WO2009088022A1 - Novel cancer marker, and diagnosis using the same - Google Patents

Novel cancer marker, and diagnosis using the same Download PDF

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Publication number
WO2009088022A1
WO2009088022A1 PCT/JP2009/050088 JP2009050088W WO2009088022A1 WO 2009088022 A1 WO2009088022 A1 WO 2009088022A1 JP 2009050088 W JP2009050088 W JP 2009050088W WO 2009088022 A1 WO2009088022 A1 WO 2009088022A1
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WO
WIPO (PCT)
Prior art keywords
peptide
amino acid
acid sequence
cancer
seq
Prior art date
Application number
PCT/JP2009/050088
Other languages
French (fr)
Japanese (ja)
Inventor
Ikuro Maruyama
Teruto Hashiguchi
Shoji Natsugoe
Kenji Tanaka
Lyang-Ja Lee
Original Assignee
Kagoshima University
Protosera Inc.
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Application filed by Kagoshima University, Protosera Inc. filed Critical Kagoshima University
Priority to JP2009548938A priority Critical patent/JPWO2009088022A1/en
Publication of WO2009088022A1 publication Critical patent/WO2009088022A1/en

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Classifications

    • 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
    • C07K14/745Blood coagulation or fibrinolysis factors
    • C07K14/75Fibrinogen
    • 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
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/435Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
    • G01N2333/745Assays involving non-enzymic blood coagulation factors
    • G01N2333/75Fibrin; Fibrinogen
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/435Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
    • G01N2333/745Assays involving non-enzymic blood coagulation factors
    • G01N2333/755Factors VIII, e.g. factor VIII C [AHF], factor VIII Ag [VWF]

Definitions

  • the present invention relates to a novel diagnostic marker for various cancers including pancreatic cancer, and a diagnostic method for the disease using the same.
  • Pancreatic cancer has the lowest 5-year survival rate among common solid cancers, with approximately 20,000 and 30,000 deaths each year in Japan and the United States due to pancreatic cancer. Early detection is essential because pancreatic cancer is characterized by massive local invasion and early metastasis to the liver and lymph nodes, and surgical resection is the only credible cure. However, as often described as "silent organs", except for obstructive jaundice, the clinical symptoms of pancreatic cancer often do not become noticeable until the stage progresses, and the pancreas is located in the back of the abdomen Therefore, it is difficult to find pancreatic cancer with simple and inexpensive inspection means such as echo. As a result, only 20-40% of pancreatic cancer patients are surgically indicated. Therefore, development of a new test method that is inexpensive, simple, highly sensitive, and highly specific that enables early detection of pancreatic cancer is eagerly desired.
  • Non-Patent Document 1 analyzed a plasma sample of a pancreatic cancer patient using SELDI-TOFMS technology, and found four mass peaks (m / z7668,766) with significantly different peak intensities compared to healthy individuals. , 17,272, 28,080, 14,779) have been identified and reported as pancreatic cancer markers. However, it is unclear what protein these mass peaks originate from.
  • the fibrin monomer produced by cutting out FPA and FPB plays a main role in blood coagulation by polymerizing and insolubilizing.
  • the existence of a C-terminal fragment of fibrin ⁇ (positions 496-629 of the fibrinogen A ⁇ chain precursor polypeptide) has been reported, but its physiological significance has not been elucidated at all.
  • Apolipoprotein E is known as a causative gene for familial type III hyperlipidemia (E2) and a risk factor for Alzheimer's disease (E4).
  • E2 familial type III hyperlipidemia
  • E4 a risk factor for Alzheimer's disease
  • the relationship between apoE or its fragments and pancreatic cancer Is not reported at all.
  • An object of the present invention is to provide a novel diagnostic marker for pancreatic cancer and an effective diagnostic method for cancer using the same.
  • the present inventors examined serum collected from various cancer patients by mass spectrometry, and as a result, in pancreatic cancer patients, there was a marked increase compared to healthy individuals and cancer patients in other organs. Peptides having molecular weights of about 1616, about 2410 and about 2930 were found. As a result of analyzing the amino acid sequence, these peptides were found to be a peptide in which the Ser residue at position 3 of FPA was phosphorylated, a peptide consisting of a partial amino acid sequence at positions 170-192 of the apoE protein, and one of the fibrin ⁇ chain C-terminal fragment.
  • the present invention [1] In the subject, the amount of one or more peptides selected from the peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 in a biological sample collected from the subject is measured. Testing method for diagnosis of pancreatic cancer; [2] The method according to [1] above, wherein the peptide consisting of the amino acid sequence represented by SEQ ID NO: 1 is phosphorylated.
  • the method according to [5] The method according to any one of [1] to [4] above, comprising subjecting the biological sample to mass spectrometry; [6]
  • One or more antibodies selected from the group of antibodies specifically recognizing each peptide consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 are used.
  • pancreatic cancer can be determined quickly and accurately, so that early detection and early treatment of the disease are possible.
  • cancers in other organs can be diagnosed by appropriately combining the marker peptides of the present invention.
  • the present invention provides three new and useful diagnostic marker peptides for pancreatic cancer (hereinafter, the three peptides may be collectively referred to as “the peptide of the present invention”).
  • the first peptide of the present invention (also referred to as “peptide 1”) consists of the amino acid sequence shown in SEQ ID NO: 1.
  • the amino acid sequence corresponds to a fragment from the N-terminal Ala residue to the 16th Arg residue of the mature fibrinogen A ⁇ chain.
  • Peptide 1 is characterized in that the third Ser residue in the amino acid sequence is phosphorylated.
  • fibrinopeptide A FPA is produced by cleaving between the 16th Arg residue and the 17th Gly residue from the N-terminus of fibrinogen A ⁇ chain by thrombin.
  • Non-patent Document 2 the serum level of the peptide significantly decreases in the serum of prostate cancer, bladder cancer and breast cancer patients.
  • peptide 1 which is a phosphorylated FPA exhibits a very high value in the serum of pancreatic cancer patients, as opposed to the above cancer.
  • the serum level of peptide 1 is not as prominent as in pancreatic cancer patients, it is significantly increased in lung cancer, hematopoietic tumors, and gallbladder / bile duct cancer patients as compared with healthy individuals.
  • this peptide has a significantly lower serum level in prostate cancer and breast cancer patients than in healthy individuals, as well as endometrial cancer, colorectal cancer, esophagus. It is also significantly reduced in patients with cancer, cervical cancer and gastric cancer. Therefore, peptide 1 can also be used as a diagnostic marker for these cancers.
  • the second peptide of the present invention (also referred to as “peptide 2”) consists of the amino acid sequence shown in SEQ ID NO: 2.
  • the amino acid sequence corresponds to a fragment from the 170th Ala residue to the 192nd Leu residue from the N-terminus of apolipoprotein E (apoE).
  • the serum level of peptide 2 is significantly higher not only in patients with pancreatic cancer but also in patients with gallbladder / bile duct cancer as compared with cancer patients in healthy subjects and other organs.
  • peptide 2 can also be used as a diagnostic marker for these cancers.
  • the third peptide of the present invention (also referred to as “peptide 3”) consists of the amino acid sequence shown in SEQ ID NO: 3.
  • the amino acid sequence corresponds to a fragment from the 571th Ser residue to the 601st Tyr residue from the N-terminus of the fibrinogen A ⁇ chain precursor polypeptide.
  • Serum levels of peptide 3 are not as prominent as in pancreatic cancer patients, but cervical cancer, colorectal cancer, ovarian cancer, esophageal cancer, gallbladder / bile duct cancer, prostate cancer, endometrial cancer, stomach cancer, breast cancer and lung cancer In patients, it is significantly reduced compared to healthy individuals. Therefore, peptide 3 can also be used as a diagnostic marker for these cancers.
  • peptides 1 and 3 are fibrinogen A ⁇ chain fragments (degradation products), and peptide 2 is an apoE protein fragment. Therefore, the patient to be tested has a polymorphism or substitution comprising one or more amino acid substitutions, deletions, insertions or additions or combinations thereof within the partial amino acid sequence corresponding to these peptides of fibrinogen A ⁇ or apoE protein.
  • the amino acid sequence of the peptide to be detected should be understood as “the amino acid sequence having the polymorphism or allelic mutation in each of the amino acid sequences shown in SEQ ID NOs: 1, 2, and 3.” It will be obvious to those skilled in the art.
  • the invention also provides a test for the diagnosis of pancreatic cancer in a patient by measuring the amount of one or more peptides of the invention in a biological sample from a patient suspected of suffering from pancreatic cancer.
  • test for diagnosis means measurement of the amount of the peptide and, if necessary, comparison with the measured value in a control sample.
  • the “patient suspected of having pancreatic cancer” may be subjectively suspected by the patient or based on some objective basis, but is preferably publicly known As a result of clinical examinations and / or examinations, patients who have been judged by a doctor to have a reasonable possibility of those diseases, or humans with an equivalent condition.
  • the peptide of the present invention is an intraepithelial cancer that is positioned at stage 0, which is the earliest of all six stages of disease classification (UICC, 1997). Even (Tis) is detected with a significant difference from that of a healthy person, and by adopting a periodic diagnosis using the peptide of the present invention as an index, there is a possibility that it can contribute to early detection and early treatment of pancreatic cancer.
  • the patient-derived biological sample to be the test sample is not particularly limited, but is preferably one that is less invasive to the patient, for example, blood, plasma, serum, saliva, urine, tears that can be easily collected from the living body And those collected relatively easily such as cerebrospinal fluid, bone marrow fluid, pleural effusion, ascites, joint fluid, aqueous humor, and vitreous humor.
  • serum or plasma it can be prepared by collecting blood from a patient according to a conventional method and separating the liquid component.
  • the peptide of the present invention as a detection target can be separated and removed in advance using a spin column or the like, if necessary, such as a high molecular weight protein fraction.
  • the detection of the peptide of the present invention in a biological sample can be performed, for example, by measuring various molecular weights of the biological sample, for example, gel electrophoresis or various separation and purification methods (eg, ion exchange chromatography, hydrophobic chromatography, affinity).
  • various separation and purification methods eg, ion exchange chromatography, hydrophobic chromatography, affinity.
  • ionization methods eg, electron impact ionization, field desorption, secondary ionization, fast atom bombardment, matrix-assisted laser desorption ionization (MALDI), electrospray ionization Etc.
  • mass spectrometers eg double-focusing mass spectrometer, quadrupole analyzer, time-of-flight mass spectrometer, Fourier transform mass spectrometer, ion cyclotron mass spectrometer, etc.
  • Detect bands, spots or peaks that match the molecular weight of the peptide Can be performed by the, not limited thereto.
  • the amino acid sequence of the peptide of the present invention is known, a method of preparing an antibody that recognizes the amino acid sequence and detecting the peptide by Western blotting or various immunoassays can be used more preferably. Furthermore, the hybrid detection method of the above method is also effective.
  • Peptides 1, 2 and 3 of the present invention have molecular weights (calculated values) of 1615.65, 2409.69 and 2930.28, respectively, but it goes without saying that the actual values may vary slightly depending on the measurement method / measurement equipment used. Absent. For example, in the case of a method using a mass spectrometer, it is preferable to measure the peak intensity appearing at the position of the calculated value ⁇ 0.5% (preferably ⁇ 0.3%, more preferably ⁇ 0.1%).
  • One of the particularly preferable measurement methods in the inspection method of the present invention is that a test sample is brought into contact with the surface of a plate used for time-of-flight mass spectrometry, and the mass of a component captured on the plate surface is measured using a time-of-flight mass spectrometer.
  • the method of measuring by is mentioned.
  • the plate that can be adapted to the time-of-flight mass spectrometer may be any plate as long as it has a surface structure that can efficiently adsorb the peptide of the present invention to be detected.
  • Such surface structures include, for example, functionalized glass, Si, Ge, GaAs, GaP, SiO 2 , SiN 4 , modified silicon, a wide range of gels or polymers (eg (poly) tetrafluoroethylene, (poly And vinylidene difluoride, polystyrene, polycarbonate, or combinations thereof).
  • functionalized glass Si, Ge, GaAs, GaP, SiO 2 , SiN 4
  • modified silicon eg (poly) tetrafluoroethylene, (poly And vinylidene difluoride, polystyrene, polycarbonate, or combinations thereof).
  • Examples of surface structures having a plurality of monomer or polymer sequences include, for example, linear and cyclic polymers of nucleic acids, polysaccharides, lipids, peptides having ⁇ -, ⁇ - or ⁇ -amino acids, gel surfaces used in chromatography Carriers (anionic / cationic compounds, hydrophobic compounds composed of carbon chains 1-18, hydrophilic compounds (eg, carriers cross-linked with silica, nitrocellulose, cellulose acetate, agarose, etc.), artificial homopolymers) (For example, polyurethane, polyester, polycarbonate, polyurea, polyamide, polyethyleneimine, polyarylene sulfide, polysiloxane, polyimide, polyacetate, etc.) Any known drug or natural compound is bound to any of the above compounds (covalent and non-covalent bonds). ) Coated with heteropolymer etc. Packaging and the like.
  • the support used as a plate for mass spectrometry is a substrate coated with a thin layer of polyvinylidene difluoride (PVDF), nitrocellulose or silica gel, particularly preferably PVDF [usually a plate for mass spectrometry
  • PVDF polyvinylidene difluoride
  • insulators glass, ceramics, plastics, resins, etc.
  • metals aluminum, stainless steel, etc.
  • conductive polymers composites thereof, etc.
  • an aluminum plate is preferably used, refer to WO 2004/031759.
  • the shape of the support can be appropriately devised into a shape suitable for the sample analyzer, in particular, the sample introduction port, but is not limited thereto.
  • a blot chip registered trademark
  • Protocera is preferably used as such a plate for mass spectrometry coated with a thin layer with PVDF.
  • the coating refers to a thin layer formed by depositing on a support in a state where coating molecules are dispersed, instead of overlaying a pre-formed structure like a membrane on the support.
  • the manner in which the coating molecules are deposited is not particularly limited, but means exemplified in a method for preparing a plate for mass spectrometry described later is preferably used.
  • the thickness of the thin layer can be appropriately selected within a range that does not adversely affect the transfer efficiency of the molecules contained in the tissue or cells and the measurement sensitivity of mass spectrometry, etc., for example, about 0.001 to about 100 ⁇ m, Preferably, it is about 0.01 to about 30 ⁇ m.
  • the plate for mass spectrometry (support) can be prepared by a method known per se, for example, the above preferred mass spectrometry plate is prepared by thinly coating the surface of the support with a coating molecule such as PVDF.
  • the Preferred examples of the coating means include application, spraying, vapor deposition, dipping, printing (printing), and sputtering.
  • the coating molecule is dissolved in an appropriate solvent, for example, an organic solvent such as dimethyl formamide (DMF) at an appropriate concentration (for example, about 1 to about 100 mg / mL) ( The coating molecule-containing solution) can be applied to the substrate using a suitable tool such as a brush.
  • an appropriate solvent for example, an organic solvent such as dimethyl formamide (DMF) at an appropriate concentration (for example, about 1 to about 100 mg / mL)
  • DMF dimethyl formamide
  • the coating molecule-containing solution can be applied to the substrate using a suitable tool such as a brush.
  • the coating molecule-containing solution prepared in the same manner as described above may be put in a sprayer and sprayed so that PVDF is uniformly deposited on the substrate.
  • the coating molecule (which may be solid or solution) is heated and vaporized in a vacuum tank containing the substrate using a normal vacuum deposition apparatus for producing an organic thin film. A thin layer of molecules can be formed.
  • immersion the substrate may be immersed in a coating molecule-containing solution prepared in the same manner as described above.
  • various printing techniques that can be normally used depending on the material of the substrate can be appropriately selected and used. For example, screen printing or the like is preferably used.
  • sputtering for example, a DC high voltage is applied between the substrate and the coating molecule while introducing an inert gas (eg, Ar gas) in a vacuum, and the ionized gas is caused to collide with the molecule.
  • an inert gas eg, Ar gas
  • the repelled coating molecules can be deposited on the substrate to form a thin layer.
  • the coating may be applied to the entire surface of the substrate, or may be applied only to the surface (fraction) subjected to mass spectrometry.
  • the coating molecule can be used in a suitable form depending on the coating means.
  • the coating molecule can be applied to the substrate in the form of a coating molecule-containing solution, a coating molecule-containing vapor, a solid coating molecule, etc. It is preferable to apply in the form. “Apply” refers to bringing a coating molecule into contact with the support so that the coating molecules remain and deposit on the support after contact.
  • the amount of application is not particularly limited, and examples of the coating molecular weight include about 10 to about 100,000 ⁇ g / cm 2 , preferably about 50 to about 5,000 ⁇ g / cm 2 . After the application, the solvent is removed by natural drying, vacuum drying or the like.
  • the surface of the substrate in the mass spectrometry plate may be modified (processed) in advance by an appropriate physical or chemical technique before coating with a coating molecule. Specifically, techniques such as polishing the plate surface, scratching, acid treatment, alkali treatment, glass treatment (tetramethoxysilane, etc.) are exemplified.
  • Transfer of the test sample to the mass spectrometric plate (support) can be performed by leaving the patient-derived biological sample as the test sample untreated or after removing and concentrating the high molecular weight protein using an antibody column or other method.
  • -It is performed by subjecting to polyacrylamide gel electrophoresis or isoelectric focusing, and transferring (blotting) the gel after contact with the plate.
  • a known transfer device can be used.
  • the transfer method itself is known.
  • electrotransfer is used.
  • the sample developed on the gel after the electrophoresis is transferred to the plate for mass spectrometry by various methods (diffusion, electric force, etc.).
  • As a buffer used for electrotransfer it is preferable to use a buffer having a pH of 7 to 9 and a low salt concentration.
  • Tris buffer Tris buffer, phosphate buffer, borate buffer, and acetate buffer.
  • the buffer include sodium borate-hydrochloric acid buffer, tris-borate / EDTA, borate / ACN, and the like.
  • the acetate buffer include tris-acetate / EDTA. Preferred are tris / glycine / methanol buffer and sodium borate-hydrochloric acid buffer.
  • compositions of the tris / glycine / methanol buffer include Tris 10-15 ⁇ mM, glycine 70-120 ⁇ mM, and methanol 7-13%.
  • An example of the composition of the sodium borate-hydrochloric acid buffer is about 5 to 20 mM sodium borate.
  • the molecules present in the test sample including the target molecules are efficiently captured on the surface of the support.
  • a reagent called matrix is added to absorb the laser light and promote ionization of analyte molecules through energy transfer, which is advantageous for later mass spectrometry (when using MALDI method) You can also.
  • the matrix those known in mass spectrometry can be used.
  • IAA indoleacrylic acid
  • DVB 2,5-dihydroxybenzoic acid
  • CHCA ⁇ -cyano-4-hydroxycinammic acid
  • it is DHB or CHCA.
  • the presence and amount of the peptide of the present invention can be identified from the information on the molecular weight by mass spectrometry of molecules in the test sample captured on the support surface by the above method.
  • the mass spectrometer measures the molecular weight of a substance by ionizing a gaseous sample and then putting the molecule or molecular fragment into an electromagnetic field, separating it by mass number / charge number from its movement, and obtaining the spectrum of the substance.
  • -It is a device to detect.
  • MALDI Matrix-assisted laser deionization
  • a sample and a matrix that absorbs laser light are mixed, dried and crystallized, and ionized analytes are brought into vacuum by ionization by energy transfer from the matrix and instantaneous heating by laser irradiation.
  • MALDI-TOFMS method which uses time-of-flight mass spectrometry (TOFMS), which analyzes the mass number based on the time-of-flight difference of sample molecular ions by initial acceleration.
  • TOFMS time-of-flight mass spectrometry
  • the presence or absence and the amount of the target molecule in the test sample can be identified based on the molecular weight information of the target molecule.
  • information from the mass spectrometer as differential information by comparing it with mass spectrometry data in a biological sample derived from a healthy person using an arbitrary program. It will be appreciated that such programs are well known and those skilled in the art can easily construct or modify such programs using known information processing techniques.
  • each of the above steps is performed using a blot chip manufactured by Protocera as a plate for mass spectrometry, and the peptides of the present invention are quantitatively compared (differential analysis) using a MALDI mass spectrometer. Furthermore, if necessary, the peptides remaining on the same chip can be identified. Alternatively, up to quantitative comparison (differential analysis) of test samples is performed using a blot chip system manufactured by Protocera, and the peptide is identified by a combination device (LC-MS / LC / MS / MS). MS).
  • the measurement of the peptide of the present invention in the test method of the present invention can also be performed using an antibody against it.
  • an optimized immunoassay system is constructed and a kit is made, the peptide can be detected with high sensitivity and high accuracy without using a special device such as the mass spectrometer. It is particularly useful in that it can.
  • the antibody against the peptide of the present invention can be prepared, for example, by isolating and purifying the peptide of the present invention from a biological sample derived from a patient expressing the peptide and immunizing an animal using the peptide as an antigen.
  • the peptide is partially digested with peptidase or the like, the amino acid sequence of the obtained fragment is determined by the Edman method or the like, and the nucleic acid encoding the peptide based on the sequence
  • a hybridizable oligonucleotide is synthesized and a cDNA library derived from the patient is used as a template to obtain a cDNA encoding a protein containing the peptide, or a cDNA derived from the patient is used as a primer.
  • the peptide of the present invention can be prepared in large quantities by collecting the recombinant peptide. You can.
  • the peptide of the present invention can be obtained by using a cell-free transcription / translation system using the cDNA obtained as described above as a template. Further, it can be prepared in a large amount by an organic synthesis method.
  • the peptides 1, 2 and 3 of the present invention are peptides consisting of the amino acid sequences shown in SEQ ID NOs: 1, 2 and 3, respectively. Therefore, the antibody against the peptide of the present invention can be synthesized, for example, by synthesizing all or part of the amino acid sequence using a known peptide synthesis method based on the amino acid sequence information, or by fibrinogen A ⁇ isolated by a conventional method. It is desirable to cleave the chain or apoE protein with an appropriate peptidase or the like to obtain a peptide fragment containing all or part of the sequence of the peptide of the present invention, and prepare this as an immunogen.
  • the antibody against the marker peptide of the present invention may be either a polyclonal antibody or a monoclonal antibody, and can be prepared by a known immunological technique.
  • the antibody includes not only a complete antibody molecule but also a fragment thereof, and examples thereof include Fab, F (ab ′) 2, ScFv, and minibody.
  • the polyclonal antibody is cross-linked to a carrier protein such as bovine serum albumin or KLH (Keyhole Limpet Hemocyanin) prepared by any of the above methods or other methods, or a partial peptide thereof.
  • a carrier protein such as bovine serum albumin or KLH (Keyhole Limpet Hemocyanin) prepared by any of the above methods or other methods, or a partial peptide thereof.
  • the antibody titer of the collected serum is measured by a known antigen-antibody reaction, and the increase is confirmed), and it can be obtained by collecting the whole blood about 3 to about 10 days after the final immunization and purifying the antiserum.
  • animals to which the antigen is administered include mammals such as rats, mice, rabbits, goats, guinea pigs, and hamsters
  • Monoclonal antibodies can be obtained by cell fusion methods (for example, Takeshi Watanabe, Principles of Cell Fusion Methods and Production of Monoclonal Antibodies, Akira Taniuchi, Toshitada Takahashi, “Monoclonal Antibodies and Cancer: Basic and Clinical”, 2-14). Page, Science Forum Publishing, 1985).
  • the peptide of the present invention or a partial peptide thereof is administered to a mouse subcutaneously or intraperitoneally 2-4 times together with a commercially available adjuvant, and the spleen or lymph node is collected about 3 days after the final administration, and white blood cells are collected.
  • the leukocytes and myeloma cells are cell-fused to obtain a hybridoma that produces a monoclonal antibody against the peptide.
  • the cell fusion may be PEG method [J. Immunol. Methods, 81 (2): 223-228 (1985)] or voltage pulse method [Hybridoma, 7 (6): 627-633 (1988)].
  • a hybridoma producing a desired monoclonal antibody can be selected by detecting an antibody that specifically binds to an antigen from the culture supernatant using a known EIA or RIA method or the like.
  • the culture of the hybridoma producing the monoclonal antibody can be performed in vitro or in vivo such as mouse or rat, or preferably mouse ascites, and the antibody can be obtained from the culture supernatant of the hybridoma and the ascites of the animal, respectively. .
  • non-phosphorylated FPA and fragments thereof may also be present in the test sample. These peptide groups do not show significant variation in pancreatic cancer, but any of these may be significantly higher in other diseases. If the antibody against peptide 1 of the present invention has cross-reactivity with one or more other N-terminal fragments of fibrinogen A ⁇ chain, the possibility of misdiagnosing other diseases as pancreatic cancer (false positive) is increased. Therefore, the antibody against peptide 1 of the present invention used in the test method of the present invention is preferably a highly specific antibody that does not cross-react with the N-terminal fragment of fibrinogen A ⁇ chain other than the peptide.
  • Such an antibody can be obtained by reacting a plurality of monoclonal antibodies obtained as described above with the other fragments and selecting an antibody that does not cross-react with them.
  • peptide 1 of the present invention is phosphorylated FPA, it is desirable that an antibody against peptide 1 is capable of specifically recognizing the phosphorylated site.
  • the test method of the present invention using the antibody of the present invention is not particularly limited, and the amount of antibody, antigen or antibody-antigen complex corresponding to the amount of antigen in the test sample is determined by chemical or physical means. Any measurement method may be used as long as it is a measurement method that is detected and calculated from a standard curve prepared using a standard solution containing a known amount of antigen. For example, nephrometry, competition method, immunometric method and sandwich method are preferably used.
  • a labeling agent used in a measurement method using a labeling substance for example, a radioisotope, an enzyme, a fluorescent substance, a luminescent substance, or the like is used.
  • the radioisotope for example, [ 125 I], [ 131 I], [ 3 H], [ 14 C] and the like are used.
  • the enzyme is preferably stable and has a large specific activity.
  • ⁇ -galactosidase, ⁇ -glucosidase, alkaline phosphatase, peroxidase, malate dehydrogenase and the like are used.
  • the fluorescent substance for example, fluorescamine, fluorescein isothiocyanate and the like are used.
  • luminescent substance for example, luminol, luminol derivatives, luciferin, lucigenin and the like are used.
  • a biotin-avidin system can also be used for binding of an antibody or antigen and a labeling agent.
  • the carrier include insoluble polysaccharides such as agarose, dextran, and cellulose, synthetic resins such as polystyrene, polyacrylamide, and silicon, or glass.
  • a test sample is reacted with an insolubilized antibody of the present invention (primary reaction), and another labeled antibody of the present invention is reacted (secondary reaction), followed by a labeling agent on an insolubilized carrier.
  • primary reaction an insolubilized antibody of the present invention
  • secondary reaction another labeled antibody of the present invention
  • a labeling agent on an insolubilized carrier By measuring the amount (activity), the amount of the peptide of the present invention in the test sample can be quantified.
  • the primary reaction and the secondary reaction may be performed in the reverse order, or may be performed simultaneously or at different times.
  • the monoclonal antibody against the polypeptide of the present invention can also be used in measurement systems other than the sandwich method, such as a competitive method, an immunometric method, or nephrometry.
  • a competitive method the antigen in the test sample and the labeled antigen are reacted competitively with the antibody, and then the unreacted labeled antigen (F) and the labeled antigen (B) bound to the antibody are separated ( B / F separation), measure the amount of labeled B or F, and quantify the amount of antigen in the test sample.
  • a soluble antibody is used as an antibody
  • a B / F separation is performed using polyethylene glycol
  • a liquid phase method using a second antibody against the antibody and a solid-phased antibody is used as the first antibody, or
  • the first antibody is soluble
  • the second antibody is a solid phase method using a solid phase antibody.
  • the antigen of the test sample and the immobilized antigen are competitively reacted with a certain amount of labeled antibody, and then the solid phase and the liquid phase are separated, or the antigen and excess in the test sample are separated.
  • the solid phase antigen is added, and then the solid phase antigen is added to bind the unreacted labeled antibody to the solid phase, and then the solid phase and the liquid phase are separated.
  • the amount of label in any phase is measured to quantify the amount of antigen in the test sample.
  • the amount of insoluble precipitate produced as a result of the antigen-antibody reaction in a gel or solution is measured. Laser nephrometry using laser scattering is preferably used even when the amount of antigen in the test sample is small and only a small amount of precipitate is obtained.
  • peptides of the present invention are composed of proteolytic products, various molecules such as undegraded proteins and similar peptides with a common cleavage site may affect the measured value in the usual “sandwich ELISA system”. Therefore, in the first step, a biological sample is immunoaffinity purified with an antibody, the fraction bound to the antibody is subjected to mass spectrometry in the second step, and so-called immunomass spectrometry, in which identification and quantification are performed based on a precise molecular weight. (For example, see Rapid Commun. Mass Spectrom. 2007, 21: 352-358).
  • a biomarker peak is not observed even if the sample is directly measured with a MALDI mass spectrometer.
  • undegraded protein is also a similar peptide. Is completely separated by a mass spectrometer, and can be quantified with high specificity and sensitivity based on the exact molecular weight of the biomarker.
  • the antibody is immobilized on the surface of a probe that can be adapted to a mass spectrometer as described above, and a test sample is applied to the antibody on the probe.
  • a test sample is applied to the antibody on the probe. Examples include a method of detecting a peak corresponding to the molecular weight of a marker peptide recognized by the antibody by subjecting the biological sample component captured by the antibody to mass spectrometry.
  • the level of peptide 1 in a sample derived from a subject measured by any of the above methods is about 2 times or more, preferably about 5 times or more than the level of peptide 1 in a control sample from a healthy person
  • the subject can be diagnosed as having a high possibility of having pancreatic cancer.
  • the value is statistically significantly higher than the peptide level in the control sample.
  • it can be diagnosed that the subject is likely to have pancreatic cancer.
  • the level of peptide 1 in a sample derived from a subject is statistically significantly higher than the level of peptide 1 in a control sample derived from a healthy subject, Can be diagnosed as having a high possibility of having lung cancer, hematopoietic tumor or gallbladder / bile duct cancer in addition to pancreatic cancer.
  • the level of peptide 1 in a sample from a subject is statistically significantly lower than the level of peptide 1 in a control sample from a healthy person, the subject is prostate cancer, It can be diagnosed that there is a high possibility of having breast cancer, endometrial cancer, colorectal cancer, esophageal cancer, cervical cancer or stomach cancer.
  • the level of peptide 2 in a sample derived from a subject measured by any of the above methods is about 2 times or more, preferably about 5 times or more than the level of peptide 2 in a control sample from a healthy person
  • the subject can be diagnosed as having a high possibility of having pancreatic cancer or gallbladder / bile duct cancer.
  • the value was statistically significantly higher than the peptide level in the control sample.
  • pancreatic cancer can be differentiated from gallbladder / bile duct cancer by combining peptide 1 and / or peptide 3 as a marker.
  • the level of peptide 2 in the sample derived from the subject is statistically significantly higher than the level of peptide 2 in the control sample derived from the healthy subject, Can be diagnosed as having a high possibility of having ovarian cancer, esophageal cancer or hematopoietic tumor in addition to pancreatic cancer and gallbladder / bile duct cancer.
  • the subject can be diagnosed as having a high probability of having pancreatic cancer.
  • the level of peptide 3 in the sample derived from the subject is statistically significantly lower than the level of peptide 3 in the control sample derived from the healthy subject, the subject is diagnosed with cervical cancer. It can be diagnosed that there is a high possibility of suffering from colon / rectal cancer, ovarian cancer, esophageal cancer, gallbladder / bile duct cancer, prostate cancer, endometrial cancer, stomach cancer, breast cancer or lung cancer.
  • the test method of the present invention is preferably carried out by collecting biological samples from patients in time series and examining the time course of the expression of the peptide of the present invention in each sample.
  • the collection interval of the biological sample is not particularly limited, but it is desirable to sample as frequently as possible within a range that does not impair the patient's QOL.
  • plasma or serum is used as a sample, blood is collected at intervals of about 1 minute to about 12 hours It is preferable to carry out.
  • peptides 1 and 3 tend to increase in serum level as the stage of pancreatic cancer progresses, at least in stage 0-II of the disease classification.
  • Peptide 2 shows a markedly high value at stage 0, and maintains a significantly high value as compared with healthy individuals even when the stage progresses. Therefore, when the level of the peptide of the present invention decreases with time, it can be determined that there is a high possibility that the pathological condition of pancreatic cancer in the patient is improved.
  • the method for examining pancreatic cancer based on the above time-series sampling is such that when a treatment measure for the disease is taken for a patient who is a subject between the previous sampling and the current sampling, treatment by the measure is performed. It can be used to evaluate the effect. That is, for a sample sampled before and after treatment, when it is determined that the condition after treatment is improved compared to the condition before treatment, it can be evaluated that the treatment is effective. On the other hand, when it is determined that the condition after treatment is not improved or further deteriorated as compared with the condition before treatment, it can be evaluated that the treatment has no effect.
  • the peptide of the present invention can also provide an active drug discovery target for pancreatic cancer in addition to diagnosis. That is, when the peptide itself has a physiological function in the direction of treatment (remission) of the disease (referred to as “therapeutic peptide”), by administering to the patient a substance that increases the amount or activity of the peptide, When the peptide itself has physiological functions in the direction of exacerbation of the disease (referred to as “exacerbation peptide”), the disease can be treated by administering a substance that reduces the amount or activity of the peptide.
  • therapeutic peptide a physiological function in the direction of treatment (remission) of the disease
  • exacerbation peptide the disease can be treated by administering a substance that reduces the amount or activity of the peptide.
  • the invention also increases the amount or activity of the peptide when the peptide of the invention acts as a therapeutic peptide, and / or the amount or amount of the peptide when the peptide of the invention acts as an exacerbation peptide.
  • Methods of treating pancreatic cancer by reducing activity are provided.
  • the therapeutic method specifically comprises an effective amount of a substance that increases the amount or activity of the peptide of the present invention as a therapeutic peptide and / or a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide, Administration to patients with pancreatic cancer.
  • the present invention also includes a substance that increases the amount or activity of the peptide of the present invention as a therapeutic peptide and / or a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide.
  • a therapeutic agent examples include the peptide itself or a molecule having an agonistic action similar thereto.
  • a non-neutralizing antibody, preferably an agonist antibody, of the peptide can also be mentioned.
  • examples of the substance that reduces the activity of the peptide of the present invention as an exacerbation peptide include a molecule having an antagonistic action of the peptide, or a neutralizing antibody against the peptide.
  • the substance that increases the production of the peptide of the present invention as a therapeutic peptide includes a degrading enzyme that releases the peptide from a parent protein (fibrinogen, apoE) existing in the living body, the N-terminal side of the peptide and / or C Further comprising an amino acid sequence that is recognized and cleaved by the decomposing enzyme on the terminal side, a substrate or a substrate analog molecule of the decomposing enzyme, a molecule (including an analogous compound) that promotes the production of the decomposing enzyme, Examples include molecules that promote, molecules that suppress the production of inhibitors of the degrading enzyme, and the like.
  • a substrate or substrate analog molecule of a decomposing enzyme thus identified that is, a peptide molecule further comprising an amino acid sequence recognized and cleaved by the decomposing enzyme on the N-terminal side and / or C-terminal side of the peptide, Since it is cleaved by the degrading enzyme in the body to release the peptide of the present invention or its analog molecule as a therapeutic peptide, the same therapeutic effect can be obtained.
  • substances that promote the production and / or activity of the identified degrading enzymes can also indirectly increase the production of the peptides of the invention as therapeutic peptides. If the target degrading enzyme is identified, these substances can be screened or molecularly designed by a method known per se.
  • the substance that reduces the production of the peptide of the present invention as an exacerbation peptide includes a molecule that suppresses the production of a degrading enzyme that liberates the peptide from a protein present in the living body, an inhibitor of the decomposing enzyme, and the production of the inhibitor And molecules that promote
  • the degrading enzyme that liberates the peptide of the present invention as an exacerbation peptide can be searched and identified by the same method as the peptide of the present invention as the therapeutic peptide.
  • a substance that suppresses (inhibits) the production or activity of the degrading enzyme directly or indirectly can be screened or molecularly designed by a method known per se.
  • compositions for oral administration include solid or liquid dosage forms, specifically tablets (including dragees and film-coated tablets), pills, granules, powders, capsules (including soft capsules). Syrup, emulsion, suspension and the like.
  • Such a composition is produced by a method known per se, and contains a carrier, diluent or excipient usually used in the pharmaceutical field.
  • lactose, starch, sucrose, magnesium stearate and the like are used as carriers and excipients for tablets.
  • a composition for parenteral administration for example, injections, suppositories and the like are used, and injections are intravenous injections, subcutaneous injections, intradermal injections, intramuscular injections, intravenous injections, intraarticular injections. Includes dosage forms such as agents.
  • Such an injection is prepared according to a method known per se, for example, by dissolving, suspending or emulsifying the above compound or a salt thereof in a sterile aqueous or oily liquid usually used for injection.
  • aqueous solution for injection for example, isotonic solutions containing physiological saline, glucose and other adjuvants are used, and suitable solubilizers such as alcohol (eg, ethanol), polyalcohol (eg, Propylene glycol, polyethylene glycol), nonionic surfactants (eg, polysorbate 80, HCO-50 (polyoxyethylene (50 mol) adduct of hydrogenated castor oil)) and the like may be used in combination.
  • alcohol eg, ethanol
  • polyalcohol eg, Propylene glycol, polyethylene glycol
  • nonionic surfactants eg, polysorbate 80, HCO-50 (polyoxyethylene (50 mol) adduct of hydrogenated castor oil)
  • oily liquid for example, sesame oil, soybean oil and the like are used, and benzyl benzoate, benzyl alcohol and the like may be used in combination as a solubilizing agent.
  • the prepared injection solution is usually filled in a suitable amp
  • compositions are conveniently prepared in dosage unit form to suit the dosage of the active ingredient.
  • dosage form of such a dosage unit include tablets, pills, capsules, injections (ampoules), suppositories, etc., and usually 5 to 500 mg, particularly 5 to 100 mg for injections, Other dosage forms preferably contain 10 to 250 mg of the above compound.
  • Each of the above-described compositions may be mixed with a substance that increases the amount or activity of the peptide of the present invention as the therapeutic peptide or a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide.
  • Other active ingredients may be contained as long as the action is not caused.
  • the preparation thus obtained is safe and has low toxicity, it can be administered, for example, orally or parenterally to humans.
  • a substance that increases the amount or activity of the peptide of the present invention as a therapeutic peptide and a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide are determined by its action, administration route, patient severity, although there are differences depending on age, body weight, drug acceptability, etc., for example, the amount of active ingredient per day for an adult is about 0.0008 to about 25 mg / kg, preferably about 0.008 to about 2 mg / kg, This can be administered once or in several divided doses.
  • Example 1 Profiling analysis using BlotChip 1.5 ⁇ L of serum of various cancer patients and healthy subject serum were mixed with 4.5 ⁇ L of sample treatment solution for electrophoresis (NuPAGE (registered trademark) LDS Sample Buffer 4x; Invitrogen) for 10 minutes at 70 ° C. After heat treatment, it was applied to a 4-12% gradient polyacrylamide gel (Invitorogen) and subjected to electrophoresis. After the completion of electrophoresis, the gel was cut out, layered on BLOTCHIP (registered trademark) (Protosera, Inc.), and transferred in an electric transfer buffer (BLOTBuffer TM ; Protosera, Inc.) at 90 mA for 120 minutes.
  • BLOTCHIP registered trademark
  • BLOTBuffer TM Electric transfer buffer
  • Example 2 Identification of peptides by de novo MS / MS analysis on BlotChip
  • matrix-assisted laser desorption ionization Using time-of-flight (MALDI-TOF) mass spectrometer (Ultra-FlexII by Bruker Daltonics), Bradykinin, AngiotensinII, AngiotensinI, SubstanceP, Bombesin, Renin Substrate, ACTH Clip ⁇ 1-17 ⁇ , ACTH Clip ⁇ 18 -39 ⁇ , mass calibration was performed using Somatostatin.
  • MALDI-TOF time-of-flight
  • peptides 1 to 3 were identified as peptides each having the amino acid sequence shown in SEQ ID NOs: 1 to 3, respectively.
  • peptide 1 was phosphorylated from FPA which is a thrombin degradation product of fibrinogen
  • peptide 2 was a fragment corresponding to positions 170-192 of apoE protein
  • peptide 3 was 571 of fibrinogen
  • a ⁇ chain precursor polypeptide -It became clear that it was a fragment corresponding to position 601.
  • the clinical test method using the novel diagnostic marker for pancreatic cancer according to the present invention is useful in that pancreatic cancer can be determined quickly and accurately, so that early detection and early treatment of the disease are possible.
  • the peptide of the present invention as a measurement target in the present invention can itself be a drug discovery target in these diseases, it can be used for screening for novel therapeutic agents for pancreatic cancer and for treating the diseases using them. This is extremely useful.
  • This application is based on Japanese Patent Application No. 2008-000776 filed in Japan, the contents of which are incorporated in full herein.

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Abstract

Disclosed is a test method for diagnosing pancreatic cancer in a subject, which is characterized by measuring the quantity of at least one peptide selected from the group consisting of peptides comprising the amino acid sequences depicted in SEQ ID NOs:1, 2 and 3, respectively, in a biological sample (preferably a body fluid, more preferably a serum, a plasma or the like) collected from the subject (preferably by mass spectrometry or by using an antibody capable of specifically recognizing the peptide).

Description

新規癌マーカーおよびそれを用いた診断Novel cancer marker and diagnosis using it
 本発明は、膵臓癌をはじめとする各種癌の新規診断マーカー、並びにそれを利用した当該疾患の診断方法等に関する。 The present invention relates to a novel diagnostic marker for various cancers including pancreatic cancer, and a diagnostic method for the disease using the same.
 膵臓癌は一般的な固形癌の中では5年生存率が最も低く、日本および米国でそれぞれ年間約2万人および約3万人が膵臓癌により死亡している。膵臓癌は大規模な局所浸潤と肝臓やリンパ節への早期転移を特徴とし、外科的切除が唯一頼りになる根治療法であるため、早期発見が不可欠である。しかしながら、「沈黙の臓器」としばしば形容されるように、閉塞性黄疸を除けば、膵臓癌の臨床症状はステージが進行するまで顕著とならない場合が多く、また、膵臓は腹部の奥に位置するため、エコーなどの簡便で安価な検査手段では膵臓癌を発見することは難しい。その結果、手術適応の膵臓癌患者は全体の20-40%程度にすぎない。
 したがって、膵臓癌を早期発見を可能とする、安価・簡便かつ高感度・高特異性の新規検査手法の開発が切望されている。
Pancreatic cancer has the lowest 5-year survival rate among common solid cancers, with approximately 20,000 and 30,000 deaths each year in Japan and the United States due to pancreatic cancer. Early detection is essential because pancreatic cancer is characterized by massive local invasion and early metastasis to the liver and lymph nodes, and surgical resection is the only credible cure. However, as often described as "silent organs", except for obstructive jaundice, the clinical symptoms of pancreatic cancer often do not become noticeable until the stage progresses, and the pancreas is located in the back of the abdomen Therefore, it is difficult to find pancreatic cancer with simple and inexpensive inspection means such as echo. As a result, only 20-40% of pancreatic cancer patients are surgically indicated.
Therefore, development of a new test method that is inexpensive, simple, highly sensitive, and highly specific that enables early detection of pancreatic cancer is eagerly desired.
 生体内のタンパク質発現を網羅的に解析するプロテオミクス研究の進展に伴い、プロテオミクスを利用した新規バイオマーカーの探索が精力的に行われている。例えば、Hondaら(非特許文献1)は、膵臓癌患者の血漿サンプルをSELDI-TOFMS技術を用いて分析し、健常者と比較してピーク強度が有意に異なる4つの質量ピーク(m/z 8,766、17,272、28,080、14,779)を同定し、膵臓癌マーカーとして報告している。しかし、これらの質量ピークがいかなるタンパク質に由来するかについては不明である。 With the progress of proteomics research that comprehensively analyzes protein expression in vivo, search for new biomarkers using proteomics has been energetically performed. For example, Honda et al. (Non-Patent Document 1) analyzed a plasma sample of a pancreatic cancer patient using SELDI-TOFMS technology, and found four mass peaks (m / z7668,766) with significantly different peak intensities compared to healthy individuals. , 17,272, 28,080, 14,779) have been identified and reported as pancreatic cancer markers. However, it is unclear what protein these mass peaks originate from.
 トロンビンがフィブリノーゲンに働くときには、まずAα鎖のN末端から16番目のArgと17番目のGlyの間を加水分解し、フィブリノペプチドA(FPA)を切りだす。次にBβ鎖のN末端から14番目のArgと15番目のGlyの間を切ってフィブリノペプチドB(FPB)を切りだす。これらの切り出されたフィブリノペプチドの機能はよく判っていない。最近、質量分析を用いて、いくつかの癌患者の血清中の蛋白質分解産物パターンが調べられ、FPAもしくはそのフラグメントが、前立腺癌、膀胱癌、乳癌で変動することが報告されている(非特許文献2)。しかしながら、FPAもしくはそのフラグメントと膵臓癌との関連については何ら報告されていない。 When thrombin acts on fibrinogen, it first hydrolyzes between the 16th Arg and the 17th Gly from the N-terminus of the Aα chain to cut out fibrinopeptide A (FPA). Next, fibrinopeptide B (FPB) is cut out by cutting between the 14th Arg and 15th Gly from the N-terminus of the Bβ chain. The function of these excised fibrinopeptides is not well understood. Recently, mass spectrometry was used to examine proteolytic product patterns in the serum of several cancer patients, and FPA or fragments thereof have been reported to vary in prostate cancer, bladder cancer, and breast cancer (non-patented) Reference 2). However, there is no report on the association between FPA or a fragment thereof and pancreatic cancer.
 一方、FPAおよびFPBが切り出されて生じるフィブリンモノマーは、重合して不溶化することで血液凝固における主たる役割を果たしている。フィブリンαのC末端フラグメント(フィブリノーゲンAα鎖前駆体ポリペプチドの496-629位)の存在が報告されてはいるが、その生理学的意義などは全く解明されていない。 On the other hand, the fibrin monomer produced by cutting out FPA and FPB plays a main role in blood coagulation by polymerizing and insolubilizing. The existence of a C-terminal fragment of fibrin α (positions 496-629 of the fibrinogen Aα chain precursor polypeptide) has been reported, but its physiological significance has not been elucidated at all.
 アポリポタンパク質E(apoE)は、家族性III型高脂血症の原因遺伝子(E2)やアルツハイマー病のリスクファクター(E4)等として知られているが、apoEもしくはそのフラグメントと膵臓癌との関連については何ら報告されていない。
ホンダ(Honda)ら, 「キャンサー・リサーチ(Cancer Res.)」, 第65巻(第22号), pp. 10613-10622(2005年) ヴィラヌエヴァ(Villanueva)ら, 「ザ・ジャーナル・オヴ・クリニカル・インヴェスティゲーション(The Journal of Clinical Investigation)」, 第116巻(第1号), pp. 271-284(2006年)
Apolipoprotein E (apoE) is known as a causative gene for familial type III hyperlipidemia (E2) and a risk factor for Alzheimer's disease (E4). The relationship between apoE or its fragments and pancreatic cancer Is not reported at all.
Honda et al., "Cancer Res.", Volume 65 (No. 22), pp. 10613-10622 (2005) Villanueva et al., "The Journal of Clinical Investigation", Volume 116 (No. 1), pp. 271-284 (2006)
 本発明の目的は、膵臓癌の新規診断マーカー、並びにそれを利用した癌の有効な診断方法を提供することである。 An object of the present invention is to provide a novel diagnostic marker for pancreatic cancer and an effective diagnostic method for cancer using the same.
 本発明者らは、上記の目的を達成すべく、各種癌患者から採取した血清を質量分析により調べた結果、膵臓癌患者において、健常者および他の臓器における癌患者と比較して顕著に上昇している分子量約1616、約2410および約2930のペプチドを見出した。アミノ酸配列を分析した結果、これらのペプチドはそれぞれFPAの3位のSer残基がリン酸化したペプチド、apoEタンパク質の170-192位の部分アミノ酸配列からなるペプチド、およびフィブリンα鎖C末端フラグメントの一部(フィブリノーゲンAα鎖前駆体ポリペプチドの571-601位に相当する)のアミノ酸配列からなるペプチドであることが判明した。また、膵臓癌患者について、組織型ごとにこれらのペプチドのピーク強度を測定・比較した結果、最も早期に位置づけられる上皮内癌でも、これらのペプチドは健常者と有意差をもって検出され、フィブリノーゲン由来の2つのペプチドは、病理組織学的な微小浸潤については画像検査(MRI、CT等)で診断不可能とされる病気分類のII期においてより明瞭に高値を示した。
 本発明者らは、これらの知見に基づいて、該ペプチドを膵臓癌の早期診断マーカーとして同定し、本発明を完成するに至った。
In order to achieve the above object, the present inventors examined serum collected from various cancer patients by mass spectrometry, and as a result, in pancreatic cancer patients, there was a marked increase compared to healthy individuals and cancer patients in other organs. Peptides having molecular weights of about 1616, about 2410 and about 2930 were found. As a result of analyzing the amino acid sequence, these peptides were found to be a peptide in which the Ser residue at position 3 of FPA was phosphorylated, a peptide consisting of a partial amino acid sequence at positions 170-192 of the apoE protein, and one of the fibrin α chain C-terminal fragment. It was found to be a peptide consisting of the amino acid sequence of the part (corresponding to positions 571-601 of the fibrinogen Aα chain precursor polypeptide). Moreover, as a result of measuring and comparing the peak intensities of these peptides for each tissue type for pancreatic cancer patients, these peptides were detected with a significant difference from those in healthy subjects even in the earliest cancer in the epithelium, and derived from fibrinogen The two peptides showed higher levels of histopathological microinvasion more clearly in stage II of the disease classification that could not be diagnosed by imaging (MRI, CT, etc.).
Based on these findings, the present inventors have identified the peptide as an early diagnostic marker for pancreatic cancer, and have completed the present invention.
 すなわち、本発明は、
[1]被験者より採取した生体試料中の、配列番号1、2および3に示される各アミノ酸配列からなるペプチド群より選ばれる1以上のペプチドの量を測定することを特徴とする、該被験者における膵臓癌の診断のための検査方法;
[2]配列番号1に示されるアミノ酸配列からなるペプチドがリン酸化されている、上記[1]記載の方法;
[3]生体試料が体液である、上記[1]または[2]記載の方法;
[4]体液が血液、血漿、血清、唾液、尿、髄液、骨髄液、胸水、腹水、関節液、涙液、眼房水、硝子体液およびリンパ液からなる群より選択される、上記[3]記載の方法;
[5]生体試料を質量分析にかけることを含む、上記[1]~[4]のいずれかに記載の方法;
[6]配列番号1、2および3に示される各アミノ酸配列からなる各ペプチドを特異的に認識する抗体群より選ばれる1以上の抗体を用いることを特徴とする、上記[1]~[4]のいずれかに記載の方法;
[7]患者から時系列で生体試料を採取し、該試料における、配列番号1、2および3に示される各アミノ酸配列からなるペプチド群より選ばれる1以上のペプチドの量の経時変化を調べることを特徴とする、上記[1]~[6]のいずれかに記載の方法;
[8]膵臓癌患者における治療効果の評価方法であって、治療が施される前後に該患者から採取した生体試料における、配列番号1、2および3に示される各アミノ酸配列からなるペプチド群より選ばれる1以上のペプチドの量の変化を調べることを特徴とする方法;
[9]配列番号1に示されるアミノ酸配列からなるペプチドがリン酸化されている、上記[8]記載の方法;
[10]配列番号2に示されるアミノ酸配列からなるペプチド;および
[11]配列番号3に示されるアミノ酸配列からなるペプチド;
などを提供する。
That is, the present invention
[1] In the subject, the amount of one or more peptides selected from the peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 in a biological sample collected from the subject is measured. Testing method for diagnosis of pancreatic cancer;
[2] The method according to [1] above, wherein the peptide consisting of the amino acid sequence represented by SEQ ID NO: 1 is phosphorylated.
[3] The method according to [1] or [2] above, wherein the biological sample is a body fluid;
[4] The body fluid is selected from the group consisting of blood, plasma, serum, saliva, urine, spinal fluid, bone marrow fluid, pleural effusion, ascites, joint fluid, tear fluid, aqueous humor, vitreous humor and lymph fluid [3] ] The method according to
[5] The method according to any one of [1] to [4] above, comprising subjecting the biological sample to mass spectrometry;
[6] One or more antibodies selected from the group of antibodies specifically recognizing each peptide consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 are used. ] The method in any one of
[7] Collecting a biological sample from a patient in time series, and examining the temporal change in the amount of one or more peptides selected from the peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 in the sample The method according to any one of [1] to [6] above, characterized by:
[8] A method for evaluating a therapeutic effect in a patient with pancreatic cancer, comprising a peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 in a biological sample collected from the patient before and after the treatment. Examining a change in the amount of one or more selected peptides;
[9] The method according to [8] above, wherein the peptide consisting of the amino acid sequence represented by SEQ ID NO: 1 is phosphorylated.
[10] a peptide consisting of the amino acid sequence shown in SEQ ID NO: 2; and [11] a peptide consisting of the amino acid sequence shown in SEQ ID NO: 3;
Etc.
 本発明によれば、膵臓癌を迅速・的確に判定できるので、該疾患の早期発見、早期治療が可能となる。また、本発明のマーカーペプチドを適宜組み合わせることにより、他の臓器における癌の診断も可能となる。 According to the present invention, pancreatic cancer can be determined quickly and accurately, so that early detection and early treatment of the disease are possible. In addition, cancers in other organs can be diagnosed by appropriately combining the marker peptides of the present invention.
 本発明は、3種の新規かつ有用な膵臓癌の診断マーカーペプチド(以下、3種のペプチドを包括して「本発明のペプチド」という場合もある)を提供する。 The present invention provides three new and useful diagnostic marker peptides for pancreatic cancer (hereinafter, the three peptides may be collectively referred to as “the peptide of the present invention”).
 本発明の第1のペプチド(「ペプチド1」ともいう)は、配列番号1に示されるアミノ酸配列からなる。該アミノ酸配列は、成熟フィブリノーゲンAα鎖のN末端のAla残基から16番目のArg残基までのフラグメントに相当する。また、ペプチド1は、該アミノ酸配列中の第3番目のSer残基がリン酸化されていることを特徴とする。
 前述の通り、フィブリノーゲンAα鎖のN末端から16番目のArg残基と17番目のGly残基との間がトロンビンにより切断されてフィブリノペプチドA(FPA)が生成することは周知である。また、該ペプチドの血清レベルは前立腺癌、膀胱癌および乳癌患者の血清中で有意に低下することは、既に報告されている(上記非特許文献2)。しかしながら、リン酸化されたFPAであるペプチド1が、膵臓癌患者の血清中で、上記の癌とは正反対に、非常に高値を示すことはこれまで全く知られていなかった。
 また、ペプチド1の血清レベルは、膵臓癌患者ほど際立った変化ではないが、肺癌、造血器腫瘍および胆嚢・胆管癌の患者においても、健常者と比較して有意に増加する。一方、このペプチドは、FPA(リン酸化されていない)と同様に、前立腺癌および乳癌患者において、血清レベルが健常者と比較して有意に低下する他、子宮体癌、大腸・直腸癌、食道癌、子宮頸癌および胃癌患者においても有意に低下している。従って、ペプチド1は、これらの癌の診断マーカーとしても使用することができる。
The first peptide of the present invention (also referred to as “peptide 1”) consists of the amino acid sequence shown in SEQ ID NO: 1. The amino acid sequence corresponds to a fragment from the N-terminal Ala residue to the 16th Arg residue of the mature fibrinogen Aα chain. Peptide 1 is characterized in that the third Ser residue in the amino acid sequence is phosphorylated.
As described above, it is well known that fibrinopeptide A (FPA) is produced by cleaving between the 16th Arg residue and the 17th Gly residue from the N-terminus of fibrinogen Aα chain by thrombin. In addition, it has already been reported that the serum level of the peptide significantly decreases in the serum of prostate cancer, bladder cancer and breast cancer patients (Non-patent Document 2). However, it has not been known so far that peptide 1 which is a phosphorylated FPA exhibits a very high value in the serum of pancreatic cancer patients, as opposed to the above cancer.
In addition, although the serum level of peptide 1 is not as prominent as in pancreatic cancer patients, it is significantly increased in lung cancer, hematopoietic tumors, and gallbladder / bile duct cancer patients as compared with healthy individuals. On the other hand, in the same way as FPA (unphosphorylated), this peptide has a significantly lower serum level in prostate cancer and breast cancer patients than in healthy individuals, as well as endometrial cancer, colorectal cancer, esophagus. It is also significantly reduced in patients with cancer, cervical cancer and gastric cancer. Therefore, peptide 1 can also be used as a diagnostic marker for these cancers.
 本発明の第2のペプチド(「ペプチド2」ともいう)は、配列番号2に示されるアミノ酸配列からなる。該アミノ酸配列は、アポリポタンパク質E(apoE)のN末端から170番目のAla残基から192番目のLeu残基までのフラグメントに相当する。
 ペプチド2の血清レベルは、膵臓癌患者の他、胆嚢・胆管癌患者においても、健常者および他臓器における癌患者と比較して顕著に高値を示す。また、膵臓癌および胆嚢・胆管癌患者ほど際立った変化ではないが、卵巣癌、食道癌および造血器腫瘍患者においても、血清レベルが健常者と比較して有意に増加する。従って、ペプチド2は、これらの癌の診断マーカーとしても使用することができる。
The second peptide of the present invention (also referred to as “peptide 2”) consists of the amino acid sequence shown in SEQ ID NO: 2. The amino acid sequence corresponds to a fragment from the 170th Ala residue to the 192nd Leu residue from the N-terminus of apolipoprotein E (apoE).
The serum level of peptide 2 is significantly higher not only in patients with pancreatic cancer but also in patients with gallbladder / bile duct cancer as compared with cancer patients in healthy subjects and other organs. In addition, although not as remarkable as pancreatic cancer and gallbladder / bile duct cancer patients, serum levels are significantly increased in ovarian cancer, esophageal cancer, and hematopoietic tumor patients as compared with healthy individuals. Therefore, peptide 2 can also be used as a diagnostic marker for these cancers.
 本発明の第3のペプチド(「ペプチド3」ともいう)は、配列番号3に示されるアミノ酸配列からなる。該アミノ酸配列は、フィブリノーゲンAα鎖前駆体ポリペプチドのN末端から571番目のSer残基から601番目のTyr残基までのフラグメントに相当する。
 ペプチド3の血清レベルは、膵臓癌患者ほど際立った変化ではないが、子宮頸癌、大腸・直腸癌、卵巣癌、食道癌、胆嚢・胆管癌、前立腺癌、子宮体癌、胃癌、乳癌および肺癌患者において、健常者と比較して有意に低下している。従って、ペプチド3は、これらの癌の診断マーカーとしても使用することができる。
The third peptide of the present invention (also referred to as “peptide 3”) consists of the amino acid sequence shown in SEQ ID NO: 3. The amino acid sequence corresponds to a fragment from the 571th Ser residue to the 601st Tyr residue from the N-terminus of the fibrinogen Aα chain precursor polypeptide.
Serum levels of peptide 3 are not as prominent as in pancreatic cancer patients, but cervical cancer, colorectal cancer, ovarian cancer, esophageal cancer, gallbladder / bile duct cancer, prostate cancer, endometrial cancer, stomach cancer, breast cancer and lung cancer In patients, it is significantly reduced compared to healthy individuals. Therefore, peptide 3 can also be used as a diagnostic marker for these cancers.
 上述の通り、ペプチド1および3はフィブリノーゲンAα鎖のフラグメント(分解産物)であり、ペプチド2はapoEタンパク質のフラグメントである。したがって、被験対象となる患者が、フィブリノーゲンAαまたはapoEタンパク質のこれらのペプチドに対応する部分アミノ酸配列内に1もしくは2以上のアミノ酸の置換、欠失、挿入もしくは付加またはそれらの組合せを含む多型もしくはアレル変異を有する場合、検出すべきペプチドのアミノ酸配列は、「配列番号1、2および3に示される各アミノ酸配列において、当該多型もしくはアレル変異を有するアミノ酸配列」と解すべきであることは、当業者にとって自明であろう。 As described above, peptides 1 and 3 are fibrinogen Aα chain fragments (degradation products), and peptide 2 is an apoE protein fragment. Therefore, the patient to be tested has a polymorphism or substitution comprising one or more amino acid substitutions, deletions, insertions or additions or combinations thereof within the partial amino acid sequence corresponding to these peptides of fibrinogen Aα or apoE protein. In the case of having an allelic mutation, the amino acid sequence of the peptide to be detected should be understood as “the amino acid sequence having the polymorphism or allelic mutation in each of the amino acid sequences shown in SEQ ID NOs: 1, 2, and 3.” It will be obvious to those skilled in the art.
 本発明はまた、膵臓癌に罹患していると疑われる患者由来の生体試料中の、1種以上の本発明のペプチドの量を測定することによる、該患者における膵臓癌の診断のための検査方法を提供する。ここで「診断のための検査」とは、該ペプチド量の測定および必要に応じて対照サンプルにおける測定値との比較を意味する。「膵臓癌に罹患していると疑われる患者」は、患者本人が主観的に疑いを抱くものであっても、何らかの客観的な根拠に基づくものであってもよいが、好ましくは、従来公知の臨床検査および/または診察の結果、それら疾患への合理的な罹患可能性があると医師が判断した患者、あるいはそれと同等の病態を有するヒトである。
 膵臓癌の治療においては、早期発見、早期治療が大原則とされるが、本発明のペプチドは、病気分類(1997年、UICC)全6期の最も早期である0期に位置づけられる上皮内癌(Tis)でも、健常者と有意差をもって検出されることから、本発明のペプチドを指標とする定期診断を採用することにより、膵臓癌の早期発見・早期治療に寄与し得る可能性がある。
The invention also provides a test for the diagnosis of pancreatic cancer in a patient by measuring the amount of one or more peptides of the invention in a biological sample from a patient suspected of suffering from pancreatic cancer. Provide a method. Here, “test for diagnosis” means measurement of the amount of the peptide and, if necessary, comparison with the measured value in a control sample. The “patient suspected of having pancreatic cancer” may be subjectively suspected by the patient or based on some objective basis, but is preferably publicly known As a result of clinical examinations and / or examinations, patients who have been judged by a doctor to have a reasonable possibility of those diseases, or humans with an equivalent condition.
In the treatment of pancreatic cancer, early detection and early treatment are the major principles, but the peptide of the present invention is an intraepithelial cancer that is positioned at stage 0, which is the earliest of all six stages of disease classification (UICC, 1997). Even (Tis) is detected with a significant difference from that of a healthy person, and by adopting a periodic diagnosis using the peptide of the present invention as an index, there is a possibility that it can contribute to early detection and early treatment of pancreatic cancer.
 被験試料となる患者由来の生体試料は特に限定されないが、患者への侵襲が少ないものであることが好ましく、例えば、血液、血漿、血清、唾液、尿、涙液など生体から容易に採取できるものや、髄液、骨髄液、胸水、腹水、関節液、眼房水、硝子体液など比較的容易に採取されるものが挙げられる。
 血清や血漿を用いる場合、常法に従って患者から採血し、液性成分を分離することにより調製することができる。検出対象である本発明のペプチドは必要に応じて、スピンカラムなどを用いて、予め高分子量の蛋白質画分などを分離除去しておくこともできる。
The patient-derived biological sample to be the test sample is not particularly limited, but is preferably one that is less invasive to the patient, for example, blood, plasma, serum, saliva, urine, tears that can be easily collected from the living body And those collected relatively easily such as cerebrospinal fluid, bone marrow fluid, pleural effusion, ascites, joint fluid, aqueous humor, and vitreous humor.
When serum or plasma is used, it can be prepared by collecting blood from a patient according to a conventional method and separating the liquid component. The peptide of the present invention as a detection target can be separated and removed in advance using a spin column or the like, if necessary, such as a high molecular weight protein fraction.
 生体試料中の、本発明のペプチドの検出は、例えば、生体試料を各種の分子量測定法、例えば、ゲル電気泳動や、各種の分離精製法(例:イオン交換クロマトグラフィー、疎水性クロマトグラフィー、アフィニティークロマトグラフィー、逆相クロマトグラフィーなど)、イオン化法(例:電子衝撃イオン化法、フィールドディソープション法、二次イオン化法、高速原子衝突法、マトリックス支援レーザー脱離イオン化(MALDI)法、エレクトロスプレーイオン化法など)、質量分析計(例:二重収束質量分析計、四重極型分析計、飛行時間型質量分析計、フーリエ変換質量分析計、イオンサイクロトロン質量分析計など)を組み合わせる方法等に供し、該ペプチドの分子量と一致するバンドもしくはスポット、あるいはピークを検出することにより行うことができるが、これらに限定されない。本発明のペプチドはアミノ酸配列が既知であるので、該アミノ酸配列を認識する抗体を作製して、ウェスタンブロッティングや各種イムノアッセイにより該ペプチドを検出する方法が、より好ましく用いられ得る。さらに上記方法のハイブリッド型検出法も有効である。 The detection of the peptide of the present invention in a biological sample can be performed, for example, by measuring various molecular weights of the biological sample, for example, gel electrophoresis or various separation and purification methods (eg, ion exchange chromatography, hydrophobic chromatography, affinity). Chromatography, reverse phase chromatography, etc.), ionization methods (eg, electron impact ionization, field desorption, secondary ionization, fast atom bombardment, matrix-assisted laser desorption ionization (MALDI), electrospray ionization Etc.), mass spectrometers (eg double-focusing mass spectrometer, quadrupole analyzer, time-of-flight mass spectrometer, Fourier transform mass spectrometer, ion cyclotron mass spectrometer, etc.) Detect bands, spots or peaks that match the molecular weight of the peptide Can be performed by the, not limited thereto. Since the amino acid sequence of the peptide of the present invention is known, a method of preparing an antibody that recognizes the amino acid sequence and detecting the peptide by Western blotting or various immunoassays can be used more preferably. Furthermore, the hybrid detection method of the above method is also effective.
 本発明のペプチド1、2および3は、それぞれ1615.65、2409.69および2930.28の分子量(計算値)を有するが、用いられる測定方法・測定機器に応じて、実測値は若干変動し得ることはいうまでもない。例えば、質量分析計を用いる方法による場合は、計算値±0.5%(好ましくは±0.3%、より好ましくは±0.1%)の位置に出現するピーク強度を測定することが好ましい。 Peptides 1, 2 and 3 of the present invention have molecular weights (calculated values) of 1615.65, 2409.69 and 2930.28, respectively, but it goes without saying that the actual values may vary slightly depending on the measurement method / measurement equipment used. Absent. For example, in the case of a method using a mass spectrometer, it is preferable to measure the peak intensity appearing at the position of the calculated value ± 0.5% (preferably ± 0.3%, more preferably ± 0.1%).
 本発明の検査方法における特に好ましい測定法の1つは、飛行時間型質量分析に使用するプレートの表面に被験試料を接触させ、該プレート表面に捕捉された成分の質量を飛行時間型質量分析計で測定する方法が挙げられる。
 飛行時間型質量分析計に適合可能なプレートは、検出対象である本発明のペプチドを効率よく吸着し得る表面構造を有している限り、いかなるものであってもよい。そのような表面構造としては、例えば、官能基付加ガラス、Si、Ge、GaAs、GaP、SiO2、SiN4、改質シリコン、広範囲のゲル又はポリマー(例えば、(ポリ)テトラフルオロエチレン、(ポリ)ビニリデンジフロリド、ポリスチレン、ポリカーボネート、又はこれらの組合せなど)によるコーティングが挙げられる。複数のモノマー又はポリマー配列を有する表面構造としては、例えば、核酸の直鎖状及び環状ポリマー、ポリサッカライド、脂質、α-、β-又はω-アミノ酸を有するペプチド、クロマトグラフィーで使用されるゲル表面の担体(陰イオン性/陽イオン性化合物、炭素鎖1~18からなる疎水性化合物、親水性化合物(例えば、シリカ、ニトロセルロース、セルロースアセテート、アガロース等)と架橋した担体など)、人工ホモポリマー(例えば、ポリウレタン、ポリエステル、ポリカーボネート、ポリウレア、ポリアミド、ポリエチレンイミン、ポリアリーレンスルフィド、ポリシロキサン、ポリイミド、ポリアセテート等)、上記化合物のいずれかに既知の薬物又は天然化合物が結合(共有及び非共有結合)したヘテロポリマー等によるコーティングが挙げられる。
One of the particularly preferable measurement methods in the inspection method of the present invention is that a test sample is brought into contact with the surface of a plate used for time-of-flight mass spectrometry, and the mass of a component captured on the plate surface is measured using a time-of-flight mass spectrometer. The method of measuring by is mentioned.
The plate that can be adapted to the time-of-flight mass spectrometer may be any plate as long as it has a surface structure that can efficiently adsorb the peptide of the present invention to be detected. Such surface structures include, for example, functionalized glass, Si, Ge, GaAs, GaP, SiO 2 , SiN 4 , modified silicon, a wide range of gels or polymers (eg (poly) tetrafluoroethylene, (poly And vinylidene difluoride, polystyrene, polycarbonate, or combinations thereof). Examples of surface structures having a plurality of monomer or polymer sequences include, for example, linear and cyclic polymers of nucleic acids, polysaccharides, lipids, peptides having α-, β- or ω-amino acids, gel surfaces used in chromatography Carriers (anionic / cationic compounds, hydrophobic compounds composed of carbon chains 1-18, hydrophilic compounds (eg, carriers cross-linked with silica, nitrocellulose, cellulose acetate, agarose, etc.), artificial homopolymers) (For example, polyurethane, polyester, polycarbonate, polyurea, polyamide, polyethyleneimine, polyarylene sulfide, polysiloxane, polyimide, polyacetate, etc.) Any known drug or natural compound is bound to any of the above compounds (covalent and non-covalent bonds). ) Coated with heteropolymer etc. Packaging and the like.
 好ましい実施態様においては、質量分析用プレートとして用いられる支持体は、ポリビニリデンジフロリド(PVDF)、ニトロセルロースまたはシリカゲル、特に好ましくはPVDFで薄層コーティングされた基材[通常、質量分析用プレートにおいて使用されているものであれば、特に限定されず、例えば、絶縁体(ガラス、セラミクス、プラスチック・樹脂等)、金属(アルミニウム、ステンレス・スチール等)、導電性ポリマー、それらの複合体などが挙げられるが、好ましくはアルミニウムプレートが用いられる]である(WO 2004/031759を参照)。支持体の形状は、使用する質量分析装置の、特に試料導入口に適合するような形状に適宜考案され得るが、それらに限定されない。かかるPVDFで薄層コーティングされた質量分析用プレートとして、好ましくはプロトセラ社のブロットチップ(登録商標)などが挙げられる。 In a preferred embodiment, the support used as a plate for mass spectrometry is a substrate coated with a thin layer of polyvinylidene difluoride (PVDF), nitrocellulose or silica gel, particularly preferably PVDF [usually a plate for mass spectrometry For example, insulators (glass, ceramics, plastics, resins, etc.), metals (aluminum, stainless steel, etc.), conductive polymers, composites thereof, etc. Although an aluminum plate is preferably used, refer to WO 2004/031759). The shape of the support can be appropriately devised into a shape suitable for the sample analyzer, in particular, the sample introduction port, but is not limited thereto. As such a plate for mass spectrometry coated with a thin layer with PVDF, a blot chip (registered trademark) manufactured by Protocera is preferably used.
 好ましくは、コーティングは、メンブレンのように予め成型された構造体を支持体上に重層するのではなく、コーティング分子が分散した状態で支持体上に堆積されて形成される薄層をいう。コーティング分子が堆積される態様は特に制限されないが、後述の質量分析用プレートの調製方法において例示される手段が好ましく用いられる。
 薄層の厚さは、組織もしくは細胞に含まれる分子の転写効率および質量分析の測定感度等に好ましくない影響を与えない範囲で適宜選択することができるが、例えば、約0.001~約100 μm、好ましくは約0.01~約30 μmである。
Preferably, the coating refers to a thin layer formed by depositing on a support in a state where coating molecules are dispersed, instead of overlaying a pre-formed structure like a membrane on the support. The manner in which the coating molecules are deposited is not particularly limited, but means exemplified in a method for preparing a plate for mass spectrometry described later is preferably used.
The thickness of the thin layer can be appropriately selected within a range that does not adversely affect the transfer efficiency of the molecules contained in the tissue or cells and the measurement sensitivity of mass spectrometry, etc., for example, about 0.001 to about 100 μm, Preferably, it is about 0.01 to about 30 μm.
 質量分析用プレート(支持体)は自体公知の方法により調製することができるが、例えば、上記の好ましい質量分析用プレートは、PVDF等のコーティング分子で支持体表面を薄層コーティングすることにより調製される。コーティングの手段としては、塗布、噴霧、蒸着、浸漬、印刷(プリント)、スパッタリングなどが好ましく例示される。
 「塗布」する場合、コーティング分子を、適当な溶媒、例えば、ジメチルホルムアミド(dimethyl formamide;DMF)などの有機溶媒に適当な濃度(例えば、約1~約100 mg/mL程度)で溶解したもの(コーティング分子含有溶液)を、刷毛などの適当な道具を用いて基材に塗布することができる。
 「噴霧」する場合、上記と同様にして調製したコーティング分子含有溶液を噴霧器に入れ、基材上に均一にPVDFが堆積されるように噴霧すればよい。
 「蒸着」する場合、通常の有機薄膜作製用真空蒸着装置を用い、基材を入れた真空槽中でコーティング分子(固体でも溶液でもよい)を加熱・気化させることにより、基材表面上に該分子の薄層を形成させることができる。
 「浸漬」させる場合、上記と同様にして調製したコーティング分子含有溶液中に基材を浸漬させればよい。
 「印刷(プリント)」する場合は、基材の材質に応じて通常使用され得る各種印刷技術を適宜選択して利用することができ、例えば、スクリーン印刷などが好ましく用いられる。
 「スパッタリング」する場合は、例えば、真空中に不活性ガス(例、Arガス等)を導入しながら基材とコーティング分子間に直流高電圧を印加し、イオン化したガスを該分子に衝突させて、はじき飛ばされたコーティング分子を基材上に堆積させて薄層を形成させることができる。
 コーティングは基材全面に施してもよいし、質量分析に供される面(画分)のみに施してもよい。
Although the plate for mass spectrometry (support) can be prepared by a method known per se, for example, the above preferred mass spectrometry plate is prepared by thinly coating the surface of the support with a coating molecule such as PVDF. The Preferred examples of the coating means include application, spraying, vapor deposition, dipping, printing (printing), and sputtering.
In the case of “application”, the coating molecule is dissolved in an appropriate solvent, for example, an organic solvent such as dimethyl formamide (DMF) at an appropriate concentration (for example, about 1 to about 100 mg / mL) ( The coating molecule-containing solution) can be applied to the substrate using a suitable tool such as a brush.
In the case of “spraying”, the coating molecule-containing solution prepared in the same manner as described above may be put in a sprayer and sprayed so that PVDF is uniformly deposited on the substrate.
In the case of “evaporation”, the coating molecule (which may be solid or solution) is heated and vaporized in a vacuum tank containing the substrate using a normal vacuum deposition apparatus for producing an organic thin film. A thin layer of molecules can be formed.
In the case of “immersing”, the substrate may be immersed in a coating molecule-containing solution prepared in the same manner as described above.
In the case of “printing”, various printing techniques that can be normally used depending on the material of the substrate can be appropriately selected and used. For example, screen printing or the like is preferably used.
In the case of “sputtering”, for example, a DC high voltage is applied between the substrate and the coating molecule while introducing an inert gas (eg, Ar gas) in a vacuum, and the ionized gas is caused to collide with the molecule. The repelled coating molecules can be deposited on the substrate to form a thin layer.
The coating may be applied to the entire surface of the substrate, or may be applied only to the surface (fraction) subjected to mass spectrometry.
 コーティング分子は、コーティング手段に応じて適宜好ましい形態で使用することができ、例えば、コーティング分子含有溶液、コーティング分子含有蒸気、固体コーティング分子などの形態で基材にアプライされ得るが、コーティング分子含有溶液の形態でアプライすることが好ましい。「アプライする」とは、接触後にコーティング分子が支持体上に残留・堆積されるように支持体に接触させることをいう。アプライ量は特に制限はないが、コーティング分子量として、例えば、約10~約100,000 μg/cm2、好ましくは約50~約5,000 μg/cm2が挙げられる。アプライ後に溶媒は自然乾燥、真空乾燥などにより除去する。 The coating molecule can be used in a suitable form depending on the coating means. For example, the coating molecule can be applied to the substrate in the form of a coating molecule-containing solution, a coating molecule-containing vapor, a solid coating molecule, etc. It is preferable to apply in the form. “Apply” refers to bringing a coating molecule into contact with the support so that the coating molecules remain and deposit on the support after contact. The amount of application is not particularly limited, and examples of the coating molecular weight include about 10 to about 100,000 μg / cm 2 , preferably about 50 to about 5,000 μg / cm 2 . After the application, the solvent is removed by natural drying, vacuum drying or the like.
 質量分析用プレートにおける基材は、コーティング分子でコーティングする前に予め適当な物理的、化学的手法により、その表面を修飾(加工)しておいてもよい。具体的には、プレート表面を磨く、傷を付ける、酸処理、アルカリ処理、ガラス処理(テトラメトキシシランなど)等の手法が例示される。 The surface of the substrate in the mass spectrometry plate may be modified (processed) in advance by an appropriate physical or chemical technique before coating with a coating molecule. Specifically, techniques such as polishing the plate surface, scratching, acid treatment, alkali treatment, glass treatment (tetramethoxysilane, etc.) are exemplified.
 被験試料の質量分析用プレート(支持体)への移行は、被験試料となる患者由来の生体試料を未処理のままで、あるいは抗体カラムその他の方法で高分子タンパク質を除去、濃縮した後に、SDS-ポリアクリルアミドゲル電気泳動もしくは等電点電気泳動に付し、泳動後ゲルをプレートと接触させて転写(ブロッティング)することにより行われる。転写装置としては公知のものを用いることができる。転写の方法自体は公知である。好ましくは電気転写が用いられる。泳動後ゲルに展開された試料は、種々の方法(拡散、電気力その他)によって質量分析用プレートに移行される。電気転写時に使用する緩衝液としては、pH 7~9、低塩濃度のものを用いることが好ましい。具体的には、トリス緩衝液、リン酸緩衝液、ホウ酸緩衝液、酢酸緩衝液などが例示される。トリス緩衝液としては、トリス/グリシン/メタノール緩衝液、SDS-トリス-トリシン緩衝液など、リン酸緩衝液としては、ACN/NaCl/等張リン酸緩衝液、リン酸ナトリウム/ACNなど、ホウ酸緩衝液としては、ホウ酸ナトリウム-塩酸緩衝液、トリス-ホウ酸塩/EDTA、ホウ酸塩/ACNなど、酢酸緩衝液としては、トリス-酢酸塩/EDTAなどが挙げられる。好ましくは、トリス/グリシン/メタノール緩衝液、ホウ酸ナトリウム-塩酸緩衝液である。トリス/グリシン/メタノール緩衝液の組成としては、トリス10~15 mM、グリシン70~120 mM、メタノール7~13%程度が例示される。ホウ酸ナトリウム-塩酸緩衝液の組成としては、ホウ酸ナトリウム5~20 mM程度が例示される。 Transfer of the test sample to the mass spectrometric plate (support) can be performed by leaving the patient-derived biological sample as the test sample untreated or after removing and concentrating the high molecular weight protein using an antibody column or other method. -It is performed by subjecting to polyacrylamide gel electrophoresis or isoelectric focusing, and transferring (blotting) the gel after contact with the plate. A known transfer device can be used. The transfer method itself is known. Preferably electrotransfer is used. The sample developed on the gel after the electrophoresis is transferred to the plate for mass spectrometry by various methods (diffusion, electric force, etc.). As a buffer used for electrotransfer, it is preferable to use a buffer having a pH of 7 to 9 and a low salt concentration. Specific examples include Tris buffer, phosphate buffer, borate buffer, and acetate buffer. Tris / Glycine / Methanol buffer, SDS-Tris-Tricine buffer, etc. as Tris buffer, ACN / NaCl / Isotonic phosphate buffer, Sodium phosphate / ACN, Boric acid, etc. as phosphate buffer Examples of the buffer include sodium borate-hydrochloric acid buffer, tris-borate / EDTA, borate / ACN, and the like. Examples of the acetate buffer include tris-acetate / EDTA. Preferred are tris / glycine / methanol buffer and sodium borate-hydrochloric acid buffer. Examples of the composition of the tris / glycine / methanol buffer include Tris 10-15 μmM, glycine 70-120 μmM, and methanol 7-13%. An example of the composition of the sodium borate-hydrochloric acid buffer is about 5 to 20 mM sodium borate.
 これにより、標的分子を含めて、被験試料中に存在する分子は支持体表面上に効率よく捕捉される。プレートを乾燥させた後、後の質量分析(MALDI法による場合)に有利なように、レーザー光を吸収し、エネルギー移動を通じて分析対象物分子のイオン化を促進するためにマトリックスと呼ばれる試薬を添加することもできる。当該マトリックスとしては、質量分析において公知のものを用いることができる。例えば、シナピン酸(sinapinic acid;SPA (=3,5-dimethoxy-4-hydoroxycinammic acid))、インドールアクリル酸(Indoleacrylic acid;IAA)、2,5-ジヒドロキシ安息香酸(2,5-dihydroxybenzoic acid;DHB)、α-シアノ-4-ヒドロキシ桂皮酸(α-cyano-4-hydroxycinammic acid;CHCA)等が挙げられるが、これらに限定されない。好ましくは、DHBまたはCHCAである。 Thereby, the molecules present in the test sample including the target molecules are efficiently captured on the surface of the support. After the plate is dried, a reagent called matrix is added to absorb the laser light and promote ionization of analyte molecules through energy transfer, which is advantageous for later mass spectrometry (when using MALDI method) You can also. As the matrix, those known in mass spectrometry can be used. For example, sinapinic acid (SPA (= 3,5-dimethoxy-4-hydoroxycinammic acid)), indoleacrylic acid (IAA), 2,5-dihydroxybenzoic acid (DHB) ), Α-cyano-4-hydroxycinammic acid (CHCA), and the like, but is not limited thereto. Preferably, it is DHB or CHCA.
 上記の方法により支持体表面上に捕捉された被験試料中の分子を質量分析することにより、分子量に関する情報から、標的分子である本発明のペプチドの存在および量を同定することができる。
 質量分析装置は、ガス状の試料をイオン化した後、その分子や分子断片を電磁場に投入し、その移動状況から質量数/電荷数によって分離、物質のスペクトルを求めることにより、物質の分子量を測定・検出する装置である。試料とレーザー光を吸収するマトリックスを混合、乾燥させて結晶化し、マトリックスからのエネルギー移動によるイオン化とレーザー照射による瞬間加熱により、イオン化した分析対象物を真空中に導くマトリックス支援レーザー脱イオン化(MALDI)と、初期加速による試料分子イオンの飛行時間差で質量数を分析する飛行時間型質量分析(TOFMS)とをあわせて用いるMALDI-TOFMS法、1分析対象物を1液滴にのせて液体から直接電気的にイオン化する方法、試料溶液を電気的に大気中にスプレーして、個々の分析対象物多価イオンをunfoldの状態で気相に導くナノエレクトロスプレー質量分析(nano-ESMS)法等の原理に基づく質量分析装置を使用することができる。
 質量分析用プレート上の分子を質量分析する方法自体は公知である。例えば、WO 2004/031759に記載の方法を、必要に応じて適宜改変して使用することができる。
The presence and amount of the peptide of the present invention, which is a target molecule, can be identified from the information on the molecular weight by mass spectrometry of molecules in the test sample captured on the support surface by the above method.
The mass spectrometer measures the molecular weight of a substance by ionizing a gaseous sample and then putting the molecule or molecular fragment into an electromagnetic field, separating it by mass number / charge number from its movement, and obtaining the spectrum of the substance. -It is a device to detect. Matrix-assisted laser deionization (MALDI), in which a sample and a matrix that absorbs laser light are mixed, dried and crystallized, and ionized analytes are brought into vacuum by ionization by energy transfer from the matrix and instantaneous heating by laser irradiation. And MALDI-TOFMS method, which uses time-of-flight mass spectrometry (TOFMS), which analyzes the mass number based on the time-of-flight difference of sample molecular ions by initial acceleration. Principles of ionization, nanoelectrospray mass spectrometry (nano-ESMS), etc., in which sample solutions are electrically sprayed into the atmosphere and individual analyte multivalent ions are unfolded into the gas phase A mass spectrometer based on can be used.
A method for mass spectrometry of molecules on a plate for mass spectrometry is known per se. For example, the method described in WO 2004/031759 can be appropriately modified and used as necessary.
 質量分析の結果から、標的分子の分子量情報に基づいて、被験試料中の標的分子の有無およびその量が同定され得る。この工程において、質量分析装置からの情報を、任意のプログラムを用いて、健常者由来の生体試料における質量分析データと比較して、示差的な(differential)情報として出力させることも可能である。そのようなプログラムは周知であり、また、当業者は、公知の情報処理技術を用いて、容易にそのようなプログラムを構築もしくは改変することができることが理解されよう。 From the result of mass spectrometry, the presence or absence and the amount of the target molecule in the test sample can be identified based on the molecular weight information of the target molecule. In this step, it is also possible to output information from the mass spectrometer as differential information by comparing it with mass spectrometry data in a biological sample derived from a healthy person using an arbitrary program. It will be appreciated that such programs are well known and those skilled in the art can easily construct or modify such programs using known information processing techniques.
 特に好ましい態様においては、質量分析用プレートとしてプロトセラ社のブロットチップを用いて、上記の各工程を実施し、MALDI型質量分析装置で本発明のペプチドを定量比較(ディファレンシャル解析)する。さらに、必要に応じて、同一チップに残存する該ペプチドを同定することもできる。あるいは、被験試料の定量比較(ディファレンシャル解析)までをプロトセラ社のブロットチップシステムを用いて実施し、該ペプチドの同定を、高速液体クロマトグラフィーとイオンスプレイ型質量分析装置の組み合わせ装置(LC-MS/MS)で実施することも可能である。 In a particularly preferred embodiment, each of the above steps is performed using a blot chip manufactured by Protocera as a plate for mass spectrometry, and the peptides of the present invention are quantitatively compared (differential analysis) using a MALDI mass spectrometer. Furthermore, if necessary, the peptides remaining on the same chip can be identified. Alternatively, up to quantitative comparison (differential analysis) of test samples is performed using a blot chip system manufactured by Protocera, and the peptide is identified by a combination device (LC-MS / LC / MS / MS / MS). MS).
 本発明の検査方法における本発明のペプチドの測定は、それに対する抗体を用いて行うこともできる。かかる方法は、最適化されたイムノアッセイ系を構築してこれをキット化すれば、上記質量分析装置のような特殊な装置を使用することなく、高感度かつ高精度に該ペプチドを検出することができる点で、特に有用である。 The measurement of the peptide of the present invention in the test method of the present invention can also be performed using an antibody against it. In such a method, if an optimized immunoassay system is constructed and a kit is made, the peptide can be detected with high sensitivity and high accuracy without using a special device such as the mass spectrometer. It is particularly useful in that it can.
 本発明のペプチドに対する抗体は、例えば、本発明のペプチドを、これを発現する患者由来の生体試料から単離・精製し、該ペプチドを抗原として動物を免疫することにより調製することができる。あるいは、得られるペプチド量が少量である場合等は、該ペプチドをペプチダーゼ等によって部分消化し、得られる断片のアミノ酸配列をエドマン法などにより決定し、その配列を基に該ペプチドをコードする核酸とハイブリダイズし得るオリゴヌクレオチドを合成、これをプローブとして該患者由来のcDNAラリブラリーを鋳型にハイブリダイゼーション法により該ペプチドを含む蛋白質をコードするcDNAを得るか、あるいは該オリゴヌクレオチドをプライマーとして該患者由来のRNAを鋳型にしてRT-PCRを行うことにより、該ペプチドをコードするcDNA断片を得て、該cDNA断片を適当な発現ベクターに組み込んで適当な宿主細胞に導入し、得られる形質転換体を培養して組換えペプチドを採取することによって、本発明のペプチドを大量に調製することができる。あるいは上記のようにして得られるcDNAを鋳型として、無細胞転写・翻訳系を用いて本発明のペプチドを取得することもできる。さらに有機合成法により大量に調製することも可能である。 The antibody against the peptide of the present invention can be prepared, for example, by isolating and purifying the peptide of the present invention from a biological sample derived from a patient expressing the peptide and immunizing an animal using the peptide as an antigen. Alternatively, when the amount of the obtained peptide is small, the peptide is partially digested with peptidase or the like, the amino acid sequence of the obtained fragment is determined by the Edman method or the like, and the nucleic acid encoding the peptide based on the sequence A hybridizable oligonucleotide is synthesized and a cDNA library derived from the patient is used as a template to obtain a cDNA encoding a protein containing the peptide, or a cDNA derived from the patient is used as a primer. By performing RT-PCR using RNA as a template, a cDNA fragment encoding the peptide is obtained, the cDNA fragment is incorporated into an appropriate expression vector, introduced into an appropriate host cell, and the resulting transformant is cultured. Thus, the peptide of the present invention can be prepared in large quantities by collecting the recombinant peptide. You can. Alternatively, the peptide of the present invention can be obtained by using a cell-free transcription / translation system using the cDNA obtained as described above as a template. Further, it can be prepared in a large amount by an organic synthesis method.
 上述のように、本発明のペプチド1、2および3は、それぞれ配列番号1、2および3に示されるアミノ酸配列からなるペプチドである。従って、本発明のペプチドに対する抗体は、例えば、該アミノ酸配列の全部もしくは一部を、上記アミノ酸配列情報に基づき、公知のペプチド合成法を用いて合成するか、あるいは常法により単離したフィブリノーゲンAα鎖またはapoEタンパク質を適当なペプチダーゼ等で切断して、本発明のペプチドの配列の全部もしくは一部を含むペプチド断片を取得し、これを免疫原として調製することが望ましい。 As described above, the peptides 1, 2 and 3 of the present invention are peptides consisting of the amino acid sequences shown in SEQ ID NOs: 1, 2 and 3, respectively. Therefore, the antibody against the peptide of the present invention can be synthesized, for example, by synthesizing all or part of the amino acid sequence using a known peptide synthesis method based on the amino acid sequence information, or by fibrinogen Aα isolated by a conventional method. It is desirable to cleave the chain or apoE protein with an appropriate peptidase or the like to obtain a peptide fragment containing all or part of the sequence of the peptide of the present invention, and prepare this as an immunogen.
 本発明のマーカーペプチドに対する抗体(以下、「本発明の抗体」と称する場合がある)は、ポリクローナル抗体、モノクローナル抗体のいずれであってもよく、周知の免疫学的手法により作製することができる。また、該抗体は完全抗体分子だけでなくそのフラグメントをも包含し、例えば、Fab、F(ab')2、ScFv、minibody等が挙げられる。 The antibody against the marker peptide of the present invention (hereinafter sometimes referred to as “the antibody of the present invention”) may be either a polyclonal antibody or a monoclonal antibody, and can be prepared by a known immunological technique. The antibody includes not only a complete antibody molecule but also a fragment thereof, and examples thereof include Fab, F (ab ′) 2, ScFv, and minibody.
 例えば、ポリクローナル抗体は、上記のいずれかの方法または他の方法によって調製された本発明のペプチドもしくはその部分ペプチド(必要に応じて、ウシ血清アルブミン、KLH(Keyhole Limpet Hemocyanin)等のキャリアータンパク質に架橋した複合体とすることもできる)を抗原として、市販のアジュバント(例えば、完全または不完全フロイントアジュバント)とともに、動物の皮下あるいは腹腔内に2~3週間おきに2~4回程度投与し(部分採血した血清の抗体価を公知の抗原抗体反応により測定し、その上昇を確認しておく)、最終免疫から約3~約10日後に全血を採取して抗血清を精製することにより取得できる。抗原を投与する動物としては、ラット、マウス、ウサギ、ヤギ、モルモット、ハムスターなどの哺乳動物が挙げられる。 For example, the polyclonal antibody is cross-linked to a carrier protein such as bovine serum albumin or KLH (Keyhole Limpet Hemocyanin) prepared by any of the above methods or other methods, or a partial peptide thereof. Can be administered as an antigen together with a commercially available adjuvant (for example, complete or incomplete Freund's adjuvant) subcutaneously or intraperitoneally in animals every 2-3 weeks (partial) The antibody titer of the collected serum is measured by a known antigen-antibody reaction, and the increase is confirmed), and it can be obtained by collecting the whole blood about 3 to about 10 days after the final immunization and purifying the antiserum. . Examples of animals to which the antigen is administered include mammals such as rats, mice, rabbits, goats, guinea pigs, and hamsters.
 また、モノクローナル抗体は、細胞融合法(例えば、渡邊武、細胞融合法の原理とモノクローナル抗体の作成、谷内昭、高橋利忠編、「モノクローナル抗体とがん-基礎と臨床-」、第2-14頁、サイエンスフォーラム出版、1985年)により作成することができる。例えば、本発明のペプチドもしくはその部分ペプチドを市販のアジュバントと共にマウスに2~4回皮下あるいは腹腔内に投与し、最終投与の約3日後に脾臓あるいはリンパ節を採取し、白血球を採取する。この白血球と骨髄腫細胞(例えば、NS-1, P3X63Ag8など)を細胞融合して該ペプチドに対するモノクローナル抗体を産生するハイブリドーマを得る。細胞融合はPEG法[J. Immunol. Methods, 81(2): 223-228 (1985)]でも電圧パルス法[Hybridoma, 7(6): 627-633 (1988)]であってもよい。所望のモノクローナル抗体を産生するハイブリドーマは、周知のEIAまたはRIA法等を用いて抗原と特異的に結合する抗体を、培養上清中から検出することにより選択できる。モノクローナル抗体を産生するハイブリドーマの培養は、インビトロ、またはマウスもしくはラット、このましくはマウス腹水中等のインビボで行うことができ、抗体はそれぞれハイブリドーマの培養上清および動物の腹水から取得することができる。 Monoclonal antibodies can be obtained by cell fusion methods (for example, Takeshi Watanabe, Principles of Cell Fusion Methods and Production of Monoclonal Antibodies, Akira Taniuchi, Toshitada Takahashi, “Monoclonal Antibodies and Cancer: Basic and Clinical”, 2-14). Page, Science Forum Publishing, 1985). For example, the peptide of the present invention or a partial peptide thereof is administered to a mouse subcutaneously or intraperitoneally 2-4 times together with a commercially available adjuvant, and the spleen or lymph node is collected about 3 days after the final administration, and white blood cells are collected. The leukocytes and myeloma cells (for example, NS-1, P3X63Ag8) are cell-fused to obtain a hybridoma that produces a monoclonal antibody against the peptide. The cell fusion may be PEG method [J. Immunol. Methods, 81 (2): 223-228 (1985)] or voltage pulse method [Hybridoma, 7 (6): 627-633 (1988)]. A hybridoma producing a desired monoclonal antibody can be selected by detecting an antibody that specifically binds to an antigen from the culture supernatant using a known EIA or RIA method or the like. The culture of the hybridoma producing the monoclonal antibody can be performed in vitro or in vivo such as mouse or rat, or preferably mouse ascites, and the antibody can be obtained from the culture supernatant of the hybridoma and the ascites of the animal, respectively. .
 フィブリノーゲンAα鎖のN末端フラグメントとしては、本発明のペプチド1の他に、非リン酸化FPAやそのフラグメントも、被験試料中に存在する可能性がある。これらのペプチド群は膵臓癌で有意な変動は認められないが、他の疾患においてこれらのいずれかが顕著に高値を示す可能性がある。本発明のペプチド1に対する抗体が、1以上のフィブリノーゲンAα鎖の他のN末端フラグメントと交差反応性を有する場合、他の疾患を膵臓癌と誤診する(偽陽性)可能性が高くなる。従って、本発明の検査方法に用いられる、本発明のペプチド1に対する抗体は、該ペプチド以外のフィブリノーゲンAα鎖のN末端フラグメントとは交差反応しない、特異性の高い抗体であることが望ましい。そのような抗体は、上記のようにして得られた複数のモノクローナル抗体を当該他のフラグメントと反応させ、それらと交差反応しない抗体を選択することにより得ることができる。特に、本発明のペプチド1はリン酸化したFPAであることから、ペプチド1に対する抗体としては、該リン酸化部位を特異的に認識し得るものであることが望ましい。 As the N-terminal fragment of fibrinogen Aα chain, in addition to peptide 1 of the present invention, non-phosphorylated FPA and fragments thereof may also be present in the test sample. These peptide groups do not show significant variation in pancreatic cancer, but any of these may be significantly higher in other diseases. If the antibody against peptide 1 of the present invention has cross-reactivity with one or more other N-terminal fragments of fibrinogen Aα chain, the possibility of misdiagnosing other diseases as pancreatic cancer (false positive) is increased. Therefore, the antibody against peptide 1 of the present invention used in the test method of the present invention is preferably a highly specific antibody that does not cross-react with the N-terminal fragment of fibrinogen Aα chain other than the peptide. Such an antibody can be obtained by reacting a plurality of monoclonal antibodies obtained as described above with the other fragments and selecting an antibody that does not cross-react with them. In particular, since peptide 1 of the present invention is phosphorylated FPA, it is desirable that an antibody against peptide 1 is capable of specifically recognizing the phosphorylated site.
 本発明の抗体を用いる本発明の検査方法は、特に制限されるべきものではなく、被験試料中の抗原量に対応した抗体、抗原もしくは抗体-抗原複合体の量を化学的または物理的手段により検出し、これを既知量の抗原を含む標準液を用いて作製した標準曲線より算出する測定法であれば、いずれの測定法を用いてもよい。例えば、ネフロメトリー、競合法、イムノメトリック法およびサンドイッチ法等が好適に用いられる。 The test method of the present invention using the antibody of the present invention is not particularly limited, and the amount of antibody, antigen or antibody-antigen complex corresponding to the amount of antigen in the test sample is determined by chemical or physical means. Any measurement method may be used as long as it is a measurement method that is detected and calculated from a standard curve prepared using a standard solution containing a known amount of antigen. For example, nephrometry, competition method, immunometric method and sandwich method are preferably used.
 標識物質を用いる測定法に用いられる標識剤としては、例えば、放射性同位元素、酵素、蛍光物質、発光物質などが用いられる。放射性同位元素としては、例えば、〔125I〕、〔131I〕、〔3H〕、〔14C〕などが用いられる。上記酵素としては、安定で比活性の大きなものが好ましく、例えば、β-ガラクトシダーゼ、β-グルコシダーゼ、アルカリフォスファターゼ、パーオキシダーゼ、リンゴ酸脱水素酵素などが用いられる。蛍光物質としては、例えば、フルオレスカミン、フルオレッセンイソチオシアネートなどが用いられる。発光物質としては、例えば、ルミノール、ルミノール誘導体、ルシフェリン、ルシゲニンなどが用いられる。さらに、抗体あるいは抗原と標識剤との結合にビオチン-アビジン系を用いることもできる。 As a labeling agent used in a measurement method using a labeling substance, for example, a radioisotope, an enzyme, a fluorescent substance, a luminescent substance, or the like is used. As the radioisotope, for example, [ 125 I], [ 131 I], [ 3 H], [ 14 C] and the like are used. The enzyme is preferably stable and has a large specific activity. For example, β-galactosidase, β-glucosidase, alkaline phosphatase, peroxidase, malate dehydrogenase and the like are used. As the fluorescent substance, for example, fluorescamine, fluorescein isothiocyanate and the like are used. As the luminescent substance, for example, luminol, luminol derivatives, luciferin, lucigenin and the like are used. Furthermore, a biotin-avidin system can also be used for binding of an antibody or antigen and a labeling agent.
 抗原あるいは抗体の不溶化に当っては、物理吸着を用いてもよく、また通常タンパク質あるいは酵素等を不溶化、固定化するのに用いられる化学結合を用いる方法でもよい。担体としては、アガロース、デキストラン、セルロースなどの不溶性多糖類、ポリスチレン、ポリアクリルアミド、シリコン等の合成樹脂、あるいはガラス等が挙げられる。 For insolubilization of the antigen or antibody, physical adsorption may be used, or a method using a chemical bond usually used to insolubilize and immobilize proteins or enzymes may be used. Examples of the carrier include insoluble polysaccharides such as agarose, dextran, and cellulose, synthetic resins such as polystyrene, polyacrylamide, and silicon, or glass.
 サンドイッチ法においては、不溶化した本発明の抗体に被験試料を反応させ(1次反応)、さらに標識化した別の本発明の抗体を反応させ(2次反応)た後、不溶化担体上の標識剤の量(活性)を測定することにより、被験試料中の本発明のペプチド量を定量することができる。1次反応と2次反応は逆の順序に行っても、また、同時に行なってもよいし時間をずらして行なってもよい。 In the sandwich method, a test sample is reacted with an insolubilized antibody of the present invention (primary reaction), and another labeled antibody of the present invention is reacted (secondary reaction), followed by a labeling agent on an insolubilized carrier. By measuring the amount (activity), the amount of the peptide of the present invention in the test sample can be quantified. The primary reaction and the secondary reaction may be performed in the reverse order, or may be performed simultaneously or at different times.
 本発明のポリペプチドに対するモノクローナル抗体を、サンドイッチ法以外の測定システム、例えば、競合法、イムノメトリック法あるいはネフロメトリーなどに用いることもできる。
 競合法では、被験試料中の抗原と標識抗原とを抗体に対して競合的に反応させた後、未反応の標識抗原(F)と、抗体と結合した標識抗原(B)とを分離し(B/F分離)、B,Fいずれかの標識量を測定し、被験試料中の抗原量を定量する。本反応法には、抗体として可溶性抗体を用い、B/F分離をポリエチレングリコール、前記抗体に対する第2抗体などを用いる液相法、および、第1抗体として固相化抗体を用いるか、あるいは、第1抗体は可溶性のものを用い第2抗体として固相化抗体を用いる固相化法とが用いられる。
 イムノメトリック法では、被験試料の抗原と固相化抗原とを一定量の標識化抗体に対して競合反応させた後固相と液相を分離するか、あるいは、被験試料中の抗原と過剰量の標識化抗体とを反応させ、次に固相化抗原を加え未反応の標識化抗体を固相に結合させた後、固相と液相を分離する。次に、いずれかの相の標識量を測定し被験試料中の抗原量を定量する。
 また、ネフロメトリーでは、ゲル内あるいは溶液中で抗原抗体反応の結果生じた不溶性の沈降物の量を測定する。被験試料中の抗原量が僅かであり、少量の沈降物しか得られない場合にもレーザーの散乱を利用するレーザーネフロメトリーなどが好適に用いられる。
The monoclonal antibody against the polypeptide of the present invention can also be used in measurement systems other than the sandwich method, such as a competitive method, an immunometric method, or nephrometry.
In the competition method, the antigen in the test sample and the labeled antigen are reacted competitively with the antibody, and then the unreacted labeled antigen (F) and the labeled antigen (B) bound to the antibody are separated ( B / F separation), measure the amount of labeled B or F, and quantify the amount of antigen in the test sample. In this reaction method, a soluble antibody is used as an antibody, a B / F separation is performed using polyethylene glycol, a liquid phase method using a second antibody against the antibody, and a solid-phased antibody is used as the first antibody, or The first antibody is soluble, and the second antibody is a solid phase method using a solid phase antibody.
In the immunometric method, the antigen of the test sample and the immobilized antigen are competitively reacted with a certain amount of labeled antibody, and then the solid phase and the liquid phase are separated, or the antigen and excess in the test sample are separated. Then, the solid phase antigen is added, and then the solid phase antigen is added to bind the unreacted labeled antibody to the solid phase, and then the solid phase and the liquid phase are separated. Next, the amount of label in any phase is measured to quantify the amount of antigen in the test sample.
In nephrometry, the amount of insoluble precipitate produced as a result of the antigen-antibody reaction in a gel or solution is measured. Laser nephrometry using laser scattering is preferably used even when the amount of antigen in the test sample is small and only a small amount of precipitate is obtained.
 これら個々の免疫学的測定法を本発明の定量方法に適用するにあたっては、特別の条件、操作等の設定は必要とされない。それぞれの方法における通常の条件、操作法に当業者の通常の技術的配慮を加えて本発明のペプチドの測定系を構築すればよい。これらの一般的な技術手段の詳細については、総説、成書などを参照することができる。
 例えば、入江 寛編「ラジオイムノアッセイ」(講談社、昭和49年発行)、入江 寛編「続ラジオイムノアッセイ」(講談社、昭和54年発行)、石川栄治ら編「酵素免疫測定法」(医学書院、昭和53年発行)、石川栄治ら編「酵素免疫測定法」(第2版)(医学書院、昭和57年発行)、石川栄治ら編「酵素免疫測定法」(第3版)(医学書院、昭和62年発行)、「Methods in ENZYMOLOGY」 Vol. 70 (Immunochemical Techniques (Part A))、同書 Vol. 73 (Immunochemical Techniques (Part B))、同書 Vol. 74 (Immunochemical Techniques (Part C))、同書 Vol. 84 (Immunochemical Techniques (Part D: Selected Immunoassays))、同書 Vol. 92 (Immunochemical Techniques (Part E: Monoclonal Antibodies and General Immunoassay Methods))、同書 Vol. 121 (Immunochemical Techniques(Part I: Hybridoma Technology and Monoclonal Antibodies)) (以上、アカデミックプレス社発行)などを参照することができる。
In applying these individual immunological measurement methods to the quantification method of the present invention, special conditions, operations and the like are not required to be set. What is necessary is just to construct | assemble the measurement system of the peptide of this invention, adding the usual technical consideration of those skilled in the art to the usual conditions and operation methods in each method. For details of these general technical means, it is possible to refer to reviews, books and the like.
For example, Hiroshi Irie “Radioimmunoassay” (Kodansha, published in 1974), Hiroshi Irie “Continue Radioimmunoassay” (published in Kodansha, 1979), “Enzyme Immunoassay” edited by Eiji Ishikawa et al. 53), "Enzyme Immunoassay" edited by Eiji Ishikawa et al. (2nd edition) (Medical School, published in 1982), "Enzyme Immunoassay" edited by Eiji Ishikawa et al. (3rd edition) (Medical School, Showa) 62), “Methods in ENZYMOLOGY” Vol. 70 (Immunochemical Techniques (Part A)), ibid. Vol. 73 (Immunochemical Techniques (Part B)), ibid. Vol. 74 (Immunochemical Techniques (Part C)), ibid. 84 (Immunochemical Techniques (Part D: Selected Immunoassays)), ibid.Vol. 92 (Immunochemical Techniques (Part E: Monoclonal Antibodies and General Immunoassay Methods)), ibid.Vol. 121 (Immunochemical Techniques (Part I: Hybridoma Technology and Monoclonal Antibodies) )) (Above, published by Academic Press) It is possible to irradiation.
 本発明のペプチドはタンパク質分解産物からなるため、通常の「サンドイッチELISAシステム」では、未分解のタンパク質や、切断部位が共通の類似ペプチド等様々な分子が測定値に影響を与える可能性がある。そこで、第1工程において、生体試料を抗体により免疫アフィニティ精製し、抗体に結合したフラクションを、第2工程において質量分析に付し、精緻な分子量を基準に同定、定量する、いわゆる免疫質量分析法を利用することができる(例えば、Rapid Commun. Mass Spectrom. 2007, 21: 352-358を参照)。例えば、生体試料として血液試料を用いる場合、該試料をそのままMALDI型質量分析計で測定しても、バイオマーカーのピークは観察されないが、免疫質量分析法によれば、未分解のタンパク質も類似ペプチドも、質量分析計で完全に分離され、バイオマーカーの正確な分子量を基準に高い特異性と感度で定量が可能となる。 Since the peptides of the present invention are composed of proteolytic products, various molecules such as undegraded proteins and similar peptides with a common cleavage site may affect the measured value in the usual “sandwich ELISA system”. Therefore, in the first step, a biological sample is immunoaffinity purified with an antibody, the fraction bound to the antibody is subjected to mass spectrometry in the second step, and so-called immunomass spectrometry, in which identification and quantification are performed based on a precise molecular weight. (For example, see Rapid Commun. Mass Spectrom. 2007, 21: 352-358). For example, when a blood sample is used as a biological sample, a biomarker peak is not observed even if the sample is directly measured with a MALDI mass spectrometer. However, according to immunomass spectrometry, undegraded protein is also a similar peptide. Is completely separated by a mass spectrometer, and can be quantified with high specificity and sensitivity based on the exact molecular weight of the biomarker.
 あるいは、本発明の抗体を用いる別の本発明の検査方法として、該抗体を上記したような質量分析計に適合し得るプローブの表面上に固定化し、該プローブ上の該抗体に被検試料を接触させ、該抗体に捕捉された生体試料成分を質量分析にかけ、該抗体が認識するマーカーペプチドの分子量に相当するピークを検出する方法が挙げられる。 Alternatively, as another test method of the present invention using the antibody of the present invention, the antibody is immobilized on the surface of a probe that can be adapted to a mass spectrometer as described above, and a test sample is applied to the antibody on the probe. Examples include a method of detecting a peak corresponding to the molecular weight of a marker peptide recognized by the antibody by subjecting the biological sample component captured by the antibody to mass spectrometry.
 上記のいずれかの方法により測定された被験者由来の試料中のペプチド1のレベルが、健常者由来の対照試料中のペプチド1レベルの約2倍以上、好ましくは約5倍以上である場合に、該被験者は膵臓癌に罹患している可能性が高いと診断することができる。さらに、例えば、肺癌などのペプチド1が比較的高値を示す癌患者由来の試料を対照として利用し得る場合は、該対照試料中のペプチドレベルと比較して統計学上有意に高値を示したときに、被験者は膵臓癌に罹患している可能性が高いと診断することができる。
 また、被験者由来の試料中のペプチド1のレベルが、健常者由来の対照試料中のペプチド1レベルと比較して統計学上有意に高値を示すが、約2倍未満である場合は、該被験者は、膵臓癌以外に肺癌、造血器腫瘍または胆嚢・胆管癌に罹患している可能性が高いと診断することができる。さらに、被験者由来の試料中のペプチド1のレベルが、健常者由来の対照試料中のペプチド1レベルと比較して統計学上有意に低値を示した場合には、該被験者は、前立腺癌、乳癌、子宮体癌、大腸・直腸癌、食道癌、子宮頸癌または胃癌に罹患している可能性が高いと診断することができる。
When the level of peptide 1 in a sample derived from a subject measured by any of the above methods is about 2 times or more, preferably about 5 times or more than the level of peptide 1 in a control sample from a healthy person, The subject can be diagnosed as having a high possibility of having pancreatic cancer. Furthermore, for example, when a sample from a cancer patient in which peptide 1 such as lung cancer shows a relatively high value can be used as a control, the value is statistically significantly higher than the peptide level in the control sample. In addition, it can be diagnosed that the subject is likely to have pancreatic cancer.
In addition, when the level of peptide 1 in a sample derived from a subject is statistically significantly higher than the level of peptide 1 in a control sample derived from a healthy subject, Can be diagnosed as having a high possibility of having lung cancer, hematopoietic tumor or gallbladder / bile duct cancer in addition to pancreatic cancer. Furthermore, if the level of peptide 1 in a sample from a subject is statistically significantly lower than the level of peptide 1 in a control sample from a healthy person, the subject is prostate cancer, It can be diagnosed that there is a high possibility of having breast cancer, endometrial cancer, colorectal cancer, esophageal cancer, cervical cancer or stomach cancer.
 上記のいずれかの方法により測定された被験者由来の試料中のペプチド2のレベルが、健常者由来の対照試料中のペプチド2レベルの約2倍以上、好ましくは約5倍以上である場合に、該被験者は膵臓癌または胆嚢・胆管癌に罹患している可能性が高いと診断することができる。さらに、例えば、卵巣癌などのペプチド2が比較的高値を示す癌患者由来の試料を対照として利用し得る場合は、該対照試料中のペプチドレベルと比較して統計学上有意に高値を示したときに、被験者は膵臓癌または胆嚢・胆管癌に罹患している可能性が高いと診断することができる。さらに、ペプチド1および/またはペプチド3をマーカーとして組み合わせることにより、膵臓癌と胆嚢・胆管癌とを鑑別することもできる。
 一方、被験者由来の試料中のペプチド2のレベルが、健常者由来の対照試料中のペプチド2レベルと比較して統計学上有意に高値を示すが、約2倍未満である場合は、該被験者は、膵臓癌および胆嚢・胆管癌以外に卵巣癌、食道癌または造血器腫瘍に罹患している可能性が高いと診断することができる。
When the level of peptide 2 in a sample derived from a subject measured by any of the above methods is about 2 times or more, preferably about 5 times or more than the level of peptide 2 in a control sample from a healthy person, The subject can be diagnosed as having a high possibility of having pancreatic cancer or gallbladder / bile duct cancer. Furthermore, for example, when a sample from a cancer patient in which peptide 2 such as ovarian cancer shows a relatively high value can be used as a control, the value was statistically significantly higher than the peptide level in the control sample. Sometimes it can be diagnosed that the subject is likely to have pancreatic cancer or gallbladder / bile duct cancer. Further, pancreatic cancer can be differentiated from gallbladder / bile duct cancer by combining peptide 1 and / or peptide 3 as a marker.
On the other hand, when the level of peptide 2 in the sample derived from the subject is statistically significantly higher than the level of peptide 2 in the control sample derived from the healthy subject, Can be diagnosed as having a high possibility of having ovarian cancer, esophageal cancer or hematopoietic tumor in addition to pancreatic cancer and gallbladder / bile duct cancer.
 上記のいずれかの方法により測定された被験者由来の試料中のペプチド3のレベルが、健常者由来の対照試料中のペプチド3レベルと比較して統計学上有意に高値を示した場合に、該被験者は膵臓癌に罹患している可能性が高いと診断することができる。
 一方、被験者由来の試料中のペプチド3のレベルが、健常者由来の対照試料中のペプチド3レベルと比較して統計学上有意に低値を示した場合には、該被験者は、子宮頸癌、大腸・直腸癌、卵巣癌、食道癌、胆嚢・胆管癌、前立腺癌、子宮体癌、胃癌、乳癌または肺癌に罹患している可能性が高いと診断することができる。
When the level of peptide 3 in a sample derived from a subject measured by any of the above methods is statistically significantly higher than the level of peptide 3 in a control sample derived from a healthy subject, The subject can be diagnosed as having a high probability of having pancreatic cancer.
On the other hand, when the level of peptide 3 in the sample derived from the subject is statistically significantly lower than the level of peptide 3 in the control sample derived from the healthy subject, the subject is diagnosed with cervical cancer. It can be diagnosed that there is a high possibility of suffering from colon / rectal cancer, ovarian cancer, esophageal cancer, gallbladder / bile duct cancer, prostate cancer, endometrial cancer, stomach cancer, breast cancer or lung cancer.
 本発明の検査方法は、患者から時系列で生体試料を採取し、各試料における本発明のペプチドの発現の経時変化を調べることにより行うことが好ましい。生体試料の採取間隔は特に限定されないが、患者のQOLを損なわない範囲でできるだけ頻繁にサンプリングすることが望ましく、例えば、血漿もしくは血清を試料として用いる場合、約1分~約12時間の間隔で採血を行うことが好ましい。本発明のペプチドのうち、ペプチド1および3は、少なくとも病気分類の0-II期においては、膵臓癌のステージが進行するに従って血清レベルが増加する傾向にある。一方、ペプチド2は、0期で顕著な高値を示し、ステージが進行しても健常者と比較して有意に高値を維持する。従って、本発明のペプチドのレベルが経時的に低下した場合には、該患者における膵臓癌の病態が改善されている可能性が高いと判定することができる。 The test method of the present invention is preferably carried out by collecting biological samples from patients in time series and examining the time course of the expression of the peptide of the present invention in each sample. The collection interval of the biological sample is not particularly limited, but it is desirable to sample as frequently as possible within a range that does not impair the patient's QOL. For example, when plasma or serum is used as a sample, blood is collected at intervals of about 1 minute to about 12 hours It is preferable to carry out. Among the peptides of the present invention, peptides 1 and 3 tend to increase in serum level as the stage of pancreatic cancer progresses, at least in stage 0-II of the disease classification. On the other hand, Peptide 2 shows a markedly high value at stage 0, and maintains a significantly high value as compared with healthy individuals even when the stage progresses. Therefore, when the level of the peptide of the present invention decreases with time, it can be determined that there is a high possibility that the pathological condition of pancreatic cancer in the patient is improved.
 さらに、上記時系列的なサンプリングによる膵臓癌の検査方法は、前回サンプリングと当回サンプリングとの間に、被験者である患者に対して該疾患の治療措置が講じられた場合に、当該措置による治療効果を評価するのに用いることができる。即ち、治療の前後にサンプリングした試料について、治療後の状態が治療前の状態と比較して病態の改善が認められると判定された場合に、当該治療の効果があったと評価することができる。一方、治療後の状態が治療前の状態と比較して病態の改善が認められない、あるいはさらに悪化していると判定された場合には、当該治療の効果がなかったと評価することができる。 Furthermore, the method for examining pancreatic cancer based on the above time-series sampling is such that when a treatment measure for the disease is taken for a patient who is a subject between the previous sampling and the current sampling, treatment by the measure is performed. It can be used to evaluate the effect. That is, for a sample sampled before and after treatment, when it is determined that the condition after treatment is improved compared to the condition before treatment, it can be evaluated that the treatment is effective. On the other hand, when it is determined that the condition after treatment is not improved or further deteriorated as compared with the condition before treatment, it can be evaluated that the treatment has no effect.
 さらに本発明のペプチドは、診断以外に積極的な膵臓癌の創薬ターゲットを提供することもできる。即ち、該ペプチドそれ自体が該疾患の治療(寛解)方向に生理機能を持つ(「治療ペプチド」という)場合、該ペプチドの量もしくは活性を増大させる物質を患者に投与することにより、また、該ペプチドそれ自体が該疾患の増悪方向に生理機能を持つ場合(「増悪ペプチド」という)、該ペプチドの量もしくは活性を低減させる物質を投与することにより、それぞれ該疾患を治療することができる。 Furthermore, the peptide of the present invention can also provide an active drug discovery target for pancreatic cancer in addition to diagnosis. That is, when the peptide itself has a physiological function in the direction of treatment (remission) of the disease (referred to as “therapeutic peptide”), by administering to the patient a substance that increases the amount or activity of the peptide, When the peptide itself has physiological functions in the direction of exacerbation of the disease (referred to as “exacerbation peptide”), the disease can be treated by administering a substance that reduces the amount or activity of the peptide.
 本発明はまた、本発明のペプチドが治療ペプチドとして作用する場合に、該ペプチドの量もしくは活性を増大させる、および/または、本発明のペプチドが増悪ペプチドとして作用する場合に、該ペプチドの量もしくは活性を低減させることによる、膵臓癌の治療方法を提供する。該治療方法は、具体的には、治療ペプチドとしての本発明のペプチドの量もしくは活性を増大させる物質および/または増悪ペプチドとしての本発明のペプチドの量もしくは活性を低減させる物質の有効量を、膵臓癌患者に投与することを含む。従って、本発明はまた、治療ペプチドとしての本発明のペプチドの量もしくは活性を増大させる物質および/または増悪ペプチドとしての本発明のペプチドの量もしくは活性を低減させる物質を含有してなる、膵臓癌治療剤を提供する。
 具体的には、治療ペプチドとしての本発明のペプチドの活性を増大させる物質としては、該ペプチド自体あるいはそれと同様のアゴニスト作用を有する分子が挙げられる。あるいは、治療ペプチドとしての本発明のペプチドの活性を増大させる物質として、該ペプチドの非中和抗体、好ましくはアゴニスト抗体なども挙げることができる。一方、増悪ペプチドとしての本発明のペプチドの活性を低減させる物質としては、該ペプチドのアンタゴニスト作用を有する分子、あるいは該ペプチドに対する中和抗体などが挙げられる。
 また、治療ペプチドとしての本発明のペプチドの産生を増大させる物質としては、生体内に存在する親蛋白質(フィブリノーゲン、apoE)から該ペプチドを遊離する分解酵素、該ペプチドのN末側および/またはC末側に該分解酵素により認識・切断されるアミノ酸配列をさらに含む、該分解酵素の基質もしくは基質アナログ分子、該分解酵素の産生を促進する分子(類似化合物を含む)、該分解酵素の活性を促進する分子、該分解酵素のインヒビターの産生を抑制する分子などが挙げられる。該ペプチドのN末側および/またはC末側のアミノ酸配列から、該ペプチドを遊離させる分解酵素の存在が示唆され、該ペプチドのN末側および/またはC末側のアミノ酸配列をプローブにした分解酵素探索と同定が可能となる。こうして同定された分解酵素の基質もしくは基質アナログ分子、即ち、該ペプチドのN末側および/またはC末側に該分解酵素により認識・切断されるアミノ酸配列をさらに含むペプチド分子は、膵臓癌患者の体内で該分解酵素により切断されて治療ペプチドとしての本発明のペプチドもしくはそのアナログ分子を遊離するので、同様の治療効果を奏することができる。一方、同定された分解酵素の産生および/または活性を促進する物質も、間接的に治療ペプチドとしての本発明のペプチドの産生を増大させることができる。これらの物質は、標的の分解酵素が同定されれば、自体公知の手法によりスクリーニングし、あるいは分子設計することができる。
 一方、増悪ペプチドとしての本発明のペプチドの産生を低減させる物質としては、生体内に存在する蛋白質から該ペプチドを遊離する分解酵素の産生を抑制する分子、該分解酵素のインヒビター、該インヒビターの産生を促進する分子などが挙げられる。増悪ペプチドとしての本発明のペプチドを遊離する分解酵素は、上記治療ペプチドとしての本発明のペプチドと同様の手法により探索・同定することができる。こうして同定された分解酵素を用いて、自体公知の手法により、該分解酵素の産生もしくは活性を直接または間接的に抑制(阻害)する物質をスクリーニングし、あるいは分子設計することができる。
The invention also increases the amount or activity of the peptide when the peptide of the invention acts as a therapeutic peptide, and / or the amount or amount of the peptide when the peptide of the invention acts as an exacerbation peptide. Methods of treating pancreatic cancer by reducing activity are provided. The therapeutic method specifically comprises an effective amount of a substance that increases the amount or activity of the peptide of the present invention as a therapeutic peptide and / or a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide, Administration to patients with pancreatic cancer. Accordingly, the present invention also includes a substance that increases the amount or activity of the peptide of the present invention as a therapeutic peptide and / or a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide. Provide a therapeutic agent.
Specifically, examples of the substance that increases the activity of the peptide of the present invention as a therapeutic peptide include the peptide itself or a molecule having an agonistic action similar thereto. Alternatively, as a substance that increases the activity of the peptide of the present invention as a therapeutic peptide, a non-neutralizing antibody, preferably an agonist antibody, of the peptide can also be mentioned. On the other hand, examples of the substance that reduces the activity of the peptide of the present invention as an exacerbation peptide include a molecule having an antagonistic action of the peptide, or a neutralizing antibody against the peptide.
The substance that increases the production of the peptide of the present invention as a therapeutic peptide includes a degrading enzyme that releases the peptide from a parent protein (fibrinogen, apoE) existing in the living body, the N-terminal side of the peptide and / or C Further comprising an amino acid sequence that is recognized and cleaved by the decomposing enzyme on the terminal side, a substrate or a substrate analog molecule of the decomposing enzyme, a molecule (including an analogous compound) that promotes the production of the decomposing enzyme, Examples include molecules that promote, molecules that suppress the production of inhibitors of the degrading enzyme, and the like. The presence of a degrading enzyme that liberates the peptide is suggested from the amino acid sequence at the N-terminal side and / or C-terminal side of the peptide, and degradation using the amino acid sequence at the N-terminal side and / or C-terminal side of the peptide as a probe Enzyme search and identification becomes possible. A substrate or substrate analog molecule of a decomposing enzyme thus identified, that is, a peptide molecule further comprising an amino acid sequence recognized and cleaved by the decomposing enzyme on the N-terminal side and / or C-terminal side of the peptide, Since it is cleaved by the degrading enzyme in the body to release the peptide of the present invention or its analog molecule as a therapeutic peptide, the same therapeutic effect can be obtained. On the other hand, substances that promote the production and / or activity of the identified degrading enzymes can also indirectly increase the production of the peptides of the invention as therapeutic peptides. If the target degrading enzyme is identified, these substances can be screened or molecularly designed by a method known per se.
On the other hand, the substance that reduces the production of the peptide of the present invention as an exacerbation peptide includes a molecule that suppresses the production of a degrading enzyme that liberates the peptide from a protein present in the living body, an inhibitor of the decomposing enzyme, and the production of the inhibitor And molecules that promote The degrading enzyme that liberates the peptide of the present invention as an exacerbation peptide can be searched and identified by the same method as the peptide of the present invention as the therapeutic peptide. By using a degrading enzyme thus identified, a substance that suppresses (inhibits) the production or activity of the degrading enzyme directly or indirectly can be screened or molecularly designed by a method known per se.
 治療ペプチドとしての本発明のペプチドの量もしくは活性を増大させる物質および増悪ペプチドとしての本発明のペプチドの量もしくは活性を低減させる物質は、常套手段に従って製剤化することができる。
 例えば、経口投与のための組成物としては、固体または液体の剤形、具体的には錠剤(糖衣錠、フィルムコーティング錠を含む)、丸剤、顆粒剤、散剤、カプセル剤(ソフトカプセル剤を含む)、シロップ剤、乳剤、懸濁剤などがあげられる。かかる組成物は自体公知の方法によって製造され、製剤分野において通常用いられる担体、希釈剤もしくは賦形剤を含有するものである。例えば、錠剤用の担体、賦形剤としては、乳糖、でんぷん、蔗糖、ステアリン酸マグネシウムなどが用いられる。
 非経口投与のための組成物としては、例えば、注射剤、坐剤などが用いられ、注射剤は静脈注射剤、皮下注射剤、皮内注射剤、筋肉注射剤、点滴注射剤、関節内注射剤などの剤形を包含する。かかる注射剤は、自体公知の方法に従って、例えば、上記化合物またはその塩を通常注射剤に用いられる無菌の水性もしくは油性液に溶解、懸濁または乳化することによって調製する。注射用の水性液としては、例えば、生理食塩水、ブドウ糖やその他の補助薬を含む等張液などが用いられ、適当な溶解補助剤、例えば、アルコール(例、エタノール)、ポリアルコール(例、プロピレングリコール、ポリエチレングリコール)、非イオン界面活性剤〔例、ポリソルベート80、HCO-50(polyoxyethylene(50mol)adduct of hydrogenated castor oil)〕などと併用してもよい。油性液としては、例えば、ゴマ油、大豆油などが用いられ、溶解補助剤として安息香酸ベンジル、ベンジルアルコールなどを併用してもよい。調製された注射液は、通常、適当なアンプルに充填される。直腸投与に用いられる坐剤は、上記化合物またはその塩を通常の坐薬用基剤に混合することによって調製される。
Substances that increase the amount or activity of the peptides of the invention as therapeutic peptides and substances that reduce the amount or activity of the peptides of the invention as exacerbation peptides can be formulated according to conventional means.
For example, compositions for oral administration include solid or liquid dosage forms, specifically tablets (including dragees and film-coated tablets), pills, granules, powders, capsules (including soft capsules). Syrup, emulsion, suspension and the like. Such a composition is produced by a method known per se, and contains a carrier, diluent or excipient usually used in the pharmaceutical field. For example, lactose, starch, sucrose, magnesium stearate and the like are used as carriers and excipients for tablets.
As a composition for parenteral administration, for example, injections, suppositories and the like are used, and injections are intravenous injections, subcutaneous injections, intradermal injections, intramuscular injections, intravenous injections, intraarticular injections. Includes dosage forms such as agents. Such an injection is prepared according to a method known per se, for example, by dissolving, suspending or emulsifying the above compound or a salt thereof in a sterile aqueous or oily liquid usually used for injection. As an aqueous solution for injection, for example, isotonic solutions containing physiological saline, glucose and other adjuvants are used, and suitable solubilizers such as alcohol (eg, ethanol), polyalcohol (eg, Propylene glycol, polyethylene glycol), nonionic surfactants (eg, polysorbate 80, HCO-50 (polyoxyethylene (50 mol) adduct of hydrogenated castor oil)) and the like may be used in combination. As the oily liquid, for example, sesame oil, soybean oil and the like are used, and benzyl benzoate, benzyl alcohol and the like may be used in combination as a solubilizing agent. The prepared injection solution is usually filled in a suitable ampoule. A suppository used for rectal administration is prepared by mixing the above-mentioned compound or a salt thereof with an ordinary suppository base.
 上記の経口用または非経口用医薬組成物は、活性成分の投与量に適合するような投薬単位の剤形に調製されることが好都合である。かかる投薬単位の剤形としては、錠剤、丸剤、カプセル剤、注射剤(アンプル)、坐剤などが例示され、それぞれの投薬単位剤形当たり通常5~500mg、とりわけ注射剤では5~100mg、その他の剤形では10~250mgの上記化合物が含有されていることが好ましい。
 なお前記した各組成物は、上記治療ペプチドとしての本発明のペプチドの量もしくは活性を増大させる物質または増悪ペプチドとしての本発明のペプチドの量もしくは活性を低減させる物質との配合により、好ましくない相互作用を生じない限り、他の活性成分を含有してもよい。
The above oral or parenteral pharmaceutical compositions are conveniently prepared in dosage unit form to suit the dosage of the active ingredient. Examples of the dosage form of such a dosage unit include tablets, pills, capsules, injections (ampoules), suppositories, etc., and usually 5 to 500 mg, particularly 5 to 100 mg for injections, Other dosage forms preferably contain 10 to 250 mg of the above compound.
Each of the above-described compositions may be mixed with a substance that increases the amount or activity of the peptide of the present invention as the therapeutic peptide or a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide. Other active ingredients may be contained as long as the action is not caused.
 このようにして得られる製剤は安全で低毒性であるので、例えば、ヒトに対して経口的にまたは非経口的に投与することができる。
 治療ペプチドとしての本発明のペプチドの量もしくは活性を増大させる物質および増悪ペプチドとしての本発明のペプチドの量もしくは活性を低減させる物質の投与量は、その作用、投与ルート、患者の重篤度、年齢、体重、薬物受容性などにより差異はあるが、例えば、成人1日あたり活性成分量として約0.0008~約25mg/kg、好ましくは約0.008~約2mg/kgの範囲であり、これを1回もしくは数回に分けて投与することができる。
Since the preparation thus obtained is safe and has low toxicity, it can be administered, for example, orally or parenterally to humans.
A substance that increases the amount or activity of the peptide of the present invention as a therapeutic peptide and a substance that decreases the amount or activity of the peptide of the present invention as an exacerbation peptide are determined by its action, administration route, patient severity, Although there are differences depending on age, body weight, drug acceptability, etc., for example, the amount of active ingredient per day for an adult is about 0.0008 to about 25 mg / kg, preferably about 0.008 to about 2 mg / kg, This can be administered once or in several divided doses.
 以下に実施例を挙げて本発明をより具体的に説明するが、本発明がこれらに限定されないことは言うまでもない。 Hereinafter, the present invention will be described more specifically with reference to examples, but it goes without saying that the present invention is not limited thereto.
実施例1 BlotChipを用いたプロファイリング解析
 各種癌患者の血清並びに健常者血清1.5μLを電気泳動用サンプル処理液(NuPAGE(登録商標)LDS Sample Buffer 4x ;Invitrogen)4.5μLと混合し70℃で10分間、加熱処理した後、4-12%グラジェントポリアクリルアミドゲル(Invitorogen)にアプライし電気泳動を行った。電気泳動終了後、ゲルを切り出しBLOTCHIP(登録商標)(Protosera, Inc.)に積層し電気転写用バッファー(BLOTBufferTM;Protosera, Inc.)中で90mA,120分間転写した。転写終了後、チップの表面を超純水でリンスし、チップ全体にマトリックス(α-Cyano-4-hydroxy cinamic acid)を塗布後、matrix-assisted laser desorptionionization time-of-flight (MALDI-TOF) mass spectrometer (Bruker Daltonics社製Ultra-FlexII)で質量分析を行った。測定パラメータは、Detector voltage 1685V, Supression1000, Laser Intensity は28~35のFuzzyモードで、1チップあたり415点、1点あたり500回のレーザー照射で、総計207,500回レーザー照射を行った。得られたスペクトル中の各ピーク強度をM/z 毎に積算し、1個の積算スペクトルに変換した。積算スペクトルをClinProTools (Bruker Daltonik GmbH) を用いて、患者血清と健常者血清の間でディファレンシャルプロファイリング解析を行った。さらにこうして得られた解析結果を実際の積算スペクトル中のピークと照合した。
 その結果、膵臓癌患者群において、ピーク強度が、健常者群と比較して顕著に高値を示す、分子量約1616、約2410および約2930の3種のペプチド(それぞれペプチド1~3と命名)が検出された(表1~3)。
Example 1 Profiling analysis using BlotChip 1.5 μL of serum of various cancer patients and healthy subject serum were mixed with 4.5 μL of sample treatment solution for electrophoresis (NuPAGE (registered trademark) LDS Sample Buffer 4x; Invitrogen) for 10 minutes at 70 ° C. After heat treatment, it was applied to a 4-12% gradient polyacrylamide gel (Invitorogen) and subjected to electrophoresis. After the completion of electrophoresis, the gel was cut out, layered on BLOTCHIP (registered trademark) (Protosera, Inc.), and transferred in an electric transfer buffer (BLOTBuffer ; Protosera, Inc.) at 90 mA for 120 minutes. After the transfer, rinse the surface of the chip with ultrapure water, apply matrix (α-Cyano-4-hydroxy cinamic acid) to the entire chip, and then apply matrix-assisted laser desorptionionization time-of-flight (MALDI-TOF) mass Mass spectrometry was performed using a spectrometer (Ultra-FlexII manufactured by Bruker Daltonics). The measurement parameters were Detector voltage 1685V, Supression 1000, Laser Intensity 28 to 35 Fuzzy mode, 415 points per chip, 500 times laser irradiation per point, total 207,500 times laser irradiation. Each peak intensity in the obtained spectrum was integrated for each M / z and converted into one integrated spectrum. Differential profiling analysis was performed between patient serum and healthy subject serum using ClinProTools (Bruker Daltonik GmbH). Furthermore, the analysis results thus obtained were collated with the peaks in the actual integrated spectrum.
As a result, in the pancreatic cancer patient group, three types of peptides having molecular weights of about 1616, about 2410, and about 2930 (named as peptides 1 to 3, respectively) whose peak intensities are significantly higher than those in the healthy subjects group. Detected (Tables 1-3).
Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000003
Figure JPOXMLDOC01-appb-T000003
 次に、膵臓癌患者について、組織型ごとに該ペプチドのピーク強度を測定・比較した結果、病気分類(1997年、UICC)全6期の最も早期である0期に位置づけられる上皮内癌(Tis)でも、該ペプチドが明瞭に検出された(表4)。このことは、病気分類のII期(2cm以上、転移あり)でも病理組織学的な微小浸潤については画像検査(MRI、CT等)で診断不可能とされる、いわゆる「見えない癌」の早期診断が可能となり得ることを意味する。 Next, as a result of measuring and comparing the peak intensity of the peptide for each tissue type for pancreatic cancer patients, the cancer in situ (Tis), which is positioned at stage 0, which is the earliest of all 6 stages of disease classification (UICC) However, the peptide was clearly detected (Table 4). This is an early stage of so-called “invisible cancer”, in which it is impossible to diagnose histopathological microinvasion by imaging (MRI, CT, etc.) even in stage II of disease classification (2 cm or more, with metastasis). It means that a diagnosis can be possible.
Figure JPOXMLDOC01-appb-T000004
Figure JPOXMLDOC01-appb-T000004
実施例2 BlotChip上でのde novo MS/MS解析によるペプチドの同定
 同定にはmatrix-assisted laser desorption ionization time-of-flight (MALDI-TOF)mass spectrometer (Bruker Daltonics社製Ultra-FlexII)を使用し、Bradykinin, AngiotensinII, AngiotensinI, SubstanceP, Bombesin, Renin Substrate, ACTH Clip{1-17}, ACTH Clip{18-39}, Somatostatinを用いて質量校正を行った。その後、リフレクトロン測定モードでプロファイリングをとり、選択したペプチドピークとそのフラグメントイオンからBiotools(Bruker Daltonik GmbH)に組み込まれているMASCOT検索エンジンを通して、NCBInr及び、SwissProtデータベースと合わせ、MS/MS解析による同定を行った。
 その結果、ペプチド1~3は、それぞれ配列番号1~3に示される各アミノ酸配列からなるペプチドであると同定された。ホモロジー検索の結果、ペプチド1はフィブリノーゲンのトロンビン分解産物であるFPAがリン酸化されたもの、ペプチド2はapoEタンパク質の170-192位に相当するフラグメント、ペプチド3はフィブリノーゲンAα鎖前駆体ポリペプチドの571-601位に相当するフラグメントであることが明らかとなった。
Example 2 Identification of peptides by de novo MS / MS analysis on BlotChip For identification, matrix-assisted laser desorption ionization   Using time-of-flight (MALDI-TOF) mass spectrometer (Ultra-FlexII by Bruker Daltonics), Bradykinin, AngiotensinII, AngiotensinI, SubstanceP, Bombesin, Renin Substrate, ACTH Clip {1-17}, ACTH Clip {18 -39}, mass calibration was performed using Somatostatin. After that, profiling is performed in reflectron measurement mode, and selected peptide peaks and their fragment ions are identified by MS / MS analysis through the MASCOT search engine built into Biotools (Bruker Daltonik GmbH) with NCBInr and SwissProt databases. Went.
As a result, peptides 1 to 3 were identified as peptides each having the amino acid sequence shown in SEQ ID NOs: 1 to 3, respectively. As a result of the homology search, peptide 1 was phosphorylated from FPA which is a thrombin degradation product of fibrinogen, peptide 2 was a fragment corresponding to positions 170-192 of apoE protein, peptide 3 was 571 of fibrinogen A α chain precursor polypeptide -It became clear that it was a fragment corresponding to position 601.
 本発明の新規な膵臓癌診断マーカーを利用した臨床検査方法は、膵臓癌を迅速且つ的確に判断できるので、該疾患の早期発見、早期治療が可能となる点で有用である。また、本発明における測定対象たる本発明のペプチドは、それ自体、これらの疾患における創薬ターゲットとなり得るので、膵臓癌の新規治療薬のスクリーニング、並びにそれらを用いた該疾患の治療に利用し得る点で、極めて有用である。
 本出願は、日本で出願された特願2008-000776を基礎としており、それらの内容は本明細書に全て包含されるものである。
The clinical test method using the novel diagnostic marker for pancreatic cancer according to the present invention is useful in that pancreatic cancer can be determined quickly and accurately, so that early detection and early treatment of the disease are possible. In addition, since the peptide of the present invention as a measurement target in the present invention can itself be a drug discovery target in these diseases, it can be used for screening for novel therapeutic agents for pancreatic cancer and for treating the diseases using them. This is extremely useful.
This application is based on Japanese Patent Application No. 2008-000776 filed in Japan, the contents of which are incorporated in full herein.

Claims (11)

  1.  被験者より採取した生体試料中の、配列番号1、2および3に示される各アミノ酸配列からなるペプチド群より選ばれる1以上のペプチドの量を測定することを特徴とする、該被験者における膵臓癌の診断のための検査方法。 Pancreatic cancer in the subject, characterized in that the amount of one or more peptides selected from the peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2 and 3 in a biological sample collected from the subject is measured. Inspection method for diagnosis.
  2.  配列番号1に示されるアミノ酸配列からなるペプチドがリン酸化されている、請求項1記載の方法。 The method according to claim 1, wherein the peptide consisting of the amino acid sequence represented by SEQ ID NO: 1 is phosphorylated.
  3.  生体試料が体液である、請求項1または2記載の方法。 The method according to claim 1 or 2, wherein the biological sample is a body fluid.
  4.  体液が血液、血漿、血清、唾液、尿、髄液、骨髄液、胸水、腹水、関節液、涙液、眼房水、硝子体液およびリンパ液からなる群より選択される、請求項3記載の方法。 The method according to claim 3, wherein the body fluid is selected from the group consisting of blood, plasma, serum, saliva, urine, spinal fluid, bone marrow fluid, pleural effusion, ascites, joint fluid, tear fluid, aqueous humor, vitreous humor and lymph fluid. .
  5.  生体試料を質量分析にかけることを含む、請求項1~4のいずれかに記載の方法。 The method according to any one of claims 1 to 4, comprising subjecting the biological sample to mass spectrometry.
  6.  配列番号1、2および3に示される各アミノ酸配列からなる各ペプチドを特異的に認識する抗体群より選ばれる1以上の抗体を用いることを特徴とする、請求項1~4のいずれかに記載の方法。 5. One or more antibodies selected from the group of antibodies specifically recognizing each peptide consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 are used. the method of.
  7.  患者から時系列で生体試料を採取し、該試料における、配列番号1、2および3に示される各アミノ酸配列からなるペプチド群より選ばれる1以上のペプチドの量の経時変化を調べることを特徴とする、請求項1~6のいずれかに記載の方法。 A biological sample is collected from a patient in time series, and the change over time in the amount of one or more peptides selected from the peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 in the sample is examined. The method according to any one of claims 1 to 6.
  8.  膵臓癌患者における治療効果の評価方法であって、治療が施される前後に該患者から採取した生体試料における、配列番号1、2および3に示される各アミノ酸配列からなるペプチド群より選ばれる1以上のペプチドの量の変化を調べることを特徴とする方法。 A method for evaluating a therapeutic effect in a patient with pancreatic cancer, which is selected from a peptide group consisting of each amino acid sequence shown in SEQ ID NOs: 1, 2, and 3 in a biological sample collected from the patient before and after the treatment. A method characterized by examining the change in the amount of the above peptide.
  9.  配列番号1に示されるアミノ酸配列からなるペプチドがリン酸化されている、請求項8記載の方法。 The method according to claim 8, wherein the peptide consisting of the amino acid sequence shown in SEQ ID NO: 1 is phosphorylated.
  10.  配列番号2に示されるアミノ酸配列からなるペプチド。 A peptide consisting of the amino acid sequence shown in SEQ ID NO: 2.
  11.  配列番号3に示されるアミノ酸配列からなるペプチド。 A peptide consisting of the amino acid sequence shown in SEQ ID NO: 3.
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