavy chain variable region, light chain variable region comprising the sequence of SEQ ID NO: 16, heavy chain variable region comprising the sequence of SEQ ID NO: 23, light chain variable region comprising the sequence of SEQ ID NO: 24 , a heavy chain variable region comprising the sequence of SEQ ID NO: 31, a light chain variable region comprising the sequence of SEQ ID NO: 32, a heavy chain variable region comprising the sequence of SEQ ID NO: 39 or a heavy chain variable region comprising the sequence of SEQ ID NO : The light chain variable region of the sequence of 40.
根據本發明之抗體或抗體片段在能夠特異性辨識ErbB3的範圍內,可包含不僅本發明之抗ErbB3抗體的序列,還有其生物等效物。舉例而言,為了近一步改善抗體的結合親和力及/或其他生物特性,可對抗體的胺基酸序列進行額外的修飾。此種修飾包含例如抗體之胺基酸殘基的缺失、插入及/或取代。胺基酸變化係基於胺基酸側鏈取代基的相對相似性,例如疏水性、親水性、電荷、尺寸等。基於胺基酸側鏈取代基之尺寸、形狀及類型的分析,精胺酸、離胺酸及組胺酸皆為帶正電的殘基,丙胺酸、甘胺酸及絲胺酸具有相似的尺寸,苯丙胺酸、色胺酸及酪胺酸具有相似的形狀。因此,基於這些考量,精胺酸、離胺酸及組胺酸可視為生物上功能等效物,丙胺酸、甘胺酸及絲胺酸可視為生物上功能等效物,苯丙胺酸、色胺酸及酪胺酸可視為生物上功能等效物。The antibody or antibody fragment according to the present invention may contain not only the sequence of the anti-ErbB3 antibody of the present invention but also biological equivalents thereof insofar as it can specifically recognize ErbB3. For example, in order to further improve the binding affinity and/or other biological properties of the antibody, additional modifications can be made to the amino acid sequence of the antibody. Such modifications include, for example, deletions, insertions and/or substitutions of amino acid residues of the antibody. Amino acid changes are based on the relative similarity of amino acid side chain substituents, eg, hydrophobicity, hydrophilicity, charge, size, and the like. Based on the analysis of the size, shape, and type of amino acid side chain substituents, arginine, lysine, and histidine are all positively charged residues, and alanine, glycine, and serine have similar residues. Size, phenylalanine, tryptophan, and tyrosine have similar shapes. Therefore, based on these considerations, arginine, lysine, and histidine may be considered biologically functional equivalents, alanine, glycine, and serine may be considered biologically functional equivalents, phenylalanine, tryptamine Acids and tyrosine are considered biologically functional equivalents.
考量具有等效生物活性的上述變化,本發明之抗體或編碼其的核酸分子被解釋為包含展現出與序列表所載之序列實質相同的序列。當本發明之序列及其他序列進行比對以盡可能接近彼此對應且使用本領域常用之演算法分析經比對的序列時,「實質相同(substantial identity)」係指展現出至少90%同源性的序列,較佳為至少95%同源性、至少96% 同源性、至少97%同源性、至少98%同源性或至少99%同源性。用於序列比較的比對方法為本領域已知。NCBI Basic Local Alignment Search Tool (BLAST)可透過NBCI等取得,並可與網路上可用之定序程式一起使用,例如blastp、blastn、blastx、tblastn及tblastx。BLAST可於www.ncbi.nlm.nih.gov/BLAST/取得。可於www.ncbi.nlm.nih.gov/BLAST/blast_help.html找到使用此程式比較序列同源性的方法。Taking into account the above variations with equivalent biological activity, the antibodies of the present invention or nucleic acid molecules encoding them are construed as comprising sequences exhibiting substantial identity to the sequences set forth in the Sequence Listing. When the sequences of the invention and other sequences are aligned to correspond as closely as possible to each other and the aligned sequences are analyzed using algorithms commonly used in the art, "substantial identity" means exhibiting at least 90% homology Similar sequences, preferably at least 95% homology, at least 96% homology, at least 97% homology, at least 98% homology or at least 99% homology. Alignment methods for sequence comparison are known in the art. The NCBI Basic Local Alignment Search Tool (BLAST) is available through NBCI, among others, and can be used with sequencers available on the Internet, such as blastp, blastn, blastx, tblastn, and tblastx. BLAST is available at www.ncbi.nlm.nih.gov/BLAST/. Methods for using this program to compare sequence homology can be found at www.ncbi.nlm.nih.gov/BLAST/blast_help.html.
基於上述,本發明之抗體或其抗原結合片段可具有與說明書中所描述之特定序列或所有序列90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或更高的同源性。此同源性可使用本領域已知的方法透過序列比較及/或比對來確定。舉例而言,本發明之核酸或蛋白質的序列同源性百分比可使用序列比較演算法(即BLAST或BLAST 2.0)、手動比對或目測來確定。Based on the above, the antibody or antigen-binding fragment thereof of the present invention may have a specific sequence or all sequences described in the specification that are 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% %, 99% or higher homology. This homology can be determined by sequence comparison and/or alignment using methods known in the art. For example, percent sequence identity for nucleic acids or proteins of the invention can be determined using sequence comparison algorithms (ie, BLAST or BLAST 2.0), manual alignment, or visual inspection.
連接鏈可為胜肽連接鏈並可具有約10-25個胺基酸的長度。舉例而言,其可包含親水性胺基酸,例如甘胺酸及/或絲胺酸。連接鏈可包含例如(GS) n、(GGS) n、(GSGGS) n或(G nS) m(其中n及m各為1至10),較佳為(G nS) m(其中n及m各為1至10),但不限於此。 The connecting strand can be a peptide connecting strand and can be about 10-25 amino acids in length. For example, it may comprise hydrophilic amino acids such as glycine and/or serine. The connecting chain may comprise, for example, (GS) n , (GGS) n , (GSGGS) n or (G n S) m (where n and m are each 1 to 10), preferably (G n S) m (where n and m are each 1 to 10), but not limited thereto.
嵌合抗原受體可包含跨膜域。A chimeric antigen receptor can comprise a transmembrane domain.
於本文所使用之用語「跨膜域」係指CAR的一部分,其融合胞外結合域及胞內傳訊域並將CAR錨定於免疫作用細胞的細胞膜。跨膜域可源自天然、合成、半合成或重組的來源。根據本發明,跨膜域可選自由T細胞受體(TCR)、α(alpha)、β(beta)或ζ(zeta)鏈、CD28、CD3ε(epsilon)、CD45、CD4、CD5、CD8、CD9、CD16、CD22、CD33、CD37、CD64、CD80、CD86、CD134、CD137及CD154所組成之群組,但不限於此。The term "transmembrane domain" as used herein refers to the part of the CAR that fuses the extracellular binding domain and the intracellular signaling domain and anchors the CAR to the cell membrane of the immunizing cell. Transmembrane domains can be derived from natural, synthetic, semi-synthetic or recombinant sources. According to the invention, the transmembrane domain can be selected from T cell receptor (TCR), alpha (alpha), beta (beta) or zeta (zeta) chain, CD28, CD3ε (epsilon), CD45, CD4, CD5, CD8, CD9 , CD16, CD22, CD33, CD37, CD64, CD80, CD86, CD134, CD137 and CD154, but not limited thereto.
跨膜域可透過連接鏈附接於CAR的胞外結合域。舉例而言,連接鏈可為具有2至10個胺基酸長度的短寡肽連接鏈或多肽連接鏈,較佳為甘胺酸(G)-絲胺酸(S)雙聯體(doublet),但不限於此。The transmembrane domain can be attached to the extracellular binding domain of CAR through a linker. For example, the linking chain can be a short oligopeptide linking chain or polypeptide linking chain with a length of 2 to 10 amino acids, preferably a glycine (G)-serine (S) doublet , but not limited to this.
CAR的結合域通常接有至少一「鉸鏈域(hinge domain)」。因此,根據本發明,除了特異性結合至ErbB3的結合域以外,胞外結合域還可更包含訊息肽(signal peptide,SP)及/或鉸鏈。胞外結合域係主要訊號傳遞的位置,位於細胞膜外,且係用以特異性辨識目標(即ErbB3)的域。The binding domain of CAR is usually connected with at least one "hinge domain". Therefore, according to the present invention, in addition to the binding domain specifically binding to ErbB3, the extracellular binding domain may further include a signal peptide (SP) and/or a hinge. The extracellular binding domain is the site of primary signaling, located outside the cell membrane, and is the domain for specific recognition of targets (ie, ErbB3).
本文所使用之用語「鉸鏈域」係指CAR的一部分,其在胞外結合域的定位中扮演重要的角色,包含遠離作用細胞表面的抗原結合域以使得細胞與細胞適當接觸、抗原結合及活化。CAR通常包含至少一鉸鏈域位於胞外結合域與跨膜域之間。鉸鏈域可源自天然、合成、半合成或重組的來源。鉸鏈域可包含天然存在的免疫球蛋白鉸鏈區或是經改變的免疫球蛋白鉸鏈區的胺基酸序列。「經改變的鉸鏈區」係指(a)具有最多30%之胺基酸改變(例如最多25%、20%、15%、10%或5%之胺基酸取代或缺失)的天然存在的鉸鏈區,(b)具有最多30%之胺基酸改變(例如最多25%、20%、15%、10%或5%之胺基酸取代或缺失)之具有至少10個胺基酸長度(例如至少12、13、14或15個胺基酸)之天然存在的鉸鏈區的一部分,或是(c)包含核鉸鏈區(具有4、5、6、7、8、9、10、11、12、13、14或15或是至少4、5、6、7、8、9、10、11、12、13、14或15個胺基酸長度)之天然存在的鉸鏈區的一部分。在特定實施例中,在天然存在的免疫球蛋白鉸鏈區中之至少一半胱胺酸殘基可被至少一其他胺基酸殘基取代(例如至少一絲胺酸殘基)。經改變的免疫球蛋白鉸鏈區可替代或額外包含野生型免疫球蛋白鉸鏈區的脯胺酸殘基經另一胺基酸殘基(例如絲胺酸殘基)取代。鉸鏈域可包含源自第1型膜蛋白的胞外區之鉸鏈區,例如CD8、CD4、CD28及CD7,其可為來自這些分子的野生型鉸鏈區或是可經改變。The term "hinge domain" as used herein refers to the part of the CAR that plays an important role in the localization of the extracellular binding domain, including the antigen binding domain away from the surface of the acting cell for proper cell-to-cell contact, antigen binding and activation . CARs usually contain at least one hinge domain located between the extracellular binding domain and the transmembrane domain. Hinge domains can be derived from natural, synthetic, semi-synthetic or recombinant sources. The hinge domain may comprise a naturally occurring immunoglobulin hinge region or an altered amino acid sequence of an immunoglobulin hinge region. "Altered hinge region" means (a) a naturally occurring hinge region with up to 30% amino acid changes (e.g., up to 25%, 20%, 15%, 10%, or 5% amino acid substitutions or deletions). Hinge region, (b) at least 10 amino acids in length ( e.g. at least 12, 13, 14 or 15 amino acids), or (c) comprises a core hinge region (having 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 or 15 or part of a naturally occurring hinge region of at least 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 or 15 amino acids in length). In certain embodiments, at least a cysteine residue in the hinge region of a naturally occurring immunoglobulin may be substituted with at least one other amino acid residue (eg, at least a serine residue). An altered immunoglobulin hinge region may instead or additionally comprise a proline residue of a wild-type immunoglobulin hinge region substituted by another amino acid residue (eg, a serine residue). The hinge domain may comprise a hinge region derived from the extracellular region of a
根據本發明,可使用任何包含鉸鏈域的跨膜域,只要其能夠透過細胞膜連接胞外結合域與胞內傳訊域。較佳地,其由源自CD8之鉸鏈域與跨膜域組成,但不限於此。According to the present invention, any transmembrane domain including a hinge domain can be used as long as it can connect the extracellular binding domain and the intracellular signaling domain through the cell membrane. Preferably, it consists of a hinge domain and a transmembrane domain derived from CD8, but not limited thereto.
在某些情況下,結合域及跨膜域可透過間隔域連接。In some cases, the binding and transmembrane domains can be linked by a spacer domain.
較佳地,間隔域為鉸鏈域。根據本發明,間隔域可包含源自CD28之鉸鏈域及/或源自CD8之鉸鏈域,並可包含源自CD28之鉸鏈域及/或源自CD8之鉸鏈域的全部或部分。Preferably, the spacer domain is a hinge domain. According to the present invention, the spacer domain may comprise a CD28-derived hinge domain and/or a CD8-derived hinge domain, and may comprise all or part of a CD28-derived hinge domain and/or a CD8-derived hinge domain.
本發明之鉸鏈區或間隔區可為選自Myc表位(Myc epitope)、CD8鉸鏈區及Fc之中之至少一者,較佳包含Myc表位及CD8鉸鏈區。本發明之Myc表位及CD8鉸鏈區發揮作為間隔域的功能。The hinge region or spacer region of the present invention may be at least one selected from Myc epitope (Myc epitope), CD8 hinge region and Fc, preferably including Myc epitope and CD8 hinge region. The Myc epitope and CD8 hinge region of the present invention function as a spacer domain.
本發明之CD8鉸鏈區可包含GVTVSSALSNSIMYFSHFVPVFLPAKPTTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLD之序列(SEQ ID NO: 41)。Myc表位可包含ANKNSSQKRI之序列(SEQ ID NO: 42)。The CD8 hinge region of the present invention may comprise the sequence of GVTVSSALSNSIMYFSHFVPVFLPAKPTTTPAPRPPTPAPTIASQPLSLRPEACRPAAGGAVHTRGLD (SEQ ID NO: 41). The Myc epitope may comprise the sequence of ANKNSSQKRI (SEQ ID NO: 42).
根據本發明,嵌合抗原受體可包含胞內傳訊域。According to the invention, a chimeric antigen receptor may comprise an intracellular signaling domain.
根據本發明,胞內傳訊域係位於細胞質的部分,其為免疫細胞的細胞膜內部,並且係在包含於胞外結合域內的結合域結合目標抗原時透過將訊號傳遞至細胞內部來活化免疫細胞的免疫反應的位置。According to the present invention, the intracellular signaling domain is located in the cytoplasmic part, which is the interior of the cell membrane of the immune cell, and activates the immune cell by transmitting a signal to the interior of the cell when the binding domain contained in the extracellular binding domain binds the target antigen The location of the immune response.
根據本發明,胞內傳訊域可包含胞內傳訊域及/或共刺激傳訊域。According to the present invention, the intracellular signaling domain may comprise an intracellular signaling domain and/or a co-stimulatory signaling domain.
傳訊域能夠誘導CAR所在之免疫細胞的正常作用功能的活化。舉例而言,其能夠透過分泌細胞介素來誘導溶細胞活化(cytolytic activation)或輔助細胞活化(helper activation)。傳訊域可包含足以轉導作用功能訊號之胞內傳訊域的截片段(truncated fragment)。The signaling domain can induce the activation of the normal function of the immune cells where the CAR is located. For example, it can induce cytolytic activation or helper activation by secreting cytokines. A signaling domain may comprise a truncated fragment of an intracellular signaling domain sufficient to transduce a functional signal.
胞內傳訊域包含:初級傳訊域,選自由T細胞受體(TCR)ζ(zeta)、FcRγ(gamma)、FcRβ(beta)、CD3γ(gamma)、CD3δ(delta)、CD3ε(epsilon)、CD3ζ(zeta)、CD5、CD22、CD79a、CD79b及CD66d所組成之群組;及/或共刺激傳訊域,選自由CD2、CD7、CD27、CD28、CD30、CD40、4-1BB (CD137)、OX40 (CD134)、CDS、ICAM-1、ICOS (CD278)、LFA-1 (CD11a/CD18)、GITR、MyD88、DAP10、DAP12、PD-1、LIGHT、NKG2C、B7-H3及特異性結合至CD83的配體所組成之群組。The intracellular signaling domain includes: primary signaling domain, selected from T cell receptor (TCR) ζ (zeta), FcRγ (gamma), FcRβ (beta), CD3γ (gamma), CD3δ (delta), CD3ε (epsilon), CD3ζ (zeta), CD5, CD22, CD79a, CD79b, and CD66d; and/or co-stimulatory signaling domains selected from CD2, CD7, CD27, CD28, CD30, CD40, 4-1BB (CD137), OX40 ( CD134), CDS, ICAM-1, ICOS (CD278), LFA-1 (CD11a/CD18), GITR, MyD88, DAP10, DAP12, PD-1, LIGHT, NKG2C, B7-H3 and ligands that specifically bind to CD83 groups of bodies.
於此所使用之用語「胞內傳訊域」係指CAR的一部分,其參與將結合至目標抗原之有效CAR的訊息轉導(transduce)至免疫作用細胞的內部以引起作用細胞功能,例如活化、細胞介素產生、增殖及細胞毒性活性,包含對結合CAR之目標細胞釋放細胞毒性因子或由抗原結合至CAR的胞外結合域所造成之其他細胞反應。作用功能表示細胞的特殊功能,例如免疫細胞的作用功能可為溶細胞活性或輔助細胞活性,包含分泌細胞介素。因此,胞內傳訊域係傳遞作用功能訊息並引導細胞進行特殊功能之蛋白質的一部分。The term "intracellular signaling domain" as used herein refers to a part of the CAR that is involved in transducing the signal of the effective CAR bound to the target antigen to the interior of the immune cell to cause the cell function, such as activation, Interleukin production, proliferation and cytotoxic activity, including the release of cytotoxic factors to target cells bound to CAR or other cellular responses caused by antigen binding to the extracellular binding domain of CAR. The action function refers to the special function of the cell, for example, the action function of the immune cell may be cytolytic activity or auxiliary cell activity, including the secretion of cytokines. Thus, an intracellular signaling domain is a part of a protein that transmits functional information and directs the cell to perform a specific function.
免疫細胞活化藉由兩個不同的胞內傳訊域類別來介導。舉例而言,免疫細胞活化藉由起始依賴抗原之初級活化的初級傳訊域以及以非依賴抗原之方式作用以提供第二訊號的共刺激傳訊域來介導。因此,胞內傳訊域可包含「初級傳訊域」及「共刺激傳訊域」。Immune cell activation is mediated by two distinct classes of intracellular signaling domains. For example, immune cell activation is mediated by primary signaling domains that initiate antigen-dependent primary activation and co-stimulatory signaling domains that act in an antigen-independent manner to provide secondary signals. Therefore, the intracellular signaling domain can include "primary signaling domain" and "co-stimulatory signaling domain".
於本文所使用之用語「初級傳訊域」係指以刺激或抑制方式調節免疫細胞活化的傳訊域。以刺激方式作用之初級傳訊域可包含稱為免疫受體酪胺酸之活化模體(immunoreceptor tyrosine-based activation motif)或ITAM的傳訊模體。含有初級傳訊域的ITAM可選自由TCRζ、FcRγ、FcRβ、CD3γ、CD3δ、CD3ε、CD3ζ、CD5、CD22、CD79a、CD79b及CD66d所組成之群組,但不限於此。The term "primary signaling domain" as used herein refers to a signaling domain that regulates immune cell activation in a stimulatory or inhibitory manner. Primary signaling domains acting in a stimulatory manner may comprise signaling motifs known as immunoreceptor tyrosine-based activation motifs or ITAMs. The ITAM containing the primary signaling domain can be selected from the group consisting of TCRζ, FcRγ, FcRβ, CD3γ, CD3δ, CD3ε, CD3ζ, CD5, CD22, CD79a, CD79b, and CD66d, but is not limited thereto.
根據本發明,初級傳訊域較佳為包含以SEQ ID NO: 9表現之胺基酸序列的CD3ζ(zeta),但不限於此。CD3ζ(zeta)可包含RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR之序列(SEQ ID NO: 43)。According to the present invention, the primary signaling domain is preferably CD3ζ (zeta) comprising the amino acid sequence represented by SEQ ID NO: 9, but not limited thereto. CD3ζ(zeta) may comprise the sequence of RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEGLYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR (SEQ ID NO: 43).
於本文所使用之用語「共刺激傳訊域」係指共刺激分子的胞內傳訊域。共刺激傳訊區係包含共刺激分子的胞內傳訊域之CAR的一部分。其可包含選自由CD2、CD7、CD27、CD28、CD30、CD40、4-1BB(CD137)、OX40(CD134)、CDS、ICAM-1、ICOS(CD278)、LFA-1(CD11a/CD18)、GITR、MyD88、DAP10、DAP12、PD-1、LIGHT、NKG2C、B7-H3及特異性結合至CD83的配體所組成之群組的共刺激傳訊域,但不限於此。The term "co-stimulatory signaling domain" as used herein refers to the intracellular signaling domain of a co-stimulatory molecule. A co-stimulatory signaling domain is a portion of a CAR comprising the intracellular signaling domain of a co-stimulatory molecule. It may comprise CD2, CD7, CD27, CD28, CD30, CD40, 4-1BB (CD137), OX40 (CD134), CDS, ICAM-1, ICOS (CD278), LFA-1 (CD11a/CD18), GITR , MyD88, DAP10, DAP12, PD-1, LIGHT, NKG2C, B7-H3, and a costimulatory signaling domain of the group consisting of ligands that specifically bind to CD83, but are not limited thereto.
根據本發明,共刺激分子可為DAP10,但不限於此。DAP10可包含LCARPRRSPAQEDGKVYINMPGRG之序列(SEQ ID NO: 44)。According to the present invention, the co-stimulatory molecule may be DAP10, but is not limited thereto. DAP10 may comprise the sequence of LCARPRRSPAQEDGKVYINMPGRG (SEQ ID NO: 44).
本發明之嵌合抗原受體可使用DAP10及CD3ζ作為胞內傳訊域憑藉高NK細胞活性展現出殺死癌細胞的效果。The chimeric antigen receptor of the present invention can use DAP10 and CD3ζ as the intracellular signaling domain to exhibit the effect of killing cancer cells by virtue of high NK cell activity.
根據本發明之嵌合抗原受體可包含二個以上之胞內傳訊域。當包含二個以上之胞內傳訊域時,胞內傳訊域可彼此串聯連接。或者,它們可透過由2至10個胺基酸組成之寡肽連接鏈或多肽連接鏈來連結,連接鏈序列可包含相連的甘胺酸-絲胺酸序列。連接鏈可包含例如(GS) n、(GGS) n、(GSGGS) n或(G nS) m(其中n及m各為1至10),較佳為(G nS) m(其中n及m各為1至10),但不限於此。 A chimeric antigen receptor according to the present invention may comprise more than two intracellular signaling domains. When more than two intracellular signaling domains are included, the intracellular signaling domains can be connected to each other in series. Alternatively, they may be linked by an oligopeptide linking chain or a polypeptide linking chain consisting of 2 to 10 amino acids, the linking chain sequence may comprise a linked glycine-serine sequence. The connecting chain may comprise, for example, (GS) n , (GGS) n , (GSGGS) n or (G n S) m (where n and m are each 1 to 10), preferably (G n S) m (where n and m are each 1 to 10), but not limited thereto.
根據本發明,胞內傳訊域可包含選自由CD28或DAP10之共刺激傳訊域及CD3ζ之胞內傳訊域所組成之群組之一或多者,但不限於此。According to the present invention, the intracellular signaling domain may include one or more selected from the group consisting of the co-stimulatory signaling domain of CD28 or DAP10 and the intracellular signaling domain of CD3ζ, but is not limited thereto.
根據本發明,嵌合抗原受體可更包含免疫細胞的免疫功能促進因子,免疫細胞的免疫功能促進因子可包含介白素訊息序列。介白素訊息序列可誘導介白素12(interleukin-12,IL-12)、IL-8或IL-2的表現,但不限於此。此外,在免疫細胞中之T細胞的免疫功能促進因子可以IL-7或CCL19為例。According to the present invention, the chimeric antigen receptor may further include immune function promoting factors of immune cells, and the immune function promoting factors of immune cells may include interleukin signaling sequences. The interleukin message sequence can induce the expression of interleukin-12 (interleukin-12, IL-12), IL-8 or IL-2, but not limited thereto. In addition, IL-7 or CCL19 can be exemplified as the immune function promoting factor of T cells among immune cells.
當設計CAR時,可在scFv之前額外包含訊息肽。編碼嵌合抗原受體的核酸可更包含編碼訊息肽的核酸。When designing a CAR, an additional message peptide can be included before the scFv. The chimeric antigen receptor-encoding nucleic acid may further comprise a nucleic acid encoding a messager peptide.
訊息肽可為例如GM-CSF、CD8α訊息肽等。其可為CD8α或小鼠輕鏈κ訊息肽,在為CD8α的情況下,本發明之訊息肽可包含MALPVTALLLPLALLLHAARP之序列(SEQ ID NO: 45)。The message peptide can be, for example, GM-CSF, CD8α message peptide, etc. It may be CD8α or mouse light chain kappa message peptide. In the case of CD8α, the message peptide of the present invention may comprise the sequence of MALPVTALLLPLALLLLHAARP (SEQ ID NO: 45).
根據本發明,嵌合抗原受體可更包含含有JAK結合模體及STAT 3/5締合模體的介白素受體鏈,其示例可包含但不限於IL-2Rβ。According to the present invention, the chimeric antigen receptor may further comprise an interleukin receptor chain comprising a JAK binding motif and a
本發明另一態樣係關於編碼嵌合抗原受體的核酸。Another aspect of the invention pertains to nucleic acids encoding chimeric antigen receptors.
於本文所使用之用語「核酸」具有全面涵蓋DNA(gDNA及cDNA)及RNA分子以及核苷酸的意義,核苷酸為核酸的基本構件,不僅包含天然核苷酸,還包含糖或鹼基區經修飾的類似物。本發明之編碼重鏈及輕鏈可變區的核酸可經修飾。此種修飾包含核苷酸的添加、缺失或是保守或非保守取代。The term "nucleic acid" as used herein has the meaning of comprehensively covering DNA (gDNA and cDNA) and RNA molecules as well as nucleotides, which are the basic building blocks of nucleic acids and include not only natural nucleotides but also sugars or bases Modified analogs of the region. Nucleic acids encoding heavy and light chain variable regions of the invention may be modified. Such modifications include additions, deletions, or conservative or non-conservative substitutions of nucleotides.
根據本發明之編碼嵌合抗原受體的核酸(多核苷酸)因密碼子的簡併性(degeneracy)而可透過密碼子優化來修飾,本領域具有通常知識者可良好理解大量編碼多肽或其變體片段的核苷酸序列的存在。這些多核苷酸(核酸)之一部分與任何天然存在的基因之核苷酸序列保持最小的同源性。The chimeric antigen receptor-encoding nucleic acid (polynucleotide) according to the present invention can be modified by codon optimization due to codon degeneracy, and those skilled in the art can well understand a large number of encoded polypeptides or their The presence of the nucleotide sequence of the variant fragment. Some of these polynucleotides (nucleic acids) retain minimal homology to the nucleotide sequence of any naturally occurring gene.
尤其,較佳為因密碼子使用(codon usage)的差異而變化的多核苷酸(核酸),例如人類、靈長類及/或哺乳動物的密碼子選擇而優化的多核苷酸(核酸)。In particular, polynucleotides (nucleic acids) that vary due to differences in codon usage, such as polynucleotides (nucleic acids) that are optimized for codon usage in humans, primates and/or mammals, are preferred.
本發明又一態樣係關於包含核酸的表現載體及包含表現載體的病毒。Yet another aspect of the invention relates to expression vectors comprising nucleic acids and viruses comprising expression vectors.
本文所使用之用語「載體」係指能夠轉移或轉運另一核酸分子的核酸。所轉移之核酸通常連接於載體核酸分子,例如可插入載體核酸分子。載體可包含指引細胞自動複製的序列,或可包含足以允許整合到宿主細胞DNA的序列。載體可選自由DNA、RNA、質體、慢病毒載體、腺病毒載體及反轉錄病毒載體所組成之群組,但不限於此。The term "vector" as used herein refers to a nucleic acid capable of transferring or transporting another nucleic acid molecule. The transferred nucleic acid is typically linked to, eg, insertable, a carrier nucleic acid molecule. A vector may contain sequences that direct the cell to replicate autonomously, or may contain sequences sufficient to permit integration into the host cell DNA. The vector can be selected from the group consisting of DNA, RNA, plastid, lentiviral vector, adenoviral vector and retroviral vector, but is not limited thereto.
載體組成通常包含但不限於選自訊息序列、複製起點、至少一標記基因、增強子元件、啟動子及轉錄終止序列之中之至少一者。The vector composition generally includes but is not limited to at least one selected from a message sequence, an origin of replication, at least one marker gene, an enhancer element, a promoter, and a transcription termination sequence.
在載體中,編碼抗體的核酸可操作地連接於啟動子。In the vector, the nucleic acid encoding the antibody is operably linked to a promoter.
本文所使用之用語「可操作地連接」表示在核酸表現控制序列(例如啟動子、訊息序列或轉錄調節子結合位置之陣列)與不同核酸序列之間的功能性連接,從而控制序列用以控制不同核酸序列的轉錄及/或轉譯。As used herein, the term "operably linked" means a functional linkage between a nucleic acid expression control sequence (such as a promoter, a message sequence, or an array of transcriptional regulator binding sites) and a different nucleic acid sequence such that the control sequence is used to control Transcription and/or translation of different nucleic acid sequences.
使用原核細胞作為宿主時,通常包含能夠促進轉錄的強啟動子(例如tac啟動子、lac啟動子、lacUV5啟動子、lpp啟動子、pLλ啟動子、pRλ啟動子、rac5啟動子、amp啟動子、recA啟動子、SP6啟動子、trp啟動子或T7啟動子等)、用以起始轉譯的核醣體結合位置以及轉錄/轉譯中止序列。此外,舉例而言,當使用真核細胞作為宿主時,可使用源自哺乳動物細胞之基因組的啟動子(例如金屬硫蛋白啟動子、β肌動蛋白啟動子、人類血紅素啟動子或人類肌肉肌酸啟動子)或源自哺乳動物病毒的啟動子(例如腺病毒晚期啟動子、牛痘病毒7.5K啟動子、SV40啟動子、巨細胞病毒(CMV)啟動子、HSV的tk啟動子、小鼠乳房瘤病毒(mouse mammary tumor virus,MMTV)啟動子、HIV的LTR啟動子、鼠白血病病毒(Moloney virus)啟動子、艾司坦氏-巴爾氏病毒(Epstein-Barr virus,EBV)啟動子或勞斯肉瘤病毒(Rous sarcoma virus,RSV)啟動子,並且通常具有多腺苷酸化序列作為轉錄中止序列。When prokaryotic cells are used as hosts, they usually contain strong promoters that promote transcription (such as tac promoter, lac promoter, lacUV5 promoter, lpp promoter, pLλ promoter, pRλ promoter, rac5 promoter, amp promoter, recA promoter, SP6 promoter, trp promoter or T7 promoter, etc.), the ribosome binding site used to initiate translation, and the transcription/translation stop sequence. In addition, for example, when eukaryotic cells are used as hosts, promoters derived from the genome of mammalian cells (such as metallothionein promoter, β-actin promoter, human heme promoter, or human muscle Creatine promoter) or promoters derived from mammalian viruses (such as adenovirus late promoter, vaccinia virus 7.5K promoter, SV40 promoter, cytomegalovirus (CMV) promoter, tk promoter of HSV, mouse Mammary tumor virus (mouse mammary tumor virus, MMTV) promoter, HIV LTR promoter, murine leukemia virus (Moloney virus) promoter, Eistein-Barr virus (Epstein-Barr virus, EBV) promoter or Lao Rous sarcoma virus (RSV) promoter, and usually has a polyadenylation sequence as a transcription termination sequence.
在某些情況下,載體與另一序列融合以助於從其表現之抗體的純化。融合之序列的示例包含麩胺基硫S-轉移酶(Pharmacia,USA)、麥芽糖結合蛋白(NEB,USA)、FLAG(IBI,USA)及6x His(六組胺酸;Qiagen,USA)。In some cases, the vector is fused to another sequence to facilitate purification of antibodies expressed therefrom. Examples of fused sequences include glutamine sulfur S-transferase (Pharmacia, USA), maltose binding protein (NEB, USA), FLAG (IBI, USA) and 6x His (hexahistidine; Qiagen, USA).
載體包含本領域常用的抗生素抗性基因作為篩選標記,例如賦予胺苄青黴素、建它黴素、卡本西林、氯黴素、鏈黴素、康黴素、遺傳黴素(geneticin)、新黴素或四環黴素之抗性的基因。The vector contains antibiotic resistance genes commonly used in the art as selection markers, for example, endowing ampicillin, gentamycin, carbenzillin, chloramphenicol, streptomycin, kangmycin, geneticin (geneticin), neomycin Genes for resistance to clindamycin or tetracycline.
本文所使用之用語「病毒」係指經基因修飾以表現用於癌症治療之本發明之嵌合抗原受體的物質。於此,用語「基因修飾」表示將外來基因物質以DNA或RNA的形式添加至細胞的整個基因物質。The term "virus" as used herein refers to a substance that has been genetically modified to express the chimeric antigen receptor of the present invention for cancer therapy. Herein, the term "genetic modification" means the addition of foreign genetic material in the form of DNA or RNA to the entire genetic material of a cell.
根據本發明,將核酸或載體轉染至病毒。可使用將外源性核酸(DNA或RNA)引入至用於「轉染」之原核或真核宿主細胞之常用的多種不同的技術,例如電泳、磷酸鈣沉澱、DEAE-葡萄糖轉染、脂轉染(lipofection)等。According to the invention, the nucleic acid or vector is transfected into a virus. A variety of different techniques commonly used to introduce exogenous nucleic acid (DNA or RNA) into prokaryotic or eukaryotic host cells for "transfection" such as electrophoresis, calcium phosphate precipitation, DEAE-glucose transfection, lipofection Dye (lipofection), etc.
本發明之又另一態樣係關於在表面上表現嵌合抗原受體的免疫細胞。Yet another aspect of the invention relates to immune cells expressing chimeric antigen receptors on their surface.
根據本發明,免疫細胞能夠藉由引起免疫來展現出期望的癌症治療效果,並可選自由例如T細胞、NK細胞、NKT細胞、細胞介素誘導細胞(cytokine -induced killer cell,CIK)、巨噬細胞及樹狀細胞所組成之群組,但不限於此。免疫細胞較佳為T細胞。According to the present invention, immune cells can exhibit desired cancer therapeutic effect by causing immunity, and can be selected from, for example, T cells, NK cells, NKT cells, cytokine-induced killer cells (CIK), macrophages, etc. A group consisting of phagocytes and dendritic cells, but not limited thereto. The immune cells are preferably T cells.
因此,根據本發明之表現嵌合抗原受體的免疫細胞可包含嵌合抗原受體T細胞(CAR-T細胞)、嵌合抗原受體自然殺手細胞(CAR-NK細胞)、嵌合抗原受體自然殺手T細胞(CAR-NKT細胞)或嵌合抗原受體巨噬細胞(CAR-巨噬細胞)等。根據本發明,T細胞可選自由細胞毒性T淋巴細胞(CTL)以及從腫瘤浸潤淋巴細胞(tumor-infiltrating lymphocytes,TIL)及周邊血單核細胞(peripheral blood mononuclear cell,PBMC)分離的T細胞所組成之群組。Therefore, the immune cells expressing chimeric antigen receptors according to the present invention may include chimeric antigen receptor T cells (CAR-T cells), chimeric antigen receptor natural killer cells (CAR-NK cells), chimeric antigen receptor Human natural killer T cells (CAR-NKT cells) or chimeric antigen receptor macrophages (CAR-macrophages), etc. According to the present invention, T cells can be selected from cytotoxic T lymphocytes (CTL) and T cells isolated from tumor-infiltrating lymphocytes (TIL) and peripheral blood mononuclear cells (PBMC). composed of groups.
根據本發明,尤其,CAR-NK細胞係將嵌合抗原受體引入至自然殺手細胞的細胞。這些細胞能夠透過用以起始(on)/中止(off)反應的開關來解決使用CAR-T療法之免疫療法的問題,例如持續毒性、自體免疫疾病的風險、異種基因細胞移植的移植物抗宿主疾病(graft-versus-host disease,GVHD)及非目標毒性,並且亦能夠標靶多種癌細胞,故其可使用作為通用治療劑。According to the invention, inter alia, the CAR-NK cell line introduces chimeric antigen receptors into cells of natural killer cells. These cells can solve the problems of immunotherapy using CAR-T therapy, such as persistent toxicity, risk of autoimmune diseases, grafts of xenogeneic cell transplantation, through the switch to initiate (on)/stop (off) the response Anti-host disease (graft-versus-host disease, GVHD) and non-target toxicity, and can also target a variety of cancer cells, so it can be used as a general therapeutic agent.
本發明之又另一態樣係關於用於治療癌症的組合物,包含表現嵌合抗原受體的免疫細胞(例如T細胞或NK細胞)。T細胞可為選自由CD4+(positive)T細胞、CD8+細胞毒性T淋巴細胞(CTL)、γ-δ T細胞以及從腫瘤浸潤淋巴細胞(TIL)及周邊血單核細胞(PBMC)分離的T細胞所組成之群組,但不限於此。Yet another aspect of the invention pertains to compositions for treating cancer comprising immune cells (eg, T cells or NK cells) expressing chimeric antigen receptors. T cells can be selected from CD4+ (positive) T cells, CD8+ cytotoxic T lymphocytes (CTL), γ-δ T cells, and T cells isolated from tumor infiltrating lymphocytes (TIL) and peripheral blood mononuclear cells (PBMC) The group formed, but not limited to this.
根據本發明,「癌症」及「腫瘤」可交換使用,並係一種指哺乳動物的生理狀態,通常以不受調節的細胞生長及增殖為特徵。According to the present invention, "cancer" and "tumor" are used interchangeably and refer to a physiological condition in mammals, usually characterized by unregulated cell growth and proliferation.
可使用本發明之組合物治療的癌症(cancer)或癌(carcinoma)並不特別受限,並包含實質癌(solid cancer)及血癌(blood cancer)。此種癌症的示例包含但不限於乳癌。Cancer or carcinoma that can be treated with the composition of the present invention is not particularly limited, and includes solid cancer and blood cancer. Examples of such cancers include, but are not limited to, breast cancer.
本發明之治療組合物係用於預防或治療癌症的組合物,本文所使用之用語「預防」係指透過給予本發明之組合物來抑制或延緩癌症進展的任何動作,「治療」係指抑制癌症進展以及緩減或消除其症狀。The therapeutic composition of the present invention is a composition for the prevention or treatment of cancer. The term "prevention" as used herein refers to any action that inhibits or delays the progression of cancer by administering the composition of the present invention. "Treatment" refers to the inhibition Cancer progression and slowing or elimination of its symptoms.
組合物較佳包含根據本發明之表現嵌合抗原受體的免疫細胞,在治療目標中其數量為腫瘤細胞之數量的1至10倍,但本發明不限於此。The composition preferably comprises immune cells expressing chimeric antigen receptors according to the present invention, the number of which is 1 to 10 times the number of tumor cells in the therapeutic target, but the present invention is not limited thereto.
根據本發明之包含表現嵌合抗原受體之免疫細胞的醫藥組合物可更包含藥學上可接受的賦形劑。此種賦形劑的示例包含界面活性劑(較佳為聚山梨醇酯系列非離子界面活性劑)、緩衝液(例如中性緩衝鹽水、磷酸鹽緩衝鹽水等)、糖或糖醇(例如葡萄糖、甘露糖、蔗糖、聚葡糖、甘露醇等)、胺基酸、蛋白質或多肽(例如甘胺酸、組胺酸等)、抗氧化物、螯合劑(例如EDTA或麩胱甘肽(glutathione))、滲透劑、補充劑以及保存劑,但不限於此。The pharmaceutical composition comprising immune cells expressing chimeric antigen receptors according to the present invention may further comprise pharmaceutically acceptable excipients. Examples of such excipients include surfactants (preferably polysorbate series nonionic surfactants), buffers (such as neutral buffered saline, phosphate buffered saline, etc.), sugars or sugar alcohols (such as glucose , mannose, sucrose, polyglucose, mannitol, etc.), amino acids, proteins or polypeptides (such as glycine, histidine, etc.), antioxidants, chelating agents (such as EDTA or glutathione (glutathione )), penetrants, supplements and preservatives, but not limited thereto.
根據本發明一實施例,本發明之醫藥組合物在單一劑量中可包含免疫細胞(例如T細胞或NK細胞),在治療目標中其數量為腫瘤細胞之數量的1至10倍。According to an embodiment of the present invention, the pharmaceutical composition of the present invention may contain immune cells (such as T cells or NK cells) in a single dose, the number of which is 1 to 10 times that of tumor cells in the treatment target.
本發明之組合物可使用本領域已知的方式製備,以在對人類以外的哺乳動物給藥後提供活性成分的快速、持續或延遲釋放。製劑可為粉末、顆粒、錠劑、乳劑、糖漿、氣霧劑、軟或硬的明膠膠囊、無菌注射溶液或無菌粉末的形式。The compositions of the present invention may be prepared using methods known in the art so as to provide quick, sustained or delayed release of the active ingredient after administration to mammals other than humans. The preparations may be in the form of powders, granules, lozenges, emulsions, syrups, aerosols, soft or hard gelatin capsules, sterile injectable solutions or sterile powders.
醫藥組合物可以口服或非腸道製劑之多種形式提供。在製劑的情況下,使用常用的稀釋劑或賦形劑來製備,例如填充劑、增量劑、黏結劑、濕潤劑、崩解劑、界面活性劑等。用於口服給藥的固體製劑包含錠劑、丸劑、粉末、顆粒、膠囊等,此種固體製劑藉由將一或多種化合物與至少一賦形劑(例如澱粉、碳酸鈣、蔗糖、乳糖、明膠等)混合而獲得。除了簡單的賦形劑以外,亦可使用潤滑劑,例如硬脂酸鎂、滑石等。用於口服給藥的液體製劑包含懸浮劑、內服劑(internal solutions)、乳劑、糖漿等。除了如常用的水及液態石蠟之簡單的稀釋劑以外,還可包含多種賦形劑,例如濕潤劑、甜味劑、香料、保存劑等。用於非腸道給藥的製劑包含無菌水溶液、非水溶液、懸浮劑、乳劑、凍乾製劑及栓劑。非水溶液溶劑及懸浮劑可包含丙二醇、聚乙二醇、植物油(例如橄欖油)、可注射酯(例如油酸乙酯)等。作為栓劑的基礎,可使用Witepsol、聚乙烯二醇(macrogol)、Tween 61、可可脂、月桂脂(laurin fat)、甘油明膠等。Pharmaceutical compositions may be provided in a variety of forms, either oral or parenteral formulations. In the case of formulations, it is prepared using commonly used diluents or excipients, such as fillers, extenders, binders, wetting agents, disintegrants, surfactants, and the like. Solid preparations for oral administration include tablets, pills, powders, granules, capsules, etc., which are obtained by mixing one or more compounds with at least one excipient (such as starch, calcium carbonate, sucrose, lactose, gelatin, etc.) etc.) obtained by mixing. Besides simple excipients, lubricating agents such as magnesium stearate, talc, and the like can also be used. Liquid preparations for oral administration include suspensions, internal solutions, emulsions, syrups and the like. In addition to simple diluents such as commonly used water and liquid paraffin, various excipients such as wetting agents, sweeteners, fragrances, preservatives, etc. may also be included. Formulations for parenteral administration include sterile aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations and suppositories. Non-aqueous solvents and suspending agents may include propylene glycol, polyethylene glycol, vegetable oils such as olive oil, injectable esters such as ethyl oleate, and the like. As a base for suppositories, Witepsol, polyethylene glycol (macrogol), Tween 61, cocoa butter, laurin fat, glycerin gelatin and the like can be used.
本發明之又一態樣係關於治療癌症的方法,包含對受試者給予表現嵌合抗原受體的免疫細胞。Yet another aspect of the invention relates to a method of treating cancer comprising administering to a subject an immune cell expressing a chimeric antigen receptor.
本發明之又一態樣係關於免疫細胞在治療癌症的用途。Another aspect of the present invention relates to the use of immune cells in the treatment of cancer.
本發明之又一態樣係關於免疫細胞在製造用於治療癌症之藥物的用途。Yet another aspect of the invention relates to the use of immune cells in the manufacture of medicaments for the treatment of cancer.
受試者可為具有腫瘤的哺乳動物,尤其是人類,但不限於此。The subject can be a mammal with a tumor, especially a human, but not limited thereto.
根據本發明之表現嵌合抗原受體的免疫細胞或包含其的組合物可口服給藥或是透過輸注、靜脈注射、肌內注射、皮下注射、腹腔內注射、直腸給藥、局部給藥、鼻內注射等來給藥,但不限於此。The chimeric antigen receptor expressing immune cells according to the present invention or compositions comprising the same can be administered orally or via infusion, intravenous injection, intramuscular injection, subcutaneous injection, intraperitoneal injection, rectal administration, topical administration, Administration such as intranasal injection, but not limited thereto.
活性成分的劑量可依據以下多種因素而適當選擇,例如給藥途徑、年齡、性別、患者體重、疾病的嚴重程度等,根據本發明之治療組合物可與已知有效預防、改善或治療癌症症狀的化合物一起組合給藥。The dose of the active ingredient can be properly selected according to the following factors, such as administration route, age, sex, patient weight, disease severity, etc. The therapeutic composition according to the present invention can effectively prevent, improve or treat cancer symptoms with known The compounds are administered in combination.
透過以下示例可更好理解本發明。這些示例僅用於說明本發明,不應解釋為限制本發明的範圍,這對本領域具有通常知識者而言顯而易見。The invention can be better understood through the following examples. These examples are only for illustrating the present invention and should not be construed as limiting the scope of the present invention, which is obvious to those having ordinary knowledge in the art.
示例1.表現使用ErbB3(HER3)scFv作為外域之CAR的NK細胞之建構物Example 1. Construction of NK cells expressing CARs using ErbB3 (HER3) scFv as ectodomain
使用特異性結合至表現於癌細胞之ErbB3(HER3)的五個ErbB3 scFv候選(442S1、451M3、472S2、446及464)作為CAR的外域來製造各個CAR建構物(圖1)。Each of the CAR constructs was made using five ErbB3 scFv candidates (442S1, 451M3, 472S2, 446 and 464) specifically binding to ErbB3 (HER3) expressed in cancer cells (442S1, 451M3, 472S2, 446 and 464) as the ectodomain of the CAR (Figure 1).
〔表1〕
為了確認CAR表現於細胞表面,在外域表現myc及鉸鏈,使用參與細胞毒性的CD28、DAP10及CD3ζ作為內域。In order to confirm that CAR is expressed on the cell surface, myc and hinge are expressed in the outer domain, and CD28, DAP10, and CD3ζ involved in cytotoxicity are used as the inner domain.
對應各域的具體序列揭示於以下表2。The specific sequences corresponding to each domain are disclosed in Table 2 below.
〔表2〕
將五個CAR建構物各自插入慢病毒載體,建構表現CAR之慢病毒,建立使用其之表現CAR之NK92細胞系(圖2)。Each of the five CAR constructs was inserted into a lentiviral vector to construct a CAR-expressing lentivirus, and a CAR-expressing NK92 cell line using it was established (Figure 2).
示例2.確認ErbB3-CAR NK92對表現ErbB3之癌細胞的效果Example 2. Confirmation of the effect of ErbB3-CAR NK92 on ErbB3-expressing cancer cells
為了確認ErbB3-CAR NK92對癌細胞的細胞毒性,使用流式細胞儀辨識並選擇表現ErbB3之癌細胞系(圖3A),使用Calcein-AM法比較ErbB3-CAR NK92對癌細胞的細胞毒性。確認到相較於控制組(NK92或PURO-NK92),各CAR NK92針對表現ErbB3之癌細胞的細胞毒性提升,以及在不表現ErbB3之癌細胞中展現出相似於控制組的細胞毒性(圖3B)。In order to confirm the cytotoxicity of ErbB3-CAR NK92 to cancer cells, flow cytometry was used to identify and select cancer cell lines expressing ErbB3 (Figure 3A), and the cytotoxicity of ErbB3-CAR NK92 to cancer cells was compared using the Calcein-AM method. It was confirmed that each CAR NK92 exhibited increased cytotoxicity against ErbB3-expressing cancer cells compared to the control group (NK92 or PURO-NK92), and exhibited cytotoxicity similar to the control group in ErbB3-nonexpressing cancer cells (Fig. 3B ).
此外,在5個ErbB3-CAR NK92候選之中,選擇具有高細胞毒性的3種類型(442S1、451M3及472S2),再次確認其細胞毒性取決於CAR NK92與癌細胞的比例(作用細胞:目標細胞;E:T比例)。在表現ErbB3的癌細胞中,確認到3種類型之CAR NK92皆顯現出取決於E:T比例的細胞毒性,且在不表現ErbB3的癌細胞中展現出相似於控制組的細胞毒性(圖4)。In addition, among the 5 ErbB3-CAR NK92 candidates, 3 types with high cytotoxicity (442S1, 451M3, and 472S2) were selected, and their cytotoxicity was reconfirmed to depend on the ratio of CAR NK92 to cancer cells (acting cells: target cells ; E:T ratio). In cancer cells expressing ErbB3, it was confirmed that all three types of CAR NK92 exhibited cytotoxicity dependent on the E:T ratio, and in cancer cells not expressing ErbB3 exhibited cytotoxicity similar to that of the control group (Fig. 4 ).
再者,在將ErbB3-CAR NK92細胞與癌細胞共同培養之後,量測所分泌之細胞介素之量及去顆粒化(degranulation)之程度。基於使用ELISA之細胞介素(IFN-γ)的量測結果,確認到相較於控制組,在與表現ErbB3之癌細胞共培養的CAR NK92細胞中分泌大量IFN-γ(圖5A)。並且,對於基於CD107a之表現程度的去顆粒化,確認到在與表現ErbB3之癌細胞共同培養的組別中表現程度較高(圖5B)。Furthermore, after the ErbB3-CAR NK92 cells were co-cultured with cancer cells, the amount of secreted cytokines and the degree of degranulation were measured. Based on the measurement results of interleukin (IFN-γ) using ELISA, it was confirmed that a large amount of IFN-γ was secreted in CAR NK92 cells co-cultured with ErbB3-expressing cancer cells compared to the control group ( FIG. 5A ). Furthermore, regarding degranulation based on the degree of expression of CD107a, it was confirmed that the expression degree was higher in the group co-cultured with ErbB3-expressing cancer cells ( FIG. 5B ).
基於在單一細胞層級之ErbB3-CAR NK92之細胞毒性、與癌細胞接觸之頻率以及殺死癌細胞所需之時間的量測結果,與癌細胞接觸之頻率相似於控制組(PURO-NK92,Ecto;具有外域缺失結構的NK92),而細胞毒性高於控制組,殺死癌細胞所需之時間小於控制組(圖6)。Based on measurements of ErbB3-CAR NK92 cytotoxicity at the single-cell level, frequency of contact with cancer cells, and time required to kill cancer cells, the frequency of contact with cancer cells was similar to that of the control group (PURO-NK92, Ecto ; NK92 with an ectodomain deletion structure), while the cytotoxicity was higher than that of the control group, and the time required to kill cancer cells was shorter than that of the control group (Figure 6).
示例3.比較ErbB3-CAR NK92的效果Example 3. Comparing the effect of ErbB3-CAR NK92
為了比較ErbB3-CAR NK92的效果,與具有不同目標之外域的CAR NK92細胞系比較細胞毒性。具體而言,比較標靶ErbB2(HER2)(Cot-CAR NK92,通用概念嵌合抗原受體;使用標靶HER2之介質,HER2-CAR NK92)與ErbB3-CAR NK92(尤其具有最佳效果的442S1)之兩種類型的CAR NK92的細胞毒性。確認在各CAR NK92細胞中CAR的表現(圖7A),選擇表現表現所有CAR NK92之目標的癌細胞(圖7B)。在比較對相應之癌細胞的細胞毒性時,確認到相較於其他CAR NK92,ErbB3-CAR NK92(442S1)的細胞毒性非常高(圖7C)。To compare the effect of ErbB3-CAR NK92, cytotoxicity was compared with CAR NK92 cell lines with different ectodomains. Specifically, comparison of targeting ErbB2 (HER2) (Cot-CAR NK92, general concept chimeric antigen receptor; mediator using targeting HER2, HER2-CAR NK92) and ErbB3-CAR NK92 (especially 442S1 with the best effect ) of two types of CAR NK92 cytotoxicity. After confirming the expression of CAR in each CAR NK92 cell ( FIG. 7A ), cancer cells expressing all CAR NK92 targets were selected ( FIG. 7B ). When comparing the cytotoxicity against the corresponding cancer cells, it was confirmed that the cytotoxicity of ErbB3-CAR NK92 (442S1) was very high compared with other CAR NK92 ( FIG. 7C ).
此外,使用用於ErbB3-CAR NK92之外域的ErbB3 scFv(442S1)及具有相同目標之市售可得的ErbB3 scfv(LJM716)來確認抗體依賴細胞毒性(antibody-dependent cellular cytotoxicity,ADCC)。使用流式細胞儀評估各scFv是否結合至對應的癌細胞(圖8A),使用表現CD16之NK92(CD16+NK92)細胞進行ADCC(圖8B)。作為結果,確認到相較於市售可得之ErbB3 scFv(LJM716),用於ErbB3-CAR NK92之ErbB3 scFv(442S1)在表現ErbB3之癌細胞中展現出較高的ADCC(圖8C)。Furthermore, antibody-dependent cellular cytotoxicity (ADCC) was confirmed using ErbB3 scFv (442S1) for the ErbB3-CAR NK92 ectodomain and a commercially available ErbB3 scFv (LJM716) with the same target. Binding of each scFv to the corresponding cancer cells was assessed using flow cytometry ( FIG. 8A ), and ADCC was performed using CD16-expressing NK92 (CD16+NK92) cells ( FIG. 8B ). As a result, it was confirmed that the ErbB3 scFv (442S1) for ErbB3-CAR NK92 exhibited higher ADCC in ErbB3-expressing cancer cells compared to the commercially available ErbB3 scFv (LJM716) ( FIG. 8C ).
再者,使用市售可得之ErbB3 scFv(LJM716)建構CAR以建立表現CAR之NK92細胞系,接著與ErbB3-CAR NK92(442S1)比較其效果。除了CAR的外域,其餘建構物(跨膜及內域)製備成相同結構(圖9A),使用慢病毒建立表現CAR之NK92細胞系(圖9B)。作為比較ErbB3-CAR NK92細胞系之細胞毒性的結果,確認到相較於LJM716-CAR NK92細胞,442S1-CAR NK92細胞針對表現目標(ErbB3)之癌細胞展現出較高的細胞毒性。對於不表現ErbB3的癌細胞,確認到兩種類型之CAR NK92細胞展現出相似的細胞毒性(圖9C)。Furthermore, commercially available ErbB3 scFv (LJM716) was used to construct CAR to establish a CAR-expressing NK92 cell line, and then its effect was compared with that of ErbB3-CAR NK92 (442S1). Except for the outer domain of CAR, the rest of the constructs (transmembrane and inner domain) were prepared with the same structure (Figure 9A), and the NK92 cell line expressing CAR was established using lentivirus (Figure 9B). As a result of comparing the cytotoxicity of the ErbB3-CAR NK92 cell line, it was confirmed that 442S1-CAR NK92 cells exhibited higher cytotoxicity against cancer cells expressing the target (ErbB3) than LJM716-CAR NK92 cells. For cancer cells not expressing ErbB3, it was confirmed that both types of CAR NK92 cells exhibited similar cytotoxicity (Fig. 9C).
ErbB3-CAR NK92(442S1)針對表現ErbB3之癌細胞展現出特異性抗癌活性,並相較於現有的ErbB3 scFv(LJM716),具有非常高的效果。ErbB3-CAR NK92 (442S1) exhibits specific anticancer activity against ErbB3-expressing cancer cells, and has a very high effect compared to the existing ErbB3 scFv (LJM716).
由上述說明清楚可知,根據本發明之嵌合抗原受體展現出高親和力及結合至ErbB3的能力,表現嵌合抗原受體的免疫細胞對於表現ErbB3的癌細胞具有優越的細胞毒性,故其可用於癌症治療的過繼性免疫療法。It is clear from the above description that the chimeric antigen receptor according to the present invention exhibits high affinity and the ability to bind to ErbB3, and immune cells expressing chimeric antigen receptor have superior cytotoxicity to cancer cells expressing ErbB3, so it can be used Adoptive immunotherapy for cancer treatment.
儘管以上詳細描述本發明之具體實施例,但對本領域具有通常知識者顯而易見的是這些描述僅為較佳的示例性實施例,並不被解釋為限制本發明的範圍。因此,本發明的實質保護範圍由以下申請專利範圍及其均等範圍所界定。Although specific embodiments of the present invention have been described in detail above, it is obvious to those skilled in the art that these descriptions are only preferred exemplary embodiments and should not be construed as limiting the scope of the present invention. Therefore, the substantive protection scope of the present invention is defined by the following claims and their equivalent scopes.
無none
本發明之上述及其他目的、特徵及優點將透過以下詳細描述及附圖而更清楚理解,其中:The above and other objects, features and advantages of the present invention will be more clearly understood through the following detailed description and accompanying drawings, wherein:
圖1揭示分別使用特異性結合至ErbB3(HER3)之五個ErbB3 scFv候選(442S1、451M3、472S2, 446及464)作為CAR的外域(ectodomain)來製造CAR建構物的結果;Figure 1 reveals the results of making CAR constructs using five ErbB3 scFv candidates (442S1, 451M3, 472S2, 446 and 464) specifically binding to ErbB3 (HER3) as the ectodomain of CAR;
圖2揭示建立表現ErbB3-CAR之NK92細胞系的結果;Figure 2 reveals the results of establishing NK92 cell lines expressing ErbB3-CAR;
圖3A揭示選擇表現ErbB3之癌細胞系的結果;Figure 3A reveals the results of selecting cancer cell lines expressing ErbB3;
圖3B揭示確認各ErbB3-CAR NK92針對表現ErbB3之癌細胞之細胞毒性的結果;FIG. 3B reveals results confirming the cytotoxicity of each ErbB3-CAR NK92 against ErbB3-expressing cancer cells;
圖4揭示確認ErbB3-CAR NK92取決於 depending on the ratio of CAR NK92與癌細胞之比例(E:T比例)之細胞毒性的結果;Figure 4 reveals the results confirming the cytotoxicity of ErbB3-CAR NK92 depending on the ratio of CAR NK92 to cancer cells (E:T ratio);
圖5A揭示在與表現ErbB3之癌細胞共培養的CAR NK92細胞中IFN-γ分泌之量的結果;Figure 5A reveals the results of the amount of IFN-γ secretion in CAR NK92 cells co-cultured with ErbB3-expressing cancer cells;
圖5B揭示確認在與表現ErbB3之癌細胞共培養的CAR NK92中去顆粒化(degranulation)的結果;Figure 5B reveals results confirming degranulation in CAR NK92 co-cultured with ErbB3-expressing cancer cells;
圖6揭示確認在單一細胞層級之CAR NK92之效果的結果;Figure 6 reveals the results of confirming the effect of CAR NK92 at the single cell level;
圖7A揭示確認在各ErbB3-CAR NK92之CAR表現的結果;FIG. 7A reveals the result of confirming CAR expression in each ErbB3-CAR NK92;
圖7B揭示選擇滿足各CAR NK92之所有目標之細胞系的結果;Figure 7B reveals the results of selection of cell lines satisfying all targets of each CAR NK92;
圖7C揭示比較各CAR NK92細胞之細胞毒性的結果;Figure 7C reveals the result of comparing the cytotoxicity of each CAR NK92 cells;
圖8A揭示確認各ErbB3 scFv連接至癌細胞的結果;FIG. 8A reveals results confirming that each ErbB3 scFv is attached to cancer cells;
圖8B揭示確認表現CD16之NK92細胞系的結果;Figure 8B reveals the results of confirming the NK92 cell line expressing CD16;
圖8C揭示使用ErbB3 scFv之ADCC的量測結果;Figure 8C reveals the measurement results of ADCC using ErbB3 scFv;
圖9A揭示製造ErbB3-CAR建構物的結果;Figure 9A reveals the results of making ErbB3-CAR constructs;
圖9B揭示表現ErbB3-CAR之NK92細胞系(442S1 vs. LJM716);以及Figure 9B reveals NK92 cell lines expressing ErbB3-CAR (442S1 vs. LJM716); and
圖9C揭示比較ErbB3-CAR NK92(442S1 vs. LJM716)之細胞毒性的結果。Figure 9C reveals the results of comparing the cytotoxicity of ErbB3-CAR NK92 (442S1 vs. LJM716).
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