TWI633187B - Cancer initiating cell and use thereof - Google Patents

Cancer initiating cell and use thereof Download PDF

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TWI633187B
TWI633187B TW105125166A TW105125166A TWI633187B TW I633187 B TWI633187 B TW I633187B TW 105125166 A TW105125166 A TW 105125166A TW 105125166 A TW105125166 A TW 105125166A TW I633187 B TWI633187 B TW I633187B
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TW201805419A (en
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林泰元
張淑媛
趙苔伶
古幸宜
曾宇鳳
徐銘聰
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林泰元
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本發明係關於一種癌起始細胞,其包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞。本發明亦關於一種具有腫瘤的老鼠用於抗癌藥物篩選的用途,其中該腫瘤係由癌起始細胞所誘導,其中該癌起始細胞包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞。 The present invention relates to a cancer-initiating cell comprising an isolated excess of Crox virus expressing Oct-4 and an adenovirus receptor-positive mouse lung stem/progenitor cell. The invention also relates to the use of a tumor-bearing mouse for screening for an anticancer drug, wherein the tumor cell is induced by a cancer-initiating cell, wherein the cancer-initiating cell comprises an isolated Exxax virus exhibiting Oct-4 and Adenovirus receptor-positive mouse lung stem cells/pioneer cells.

Description

癌起始細胞及其用途 Cancer initiation cell and use thereof

本發明係關於一種癌起始細胞,其包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞與其用途。 The present invention relates to a cancer-initiating cell comprising an isolated excess of Crosic virus and an adenovirus receptor-positive mouse lung stem cell/progenitor cell exhibiting Oct-4 and its use.

肺癌是全世界癌症相關死亡的主因之一,且五年整體存活率依然小於14%。越來越多的證據顯示癌幹細胞(cancer stem cell),亦稱為癌起始細胞(cancer initiating cells;CICs)在腫瘤生長與傳統化療抗性中扮演關鍵的角色,且可能導致癌症轉移及復發。癌幹細胞:引述,希望與挑戰。 Lung cancer is one of the leading causes of cancer-related deaths worldwide, and the overall five-year survival rate is still less than 14%. A growing body of evidence suggests that cancer stem cells, also known as cancer initiating cells (CICs), play a key role in tumor growth and traditional chemotherapy resistance and may lead to cancer metastasis and recurrence. . Cancer stem cells: quotes, hopes and challenges.

癌起始細胞(CICs)可利用不同的體外測定法和細胞標記物鑑定,如側群細胞分析(side population analysis)、球體形成試驗(sphere forming assay)、化療抗性、乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性及細胞標記CD133。然而,單獨使用以上的體外測定法並無法證實所檢測細胞確實為癌起始細胞。因此,特定的體內測定法,如動物模型之限制性稀釋移植實驗(limiting dilution transplantation experiment),被用來確認體外測定的結果。不幸地,在不同的癌症種類中,癌起始細胞(CICs)的鑑定結果常有衝突。癌起始細胞(CICs)鑑定的不一致性可能起因於所 研究之細胞源自不同的癌細胞株或成熟腫瘤,臨床腫瘤樣本的表型或功能上的異質性可能加重癌起始細胞(CICs)鑑定上的困難。 Cancer-initiating cells (CICs) can be identified using different in vitro assays and cell markers, such as side population analysis, sphere forming assay, chemotherapy resistance, acetaldehyde dehydrogenase ( Aldehyde dehydrogenase; ALDH) activity and cell marker CD133. However, the use of the above in vitro assay alone did not confirm that the cells tested were indeed cancer-initiating cells. Therefore, specific in vivo assays, such as the animal model's limiting dilution transplantation experiment, were used to confirm the results of the in vitro assay. Unfortunately, the identification of cancer-initiating cells (CICs) often conflicts among different cancer types. Inconsistencies in the identification of cancer-initiating cells (CICs) may result from The cells studied are derived from different cancer cell lines or mature tumors, and the phenotypic or functional heterogeneity of clinical tumor samples may exacerbate the difficulty in identifying cancer-initiating cells (CICs).

現今已有不同的假說提出對於癌起始細胞(CICs)形成的解釋,例如成人幹細胞/先驅細胞(stem/progenitor cell)的突變或分化細胞獲得類似幹細胞的特性;然而,細胞來源與有關癌起始細胞(CICs)發展的過程仍然不明。在K-ras G12D 突變的老鼠模型中,位於支氣管肺泡交界(bronchioalveolar duct junction)的幹細胞被檢測為經Cre/lox調控之活化後之腺癌的潛在起源。另一個研究證明受IGF-IR信號介導的Oct-4可與β-胡蘿蔔素及Sox-2形成一複合物,其在肺腺癌中對於癌起始細胞(CICs)之自我更新與致癌潛能扮演重要的角色。另外,在肺腺癌細胞株A549同時表現Oct-4與Nanog可控制上皮-間質轉化(epithelial-mesenchymal transdifferentiation)、調控腫瘤起始能力及促進轉移作用。此外,表現高量Oct-4的非小細胞肺癌病人與癌症轉移及較低的存活率相關。雖然這些研究證實某些多能基因(pluripotent genes),如Oct-4、Sox-2及Nanog,與腫瘤起始特性密切相關,但異常多能基因的表現與癌起始細胞(CICs)生成之間的關聯仍不明,有待進一步釐清。 Different hypotheses have been proposed today for the interpretation of the formation of cancer-initiating cells (CICs), such as mutations in adult stem/progenitor cells or differentiation of cells to obtain stem cell-like properties; however, cell origin and related cancers The process of development of the initial cells (CICs) remains unclear. In a mouse model of K-ras G12D mutation, stem cells at the bronchioalveolar duct junction were detected as potential sources of adenocarcinoma after Cre/lox-regulated activation. Another study demonstrates that Oct-4, mediated by IGF-IR signaling, forms a complex with beta-carotene and Sox-2, which is self-renewing and carcinogenic to cancer-initiating cells (CICs) in lung adenocarcinoma. Play an important role. In addition, in the lung adenocarcinoma cell line A549, both Oct-4 and Nanog can control epithelial-mesenchymal transdifferentiation, regulate tumor initiation ability and promote metastasis. In addition, patients with non-small cell lung cancer who present high amounts of Oct-4 are associated with cancer metastasis and lower survival rates. Although these studies confirm that certain pluripotent genes, such as Oct-4, Sox-2, and Nanog, are closely related to tumor initiation properties, the expression of abnormal pluripotency genes and cancer-initiating cells (CICs) are generated. The relationship is still unclear and needs further clarification.

本發明涉及一種癌起始細胞(CICs),其包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cells;CAR+/mPSCs)(CAR+/mPSCOct-4_hi);本發明物亦涉及 一種具有腫瘤的老鼠用於抗癌藥物篩選的方法,其中該腫瘤係由癌起始細胞(CIC)誘導,其中該癌起始細胞包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(CAR+/mPSCOct-4_hi)。 The present invention relates to a cancer-initiating cell (CICs) comprising an excess of Oct-4 virus and adenovirus receptor-positive mouse lung stem cells/precursor cells (coxsackievirus and adenovirus receptor positive mouse pulmonary stem/). Progenitor cells; CAR + /mPSCs) (CAR + /mPSC Oct-4_hi ); the present invention also relates to a method for screening a cancer-resistant mouse for anticancer drug, wherein the tumor cell is induced by a cancer-initiating cell (CIC) Wherein the cancer-initiating cells comprise an excess of Exxaxac and an adenovirus-positive mouse lung stem/progenitor cells (CAR + /mPSC Oct-4_hi ) exhibiting Oct-4 .

固態腫瘤(Solid tumors)被認為起因於含有幹細胞族群之器官,這些器官的腫瘤包括癌細胞之異質族群,其增生與形成新腫瘤的能力顯著不同;已報導指出此腫瘤形成能力之差別,例如乳癌細胞及中樞神經系統之腫瘤。儘管大部分癌細胞的分裂能力有限,近期研究指出一群名為癌幹細胞(cancer stem cells)或癌起始細胞(cancer initiating cells;CICs)的癌細胞群具有廣泛的自我更新及形成新腫瘤之能力;越來越多的證據表明調節正常幹細胞自我更新的途徑於癌幹細胞中不受控制或被改變,導致自我更新之癌細胞不斷擴張且形成腫瘤。 Solid tumors are thought to result from organs containing stem cell populations, including tumors of heterogeneous populations of cancer cells, whose proliferation is significantly different from the ability to form new tumors; differences in tumor formation capabilities, such as breast cancer, have been reported Cells and tumors of the central nervous system. Although most cancer cells have limited ability to divide, recent studies have indicated that a group of cancer cells called cancer stem cells or cancer initiating cells (CICs) have extensive self-renewal and ability to form new tumors. Increasing evidence suggests that the pathways that regulate normal stem cell self-renewal are uncontrolled or altered in cancer stem cells, leading to self-renewing cancer cells expanding and forming tumors.

本發明中,癌起始細胞(CICs)在動物模型中生產,以深入了解癌起始細胞(CICs)之性質與特性,這些發現可以幫助癌症研究以提供肺癌早期診斷與治療之洞悉。在以往的研究中,老鼠肺部幹細胞/先驅細胞(mouse pulmonary stem/progenitor cells;mPSCs)係以無血清之初步篩選培養,隨後利用培養中的克沙奇病毒及腺病毒受體(coxsackievirus and adenovirus receptor;CAR)作為陽性篩選標記利用流式細胞儀進行分離。此克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cells;CAR+/mPSCs)展現幹細胞/先驅細胞之特性,能夠分化為第一型肺胞壁細胞(type-I pneumocytes)且具有血管增生潛能。本發 明可識別呈Oct-4陽性之肺部幹細胞/先驅細胞,且於體外證實其對SARS冠狀病毒(SARS-CoV)之感受性。肺部幹細胞/先驅細胞分化為肺胞壁細胞(alveolar pneumocytes),而血管新生係於三維明膠-微泡支架(3D gelatin--microbubble scaffold)中誘導。本發明證實CAR+/mPSCs可透過Oct-4的過量表現而轉化,並發展為典型的癌起始細胞(CICs)表型,由CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)亦經測試。在本文所述的實驗中,轉化細胞之特性係由體外測定法測定,包含細胞週期與端粒酶(telomerase)活性分析、球體形成試驗(sphere forming assay)、CD133表現測定、乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性及化療抗性試驗。另外,體內測定法包括重症聯合免疫缺陷小鼠(Severe Combined Immunodeficiency Mice;SCID mice)之限制性稀釋移植(limiting dilution transplantation)及腫瘤轉移試驗,用於進一步研究轉化細胞之特性。因誘導血管新生能力乃癌起始細胞(CICs)之另一特性,內皮管道形成試驗(endothelial tube formation)及雞胚胎尿絨毛膜(chicken chorioallantoic membrane;CAM)試驗係用於評估轉化細胞之血管新生潛能。 In the present invention, cancer-initiating cells (CICs) are produced in animal models to gain insight into the nature and characteristics of cancer-initiating cells (CICs), which can aid cancer research to provide insight into the early diagnosis and treatment of lung cancer. In previous studies, mouse lung stem/progenitor cells (mPSCs) were cultured in serum-free primary screening, followed by the use of oxalic acid and adenovirus receptors in culture (coxsackievirus and adenovirus). Receptor; CAR) was isolated by flow cytometry as a positive screening marker. The coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cells (CAR + /mPSCs) exhibit the characteristics of stem cells/pioneer cells and can differentiate into the first Type-I pneumocytes and have angiogenic potential. The present invention recognizes Oct-4 positive lung stem cells/pione cells and confirms their sensitivity to SARS coronavirus (SARS-CoV) in vitro. The lung stem cells/pione cells differentiate into alveolar pneumocytes, and the angiogenesis is induced in a 3D gelatin-microbubble scaffold. The present invention demonstrates that CAR + /mPSCs can be transformed by overexpression of Oct-4 and develop into a typical cancer initiating cell (CICs) phenotype, a type 1 lung cell wall cell derived from CAR + /mPSCs (type- I pneumocytes) have also been tested. In the experiments described herein, the characteristics of transformed cells are determined by in vitro assays, including cell cycle and telomerase activity assays, sphere forming assays, CD133 assays, acetaldehyde dehydrogenase (aldehyde dehydrogenase; ALDH) activity and chemotherapy resistance test. In addition, in vivo assays include limiting dilution transplantation and tumor metastasis testing of Severe Combined Immunodeficiency Mice (SCID mice) for further study of the characteristics of transformed cells. Endoelial tube formation and chicken chorioallantoic membrane (CAM) assays are used to assess angiogenesis in transformed cells because of their ability to induce angiogenesis and other characteristics of cancer-initiating cells (CICs). Potential.

在本發明中,證實於CAR+/mPSCs中過量表現多能轉錄因子Oct-4可生成轉化細胞,其稱為CAR+/mPSCsOct-4_hi。這些轉化細胞具有癌症/腫瘤之起始能力、化療抗性並顯著表現某些促血管新生因子,包括血管生成素(angiopoietins;ANGs)和血管內皮生長因子(vascular endothelial growth factor;VEGF),以及增強的血管生成潛能。此外,CAR+/mPSCsOct-4_hi表現內皮細胞標誌,包括CD31、CD105、CD34及CD144。此外, CAR+/mPSCsOct-4_hi主動參與腫瘤血管形成、活化ANGs/Tie2訊息途徑;這些發現提供癌起始細胞(CICs)可能起源與生成之新穎見解,並有助於闡明藉由癌起始細胞(CICs)所負責介導之血管形成之途徑、提供肺癌之抗血管生成治療的新策略。 In the present invention, it was confirmed that an overexpression of the pluripotency transcription factor Oct-4 in CAR + /mPSCs can produce transformed cells, which are called CAR + /mPSCs Oct-4_hi . These transformed cells have cancer/tumor initiation, chemotherapy resistance, and significant expression of certain pro-angiogenic factors, including angiopoietin (ANGs) and vascular endothelial growth factor (VEGF), and enhancement. The angiogenic potential. In addition, CAR + /mPSCs Oct-4_hi displays endothelial cell markers including CD31, CD105, CD34 and CD144. In addition, CAR + /mPSCs Oct-4_hi actively participates in tumor angiogenesis and activates the ANGs/Tie2 signaling pathway; these findings provide novel insights into the possible origins and genesis of cancer-initiating cells (CICs) and help elucidate the initiation of cancer Cells (CICs) are responsible for the pathways involved in angiogenesis and provide new strategies for anti-angiogenic therapy for lung cancer.

本文中所使用之「一」可指一個或多個,本文之申請專利範圍中與「包含」字詞之連接使用時,「一」可指一個或一個以上。 "an" may be used in connection with the word "comprising", and "a" may mean one or more.

因此,本發明提供一種癌起始細胞(CIC),其包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cell;CAR+/mPSC)(CAR+/mPSCOct-4_hi)。 Accordingly, the present invention provides a cancer-initiating cell (CIC) comprising an excess of Oct-4 virus and an adenovirus receptor-positive mouse lung stem cell/precursor cell (coxsackievirus and adenovirus receptor positive mouse pulmonary) Stem/progenitor cell; CAR + /mPSC) (CAR + /mPSC Oct-4_hi ).

本說明書與申請專利範圍中,所使用的術語「癌起始細胞(cancer initiating cell;CIC)」可互換,並指稱為一種固體癌幹細胞(solid cancer stem cell)。癌起始細胞之定義與功能表徵為腫瘤之一小群細胞,其可在體外之適當條件下無限增長(有自我更新能力),且僅使用少量細胞(<102個細胞)即能於活體內形成腫瘤。其他常見辨識癌起始細胞(CIC)特性的方法涉及形態學、細胞表面標記之檢查、轉錄圖譜(transcriptional profile)及藥物反應。 The term "cancer initiating cell (CIC)" as used in this specification and the scope of the patent application is interchangeable and is referred to as a solid cancer stem cell. The definition and function of cancer-initiating cells are characterized as a small group of tumors, which can grow indefinitely under appropriate conditions in vitro (have self-renewal ability), and can live only with a small number of cells (<10 2 cells). Tumors form in the body. Other common methods for identifying cancer-initiating cell (CIC) characteristics include morphology, cell surface marker detection, transcriptional profile, and drug response.

過量表現Oct-4之CAR+/mPSC代表在CAR+/mPSC中的Oct-4表現量高於正常細胞10倍。在一較佳具體實施例中,CAR+/mPSC中的Oct-4表現量高於正常細胞16倍,在一更佳實施例中,CAR+/mPSC中的Oct-4表現量高於正常細胞20倍。本文之「正常細胞」乃指正常 CAR+/mPSC。該表現量是指一DNA、RNA或蛋白質的表現量。在一較佳具體實施例中,該表現量係指蛋白質的表現量。該蛋白質係由Oct-4的基因編碼而得。在一更佳具體實施例中,Oct-4基因之序列由SEQ ID NO:1組成。另一具體實施例中,Oct-4基因為Oct-4的cDNA。 The CAR + /mPSC in excess of Oct-4 represents that Oct-4 expression in CAR + /mPSC is 10 times higher than that in normal cells. In a preferred embodiment, the amount of Oct-4 in CAR + /mPSC is 16 times higher than in normal cells. In a more preferred embodiment, the amount of Oct-4 in CAR + /mPSC is higher than that in normal cells. 20 times. "Normal cells" herein refers to normal CAR + /mPSC. The amount of expression refers to the amount of expression of a DNA, RNA or protein. In a preferred embodiment, the amount of expression refers to the amount of protein expressed. This protein is obtained by encoding the gene of Oct-4. In a more preferred embodiment, the sequence of the Oct-4 gene consists of SEQ ID NO: 1. In another specific embodiment, the Oct-4 gene is a cDNA of Oct-4.

在另一具體實施例中,該CAR+/mPSC包含一載體,其中該載體包含一種能編碼Oct-4基因的核酸序列。在一較佳具體實施例中,該Oct-4基因之序列為SEQ ID NO:1。 In another specific embodiment, the CAR + /mPSC comprises a vector, wherein the vector comprises a nucleic acid sequence encoding the Oct-4 gene. In a preferred embodiment, the sequence of the Oct-4 gene is SEQ ID NO: 1.

在一具體實施例中,該CAR+/mPSCOct-4_hi展現軟瓊脂細胞群落形成(softagar colony formation)、球體形成(sphere formation)及不朽特性。 In a specific embodiment, the CAR + /mPSC Oct-4_hi exhibits soft agar colony formation, sphere formation, and immortality.

在另一具體實施例中,該CAR+/mPSCOct-4_hi具有癌細胞功能,其中該癌細胞功能包含細胞增生、細胞轉移、細胞侵襲或其組合。 In another specific embodiment, the CAR + /mPSC Oct-4_hi has cancer cell function, wherein the cancer cell function comprises cell proliferation, cell metastasis, cell invasion, or a combination thereof.

在一具體實施例中,該CAR+/mPSCOct-4_hi具有腫瘤起始能力(tumor initiating capacity)。在一較佳具體實施例中,該CAR+/mPSCOct-4_hi具有致瘤能力(tumorigenic capacity),其中該致瘤能力包含腫瘤形成、腫瘤再生、轉移能力或其組合。本發明之CAR+/mPSCOct-4_hi於某些實施例可無限生長,且於體外可從<103個細胞生成腫瘤。在一較佳具體實施例中,該CAR+/mPSCOct-4_hi無限生長,且於體外從<102個細胞生成腫瘤。 In a specific embodiment, the CAR + /mPSC Oct-4_hi has a tumor initiating capacity. In a preferred embodiment, the CAR + /mPSC Oct-4_hi has a tumorigenic capacity, wherein the tumorigenic capacity comprises tumor formation, tumor regeneration, metastatic ability, or a combination thereof. The CAR + /mPSC Oct-4_hi of the present invention can grow indefinitely in certain embodiments, and tumors can be generated from <10 3 cells in vitro. In a preferred embodiment, the CAR + /mPSC Oct-4_hi grows indefinitely and produces tumors from <10 2 cells in vitro.

針對肺部癌起始細胞,已有不同的生物標識被提出,包含CD133的表現、乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性及化療 抗性。在一具體實施例中,CAR+/mPSCOct-4_hi表現CD133、乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性、化療抗性及其組合。該化療抗性(chemoresistance)意指CAR+/mPSCOct-4_hi對於化學放射治療或化療藥具有抗性。因此,該癌起始細胞為一肺癌起始細胞。在一具體實施例中,該CAR+/mPSCOct-4_hi為一肺癌起始細胞。 Different biomarkers have been proposed for lung cancer initiation cells, including CD133 expression, aldehyde dehydrogenase (ALDH) activity, and chemotherapy resistance. In a specific embodiment, CAR+/mPSC Oct-4_hi exhibits CD133, aldehyde dehydrogenase (ALDH) activity, chemotherapy resistance, and combinations thereof. This chemoresistance means that CAR + /mPSC Oct-4_hi is resistant to chemoradiation or chemotherapy. Therefore, the cancer-initiating cell is a lung cancer-initiating cell. In a specific embodiment, the CAR + /mPSC Oct-4_hi is a lung cancer initiation cell.

在一具體實施例中,該CAR+/mPSCOct-4_hi具有血管新生(angiogenesis)的功能。在一較佳具體實施例中,該CAR+/mPSCOct-4_hi具有參與血管形成的功能。因此,該CAR+/mPSCOct-4_hi不僅具有血管新生潛能,亦參與腫瘤血管形成。在另一具體實施例中,該CAR+/mPSCOct-t_hi具有活化ANG/Tie2訊息途徑而加強血管新生的功能。在一較佳實施例中,CAR+/mPSCOct-4_hi擁有活化Tie2訊息途徑而加強血管新生的功能。 In a specific embodiment, the CAR + /mPSC Oct-4_hi has the function of angiogenesis. In a preferred embodiment, the CAR + /mPSC Oct-4_hi has a function of participating in angiogenesis. Therefore, the CAR + /mPSC Oct-4_hi not only has angiogenic potential, but also participates in tumor angiogenesis. In another specific embodiment, the CAR + /mPSC Oct-t_hi has the function of activating the ANG/Tie2 signaling pathway to enhance angiogenesis. In a preferred embodiment, CAR + /mPSC Oct-4_hi has the function of activating the Tie2 signaling pathway to enhance angiogenesis.

在另一具體實施例中,該CAR+/mPSCOct-4_hi表現內皮細胞之表面標記,其中該內皮細胞之表面標記包含CD31、CD105、CD34、CD144或其組合。 In another specific embodiment, the CAR + /mPSC Oct-4_hi represents a surface marker of endothelial cells, wherein the surface marker of the endothelial cell comprises CD31, CD105, CD34, CD144, or a combination thereof.

此發明亦提供一種具有腫瘤的老鼠用於篩選抗癌藥物之用途,其中所述之腫瘤係由癌起始細胞(CIC)誘導,其中該癌起始細胞(CIC)包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cell;CAR+/mPSC)(CAR+/mPSCOct-4_hi)。 The invention also provides the use of a tumor-bearing mouse for screening for an anti-cancer drug, wherein the tumor cell is induced by a cancer-initiating cell (CIC), wherein the cancer-initiating cell (CIC) comprises an excess of Oct-4. Isolated oxacinvirus and adenovirus receptor positive mouse pulmonary stem/progenitor cell (CAR + /mPSC) (CAR + /mPSC Oct-4_hi ).

在一具體實施例中,該動物為一老鼠。 In a specific embodiment, the animal is a mouse.

此處「分離(isolated)」之詞是指材料,其本質上或實質上不包含天然狀態中所發現之伴隨成分。 The term "isolated" as used herein refers to a material that is substantially or substantially free of concomitant components found in the natural state.

「抗癌藥物(Anti-cancer drug)」是指包含具有抗腫瘤活性之活性成分的組合物,「抗腫瘤活性」係指一抑制腫瘤生長的效果,一腫瘤細胞毒性及/或腫瘤退化效果。 "Anti-cancer drug" means a composition comprising an active ingredient having antitumor activity, and "antitumor activity" means an effect of inhibiting tumor growth, a tumor cytotoxicity and/or a tumor degenerative effect.

過量表現Oct-4之CAR+/mPSC代表在CAR+/mPSC中Oct-4表現量高於正常細胞10倍。在一較佳具體實施例中,Oct-4於CAR+/mPSC之表現量高於正常細胞16倍。在一更佳具體實施例中,Oct-4於CAR+/mPSC之表現量高於正常細胞20倍。本文之「正常細胞」為正常CAR+/mPSC。該表現量係指一DNA、RNA或蛋白質的表現量。在一較佳具體實施例中,該表現量係指蛋白質的表現量,該蛋白質是由一Oct-4的基因編碼而得。在一更佳具體實施例中,Oct-4基因之序列為SEQ ID NO:1。 The CAR + /mPSC in excess of Oct-4 represents that the amount of Oct-4 in CAR + /mPSC is 10 times higher than that in normal cells. In a preferred embodiment, the amount of Oct-4 expressed in CAR + /mPSC is 16 times higher than that of normal cells. In a more preferred embodiment, the amount of Oct-4 expressed in CAR + /mPSC is 20 times higher than that of normal cells. The "normal cell" in this paper is normal CAR + /mPSC. The amount of expression refers to the amount of expression of a DNA, RNA or protein. In a preferred embodiment, the amount of expression refers to the amount of protein expressed, which is encoded by a gene encoding Oct-4. In a more preferred embodiment, the sequence of the Oct-4 gene is SEQ ID NO: 1.

在另一實施例中,該CAR+/mPSC包含一載體,其中該載體包含一種編碼Oct-4基因之核酸序列。在一較佳具體實施例中,該Oct-4基因序列為SEQ ID NO:1。 In another embodiment, the CAR + /mPSC comprises a vector, wherein the vector comprises a nucleic acid sequence encoding the Oct-4 gene. In a preferred embodiment, the Oct-4 gene sequence is SEQ ID NO: 1.

在一具體實施例中,該癌起始細胞為一肺癌起始細胞。在一較佳具體實施例中,該腫瘤為一肺部腫瘤。在另一具體實施例中,該抗癌藥物為一治療癌起始細胞之藥物。在一較佳具體實施例中,該抗癌藥物為一抗肺癌藥物。在一更佳具體實施例中,該抗癌藥物為一治療肺癌起始細胞之藥物。 In a specific embodiment, the cancer initiating cell is a lung cancer initiating cell. In a preferred embodiment, the tumor is a lung tumor. In another specific embodiment, the anticancer drug is a drug that treats cancer initiating cells. In a preferred embodiment, the anticancer drug is an anti-lung cancer drug. In a more preferred embodiment, the anticancer drug is a drug that treats the initiation cells of lung cancer.

本文之「抗癌(anti-cancer)」一詞包含治療及抑制癌症。此外,「抗癌」包含治療和/或抑制癌起始細胞。本文之「治療」一詞包含治癒、痊癒、減緩、減輕、改變、補救、改善、改進或影響疾病、疾病之症狀或患病傾向。治療及/或抑制癌起始細胞可以改善、預防、消除或減低個體的癌起始細胞的數量,或消除個體中的癌起始細胞等。 The term "anti-cancer" in this article encompasses the treatment and inhibition of cancer. In addition, "anti-cancer" encompasses the treatment and/or inhibition of cancer-initiating cells. The term "treatment" as used herein includes healing, healing, slowing, alleviating, altering, remedying, ameliorating, improving or affecting a disease, a symptom of a disease, or a predisposition to disease. Treating and/or inhibiting cancer-initiating cells can improve, prevent, eliminate or reduce the number of cancer-initiating cells in an individual, or eliminate cancer-initiating cells in an individual, and the like.

在一具體實施例中,該個體為一動物;較佳地,該個體為一哺乳動物;更佳地,該個體為人類。 In a specific embodiment, the individual is an animal; preferably, the individual is a mammal; more preferably, the individual is a human.

本發明物進一步提供一種用於篩選抗癌藥物的方法,其包含:(a)植入癌起始細胞於動物中,其中該癌起始細胞包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(CAR+/mPSCOct-4_hi),其中所述之癌起始細胞發展並形成腫瘤;(b)施用候選藥物於動物中;和(c)評估候選藥物對含有癌起始細胞(CICs)的腫瘤上之影響。 The present invention further provides a method for screening an anticancer drug, comprising: (a) implanting a cancer-initiating cell in an animal, wherein the cancer-initiating cell comprises an isolated oxacinvirus exhibiting an excess of Oct-4 And an adenovirus receptor-positive mouse lung stem cell/precursor cell (CAR + /mPSC Oct-4_hi ), wherein the cancer-initiating cell develops and forms a tumor; (b) administering a drug candidate to the animal; and (c) The effects of drug candidates on tumors containing cancer-initiating cells (CICs) were evaluated.

在一具體實施例中,該抗癌藥物是一治療癌起始細胞之藥物,在一較佳具體實施例中,該抗癌藥物是一抗肺癌藥物,在一更佳實施例中,該抗癌藥物是一治療肺癌起始細胞的藥物。 In a specific embodiment, the anticancer drug is a drug for treating cancer initiating cells. In a preferred embodiment, the anticancer drug is a drug against lung cancer. In a more preferred embodiment, the antibody A cancer drug is a drug that treats the starting cells of lung cancer.

在另一具體實施例中,該動物為一嚙齒動物,較佳為一大鼠或一小鼠。 In another specific embodiment, the animal is a rodent, preferably a rat or a mouse.

過量表現Oct-4之CAR+/mpSCs代表在每個CAR+/mPSCs中Oct-4表現量高於正常細胞10倍。在一較佳具體實施例中,每個 CAR+/mPSC的Oct-4表現量高於正常細胞16倍。在一更佳具體實施例中,每個CAR+/mPSC的Oct-4表現量高於正常細胞20倍。在一較佳實施例中,該表現量是指一DNA、RNA或蛋白質的表現量,該蛋白質是由Oct-4的基因編碼而得。在一更佳具體實施例中,Oct-4基因之序列為SEQ ID NO:1,在另一具體實施例中,Oct-4基因為Oct-4的cDNA。 The CAR + /mpSCs overexpressing Oct-4 represents an Oct-4 expression in each CAR + /mPSCs that is 10 times higher than normal cells. In a preferred embodiment, the amount of Oct-4 per CAR + /mPSC is 16 times higher than that of normal cells. In a more preferred embodiment, the amount of Oct-4 per CAR + /mPSC is 20 times higher than that of normal cells. In a preferred embodiment, the amount of expression refers to the amount of expression of a DNA, RNA or protein encoded by the gene of Oct-4. In a more preferred embodiment, the sequence of the Oct-4 gene is SEQ ID NO: 1, and in another embodiment, the Oct-4 gene is the cDNA of Oct-4.

在另一具體實施例中,每個CAR+/mPSC包含一個載體,其中該載體包含能編碼Oct-4基因的核酸序列。在一較佳具體實施例中,該Oct-4基因的序列為SEQ ID NO:1。 In another specific embodiment, each CAR + /mPSC comprises a vector, wherein the vector comprises a nucleic acid sequence encoding the Oct-4 gene. In a preferred embodiment, the sequence of the Oct-4 gene is SEQ ID NO: 1.

「腫瘤」一詞是指良性及惡性腫瘤之各自階段。腫瘤進展的第一階段是相對正常出現的細胞量增加,是為增生階段。有數個增生階段其細胞逐漸累積並開始發展異常外觀,是為發育異常階段的出現。 The term "tumor" refers to the respective stages of benign and malignant tumors. The first stage of tumor progression is an increase in the amount of relatively normal cells, which is the stage of proliferation. In several stages of hyperplasia, the cells gradually accumulate and begin to develop abnormal appearance, which is the emergence of abnormal stages of development.

本文所述之「候選藥物」代表任何分子,例如蛋白質或藥物,其本質上具有抑制腫瘤細胞生長之能力。 As used herein, a "candidate drug" refers to any molecule, such as a protein or drug, which is essentially capable of inhibiting the growth of tumor cells.

在一具體實施例中,該癌起始細胞為肺癌起始細胞。在一較佳具體實施例中,該腫瘤為一肺部腫瘤。對於後面的案例,初步評估候選藥物效果的方法為,例如,視覺評估腫瘤大小及嚴重性。此具有附加的優點,即腫瘤的目視檢查允許藥物療效之立即性及持續性的評估。在非可見腫瘤的情況下,藥物效果評估通常需要藉由犧牲動物來檢查腫瘤。腫瘤可根據技術人員的標準技術偵測,其方法包括,除了肉眼檢查外(用於皮膚損傷),組織化學及免疫組織化學技術等。通常,候選藥物係根據其抑制移植細胞株所發展之腫瘤形成和/或生長能力進行評估。此發明更進一步包含 確定該候選藥物是否為抗癌藥,其乃根據步驟(c)之候選藥物效能評估結果。 In a specific embodiment, the cancer initiating cell is a lung cancer initiating cell. In a preferred embodiment, the tumor is a lung tumor. For the latter case, the initial assessment of the effect of the candidate drug is, for example, visual assessment of tumor size and severity. This has the added advantage that visual inspection of the tumor allows for an assessment of the immediate and sustained efficacy of the drug. In the case of non-visible tumors, drug efficacy assessment usually requires the examination of the tumor by sacrificing the animal. Tumors can be detected according to standard techniques of the skilled person, including, in addition to visual inspection (for skin damage), histochemistry and immunohistochemistry techniques. Typically, drug candidates are evaluated for their ability to inhibit tumor formation and/or growth developed by transplanted cell lines. This invention further includes It is determined whether the candidate drug is an anticancer drug, which is the result of the drug efficacy evaluation according to the step (c).

此外,本發明提供一種篩選抗癌藥物的方法,其包含:(1)提供一腫瘤組織,其腫瘤組織包含癌起始細胞(cancer initiating cells;CICs),其中該癌起始細胞(CICs)包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(CAR+/mPSCOct-4_hi);(2)使候選藥物與該腫瘤組織接觸;以及(3)偵測候選藥物於腫瘤組織上的影響。 Furthermore, the present invention provides a method for screening an anticancer drug, comprising: (1) providing a tumor tissue, the tumor tissue comprising cancer initiating cells (CICs), wherein the cancer initiating cells (CICs) comprise Overexpression of isolated Octavirus and adenovirus receptor-positive mouse lung stem cells/precursor cells (CAR + /mPSC Oct-4_hi ); (2) contacting drug candidates with the tumor tissue; 3) Detection of the effects of drug candidates on tumor tissues.

在一具體實施例中,該癌起始細胞(CICs)為一肺癌起始細胞。在一較佳具體實施例中,該腫瘤組織為一肺部腫瘤組織。在另一具體實施例中,該抗癌藥物為一種治療癌起始細胞(CICs)之藥物。在一較佳具體實施例中,該抗癌藥物為一種抗肺癌之藥物。在一更佳具體實施例中,該抗癌藥物為一種抗肺部癌起始細胞(CICs)之藥物。 In a specific embodiment, the cancer initiating cells (CICs) are a lung cancer initiating cell. In a preferred embodiment, the tumor tissue is a lung tumor tissue. In another specific embodiment, the anticancer drug is a drug that treats cancer initiating cells (CICs). In a preferred embodiment, the anticancer drug is a drug against lung cancer. In a more preferred embodiment, the anticancer drug is a drug against lung cancer initiating cells (CICs).

過量表現Oct-4之CAR+/mPSC代表於CAR+/mPSC中Oct-4之表現量高於正常細胞10倍。在一較佳具體實施例中,於CAR+/mPSC中Oct-4之表現量高於正常細胞16倍。在一更佳實施例中,Oct-4於CAR+/mPSC之表現量高於正常細胞20倍。該表現量是指一種DNA、RNA或蛋白質的表現量。在一較佳具體實施例中,該表現量係指蛋白質的表現量,該蛋白質由Oct-4的基因編碼而得。在一更佳具體實施例中,該Oct-4基因之序列為SEQ ID NO:1。 The CAR + /mPSC in excess of Oct-4 represents that the expression of Oct-4 in CAR + /mPSC is 10 times higher than that in normal cells. In a preferred embodiment, the amount of Oct-4 in the CAR + /mPSC is 16 times higher than in normal cells. In a more preferred embodiment, the amount of Oct-4 expressed in CAR + /mPSC is 20 times higher than that of normal cells. The amount of expression refers to the amount of expression of a DNA, RNA or protein. In a preferred embodiment, the amount of expression refers to the amount of protein expressed by the gene encoding Oct-4. In a more preferred embodiment, the sequence of the Oct-4 gene is SEQ ID NO: 1.

在另一實施例中,每一CAR+/mPSC包含一個載體,其中該 載體包含編碼Oct-4基因之核酸序列。在一較佳具體實施例中,該Oct-4基因之序列為SEQ ID NO:1。 In another embodiment, each CAR + /mPSC comprises a vector, wherein the vector comprises a nucleic acid sequence encoding an Oct-4 gene. In a preferred embodiment, the sequence of the Oct-4 gene is SEQ ID NO: 1.

在一具體實施例中,偵測候選藥物於腫瘤組織的效果包含觀察癌起始細胞(CICs)隨著時間的變化、癌症發展過程或是其於腫瘤組織內之生物特性。本發明進一步包含一種確認候選藥物是否為抗癌藥物的步驟,其乃依據步驟(3)中測試化合物抑制效果的結果。 In a specific embodiment, detecting the effect of the candidate drug on the tumor tissue comprises observing changes in cancer-initiating cells (CICs) over time, the progression of the cancer, or its biological properties within the tumor tissue. The present invention further comprises a step of confirming whether the candidate drug is an anticancer drug, which is based on the result of the test compound inhibiting effect in the step (3).

本發明亦包含一種篩選用於抗癌之候選藥物的方法,其包含:(i)收集含有癌起始細胞(CICs)之培養液,其中該癌起始細胞包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(CAR+/mPSCOct-4_hi);(ii)由癌起始細胞(CICs)中萃取一種外泌蛋白(exosomal protein);(iii)分析此外泌蛋白(exosomal protein);及(iv)利用步驟(iii)之分析結果與藥物數據庫進行比較,以獲得候選藥物。 The present invention also encompasses a method of screening for a drug candidate for anticancer comprising: (i) collecting a culture fluid containing cancer initiating cells (CICs), wherein the cancer initiating cells comprise an excess of Oct-4. Mouse lung stem cells/precursor cells (CAR + /mPSC Oct-4_hi ) that are positive for oxacinvirus and adenovirus receptor; (ii) extract an exosomal protein from cancer-initiating cells (CICs); (iii) analyzing exosomal proteins; and (iv) comparing the results of the analysis using step (iii) with a drug database to obtain candidate drugs.

在一具體實施例中,該癌起始細胞(CICs)為一肺癌起始細胞。在一較佳具體實施例中,該用於抗癌之候選藥物為一治療癌起始細胞(CICs)之候選藥物。在一更佳具體實施例中,該用於抗癌之候選藥物為一治療肺癌起始細胞之候選藥物。在另一具體實施例中,該用於抗癌之候選藥物為一抗肺癌之候選藥物。 In a specific embodiment, the cancer initiating cells (CICs) are a lung cancer initiating cell. In a preferred embodiment, the drug candidate for anticancer is a drug candidate for treating cancer initiating cells (CICs). In a more preferred embodiment, the drug candidate for anticancer is a drug candidate for treating lung cancer initiation cells. In another specific embodiment, the drug candidate for anticancer is a drug candidate against lung cancer.

在另一實施例中,該藥物數據庫為一DrugBank。 In another embodiment, the drug database is a DrugBank.

在一具體實施例中,本發明進一步包含一步驟(iv)後的步驟,是為步驟(v),其為測試候選藥物對於癌起始細胞(CICs)之細胞毒 性。若該候選藥物對於癌起始細胞(CICs)具顯著毒性,則該候選藥物是一種抗癌藥物或是治療癌起始細胞(CICs)之藥物。 In a specific embodiment, the invention further comprises a step after step (iv), which is step (v), which is to test the cytotoxicity of the candidate drug for cancer-initiating cells (CICs). Sex. If the candidate drug is significantly toxic to cancer-initiating cells (CICs), the drug candidate is an anti-cancer drug or a drug for treating cancer-initiating cells (CICs).

另外,本發明提供一種製備癌起始細胞(CICs)族群的方法,其包含以下步驟:(1)提供一載體,其包含能編碼Oct-4互cDNA之核酸序列;(2)將該載體轉染至克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞族群(CAR+/mPSCs)上,其中該載體藉由增加該核酸序列之拷貝數量以使Oct-4 cDNA過量表現相對於野生型CAR+/mPSCs中正常存在之拷貝數量;以及(3)分離步驟(2)中過量表現Oct-4之CAR+/mPSCs族群(CAR+/mPSCOct-4_hi)。 In addition, the present invention provides a method of preparing a population of cancer-initiating cells (CICs) comprising the steps of: (1) providing a vector comprising a nucleic acid sequence encoding an Oct-4 mutual cDNA; (2) transferring the vector Dyeing to the lung stem cell/precursor cell population (CAR + /mPSCs) of the Crox virus and adenovirus receptor-positive mice, wherein the vector increases the amount of Oct-4 cDNA in excess by increasing the number of copies of the nucleic acid sequence The number of copies normally present in wild-type CAR + /mPSCs; and (3) the CAR + /mPSCs group (CAR + /mPSC Oct-4_hi ) that overexpresses Oct- 4 in the separation step (2).

在一具體實施例中,該Oct-4 cDNA之基因序列為SEQ ID NO:1。 In a specific embodiment, the gene sequence of the Oct-4 cDNA is SEQ ID NO: 1.

在另一具體實施例中,該Oct-4 cDNA具有編碼Oct-4蛋白質的功能。 In another specific embodiment, the Oct-4 cDNA has the function of encoding an Oct-4 protein.

本文中使用之「載體」一詞係指一核酸分子,其具有可在宿主細胞分裂之核酸序列。該載體亦包含載體內允許核酸序列接合之核酸序列,該核酸序列亦在宿主細胞中複製。載體之代表包含質體(plasmids)、黏質體(cosmid)或病毒載體;較佳時,該載體為反轉錄病毒載體(retroviral vector)。 The term "vector" as used herein refers to a nucleic acid molecule having a nucleic acid sequence that is cleavable in a host cell. The vector also comprises a nucleic acid sequence within the vector that allows for ligating the nucleic acid sequence, which nucleic acid sequence also replicates in the host cell. Representative of the vector comprises a plasmid, a cosmid or a viral vector; preferably, the vector is a retroviral vector.

圖1顯示克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/ 先驅細胞(CAR+/mPSCs)的培養、分離與分化。(A)為初代培養之上皮細胞群落中克沙奇病毒及腺病毒受體(coxsackievirus and adenovirus receptor positive;CAR)免疫螢光染色,(i)為在相位(phase)對比圖像中,以白色虛線表示上皮細胞群落,(ii)為免疫螢光圖像呈現CAR表現於上皮細胞群落之細胞連結(cell-cell junctions)上,(iii)為圖A-ii框內區的放大圖像(比例尺:100μm)。(B)為利用螢光流式細胞分選儀(FACS)鑑別與分離初代培養(primary culture)中之CAR陽性族群,其稱作CAR+/mPSCs。(C)為以聚合酶連鎖反應(PCR)與即時聚合酶連鎖反應(real-time PCR)分析CAR+/mPSCs的基因表現圖譜(Gene expression profiles)。評估CAR、Oct-4、Sox-2及Nanog之基因表現。「L」為老鼠肺部組織;「CAR+」為CAR+/mPSCs;「ES」為老鼠胚胎幹細胞株(E14)。實驗數據以平均值±標準差表示。(D)為CAR+/mPSCs的分化,CAR+/mPSCs在分離後7天分化為第一型肺胞壁細胞(type-I pneumocytes)。在第1天,放大圖像顯示框內的分離細胞。白色虛線指出分化細胞於第4天及第7天之相位對比圖像。CAR與第一型肺胞壁細胞(type-I pneumocytes)標記T1α與AQP5之表現以免疫螢光染色評估。CAR表現在第1天可被偵測,而框中的放大圖像顯示CAR表現於分離細胞之細胞連結之間。而CAR在第4天與第7天表現消失。T1α與AQP5之表現在第4天及第7天可被偵測。(比例尺:100μm) Figure 1 shows the culture, isolation and differentiation of lung stem cells/precursor cells (CAR + /mPSCs) from saxagvirus and adenovirus receptor-positive mice. (A) Immunofluorescence staining of coxsackievirus and adenovirus receptor positive (CAR) in primary culture epithelial cell population, (i) in white in phase contrast image The dotted line indicates the epithelial cell population, (ii) the CAR is displayed on the cell-cell junctions of the epithelial cell population for the immunofluorescence image, and (iii) is the magnified image of the inner region of the frame of Figure A-ii (scale bar) : 100 μm). (B) Identification and isolation of CAR-positive populations in primary culture using a fluorescent flow cytometry (FACS), referred to as CAR + /mPSCs. (C) Gene expression profiles of CAR + /mPSCs were analyzed by polymerase chain reaction (PCR) and real-time PCR. The gene expression of CAR, Oct-4, Sox-2 and Nanog was evaluated. "L" is mouse lung tissue; "CAR + " is CAR + /mPSCs; "ES" is mouse embryonic stem cell line (E14). Experimental data are expressed as mean ± standard deviation. (D) is CAR + / mPSCs differentiation, CAR + / mPSCs 7 after separated into a first type talent alveolar wall cells (type-I pneumocytes). On day 1, the magnified image shows the isolated cells within the frame. The white dotted line indicates the phase contrast images of the differentiated cells on days 4 and 7. The expression of CAR and type 1 p-type pneumocytes labeled T1α and AQP5 was assessed by immunofluorescence staining. CAR performance can be detected on day 1, and a magnified image in the box shows that CAR is expressed between cell junctions of isolated cells. The CAR disappeared on the 4th and 7th days. The performance of T1α and AQP5 was detected on days 4 and 7. (Scale bar: 100μm)

圖2顯示Oct-4於CAR+/mPSCs中之過量表現,此為在CAR+/mPSCs中過量表現Oct-4的步驟。(i)為以初代培養之相位對比圖為代表,放大圖像顯示mPSCs的上皮細胞群落。(ii)為依據初代培養細胞 中CAR呈陽性表現者利用流式細胞儀分離出mPSCs,並隨即和具Oct-4 cDNA編碼的反轉錄病毒載體(retroviral vectors)轉染。(iii)為經轉染的CAR+/mPSCs與餵養細胞(feeder cell)於第2天共同培養,在第21天觀察到似鵝卵石的細胞群落,放大圖像顯示單一群落的形態。(iv)為第28天時似鵝卵石之個別群落的分離與放大。(v)為群落建立成細胞株,其包含C1、E9及C7。C1細胞株之形態圖為代表。(比例尺:100μm) Figure 2 shows the excess performance of Oct-4 in CAR + /mPSCs, which is the step of overexpressing Oct-4 in CAR + /mPSCs. (i) Representative of the phase contrast maps of the primary culture, the enlarged images show the epithelial cell population of mPSCs. (ii) mPSCs were isolated by flow cytometry in accordance with CAR-positive expression in primary cultured cells, and immediately transfected with retroviral vectors encoded with Oct-4 cDNA. (iii) Co-culture of transfected CAR + /mPSCs with feeder cells on day 2, a cobble-like cell population was observed on day 21, and a magnified image showing the morphology of a single colony. (iv) Separation and amplification of individual communities like cobblestones on day 28. (v) Establishing a cell line for the community comprising C1, E9 and C7. The morphological map of the C1 cell line is representative. (Scale bar: 100μm)

圖3顯示第一型肺胞壁細胞(type-I pneumocytes)中Oct-4之過量表現。在CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)中,Oct-4過量表現之過程的時間週期如圖所示。(i)為顯示上皮細胞群落之初代培養基之相位對比代表圖。(ii)為CAR+/mPSCs於第7天時分化為第一型肺胞壁細胞(type-I pneumocytes)。(iii)為第8天時,第一型肺胞壁細胞(type-I pneumocytes)以能編碼Oct-4 cDNA之反轉錄病毒載體(retroviral vectors)轉染。(iv)為經轉染之細胞於第10、21、35、42天加入餵養細胞補充(feerder cell supplement)時增殖。(比例尺:100μm) Figure 3 shows the overexpression of Oct-4 in type 1 type I pneumocytes. In CAR + / a first type of lung-derived mPSCs muramyl cells (type-I pneumocytes), the time period of Oct-4 overexpression of the process shown in FIG. (i) is a phase contrast representative map showing the primary culture medium of the epithelial cell population. (ii) The differentiation of CAR + /mPSCs into type 1 type I pneumocytes on day 7. (iii) On day 8, type 1 p-type pneumocytes were transfected with retroviral vectors encoding the Oct-4 cDNA. (iv) Proliferation when the transfected cells were added to the feder cell supplement on days 10, 21, 35, and 42. (Scale bar: 100μm)

圖4顯示CAR+/mPSCsOct-4_hi中的Oct-4之超高量表現。(i)為以西方墨點法(Western blot)分析CAR+/mPSCs及CAR+/mPSCsOct-4_hi之C1、E9及C7細胞株中的Oct-4表現量,「ES」表示老鼠胚胎幹細胞株(E14)。(ii)為Oct-4表現之定量,數據以平均值±標準差表示。** P<0.01:與CAR+/mPSCs相比。 Figure 4 shows the ultra-high performance of Oct-4 in CAR + /mPSCs Oct-4_hi . (i) Analysis of Oct-4 expression in C1, E9 and C7 cell lines of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi by Western blotting, "ES" means mouse embryonic stem cell line (E14). (ii) Quantification of Oct-4 performance, data expressed as mean ± standard deviation. ** P < 0.01: compared to CAR + /mPSCs.

圖5顯示CAR+/mPSCsOct-4_hi中CAR的表現量。(A)為利用流式細胞儀分析C1、E9與C7細胞株中的CAR陽性之族群。(B)為以 免疫螢光染色呈現在C1、E9與C7細胞株之細胞膜中的CAR表現量,在Alex488nm螢光下標記CAR,DAPI為細胞核之標記,插入之圖像為正方形區域內之放大圖。比例尺:100μm。 Figure 5 shows the amount of CAR in CAR + /mPSCs Oct-4_hi . (A) is a group analysis of CAR positive in C1, E9 and C7 cell lines by flow cytometry. (B) is the amount of CAR expression in the cell membrane of C1, E9 and C7 cell lines by immunofluorescence staining, labeling CAR under Alex488nm fluorescence, DAPI is the label of the nucleus, and the inserted image is enlarged in a square area. Figure. Scale bar: 100 μm.

圖6顯示CAR+/mPSCsOct-4_hi之表型改變。(A)為改變之細胞週期分佈,其顯示C1細胞株與CAR+/mPSCs之細胞週期之代表圖。(B)為CAR+/mPSCsOct-4_hi之C1、E9、C7細胞株展現增生能力,其顯示CAR+/mPSCs及CAR+/mPSCsOct-4_hi之C1、E9、C7細胞株之生長曲線。(C)為CAR+/mPSCs與CAR+/mPSCsOct-4_hi細胞株之端粒酶(Telomerase)活性,評估C1、E9與C7細胞株在第12、20及50代之表現,CAR+代表CAR+/mPSCs細胞,H代表熱去活性。 Figure 6 shows the phenotypic changes of CAR + /mPSCs Oct-4_hi . (A) is the altered cell cycle distribution showing a representation of the cell cycle of the C1 cell line and CAR + /mPSCs. (B) shows the proliferation ability of the C1, E9, and C7 cell lines of CAR + /mPSCs Oct-4_hi , which shows the growth curves of C1, E9, and C7 cell lines of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi . (C) is the telomerase activity of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi cell lines, and evaluated the performance of C1, E9 and C7 cell lines at 12th, 20th and 50th generations, CAR + stands for CAR + /mPSCs cells, H stands for thermal deactivation.

圖7顯示CAR+/mPSCsOct-4_hi C1細胞株之致瘤能力。(A)為C1細胞株之腫瘤生成於重症聯合免疫缺陷小鼠(Severe Combined Immunodeficiency mice;SCID mice)中執行。1x106個細胞之C1細胞株(數量=6)或CAR+/mPSCs(數量=4)與基質膠(matrigel)混合後經皮下轉植到重症聯合免疫缺陷小鼠背部。腫瘤生長以卡尺(calipers gauge)監測。(i)為28天後,觀察到C1細胞株衍生腫瘤,箭頭為C1細胞株注射的位置,及箭號為CAR+/mPSCs注射的位置。腫瘤切除後做進一步檢查。(ii)為基於注射後逐日所收集之數據所計算之腫瘤生長曲線,個別腫瘤測量之數據以平均值±標準差表示。(B)為蘇木精-伊紅染色(H&E stain)之C1細胞株衍生腫瘤之代表圖。(i)顯示高核質比之細胞。(ii)為圖A-i框內之放大圖像。(iii)為具有高有絲分裂率之腫瘤細胞(以箭頭表示)。(iv)為圖A-iii 框內之放大圖像。(比例尺:100μm) Figure 7 shows the tumorigenic ability of the CAR + /mPSCs Oct-4_hi C1 cell line. (A) Tumor production of a C1 cell line was performed in Severe Combined Immunodeficiency mice (SCID mice). 1x10 6 cells of C1 cell line (quantity = 6) or CAR + /mPSCs (quantity = 4) were mixed with matrigel and subcutaneously transplanted into the back of severe combined immunodeficient mice. Tumor growth was monitored with a calipers gauge. (i) After 28 days, a tumor derived from the C1 cell line was observed, the arrow was the position where the C1 cell strain was injected, and the arrow was the position of the CAR + /mPSCs injection. Further examination after tumor removal. (ii) The tumor growth curve calculated based on data collected daily after injection, and the data of individual tumor measurements are expressed as mean ± standard deviation. (B) Representative image of a tumor derived from a C1 cell strain of hematoxylin-eosin staining (H&E stain). (i) Cells showing a high nuclear to cytoplasmic ratio. (ii) is a magnified image in the box of Figure Ai. (iii) is a tumor cell having a high mitotic rate (indicated by an arrow). (iv) is a magnified image in the box of Figure A-iii. (Scale bar: 100μm)

圖8顯示C1細胞株衍生腫瘤之免疫組織化學檢查,其表示C1細胞株衍生腫瘤之免疫組織化學圖之代表圖。(A)為Oct-4及CAR表現。(B)為致癌基因活化,包括磷酸化-Src(phospho-Src;p-Src)、磷酸化-β-胡蘿蔔素(phospho-β-catenin;p-β-catenin)、c-myc及細胞週期蛋白D1(cyclin D1)。(C)為人類腺癌之診斷標記之表現,包括TTF1、NAPSA、CK7及CK-HMW。插入之圖像為框內的放大圖像。(比例尺:100μm) Fig. 8 shows an immunohistochemical examination of a tumor derived from a C1 cell line, which represents a representative map of an immunohistochemical map of a tumor derived from a C1 cell line. (A) is the performance of Oct-4 and CAR. (B) for oncogene activation, including phosphorylation-Src (phospho-Src; p-Src), phospho-β-catenin (p-β-catenin), c-myc, and cell cycle Protein D1 (cyclin D1). (C) Expression of diagnostic markers for human adenocarcinoma, including TTF1, NAPSA, CK7, and CK-HMW. The inserted image is a magnified image inside the frame. (Scale bar: 100μm)

圖9顯示CAR+/mPSCsOct-4_hi之體外致瘤表型。(A)為軟瓊脂菌落形成分析(soft agar colony formation assay)。CAR+/mPSCs、CAR+/mPSCsOct-4_hi C1、E9、C7及A549細胞株以軟瓊脂培養(soft agar culture),細胞群落在兩週後拍照及定量。(B)為球體形成分析(sphere formation assay)。CAR+/mPSCs、CAR+/mPSCsOct-4_hi C1、E9、C7及A549細胞株進行球體形成試驗,二級球體(secondary spheres)(>70μm)於10天後拍照及定量。(比例尺:100μm) Figure 9 shows the in vitro tumorigenic phenotype of CAR + /mPSCs Oct-4_hi . (A) is a soft agar colony formation assay. CAR + /mPSCs, CAR + /mPSCs Oct-4_hi C1, E9, C7 and A549 cell lines were soft agar culture, and the cell population was photographed and quantified after two weeks. (B) is a sphere formation assay. CAR + / mPSCs, CAR + / mPSCs Oct-4_hi C1, E9, C7 and A549 cells for spheroid formation assay, two spheres (seconda r y spheres) (> 70μm) 10 days in pictures and quantified. (Scale bar: 100μm)

圖10顯示CAR+/mPSCsOct-4_hi C1細胞株之體內致瘤及轉移能力(A)為體內異體轉植(xenograft)腫瘤形成。(i)為腫瘤之生長曲線,不同濃度之C1細胞株(105、104、103及102個細胞)經皮下注射到重症聯合免疫缺陷小鼠體內,腫瘤直徑在注射後於指定時間以卡尺測量,數據以平均值±標準差呈現。(ii)為腫瘤於注射後第28天切除、拍照及測量(比例尺:1cm)。(B)為轉移性腫瘤結節形成,C1細胞株(3×105個細胞)於重症聯合免疫缺陷小鼠之尾部靜脈注射,以CAR+/mPSCs注射者作為控 制組,於五週後記錄肺中的轉移性腫瘤結節形成(以箭號指示)。以C1細胞株注射之小鼠經蘇木精-伊紅染色(H&E staining)後顯示廣泛出血及結節形成,C1細胞株之放大圖像顯示肺組織中的結節(比例尺:100μm)(C)以CAR+/mPSCs及C1細胞株注射之小鼠的積極限法(Kaplan-Meier)存活曲線(數量=10)。 Figure 10 shows in vivo tumorigenic and metastatic ability of CAR + /mPSCs Oct-4_hi C1 cell line (A) is xenograft tumor formation in vivo. (i) is a tumor growth curves, different concentrations of C1 cell lines (105, 104, 103 and 102 cells) were injected subcutaneously into SCID mice, tumor diameter in a specified time after injection Measured with a caliper, the data is presented as mean ± standard deviation. (ii) The tumor was excised, photographed, and measured on the 28th day after the injection (scale bar: 1 cm). (B) For metastatic tumor nodule formation, C1 cell line (3×10 5 cells) was injected intravenously in the tail of severe combined immunodeficient mice, with CAR + /mPSCs as the control group, and lungs were recorded after 5 weeks. Metastatic tumor nodule formation (indicated by arrows). Mice injected with C1 cell line showed extensive hemorrhage and nodule formation after hematoxylin-eosin staining (H&E staining), and a magnified image of C1 cell line showed nodules in the lung tissue (scale bar: 100 μm) (C) Kaplan-Meier survival curves (quantity = 10) of mice injected with CAR + /mPSCs and C1 cell lines.

圖11顯示CAR+/mPSCsOct-4_hi中推定的癌起始細胞(CICs)的特性。(A)為以流式細胞儀分析CAR+/mPSCs與CAR+/mPSCsOct-4_hi之C1、E9及C7細胞株中的CD133表現,以百分比顯示個別細胞株之CD133陽性族群。(B)為以流式細胞儀分析乙醛脫氫酶(aldehyde dehydrogenase;ALDH)之活性,CAR+/mPSCs與CAR+/mPSCsOct-4_hi C1、E9及C7細胞株之ALDEFLUOR試驗結果如所示,經DEAB處理之樣本為陰性對照組,百分比顯示個別細胞株之乙醛脫氫酶(ALDH)陽性族群。(C)為CAR+/mPSCsOct-4_hi之細胞存活率。CAR+/mPSCsOct-4_hi之C1、E9及C7細胞株與A549細胞以(i)二氯二胺鉑(cisplatin)(2.5、5、10、25、50及100μM)及(ii)太平洋紫杉醇(paclitaxel)(2.5、5、10、50、100及200nM)處理48小時,數據以平均值±標準差顯示。* P<0.05,** P<0.01:與A549比較。(D)CAR+/mPSCsOct-4_hi之抗細胞凋亡潛能。(i)為以西方墨點法分析CAR+/mPSCs與CAR+/mPSCsOct-4_hi之C1、E9及C7細胞株中生存素(survivin)的表現。(ii)為經10μM二氯二胺鉑(cisplatin)或10nM太平洋紫杉醇(paclitaxel)處理後之CAR+/mPSCs與CAR+/mPSCsOct-4_hi C1、E9及C7細胞株中裂解凋亡蛋白酶-3(Cleaved caspase-3;c caspase-3)及裂 解凋亡蛋白酶-9(cleaved caspase-9;c caspase-9)之表現量。 Figure 11 shows the characteristics of putative cancer initiating cells (CICs) in CAR + /mPSCs Oct-4_hi . (A) is a flow cytometry analysis of CD133 expression in CAR + /mPSCs and CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines, showing the CD133 positive population of individual cell lines as a percentage. (B) To analyze the activity of aldehyde dehydrogenase (ALDH) by flow cytometry, the results of ALDEFLUOR test of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines are shown. The DEAB-treated samples were negative control groups, and the percentages showed acetaldehyde dehydrogenase (ALDH) positive populations of individual cell lines. (C) is the cell viability of CAR + /mPSCs Oct-4_hi . CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines and A549 cells with (i) cisplatin (2.5, 5, 10, 25, 50 and 100 μM) and (ii) paclitaxel ( Paclitaxel) (2.5, 5, 10, 50, 100, and 200 nM) was treated for 48 hours and the data was shown as mean ± standard deviation. *P<0.05, **P<0.01: compared to A549. (D) Anti-apoptotic potential of CAR + /mPSCs Oct-4_hi . (i) To analyze the expression of survivin in C1, E9 and C7 cell lines of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi by Western blotting. (ii) cleavage of caspase-3 in CAR + /mPSCs and CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines treated with 10 μM cisplatin or 10 nM paclitaxel (Cleaved caspase-3; c caspase-3) and the expression of cleaved caspase-9 (caspase-9).

圖12顯示CAR+/mPSCsOct-4_hi之促血管新生因子(pro-angiogenic factors)的表現。(A)為以即時聚合酶連鎖反應(real-time PCR)分析CAR+/mPSCs與CAR+/mPSCsOct-4_hi C1、E9及C7細胞株之促血管新生因子之基因表現量,數據以平均值±標準差呈現。* P<0.05、** P<0.01:與CAR+/mPSCs比較。 Figure 12 shows the expression of pro-angiogenic factors of CAR + /mPSCs Oct-4_hi . (A) The gene expression of angiogenic factors in CAR + /mPSCs and CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines was analyzed by real-time PCR. ± standard deviation is presented. * P < 0.05, ** P < 0.01: compared to CAR + /mPSCs.

圖13顯示CAR+/mPSCsOct-4_hi之血管新生潛能。(A)為CAR+/mPSCs與CAR+/mPSCsOct-4_hi之C1、E9及C7細胞株之雞胚胎尿絨毛膜(chick chorioallantoic membrane;CAM)試驗。(i)為細胞轉殖72小時後之顯微照片的代表圖,箭號標示血管的分支點。(ii)為依據分支點的數目計算決定血管新生潛能,單獨基質膠(Matrigel)的樣本用來作為背景值;血管內皮生成因子(vascular endothelial growth factor;VEGF)(10ng)則作為陽性對照組。數據以平均值±標準差表示。*P<0.05:與單獨基質膠(Matrigel)之組別比較;** P<0.01:與CAR+/mPSCs組別比較。(B)為CAR+/mPSCsOct-4_hi C1、E9、C7細胞株及A549衍生腫瘤經免疫組織化學染色法測得之CD31表現。(i)為各種腫瘤之代表圖(比例尺:100μm)。(ii)為利用類流式固態組織細胞儀(TissueGnostics)掃描及影像分析軟體(HistoQuest)定量分析腫瘤中的CD31表現,數據以平均值±標準差表示,** P<0.01:與A549腫瘤比較。 Figure 13 shows the angiogenic potential of CAR + /mPSCs Oct-4_hi . (A) is a chicken embryo urrioallantoic membrane (CAM) test of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines. (i) A representative image of a photomicrograph after 72 hours of cell transfer, the arrow indicating the branch point of the blood vessel. (ii) To determine the angiogenic potential based on the number of branch points, a sample of matrigel alone was used as the background value; vascular endothelial growth factor (VEGF) (10 ng) was used as a positive control group. Data are expressed as mean ± standard deviation. *P<0.05: compared to the group of Matrigel alone; **P<0.01: compared with the CAR + /mPSCs group. (B) CD31 expression measured by immunohistochemical staining for CAR + /mPSCs Oct-4_hi C1, E9, C7 cell lines and A549-derived tumors. (i) is a representative map of various tumors (scale bar: 100 μm). (ii) Quantitative analysis of CD31 expression in tumors using the Tissue Gnostics scan and image analysis software (HistoQuest), data expressed as mean ± standard deviation, ** P < 0.01: compared with A549 tumors .

圖14顯示CAR+/mPSCsOct-4_hi C1細胞株與SVEC4-10共同培養之管柱形成(tube formation)。共軛焦顯微鏡圖像顯示SVEC4-10與C1 細胞株共同培養之管柱結構。SVEC4-10為老鼠內皮細胞株,以PKH26染色;C1細胞株球體(C1 clone sphere)或C1細胞株細胞(C1 clone cells)以鈣黃綠素-AM(Calcein-AM)標記。經過8小時共同培養後拍攝管柱構造。DAPI為細胞核標記。(A)為C1細胞株球體與SVEC4-10共同培養。(B)C1細胞株細胞與SVEC4-10共同培養。 Figure 14 shows tube formation co-cultured with CAR + /mPSCs Oct-4_hi C1 cell line and SVEC4-10. The conjugated focal microscope image shows the column structure of SVEC4-10 co-cultured with the C1 cell line. SVEC4-10 is a mouse endothelial cell line stained with PKH26; C1 clone sphere or C1 clone cells are labeled with calcein-AM. The column structure was taken after 8 hours of co-cultivation. DAPI is a nuclear marker. (A) is a C1 cell strain sphere co-cultured with SVEC4-10. (B) C1 cell line cells were co-cultured with SVEC4-10.

圖15顯示CAR+/mPSCsOct-4_hi之管柱形成試驗(tube formation assay)。(i)為CAR+/mPSCsOct-4_hi C1、E9、C7細胞株在內皮細胞生長培養基(Endothelial cells growth medium;EGM)中培育7天後,偵測其管柱形成,而於內皮細胞生長培養基(Endothelial cells growth medium;EGM)培育之CAR+/mPSCs則沒有觀察到管柱形成,管柱網路(tube network)以鈣黃綠素-AM(Calcein-AM)染色,再利用螢光顯微鏡紀錄8小時。(ii)為管柱形成能力,其以定量管柱長度來決定,數據以平均值±標準差表示,** P<0.01:與CAR+/mPSCs比較。(比例尺:100μm) Figure 15 shows the tube formation assay of CAR + /mPSCs Oct-4_hi . (i) The CAR + /mPSCs Oct-4_hi C1, E9, and C7 cell lines were cultured in Endothelial Cell Growth Medium (EGM) for 7 days, and their column formation was detected, while the endothelial cell growth medium was used. In the CAR + /mPSCs cultured in the (Endothelial cells growth medium; EGM), no column formation was observed, the tube network was stained with calcein-AM, and the fluorescence microscope was used to record 8 hours. . (ii) is the column forming ability, which is determined by the length of the column, and the data is expressed as mean ± standard deviation, ** P < 0.01: compared with CAR + /mPSCs. (Scale bar: 100μm)

圖16顯示以內皮細胞生長培養基(EGM)培養之CAR+/mPSCsOct-4_hi表現內皮細胞的表面標記,CAR+/mPSCsOct-4_hi C1、E9、C7細胞株於內皮細胞生長培養基(EGM)中培育7天,接著分析其內皮細胞專一性表面標記之表現,其包括CD31、CD105、CD34及CD144,數字表示陽性表現族群。 Figure 16 shows that CAR + /mPSCs Oct-4_hi cultured in endothelial cell growth medium (EGM) expresses surface markers of endothelial cells, CAR + /mPSCs Oct-4_hi C1, E9, C7 cell lines in endothelial cell growth medium (EGM) After 7 days of incubation, the performance of endothelial cell-specific surface markers, including CD31, CD105, CD34, and CD144, was analyzed, and the numbers indicate positive expression populations.

圖17顯示CAR+/mPSCsOct-4_hi之血管新生潛能。(A)為利用免疫螢光染色C1-GFP細胞株衍生腫瘤所測得之內皮細胞抗原表現結果。(i)為CD31之鑑定。(ii)為vWF之鑑定。(iii)為CD105之鑑定。 放大圖像顯示某些GFP陽性細胞參與血管形成(以箭號標示),且一部分的GFP陽性細胞亦表現CD31(以星號標示)(比例尺:100μm)。(B)為以流式細胞儀分析C1-GFP細胞株之分離腫瘤的CD31表現,代表內皮細胞之CD31陽性子群占所有腫瘤族群之3%,在18%的CD31陽性內皮細胞子群中發現GFP表現。 Figure 17 shows the angiogenic potential of CAR + /mPSCs Oct-4_hi . (A) Results of endothelial cell antigen expression measured by immunofluorescence staining of C1-GFP cell line-derived tumors. (i) Identification of CD31. (ii) Identification of vWF. (iii) Identification of CD105. The magnified image shows that some GFP-positive cells are involved in angiogenesis (indicated by an arrow), and a portion of GFP-positive cells also exhibit CD31 (marked with an asterisk) (scale bar: 100 μm). (B) is the CD31 expression of the isolated tumors analyzed by flow cytometry for C1-GFP cell lines. The CD31 positive subpopulation representing endothelial cells accounted for 3% of all tumor populations and was found in 18% of CD31 positive endothelial cell subpopulations. GFP performance.

圖18顯示以內皮細胞生長培養基(EGM)培養之CAR+/mPSCsOct-4_hi的ANGs/Tie2信號分析。(A)為即時聚合酶連鎖反應(real-time PCR)分析在內皮細胞生長培養基(Endothelial cells growth medium;EGM)培養之CAR+/mPSCsOct-4_hi C1、E9、C7與CAR+/mPSCs細胞株之血管新生相關受體的基因表現,其包括血管內皮生長因子受體2(vascular endothelial growth factor receptor 2;VEGFR2)及Tie2。數據以平均值±標準差表示,** P<0.01:與CAR+/mPSCs比較。(B)為以西方墨點法分析內皮細胞生長培養基(EGM)培養之CAR+/mPSCsOct-4_hi C1、E9、C7與CAR+/mPSCs細胞株的ANGs/Tie2之信號活化,包括Tie2、磷酸化-Tie2(phospho-Tie)、血管生成素1(angiopoietin 1;ANG1)、血管生成素2(angiopoietin 2;ANG2)、生長因子受體結合蛋白2(growth factor receptor bound protein 2;GRB2)、ERK與磷酸化-ERK(phospho-ERK)表現。 Figure 18 shows the ANGs/Tie2 signal analysis of CAR + /mPSCs Oct-4_hi cultured in endothelial cell growth medium (EGM). (A) Analysis of CAR + /mPSCs Oct-4_hi C1, E9, C7 and CAR + /mPSCs cell lines cultured in Endothelial cells growth medium (EGM) for real-time PCR Gene expression of angiogenesis-related receptors, including vascular endothelial growth factor receptor 2 (VEGFR2) and Tie2. Data are expressed as mean ± standard deviation, ** P < 0.01: compared to CAR + /mPSCs. (B) Analysis of signal activation of ANGs/Tie2 of CAR + /mPSCs Oct-4_hi C1, E9, C7 and CAR + /mPSCs cell lines cultured in endothelial cell growth medium (EGM) by Western blotting, including Tie2, phosphoric acid -Tie2 (phospho-Tie), Angiopoietin 1 (ANG1), Angiopoietin 2 (ANG2), Growth factor receptor bound protein 2 (GRB2), ERK And phosphorylation-ERK (phospho-ERK) performance.

圖19顯示Tie2激酶抑制劑(Tie2 kinase inhibitor)降低CAR+/mPSCsOct-4_hi之血管新生。(A)為CAR+/mPSCsOct-4_hi C1細胞株於內皮細胞生長培養基(Endothelial cells growth medium;EGM)培養7天,接著執行管柱形成試驗(tube formation assay),以相對節點(node)數目用來 驗證管柱形成。經2μM Tie2激酶抑制劑(Tie2 kinase inhibitor)處理後,於內皮細胞生長培養基(Endothelial cells growth medium;EGM)培養的C1細胞株之管柱形成能力下降。數據以平均值±標準差呈現。** P<0.01:與無Tie2激酶抑制劑(Tie2 kinase inhibitor)之組別比較。(B)為C1細胞株之雞胚胎尿絨毛膜(chick chorioallantoic membrane;CAM)試驗,以血管分支點(branch point)的數目用來驗證C1細胞株之血管誘導。Tie2激酶抑制劑(Tie2 kinase inhibitor)(2μM)可降低C1細胞株誘導之血管形成。數據以平均值±標準差呈現。* P<0.05:與無Tie2激酶抑制劑(Tie2 kinase inhibitor)之組別比較。(C)為體內異體移植(xenograft)腫瘤生成試驗,C1細胞株之腫瘤生長經Tie2激酶抑制劑(Tie2 kinase inhibitor)處理後被抑制,50mg/公斤體重之Tie2由第7天至第25天內每兩天自腹腔注射一次,腫瘤體積於第10至25天紀錄。數據以平均值±標準差呈現,* P<0.05:與無Tie2激酶抑制劑(Tie2 kinase inhibitor)之組別比較。 Figure 19 shows that Tie2 kinase inhibitor reduces angiogenesis of CAR + /mPSCs Oct-4_hi . (A) The CAR + /mPSCs Oct-4_hi C1 cell strain was cultured for 7 days in Endothelial cell growth medium (EGM), followed by a tube formation assay to count the number of nodes. Used to verify the formation of the string. After treatment with 2 μM Tie2 kinase inhibitor, the ability to form a column of C1 cell line cultured in Endothelial cell growth medium (EGM) decreased. Data are presented as mean ± standard deviation. ** P < 0.01: compared to the group without Tie2 kinase inhibitor. (B) A chicken embryo chorioallantoic membrane (CAM) test of a C1 cell strain, and the number of blood vessel branch points was used to verify the blood vessel induction of the C1 cell line. Tie2 kinase inhibitor (2 μM) reduced angiogenesis induced by C1 cell lines. Data are presented as mean ± standard deviation. *P<0.05: compared to the group without Tie2 kinase inhibitor. (C) For xenograft tumor production assay, tumor growth of C1 cell line was inhibited by Tie2 kinase inhibitor treatment, Tie2 of 50 mg/kg body weight from day 7 to day 25 The injection was performed once every two days from the abdominal cavity, and the tumor volume was recorded on the 10th to 25th day. Data are presented as mean ± standard deviation, * P < 0.05: compared to the group without Tie2 kinase inhibitor.

以下範例不受限制,且僅為本發明諸多方面及特色之代表。 The following examples are not limiting and are merely representative of the many aspects and features of the present invention.

實施例1: Example 1:

材料與方法 Materials and Methods

依據克沙奇病毒及腺病毒受體陽性(coxsackievirus and adenovirus receptor positive;CAR-positive)之表現,藉由螢光流式細胞分選儀(fluorescence-activated cell sorting;FACS)從初代培養細胞中分離出克 沙奇病毒(coxsackievirus)及腺病毒(adenovirus)受體陽性之老鼠肺部幹細胞/先驅細胞族群(coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cells;CAR+/mPSCs)。以含有Oct-4(SEQ ID NO:1)編碼之反轉錄病毒載體轉染CAR+/mPSCs及CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)。高量表現Oct-4之細胞,即CAR+/mPSCsOct-4_hi細胞株,其利用西方墨點法分析(Western blot analysis)、端粒酶重複擴增試驗(telomerase repeat amplification assay)、流式細胞儀分析、軟瓊脂菌落形成能力試驗(soft agar colony formation assay)、球體形成試驗(sphere formation assay)、反轉錄聚合酶連鎖反應(reverse transcription PCR)與即時聚合酶連鎖反應(real-time PCR)分析基因表現、管柱形成試驗(tube formation assay)及雞胚胎尿絨毛膜(chicken chorioallantoic membrane;CAM)試驗。體內致瘤潛能係藉由重症聯合免疫缺陷小鼠(Severe Combined Immunodeficiency Mice;SCIDmice)之限制性稀釋移植實驗(limiting dilution transplantation experiment)及腫瘤轉移試驗(metastasis assay)進行評估,衍生腫瘤以免疫組織化學和免疫螢光染色法進行處理。 According to the performance of coxsackievirus and adenovirus receptor positive (CAR-positive), it was isolated from primary cultured cells by fluorescence-activated cell sorting (FACS). Coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cells (CAR + /mPSCs) were obtained from coxsackievirus and adenovirus receptor-positive mice. Type I pneumocytes derived from CAR + /mPSCs and CAR + /mPSCs were transfected with a retroviral vector containing Oct-4 (SEQ ID NO: 1). High -potency cells of Oct-4, the CAR + /mPSCs Oct-4_hi cell line, which utilize Western blot analysis, telomerase repeat amplification assay, flow cytometry Instrumental analysis, soft agar colony formation assay, sphere formation assay, reverse transcription PCR and real-time PCR analysis Gene expression, tube formation assay, and chicken chorioallantoic membrane (CAM) assay. In vivo tumorigenic potential was assessed by Severe Combined Immunodeficiency Mice (SCIDmice) by limiting dilution transplantation experiment and metastasis assay, and tumors were derived for immunohistochemistry. Treatment with immunofluorescence staining.

細胞培養 Cell culture

從台灣生物資源保存及研究中心(Bioresource Collection and Research Center of Taiwan)取得人類肺腺癌細胞株(Human lung adenocarcinoma cell line)A549、老鼠腋窩淋巴結/血管上皮細胞株(mouse axillary lymph node/vascular epithelial cell line)SVEC4-10和人類胚腎細胞株(human embryonic kidney cell line;HEK)293T,A549、SVEC4-10和 HEK293T細胞於DMEM培養基(Dulbecco’s modified Eagle medium,Sigma-Aldrich)及10%胎牛血清(FBS)於37℃下及含5%二氧化碳之潮濕培養箱中培養。 Human lung adenocarcinoma cell line A549 and mouse axillary lymph node/vascular epithelial cell line were obtained from the Bioresource Collection and Research Center of Taiwan. Line) SVEC4-10 and human embryonic kidney cell line (HEK) 293T, A549, SVEC4-10 and HEK293T cells were cultured in DMEM medium (Dulbecco's modified Eagle medium, Sigma-Aldrich) and 10% fetal bovine serum (FBS) at 37 ° C in a humidified incubator containing 5% carbon dioxide.

老鼠肺部幹細胞/先驅細胞之無血清初代篩選培養 Serum-free primary screening and culture of mouse lung stem cells/precursor cells

新生ICR小鼠(產後1到3天)以頸椎脫臼法(cervical dislocation)犧牲,分離肺部組織並將其收集於預冷之和含有青黴素(penicillin,100units/mL)與鏈黴素(streptomycin,100g/mL)之Hank緩衝液(Hank's buffer)。將肺部組織切成直徑1到2mm之片段並放置於消化培養基(digested medium)中,其包含0.1%蛋白分解酶第14型(protease type-XIV,Sigma-Aldrich)和1ng/mL之DNA分解酶-I(DNase-I,Sigma-Aldrich)於MEM(Minimum Essential Medium Eagle)培養基,於4℃下放置過夜。接著,加入10%胎牛血清(FBS)/MEM培養基以中和蛋白分解酶/DNA分解酶-I,組織懸浮物以10mL吸管(pipette)輕輕混合數次。組織碎片以100μm之尼龍細胞濾網(nylon cell strainer)過濾,清洗細胞並再懸浮於有補充胰島素/運鐵蛋白(transferrin)/硒(ITS)(Invitrogen)之MCDB-201培養基(Sigma-Aldrich)中。這些細胞以3x105細胞/mL之密度於塗覆膠原蛋白-I(collagen-I,Becton Dickinson Biosciences)之細胞培養盤上進行培養,經過一天培養後,用添加硒(ITS)與1ng/mL之重組表皮生長因子(epidermal growth factors,Invitrogen)之MCDB-201培養基使細胞再生(refresh)。肺部表皮細胞株(Pulmonary epithelial colony)在細胞融合(confluent)第10至14天時於培養基上形成細胞群落。這些初代細胞以 螢光流式細胞分選儀(FACS)分離克沙奇病毒及腺病毒受體(coxsackievirus and adenovirus receptor positive;CAR)陽性(CAR-positive)之老鼠肺部幹細胞/先驅細胞(mouse pulmonary stem/progenitor cells;mPSCs)。 Neonatal ICR mice (1 to 3 days postpartum) were sacrificed by cervical dislocation, lung tissue was isolated and collected in pre-cooled sum containing penicillin (100 units/mL) and streptomycin (streptomycin, 100 g/mL) of Hank's buffer. The lung tissue was cut into pieces of 1 to 2 mm in diameter and placed in a digested medium containing 0.1% protease type-XIV (Sigma-Aldrich) and 1 ng/mL DNA decomposition. The enzyme-I (DNase-I, Sigma-Aldrich) was placed in MEM (Minimum Essential Medium Eagle) medium at 4 ° C overnight. Next, 10% fetal bovine serum (FBS)/MEM medium was added to neutralize proteolytic enzyme/DNA-degrading enzyme-I, and the tissue suspension was gently mixed several times with a 10 mL pipette. Tissue fragments were filtered through a 100 μm nylon cell strainer, washed and resuspended in MCDB-201 medium (Sigma-Aldrich) supplemented with insulin/transferrin/selenium (ITS) (Invitrogen). in. These cells were cultured at a density of 3×10 5 cells/mL on a cell culture plate coated with collagen-I (Becton Dickinson Biosciences), and after one day of culture, selenium (ITS) and 1 ng/mL were added. Recombinant epidermal growth factors (Invitrogen) MCDB-201 medium was used to regenerate cells. The Pulmonary epithelial colony forms a cell population on the medium on days 10 to 14 of cell confluence. These primary cells were isolated by fluorescent flow cytometry (FACS) for coxsackievirus and adenovirus receptor positive (CAR) positive (CAR-positive) mouse lung stem cells/progenitor cells (mouse) Pulmonary stem/progenitor cells; mPSCs).

克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(CAR+/mPSCs)之分離 Isolation of lung stem cells/precursor cells (CAR+/mPSCs) from Crox virus and adenovirus receptor-positive mice

取自初代培養細胞之細胞懸浮物以螢光流式細胞分選測量儀(FACS caliber instrument,Becton Dickinson Biosciences)分析CAR陽性之細胞。簡單而言,將1×106顆細胞與山羊抗CAR多株抗體(R&D systems)於4℃下培養一小時。清洗後,將細胞與Alexa488偶聯之驢抗山羊IgG抗體(Alexa488-coupled donkey anti-goat IgG,Jackson ImmunoResearch)於4℃下培養一小時。細胞螢光以流式細胞分選儀(FACSAriaTM,Becton Dickinson Biosciences)評估,以及數據以CellQuestTM軟體(Becton Dickinson Biosciences)分析。細胞根據CAR陽性表現達到>90%之純度,其稱為CAR+/mPSCs,CAR+/mPSCs以低轉速離心(1100rpm,5分鐘)並重新懸浮以供後續用途,其包含Oct-4轉染及細胞分化實驗。 Cell suspensions from primary cultured cells were analyzed for CAR positive cells by a FACS caliber instrument (Becton Dickinson Biosciences). Briefly, 1 x 10 6 cells were incubated with goat anti-CAR polyclonal antibody (R&D systems) for one hour at 4 °C. After washing, the cells were incubated with Alexa488-conjugated donkey anti-goat IgG antibody (Alexa488-coupled donkey anti-goat IgG, Jackson ImmunoResearch) for one hour at 4 °C. In fluorescence flow cell sorter (FACSAria TM, Becton Dickinson Biosciences) evaluation, and data CellQuest TM Software (Becton Dickinson Biosciences) analysis. Cells were >90% pure according to CAR positive performance, which was called CAR + /mPSCs, CAR + /mPSCs were centrifuged at low speed (1100 rpm, 5 minutes) and resuspended for subsequent use, including Oct-4 transfection and Cell differentiation experiment.

Oct-4轉染 Oct-4 transfection

如前所述,依據CAR陽性(CAR-positive)表現量,藉由螢光流式細胞分選儀(FACS)將CAR+/mPSCs從初代培養細胞分離出來。詳細方法於補充方法內描述。以具有編碼Oct-4(SEQ ID NO:1)之反轉錄病毒載體轉染CAR+/mPSCs及CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)。簡單而言,反轉錄病毒載體之質體pMXs-mOct-4 (Addgene)與包裹質體(packaging plasmid)(pCMV-gag-pol-PA和pCMV-VSVg)係利用GeneJuice轉染試劑(Novagen)送入HEK293T細胞中,48小時後病毒上清液以0.45μm過濾器過濾,並加入10μg/mL之凝聚胺(polybrene)。接種1×104顆之CAR+/mPSCs及CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)於每個35μm之細胞培養盤上,並以病毒上清液培養16小時。轉染後之細胞以mES/MCDB201(1:1)培養基培養,並補充絲裂黴素(mitomycin C)去除MEF細胞(餵養細胞)活性。似鵝卵石之細胞群落於第18至25天形成,第28天時手動分離細胞群落,並進一步於補充mES/MCDB201(1:1)的Matrigel(Becton Dickinson Biosciences)培養基上擴大以建立C1、E9、C7細胞株。C1-GFP細胞株之建立係利用C1細胞株轉染具有編碼GFP之反轉錄載體。簡單而言,反轉錄病毒質體pMXs-puro GFP(Addgene)與包裹質體(pCMV-gag-pol-PA和pCMV-VSVg)藉GeneJuice轉染試劑(Novagen)送入HEK293T細胞中,48小時後,病毒上清液以0.45μm過濾器過濾,並添加10μg/mL之凝聚胺(polybrene)。將1×104顆C1細胞株接種於35mm之培養盤,並於病毒上清液中培養16小時。加入嘌呤黴素(purimycin,2.5μg/mL)至培養液中,五天後GFP陽性細胞株可被鑑定及放大,其稱為C1-GFP細胞株。 As previously described, CAR + /mPSCs were isolated from primary cultured cells by fluorescence flow cytometry (FACS) based on CAR-positive performance. The detailed method is described in the supplementary method. Type I pneumocytes derived from CAR + /mPSCs and CAR + /mPSCs were transfected with a retroviral vector encoding Oct-4 (SEQ ID NO: 1). Briefly, the plastid pMXs-mOct-4 (Addgene) and the packaging plasmid (pCMV-gag-pol-PA and pCMV-VSVg) of the retroviral vector were sent using GeneJuice Transfection Reagent (Novagen). In HEK293T cells, the virus supernatant was filtered with a 0.45 μm filter after 48 hours, and 10 μg/mL of polybrene was added. 1×10 4 CAR + /mPSCs and CAR + /mPSCs-derived type 1 type I pneumocytes were seeded on each 35 μm cell culture plate and cultured for 16 hours with virus supernatant. . The transfected cells were cultured in mES/MCDB201 (1:1) medium and supplemented with mitomycin C to remove MEF (feeding cells) activity. The cobblestone-like cell population formed on days 18 to 25, and the cell population was manually isolated on day 28 and further expanded on Matrigel (Becton Dickinson Biosciences) medium supplemented with mES/MCDB201 (1:1) to establish C1, E9, C7 cell line. The establishment of the C1-GFP cell line was transfected with a C1 cell line with a reverse transcription vector encoding GFP. Briefly, the retroviral plastid pMXs-puro GFP (Addgene) and the coated plastids (pCMV-gag-pol-PA and pCMV-VSVg) were sent to HEK293T cells by GeneJuice transfection reagent (Novagen), 48 hours later. The virus supernatant was filtered through a 0.45 μm filter and 10 μg/mL of polybrene was added. 1 × 10 4 C1 cell lines were seeded in a 35 mm culture dish and cultured in the virus supernatant for 16 hours. Puromycin (2.5 μg/mL) was added to the culture solution, and after five days, the GFP-positive cell strain was identified and amplified, and it was called a C1-GFP cell strain.

RNA萃取、反轉錄聚合酶連鎖反應與即時聚合酶連鎖反應 RNA extraction, reverse transcription polymerase chain reaction and immediate polymerase chain reaction

利用TRIzol試劑(Invitrogen)萃取總RNA,依照製造商的說明使用M-MLV RT(Promega)合成cDNA。反轉錄聚合酶連鎖反應(reverse transcription PCR)係利用Taq聚合酶(Invitrogen)依照製造商的說明操作。 即時聚合酶連鎖反應(real-time PCR)係利用7900HT即時聚合酶連鎖反應儀器(Applied Biosystems)操作,引子序列列於表1中,甘油醛-3-磷酸脫氫酶(Glyceraldehyde 3-phosphate dehydrogenase;GAPDH)表現用於標準化。 Total RNA was extracted using TRIzol reagent (Invitrogen) and cDNA was synthesized using M-MLV RT (Promega) according to the manufacturer's instructions. Reverse transcription polymerase chain reaction (reverse transcription PCR) was performed using Taq polymerase (Invitrogen) according to the manufacturer's instructions. Real-time PCR was performed using a 7900HT real-time polymerase chain reaction instrument (Applied Biosystems). The primer sequences are listed in Table 1, Glyceraldehyde 3-phosphate dehydrogenase; GAPDH) performance for standardization.

西方墨點法分析 Western blot analysis

細胞裂解物在RIPA緩衝液(Pierce)中萃取,並利用BCA蛋白質檢測試劑(Pierce)依照製造商之說明定量,等量(30μg)之總蛋白以十二烷基硫酸鈉聚丙烯酰胺凝膠電泳(sodium dodecyl sulfate polyacrylamide gel electrophoresis)分離,並轉漬到活化的聚偏二氟乙烯膜(polyvinylidene difluoride membranes)(Millipore)上。以5%脫脂牛奶阻斷(blocking)後,該膜以初級抗體孵育(incubated),如表2所示。墨點與共軛辣根過氧化物酶(horseradish peroxidase)之二級抗體孵育,並以加強之化學冷光偵測器(chemiluminescence detection,Millipore)偵測免疫反應帶(immune-reacted bands)。 Cell lysates were extracted in RIPA buffer (Pierce) and quantified using BCA protein detection reagent (Pierce) according to the manufacturer's instructions. Equal amounts (30 μg) of total protein were synthesized by sodium dodecyl sulfate polyacrylamide gel electrophoresis. (sodium dodecyl sulfate polyacrylamide gel electrophoresis) was separated and transferred to activated polyvinylidene difluoride membranes (Millipore). After blocking with 5% skim milk, the membrane was incubated with primary antibodies as shown in Table 2. The dots were incubated with a secondary antibody conjugated with horseradish peroxidase and the immune-reacted bands were detected with a enhanced chemiluminescence detection (Millipore).

流式細胞儀分析 Flow cytometry analysis

在CD133表現分析中,細胞被分離為單一細胞,清洗並懸浮於磷酸鹽緩衝液(PBS)中。細胞以別藻藍蛋白(allophycocyanin;APC)共軛抗老鼠CD133抗體(BioLegend)標記,接著以螢光流式細胞分選測量儀分析。在細胞週期分佈之分析中,細胞培養於6孔培養盤上,培養24小 時後收集細胞、以PBS清洗並於-20℃下以70%酒精固定放置過夜。接著,細胞以PBS清洗一次,並重新懸浮於含有200μg/mL之RNA分解酶A(RNaseA)與50μg/mL之碘化丙啶(propidium iodide)的PBS中,以螢光流式細胞分選測量儀分析細胞週期分佈。腫瘤中CD31與GFP之表現,係利用組織分離套組(Miltenyi Biotec)分離腫瘤至細胞懸浮液中,細胞懸浮液以別藻藍蛋白(allophycocyanin;APC)共軛抗老鼠CD133抗體(BioLegend)染色,接著利用螢光流式細胞分選測量儀分析。 In the CD133 performance analysis, cells were isolated as single cells, washed and suspended in phosphate buffered saline (PBS). Cells were labeled with allophycocyanin (APC) conjugated anti-mouse CD133 antibody (BioLegend) and subsequently analyzed by a fluorescent flow cytometry meter. In the analysis of cell cycle distribution, the cells were cultured on a 6-well culture plate and cultured for 24 hours. After the time, the cells were collected, washed with PBS, and fixed at 70 ° C overnight at -20 ° C. Next, the cells were washed once with PBS and resuspended in PBS containing 200 μg/mL of RNA-degrading enzyme A (RNaseA) and 50 μg/mL of propidium iodide for fluorescence flow sorting. The instrument analyzes the cell cycle distribution. The expression of CD31 and GFP in tumors was determined by tissue isolation kit (Miltenyi Biotec) to isolate the tumor into cell suspension, and the cell suspension was stained with allophycocyanin (APC) conjugated anti-mouse CD133 antibody (BioLegend). This was followed by analysis using a fluorescent flow cell sorting gauge.

乙醛脫氫酶活性試驗 Aldehyde dehydrogenase activity test

細胞之乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性係利用ALDEFLUOR試驗套組(StemCell Technologies)偵測,其根據製造商之說明操作。將細胞懸浮於含有BODIPY-氨基乙醛(BODIPY-aminoacetaldehyde;BAAA)的ALDEFLUOR試驗緩衝劑於37℃下反應60分鐘。細胞以一種乙醛脫氫酶(aldehyde dehydrogenase;ALDH)抑制劑(二乙基氨基苯甲酮(diethylaminobenzaldehyde;DEAB))處理並作為陰性對照組。碘化丙啶(Propidium iodide)染色鑑定不能存活的細胞。螢光流式細胞分選測量儀藉由綠色螢光通道(520-540nm)用於分析細胞之乙醛脫氫脢(ALDH)活性。 The aldehyde dehydrogenase (ALDH) activity of the cells was detected using the ALDEFLUOR test kit (StemCell Technologies), which was operated according to the manufacturer's instructions. The cells were suspended in an ALDEFLUOR assay buffer containing BODIPY-aminoacetaldehyde (BAAA) and reacted at 37 ° C for 60 minutes. The cells were treated with an aldehyde dehydrogenase (ALDH) inhibitor (diethylaminobenzaldehyde (DEAB)) and served as a negative control. Propidium iodide staining identified cells that were not viable. A fluorescent flow cytometry meter was used to analyze the acetaldehyde dehydroanthracene (ALDH) activity of the cells by a green fluorescent channel (520-540 nm).

端粒酶重複擴增試驗 Telomerase repeat amplification assay

端粒酶活性係利用端粒酶重複擴增(telomerase repeat amplification;TRAP)試驗測量,細胞於TRAP裂解緩衝液中均質化。於端粒酶反應中使用蛋白質(20μg),並伴隨著50μL TRAP反應緩衝液,其 包含20mM三羥甲基氨基甲烷鹽酸鹽(Tris-HCl)(pH 8.3)、1.5mM氯化鎂、63mM氯化鉀、0.05%吐溫-20(Tween-20)、1mM EGTA、50μM脫氧核苷三磷酸(deoxynucleotide triphosphate,Pharmacia)、標記之TS、ACX及U2引子各0.1μg、5×10-3阿托莫耳(attomoles)之內部控制引子(TSU2)、2單位之Taq DNA聚合酶(Invitrogen)與2μL之CHAPS萃取物。於3℃下反應30分鐘後,端粒酶延長產物經PCR於以下條件中放大:30個循環,每個循環包含94℃下30秒、60℃下30秒與72℃下45秒。將反應混合物加熱至94℃ 5分鐘以將端粒酶去活性,放大之產物以12%聚丙烯酰胺凝膠電泳(sodium dodecyl sulfate polyacrylamide gel electrophoresis)分析,再以溴乙錠(ethidium bromide)染色並在紫外光下觀察。 Telomerase activity was measured by telomerase repeat amplification (TRAP) assay and cells were homogenized in TRAP lysis buffer. Protein (20 μg) was used in the telomerase reaction with 50 μL of TRAP reaction buffer containing 20 mM Tris-HCl (pH 8.3), 1.5 mM magnesium chloride, 63 mM chlorination Potassium, 0.05% Tween-20, 1 mM EGTA, 50 μM deoxynucleotide triphosphate (Pharmacia), labeled TS, ACX and U2 primers each 0.1 μg, 5 × 10 -3 Atomo The internal control primer of the attomoles (TSU2), 2 units of Taq DNA polymerase (Invitrogen) and 2 μL of CHAPS extract. After reacting for 30 minutes at 3 ° C, the telomerase elongation product was amplified by PCR under the following conditions: 30 cycles, each cycle containing 30 seconds at 94 ° C, 30 seconds at 60 ° C and 45 seconds at 72 ° C. The reaction mixture was heated to 94 ° C for 5 minutes to deactivate the telomerase, and the amplified product was analyzed by sodium dodecyl sulfate polyacrylamide gel electrophoresis, and then stained with ethidium bromide. Observed under ultraviolet light.

軟瓊脂細胞群落形成能力試驗 Soft agar cell community formation ability test

軟瓊脂細胞群落形成能力試驗(soft agar colony formation assay)係透過接種3×103顆細胞於35mm之組織培養盤,其包含一層0.35%低熔融瓊脂(agarose)/ES/MCDB-201覆蓋於一層0.5%低熔融瓊脂(agarose)/ES/MCDB-201之上。每隔兩天外加完整培養液,兩週後細胞群落以0.05%結晶紫(cystal violet)和甲醇固定,拍攝細胞群落生成並以光學顯微鏡定量。 The soft agar colony formation assay was performed by inoculating 3 x 10 3 cells in a 35 mm tissue culture dish containing a layer of 0.35% low melting agarose/ES/MCDB-201. 0.5% low melting agarose / ES / MCDB-201. The whole culture solution was added every two days. After two weeks, the cell population was fixed with 0.05% crystal violet and methanol, and the cell population was photographed and quantified by optical microscopy.

球體形成試驗(Sphere formation assay) Sphere formation assay

細胞以每孔1000顆之密度接種於24孔超低附著培養盤(ultra low-attachmentplate)(Corning)中,並於無血清之DMEM培養基中培養,其外加2% B27(Invitrogen)、20ng/mL之表皮生長因子(Epidermal growth factor;EGF)及20ng/mL之鹼性纖維母細胞生長因子(basic fibroblast growth factor;bFGF)(Invitrogen)。培養14日後離心收集初級球體,以胰蛋白酶(trypsin)分離再重新懸浮於此培養液中,二級球體(>70μm)在10天後拍攝與定量。 The cells were seeded at a density of 1000 per well in a 24-well ultra low-attachment plate (Corning) and cultured in serum-free DMEM medium supplemented with 2% B27 (Invitrogen), 20 ng/mL. Epidermal growth factor (EGF) and 20 ng/mL basic fibroblast growth factor (basic fibroblast) Growth factor; bFGF) (Invitrogen). After 14 days of culture, the primary spheres were collected by centrifugation, separated by trypsin and resuspended in the culture medium, and secondary spheres (>70 μm) were photographed and quantified after 10 days.

移植瘤試驗(xenograft tumor assay) Xenograft tumor assay

所有動物實驗皆經過台大醫學院動物照護及使用委員會(Institutional Animal Care and Use Committee of National Taiwan University College of Medicine)審查及批准。畸胎瘤形成試驗(teratoma formation assay)係以1×106顆之CAR+/mPSCsOct-4_hi C1、E9與C7細胞株經皮下注射至8週大之雄性重症聯合免疫缺陷小鼠(Severe Combined Immunodeficiency Mice;SCID mice)中;限制性稀釋移植實驗(limiting dilution transplantation experiment)係以C1細胞株(105、104、103和102顆細胞)或CAR+/mPSCs(106顆細胞)經皮下注射至重症聯合免疫缺陷小鼠體內;在C1-GFP細胞株和A549衍生腫瘤之實驗中,C1-GFP(1×105顆細胞)或A549(1×106顆細胞)以皮下注射至重症聯合免疫缺陷小鼠中。腫瘤尺寸每3天以卡尺測量一次,且體積(cm3)根據下列標準算式計算:長度×寬度2/2。腫瘤於實驗最後以手術切除並拍照。在腫瘤轉移試驗中,3×105顆C1細胞株和CAR+/mPSCs經側面尾部靜脈注射至重症聯合免疫缺陷小鼠體內,肺部轉移結節於第五週以屍體解剖及組織學檢查進行評估,利用Kaplan-Meier分析法比較注射C1細胞株與CAR+/mPSCs之小鼠之存活率的差別。 All animal experiments were reviewed and approved by the Institutional Animal Care and Use Committee of National Taiwan University College of Medicine. The teratoma formation assay was performed by subcutaneous injection of 1 × 10 6 CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines into 8-week male severe combined immunodeficient mice (Severe Combined) In the immunodeficiency Mice; SCID mice); the limiting dilution transplantation experiment is performed on C1 cell lines (10 5 , 10 4 , 10 3 and 10 2 cells) or CAR + /mPSCs (10 6 cells). Subcutaneous injection into severe combined immunodeficient mice; in the experiments of C1-GFP cell line and A549-derived tumor, C1-GFP (1 × 10 5 cells) or A549 (1 × 10 6 cells) were injected subcutaneously To severe combined immunodeficient mice. Tumor size was measured once every 3 days with a caliper and the volume (cm 3 ) was calculated according to the following standard formula: length x width 2 /2. The tumor was surgically removed and photographed at the end of the experiment. In the tumor metastasis test, 3×10 5 C1 cell lines and CAR + /mPSCs were injected into the severe combined immunodeficient mice via the lateral tail vein, and the pulmonary metastatic nodules were evaluated by autopsy and histological examination in the fifth week. Kaplan-Meier analysis was used to compare the difference in survival rates between mice injected with C1 cell line and CAR + /mPSCs.

在二級腫瘤(secondary tumor)實驗中,1×106顆C1細胞株經皮下轉植4週後發展為腫瘤組織,將腫瘤組織切成小片後以胰蛋白酶 (trypsin)-EDTA消化。細胞懸浮物以100μm之細胞過濾器收集。利用FACSAriaII細胞分選儀分離高表現及低表現CAR之分化細胞,1x105、104、103和1×102個CAR高(CARhigh)及CAR低(CARlow)細胞(數量=4/組)分別經皮下轉植到重症聯合免疫缺陷小鼠背部。紀錄5週的二級腫瘤之形成,然後二級腫瘤之CAR表現則將進一步確認。 In the secondary tumor experiment, 1×10 6 C1 cell lines were subcutaneously transplanted for 4 weeks and developed into tumor tissues. The tumor tissues were cut into small pieces and then digested with trypsin-EDTA. The cell suspension was collected in a 100 μm cell strainer. Using differentiated cells FACSAriaII cell sorter to isolate high performance and low performance CAR's, 1x10 5, 10 4, 10 3 and 1 × 10 2 th CAR high (CAR High) and a low CAR (CAR Low) cells (Number = 4 / Group) were subcutaneously transplanted into the back of severe combined immunodeficient mice. The formation of secondary tumors for 5 weeks was recorded, and then the CAR performance of secondary tumors was further confirmed.

免疫組織化學與免疫螢光染色 Immunohistochemistry and immunofluorescence staining

腫瘤於福馬林中固定,接著脫水後以石蠟包埋並切片。腫瘤切片於檸檬酸鹽緩衝液(citrate buffer)(10mM,pH 6.0)中經微波輻射修復抗原(antigen retrieval),將此腫瘤切片與初級抗體於4℃下反應過夜。免疫組織化學染色係將此腫瘤切片與相對應之HRP-偶聯之二級抗體在室溫下反應一小時後,利用0.05%之3,3'-二氨基聯苯胺(3,3’-diaminobenzidine;DAB)以肉眼觀察,細胞核以蘇木精(hematoxylin)複染。免疫螢光染色係利用相對應之螢光偶聯二級抗體於室溫下反應一小時,細胞核以DAPI螢光染劑複染。陰性對照組以相同條件製備,並以對照之免疫球蛋白G(IgG)取代初級抗體。抗體列於表2中。切片以顯微鏡(Nikon Eclipse 800)檢查,免疫組織化學染色切片以TissueFax細胞定量分析儀(TissueGnostics GmbH)掃描定量,免疫陽性族群之比例以HistoQuest軟體(TissueGnostics GmbH)分析。 Tumors were fixed in formalin, then dehydrated, embedded in paraffin and sectioned. Tumor sections were subjected to antigen retrieval by microwave irradiation in citrate buffer (10 mM, pH 6.0), and the tumor sections were reacted with primary antibodies at 4 ° C overnight. Immunohistochemical staining was performed by reacting this tumor section with the corresponding HRP-conjugated secondary antibody for one hour at room temperature, using 0.05% 3,3'-diaminobenzidine (3,3'-diaminobenzidine). DAB) was visually observed and the nuclei were counterstained with hematoxylin. The immunofluorescence staining was carried out by reacting the corresponding fluorescent-conjugated secondary antibody for one hour at room temperature, and the nuclei were counterstained with DAPI fluorescent dye. The negative control group was prepared under the same conditions, and the primary antibody was replaced with a control immunoglobulin G (IgG). The antibodies are listed in Table 2. Sections were examined with a microscope (Nikon Eclipse 800), immunohistochemical stained sections were scanned and quantified using a TissueFax Cell Quantitative Analyzer (TissueGnostics GmbH), and the proportion of immunopositive populations was analyzed by HistoQuest software (TissueGnostics GmbH).

IF:免疫螢光染色;IHC:免疫組織化學染色;WB:西方墨點法;FC:流式細胞儀;O/N:過夜;RT:室溫 IF: immunofluorescence staining; IHC: immunohistochemical staining; WB: Western blotting; FC: flow cytometry; O/N: overnight; RT: room temperature

細胞存活試驗 Cell survival test

接種3×103顆細胞至96孔盤中並培養18小時。細胞以不同濃度之二氯二胺鉑(cisplatin,Sigma-Aldrich)或太平洋紫杉醇(paclitaxel)處理。48小時後根據廠商說明書指示操作WST-1試驗(Roche)測定細胞存活率,細胞存活率以未處理組別之百分比表示,並得到IC50值。 3 x 10 3 cells were seeded into 96-well plates and cultured for 18 hours. Cells were treated with different concentrations of platinum dichloride (cisplatin, Sigma-Aldrich) or paclitaxel. After 48 hours the test WST-1 (Roche) according to manufacturer's instructions cell viability instructions, cell viability was expressed as a percentage of the untreated group, and 50 to give a value IC.

雞胚胎尿絨毛膜(chicken chorioallantoic membrane;CAM)試驗 Chicken chorioallantoic membrane (CAM) test

受精雞卵在37℃及80%之濕度環境下培養,發育第8天時將1×106顆細胞放置於膜上並移植到生長中之雞胚胎尿絨毛膜(CAM)上方,第11天時雞胚胎尿絨毛膜(CAM)以4%三聚甲醛(paraformaldehyde)固定,並以立體顯微鏡(stereomicroscope)及數位相機拍照,分支點以NIH Image J軟體及血管新生外掛程式定量。 Fertilized chicken eggs were cultured at 37 ° C and 80% humidity. On the 8th day of development, 1 × 10 6 cells were placed on the membrane and transplanted onto the growing chicken embryo urinary chorioallantoic membrane (CAM), day 11 The chicken embryo urinary chorioallantoic membrane (CAM) was fixed with 4% paraformaldehyde and photographed with a stereomicroscope and a digital camera. The branch points were quantified using the NIH Image J software and angiogenesis plug-in.

體外CAR+/mPSCsOct-4_hi管柱形成試驗(tube formation assay) In vitro CAR + /mPSCs Oct-4_hi tube formation assay

細胞於內皮細胞生長培養基(endothelial cell growth medium;EGM)(Lonza)中培養7天,收集細胞並於外加2%胎牛血清(fetal bovine serum;FBS)的DMEM培養基中懸浮,接種於基底膜基質(Matrigel),8小時後細胞以鈣黃綠素-AM(calcein-AM)(Invitrogen)染色,並利用螢光顯微鏡(Zeiss)取得影像。 The cells were cultured for 7 days in endothelial cell growth medium (EGM) (Lonza), and the cells were harvested and suspended in DMEM medium supplemented with 2% fetal bovine serum (FBS) to inoculate the basement membrane matrix. (Matrigel), cells were stained with calcein-AM (Invitrogen) after 8 hours, and images were acquired using a fluorescence microscope (Zeiss).

CAR+/mPSCsOct-4_hi C1細胞株與SVEC4-10共同培養形成管柱 CAR + /mPSCs Oct-4_hi C1 cell line co-cultured with SVEC4-10 to form a column

將基底膜基質(Matrigel)鋪於35mm之培養皿(Ibidi μ dish) 上,C1細胞株衍生球體以綠色螢光追蹤劑鈣黃綠素-AM(calcein-AM)標記,並將其與染上紅色螢光追蹤染劑PHK26(Sigmla-Aldrich)之SVEC4-10細胞混合,細胞核以Hoechst33342染劑複染。細胞混合物接種於鋪上基底膜基質(Matrigel)之細胞培養盤,其含有外加2% FBS與5% Matrigel之DMEM。管柱形成以縮時攝影之螢光共軛焦顯微鏡(time-lapse immunofluorescence confocal microscopy)記錄。 Spread the basement membrane matrix (Matrigel) in a 35mm Petri dish (Ibidi μ dish) The C1 cell line-derived sphere was labeled with the green fluorescent tracer calcein-AM and mixed with SVEC4-10 cells stained with red fluorescent tracer PHK26 (Sigmla-Aldrich). Counterstained with Hoechst 33342 dye. The cell mixture was seeded in a cell culture plate coated with Matrigel containing DMEM supplemented with 2% FBS and 5% Matrigel. The tube string was recorded by time-lapse immunofluorescence confocal microscopy.

Tie2激酶抑制劑之抑制 Inhibition of Tie2 kinase inhibitor

Tie2激酶抑制劑能有效、可逆且選擇性標靶Tie2激酶之ATP結合位點,其化學結構式為4-(6-甲氧基-2-萘基)-2-(4-甲基亞磺酰苯基-5-(4-吡啶基)-1H-咪唑(4-(6-methoxy-2-naphthyl)-2-(4-methylsulfinyl phenyl-5-(4-pyridyl)-1H-imidazole4-(6-methoxy-2-naphthyl)-2-(4-methylsulfinyl phenyl-5-(4-pyridyl)-1H-imidazole)(CAS編號:948557-43-5)(ab141270,Abcam,劍橋,馬薩諸塞州),Tie2激酶抑制劑(2μM)對於經24小時處理後之CAR+/mPSCsOct-4_hi細胞株的細胞毒性為93.2±2.51%存活率。 The Tie2 kinase inhibitor efficiently, reversibly and selectively targets the ATP binding site of Tie2 kinase with a chemical structural formula of 4-(6-methoxy-2-naphthyl)-2-(4-methylsulfinic acid). 4-(6-methoxy-2-naphthyl)-2-(4-methylsulfinylphenyl-5-(4-pyridyl)-1H-imidazole4-( 6-methoxy-2-naphthyl)-2-(4-methylsulfinylphenyl-5-(4-pyridyl)-1H-imidazole) (CAS number: 948557-43-5) (ab141270, Abcam, Cambridge, MA) The cytotoxicity of the Tie2 kinase inhibitor (2 μM) against the CAR + /mPSCs Oct-4_hi cell line after 24 hours of treatment was 93.2 ± 2.51% survival.

在管柱形成(tube formation)試驗中,以內皮細胞生長培養基(Endothelial cells growth medium;EGM)培養之CAR+/mPSCsOct-4_hi C1細胞株的管柱形成以2μM Tie2激酶抑制劑處理,8小時後以鈣黃綠素-AM(calcein-AM)(Invitrogen)染色,再以螢光顯微鏡(Zeiss)取得影像。 In the tube formation assay, the column formation of CAR + /mPSCs Oct-4_hi C1 cell line cultured in Endothelial cells growth medium (EGM) was treated with 2 μM Tie2 kinase inhibitor for 8 hours. After staining with calcein-AM (Invitrogen), images were acquired with a fluorescence microscope (Zeiss).

血管形成試驗中,CAR+/mPSCsOct-4_hi C1細胞株的1×106顆細胞以2μM Tie2激酶抑制劑處理,並接續雞胚胎尿絨毛膜(chicken chorioallantoic membrane;CAM)試驗。第11天時,雞胚胎尿絨毛膜(CAM) 以4%三聚甲醛(paraformaldehyde)固定,並以立體顯微鏡及數位相機拍照,分支點以NIH Image J軟體及血管新生外掛程式定量。 In the angiogenesis assay, 1 × 10 6 cells of the CAR + /mPSCs Oct-4_hi C1 cell line were treated with 2 μM Tie2 kinase inhibitor and incubated with the chicken chorioallantoic membrane (CAM) test. On day 11, chicken embryo urinary chorioallantoic membrane (CAM) was fixed with 4% paraformaldehyde and photographed with a stereomicroscope and a digital camera. The branch points were quantified using the NIH Image J software and angiogenesis plug-in.

CAR+/mPSCsOct-4_hi C1細胞株的1×105顆細胞經皮下注射至8週大之雄性重症聯合免疫缺陷小鼠(Severe Combined Immunodeficiency Mice;SCID mice)中。50mg/公斤體重之Tie2激酶抑制劑於第10至25天中每兩天經腹腔施打一次。腫瘤大小每2或3日經卡尺測量一次,且體積(cm3;立方公分)根據下列標準算式計算:長度×寬度2/2。實驗結束後,腫瘤以手術切除並拍照。 1 × 10 5 cells of CAR + /mPSCs Oct-4_hi C1 cell line were subcutaneously injected into 8-week male Severe Immunodeficiency Mice (SCID mice). The 50 mg/kg body weight Tie2 kinase inhibitor was administered intraperitoneally every two days on days 10 to 25. The tumor size was measured by a caliper every 2 or 3 days, and the volume (cm 3 ; cubic centimeters) was calculated according to the following standard formula: length × width 2 /2. After the end of the experiment, the tumor was surgically removed and photographed.

統計分析 Statistical Analysis

取自至少3個獨立實驗之定量數據以平均值±標準差(SD)表示,學生t檢驗(student's t test)用來比較組別間之差異,利用Kaplan-Meier分析法獲得生存曲線,P<0.05為統計上顯著。 Quantitative data from at least 3 independent experiments were expressed as mean ± standard deviation (SD), Student's t test was used to compare differences between groups, and Kaplan-Meier analysis was used to obtain survival curves, P < 0.05 is statistically significant.

結果 result

轉染Oct-4至CAR+/mPSCs使其高度表現 Transfection of Oct-4 to CAR + /mPSCs for high performance

組織專一性幹細胞數量雖少,卻是維持組織穩定性的主因。在之前的研究中已成功辨識並分離出CAR+/mPSCs(圖1(A)與1(B))。與老鼠胚胎幹細胞株(mouse embryonic stem cell line)(E14)相比,CAR+/mPSCs於聚合酶連鎖反應(PCR)及即時聚合酶連鎖反應(real-time PCR)分析中其Oct-4、Sox-2與Nanog表現量較低(圖1(C))。CAR+/mPSCs於第7天表現其分化為第一型肺胞壁細胞(type-I pneumocytes)之潛能, 其證據為其扁平細胞之型態以及第一型肺胞壁細胞(type-I pneumocytes)標記T1α與AQP5(圖1(D))的出現。因此,CAR+/mPSCs具有肺部專一性幹細胞/先驅細胞(stem/progenitor cell)之特性,這些細胞可利用CAR表現來辨識及利用螢光流式細胞分選儀(FACS)有效分離出來。 Although the number of tissue-specific stem cells is small, it is the main reason for maintaining tissue stability. CAR + /mPSCs have been successfully identified and isolated in previous studies (Figures 1(A) and 1(B)). Compared with the mouse embryonic stem cell line (E14), CAR + /mPSCs in the polymerase chain reaction (PCR) and real-time PCR analysis of Oct-4, Sox -2 and Nanog have lower performance (Fig. 1(C)). CAR + /mPSCs showed their potential to differentiate into type 1 type I pneumocytes on day 7, evidenced by the type of squamous cells and type 1 I pneumocytes ) The appearance of T1α and AQP5 (Fig. 1(D)). Therefore, CAR + /mPSCs have the characteristics of lung-specific stem/progenitor cells, which can be identified by CAR expression and efficiently separated by a fluorescent flow cytometry (FACS).

對CAR+/mPSCs及CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)藉由反轉錄病毒(retrovirus)轉染使Oct-4過量表現。在此實驗中,CAR+/mPSCs以Oct-4轉染(圖2(i)與(ii)),餵養細胞(feeder cell)於第2天供給(圖2(iii)),似鵝卵石之細胞群落形成於第18至25天時初次觀察到,第28天時,發展佳的細胞群落呈現明亮的邊界,群落中之細胞具高核質比(nuclear/cytoplasmic ratio),且有顯著的核仁(圖2(iv)),接著將這些細胞挑起並放大建立細胞株(圖2(v))。表3顯示似鵝卵石之細胞群落形成的頻率,CAR+/mPSCs之轉染假控制組(sham control)或CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)以Oct-4轉染皆無法觀察到群落形成。 Transfected with CAR + /mPSCs and CAR + /mPSCs-derived type-type pneumocytes by retrovirus to overexpress Oct-4. In this experiment, CAR + /mPSCs were transfected with Oct-4 (Fig. 2 (i) and (ii)), and feeder cells were supplied on day 2 (Fig. 2 (iii)), cobblestone-like cells. The formation of the community was first observed on the 18th to 25th day. On the 28th day, the well-developed cell community showed bright boundaries. The cells in the community had a high nuclear/cytoplasmic ratio and significant nucleoli. (Fig. 2(iv)), these cells were then picked up and amplified to establish a cell line (Fig. 2(v)). Table 3 shows the frequency of cobblestone-like cell population of the formed derivative of CAR + / mPSCs transfected into sham control group (sham control) or CAR + / mPSCs first muramyl lung cells (type-I pneumocytes) to Oct-4 No community formation was observed by transfection.

數據以平均值±標準差表示 Data are expressed as mean ± standard deviation

於CAR+/mPSCs中似鵝卵石之細胞群落形成頻率介於0.05-0.13%(表3),同時在CAR+/mPSCs之轉染假控制組(sham control)中無法觀察到似鵝卵石之細胞群落(數據無顯示)。CAR+/mPSCs衍生之第一型肺胞壁細胞(type-I pneumocytes)的反轉錄病毒轉染於第8天操作,此時第一型肺胞壁細胞(type-I pneumocytes)皆分化良好(圖3(i)、(ii)及(iii)),餵養細胞於第10天供給(圖3(iv)),Oct-4轉染之第一型肺胞壁細胞(type-I pneumocytes)直到誘導後第42天皆無觀察到群落形成。這些結果顯示Oct-4之過量表現可誘導CAR+/mPSCs形成似鵝卵石之細胞群落,且於細胞狀態,即幹細胞/先驅細胞(stem/progenitor cells)階段,而非分化階段,似乎對於透過Oct-4過量表現所誘導之群落形成是關鍵的。 The frequency of cell formation of cobblestone-like cells in CAR + /mPSCs ranged from 0.05-0.13% (Table 3), and no cell bodies like cobblestone could be observed in the transfection control group (sham control) of CAR + /mPSCs ( The data is not displayed). Retrovirus transfection of type 1 I-type pneumocytes derived from CAR + /mPSCs was transfected on day 8, when type 1 type I pneumocytes were well differentiated ( Figure 3 (i), (ii) and (iii)), feeding cells were supplied on day 10 (Fig. 3 (iv)), Oct-4 transfected type 1 type I pneumocytes until No community formation was observed on day 42 after induction. These results show that the overexpression of Oct-4 can induce CAR + /mPSCs to form a cobblestone-like cell population, and in the cell state, ie stem/progenitor cells stage, but not in the differentiation stage, it seems to be through Oct- 4 Excessive performance induced community formation is critical.

似鵝卵石之細胞群落被分離並建立為個別的細胞株。為了評估表型的改變,取3個獨立實驗之細胞株,名為C1、E9和C7,做進一步檢查。西方墨點(Western blot)分析顯示Oct-4於C1、E9和C7細胞株中高度表現;因此,它們被稱為CAR+/mPSCsOct-4_hi細胞株(圖4(i)),Oct-4於C1、E9和C7細胞株中之表現量高於CAR+/mPSC16到20倍,Oct-4於C1、E9和C7細胞株中之表現量與老鼠胚胎幹細胞(E14)相似,然而CAR+/mPSCs之Oct-4表現量低(圖4(ii))。在初代培養中,CAR專一表現於肺部幹細胞/先驅細胞(pulmonary stem/progenitor cells),並作為分離CAR+/mPSCs之標記。在CAR+/mPSCsOct-4_hi細胞株中,CAR在>95%之細胞中表現,且這些細胞失去分化為第一型肺胞壁細胞(type-I pneumocytes) 之能力(圖5(A)與(B)),細胞週期分析顯示CAR+/mPSCs與CAR+/mPSCsOct-4_hi細胞株中其G1-,S-和G2/M-時期變動顯著(圖6(A))。表4顯示CAR+/mPSCs與CAR+/mPSCsOct-4_hi C1、E9與C7細胞株其細胞週期為G1-,S-和G2/M-時期之族群分析。CAR+/mPSCsOct-4_hi細胞株於S-和G2/M-時期的族群明顯增加。 The cobblestone-like cell population is isolated and established as individual cell lines. To assess changes in phenotype, three independent experimental cell lines, named C1, E9, and C7, were taken for further examination. Western blot analysis showed that Oct-4 was highly expressed in C1, E9 and C7 cell lines; therefore, they were called CAR + /mPSCs Oct-4_hi cell line (Fig. 4(i)), Oct-4 The expression levels in C1, E9 and C7 cell lines were 16 to 20 times higher than those of CAR + /mPSC, and the expression levels of Oct-4 in C1, E9 and C7 cell lines were similar to those of mouse embryonic stem cells (E14), whereas CAR + / The amount of Oct-4 in mPSCs was low (Fig. 4(ii)). In primary culture, CAR was specifically expressed in lung stem/progenitor cells and was used as a marker for the separation of CAR + /mPSCs. In the CAR + /mPSCs Oct-4_hi cell line, CAR is expressed in >95% of cells, and these cells lose the ability to differentiate into type I pneumocytes (Fig. 5(A) and (B)), cell cycle analysis showed that the G 1 -, S- and G 2 /M- periods of the CAR + /mPSCs and CAR + /mPSCs Oct-4_hi cell lines were significantly changed (Fig. 6(A)). Table 4 shows the population analysis of CAR + /mPSCs and CAR + /mPSCs Oct-4_hi C1, E9 and C7 cell lines with G 1 -, S- and G 2 /M- periods. The CAR + /mPSCs Oct-4_hi cell line increased significantly in the S- and G 2 /M- periods.

另外,C1、E9與C7細胞株能繁殖超過50代,其倍增時間(Doubling time)為23±1小時(圖6(B)),在表5中顯示倍增時間。 In addition, the C1, E9 and C7 cell lines were able to multiply for more than 50 generations, and the Doubling time was 23 ± 1 hour (Fig. 6(B)), and the doubling time is shown in Table 5.

端粒酶活性在C1、E9及C7細胞株之第12、20、50代能偵測到,在CAR+/mPSCs則無(圖6(C))。這些結果證實CAR+/mPSCs之Oct-4高量表現足以產生不朽效果,例如G1細胞週期進程、增生潛能與端粒酶活性。 Telomerase activity was detected in the 12th, 20th, and 50th generations of C1, E9, and C7 cell lines, but not in CAR + /mPSCs (Fig. 6(C)). These results demonstrate that the high amount of Oct-4 in CAR + /mPSCs is sufficient to produce immortal effects such as G 1 cell cycle progression, proliferative potential and telomerase activity.

CAR+/mPSCsOct-4_hi展現致癌潛能 CAR + /mPSCs Oct-4_hi shows carcinogenic potential

為了評估CAR+/mPSCsOct-4_hi細胞株之多能潛能,畸胎瘤(teratoma)形成試驗在C1、E9與C7細胞株中操作,取C1、E9與C7細胞株的1×106顆細胞經皮下注射到重症聯合免疫缺陷小鼠(SCID mice)體內。經過20至24天後,畸胎瘤(teratoma)大約形成一公分(圖7(A)),圖7(B)顯示C1細胞株之組織病理分析的代表圖。蘇e木精-伊紅染色法(H&E staining)顯示腫瘤中無外胚層(ectodrmal)、中胚層(mesodermal)及內胚層(endodermal)之分化;此外,腫瘤展現典型惡性表型之特徵,例如高細胞密度、小且圓之不成熟細胞增生、高核質比之多型細胞(pleomorphic cell)、高有絲分裂比(圖7(B))。利用免疫組織化學染色可偵測腫瘤中之Oct-4與CAR(圖8(A)),腫瘤中亦可測得其他活化態之致癌基因,包含磷酸化-Src、磷酸化-β胡蘿波素(phospho-β-catenin)、c-myc及週期蛋白D1(cyclin D1)(圖8(B))。肺腺癌(Lung adenocarcinoma) 之診斷標記,如甲狀腺轉錄因子-1(thyroid transcription factor-1;TTF1)、Napsin A(NAPSA)、細胞角蛋白7(cytokeratin 7;CK7)及細胞角蛋白重分子量(cytokeratin heavy molecular weight;CK-HMW)亦可於腫瘤中偵測出來(圖8(C))。這些數據顯示CAR+/mPSCs經Oct-4高量表現後具有致癌能力。 To assess the CAR + / mPSCs Oct-4_hi cell line as much potential energy, teratoma (teratoma) a C1 formed in the test procedure, E9, cell lines C7, taken C1, 1 × 10 6 cells E9 and Ke cell lines C7 It was injected subcutaneously into severe combined immunodeficient mice (SCID mice). After 20 to 24 days, the teratoma formed approximately one centimeter (Fig. 7(A)), and Fig. 7(B) shows a representative map of the histopathological analysis of the C1 cell line. H&E staining shows that there is no differentiation of ectodrmal, mesodermal and endodermal in tumors; in addition, tumors exhibit features of typical malignant phenotypes, such as high Cell density, small and round immature cell proliferation, high nucleoplasmic ratio of pleomorphic cells, high mitosis ratio (Fig. 7(B)). Immunohistochemical staining can be used to detect Oct-4 and CAR in tumors (Fig. 8(A)). Other activated oncogenes can also be detected in tumors, including phosphorylated-Src, phosphorylated-β-huluo Phospho-β-catenin, c-myc and cyclin D1 (Fig. 8(B)). Diagnostic markers for lung adenocarcinoma, such as thyroid transcription factor-1 (TTF1), Napsin A (NAPSA), cytokeratin 7 (CK7), and cytokeratin heavy molecular weight ( Cytokeratin heavy molecular weight; CK-HMW) can also be detected in tumors (Fig. 8(C)). These data show that CAR + /mPSCs are carcinogenic after high Oct-4 performance.

接著量化CAR+/mPSCsOct-4_hi細胞株之致癌潛能,利用軟瓊脂細胞群落形成能力試驗(soft agar colony formation)評估非錨定依賴性生長(Anchorage-independent growth)。兩週後,C1、E9及C7細胞株與人類肺腺癌細胞株(human lung adenocarcinoma cell line)A549;相比形成顯著較多之軟瓊脂細胞群落;然而,CAR+/mPSCs中無法觀察到此類細胞群落(圖9(A)與表6)。為了評估二級球體形成的效率,C1、E9與C7細胞株於無附著的狀態下培養。CAR+/mPSCsOct-4_hi細胞株之二級球體形成效率顯著高於A549細胞,且於CAR+/mPSCs中亦無球體形成(圖9(B)與表6),表6顯示細胞群落與球體之定量。 The carcinogenic potential of the CAR + /mPSCs Oct-4_hi cell line was then quantified, and the anchorage-independent growth was assessed using a soft agar colony formation. Two weeks later, the C1, E9, and C7 cell lines formed significantly more soft agar cell populations than the human lung adenocarcinoma cell line A549; however, this was not observed in CAR + /mPSCs. Class of cell-like cells (Fig. 9(A) and Table 6). In order to evaluate the efficiency of secondary sphere formation, C1, E9 and C7 cell lines were cultured without attachment. The secondary sphere formation efficiency of CAR + /mPSCs Oct-4_hi cell line was significantly higher than that of A549 cells, and there was no spheroid formation in CAR + /mPSCs (Fig. 9(B) and Table 6). Table 6 shows cell community and sphere. Quantitative.

在諸多試驗中,C1細胞株展現最顯著之致瘤行為,包含最高之增生速率、最高之非錨定依賴性群落形成(anchorage-independent colony formation)效率及最高之二級球體形成效率。故選擇C1細胞株操作後續之活體致瘤實驗(in vivo tumorigenic experiment)。為了確認C1細胞株之致瘤性,進行限制性稀釋移植實驗(limiting dilution transplantation experiment)。腫瘤形成能力為6/6、5/6、5/6,其分別對應105、104與103顆C1細胞株注射;此外,低濃度之C1細胞株(102)即足以在平均注射後28天產生腫瘤(4/6)(圖10(A)-i),腫瘤大小與形態於圖10(A)-ii中呈現。相反地,利用CAR+/mPSCs細胞移植(106顆細胞)孵育56天仍無法觀察到腫瘤產生(數據未呈現)。為了檢查轉移潛能,3×105顆C1細胞株經由老鼠之尾端靜脈移植,並讓其發展35天。所有注射C1細胞株的老鼠的肺部組織中有腫瘤結節(tumor nodule)產生(圖10(B))。肺部組織經蘇木精-伊紅染色法(H&E staining)染色後顯示C1細胞株移植老鼠出現廣泛出血與結節形成,而以CAR+/mPSCs移植之老鼠後並無偵測到異常病變。利用Kaplan-Meier存活分析得到經C1或CAR+/mPSCs細胞株移植後老鼠的存活率,注射C1細胞株之老鼠平均存活率顯著低於移植CAR+/mPSCs者(圖10(C))。這些結果顯示CAR+/mPSCs經Oct-4高量表現後出現惡性轉變,其透過體內與體外之CAR+/mPSCsOct-4_hi細胞株致瘤潛能及腫瘤起始能力實驗皆可得到證實。 In many experiments, the C1 cell line exhibited the most significant tumorigenic behavior, including the highest rate of proliferation, the highest anchorage-independent colony formation efficiency, and the highest secondary sphere formation efficiency. Therefore, the C1 cell line was selected for the subsequent in vivo tumorigenic experiment. In order to confirm the tumorigenicity of the C1 cell line, a limiting dilution transplantation experiment was performed. The tumor formation ability was 6/6, 5/6, 5/6, which corresponded to 10 5 , 10 4 and 10 3 C1 cell lines, respectively; in addition, the low concentration of C1 cell line (10 2 ) was sufficient for the average injection. Tumors (4/6) were generated in the last 28 days (Fig. 10(A)-i), and tumor size and morphology were presented in Fig. 10(A)-ii. In contrast, using the CAR + / mPSCs cell transplantation (10 6 cells) were incubated for 56 days the tumors are still unable to be observed (data not presented). To examine the metastatic potential, 3 × 10 5 C1 cell lines were transplanted through the tail vein of the mouse and allowed to develop for 35 days. Tumor nodule was produced in the lung tissues of all mice injected with the C1 cell line (Fig. 10(B)). The lung tissue stained with hematoxylin-eosin staining showed that extensive bleeding and nodule formation occurred in the transplanted mice of the C1 cell line, but no abnormal lesions were detected in the mice transplanted with CAR + /mPSCs. Kaplan-Meier survival analysis was used to obtain the survival rate of mice transplanted with C1 or CAR + /mPSCs cells. The average survival rate of mice injected with C1 cell line was significantly lower than that of transplanted CAR + /mPSCs (Fig. 10(C)). These results showed that the CAR + /mPSCs showed a malignant transformation after high-activity of Oct-4, which was confirmed by the tumorigenic potential and tumor initiation ability of CAR + /mPSCs Oct-4_hi cells in vitro and in vivo.

CAR+/mPSCsOct-4_hi展現肺癌癌起始細胞之特性 CAR + /mPSCs Oct-4_hi shows the characteristics of lung cancer initiating cells

對於肺部癌起始細胞的偵測,已有不同的生物標記被提出, 包含CD133表現、乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性與化療抗性。利用這些生物標記進一步研究CAR+/mPSCsOct-4_hi細胞株之癌起始細胞(CICs)特性。流式細胞儀分析顯示C1、E9和C7細胞株中,CD133+細胞約占17.4-31.7%;然而在CAR+/mPSCs中幾乎無法偵測到CD133+細胞(圖11(A))。乙醛脫氫酶(ALDH)活性在C1、E9和C7細胞株中占18.4-33.2%,然而只有0.8%之CAR+/mPSCs表現乙醛脫氫酶(ALDH)活性(圖11(B))。化療抗性也是癌起始細胞之關鍵生物特性,因此評估C1、E9和C7細胞株對於二氯二胺鉑(cisplatin)與太平洋紫杉醇(paclitaxel)之化療抗性。細胞存活率(cell viability)於圖11(C)中顯示。表7顯示二氯二胺鉑(cisplatin)與太平洋紫杉醇(paclitaxel)對於CAR+/mPSCsOct-4_hi C1、E9、C7與A549細胞株之IC50。二氯二胺鉑(cisplatin)對於C1、E9、C7細胞株之IC50介於26.4-34.7μM,顯示CAR+/mPSCsOct-4_hi細胞株對於二氯二胺鉑(cisplatin)之抗性較A549高2至3倍;而太平洋紫杉醇(paclitaxel)對於C1、E9、C7細胞株之IC50介於43.2-47.2nM,其約為A549之6倍高(圖11(C))。 For the detection of lung cancer-initiating cells, different biomarkers have been proposed, including CD133 expression, aldehyde dehydrogenase (ALDH) activity and chemotherapy resistance. These biomarkers were used to further investigate the characteristics of cancer-initiating cells (CICs) of the CAR + /mPSCs Oct-4_hi cell line. Flow cytometry analysis showed that C1, E9, and cell lines C7, about 17.4-31.7% CD133 + cells; however, almost impossible to detect the CD133 + cells (FIG. 11 (A)) in CAR + / mPSCs in. Aldehyde dehydrogenase (ALDH) activity accounted for 18.4-33.2% of C1, E9 and C7 cell lines, whereas only 0.8% of CAR + /mPSCs exhibited acetaldehyde dehydrogenase (ALDH) activity (Fig. 11(B)). . Chemotherapy resistance is also a key biological property of cancer-initiating cells, and therefore the chemoresistance of C1, E9 and C7 cell lines for cisplatin and paclitaxel was evaluated. Cell viability is shown in Figure 11 (C). Table 7 shows dichloro diamine platinum (cisplatin) and paclitaxel (paclitaxel) for CAR + / mPSCs Oct-4_hi C1 , E9, IC C7 and A549 cell lines of 50. The IC 50 of cisplatin for C1, E9, and C7 cell lines ranged from 26.4 to 34.7 μM, indicating that the CAR + /mPSCs Oct-4_hi cell line was more resistant to cisplatin than A549. 2 to 3 times higher; and paclitaxel has an IC 50 of 43.2-47.2 nM for C1, E9, and C7 cell lines, which is about 6 times higher than that of A549 (Fig. 11(C)).

蛋白質生存素(Survivin)已被充分證實能夠抑制細胞凋亡並在賦予癌起始細胞化療抗性中扮演重要的角色。本發明發現生存素表現量在C1、E9與C7細胞株中明顯較CAR+/mPSCs高(圖11(D))。C1、E9與C7細胞株在二氯二胺鉑(cisplatin)與太平洋紫杉醇(paclitaxel)處理後亦較CAR+/mPSC展現較低表現量之裂解凋亡蛋白酶-3(cleaved caspase-3)與裂解凋亡蛋白酶-9(cleaved caspase-9)(圖11(D)-ii)。總括而言,這些結果顯示Oct-4之高量表現可以驅使CAR+/mPSCs轉型並賦予其似癌起始細胞的特性。 Survivin has been well established to inhibit apoptosis and play an important role in conferring chemotherapy resistance to cancer-initiating cells. The present inventors found that survivin expression was significantly higher in C1, E9 and C7 cell lines than CAR + /mPSCs (Fig. 11(D)). C1, E9 and C7 cell lines showed lower expression of cleaved caspase-3 and cleavage than CAR + /mPSC after treatment with cisplatin and paclitaxel. Apoptotic protease-9 (cleaved caspase-9) (Fig. 11 (D)-ii). Taken together, these results show that the high amount of Oct-4 expression can drive the transformation of CAR + /mPSCs and confer properties to their cancer-like cells.

是以,本發明進一步比較CAR+/mPSCs、CAR+/mPSCsOct-4_hi與A549細胞株(人類肺腺癌細胞株)之差別(表3)。相較於CAR+/mPSCs,CAR+/mPSCsOct-4_hi有許多癌起始細胞之特性。A549是癌細胞,但不是癌起始細胞;與A549細胞相比,CAR+/mPSCsOct-4_hi之軟瓊脂細胞群落形成(soft agar colony)、球體形成(sphere formation)、CD133及乙醛脫氫酶(ALDH)活性皆有較高之表現量。此外,少量之CAR+/mPSCsOct-4_hi(103顆細胞)即可形成腫瘤並具有腫瘤再生能力。這些結果顯示CAR+/mPSCsOct-4_hi是癌起始細胞。 Therefore, the present invention further compares the differences between CAR + /mPSCs, CAR + /mPSCs Oct-4_hi and A549 cell lines (human lung adenocarcinoma cell lines) (Table 3). Compared to CAR + /mPSCs, CAR + /mPSCs Oct-4_hi has many characteristics of cancer-initiating cells. A549 is a cancer cell, but not a cancer-initiating cell; soft agar colony, sphere formation, CD133 and acetaldehyde dehydrogenation of CAR + /mPSCs Oct-4_hi compared to A549 cells Enzyme (ALDH) activity has a high performance. In addition, a small amount of CAR + /mPSCs Oct-4_hi (10 3 cells) can form tumors and have tumor regenerative capacity. These results show that CAR + /mPSCs Oct-4_hi is a cancer-initiating cell.

表8、CAR+/mPSCs、CAR+/mPSCsOct-4_hi與A549細胞株之 Table 8, CAR + /mPSCs, CAR + /mPSCs Oct-4_hi and A549 cell lines

CAR+/mPSCsOct-4_hi參與腫瘤血管新生 CAR + /mPSCs Oct-4_hi participates in tumor angiogenesis

在先前的研究中,顯示CAR+/mPSCs能表現促血管新生因子(proangiogenic factors),包括血管內皮生長因子A(vascular endothelial growth factor A;VEGFa)、周邊血液幹細胞(granulocyte colony stimulating factor;GCSF)、血管細胞黏聯分子1(vascular cell adhesion molecule 1;VCAM-1)與鹼性纖維母細胞生長因子(basic fibroblast growth factor;bFGF),其可引發內皮細胞管形成。因此,本發明欲評估CAR+/mPSCsOct-4_hi細胞株之血管新生潛能。經即時聚合酶連鎖反應(Real-time PCR)分析發現本發明之C1、E9與C7細胞株的促血管新生因子表現量,包含血管生成素1(angiopoietin 1;ANG1)、血管生成素2(angiopoietin 2;ANG2)、血管內皮生長因子A(vascular endothelial growth factor A;VEGFa)、胎盤生長因子(placental growth factor;PLGF)、血小板衍生生長因子A(platelet-derived growth factor A;PDGFa)、周邊血液幹細胞(granulocyte colony stimulating factor;GCSF)、血管細胞黏聯分子1(vascular cell adhesion molecule 1;VCAM-1)與鹼性纖維母細胞生長因子(basic fibroblast growth factor;bFGF)皆顯著高於CAR+/mPSCs(圖12),為了進一步確認血管新生潛能,我們在雞胚胎尿絨毛膜(chick chorioallantoic membrane;CAM)試驗中使用C1、E9與C7細胞株與CAR+/mPSCs。相較於CAR+/mPSCs的移植,當C1、E9與C7細胞株移植到雞胚胎尿絨毛膜(chick chorioallantoic membrane;CAM)上時引發廣泛的血管新生(圖13(A)-i)),分支點定量顯示C1、E9與C7細胞株移植之血管分支點較CAR+/mPSCs顯著增加(圖13(A)-ii)),Cl、E9與C7細胞株衍生腫瘤之免疫組織化學分析與定量顯示其CD31陽性族群顯著高於A549衍生腫瘤的CD31陽性族群(圖13(B)-i與-ii)。這些數據顯示Oct-4高量表現可增強CAR+/mPSCsOct-4_hi細胞株之血管新生潛能。 In previous studies, it was shown that CAR + /mPSCs can express proangiogenic factors, including vascular endothelial growth factor A (VEGFa), granulocyte colony stimulating factor (GCSF), Vascular cell adhesion molecule 1 (VCAM-1) and basic fibroblast growth factor (bFGF), which can induce endothelial cell tube formation. Therefore, the present invention is intended to assess the angiogenic potential of the CAR + /mPSCs Oct-4_hi cell line. The expression of pro-angiogenic factors of C1, E9 and C7 cell lines of the present invention was found by real-time polymerase chain reaction (Real-time PCR) analysis, including angiopoietin 1 (ANG1) and angiopoietin 2 (angiopoietin). 2; ANG2), vascular endothelial growth factor A (VEGFa), placental growth factor (PLGF), platelet-derived growth factor A (PDGFa), peripheral blood stem cells (granulocyte colony stimulating factor; GCSF), vascular cell adhesion molecule 1 (VCAM-1) and basic fibroblast growth factor (bFGF) were significantly higher than CAR + /mPSCs (Fig. 12), in order to further confirm the angiogenic potential, we used C1, E9 and C7 cell lines and CAR + /mPSCs in the chicken chorioallantoic membrane (CAM) test. Compared with the transplantation of CAR + /mPSCs, when C1, E9 and C7 cell lines were transplanted into chicken embryo chorioallantoic membrane (CAM), extensive angiogenesis was induced (Fig. 13(A)-i)). Quantitative branch points showed that the vascular branch points of C1, E9 and C7 cell lines were significantly increased compared with CAR + /mPSCs (Fig. 13(A)-ii)), immunohistochemical analysis and quantification of tumors derived from Cl, E9 and C7 cell lines. It was shown that its CD31 positive population was significantly higher than the CD31 positive population of A549-derived tumors (Fig. 13 (B)-i and -ii). These data show that high expression of Oct-4 enhances the angiogenic potential of the CAR + /mPSCs Oct-4_hi cell line.

為了進一步闡明CAR+/mPSCsOct-4_hi在血管新生(angiogenesis)中的功能貢獻,故監控與C1細胞株孵育後內皮細胞之管柱形成(tube formation)。用綠色螢光追蹤劑鈣黃綠素-AM(calcein-AM)標記C1細胞株衍生球體,並與用紅色螢光追蹤劑PKH26標記之SVEC4-10細胞混合後,共同培養以使管柱形成。C1細胞株衍生球體吸收SVEC4-10細胞並建立管柱網絡(圖14(A))。有些C1細胞株之細胞被發現整合入SVEC4-10細胞的管柱網絡(圖14(B))。C1、E9與C7細胞株在內皮細胞生長培養基(EGM)(Lonza)培養7天以檢查管柱形成能力,亦培養CAR+/mPSCs作為控制組。以內皮細胞生長培養基(EGM)培養之C1、E9與C7細胞株展現管柱形成能力,然而以內皮細胞生長培養基(EGM)培養之CAR+/mPSCs並無法觀察到此能力(圖15(i)與(ii))。在內皮細胞生長培養基(EGM)中,C1、E9與C7細胞株表現內皮細胞標記,包括CD31、CD105、CD34與CD144(圖16)。這些結果指出CAR+/mPSCsOct-4_hi不僅擁有血管新生潛能,亦參與體外之管柱形成(tube formation)。為了評估體內之腫瘤血管形成(tumor blood vessel formation)潛能,轉染GFP至C1細胞 株(C1-GFP細胞株),並將其經皮下移植至重症聯合免疫缺陷小鼠(SCID mice)體內以形成腫瘤。利用免疫螢光染色,偵測到C1-GFP細胞株衍生腫瘤中的內皮細胞抗原,包含CD31、vWF與CD105。有些血管不完全表現內皮細胞抗原,且GFP陽性細胞(GFP+cell)直接融合至血管中,展現似馬賽克的結構。此外,有些內皮細胞同時表現內皮細胞抗原且為GFP陽性(圖17(A)-i,ii與iii)。為了確定GFP陽性之內皮細胞的出現,分離腫瘤並以流式細胞儀檢測,其結果與免疫螢光染色相似,12-18%之CD31+族群亦為GFP陽性(圖17(B))。為了檢查CAR+/mPSCsOct-4_hi細胞株與內皮細胞之間的關聯,利用即時聚合酶連鎖反應(real-time PCR)分析血管新生相關受體(angiogenesis associated receptors)血管內皮生長因子受體2(vascular endothelial growth factor receptor 2;VEGF2)與Tie2之基因表現。專一性表現在內皮細胞之受體Tie2在內皮細胞生長培養基(EGM)培養之C1、E9與C7細胞株中其表現皆顯著高於CAR+/mPSCs;而血管內皮生長因子受體2(VEGF2)並無顯著差別(圖18(A))。西方墨點(Western blot)分析確認ANGs/Tie2/GRB2/ERK訊息傳遞的參與,顯示於內皮細胞生長培養基(EGM)培養之C1、E9與C7細胞株的血管生成素1(angiopoietin 1;ANG1)、血管生成素2(angiopoietin 2;ANG2)、磷酸化-Tie2、生長因子受體結合蛋白2(growth factor receptor bound protein 2;GRB2)與磷酸化-ERK的表現量相對於CAR+/mPSCs顯著增加(圖18(B))。這些數據顯示CAR+/mPSCsOct-4_hi主動參與腫瘤血管新生,而非如CAR+/mPSCs扮演被動的角色。另外,Tie2激酶抑制劑降低內皮細胞生長培養基(EGM)培養之C1細胞株的管柱形成潛能,並於雞胚胎尿絨毛膜(chick chorioallantoic membrane;CAM)試驗中抑制C1細胞株促進的血管形成(圖19(A))。另外,內皮細胞生長培養基(EGM)培養之C1細胞株的管柱形成(tube formation)在抗體中和血管內皮生長因子A(vascular endothelial growth factor A;VEGFA)組與IgG控制組中並無顯著差異(圖19(B))。在異體移植腫瘤試驗(xenograft tumor assay)中,50mg/公斤體重之Tie2抑制劑在C1細胞株移植7天後每2天經腹腔注射一次。Tie2抑制劑顯著降低C1於腫瘤早期發展時期之腫瘤體積(圖19(C))。因此,本發明提出之腫瘤血管形成機制可能不同於常規腫瘤血管形成機制,在CAR+/mPSCsOct-4_hi細胞株主動參與腫瘤血管新生的過程中Tie2/ANGs訊息傳遞扮演重要的角色。 To further elucidate the functional contribution of CAR + /mPSCs Oct-4_hi in angiogenesis, tube formation of endothelial cells after incubation with C1 cell lines was monitored. The C1 cell line-derived spheres were labeled with a green fluorescent tracer calcein-AM and mixed with SVEC4-10 cells labeled with the red fluorescent tracer PKH26, and co-cultured to form a column. The C1 cell line-derived spheres absorbed SVEC4-10 cells and established a column network (Fig. 14(A)). Cells of some C1 cell lines were found to integrate into the column network of SVEC4-10 cells (Fig. 14(B)). C1, E9 and C7 cell lines were cultured for 7 days in endothelial cell growth medium (EGM) (Lonza) to examine the ability of column formation, and CAR + /mPSCs were also cultured as control group. C1, E9 and C7 cell lines cultured in endothelial cell growth medium (EGM) exhibited column forming ability, whereas this ability was not observed in CAR + /mPSCs cultured in endothelial cell growth medium (EGM) (Fig. 15(i) And (ii)). In endothelial cell growth medium (EGM), C1, E9 and C7 cell lines exhibited endothelial cell markers including CD31, CD105, CD34 and CD144 (Fig. 16). These results indicate that CAR + /mPSCs Oct-4_hi not only possesses angiogenic potential, but also participates in tube formation in vitro. To assess the potential of tumor blood vessel formation in vivo, GFP was transfected into C1 cell line (C1-GFP cell line) and transplanted subcutaneously into SCID mice to form Tumor. Endothelial cell antigens in tumors derived from C1-GFP cell lines were detected by immunofluorescence staining, including CD31, vWF and CD105. Some blood vessels do not fully express endothelial cell antigens, and GFP-positive cells (GFP+cell) fuse directly into blood vessels, exhibiting a mosaic-like structure. In addition, some endothelial cells simultaneously expressed endothelial cell antigen and were positive for GFP (Fig. 17 (A)-i, ii and iii). To determine the presence of GFP-positive endothelial cells, tumors were isolated and detected by flow cytometry, and the results were similar to immunofluorescence staining, with 12-18% of the CD31 + population also being GFP positive (Fig. 17(B)). To examine the association between CAR + /mPSCs Oct-4_hi cell lines and endothelial cells, angiogenesis associated receptors vascular endothelial growth factor receptor 2 was analyzed by real-time PCR. Viral endothelial growth factor receptor 2; VEGF2) and Tie2 gene expression. The specificity of Tie2, a receptor expressed in endothelial cells, was significantly higher in C1, E9 and C7 cell lines cultured in endothelial cell growth medium (EGM) than in CAR + /mPSCs; vascular endothelial growth factor receptor 2 (VEGF2) There was no significant difference (Fig. 18(A)). Western blot analysis confirmed the involvement of ANGs/Tie2/GRB2/ERK signaling, showing angiopoietin 1 (angiopoietin 1; ANG1) in C1, E9 and C7 cell lines cultured in endothelial cell growth medium (EGM) , Angiopoietin 2 (ANG2), Phosphorylation-Tie2, Growth Factor Receptor Binding Protein 2 (GRB2) and Phosphorylation-ERK were significantly increased relative to CAR + /mPSCs (Fig. 18(B)). These data show that CAR + /mPSCs Oct-4_hi actively participate in tumor angiogenesis rather than playing a passive role as CAR + /mPSCs. In addition, Tie2 kinase inhibitors reduce the column formation potential of C1 cell lines cultured in endothelial cell growth medium (EGM) and inhibit the angiogenesis promoted by C1 cell lines in the chicken chorioallantoic membrane (CAM) assay ( Figure 19 (A)). In addition, tube formation of C1 cell line cultured in endothelial cell growth medium (EGM) was not significantly different between antibody and vascular endothelial growth factor A (VEGFA) group and IgG control group. (Fig. 19(B)). In the xenograft tumor assay, a 50 mg/kg body weight Tie2 inhibitor was intraperitoneally injected every 2 days after 7 days of transplantation of the C1 cell line. The Tie2 inhibitor significantly reduced the tumor volume of C1 during the early stage of tumor development (Fig. 19(C)). Therefore, the tumor angiogenesis mechanism proposed by the present invention may be different from the conventional tumor angiogenesis mechanism, and Tie2/ANGs signaling plays an important role in the process of CAR + /mPSCs Oct-4_hi cell line actively participating in tumor angiogenesis.

一個熟知此領域技藝者能很快體會到本發明可很容易達成目標,並獲得所提到之結果及優點,以及那些存在於其中的東西。本發明中之方法乃較佳實施例的代表,其為示範性且不僅侷限於本發明領域。熟知此技藝者將會想到其中可修改之處及其他用途。這些修改都蘊含在本發明的精神中,並在申請專利範圍中界定。 A person skilled in the art will readily appreciate that the present invention can be easily accomplished with the results and advantages and those present in the present invention. The method of the present invention is representative of the preferred embodiments, which are exemplary and not limited to the field of the invention. Those skilled in the art will be aware of the modifications and other uses therein. These modifications are intended to be within the spirit of the invention and are defined in the scope of the claims.

說明書中提及之所有專利及出版品,都以和發明有關領域之一般技藝為準。所有專利和出版品都在此被納入相同的參考程度,就如同每一個個別出版品都被具體且個別地指出納入參考。 All patents and publications mentioned in the specification are subject to the general skill of the art in the field of the invention. All patents and publications are hereby incorporated by reference to the same extent as if each individual publication is specifically and individually indicated.

在此所適當地舉例說明之發明,可能得以在缺乏任何要件,或許多要件、限制條件或並非特定為本文中所揭示的限制情況下實施。所使用的名詞及表達是作為說明書之描述而非限制,同時並無意圖使用這類排除任何等同於所示及說明之特點或其部份之名詞及表達,但需認清的 是,在本發明的專利申請範圍內有可能出現各種不同的改變。因此,應了解到雖然已根據較佳實施例及任意的特點來具體揭示本發明,但是熟知此技藝者仍會修改和改變其中所揭示的內容,諸如此類的修改和變化仍在本發明之申請專利範圍內。 The invention as exemplified herein may be practiced in the absence of any element, or a plurality of elements, limitations, or limitations. The nouns and expressions used are as a description and not a limitation of the description, and are not intended to be used to exclude any nouns and expressions that are equivalent to the features or parts thereof shown and described. Yes, various changes are possible within the scope of the patent application of the present invention. Therefore, it is to be understood that the present invention has been disclosed and described herein in accordance with the preferred embodiments and the features of the present invention. Within the scope.

<110> 林泰元 <110> Lin Taiyuan

<120> 癌起始細胞及其用途 <120> Cancer initiation cells and uses thereof

<130> 2726-LTY-TW <130> 2726-LTY-TW

<160> 1 <160> 1

<170> PatentIn version 3.5 <170> PatentIn version 3.5

<210> 1 <210> 1

<211> 5958 <211> 5958

<212> DNA <212> DNA

<213> Mus musculus <213> Mus musculus

<400> 1 <400> 1

Claims (11)

一種癌起始細胞,其包含過量表現Oct-4之分離的克沙奇病毒及腺病毒受體陽性之老鼠肺部幹細胞/先驅細胞(coxsackievirus and adenovirus receptor positive mouse pulmonary stem/progenitor cell;CAR+/mPSC),其中該過量表現Oct-4之分離的CAR+/mPSC之Oct-4表現量高於正常CAR+/mPSC的Oct-4表現量10倍以上。 A cancer-initiating cell comprising an excess of Oct-4 virus and adenovirus receptor positive mouse pulmonary stem/progenitor cell (CAR + /) mPSC), wherein the amount of Oct-4 exhibited by the isolated CAR + /mPSC in excess of Oct-4 was more than 10 times higher than the Oct-4 expression of normal CAR + /mPSC. 如申請專利範圍第1項所述之癌起始細胞,其中該CAR+/mPSC包含一編碼Oct-4基因的載體。 The cancer-initiating cell of claim 1, wherein the CAR + /mPSC comprises a vector encoding the Oct-4 gene. 如申請專利範圍第2項所述之癌起始細胞,其中該Oct-4基因之序列為SEQ ID NO:1。 The cancer-initiating cell of claim 2, wherein the sequence of the Oct-4 gene is SEQ ID NO: 1. 如申請專利範圍第1項所述之癌起始細胞,其中該過量表現Oct-4之分離的CAR+/mPSC之Oct-4表現量為正常CAR+/mPSC的Oct-4表現量16倍以上。 The scope of the patent CAR item 1 of the initial cell cancer, wherein overexpression of the separation of the Oct-4 + / Oct-4 expression levels of the normal mPSC CAR + / Oct-4 expression levels of more than 16 times mPSC . 如申請專利範圍第1項所述之癌起始細胞,其為一肺癌起始細胞。 A cancer-initiating cell according to claim 1, which is a lung cancer-initiating cell. 如申請專利範圍第1項所述之癌起始細胞,其具有致瘤能力,其中該致瘤能力包含腫瘤形成、腫瘤再生、轉移能力或其組合。 The cancer-initiating cell of claim 1, which has tumorigenic ability, wherein the tumorigenic ability comprises tumor formation, tumor regeneration, metastatic ability or a combination thereof. 如申請專利範圍第1項所述之癌起始細胞,其具有CD133表現、 乙醛脫氫酶(aldehyde dehydrogenase;ALDH)活性、化療抗性或其組合。 The cancer-initiating cell according to claim 1, which has a CD133 expression, Aldehyde dehydrogenase (ALDH) activity, chemotherapy resistance, or a combination thereof. 如申請專利範圍第1項所述之癌起始細胞,其具有血管新生的功能。 The cancer-initiating cell of claim 1, which has an angiogenic function. 如申請專利範圍第1項所述之癌起始細胞,其具有參與腫瘤血管形成的功能。 The cancer-initiating cell of claim 1, which has a function of participating in tumor angiogenesis. 如申請專利範圍第1項所述之癌起始細胞,其表現內皮細胞之表面標記,其中該內皮細胞之表面標記包含CD31、CD105、CD34、CD144或其組合。 The cancer-initiating cell of claim 1, which exhibits a surface marker of endothelial cells, wherein the surface marker of the endothelial cell comprises CD31, CD105, CD34, CD144 or a combination thereof. 如申請專利範圍第8項所述之癌起始細胞,其具有藉由活化ANG/Tie2訊息傳遞路徑以加強血管生成的功能。 The cancer-initiating cell of claim 8, which has a function of enhancing angiogenesis by activating an ANG/Tie2 message transmission pathway.
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Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
J Takeda et al., "Human Oct3 gene family: cDNA sequences, alternative splicing, gene organization, chromosomal location, and expression at low levels in adult tissues" Nucleic Acids Research, Vol. 20, September 1992, page 4613-4620 *
Thai Yen Ling et al., "Differentiation of lung stem progenitor cells into alveolar pneumocytes and induction of angiogenesis within a 3D gelatin–microbubble scaffold." Biomaterials, Vol. 35, July 2014, page 5560-5669 *
Xiaochun Zhang et al., "Coxsackie- and adenovirus receptor as a novel marker of stem cells in treatment-resistant non-small cell lung cancer. " Radiother Oncology., Vol. 105, November 2012, page 250-257 *
Zhenguang Chen et al., "Clinicopathological significance of non-small cell lung cancer with high prevalence of Oct-4 tumor cells." Joural of experimental and clinical cancer research, Vol. 31, February 2012, page 1-10 *

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