WO2003030965A2 - Noeud lymphatique artificiel - Google Patents

Noeud lymphatique artificiel Download PDF

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Publication number
WO2003030965A2
WO2003030965A2 PCT/DE2002/003465 DE0203465W WO03030965A2 WO 2003030965 A2 WO2003030965 A2 WO 2003030965A2 DE 0203465 W DE0203465 W DE 0203465W WO 03030965 A2 WO03030965 A2 WO 03030965A2
Authority
WO
WIPO (PCT)
Prior art keywords
antigen
lymph node
module
artificial lymph
cell
Prior art date
Application number
PCT/DE2002/003465
Other languages
German (de)
English (en)
Other versions
WO2003030965A3 (fr
Inventor
Martin Scholz
Original Assignee
Martin Scholz
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Martin Scholz filed Critical Martin Scholz
Priority to DE10294532T priority Critical patent/DE10294532D2/de
Priority to AU2002349265A priority patent/AU2002349265A1/en
Publication of WO2003030965A2 publication Critical patent/WO2003030965A2/fr
Publication of WO2003030965A3 publication Critical patent/WO2003030965A3/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N5/00Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
    • C12N5/06Animal cells or tissues; Human cells or tissues
    • C12N5/0602Vertebrate cells
    • C12N5/0634Cells from the blood or the immune system
    • C12N5/0639Dendritic cells, e.g. Langherhans cells in the epidermis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/04Immunostimulants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/51Medicinal preparations containing antigens or antibodies comprising whole cells, viruses or DNA/RNA
    • A61K2039/515Animal cells
    • A61K2039/5154Antigen presenting cells [APCs], e.g. dendritic cells or macrophages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/20Pathogenic agents
    • A61M2202/203Bacteria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/20Pathogenic agents
    • A61M2202/206Viruses

Definitions

  • the present invention relates to an artificial lymph node and a method for activating immune cells.
  • the aim of the present invention is to provide a module which is suitable for activating immune cells.
  • a method using the module is to be made available.
  • the object underlying the present invention is achieved by the artificial lymph node according to claim 1.
  • This artificial lymph node consists of a module with an inlet and outlet opening, a complex of antigen-presenting cell, MHC and antigen being immobilized in the module on a support.
  • the module according to the invention can be used in patients or clinical situations with a poor cellular immune response, for example against viral or bacterial pathogens or tumor antigens.
  • the module according to the invention can, for example, in the
  • the module with autologous dendritic cells plus MHC-antigen complex (for example tetramers) with specific immune-relevant peptides is used for transient introduction into the patient's blood stream via a Shaldon catheter.
  • MHC-antigen complex for example tetramers
  • circulating peptide-specific T cells bind to the tetramers in the module and thus come into contact with the DC.
  • the effector cells with insufficient specific function are stimulated and leave the module as highly active cells.
  • CD4 and CD8 memory cells that have previously been in contact with the natural peptide also bind to the tetramers and / or to the DC. These already imprinted cells are also strongly activated.
  • T cells bind to the DC and are tested against the presented peptide.
  • the co-stimulatory factors in the module e.g. DC adhesion molecules, cytokines etc.
  • activate these cells return to the bloodstream in order to eliminate the pathogen there or after extravasation in the diseased tissue using specific effector mechanisms.
  • the induction of a humoral immune response can follow (T cell mediated B cell activation).
  • the advantages of the invention over the conventional methods are that the invention allows the de novo induction or enhancement of a highly specific immune response against the pathogen.
  • peptide-presenting DC By combining the peptide-presenting DC with the MHC / peptide constructs, already imprinted immune cells can be specifically strengthened in their immune response.
  • the in low frequency in the blood cells contained need not consuming isolated and expanded ex vivo, since the cell will automatically pass via 'the blood stream into the filter. Only those cells that have already been in contact with the peptide bind to the MHC-antigen complexes (tetramers, bimers or trimers loaded with peptide) and are sufficiently activated with the help of the co-stimulation by the neighboring DC. After their activation, the effector cells go directly into the bloodstream and into the affected tissues.
  • activation in the present invention includes both increasing the activity of already activated immune cells as well as the 'embossing yet unembossed immune cells.
  • lymph node according to the invention is the high achievable density of the DC in the module.
  • An additional advantage is that, in contrast to the ex vivo stimulation of the effector cells, no large amount of effector cells has to be enriched for the return in the patient. Defects that prevent DC from settling in the patient's natural lymph nodes can be avoided with the aid of the lymph node according to the invention.
  • the artificial lymph node according to the invention can also be used to induce tolerance in patients with pathologically increased immune reactions to natural antigens (allergies) or the body's own structures (autoimmune diseases). Examples include:
  • the artificial lymph node according to the invention preferably consists of a housing with a diameter of 10 cm, for example.
  • the diameter of the inflow and outflow connections is adapted to the hose connections of the catheter connections.
  • a carrier for example a three-dimensionally folded polyester membrane with a modified surface, for the application of MHC antigen
  • DC dentritic cells
  • the pretreatment of the DC includes the immunological maturation of the DC in various ways. In this way, a peptide-specific immune response, but also the tolerance to individual peptides can be induced as desired.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Immunology (AREA)
  • Biomedical Technology (AREA)
  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Wood Science & Technology (AREA)
  • Biotechnology (AREA)
  • Genetics & Genomics (AREA)
  • Zoology (AREA)
  • Microbiology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biochemistry (AREA)
  • General Engineering & Computer Science (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medicinal Chemistry (AREA)
  • Cell Biology (AREA)
  • Vascular Medicine (AREA)
  • General Chemical & Material Sciences (AREA)
  • Cardiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Anesthesiology (AREA)
  • Mycology (AREA)
  • Epidemiology (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Micro-Organisms Or Cultivation Processes Thereof (AREA)

Abstract

La présente invention concerne un noeud lymphatique artificiel, constitué d'un module pourvu d'un orifice d'entrée et d'un orifice de sortie. Dans ce module, un complexe qui est constitué d'une cellule présentant l'antigène, du MHC et de l'antigène sont immobilisés sur un support. Le module selon l'invention peut être utilisé chez des patients (cas cliniques) présentant une réponse immunitaire cellulaire défaillante vis-à-vis, par exemple, d'agents infectieux viraux ou bactériens ou d'antigènes tumoraux.
PCT/DE2002/003465 2001-09-27 2002-09-16 Noeud lymphatique artificiel WO2003030965A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
DE10294532T DE10294532D2 (de) 2001-09-27 2002-09-16 Künstlicher Lymphknoten
AU2002349265A AU2002349265A1 (en) 2001-09-27 2002-09-16 Artificial lymph node

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10147639.6 2001-09-27
DE10147639 2001-09-27

Publications (2)

Publication Number Publication Date
WO2003030965A2 true WO2003030965A2 (fr) 2003-04-17
WO2003030965A3 WO2003030965A3 (fr) 2004-04-01

Family

ID=7700471

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE2002/003465 WO2003030965A2 (fr) 2001-09-27 2002-09-16 Noeud lymphatique artificiel

Country Status (3)

Country Link
AU (1) AU2002349265A1 (fr)
DE (1) DE10294532D2 (fr)
WO (1) WO2003030965A2 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1571204A1 (fr) 2004-03-04 2005-09-07 LeukoCare GmbH Matrice de stimulation de leucocytes
WO2007069755A1 (fr) * 2005-12-12 2007-06-21 Riken Procédé pour la production avec un bon rendement d'un hybridome spécifique à un antigène en utilisant un ganglion lymphatique artificiel
CN101001954B (zh) * 2004-05-27 2013-01-30 西尔斯公司 用于改变植物特征的核苷酸序列及其编码的多肽
EP2969149A4 (fr) * 2013-03-14 2016-12-21 Brian J Leberthon Procédé et dispositif pour traiter le cancer

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1993020185A1 (fr) * 1992-04-01 1993-10-14 Steinman Ralph M Procede permettant de faire proliferer in vitro des precurseurs de cellules dendritiques et utilisation de celles-ci pour produire des immunogenes
WO1997003186A2 (fr) * 1995-07-12 1997-01-30 Activated Cell Therapy, Inc. Procede de proliferation in vitro de cellules dendritiques, contenant les cellules piegees dans une matrice tridimensionnelle et utilisation en immunisation
WO2000027999A2 (fr) * 1998-11-12 2000-05-18 Cell Science Therapeutics, Inc. Production de cellules lymphoides specifiques d'un tissu a partir de cellules souches hematopoietiques se trouvant dans des dispositifs tridimensionnels

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1993020185A1 (fr) * 1992-04-01 1993-10-14 Steinman Ralph M Procede permettant de faire proliferer in vitro des precurseurs de cellules dendritiques et utilisation de celles-ci pour produire des immunogenes
WO1997003186A2 (fr) * 1995-07-12 1997-01-30 Activated Cell Therapy, Inc. Procede de proliferation in vitro de cellules dendritiques, contenant les cellules piegees dans une matrice tridimensionnelle et utilisation en immunisation
WO2000027999A2 (fr) * 1998-11-12 2000-05-18 Cell Science Therapeutics, Inc. Production de cellules lymphoides specifiques d'un tissu a partir de cellules souches hematopoietiques se trouvant dans des dispositifs tridimensionnels

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
BANCHEREAU J & STEINMAN R M: "Dendritic cells and the control of immunity" NATURE, MACMILLAN JOURNALS LTD. LONDON, GB, Bd. 392, Nr. 6673, 19. M{rz 1998 (1998-03-19), Seiten 245-252, XP002134557 ISSN: 0028-0836 *

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1571204A1 (fr) 2004-03-04 2005-09-07 LeukoCare GmbH Matrice de stimulation de leucocytes
WO2005085420A2 (fr) * 2004-03-04 2005-09-15 Leukocare Gmbh Matrice de stimulation des leucocytes
WO2005085420A3 (fr) * 2004-03-04 2005-11-17 Leukocare Gmbh Matrice de stimulation des leucocytes
CN101001954B (zh) * 2004-05-27 2013-01-30 西尔斯公司 用于改变植物特征的核苷酸序列及其编码的多肽
WO2007069755A1 (fr) * 2005-12-12 2007-06-21 Riken Procédé pour la production avec un bon rendement d'un hybridome spécifique à un antigène en utilisant un ganglion lymphatique artificiel
EP2969149A4 (fr) * 2013-03-14 2016-12-21 Brian J Leberthon Procédé et dispositif pour traiter le cancer

Also Published As

Publication number Publication date
DE10294532D2 (de) 2004-08-26
WO2003030965A3 (fr) 2004-04-01
AU2002349265A1 (en) 2003-04-22

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