TWI415621B - Usage of interleukin-7 for manufacturing drug of kidney fibrosis and usage of a medication for treatment of kidney fibrosis - Google Patents

Usage of interleukin-7 for manufacturing drug of kidney fibrosis and usage of a medication for treatment of kidney fibrosis Download PDF

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TWI415621B
TWI415621B TW100132738A TW100132738A TWI415621B TW I415621 B TWI415621 B TW I415621B TW 100132738 A TW100132738 A TW 100132738A TW 100132738 A TW100132738 A TW 100132738A TW I415621 B TWI415621 B TW I415621B
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interleukin
renal fibrosis
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TW201311267A (en
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Yu Lin Yang
Pei Fang Hsieh
Shu Fen Liu
Chang Chi Hsieh
Min Yuan Hung
Chien Ya Hung
Wei Ming Chen
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Chung Hwa University Of Medical Technolgy
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Abstract

Usage of interleukin-7 for manufacturing drug of kidney fibrosis, wherein interleukin-7 inhibits the kidney fibrosis when the kidney cells stimulated by physiological or non-physiological stimulation. A medication of kidney fibrosis, comprises interleukin-7 as active element, and at least one medical acceptable adjuvant or carrier, which combines with interleukin-7 to form the medication.

Description

介白素7用以製備治療腎纖維化藥物之用途及醫藥組合物用 以製備治療腎纖維化之藥物的用途 Use of interleukin 7 for preparing medicine for treating renal fibrosis and pharmaceutical composition Use for preparing a medicament for treating renal fibrosis

本發明係關於一種介白素7之用途,特別是一種關於介白素7用以製備治療腎纖維化藥物之用途,及治療腎纖維化之醫藥組合物。 The present invention relates to a use of interleukin 7, and more particularly to a pharmaceutical composition for the use of interleukin 7 for the preparation of a medicament for the treatment of renal fibrosis and for the treatment of renal fibrosis.

介白素7(Interluekin-7,簡稱IL-7)係一種多功能細胞因子,其分子量約為25KDa,係由骨髓基質細胞或胸腺基質細胞所產生,介白素7主要係具有刺激淋巴細胞(包括B細胞、T細胞及NK細胞)之成熟、生長、分化及存活的生理活性,特別對B細胞及T細胞而言,介白素7係控制細胞發育的重要細胞激素之一;介白素7於生物體中除了調控免疫作用之外,亦具有潛在趨化性質、調控單核細胞參與炎症反應及促進血小板形成等作用。 Interluekin-7 (IL-7) is a multifunctional cytokine with a molecular weight of about 25KDa, which is produced by bone marrow stromal cells or thymic stromal cells. The interleukin-7 mainly has stimulating lymphocytes. Including the physiological activities of maturation, growth, differentiation and survival of B cells, T cells and NK cells, especially for B cells and T cells, one of the important cytokines controlling cell development; interleukin In addition to regulating immune function, 7 organisms also have potential chemotactic properties, regulate monocyte involvement in inflammation, and promote platelet formation.

根據Huang等人於2002年所發表之研究報告(IL-7 Inhibits Fibroblast TGF-β Production and Signaling in Pulmonary Fibrosis,J.Clin.Invest.109:931-937),證實介白素7係具有抑制原發性肺纖維化(Idiopathic pulmonary fibrosis)之作用,特別係藉由增強Smad7以抑制一肺纖維化母細胞之第一型乙型轉型生長因子(Transforming growth factor β type I,簡稱TGF-β1)之過度表現,而達到延緩肺纖維化患者的病程之功效。 According to a study published by Huang et al. in 2002 (IL-7 Inhibits Fibroblast TGF-β Production and Signaling in Pulmonary Fibrosis, J. Clin. Invest. 109: 931-937), it was confirmed that the interleukin 7 system has an inhibitory state. The role of Idiopathic pulmonary fibrosis, especially by inhibiting Smad7 to inhibit the first type of transforming growth factor β (I) of a pulmonary fibrosis mother cell (Transformed growth factor β type I, referred to as TGF-β1) Excessive performance, and achieve the effect of delaying the course of patients with pulmonary fibrosis.

然而,截至目前為止,尚未有研究資料指出介白素7亦能夠用以治療腎纖維化,以避免腎纖維化而加速腎臟病 患者的腎功能喪失。 However, as of now, there is no research data indicating that interleukin 7 can also be used to treat renal fibrosis to avoid renal fibrosis and accelerate kidney disease. The patient's kidney function is lost.

慢性腎臟疾病(Chronic kidney disease,簡稱CKD)是指腎臟受到傷害(如高血糖、高血壓、高蛋白尿或其他氧化壓力等),導致腎臟功能下降,或逐漸演變成腎纖維化,進而發生腎功能喪失。 Chronic kidney disease (CKD) refers to kidney damage (such as hyperglycemia, high blood pressure, high proteinuria or other oxidative stress), leading to a decline in kidney function, or gradually evolve into renal fibrosis, and then kidney Loss of function.

腎纖維化的形成過程可分為兩個階段: The formation of renal fibrosis can be divided into two stages:

(1)腎纖維化初期:腎臟組織接受不同的生理壓力(包含高血糖、高血壓、高蛋白尿或其他氧化壓力等)時,腎臟細胞或其周邊組織會釋放一系列的發炎物質,使腎臟組織持續地慢性發炎,促進腎臟細胞失去其固有特性,並發生細胞型態改變,隨後腎臟細胞開始釋放一系列生長因子,例如TGF-β1、結締組織生長因子(Connective tissue growth factor,簡稱CTGF)或表皮生長因子(Epidermal growth factor,簡稱EGF)等,進而導致腎間質的纖維母細胞增生與分化,並合成細胞外基質(Extracellular matrix,簡稱ECM)。 (1) Early stage of renal fibrosis: When the kidney tissue receives different physiological pressures (including hyperglycemia, hypertension, high proteinuria or other oxidative stress), the kidney cells or their surrounding tissues release a series of inflammatory substances to make the kidneys The tissue continues to chronically inflame, promotes the loss of its intrinsic properties and changes in cell type, and then the kidney cells begin to release a series of growth factors, such as TGF-β1, Connective Tissue Growth Factor (CTGF) or Epidermal growth factor (EGF), etc., which leads to the proliferation and differentiation of renal interstitial fibroblasts, and the synthesis of extracellular matrix (ECM).

此時,腎臟結構及功能雖然已經發生變化,但受損的腎臟細胞仍能夠行使部分功能,在腎纖維化初期係能夠透過治療而使受損的腎臟細胞恢復成原來功能,阻斷受損的腎臟細胞轉化成類纖維細胞是阻斷腎臟纖維化的關鍵環節。更詳言之,類纖維細胞係一種已分化細胞,失去原有細胞標記,而在細胞表面出現類似纖維細胞的標記,由此現象認定為細胞轉化的開始,若誘導轉化的因子消失,則細胞仍可回到原細胞的型態以及表徵,因此,阻斷腎臟細胞轉化成為纖維母細胞,是防止腎臟纖維化的重要關鍵。 At this time, although the structure and function of the kidney have changed, the damaged kidney cells can still perform some functions. In the early stage of renal fibrosis, the damaged kidney cells can be restored to their original functions and blocked. The conversion of kidney cells into fibroblasts is a key link in blocking renal fibrosis. More specifically, a fibroblast cell line is a differentiated cell that loses its original cell marker, and a cell-like marker appears on the cell surface. This phenomenon is recognized as the beginning of cell transformation, and if the factor that induces transformation disappears, the cell It can still return to the type and characterization of the original cells. Therefore, blocking the transformation of kidney cells into fibroblasts is an important key to prevent renal fibrosis.

(2)腎纖維化後期:當腎臟細胞受到發炎物質的刺激並轉變成類纖維細胞後,持續地與發炎物質接觸,該類纖維細胞將會轉化成纖維母細胞,此時纖維母細胞將不需要發炎物質的刺激,即可自行增殖,並持續合成第I及Ⅲ型膠原蛋白,使ECM快速堆積,最終導致腎小管及腎臟間質的纖維化產生。 (2) Late stage of renal fibrosis: When the kidney cells are stimulated by inflammatory substances and converted into fibroblasts, they are continuously contacted with inflammatory substances, and the fibroblasts will be transformed into fibroblasts. At this time, the fibroblasts will not. If you need the stimulation of inflammatory substances, you can proliferate yourself and continue to synthesize collagens of type I and III, so that ECM can accumulate rapidly, eventually leading to fibrosis of renal tubules and renal interstitial.

腎纖維化發展至此,有效的腎功能單位數量逐漸消失,就算阻止腎臟進一步的纖維化產生,對於已經纖維化的腎臟組織則無法再進行修復,當腎功能完全喪失時,則腎臟病患者僅能藉由血液透析或腹膜透析的方式維持其腎臟功能。 Since the development of renal fibrosis, the number of effective renal function units has gradually disappeared, and even if the kidneys are prevented from further fibrosis, the already fibrotic kidney tissue can no longer be repaired. When the renal function is completely lost, the kidney disease patient can only Maintain renal function by hemodialysis or peritoneal dialysis.

在學理研究上,腎纖維化係與上皮-間質轉換(Epithelial-mesenchymal transition,簡稱EMT)現象有關,EMT現象是在胚胎發育、纖維化及上皮癌症轉移時會出現的型態轉變過程。更詳言之,當腎臟細胞受到壓力刺激時會分泌發炎物質,促使正常腎臟細胞發生EMT現象,特別係指原本呈正方體的腎上皮細胞,轉變成梭狀型態並具有移動性,該腎上皮細胞脫離原本上皮區域後,轉化成纖維母細胞並分泌ECM以修復受損的腎臟組織,最終導致腎臟的纖維硬化。 In academic studies, renal fibrosis is associated with epithelial-mesenchymal transition (EMT), an EMT phenomenon that occurs during embryonic development, fibrosis, and epithelial cancer metastasis. More specifically, when the kidney cells are stimulated by stress, they will secrete inflammatory substances, which will cause EMT in normal kidney cells, especially the kidney epithelial cells which are originally in the shape of a square, which are transformed into a fusiform type and have mobility. After the cells are detached from the original epithelial area, they are transformed into fibroblasts and secrete ECM to repair damaged kidney tissue, which eventually leads to hardening of the kidney fibers.

當腎上皮細胞發生EMT現象,原本使腎上皮細胞相互連結在一起的黏附蛋白(E-cadherin)會喪失,因此,藉由測量黏附蛋白的表現量可作為判斷腎上皮細胞發生EMT現象的標準(Li et al.,2006)。 When EMT occurs in renal epithelial cells, the adhesion protein (E-cadherin) that originally binds the renal epithelial cells to each other is lost. Therefore, by measuring the amount of adhesion protein, it can be used as a criterion for judging the EMT phenomenon of renal epithelial cells ( Li et al. , 2006).

根據Border等人於1998年之研究指出,腎纖維化的 患者,其腎臟細胞所表現的TGF-β1較正常人多,且腎臟細胞藉由TGF-β1活化Smad信號傳遞路徑(Smad signaling),便開始表現Snail轉錄因子,使腎上皮細胞的黏附蛋白降解而發生EMT現象,並由上述的結果導至腎臟組織完全失去功能。 According to a 1998 study by Border et al., renal fibrosis In patients, renal cells exhibit more TGF-β1 than normal, and renal cells activate Smad signaling pathway by TGF-β1, which begins to express Snail transcription factors and degrades adhesion proteins of renal epithelial cells. The EMT phenomenon occurs and the above results lead to complete loss of function of the kidney tissue.

目前尚無有效抑制腎纖維化之藥物,僅能藉由控制引發腎纖維化之危險因子來減緩腎纖維化的發生,如控制血壓、血糖或限制蛋白質攝取;其中,對於高血壓患者而言,藉由給予降血壓藥物來控制血壓,例如血管張力素轉換酵素抑制劑(Angiotensin Converting Enzyme Inhibitor,簡稱ACE-I),以降低高血壓對於腎臟組織造成的生理壓力。 There is currently no effective drug for inhibiting renal fibrosis. It can only slow the occurrence of renal fibrosis by controlling risk factors that cause renal fibrosis, such as controlling blood pressure, blood sugar or limiting protein intake. Among them, for patients with hypertension, The blood pressure is controlled by administering a blood pressure lowering drug, such as Angiotensin Converting Enzyme Inhibitor (ACE-I), to reduce the physiological stress caused by hypertension on kidney tissues.

請參照巫文平於中國醫藥大學98學年度發表之碩士論文指出,組合絡舒樂適(Aliskiren)及纈沙坦(Valsartan)等降血壓藥物,對於治療由單側輸尿管阻斷所造成的腎纖維化具有療效,然而,該等降血壓藥物可能伴隨有頭痛、暈眩、咳嗽、腹瀉、腹痛、血管性水腫、甚至腎衰竭等副作用;此外,另有資料指出,史塔丁類(Statin)降血脂藥物亦具有治療腎纖維化之效果,然而,對於降血脂藥物過敏的患者,則可能會發生橫紋肌溶解症之副作用。 Please refer to the master's thesis published by Wu Wenping at the China Medical University in the 98th year. It is indicated that the combination of Aliskiren and Valsartan is a blood pressure lowering drug for the treatment of renal fibrosis caused by unilateral ureteral obstruction. Efficacy, however, these antihypertensive drugs may be accompanied by side effects such as headache, dizziness, cough, diarrhea, abdominal pain, angioedema, and even kidney failure; in addition, there are other data indicating that Statin is a hypolipidemic drug. It also has the effect of treating renal fibrosis. However, in patients who are allergic to hypolipidemic drugs, side effects of rhabdomyolysis may occur.

上述藥物除了可能伴隨有令服用者產生不適之副作用外,該等藥物皆僅適用於患有高血壓或者高血脂的腎纖維化患者,如腎纖維化患者不具有上述適應病症,則不適用上述藥物作為治療腎纖維化之用。 The above drugs may be used only in patients with renal fibrosis suffering from hypertension or hyperlipidemia, except for the side effects that may cause discomfort to the user. For example, patients with renal fibrosis do not have the above-mentioned adaptive conditions. The drug is used as a treatment for renal fibrosis.

由上述可知,若能提供一種天然化合物係能夠作為治療腎纖維化之有效成分,並製備成一腎纖維化藥物供人類 等哺乳動物攝取,而能夠減緩慢性腎臟病患者之腎纖維化現象,以避免腎功能喪失的發生,並有助於改善現行臨床醫療上無法有效控制腎纖維化發生之問題。 It can be seen from the above that if a natural compound can be provided as an active ingredient for treating renal fibrosis, a renal fibrosis drug can be prepared for human use. When it is ingested by mammals, it can slow down the renal fibrosis in patients with chronic kidney disease, avoid the occurrence of renal function loss, and help to improve the current clinical medical treatment can not effectively control the occurrence of renal fibrosis.

本發明之主要目的係提供一種介白素7用以製備治療腎纖維化藥物之用途,特別係藉由介白素7抑制腎臟細胞轉變為纖維母細胞之現象。 The main object of the present invention is to provide a use of interleukin 7 for the preparation of a medicament for treating renal fibrosis, in particular, the phenomenon of inhibiting the transformation of kidney cells into fibroblasts by interleukin 7.

本發明之次一目的係提供一種醫藥組合物用以製備治療腎纖維化之藥物的用途,係以介白素7作為抑制腎纖維化之活性成分,以減緩腎臟細胞轉變為纖維母細胞之情形。 A second object of the present invention is to provide a pharmaceutical composition for the preparation of a medicament for treating renal fibrosis, which uses interleukin 7 as an active ingredient for inhibiting renal fibrosis to slow down the conversion of kidney cells into fibroblasts. .

為達到前述發明目的,本發明所運用之技術手段包含有:一種介白素7用以製備治療腎纖維化藥物之用途,介白素7係具有抑制腎臟細胞在受到生理性或非生理性刺激的情況而發生腎纖維化之作用。 In order to achieve the foregoing object, the technical means used in the present invention comprises: a use of interleukin 7 for the preparation of a medicament for treating renal fibrosis, and the interleukin 7 system inhibits renal cells from being subjected to physiological or non-physiological stimulation. In the case of renal fibrosis.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該腎臟細胞係受到一誘導纖維化刺激物之刺激後,活化該腎臟細胞之第一型乙型轉型生長因子(Transforming growth factor β type I,簡稱TGF-β1)訊息傳遞路徑及上皮-間質轉換(Epithelial-mesenchymal transition,簡稱EMT)現象。 The use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the kidney cell line being stimulated by an induced fibrotic stimulator to activate the first type B transforming growth factor of the kidney cell (Transforming growth) Factor β type I, referred to as TGF-β1) message transmission path and epithelial-mesenchymal transition (EMT) phenomenon.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係抑制該腎臟細胞表現纖維蛋白 (Fibronectin)。 The use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis inhibits the expression of fibrin in the kidney cells (Fibronectin).

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係抑制該腎臟細胞之TGF-β1受體之表現量。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the interleukin 7 inhibits the expression of the TGF-β1 receptor of the kidney cells.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該TGF-β1受體係TGF-β1R I及TGF-β1R Ⅱ。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the TGF-β1 is subjected to the system TGF-β1R I and TGF-β1R II.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係抑制該腎臟細胞Snail轉錄因子之表現。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the interleukin 7 inhibits the expression of the Snail transcription factor of the kidney cell.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係抑制該腎臟細胞Slug轉錄因子之表現。 The use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis inhibits the expression of the renal cell Slug transcription factor.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係抑制該腎臟細胞間黏附蛋白受到該Snail轉錄因子或Slug轉錄因子之活化而水解。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the interleukin 7 inhibits the hydrolysis of the renal intercellular adhesion protein by activation of the Snail transcription factor or the Slug transcription factor.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係於該腎臟細胞受到刺激後,抑制該腎臟細胞之受器活化Smad蛋白,特別係指Smad2/3及pSmad2/3之表現量。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the interleukin 7 is stimulated by the kidney cells to inhibit the receptor-activated Smad protein of the kidney cells, in particular, Smad2/3 And the amount of performance of pSmad2/3.

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7係於該腎臟細胞受到刺激後,促進該腎臟細胞之抑制性Smad蛋白,特別係指Smad7之表現量。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the interleukin 7 is stimulated by the kidney cells to promote the inhibitory Smad protein of the kidney cells, in particular, the expression amount of Smad7 .

本發明之介白素7用以製備治療腎纖維化藥物之用途中,該介白素7之施予劑量係每公斤體重之個體投予2.8~56μg(微克)之介白素7。 In the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, the dose of the interleukin 7 is administered in an amount of 2.8 to 56 μg (microgram) of interleukin 7 per kg of body weight.

一種醫藥組合物用以製備治療腎纖維化之藥物的用途,該醫藥組合物係包含介白素7,作為抑制腎纖維化之 活性成分,該醫藥組合物更包含至少一種醫藥可接受之藥物佐劑或藥物載劑與介白素7結合。 A pharmaceutical composition for preparing a medicament for treating renal fibrosis, the pharmaceutical composition comprising interleukin 7 as a protein for inhibiting renal fibrosis An active ingredient, the pharmaceutical composition further comprising at least one pharmaceutically acceptable pharmaceutical adjuvant or drug carrier in combination with interleukin 7.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係一非經腸道或口服投藥之劑型。 The pharmaceutical composition of the present invention is for use in the preparation of a medicament for treating renal fibrosis, which is a parenteral or oral administration dosage form.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係注射品、無菌的粉劑、錠劑、膠囊、丸劑、粒劑或滴劑。 The pharmaceutical composition of the present invention is used for the preparation of a medicament for treating renal fibrosis, which is an injection, a sterile powder, a tablet, a capsule, a pill, a granule or a drop.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係以非經腸道之注射方式投與個體。 The pharmaceutical composition of the present invention is for use in the preparation of a medicament for treating renal fibrosis, which is administered to a subject by parenteral injection.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途中,該醫藥組合物係包含2.8~56μg/ml之介白素7以施予每公斤體重之生物個體。 In the use of the pharmaceutical composition of the present invention for the preparation of a medicament for treating renal fibrosis, the pharmaceutical composition comprises 2.8 to 56 μg/ml of interleukin 7 to be administered to a biological individual per kilogram of body weight.

為讓本發明之上述及其他目的、特徵及優點能更明顯易懂,下文特舉本發明之較佳實施例,並配合所附圖式,作詳細說明如下: The above and other objects, features and advantages of the present invention will become more <RTIgt;

本發明係提供一種介白素7用以製備治療腎纖維化藥物之用途,介白素7係能夠作為治療腎纖維化之活性成分,特別係當抑制腎臟細胞受到刺激(如高血糖、高血壓、高蛋白尿或其他氧化壓力等刺激因子)後,介白素7能夠經由下列路徑抑制腎臟細胞發生纖維化:(1)抑制腎臟細胞因上述之刺激因子所誘導纖維蛋白(Fibronectin)之表現;(2)抑制腎臟細胞中Snail轉錄因子及Slug轉錄因子 的表現,降低腎臟細胞間黏附蛋白(E-cadherin)的水解,以穩定腎臟細胞之間的結合穩定性,抑制腎臟細胞因受到刺激而發生EMT現象;(3)藉由調控TGF-β1訊息傳遞路徑的因子之活性,例如受器活化Smad蛋白(Receptor-activated Smads,簡稱R-Smads)-Smad2及Smad3,或抑制性Smad蛋白(Inhibitory Smads,簡稱I-Smads)-Smad7,以降低腎臟細胞發生EMT現象。如此,本發明之介白素7能夠有效抑制腎臟細胞發生纖維化之路徑,係可應用於製備治療腎纖維化之藥物,並將介白素7與至少一種醫學上可接受之藥物佐劑或藥物載劑結合,形成一醫藥組合物供人類等脊椎動物服用,藉以達到減緩或抑制腎臟細胞轉變為纖維母細胞之功效。 The present invention provides a use of interleukin 7 for the preparation of a medicament for treating renal fibrosis, and the interleukin 7 system can be used as an active ingredient for treating renal fibrosis, particularly when inhibiting stimulation of kidney cells (such as hyperglycemia and hypertension). After high-proteinuria or other stimulating factors such as oxidative stress, interleukin-7 can inhibit renal cell fibrosis via the following pathways: (1) inhibiting the expression of fibronectin induced by the above-mentioned stimulating factor in kidney cells; (2) Inhibition of Snail transcription factor and Slug transcription factor in kidney cells The performance of the kidney cells to reduce the hydrolysis of E-cadherin to stabilize the binding stability between kidney cells, inhibit the EMT phenomenon of kidney cells stimulated; (3) by regulating TGF-β1 signaling Pathway factor activity, such as receptor-activated Smads (R-Smads)-Smad2 and Smad3, or Inhibitory Smads (I-Smads)-Smad7, to reduce renal cellogenesis EMT phenomenon. Thus, the interleukin 7 of the present invention can effectively inhibit the path of fibrosis of kidney cells, and can be applied to the preparation of a medicament for treating renal fibrosis, and the interleukin 7 and at least one medically acceptable drug adjuvant or The drug carrier combines to form a pharmaceutical composition for use by humans and other vertebrates to thereby slow or inhibit the conversion of kidney cells into fibroblasts.

本發明之介白素7係可由各種人工合成方式獲得,如以重組介白素-7基因轉譯而合成;本發明之介白素7為一種生物體內自然存在的化合物,因此,長期服用介白素7對人體所造成之肝腎毒性較低,且不會對人體產生副作用。本實施例係選擇但不限定以購自R&D公司(USA)之介白素7進行試驗。 The interleukin 7 of the present invention can be obtained by various artificial synthesis methods, such as synthesis by recombinant interleukin-7 gene translation; the interleukin 7 of the present invention is a naturally occurring compound in vivo, and therefore, long-term use of interleukin It is less toxic to the liver and kidney caused by the human body 7 and does not cause side effects on the human body. This example was chosen but not limited to testing with interleukin 7 from R&D Corporation (USA).

為證實本發明之介白素7具有抑制腎臟細胞轉變為纖維母細胞之作用,以達到抑制生物體之腎臟細胞在受到生理性或非生理性刺激之情況下所發生的腎纖維化,(A)先建立一腎臟細胞纖維化之體外模式,再以該纖維化之腎臟細胞進行以下各試驗:(B)受刺激之腎臟細胞的纖維蛋白產生率、(C)受刺激之腎臟細胞的TGF-β1訊息傳遞路徑、(D)受刺激之腎臟細胞的TGF-β1訊息傳遞路徑之下游訊 息傳遞因子活化、及(E)腎臟細胞之EMT現象等試驗,以證實本發明之介白素7確實能夠抑制受刺激之腎臟細胞轉變成纖維母細胞之作用,而達到抑制腎纖維化之功效。 In order to confirm that the interleukin 7 of the present invention has an effect of inhibiting the transformation of kidney cells into fibroblasts, it is possible to inhibit renal fibrosis caused by physiological or non-physiological stimulation of kidney cells of the living body (A) First, establish an in vitro model of renal cell fibrosis, and then perform the following tests on the fibrotic kidney cells: (B) fibrin production rate of stimulated kidney cells, and (C) TGF of stimulated kidney cells. Β1 message transmission pathway, (D) downstream of the TGF-β1 message transmission pathway of stimulated kidney cells Tests such as activation of agglutination factor and (E) EMT phenomenon of kidney cells to confirm that the interleukin 7 of the present invention can inhibit the conversion of stimulated kidney cells into fibroblasts, thereby achieving the effect of inhibiting renal fibrosis. .

本發明所述之「生理性刺激」係指生物體的生理條件呈現高血壓、高血糖、高血脂或高尿蛋白之情形;而本發明所述之「非生理性刺激」係指生物體受到病毒、細菌或化學物質等外來刺激,經由生理性刺激或非生理性刺激導致腎臟細胞發生腎纖維化。 The term "physiological stimulation" as used in the present invention refers to a situation in which the physiological condition of the living body exhibits hypertension, hyperglycemia, hyperlipemia or high urine protein; and the "non-physiological stimulation" as used in the present invention means that the organism is subjected to Exogenous stimuli such as viruses, bacteria or chemicals cause renal fibrosis in kidney cells via physiological or non-physiological stimuli.

本實施例係選擇但不限定為人類近端腎小管上皮細胞株HK-2(後簡稱為腎上皮細胞HK-2),該腎上皮細胞HK-2係購自美國菌種保存中心(American Type Culture Collection,簡稱ATCC),其ATCC編號為CRL-2190。本實施例將該腎上皮細胞HK-2培養於一適當培養基中進行繼代培養,待該腎上皮細胞HK-2數量增殖至培養容器之七至八分滿,取一緩衝液,將增殖培養之腎上皮細胞HK-2由該培養容器之器壁沖刷至該緩衝液中,以方便進行該腎上皮細胞HK-2之細胞計數。 This embodiment is selected but not limited to human proximal tubular epithelial cell line HK-2 (hereinafter referred to as renal epithelial cell HK-2), and the renal epithelial cell HK-2 is purchased from the American Type Culture Center (American Type). Culture Collection (ATCC), whose ATCC number is CRL-2190. In this embodiment, the renal epithelial cell HK-2 is cultured in a suitable medium for subculture, and the number of the renal epithelial cells HK-2 is expanded to seven to eight minutes of the culture container, and a buffer is taken to proliferate and culture. Renal epithelial cells HK-2 were flushed into the buffer from the wall of the culture vessel to facilitate cell counting of the renal epithelial cells HK-2.

更詳言之,本實施例係選擇但不限定將該腎上皮細胞HK-2於含有10%胎牛血清蛋白之DMEM/F-12培養基(Dulbecco’s modified Eagle medium nutrient mixture F-12 HAM(DMEM/F-12=1:1 mixture),Sigma-Aldrich Chemical,St Louis,MO)中增殖培養,其中,每毫升之DMEM/F-12培養基內含有100units/ml之抗生素(Penicillin,Biowest)培養條件為5%二氧化碳氣體、溫度為37℃,待該腎上皮細胞HK-2長至培養容器之七或八成滿,以一商用胰蛋白 酶酵素緩衝液(Trypsin-EDTA,Gibco)重複沖洗該培養容器,以便將貼壁生長的腎上皮細胞HK-2沖刷至該胰蛋白酶酵素緩衝液,即完成該腎上皮細胞HK-2之活化,以進行細胞計數及後續試驗。 More specifically, this example selects, but does not limit, the renal epithelial cell HK-2 in DMEM/F-12 medium (Dulbecco's modified Eagle medium nutrient mixture F-12 HAM (DMEM/) containing 10% fetal bovine serum albumin. Proliferation culture in F-12 = 1:1 mixture), Sigma-Aldrich Chemical, St Louis, MO), in which 100 units/ml of antibiotic (Penicillin, Biowest) was cultured per ml of DMEM/F-12 medium. 5% carbon dioxide gas, the temperature is 37 ° C, until the renal epithelial cells HK-2 grow to seven or eighty percent of the culture container, a commercial trypsin The culture vessel is repeatedly rinsed with enzyme enzyme buffer (Trypsin-EDTA, Gibco) to wash the adherent growth of renal epithelial cells HK-2 into the trypsin buffer, thereby completing activation of the renal epithelial cell HK-2. For cell counting and subsequent testing.

(A)腎臟細胞纖維化之體外模式(A) In vitro model of renal cell fibrosis

為建立一纖維化之腎臟細胞體外模式,將一腎臟細胞與一誘導纖維化刺激物接觸,以模擬該腎臟細胞發生腎纖維化,其中,該誘導纖維化刺激物可以選擇為TGF-β1、β-羥丁酸(β-Hydroxybutyrate)或醣類化合物(如葡萄糖)等;本實施例之腎臟細胞纖維化體外模式係模擬一存在於高血糖環境(後稱作高糖環境)之細胞,取上述已活化之腎上皮細胞HK-2轉殖於含有0.1%胎牛血清的DMEM/F-12培養基中,該DMEM/F-12培養基另添加葡萄糖,使該DMEM/F-12培養基之葡萄糖(Sigma-Aldrich,St.Louis,MO,USA)最終濃度為27.5微莫耳濃度(mM),以模擬糖尿病患者的高血糖生理狀態,於充滿5%二氧化碳氣體、溫度為37℃之條件下培養24至48小時後,誘導該腎上皮細胞HK-2發生腎纖維化,即可得到該纖維化之腎臟細胞體外模式(Jau-Shyang Huang,2007),其中,以高糖環境誘導纖維化之腎臟細胞,其細胞數量會降低,且其細胞型態較正常腎臟細胞趨向細長狀之型態。 In order to establish a fibrotic kidney cell in vitro mode, a kidney cell is contacted with an induced fibrotic stimulator to simulate renal fibrosis of the kidney cell, wherein the induced fibrotic stimulator can be selected as TGF-β1, β - hydroxybutyric acid (β-Hydroxybutyrate) or a saccharide compound (such as glucose); the in vitro model of renal cell fibrosis in this example simulates a cell present in a hyperglycemic environment (hereinafter referred to as a high glucose environment), taking the above The activated renal epithelial cell HK-2 was transfected into DMEM/F-12 medium containing 0.1% fetal bovine serum, and glucose was added to the DMEM/F-12 medium to make the DMEM/F-12 medium glucose (Sigma). -Aldrich, St.Louis, MO, USA) The final concentration is 27.5 micromolar (mM) to simulate the hyperglycemic state of diabetic patients, cultured under conditions of 5% carbon dioxide gas and 37 ° C. After 48 hours, the renal epithelial cell HK-2 was induced to undergo renal fibrosis, and the fibrotic kidney cell in vitro mode was obtained (Jau-Shyang Huang, 2007), in which the fibrotic kidney cells were induced by a high glucose environment. The number of cells will decrease, and Patterns kidney cells than normal cells tend patterns of elongated.

為證實本發明介白素7確實能夠抑制腎臟細胞之纖維化,本實施例係取6組腎上皮細胞HK-2(每組至少含有5×105cells/ml之腎上皮細胞HK-2),以第1表所示之條件培養,其中,第A1組係僅以含有0.1%胎牛血清的 DMEM/F-12培養基培養48小時,第A2組係以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養48小時後,第A3至A6組係先以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養24小時後,分別加入濃度為10、50、100及200奈克/毫升(ng/ml)之介白素7後,續陪養24小時,待培養結束後取各組腎上皮細胞HK-2於相位差顯微鏡下觀察。 In order to confirm that the interleukin 7 of the present invention can inhibit the fibrosis of renal cells, in this example, six groups of renal epithelial cells HK-2 (each group containing at least 5 × 10 5 cells/ml of renal epithelial cells HK-2) were taken. The culture was carried out under the conditions shown in Table 1, wherein the group A1 was cultured only for 48 hours in DMEM/F-12 medium containing 0.1% fetal bovine serum, and the group A2 was contained with 0.1% fetal bovine serum and 27.5 mM. After incubation for 48 hours in DMEM/F-12 medium of glucose, groups A3 to A6 were cultured for 24 hours in DMEM/F-12 medium containing 0.1% fetal bovine serum and 27.5 mM glucose, respectively, and then added at a concentration of 10, 50, respectively. After 100 and 200 Ng/ml (ng/ml) of interleukin-7, the cells were incubated for 24 hours. After the culture was completed, each group of renal epithelial cells HK-2 was observed under a phase contrast microscope.

請參照第2圖所示,係第A1至A6組的細胞數百分率長條圖,以第A1組之細胞數為基準(其細胞數百分率定義為100%),在以高糖環境刺激的第A2組中,其細胞數百分率下降至60%,而第A3至A6組之細胞數百分率係隨與介白素7之作用濃度具有正向趨勢。 Please refer to Fig. 2, which is a bar graph of the percentage of cells in groups A1 to A6, based on the number of cells in group A1 (the cell percentage is defined as 100%), and stimulated in a high glucose environment. In the A2 group, the cell percentage decreased to 60%, and the cells in the A3 to A6 group had a positive trend with the concentration of interleukin-7.

請參照第1圖之(a)至(f)圖所示,分別為本實施例之第A1至A6組腎上皮細胞HK-2之相位差顯微照片(放大倍 率皆為200×)。比較(a)及(b)圖可知,在未以高糖環境刺激的第A1組,其腎上皮細胞HK-2係呈現橢圓狀型態(如(a)圖之箭頭所指之處),而第A2組之腎上皮細胞HK-2則呈現細長狀型態(如(b)圖之箭頭所指之處),代表該腎上皮細胞HK-2受到高糖環境刺激後,有趨向於發生纖維化的現象;而比較(c)至(f)圖可知,受到高糖環境刺激的組別皆隨介白素7之作用濃度增加,其纖維化現象的情況趨緩(特別係由細長狀型態轉變為橢圓狀型態),特別係第A5及A6組的細胞型態及細胞數百分率皆與第A1組之結果相似,表示,本實施例之腎上皮細胞HK-2受到本發明之介白素7之影響,而抑制該腎上皮細胞HK-2之纖維化現象。 Please refer to Fig. 1 (a) to (f) for the phase difference micrograph of the renal epithelial cells HK-2 of group A1 to group A6 of the present embodiment (magnification The rate is 200×). Comparing (a) and (b), it can be seen that in group A1 which is not stimulated by high glucose environment, the renal epithelial cell HK-2 line has an elliptical shape (as indicated by the arrow in (a) figure). The renal epithelial cell HK-2 of group A2 showed a slender shape (as indicated by the arrow in (b), indicating that the renal epithelial cell HK-2 tends to occur after being stimulated by a high glucose environment. The phenomenon of fibrosis; and comparing (c) to (f), it can be seen that the group stimulated by the high glucose environment increases with the concentration of interleukin 7, and the fibrosis phenomenon tends to slow down (especially by slender shape). The type of cells in the A5 and A6 groups is similar to that of the group A1, indicating that the renal epithelial cells HK-2 of the present embodiment are subjected to the present invention. The effect of interleukin 7 inhibits the fibrosis of the renal epithelial cell HK-2.

由此可知,當腎臟細胞受到刺激而發生纖維化現象,在添加不同作用濃度之介白素7,該腎臟細胞纖維化現象係隨介白素7之作用濃度增加而被抑制,顯示介白素7確實對於腎臟細胞具有抑制腎纖維化現象發生之功效。 It can be seen that when the kidney cells are stimulated and fibrotic, and the different concentrations of interleukin 7 are added, the renal cell fibrosis is inhibited as the concentration of interleukin 7 increases, indicating interleukin 7 does have the effect of inhibiting the occurrence of renal fibrosis in kidney cells.

(B)受刺激之腎臟細胞的纖維蛋白產生率(B) Fibrin production rate of stimulated kidney cells

由於腎臟細胞在受刺激之情況下會產生許多間質蛋白,例如纖維蛋白(Fibronectin)、膠原蛋白(Collagen)、肌腱蛋白(Tenascin)或層黏蛋白(Laminin),並將該等間質蛋白分泌至腎臟細胞外,特別係提高腎臟細胞間的纖維蛋白含量。為證實本發明之介白素7確實具有抑制腎臟細胞分泌纖維蛋白之作用,本實施例係以一高糖環境誘導腎臟細胞內產生纖維蛋白,並以西方墨點法(Western blotting)觀察該腎臟細胞內的纖維蛋白產生率,以酵素連結免疫吸附法(Enzyme-Linked ImmunoSorbet Assay,簡稱 ELISA)觀察該腎臟細胞外的纖維蛋白產生率,並以本發明之介白素7抑制由高糖環境所引發之纖維蛋白產生率。 Because kidney cells produce many interstitial proteins, such as Fibronectin, Collagen, Tenascin, or Laminin, and secrete these interstitial proteins. In addition to the kidney cells, in particular, increase the fibrin content between kidney cells. In order to confirm that the interleukin 7 of the present invention does have an effect of inhibiting the secretion of fibrin by kidney cells, this example induces fibrin production in kidney cells in a high glucose environment, and observes the kidney by Western blotting. The rate of fibrin production in cells is determined by Enzyme-Linked ImmunoSorbet Assay. ELISA) The rate of fibrin production outside the kidney was observed, and the rate of fibrin production caused by the high glucose environment was inhibited by the interleukin 7 of the present invention.

舉例而言,本實施例係以高糖環境刺激該腎上皮細胞HK-2產生纖維蛋白後,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法(為第B1-1至B1-6組),另取該腎上皮細胞HK-2之上清液進行ELISA(為第B2-1至B2-6組)。 For example, in the present embodiment, after the renal epithelial cell HK-2 is produced to produce fibrin in a high glucose environment, the cell lysate of the renal epithelial cell HK-2 is taken for Western blotting (for the B1-1 to B1). Group -6), the kidney epithelial cells HK-2 supernatant was taken for ELISA (groups B2-1 to B2-6).

本實施例係取6組腎上皮細胞HK-2(每組至少含有5×105cells/ml之腎上皮細胞HK-2),以第2表所示之條件培養,其中,第B1-1及B2-1組係僅以含有0.1%胎牛血清的DMEM/F-12培養基培養48小時,第B1-2及B2-2組係以含有0.1%胎牛血清及TGF-β1的DMEM/F-12培養基培養48小時後,第B1-3至B1-6組及第B2-3至B2-6組係先以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養24小時後,分別加入濃度為10、50、100及200ng/ml之介白素7後,續陪養24小時。 In this example, six groups of renal epithelial cells HK-2 (each group containing at least 5 × 10 5 cells/ml of renal epithelial cells HK-2) were cultured, and cultured under the conditions shown in Table 2, wherein, B1-1 The B2-1 group was cultured only for 48 hours in DMEM/F-12 medium containing 0.1% fetal calf serum, and the B1-2 and B2-2 groups were DMEM/F containing 0.1% fetal bovine serum and TGF-β1. After culturing for 48 hours in -12 medium, groups B1-3 to B1-6 and groups B2-3 to B2-6 were cultured for 24 hours in DMEM/F-12 medium containing 0.1% fetal bovine serum and 27.5 mM glucose. After that, the interleukin 7 at concentrations of 10, 50, 100 and 200 ng/ml were added separately and continued for 24 hours.

待培養結束後,第B1-1至B1-6組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,該一級抗體為一商用抗纖維蛋白(sc-9068)抗體(Santa Cruz Biotechnology,CA),並以一商用肌動蛋白抗體(Sigma,USA)偵測各組腎上皮細胞HK-2之肌動蛋白(β-actin,分子量43KDa)表現作為對照。 After the end of the culture, the B1-1 to B1-6 groups were taken from the cell culture medium of each group of renal epithelial cells HK-2, and the cells were lysed by lysis buffer, and then the Western blotting method was performed. The antibody was a commercial anti-fibrin (sc-9068) antibody (Santa Cruz Biotechnology, CA), and a group of renal epithelial cells HK-2 actin was detected with a commercial actin antibody (Sigma, USA). -actin, molecular weight 43 KDa) was used as a control.

第B2-1至B2-6組係取各組腎上皮細胞HK-2之細胞培養液,以12000rpm離心10分鐘後,得到各組之上清液,以一商用纖維蛋白ELISA試劑組(Biomedical,MA,USA)測量各組上清液於波長450nm之吸光值。 Group B2-1 to B2-6 were taken from the cell culture medium of each group of renal epithelial cells HK-2, and after centrifugation at 12000 rpm for 10 minutes, the supernatant of each group was obtained as a commercial fibrin ELISA reagent group (Biomedical, MA, USA) The absorbance of the supernatant of each group at a wavelength of 450 nm was measured.

請參照第3及4圖所示,分別係該腎上皮細胞HK-2內的纖維蛋白之西方墨點法蛋白質染色結果圖及其纖維蛋白表現量化長條圖。本實施例係以未受高糖環境刺激之第B1-1組所測得之吸光值為基準(該組腎上皮細胞HK-2之纖維蛋白表現量定義為100%),而受高糖環境刺激之第B1-2組具有很高的纖維蛋白產生率(約為500%),與第B1-1組相較具有顯著差異(p<0.05),表示本實施例以高糖環境刺激確實能夠提高腎上皮細胞HK-2內所含之纖維蛋白量;而第B1-3至B1-6組之纖維蛋白產生率係與第B1-2組相較具有顯著差異(p<0.05),且第B1-3至B1-6組之纖維蛋白產生率係隨介白素7之作用濃度增加而遞減,其中,特別係當介白素7之作用濃度為10ng/ml以上,即可降低纖維蛋白產生率;由此可知,本發明之介白素7濃度為10至200ng/ml,即可抑制受刺激之腎上皮細胞HK-2的 纖維蛋白產生率之功效。 Please refer to Figures 3 and 4 for the Western blotting protein staining results of fibrin in the renal epithelial cell HK-2 and the fibrin expression quantification bar graph. This example is based on the absorbance value measured in Group B1-1 which is not stimulated by a high glucose environment (the fibrin expression of the group of renal epithelial cells HK-2 is defined as 100%), and is subjected to a high sugar environment. The stimulated group B1-2 had a high fibrin production rate (about 500%), which was significantly different from the group B1-1 ( p < 0.05), indicating that the present example was able to stimulate with a high sugar environment. The amount of fibrin contained in renal epithelial cells HK-2 was increased; while the fibrin production rate in groups B1-3 to B1-6 was significantly different from that in group B1-2 ( p < 0.05), and The fibrin production rate of the B1-3 to B1-6 groups decreases with the increase of the concentration of interleukin-7, and in particular, when the concentration of interleukin 7 is 10 ng/ml or more, fibrin production can be reduced. From this, it can be seen that the concentration of the interleukin 7 of the present invention is 10 to 200 ng/ml, thereby suppressing the effect of the fibrin production rate of the stimulated renal epithelial cell HK-2.

請參照第5圖所示,係該腎上皮細胞HK-2外的纖維蛋白表現量化長條圖。本實施例係以未受高糖環境刺激之第B2-1組所測得之吸光值為基準(該組腎上皮細胞HK-2之纖維蛋白表現量定義為100%),而受高糖環境刺激之第B2-2組具有很高的纖維蛋白產生率(約為150%),與第B2-1組相較具有顯著差異(p<0.05),表示本實施例以高糖環境刺激確實能夠提高腎上皮細胞HK-2之纖維蛋白量;而第B2-4至B2-6組之纖維蛋白產生率係與第B2-2組相較具有顯著差異(p<0.05),且第B2-4至B2-6組之纖維蛋白產生率係隨介白素7之作用濃度增加而遞減,特別係介白素7之作用濃度為50ng/ml以上,即可降低腎上皮細胞HK-2之纖維蛋白產生率。 Please refer to Figure 5 for a quantitative bar graph of fibrin expression outside the renal epithelial cell HK-2. This example is based on the absorbance value measured in Group B2-1 which is not stimulated by a high glucose environment (the fibrin expression of the group of renal epithelial cells HK-2 is defined as 100%), and is subjected to a high sugar environment. The stimulated group B2-2 had a high fibrin production rate (about 150%), which was significantly different from the group B2-1 ( p < 0.05), indicating that the present example was able to stimulate with a high sugar environment. The amount of fibrin in renal epithelial cells HK-2 was increased; while the fibrin production rate in groups B2-4 to B2-6 was significantly different from that in group B2-2 ( p < 0.05), and B2-4 The rate of fibrin production in the B2-6 group decreases with the increase of the concentration of interleukin-7. In particular, the concentration of interleukin 7 is 50 ng/ml or more, which can reduce the fibrin of renal epithelial cells HK-2. Production rate.

此外,本實施例取第B2-1、B2-2及B2-6組之細胞培養液進行免疫螢光染色法,觀察該腎上皮細胞HK-2之纖維蛋白分佈,其中,該免疫螢光染色法係選擇但不限定以一商用抗纖維蛋白(ab23751)與一包含FITC之二級抗體偵測該纖維蛋白之分佈情形;請參照第6圖之(a)至(c)圖,圖面所示之綠色螢光處為纖維蛋白之標記,第B2-1組僅表現少許纖維蛋白,第B2-2組則明顯較第B2-1組表現出大量纖維蛋白,且藉由濃度為200ng/ml之介白素7可抑制纖維蛋白之表現。由此可知,本發明之介白素7濃度為50至200ng/ml,確實具有抑制受刺激之腎上皮細胞HK-2的纖維蛋白表現之作用。 In addition, in the present embodiment, the cell culture medium of the B2-1, B2-2, and B2-6 groups was subjected to immunofluorescence staining, and the fibrin distribution of the renal epithelial cell HK-2 was observed, wherein the immunofluorescence staining was performed. The method selects, but is not limited to, a commercial anti-fibrin (ab23751) and a secondary antibody containing FITC to detect the distribution of the fibrin; please refer to Fig. 6 (a) to (c), The green fluorescent light was labeled with fibrin, the B2-1 group showed only a small amount of fibrin, and the B2-2 group showed significantly more fibrin than the B2-1 group, and the concentration was 200 ng/ml. Interleukin 7 inhibits the performance of fibrin. From this, it is understood that the concentration of the interleukin 7 of the present invention is 50 to 200 ng/ml, and it does have an effect of suppressing the fibrin expression of the stimulated renal epithelial cell HK-2.

藉此,本發明之介白素7能夠達到有效抑制腎臟細胞 受到誘導纖維化刺激物之刺激所產生的纖維蛋白產生率,進而降低生物體發生腎纖維化速度的功效。 Thereby, the interleukin 7 of the present invention can achieve effective inhibition of kidney cells The rate of fibrin production by stimulation of the induced fibrotic stimuli, thereby reducing the rate of renal fibrosis in the organism.

(C)受刺激之腎臟細胞的TGF-β1訊息傳遞路徑(C) TGF-β1 message transmission pathway in stimulated kidney cells

為證實本發明之介白素7係藉由抑制受高糖環境刺激之腎臟細胞TGF-β1的訊息傳遞路徑,進而抑制該腎臟細胞發生纖維化之現象,更詳言之,該腎臟細胞受到高糖環境刺激後,增加腎臟細胞產生TGF-β1之生成,並且活化與該TGF-β1結合之TGF-β1受體(TGF-β1 receptor,簡稱TGF-β1R),目前已知三種TGF-β1受體(分別為TGF-β1R I、TGF-β1R Ⅱ及TGF-β1R Ⅲ)。本實施例係以ELISA測量腎臟細胞中TGF-β1的產生率,及以西方墨點法偵測TGF-β1R表現量。 In order to confirm that the interleukin 7 of the present invention inhibits the fibrosis of the renal cells by inhibiting the signal transduction pathway of the renal cell TGF-β1 stimulated by the high glucose environment, in more detail, the renal cells are highly exposed. After stimulation by the sugar environment, the production of TGF-β1 is increased by the kidney cells, and the TGF-β1 receptor (TGF-β1 receptor, TGF-β1R for short) is activated, and three TGF-β1 receptors are currently known. (TGF-β1R I, TGF-β1R II and TGF-β1R III, respectively). In this example, the production rate of TGF-β1 in kidney cells was measured by ELISA, and the expression level of TGF-β1R was detected by Western blotting method.

本實施例係以高糖環境刺激該腎上皮細胞HK-2,取該腎上皮細胞HK-2之細胞上清液進行ELISA,偵測該腎上皮細胞之TGF-β1產生率,另以西方墨點法,偵測該腎上皮細胞之TGF-β1R I及TGF-β1R Ⅱ之蛋白質表現量。 In this embodiment, the renal epithelial cell HK-2 is stimulated by a high glucose environment, and the cell supernatant of the renal epithelial cell HK-2 is taken for ELISA to detect the TGF-β1 production rate of the renal epithelial cells, and the western ink is used. Point method was used to detect the protein expression of TGF-β1R I and TGF-β1R II in the renal epithelial cells.

本實施例係將6組腎上皮細胞HK-2(各組均含有5×105cells/ml之腎上皮細胞HK-2),其中,第C1組係僅以含有0.1%胎牛血清的DMEM/F-12培養基培養48小時,第C2組係以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養48小時後,第C3至C6組係先以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養24小時後,分別加入濃度為10、50、100及200ng/ml之介白素7後,續陪養24小時。 In this example, 6 groups of renal epithelial cells HK-2 (each group contains 5×10 5 cells/ml of renal epithelial cells HK-2), wherein the group C1 is only DMEM containing 0.1% fetal bovine serum. /F-12 medium was cultured for 48 hours, and group C2 was cultured for 48 hours in DMEM/F-12 medium containing 0.1% fetal bovine serum and 27.5 mM glucose, and the C3 to C6 group was first containing 0.1% fetal bovine serum. After incubation with DMEM/F-12 medium of 27.5 mM glucose for 24 hours, the concentrations of 10, 50, 100 and 200 ng/ml of interleukin 7 were added, respectively, and the cells were incubated for 24 hours.

待培養結束後,第C1至C6組係取各組腎上皮細胞 HK-2之細胞培養液,取細胞上清液進行ELISA,並以裂解緩衝液將細胞溶破後,取細胞溶解液進行西方墨點法。 After the end of the culture, groups C1 to C6 were taken from each group of renal epithelial cells. The cell culture medium of HK-2 was taken, the cell supernatant was taken for ELISA, and the cells were lysed by lysis buffer, and the cell lysate was taken for Western blotting.

本實施例之ELISA係選擇但不限定以一商用TGF-β1之ELISA試劑組(R&D Biomedical,MA,USA)測量各組上清液於波長450nm之吸光值。 The ELISA of this example selects, but is not limited to, the absorbance of the supernatant of each group at a wavelength of 450 nm as measured by a commercial TGF-β1 ELISA reagent set (R&D Biomedical, MA, USA).

請參照第7圖所示,係該腎上皮細胞HK-2之TGF-β1表現量化長條圖。本實施例係以未受高糖環境刺激之第C1組所測得之吸光值為基準(該組腎上皮細胞HK-2之TGF-β1產生率定義為100%),而受高糖環境刺激之第C2組具有很高的TGF-β1產生率(約為230%),與第C1組相較具有顯著差異(p<0.05),表示本實施例以高糖環境刺激確實能夠提高腎上皮細胞HK-2之TGF-β1產生率;而第C4至C6組之TGF-β1產生率係與第C2組相較具有顯著差異(p<0.05),且第C4至C6組之TGF-β1產生率係隨介白素7之作用濃度增加而遞減,特別係介白素7之作用濃度為10ng/ml以上,即可降低腎上皮細胞HK-2之TGF-β1產生率。 Referring to Fig. 7, the TGF-β1 expression of the renal epithelial cell HK-2 was quantified. This example is based on the absorbance value measured in Group C1 which is not stimulated by a high glucose environment (the TGF-β1 production rate of the renal epithelial cell HK-2 is defined as 100%), and is stimulated by a high glucose environment. Group C2 had a high TGF-β1 production rate (about 230%), which was significantly different from that of Group C1 ( p < 0.05), indicating that the stimulation of high glucose environment in this example did improve renal epithelial cells. The TGF-β1 production rate of HK-2; and the TGF-β1 production rate of the C4 to C6 group was significantly different from that of the C2 group ( p < 0.05), and the TGF-β1 production rate of the C4 to C6 group. The system decreases with the increase of the concentration of interleukin-7, especially when the concentration of interleukin 7 is 10 ng/ml or more, which can reduce the TGF-β1 production rate of renal epithelial cells HK-2.

本實施例之西方墨點法係以兩種一級抗體(分別為購自SANTA CRUZ Biotechnology公司之一商用抗TGF-β1R I抗體及一商用TGF-β1R Ⅱ抗體)偵測各組腎上皮細胞HK-2之TGF-β1R I或TGF-β1R Ⅱ之表現,另以一商用肌動蛋白抗體(Sigma)偵測各組腎上皮細胞HK-2之肌動蛋白表現作為對照。 The Western blotting method of this example detects each group of renal epithelial cells HK- with two primary antibodies (commercially available from SANTA CRUZ Biotechnology, a commercial anti-TGF-β1R I antibody and a commercial TGF-β1R II antibody). 2 The expression of TGF-β1R I or TGF-β1R II was additionally measured by a commercial actin antibody (Sigma) as actin expression of each group of renal epithelial cells HK-2.

請參照第8及9a圖所示,係該腎上皮細胞HK-2內TGF-β1R I(分子量為53KDa)之西方墨點法蛋白質染色 結果圖及其TGF-β1R I表現量化長條圖。本實施例之第C1組係未與介白素7共同培養且未以高糖環境刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之TGF-β1R I表現量定義為100%);第C2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第9a圖可知,該TGF-β1R I之表現量確實有增加,與第9a圖之第C1組相較具有顯著差異(p<0.05);而第C3至C5組之TGF-β1R I表現量係隨著介白素7之作用濃度增加而被抑制,介白素7濃度為250ng/ml以上即可使腎臟細胞之TGF-β1R I表現量明顯降低,第C4及C5組與第C2組相較具有顯著差異(p<0.01)。 Please refer to Figures 8 and 9a for the Western blotting protein staining results of TGF-β1R I (molecular weight 53KDa) in the renal epithelial cell HK-2 and its TGF-β1R I expression quantitative bar graph. The C1 group of the present example was not correlated with the interleukin 7 and was not stimulated by a high glucose environment (control group), and the absorbance value was measured (TGF-β1R of the renal epithelial cell HK-2 of the group). The amount of I expression is defined as 100%); the group C2 is not co-cultured with interleukin 7, and the group stimulated by high glucose environment, as shown in Fig. 9a, the amount of TGF-β1R I does increase. Compared with the C1 group in Fig. 9a, there was a significant difference ( p <0.05); while the TGF-β1R I expression in the C3 to C5 group was inhibited as the concentration of interleukin 7 was increased, interleukin The concentration of TGF-β1R I in kidney cells was significantly lower at 7 concentrations above 250 ng/ml, and there was a significant difference between groups C4 and C5 compared with group C2 ( p <0.01).

請參照第8及9b圖所示,係該腎上皮細胞HK-2內TGF-β1R Ⅱ(分子量為70KDa)之西方墨點法蛋白質染色結果圖及其TGF-β1R Ⅱ表現量化長條圖。本實施例之第C1組係未與介白素7共同培養且未以高糖環境刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之TGF-β1R Ⅱ表現量定義為100%);第C2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第9b圖可知,該TGF-β1R Ⅱ之表現量確實有增加,與第9b圖之第C1組相較具有顯著差異(p<0.05);而第C3至C5組之TGF-β1R Ⅱ表現量係隨著介白素7之作用濃度增加而被抑制,介白素7濃度為250ng/ml以上即可使腎臟細胞之TGF-β1R Ⅱ表現量明顯降低,第C3至C5組與第C2組相較具有顯著差異(p<0.01)。 Please refer to Figures 8 and 9b for the Western blotting protein staining results of TGF-β1R II (molecular weight 70KDa) in the renal epithelial cells HK-2 and the TGF-β1R II performance quantitative bar graph. The C1 group of the present example was not correlated with the interleukin 7 and was not stimulated by a high glucose environment (control group), and the absorbance value was measured (TGF-β1R of the renal epithelial cell HK-2 of the group). The expression level of II is defined as 100%); the group C2 is not co-cultured with interleukin 7, and the group stimulated by high glucose environment, as shown in Fig. 9b, the expression of TGF-β1R II does increase. Compared with group C1 of Figure 9b, there was a significant difference ( p <0.05); while the amount of TGF-β1R II in group C3 to C5 was inhibited with the increase of the concentration of interleukin 7, the effect of interleukin The concentration of TGF-β1R II in kidney cells was significantly lower at 7 concentrations above 250 ng/ml, and there was a significant difference between groups C3 to C5 and group C2 ( p < 0.01).

由此可知,本發明之介白素7能夠促進腎臟細胞產生 TGF-β1,並藉由該TGF-β1刺激腎臟細胞的TGF-β1R I及TGF-β1R Ⅱ之表現,本發明之介白素7能達到抑制腎臟細胞的TGF-β1訊息傳遞路徑,減緩腎臟細胞發生腎纖維化之功效。 It can be seen that the interleukin 7 of the present invention can promote the production of kidney cells. TGF-β1, and the TGF-β1R I and TGF-β1R II expression of renal cells stimulated by the TGF-β1, the interleukin 7 of the present invention can inhibit the TGF-β1 message transmission pathway of kidney cells, slow down renal cells The effect of renal fibrosis occurs.

(D)受刺激之腎臟細胞的TGF-β1訊息傳遞路徑之下游訊息傳遞因子活化(D) Downstream signaling factor activation of TGF-β1 signaling pathway in stimulated kidney cells

為證實腎臟細胞受到高糖環境之刺激,所誘導的TGF-β1訊息傳遞路徑下游相關蛋白的活化,以及該TGF-β1訊息傳遞路徑中所活化之相關蛋白,在添加本發明之介白素7後被抑制,以證實本發明之介白素7能夠抑制腎纖維化之作用;更詳言之,腎臟細胞中的Smad2/3及pSmad2/3係與促進腎纖維化發生之相關轉錄因子,Smad7則係用以抑制Smad2/3活化之抑制性因子,進而抑制腎纖維化之發生,而Smad4係與受器活化Smad蛋白共同作用的共同調節Smad蛋白(Common-mediator Smads,簡稱Co-Smads)。 In order to confirm that the kidney cells are stimulated by a high glucose environment, the activation of the related proteins downstream of the TGF-β1 message transmission pathway, and the related proteins activated in the TGF-β1 message transmission pathway, the addition of the interleukin 7 of the present invention It was later inhibited to confirm that the interleukin 7 of the present invention can inhibit the action of renal fibrosis; more specifically, the Smad2/3 and pSmad2/3 lines in kidney cells and the transcription factors involved in promoting renal fibrosis, Smad7 It is used to inhibit the inhibitory factor of Smad2/3 activation, thereby inhibiting the occurrence of renal fibrosis, while the Smad4 line cooperates with the activated Smad protein to co-regulate the Smad protein (Common-mediator Smads, referred to as Co-Smads).

舉例而言,本實施例係以高糖環境刺激該腎上皮細胞HK-2,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法,偵測該腎上皮細胞中Smad2/3、磷酸化之Smad2/3(簡稱pSmad2/3)、Smad7及Smad4之蛋白質表現量。 For example, in this embodiment, the renal epithelial cell HK-2 is stimulated by a high glucose environment, and the cell lysate of the renal epithelial cell HK-2 is taken for Western blotting to detect Smad2/3 in the renal epithelial cell. Protein expression of phosphorylated Smad2/3 (pSmad2/3 for short), Smad7 and Smad4.

本實施例係將6組腎上皮細胞HK-2(各組均含有5×105cells/ml之腎上皮細胞HK-2),其中,第D1組係僅以含有0.1%胎牛血清的DMEM/F-12培養基培養48小時,第D2組係以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養48小時後,第D3至D6組係先以 含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養24小時後,分別加入濃度為10、50、100及200ng/ml之介白素7後,續陪養24小時。 In this example, 6 groups of renal epithelial cells HK-2 (each group contains 5×10 5 cells/ml of renal epithelial cells HK-2), wherein the D1 group is only DMEM containing 0.1% fetal bovine serum. /F-12 medium was cultured for 48 hours, and group D2 was cultured for 48 hours in DMEM/F-12 medium containing 0.1% fetal bovine serum and 27.5 mM glucose, and the D3 to D6 group was first containing 0.1% fetal bovine serum. After incubation with DMEM/F-12 medium of 27.5 mM glucose for 24 hours, the concentrations of 10, 50, 100 and 200 ng/ml of interleukin 7 were added, respectively, and the cells were incubated for 24 hours.

待培養結束後,第D1至D6組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,以一級抗體(分別為購自SANTA CRUZ Biotechnology公司之一商用抗Smad2/3(sc-8332)抗體、一商用抗pSmad2/3(sc-11769)抗體、一商用抗Smad7(sc-11392)抗體及一商用抗Smad4(sc-7154)抗體)偵測各組腎上皮細胞HK-2之Smad2/3、pSmad2/3、Smad7及Smad4之表現,另以一商用肌動蛋白抗體(Sigma,USA)偵測各組腎上皮細胞HK-2之肌動蛋白表現作為對照。 After the end of the culture, the D1 to D6 groups were taken from the cell culture medium of each group of renal epithelial cells HK-2, and the cells were lysed with lysis buffer, and then Western blotting method was carried out, in which the primary antibody was used. Commercial anti-Smad2/3 (sc-8332) antibody, a commercial anti-pSmad2/3 (sc-11769) antibody, a commercial anti-Smad7 (sc-11392) antibody and a commercial anti-Smad4 (sc) from SANTA CRUZ Biotechnology -7154) Antibody) The expression of Smad2/3, pSmad2/3, Smad7 and Smad4 of each group of renal epithelial cells HK-2 was detected, and each group of renal epithelial cells was detected by a commercial actin antibody (Sigma, USA). The actin of HK-2 was shown as a control.

請參照第10圖所示,係該腎上皮細胞HK-2內Smad2/3(分子量為55~60KDa)、pSmad2-3(分子量為58KDa)、Smad4(分子量為61KDa)及Smad7(分子量為51KDa)之西方墨點法蛋白質染色結果圖,第11a圖係Smad2/3表現量化長條圖,第11b圖係pSmad2/3表現量化長條圖,第11c圖係Smad7表現量化長條圖,第11d圖係Smad4表現量化長條圖。 Please refer to Figure 10 for Smad2/3 (molecular weight 55~60KDa), pSmad2-3 (molecular weight 58KDa), Smad4 (molecular weight 61KDa) and Smad7 (molecular weight 51KDa) in the renal epithelial cell HK-2. Western blotting protein staining results, Figure 11a is a quantitative bar graph of Smad2/3, 11b is a quantitative bar graph of pSmad2/3, and 11c is a quantitative bar graph of Smad7, 11d The Smad4 representation is a quantitative bar graph.

本實施例之第D1組係未與介白素7共同培養且未以高糖環境刺激之組別(對照組)所測得吸光值為基準(第9a圖之該組腎上皮細胞HK-2之Smad2/3表現量定義為100%,第11b圖之該組腎上皮細胞HK-2之pSmad2/3表現量定義為100%);第D2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第11a及11b圖可知,該 Smad2/3表現量或pSmad2/3表現量確實有增加,第11a圖之第D2組與第D1組相較具有顯著差異(p<0.01),而第11b圖之第D2組與第D1組相較亦具有顯著差異(p<0.01);而第D3至D6組之Smad2/3表現量及pSmad2/3表現量係隨著介白素7之作用濃度增加而被抑制,第D3至D6組與第D2組相較具有顯著差異(p<0.05),其中,介白素7濃度為50ng/ml以上可使腎臟細胞之Smad2/3表現量及pSmad2/3表現量明顯降低至如未受高糖環境刺激之第D1組之狀態。 The D1 group of the present example was not correlated with the interleukin 7 and was not stimulated by a high glucose environment (control group), and the absorbance value was measured (the group of renal epithelial cells HK-2 in Fig. 9a). The Smad2/3 expression was defined as 100%, the pSmad2/3 expression of the group of renal epithelial cells HK-2 in Fig. 11b was defined as 100%); the D2 group was not co-cultured with interleukin 7, but In the group with high glucose environmental stimuli, it can be seen from Figures 11a and 11b that the Smad2/3 expression or pSmad2/3 expression did increase, and the D2 group in Fig. 11a was significantly different from the D1 group ( p <0.01), and the D2 group in Figure 11b was significantly different from the D1 group ( p <0.01); while the Smad2/3 performance and the pSmad2/3 performance in the D3 to D6 groups were associated with The concentration of leucorrhea 7 was inhibited and increased. The D3 to D6 group was significantly different from the D2 group ( p < 0.05). Among them, the medium interleukin 7 concentration of 50 ng/ml or more could make the Smad2/ of the kidney cells. 3 The amount of expression and the amount of pSmad2/3 expression were significantly reduced to the state of group D1 which was not stimulated by a high glucose environment.

請參照第10及11c圖所示,係該腎上皮細胞HK-2內Smad7(分子量為51KDa)之西方墨點法蛋白質染色結果圖及其Smad7表現量化長條圖。本實施例之第D1組係未與介白素7共同培養且未以高糖環境刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之Smad7表現量定義為100%);第D2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第11c圖可知,第D2組之Smad7表現量與第D1組相具有顯著差異(p<0.01),表示高糖環境並不會誘導或抑制Smad7之表現;而第D3至D6組之Smad7表現量係隨著介白素7之作用濃度增加而增加,當介白素7之作用濃度為250ng/ml即可使腎臟細胞之Smad7表現量明顯增加,第D3至D6組與第D2組相較具有顯著差異(p<0.01)。 Please refer to Figures 10 and 11c for the Western blotting protein staining results of Smad7 (molecular weight 51KDa) in the renal epithelial cells HK-2 and the quantitative bar graph of Smad7 expression. The D1 group of the present example was not correlated with the interleukin 7 and was not stimulated by a high glucose environment (control group), and the absorbance value was measured (the amount of Smad7 of the renal epithelial cell HK-2 in this group) It is defined as 100%); the D2 group is not co-cultured with interleukin 7, but in the group stimulated by high glucose environment, it can be seen from Fig. 11c that the amount of Smad7 in group D2 is significantly different from that in group D1. ( p <0.01), indicating that the high glucose environment does not induce or inhibit the expression of Smad7; while the Smad7 expression in the D3 to D6 group increases with the concentration of interleukin-7, when interleukin 7 The concentration of Smad7 in kidney cells was significantly increased at a concentration of 250 ng/ml, and there was a significant difference between the D3 and D6 groups compared with the D2 group ( p < 0.01).

請參照第10及11d圖所示,係該腎上皮細胞HK-2內Smad4(分子量為61KDa)之西方墨點法蛋白質染色結果圖及其Smad4表現量化長條圖。本實施例之第D1組係未 與介白素7共同培養且未以高糖環境刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之Smad4表現量定義為100%),然而,第D2至D6組皆未受到高糖環境或與介白素7之刺激而有所增減,第D2至D6組之Smad4表現量與第D1組相較不具有顯著差異(p<0.05)。 Please refer to Figures 10 and 11d for the Western blotting protein staining results of Smad4 (molecular weight 61KDa) in the renal epithelial cells HK-2 and the Smad4 expression quantitative bar graph. The D1 group of the present example was measured by the absorbance value of the group (control group) which was not co-cultured with interleukin 7 and was not stimulated by a high glucose environment (the amount of Smad4 expression of the renal epithelial cell HK-2 in this group) It was defined as 100%). However, the D2 to D6 groups were not stimulated by high glucose environment or stimulated with interleukin-7. The Smad4 expression in groups D2 to D6 was less than that in group D1. Significant difference ( p < 0.05).

由此可知,本發明之介白素7能夠抑制腎臟細胞中誘導發生腎纖維化之轉錄因子-Smad2/3及pSmad2/3之表現,同時活化Smad7之活性,以達到有效抑制Smad2/3及pSmad2/3之表現,藉此而抑制該腎臟細胞受到誘導纖維化刺激物之刺激所產生的腎纖維化現象。 It can be seen that the interleukin 7 of the present invention can inhibit the expression of transcription factors Smad2/3 and pSmad2/3 which induce renal fibrosis in kidney cells, and simultaneously activate the activity of Smad7 to effectively inhibit Smad2/3 and pSmad2. /3, thereby inhibiting renal fibrosis caused by stimulation of the renal cells by the induction of fibrotic stimuli.

(E)腎臟細胞之EMT現象(E) EMT phenomenon of kidney cells

為了證實本發明之介白素7係具有抑制腎臟細胞在受到刺激的情況下發生EMT現象,進而使腎臟細胞發生腎纖維化,本實施例係以西方墨點法分析腎臟細胞內的Snail轉錄因子及Slug轉錄因子表現量,以及腎臟細胞之間的黏附蛋白表現量及平滑肌肌動蛋白表現量(α-Smooth muscle actin,簡稱α-SMA)。更詳言之,該Snail轉錄因子及Slug轉錄因子係促使腎臟細胞間黏附蛋白之水解,進而使腎臟細胞發生上皮-間質轉換(EMT)現象,藉由本實施例證實本發明之介白素7係能夠抑制該Snail轉錄因子及Slug轉錄因子之活性,避免該黏附蛋白發生水解,保持各腎臟細胞之間的結合穩定性。 In order to confirm that the interleukin 7 system of the present invention inhibits the occurrence of EMT in kidney cells under stimulation, and thereby causes renal fibrosis in kidney cells, this embodiment analyzes Snail transcription factors in kidney cells by western blotting method. And the amount of Slug transcription factor expression, as well as the amount of adhesion protein between kidney cells and the expression of α-Smooth muscle actin (α-SMA). More specifically, the Snail transcription factor and the Slug transcription factor promote hydrolysis of renal intercellular adhesion proteins, thereby causing epithelial-mesenchymal transition (EMT) phenomenon in kidney cells, and the present invention is illustrative of the interleukin 7 of the present invention. The system can inhibit the activity of the Snail transcription factor and the Slug transcription factor, avoid hydrolysis of the adhesion protein, and maintain the binding stability between the kidney cells.

舉例而言,本實施例係以TGF-β1刺激該腎上皮細胞HK-2活化Snail轉錄因子及Slug轉錄因子後,取該腎上皮細胞HK-2之細胞溶解液進行西方墨點法,並偵測該腎上 皮細胞HK-2之Snail轉錄因子及Slug轉錄因子及該黏附蛋白之表現量;更詳言之,該黏附蛋白係為上皮細胞之特徵,而該α-SMA係為間質細胞之特徵,本實施例同時偵測該腎臟細胞之黏附蛋白及平滑肌肌動蛋白表現量,證實該腎上皮細胞HK-2並未由上皮細胞轉變為間質細胞。 For example, in the present embodiment, after the renal epithelial cell HK-2 is activated by TGF-β1 to activate the Snail transcription factor and the Slug transcription factor, the cell lysate of the renal epithelial cell HK-2 is taken for Western blotting and detection. Measuring the kidney Snail transcription factor and Slug transcription factor of HK-2 and the expression of the adhesion protein; more specifically, the adhesion protein is characteristic of epithelial cells, and the α-SMA is characterized by interstitial cells, The examples simultaneously detected the adhesion protein and smooth muscle actin expression of the kidney cells, and confirmed that the renal epithelial cell HK-2 did not change from epithelial cells to interstitial cells.

本實施例係取6組腎上皮細胞HK-2(每組至少含有5×105cells/ml之腎上皮細胞HK-2),其中,第E1組係係僅以含有0.1%胎牛血清的DMEM/F-12培養基培養48小時,第E2組係以含有0.1%胎牛血清及27.5mM葡萄糖β1的DMEM/F-12培養基培養48小時後,第E3至E6組係先以含有0.1%胎牛血清及27.5mM葡萄糖的DMEM/F-12培養基培養24小時後,分別加入濃度為10、50、100及200ng/ml之介白素7後,續陪養24小時。 In this example, 6 groups of renal epithelial cells HK-2 (each group containing at least 5×10 5 cells/ml of renal epithelial cells HK-2) were selected, wherein the group E1 was only containing 0.1% fetal bovine serum. The DMEM/F-12 medium was cultured for 48 hours, and the E2 group was cultured for 48 hours in DMEM/F-12 medium containing 0.1% fetal bovine serum and 27.5 mM glucose β1, and the E3 to E6 group was firstly contained with 0.1% fetal. After 24 hours of culture in bovine serum and 27.5 mM glucose in DMEM/F-12 medium, the concentrations of interleukin 7 at concentrations of 10, 50, 100 and 200 ng/ml were added, respectively, and the cells were incubated for 24 hours.

待培養結束後,第E1至E6組係取各組腎上皮細胞HK-2之細胞培養液,並以裂解緩衝液將細胞溶破後,進行西方墨點法,其中,以一級抗體(分別為一商用抗Snail(C15D3)抗體、一商用抗Slug(C19G7)抗體、一商用抗黏附蛋白(sc-7870)抗體及一商用α-SMA(sc-32251)抗體)偵測各組腎上皮細胞HK-2之Snail轉錄因子、Slug轉錄因子、黏附蛋白及α-SMA之表現,另以一商用肌動蛋白抗體(Sigma,USA)偵測各組腎上皮細胞HK-2之肌動蛋白(β-actin)表現作為對照。 After the end of the culture, the E1 to E6 group was taken from the cell culture medium of each group of renal epithelial cells HK-2, and the cells were lysed with lysis buffer, and then Western blotting method was performed, in which the primary antibody was used. A commercial anti-Snail (C15D3) antibody, a commercial anti-Slug (C19G7) antibody, a commercial anti-adhesion protein (sc-7870) antibody, and a commercial α-SMA (sc-32251) antibody were used to detect each group of renal epithelial cells HK -2 Snail transcription factor, Slug transcription factor, adhesion protein and α-SMA, and a commercial actin antibody (Sigma, USA) was used to detect actin of HK-2 in each group of renal epithelial cells (β- Actin) performance as a control.

請參照第12及13a圖所示,係該腎上皮細胞HK-2內Snail轉錄因子(分子量為29KDa)之西方墨點法蛋白質染色結果圖及其Snail轉錄因子表現量化長條圖。本實施例之 第E1組係未與介白素7共同培養且未以高糖環境刺激之組別(對照組)所測得吸光值為基準(該組腎上皮細胞HK-2之Snail轉錄因子表現量定義為100%);第E2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第13a圖可知,該Snail轉錄因子表現量確實有增加,與第E1組相較具有顯著差異(p<0.01);而第E3至E6組之Snail轉錄因子表現量係隨著介白素7之作用濃度增加而被抑制,介白素7濃度為50ng/ml可使腎臟細胞之Snail轉錄因子表現量明顯降低,第E3至E6組之Snail轉錄因子表現量與第E2組相較具有顯著差異(p<0.05)。 Please refer to Figures 12 and 13a for the Western blotting protein staining results of the Snee transcription factor (molecular weight 29KDa) in the renal epithelial cell HK-2 and the quantitative bar graph of the Snail transcription factor. The E1 group of this example was not measured with the interleukin 7 and was not stimulated by a high glucose environment (control group). The absorbance value was measured (the Snail transcription factor of this group of renal epithelial cells HK-2) The amount of performance was defined as 100%); the group E2 was not co-cultured with interleukin 7 and the group stimulated by high glucose environment, as shown in Fig. 13a, the amount of Snail transcription factor did increase, with E1 There was a significant difference between the groups ( p <0.01); while the Snail transcription factor expression levels of the E3 to E6 groups were inhibited with the increase of the concentration of interleukin-7, and the concentration of interleukin 7 was 50 ng/ml. The expression of Snail transcription factors in kidney cells was significantly decreased, and the expression of Snail transcription factors in groups E3 to E6 was significantly different from that in group E2 ( p < 0.05).

請參照第12及13b圖所示,係該腎上皮細胞HK-2內Slug轉錄因子(分子量為30KDa)之西方墨點法蛋白質染色結果圖及其Slug轉錄因子表現量化長條圖。本實施例各組別培養條件與上述第E1至E5組相同,在此恕不贅述,其中,以第E1組所測得吸光值為基準(該組腎上皮細胞HK-2之Slug轉錄因子表現量定義為100%);第E2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第13b圖可知,該Slug轉錄因子表現量確實有增加,與第E1組相較具有顯著差異(p<0.01);而第E3至E6組之Slug轉錄因子表現量係隨著介白素7之作用濃度增加而被抑制,介白素7濃度為50ng/ml可使腎臟細胞之Slug轉錄因子表現量明顯降低,第E3至E6組之Slug轉錄因子表現量與第E2組相較具有顯著差異(p<0.05)。 Please refer to Figures 12 and 13b for the Western blotting protein staining results of the renal epithelial cell HK-2, the Slug transcription factor (molecular weight 30KDa) and the Slug transcription factor expression quantitative bar graph. The culture conditions of each group in this example are the same as those in the above E1 to E5 groups, and will not be described here. Among them, the absorbance values measured in the E1 group (the expression of the Slug transcription factor of the renal epithelial cell HK-2 in this group) The amount is defined as 100%); the E2 group is not co-cultured with interleukin 7, but the group stimulated by high glucose environment, as shown in Fig. 13b, the amount of the Slug transcription factor does increase, and the group E1 Compared with the significant difference ( p <0.01), the expression levels of Slug transcription factors in the E3 to E6 groups were inhibited with the increase of the concentration of interleukin-7, and the concentration of interleukin-7 was 50 ng/ml. The expression of Slug transcription factors in the cells was significantly decreased, and the expression of Slug transcription factors in the E3 to E6 groups was significantly different from that in the E2 group ( p < 0.05).

請參照第12及13c圖所示,係該腎上皮細胞HK-2內黏附蛋白(分子量為135KDa)之西方墨點法蛋白質染色 結果圖及其黏附蛋白表現量化長條圖。本實施例各組別培養條件係與上述第E1至E6組相同,在此恕不贅述,其中,以第E1組所測得之吸光值為基準(該組腎上皮細胞HK-2之黏附蛋白表現量定義為100%);第E2組係未與介白素7共同培養,而以高糖環境刺激之組別,由第13c圖可知,該黏附蛋白表現量確實有減少,與第E1組相較具有顯著差異(p<0.01);而第E3至E6組之黏附蛋白表現量係隨著介白素7之作用濃度增加而增加,介白素7濃度為100ng/ml可使腎臟細胞之黏附蛋白表現量明顯提升,第E3至E6組與第E2組相較具有顯著差異(p<0.01)。由此可知,該腎上皮細胞HK-2能夠藉由蛻皮激素的影響,降低因TGF-β1刺激所造成的黏附蛋白水解現象。 Please refer to Figures 12 and 13c for the Western blotting protein staining results of the renal epithelial cell HK-2 adhesion protein (molecular weight 135KDa) and the quantitative bar graph of the adhesion protein expression. The culture conditions of each group in this example are the same as those in the above E1 to E6 groups, and will not be described here. Among them, the absorbance value measured by the E1 group is the adhesion protein of the renal epithelial cell HK-2. The amount of expression was defined as 100%); the group E2 was not co-cultured with interleukin 7, and the group stimulated by high glucose environment, as shown in Fig. 13c, the amount of adhesion protein did decrease, and group E1 There was a significant difference ( p <0.01); while the adhesion protein expression in the E3 to E6 group increased with the concentration of interleukin-7, and the concentration of interleukin 7 was 100 ng/ml. The expression of adhesion proteins was significantly increased, and the E3 to E6 groups were significantly different from the E2 group ( p < 0.01). It can be seen that the renal epithelial cell HK-2 can reduce the adhesion proteolysis caused by TGF-β1 stimulation by the influence of ecdysone.

請參照第12及13d圖所示,係該腎上皮細胞HK-2內α-SMA(分子量為42KDa)之西方墨點法蛋白質染色結果圖及其平滑肌肌動蛋白表現量化長條圖。本實施例各組別培養條件係與上述第E1至E6組相同,在此恕不贅述,其中,以第E1組所測得之吸光值為基準(該組腎上皮細胞HK-2之α-SMA表現量定義為100%);第E2組係未與蛻皮激素共同培養,而以高糖環境刺激之組別,由第10圖可知,該α-SMA表現量確實有增加,與第E1組相較具有顯著差異(p<0.01);而第E3至E6組之α-SMA表現量係隨著蛻皮激素之作用濃度增加而被抑制,蛻皮激素濃度為10nM以上即可使腎臟細胞之α-SMA表現量明顯降低,第E3至E6組與第E2組相較具有顯著差異(p<0.01)。由此可知,該腎上皮細胞HK-2能夠藉由蛻皮激素的影響,降 低因TGF-β1刺激所造成的α-SMA形成現象。 Please refer to Figures 12 and 13d for the Western blotting protein staining results of α-SMA (molecular weight 42KDa) in the renal epithelial cells HK-2 and the quantitative bar graph of smooth muscle actin expression. The culture conditions of each group in the present embodiment are the same as those in the above E1 to E6 groups, and will not be described here. Among them, the absorbance value measured by the E1 group is based on the α-the renal epithelial cells of the group - The SMA expression was defined as 100%); the E2 group was not co-cultured with ecdysone, and the group stimulated by high glucose environment, as shown in Fig. 10, the α-SMA expression did increase, and the E1 group Compared with the significant difference ( p <0.01), the α-SMA expression in the E3 to E6 group was inhibited with the increase of the concentration of ecdysone, and the ecdysone concentration of 10 nM or more could make the α of the kidney cells. The SMA performance was significantly reduced, and the E3 to E6 groups were significantly different from the E2 group ( p < 0.01). From this, it can be seen that the renal epithelial cell HK-2 can reduce the formation of α-SMA caused by TGF-β1 stimulation by the influence of ecdysone.

此外,本實施例取第E1、E2及E5組之細胞培養液進行免疫螢光染色法,觀察該腎上皮細胞HK-2之Snail轉錄因子、Slug轉錄因子、黏附蛋白及平滑肌肌動蛋白之分佈,其中,該免疫螢光染色法係選擇但不限定以一商用抗Snail轉錄因子(ab85931)抗體(Abcam Biotechnology)、一商用抗Slug轉錄因子抗體、一商用抗黏附蛋白(ab53033)抗體及一商用α-SMA(ab5694)抗體,分別與一包含FITC之二級抗體分別偵測該Snail轉錄因子、該Slug轉錄因子、該黏附蛋白及該α-SMA於腎臟細胞之分佈情形。請參照第3表所示,係第14圖之(a)至(l)圖所對應之組別及其螢光標記之轉錄因子或蛋白質。 In addition, in this example, the cell culture medium of the E1, E2, and E5 groups was subjected to immunofluorescence staining, and the distribution of Snail transcription factor, Slug transcription factor, adhesion protein, and smooth muscle actin of the renal epithelial cell HK-2 was observed. Wherein, the immunofluorescence staining method selects, but is not limited to, a commercial anti-Snail transcription factor (ab85931) antibody (Abcam Biotechnology), a commercial anti-Slug transcription factor antibody, a commercial anti-adhesion protein (ab53033) antibody, and a commercial The α-SMA (ab5694) antibody detects the distribution of the Snail transcription factor, the Slug transcription factor, the adhesion protein and the α-SMA in renal cells, respectively, with a secondary antibody comprising FITC. Please refer to the table corresponding to Table 3 (a) to (l) for the transcription factor or protein of the fluorescent marker.

請參照第14圖之(a)至(l)圖所示,並以第E1組之腎上脾細胞HK-2所表現的黏附蛋白((a)圖)、平滑肌肌動蛋白((d)圖)、Snail轉錄因子((g)圖)及Slug轉錄因子((j) 圖)之表現量作為基準,將第E2及E5組之免疫螢光染色結果與第E1組作比較,證實本實施例之黏附蛋白、平滑肌肌動蛋白、Snail轉錄因子及Slug轉錄因子的表現量與西方墨點法之結果相符。 Please refer to Figure 14 (a) to (l) for the adhesion protein expressed by the suprarenal spleen cell HK-2 of group E1 ((a)), smooth muscle actin (d) Figure), Snail transcription factor ((g) map) and Slug transcription factor ((j) The results of the immunofluorescence staining of the E2 and E5 groups were compared with the E1 group to confirm the expression of the adhesion protein, smooth muscle actin, Snail transcription factor and Slug transcription factor of the present example. In line with the results of the Western dot method.

更詳言之,第E2組之黏附蛋白表現量((b)圖)明顯較第E1組之黏附蛋白為低,而第E5組之黏附蛋白表現量((c)圖)明顯高於第E2組,甚至大於第E1組所表現的黏附蛋白,藉由濃度為500ng/ml之介白素7可抑制黏附蛋白之表現。 More specifically, the amount of adhesion protein in group E2 ((b) is significantly lower than that in group E1, and the amount of adhesion protein in group E5 ((c)) is significantly higher than that in group E2. The group, even larger than the adhesion protein expressed in the E1 group, inhibited the expression of adhesion proteins by a concentration of 500 ng/ml of interleukin-7.

第E2組之α-SMA表現量((e)圖)明顯較第E1組之α-SMA為高,而第E5組之α-SMA表現量((f)圖)明顯高於第E2組之α-SMA表現量,藉由濃度為500ng/ml之介白素7可抑制α-SMA之表現。 The α-SMA performance of the E2 group ((e) is significantly higher than that of the E1 group, while the α-SMA performance of the E5 group ((f)) is significantly higher than that of the E2 group. The α-SMA expression amount inhibited the expression of α-SMA by a concentration of 500 ng/ml of interleukin-7.

第E2組之Snail轉錄因子表現量((h)圖)明顯較第E1組之Snail轉錄因子為高,而第E5組之Snail轉錄因子表現量((i)圖)明顯高於第E2組之Snail轉錄因子表現量,藉由濃度為500ng/ml之介白素7可抑制Snail轉錄因子之表現。 The Snail transcription factor expression in group E2 ((h) is significantly higher than that in group E1, while the Snail transcription factor in group E5 (i) is significantly higher than group E2. The Snail transcription factor expression amount inhibited the expression of the Snail transcription factor by a concentration of 500 ng/ml of interleukin-7.

第E2組之Slug轉錄因子表現量((k)圖)明顯較第E1組之Slug轉錄因子為高,而第E5組之Slug轉錄因子表現量((l)圖)明顯高於第E2組之Slug轉錄因子表現量,藉由濃度為500ng/ml之介白素7可抑制Slug轉錄因子之表現。 The amount of Slug transcription factor in group E2 ((k)) was significantly higher than that in group E1, while the amount of Slug transcription factor in group E5 ((1) was significantly higher than that in group E2). The expression of Slug transcription factor inhibited the expression of Slug transcription factors by a concentration of 500 ng/ml of interleukin-7.

由此可知,本發明之介白素7確實能夠降低腎臟細胞由高糖環境刺激所誘導的Snail轉錄因子、Slug轉錄因子 及平滑肌肌動蛋白表現量,且增進腎臟細胞所產生之黏附蛋白表現量,而達到抑制腎臟細胞發生EMT現象,藉此抑制該腎臟細胞受到刺激而產生EMT現象,進而達到有效抑制腎纖維化發生之功效。 It can be seen that the interleukin 7 of the present invention can indeed reduce the Snail transcription factor and Slug transcription factor induced by high glucose environment stimulation in kidney cells. And the expression of smooth muscle actin, and increase the expression of adhesion proteins produced by kidney cells, thereby inhibiting the occurrence of EMT in kidney cells, thereby inhibiting the stimulation of the kidney cells to produce EMT, thereby effectively inhibiting the occurrence of renal fibrosis. The effect.

承上所述,本發明之介白素7係可以抑制腎臟細胞受到刺激後,所產生的纖維蛋白表現量,抑制Snail轉錄因子及Slug轉錄因子的表現,降低腎臟細胞間黏附蛋白的水解作用,而達到穩定腎臟細胞之間的結合穩定性,並且,本發明之蛻皮細胞又能抑制腎臟細胞受到刺激後,其TGF-β1訊息傳遞路徑中Smad2/3及pSmad2/3的表現,同時促進腎臟細胞之Smad7的活性,以確實降低該腎臟細胞之Smad2/3及pSmad2/3的表現,進而達到防止腎臟細胞發生EMT現象。由上述可知,本發明之介白素7確實具有腎臟細胞發生纖維化現象的作用,以降低生物體的腎臟在受到刺激的情況下,其腎纖維化作用之進程;據此,本發明之介白素7可應用於開發抑制腎纖維化作用之醫藥組合物,具有提升臨床醫療品質之功效。 As described above, the interleukin 7 system of the present invention can inhibit the expression of fibrin produced by stimulation of kidney cells, inhibit the expression of Snail transcription factor and Slug transcription factor, and reduce the hydrolysis of adhesion proteins between kidney cells. In order to achieve stable binding stability between kidney cells, and the ecchymocytes of the present invention can inhibit the expression of Smad2/3 and pSmad2/3 in the TGF-β1 signaling pathway after stimulation of renal cells, and promote renal cells. The activity of Smad7 actually reduces the expression of Smad2/3 and pSmad2/3 in the kidney cells, thereby preventing the occurrence of EMT in kidney cells. It can be seen from the above that the interleukin 7 of the present invention does have a function of fibrosis of kidney cells to reduce the progress of renal fibrosis in the case where the kidney of the living body is stimulated; accordingly, the present invention Baisu 7 can be applied to the development of pharmaceutical compositions for inhibiting renal fibrosis, and has the effect of improving clinical medical quality.

本發明之介白素7係可以做為一種用以治療腎纖維化之活性成分(Active substrate),以各種方式單獨,或者結合至少一種醫藥可接受之藥物佐劑、藥物載劑、其他副成分、營養成分或他種藥物活性成分,使介白素7成型為該醫藥組合物,並共同給予各種生物個體,較佳係藉由該非經腸道之注射方式給予各種生物個體一適當劑量,本實施例係根據Yang等人於2009年,發表於Endocrinology期刊「Bone Morphogenetic Protein-2 Antagonizes Renal Interstitial Fibrosis by Promoting Catabolism of Type I Transforming Growth Factor-β Receptors」之論文,換算本發明之介白素7施予生物體之劑量,較佳係生物體之每公斤體重給予2.8~56μg之介白素7,較佳係每天給予1~2次,能夠有效抑制該腎纖維化之病理特徵;再者,本發明之介白素7可以利用本發明所屬技術領域者所詳知的技術,而被製造成一適合於非經腸道或口服投藥的劑型,舉例而言,注射品、無菌的粉劑、錠劑、膠囊、丸劑、粒劑或滴劑,較佳係以注射方式施予生物個體,以避免胃腸道之消化液破壞該介白素7之化學結構,而影響該介白素7抑制該腎纖維化之作用效果。 The interleukin 7 system of the present invention can be used as an active substrate for treating renal fibrosis, in various ways alone or in combination with at least one pharmaceutically acceptable drug adjuvant, drug carrier, and other accessory ingredients. , a nutrient component or other pharmaceutically active ingredient, the interleukin 7 is formed into the pharmaceutical composition, and co-administered to various biological individuals, preferably by a parenteral injection method to give various biological individuals an appropriate dose, The examples are published in the Endocrinology Journal "Bone Morphogenetic Protein-2 Antagonizes Renal" by Yang et al., 2009. In the paper of Interstitial Fibrosis by Promoting Catabolism of Type I Transforming Growth Factor-β Receptors, the dosage of the interleukin 7 administered to the organism of the present invention is preferably 2.8 to 56 μg of interleukin per kg of body weight. 7, preferably 1 or 2 times a day, can effectively inhibit the pathological characteristics of the renal fibrosis; in addition, the interleukin 7 of the present invention can be manufactured by using techniques well known to those skilled in the art. In a dosage form suitable for parenteral or oral administration, for example, an injection, a sterile powder, a tablet, a capsule, a pill, a granule or a drop, preferably administered to a biological individual by injection to avoid The digestive juice of the gastrointestinal tract destroys the chemical structure of the interleukin 7, and affects the effect of the interleukin 7 on inhibiting the renal fibrosis.

綜上所述,本發明之介白素7用以製備治療腎纖維化藥物之用途,特別係以介白素7作為抑制腎纖維化之活性成分,藉由(1)抑制腎臟細胞之纖維蛋白表現;(2)抑制腎臟細胞中Snail轉錄因子的表現,降低腎臟細胞間黏附蛋白的水解,以穩定腎臟細胞之間的結合穩定性,抑制腎臟細胞因受到刺激而發生EMT現象;(3)藉由調控TGF-β1訊息傳遞路徑的因子之活性,特別係指抑制該受器活化Smad蛋白(Smad2/3)之表現,或促進該抑制性Smad蛋白(Smad7)之表現,以降低腎臟細胞發生EMT現象,藉此達到降低腎纖維化發生之功效。 In summary, the use of the interleukin 7 of the present invention for the preparation of a medicament for treating renal fibrosis, in particular, the use of interleukin 7 as an active ingredient for inhibiting renal fibrosis, by (1) inhibiting fibrin of kidney cells (2) inhibiting the expression of Snail transcription factors in kidney cells, reducing the hydrolysis of adhesion proteins between kidney cells, stabilizing the stability of binding between kidney cells, and inhibiting EMT phenomenon caused by stimulation of kidney cells; (3) The activity of a factor that regulates the TGF-β1 signaling pathway, in particular, inhibits the expression of the receptor-activated Smad protein (Smad2/3) or promotes the expression of the inhibitory Smad protein (Smad7) to reduce EMT in renal cells. Phenomenon, thereby achieving the effect of reducing the occurrence of renal fibrosis.

本發明之醫藥組合物用以製備治療腎纖維化之藥物的用途,特別係藉由介白素7有效抑制生物體內腎臟細胞TGF-β1訊息傳遞路徑及EMT現象之活化,使腎臟細胞在受到刺激的情況下,不會發生腎纖維化,具有達到避免慢 性腎臟病患者因發生腎纖維化而使其腎功能喪失之功效。 The use of the pharmaceutical composition of the invention for preparing a medicament for treating renal fibrosis, in particular, the interferon 7 effectively inhibits the activation of the TGF-β1 message transmission pathway and the EMT phenomenon in the kidney cells of the living body, so that the kidney cells are stimulated In case, no renal fibrosis will occur, and it will be slow to avoid The effect of renal function loss in patients with renal disease due to renal fibrosis.

雖然本發明已利用上述較佳實施例揭示,然其並非用以限定本發明,任何熟習此技藝者在不脫離本發明之精神和範圍之內,相對上述實施例進行各種更動與修改仍屬本發明所保護之技術範疇,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 While the invention has been described in connection with the preferred embodiments described above, it is not intended to limit the scope of the invention. The technical scope of the invention is protected, and therefore the scope of the invention is defined by the scope of the appended claims.

第1圖:本發明較佳實施例之不同培養條件的腎臟細胞相位差顯微照片。 Fig. 1 is a photomicrograph of a phase difference of kidney cells in different culture conditions according to a preferred embodiment of the present invention.

第2圖:本發明較佳實施例第A1至A6組之腎臟細胞的細胞數百分率長條圖。 Fig. 2 is a bar graph showing the percentage of cells in the kidney cells of Groups A1 to A6 of the preferred embodiment of the present invention.

第3圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之細胞內纖維蛋白之西方墨點法蛋白質染色結果圖。 Fig. 3 is a graph showing the results of Western blotting protein staining of intracellular fibrin in which different concentrations of interleukin 7 are applied to kidney cells in a preferred embodiment of the present invention.

第4圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之細胞內纖維蛋白表現量化長條圖。 Figure 4: Quantitative bar graph of intracellular fibrin expression of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第5圖:本發明較佳實施例之介白素7對腎臟細胞作用之細胞外纖維蛋白表現量化長條圖。 Fig. 5 is a quantitative bar graph showing the expression of extracellular fibrin acting on kidney cells by a preferred embodiment of the present invention.

第6圖:本發明較佳實施例之不同培養條件的腎臟細胞纖維蛋白之免疫螢光染色照片。 Figure 6 is a photograph of immunofluorescence staining of kidney cell fibrin in different culture conditions in accordance with a preferred embodiment of the present invention.

第7圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之TGF-β1表現量化長條圖。 Figure 7 is a quantitative bar graph showing the effect of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第8圖:本發明較佳實施例不同濃度之介白素7對腎臟 細胞作用之TGF-β1R I及TGF-β1R Ⅱ之西方墨點法蛋白質染色結果圖。 Figure 8: Preferred embodiments of the present invention different concentrations of interleukin 7 on the kidney Western blotting protein staining results of TGF-β1R I and TGF-β1R II by cell action.

第9a圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之TGF-β1R I表現量化長條圖。 Figure 9a: Quantitative bar graph of TGF-β1R I expression of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第9b圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之TGF-β1R Ⅱ表現量化長條圖。 Figure 9b: Quantitative bar graph of TGF-β1R II expression of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第10圖:本發明較佳實施例之腎臟細胞之Smad2/3、pSmad2/3、Smad4及Smad7西方墨點法蛋白質染色結果圖。 Fig. 10 is a graph showing the results of Western blotting of Smad2/3, pSmad2/3, Smad4 and Smad7 protein samples of kidney cells according to a preferred embodiment of the present invention.

第11a圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之Smad2/3表現量化長條圖。 Figure 11a: Quantitative bar graph of Smad2/3 expression of different concentrations of interleukin-7 on renal cells in a preferred embodiment of the invention.

第11b圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之pSmad2/3表現量化長條圖。 Figure 11b is a quantitative bar graph showing the pSmad2/3 expression of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第11c圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之Smad7表現量化長條圖。 Figure 11c: A quantitative bar graph of the Smad7 expression of different concentrations of interleukin 7 on kidney cells in a preferred embodiment of the invention.

第11d圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之Smad4表現量化長條圖。 Figure 11d: Quantitative bar graph of Smad4 expression of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第12圖:本發明較佳實施例之腎臟細胞之Snail轉錄因子、Slug轉錄因子、黏附蛋白及平滑肌肌動蛋白之西方墨點法蛋白質染色結果圖。 Fig. 12 is a graph showing the results of protein staining of western blotting proteins of Snail transcription factor, Slug transcription factor, adhesion protein and smooth muscle actin of kidney cells according to a preferred embodiment of the present invention.

第13a圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之Snail轉錄因子表現量化長條圖。 Figure 13a: Quantitative bar graph of Snail transcription factor expression of different concentrations of interleukin 7 on kidney cells in a preferred embodiment of the invention.

第13b圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之Slug轉錄因子表現量化長條圖。 Figure 13b: A quantitative bar graph showing the effect of different concentrations of interleukin 7 on renal cells in a preferred embodiment of the invention.

第13c圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之黏附蛋白表現量化長條圖。 Figure 13c: A quantitative bar graph showing the expression of adhesion proteins of different concentrations of interleukin 7 against kidney cells in a preferred embodiment of the invention.

第13d圖:本發明較佳實施例不同濃度之介白素7對腎臟細胞作用之平滑肌肌動蛋白表現量化長條圖。 Figure 13d: Quantitative bar graph of smooth muscle actin expression of different concentrations of interleukin 7 on kidney cells in a preferred embodiment of the invention.

第14圖:本發明較佳實施例之不同培養條件的腎臟細胞Snail轉錄因子、Slug轉錄因子、黏附蛋白及平滑肌肌動蛋白之免疫螢光染色照片。 Figure 14 is a photograph of immunofluorescence staining of kidney cells Snail transcription factor, Slug transcription factor, adhesion protein and smooth muscle actin in different culture conditions according to a preferred embodiment of the present invention.

Claims (18)

一種介白素7用以製備治療腎纖維化藥物之用途,介白素7係具有抑制腎臟細胞在受到生理性或非生理性刺激的情況而發生腎纖維化之作用。 An interleukin 7 is used for the preparation of a medicament for treating renal fibrosis, and the interleukin 7 system has the effect of inhibiting renal fibrosis by renal cells under physiological or non-physiological stimulation. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該腎臟細胞係受到一誘導纖維化刺激物之刺激後,活化該腎臟細胞之第一型乙型轉型生長因子(Transforming growth factor β type I,簡稱TGF-β1)訊息傳遞路徑及上皮-間質轉換(Epithelial-mesenchymal transition,簡稱EMT)現象。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the kidney cell line is stimulated by an induced fibrotic stimulator to activate the first type of the kidney cell Transforming growth factor β type I (TGF-β1) message transmission pathway and epithelial-mesenchymal transition (EMT) phenomenon. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係抑制該腎臟細胞表現纖維蛋白(Fibronectin)。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 inhibits the expression of fibronectin in the kidney cells. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係抑制該腎臟細胞之TGF-β1受體之表現量。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 inhibits the expression level of the TGF-β1 receptor of the kidney cell. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該TGF-β1受體係TGF-β1R I及TGF-β1R Ⅱ。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the TGF-β1 is subjected to the system TGF-β1R I and TGF-β1R II. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係抑制該腎臟細胞Snail轉錄因子之表現。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 inhibits the expression of the Snail transcription factor of the kidney cell. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係抑制該腎臟細 胞Slug轉錄因子之表現。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 inhibits the kidney Expression of the cell Slug transcription factor. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係抑制該腎臟細胞間黏附蛋白(E-cadherin)受到該Snail轉錄因子或Slug轉錄因子之活化而水解。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 inhibits the renal intercellular adhesion protein (E-cadherin) from the Snail transcription factor Or hydrolysis by activation of the Slug transcription factor. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係於該腎臟細胞受到刺激後,抑制該腎臟細胞之受器活化Smad蛋白之表現量。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 is stimulated by the kidney cells to inhibit the activation of Smads of the kidney cells. The amount of protein expressed. 依申請專利範圍第9項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該受器活化Smad蛋白係Smad2/3及pSmad2/3。 The use of interleukin 7 according to claim 9 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the receptor activates the Smad protein lines Smad2/3 and pSmad2/3. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7係於該腎臟細胞受到刺激後,促進該腎臟細胞之抑制性Smad蛋白之表現量。 The use of interleukin 7 according to claim 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the interleukin 7 is stimulated by the kidney cells to promote the inhibitory Smad protein of the kidney cells The amount of performance. 依申請專利範圍第11項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該抑制性Smad蛋白係Smad7。 The use of interleukin 7 according to claim 11 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the inhibitory Smad protein is Smad7. 依申請專利範圍第1項所述之介白素7用以製備治療腎纖維化藥物之用途,其中,該介白素7之施予劑量係每公斤體重之個體投予2.8~56微克(μg)之介白素7。 The use of interleukin 7 according to item 1 of the patent application for the preparation of a medicament for treating renal fibrosis, wherein the dose of the interleukin 7 is administered in an amount of 2.8 to 56 micrograms per kilogram of body weight (μg ) The white pigment 7 一種醫藥組合物用以製備治療腎纖維化之藥物的用途,該醫藥組合物係包含介白素7,作為抑制腎纖維化之活性成分,該醫藥組合物更包含至少一種醫藥可接受 之藥物佐劑或藥物載劑與介白素結合。 A pharmaceutical composition for preparing a medicament for treating renal fibrosis, the pharmaceutical composition comprising interleukin 7, as an active ingredient for inhibiting renal fibrosis, the pharmaceutical composition further comprising at least one pharmaceutically acceptable The drug adjuvant or drug carrier binds to the interleukin. 依申請專利範圍第14項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係一非經腸道或口服投藥之劑型。 The pharmaceutical composition according to claim 14, wherein the pharmaceutical composition is a parenteral or oral administration. 依申請專利範圍第14項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係注射品、無菌的粉劑、錠劑、膠囊、丸劑、粒劑或滴劑。 The use of the pharmaceutical composition according to claim 14 for the preparation of a medicament for treating renal fibrosis, wherein the pharmaceutical composition is an injection, a sterile powder, a tablet, a capsule, a pill, a granule or a drip Agent. 依申請專利範圍第14項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係以非經腸道之注射方式投予個體。 Use of the pharmaceutical composition according to claim 14 of the patent application for the preparation of a medicament for the treatment of renal fibrosis, wherein the pharmaceutical composition is administered to a subject by parenteral injection. 依申請專利範圍第14項所述之醫藥組合物用以製備治療腎纖維化之藥物的用途,其中,該醫藥組合物係包含2.8~56μg之介白素7以施予每公斤體重之生物個體。 The use of the pharmaceutical composition according to claim 14 for the preparation of a medicament for treating renal fibrosis, wherein the pharmaceutical composition comprises 2.8 to 56 μg of interleukin 7 for administration of a biological individual per kilogram of body weight .
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