TWI546075B - Microrna-based method for anti-colorectal cancer effects and prognosis of colorectal cancer - Google Patents

Microrna-based method for anti-colorectal cancer effects and prognosis of colorectal cancer Download PDF

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TWI546075B
TWI546075B TW100121977A TW100121977A TWI546075B TW I546075 B TWI546075 B TW I546075B TW 100121977 A TW100121977 A TW 100121977A TW 100121977 A TW100121977 A TW 100121977A TW I546075 B TWI546075 B TW I546075B
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colorectal cancer
early
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recurrence
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TW201300114A (en
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卓夙航
王照元
楊以屏
蔡祥麟
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高雄醫學大學
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以微小去氧核醣核酸為基礎用於抗大腸直腸癌及大腸直腸癌預後的方法Method for preventing prognosis of colorectal cancer and colorectal cancer based on micro-deoxyribonucleic acid

本發明關於一種提供大腸直腸癌患者抗癌作用的方法;本發明另關於一種用於篩選抗大腸直腸癌藥物的方法;本發明進一步關於一種判斷大腸直腸癌患者預後的方法。The present invention relates to a method for providing an anticancer effect in a colorectal cancer patient; the present invention further relates to a method for screening a drug for colorectal cancer; and the present invention further relates to a method for determining the prognosis of a colorectal cancer patient.

微小去氧核醣核酸(microRNA、miR)是一段包含17-25個核苷酸的非編碼微小去氧核醣核酸,miR可經由直接與基因的3’端非轉譯區(3’UTR)結合而轉錄後調控多個目標基因的表現。miR與mRNA結合會抑制蛋白質轉譯,但有時會促進mRNA剪切(cleavage)。miR對其目標基因的調控已被認為在癌症之癌發生(carcinogenesis)、癌化(progression)及復發(recurrence)方面扮演重要角色,雖然過去幾年miR在生物醫學領域備受矚目,但大部份miR在疾病進展(disease progress)的作用仍未確認。Micro-deoxyribonucleic acid (microRNA, miR) is a non-coding micro-deoxyribonucleic acid containing 17-25 nucleotides. The miR can be transcribed by directly binding to the 3' non-translated region (3'UTR) of the gene. Post-regulation of the performance of multiple target genes. Binding of miR to mRNA inhibits protein translation, but sometimes promotes cleavage of mRNA. The regulation of miR on its target genes has been considered to play an important role in cancer carcinogenesis, canceration and recurrence. Although miR has attracted much attention in the biomedical field in the past few years, most of them have been highlighted. The role of miR in disease progression has not been confirmed.

大腸直腸癌(colorectal cancer,CRC)是最常見的癌症之一,有非常高的復發率及致死率,若能有效區分不良預後的患者將有助於患者後續追蹤與治療,不過至今尚未有理想的生物指標(biomarker)能夠可靠地預測大腸直腸癌復發。Colorectal cancer (CRC) is one of the most common cancers, with a very high recurrence rate and mortality. Patients who can effectively distinguish poor prognosis will help patients follow up and treat, but it has not been ideal yet. The biomarker can reliably predict recurrence of colorectal cancer.

美國專利申請號12/398852揭示了用於鑑別特定病況(如大腸直腸癌)之miRNA圖譜之方法與組成,並使用該圖譜作為病況之診斷及/或預後(如大腸直腸癌以及大腸直腸癌復發或對治療的反應)。該美國專利申請案使用微陣列(microarray)以雜合(hybridization)方法作大規模篩選,不過由雜合實驗得到的微陣列數據容易得到偽陽性(false positive)結果,因此需要更具可信度的方法及更多功能性的研究以確認miR與大腸直腸癌復發之間的關聯。對於尋找抗腫瘤發生(tumorigenesis)或抗復發之較佳或其他替代方法一直都有需求,本發明藉由揭示一種抗大腸直腸癌或抗大腸直腸癌復發的方法、一種用於篩選抗大腸直腸癌藥物的方法以及一種判斷大腸直腸癌患者預後的方法來解決這些問題。US Patent Application No. 12/398,852 discloses methods and compositions for identifying miRNA profiles of a particular condition, such as colorectal cancer, and using the map as a diagnosis and/or prognosis of the condition (eg, colorectal cancer and colorectal cancer recurrence) Or response to treatment). This U.S. patent application uses microarray for large-scale screening by hybridization methods, but microarray data obtained from hybrid experiments are prone to false positive results and therefore require more confidence. Methods and more functional studies to confirm the association between miR and colorectal cancer recurrence. There is a continuing need for finding alternative or other alternatives to anti-tumorigenesis or anti-relapse, and the present invention discloses a method for recurrence of colorectal cancer or anti-colorectal cancer, and a method for screening for colorectal rectal cancer. The method of drug and a method for judging the prognosis of patients with colorectal cancer to solve these problems.

目前世界上每年診斷出有將近一百萬個大腸直腸癌(CRC)的新病例,大約有一半的病例會因此而死亡。數十年來,美國癌症聯合委員會(American Joint Committee on Cancer,AJCC)及國際聯合抗癌組織(International Union Against Cancer,UICC)分期系統採用腫瘤侵襲深度(depth of tumor invasion)、局部淋巴結轉移(regional lymph node involvement)及遠端轉移(distant metastasis)的出現與否作為預測CRC患者術後復發的主要預後指標。雖然對局部疾病而言,手術切除是一種很有效的方法,不過有25%至40%的患者會在手術後復發,其中三分之一為局部復發,另外三分之二會發展成遠端轉移,CRC復發大部分有時間限制(time-limited)的現象,40-50%的復發發生在初次切除後一年內,目前研究顯示初次治療到復發的時間與患者生存率有很大的關聯,特別是在手術切除後的一年內。為了提供病患適當且有效的治療以改善病患預後,研究者持續致力於發展關於改善腫瘤早期偵測的方法,而目前並沒有理想的生物指標或指示劑(indicator)可區分早期復發的病患與非早期復發病患,因此偵測術後早期復發之簡易且可靠的生物指標可幫助醫生進行更積極的治療而且也有助於病患安排其生活計畫。At present, nearly one million new cases of colorectal cancer (CRC) are diagnosed every year in the world, and about half of them will die. For decades, the American Joint Committee on Cancer (AJCC) and the International Union Against Cancer (UICC) staging system used depth of tumor invasion, regional lymph node metastasis (regional lymph node metastasis (regional lymph node metastasis) The presence or absence of node involvement and distant metastasis is the main prognostic indicator for predicting postoperative recurrence in CRC patients. Although surgical resection is a very effective method for local diseases, 25% to 40% of patients will relapse after surgery, one third of which is local recurrence, and the other two thirds will develop distally. Metastasis, CRC recurrence mostly has a time-limited phenomenon, 40-50% of recurrences occur within one year after the initial resection. Current studies show that the time from initial treatment to recurrence is highly correlated with patient survival. , especially within one year after surgical resection. In order to provide appropriate and effective treatment for patients to improve the prognosis of patients, researchers continue to develop methods for improving early detection of tumors, and currently there is no ideal biological indicators or indicators to distinguish early relapsed diseases. In patients with non-early recurrence, simple and reliable biomarkers that detect early postoperative recurrence can help doctors perform more aggressive treatments and help patients plan their lives.

CRC的腫瘤發生涉及多步驟的基因體變異,包括致癌基因活化與腫瘤抑制基因失活。近年來,越來越多的證據指出CRC發病與缺少miR的調節功能相關,有許多研究報告顯示miR與CRC發展的關聯,但鮮有研究著重在miR與CRC早期復發之間的相關性。Tumor development of CRC involves multiple steps of genomic variation, including oncogene activation and tumor suppressor gene inactivation. In recent years, there has been increasing evidence that CRC pathogenesis is associated with a lack of regulatory function of miR, and many studies have reported a link between miR and CRC development, but few studies have focused on the association between miR and early recurrence of CRC.

本發明使用miR陣列比較早期復發與非早期復發之CRC組織之間的miR圖譜,界定早期或非早期復發的分界點是以根除性手術(radical surgery)切除後12個月內是否復發為依據,接著以組織樣本確認miR-93的作用,並進行一系列活體外(in vitro)與活體內(in vivo)的實施例以證實並說明miR-93在CRC復發中扮演的角色。MiR-93在CRC早期(術後12個月內復發)與非早期復發之間的表現量有顯著的差異;進一步的實施例包含35個早期復發與42個非早期復發樣本,確認了非早期復發樣本中miR-93的表現量較早期復發樣本高;細胞實驗結果顯示miR-93大量表現(overexpression)會抑制大腸癌細胞增生(proliferation)及移動(migration)而不會抑制其侵襲(invasion);細胞週期結果顯示miR-93會造成G2期細胞族群大量累積,然而miR-93並不會誘導細胞凋亡(apoptosis)或壞死(necrosis);功能性結果顯示miR-93可抑制CCNB1(細胞週期蛋白B1,cyclin B1)蛋白質表現,造成細胞週期停滯在G2期;另外,miR-93會抑制ERBB2、p21及VEGF的表現,這三種蛋白質皆與細胞增生有關;MiR-93亦可抑制裸鼠腫瘤細胞生長。綜觀以上結果,本發明顯示miR-93可抑制腫瘤發生與減低CRC早期復發,對CRC患者的預測和治療方式具有臨床應用價值。The present invention uses a miR array to compare miR profiles between CRC tissues with early recurrence and non-early recurrence, and the demarcation point defining early or non-early recurrence is based on recurrence within 12 months after radical surgery resection, The effect of miR-93 was then confirmed with tissue samples and a series of in vitro and in vivo examples were performed to confirm and demonstrate the role of miR-93 in CRC recurrence. There was a significant difference in the amount of MiR-93 between early CRC (recurrence within 12 months after surgery) and non-early recurrence; further examples included 35 early relapses and 42 non-early recurrence samples, confirming non-early The expression of miR-93 in relapsed samples was higher than that of early relapsed samples; cell experiments showed that overexpression of miR-93 inhibited colon cancer cell proliferation and migration without inhibiting its invasion (invasion) The cell cycle results showed that miR-93 caused a large accumulation of G2 phase cell population, whereas miR-93 did not induce apoptosis or necrosis; functional results showed that miR-93 can inhibit CCNB1 (cell cycle) Protein B1, cyclin B1) protein expression, causing cell cycle arrest in G2 phase; in addition, miR-93 inhibits the expression of ERBB2, p21 and VEGF, all of which are involved in cell proliferation; MiR-93 also inhibits tumors in nude mice Cell growth. Looking at the above results, the present invention shows that miR-93 can inhibit tumorigenesis and reduce early recurrence of CRC, and has clinical application value for prediction and treatment of CRC patients.

本發明所指抗癌作用包括抑制癌細胞增生、移動、血管新生(angiogenesis)及腫瘤生長。The anti-cancer effects referred to in the present invention include inhibition of cancer cell proliferation, migration, angiogenesis, and tumor growth.

此處所用之「抗大腸直腸癌」一詞意指抑制癌細胞生長及/或抑制癌細胞轉移或抑制早期復發,其指任何經由施予抗大腸直腸癌藥物造成抑制腫瘤發生或延長癌症緩解或減少復發的行為。The term "anti-colorectal cancer" as used herein means inhibiting the growth of cancer cells and/or inhibiting metastasis of cancer cells or inhibiting early relapse, which means any inhibition of tumorigenesis or prolonged cancer remission by administration of an anti-rectal cancer drug or Reduce recurrence behavior.

因此,本發明提供一種用於提供大腸直腸癌患者抗癌作用之醫藥組合物,其包含具有藥理上有效劑量的miR-93或miR-93擬似物,其中該患者之癌細胞中miR-93之表現量較控制組低。於較佳實施例中,該患者為早期復發患者且該控制組為非早期復發患者;miR-93負調控CCNB1、ERBB2、P21及VEGF基因。於更佳實施例中,該患者為人類。Accordingly, the present invention provides a pharmaceutical composition for providing an anticancer effect of a colorectal cancer patient comprising a miR-93 or miR-93 mimetic having a pharmacologically effective dose, wherein the patient's cancer cells are miR-93 The performance was lower than the control group. In a preferred embodiment, the patient is an early relapse patient and the control group is a non-early relapse patient; miR-93 negatively regulates CCNB1, ERBB2, P21, and VEGF genes. In a more preferred embodiment, the patient is a human.

如同此處所述,「擬似物」一詞指任何模擬內生成熟miRNA分子的核酸。As used herein, the term "mime" refers to any nucleic acid that mimics an endogenous mature miRNA molecule.

本發明亦提供一種用於篩選抗大腸直腸癌藥物之方法,其包含以一測試藥物處理細胞,並測量於大腸直腸癌細胞中表現量降低之至少一種微小去氧核醣核酸的量,其中該測試藥物處理的細胞相對於控制組細胞之該微小去氧核醣核酸表現量之增加係表示該測試藥物為抗大腸直腸癌藥物。於較佳實施例中,該微小去氧核醣核酸為miR-93。The present invention also provides a method for screening an anti-colorectal cancer drug, comprising treating a cell with a test drug and measuring an amount of at least one microdeoxyribonucleic acid having a reduced expression in the colorectal cancer cell, wherein the test An increase in the amount of micro-deoxyribonucleic acid expression of the drug-treated cells relative to the control group cells indicates that the test drug is an anti-colorectal cancer drug. In a preferred embodiment, the mini-deoxyribonucleic acid is miR-93.

本發明進一步提供一種判斷大腸直腸癌患者預後的方法,其包含測量該患者之檢體中至少一種微小去氧核醣核酸之表現量,其中該至少一種微小去氧核醣核酸表現量相對於控制組樣本相對應之微小去氧核醣核酸表現量之變化係預測大腸直腸癌復發之指標。於較佳實施例中,該微小去氧核醣核酸為miR-93;該控制組樣本係來自非早期復發患者。於更佳實施例中,該患者為人類。The present invention further provides a method for determining the prognosis of a colorectal cancer patient, comprising measuring an amount of expression of at least one microdeoxyribonucleic acid in the sample of the patient, wherein the at least one microdeoxyribonucleic acid expression amount is relative to the control group sample The corresponding change in the amount of micro-deoxyribonucleic acid is an indicator for predicting recurrence of colorectal cancer. In a preferred embodiment, the mini-deoxyribonucleic acid is miR-93; the control group sample is from a patient who is not early relapsed. In a more preferred embodiment, the patient is a human.

以下實施例是用來呈現而非限制本發明的各個面向與特色。The following examples are presented to illustrate and not to limit the various aspects and features of the invention.

患者與腫瘤樣本Patient and tumor sample

招募兩組CRC患者,第一組包括77個具有UICC分期I至III期的原發性(primary)CRC患者(35個術後非早期復發與42個術後早期復發)。新的手術後復發或病灶轉移之發展定義為術後復發;早期復發定義為根除性手術切除後1年內局部復發(腫瘤生長侷限在吻合術或一期手術治療的區域)或遠端轉移(遠端轉移或瀰漫性腹膜種植(diffuse peritoneal seeding))。第一組用於揭示miR與早期復發相關。為了測試可能的miR是否在同一患者之成對的腫瘤與非腫瘤大腸直腸樣本中也有差異性表現,進一步招募第二組進行實驗,由45個CRC患者組成。為了避免新輔助治療對miR表現的潛在影響,排除了在手術前接受過化學療法或放射療法的患者。所有患者為居住在台灣非特定民族之中國人,人體組織在手術切除後於液態氮中迅速凍結,所有臨床樣本皆經過患者知情同意下取得,且研究實驗計畫也經過當地人體試驗委員會(Institutional Review Board)核准。Two groups of CRC patients were enrolled. The first group included 77 primary CRC patients with UICC stage I to III (35 postoperative non-early recurrences and 42 postoperative early relapses). The development of new postoperative recurrence or lesion metastasis was defined as postoperative recurrence; early recurrence was defined as local recurrence within 1 year after radical resection (in areas where tumor growth was limited to anastomosis or primary surgery) or distal metastasis ( Distal metastasis or diffuse peritoneal seeding. The first group was used to reveal that miR is associated with early recurrence. To test whether the possible miR was also differentially expressed in the paired tumor and non-tumor colorectal samples of the same patient, a second group was further enrolled for the experiment, consisting of 45 CRC patients. In order to avoid the potential impact of neoadjuvant therapy on miR performance, patients who received chemotherapy or radiation therapy prior to surgery were excluded. All patients were Chinese living in non-specific ethnic groups in Taiwan. Human tissues were rapidly frozen in liquid nitrogen after surgical resection. All clinical samples were obtained with the informed consent of the patients, and the experimental plan was also passed by the local human trial committee (Institutional Review Board) approved.

統計分析Statistical Analysis

連續變量表示為平均±標準差(SD),而二分變量(dichotomous variable)表示為數字及百分比。利用JMP軟體(版本7.0.1,SAS Institute Inc.,美國)執行ANCOVA統計法以比較不同條件下(CRC病患的年齡、性別、癌症分期)早期與非早期復發患者間miR表現量之平均值。雙尾檢定的p值小於0.05時具有統計顯著性。Continuous variables are expressed as mean ± standard deviation (SD), while dichotomous variables are expressed as numbers and percentages. The ANCOVA statistical method was performed using JMP software (version 7.0.1, SAS Institute Inc., USA) to compare the mean of miR performance between early and non-early relapse patients under different conditions (age, gender, cancer stage of CRC patients) . The p-value of the two-tailed assay was statistically significant when it was less than 0.05.

結果:人口統計數據Result: Demographic data

第一組77個各自獨立的CRC患者(35個非早期復發與42個早期復發)之特徵整理於表一中,其平均年齡為66.4歲,範圍從24到86歲,此組別早期復發的程度顯示於表二。第二組包含45個患者,用於比較來自同一個體之成對的腫瘤與非腫瘤大腸直腸樣本之間miR-93表現量的差異(統整於表三中)。第二組的平均年齡為65.8歲,範圍從37到84歲。早期復發的患者之腫瘤分期較非早期復發患者後期,但其年齡與性別分佈並沒有顯著的不同。The first group of 77 independent CRC patients (35 non-early recurrences and 42 early relapses) were characterized in Table 1. The mean age was 66.4 years, ranging from 24 to 86 years. This group had early recurrence. The degree is shown in Table 2. The second group contained 45 patients for comparing differences in miR-93 performance between paired tumors and non-tumor colorectal samples from the same individual (consolidated in Table 3). The average age of the second group was 65.8 years, ranging from 37 to 84 years. The tumor stage of patients with early recurrence was later than that of patients with non-early recurrence, but their age and gender distribution were not significantly different.

RNA萃取與cDNA製備RNA extraction and cDNA preparation

根據使用說明取各組織約100 mg加入1 mL TRIzol試劑(Invitrogen,美國)中,利用桌上型組織均質機(Polytron PT1600E,Kinematica AG,瑞士)均質化。以Qiagen RNAeasy管柱(Qiagen,德國)純化包含mRNA與miR之總RNA(total RNA)。miR陣列中,使用Megaplex反轉錄人類引子庫A與B(Applied Biosystems Inc.)進行miR之cDNA合成。個別miR檢測中,利用20 ng總RNA與獨特引子(unique primer,Applied Biosystems Inc.)合成個別miR之cDNA。mRNA定量分析中,利用1 μg總RNA、隨機六聚體引子及反轉錄酶(Applied Biosystems Inc.)合成cDNA。About 100 mg of each tissue was added to 1 mL of TRIzol reagent (Invitrogen, USA) according to the instructions for use, and homogenized using a desktop tissue homogenizer (Polytron PT1600E, Kinematica AG, Switzerland). Total RNA (total RNA) containing mRNA and miR was purified using a Qiagen RNAeasy column (Qiagen, Germany). In the miR array, cDNA synthesis of miR was performed using Megaplex reverse transcription human primer library A and B (Applied Biosystems Inc.). In individual miR assays, individual miR cDNAs were synthesized using 20 ng total RNA and unique primers (Applied Biosystems Inc.). In the mRNA quantitative analysis, cDNA was synthesized using 1 μg of total RNA, a random hexamer primer, and reverse transcriptase (Applied Biosystems Inc.).

miR陣列miR array

將三個患有原發性CRC患者(一個非早期復發與兩個早期復發)之樣本利用包含667個人類miR的miR陣列(Applied Biosystems Inc.,美國)進行篩選,確認CRC早期復發與非早期復發之間miR表現之差異。各陣列包含一哺乳動物的U6(U6b,SEQ ID NO: 2)作為內部控制組(internal control)。利用Applied Biosystems 7900HT即時PCR系統(Real-Time PCR System)進行即時定量PCR(RT-qPCR)並以ABI 7900序列偵測系統(Real-Time PCR System,軟體版本2.4)預設熱循環條件。Three samples of patients with primary CRC (a non-early recurrence and two early relapses) were screened using a miR array containing 667 human miRs (Applied Biosystems Inc., USA) to confirm early recurrence and non-early CRC Difference in miR performance between relapses. Each array contains a mammalian U6 (U6b, SEQ ID NO: 2) as an internal control. Real-time quantitative PCR (RT-qPCR) was performed using an Applied Biosystems 7900HT Real-Time PCR System and the thermal cycling conditions were preset using the ABI 7900 Sequence Detection System (Real-Time PCR System, software version 2.4).

個別miR檢測Individual miR detection

針對各個候選miR,利用TaqMan miR RT-qPCR(Applied Biosystems Inc.)進行miR定量分析。miR之相對表現量係以內部控制組U6b為基準,利用方程式log10(2-ΔCt)進行標準化(ΔCt=(CTmiR-93-CTU6b)),並計算log10(2-ΔCt)之中位數、平均與標準差(SD)。For each candidate miR, miR quantitative analysis was performed using TaqMan miR RT-qPCR (Applied Biosystems Inc.). The relative performance of miR is based on the internal control group U6b, normalized by the equation log 10 (2 -ΔCt ) ( ΔCt =(CT miR-93 -CT U6b )), and calculated among log 10 (2 -ΔCt ) Number of digits, average and standard deviation (SD).

miR陣列之結果與後續確認Results of the miR array and subsequent confirmation

利用miR陣列確認CRC早期復發與非早期復發之間多個差異性表現之miR。在這些候選miR之中,miR-93的表現量在早期復發樣本中較非早期復發樣本降低3.5倍。為了進一步確認miR-93表現量在早期復發與非早期復發患者之間是否不同,另外檢測了77個人類CRC腫瘤樣本。結果顯示,在非早期復發群組中之早期復發樣本之miR-93表現量降低6.1倍,log10(2-ΔCt)之中位數在非早期復發群組中為2.323,而在早期復發群組中為1.483(調整p<0.0001,圖1A)。分析不同分期(stage)CRC腫瘤樣本之miR-93表現量,發現miR-93表現量與CRC分期之間具有相關性(調整p=0.0325,圖1B),CRC偏早期之UICC分期與miR-93之高表現量相關(I期、II期、III期之log10(2-ΔCt)中位數分別為2.077、1.788、1.6649)。這些獨立的樣本證明miR-93在預測術後大腸直腸癌復發的實用性,也確保miR-93適合進行進一步的功能性實驗。The miR array was used to confirm a number of differentially expressed miRs between early recurrence of CRC and non-early recurrence. Among these candidate miRs, the performance of miR-93 was 3.5-fold lower in early relapsed samples than in non-early relapsed samples. To further confirm whether miR-93 performance was different between early recurrence and non-early relapse patients, 77 human CRC tumor samples were also tested. The results showed that the early relapsed samples in the non-early relapsed group had a 6.1-fold decrease in miR-93 performance, and the median log 10 (2- ΔCt ) was 2.323 in the non-early recurrent group, whereas in the early relapse group In the group is 1.383 (adjustment p <0.0001, Figure 1A). Analysis of miR-93 performance in different stages of CRC tumor samples revealed a correlation between miR-93 performance and CRC staging (adjusted p = 0.0325, Figure 1B), early CRC pre- UICC staging and miR-93 The high performance was correlated (the median of log 10 (2 -ΔCt ) for Phase I, Phase II, and Phase III was 2.077, 1.788 , and 1.6649 , respectively). These independent samples demonstrate the utility of miR-93 in predicting recurrence of colorectal cancer after surgery and also ensure that miR-93 is suitable for further functional testing.

成對的樣本中之miR-93Paired samples of miR-93

45個腫瘤組織之miR-93之表現量較其對應之正常大腸直腸組織高出1.66倍(成對t檢定p=0.03),在這些成對的樣本之間,62.22%(28/45)的CRC樣本相對於其對應的正常組織有較高的miR-93表現量(圖4A)。The expression of miR-93 in 45 tumor tissues was 1.66 times higher than that of the corresponding normal colorectal rectal tissue ( p = 0.03 in paired t test), between these paired samples, 62.22% (28/45) The CRC sample had a higher miR-93 performance relative to its corresponding normal tissue (Fig. 4A).

目標預測Target forecast

為了研究miR-93的生物功能,使用miR目標預測程式miRDB、miRanda、miRWalk與TargetScanS進行目標基因的檢索,並使用KEGG途徑(pathway)程式預測miR調控目標基因的途徑。To study the biological function of miR-93, the miR target prediction programs miRDB, miRanda, miRWalk and TargetScanS were used to search for the target gene, and the KEGG pathway program was used to predict the pathway of miR regulation of the target gene.

建構miR-93大量表現之質體Constructing a large number of plastids of miR-93

本實施例使用pCDH載體(System Biosciences,美國)作為miR-93(SEQ ID NO: 1)大量表現系統,評估miR-93大量表現的功能性結果。將miR-93PCR產物(包括100bp microRNA莖環上游與下游兩端之原生毗鄰序列(native flank sequence))以5’端至3’端方向嵌入pCDH載體之多重選殖位置(multiple cloning sites,MCS)建構pCDH-miR-93質體。miR-93之順向引子(forward primer)序列為TCCTGAATTCAACCTTCACTGAGAGGGTGGTTG,反向引子(reverse primer)為CTAGGCGGCCGCGGGAGACCAGACCCTTTTGAAC,順向引子係由5’端延伸並包含GAATTC序列以產生EcoR1限制酶切位,而反向引子係由3’端延伸並包含GCGGCCGC序列以產生Not1限制酶切位,該些建構係以直接DNA定序確認。This example uses the pCDH vector (System Biosciences, USA) as a miR-93 (SEQ ID NO: 1) mass expression system to evaluate the functional results of miR-93 mass expression. The multi-cloning sites (MCS) of the miR-93 PCR product (including the native flank sequence of the upstream and downstream ends of the 100 bp microRNA stem loop) in the 5' end to the 3' end are inserted into the pCDH vector. Construction of pCDH-miR-93 plastids. The forward primer sequence of miR-93 is TCCTGAATTCAACCTTCACTGAGAGGGTGGTTG, the reverse primer is CTAGGCGGCCGCGGGAGACCAGACCCTTTTGAAC, and the forward primer is extended from the 5' end and contains the GAATTC sequence to generate the EcoR1 restriction enzyme cleavage site, while the reverse primer It is extended from the 3' end and contains the GCGGCCGC sequence to generate a Not1 restriction enzyme cleavage site, which is confirmed by direct DNA sequencing.

細胞培養Cell culture

將人類大腸癌細胞株Caco2(ATCC,美國)培養於DMEM(Gibco-BRL,美國)中並添加10%胎牛血清(fetal calf serum,FCS,Gibco-BRL,美國)與100 U/ml盤尼西林(penicillin),細胞維持在37℃含5% CO2的環境中。Human colorectal cancer cell line Caco2 (ATCC, USA) was cultured in DMEM (Gibco-BRL, USA) and 10% fetal bovine serum (fetal calf serum, FCS, Gibco-BRL, USA) was added with 100 U/ml penicillin ( Penicillin), the cells were maintained at 37 ° C in an environment containing 5% CO 2 .

建立穩定細胞株Stable cell line

將Caco2(5×105)接種至6孔盤(6-well plate)並培養隔夜,接著使用Lipofectamine 2000(Invitrogen Inc.,美國)以400 ng建構之質體(negative scrambled pCDH載體(SEQ ID NO: 5)或pCDH-miR-93質體)轉染,於添加12 μg/mL嘌呤黴素(puromycin,Sigma-Aldrich Co,美國)的標準培養基中篩選四週,篩選出含有pCDH-NC質體(負控制組)或pCDH-miR-93質體之穩定轉染Caco2細胞株,並以miR之qRT-PCR檢測確認。Caco2 (5×10 5 ) was inoculated to a 6-well plate and cultured overnight, followed by Lipofectamine 2000 (Invitrogen Inc., USA) with 400 ng of constructed plastid (negative scrambled pCDH vector (SEQ ID NO) : 5) or pCDH-miR-93 plastid), screened for 4 weeks in standard medium supplemented with 12 μg/mL puromycin (puromycin, Sigma-Aldrich Co, USA), and screened for pCDH-NC containing plastids ( The negative control group) or the pCDH-miR-93 plastid was stably transfected into the Caco2 cell line and confirmed by qR-PCR of miR.

fine 胞增生分析Cell proliferation analysis

利用WST-1法(Roche Diagnostics,美國)測定細胞增生:將細胞接種於96孔盤中並培養22小時,接著以1/10體積的WST-1試劑於37℃培養2小時後,利用分光光度計測量450 nm的吸光度而定量。Cell proliferation was measured by the WST-1 method (Roche Diagnostics, USA): cells were seeded in 96-well plates and cultured for 22 hours, followed by incubation with 1/10 volume of WST-1 reagent at 37 ° C for 2 hours, using spectrophotometry The absorbance at 450 nm was measured and quantified.

細胞週期分析Cell cycle analysis

利用碘化丙啶(propidium iodide,PI,Sigma-Aldrich Co.)染色後利用流式細胞技術(flow cytometry)檢測細胞週期:細胞經36小時培養後收穫細胞,以PBS沖洗並以105/ml細胞密度懸浮於含有0.1% triton X-100、0.02 mg/ml RNase及0.05 mg/ml PI之PBS中,接著再以PBS清洗移除多餘PI染色並懸浮於PBS後,直接於FACScan流式細胞儀(FACScan cytofluorimeter,Becton Dickinson,美國)中使用CellQuest軟體(BD biosciences)分析。Cell cycle was detected by flow cytometry after staining with propidium iodide (PI, Sigma-Aldrich Co.): cells were harvested after 36 hours of culture, washed with PBS and taken at 10 5 /ml. The cell density was suspended in PBS containing 0.1% triton X-100, 0.02 mg/ml RNase and 0.05 mg/ml PI, followed by washing with PBS to remove excess PI staining and suspension in PBS, directly to the FACScan flow cytometer. CellQuest software (BD biosciences) analysis was used in (FACScan cytofluorimeter, Becton Dickinson, USA).

細胞凋亡分析Apoptosis analysis

將細胞以冷甲醇固定、以冷PBS清洗並依使用說明培養於膜聯蛋白(annexin)V-FITC(BD Biopharmingen)與PI(Sigma)中,經染色的細胞利用流式細胞技術在1小時內於FACScan流式細胞儀(FACScan cytofluorimeter)(Becton Dickinson,美國)中進行分析。The cells were fixed in cold methanol, washed with cold PBS and cultured in annexin V-FITC (BD Biopharmingen) and PI (Sigma) according to the instructions. The stained cells were flow cytometry within 1 hour. Analysis was performed in a FACScan cytofluorimeter (Becton Dickinson, USA).

結果:miR-93大量表現對細胞增生與細胞週期的影響Results: The effect of miR-93 on cell proliferation and cell cycle

為了檢驗miR-93在腫瘤發生中扮演的角色,首先評估miR-93對Caco2細胞的影響。如圖1C所示,miR-93大量表現選殖株(OmiR-93)培養24小時之增生速率僅為負控制組(NC)的60%(p=0.012)。由於miR-93之預測目標基因與細胞週期及細胞生長有關,因此利用流式細胞分析評估miR-93對細胞週期的影響,結果顯示miR-93大量表現選殖株中G2期細胞族群累積顯著增加(miR-93大量表現選殖株為19.8%、負控制組選殖株為14.7%,圖1D,p=0.013)。根據膜聯蛋白V-FITC/PI分析的結果,miR-93大量表現不會誘導細胞凋亡或壞死(圖4B)。上述結果顯示,miR-93大量表現可藉由使細胞停在G2期而抑制大腸癌細胞生長,但無法引發miR-93調介之細胞凋亡。To examine the role of miR-93 in tumorigenesis, the effect of miR-93 on Caco2 cells was first evaluated. As shown in Fig. 1C, the proliferation rate of the miR-93 large-scale selection strain (OmiR-93) cultured for 24 hours was only 60% of the negative control group (NC) ( p = 0.012). Since the predicted target gene of miR-93 is related to cell cycle and cell growth, the effect of miR-93 on cell cycle was evaluated by flow cytometry. The results showed that miR-93 showed a significant increase in the accumulation of G2 cell population in the selected strains. (miR-93 showed a large number of selected strains of 19.8%, and the negative control group was 14.7%, Figure 1D, p = 0.013). According to the results of annexin V-FITC/PI analysis, a large amount of miR-93 did not induce apoptosis or necrosis (Fig. 4B). The above results show that miR-93 can inhibit the growth of colorectal cancer cells by stopping cells in the G2 phase, but it cannot induce apoptosis induced by miR-93.

細胞移動能力分析Cell mobility analysis

根據使用說明,使用Transwell聚碳酸酯膜培養插入皿(polycarbonate membrane inserts,Millipore,德國)於24孔細胞培養盤中進行細胞移動能力實驗,將細胞以2×104(細胞數/孔)的密度塗佈於24孔培養小室(millicell)上,使其在37℃培養24小時,移動能力較好的細胞會從培養小室內穿出至小室外,接著將插入皿以1×PBS潤洗,以1%胰蛋白酶(Trypsin)將細胞從小室外的膜層上移除,再以細胞培養裂解試劑(Promega,美國)裂解細胞,最後以分光光度計定量穩定轉殖株的綠色螢光。Cell viability assays were performed in 24-well cell culture dishes using Transwell polycarbonate membranes (polycarbonate membrane inserts, Millipore, Germany) according to the instructions for use, with cells at a density of 2 x 10 4 (cells/well). It was applied to a 24-well culture chamber (millicell) and cultured at 37 ° C for 24 hours. Cells with better mobility were taken out from the culture chamber to the outside of the chamber, and then the insertion dish was rinsed with 1×PBS. 1% trypsin removes cells from the outer membrane layer, lyses the cells with cell culture lysis reagent (Promega, USA), and finally quantifies the green fluorescence of the stable transfectants with a spectrophotometer.

傷口癒合分析Wound healing analysis

將細胞以3×105的密度塗佈於6孔盤上,在細胞形成單層之後,利用200 μl微量吸管管嘴(micropipette tip)手動劃出傷口,接著更換培養基並在37℃培養,在不同時間點(0小時、24小時及48小時)於顯微鏡下觀察傷口的閉合並照相。The cells were plated on a 6-well plate at a density of 3 × 10 5 . After the cells were formed into a monolayer, the wound was manually drawn using a 200 μl micropipette tip, and then the medium was changed and cultured at 37 ° C. The closure of the wound was observed under a microscope at different time points (0 hours, 24 hours, and 48 hours) and photographed.

結果:miR-93大量表現對細胞移動的影響Results: The effect of miR-93 on cell movement

由Transwell檢測的結果(圖1E)顯示,miR-93大量表現穩定轉殖株之細胞移動較控制組轉殖株緩慢,細胞移動的比例為控制組轉殖株的63.3%(p<0.001)。傷口癒合分析的結果也有抑制細胞移動的情況,控制組轉殖株與miR-93大量表現轉殖株之間隙距離分別為0.43 mm與0.64 mm(24小時)、0.08 mm與0.34 mm(48小時),顯示miR-93大量表現轉殖株的移動能力受到抑制,為負控制組轉殖株的65%。以上結果一致顯示miR-93大量表現之後,細胞移動能力顯著下降(圖1G)。The results of Transwell assay (Fig. 1E) showed that the cell migration of miR-93 in a large number of stable transgenic plants was slower than that of the control group, and the proportion of cell migration was 63.3% of the control group ( p < 0.001). The results of wound healing analysis also inhibited cell migration. The gap distance between the control group and the miR-93 large-scale transgenic plants was 0.43 mm and 0.64 mm (24 hours), 0.08 mm and 0.34 mm (48 hours), respectively. It showed that miR-93 showed a large number of transgenic strains whose mobility was inhibited, which was 65% of the negative control group. The above results consistently showed that after a large amount of miR-93 was expressed, the cell migration ability was significantly decreased (Fig. 1G).

基質膠侵襲實驗(matrigel invasion assay)Matrigel invasion assay

利用24孔懸掛式細胞培養插入皿(Transwell permeable supports,BD biosciences,美國)與8-μm孔徑聚碳酸酯膜插入皿檢測細胞侵襲能力,根據使用說明將細胞以1x104細胞數的密度塗佈於上層小室,在37℃培養24小時後移除未移動穿出膜層的細胞,將移動至膜下表面之細胞固定並以結晶紫染色,計算移動穿出細胞的數目並於顯微鏡下照相。實驗組與對照組均進行三重複實驗,而後拍照並計算移動細胞的數目。The cell invasion ability was measured using a 24-well suspension cell culture insert (Transwell permeable supports, BD biosciences, USA) and an 8-μm pore size polycarbonate membrane insert, and the cells were coated at a density of 1×10 4 cells according to the instructions. In the upper chamber, cells that did not move through the membrane layer were removed after incubation at 37 ° C for 24 hours, cells moving to the lower surface of the membrane were fixed and stained with crystal violet, and the number of moving through cells was counted and photographed under a microscope. The experimental group and the control group were subjected to three repeated experiments, and then photographed and the number of mobile cells was calculated.

結果:miR-93大量表現對腫瘤細胞侵襲的影響RESULTS: The effect of miR-93 on tumor cell invasion

基質膠侵襲實驗顯示miR-93大量表現穩定轉殖株(Omir-93)與控制組轉植株(NC)並無顯著差異,如圖1F所示,其結果顯示miR-93大量表現不會影響細胞侵襲的能力(p=0.825)。Matrigel invasion experiments showed that miR-93 showed a large number of stable transgenic plants (Omir-93) and control group transgenic plants (NC), as shown in Figure 1F, the results showed that miR-93 a large number of performance does not affect cells The ability to invade ( p = 0.825).

活體內(in vivo)動物實施例In vivo animal embodiment

本實施例中使用之四週大Balb/c裸鼠(體重為12.6至15.6 g)係購自樂斯科生物科技股份有限公司(台灣)並飼養在無特定病原(specific pathogen free,SPF)環境中(合格証號第26-99S029號)。飼養至六週大後,將1×107個Caco2(NC或OmiR-93)細胞以皮下注射方式分別注入Balb/c裸鼠(每組四隻),每天測量其腫瘤直徑並且以體積=寬×長×高/2的算式計算腫瘤體積(cm3),動物經接種腫瘤細胞三週後犧牲,觀察腫瘤大小、拍照並移出腫瘤用於進一步檢測。The four-week large Balb/c nude mice (body weight 12.6 to 15.6 g) used in this example were purchased from Lesco Biotechnology Co., Ltd. (Taiwan) and were raised in a specific pathogen free (SPF) environment. (Qualification No. 26-99S029). After feeding to six weeks old, 1×10 7 Caco2 (NC or OmiR-93) cells were injected subcutaneously into Balb/c nude mice (four in each group), and the tumor diameter was measured daily and volume = width The tumor volume (cm 3 ) was calculated by the expression of ×length × height/2, and the animals were sacrificed three weeks after inoculation of the tumor cells, the tumor size was observed, photographed and the tumor was removed for further detection.

結果:miR-93大量表現對裸鼠體內腫瘤細胞的影響RESULTS: The effect of miR-93 on tumor cells in nude mice

為了進一步檢驗miR-93在腫瘤發生中扮演的角色,評估miR-93大量表現對活體內腫瘤生長的影響。將穩定表現miR-93之Caco2細胞(OmiR-93)與具有雜亂(scrambled)pCDH-NC(負控制組,NC)之Caco2細胞皮下注射注入裸鼠中使腫瘤生長,接種7天後可透過觸摸察覺腫瘤並使其生長至第三週(圖2A及2C),接種OmiR-93細胞之裸鼠癌腫塊(tumor lump)顯著小於接種NC細胞之裸鼠(p=0.005,表4,圖2B及2C)。活體內結果進一步確認癌細胞中miR-93大量表現會造成實驗動物癌腫塊之細胞增生降低。To further examine the role of miR-93 in tumorigenesis, the effect of miR-93 on a large number of tumor growth in vivo was evaluated. Caco2 cells stably expressing miR-93 (OmiR-93) and Caco2 cells with scrambled pCDH-NC (negative control group, NC) were injected subcutaneously into nude mice to grow tumors, and were touched after 7 days of inoculation. The tumor was detected and allowed to grow to the third week (Figs. 2A and 2C), and the tumor lump of the nude mice inoculated with OmiR-93 cells was significantly smaller than the nude mice inoculated with NC cells ( p = 0.005, Table 4, Figure 2B and 2C). In vivo results further confirmed that a large amount of miR-93 expression in cancer cells caused a decrease in cell proliferation of cancer lumps in experimental animals.

腫瘤大小=(高×寬×長)/2Tumor size = (height x width x length)/2

結果:miR-93大量表現對裸鼠體內腫瘤細胞的影響RESULTS: The effect of miR-93 on tumor cells in nude mice

利用反轉錄酶聚合酶連鎖反應(reverse-transcriptase PCR)隨後利用含有SYBR Green螢光染劑(Applied Biosystems Inc.)的即時聚合酶連鎖反應(real-time PCR)進行mRNA轉錄物定量。利用1 μg總RNA、隨機六聚體引子及反轉錄酶(Applied Biosystems Inc.)合成cDNA,PCR反應使用的引子列於表五。mRNA transcript quantification was performed using reverse transcriptase PCR followed by real-time PCR with SYBR Green fluorescent dye (Applied Biosystems Inc.). cDNA was synthesized using 1 μg of total RNA, random hexamer primer and reverse transcriptase (Applied Biosystems Inc.), and the primers used in the PCR reaction are listed in Table 5.

結果:建構報導質體(reporter plasmid)Result: constructor reporter plasmid

利用pMIR-REPORTTM miRNA報導載體系統(Reporter Vector System)(Applied Biosystems Inc.)作為評估miR-93對蛋白質表現之影響之報導系統。利用表五所列之引子對合成各基因3’UTR雙股寡核苷酸全長,將3’UTR之PCR產物嵌入pMIR載體之多重選殖位置(MCS)以建構報導質體(圖3A)。Using pMIR-REPORT TM miRNA reported vector system (Reporter Vector System) (Applied Biosystems Inc.) as an assessment of the impact performance of miR-93 protein of the reporting system. The full length of the 3'UTR double-stranded oligonucleotides of each gene was synthesized using the primer pairs listed in Table 5. The PCR product of the 3'UTR was inserted into the multiple selection position (MCS) of the pMIR vector to construct the reporter plastid (Fig. 3A).

暫時性轉染及螢光素酶(luciferase)檢測Transient transfection and luciferase detection

使用Lipofectamine 2000(Invitrogen)將pMIR建構體(200 ng)轉染進入細胞中,轉染後24小時溶解細胞並根據螢光素酶檢測系統(Promega)之使用說明測量螢光素酶活性,各實驗獨立重複三次且各樣本進行兩次實驗。The pMIR construct (200 ng) was transfected into cells using Lipofectamine 2000 (Invitrogen), cells were lysed 24 hours after transfection and luciferase activity was measured according to the instructions of the luciferase assay system (Promega). Repeated three times independently and each sample was tested twice.

蛋白質分離與西方墨點法(western blotting)Protein separation and western blotting

利用裂解(lysis)緩衝液(Cell Signaling,美國)處理細胞,由細胞裂解產物製備全蛋白質。使用Bio-Rad蛋白質分析定量蛋白質裂解物,於10% SDS-PAGE膠體中分離,轉漬至PVDF膜上並以含有0.1% Tween 20、5%脫脂牛奶蛋白質之Tris緩衝鹽溶液阻斷(block),蛋白質在4℃與一級抗體(primary antibody)混合隔夜,清洗轉漬膜並利用辣根過氧化酶(horseradish peroxidase,HRP)接合的二級抗體(secondary antibody)與西方墨點基質(Western Blotting Substrate)(Millipore,美國)顯像,暴露至ECL醫用X光膠片(X-ray medical film)(Konica Minolta,加拿大)以顯現條帶(band),利用GAPDH蛋白的條帶強度作為蛋白質加入的量指標,用以確定蛋白質加入的量是等量。Cells were treated with lysis buffer (Cell Signaling, USA) and whole proteins were prepared from cell lysates. Protein lysates were quantified using Bio-Rad protein analysis, separated in 10% SDS-PAGE colloids, transferred to PVDF membranes and blocked with Tris buffered saline containing 0.1% Tween 20, 5% skim milk protein. The protein was mixed overnight with a primary antibody at 4 ° C, and the secondary antibody was incubated with horseradish peroxidase (HRP) and western blotting matrix (Western Blotting Substrate). (Millipore, USA) imaging, exposure to ECL X-ray medical film (Konica Minolta, Canada) to visualize the band, using the band strength of the GAPDH protein as the amount of protein added Indicators used to determine the amount of protein added is equal.

抗體antibody

抗GAPDH抗體(anti-GAPDH)係購自Sigma-Aldrich Co;抗-細胞週期蛋白B1(anti-cyclin B1)抗體、抗-p21(anti-p21)抗體、抗-ERBB2(anti-ERBB2)抗體及Alexa Fluor 594接合驢抗兔免疫球蛋白G(Alexa Fluor 594 conjugated donkey anti-rabbit IgG)購自Cell Signaling Technology;而辣根過氧化酶接合山羊二級抗體係購自Promega。Anti-GAPDH antibody (anti-GAPDH) was purchased from Sigma-Aldrich Co; anti-cyclin B1 antibody, anti-p21 (anti-p21) antibody, anti-ERBB2 (anti-ERBB2) antibody and Alexa Fluor 594 conjugated anti-rabbit IgG was purchased from Cell Signaling Technology; horseradish peroxidase conjugated goat secondary antibody was purchased from Promega.

免疫螢光染色Immunofluorescence staining

免疫螢光染色係根據使用說明所述(Cell Signaling)進行,將細胞以冷甲醇溶液固定20分鐘,以冷PBS沖洗,並以浸泡於阻斷溶液(3% BSA溶於TBS)中1小時使其飽和。接著以0.3% Triton X-100滲透5分鐘後,將細胞與一級抗體混合培養1小時。沖洗後將切片與Alexa Fluor 594接合驢抗兔免疫球蛋白G混合培養,並以DAPI(Cell Signaling)染色。Caco2之免疫染色係將切片置於FluoView FV1000共軛焦顯微鏡(Olympus,德國)顯像。Immunofluorescence staining was performed according to the instructions for use (Cell Signaling), the cells were fixed in cold methanol solution for 20 minutes, rinsed with cold PBS, and immersed in blocking solution (3% BSA dissolved in TBS) for 1 hour. It is saturated. After penetrating for 5 minutes with 0.3% Triton X-100, the cells were mixed with the primary antibody for 1 hour. After washing, the sections were mixed with Alexa Fluor 594, anti-rabbit immunoglobulin G, and stained with DAPI (Cell Signaling). Immunostaining of Caco2 The sections were placed in a FluoView FV1000 conjugated focus microscope (Olympus, Germany) for imaging.

結果:miR-93之作用係透過CCNB1、ERBB2、P21及VEGF調介Results: The role of miR-93 was mediated through CCNB1, ERBB2, P21 and VEGF.

以上實例顯示miR-93可在Caco2中抑制細胞增生與移動,並使癌細胞停留在G2期。接下來可找出miR-93目標基因以釐清miR-93的抗癌作用。藉由生物資訊分析(bioinformatic analysis)預測出多個可能的miR-93目標基因:CCNB1p21與細胞週期相關,ERBB2VEGF與細胞移動及增生、血管新生相關。OmiR-93細胞中ERBB2(p<0.0001)、p21(p=0.0002)與VEGF(p=0.025)之mRNA表現量顯著低於負控制組(NC)中之表現量(圖2D),而CCNB1之mRNA表現量雖然在兩種Caco2轉植株中無明顯差異(圖2D,p=0.167),但miR-93造成CCNB1蛋白質量顯著的降低(圖3D)。這些結果顯示miR-93可利用轉錄後調控的方式抑制CCNB1之mRNA,但不會降解其mRNA。The above examples show that miR-93 inhibits cell proliferation and migration in Caco2 and leaves cancer cells in the G2 phase. Next, the miR-93 target gene can be identified to clarify the anticancer effect of miR-93. Bioinformatic analysis was used to predict multiple possible miR-93 target genes: CCNB1 and p21 are related to cell cycle, and ERBB2 and VEGF are involved in cell migration and proliferation, and angiogenesis. The mRNA expression of ERBB2 ( p <0.0001), p21 ( p = 0.0002) and VEGF ( p = 0.025) in OmiR-93 cells was significantly lower than that in the negative control group (NC) (Fig. 2D), while CCNB1 Although there was no significant difference in mRNA expression between the two Caco2 transgenic plants (Fig. 2D, p = 0.167), miR-93 caused a significant decrease in the amount of CCNB1 protein (Fig. 3D). These results indicate that miR-93 can inhibit the mRNA of CCNB1 by post-transcriptional regulation, but does not degrade its mRNA.

已有實驗顯示p21VEGF為miR-93目標基因,本實施例利用螢光素酶報導分析確認CCNB1ERBB2為miR-93之直接目標基因:建構含有相同之miR-93預測結合序列(CACUUU)之pLuc-CCNB1與pLucERBB2質體(圖3A及3B),根據螢光素酶活性確認miR-93可直接作用在CCNB1ERBB2之3’UTR並且負調控(down-regulate)CCNB1ERBB2之表現量(圖3C),西方墨點法亦顯示CCNB1ERBB2p21蛋白質量降低(圖3D)。以抗-CCNB1抗體免疫螢光染色Caco2,結果顯示miR-93負調控Caco2細胞內(intracellular)的CCNB1(圖5),特別是在細胞核之處。It has been shown that p21 and VEGF are miR-93 target genes. In this example, luciferase reporter assay was used to confirm that CCNB1 and ERBB2 are direct target genes of miR-93: constructing the same miR-93 predicted binding sequence (CACUUU) The pLuc-CCNB1 and pLucERBB2 plastids (Fig. 3A and 3B), according to luciferase activity, it was confirmed that miR-93 can directly act on the 3'UTR of CCNB1 and ERBB2 and down-regulate the expression of CCNB1 and ERBB2 . (Fig. 3C), Western blotting also showed a decrease in the amount of CCNB1 , ERBB2 and p21 protein (Fig. 3D). Immunofluorescence staining of Caco2 with an anti-CCNB1 antibody revealed that miR-93 negatively regulates Caco2 intracellular CCNB1 (Fig. 5), particularly at the nucleus.

上述實施例僅係為了方便說明而舉例而已,本發明所主張之權利範圍自應以申請專利範圍所述為準,而非僅限於上述實施例。本發明已詳細描述並例示,熟習此技藝者可據以實施。在不背離本發明之精神與範疇下,各種改變、修飾與改善皆應屬本發明涵蓋範圍。The above-mentioned embodiments are merely examples for convenience of description, and the scope of the claims is intended to be limited to the above embodiments. The present invention has been described and illustrated in detail, and can be implemented by those skilled in the art. Various changes, modifications, and improvements are intended to be included within the scope of the invention.

<110> 高雄醫學大學<110> Kaohsiung Medical University

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圖1、(A) 35個非早期復發與42個早期復發CRC樣本之miR-93表現量:miR-93相對表現量為log10(2-ΔCt),ΔCt=(CTmiR-93-CTU6b)且U6b為標準化之內部控制組(internal control),早期復發樣本之表現量顯著降低(p<0.0001,調整CRC腫瘤之年齡、性別及分期);(B)不同分期CRC樣本miR-93表現量之平均(I期:n=10、II期:n=35、III期:n=32):隨CRC分期的演進表現量有單調遞減的現象(p=0.0325調整CRC腫瘤之年齡、性別);(C)根據WST-1分析miR-93抑制腫瘤細胞增生,p=0.012:OmiR-93表示大量表現miR-93穩定轉殖株,NC表示負控制組穩定轉殖株;(D) miR-93大量表現造成停留在G2期之細胞顯著累積,p=0.013(黑色:G0期、淺灰色:S期、深灰色:G2期);(E)根據Transwell分析,miR-93大量表現抑制腫瘤細胞移動,p<0.001;(F) miR-93大量表現不會影響腫瘤細胞侵襲,p=0.825;(G)腫瘤細胞移動之照片來自傷口癒合分析,24小時及48小時具有較寬之間隙,顯示miR-93大量表現之細胞移動能力降低。 Figure 1. (A) MiR-93 expression in 35 non-early recurrence and 42 early recurrent CRC samples: miR-93 relative performance is log 10 (2 -ΔCt ), ΔCt = (CT miR-93 -CT U6b And U6b is a standardized internal control group, the performance of early recurrence samples is significantly reduced ( p <0.0001, adjusting the age, gender and stage of CRC tumors); (B) miR-93 performance of different stages of CRC samples The average (I phase: n=10, phase II: n=35, phase III: n=32): the evolutionary performance of the CRC stage has a monotonously decreasing phenomenon ( p = 0.0325 to adjust the age and gender of the CRC tumor); (C) Analysis of miR-93 inhibition of tumor cell proliferation according to WST-1, p = 0.012: OmiR-93 indicates a large number of stable miR-93 transgenic plants, NC indicates a negative control group stable transgenic strain; (D) miR-93 A large number of cells caused significant accumulation of cells in the G2 phase, p = 0.013 (black: G0 phase, light gray: S phase, dark gray: G2 phase); (E) According to Transwell analysis, miR-93 showed a large amount of inhibition of tumor cell movement , p <0.001; (F) miR-93 a large number of performance does not affect tumor cell invasion, p = 0.825; (G) photo of tumor cell movement from wound healing analysis, There was a wide gap between 24 hours and 48 hours, indicating that the cell migration ability of miR-93 was significantly reduced.

圖2、動物模式中miR-93對腫瘤生長的影響以及miR-93目標基因之mRNA表現量,OmiR-93表示大量表現miR-93穩定轉殖株,NC表示負控制組穩定轉殖株:(A)分別以OmiR-93細胞(n=4,上方)及NC細胞(n=4,下方)皮下注射之裸鼠於第21天拍攝之照片;(B)第21天OmiR-93組別(上方)之癌腫塊較NC組別(下方)大幅地減小;(C)21天內OmiR-93(---)與NC(─)細胞之腫瘤(cm3)生長曲線(p=0.005);(D)利用qPCR測定之ERBB2p21CCNB1VEGF之mRNA表現量。相較於NC(灰色),OmiR-93(黑色)之ERBB2P21VEGF之mRNA表現量明顯較低(分別為NC組的27.9%、26.8%與55.5%),CCNB1則否(93.39%)。 Figure 2. The effect of miR-93 on tumor growth and the mRNA expression of miR-93 target gene in animal model. OmiR-93 indicates a large number of stable miR-93 transgenic strains, and NC indicates a negative control group stable transgenic strain: A) photographs taken on day 21 of nude mice subcutaneously injected with OmiR-93 cells (n=4, top) and NC cells (n=4, lower); (B) Day 21 OmiR-93 group ( The cancer mass in the upper part was significantly reduced compared with the NC group (below); (C) the tumor growth curve (cm 3 ) of OmiR-93 (---) and NC (-) cells within 21 days ( p = 0.005) (D) mRNA expression levels of ERBB2 , p21 , CCNB1 and VEGF as determined by qPCR. Compared with NC (grey), mRNA expression of ERBB2 , P21 and VEGF of OmiR-93 (black) was significantly lower (27.9%, 26.8% and 55.5% of NC group, respectively), and CCNB1 (93.39%). .

圖3、miR-93結合CCNB1ERBB2之3’-UTR並影響該些之蛋白質表現:(A)3’-UTR報導建構體之示意圖:將目標基因之3’UTR嵌入pMIR質體中螢光素酶基因的3’端以進行螢光素酶活性分析;(B)對列(align)miR-93以及CCNB1ERBB2之3’UTR之間之預測的miR-93結合序列;(C) OmiR-93表示大量表現miR-93穩定轉殖株,NC表示負控制組穩定轉殖株。將pLuc-UTR(400ng)轉染至OmiR-93或NC,具有pLuc-CCNB1質體之OmiR-93之螢光素酶活性(66.9%)顯著低於具有pLuc-CCNB1質體之NC,p=0.005。同樣地,具有pLuc-ERBB2質體之OmiR-93之螢光素酶活性(48.43%)亦顯著低於具有pLuc-ERBB2質體之NC,p=0.003;(D)蛋白質表現之西方墨點分析:OmiR-93之miR-93目標基因之蛋白質量較NC低。 Figure 3. miR-93 binds to the 3'-UTR of CCNB1 and ERBB2 and affects the protein expression: (A) Schematic representation of the 3'-UTR reporter construct: embedding the 3'UTR of the target gene into the pMIR plastid The 3' end of the prime enzyme gene is analyzed for luciferase activity; (B) the predicted miR-93 binding sequence between aligning miR-93 and the 3'UTR of CCNB1 and ERBB2 ; (C) OmiR -93 indicates a large number of stable transgenic strains of miR-93, and NC indicates a stable transgenic strain of the negative control group. When pLuc-UTR (400 ng) was transfected into OmiR-93 or NC, the luciferase activity of OmiR-93 with pLuc-CCNB1 plastid (66.9%) was significantly lower than that of NC with pLuc-CCNB1 plastid, p = 0.005. Similarly, the luciferase activity of OmiR-93 with pLuc-ERBB2 plastid (48.43%) was also significantly lower than that of pLuc-ERBB2 plastid, p = 0.003; (D) Western blot analysis of protein expression : The protein amount of miR-93 target gene of OmiR-93 is lower than that of NC.

圖4、人類大腸直腸癌腫瘤中miR-93失去調控能力,而miR-93大量表現會影響CCNB1蛋白質表現但不會誘導細胞凋亡:(A)利用qPCR偵測45組成對人類CRC患者之miR-93相對表現量,miR-93相對表現量以log10(2-ΔCt)計算,淺灰色為一般(非腫瘤)組織miR-93表現量,深灰色為腫瘤組織miR-93表現量;(B)使用膜聯蛋白(annexin)V-FITC/PI染色及流式細胞技術評估具有雜亂miR(左)與miR擬似物(右)之暫時性轉染之Caco2細胞凋亡,x軸(FL1對數尺度)表示膜聯蛋白V-FITC螢光、y軸(FL3對數尺度)表示PI螢光,早期凋亡(膜聯蛋白V-FITC-正/PI-負)細胞出現在散點圖(dot plot)右下的象限(A4),晚期凋亡(膜聯蛋白V-FITC-正/PI-正)細胞出現在散點圖(dot plot)右上的象限(A2),圖4B為來自3個獨立實驗的典型結果,由於出現在散點圖右半部的總族群數量沒有增加(A2/A4),顯示miR-93大量表現不會誘導細胞凋亡。 Figure 4. MiR-93 loses its ability to regulate colorectal cancer in human colorectal cancer, while miR-93 can affect CCNB1 protein expression but not induce apoptosis: (A) use qPCR to detect 45 composition of human CRC patients with miR -93 relative performance, miR-93 relative performance is calculated as log 10 (2 -ΔCt ), light gray is general (non-tumor) tissue miR-93 performance, dark gray is tumor tissue miR-93 performance; (B Apoptosis of Caco2 cells transiently transfected with messy miR (left) and miR mimics (right) using annexin V-FITC/PI staining and flow cytometry, x-axis (FL1 logarithmic scale) ) indicates that annexin V-FITC fluorescence, y-axis (logarithmic scale of FL3) indicates PI fluorescence, and early apoptosis (Annexin V-FITC-positive/PI-negative) cells appear in a dot plot. In the lower right quadrant (A4), late apoptotic (Annexin V-FITC-positive/PI-positive) cells appear in the upper right quadrant of the dot plot (A2), and Figure 4B is from three independent experiments. The typical result is that the number of total populations that appear in the right half of the scatter plot does not increase (A2/A4), indicating that a large number of miR-93 expression does not induce apoptosis.

圖5、使用CCNB1抗體進行免疫螢光染色,由共軛焦顯微鏡取得之結果顯示OmiR-93之CCNB1蛋白質表現量(紅色螢光)較NC低,藍色部份表示以DAPI染色的細胞核,OmiR-93表示大量表現miR-93穩定轉殖株,NC表示負控制組穩定轉殖株,降低的CCNB1蛋白質主要位於OmiR-93之細胞核,且細胞將停留在G2期。 Figure 5. Immunofluorescence staining using CCNB1 antibody. The results obtained by conjugated focus microscopy showed that the expression of CCNB1 protein (red fluorescence) of OmiR-93 was lower than that of NC, and the blue part indicated the nucleus stained with DAPI, OmiR. -93 indicates a large number of stable miR-93 transgenic strains, NC indicates a negative control group stable transgenic strain, and the reduced CCNB1 protein is mainly located in the nucleus of OmiR-93, and the cells will remain in the G2 phase.

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一種miR-93用於製備提供早期復發大腸直腸癌患者抗癌作用之醫藥組合物的用途,其包含具有藥理上有效劑量的miR-93,其中該早期復發大腸直腸癌患者之癌細胞中miR-93之表現量較非早期復發患者低。 Use of a miR-93 for the preparation of a pharmaceutical composition for providing an anticancer effect in an early recurrent colorectal cancer patient, comprising a pharmacologically effective dose of miR-93, wherein the miR- in the cancer cell of the patient with early recurrent colorectal cancer The performance of 93 was lower than that of patients with non-early recurrence. 根據申請專利範圍第1項之用途,其中該miR-93負調控CCNB1ERBB2P21VEGF基因。 According to the use of the first aspect of the patent application, the miR-93 negatively regulates the CCNB1 , ERBB2 , P21 and VEGF genes. 根據申請專利範圍第1項之用途,其中該患者為人類。According to the use of the first aspect of the patent application, wherein the patient is a human.
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