WO2007049394A1 - Peptides originating in hepatitis c virus - Google Patents

Peptides originating in hepatitis c virus Download PDF

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Publication number
WO2007049394A1
WO2007049394A1 PCT/JP2006/316979 JP2006316979W WO2007049394A1 WO 2007049394 A1 WO2007049394 A1 WO 2007049394A1 JP 2006316979 W JP2006316979 W JP 2006316979W WO 2007049394 A1 WO2007049394 A1 WO 2007049394A1
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Prior art keywords
hla
hcv
seq
peptide
related disease
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PCT/JP2006/316979
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French (fr)
Japanese (ja)
Inventor
Kyogo Itoh
Michio Sata
Shigeru Yutani
Akira Yamada
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Kurume University
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Publication of WO2007049394A1 publication Critical patent/WO2007049394A1/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
    • G01N33/576Immunoassay; Biospecific binding assay; Materials therefor for hepatitis
    • G01N33/5767Immunoassay; Biospecific binding assay; Materials therefor for hepatitis non-A, non-B hepatitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/005Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from viruses
    • 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
    • C12N2770/00MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA ssRNA viruses positive-sense
    • C12N2770/00011Details
    • C12N2770/24011Flaviviridae
    • C12N2770/24211Hepacivirus, e.g. hepatitis C virus, hepatitis G virus
    • C12N2770/24222New viral proteins or individual genes, new structural or functional aspects of known viral proteins or genes

Definitions

  • the present invention relates to treatment of hepatitis C virus-related diseases.
  • Hepatitis C virus is a single-stranded RNA virus belonging to the Flaviviridae family, with approximately 1.7-200 million people infected with HCV worldwide and approximately 1.5-2 million people in Japan. It is said that. Many of them develop chronic hepatitis, and as the disease progresses, it shifts to cirrhosis and hepatocellular carcinoma. Hepatocellular carcinoma develops from 1 to 2% annually from chronic hepatitis and from 6 to 8% annually from cirrhosis. About 70% of patients with hepatocellular carcinoma in Japan are infected with HCVlb. Nearly 40,000 deaths per year due to cirrhosis and liver cancer caused by HCVlb infection.
  • interferon (IFN) therapy is widely used for patients with chronic infection with hepatitis C virus, and a total effect of about 30% has been obtained as a whole (Kasahara et al., Hepatology). 27, 1394-1402, 1998: Non-patent document 1).
  • HCVlb type which is widely used in Japan
  • the response rate is about 50-60%.
  • the response rate for chronic hepatitis patients with hyperviremia blood RNA levels of 500 KYUZml or more
  • IFN interferon
  • ribavirin has been effective to some extent even in cases with a high viral load, but the response rate is about 20% (Non-patent Document 2).
  • HLA human leukocyte antigen
  • HLA-A2 human leukocyte antigen-A2
  • HLA-A24-restricted cytotoxic T lymphocytes CTLs. IgG reactive with any peptide is detected in the majority of HCV-infected patients, and the peripheral blood mononuclear cell (PBMC) strength of HCV patients with HLA types to which these peptides correspond is also peptide-specific CTL It was found that can be induced.
  • PBMC peripheral blood mononuclear cell
  • HCVlb-derived peptides were administered to patients with HLA-A24 or HLA-A2 who were ineffective with standard treatment (IFN therapy or ribavirin combination therapy)
  • standard treatment IFN therapy or ribavirin combination therapy
  • immunostimulatory action by peptides was observed in the majority of cases, and a decrease in viral load was observed in more than half of cases (WO2005 / 028503: Patent Document 1).
  • antigenic peptides targeting HLA-A2 and A24 positive individuals cannot cover 70% of Japanese patients.
  • HLA-A11, HLA-A31 and HLA-A33, and HLA-A0301 and HLA-A6801 share similar antigen-binding motifs and are therefore classified as HLA-A3 supertypes (Takedatsu H, et al., Clin Cancer Res 200 4; 10: 1112-1120: Non-patent document 2).
  • HLA-A3 supertype is relatively dominant in the human population, and the frequency of the phenotype of the HLA-A3 supertype, except for HLA-A6801, is white, North American African black, Japanese, Chinese , About 30%, about 35%, about 44%, about 52%, and about 35%, respectively, among Hispanics (Sette, A., and Sidney, J., Immunogenetics, 50: 201-212). 1999: Non-patent document 3). To date, there are no reports on HLA-A3 supertype-restricted antigen peptides derived from HCV.
  • Patent Document 1 WO2005 / 028503
  • Non-patent literature l Kasahara et al., Hepatology 27, 1394-1402, 1998
  • Non-Patent Document 2 Takedatsu H, et al, Clin Cancer Res 2004; 10: 1112-1120
  • Non-Patent Document 3 Sette, A., and Sidney, J., Immunogenetics, 50: 201-212, 1999 Disclosure of the Invention
  • An object of the present invention is to provide a method for treating HCV-related diseases, which can be applied to HLA-A3 supertype patients.
  • the present invention relates to a peptide recognized by an antibody against hepatitis C virus, which has the following sequence:
  • HCV NS2 918-926 LIRACMLVR (SEQ ID NO: 4)
  • a peptide having an amino acid sequence represented by any of the above is provided:
  • the present invention provides a pharmaceutical composition for treating an HCV-related disease, comprising any of the peptides described above as an active ingredient, and a method for treating a patient having an HCV-related disease. What is provided is a method comprising administering to a patient any peptide as described above.
  • the present invention relates to a composition for predicting HCV-related disease progression or progression of HCV-related disease, and HCV in a subject, comprising any of the peptides described above.
  • a method for predicting the power of diagnosing a related disease or the progression of an HCV-related disease, comprising measuring an antibody titer against hepatitis C virus in the blood of the subject using any of the aforementioned peptides provide.
  • the present invention provides the following sequence:
  • HCV core 35—43 YLLPRRGPR (SEQ ID NO: 2)
  • HCV NS2 918-926 LIRACMLVR (SEQ ID NO: 4)
  • a pharmaceutical composition for treating an HCV-related disease in a patient having HLA-A11, HLA-A31, and HLA-A33, comprising a peptide having an amino acid sequence represented by any of the above as an active ingredient I will provide a.
  • the invention provides a method of treating a patient having an HCV-related disease in a patient having HLA-All, HLA-A31, and HLA-A33, comprising the following sequence:
  • HCV core 35—43 YLLPRRGPR (SEQ ID NO: 2)
  • HCV NS2 918-926 LIRACMLVR (SEQ ID NO: 4)
  • a method comprising administering to a patient a peptide having an amino acid sequence represented by any of the above: [0012]
  • the present invention provides the following sequences:
  • HCV core 35—43 YLLPRRGPR (SEQ ID NO: 2)
  • HCV NS2 918-926 LIRACMLVR (SEQ ID NO: 4)
  • a composition for inducing sex cytotoxic T cells is provided.
  • a method of inducing HLA-All, HLA-A31 or HLA-A33-restricted cytotoxic T cells in a patient with HLA-A11, HLA-A31, and HLA-A3 3, comprising: Array of:
  • HCV core 35—43 YLLPRRGPR (SEQ ID NO: 2)
  • HCV NS2 918-926 LIRACMLVR (SEQ ID NO: 4)
  • a method comprising administering to a patient a peptide having an amino acid sequence represented by any of the above:
  • the present invention provides the following sequences:
  • HCV core 35—43 YLLPRRGPR (SEQ ID NO: 2)
  • HCV NS2 918-926 LIRACMLVR (SEQ ID NO: 4)
  • HLA—All, HLA—A31, or HLA—A33-restricted cytotoxic T cells in patients with HLA—All, HLA—A31, or HLA—A33, comprising a peptide having an amino acid sequence represented by A kit is provided for testing for induction.
  • HCV-related disease means a disease caused by infection with hepatitis C virus, such as acute and chronic hepatitis, cirrhosis, and hepatocellular carcinoma. included.
  • the progression of HCV-related disease is typically from chronic hepatitis to cirrhosis Progression to metastasis, cirrhosis, and progression to liver cancer.
  • FIG. 1 shows the detection of peptide-specific IgG in HCV-infected patients.
  • Figure 2 shows the induction of peptide-specific CTL from PBMC in HCVlb patients.
  • FIG. 3 shows the cytotoxic activity of peptide-stimulated PBMC against cells pre-loaded with peptides.
  • FIG. 4 shows the cytotoxic activity of peptide-stimulated PBMC against cells pre-loaded with peptides.
  • the present invention provides an immunogenic HCVlb-derived peptide that can be used for the treatment of patients having HLA-All, HLA-A31, and HLA-A33 infected with HCV.
  • an antigenic peptide CTL epitope
  • CTL epitope an antigenic peptide recognizing CTL in a patient having HLA-All, HLA A31 or HL A-A33 having an HCVlb-related disease is examined.
  • four new candidate peptides were identified from 48 peptides that are widely conserved in HCV-lb and have motifs that bind to HLA-A11, A31, or A33.
  • a peptide derived from the core protein located at positions 30-39 (IVGGVYLLPR (SEQ ID NO: 1)) induced peptide-specific CTL from peripheral blood mononuclear cells (PBMC) of HLA-All, A31, and A33 positive patients.
  • PBMC peripheral blood mononuclear cells
  • 35-43 peptides derived from the core protein (sushi 03 ⁇ 413 ⁇ 4 ⁇ 1?
  • HLA-A31 and 918-926 peptide (LIRACMLVR (SEQ ID NO: 4)) derived from unstructured protein NS-2 induced peptide-specific CTL from HLA-A11 and A33-positive patient PBMC from ABMC positive patient PBMC. IgG antibodies reactive to these peptides were detected in the plasma of HCV-lb infected patients.
  • the hepatitis C virus-derived peptide (HCV peptide) of the present invention contains a partial amino acid sequence of a protein derived from hepatitis C virus, and an HLA binding motif compatible with the patient's HLA in the sequence. .
  • This peptide can be recognized by blood antibodies from patients infected with hepatitis C virus.
  • the hepatitis C virus-derived peptide according to the present invention induces CTL.
  • the CTL thus induced can target HCV-infected cells and attack them.
  • the peptide of the present invention only needs to have the amino acid sequence described above to the extent that a desired effect can be obtained, and may further include an additional sequence.
  • a person skilled in the art naturally understands how much sequence addition is allowed on both the N-terminal side and the C-terminal side in order to achieve the desired action and effect as an antigen peptide. Can do. Therefore, for example, an amino acid sequence useful for promoting immunization, an amino acid sequence that facilitates formulation, or a fusion protein on the N-terminal side and Z or C-terminal side of the peptide according to the present invention.
  • an amino acid sequence convenient for expressing a peptide an amino acid sequence convenient for peptide production and purification, etc. may be added.
  • the peptide according to the present invention may be chemically modified, or a polymer or sugar chain may be added, as long as the specificity of binding to the antibody is not lost.
  • the HCV peptide according to the present invention is a gene recombination technique using a normal chemical synthesis method, an enzymatic decomposition method of a protein molecule, or a host transformed to express a base sequence encoding the target amino acid sequence. Etc. can be manufactured.
  • the target peptide when produced by a chemical synthesis method, it can be produced by a conventional method known per se in ordinary peptide chemistry, for example, a peptide synthesizer. Can be synthesized by a solid phase synthesis method. The crude peptide thus obtained can be purified by purification methods commonly used in protein chemistry, such as salting out, ultrafiltration, reverse phase chromatography, ion exchange chromatography, It can be purified by tea chromatography.
  • a desired peptide is produced by gene recombination technology
  • a synthetic or cloned DNA fragment encoding the target amino acid sequence is incorporated into an appropriate expression vector, and this expression vector is used.
  • the desired peptide can be obtained by transforming microorganisms or animal cells using, and culturing the resulting transformant.
  • expression vectors that can be used plasmids, virus vectors, and the like known in the art can be used.
  • a method for transforming a host cell using an expression vector in this peptide production technique For example, a method known per se, such as calcium chloride method, calcium phosphate coprecipitation method, DEAE dextran method, lipofectin method, electopore position method, etc. can be used, and it should be selected as appropriate based on the host cell to be used. Good.
  • the obtained peptide can be purified from the cell extract or culture supernatant collected from the cultured medium by the purification method described above.
  • the peptide of the present invention is useful as a pharmaceutical composition for treating a patient having an HCV-related disease, that is, as a peptide vaccine.
  • a vaccine consisting of a hepatitis C virus-derived peptide is prepared by mixing the peptide produced as described above with a pharmaceutically acceptable adjuvant and Z or a carrier as appropriate.
  • Adjuvants that can enhance the immune response, such as Freund's incomplete adjuvant, aluminum hydroxide gel, can be used.
  • a carrier for example, a diluent such as phosphate buffered saline (PBS) or distilled water, physiological saline, or the like can be used.
  • PBS phosphate buffered saline
  • distilled water physiological saline, or the like
  • the peptide vaccine can be administered by a transdermal route such as oral or intravenous administration or subcutaneous administration, depending on the form of use.
  • a transdermal route such as oral or intravenous administration or subcutaneous administration, depending on the form of use.
  • the dosage form include tablets, granules, soft capsules, hard capsules, liquids, oils, and emulsifiers.
  • the dosage of such a pharmaceutical composition may vary depending on the symptoms of the patient to whom it is administered, but in general, 0.1 to 10 mg of peptide per day is preferable for adults.
  • the interval is preferably administered once every few days to several months. You can also use peptide vaccine and interferon together.
  • the hepatitis C virus-derived peptide to be administered is selected based on the peptide reactivity of anti-HCV antibodies present in the patient's blood or the presence of CTL. More preferably, the selection is based on the peptide reactivity of the anti-HCV antibody and the presence of CTL.
  • “peptide reactivity of anti-HCV antibody” means that any of the peptides to be administered is recognized by the anti-HCV antibody present in the blood of the patient. Higher therapeutic effects can be expected by examining the peptide reactivity of anti-HCV antibodies in each patient and administering only the appropriate peptides for each patient, so-called tailor-made administration.
  • tailor-made administration Experience in cancer peptide vaccine clinical trials promptly induces secondary immunity activation by tailor-made administration, so it is safer and better. It has been demonstrated that the floor effect appears (Mine et al., Clin. Can. Res. 929-937, 2004).
  • HCV-related diseases can be confirmed by monitoring the blood antibody titers of subjects suffering from HCV-related diseases, that is, the blood concentration of antibodies reactive to peptides, by conventional methods such as ELISA. Can be done.
  • the amount of virus can be monitored by measuring the amount of HCV RNA by conventional methods such as RT-PCR.
  • the peptide of the present invention is also useful as a composition for diagnosing a patient having an HCV-related disease or predicting the progression of the disease.
  • the antibody titer in the blood of a subject can be measured using an antigen-antibody reaction well known in the art.
  • the measurement can be performed as follows.
  • the antigen peptide is bound to a conventional ELISA plate such as 96well, and the plate is appropriately blocked to prevent nonspecific adsorption.
  • dilute the prepared blood serum of the subject appropriately and add it to each well of the plate, and react for a predetermined time.
  • the plate After washing the plate to remove unbound components, add antibodies that can bind to human antibodies (eg, rabbit anti-human antibodies). If it is desired to detect IgG, ⁇ chain specific anti-HgG can be used. After reacting for a specified time, the plate is washed and detectably labeled antibody (eg anti-rabbit IgG) is added. Labeling can be performed by methods well known to those skilled in the art using enzymes, fluorescent dyes, chemiluminescent substances, piotin, radiation compounds and the like. After reacting the plate for a specified time, the label is detected by adding an appropriate substrate and measuring the decrease in substrate or increase in product, or by measuring fluorescence, luminescence, or radioactivity. In this way, the amount of antibody against a specific peptide in the serum of the subject can be measured. In addition, the progression of HCV-related disease can be predicted by monitoring the amount of antibody.
  • detectably labeled antibody eg anti-rabbit IgG
  • Labeling can be performed by methods well known to
  • xMAP technology is one of highly sensitive methods. This is a flowmetry measurement method developed by Luminex using a fluorescent microbead array system. Microbeads to which peptides are bound are brought into contact with serum, and then a fluorescently labeled secondary antibody is bound to the flow. Fluorescence intensity by measurement Measure.
  • an immunochromatography method can be used.
  • a portion in which the antigen (or antibody) is linearly distributed is made on the test paper, and the complex of the antibody in the sample and the antigen labeled with the colored particles moves on the test paper.
  • Qualitative analysis is based on the presence or absence of colored lines that appear by intensive capture by antigens (or antibodies). Using this method, results can be obtained in a short time (within 20 to 30 minutes) with simple equipment.
  • Subjects were HCVlb-infected patients with HLA—A3 supertype and healthy donors. These subjects had one of the HLA types HLA-All, HLA-A31, and HLA-A33, and none of them was infected with HIV.
  • Peripheral blood To obtain mononuclear cells (PBMCs), 20 ml of peripheral blood was collected and PBMCs were prepared by Ficoll-Conley density gradient centrifugation. All samples were stored cold until used for experiments.
  • PBMCs mononuclear cells
  • HLA-All, HLA-A31, and HLA-A33 molecules in PBMC of HCVlb patients was measured by flow cytometry using the following antibodies: anti-HLA-All monoclonal antibody (mAb) (Cat # 0284HA One Lambda Inc., Canoga, CA), anti-HLA—A31 mAb (Cat # 0273HA; One Lambda), and anti-HLA—A33 mAb (Cat # 0612HA; One Lambda).
  • mAb monoclonal antibody
  • C1R-A11, C1R-A31, and C1R—A33 are each HL C1R lymphoma subline constitutively transfected with the A-A1101, HLA-A3101, and HLA-A3303 genes. Expression of HLA-A11, HLA-A31, and HLA-A33 molecules in these sublines has been previously reported (Takedats u H, et al., Clinical Cancer Research 2004; 10: 1112-20). All cell lines were maintained in RPMI 1640 (Invitrogen) containing 10% FCS.
  • HLA-A11, HLA-A31, and HLA-A33 molecules Based on the binding motifs of HLA-A11, HLA-A31, and HLA-A33 molecules (Parker KC et al., J Immunol 1994; 152: 163-75), 47 types of peptides derived from HCV-lb protein were prepared. . All peptides were purchased from Biologica Co. (Nagoya, Japan) and were more than 90% pure.
  • Control peptides that bind to the HLA-A3 supertype include influenza (Flu) virus-derived peptides (NVKNLYEKVK (SEQ ID NO: 5)), Epstein Barr virus (EBV) -derived peptides (AVFDRKSDAK (SEQ ID NO: 6)), tyrosinase-related peptides Protein 2 (TRP2) -derived peptide (LLGPGRPYR (SEQ ID NO: 7)) and HIV-derived peptide (RLRDLLLIVTR (SEQ ID NO: 8)) were used. All peptides were dissolved in dimethyl sulfoxide and diluted to 10 g / ml.
  • the level of peptide-specific IgG reactive to each of the 48 peptides was measured using a 1: 100 diluted sample of sera from 12 patients infected with HCV-lb.
  • Plasma levels of peptide-specific IgG were measured by the Luminex® method according to the method described previously ( Komatsu N. et al., Scand J Clin Lab Invest, 64, 535-546, (2004 )). Briefly, 200 L of plasma (1: 100 dilution) is added to a 96 well filter plate (MABVN1250; Millipore Corp., Bedford, MA) with 25 L of peptide-conjugated color-coded beads (Luminex Corp. (Austin, TX)).
  • HLA—All, HLA-A31, or HLA—A33 HLA—All, HLA-A31, or HLA—A33. Whether or not can be induced.
  • PBMCs were stimulated and cultured in vitro with HCV-derived peptides or control peptides, and the reactivity to C1R-A11, C1R-A31, or C1R-A33 cells pulsed with the corresponding peptides was examined using IFN- ⁇ production as an indicator. It was.
  • PBMC IX 10 5 cells Z-well
  • PBMC IX 10 5 cells Z-well
  • FC S lOUU / ml interleukin-2
  • ImM MEM ImM MEM not essential It consisted of an amino acid solution (Gibco-BRL).
  • HCV core 35-44 peptide induces and repels the 13 ⁇ 4 ⁇ ⁇ 8-2 restriction (Takao Y et al., Microbiol. Immunol, 48 (7), 507). -517, 2004).
  • the above results indicate that the HCV core 35-43 peptide can also induce CTL from HLA-A3 supertype positive HCVlb patients.
  • HLA—A2 and HLA—A3 supertype positive HCVlb patients PBMCs stimulated with HCV core 35-43 and 35-44 peptides or control peptides in vitro and pulsed with the corresponding peptides (having HLA-A2 ), IFN- ⁇ production in response to C1R-All, C1R-A31, C1R—A33 cells was examined.
  • the peptide of core protein 35-44 also showed PBMC activity in HLA—All positive HCVlb patients (0-7), HLA—A31 positive HCVlb patients (1Z2), and HLA—A33 positive HCV—lb patients (1Z2). Peptide-reactive CTLs were induced ( Figure 2).
  • HCV core 35-43 or core 35-44 peptide induced peptide-specific CTL in 0 out of 3 or 2 out of 3 HL A-A2 positive HCV-1b patients, respectively (data shown) ) [0044]
  • These findings 39, 35—43, core 35—44, and HCVNS291 8-926 peptide can induce peptide-specific CTL in PBMC of HC V— lb patients with HL A -All, HLA A31 or HL A—A33 Indicates.
  • HLA—class I W6Z32: mouse IgG2a
  • anti-HLA—DR L243: mouse IgG2a
  • anti-CD4 NU—THZl: mouse IgGl
  • anti-CD8 NU—TSZC: mouse Ig G2a
  • anti-CD14 H14: Mouse IgG2a
  • HLA-A3 supertype-positive PBMC stimulated with HCV peptides should exhibit cytotoxic activity against C1R-All, C1R-A31, or C1R-A33 cells pre-loaded with the corresponding peptide
  • HIV peptide was not shown (Fig. 3).
  • cytotoxic activity against C1R—All, C1R—A31, or C1R—A33 cells pulsed with each peptide is inhibited by HLA class I (W6 / 32) or CD8 monoclonal antibody (mAb)
  • HLA class I W6 / 32
  • CD8 monoclonal antibody mAb
  • the tested HLA—Class II (DR-1) or CD4 or CD14 mAb was uninhibited. This indicates that peptide-specific cytotoxic activity is expressed mainly by CD8 + T cells in an HLA class I-restricted manner (Fig. 4).
  • the peptides of the present invention are useful for the treatment of HCV related diseases.

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Abstract

A peptide which is recognized by an antibody against hepatitis C virus and has one of the following amino acid sequences: IVGGVYLLPR (SEQ ID NO:1), YLLPRRGPR (SEQ ID NO:2), YLLPRRGPRL (SEQ ID NO:3) and LIRACMLVR (SEQ ID NO:4). It is also intended to provide a medicinal composition for treating an HCV-related disease which contains the above peptide as the active ingredient and a composition for diagnosing an HCV-related disease or presuming the progress of an HCV-related disease. The above-described peptide and compositions are useful in treating an HCV-related disease patient having the HLA-A3 supertype, diagnosing the disease and presuming the progress of the disease.

Description

c型肝炎ウィルス由来ペプチド  Hepatitis c virus-derived peptide
技術分野  Technical field
[0001] 本発明は C型肝炎ウィルス関連疾患の治療に関する。  [0001] The present invention relates to treatment of hepatitis C virus-related diseases.
背景技術  Background art
[0002] C型肝炎ウィルス (HCV)は,フラビウィルス科に属する 1本鎖 RNAウィルスであり, HCV感染者は世界では約 1. 7— 2億人,本邦では約 150— 200万人以上いるとい われている。その多くは慢性肝炎を発症し,さらに病状が進行すると肝硬変そして肝 細胞癌へ移行する。慢性肝炎から年率 1〜2%,肝硬変からは年率 6— 8%に肝細胞 癌が発症する。本邦での肝細胞癌発症患者のうち約 70%が HCVlbに感染している 。 HCVlb感染に起因する肝硬変と肝癌での年間死亡者数は 4万人近くに及ぶ。  [0002] Hepatitis C virus (HCV) is a single-stranded RNA virus belonging to the Flaviviridae family, with approximately 1.7-200 million people infected with HCV worldwide and approximately 1.5-2 million people in Japan. It is said that. Many of them develop chronic hepatitis, and as the disease progresses, it shifts to cirrhosis and hepatocellular carcinoma. Hepatocellular carcinoma develops from 1 to 2% annually from chronic hepatitis and from 6 to 8% annually from cirrhosis. About 70% of patients with hepatocellular carcinoma in Japan are infected with HCVlb. Nearly 40,000 deaths per year due to cirrhosis and liver cancer caused by HCVlb infection.
[0003] 現在, C型肝炎ウィルス慢性感染患者に対しては,インターフェロン (IFN)療法が 広く行われており,全体では約 30%の完全著効が得られている(Kasahara et al., Hepatology 27, 1394-1402, 1998 :非特許文献 1)。しかし本邦で多いとされるウイ ルスのタイプ (HCVlb型)はこれらの現行治療法に抵抗性であり奏効率は約 50— 6 0%である。とりわけ高ウィルス血症状態(血中 RNA値が 500KIUZml以上)の慢性 肝炎症例への奏効率は 30%以下である。また, IFN治療の適応外の症例や IFNの 有害事象により治療完了できない症例も多数存在する。インターフェロンとリバビリン の併用は,ウィルス量が多い症例でもある程度効果が認められているが,その奏功 率は 20%程度である(非特許文献 2)。  [0003] Currently, interferon (IFN) therapy is widely used for patients with chronic infection with hepatitis C virus, and a total effect of about 30% has been obtained as a whole (Kasahara et al., Hepatology). 27, 1394-1402, 1998: Non-patent document 1). However, the type of virus (HCVlb type), which is widely used in Japan, is resistant to these current therapies, and the response rate is about 50-60%. In particular, the response rate for chronic hepatitis patients with hyperviremia (blood RNA levels of 500 KYUZml or more) is 30% or less. There are also many cases that are not indicated for IFN treatment and cannot be completed due to adverse events of IFN. The combined use of interferon and ribavirin has been effective to some extent even in cases with a high viral load, but the response rate is about 20% (Non-patent Document 2).
[0004] 本発明者らは,先に,ヒト白血球抗原(Human Leukocyte Antigen: HLA)の型で ある HLA— A2および HLA— A24拘束性細胞傷害性 Tリンパ球(CTL)によって認 識されるいくつかのペプチドと反応性を有する IgGが, HCV感染患者の大多数に検 出されること,さらにこれらのペプチドが対応する HLA型を有する HCV患者の末梢 血単核球 (PBMC)力もペプチド特異的 CTLを誘導しうることを見出した。これらの結 果に基づいて, HLA— A24もしくは HLA— A2を有する患者で標準治療 (IFN療法 もしくはリバビリン併用療法)が無効な症例に対し, HCVlb由来ペプチドを投与した ところ,ペプチドによる免疫賦活作用は大多数の症例にて,またウィルス量の低下は 半数以上の症例で認められた (WO2005/028503 :特許文献 1)。しかし, HLA— A2 および A24陽性者を対象とする抗原ペプチドは, 日本人患者の 7割し力カバーでき ない。 [0004] The present inventors have previously identified several types of human leukocyte antigen (HLA), HLA-A2 and HLA-A24-restricted cytotoxic T lymphocytes (CTLs). IgG reactive with any peptide is detected in the majority of HCV-infected patients, and the peripheral blood mononuclear cell (PBMC) strength of HCV patients with HLA types to which these peptides correspond is also peptide-specific CTL It was found that can be induced. Based on these results, HCVlb-derived peptides were administered to patients with HLA-A24 or HLA-A2 who were ineffective with standard treatment (IFN therapy or ribavirin combination therapy) However, immunostimulatory action by peptides was observed in the majority of cases, and a decrease in viral load was observed in more than half of cases (WO2005 / 028503: Patent Document 1). However, antigenic peptides targeting HLA-A2 and A24 positive individuals cannot cover 70% of Japanese patients.
[0005] HLA-A11, HLA—A31および HLA—A33,ならびに HLA—A0301および H LA— A6801は,類似する抗原結合モチーフを共有しており,したがって, HLA- A3スーパータイプとして分類される(Takedatsu H, et al., Clin Cancer Res 200 4; 10: 1112-1120 :非特許文献 2)。このスーパータイプは,ヒト集団の中で比較的 優勢であり, HLA— A3スーパータイプの表現型の頻度は, HLA—A6801を除き, 白色人種,北アメリカのアフリカ系黒人, 日本人,中国人,ヒスパニックの間でそれぞ れ約 30%,約 35%,約 44%,約 52%,および約 35%である(Sette, A., and Sidn ey, J., Immunogenetics, 50: 201-212, 1999 :非特許文献 3)。これまでに, HCV 由来の HLA— A3スーパータイプ拘束性抗原ペプチドに関する報告はない。  [0005] HLA-A11, HLA-A31 and HLA-A33, and HLA-A0301 and HLA-A6801 share similar antigen-binding motifs and are therefore classified as HLA-A3 supertypes (Takedatsu H, et al., Clin Cancer Res 200 4; 10: 1112-1120: Non-patent document 2). This supertype is relatively dominant in the human population, and the frequency of the phenotype of the HLA-A3 supertype, except for HLA-A6801, is white, North American African black, Japanese, Chinese , About 30%, about 35%, about 44%, about 52%, and about 35%, respectively, among Hispanics (Sette, A., and Sidney, J., Immunogenetics, 50: 201-212). 1999: Non-patent document 3). To date, there are no reports on HLA-A3 supertype-restricted antigen peptides derived from HCV.
[0006] 本明細書において引用される参考文献は以下のとおりである。これらの文献に記載 される内容はすべて本明細書の一部としてここに引用する。これらの文献のいずれか 力 本明細書に対する先行技術であると認めるものではない。  [0006] References cited in the present specification are as follows. All the contents described in these documents are cited herein as part of this specification. Any of these documents is not admitted to be prior art to this specification.
特許文献 1: WO2005/028503  Patent Document 1: WO2005 / 028503
非特許文献 l : Kasahara et al., Hepatology 27, 1394-1402, 1998  Non-patent literature l: Kasahara et al., Hepatology 27, 1394-1402, 1998
非特許文献 2 :Takedatsu H, et al, Clin Cancer Res 2004; 10: 1112-1120 非特許文献 3 : Sette, A., and Sidney, J., Immunogenetics, 50: 201-212, 1999 発明の開示  Non-Patent Document 2: Takedatsu H, et al, Clin Cancer Res 2004; 10: 1112-1120 Non-Patent Document 3: Sette, A., and Sidney, J., Immunogenetics, 50: 201-212, 1999 Disclosure of the Invention
発明が解決しょうとする課題  Problems to be solved by the invention
[0007] 本発明は, HLA— A3スーパータイプの患者に適用することができる, HCV関連 疾患の治療法を提供することを目的とする。 [0007] An object of the present invention is to provide a method for treating HCV-related diseases, which can be applied to HLA-A3 supertype patients.
課題を解決するための手段  Means for solving the problem
[0008] 本発明は, C型肝炎ウィルスに対する抗体により認識されるペプチドであって, 以下の配列: [0008] The present invention relates to a peptide recognized by an antibody against hepatitis C virus, which has the following sequence:
HCVコア 30— 39 : IVGGVYLLPR (配列番号 1) HCVコア 35— 43 :YLLPRRGPR (配列番号 2) HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1) HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCV NS2 918- 926 : LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを提供する。  A peptide having an amino acid sequence represented by any of the above is provided:
[0009] 別の観点においては、本発明は、上述のいずれかのペプチドを有効成分として含 有する, HCV関連疾患を治療するための医薬組成物、ならびに HCV関連疾患を有 する患者を治療する方法であって、上述の 、ずれかのペプチドを患者に投与するこ とを含む方法を提供する。  [0009] In another aspect, the present invention provides a pharmaceutical composition for treating an HCV-related disease, comprising any of the peptides described above as an active ingredient, and a method for treating a patient having an HCV-related disease. What is provided is a method comprising administering to a patient any peptide as described above.
[0010] 別の観点においては、本発明は、上述のいずれかのペプチドを含有する, HCV関 連疾患を診断する力または HCV関連疾患の進行を予測するための組成物、ならび に被験者において HCV関連疾患を診断する力または HCV関連疾患の進行を予測 する方法であって、上述のいずれかのペプチドを用いて前記被験者の血液中の C型 肝炎ウィルスに対する抗体価を測定することを含む方法を提供する。  [0010] In another aspect, the present invention relates to a composition for predicting HCV-related disease progression or progression of HCV-related disease, and HCV in a subject, comprising any of the peptides described above. A method for predicting the power of diagnosing a related disease or the progression of an HCV-related disease, comprising measuring an antibody titer against hepatitis C virus in the blood of the subject using any of the aforementioned peptides provide.
[0011] また別の観点においては、本発明は、以下の配列:  [0011] In another aspect, the present invention provides the following sequence:
HCVコア 30— 39 : IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43 :YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44 :YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918- 926 : LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
の!ヽずれかで表されるアミノ酸配列を有するペプチドを有効成分として含有する, H LA-A11, HLA-A31,および HLA—A33を有する患者において HCV関連疾 患を治療するための医薬組成物を提供する。別の態様においては、本発明は、 HL A—Al l, HLA-A31,および HLA—A33を有する患者において HCV関連疾患 を有する患者を治療する方法であって、以下の配列:  A pharmaceutical composition for treating an HCV-related disease in a patient having HLA-A11, HLA-A31, and HLA-A33, comprising a peptide having an amino acid sequence represented by any of the above as an active ingredient I will provide a. In another aspect, the invention provides a method of treating a patient having an HCV-related disease in a patient having HLA-All, HLA-A31, and HLA-A33, comprising the following sequence:
HCVコア 30— 39 : IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43 :YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44 :YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918- 926 : LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを患者に投与することを含む方 法を提供する。 [0012] さらに別の観点においては、本発明は、以下の配列: A method comprising administering to a patient a peptide having an amino acid sequence represented by any of the above: [0012] In yet another aspect, the present invention provides the following sequences:
HCVコア 30— 39:IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43:YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44:YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
の!ヽずれかで表されるアミノ酸配列を有するペプチドを有効成分として含有する, H LA-A11, HLA-A31,および HLA— A33を有する患者において HLA— All, HLA— A31または HLA— A33拘束性細胞傷害性 T細胞を誘導するための組成物 を提供する。別の態様においては、 HLA-A11, HLA-A31,および HLA— A3 3を有する患者において HLA— All, HLA— A31または HLA— A33拘束性細胞 傷害性 T細胞を誘導する方法であって、以下の配列:  In patients with HLA-A11, HLA-A31, and HLA-A33, containing HLA-A11, HLA-A31, or HLA-A33 or HLA-A33 restricted A composition for inducing sex cytotoxic T cells is provided. In another embodiment, a method of inducing HLA-All, HLA-A31 or HLA-A33-restricted cytotoxic T cells in a patient with HLA-A11, HLA-A31, and HLA-A3 3, comprising: Array of:
HCVコア 30— 39:IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43:YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44:YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを患者に投与することを含む方 法を提供する。  A method comprising administering to a patient a peptide having an amino acid sequence represented by any of the above:
[0013] さらに別の観点においては、本発明は、以下の配列:  [0013] In yet another aspect, the present invention provides the following sequences:
HCVコア 30— 39:IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43:YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44:YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを含む, HLA— All, HLA— A31,または HLA— A33を有する患者における HLA— All, HLA— A31,または HLA—A33拘束性細胞傷害性 T細胞の誘導を検査するためのキットを提供する。  HLA—All, HLA—A31, or HLA—A33-restricted cytotoxic T cells in patients with HLA—All, HLA—A31, or HLA—A33, comprising a peptide having an amino acid sequence represented by A kit is provided for testing for induction.
[0014] 本明細書において用いる場合, 「HCV関連疾患」とは, C型肝炎ウィルスの感染に よって引き起こされる疾患を意味し,例えば,急性および慢性の肝炎,肝硬変,およ び肝細胞癌が含まれる。 HCV関連疾患の進行は,典型的には,慢性肝炎から肝硬 変への進行,さらに肝硬変力 肝癌への進行である。 [0014] As used herein, "HCV-related disease" means a disease caused by infection with hepatitis C virus, such as acute and chronic hepatitis, cirrhosis, and hepatocellular carcinoma. included. The progression of HCV-related disease is typically from chronic hepatitis to cirrhosis Progression to metastasis, cirrhosis, and progression to liver cancer.
図面の簡単な説明  Brief Description of Drawings
[0015] [図 1]図 1は, HCV感染患者におけるペプチド特異的 IgGの検出を示す。  [0015] FIG. 1 shows the detection of peptide-specific IgG in HCV-infected patients.
[図 2]図 2は, HCVlb患者の PBMCからのペプチド特異的 CTLの誘導を示す。  [Figure 2] Figure 2 shows the induction of peptide-specific CTL from PBMC in HCVlb patients.
[図 3]図 3は,ペプチドを予め負荷した細胞に対するペプチド刺激 PBMCの細胞傷 害活性を示す。  [Fig. 3] Fig. 3 shows the cytotoxic activity of peptide-stimulated PBMC against cells pre-loaded with peptides.
[図 4]図 4は,ペプチドを予め負荷した細胞に対するペプチド刺激 PBMCの細胞傷 害活性を示す。  [FIG. 4] FIG. 4 shows the cytotoxic activity of peptide-stimulated PBMC against cells pre-loaded with peptides.
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0016] 本発明は, HCVに感染した HLA— Al l, HLA— A31,および HLA— A33を有 する患者の治療に用いることができる免疫原性 HCVlb由来ペプチドを提供する。以 下の実施例に示されるように,本発明においては, HCVlb関連疾患を有する HLA -Al l, HLA A31または HL A— A33を有する患者における CTLの認識する抗 原ペプチド (CTLェピトープ)を調べた結果, HCV— lbに広く保存されており,かつ HLA-A11, A31,または A33に結合するモチーフを有するペプチド 48種の中より , 4種の新規候補ペプチドが同定された。 30— 39番に位置するコア一タンパク由来 ペプチド(IVGGVYLLPR (配列番号 1) )は HLA—Al l, A31,および A33陽性患者 末梢血単核球 (PBMC)よりペプチド特異的 CTLを誘導した。一方,コア一タンパク 由来の 35—43ぺプチド(丫し0¾1¾^1?(配列番号2) )ぉょび35—44ぺプチド(丫し03 RRGPRL (配列番号 3) )は HLA— A31および A33陽性患者 PBMCから,非構造タ ンパク NS— 2由来の 918— 926ペプチド(LIRACMLVR (配列番号 4) )は HLA— A1 1および A33陽性患者 PBMCよりペプチド特異的 CTLを誘導した。これらのぺプチ ドに反応性の IgG抗体が HCV— lb感染患者血漿中から検出された。 [0016] The present invention provides an immunogenic HCVlb-derived peptide that can be used for the treatment of patients having HLA-All, HLA-A31, and HLA-A33 infected with HCV. As shown in the following examples, in the present invention, an antigenic peptide (CTL epitope) recognizing CTL in a patient having HLA-All, HLA A31 or HL A-A33 having an HCVlb-related disease is examined. As a result, four new candidate peptides were identified from 48 peptides that are widely conserved in HCV-lb and have motifs that bind to HLA-A11, A31, or A33. A peptide derived from the core protein located at positions 30-39 (IVGGVYLLPR (SEQ ID NO: 1)) induced peptide-specific CTL from peripheral blood mononuclear cells (PBMC) of HLA-All, A31, and A33 positive patients. On the other hand, 35-43 peptides derived from the core protein (sushi 0¾1¾ ^ 1? (SEQ ID NO: 2)) and 35-44 peptides (sushi 0 3 RRGPRL (SEQ ID NO: 3)) are HLA-A31 and 918-926 peptide (LIRACMLVR (SEQ ID NO: 4)) derived from unstructured protein NS-2 induced peptide-specific CTL from HLA-A11 and A33-positive patient PBMC from ABMC positive patient PBMC. IgG antibodies reactive to these peptides were detected in the plasma of HCV-lb infected patients.
[0017] 本発明の C型肝炎ウィルス由来ペプチド (HCVペプチド)は, C型肝炎ウィルス由 来の蛋白質の部分アミノ酸配列を含み,かつ,患者の HLAと適合する HLA結合モ チーフを配列中に含む。このペプチドは, C型肝炎ウィルス感染患者の血中抗体に より認識されることができる。  [0017] The hepatitis C virus-derived peptide (HCV peptide) of the present invention contains a partial amino acid sequence of a protein derived from hepatitis C virus, and an HLA binding motif compatible with the patient's HLA in the sequence. . This peptide can be recognized by blood antibodies from patients infected with hepatitis C virus.
[0018] 好ましくは,本発明に係る C型肝炎ウィルス由来ペプチドは, CTLを誘導することが でき,このようにして誘導された CTLは, HCV感染細胞を標的にしてこの細胞を攻 撃する。 [0018] Preferably, the hepatitis C virus-derived peptide according to the present invention induces CTL. The CTL thus induced can target HCV-infected cells and attack them.
[0019] 本発明のペプチドは,所望の作用効果を奏する程度に上記のアミノ酸配列を有し ていればよく,付加的な配列がさらに含まれていてもよい。当業者であれば,抗原べ プチドとして所望の作用効果を奏するためには,その N末端側および C末端側にそ れぞれどの程度の配列の付加が許容されるかを当然に理解することができる。したが つて,例えば,本発明にかかるペプチドの N末端側および Zまたは C末端側に,免疫 感作を促進するのに有用なアミノ酸配列や,製剤化を容易にするアミノ酸配列や,融 合蛋白質としてペプチドを発現させるのに便利なアミノ酸配列や,ペプチドの製造お よび精製に便利なアミノ酸配列などが付加されていてもよい。また,本発明にかかる ペプチドは,抗体との結合の特異性が失われない限り,化学的に修飾されていてもよ く,ポリマーや糖鎖が付加されていてもよい。  [0019] The peptide of the present invention only needs to have the amino acid sequence described above to the extent that a desired effect can be obtained, and may further include an additional sequence. A person skilled in the art naturally understands how much sequence addition is allowed on both the N-terminal side and the C-terminal side in order to achieve the desired action and effect as an antigen peptide. Can do. Therefore, for example, an amino acid sequence useful for promoting immunization, an amino acid sequence that facilitates formulation, or a fusion protein on the N-terminal side and Z or C-terminal side of the peptide according to the present invention. As an amino acid sequence convenient for expressing a peptide, an amino acid sequence convenient for peptide production and purification, etc. may be added. Moreover, the peptide according to the present invention may be chemically modified, or a polymer or sugar chain may be added, as long as the specificity of binding to the antibody is not lost.
[0020] 本発明に係る HCVペプチドは,通常の化学的合成法,タンパク分子の酵素的分 解法, 目的のアミノ酸配列をコードする塩基配列を発現するように形質転換した宿主 を用いる遺伝子組換え技術などにより製造することができる。  [0020] The HCV peptide according to the present invention is a gene recombination technique using a normal chemical synthesis method, an enzymatic decomposition method of a protein molecule, or a host transformed to express a base sequence encoding the target amino acid sequence. Etc. can be manufactured.
[0021] 目的とするペプチドをィ匕学的合成法で製造する場合には,通常のペプチド化学に おいてそれ自体公知の慣用されている手法によって製造することができ,例えば,ぺ プチド合成機を使用して,固相合成法により合成することができる。このようにして得 られた粗ペプチドは,タンパク質ィ匕学において通常使用されている精製方法,例え ば,塩析法,限外ろ過法,逆相クロマトグラフィー法,イオン交換クロマトグラフィー法 ,ァフィユティークロマトグラフィー法などによって精製することができる。  [0021] When the target peptide is produced by a chemical synthesis method, it can be produced by a conventional method known per se in ordinary peptide chemistry, for example, a peptide synthesizer. Can be synthesized by a solid phase synthesis method. The crude peptide thus obtained can be purified by purification methods commonly used in protein chemistry, such as salting out, ultrafiltration, reverse phase chromatography, ion exchange chromatography, It can be purified by tea chromatography.
[0022] 一方,所望のペプチドを遺伝子組換え技術で生産する場合には,例えば,合成ま たはクローニングした目的のアミノ酸配列をコードする DNA断片を適当な発現べクタ 一に組込み,この発現ベクターを用いて微生物や動物細胞を形質転換して,得られ た形質転換体を培養することによって,所望のペプチドを得ることができる。使用でき る発現ベクターとしては,当該技術分野において公知であるプラスミド,ウィルスべク ターなどを用いることができる。  [0022] On the other hand, when a desired peptide is produced by gene recombination technology, for example, a synthetic or cloned DNA fragment encoding the target amino acid sequence is incorporated into an appropriate expression vector, and this expression vector is used. The desired peptide can be obtained by transforming microorganisms or animal cells using, and culturing the resulting transformant. As expression vectors that can be used, plasmids, virus vectors, and the like known in the art can be used.
[0023] このペプチド生産技術における発現ベクターを用いた宿主細胞の形質転換方法と しては,それ自体公知の方法,例えば,塩化カルシウム法,リン酸カルシウム共沈殿 法, DEAEデキストラン法,リポフエクチン法,エレクト口ポレーシヨン法などが使用で き,使用する宿主細胞に基づいて適宜選択するのがよい。得られたペプチドの精製 は,培養した培地から回収した細胞抽出液もしくは培養上清から上記精製法により行 うことができる。 [0023] A method for transforming a host cell using an expression vector in this peptide production technique; For example, a method known per se, such as calcium chloride method, calcium phosphate coprecipitation method, DEAE dextran method, lipofectin method, electopore position method, etc. can be used, and it should be selected as appropriate based on the host cell to be used. Good. The obtained peptide can be purified from the cell extract or culture supernatant collected from the cultured medium by the purification method described above.
[0024] 本発明のペプチドは, HCV関連疾患を有する患者を治療するための医薬組成物 ,すなわちペプチドワクチンとして有用である。 C型肝炎ウィルス由来ペプチドからな るワクチンは,上記のようにして製造したペプチドを,医薬的に許容される補助剤およ び Zまたは担体と適宜混合することにより調製する。補助剤としては,免疫応答を強 化し得るアジュバント,例えばフロイントの不完全アジュバント,水酸化アルミニウムゲ ルなどを使用することができる。また,担体としては,例えば,リン酸緩衝生理食塩水( PBS) ,蒸留水などの希釈剤,生理食塩水などを使用することができる。  [0024] The peptide of the present invention is useful as a pharmaceutical composition for treating a patient having an HCV-related disease, that is, as a peptide vaccine. A vaccine consisting of a hepatitis C virus-derived peptide is prepared by mixing the peptide produced as described above with a pharmaceutically acceptable adjuvant and Z or a carrier as appropriate. Adjuvants that can enhance the immune response, such as Freund's incomplete adjuvant, aluminum hydroxide gel, can be used. As the carrier, for example, a diluent such as phosphate buffered saline (PBS) or distilled water, physiological saline, or the like can be used.
[0025] ペプチドワクチンは,その使用形態に応じて,例えば,経口または静脈投与や皮下 投与など経皮経路で投与することができる。その剤形としては,例えば,錠剤,顆粒 剤,ソフトカプセル剤,ハードカプセル剤,液剤,油剤,乳化剤などが挙げられる。か 力る医薬組成物の投与量は,投与する患者の症状などにより,適宜変動し得るが, 一般的には,成人に対して 1日当たり,ペプチド量として 0. l— 10mgが好ましく,投 与間隔としては数日ないし数ケ月に 1回投与することが好ましい。また,ペプチドワク チンとインターフェロンとを併用してもょ 、。  [0025] The peptide vaccine can be administered by a transdermal route such as oral or intravenous administration or subcutaneous administration, depending on the form of use. Examples of the dosage form include tablets, granules, soft capsules, hard capsules, liquids, oils, and emulsifiers. The dosage of such a pharmaceutical composition may vary depending on the symptoms of the patient to whom it is administered, but in general, 0.1 to 10 mg of peptide per day is preferable for adults. The interval is preferably administered once every few days to several months. You can also use peptide vaccine and interferon together.
[0026] 好ましい態様においては,投与される C型肝炎ウィルス由来ペプチドは,患者の血 液中に存在する抗 HCV抗体のペプチド反応性もしくは CTLの存在に基づ 、て選択 される。更に好ましくは抗 HCV抗体のペプチド反応性と CTLの両方の存在に基づ いて選択される。ここで, 「抗 HCV抗体のペプチド反応性」とは,投与すべきペプチド のいずれかが,患者の血液中に存在する抗 HCV抗体により認識されることをいう。そ れぞれの患者における抗 HCV抗体のペプチド反応性を検査して,各人に適するぺ プチドのみを投与する,いわゆるテーラーメイド型の投与により,より高い治療効果を 期待することができる。癌ペプチドワクチン臨床試験における経験により,テーラーメ イド型投与により二次免疫の賦活が速やかに誘導されるため,より安全により良い臨 床効果が発現することが立証されている(Mine et al., Clin. Can. Res. 929-937, 2004)。 [0026] In a preferred embodiment, the hepatitis C virus-derived peptide to be administered is selected based on the peptide reactivity of anti-HCV antibodies present in the patient's blood or the presence of CTL. More preferably, the selection is based on the peptide reactivity of the anti-HCV antibody and the presence of CTL. Here, “peptide reactivity of anti-HCV antibody” means that any of the peptides to be administered is recognized by the anti-HCV antibody present in the blood of the patient. Higher therapeutic effects can be expected by examining the peptide reactivity of anti-HCV antibodies in each patient and administering only the appropriate peptides for each patient, so-called tailor-made administration. Experience in cancer peptide vaccine clinical trials promptly induces secondary immunity activation by tailor-made administration, so it is safer and better. It has been demonstrated that the floor effect appears (Mine et al., Clin. Can. Res. 929-937, 2004).
[0027] HCV関連疾患の治療効果の確認は, HCV関連疾患に罹患している被験者の血 中抗体価,すなわちペプチドに対する反応性を有する抗体の血中濃度を, ELISA 等の慣用の方法によりモニターすることによって行うことができる。また, HCV RNA の量を RT— PCR等の慣用の方法により測定することにより,ウィルス量をモニターす ることがでさる。  [0027] The therapeutic effect of HCV-related diseases can be confirmed by monitoring the blood antibody titers of subjects suffering from HCV-related diseases, that is, the blood concentration of antibodies reactive to peptides, by conventional methods such as ELISA. Can be done. In addition, the amount of virus can be monitored by measuring the amount of HCV RNA by conventional methods such as RT-PCR.
[0028] 本発明のペプチドはまた, HCV関連疾患を有する患者を診断し,あるいは疾患の 進行を予測するための組成物としても有用である。本発明のペプチドを用いて,当該 技術分野においてよく知られる抗原抗体反応を用いて,被験者の血液中の抗体価を 測定することができる。例えば,典型的な ELISA法を用いる場合には,以下のように して測定を行うことができる。抗原であるペプチドを 96ゥエルなどの慣用の ELISAプ レートに結合させ,非特異的吸着を防止するためにプレートを適宜ブロッキングする 。次に被験者の血液力も調製した血清を適宜希釈してプレートの各ゥエルに加えて, 所定時間反応する。プレートを洗浄して未結合成分を除去した後,ヒト抗体と結合しう る抗体 (例えばゥサギ抗ヒト抗体)を加える。 IgGを検出することが望まれる場合には, γ鎖特異的抗ヒ HgGを用いることができる。所定時間反応した後,プレートを洗浄し ,検出可能なように標識した抗体 (例えば抗ゥサギ IgG)を加える。標識は,酵素,蛍 光色素,化学発光物質,ピオチン,放射線ィ匕合物等を用いて,当業者によく知られる 方法により行うことができる。プレートを所定時間反応した後,適当な基質を加えて基 質の減少もしくは生成物の増加を測定するか,または蛍光,発光,放射活性を測定 することにより,標識を検出する。このようにして,被験者の血清における特定のぺプ チドに対する抗体の量を測定することができる。さらに,抗体の量をモニターすること により, HCV関連疾患の進行の予測を行うことができる。  [0028] The peptide of the present invention is also useful as a composition for diagnosing a patient having an HCV-related disease or predicting the progression of the disease. Using the peptide of the present invention, the antibody titer in the blood of a subject can be measured using an antigen-antibody reaction well known in the art. For example, when using a typical ELISA method, the measurement can be performed as follows. The antigen peptide is bound to a conventional ELISA plate such as 96well, and the plate is appropriately blocked to prevent nonspecific adsorption. Next, dilute the prepared blood serum of the subject appropriately and add it to each well of the plate, and react for a predetermined time. After washing the plate to remove unbound components, add antibodies that can bind to human antibodies (eg, rabbit anti-human antibodies). If it is desired to detect IgG, γ chain specific anti-HgG can be used. After reacting for a specified time, the plate is washed and detectably labeled antibody (eg anti-rabbit IgG) is added. Labeling can be performed by methods well known to those skilled in the art using enzymes, fluorescent dyes, chemiluminescent substances, piotin, radiation compounds and the like. After reacting the plate for a specified time, the label is detected by adding an appropriate substrate and measuring the decrease in substrate or increase in product, or by measuring fluorescence, luminescence, or radioactivity. In this way, the amount of antibody against a specific peptide in the serum of the subject can be measured. In addition, the progression of HCV-related disease can be predicted by monitoring the amount of antibody.
[0029] このような抗原抗体反応により抗体を検出する方法のうち,感度の高い方法の 1つ として xMAP技術がある。これは, Luminex社が開発した蛍光マイクロビーズアレイシ ステムによるフローメトリー測定法であり,ペプチドを結合させたマイクロビーズと血清 とを接触させ,次に,蛍光標識二次抗体を結合させて,フローメトリーにより蛍光強度 を測定する。 [0029] Among such methods for detecting antibodies by antigen-antibody reaction, xMAP technology is one of highly sensitive methods. This is a flowmetry measurement method developed by Luminex using a fluorescent microbead array system. Microbeads to which peptides are bound are brought into contact with serum, and then a fluorescently labeled secondary antibody is bound to the flow. Fluorescence intensity by measurement Measure.
[0030] また,病院の検査室などで抗体価を測定する場合には,免疫クロマト法を用いるこ とができる。この方法は,試験紙上に抗原 (または抗体)を線状に分布させた部分を 作っておき,検体中の抗体と着色粒子で標識された抗原との複合体が試験紙上を移 動する際に,抗原 (または抗体)に集中的に捕捉されることで現れる色付きのラインの 有無によって定性分析を行う方法である。この方法を用いれば,簡便な設備で短時 間(20〜30分以内)に結果を得ることができる。  [0030] In addition, when the antibody titer is measured in a hospital laboratory or the like, an immunochromatography method can be used. In this method, a portion in which the antigen (or antibody) is linearly distributed is made on the test paper, and the complex of the antibody in the sample and the antigen labeled with the colored particles moves on the test paper. Qualitative analysis is based on the presence or absence of colored lines that appear by intensive capture by antigens (or antibodies). Using this method, results can be obtained in a short time (within 20 to 30 minutes) with simple equipment.
[0031] 本明細書において明示的に引用される全ての特許および参考文献の内容は全て 本明細書の一部としてここに引用する。また,本出願が有する優先権主張の基礎とな る出願である日本特許出願特 2005-310203号の明細書および図面に記載の内容は 全て本明細書の一部としてここに引用する。  [0031] The contents of all patents and references explicitly cited herein are hereby incorporated by reference as part of the present specification. In addition, all the contents described in the specification and drawings of Japanese Patent Application No. 2005-310203, which is the application on which the priority of the present application is based, are cited herein as part of this specification.
実施例  Example
[0032] 以下に本発明を実施例によりさらに詳細に説明する。ただし,これらの実施例は本 発明をより具体的に説明するために例示的に示したものであり,本発明は実施例に より限定されるものではない。  Hereinafter, the present invention will be described in more detail with reference to examples. However, these examples are given for illustrative purposes only, and the present invention is not limited to the examples.
[0033] 被験者  [0033] Subject
HLA— A3スーパータイプを有する HCVlb感染患者および健康なドナーを被験 者とした。これらの被験者は, HLA— Al l, HLA-A31,および HLA— A33のい ずれかの HLAタイプを有しており,いずれも HIVには感染していなかった。末梢血 単核細胞(PBMC)を得るためには, 20mlの末梢血を採取し,フイコールーコンレー 密度勾配遠心分離により PBMCを調製した。すべてのサンプルは実験に用いるまで 低温保存した。 HCVlb患者の PBMCにおける HLA— Al l, HLA—A31,および HLA— A33分子の発現は,以下の抗体を用いてフローサイトメトリーにより測定した :抗 HLA— Al lモノクローナル抗体(mAb) (Cat # 0284HA; One Lambda Inc . , Canoga, CA) ,抗 HLA— A31mAb (Cat # 0273HA;One Lambda) ,およ び抗 HLA— A33mAb (Cat # 0612HA;One Lambda)。  Subjects were HCVlb-infected patients with HLA—A3 supertype and healthy donors. These subjects had one of the HLA types HLA-All, HLA-A31, and HLA-A33, and none of them was infected with HIV. Peripheral blood To obtain mononuclear cells (PBMCs), 20 ml of peripheral blood was collected and PBMCs were prepared by Ficoll-Conley density gradient centrifugation. All samples were stored cold until used for experiments. Expression of HLA-All, HLA-A31, and HLA-A33 molecules in PBMC of HCVlb patients was measured by flow cytometry using the following antibodies: anti-HLA-All monoclonal antibody (mAb) (Cat # 0284HA One Lambda Inc., Canoga, CA), anti-HLA—A31 mAb (Cat # 0273HA; One Lambda), and anti-HLA—A33 mAb (Cat # 0612HA; One Lambda).
[0034] 細胞株 [0034] Cell lines
使用した細胞株, C1R-A11, C1R-A31,および C1R— A33は,それぞれ HL A-A1101, HLA-A3101,および HLA—A3303遺伝子で恒常的にトランスフ ェクトされた C1Rリンパ腫のサブラインである。これらのサブラインにおける HLA— A 11, HLA-A31,および HLA— A33分子の発現は先に報告されている(Takedats u H, et al., Clinical Cancer Research 2004; 10: 1112- 20)。すべての細胞株 は 10%FCSを含む RPMI1640 (Invitrogen)中で維持した。 The cell lines used, C1R-A11, C1R-A31, and C1R—A33 are each HL C1R lymphoma subline constitutively transfected with the A-A1101, HLA-A3101, and HLA-A3303 genes. Expression of HLA-A11, HLA-A31, and HLA-A33 molecules in these sublines has been previously reported (Takedats u H, et al., Clinical Cancer Research 2004; 10: 1112-20). All cell lines were maintained in RPMI 1640 (Invitrogen) containing 10% FCS.
[0035] ペプチド [0035] Peptides
HLA-A11, HLA-A31,および HLA—A33分子の結合モチーフ(Parker KC et al., J Immunol 1994; 152: 163- 75)に基づいて, 47種類の HCV— lb蛋白 質由来ペプチドを用意した。すべてのペプチドは Biologica Co. (Nagoya, Japan )より購入し, 90%以上の純度であった。 HLA— A3スーパータイプに結合する対照 ペプチドとして,インフルエンザ (Flu)ウィルス由来ペプチド(NVKNLYEKVK (配 列番号 5) ) ,ェプスタインバーウィルス (EBV)由来ペプチド(AVFDRKSDAK (配 列番号 6) ) ,チロシナーゼ関連蛋白質 2 (TRP2)由来ペプチド(LLGPGRPYR (配 列番号 7) ) ,および HIV由来ペプチド (RLRDLLLIVTR (配列番号 8) )を用いた。 すべてのペプチドはジメチルスルホキシドで溶解後, 10 g/mlに希釈して用いた。  Based on the binding motifs of HLA-A11, HLA-A31, and HLA-A33 molecules (Parker KC et al., J Immunol 1994; 152: 163-75), 47 types of peptides derived from HCV-lb protein were prepared. . All peptides were purchased from Biologica Co. (Nagoya, Japan) and were more than 90% pure. Control peptides that bind to the HLA-A3 supertype include influenza (Flu) virus-derived peptides (NVKNLYEKVK (SEQ ID NO: 5)), Epstein Barr virus (EBV) -derived peptides (AVFDRKSDAK (SEQ ID NO: 6)), tyrosinase-related peptides Protein 2 (TRP2) -derived peptide (LLGPGRPYR (SEQ ID NO: 7)) and HIV-derived peptide (RLRDLLLIVTR (SEQ ID NO: 8)) were used. All peptides were dissolved in dimethyl sulfoxide and diluted to 10 g / ml.
[0036] 統計学 [0036] Statistics
統計学的分析は,スチューデント t検定を用いて行った。 Pく 0. 05の値を統計学的 に有意とした。  Statistical analysis was performed using Student's t test. A value of P 0.05 was considered statistically significant.
[0037] ペプチド特異的 IgGの枪出 [0037] Extraction of peptide-specific IgG
最初に, HCV— lbに感染した 12名の患者の血清の 1 : 100希釈サンプルを用い て, 48種のペプチドのそれぞれに対して反応性のペプチド特異的 IgGのレベルを測 定した。ペプチド特異的 IgGの血漿レベルは,先に記載された方法にしたがってルミ ネックス(登録商標)法により測定した(Komatsu N. et al., Scand J Clin Lab In vest, 64, 535-546, (2004))。簡単には, 200 Lの血漿(1 : 100希釈)を 25 Lの ペプチド結合カラーコードビーズ(Luminex Corp. (Austin, TX) )とともに 96ゥェ ルフィルタープレート(MABVN1250 ;Millipore Corp. , Bedford, MA)中で, プレート振盪器で室温にて 2時間インキュベートした。 2時間後,プレートを 0. 05% Tween 20— PBSで洗浄し, 100 Lのピオチン化ャギ抗ヒト IgGとともにプレート振 盪器で室温にて 1時間インキュベートした。次に,プレートを洗浄し, 100 Lのストレ プトアビジン— PE (5 μ g/ml)をゥエルにカ卩え,プレート振盪器で室温にて 30分間 インキュベートした。蛍光強度 (FI)をルミネックス (登録商標)により測定し,ペプチド 特異的抗体のレベルを求めた。 15名の健康なドナーの血漿を負対照として用いた。 カットオフ FI値は,健康なドナーの FI値の平均 + 2SDより高い値として決定した。 Initially, the level of peptide-specific IgG reactive to each of the 48 peptides was measured using a 1: 100 diluted sample of sera from 12 patients infected with HCV-lb. Plasma levels of peptide-specific IgG were measured by the Luminex® method according to the method described previously (Komatsu N. et al., Scand J Clin Lab Invest, 64, 535-546, (2004 )). Briefly, 200 L of plasma (1: 100 dilution) is added to a 96 well filter plate (MABVN1250; Millipore Corp., Bedford, MA) with 25 L of peptide-conjugated color-coded beads (Luminex Corp. (Austin, TX)). ) In a plate shaker at room temperature for 2 hours. After 2 hours, the plate was washed with 0.05% Tween 20—PBS and shaken with 100 L of pyotinylated goat anti-human IgG. Incubated for 1 hour at room temperature on a shaker. The plates were then washed and 100 L of streptavidin-PE (5 μg / ml) was placed in the well and incubated at room temperature for 30 minutes on a plate shaker. The fluorescence intensity (FI) was measured with Luminex (registered trademark) to determine the level of peptide-specific antibody. Plasma from 15 healthy donors was used as a negative control. The cut-off FI value was determined as the mean FI value of healthy donors + 2SD.
[0038] その結果, HCVコア 30— 39, 35—43, 35—44,および HCVNS2918— 926ぺ プチドに対して反応性の IgGが, 12名の患者中それぞれ 7, 7, 7,および 9名の血漿 において検出された。これに対し,これらの各ペプチドは, 15名の健康なドナーのい ずれからの血漿にも反応性ではなかった。患者における, HCVコア 30— 39, HCV コア 35— 43, 35-44,および HCVNS2916— 926ペプチドに対して反応性である 平均 IgGのレベルは,それぞれ健康なドナーに比べて統計学的に有意に高力つた( 図 1)。 [0038] As a result, IgG reactive to HCV cores 30-39, 35-43, 35-44, and HCVNS2918-926 peptides were found in 7, 7, 7, and 9 of 12 patients, respectively. Was detected in plasma. In contrast, each of these peptides was not reactive to plasma from any of the 15 healthy donors. Mean IgG levels reactive to HCV core 30-39, HCV core 35-43, 35-44, and HCVNS2916-926 peptides in patients were statistically significant compared to healthy donors, respectively. High strength (Figure 1).
[0039] HCVlbi¾¾患者の PBMCからのペプチド特異的 CTLの誘導  [0039] Induction of peptide-specific CTL from PBMC in HCVlbi¾¾ patients
HCVlb感染患者血中の IgGにより高頻度に認識された上述の 4種類のペプチド が HLA— Al l, HLA-A31,もしくは HLA— A33を有する HCV— lb唐、者の PB MCからペプチド特異的 CTLを誘導しうるか否かを調べた。 PBMCをインビトロで H CV由来ペプチドまたは対照ペプチドで刺激 ·培養し,対応するペプチドをパルスし た C1R—A11, C1R-A31,または C1R—A33細胞に対する反応性を IFN— γ産 生を指標として調べた。  The above four peptides that are frequently recognized by IgG in blood of HCVlb infected patients have HLA—All, HLA-A31, or HLA—A33. Whether or not can be induced. PBMCs were stimulated and cultured in vitro with HCV-derived peptides or control peptides, and the reactivity to C1R-A11, C1R-A31, or C1R-A33 cells pulsed with the corresponding peptides was examined using IFN-γ production as an indicator. It was.
[0040] ペプチド特異的 CTLを検出するためのアツセィは,先に報告されている方法にした カ^、,若干の改変をカ卩えた(Hida N et al, Cancer Immunol Immunother 2002;  [0040] For the detection of peptide-specific CTL, we used the method reported previously, with some modifications (Hida N et al, Cancer Immunol Immunother 2002;
51: 219- 28)。簡単には, PBMC (I X 105細胞 Zゥエル)を U底 96ウェルマイク口 力ノレチヤ一プレート (Nunc, Roskilde, Denmark)で 200 μ 1の培養液中で, 10 μ 1 Zmlの各ペプチドとともにインキュベートした。実験は 4重に行った。培養液は, 45% RPMI1640, 45%AIM— V培地(Gibco— BRL, Gaithersburg, MD) , 10%FC S, lOOU/mlのインターロイキン— 2 (IL— 2) ,および 0. ImM MEM非必須アミ ノ酸溶液 (Gibco— BRL)からなるものであった。 3日ごとに,培養液の半分を除去し ,対応するペプチド(10 μ g/ml)を含む新たな培地に置き換えた。培養第 15日に, 培養細胞の半分を,対応するペプチドでパルスした C1R— Al l , C1R-A31 ,また は C1R— A33細胞で刺激し,残りの半分の細胞は HIVペプチドでパルスした C1R -Al l , C1R-A31 ,または C1R—A33細胞とともに培養した。 18時間のインキュ ペートの後,上清を回収し, ELISAにより IFN— γのレベルを測定した。 51: 219-28). Briefly, PBMC (IX 10 5 cells Z-well) was incubated with 10 μ 1 Zml of each peptide in a 200 μ 1 culture in a U-bottomed 96-well microphone mouth-pressure plate (Nunc, Roskilde, Denmark). did. The experiment was performed in quadruplicate. The cultures are 45% RPMI1640, 45% AIM-V medium (Gibco—BRL, Gaithersburg, MD), 10% FC S, lOUU / ml interleukin-2 (IL-2), and 0. ImM MEM not essential It consisted of an amino acid solution (Gibco-BRL). Every 3 days, half of the culture was removed and replaced with fresh medium containing the corresponding peptide (10 μg / ml). On day 15 of culture, Half of the cultured cells were stimulated with C1R—Al 1, C1R-A31 or C1R—A33 cells pulsed with the corresponding peptide, and the other half were C1R -Al 1, C1R-A31 pulsed with HIV peptide. Or cultured with C1R-A33 cells. After 18 hours of incubation, the supernatant was collected and IFN-γ levels were measured by ELISA.
[0041] 対応するペプチドでパルスした C1R— Al l , C1R-A31 ,または C1R— A33細胞 に応答して,対照群の HIVペプチドでパルスした C1R— Al l , C1R-A31 ,または C 1R— A33細胞と比較して P値が 0. 05より低い場合に,力つ 50pgZmUり多い IF N— yが産生された場合に,ペプチド特異的 CTLの誘導が成功したと判定した。そ の結果, HCVペプチド(コア蛋白質の 30— 39, 35 -43,および非構造蛋白質 2の 918— 926)では,それぞれ, HLA— Al l陽性 HCVlb患者の 3Z7, 0/7,および 2/7, HLA— A31陽性 HCVlb患者の 1Z4, 0/4,および 0Z4, HLA— A33陽 性 HCV— lb患者の 3Z5, 3/5,および 3Z5の PBMCから,対応するペプチドに 反応性の CTLが誘導された(図 2)。  [0041] In response to C1R—Al 1, C1R-A31, or C1R—A33 cells pulsed with the corresponding peptide, C1R—Al 1, C1R-A31, or C 1R—A33 pulsed with a control group of HIV peptides When the P value was lower than 0.05 compared to the cells, if IF N—y was produced, which was more than 50pgZmU, it was judged that the induction of peptide-specific CTL was successful. As a result, HCV peptides (30–39, 35–43 for core protein and 918–926 for nonstructural protein 2) were 3Z7, 0/7, and 2/7, respectively, in HLA—All positive HCVlb patients. , HLA—A31-positive HCVlb patients 1Z4, 0/4, and 0Z4, HLA—A33 positive HCV—lb patients 3Z5, 3/5, and 3Z5 PBMCs induced CTL reactive to the corresponding peptide (Fig. 2).
[0042] HCVコア 35—44ぺプチドが1¾^\ー八2拘束性01しを誘導しぅることは既に知られ ている(Takao Y et al., Microbiol. Immunol, 48(7), 507-517, 2004)。上述の 結果は, HCVコア 35— 43ペプチドが HLA— A3スーパータイプ陽性の HCVlb患 者からも CTLを誘導しうることを示す。  [0042] It is already known that the HCV core 35-44 peptide induces and repels the 1¾ ^ \ 8-2 restriction (Takao Y et al., Microbiol. Immunol, 48 (7), 507). -517, 2004). The above results indicate that the HCV core 35-43 peptide can also induce CTL from HLA-A3 supertype positive HCVlb patients.
[0043] 次に, HCVコア 35—44ぺプチドが111^\ー八3スーパータィプ拘束性01しを誘導 しうるか否かを調べた。 HLA—A2および HLA— A3スーパータイプ陽性の HCVlb 患者の PBMCを,インビトロで HCVコア 35—43および 35—44ペプチドまたは対照 ペプチドで刺激して,対応するペプチドをパルスした T2 (HLA— A2を有する), C1 R-Al l , C1R-A31 , C1R— A33細胞に応答した IFN— γ産生について調べた 。その結果,コア蛋白質 35— 44のペプチドは, HLA— Al l陽性 HCVlb患者(0Ζ 7) , HLA— A31陽性 HCVlb患者(1Z2) ,および HLA— A33陽性 HCV— lb患 者(1Z2)の PBMC力もペプチド反応性 CTLを誘導した(図 2)。陽性対照として, H C Vコァ 35— 43またはコア 35— 44ペプチドは,それぞれ HL A— A2陽性 HCV - 1 b患者 3名中 0名または 3名中 2名においてペプチド特異的 CTLを誘導した (データ 示さず)。 [0044] これらの知見は,
Figure imgf000015_0001
39, 35—43,コア 35— 44,および HCVNS291 8- 926ペプチドが HL A -Al l, HLA A31または HL A— A33を有する HC V— lb患者の PBMCにおいてペプチド特異的 CTLを誘導しうることを示す。
[0043] Next, we investigated whether the HCV core 35-44 peptide could induce 111 ^-8-3 supertype restraint. HLA—A2 and HLA—A3 supertype positive HCVlb patients PBMCs stimulated with HCV core 35-43 and 35-44 peptides or control peptides in vitro and pulsed with the corresponding peptides (having HLA-A2 ), IFN-γ production in response to C1R-All, C1R-A31, C1R—A33 cells was examined. As a result, the peptide of core protein 35-44 also showed PBMC activity in HLA—All positive HCVlb patients (0-7), HLA—A31 positive HCVlb patients (1Z2), and HLA—A33 positive HCV—lb patients (1Z2). Peptide-reactive CTLs were induced (Figure 2). As a positive control, HCV core 35-43 or core 35-44 peptide induced peptide-specific CTL in 0 out of 3 or 2 out of 3 HL A-A2 positive HCV-1b patients, respectively (data shown) ) [0044] These findings
Figure imgf000015_0001
39, 35—43, core 35—44, and HCVNS291 8-926 peptide can induce peptide-specific CTL in PBMC of HC V— lb patients with HL A -All, HLA A31 or HL A—A33 Indicates.
[0045] ペプチド刺激 PBMCの細胞傷害活件  [0045] Peptide-stimulated PBMC cytotoxic activity
ペプチドで刺激した PBMCを,標準的な 6時間の51 Cr—放出アツセィにより,対応 するペプチドまたは HIVペプチドのいずれかで予めパルスした C1R— Al l, C1R- A31,および C1R—A33細胞に対する細胞傷害活性について調べた。ゥエルあたり 2000個の51 Cr標識細胞をエフェクター細胞とともに,所定のエフェクター Z標的細 胞比で 96丸底ゥエルプレートで培養した。特異的51 Cr—放出は,以下の式にしたが つて計算した:(試験群 c. p. m. 自然放出 c. p. m. )。 自然放出はエフェクター細 胞なしでインキュベートした標的細胞の上清により決定した。総放出は, 1% Triton — X(Wako Pure Chemical Industries, Osaka, Japaruとともにインキュベート した標的細胞の上清により決定した。いくつかの実験においては,培養の最初に, 1 0 μ g/mlの抗 HLA—クラス I (W6Z32:マウス IgG2a) ,抗 HLA— DR (L243:マウ ス IgG2a) ,抗 CD4 (NU— THZl :マウス IgGl) ,抗 CD8 (NU— TSZC :マウス Ig G2a) ,または抗 CD14 (H14:マウス IgG2a)モノクローナル抗体をゥエルに加えた。 Cytotoxicity of peptide-stimulated PBMCs against C1R—All, C1R-A31, and C1R-A33 cells pre-pulsed with either the corresponding peptide or HIV peptide by a standard 6 hour 51 Cr-release assay The activity was examined. 2000 51 Cr-labeled cells per well were cultured together with effector cells in a 96 round bottom well plate at the specified effector Z target cell ratio. Specific 51 Cr—release was calculated according to the following formula: (test group cpm spontaneous release cpm). Spontaneous release was determined by the supernatant of target cells incubated without effector cells. Total release was determined by supernatants of target cells incubated with 1% Triton — X (Wako Pure Chemical Industries, Osaka, Japaru. In some experiments, at the beginning of the culture, 10 μg / ml of HLA—class I (W6Z32: mouse IgG2a), anti-HLA—DR (L243: mouse IgG2a), anti-CD4 (NU—THZl: mouse IgGl), anti-CD8 (NU—TSZC: mouse Ig G2a), or anti-CD14 ( H14: Mouse IgG2a) monoclonal antibody was added to the well.
[0046] HCVペプチドで刺激'培養した HLA— A3スーパータイプ陽性の PBMCは,対応 するペプチドを予め負荷した C1R— Al l, C1R-A31,または C1R—A33細胞に 対して細胞傷害活性を示すことができたが, HIVペプチドにつ 、ては示さなかった( 図 3)。  [0046] HLA-A3 supertype-positive PBMC stimulated with HCV peptides should exhibit cytotoxic activity against C1R-All, C1R-A31, or C1R-A33 cells pre-loaded with the corresponding peptide However, HIV peptide was not shown (Fig. 3).
[0047] さらに,各ペプチドでパルスした C1R— Al l, C1R—A31,または C1R—A33細 胞に対する細胞傷害活性は, HLA クラス I (W6/32)または CD8モノクローナル 抗体 (mAb)により阻害されるが,試験した HLA—クラス II (DR— 1)または CD4また は CD14mAbでは阻害されな力つた。このことは,ペプチド特異的細胞傷害活性は 主として CD8+T細胞により HLA クラス I拘束性に発現することを示す(図 4)。  [0047] Furthermore, cytotoxic activity against C1R—All, C1R—A31, or C1R—A33 cells pulsed with each peptide is inhibited by HLA class I (W6 / 32) or CD8 monoclonal antibody (mAb) However, the tested HLA—Class II (DR-1) or CD4 or CD14 mAb was uninhibited. This indicates that peptide-specific cytotoxic activity is expressed mainly by CD8 + T cells in an HLA class I-restricted manner (Fig. 4).
[0048] 以上の結果より,これら 4種のペプチドは HLA— Al l, HLA—A31,または HLA —A33陽性の HCV— lb関連疾患患者に対するペプチド免疫療法に有用であること が示された。 産業上の利用可能性 [0048] The above results indicate that these four peptides are useful for peptide immunotherapy in patients with HLA-All, HLA-A31, or HLA-A33-positive HCV-lb-related diseases. Industrial applicability
本発明のペプチドは HCV関連疾患の治療に有用である。 The peptides of the present invention are useful for the treatment of HCV related diseases.

Claims

請求の範囲 The scope of the claims
[1] c型肝炎ウィルスに対する抗体により認識されるペプチドであって,  [1] A peptide recognized by an antibody against hepatitis c virus,
以下の配列:  The following sequence:
HCVコア 30— 39 : IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43 :YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCV NS2 918- 926 : LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチド。  The peptide which has an amino acid sequence represented by either.
[2] 請求項 1記載のペプチドを有効成分として含有する, HCV関連疾患を治療するため の医薬組成物。 [2] A pharmaceutical composition for treating an HCV-related disease, comprising the peptide according to claim 1 as an active ingredient.
[3] HCV関連疾患を有する患者を治療する方法であって、請求項 1記載のペプチドを 患者に投与することを含む方法。  [3] A method for treating a patient having an HCV-related disease, the method comprising administering the peptide of claim 1 to the patient.
[4] 請求項 1記載のペプチドを含有する, HCV関連疾患を診断する力または HCV関連 疾患の進行を予測するための組成物。 [4] A composition for predicting HCV-related disease progression or HCV-related disease progression, comprising the peptide of claim 1.
[5] 被験者にお!ヽて HCV関連疾患を診断するカゝまたは HCV関連疾患の進行を予測す る方法であって、請求項 1記載のペプチドを用いて前記被験者の血液中の C型肝炎 ウィルスに対する抗体価を測定することを含む方法。 [5] A method for diagnosing HCV-related disease in a subject or a method for predicting the progression of HCV-related disease, wherein hepatitis C in the blood of the subject using the peptide according to claim 1 Measuring the antibody titer against the virus.
[6] 以下の配列: [6] The following sequence:
HCVコア 30— 39 : IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43 :YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44 :YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918- 926 : LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
の!ヽずれかで表されるアミノ酸配列を有するペプチドを有効成分として含有する, H LA-A11, HLA-A31,および HLA—A33を有する患者において HCV関連疾 患を治療するための医薬組成物。  A pharmaceutical composition for treating an HCV-related disease in a patient having HLA-A11, HLA-A31, and HLA-A33, comprising a peptide having an amino acid sequence represented by any of the above as an active ingredient .
[7] HLA-A11, HLA-A31,および HLA—A33を有する患者において HCV関連 疾患を有する患者を治療する方法であって、以下の配列: [7] A method for treating a patient having an HCV-related disease in a patient having HLA-A11, HLA-A31, and HLA-A33, comprising the following sequence:
HCVコア 30— 39 : IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43 :YLLPRRGPR (配列番号 2) HCVコア 35— 44:YLLPRRGPRL (配列番号 3) HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2) HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを患者に投与することを含む方 法。  A method comprising administering to a patient a peptide having an amino acid sequence represented by any of the above.
[8] 以下の配列:  [8] The following sequences:
HCVコア 30— 39:IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43:YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44:YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
の!ヽずれかで表されるアミノ酸配列を有するペプチドを有効成分として含有する, H LA-A11, HLA-A31,および HLA— A33を有する患者において HLA— All, HLA— A31または HLA— A33拘束性細胞傷害性 T細胞を誘導するための組成物  In patients with HLA-A11, HLA-A31, and HLA-A33, which contain a peptide having an amino acid sequence represented by any of the above as an active ingredient, restrained by HLA-All, HLA-A31 or HLA-A33 Composition for inducing sexual cytotoxic T cells
[9] HLA-A11, HLA-A31,および HLA— A33を有する患者において HLA— A1 1, HLA— A31または HLA— A33拘束性細胞傷害性 T細胞を誘導する方法であつ て、以下の配列: [9] A method for inducing HLA-A11, HLA-A31 or HLA-A33-restricted cytotoxic T cells in patients with HLA-A11, HLA-A31, and HLA-A33, wherein:
HCVコア 30— 39:IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43:YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44:YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを患者に投与することを含む方 法。  A method comprising administering to a patient a peptide having an amino acid sequence represented by any of the above.
[10] 以下の配列:  [10] The following sequences:
HCVコア 30— 39:IVGGVYLLPR (配列番号 1)  HCV core 30—39: IVGGVYLLPR (SEQ ID NO: 1)
HCVコア 35— 43:YLLPRRGPR (配列番号 2)  HCV core 35—43: YLLPRRGPR (SEQ ID NO: 2)
HCVコア 35— 44:YLLPRRGPRL (配列番号 3)  HCV core 35—44: YLLPRRGPRL (SEQ ID NO: 3)
HCV NS2 918-926:LIRACMLVR (配列番号 4)  HCV NS2 918-926: LIRACMLVR (SEQ ID NO: 4)
のいずれかで表されるアミノ酸配列を有するペプチドを含む, HLA— All, HLA— A31,または HLA— A33を有する患者における HLA— Al l, HLA— A31,または HLA—A33拘束性細胞傷害性 T細胞の誘導を検査するためのキット。 Including a peptide having an amino acid sequence represented by any of the following: HLA— All, HLA— A kit for examining the induction of HLA-All, HLA-A31, or HLA-A33-restricted cytotoxic T cells in patients with A31, or HLA-A33.
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