WO2006129717A1 - Tumor marker for detection of pancreatic cancer and pancreatic cancer detection kit using the same - Google Patents

Tumor marker for detection of pancreatic cancer and pancreatic cancer detection kit using the same Download PDF

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WO2006129717A1
WO2006129717A1 PCT/JP2006/310886 JP2006310886W WO2006129717A1 WO 2006129717 A1 WO2006129717 A1 WO 2006129717A1 JP 2006310886 W JP2006310886 W JP 2006310886W WO 2006129717 A1 WO2006129717 A1 WO 2006129717A1
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cancer
protein
apoc
pancreatic cancer
spleen
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PCT/JP2006/310886
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French (fr)
Japanese (ja)
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Akira Togawa
Shigetsugu Takano
Masaru Miyazaki
Fumio Nomura
Takeshi Tomonaga
Kazuyuki Sogawa
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National University Corporation Chiba University
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Priority to JP2007519041A priority Critical patent/JPWO2006129717A1/en
Publication of WO2006129717A1 publication Critical patent/WO2006129717A1/en

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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57407Specifically defined cancers
    • G01N33/57438Specifically defined cancers of liver, pancreas or kidney
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/775Apolipopeptides

Definitions

  • the present invention relates to a marker for detecting knee cancer and a kit for detecting knee cancer using the marker.
  • Spleen cancer is known as a cancer with poor prognosis among cancers of extinct organs. The reasons are as follows: (1) Early detection is difficult, advanced cancer is already diagnosed at the time of diagnosis, and resection rate is low. (2) Peripheral plexus, peritoneal dissemination and liver metastasis have occurred at an early stage when the biological malignancy is high. (3) An effective adjunct therapy is established and it is a cunning thing.
  • splenic cancer is very malignant, and metastasis (distant metastasis) has occurred at a site distant from the spleen. Because of this distant metastasis (especially the liver), many patients are subject to surgical resection. Do not become. Patients with inoperables have a worse prognosis. The 5-year survival rate is almost 0%. For this reason, diagnosis and resection as early as possible is the most effective treatment. Therefore, it is most important to develop a method for detecting splenic cancer patients at an early stage.
  • tumor markers such as CA19-9, DUPAN-2, SPAN-1, and SL X are used for detection of tumors of spleen cancer, which contributes to the diagnosis of spleen cancer (for example, the following) (See Non-Patent Documents 1 to 4).
  • Non-Patent Literature 1 Masakazu Zhang et al., “Clinical Significance of New Tumor Marker CA19-9”, “Knee Cancer Case Medium”, Monthly and Spleen, 1985, 6 ⁇ , 1129–1135
  • Non-Patent Document 2 TAKASAKI et al. “Correlative Study on Expression of CA19 —9 and DU—PAN— 2 in Tumor Tissue and in Serum of Pancreatic Cancer Patients” Cancer Research, 1988, 48, 1435—1438 3: YONG S. CHUNG et al. "The Detection of Human Pancreatic Cancer— Associated Antigen in the Serum of Cancer Patients” Cancer, 1987, 60 ⁇ , 1636-1643
  • Non-Patent Document 4 Hiroyasu Kawakami et al. “Clinical usefulness of serum SLX (sialyl SSEA—1) measurement in various cancers of cancer”, Journal of Japan Society of Surgery for Diseases, 1989, 86 ⁇ , 1141— 1148 Page Disclosure of Invention
  • CA19-9 which is the most specific and highly sensitive among the above tumor markers, and is widely used, the positive rate of early splenic cancer is low. Search for cancer is not possible with this test. Furthermore, in Lewis antigen-negative patients, CA19-9 has the problem that it may become negative even in advanced splenic cancer (Hirano et al., “Loss of Lewis antigen expression on erythrocytes in some cancer patients with high serum). CA19—9 levels ”, J Natl Cancer Inst, 1987, 79 ⁇ , 1261-1268). Furthermore, chronic knee inflammation shows high values even in patients with cholangitis and cholelithiasis V, and there remains a problem as a tumor marker for reliably detecting splenic cancer.
  • the present invention is more reliable for splenic cancer with a higher positive rate of early splenic cancer. It is an object of the present invention to provide a tumor marker that is actually detected and a knee cancer detection kit using the same.
  • the tumor marker for detecting knee cancer is characterized by having ApoC-1 protein ability. This makes it possible to more reliably detect splenic cancer, which has a higher positive rate of early splenic cancer than conventional tumor markers. This can be detected using, for example, a protein chip system, ELISA method or the like. Examples of ELISA methods include (Micheal D. Curry, Walter J McConathy, Jim D. Fesmire, and Peter
  • a spleen cancer detection kit is used in a protein chip system V, and can contribute to more reliable detection of spleen cancer.
  • the protein chip system is a system developed for the purpose of efficiently performing functional analysis such as protein expression, interaction, post-translational modification, and purification and identification of the target protein. It consists of a protein chip with various chemical properties suitable for protein analysis on the surface, a protein chip reader used for measurement, and a computer installed with software used for measurement and analysis.
  • the protein chip system can capture the protein of interest from a crude sample such as serum, urine, culture broth and cell lysate using the affinity for the protein chip, and measure its mass number. There is an advantage that protein can be easily analyzed on a protein chip without using labels or tags, and results can be obtained in a short time even with a small amount of sample force.
  • a time-of-flight mass spectrometer (SELDI—TOF—MS) is suitable.
  • the time delinquent mass spectrometer irradiates the substance trapped on the surface of the protein chip with a laser to cause ionization.
  • the ionized material is accelerated in the electric field and flies through the flight tube toward the detector.
  • the flying speed is proportional to the molecular weight (more precisely, the molecular weight divided by the number of ionized charges). Therefore, by measuring the time from when the laser is irradiated until the force reaches the detector, the molecular weight of the substance existing on the surface of the protein chip can be known, and the target protein can be identified.
  • the present invention it is possible to provide a tumor marker for more reliably detecting splenic cancer having a higher positive rate of early splenic cancer and a knee cancer detection kit using the same.
  • a time-flight mass spectrometer (SELDI-TOF-MS) was used as the protein chip reader in the IVa Vb protein chip system.
  • WCX2 cation exchange chip
  • pH 6.5 50 mM sodium phosphate
  • the sample composition is urea; patient serum 20 ⁇ 1 + denatured buffer 20 ⁇ 1 + pH buffer 160 l (lZlO diluted), and 100 1 is administered to each spot on the protein chip, and two spots of the same sample are performed. It was.
  • each Sinapic acid was dissolved in EAM solution (50% acetonotryl ZO. 5% TFA) and applied to the pot.
  • SELDI-TOF—MS a protein chip detector, is used to detect proteins in the serum and perform pre- and post-operative protein comparisons (Serum protein profiling).
  • serum protein profiling we found a peak (protein) that decreased after surgery, and detected a peak of about 6630 Da in mass as a candidate protein.
  • a typical peak example is shown in Fig. 1, and the peak intensity of this protein before and after surgery is shown in Fig. 2.
  • CA19-9 was negative in case 3, which was positive for this protein.
  • this protein can be detected more frequently in early-stage knee cancer, is more sensitive than conventional CA19-9, and has the same strength as the Lewis antigen (a— , b +) It can be used as a tumor marker for detecting knee cancer that can be detected in patients.
  • a specific protein was purified from serum to identify a protein that is expected to be a marker for detecting knee cancer.
  • This specific protein was purified through examination of optimum pH (pi) and optimum salt (NaCl) concentration.
  • FPLC FPLC was performed, and a high peak FPLC fraction was applied to HPLC.
  • the conditions of FPLC are to make a fraction of NaCl separated by 15 mM, 165mM ⁇ : SELDI-TOF-MS analysis was performed with NP 20 chip using fraction every 30mM to LOOOmM.
  • the HPLC conditions were linear-gradient with Buffer; 0.1% (A) to 80% (B) acetonitrile, flow rate: 200 1 / min, and C-18 was used as the separation column.
  • the purified target protein was analyzed by analyzing the amino acid residues up to the 15th amino acid residue using the N-terminal amino acid sequence.
  • the 6proteins of 6630 Da each were mature Apolipoprotein C-1 (57 amino acids) (mature ApoC-1 protein), 6
  • the body of 420Da was found to be Apolipoprotein C-1 (55 amino acids) with two mature N-terminal amino acids deleted. The results are shown in Figs. That is, it was found that the protein that can be used as a tumor marker for detecting splenic cancer is ApoC-1 protein.
  • a tumor marker for detecting splenic cancer with a higher positive rate of early splenic cancer and a knee cancer detection kit using the same can be realized by using the tumor marker for detecting spleen cancer. Furthermore, the value of this tumor marker is related to the patient's survival time, and is closely related to the malignancy of the knee cancer.Therefore, there is a possibility that it can be a prognostic index. Has no features. A small amount of patient serum is sufficient for the practice of the present invention and can be stored at -30 ° C and measured at any time.
  • a preferable condition for detecting ApoC-1 as a tumor marker for detecting spleen cancer is pH 3 or more and 7 or less, more preferably pH 6 or more and 7 or less.
  • Apolipoprotein C-1 is also present in the serum of healthy individuals. It is involved in lipid metabolism and is abundant in chylomicron and VLDL, which are triglyceride transfer lipoproteins. It is synthesized in the rough endoplasmic reticulum of the liver, and the average blood concentration is said to be about 6 mg / dl.
  • ApoC—1 has many lipid-related functions compared to other apolipoproteins. (1) It changes the form of ⁇ protein and binds LDL receptor (LDLR) or LDLR related protein to lipoproteins. It is suggested that it inhibits, and (2) has the function of promoting LCAT activity. ”(The interaction or human apolipoprotein
  • micellar phospholipid with sub— micellar phospholipid. Benjamin W.
  • the length of the ApoC-lPCR product was designed to be 150 bp.
  • the ApoC-1 gene was clearly expressed more strongly in the cancerous part than in the non-cancerous part.
  • Figure 11 shows the result.
  • siRNA-2 Two types of siRNA for specifically suppressing ApoC-1 gene using RNAi were designed, and siRNA capable of suppressing ApoC-1 gene more effectively was selected.
  • the sequence of this Oligonucleotide is shown below, Target sequence, siRNA-2; CTG GAG GAC AAG GCT CGG
  • a lOxlO 4 cells / ml cell suspension is prepared with a culture solution containing 10% FBS. 6-well plate the seeded cells by 2ml (20xl0 4 cells / well) , confirmed by a microscope, to the goal of the next day 50% confluent. Incubate for 24 hours in a 37 ° C, 5% C02 incubator.
  • FIG. 1 is a diagram showing a typical protein peak (mass 6000 to 7000 Da) of serum before and after splenic cancer surgery using a protein chip system. Top shows pre-operative results and bottom shows post-operative results.
  • FIG. 2 is a graph showing the results of examining the expression of a protein having a mass number of 6630 Da before and after surgery.
  • FIG. 3 is a diagram showing the results when the pH is changed in the analysis using the protein chip system.
  • FIG. 4 A diagram showing the results when the NaCl concentration is changed stepwise from 0 mM to 500 mM in the analysis using the protein chip system!
  • FIG. 5 is a diagram showing the peak of HPLC.
  • FIG. 6 Diagram showing the results of analysis using SELDI-TOF-MS for HPLC fraction with high peak.
  • FIG. 7 is a diagram showing the peak of the second HPLC.
  • FIG. 8 A diagram showing the results of analysis using SELDI-TOF-MS for HPLC fraction with high peak.
  • FIG. 9 is a view showing the analysis results of the N-terminal amino acid sequence.
  • Figure 2 Analysis of recurrence-free survival and survival by Kaplan-Meier method between two groups divided by the median peakintensity of ApoC-1 protein in preoperative serum obtained by protein chip system analysis .
  • FIG. 11 RT-PCR study of ApoC-1 gene expression in spleen cancer tissue, normal spleen tissue, and spleen cancer cell lines.
  • FIG. 12 A figure showing the quantification of ApoC-lmRNA by performing Real-time RT-PCR using frozen specimens of 16 cancerous and non-cancerous specimens of splenic cancer.
  • FIG. 14 shows ApoC-1 protein expression confirmed by Western blotting in normal spleen and cancer tissues and four spleen cancer cell lines.
  • FIG. 15 Immunohistochemical staining was performed. Expression of ApoC-1 protein expression in splenic cancer tissues and The figure which confirmed localization.
  • FIG. 16 A diagram showing that the ApoC-1 gene of a ⁇ cancer cell line was specifically suppressed by ApoC-IsiRNA and confirmed using Real-time RT-PCR and Western blotting.
  • FIG. 17 Cell proliferation assay of ApoC-1 involved in cell proliferation in spleen cancer cell lines.

Abstract

Disclosed are a tumor marker which has a high test positivity for early pancreatic cancer and can detect pancreatic cancer with higher reliability and a kit for use in the detection of pancreatic cancer using the tumor marker. A tumor marker for use in the detection of pancreatic cancer comprising ApoC-1 protein; and a kit for use in the detection of pancreatic cancer comprising a protein chip for detecting ApoC-1 protein.

Description

明 細 書  Specification
滕癌検出用腫瘍マーカー及びそれを用いた勝癌検出用キット  Tumor marker for detection of sputum cancer and kit for detection of winning cancer using the same
技術分野  Technical field
[0001] 本発明は、膝癌検出用マーカー、及び、該マーカーを用いた膝癌検出用キットに 関する。  [0001] The present invention relates to a marker for detecting knee cancer and a kit for detecting knee cancer using the marker.
背景技術  Background art
[0002] 膝癌の発生は、年々増加の傾向を迪つており、日本での発生率は 1985年には 10 万人中 5. 2人まで増加した。更に、 1995年には脾癌による死亡数は 10万人中 14. 7人となり、男性の癌による死因の第 5位、女性の第 7位を占めている (厚生統計協会 :国民衛生の動向 1997年)。  [0002] The incidence of knee cancer has been increasing year by year, and the incidence in Japan increased to 5.2 out of 100,000 in 1985. Furthermore, in 1995, deaths from spleen cancer were 14.7 out of 100,000, accounting for 5th place in male cancer deaths and 7th place in females (Health Statistics Association: National Health Trends) 1997).
[0003] 脾癌は消ィ匕器癌のなかでも予後不良の癌として知られている。その理由としては、( 1)早期発見が困難で、診断時既に進行癌となり切除率が低ぐ(2)生物学的悪性度 が高ぐ早期に周囲神経叢、腹膜播種や肝転移をきたし、(3)有効な補助療法が確 立されて ヽな 、ことなどが挙げられる。  [0003] Spleen cancer is known as a cancer with poor prognosis among cancers of extinct organs. The reasons are as follows: (1) Early detection is difficult, advanced cancer is already diagnosed at the time of diagnosis, and resection rate is low. (2) Peripheral plexus, peritoneal dissemination and liver metastasis have occurred at an early stage when the biological malignancy is high. (3) An effective adjunct therapy is established and it is a cunning thing.
[0004] 現状、局所進行膝癌に対しては拡大リンパ節郭清や門脈合併切除が試みられ、切 除率の向上に寄与し、脾癌症例の 10〜15%が外科的切除の対象となっている。し 力しながら、生存率の改善には至っておらず、切除例でも 5年生存率は 5〜10%とい われている。従って、脾癌を早期に診断し、外科的切除を行い治療成績の向上を図 ることが、急務である。  [0004] Currently, advanced lymph node dissection and portal vein resection are attempted for locally advanced knee cancer, which contributes to the improvement of the resection rate, and 10 to 15% of splenic cancer cases are subject to surgical resection. It has become. However, the survival rate has not improved, and the 5-year survival rate is said to be 5-10% even in resected cases. Therefore, there is an urgent need to diagnose splenic cancer at an early stage and perform surgical resection to improve treatment results.
[0005] また、脾癌は非常に悪性であり、脾臓と離れた部位に転移 (遠隔転移)をきたしゃ すぐこの遠隔転移 (特に、肝臓)のため、多くの患者は外科的切除の対象とならない 。手術不能の患者の予後は更に悪ぐ 5年生存率はほぼ 0%である。このため、できる 限り早期に診断し、切除を行うことが最も効果的な治療である。従って、早期に脾癌 患者の発見方法を開発することが何より重要である。  [0005] In addition, splenic cancer is very malignant, and metastasis (distant metastasis) has occurred at a site distant from the spleen. Because of this distant metastasis (especially the liver), many patients are subject to surgical resection. Do not become. Patients with inoperables have a worse prognosis. The 5-year survival rate is almost 0%. For this reason, diagnosis and resection as early as possible is the most effective treatment. Therefore, it is most important to develop a method for detecting splenic cancer patients at an early stage.
[0006] 従来、脾癌の診断には画像診断として CTスキャンや超音波検査を中心に行われ ている。し力しながら、この診断方法では脾癌は進行例として発見されることが大部 分である。その理由は、例えば腹痛 ·背部痛 ·黄疸 '食欲不振など脾癌自覚症状が出 現した時には既に周囲臓器や遠隔転移をきたしている場合が多いためである。さら に、 CTスキャンや超音波検査では腫瘍径が 2cm未満の小脾癌の発見は困難である 。このため、外科的切除の対象となるのは全患者の 10〜 15%程度であり、仮に切除 の対象となる患者でも高度に進行してしまっている患者が殆どである。 [0006] Conventionally, diagnosis of splenic cancer has been performed mainly by CT scan and ultrasonic examination as diagnostic imaging. However, with this diagnostic method, spleen cancer is usually found as an advanced case. Reasons include abdominal pain, back pain, jaundice This is because there are many cases in which surrounding organs and distant metastases have already occurred. Furthermore, it is difficult to detect small splenic cancer with a tumor diameter of less than 2 cm by CT scan or ultrasonography. For this reason, about 10 to 15% of all patients are subject to surgical resection, and most patients who have undergone resection are highly advanced.
[0007] 更に一方で、脾癌の腫瘍の検出として CA19— 9、 DUPAN- 2, SPAN—1、 SL X等各種腫瘍マーカーが用いられており、脾癌の診断に寄与している(例えば下記 非特許文献 1乃至 4参照)。 [0007] On the other hand, various tumor markers such as CA19-9, DUPAN-2, SPAN-1, and SL X are used for detection of tumors of spleen cancer, which contributes to the diagnosis of spleen cancer (for example, the following) (See Non-Patent Documents 1 to 4).
非特許文献 1 :張正和ら、 "新しい腫瘍マーカー CA19— 9の臨床的意義 膝癌症例 を中'、に,,月旦と脾、 1985年、 6卷、 1129— 1135頁  Non-Patent Literature 1: Masakazu Zhang et al., “Clinical Significance of New Tumor Marker CA19-9”, “Knee Cancer Case Medium”, Monthly and Spleen, 1985, 6 卷, 1129–1135
非特許文献 2 :TAKASAKIら" Correlative Study on Expression of CA19 —9 and DU― PAN― 2 in Tumor Tissue and in Serum of Pancreat ic Cancer Patients"Cancer Research, 1988年、 48卷、 1435— 1438頁 非特許文献 3 :YONG S. CHUNGら" The Detection of Human Pancrea tic Cancer— Associated Antigen in the Serum of Cancer Patients" Cancer, 1987年、 60卷、 1636— 1643頁  Non-Patent Document 2: TAKASAKI et al. “Correlative Study on Expression of CA19 —9 and DU—PAN— 2 in Tumor Tissue and in Serum of Pancreatic Cancer Patients” Cancer Research, 1988, 48, 1435—1438 3: YONG S. CHUNG et al. "The Detection of Human Pancreatic Cancer— Associated Antigen in the Serum of Cancer Patients" Cancer, 1987, 60 卷, 1636-1643
非特許文献 4:河上浩康ら "各種消ィ匕器癌における血清 SLX(sialyl SSEA— 1)測 定の臨床的有用性"日本消ィヒ器病学会雑誌、 1989年、 86卷、 1141— 1148頁 発明の開示  Non-Patent Document 4: Hiroyasu Kawakami et al. “Clinical usefulness of serum SLX (sialyl SSEA—1) measurement in various cancers of cancer”, Journal of Japan Society of Surgery for Diseases, 1989, 86 卷, 1141— 1148 Page Disclosure of Invention
発明が解決しょうとする課題  Problems to be solved by the invention
[0008] し力しながら、上記腫瘍マーカーのうち最も特異性が高く感度も良好で、広く用いら れている CA19— 9であっても早期脾癌の陽性率は低ぐ病期 Iの脾癌の検索は当該 検査では不可能である。さらに、 Lewis抗原陰性患者では CA19— 9は仮に進行脾 癌でも陰性となってしまうことがあるという問題点を有する(Hiranoら、" Loss of Le wis antigen expression on erythrocytes in some cancer patients wi th high serum CA19— 9 levels", J Natl Cancer Inst、 1987年、 79卷、 1261〜1268頁)。更に、慢性膝炎ゃ胆管炎、胆石症の患者でも高値を示してしま V、、脾癌を確実に検出する腫瘍マーカーとしては課題が残って 、る。  [0008] However, even with CA19-9, which is the most specific and highly sensitive among the above tumor markers, and is widely used, the positive rate of early splenic cancer is low. Search for cancer is not possible with this test. Furthermore, in Lewis antigen-negative patients, CA19-9 has the problem that it may become negative even in advanced splenic cancer (Hirano et al., “Loss of Lewis antigen expression on erythrocytes in some cancer patients with high serum). CA19—9 levels ”, J Natl Cancer Inst, 1987, 79 卷, 1261-1268). Furthermore, chronic knee inflammation shows high values even in patients with cholangitis and cholelithiasis V, and there remains a problem as a tumor marker for reliably detecting splenic cancer.
[0009] そこで、本発明は、上記課題を鑑み、より早期脾癌の陽性率が高ぐ脾癌をより確 実に検出する腫瘍マーカー及びそれを用いた膝癌検出キットを提供することを目的 とする。 [0009] Therefore, in view of the above problems, the present invention is more reliable for splenic cancer with a higher positive rate of early splenic cancer. It is an object of the present invention to provide a tumor marker that is actually detected and a knee cancer detection kit using the same.
課題を解決するための手段  Means for solving the problem
[0010] 本発明者らは、脾癌患者の手術前と外科的切除が行われ脾癌が切除された手術 後の血清 (各 20件)を比較検討していくうちに、 ApoC— 1蛋白が手術前の膝癌患者 には発現して 、るのに対し、切除後の患者には殆ど発現されて ヽな 、ことを発見し、 この蛋白が脾癌にお!、て腫瘍マーカーとして用いることが出来ることを見!、だし、本 発明を完成するに至った。この蛋白は脾癌の早期の患者でも発現しており、従来の 腫瘍マーカーよりより鋭敏に広範囲に膝癌患者を検出することが可能である。  [0010] The inventors of the present invention have compared ApoC-1 protein before and after surgery in patients with spleen cancer and after surgery to remove spleen cancer (20 cases each). It was found that it is expressed in patients with knee cancer before surgery, whereas it is almost expressed in patients after resection. This protein is found in splenic cancer! And see what can be used as a tumor marker! However, the present invention has been completed. This protein is also expressed in early patients with splenic cancer, and it is possible to detect knee cancer patients more extensively and more sensitively than conventional tumor markers.
[0011] 即ち、本発明の一形態に係る膝癌検出用腫瘍マーカーは、 ApoC— 1蛋白力もな ることを特徴とする。これにより、従来の腫瘍マーカーより早期脾癌の陽性率が高ぐ 脾癌をより確実に検出することが可能となる。これは例えば、プロテインチップシステ ム、 ELISA法などを用いて検出することができる。 ELISA法としては、例えば (Micheal D. Curry, Walter J McConathy, Jim D. Fesmire, and Peter  [0011] That is, the tumor marker for detecting knee cancer according to one embodiment of the present invention is characterized by having ApoC-1 protein ability. This makes it possible to more reliably detect splenic cancer, which has a higher positive rate of early splenic cancer than conventional tumor markers. This can be detected using, for example, a protein chip system, ELISA method or the like. Examples of ELISA methods include (Micheal D. Curry, Walter J McConathy, Jim D. Fesmire, and Peter
Alaupovic. Quantitative Determination of Apolipoproteins C— 1 and C— II in Huma n Plasma by Separate  Alaupovic. Quantitative Determination of Apolipoproteins C— 1 and C— II in Human Plasma by Separate
Electroimmunoassays. , Clin.Chem. 1981年、 27卷、 543— 548頁、 Caroline Petit— Turcotte, Sheldon M. Stohl, et ai. Apolipoprotein  Electroimmunoassays., Clin. Chem. 1981, 27 卷, 543-548, Caroline Petit— Turcotte, Sheldon M. Stohl, et ai. Apolipoprotein
C— 1 Expression in the Brain in Alzheimer' s Disease.  C— 1 Expression in the Brain in Alzheimer's Disease.
Neurobiology of Disease 2001年、 8卷、 953— 963頁)等に記載の常法を用いること ができる。  Neurobiology of Disease 2001, 8 卷, pages 953-963) can be used.
[0012] また、本発明の他の一形態に係る脾癌検出キットは、プロテインチップシステムにお V、て用いられ、脾癌のより確実な検出に寄与することができる。  [0012] In addition, a spleen cancer detection kit according to another embodiment of the present invention is used in a protein chip system V, and can contribute to more reliable detection of spleen cancer.
[0013] プロテインチップシステムとは、蛋白質の発現、相互作用、翻訳後修飾などの機能解 析ゃ、目的蛋白質の精製'同定などを効率的に行うことを目的として開発されたシス テムのことをいい、蛋白質解析に適した様々な化学的性質を表面にもたせたプロティ ンチップと、測定に用いられるプロテインチップリーダーと、測定'解析に使用するソフ トウエアがインストールされたコンピュ ターを有して構成される。 [0014] プロテインチップシステムは、血清や尿、培養液細胞破砕液などクルードなサンプル から、プロテインチップに対するァフィ-ティ—を利用して目的蛋白質を捕捉し、その 質量数を測定することができる。ラベルやタグを使わず、プロテインチップ上で簡便に 蛋白質の解析ができ、少量のサンプル力も短時間に結果を得ることができる利点が ある。プロテインチップリーダーには限定されるわけではないが、例えば時間飛行型 質量分析計 (SELDI— TOF— MS)が好適である。時間非行型質量分析計は、プロ ティンチップ表面に捕捉されている物質にレ—ザ—を照射し、イオンィ匕させる。その イオン化した物質は電場の中で加速され、飛行管の中を検出器に向かって飛行して V、く。このとき飛行する速度は分子量 (正確には分子量をイオン化された電荷数で割 つた値)に比例する。従って、レ—ザ—が照射されて力も検出器に到達するまでの時 間を測定することにより、プロテインチップ表面に存在する物質の分子量を知ることが でき、目的蛋白質を同定することができる。 [0013] The protein chip system is a system developed for the purpose of efficiently performing functional analysis such as protein expression, interaction, post-translational modification, and purification and identification of the target protein. It consists of a protein chip with various chemical properties suitable for protein analysis on the surface, a protein chip reader used for measurement, and a computer installed with software used for measurement and analysis. The [0014] The protein chip system can capture the protein of interest from a crude sample such as serum, urine, culture broth and cell lysate using the affinity for the protein chip, and measure its mass number. There is an advantage that protein can be easily analyzed on a protein chip without using labels or tags, and results can be obtained in a short time even with a small amount of sample force. Although not limited to a protein chip reader, for example, a time-of-flight mass spectrometer (SELDI—TOF—MS) is suitable. The time delinquent mass spectrometer irradiates the substance trapped on the surface of the protein chip with a laser to cause ionization. The ionized material is accelerated in the electric field and flies through the flight tube toward the detector. The flying speed is proportional to the molecular weight (more precisely, the molecular weight divided by the number of ionized charges). Therefore, by measuring the time from when the laser is irradiated until the force reaches the detector, the molecular weight of the substance existing on the surface of the protein chip can be known, and the target protein can be identified.
発明の効果  The invention's effect
[0015] 以上、本発明により、より早期脾癌の陽性率が高ぐ脾癌をより確実に検出する腫 瘍マーカー及びそれを用いた膝癌検出キットを提供することができる。  As described above, according to the present invention, it is possible to provide a tumor marker for more reliably detecting splenic cancer having a higher positive rate of early splenic cancer and a knee cancer detection kit using the same.
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0016] 以下、本発明に係る膝癌検出用腫瘍マーカー、検出キットとしての効果について、 実際の患者を対象とした具体的な例を用いて説明する。  [0016] Hereinafter, the effects as a tumor marker and detection kit for detecting knee cancer according to the present invention will be described using a specific example for an actual patient.
[0017] 2001年 6月から 2003年 10月までに治癒手術が施行され、浸潤性脾管癌の病理 組織診断のついた 20症例を対象症例とし、これらの術前、術後の血清をサンプルと して用いた。この 20症例を表 1に示す。なお、この症例全てにおいて、術前の血清は 補助療法 (化学療法や放射線療法等)を施行しなかった血清を、術後の血清は手術 の影響を考慮し、術後状態が安定した後、少なくとも術後 3、 4週間後の術後補助療 法を行う前に採取した血清を用いた。なお、各血清は、採血後速やかに 5分間、 300 0回転数で遠心分離を行い、その上清を分注し— 30°Cにて保存した。  [0017] Healing surgery was performed from June 2001 to October 2003, and 20 cases with pathological histopathology of invasive splenic cancer were targeted, and these pre- and post-operative sera were sampled. Used as. These 20 cases are shown in Table 1. In all of these cases, preoperative serum was serum that did not receive adjuvant therapy (chemotherapy, radiation therapy, etc.), postoperative serum was considered after surgery, and the postoperative condition became stable. Serum collected at least 3 or 4 weeks after surgery before postoperative adjuvant therapy was used. Each serum was centrifuged at 3000 rpm immediately for 5 minutes after blood collection, and the supernatant was dispensed and stored at -30 ° C.
[表 1] Background of Patients ( n = 20 ) [table 1] Background of Patients (n = 20)
No Age Sex Stage pre-CEA pre - CA19-9 Apo C-1  No Age Sex Stage pre-CEA pre-CA19-9 Apo C-1
1 57 M IVa 2.0 18.1 (+++)  1 57 M IVa 2.0 18.1 (+++)
2 68 F I 1.8 46.6 (+)  2 68 F I 1.8 46.6 (+)
3 37 I 2.3 26.2 (+++)  3 37 I 2.3 26.2 (+++)
4 63 M IVb 5.8 5920.0 (-)  4 63 M IVb 5.8 5920.0 (-)
5 65 F III 1.9 11.1 (-)  5 65 F III 1.9 11.1 (-)
6 49 IVa 4.3 40.0 (++)  6 49 IVa 4.3 40.0 (++)
7 65 M III 4.8 2438.0 (+-)  7 65 M III 4.8 2438.0 (+-)
8 54 M III 2.1 61.1 (++)  8 54 M III 2.1 61.1 (++)
9 68 F IVa 2.9 25.8 (+-)  9 68 F IVa 2.9 25.8 (+-)
10 71 M III 3.5 398.6 (+-)  10 71 M III 3.5 398.6 (+-)
11 49 M IVa 7.6 636.0 (+-)  11 49 M IVa 7.6 636.0 (+-)
12 73 M IVb 4.2 1439.0 (+++)  12 73 M IVb 4.2 1439.0 (+++)
13 54 F III 4.6 196.1 (+++)  13 54 F III 4.6 196.1 (+++)
14 69 F IVa 4.8 8190.0 (+++)  14 69 F IVa 4.8 8190.0 (+++)
15 58 M III 4.4 396.3 (+-)  15 58 M III 4.4 396.3 (+-)
16 62 M III 3.3 175.2 (++)  16 62 M III 3.3 175.2 (++)
17 45 F III 4.0 1205.0 (+-)  17 45 F III 4.0 1205.0 (+-)
18 66 M IVa 5.0 266.7 (+-)  18 66 M IVa 5.0 266.7 (+-)
19 61 F IVb 3.4 680.0 (+++)  19 61 F IVb 3.4 680.0 (+++)
20 61 F III 2.6 14.3 (++)  20 61 F III 2.6 14.3 (++)
Sex Histology Sex Histology
M 12 moderately 12  M 12 moderately 12
F 8 poorly 5  F 8 poorly 5
Age Invasive carcinoma 2  Age Invasive carcinoma 2
Mean 59_ 8 derived from IPMT  Mean 59_ 8 derived from IPMT
SD ± 9 Giant cell 1  SD ± 9 Giant cell 1
Stage  Stage
2 Survival (M)  2 Survival (M)
III Q Average 25.7  III Q Average 25.7
III  III
0 MST 23.5 0 MST 23.5
IVa Vb プロテインチップシステムにおけるプロテインチップリーダーとしては時間飛行型質 量分析計(SELDI - TOF— MS)を用いた。プロテインチップとしては WCX2 (陽ィ オン交換チップ)(CIPHERGEN社製)を用い、 Bufferとしては pH6. 5 (50mM so dium phosphate) ureaを用いた。サンプルの組成は urea;患者血清 20 μ 1+変性 buffer 20 ^ 1+pH buffer 160 l ( lZlO希釈)とし、プロテインチップの各スポ ットに 100 1ずつ投与し、それぞれ同一サンプルを 2スポットずつ行った。そして各ス ポットに対しシナピン酸を EAM溶解液(50%ァセトノトリル ZO. 5%TFA)に溶かし て塗布した。これをプロテインチップ検出器である SELDI - TOF— MSを用いて血 清中にある蛋白を検出し、術前術後の蛋白比較 (Serum protein profiling)を行い、同 一個体間で術前上昇し術後低下する peak (蛋白)を見つけ、その候補蛋白として質 量数およそ 6630Daの peakを検出した。この代表的な peak例を図 1に、この蛋白の 術前、術後 peak intensityを図 2に示す。 A time-flight mass spectrometer (SELDI-TOF-MS) was used as the protein chip reader in the IVa Vb protein chip system. WCX2 (cation exchange chip) (CIPHERGEN) was used as the protein chip, and pH 6.5 (50 mM sodium phosphate) urea was used as the buffer. The sample composition is urea; patient serum 20 μ 1 + denatured buffer 20 ^ 1 + pH buffer 160 l (lZlO diluted), and 100 1 is administered to each spot on the protein chip, and two spots of the same sample are performed. It was. And each Sinapic acid was dissolved in EAM solution (50% acetonotryl ZO. 5% TFA) and applied to the pot. SELDI-TOF—MS, a protein chip detector, is used to detect proteins in the serum and perform pre- and post-operative protein comparisons (Serum protein profiling). We found a peak (protein) that decreased after surgery, and detected a peak of about 6630 Da in mass as a candidate protein. A typical peak example is shown in Fig. 1, and the peak intensity of this protein before and after surgery is shown in Fig. 2.
[0019] 図 1によると、 pH6. 5の条件下、 urea bufferにおいて術前から術後に有意に pea kが低下する質量がみいだされ、その質量数は 6630Da (p = 0. 0038)であった。 pe akを有する患者を陽性と判定すると 20例中 18例(90%)が脾癌陽性であると判定で きた。なお従来の脾癌に対する特異的な腫瘍マーカーである CA19— 9は 20例中 1 5例(75%)の陽性にすぎず、また、 CEAの陽性率は 2例(10%)にすぎなかった。そ の中で、症例 20は Lewis抗原(a— , b+)患者で CA19— 9正常値であった力 この 蛋白では陽性であり、更に、症例 2及び 3は早期の脾癌である病期 Iで、両者ともこの 蛋白では陽性であった力 症例 3では CA19— 9は陰性であった。(表 1参照)すなわ ち、この蛋白によると、早期の膝癌においてもより高い頻度で検出が可能で、従来の CA19— 9に比しても鋭敏であり、し力も Lewis抗原(a— , b+)患者に対しても検出可 能な膝癌検出用腫瘍マーカーとして用いることができることがわ力つた。  [0019] According to Fig. 1, under the condition of pH 6.5, in urea buffer, a mass where pea k decreases significantly from pre-operation to post-operation is found, and its mass number is 6630 Da (p = 0. 0038). there were. When patients with peak were judged positive, 18 out of 20 (90%) were judged positive for splenic cancer. CA19-9, a specific tumor marker for conventional splenic cancer, was only positive in 15 (75%) of 20 cases, and the positive rate of CEA was only 2 (10%). . Among them, case 20 was a Lewis antigen (a-, b +) patient and CA19-9 had normal values. This protein was positive, and cases 2 and 3 were stage I, an early splenic cancer. In both cases, CA19-9 was negative in case 3, which was positive for this protein. In other words, this protein can be detected more frequently in early-stage knee cancer, is more sensitive than conventional CA19-9, and has the same strength as the Lewis antigen (a— , b +) It can be used as a tumor marker for detecting knee cancer that can be detected in patients.
[0020] そこで、上記の結果を踏まえ、血清から特異的蛋白質の精製を行い、膝癌検出用 のマーカーと期待される蛋白質についての特定を行った。なおこの特異的蛋白質の 精製は、至適 pH (pi)の検討及び至適塩 (NaCl)濃度の検討を通じて行った。  [0020] Therefore, based on the above results, a specific protein was purified from serum to identify a protein that is expected to be a marker for detecting knee cancer. This specific protein was purified through examination of optimum pH (pi) and optimum salt (NaCl) concentration.
[0021] まず、 urea bufferにお!/、て pHを 4. 5, 5. 0, 5. 5, 6. 0と段階的に pHを上げ、て いき、最も 6630Daの peakが高くなる至適 pH、すなわち最も単離、精製するのに適 した pHを調べた。その結果、 pH4. 5の条件下で最も peakが高力つた。次に塩濃度 を 0、 50, 100, 150, 200, 300, 400, 500mMと段階的にあげ、て!ヽき、 6630Da の peakが下がり始める塩濃度を調べた。その結果、 500mMまで塩濃度をあげてい つても peakが下がり始めることはなかった。  [0021] First, in urea buffer! /, Gradually increase the pH to 4.5, 5. 0, 5. 5, 6.0, and the peak of 6630 Da is optimal. The pH, that is, the most suitable pH for isolation and purification, was examined. As a result, peak had the highest strength under the condition of pH 4.5. Next, the salt concentration was increased stepwise to 0, 50, 100, 150, 200, 300, 400, and 500 mM, and then the salt concentration at which the peak of 6630 Da began to decrease was investigated. As a result, peak did not begin to fall even when the salt concentration was increased to 500 mM.
[0022] そして、上記至適な条件を踏まえて FPLCを行い、 peakの高い FPLC fractionを HPLCにかけた。 FPLCの条件は、 NaClを 15mMずつ分離した fractionを作製し、 165mM〜: LOOOmMまで 30mMごとの fractionを用い、 NP 20 chipにて SELDI — TOF— MS解析を行った。 HPLCの条件はリニア—グラディエントにて Buffer;0. 1% (A)〜80% (B)ァセトニトリル、流量; 200 1/minで行い、分離カラムは C— 18 を用いた。これにより精製された目的蛋白を、 N末端アミノ酸シ一クエンスにてァミノ 酸 15残基目までを解析し同定を行った結果、 2つの蛋白はそれぞれ 6630Daの本 体が mature型の Apolipoprotein C— 1 (57アミノ酸)(成熟型 ApoC— 1蛋白)、 6 420Daの本体は mature型の N末端側のアミノ酸が 2つ欠失した Apolipoprotein C— 1 (55アミノ酸)であることが判明した。この結果を図 3〜9に示す。即ち、上記脾 癌検出用腫瘍マーカーとして使用可能な蛋白は、 ApoC— 1蛋白であることが判明し た。 [0022] Based on the above optimum conditions, FPLC was performed, and a high peak FPLC fraction was applied to HPLC. The conditions of FPLC are to make a fraction of NaCl separated by 15 mM, 165mM ~: SELDI-TOF-MS analysis was performed with NP 20 chip using fraction every 30mM to LOOOmM. The HPLC conditions were linear-gradient with Buffer; 0.1% (A) to 80% (B) acetonitrile, flow rate: 200 1 / min, and C-18 was used as the separation column. The purified target protein was analyzed by analyzing the amino acid residues up to the 15th amino acid residue using the N-terminal amino acid sequence. As a result, the 6proteins of 6630 Da each were mature Apolipoprotein C-1 (57 amino acids) (mature ApoC-1 protein), 6 The body of 420Da was found to be Apolipoprotein C-1 (55 amino acids) with two mature N-terminal amino acids deleted. The results are shown in Figs. That is, it was found that the protein that can be used as a tumor marker for detecting splenic cancer is ApoC-1 protein.
[0023] 次に、この蛋白の血清値と臨床病理学的因子及び生存期間との関連を検討するこ とにより、この蛋白と脾癌悪性度との相関がないかを検討した。 ApoC— 1蛋白のプロ ティンチップシステムによる解析で得られた peak intensityのデータ—(図 2参照)の術 前値の中央値で血清 ApoC— 1高値群、低値群を 2群にわけ、 2群間を Kaplan— M eier法にて統計解析を行ったところ、 ApoC— 1血中濃度が高値の患者は無再発生 存期間(P = 0. 0011 ;Logrank)及び生存期間(p = 0. 0062 ;Logrank)が共に有意 に短 、ことが判明した(図 10参照)。 [0023] Next, by examining the relationship between the serum level of this protein and clinicopathological factors and survival time, it was examined whether there was a correlation between this protein and the malignancy of splenic cancer. The median preoperative value of peak intensity data obtained by analysis with the ApoC-1 protein protein chip system (see Fig. 2) is divided into two groups, the serum ApoC-1 high value group and the low value group. Statistical analysis between groups using the Kaplan-Meier method revealed that patients with high ApoC-1 blood levels had no reoccurrence (P = 0. 0011; Logrank) and survival (p = 0. 006 2 ; Logrank) was found to be significantly shorter (see FIG. 10).
[0024] 以上、本脾癌検出用腫瘍マーカーによって、より早期脾癌の陽性率が高ぐ脾癌を より確実に検出する腫瘍マーカー及びそれを用いた膝癌検出キットを実現することが できる。さらに、この腫瘍マーカーの値は患者の生存期間と関連があり、膝癌悪性度 にも密接な関係を認めることから、予後の指標となる可能性も併せ持つ既存の膝癌 検出用腫瘍マーカーにはない特徴を有する。本発明の実施には少量の患者血清で 十分であり、また— 30°Cにて保存し、いつでも測定可能である。従って、プロテイン チップ法とそのチップに用いること、より好ましくは WCX2 (陽イオン交換チップ)を用 いれば、陽性率も高ぐ早期の病期 Iでも陽性で脾癌を検出可能である。なお脾癌検 出用腫瘍マーカーとして ApoC— 1を検出する時の好ましい条件は、 pH3以上 7以 下であり、より好ましくは pH6以上 7以下である。  [0024] As described above, a tumor marker for detecting splenic cancer with a higher positive rate of early splenic cancer and a knee cancer detection kit using the same can be realized by using the tumor marker for detecting spleen cancer. Furthermore, the value of this tumor marker is related to the patient's survival time, and is closely related to the malignancy of the knee cancer.Therefore, there is a possibility that it can be a prognostic index. Has no features. A small amount of patient serum is sufficient for the practice of the present invention and can be stored at -30 ° C and measured at any time. Therefore, by using the protein chip method and its chip, more preferably WCX2 (cation exchange chip), spleen cancer can be detected positively even in early stage I where the positive rate is high. A preferable condition for detecting ApoC-1 as a tumor marker for detecting spleen cancer is pH 3 or more and 7 or less, more preferably pH 6 or more and 7 or less.
[0025] なお、健常人の血清中にも Apolipoprotein C— 1は存在しており、現在まででは 脂質代謝関与し、トリグリセリド転送リポ蛋白であるカイロミクロンや VLDLに多く認めら れ、肝臓の粗面小胞体内で合成され、血中平均濃度は約 6mg/dlといわれている。 A poC— 1の脂質関連の機能は他のアポリポ蛋白に比べ未解明の部分が非常に多ぐ (1) ΑροΕ蛋白の形態を変化させ LDL receptor(LDLR)や LDLR related proteinとリポ 蛋白の結合を阻害すること、(2) LCAT活性を促進させる働きをもつこと等が示唆され " いる。 (The interaction or human apolipoproteinし一 I [0025] It should be noted that Apolipoprotein C-1 is also present in the serum of healthy individuals. It is involved in lipid metabolism and is abundant in chylomicron and VLDL, which are triglyceride transfer lipoproteins. It is synthesized in the rough endoplasmic reticulum of the liver, and the average blood concentration is said to be about 6 mg / dl. ApoC—1 has many lipid-related functions compared to other apolipoproteins. (1) It changes the form of ΑροΕ protein and binds LDL receptor (LDLR) or LDLR related protein to lipoproteins. It is suggested that it inhibits, and (2) has the function of promoting LCAT activity. ”(The interaction or human apolipoprotein
with sub— micellar phospholipid. Benjamin W.  with sub— micellar phospholipid. Benjamin W.
Atcliffe et al. Eur. J. Biochem. 2001 ;268: 2838-2846.)  (Atcliffe et al. Eur. J. Biochem. 2001; 268: 2838-2846.)
[0026] 最近、 ApoC— 1遺伝子の癌への関連が大規模な遺伝子クラスタ—解析により 100 種近くの候補の 1つとしてあげられ、特に脾癌組織で発現が増強されるとの報告があ り(Byungwoo et al. Cancer Research 2002年、 61卷、 1833〜1838頁)、他の臓器 での正常部、癌部での遺伝子発現の相違について National Cancer Instituteのデー ターべース内 (http:// cgap.nci.nih.gov/ bAGE/Viewer [0026] Recently, the association of ApoC-1 gene with cancer has been listed as one of nearly 100 candidates by large-scale gene cluster analysis, and it has been reported that its expression is enhanced particularly in splenic cancer tissues. (Byungwoo et al. Cancer Research 2002, 61 卷, pp. 1833-1838), the differences in gene expression between normal and cancerous organs in the National Cancer Institute database (http: // cgap.nci.nih.gov/ bAGE / Viewer
に登録されている。これらのことからも ApoC—1は脾癌検出用腫瘍マーカーとなりう る可能性が非常に高ぐさらに、膝癌患者血清中での ApoC— 1値増加の原因として 脾癌組織中での発現増強が遺伝子レベルに留まらず、蛋白レベルでも同様に認め られればさらに脾癌特異的なマーカーとしての信憑性が揺るぎな 、ものとなる。そこ で、本発明者は実際に Apolipoprotein C— 1が脾癌の組織中で発現されているか 否かを確認するために手術標本より得られた脾癌の癌部、非癌部の凍結標本を用い て脾癌組織及び正常膝組織の八 0じー1遺伝子発現を1^ー?^?、 Real-time RT— PCRならびに ApoC— 1蛋白発現を Western blot法、さらに今回プロテインチップ解 析を行った全 20症例のホルマリン固定されたパラフィン包埋標本を用いて免疫染色 法で ApoC— 1蛋白の腫瘍内局在を確認した。  It is registered in. These facts indicate that ApoC-1 is very likely to be a tumor marker for detecting spleen cancer. In addition, the expression of spleen cancer is enhanced as a cause of increased ApoC-1 levels in the serum of knee cancer patients. If it is observed not only at the gene level but also at the protein level, the credibility as a spleen cancer-specific marker will be further shaken. Therefore, the present inventor used frozen specimens of cancerous and non-cancerous parts of splenic cancer obtained from surgical specimens to confirm whether Apolipoprotein C-1 was actually expressed in splenic cancer tissues. Using spleen cancer tissue and normal knee tissue, 8 ~ 1 gene expression 1 ^-? ^? , Real-time RT—PCR and ApoC-1 protein expression by Western blot analysis, and ApoC-1 protein by immunostaining using formalin-fixed paraffin-embedded specimens of all 20 cases analyzed by protein chip analysis. Intratumoral localization was confirmed.
[0027] まず、脾癌組織、正常脾組織および脾癌細胞株の ApoC— 1遺伝子発現を確認す るために RT— PCRを行った。まず、凍結標本組織を粉砕し RNeasy Mini [0027] First, RT-PCR was performed to confirm the expression of ApoC-1 gene in spleen cancer tissues, normal spleen tissues, and spleen cancer cell lines. First, the frozen specimen tissue is crushed and RNeasy Mini
Kit (キアゲン, Tokyo,  Kit (Qiagen, Tokyo,
Japan)を用い total RNAを作成、その後 T— Primed  Japan) to make total RNA, then T- Primed
First— Strand it for reverse transcription— PCR (アマシャムバイオサイエンス, USA社)を使用し cDNA を作成した。さらに cDNAを AmpliTaq First— Strand it cDNA was prepared using for reverse transcription—PCR (Amersham Bioscience, USA). Add cDNA to AmpliTaq
Gold PCR Master Mix (バイオシステム, Foster City, CA社)を用い、 37サイクノレ、了 二 リング温度 58°Cの条件下で RT— PCRを行った。得られた PCR産物を 2%ァガロ —スゲノレにて電気泳動をおこなった。 ApoC—lprimerとして Forward— primer, 5, - CTCCAGTGCCTTGGATAAGC  RT-PCR was performed using Gold PCR Master Mix (Biosystem, Foster City, CA) under conditions of 37 cycles and a final ring temperature of 58 ° C. The obtained PCR product was electrophoresed in 2% Agaro-Sugenole. As ApoC—lprimer Forward— primer, 5,-CTCCAGTGCCTTGGATAAGC
3,  3,
Reverse -primer, 5,一 TTGAGTTTCTCCTTCACTTTCTGA  Reverse -primer, 5, 1, TTGAGTTTCTCCTTCACTTTCTGA
—3'の配列を用い、 ApoC—lPCR産物の長さは 150bpとなるようデザインした。その 結果、癌部では非癌部より明らかに ApoC—1遺伝子が強発現していた。その結果を 図 11に示す。  Using the —3 ′ sequence, the length of the ApoC-lPCR product was designed to be 150 bp. As a result, the ApoC-1 gene was clearly expressed more strongly in the cancerous part than in the non-cancerous part. Figure 11 shows the result.
[0028] 次に手術で切除された脾癌の癌部、非癌部各 16検体の凍結標本を用いて上記と 同様の過程でそれぞれ cDNAを作成。その後、 ApoC— 1の mRNAレベルを定量化す るために LightCycler装置と LightCycler— Fast Start DNA Master SYBR Green I kit and PCR amplifications (ロッシュダイァグノスティック, Tokyo, Japan社)を用い Real— ti me RT— PCRを行った。組織間の mRNA量を同一にするためにそれぞれの GAPDHの mRNA値比を算出した。その結果、すべての検体において癌部では非癌部より Apo C 1遺伝子の発現が増強しており(p>0. 0001) (図 12参照)、同一個体内での癌 部、非癌部 13対においては癌部では非癌部より平均値 252倍、中央値 39. 1倍の 発現量の差を認めた。  [0028] Next, cDNA was prepared in the same manner as described above using frozen specimens of 16 specimens of cancerous and non-cancerous parts of splenic cancer resected by surgery. Then, to quantify ApoC-1 mRNA levels, we used a LightCycler instrument and LightCycler—Fast Start DNA Master SYBR Green I kit and PCR amplifications (Roche Diagnostics, Tokyo, Japan). PCR was performed. In order to make the amount of mRNA between tissues the same, the mRNA value ratio of each GAPDH was calculated. As a result, in all specimens, the expression of Apo C1 gene was enhanced in the cancerous part compared to the non-cancerous part (p> 0.0001) (see Fig. 12), and cancerous and non-cancerous parts within the same individual 13 In the pair, the difference in the expression level was 252 times on average and 39.1 times on the median in the cancerous part compared with the non-cancerous part.
[0029] さらに、上記の検体のうち癌部、非癌部が同一個体力もの対となる 13ペアを癌部の mRNA値 (Tumor)を非癌部の ApoC— lmRNA値 (Normal)でわり、その値の中央値で 高値群、低値群の 2群に分け脾癌の悪性度との相関関係を検討したところ、高値群 では低値群に比べ有意に生存期間が短く、前述のプロテインチップシステムによる血 清中 ApoC— 1と脾癌患者の生存期間の関係と相関する結果となった (図 13参照)。 ちなみにこの 13対の患者はプロテインチップシステム解析に用いた患者グループと は異なる群である。  [0029] Further, among the above specimens, the cancer part and the non-cancer part are paired with the same individual strength. The median value was divided into two groups, the high value group and the low value group, and the correlation with the malignancy of spleen cancer was examined. The high value group had a significantly shorter survival time than the low value group, and the above-mentioned protein chip The results correlate with the relationship between ApoC-1 during the serum by the system and the survival of splenic cancer patients (see Figure 13). Incidentally, these 13 pairs of patients are different from the patient group used for protein chip system analysis.
[0030] 続 、て、脾癌組織の癌部、非癌部および 4種類の脾癌細胞株 (MIA PaCaII、 PanC— 1、 CFPAC— 1、 AsPC— 1)の ApoC— 1蛋白レベルを確認するため に Western blottingを行った。 1次抗体として Mouse— anti— human— Apolipopro tein C— 1 monoclonal antibody (CHEMICON INTERNATIONAL社)を用いた。 コント口一ノレとして goat anti- β -actin antibody (Santa Cruz社)を用いた。 [0030] Subsequently, cancerous and non-cancerous parts of spleen cancer tissue and four types of spleen cancer cell lines (MIA Western blotting was performed to confirm the ApoC-1 protein level of PaCaII, PanC-1, CFPAC-1, AsPC-1). Mouse-anti-human-Apolipoprotein C-1 monoclonal antibody (CHEMICON INTERNATIONAL) was used as the primary antibody. As a control mouth, goat anti-β-actin antibody (Santa Cruz) was used.
[0031] 脾癌、脾正常組織および培養細胞より蛋白を抽出した後、それぞれ 20 /z gの蛋白 量をアプライし 10〜20%、および 15— 25%グラディエントゲル(DRC社)を用い SD S— PAGEを行った。その後 PVDF膜(Millipore社)に転写し、 0.5%スキムミルクに て非特異的反応をブロッキングした後 1: 500に希釈した抗 ApoC— 1抗体を 1次抗体 として用いた。 2次抗体として 1 : 3000に希釈した Goat—antiMouse—IgG antibo dy (HRP) (Bio— Rad社)を使用した。発色液として ECL液(Amersham Pharma cia Biotech社)を使用した。その結果、 ApoC— 1蛋白発現は脾正常組織におい ては認められず、脾癌組織で発現しており、さらに 4つの脾癌細胞株すべてにおいて 発現を確認した (図 14参照)。  [0031] After extracting proteins from spleen cancer, normal spleen tissue, and cultured cells, each 20 / zg protein was applied and 10-20% and 15-25% gradient gels (DRC) were used. PAGE was performed. After that, it was transferred to a PVDF membrane (Millipore), non-specific reaction was blocked with 0.5% skim milk and anti-ApoC-1 antibody diluted 1: 500 was used as the primary antibody. As secondary antibody, Goat-antiMouse-IgG antibody (HRP) (Bio-Rad) diluted 1: 3000 was used. An ECL solution (Amersham Pharmacia Biotech) was used as a color developing solution. As a result, ApoC-1 protein expression was not observed in normal spleen tissues, but was expressed in spleen cancer tissues. Furthermore, expression was confirmed in all four spleen cancer cell lines (see Fig. 14).
[0032] 次に、今回プロテインチップ解析を行った全 20症例を対象とし、免疫組織学的染 色を行い、 ApoC— 1蛋白発現の脾癌組織中の発現及び局在を確認した。免疫染色 は 10%ホルマリン固定され、パラフィン包理された組織標本を用い、ストレプトァビジ ン—ビォチンペルォキシダ―ゼ法(Dako LSAB2 kit, Dako Japan社)にて行 つた。その際、抗 ApoC— 1抗体の希釈濃度は 1 : 100で行った。その結果、非癌部 特に正常膝管において ApoC— 1蛋白は発現を認めず、癌部においては脾管癌の 細胞質に特異的に発現して 、ることが確認された(図 15参照)。  [0032] Next, immunohistological staining was performed on all 20 cases subjected to protein chip analysis this time, and the expression and localization of ApoC-1 protein expression in splenic cancer tissues were confirmed. Immunostaining was performed by the streptavidin-biotin peroxidase method (Dako LSAB2 kit, Dako Japan) using 10% formalin-fixed and paraffin-embedded tissue specimens. At that time, the dilution concentration of the anti-ApoC-1 antibody was 1: 100. As a result, it was confirmed that ApoC-1 protein was not expressed in the non-cancerous part, particularly in the normal knee canal, and was specifically expressed in the cytoplasm of splenic cancer in the cancerous part (see FIG. 15).
[0033] 以上より、本研究者は初めて脾癌組織中及び脾癌細胞株の ApoC— 1遺伝子およ び蛋白発現を実証することに成功し、さらに脾癌組織における ApoC— 1蛋白発現の 局在も明らかとした。これらの研究結果は ApoC— 1蛋白が脾臓の癌化と密接に関係 し、発現量の増大に伴い血中に逸脱し、その血清中の濃度を測定することにより鋭 敏なかつ確実な膝癌の診断に大きく寄与できることとなる。さらに、膝癌の悪性度の 指標としても ApoC— 1蛋白を活用することができる。  [0033] Based on the above, the present researchers were the first to demonstrate the expression of ApoC-1 gene and protein in spleen cancer tissues and spleen cancer cell lines. The existence was also clarified. The results of these studies indicate that ApoC-1 protein is closely related to spleen carcinogenesis, deviates into the blood as the expression level increases, and measures the concentration in the serum to measure sensitive and reliable knee cancer. This can greatly contribute to diagnosis. In addition, ApoC-1 protein can be used as an index of malignancy of knee cancer.
[0034] 次に、実際に ApoC— 1蛋白が脾癌の癌化作用にどのように携わっているかを解明 するために 4種類の脾癌細胞株(MIA PaCaII、 PanC— 1、 CFPAC— 1、 AsPC— 1)で、 RNAi(RNA interference)を用い ApoC— 1遺伝子を特異的に抑制する siRNAを細胞 株に transfectionし検討した。 ApoC— 1遺伝子が真に抑制されているかを確認する ために、 Real-time RT— PCRを用い ApoC— 1RNAレベルを定量化し、 ApoC— 1蛋 白レベルを Western blotにて検討した。 [0034] Next, in order to elucidate how ApoC-1 protein is actually involved in the carcinogenic effect of spleen cancer, four types of spleen cancer cell lines (MIA PaCaII, PanC-1, CFPAC-1, AsPC—1) SiRNA that specifically suppresses the ApoC-1 gene using RNAi (RNA interference) was transfected into cell lines and examined. In order to confirm whether the ApoC-1 gene was truly suppressed, Real-time RT-PCR was used to quantify the ApoC-1 RNA level, and the ApoC-1 protein level was examined by Western blot.
[0035] まず、 RNAiを用いた ApoC— 1遺伝子の特異的な抑制を起こすための siRNAを 2種 類デザインし、より効果的に ApoC— 1遺伝子を抑制することのできる siRNAを選択し た。この Oligonucleotideの配列は以下に示す通りである、 Target sequence, siRNA - 2; CTG GAG GAC AAG GCT CGG [0035] First, two types of siRNA for specifically suppressing ApoC-1 gene using RNAi were designed, and siRNA capable of suppressing ApoC-1 gene more effectively was selected. The sequence of this Oligonucleotide is shown below, Target sequence, siRNA-2; CTG GAG GAC AAG GCT CGG
GAA0 GAA 0
[0036] ここで、 Real— time RT— PCRおよび Western blot法は前述と同様の過程でおこなつ た。癌細胞で特異的に発現が認められる ApoC— 1にどのような癌化への作用が認 められるかを検討する。 RNAiを用 ヽることにより特異的に ApoC - lmRNAの発現を 抑制することで、脾癌細胞株における ApoC— 1の機能解析を行った。  [0036] Here, Real-time RT-PCR and Western blot were performed in the same manner as described above. To investigate the effects of ApoC-1, which is specifically expressed in cancer cells, on canceration. Functional analysis of ApoC-1 in spleen cancer cell lines was performed by specifically suppressing the expression of ApoC-lmRNA by using RNAi.
[0037] まず、 10%FBS入りの培養液で lOxlO4 cells/mlの細胞浮遊液を作る。 6well plate に 2ml (20xl04cells/well)ずつ細胞を撒き、顕微鏡で確認、翌日 50%confluentを目 標にする。 37°C、 5%C02インキュベータ一にて 24時間培養する。 [0037] First, a lOxlO 4 cells / ml cell suspension is prepared with a culture solution containing 10% FBS. 6-well plate the seeded cells by 2ml (20xl0 4 cells / well) , confirmed by a microscope, to the goal of the next day 50% confluent. Incubate for 24 hours in a 37 ° C, 5% C02 incubator.
続いて、 24時間後以下の手順で siRNA Transfectionを行う。  Then, after 24 hours, perform siRNA Transfection according to the following procedure.
1. Oligoを解凍  1. Unzip Oligo
2. Transfection  2. Transfection
Reagentの調整  Reagent adjustment
Lipofectamine2000 (Invitrogen  Lipofectamine2000 (Invitrogen
life  life
technologies社) 6 μ 1を upti— MEM medium(GIBし O, Invitrogen Corporation) 244 μ 1 で希釈し、室温で 5分から 10分放置  technologies) 6 μ 1 diluted with upti—MEM medium (GIB O, Invitrogen Corporation) 244 μ 1 and left at room temperature for 5 to 10 minutes
3. Oligo  3. Oligo
dilutionの調整  Adjustment of dilution
20nMの annilingした Oligo 10 μ 1< (200ηΜ  20nM anniling Oligo 10 μ 1 <(200ηΜ
final cone.の場合)、濃度により適宜調整する >を Opti— MEM medium 240 μ 1で希釈 する。 Final cone.) Adjust as appropriate according to the concentration> Dilute with Opti-MEM medium 240 μ 1 To do.
4. Transfection  4. Transfection
Reagent 250 μ 1を oligo dilutionに加え、軽く混合し total 500 μ 1とする。室温で 15分か ら 20分放置。  Add Reagent 250 μ1 to oligo dilution and mix gently to make a total of 500 μ1. Let stand at room temperature for 15 to 20 minutes.
5. Opti—MEMを 50Ο 1カ卩ぇ total 1000 にする。  5. Set Opti-MEM to 50 to 1 month total 1000.
6. plate培養液を吸引し、 Opti— MEM medium 2mlで洗浄。  6. Aspirate the plate culture and wash with 2 ml of Opti-MEM medium.
7. 5の Transfection  7.5 Transfection
mixtureを細胞にふりかける。  Sprinkle the mixture onto the cells.
8. 37°C、 5%C02インキュベータ一で 4時間培養後、 FBS150 1、 DMEM350 1カロえ 、 total 1500 μ 1(10%血清)とする。  8. After culturing at 37 ° C in a 5% C02 incubator for 4 hours, add FBS1501, DMEM350, and total 1500 µ1 (10% serum).
その後適宜、細胞から cell lysateを用い mRNA、 proteinを得、その後の実験に使用す る。  Thereafter, mRNA and protein are obtained from the cells using cell lysate as appropriate and used in subsequent experiments.
[0038] 脾癌細胞株の ApoC— 1遺伝子が ApoC— IsiRNAにより特異的に抑制されている かを確認するために、上記の手順で行って得られた cDNAを用い Real— time RT— P CRを行った。その結果、 4種類の脾癌細胞株すべてにおいて 90%前後の遺伝子抑 制が認められた。さらに ApoC— 1蛋白レベルを Western blotにて検討したところ、 Ml A PaCa IIに ApoC— IsiRNAを transfectionし 48時間後の蛋白レベルは、 siRNA oligo 最終濃度 20nMより発現が低下して 、ることが確認できた(図 16参照)。  [0038] To confirm whether the ApoC-1 gene in the spleen cancer cell line is specifically suppressed by ApoC-IsiRNA, use the cDNA obtained by the above procedure. Real-time RT-PCR Went. As a result, about 90% gene suppression was observed in all four spleen cancer cell lines. Furthermore, when ApoC-1 protein level was examined by Western blot, it was confirmed that the expression level of the protein level 48 hours after transfection of ApoC-IsiRNA to Ml A PaCa II was lower than the final siRNA oligo concentration of 20 nM. (See Fig. 16).
[0039] ApoC— 1の脾癌細胞株における細胞増殖への関わりを調べる目的で Cell  [0039] Cell for the purpose of investigating the involvement of ApoC-1 cell proliferation in spleen cancer cell lines
proliferation assayを行つ 7こ。 96well microplateに 0. 5xl04個/ lwellの糸田胞 入 れ、 24時間 37°C、 5%CO条件下でインキュベートし、その後特異的 ApoC—lsiRN 7 with proliferation assay. In a 96-well microplate, 0.5xl0 4 / lwell Itoda vesicles were incubated for 24 hours under conditions of 37 ° C and 5% CO, followed by specific ApoC—lsiRN
2  2
Aを最終濃度 20nMとなるように、 transfection用培養液に混入し、 4時間後培養液を 交換し、同条件下でインキュベートし細胞培養を行い、 24、 48、 72、 96、 120、 144 時間後に Cell Counting Kit— 8 [CCK— 8] ( DOJINDO JAPAN社)を用い Cel 1 proliferation assayを行った。吸光度 450nmにて測定し、培養細胞に特異的 ApoC IsiRNAを投与した細胞とコントロール siRNAを投与した細胞との増殖能を比較した ところ特異的 ApoC— IsiRNAを投与した細胞の方がコントロールの細胞より細胞増 殖能が有意に抑制されると 、う結果を得た(図 17参照)。ネガティブコント口ールとし て non— silencing siRNA (Luciferase;GL2) (キアゲン、 Japan社)を使用した。 Mix A in the culture solution for transfection to a final concentration of 20 nM, change the culture solution after 4 hours, and incubate under the same conditions for cell culture. 24, 48, 72, 96, 120, 144 hours Later, Cel 1 proliferation assay was performed using Cell Counting Kit-8 [CCK-8] (DOJINDO JAPAN). Absorbance was measured at 450 nm, and the proliferation ability of cultured cells treated with specific ApoC IsiRNA was compared with cells treated with control siRNA. Cells treated with specific ApoC-IsiRNA were more cells than control cells. The results were obtained when the growth ability was significantly suppressed (see Fig. 17). As a negative control Non-silencing siRNA (Luciferase; GL2) (Qiagen, Japan) was used.
図面の簡単な説明 Brief Description of Drawings
[図 1]プロテインチップシステムを用いた脾癌術前術後血清の典型的な protein peak ( 質量 6000〜7000Da)を示す図。上が術前、下が術後の結果を示す。 FIG. 1 is a diagram showing a typical protein peak (mass 6000 to 7000 Da) of serum before and after splenic cancer surgery using a protein chip system. Top shows pre-operative results and bottom shows post-operative results.
[図 2]質量数 6630Daの蛋白の術前術後における発現を検討した結果を示す図。 FIG. 2 is a graph showing the results of examining the expression of a protein having a mass number of 6630 Da before and after surgery.
[図 3]プロテインチップシステムを用いた解析にぉ 、て、 pHを変化させた場合におけ る結果を示す図。 FIG. 3 is a diagram showing the results when the pH is changed in the analysis using the protein chip system.
[図 4]プロテインチップシステムを用いた解析にお!、て、 NaCl濃度を 0mM〜500m Mまで段階的に変化させた場合における結果を示す図。  [Fig. 4] A diagram showing the results when the NaCl concentration is changed stepwise from 0 mM to 500 mM in the analysis using the protein chip system!
[図 5]HPLCの peakを示す図。 FIG. 5 is a diagram showing the peak of HPLC.
[図 6]peakの高い HPLC fractionに対し SELDI— TOF— MSを用いて解析を行 つた結果を示す図。  [Fig. 6] Diagram showing the results of analysis using SELDI-TOF-MS for HPLC fraction with high peak.
[図 7]2回目の HPLCの peakを示す図。  FIG. 7 is a diagram showing the peak of the second HPLC.
[図 8]peakの高い HPLC fractionに対し SELDI— TOF— MSを用いて解析を行 つた結果を示す図。  [Fig. 8] A diagram showing the results of analysis using SELDI-TOF-MS for HPLC fraction with high peak.
[図 9]N末端アミノ酸配列の分析結果を示す図。  FIG. 9 is a view showing the analysis results of the N-terminal amino acid sequence.
[図 10]プロテインチップシステム解析で得られた術前血清における ApoC— 1蛋白の peakintensity中央値で分けた 2群間を Kaplan— Meier法により無再発生存期間及 び生存期間の解析を行った図。  [Figure 10] Figure 2 Analysis of recurrence-free survival and survival by Kaplan-Meier method between two groups divided by the median peakintensity of ApoC-1 protein in preoperative serum obtained by protein chip system analysis .
[図 11]脾癌組織、正常脾組織および脾癌細胞株の ApoC— 1遺伝子発現を RT— PC Rで検討した図。  [Fig. 11] RT-PCR study of ApoC-1 gene expression in spleen cancer tissue, normal spleen tissue, and spleen cancer cell lines.
[図 12]脾癌の癌部、非癌部各 16検体の凍結標本を用いて Rea卜 time RT— PCRを 行い、 ApoC—lmRNAを定量化した図。  [Fig. 12] A figure showing the quantification of ApoC-lmRNA by performing Real-time RT-PCR using frozen specimens of 16 cancerous and non-cancerous specimens of splenic cancer.
[図 13]ApoC—lmRNA値の中央値で 2群間に分けたときの悪性度との相関を示す図  [Figure 13] Figure showing the correlation between malignancy and the median ApoC-lmRNA value when divided between two groups
[図 14] ApoC— 1蛋白発現を脾正常および癌組織、 4つの脾癌細胞株において West ernblot法にて確認した図。 FIG. 14 shows ApoC-1 protein expression confirmed by Western blotting in normal spleen and cancer tissues and four spleen cancer cell lines.
[図 15]、免疫組織学的染色を行い、 ApoC— 1蛋白発現の脾癌組織中の発現及び 局在を確認した図。 [Fig. 15] Immunohistochemical staining was performed. Expression of ApoC-1 protein expression in splenic cancer tissues and The figure which confirmed localization.
[図 16]睥癌細胞株の ApoC— 1遺伝子を ApoC— IsiRNAにより特異的に抑制し、そ れを Real— time RT— PCRと Western blot法を用いて確認した図。  [FIG. 16] A diagram showing that the ApoC-1 gene of a 睥 cancer cell line was specifically suppressed by ApoC-IsiRNA and confirmed using Real-time RT-PCR and Western blotting.
[図 17]ApoC— 1の脾癌細胞株における細胞増殖への関わりを Cell proliferationassa yにて検討した図。 FIG. 17: Cell proliferation assay of ApoC-1 involved in cell proliferation in spleen cancer cell lines.

Claims

請求の範囲 The scope of the claims
[1] ApoC— 1蛋白力もなる脾癌検出用腫瘍マーカー。  [1] ApoC—A tumor marker for detecting splenic cancer that also has 1 protein.
[2] ApoC— 1蛋白を至適条件下で検出するためのプロテインチップを含む脾癌検出 用キット。  [2] A spleen cancer detection kit containing a protein chip for detecting ApoC-1 protein under optimal conditions.
[3] 前記プロテインチップは、請求項 2記載の膝癌検出用キット。  [3] The knee cancer detection kit according to claim 2, wherein the protein chip is used.
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