WO2009104388A1 - Prophylactic/therapeutic agent for collagenosis - Google Patents

Prophylactic/therapeutic agent for collagenosis Download PDF

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WO2009104388A1
WO2009104388A1 PCT/JP2009/000659 JP2009000659W WO2009104388A1 WO 2009104388 A1 WO2009104388 A1 WO 2009104388A1 JP 2009000659 W JP2009000659 W JP 2009000659W WO 2009104388 A1 WO2009104388 A1 WO 2009104388A1
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trem
seq
amino acid
strem
therapeutic agent
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PCT/JP2009/000659
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Japanese (ja)
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上阪等
村上洋介
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国立大学法人東京医科歯科大学
田辺三菱製薬株式会社
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    • GPHYSICS
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    • G01N33/6887Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids from muscle, cartilage or connective tissue
    • AHUMAN NECESSITIES
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    • A61P19/00Drugs for skeletal disorders
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    • C07K14/705Receptors; Cell surface antigens; Cell surface determinants
    • C07K14/70503Immunoglobulin superfamily
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • G01N2800/10Musculoskeletal or connective tissue disorders
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/10Musculoskeletal or connective tissue disorders
    • G01N2800/101Diffuse connective tissue disease, e.g. Sjögren, Wegener's granulomatosis
    • G01N2800/102Arthritis; Rheumatoid arthritis, i.e. inflammation of peripheral joints
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/10Musculoskeletal or connective tissue disorders
    • G01N2800/101Diffuse connective tissue disease, e.g. Sjögren, Wegener's granulomatosis
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    • G01N2800/107Crystal induced conditions; Gout

Definitions

  • the present invention relates to a preventive / therapeutic agent for collagen disease and a screening method thereof.
  • Collagen diseases are rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), systemic sclerosis (SSc), dermatomyositis (DM), multiple myositis (PM), rheumatic fever (RF), nodular polyposis. It is a general term for a series of diseases such as arteritis (PN) and mixed connective tissue disease (mixed connective tissue disease; MCTD).
  • Collagen disease is an autoimmune disease, in which autoantibodies in the body's blood react with the nuclei of their own cells to form immune complexes and deposit in tissues, such as joints, blood vessels, and internal organs throughout the body. It is thought to be caused by an attack.
  • Rheumatoid arthritis a type of collagen disease, is accompanied by cartilage degeneration and bone erosion, and eventually loses joint function.
  • Rheumatoid arthritis is said to be caused by a large amount of inflammatory cells, including lymphocytes that produce autoantibodies, infiltrating the joint and hyperplasia of the periosteum. More specifically, rheumatoid arthritis is caused by T cells recognizing an unknown self-antigen causing inflammation in synovial tissue, followed by local assembly of macrophages and lymphocytes in the synovial tissue, It is said to be caused by further activation at the site of inflammation (Non-patent Document 1).
  • macrophages greatly contribute to the progression of rheumatoid arthritis because they produce various inflammatory molecules such as inflammatory cytokines, prostaglandins, and nitric oxide.
  • the production of these inflammatory molecules is controlled by the activation of cell surface molecules such as cytokine receptors, complement receptors and ITAM (Immunoreceptor-tyrosine-based activation-motif) -related receptors through their respective ligand involvement.
  • Some receptors such as those mentioned above that are involved in the regulation of the immune system, are associated non-covalently with membrane anchored adapter molecules. In many cases, these receptors cannot be stably expressed on the cell surface without their adapter molecules, and signal transduction into cells via these adapter molecules. .
  • TREM-1 Triggering receptor expressed on myeloidcells-1 has been identified as a transmembrane receptor on bone marrow cells associated with activation of DAP12 (DNAX activationprotein 12), an adapter molecule having ITAM (Non-patent Document 2, 3). TREM-1 is expressed mainly in monocytes / macrophages and neutrophils and is induced by various stimuli such as TLR ligands (LPS, LTA, etc.) and inflammatory cytokines (TNF ⁇ , IL-1 ⁇ , etc.) Patent Documents 2 to 4) have not yet identified their natural ligands.
  • TLR ligands LPS, LTA, etc.
  • TNF ⁇ , IL-1 ⁇ , etc. inflammatory cytokines
  • TREM-1 Although the detailed function of TREM-1 is not yet clear, treatment of neutrophils and monocytes with an agonistic monoclonal antibody against TREM-1 causes various inflammation in neutrophils and monocytes. It is known that production of sex cytokines and expression of cell surface molecules are caused (Non-patent Document 2). Further, soluble TREM-1 (sTREM-1) is known as a substance that inhibits the function of TREM-1 (Non-patent Document 5). This sTREM-1 is a soluble polypeptide obtained by proteolytic cleavage of membrane-bound TREM-1, and has a property of inhibiting the function of TREM-1 by competing with TREM-1 itself.
  • TREM-1 Bacterial infection is known as a disease involving the action of TREM-1.
  • TREM-1 plays an important role in the pathophysiology of bacterial infections.
  • administration of a “sTREM-1-Fc recombinant fusion protein” or “sTREM-1 synthetic peptide” that competes with TREM-1 to septic shock model mice results in administration of lethal amounts of LPS or septic bacteria. It was confirmed that mice were protected from infection (Non-Patent Documents 6 and 7).
  • Inflammatory colitis is a disease in which bacterial damage in the intestine is known to play an important role in its pathogenesis, and a TREM-1 antagonist peptide was administered to experimental inflammatory colitis model mice.
  • TREM-1 is known to play an important role in disease-related bacterial infections.
  • the present inventors introduced the adenovirus-sTREM-1-Ig gene to inhibit the function of TREM-1, thereby causing the progression of collagen-induced arthritis (CIA) It was found that the onset was significantly suppressed without impairing the immune response of T cells or B cells, and the present invention was completed based on this finding.
  • the present invention relates to (1) a preventive / therapeutic agent for collagen disease containing a TREM-1 inhibitor, and (2) the TREM-1 inhibitor is a soluble TREM-1 or a soluble TREM-1 expression vector
  • the preventive / therapeutic agent for collagen disease according to (1) above (3) a polypeptide comprising the amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1, and the amino acid number in SEQ ID NO: 5
  • the above (2) which is a polypeptide consisting of the amino acid sequence shown by 1 to 200, a polypeptide consisting of the amino acid sequence shown by SEQ ID NO: 3 or 7, or a polypeptide comprising the amino acid sequence shown by SEQ ID NO: 3 or 7
  • Soluble TREM-1 is represented by amino acid numbers 1 to 194 in SEQ ID NO: 1.
  • the preventive / therapeutic agent for collagen disease according to (2) above which is a polypeptide having an inserted or added amino acid sequence and having TREM-1 inhibitory activity, and (5) a TREM-1 inhibitor
  • the preventive / therapeutic agent for collagen disease according to (1) above which is an immunoglobulin binding-soluble TREM-1 (sTREM-1-Ig), or (6) an immunoglobulin binding-soluble TREM-1 (sTREM-1-Ig) ) Is a polypeptide consisting of the amino acid sequence shown in SEQ ID NO: 1 or 5, the preventive / therapeutic agent for collagen disease according to (5) above, or (7) soluble TR
  • the M-1 expression vector is a polynucleotide consisting of the nucleotide sequence shown in nucleotide numbers 1 to 582 in SEQ ID NO: 2, a
  • a therapeutic agent, or (8) a soluble TREM-1 expression vector is a nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2, a nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6, and SEQ ID NO: 4 Or the number 8 A recombinant vector comprising a polynucleotide that hybridizes under stringent conditions with a polynucleotide comprising a sequence complementary to a nucleotide sequence selected from a nucleotide sequence and encodes a polypeptide having TREM-1 inhibitory activity
  • the preventive / therapeutic agent for collagen disease according to (2) above, or (9) the soluble TREM-1 expression vector is a recombinant viral vector expressing soluble TREM-1 And (10) the preventive / therapeutic agent for collagen disease according to any one of the above (1) to (9), wherein the collagen disease is rheumatoid arthritis.
  • the present invention also includes (11) a screening method for a prophylactic / therapeutic agent for collagen disease comprising a step of searching for a TREM-1 inhibitor, and (12) a step of searching for a TREM-1 inhibitor.
  • the method according to (11) above which is a step of culturing cells containing TREM-1 in the presence or absence of a substance, measuring the TNF ⁇ concentration in the culture supernatant, and comparing the TNF ⁇ concentrations.
  • the present invention relates to a screening method for a preventive / therapeutic agent for collagen disease.
  • A It is a figure which shows the result of having measured the sTREM-1 density
  • B It is a figure which shows the result of having double-stained the synovial cell of RA patient about TREM-1 and CD14 (macrophage marker).
  • C TREM-1 of all synovial cells of RA patients is stimulated with an anti-TREM-1 agonist antibody for 24 hours, and the inflammatory cytokine (TNF ⁇ ) concentration in the culture supernatant is measured by ELISA. . Note that * indicates p ⁇ 0.01, and ** indicates p ⁇ 0.001.
  • AC Results of immunohistochemical analysis of synovial cells of CIA mice.
  • A is a diagram stained with hematoxylin and eosin
  • B is a diagram stained with a normal rabbit IgG antibody as an isotype-matched control antibody
  • C is a diagram stained with a rat anti-mouse TREM-1 antibody.
  • D It is a figure which shows the result of having double-stained the synoviocyte of a CIA mouse
  • sTREM-1-Ig an expression product of AxCA-sTREM-1-Ig, have on TNF ⁇ production by resident peritoneal macrophages (RPM) stimulated with an anti-TREM-1 agonist antibody? It is a figure which shows the result of having investigated.
  • B It is a figure which shows the time-dependent transition of the ankle width
  • C It is a figure which shows the time-dependent transition of the thickness of a hind limb when AxCA-sTREM-1-Ig is introduce
  • A It is a figure which shows the result of having dye
  • B It is a figure which shows the result of having dye
  • C shows histological scores of arthritis of knee joints of mice introduced with CIA induction and AxCA-LacZ (control), and knee joints of mice introduced with CIA induction and AxCA-sTREM-1-Ig .
  • A Proliferation of T cells in spleen cells of mice introduced with CIA and AxCA-sTREM-1-Ig.
  • B It is a figure which shows the result analyzed about the anti- CII antibody (IgG1, IgG2a, and IgG2b) in the serum of the mouse
  • the preventive / therapeutic agent for collagen disease of the present invention is not particularly limited as long as it is a composition containing a TREM-1 inhibitor.
  • the “TREM-1 inhibitor” refers to a TREM-1 A substance having an activity of inhibiting all signal transduction, such as TREM-1 inhibitory substance, soluble TREM-1, a recombinant vector expressing soluble TREM-1 (sTREM-1), and a TREM-1 antagonist Can be preferably exemplified.
  • TREM-1 inhibitors inhibit the function of TREM-1 (signal transduction via TREM-1).
  • TREM-1 inhibitors are advantageous as active ingredients for preventive and therapeutic agents for collagen disease. Can be used.
  • TREM-1 is not particularly limited, but is preferably derived from animals, such as human, mouse, rat, guinea pig, rabbit, bird, sheep, pig, cow, horse, cat, dog, monkey, chimpanzee, etc. More preferably, it is derived from a mammal, and more preferably, it is derived from a mammal targeted for prevention / treatment of collagen disease.
  • TREM-1 in these mammals is mouse TREM-1 (Genbank accession No. AK089439), human TREM-1 (Genbank accession No. AF287008), bovine TREM-1 (Genbank accession No.
  • porcine TREM-1 Obtain a polynucleotide encoding TREM-1 using a genetic engineering technique (PCR, Southern hybridization, etc.) using sequence information such as Genbank accession No. AY382476) and express the polynucleotide using an appropriate expression system. By doing so, various origins of TREM-1 can be obtained.
  • soluble TREM-1 As the above-mentioned soluble TREM-1, (1) a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 3 or a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 3 (mouse LP17); (2) a polypeptide (mouse sTREM-1) comprising an amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1; (3) including the amino acid sequence represented by amino acid numbers 1-194 in SEQ ID NO: 1 or the amino acid sequence represented by SEQ ID NO: 3, wherein one or several amino acid substitutions, deletions, insertions, or additions are added.
  • polypeptide having a TREM-1 inhibitory activity (mouse sTREM-1 mutant); (4) Amino acid substitutions, deletions, insertions or additions of one or several amino acids in the amino acid sequences shown in amino acid numbers 1-102 and 120-194 among amino acid numbers 1-194 in SEQ ID NO: 1
  • a polypeptide comprising a sequence and having TREM-1 inhibitory activity (mouse sTREM-1 mutant); (5) a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 7 or a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 7 (human LP17); (6) a polypeptide comprising the amino acid sequence represented by amino acid numbers 1 to 200 in SEQ ID NO: 5 (human sTREM-1); (7) including the amino acid sequence represented by amino acid numbers 1 to 200 in SEQ ID NO: 5 or the amino acid sequence represented by SEQ ID NO: 7 in which one or several amino acid substitutions, deletions, insertions, or additions are added
  • a linker sequence (amino acid sequence represented by amino acid numbers 195 to 199 in SEQ ID NO: 1; amino acid numbers 201 to 205 in SEQ ID NO: 5 is provided on the C-terminal side of these soluble TREM-1s.
  • a polypeptide to which an IgG1 Fc region (amino acid sequence represented by amino acid numbers 200 to 430 in SEQ ID NO: 1; amino acid sequence represented by amino acid numbers 206 to 436 in SEQ ID NO: 5) is added is preferable. It can be illustrated. Therefore, mouse or human immunoglobulin-binding-soluble TREM-1 (sTREM-1-Ig) can also be advantageously used as a preventive / therapeutic agent for collagen disease.
  • Soluble TREM-1 is thought to inhibit the function of TREM-1 by trapping the natural ligand of TREM-1, and is a mouse LP17 polypeptide (polypeptide consisting of the amino acid sequence shown in SEQ ID NO: 3). ) Inhibits the function of mouse TREM-1 is disclosed in Non-Patent Document 7.
  • the “several” in the sTREM-1 mutant is, for example, 2 to 60, preferably 2 to 40, more preferably 2 to 30, further preferably 2 to 20, and even more preferably 2 to 10. Examples thereof are 2 to 5, particularly preferably 2 to 5, and most preferably 2 to 3.
  • the amino acid sequence of the sTREM-1 variant is 50% or more, preferably 60% of the amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1 or 5 or the amino acid sequence represented by SEQ ID NO: 3 or 7. Examples thereof include amino acid sequences having homology of 70% or more, more preferably 80% or more, even more preferably 90% or more, and most preferably about 95% or more.
  • soluble TREM-1 can be prepared by deleting a part of the C-terminal of TREM-1 (membrane type TREM-1).
  • TREM-1 membrane type TREM-1
  • soluble TREM-1 sTREM-1
  • sTREM-1 can be produced by deleting the C-terminal 36 amino acids
  • Soluble TREM-1 sTREM-1
  • the sTREM-1 mutant can also be prepared by chemical synthesis, or by applying any method known to those skilled in the art, such as genetic engineering techniques and mutagenesis.
  • a polynucleotide comprising the nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2 (polynucleotide encoding mouse sTREM-1), or the nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6
  • a polynucleotide comprising (a polynucleotide encoding human sTREM-1), a method of contacting a sTREM-1 polynucleotide derived from another organism with a drug that is a mutagen, a method of irradiating ultraviolet rays, a genetic engineering method
  • a sTREM-1 mutant can be obtained by introducing mutations into these polynucleotides using various techniques and expressing the mutant polynucleotides using an appropriate expression system.
  • the above TREM-1 antagonist can be obtained from an appropriate compound library by using, for example, the screening method for a preventive / therapeutic agent for collagen disease of the present invention described later.
  • a substance expressed on the plasma plate can also be used as a candidate substance.
  • the soluble TREM-1 expression vector is not particularly limited as long as it can express the above-mentioned soluble TREM-1 in the living body of any animal, but the above-mentioned soluble TREM-1 expression vector in the living body of any mammal
  • a recombinant vector expressing TREM-1 can be mentioned, preferably a recombinant viral vector.
  • recombinant vectors expressing these soluble TREM-1 (1) a polynucleotide comprising the nucleotide sequence shown in SEQ ID NO: 4 or a recombinant vector (mouse LP17 vector) in which a polynucleotide containing the nucleotide sequence is integrated; (2) a recombinant vector (mouse sTREM-1 vector) in which a polynucleotide comprising the nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2 is integrated; (3) hybridizes under stringent conditions with a polynucleotide consisting of a nucleotide sequence shown in SEQ ID NO: 4 or a nucleotide sequence complementary to the nucleotide sequence shown in nucleotide numbers 1 to 582 in SEQ ID NO: 2, and TREM- A recombinant vector in which a polynucleotide encoding a polypeptide having
  • polynucleotide hybridizing under stringent conditions uses a polynucleotide such as DNA or RNA as a probe, and uses a colony hybridization method, a plaque hybridization method, a Southern blot hybridization method, or the like. Specifically, using a filter on which a polynucleotide derived from a colony or plaque or a fragment thereof is immobilized, the polynucleotide is obtained at 65 ° C. in the presence of 0.7 to 1.0 M NaCl. After hybridization, the filter is washed under conditions of 65 ° C.
  • stringent conditions refer to conditions under which so-called specific hybrids are formed and non-specific hybrids are not formed.
  • polynucleotides having a homology of 50 to 70% or more are hybridized and polynucleotides having lower homology (particularly DNA) are not hybridized with each other, or are washing conditions for normal Southern hybridization at 65 ° C., 1 ⁇ SSC, 0.1% SDS Or a condition of hybridizing at a salt concentration corresponding to 0.1 ⁇ SSC and 0.1% SDS.
  • the polynucleotide that can hybridize under stringent conditions can include a polynucleotide having a certain homology with the base sequence of the polynucleotide used as a probe, for example, 60% or more, preferably Is preferably a polynucleotide having a homology of 70% or more, more preferably 80% or more, more preferably 85% or more, even more preferably 90% or more, particularly preferably 95% or more, and most preferably 98% or more. It can be illustrated.
  • the recombinant vector of the present invention preferably a recombinant virus vector, can be constructed by appropriately integrating the aforementioned polynucleotide encoding sTREM-1 into an expression vector.
  • the expression vector is preferably one that can replicate autonomously in the animal cell to be administered, or one that can be integrated into the chromosome of the aforementioned animal cell, and a promoter or enhancer at a position where sTREM-1 can be expressed.
  • Those containing a control sequence such as a terminator can be preferably used.
  • an expression vector for animal cells for example, an adenovirus vector (Science, 252, 431-434, 1991) used for transient expression in all cells including non-sorted cells (other than blood cells) And retroviral vectors (Microbiology ⁇ and Immunology, 158, 1-23, 1992) used for long-term expression in dividing cells and adeno-associated viruses that can be introduced into non-pathogenic, non-dividing cells and used for long-term expression Virus vectors such as vectors (Curr. Top. Microbiol. Immunol., 158, 1992 97-129, 1992) can be mentioned, among which adenovirus vectors can be preferably exemplified.
  • a procedure and method for constructing an expression vector that can be used in the present invention those commonly used in the field of genetic engineering can be used.
  • the preventive / therapeutic agent for collagen disease of the present invention may be a TREM-1 inhibitor alone, or may be formulated with a physiologically recognized carrier such as an adjuvant for promoting intake. . Further, a prophylactic / therapeutic agent for collagen disease other than a TREM-1 inhibitor may be used in combination.
  • the dosage form of the prophylactic / therapeutic agent for collagen disease of the present invention is not particularly limited, but is an oral agent such as a tablet, capsule, powder, syrup, water or other pharmaceutically acceptable liquid.
  • An injection such as a sterile solution or suspension can be exemplified, and when the TREM-1 inhibitor is a substance expressing TREM-1 or soluble TREM-1, the injection can be preferably exemplified it can.
  • intravenous administration and subcutaneous administration can be preferably exemplified.
  • the preventive / therapeutic agent for collagen disease of the present invention includes, for example, the above-described TREM-1 inhibitor in the present invention, a physiologically acceptable carrier, flavoring agent, excipient, vehicle, preservative, stabilizer, It can be produced by mixing in a unit dosage form that is generally required for the practice of the formulation together with a binder and the like. The amount of active ingredient in these preparations is such that an appropriate dose within the indicated range can be obtained.
  • additives that can be mixed into tablets, capsules and the like include binders such as gelatin, corn starch, tragacanth and gum arabic, excipients such as crystalline cellulose, swelling agents such as corn starch, gelatin and alginic acid, Lubricants such as magnesium stearate, sweeteners such as sucrose, lactose or saccharin, flavoring agents such as peppermint, red mono oil or cherry can be used.
  • a liquid carrier such as fats and oils can be further contained in the above-mentioned type material.
  • the injection can be prepared by dissolving, suspending or emulsifying the polypeptide of the present invention in a sterile aqueous or oily liquid usually used for injection.
  • a sterile aqueous or oily liquid usually used for injection.
  • aqueous solution for injection for example, physiological saline, isotonic solution containing glucose and other adjuvants, and the like can be used.
  • suitable solubilizers such as alcohol (eg, ethanol), Alcohol (eg, propylene glycol, polyethylene glycol), nonionic surfactant [eg, polysorbate 80, HCO-50 (polyoxyethylene (50 mol) adductadof hydrogenated castor oil)] or the like may be used in combination.
  • oily liquid for example, sesame oil, soybean oil and the like can be used, and benzyl benzoate, benzyl alcohol and the like may be used in combination as a solubilizing agent.
  • Buffers eg, phosphate buffer, sodium acetate buffer, etc.
  • soothing agents eg, benzalkonium chloride, procaine hydrochloride, etc.
  • stabilizers eg, human serum albumin, polyethylene glycol, etc.
  • a preservative for example, benzyl alcohol, phenol, etc.
  • an antioxidant and the like may be blended.
  • the prepared injection solution can usually be filled into a suitable ampoule. The dose varies depending on the type of TREM-1 inhibitor, the weight and age of the patient, the administration method, etc., but those skilled in the art can appropriately select an appropriate dose.
  • Preferred examples of the target for the administration of a prophylactic / therapeutic agent for collagen disease include mammals such as humans, mice, rats, guinea pigs, rabbits, birds, sheep, pigs, cows, horses, cats, dogs, monkeys, chimpanzees, etc. Can do.
  • the collagen disease to be targeted by the preventive / therapeutic agent for collagen disease of the present invention is not particularly limited as long as it is a collagen disease, but rheumatoid arthritis (RA), gout, systemic lupus erythematosus (SLE), Sjogren's syndrome (SjS), Systemic sclerosis (SSc), polymyositis (PM), dermatomyositis (DM), polyarteritis nodosa (PN), rheumatic fever (RF), mixed connective tissue disease (mixed connective tissue disease; MCTD) , Microscopic polyangitis (MPA), Wegener's granulomatosis (WG), allergic granulomatous vasculitis (AGA), hypersensitivity vasculitis, Behcet's disease, Kogan syndrome RS3PE can be exemplified, among which rheumatoid arthritis, systemic lupus erythematosus (SLE), and Sjogren's syndrome
  • the screening method for a preventive / therapeutic agent for collagen disease of the present invention comprises a step of searching for a TREM-1 inhibitor.
  • a step of searching for a TREM-1 inhibitor for example, cells containing TREM-1 are cultured in the presence or absence of a test substance, the TNF ⁇ concentration in the culture supernatant is measured, and the TNF ⁇ concentrations are compared. The process of performing can be illustrated. When the TNF ⁇ concentration in the presence of the test substance is lower than the TNF ⁇ concentration in the absence of the test substance, the test substance can be evaluated as a TREM-1 inhibitor.
  • the collagen disease prevention / treatment method of the present invention comprises a step of administering the collagen disease prevention / treatment agent of the present invention to an animal.
  • the animal the aforementioned mammals can be preferably exemplified.
  • a preventive / therapeutic agent for collagen disease other than the preventive / therapeutic agent for collagen disease of the present invention may be used in combination.
  • Examples 2 to 7 described later are as follows. ⁇ 15. The materials and methods described in 1 were used. [Materials and methods] 1. Reagents Rat anti-mouse TREM-1 antibody, mouse anti-human TREM-1 antibody, phycoerythrin (PE) -labeled anti-mouse TREM-1 antibody, PE-labeled anti-human TREM-1 monoclonal antibody (mAb), anti-mouse IgG 1 antibody, anti-rat IgG antibodies, mouse TREM-1 duo set, and mouse tumor necrosis factor ⁇ (TNF ⁇ ) duo set were obtained from R & D (Minneapolis, MN).
  • PE phycoerythrin
  • mAb PE-labeled anti-human TREM-1 monoclonal antibody
  • anti-mouse IgG 1 antibody anti-rat IgG antibodies
  • mouse TREM-1 duo set mouse tumor necrosis factor ⁇ duo set
  • TNF ⁇ mouse tumor necrosis factor ⁇
  • Fluorescein isothiocyanate (FITC) labeled anti-human CD14 monoclonal antibody was purchased from Beckman-Coulter (Fullerton, Calif.). Allophycocyanin (APC) labeled anti-mouse CD11b monoclonal antibody was purchased from e-Bioscience (San Diego, Calif.). Rabbit anti-rat IgG antibody, streptavidin-horseradish peroxidase (HRP), and diaminobenzidine (Envision kit) were purchased from Dako Cytomation Co. Ltd. (Kyoto). Reagents for specific enzyme immunoassay (ELISA) used for human TNF ⁇ were obtained from Biosource International (Camarillo, CA).
  • LPS and collagenase A were purchased from Sigma (St. Louis, MO).
  • Rabbit anti-mouse IgG1, IgG2a, and IgG2b antibodies labeled with HRP were purchased from Zymed (Burlingame, Calif.).
  • sTREM-1 concentration in synovial fluid was measured by a conventional enzyme immunoassay (ELISA).
  • Quantitative real-time PCR was performed by the method described in Non-Patent Document 4. That is, total RNA was extracted from cell lysates using RNeasy Mini kit (Qiagen, Tokyo). This RNA was treated with DNase I (Qiagen), and cDNA was synthesized using Omniscript reverse transcriptase (Qiagen). HTREM-1 and rRNA were examined by quantitative real-time PCR (TaqMan) using specific oligonucleotide primers and probes. TaqMan PCR was performed by QuantiTect Probe PCR (Qiagen). PCR amplification was monitored in real time by quantitative analysis of emitted fluorescence using a 7900 sequence detection system. The amount of control sample was 1 arbitrary unit, and each mRNA sample was quantified relative to the amount of control sample.
  • Cytokine production assay 5 ⁇ g / ml of anti-human TREM-1 monoclonal antibody, anti-mouse TREM-1 monoclonal antibody, or isotype matched control antibody (IgG antibody) was precoated at 4 ° C. overnight at 4 ° C.
  • Cells washed with PBS were added to each well of the flat bottom plate at 1 ⁇ 10 5 cells / well, and this was centrifuged at 1200 rpm for a short time to bind TREM-1 to the antibody. After incubation for 24 hours, the culture medium was collected by centrifugation and stored at ⁇ 20 ° C. until the TNF ⁇ concentration in the culture medium supernatant was measured by specific ELISA.
  • anti-human TREM-1 monoclonal antibody and anti-mouse TREM-1 monoclonal antibody also have agonistic properties against human TREM-1 and mouse TREM-1, respectively. Also referred to as “TREM-1 agonist antibody”.
  • a replication-deficient adenovirus containing a recombinant adenovirus mouse sTREM-1-Ig gene (SEQ ID NO: 1) (hereinafter also referred to as “AxCA-sTREM-1-Ig”) or a replication-deficient adenovirus containing a LacZ gene (hereinafter referred to as “AxCA-sTREM-1-Ig”) “AxCA-LacZ”) was prepared by the method described in the literature (Arthritis Rheum. 54: 2074-2083).
  • a recombinant adenovirus was grown in HEK293 cells to prepare a high-titer recombinant adenovirus, and the recombinant adenovirus was purified from HEK239 cells by cesium chloride density gradient centrifugation.
  • RPM TREM-1-expressing cells
  • STREM-1 Concentration in Serum To examine the sTREM-1 concentration in serum after intravenous administration of AxCA-sTREM-1-Ig, on day 0, 10 9 pfu of AxCA-sTREM-1-Ig or AxCA- LacZ was administered to non-immunized mice. Blood samples were collected from mice at 0, 2, 4, and 7 days after adenovirus administration and stored at -20 ° C. The stored blood sample was subjected to ELISA, and the sTREM-1 concentration in the serum was measured.
  • CII specific antibody CII specific antibody in mouse serum was measured by ELISA. Specifically, it measured by the following methods. Flat bottom plates were coated with 2 ⁇ g / ml bovine type II collagen denatured by boiling in phosphate buffered saline (PBS). The plate was washed in PBS containing 0.05% Tween 20 (PBST), blocked with PBS containing 2% bovine serum albumin (BSA), and incubated with 1000-fold diluted mouse serum.
  • PBS phosphate buffered saline
  • Splenocytes were isolated from each group of mice 14 days after the second immunization. These spleen cells (5 ⁇ 10 5 cells) were cultured in RPMI 1640 medium supplemented with penicillin / streptomycin and 10% fetal calf serum while being stimulated with denatured CII (0-100 ⁇ g / ml). Cultures were cultured with [ 3 H] thymidine (0.037 MBq / well) for the last 16 hours of the 72 hour culture period and splenocytes were collected on a micro 96 harvester (PerkinElmer, Yokohama) to proliferate. evaluated. Incorporated radiation was measured by a microplate beta counter (“Micro ⁇ Plus”; PerkinElmer).
  • Example 1 in order to examine the sTREM-1 concentration in rheumatoid arthritis, the sTREM-1 concentration in the synovial fluid of 23 rheumatoid arthritis (RA) patients and 9 osteoarthritis (OA) patients was described in Example 1 above. It was measured by ELISA according to the method of “Measurement of sTREM-1 concentration in synovial fluid”. The result is shown in FIG. As can be seen from the results in FIG.
  • the sTREM-1 concentration in the synovial fluid of RA patients was 1763.2 ⁇ 1180.2 pg / ml
  • the sTREM-1 concentration in the synovial fluid of OA patients was 162.2 ⁇ 220.2 pg / ml
  • the sTREM-1 concentration in the synovial fluid of RA patients was significantly higher than that of OA patients. This indicates that sTREM-1 is highly expressed in RA with inflammation than OA without inflammation.
  • TREM-1 of all synovial cells of RA patients in Example 2 (1) above was According to the method of “cytokine production assay” described in Example 1 above, stimulation with an anti-TREM-1 monoclonal antibody (anti-TREM-1 agonist antibody) for 24 hours, and the concentration of inflammatory cytokine (TNF ⁇ ) in the culture supernatant was measured by ELISA. The result is shown in FIG. TNF ⁇ secretion itself has already been detected in synovial cells obtained from RA inflamed joints, but as can be seen from the results in FIG.
  • TNF ⁇ crosslinking by anti-TREM-1 agonist antibody Secretion was significantly higher than when stimulated with IgG antibody (control antibody). From this, it was shown that the disease in patients with rheumatoid arthritis worsens and tissue destruction progresses by increasing the inflammatory process via TREM-1.
  • mice [Expression of mouse TREM-1 in synovial cells of collagen arthritis (CIA) mice]
  • results of immunohistochemical analysis on synovial cells of CIA mice In order to examine whether TREM-1 expression in bone marrow cells contributes to inflammatory reaction in synovial tissue, in synovial tissue of CIA mice The expression of mouse TREM-1 was examined by the “immunohistochemical analysis” method described in Example 1 above. The results are shown in FIGS. As can be seen from the results of FIGS. 2A to 2C, cells expressing TREM-1 (mononuclear cells) were abundantly observed in the inflamed synovial tissue (FIG. 2C).
  • TREM-1 TREM-1 expression.
  • the expression level (Day 7) of TREM-1 in the early inflammatory joint (7 days after the second collagen immunization) was higher than that in the chronic inflammatory joint (16 days after the second collagen immunization) (Day 16). This indicates that TREM-1 plays a more important role in early inflammatory joints than in chronic inflammatory joints.
  • the concentration of sTREM-1 in mouse serum was measured by ELISA.
  • the result is shown in FIG.
  • the sTREM-1 concentration reached its maximum value 2 days after intravenous administration of AxCA-sTREM-1-Ig, and gradually decreased until the 7th day thereafter.
  • mice administered with AxCA-LacZ instead of AxCA-sTREM-1-Ig no increase in serum sTREM-1 concentration was observed (data not shown). From these results, it was shown that sTREM-1-Ig was efficiently produced in vivo by intravenous administration of AxCA-sTREM-1-Ig.
  • FIG. Of C the time course of the hind limb thickness of CIA mice is shown in FIG. Of C.
  • FIGS. 4A to 4C when 1 ⁇ 10 9 pfu of AxCA-sTREM-1-Ig was intravenously administered, the progression of arthritis was compared to when AxCA-LacZ (control) was administered. Was significantly suppressed.
  • arthritis when 1 ⁇ 10 8 pfu of AxCA-sTREM-1-Ig was administered intravenously, arthritis was significantly suppressed compared to the control, although not as much as when 1 ⁇ 10 9 pfu was administered. That is, it was revealed that AxCA-sTREM-1-Ig inhibits arthritis in a dose-dependent manner.
  • the joints of AxCA-LacZ-introduced mice are unique to collagen arthritis in all four parameters: prominent infiltration of inflammatory cells, degeneration of synovial intima, cartilage destruction, and pannus formation. The characteristics were shown.
  • the infiltration of inflammatory cells was remarkably reduced, and the degree of intimal hyperplasia and bone and cartilage destruction were low.
  • AxCA-sTREM-1-Ig or AxCA-LacZ various adenoviruses (AxCA-sTREM-1-Ig or AxCA-LacZ) were introduced 2 days and 9 days after the second immunization of CIA-induced mice, and 4 spleens per group were introduced on the 16th day. Removed and co-cultured with type II collagen. The observation result is shown in FIG. As can be seen from the results in FIG. 6A, each group was introduced with 10 8 pfu of AxCA-sTREM-1-Ig, 10 9 pfu of AxCA-sTREM-1-Ig, or AxCA-LacZ (control). No significant difference in response was observed. This result indicated that inhibition of TREM-1 did not impair the antigen-specific T cell response.
  • a TREM-1 inhibitor is effective for preventing or treating a collagen disease.
  • a prophylactic / therapeutic agent for collagen disease can be screened by searching for a TREM-1 inhibitor.

Abstract

Disclosed is a prophylactic/therapeutic agent for collagenosis, which can inhibit the function of TREM-1 to exhibit a prophylactic/therapeutic effect on collagenosis. Also disclosed is a method for the screening of a prophylactic/therapeutic agent for collagenosis which can inhibit the function of TREM-1 to prevent or treat collagenosis. Specifically, the prophylactic/therapeutic agent for collagenosis comprises a TREM-1 inhibitor. Preferred examples of the TREM-1 inhibitor include soluble TREM-1 and a vector capable of expressing soluble TREM-1.

Description

膠原病の予防・治療剤Preventive and therapeutic agents for collagen disease
 本発明は、膠原病の予防・治療剤及びそのスクリーニング法などに関する。 The present invention relates to a preventive / therapeutic agent for collagen disease and a screening method thereof.
 膠原病は、関節リウマチ(Rheumatoid ahthritis;RA) 、全身性エリテマトーデス(SLE)、全身性硬化症(SSc)、皮膚筋炎(DM)、多発性筋炎(PM)、リウマチ熱(RF)、結節性多発性動脈炎(PN)、混合性結合組織病(mixed connective tissue disease; MCTD)等の一連の疾患群の総称である。膠原病は、自己免疫疾患であり、体内の血液中の自己抗体が、自己の細胞の核などと反応して免疫複合体を作り、組織に沈着したり、全身の関節・血管・内臓などを攻撃することによって生じるものと考えられている。 Collagen diseases are rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), systemic sclerosis (SSc), dermatomyositis (DM), multiple myositis (PM), rheumatic fever (RF), nodular polyposis. It is a general term for a series of diseases such as arteritis (PN) and mixed connective tissue disease (mixed connective tissue disease; MCTD). Collagen disease is an autoimmune disease, in which autoantibodies in the body's blood react with the nuclei of their own cells to form immune complexes and deposit in tissues, such as joints, blood vessels, and internal organs throughout the body. It is thought to be caused by an attack.
 膠原病の1種である関節リウマチは、軟骨の変性や骨のびらんを伴い、最終的には関節機能を喪失させる。関節リウマチは、自己抗体を産生するリンパ球を含む大量の炎症細胞が関節に浸潤し、骨膜が過形成されることによって生じるとされている。より詳細に述べれば、関節リウマチは、ある未知の自己抗原を認識するT細胞が滑膜組織において炎症の開始を引き起こし、続いてマクロファージ及びリンパ球が滑膜組織に局所的に集合して、その炎症部位においてさらに活性化されることによって生じるとされている(非特許文献1)。特にマクロファージは、炎症性サイトカイン、プロスタグランジン、酸化窒素等の様々な炎症分子を産生するため、関節リウマチの進行に大きく寄与する。これらの炎症分子の産生は、サイトカインレセプターや補体レセプターやITAM(Immunoreceptor tyrosine-based activation motif)関連レセプター等の細胞表面分子の、それぞれのリガンド関与を通した活性化によって制御されている。免疫システムの制御に関連する前述のレセプター等の一部のレセプターは、膜アンカー型アダプター分子と非共有結合により会合している。多くの場合、これらのレセプターは、それらのアダプター分子なくしては細胞表面上での安定的な発現は不可能であり、また、それらのアダプター分子を介して細胞内へのシグナル伝達を行っている。 Rheumatoid arthritis, a type of collagen disease, is accompanied by cartilage degeneration and bone erosion, and eventually loses joint function. Rheumatoid arthritis is said to be caused by a large amount of inflammatory cells, including lymphocytes that produce autoantibodies, infiltrating the joint and hyperplasia of the periosteum. More specifically, rheumatoid arthritis is caused by T cells recognizing an unknown self-antigen causing inflammation in synovial tissue, followed by local assembly of macrophages and lymphocytes in the synovial tissue, It is said to be caused by further activation at the site of inflammation (Non-patent Document 1). In particular, macrophages greatly contribute to the progression of rheumatoid arthritis because they produce various inflammatory molecules such as inflammatory cytokines, prostaglandins, and nitric oxide. The production of these inflammatory molecules is controlled by the activation of cell surface molecules such as cytokine receptors, complement receptors and ITAM (Immunoreceptor-tyrosine-based activation-motif) -related receptors through their respective ligand involvement. Some receptors, such as those mentioned above that are involved in the regulation of the immune system, are associated non-covalently with membrane anchored adapter molecules. In many cases, these receptors cannot be stably expressed on the cell surface without their adapter molecules, and signal transduction into cells via these adapter molecules. .
 TREM-1(Triggering receptor expressed on myeloidcells-1)は、ITAMを有するアダプター分子であるDAP12(DNAX activationprotein 12)の活性化と関連した骨髄細胞上の膜貫通レセプターとして同定された(非特許文献2、3)。TREM-1は、主に単球/マクロファージや好中球で発現し、TLRリガンド(LPS、LTA等)や炎症性サイトカイン(TNFα、IL-1β等)などの様々な刺激によって誘導される(非特許文献2~4)が、その天然リガンドは未だ同定されていない。TREM-1の詳細な機能は未だ明らかではないが、TREM-1に対して作動性(agonistic)のモノクローナル抗体で好中球や単球を処理すると、好中球や単球において、様々な炎症性サイトカインの産生や細胞表面分子の発現が引き起こされることが知られている(非特許文献2)。また、TREM-1の機能を阻害する物質として、可溶性のTREM-1(sTREM-1)が知られている(非特許文献5)。このsTREM-1は、膜結合TREM-1をタンパク質分解して切断して得られる可溶性のポリペプチドであり、TREM-1自体と競合することによってTREM-1の機能を阻害する性質を有する。 TREM-1 (Triggering receptor expressed on myeloidcells-1) has been identified as a transmembrane receptor on bone marrow cells associated with activation of DAP12 (DNAX activationprotein 12), an adapter molecule having ITAM (Non-patent Document 2, 3). TREM-1 is expressed mainly in monocytes / macrophages and neutrophils and is induced by various stimuli such as TLR ligands (LPS, LTA, etc.) and inflammatory cytokines (TNFα, IL-1β, etc.) Patent Documents 2 to 4) have not yet identified their natural ligands. Although the detailed function of TREM-1 is not yet clear, treatment of neutrophils and monocytes with an agonistic monoclonal antibody against TREM-1 causes various inflammation in neutrophils and monocytes. It is known that production of sex cytokines and expression of cell surface molecules are caused (Non-patent Document 2). Further, soluble TREM-1 (sTREM-1) is known as a substance that inhibits the function of TREM-1 (Non-patent Document 5). This sTREM-1 is a soluble polypeptide obtained by proteolytic cleavage of membrane-bound TREM-1, and has a property of inhibiting the function of TREM-1 by competing with TREM-1 itself.
 TREM-1の作用が関与する疾患として、細菌感染が知られている。細菌感染の病態生理にTREM-1が重要な役割を果たしていることは、いくつかの実験で明らかにされている。例えば、TREM-1と競合する「sTREM-1-Fc組換え融合タンパク質」や「sTREM-1合成ペプチド」を敗血性ショックモデルマウスに投与した結果、致死的な量のLPS投与や敗血性の細菌感染からマウスが保護されることが確認された(非特許文献6、7)。また、炎症性大腸炎は腸における細菌性の損傷がその発症機序に重要な役割を果たしていることが知られる疾患であるところ、実験的炎症性大腸炎モデルマウスにTREM-1アンタゴニストペプチドを投与してTREM-1からのシグナル伝達を遮断した結果、実験的炎症性大腸炎が軽減されることが確認された(非特許文献8)。このように、TREM-1は、疾患に関連した細菌感染において重要な役割を果たしていることは知られている。
 しかし、細菌感染以外の病態や疾患(特に膠原病)と、TREM-1との関連の有無等については何ら知られていなかった。
Bacterial infection is known as a disease involving the action of TREM-1. Several experiments have shown that TREM-1 plays an important role in the pathophysiology of bacterial infections. For example, administration of a “sTREM-1-Fc recombinant fusion protein” or “sTREM-1 synthetic peptide” that competes with TREM-1 to septic shock model mice results in administration of lethal amounts of LPS or septic bacteria. It was confirmed that mice were protected from infection (Non-Patent Documents 6 and 7). Inflammatory colitis is a disease in which bacterial damage in the intestine is known to play an important role in its pathogenesis, and a TREM-1 antagonist peptide was administered to experimental inflammatory colitis model mice. As a result, it was confirmed that experimental inflammatory colitis was reduced as a result of blocking signal transmission from TREM-1 (Non-patent Document 8). Thus, TREM-1 is known to play an important role in disease-related bacterial infections.
However, nothing has been known about the presence or absence of an association between TREM-1 and other pathological conditions and diseases (particularly collagen disease).
 本発明は、TREM-1の機能を阻害して膠原病予防・治療効果を発揮する膠原病の予防剤・治療剤を提供することを目的とする。また、本発明は、TREM-1の機能を阻害することにより膠原病を予防・治療するための、膠原病の予防・治療剤のスクリーニング方法を提供することを目的とする。 An object of the present invention is to provide a preventive / therapeutic agent for collagen disease that inhibits the function of TREM-1 and exerts a preventive / therapeutic effect on collagen disease. Another object of the present invention is to provide a screening method for a prophylactic / therapeutic agent for collagen disease for preventing / treating collagen disease by inhibiting the function of TREM-1.
 本発明者らは、上記目的を達成すべく鋭意検討した結果、adenovirus-sTREM-1-Ig遺伝子を導入してTREM-1の機能を阻害することによって、コラーゲン誘導性関節炎(CIA)の進行や発症がT細胞やB細胞の免疫反応を損なうことなく有意に抑制されることを見い出し、この知見に基づいて本発明を完成させた。 As a result of intensive investigations to achieve the above-mentioned object, the present inventors introduced the adenovirus-sTREM-1-Ig gene to inhibit the function of TREM-1, thereby causing the progression of collagen-induced arthritis (CIA) It was found that the onset was significantly suppressed without impairing the immune response of T cells or B cells, and the present invention was completed based on this finding.
 すなわち本発明は、(1)TREM-1阻害物質を含有してなる膠原病の予防・治療剤や、(2)TREM-1阻害物質が、可溶性TREM-1又は可溶性TREM-1発現ベクターである上記(1)に記載の膠原病の予防・治療剤や、(3)可溶性TREM-1が、配列番号1におけるアミノ酸番号1~194に示されるアミノ酸配列からなるポリペプチド、配列番号5におけるアミノ酸番号1~200に示されるアミノ酸配列からなるポリペプチド、配列番号3若しくは7に示されるアミノ酸配列からなるポリペプチド、又は、配列番号3若しくは7に示されるアミノ酸配列を含むポリペプチドである上記(2)に記載の膠原病の予防・治療剤や、(4)可溶性TREM-1が、配列番号1におけるアミノ酸番号1~194に示されるアミノ酸配列、配列番号5におけるアミノ酸番号1~200に示されるアミノ酸配列、及び、配列番号3又は7に示されるアミノ酸配列から選ばれるアミノ酸配列において、1若しくは数個のアミノ酸の置換、欠失、挿入、又は付加されたアミノ酸配列を含み、かつ、TREM-1阻害活性を有するポリペプチドである上記(2)に記載の膠原病の予防・治療剤や、(5)TREM-1阻害物質が、イムノグロブリン結合-可溶性TREM-1(sTREM-1-Ig)である上記(1)に記載の膠原病の予防・治療剤や、(6)イムノグロブリン結合-可溶性TREM-1(sTREM-1-Ig)が、配列番号1又は5に示されるアミノ酸配列からなるポリペプチドである上記(5)に記載の膠原病の予防・治療剤や、(7)可溶性TREM-1発現ベクターが、配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列からなるポリヌクレオチド、配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列からなるポリヌクレオチド、配列番号4又は8に示されるヌクレオチド配列からなるポリヌクレオチド、及び、配列番号4又は8に示されるヌクレオチド配列を含むポリヌクレオチドから選ばれるポリヌクレオチドを含む組換えベクターである上記(2)に記載の膠原病の予防・治療剤や、(8)可溶性TREM-1発現ベクターが、配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列、配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列、及び、配列番号4又は8に示されるヌクレオチド配列から選ばれるヌクレオチド配列に相補的な配列からなるポリヌクレオチドとストリンジェントな条件下でハイブリダイズし、かつ、TREM-1阻害活性を有するポリペプチドをコードするポリヌクレオチドを含む組換えベクターである上記(2)に記載の膠原病の予防・治療剤や、(9)可溶性TREM-1発現ベクターが、可溶性TREM-1を発現する組換えウイルスベクターである上記(7)又は(8)に記載の膠原病の予防・治療剤や、(10)膠原病が、関節リウマチである上記(1)~(9)のいずれかに記載の膠原病の予防・治療剤に関する。 That is, the present invention relates to (1) a preventive / therapeutic agent for collagen disease containing a TREM-1 inhibitor, and (2) the TREM-1 inhibitor is a soluble TREM-1 or a soluble TREM-1 expression vector The preventive / therapeutic agent for collagen disease according to (1) above, (3) a polypeptide comprising the amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1, and the amino acid number in SEQ ID NO: 5 The above (2), which is a polypeptide consisting of the amino acid sequence shown by 1 to 200, a polypeptide consisting of the amino acid sequence shown by SEQ ID NO: 3 or 7, or a polypeptide comprising the amino acid sequence shown by SEQ ID NO: 3 or 7 (4) Soluble TREM-1 is represented by amino acid numbers 1 to 194 in SEQ ID NO: 1. Substitution or deletion of one or several amino acids in the amino acid sequence, the amino acid sequence shown by amino acid numbers 1 to 200 in SEQ ID NO: 5 and the amino acid sequence shown in SEQ ID NO: 3 or 7; The preventive / therapeutic agent for collagen disease according to (2) above, which is a polypeptide having an inserted or added amino acid sequence and having TREM-1 inhibitory activity, and (5) a TREM-1 inhibitor, The preventive / therapeutic agent for collagen disease according to (1) above, which is an immunoglobulin binding-soluble TREM-1 (sTREM-1-Ig), or (6) an immunoglobulin binding-soluble TREM-1 (sTREM-1-Ig) ) Is a polypeptide consisting of the amino acid sequence shown in SEQ ID NO: 1 or 5, the preventive / therapeutic agent for collagen disease according to (5) above, or (7) soluble TR The M-1 expression vector is a polynucleotide consisting of the nucleotide sequence shown in nucleotide numbers 1 to 582 in SEQ ID NO: 2, a polynucleotide consisting of the nucleotide sequence shown in nucleotide numbers 1 to 600 in SEQ ID NO: 6, SEQ ID NO: 4 or 8 The prevention of collagen disease according to (2) above, which is a recombinant vector comprising a polynucleotide consisting of the nucleotide sequence shown in (2) and a polynucleotide selected from the polynucleotide comprising the nucleotide sequence shown in SEQ ID NO: 4 or 8. A therapeutic agent, or (8) a soluble TREM-1 expression vector is a nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2, a nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6, and SEQ ID NO: 4 Or the number 8 A recombinant vector comprising a polynucleotide that hybridizes under stringent conditions with a polynucleotide comprising a sequence complementary to a nucleotide sequence selected from a nucleotide sequence and encodes a polypeptide having TREM-1 inhibitory activity The preventive / therapeutic agent for collagen disease according to (2) above, or (9) the soluble TREM-1 expression vector is a recombinant viral vector expressing soluble TREM-1 And (10) the preventive / therapeutic agent for collagen disease according to any one of the above (1) to (9), wherein the collagen disease is rheumatoid arthritis.
 また本発明は、(11)TREM-1阻害物質を探索する工程を備えてなる、膠原病の予防・治療剤のスクリーニング法や、(12)TREM-1阻害物質を探索する工程が、被検物質存在下又は非存在下でTREM-1を含む細胞を培養し、培養上清中のTNFα濃度を測定し、それらのTNFα濃度を比較する工程であることを特徴とする上記(11)に記載の膠原病の予防・治療剤のスクリーニング法に関する。 The present invention also includes (11) a screening method for a prophylactic / therapeutic agent for collagen disease comprising a step of searching for a TREM-1 inhibitor, and (12) a step of searching for a TREM-1 inhibitor. The method according to (11) above, which is a step of culturing cells containing TREM-1 in the presence or absence of a substance, measuring the TNFα concentration in the culture supernatant, and comparing the TNFα concentrations. The present invention relates to a screening method for a preventive / therapeutic agent for collagen disease.
A:関節リウマチ(RA)又は変形性関節炎(OA)患者の滑液中のsTREM-1濃度を特異的ELISAにより測定した結果を示す図である。B:RA患者の滑膜細胞を、TREM-1及びCD14(マクロファージマーカー)について二重染色した結果を示す図である。C:RA患者の全滑膜細胞のTREM-1を、抗TREM-1アゴニスト抗体で24時間刺激し、培養上清中の炎症性サイトカイン(TNFα)濃度をELISAで測定した結果を示す図である。なお、*は、p<0.01であることを示し、**は、p<0.001であることを示す。A: It is a figure which shows the result of having measured the sTREM-1 density | concentration in the synovial fluid of a rheumatoid arthritis (RA) or osteoarthritis (OA) patient by specific ELISA. B: It is a figure which shows the result of having double-stained the synovial cell of RA patient about TREM-1 and CD14 (macrophage marker). C: TREM-1 of all synovial cells of RA patients is stimulated with an anti-TREM-1 agonist antibody for 24 hours, and the inflammatory cytokine (TNFα) concentration in the culture supernatant is measured by ELISA. . Note that * indicates p <0.01, and ** indicates p <0.001. A~C:CIAマウスの滑膜細胞に対する免疫組織化学的解析の結果を示す図である。Aはヘマトキシリン・エオシン染色した図、Bはアイソタイプ適合対照抗体としての正常ウサギIgG抗体で染色した図、Cはラット抗マウスTREM-1抗体で染色した図である。D:CIAマウスの滑膜細胞を、TREM-1及びCD11bについて二重染色した結果を示す図である。AC: Results of immunohistochemical analysis of synovial cells of CIA mice. A is a diagram stained with hematoxylin and eosin, B is a diagram stained with a normal rabbit IgG antibody as an isotype-matched control antibody, and C is a diagram stained with a rat anti-mouse TREM-1 antibody. D: It is a figure which shows the result of having double-stained the synoviocyte of a CIA mouse | mouth about TREM-1 and CD11b. A:AxCA-sTREM-1-Igを投与したマウスの血清中のsTREM-1濃度をELISAを用いて経時的に測定した結果を示す図である。B:AxCA-sTREM-1-Igの発現産物であるsTREM-1-Igが、抗TREM-1アゴニスト抗体で刺激した常在型腹腔マクロファージ(RPM)によるTNFα産生に対してどのような効果を奏するかを調べた結果を示す図である。A: It is a figure which shows the result of having measured sTREM-1 density | concentration in the serum of the mouse | mouth which administered AxCA-sTREM-1-Ig over time using ELISA. B: What effect does sTREM-1-Ig, an expression product of AxCA-sTREM-1-Ig, have on TNFα production by resident peritoneal macrophages (RPM) stimulated with an anti-TREM-1 agonist antibody? It is a figure which shows the result of having investigated. A:2回目の免疫を行った後のCIAマウスにAxCA-sTREM-1-Igを導入した場合の関節炎の組織学的スコアの経時的推移を示す図である。B:2回目の免疫を行った後のCIAマウスにAxCA-sTREM-1-Igを導入した場合のマウスの足首幅の経時的推移を示す図である。C:2回目の免疫を行った後のCIAマウスにAxCA-sTREM-1-Igを導入した場合の後肢の厚さの経時的推移を示す図である。なお、*は、p<0.05であることを示し、**は、p<0.01であることを示す。A: It is a figure which shows the time-dependent transition of the histological score of arthritis at the time of introduce | transducing AxCA-sTREM-1-Ig to the CIA mouse | mouth after performing the 2nd immunization. B: It is a figure which shows the time-dependent transition of the ankle width | variety of a mouse | mouth when AxCA-sTREM-1-Ig is introduce | transduced into the CIA mouse | mouth after performing the 2nd immunization. C: It is a figure which shows the time-dependent transition of the thickness of a hind limb when AxCA-sTREM-1-Ig is introduce | transduced into the CIA mouse | mouth after performing the 2nd immunization. Note that * indicates p <0.05, and ** indicates p <0.01. A:CIA誘導及びAxCA-LacZ(コントロール)導入されたマウスの膝関節の切片をヘマトキシリン及びエオシンで染色した結果を示す図である。B:CIA誘導及びAxCA-sTREM-1-Ig導入されたマウスの膝関節の切片をヘマトキシリン及びエオシンで染色した結果を示す図である。C:CIA誘導及びAxCA-LacZ(コントロール)導入されたマウスの膝関節、並びに、CIA誘導及びAxCA-sTREM-1-Ig導入されたマウスの膝関節の関節炎の組織学的スコアを示す図である。A: It is a figure which shows the result of having dye | stained the section | slice of the knee joint of the mouse | mouth into which CIA induction | guidance | derivation and AxCA-LacZ (control) were introduce | transduced with hematoxylin and eosin. B: It is a figure which shows the result of having dye | stained the section | slice of the knee joint of the mouse | mouth into which CIA induction | guidance | derivation and AxCA-sTREM-1-Ig were introduce | transduced with hematoxylin and eosin. C: shows histological scores of arthritis of knee joints of mice introduced with CIA induction and AxCA-LacZ (control), and knee joints of mice introduced with CIA induction and AxCA-sTREM-1-Ig . A:CIA誘導及びAxCA-sTREM-1-Ig導入されたマウスの脾細胞におけるT細胞の増殖を示す図である。B:AxCA-sTREM-1-Ig導入マウスの血清中の抗CII抗体(IgG1、IgG2a及びIgG2b)について分析した結果を示す図である。A: Proliferation of T cells in spleen cells of mice introduced with CIA and AxCA-sTREM-1-Ig. B: It is a figure which shows the result analyzed about the anti- CII antibody (IgG1, IgG2a, and IgG2b) in the serum of the mouse | mouth which introduce | transduced AxCA-sTREM-1-Ig.
 本発明の膠原病の予防・治療剤としては、TREM-1阻害物質を含有してなる組成物であれば特に制限されず、ここで「TREM-1阻害物質」とは、TREM-1を介してのシグナル伝達を阻害する活性を有する物質をいい、かかるTREM-1阻害物質としては、可溶性TREM-1や、可溶性TREM-1(sTREM-1)を発現する組換えベクターや、TREM-1アンタゴニストを好適に例示することができる。これらのTREM-1阻害物質によって、TREM-1の機能(TREM-1を介してのシグナル伝達)が阻害され、その結果、TREM-1阻害物質は膠原病の予防・治療剤の有効成分として有利に利用することができる。また、TREM-1の由来は特に制限されないが、動物由来であることが好ましく、ヒト、マウス、ラット、モルモット、ウサギ、トリ、ヒツジ、ブタ、ウシ、ウマ、ネコ、イヌ、サル、チンパンジー等の哺乳動物由来であることがより好ましく、中でも、膠原病の予防・治療の対象とする哺乳動物由来であることがさらに好ましい。これらの哺乳動物におけるTREM-1は、マウスTREM-1(Genbank accessionNo.AK089439)、ヒトTREM-1(Genbank accession No.AF287008)、ウシTREM-1(Genbank accession No.AY525122)、ブタTREM-1(Genbank accessionNo.AY382476)等の配列情報を利用した遺伝子工学的手法(PCRやサザンハイブリダイゼーション等)により、TREM-1をコードするポリヌクレオチドを入手し、そのポリヌクレオチドを適切な発現系を用いて発現させることにより、様々な由来のTREM-1を得ることができる。 The preventive / therapeutic agent for collagen disease of the present invention is not particularly limited as long as it is a composition containing a TREM-1 inhibitor. Here, the “TREM-1 inhibitor” refers to a TREM-1 A substance having an activity of inhibiting all signal transduction, such as TREM-1 inhibitory substance, soluble TREM-1, a recombinant vector expressing soluble TREM-1 (sTREM-1), and a TREM-1 antagonist Can be preferably exemplified. These TREM-1 inhibitors inhibit the function of TREM-1 (signal transduction via TREM-1). As a result, TREM-1 inhibitors are advantageous as active ingredients for preventive and therapeutic agents for collagen disease. Can be used. The origin of TREM-1 is not particularly limited, but is preferably derived from animals, such as human, mouse, rat, guinea pig, rabbit, bird, sheep, pig, cow, horse, cat, dog, monkey, chimpanzee, etc. More preferably, it is derived from a mammal, and more preferably, it is derived from a mammal targeted for prevention / treatment of collagen disease. TREM-1 in these mammals is mouse TREM-1 (Genbank accession No. AK089439), human TREM-1 (Genbank accession No. AF287008), bovine TREM-1 (Genbank accession No. AY525122), porcine TREM-1 ( Obtain a polynucleotide encoding TREM-1 using a genetic engineering technique (PCR, Southern hybridization, etc.) using sequence information such as Genbank accession No. AY382476) and express the polynucleotide using an appropriate expression system. By doing so, various origins of TREM-1 can be obtained.
 上記可溶性TREM-1としては、
(1)配列番号3に示されるアミノ酸配列からなるポリペプチドや、配列番号3に示されるアミノ酸配列を含むポリペプチド(マウスLP17);
(2)配列番号1におけるアミノ酸番号1~194に示されるアミノ酸配列からなるポリペプチド(マウスsTREM-1);
(3)配列番号1におけるアミノ酸番号1~194に示されるアミノ酸配列又は配列番号3に示されるアミノ酸配列において、1若しくは数個のアミノ酸の置換、欠失、挿入、又は付加されたアミノ酸配列を含み、かつ、TREM-1阻害活性を有するポリペプチド(マウスsTREM-1変異体); 
(4)配列番号1におけるアミノ酸番号1~194のうち、アミノ酸番号1~102及び120~194に示されるアミノ酸配列において、1若しくは数個のアミノ酸の置換、欠失、挿入、又は付加されたアミノ酸配列を含み、かつ、TREM-1阻害活性を有するポリペプチド(マウスsTREM-1変異体);
(5)配列番号7に示されるアミノ酸配列からなるポリペプチドや、配列番号7に示されるアミノ酸配列を含むポリペプチド(ヒトLP17);
(6)配列番号5におけるアミノ酸番号1~200に示されるアミノ酸配列からなるポリペプチド(ヒトsTREM-1);
(7)配列番号5におけるアミノ酸番号1~200に示されるアミノ酸配列又は配列番号7に示されるアミノ酸配列において、1若しくは数個のアミノ酸の置換、欠失、挿入、又は付加されたアミノ酸配列を含み、かつ、TREM-1阻害活性を有するポリペプチド(ヒトsTREM-1変異体);
(8)配列番号5におけるアミノ酸番号1~200のうち、アミノ酸番号1~102及び120~200に示されるアミノ酸配列において、1若しくは数個のアミノ酸の置換、欠失、挿入、又は付加されたアミノ酸配列を含み、かつ、TREM-1阻害活性を有するポリペプチド(ヒトsTREM-1変異体);
を例示することができ、中でも、マウスsTREM-1やヒトsTREM-1を好適に例示することができる。
As the above-mentioned soluble TREM-1,
(1) a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 3 or a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 3 (mouse LP17);
(2) a polypeptide (mouse sTREM-1) comprising an amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1;
(3) including the amino acid sequence represented by amino acid numbers 1-194 in SEQ ID NO: 1 or the amino acid sequence represented by SEQ ID NO: 3, wherein one or several amino acid substitutions, deletions, insertions, or additions are added. And a polypeptide having a TREM-1 inhibitory activity (mouse sTREM-1 mutant);
(4) Amino acid substitutions, deletions, insertions or additions of one or several amino acids in the amino acid sequences shown in amino acid numbers 1-102 and 120-194 among amino acid numbers 1-194 in SEQ ID NO: 1 A polypeptide comprising a sequence and having TREM-1 inhibitory activity (mouse sTREM-1 mutant);
(5) a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 7 or a polypeptide comprising the amino acid sequence represented by SEQ ID NO: 7 (human LP17);
(6) a polypeptide comprising the amino acid sequence represented by amino acid numbers 1 to 200 in SEQ ID NO: 5 (human sTREM-1);
(7) including the amino acid sequence represented by amino acid numbers 1 to 200 in SEQ ID NO: 5 or the amino acid sequence represented by SEQ ID NO: 7 in which one or several amino acid substitutions, deletions, insertions, or additions are added And a polypeptide having a TREM-1 inhibitory activity (human sTREM-1 mutant);
(8) Among amino acid numbers 1 to 200 in SEQ ID NO: 5, one or several amino acid substitutions, deletions, insertions, or additions in the amino acid sequences represented by amino acid numbers 1 to 102 and 120 to 200 A polypeptide comprising a sequence and having TREM-1 inhibitory activity (human sTREM-1 variant);
Among them, mouse sTREM-1 and human sTREM-1 can be preferably exemplified.
 また、安定性を向上させる観点から、これらの可溶性TREM-1のC末端側に、リンカー配列(配列番号1におけるアミノ酸番号195~199に示されるアミノ酸配列;配列番号5におけるアミノ酸番号201~205に示されるアミノ酸配列)及びIgG1のFc領域(配列番号1におけるアミノ酸番号200~430に示されるアミノ酸配列;配列番号5におけるアミノ酸番号206~436に示されるアミノ酸配列)が付加されているポリペプチドを好ましく例示することができる。したがって、マウスやヒトのイムノグロブリン結合-可溶性TREM-1(sTREM-1-Ig)も膠原病の予防・治療剤として有利に用いることができる。なお、可溶性TREM-1は、TREM-1の天然リガンドをトラップすることにより、TREM-1の機能を阻害すると考えられ、また、マウスLP17ポリペプチド(配列番号3に示されるアミノ酸配列からなるポリペプチド)がマウスTREM-1の機能を阻害することは、非特許文献7に開示されている。 From the viewpoint of improving the stability, a linker sequence (amino acid sequence represented by amino acid numbers 195 to 199 in SEQ ID NO: 1; amino acid numbers 201 to 205 in SEQ ID NO: 5 is provided on the C-terminal side of these soluble TREM-1s. And a polypeptide to which an IgG1 Fc region (amino acid sequence represented by amino acid numbers 200 to 430 in SEQ ID NO: 1; amino acid sequence represented by amino acid numbers 206 to 436 in SEQ ID NO: 5) is added is preferable. It can be illustrated. Therefore, mouse or human immunoglobulin-binding-soluble TREM-1 (sTREM-1-Ig) can also be advantageously used as a preventive / therapeutic agent for collagen disease. Soluble TREM-1 is thought to inhibit the function of TREM-1 by trapping the natural ligand of TREM-1, and is a mouse LP17 polypeptide (polypeptide consisting of the amino acid sequence shown in SEQ ID NO: 3). ) Inhibits the function of mouse TREM-1 is disclosed in Non-Patent Document 7.
 上記sTREM-1変異体における「数個」としては、例えば2~60個、好ましくは2~40個、より好ましくは2~30個、さらに好ましくは2~20個、さらにより好ましくは2~10個、特に好ましくは2~5個、最も好ましくは2~3個を例示することができる。また、sTREM-1変異体のアミノ酸配列としては、配列番号1又は5におけるアミノ酸番号1~194に示されるアミノ酸配列や、配列番号3又は7に示されるアミノ酸配列と50%以上、好ましくは60%以上、より好ましくは70%以上、さらに好ましくは80%以上、さらにより90%以上、最も好ましくは約95%以上の相同性を有するアミノ酸配列などを例示することができる。 The “several” in the sTREM-1 mutant is, for example, 2 to 60, preferably 2 to 40, more preferably 2 to 30, further preferably 2 to 20, and even more preferably 2 to 10. Examples thereof are 2 to 5, particularly preferably 2 to 5, and most preferably 2 to 3. The amino acid sequence of the sTREM-1 variant is 50% or more, preferably 60% of the amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1 or 5 or the amino acid sequence represented by SEQ ID NO: 3 or 7. Examples thereof include amino acid sequences having homology of 70% or more, more preferably 80% or more, even more preferably 90% or more, and most preferably about 95% or more.
 上記の可溶性TREM-1は、TREM-1(膜型TREM-1)のC末端の一部を欠失させること等により作製することができる。例えばマウスTREM-1の場合、C末端の36アミノ酸を欠失させることにより可溶性TREM-1(sTREM-1)を作製することができ、また、ヒトTREM-1の場合、C末端の34アミノ酸を欠失させることにより可溶性TREM-1(sTREM-1)を作製することができる。また、上記sTREM-1変異体は、化学合成によって作製することもできるし、遺伝子工学的手法、突然変異誘発などの当業者に既知の任意の方法を適用することにより作製することもできる。具体的には、配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列からなるポリヌクレオチド(マウスsTREM-1をコードするポリヌクレオチド)や、配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列からなるポリヌクレオチド(ヒトsTREM-1をコードするポリヌクレオチド)や、他の生物由来のsTREM-1ポリヌクレオチドに対し、変異原となる薬剤と接触作用させる方法、紫外線を照射する方法、遺伝子工学的な手法等を用いて、これらポリヌクレオチドに変異を導入し、この変異ポリヌクレオチドを適切な発現系を用いて発現させることにより、sTREM-1変異体を得ることができる。 The above-mentioned soluble TREM-1 can be prepared by deleting a part of the C-terminal of TREM-1 (membrane type TREM-1). For example, in the case of mouse TREM-1, soluble TREM-1 (sTREM-1) can be produced by deleting the C-terminal 36 amino acids, and in the case of human TREM-1, the C-terminal 34 amino acids Soluble TREM-1 (sTREM-1) can be produced by deletion. The sTREM-1 mutant can also be prepared by chemical synthesis, or by applying any method known to those skilled in the art, such as genetic engineering techniques and mutagenesis. Specifically, a polynucleotide comprising the nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2 (polynucleotide encoding mouse sTREM-1), or the nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6 A polynucleotide comprising (a polynucleotide encoding human sTREM-1), a method of contacting a sTREM-1 polynucleotide derived from another organism with a drug that is a mutagen, a method of irradiating ultraviolet rays, a genetic engineering method A sTREM-1 mutant can be obtained by introducing mutations into these polynucleotides using various techniques and expressing the mutant polynucleotides using an appropriate expression system.
 上記のTREM-1アンタゴニストは、例えば、後述の本発明の膠原病の予防・治療剤のスクリーニング法等を利用することにより、適当な化合物ライブラリーから入手することができる。また、TREM-1アンタゴニストが血しょう板上に存在することが示唆される報告(Blood. 110:1029-35)もあるため、血しょう板上に発現する物質を候補物質として用いることもできる。 The above TREM-1 antagonist can be obtained from an appropriate compound library by using, for example, the screening method for a preventive / therapeutic agent for collagen disease of the present invention described later. In addition, since there is a report (Blood. 110: 1029-35) that suggests that a TREM-1 antagonist is present on the plasma plate, a substance expressed on the plasma plate can also be used as a candidate substance.
 上記可溶性TREM-1発現ベクターとしては、いずれかの動物の生体内で、前述の可溶性TREM-1を発現しうるものであれば特に制限されないが、いずれかの哺乳動物の生体内で前述の可溶性TREM-1を発現する組換えベクター、好ましくは組換えウイルスベクターを挙げることができる。これら可溶性TREM-1を発現する組換えベクターとして具体的には、
(1)配列番号4に示されるヌクレオチド配列からなるポリヌクレオチドや、該ヌクレオチド配列を含むポリヌクレオチドがインテグレートされた組換えベクター(マウスLP17ベクター); 
(2)配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列を含むポリヌクレオチドがインテグレートされた組換えベクター(マウスsTREM-1ベクター);
(3)配列番号4に示されるヌクレオチド配列又は配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列に相補的な配列からなるポリヌクレオチドとストリンジェントな条件下でハイブリダイズし、かつ、TREM-1阻害活性を有するポリペプチドをコードするポリヌクレオチドがインテグレートされた組換えベクター(マウス変異sTREM-1ベクター);
(4)配列番号2に示されるヌクレオチド配列を含むポリヌクレオチドがインテグレートされた組換えベクター(安定型マウスsTREM-1-Igベクター);
(5)配列番号8に示されるヌクレオチド配列からなるポリヌクレオチドや、該ヌクレオチド配列を含むポリヌクレオチドがインテグレートされた組換えベクター(ヒトLP17ベクター); 
(6)配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列を含むポリヌクレオチドがインテグレートされた組換えベクター(ヒトsTREM-1ベクター);
(7)配列番号8に示されるヌクレオチド配列又は配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列に相補的な配列からなるポリヌクレオチドとストリンジェントな条件下でハイブリダイズし、かつ、TREM-1阻害活性を有するポリペプチドをコードするポリヌクレオチドがインテグレートされた組換えベクター(ヒト変異sTREM-1ベクター);
(8)配列番号6に示されるヌクレオチド配列を含むポリヌクレオチドがインテグレートされた組換えベクター(安定型ヒトsTREM-1-Igベクター);
を例示することができ、中でも、マウスsTREM-1ベクター、安定型マウスsTREM-1-Igベクター、ヒトsTREM-1ベクター、安定型ヒトsTREM-1-Igベクターを好適に例示することができる。
The soluble TREM-1 expression vector is not particularly limited as long as it can express the above-mentioned soluble TREM-1 in the living body of any animal, but the above-mentioned soluble TREM-1 expression vector in the living body of any mammal A recombinant vector expressing TREM-1 can be mentioned, preferably a recombinant viral vector. Specifically, as recombinant vectors expressing these soluble TREM-1,
(1) a polynucleotide comprising the nucleotide sequence shown in SEQ ID NO: 4 or a recombinant vector (mouse LP17 vector) in which a polynucleotide containing the nucleotide sequence is integrated;
(2) a recombinant vector (mouse sTREM-1 vector) in which a polynucleotide comprising the nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2 is integrated;
(3) hybridizes under stringent conditions with a polynucleotide consisting of a nucleotide sequence shown in SEQ ID NO: 4 or a nucleotide sequence complementary to the nucleotide sequence shown in nucleotide numbers 1 to 582 in SEQ ID NO: 2, and TREM- A recombinant vector in which a polynucleotide encoding a polypeptide having 1 inhibitory activity is integrated (mouse mutant sTREM-1 vector);
(4) a recombinant vector in which a polynucleotide comprising the nucleotide sequence represented by SEQ ID NO: 2 is integrated (stable mouse sTREM-1-Ig vector);
(5) a polynucleotide comprising the nucleotide sequence shown in SEQ ID NO: 8, or a recombinant vector (human LP17 vector) in which a polynucleotide containing the nucleotide sequence is integrated;
(6) a recombinant vector (human sTREM-1 vector) in which a polynucleotide comprising the nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6 is integrated;
(7) hybridizes under stringent conditions with a nucleotide sequence represented by SEQ ID NO: 8 or a polynucleotide comprising a sequence complementary to the nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6, and TREM- A recombinant vector integrated with a polynucleotide encoding a polypeptide having 1 inhibitory activity (human mutant sTREM-1 vector);
(8) a recombinant vector in which a polynucleotide comprising the nucleotide sequence represented by SEQ ID NO: 6 is integrated (stable human sTREM-1-Ig vector);
Among them, mouse sTREM-1 vector, stable mouse sTREM-1-Ig vector, human sTREM-1 vector, and stable human sTREM-1-Ig vector can be preferably exemplified.
 上記「ストリンジェントな条件下でハイブリダイズするポリヌクレオチド」とは、DNA又はRNAなどのポリヌクレオチドをプローブとして使用し、コロニー・ハイブリダイゼーション法、プラークハイブリダイゼーション法、あるいはサザンブロットハイブリダイゼーション法等を用いることにより得られるポリヌクレオチドを意味し、具体的には、コロニーあるいはプラーク由来のポリヌクレオチド又はその断片を固定化したフィルターを用いて、0.7~1.0MのNaCl存在下、65℃でハイブリダイゼーションを行った後、0.1~2倍程度のSSC溶液(1倍濃度のSSC溶液の組成は、150mM塩化ナトリウム、15mMクエン酸ナトリウム)を用い、65℃条件下でフィルターを洗浄することにより同定できるポリヌクレオチドをあげることができる。ハイブリダイゼーションは、モレキュラークローニング第3版等に記載されている方法に準じて行うことができる。 The above-mentioned “polynucleotide hybridizing under stringent conditions” uses a polynucleotide such as DNA or RNA as a probe, and uses a colony hybridization method, a plaque hybridization method, a Southern blot hybridization method, or the like. Specifically, using a filter on which a polynucleotide derived from a colony or plaque or a fragment thereof is immobilized, the polynucleotide is obtained at 65 ° C. in the presence of 0.7 to 1.0 M NaCl. After hybridization, the filter is washed under conditions of 65 ° C. using an SSC solution of about 0.1 to 2 times (the composition of a 1-fold concentration SSC solution is 150 mM sodium chloride, 15 mM sodium citrate). Identifiable poly Kureochido can be mentioned. Hybridization can be performed according to the method described in Molecular Cloning 3rd edition and the like.
 すなわち、ストリジェントな条件下とは、いわゆる特異的なハイブリッドが形成され、非特異的なハイブリッドが形成されない条件をいい、具体的には、50~70%以上の相同性を有するポリヌクレオチド(特にDNA)同士がハイブリダイズし、それより相同性が低いポリヌクレオチド(特にDNA)同士がハイブリダイズしない条件あるいは通常のサザンハイブリダイゼーションの洗いの条件である65℃、1×SSC、0.1%SDS、又は0.1× SSC、0.1%SDSに相当する塩濃度でハイブリダイズする条件を挙げることができる。例えば、ストリンジェントな条件下でハイブリダイズすることができるポリヌクレオチドとしては、プローブとして使用するポリヌクレオチドの塩基配列と一定以上の相同性を有するポリヌクレオチドを挙げることができ、例えば60%以上、好ましくは70%以上、より好ましくは80%以上、さらに好ましくは85%以上、さらにより好ましくは90%以上、特に好ましくは95%以上、最も好ましくは98%以上の相同性を有するポリヌクレオチドを好適に例示することができる。 That is, stringent conditions refer to conditions under which so-called specific hybrids are formed and non-specific hybrids are not formed. Specifically, polynucleotides having a homology of 50 to 70% or more (in particular, DNA) are hybridized and polynucleotides having lower homology (particularly DNA) are not hybridized with each other, or are washing conditions for normal Southern hybridization at 65 ° C., 1 × SSC, 0.1% SDS Or a condition of hybridizing at a salt concentration corresponding to 0.1 × SSC and 0.1% SDS. For example, the polynucleotide that can hybridize under stringent conditions can include a polynucleotide having a certain homology with the base sequence of the polynucleotide used as a probe, for example, 60% or more, preferably Is preferably a polynucleotide having a homology of 70% or more, more preferably 80% or more, more preferably 85% or more, even more preferably 90% or more, particularly preferably 95% or more, and most preferably 98% or more. It can be illustrated.
 本発明の組換えベクター、好ましくは組換えウイルスベクターは、前述のsTREM-1をコードするポリヌクレオチドを発現ベクターに適切にインテグレートすることにより構築することができる。発現ベクターとしては、投与対象である動物細胞において自立複製可能であるものや、あるいは前述の動物細胞の染色体中へ組込み可能であるものが好ましく、また、sTREM-1を発現できる位置にプロモーター、エンハンサー、ターミネーター等の制御配列を含有しているものを好適に使用することができる。発現ベクターとしては、動物細胞用発現ベクター、例えば、非分列細胞を含む全ての細胞(血球系以外)での一過性発現に用いられるアデノウイルスベクター(Science, 252, 431-434, 1991)や、分裂細胞での長期発現に用いられるレトロウイルスベクター(Microbiology and Immunology, 158, 1-23, 1992)や、非病原性、非分裂細胞にも導入可能で、長期発現に用いられるアデノ随伴ウイルスベクター(Curr. Top. Microbiol. Immunol., 158, 97-129,1992)などのウイルスベクターを挙げることができ、中でもアデノウイルスベクターを好適に例示することができる。本発明に用いることのできる発現ベクターの構築の手順及び方法は、遺伝子工学の分野で慣用されているものを用いることができる。 The recombinant vector of the present invention, preferably a recombinant virus vector, can be constructed by appropriately integrating the aforementioned polynucleotide encoding sTREM-1 into an expression vector. The expression vector is preferably one that can replicate autonomously in the animal cell to be administered, or one that can be integrated into the chromosome of the aforementioned animal cell, and a promoter or enhancer at a position where sTREM-1 can be expressed. Those containing a control sequence such as a terminator can be preferably used. As an expression vector, an expression vector for animal cells, for example, an adenovirus vector (Science, 252, 431-434, 1991) used for transient expression in all cells including non-sorted cells (other than blood cells) And retroviral vectors (Microbiology 導入 and Immunology, 158, 1-23, 1992) used for long-term expression in dividing cells and adeno-associated viruses that can be introduced into non-pathogenic, non-dividing cells and used for long-term expression Virus vectors such as vectors (Curr. Top. Microbiol. Immunol., 158, 1992 97-129, 1992) can be mentioned, among which adenovirus vectors can be preferably exemplified. As a procedure and method for constructing an expression vector that can be used in the present invention, those commonly used in the field of genetic engineering can be used.
 本発明の膠原病の予防・治療剤は、TREM-1阻害物質のみであってもよいし、摂取促進のための補助剤等の生理学的に認められる担体とともに製剤化したものであってもよい。また、TREM-1阻害物質以外の膠原病の予防・治療剤を併用してもよい。
 本発明の膠原病の予防・治療剤の剤型としては、特に制限されないが、錠剤、カプセル剤、散剤、シロップ剤等の経口剤や、水もしくはそれ以外の薬学的に許容し得る液との無菌性溶液または懸濁液等の注射剤を例示することができ、TREM-1阻害物質がTREM-1を発現する物質又は可溶性TREM-1である場合は、注射剤を好適に例示することができる。注射剤の投与形態としては、静脈内投与や皮下投与を好適に例示することができる。
The preventive / therapeutic agent for collagen disease of the present invention may be a TREM-1 inhibitor alone, or may be formulated with a physiologically recognized carrier such as an adjuvant for promoting intake. . Further, a prophylactic / therapeutic agent for collagen disease other than a TREM-1 inhibitor may be used in combination.
The dosage form of the prophylactic / therapeutic agent for collagen disease of the present invention is not particularly limited, but is an oral agent such as a tablet, capsule, powder, syrup, water or other pharmaceutically acceptable liquid. An injection such as a sterile solution or suspension can be exemplified, and when the TREM-1 inhibitor is a substance expressing TREM-1 or soluble TREM-1, the injection can be preferably exemplified it can. As a dosage form of the injection, intravenous administration and subcutaneous administration can be preferably exemplified.
 本発明の膠原病の予防・治療剤は、例えば、上述の本発明におけるTREM-1阻害物質を、生理学的に許容し得る担体、香味剤、賦形剤、ベヒクル、防腐剤、安定化剤、結合剤等とともに一般に認められた製剤実施に要求される単位用量形態で混和することによって製造することができる。これら製剤における有効成分量は指示された範囲の適当な用量が得られるようにするものである。錠剤、カプセル剤等に混和することができる添加剤としては、例えば、ゼラチン、コーンスターチ、トラガント、アラビアゴム等の結合剤、結晶性セルロース等の賦形剤、コーンスターチ、ゼラチン、アルギン酸等の膨化剤、ステアリン酸マグネシウム等の潤滑剤、ショ糖、乳糖またはサッカリン等の甘味剤、ペパーミント、アカモノ油またはチェリー等の香味剤等を用いることができる。調剤単位形態がカプセルである場合には、前記タイプの材料にさらに油脂等の液状担体を含有することができる。注射剤は、本発明のポリペプチド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ことができる。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等を用いることができ、さらに、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)〕等と併用してもよい。油性液としては、例えば、ゴマ油、大豆油等を用いることができ、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等を併用してもよい。また、緩衝剤(例えば、リン酸塩緩衝液、酢酸ナトリウム緩衝液等)、無痛化剤(例えば、塩化ベンザルコニウム、塩酸プロカイン等)、安定剤(例えば、ヒト血清アルブミン、ポリエチレングリコール等)、保存剤(例えば、ベンジルアルコール、フェノール等)、酸化防止剤等を配合してもよい。調製された注射液は、通常、適当なアンプルに充填することができる。投与量は、TREM-1阻害物質の種類、患者の体重や年齢、投与方法等により変動するが、当業者であれば適当な投与量を適宜選択することが可能である。 The preventive / therapeutic agent for collagen disease of the present invention includes, for example, the above-described TREM-1 inhibitor in the present invention, a physiologically acceptable carrier, flavoring agent, excipient, vehicle, preservative, stabilizer, It can be produced by mixing in a unit dosage form that is generally required for the practice of the formulation together with a binder and the like. The amount of active ingredient in these preparations is such that an appropriate dose within the indicated range can be obtained. Examples of additives that can be mixed into tablets, capsules and the like include binders such as gelatin, corn starch, tragacanth and gum arabic, excipients such as crystalline cellulose, swelling agents such as corn starch, gelatin and alginic acid, Lubricants such as magnesium stearate, sweeteners such as sucrose, lactose or saccharin, flavoring agents such as peppermint, red mono oil or cherry can be used. When the dispensing unit form is a capsule, a liquid carrier such as fats and oils can be further contained in the above-mentioned type material. The injection can be prepared by dissolving, suspending or emulsifying the polypeptide of the present invention in a sterile aqueous or oily liquid usually used for injection. As an aqueous solution for injection, for example, physiological saline, isotonic solution containing glucose and other adjuvants, and the like can be used. Further, suitable solubilizers such as alcohol (eg, ethanol), Alcohol (eg, propylene glycol, polyethylene glycol), nonionic surfactant [eg, polysorbate 80, HCO-50 (polyoxyethylene (50 mol) adductadof hydrogenated castor oil)] or the like may be used in combination. As the oily liquid, for example, sesame oil, soybean oil and the like can be used, and benzyl benzoate, benzyl alcohol and the like may be used in combination as a solubilizing agent. Buffers (eg, phosphate buffer, sodium acetate buffer, etc.), soothing agents (eg, benzalkonium chloride, procaine hydrochloride, etc.), stabilizers (eg, human serum albumin, polyethylene glycol, etc.), A preservative (for example, benzyl alcohol, phenol, etc.), an antioxidant and the like may be blended. The prepared injection solution can usually be filled into a suitable ampoule. The dose varies depending on the type of TREM-1 inhibitor, the weight and age of the patient, the administration method, etc., but those skilled in the art can appropriately select an appropriate dose.
 膠原病の予防・治療剤の投与対象としては、ヒト、マウス、ラット、モルモット、ウサギ、トリ、ヒツジ、ブタ、ウシ、ウマ、ネコ、イヌ、サル、チンパンジー等の哺乳動物を好適に例示することができる。 Preferred examples of the target for the administration of a prophylactic / therapeutic agent for collagen disease include mammals such as humans, mice, rats, guinea pigs, rabbits, birds, sheep, pigs, cows, horses, cats, dogs, monkeys, chimpanzees, etc. Can do.
 本発明の膠原病の予防・治療剤の対象となる膠原病としては、膠原病である限り特に制限されないが、関節リウマチ(RA)、痛風、全身性エリテマトーデス(SLE)、シェーグレン症候群(SjS)、全身性硬化症(SSc)、多発性筋炎(PM)、皮膚筋炎(DM)、結節性多発性動脈炎(PN)、リウマチ熱(RF)、混合性結合組織病(mixed connective tissue disease; MCTD)、顕微鏡的多発血管炎(microscopic polyangitis; MPA)、Wegener肉芽腫症(Wegener'sgranulomatosis; WG)、アレルギー性肉芽腫性血管炎(allergic granulomatous angitis; AGA)、過敏性血管炎、ベーチェット病、コーガン症候群、RS3PEを例示することができ、中でも、関節リウマチ、全身性エリテマトーデス(SLE)、シェーグレン症候群(SjS)を好適に例示することができる。 The collagen disease to be targeted by the preventive / therapeutic agent for collagen disease of the present invention is not particularly limited as long as it is a collagen disease, but rheumatoid arthritis (RA), gout, systemic lupus erythematosus (SLE), Sjogren's syndrome (SjS), Systemic sclerosis (SSc), polymyositis (PM), dermatomyositis (DM), polyarteritis nodosa (PN), rheumatic fever (RF), mixed connective tissue disease (mixed connective tissue disease; MCTD) , Microscopic polyangitis (MPA), Wegener's granulomatosis (WG), allergic granulomatous vasculitis (AGA), hypersensitivity vasculitis, Behcet's disease, Kogan syndrome RS3PE can be exemplified, among which rheumatoid arthritis, systemic lupus erythematosus (SLE), and Sjogren's syndrome (SjS) can be preferably exemplified.
 本発明の膠原病の予防・治療剤のスクリーニング法は、TREM-1阻害物質を探索する工程を備えてなる。TREM-1阻害物質を探索する工程として、例えば、被検物質存在下又は非存在下でTREM-1を含む細胞を培養し、培養上清中のTNFα濃度を測定し、それらのTNFα濃度を比較する工程を例示することができる。被検物質存在下でのTNFα濃度が、被検物質非存在下のTNFα濃度より低い場合は、その被検物質をTREM-1阻害物質と評価することができる。 The screening method for a preventive / therapeutic agent for collagen disease of the present invention comprises a step of searching for a TREM-1 inhibitor. As a step of searching for a TREM-1 inhibitor, for example, cells containing TREM-1 are cultured in the presence or absence of a test substance, the TNFα concentration in the culture supernatant is measured, and the TNFα concentrations are compared. The process of performing can be illustrated. When the TNFα concentration in the presence of the test substance is lower than the TNFα concentration in the absence of the test substance, the test substance can be evaluated as a TREM-1 inhibitor.
 本発明の膠原病の予防・治療方法は、本発明の膠原病の予防・治療剤を動物に投与する工程を備えてなる。動物としては、前述の哺乳動物を好適に例示することができる。また、本発明の膠原病の予防・治療剤以外の膠原病の予防・治療剤を併用してもよい。 The collagen disease prevention / treatment method of the present invention comprises a step of administering the collagen disease prevention / treatment agent of the present invention to an animal. As the animal, the aforementioned mammals can be preferably exemplified. Further, a preventive / therapeutic agent for collagen disease other than the preventive / therapeutic agent for collagen disease of the present invention may be used in combination.
 以下、実施例により本発明をより具体的に説明するが、本発明の技術的範囲はこれらの例示に限定されるものではない。 Hereinafter, the present invention will be described more specifically by way of examples. However, the technical scope of the present invention is not limited to these examples.
 後述の実施例2~7は、以下の1.~15.に記載の材料及び方法を用いて行った。
[材料及び方法]
1.試薬
 ラット抗マウスTREM-1抗体、マウス抗ヒトTREM-1抗体、フィコエリトリン(PE)標識抗マウスTREM-1抗体、PE標識抗ヒトTREM-1モノクローナル抗体(mAb)、抗マウスIgG抗体、抗ラットIgG抗体、マウスTREM-1デュオセット(Duo set)、及びマウス腫瘍壊死因子α(TNFα)デュオセットは、R & D社(ミネソタ州ミネアポリス)から入手した。フルオレセインイソチオシアネート(FITC)標識抗ヒトCD14モノクローナル抗体は、Beckman-Coulter社(カリフォルニア州フラトン)から購入した。アロフィコシアニン(APC)標識抗マウスCD11bモノクローナル抗体は、e-Bioscience社(カリフォルニア州サンディエゴ)から購入した。ラビット抗ラットIgG抗体、ストレプトアビジン-ホースラディッシュペルオキシダーゼ(HRP)、及びジアミノベンジジン(Envision kit)はダコ・サイトメーション株式会社(Dako CytomationCo.Ltd.)(京都府)から購入した。ヒトTNFαに用いる特異的酵素免疫測定法(ELISA)用の試薬は、Biosource International社(カリフォルニア州カマリロ)から入手した。LPS及びコラゲナーゼAはSigma社(ミズーリ州セントルイス)から購入した。HRPで標識したラビット抗マウスIgG1、IgG2a、IgG2bの各抗体は、Zymed社(カリフォルニア州バーリンゲーム)から購入した。
Examples 2 to 7 described later are as follows. ~ 15. The materials and methods described in 1 were used.
[Materials and methods]
1. Reagents Rat anti-mouse TREM-1 antibody, mouse anti-human TREM-1 antibody, phycoerythrin (PE) -labeled anti-mouse TREM-1 antibody, PE-labeled anti-human TREM-1 monoclonal antibody (mAb), anti-mouse IgG 1 antibody, anti-rat IgG antibodies, mouse TREM-1 duo set, and mouse tumor necrosis factor α (TNFα) duo set were obtained from R & D (Minneapolis, MN). Fluorescein isothiocyanate (FITC) labeled anti-human CD14 monoclonal antibody was purchased from Beckman-Coulter (Fullerton, Calif.). Allophycocyanin (APC) labeled anti-mouse CD11b monoclonal antibody was purchased from e-Bioscience (San Diego, Calif.). Rabbit anti-rat IgG antibody, streptavidin-horseradish peroxidase (HRP), and diaminobenzidine (Envision kit) were purchased from Dako Cytomation Co. Ltd. (Kyoto). Reagents for specific enzyme immunoassay (ELISA) used for human TNFα were obtained from Biosource International (Camarillo, CA). LPS and collagenase A were purchased from Sigma (St. Louis, MO). Rabbit anti-mouse IgG1, IgG2a, and IgG2b antibodies labeled with HRP were purchased from Zymed (Burlingame, Calif.).
2.細胞
 ヒト滑膜組織は、信州大学及び国立下志津病院で全身人工関節置換術又は滑膜切除術を受ける関節リウマチ患者から得た。患者は手術前に同意書に署名した。なお、関節リウマチの診断は、米国リウマチ学会の基準に従って行った。
 一方、マウスの滑膜組織は、コラーゲン関節炎(CIA)マウスの膝関節から分離した。
 ヒトやマウスの滑膜細胞は文献(Arthritis Rheum. 54:2074-2083; J Exp Med. 203:325-335)記載の方法により調製した。すなわち、滑膜組織を切除し、これを無血清DMEM中、1mg/mlのコラゲナーゼAにより37℃で1時間消化した。この滑膜組織消化物を懸濁し、ナイロンメッシュでろ過した。分離して得られた細胞を無血清DMEM中で3回洗浄した。
 また、常在型腹腔マクロファージ(RPM)は、非特許文献4に記載の方法により、DBA1/J雄マウス(6~8週齢)から単離した。
 また、ヒトPBMCは、健常人から提供を受けたヘパリン添加末梢血についてフィコールパーク密度勾配遠心分離法を行うことによって単離した。
2. Cells Human synovial tissue was obtained from patients with rheumatoid arthritis undergoing total joint replacement or synovectomy at Shinshu University and Shimoshizu National Hospital. The patient signed a consent form before surgery. Rheumatoid arthritis was diagnosed according to the criteria of the American College of Rheumatology.
On the other hand, mouse synovial tissue was separated from the knee joint of collagen arthritis (CIA) mice.
Human and mouse synovial cells were prepared by the method described in the literature (Arthritis Rheum. 54: 2074-2083; J Exp Med. 203: 325-335). That is, the synovial tissue was excised and digested with 1 mg / ml collagenase A at 37 ° C. for 1 hour in serum-free DMEM. This synovial tissue digest was suspended and filtered through a nylon mesh. Cells obtained by separation were washed three times in serum-free DMEM.
In addition, resident peritoneal macrophages (RPM) were isolated from DBA1 / J male mice (6 to 8 weeks old) by the method described in Non-Patent Document 4.
In addition, human PBMC was isolated by performing Ficoll Park density gradient centrifugation on heparin-added peripheral blood provided by a healthy person.
3.滑液中のsTREM-1濃度の測定
 滑液(SF)試料は、北里大学の関節リウマチ(RA)及び変形性関節炎(OA)の患者の炎症関節から得た。試料は全て、インフォームド・コンセントを得た上で提供を受けた。滑液中のsTREM-1濃度は、常法である酵素免疫測定法(ELISA)で測定した。
3. Determination of sTREM-1 concentration in synovial fluid Synovial fluid (SF) samples were obtained from inflamed joints of patients with rheumatoid arthritis (RA) and osteoarthritis (OA) at Kitasato University. All samples were provided with informed consent. The sTREM-1 concentration in the synovial fluid was measured by a conventional enzyme immunoassay (ELISA).
4.フローサイトメトリー
 ヒト滑膜細胞又はPBMCについては、それをFITC標識抗ヒトCD14モノクローナル抗体及びPE標識抗ヒトTREM-1モノクローナル抗体で二重染色し、ゲーティングしたCD14細胞におけるTREM-1の発現を分析した。
 また、マウスの滑膜細胞については、それをAPC標識抗マウスCD11bモノクローナル抗体及びPE標識抗マウスTREM-1モノクローナル抗体で二重染色し、ゲーティングしたCD11b細胞におけるTREM-1の発現を分析した。
 全てのフローサイトメトリー実験においてFITC、PE又はAPCで標識した適切なアイソタイプ対照モノクローナル抗体を使用した。データは、FACSCaliburを用いて採取し、CellQuestソフトウエア(BDBiosciences Immunocytometry Systems社、カリフォルニア州サンホセ)を使って分析した。
4). Flow cytometry For human synovial cells or PBMC, it was double-stained with FITC-labeled anti-human CD14 monoclonal antibody and PE-labeled anti-human TREM-1 monoclonal antibody and analyzed for TREM-1 expression in gated CD14 cells did.
As for mouse synovial cells, they were double-stained with APC-labeled anti-mouse CD11b monoclonal antibody and PE-labeled anti-mouse TREM-1 monoclonal antibody, and the expression of TREM-1 in the gated CD11b cells was analyzed.
Appropriate isotype control monoclonal antibodies labeled with FITC, PE or APC were used in all flow cytometry experiments. Data were collected using a FACSCalibur and analyzed using CellQuest software (BDBiosciences Immunocytometry Systems, San Jose, Calif.).
5.定量的リアルタイムPCR
 定量的リアルタイムPCRは、非特許文献4記載の方法により行った。すなわち、RNeasy Mini kit(Qiagen社、東京)を用いて細胞溶解物から全RNAを抽出した。このRNAをDNase I(Qiagen社)で処理し、Omniscript reverse transcriptase(Qiagen社)を使ってcDNAを合成した。特定のオリゴヌクレオチドプライマー及びプローブを用いた定量的リアルタイムPCR(TaqMan社)によりhTREM-1及びrRNAを調べた。TaqManPCRは、QuantiTect Probe PCR(Qiagen社)で行った。7900配列検出システムを用いて放出蛍光を定量分析することにより、PCR増幅をリアルタイムでモニターした。対照試料の量を1任意ユニットとし、各mRNA試料を対照試料量に対して相対的に定量した。
5). Quantitative real-time PCR
Quantitative real-time PCR was performed by the method described in Non-Patent Document 4. That is, total RNA was extracted from cell lysates using RNeasy Mini kit (Qiagen, Tokyo). This RNA was treated with DNase I (Qiagen), and cDNA was synthesized using Omniscript reverse transcriptase (Qiagen). HTREM-1 and rRNA were examined by quantitative real-time PCR (TaqMan) using specific oligonucleotide primers and probes. TaqMan PCR was performed by QuantiTect Probe PCR (Qiagen). PCR amplification was monitored in real time by quantitative analysis of emitted fluorescence using a 7900 sequence detection system. The amount of control sample was 1 arbitrary unit, and each mRNA sample was quantified relative to the amount of control sample.
6.免疫組織化学的解析
 免疫組織化学的解析は、CMC(カルボキシメチルセルロース)で包埋した凍結滑膜試料の切片を用いて行った。すなわち、8μm厚のクリオスタット切片を4%パラホルムアルデヒド中で20分間固定し、その後試料をPBS中に5分間ずつ3回浸漬した。次いで、その試料中の組織切片を、1.5%Hを含むPBS中で15分間、次に5%正常ウサギ血清を含むPBS中で30分間処理した。ウサギ抗TREM-1抗体とアイソタイプ適合対照抗体としての正常ウサギIgGとを一次抗体として25μg/ml含む5%正常ウサギ血清/PBS中において、連続切片を4℃で一晩インキュベートした。次に試料を5分間2回の条件下PBS中で洗浄し、製造者マニュアルに従い、ジアミノベンジジンで処理した。次いで、切片をヘマトキシリンで5秒間対比染色し、水道水で10分間洗浄した。
6). Immunohistochemical analysis Immunohistochemical analysis was performed using sections of frozen synovial membrane samples embedded in CMC (carboxymethylcellulose). That is, an 8 μm thick cryostat section was fixed in 4% paraformaldehyde for 20 minutes, and then the sample was immersed in PBS three times for 5 minutes each. The tissue sections in the sample were then treated for 15 minutes in PBS containing 1.5% H 2 O 2 and then in PBS containing 5% normal rabbit serum for 30 minutes. Serial sections were incubated overnight at 4 ° C. in 5% normal rabbit serum / PBS containing 25 μg / ml primary antibody of rabbit anti-TREM-1 antibody and normal rabbit IgG as isotype matched control antibody. The samples were then washed in PBS for 5 minutes twice and treated with diaminobenzidine according to the manufacturer's manual. The sections were then counterstained with hematoxylin for 5 seconds and washed with tap water for 10 minutes.
7.サイトカイン産生アッセイ
 5μg/mlの抗ヒトTREM-1モノクローナル抗体、抗マウスTREM-1モノクローナル抗体、又はアイソタイプ適合対照抗体(IgG抗体)を、平底プレートに4℃で一晩プレコーティングした。この平底プレートの各ウエルに、PBSで洗浄した細胞を1×10細胞/ウエルずつ添加し、これを1200rpmで短時間遠心分離して、TREM-1を抗体に結合させた。24時間インキュベーションした後、遠心分離して培養培地を分取し、培養培地上清中のTNFα濃度を特異的ELISAで測定するまで-20℃で保存した。
 なお、前述の抗ヒトTREM-1モノクローナル抗体、抗マウスTREM-1モノクローナル抗体は、それぞれヒトTREM-1、マウスTREM-1に対してアゴニスティックに作用する性質も有しており、以下、「抗TREM-1アゴニスト抗体」ともいう。
7). Cytokine production assay 5 μg / ml of anti-human TREM-1 monoclonal antibody, anti-mouse TREM-1 monoclonal antibody, or isotype matched control antibody (IgG antibody) was precoated at 4 ° C. overnight at 4 ° C. Cells washed with PBS were added to each well of the flat bottom plate at 1 × 10 5 cells / well, and this was centrifuged at 1200 rpm for a short time to bind TREM-1 to the antibody. After incubation for 24 hours, the culture medium was collected by centrifugation and stored at −20 ° C. until the TNFα concentration in the culture medium supernatant was measured by specific ELISA.
The above-mentioned anti-human TREM-1 monoclonal antibody and anti-mouse TREM-1 monoclonal antibody also have agonistic properties against human TREM-1 and mouse TREM-1, respectively. Also referred to as “TREM-1 agonist antibody”.
8.組換えアデノウイルス
 マウスsTREM-1-Ig遺伝子(配列番号1)を含む複製欠損アデノウイルス(以下、「AxCA-sTREM-1-Ig」ともいう。)又はLacZ遺伝子を含む複製欠損アデノウイルス(以下、「AxCA-LacZ」ともいう。)は、それぞれ文献(Arthritis Rheum. 54:2074-2083)記載の方法により調製した。すなわち、組換えアデノウイルスをHEK293細胞中で増殖させて、高力価の組換えアデノウイルスを調製し、塩化セシウム密度勾配遠心法でHEK239細胞中から組換えアデノウイルスを精製した。
8). A replication-deficient adenovirus containing a recombinant adenovirus mouse sTREM-1-Ig gene (SEQ ID NO: 1) (hereinafter also referred to as “AxCA-sTREM-1-Ig”) or a replication-deficient adenovirus containing a LacZ gene (hereinafter referred to as “AxCA-sTREM-1-Ig”) “AxCA-LacZ”) was prepared by the method described in the literature (Arthritis Rheum. 54: 2074-2083). That is, a recombinant adenovirus was grown in HEK293 cells to prepare a high-titer recombinant adenovirus, and the recombinant adenovirus was purified from HEK239 cells by cesium chloride density gradient centrifugation.
9.TREM-1阻害活性のバイオアッセイ
 AxCA-sTREM-1-Igが発現するsTREM-1-Igが生物活性を有していることを示すため、AxCA-sTREM-1-Ig又はAxCA-LacZを感染させたNIH/3T3細胞の培養上清を用いてTREM-1の阻害活性を調べた。感染3日後にこれらの細胞の上清を回収した。各上清を連続希釈し、抗マウスTREM-1モノクローナル抗体(抗TREM-1アゴニスト抗体)をプレコーティングした別々のウエルにおいて各希釈液50μlを37℃でインキュベートした。インキュベート開始から15分後、各ウエルにRPM(TREM-1発現細胞)を1×10細胞で加えた。RPMの添加開始から24時間インキュベートした後、培養培地を得、培養培地の上清中のTNFα濃度をELISAで測定した。
9. Bioassay for TREM-1 Inhibitory Activity In order to show that sTREM-1-Ig expressed by AxCA-sTREM-1-Ig has biological activity, it is infected with AxCA-sTREM-1-Ig or AxCA-LacZ The inhibitory activity of TREM-1 was examined using the culture supernatant of NIH / 3T3 cells. The supernatant of these cells was collected 3 days after infection. Each supernatant was serially diluted and 50 μl of each dilution was incubated at 37 ° C. in separate wells precoated with anti-mouse TREM-1 monoclonal antibody (anti-TREM-1 agonist antibody). After 15 minutes from the start of incubation, RPM (TREM-1-expressing cells) was added to each well at 1 × 10 5 cells. After incubation for 24 hours from the start of RPM addition, a culture medium was obtained, and the TNFα concentration in the culture medium supernatant was measured by ELISA.
10.血清中のsTREM-1濃度
 AxCA-sTREM-1-Igを静脈内投与した後の血清中のsTREM-1濃度を調べるため、0日目に10pfuのAxCA-sTREM-1-Ig又はAxCA-LacZを非免疫マウスに投与した。アデノウイルス投与の0日後、2日後、4日後及び7日後にマウスから血液試料を採取し、それを-20℃で保存した。保存した血液試料についてELISAを行い、血清中のsTREM-1濃度を測定した。
10. STREM-1 Concentration in Serum To examine the sTREM-1 concentration in serum after intravenous administration of AxCA-sTREM-1-Ig, on day 0, 10 9 pfu of AxCA-sTREM-1-Ig or AxCA- LacZ was administered to non-immunized mice. Blood samples were collected from mice at 0, 2, 4, and 7 days after adenovirus administration and stored at -20 ° C. The stored blood sample was subjected to ELISA, and the sTREM-1 concentration in the serum was measured.
11.CIA誘導及び関節炎の臨床評価
 DBA/1J雄マウスを日本チャールズ・リバー・ブリージング・ラボラトリーズ(東京)から購入し、東京医科歯科大学の動物実験施設で飼育した。8週齢のDBA/1J雄マウスの尾底部皮内に、ウシコラーゲンII型(CII)200μgを含むCFA(フロインドの完全アジュバンド)を投与して免疫した(初回免疫)。初回免疫の21日後、同様にしてこれらマウスに2回目の免疫を行い(0日目)、以下のスコアリング法にしたがってマウスの各肢の疾患重症度を記録した。
スコアリング法; 0=正常: 1=一箇所の関節に軽度の腫脹: 2=二箇所の関節に軽度の腫脹: 3=足又は指に重度の腫脹: 4=足及び指全体に重度の腫脹。
 関節の腫脹は、後肢の厚さと足首の幅をマイクロメーター(株式会社岡崎製作所、東京)で測定して数値化した。
 次に、マウスの関節について組織学的検査を行うために、2回目の免疫の14日後にコラーゲン関節炎(CIA)マウスを屠殺した。このマウスの膝関節を切り取り、それを10%緩衝ホルマリン中に固定し、10%EDTAで脱灰し、パラフィンに包埋した。包埋した膝関節の切片(4μm厚)をヘマトキシリン及びエオシンで染色し、組織学的検査を行った。炎症細胞の浸潤、滑膜内膜の変性(transformation of synovial lining)、軟骨破壊、及びパンヌス形成をそれぞれ上述のスコアリング法にしたがって0~3でスコアリングした。組織学的スコアの最高点は12点であった。
11. Clinical evaluation of CIA induction and arthritis DBA / 1J male mice were purchased from Charles River Breathing Laboratories, Japan (Japan) and were bred at the animal experiment facility of Tokyo Medical and Dental University. CFA (complete Freund's adjuvant) containing 200 μg of bovine collagen type II (CII) was administered into the skin of the tail base of 8-week-old DBA / 1J male mice (primary immunization). 21 days after the first immunization, these mice were similarly immunized a second time (day 0), and the disease severity of each limb of the mice was recorded according to the following scoring method.
Scoring method: 0 = Normal: 1 = Mild swelling in one joint: 2 = Mild swelling in two joints: 3 = Severe swelling in the foot or finger: 4 = Severe swelling in the entire foot and finger .
Joint swelling was quantified by measuring the thickness of the hind limb and the width of the ankle with a micrometer (Okazaki Corporation, Tokyo).
The collagen arthritis (CIA) mice were then sacrificed 14 days after the second immunization for histological examination of the mouse joints. The knee joint of this mouse was excised, fixed in 10% buffered formalin, decalcified with 10% EDTA, and embedded in paraffin. The embedded knee joint sections (4 μm thick) were stained with hematoxylin and eosin and examined histologically. Inflammatory cell infiltration, transformation of synovial lining, cartilage destruction, and pannus formation were each scored from 0 to 3 according to the scoring method described above. The highest histological score was 12 points.
12.インビボでの遺伝子導入
 2回目の免疫の2日後及び9日後に、10pfu又は10pfuのAxCA-sTREM-1-Ig(サンプル数:n=8)又はAxCA-LacZ(サンプル数:n=8)を含むPBS100μlをマウスに静脈内投与した。
12 Gene transfer in vivo 2 days and 9 days after the second immunization, 10 8 pfu or 10 9 pfu of AxCA-sTREM-1-Ig (sample number: n = 8) or AxCA-LacZ (sample number: n = Mice were intravenously administered with 100 μl of PBS containing 8).
13.ウシII型コラーゲン(CII)特異的抗体の検出
 マウス血清中のCII特異的抗体は、ELISAで測定した。具体的には、以下のような方法で測定した。
 リン酸緩衝生理食塩水(PBS)中で沸騰させることによって変性させた2μg/mlのウシII型コラーゲンで、平底プレートをコーティングした。このプレートを0.05%Tween 20を含むPBS(PBST)中で洗浄し、2%ウシ血清アルブミン(BSA)を含むPBSでブロッキングし、1000倍希釈したマウス血清とインキュベートした。2%BSAを含むPBST中で、ホースラディッシュペルオキシダーゼ(Zymed社、カリフォルニア州バーリンゲーム)で標識したウサギ抗マウスIgG1、IgG2a、IgG2bの各抗体とインキュベートすることにより、陽性反応を検出した。最終反応は、TMB Microwell Peroxidase Substrate System(KPL社、メリーランド州ゲイサーズバーグ)を用いて視覚化した。吸光度は、450nmにて測定した。関節炎マウス又は非関節炎マウスから得たプール血清から作製した標準血清を用いて、CII特異的抗体ユニットを測定した。関節炎マウスの血清の40倍希釈物を1000ユニット/ml値とした。
13. Detection of bovine type II collagen (CII) specific antibody CII specific antibody in mouse serum was measured by ELISA. Specifically, it measured by the following methods.
Flat bottom plates were coated with 2 μg / ml bovine type II collagen denatured by boiling in phosphate buffered saline (PBS). The plate was washed in PBS containing 0.05% Tween 20 (PBST), blocked with PBS containing 2% bovine serum albumin (BSA), and incubated with 1000-fold diluted mouse serum. Positive reactions were detected by incubation with rabbit anti-mouse IgG1, IgG2a, IgG2b antibodies labeled with horseradish peroxidase (Zymed, Burlingame, Calif.) In PBST containing 2% BSA. The final reaction was visualized using the TMB Microwell Peroxidase Substrate System (KPL, Gaithersburg, MD). Absorbance was measured at 450 nm. CII-specific antibody units were measured using standard sera prepared from pooled sera obtained from arthritic or non-arthritic mice. A 40-fold dilution of sera from arthritic mice was 1000 units / ml.
14.CII特異的T細胞の増殖
 2回目の免疫の14日後、各グループのマウスから脾細胞を単離した。これらの脾細胞(5×10個)を、ペニシリン/ストレプトマイシン及び10%ウシ胎仔血清を添加したRPMI1640倍地において変性CII(0~100μg/ml)で刺激しながら培養した。72時間の培養期間の最後の16時間、培養物を[H]チミジン(0.037MBq/ウエル)と共に培養し、脾細胞をマイクロ96ハーベスター(PerkinElmer社、横浜)上に回収して増殖反応を評価した。マイクロプレートベータカウンター(「MicroβPlus」;PerkinElmer社)により、取り込まれた放射線を測定した。
14 Proliferation of CII-specific T cells Splenocytes were isolated from each group of mice 14 days after the second immunization. These spleen cells (5 × 10 5 cells) were cultured in RPMI 1640 medium supplemented with penicillin / streptomycin and 10% fetal calf serum while being stimulated with denatured CII (0-100 μg / ml). Cultures were cultured with [ 3 H] thymidine (0.037 MBq / well) for the last 16 hours of the 72 hour culture period and splenocytes were collected on a micro 96 harvester (PerkinElmer, Yokohama) to proliferate. evaluated. Incorporated radiation was measured by a microplate beta counter (“MicroβPlus”; PerkinElmer).
15.統計方法
 各実験の結果は、平均±標準偏差(SD)で表した。統計分析にはマン・ ホイットニーのUテストを用い、p<0.05の場合を有意差有りとした。
15. Statistical method The results of each experiment were expressed as mean ± standard deviation (SD). For statistical analysis, Mann-Whitney U test was used, and p <0.05 was considered significant.
[滑液におけるヒトsTREM-1及び関節リウマチの滑膜細胞におけるヒト膜結合型TREM-1の検出]
(1)滑液中のsTREM-1濃度の測定結果
 sTREM-1及び膜結合型TREM-1が細菌感染症で多量に認められることを報告する文献は何件かあるが(Nature.410:1103-1107; N Engl J Med.350:451-458)、関節リウマチにおけるsTREM-1やTREM-1の発現は示されていなかった。そこで、関節リウマチにおけるsTREM-1濃度を調べるため、関節リウマチ(RA)患者23名及び変形性関節炎(OA)患者9名の滑液中のsTREM-1濃度を、上記実施例1に記載された「滑液中のsTREM-1濃度の測定」の方法にしたがって、ELISAにより測定した。その結果を図1のAに示す。図1のAの結果から分かるように、RA患者の滑液中のsTREM-1濃度は1763.2±1180.2pg/mlであったのに対し、OA患者の滑液中のsTREM-1濃度は162.2±220.2pg/mlであり、RA患者の滑液中のsTREM-1濃度はOA患者のそれと比較して有意に高かった。このことから、sTREM-1は、炎症のないOAよりも、炎症を伴うRAにおいて高発現していることが示された。
[Detection of human sTREM-1 in synovial fluid and human membrane-bound TREM-1 in synovial cells of rheumatoid arthritis]
(1) Results of measurement of sTREM-1 concentration in synovial fluid There are several documents reporting that sTREM-1 and membrane-bound TREM-1 are found in large amounts in bacterial infections (Nature.410: 1103). -1107; N Engl J Med. 350: 451-458), the expression of sTREM-1 and TREM-1 in rheumatoid arthritis was not shown. Therefore, in order to examine the sTREM-1 concentration in rheumatoid arthritis, the sTREM-1 concentration in the synovial fluid of 23 rheumatoid arthritis (RA) patients and 9 osteoarthritis (OA) patients was described in Example 1 above. It was measured by ELISA according to the method of “Measurement of sTREM-1 concentration in synovial fluid”. The result is shown in FIG. As can be seen from the results in FIG. 1A, the sTREM-1 concentration in the synovial fluid of RA patients was 1763.2 ± 1180.2 pg / ml, whereas the sTREM-1 concentration in the synovial fluid of OA patients Was 162.2 ± 220.2 pg / ml, and the sTREM-1 concentration in the synovial fluid of RA patients was significantly higher than that of OA patients. This indicates that sTREM-1 is highly expressed in RA with inflammation than OA without inflammation.
(2)ヒト滑膜細胞におけるフローサイトメトリーの結果
 次に、上記実施例2(1)におけるRA患者のうち3名の滑膜細胞について、TREM-1の発現の有無を調べるため、上記実施例1に記載された「フローサイトメトリー」の方法にしたがって、フローサイトメトリー解析を行った。具体的には、RA患者から採取した滑膜細胞の単一細胞懸濁液を、TREM-1及びCD14(マクロファージマーカー)について二重染色し、TREM-1を発現する滑膜細胞の解析を行った。その結果を図1のBに示す。図1のBの結果から分かるように、RA患者の炎症滑膜組織においてCD14を発現するマクロファージは、TREM-1の発現を示した。このことから、滑膜組織中の浸潤マクロファージにおいてTREM-1が発現していることが示された。
(2) Results of flow cytometry in human synoviocytes Next, in order to examine the presence or absence of TREM-1 expression in 3 synovial cells among RA patients in Example 2 (1) above, According to the method of “flow cytometry” described in 1, flow cytometry analysis was performed. Specifically, a single cell suspension of synovial cells collected from RA patients was double-stained for TREM-1 and CD14 (macrophage marker), and the synovial cells expressing TREM-1 were analyzed. It was. The result is shown in FIG. As can be seen from the results in FIG. 1B, macrophages expressing CD14 in inflammatory synovial tissue of RA patients showed expression of TREM-1. This showed that TREM-1 was expressed in infiltrating macrophages in synovial tissue.
(3)ヒト滑膜細胞におけるサイトカイン産生アッセイの結果
 TREM-1の発現に起因すると考えられる結果を直接調べるため、上記実施例2(1)におけるRA患者の全滑膜細胞のTREM-1を、上記実施例1に記載された「サイトカイン産生アッセイ」の方法にしたがって、抗TREM-1モノクローナル抗体(抗TREM-1アゴニスト抗体)で24時間刺激し、培養上清中の炎症性サイトカイン(TNFα)濃度をELISAで測定した。その結果を図1のCに示す。TNFαの分泌自体は、RAの炎症関節から得た滑膜細胞で既に検出されていたが、図1のCの結果から分かるように、抗TREM-1アゴニスト抗体によるTREM-1の架橋によって、TNFαの分泌は、IgG抗体(コントロール抗体)で刺激した場合と比較して、有意に高かった。このことから、TREM-1を介した炎症プロセスが増大することにより、関節リウマチ患者の疾患が悪化し、組織破壊が進行することが示された。
(3) Results of cytokine production assay in human synovial cells In order to directly examine the results considered to be attributable to the expression of TREM-1, TREM-1 of all synovial cells of RA patients in Example 2 (1) above was According to the method of “cytokine production assay” described in Example 1 above, stimulation with an anti-TREM-1 monoclonal antibody (anti-TREM-1 agonist antibody) for 24 hours, and the concentration of inflammatory cytokine (TNFα) in the culture supernatant Was measured by ELISA. The result is shown in FIG. TNFα secretion itself has already been detected in synovial cells obtained from RA inflamed joints, but as can be seen from the results in FIG. 1C, TNFα crosslinking by anti-TREM-1 agonist antibody Secretion was significantly higher than when stimulated with IgG antibody (control antibody). From this, it was shown that the disease in patients with rheumatoid arthritis worsens and tissue destruction progresses by increasing the inflammatory process via TREM-1.
[コラーゲン関節炎(CIA)マウスの滑膜細胞におけるマウスTREM-1の発現]
(1)CIAマウスの滑膜細胞に対する免疫組織化学的解析の結果
 骨髄細胞でのTREM-1発現が、滑膜組織での炎症反応に寄与するかどうかを調べるため、CIAマウスの滑膜組織におけるマウスTREM-1の発現を、上記実施例1に記載された「免疫組織化学的解析」の方法により調べた。その結果を図2のA~Cに示す。図2のA~Cの結果から分かるように、TREM-1を発現する細胞(単核球)が、炎症滑膜組織で豊富に認められた(図2のC)。
[Expression of mouse TREM-1 in synovial cells of collagen arthritis (CIA) mice]
(1) Results of immunohistochemical analysis on synovial cells of CIA mice In order to examine whether TREM-1 expression in bone marrow cells contributes to inflammatory reaction in synovial tissue, in synovial tissue of CIA mice The expression of mouse TREM-1 was examined by the “immunohistochemical analysis” method described in Example 1 above. The results are shown in FIGS. As can be seen from the results of FIGS. 2A to 2C, cells expressing TREM-1 (mononuclear cells) were abundantly observed in the inflamed synovial tissue (FIG. 2C).
(2)CIAマウスの滑膜細胞に対するフローサイトメトリー分析の結果
 次に、CIAマウスの炎症骨膜組織においてTREM-1が発現しているかどうかを調べるため、上記実施例1に記載された「CIA誘導及び関節炎の臨床評価」の方法にしたがってCIA誘導したマウスについて、「フローサイトメトリー」の方法にしたがったフローサイトメトリー解析を行った。具体的には、CIAマウスから採取した滑膜細胞の単一細胞懸濁液を、TREM-1及びCD11b(マクロファージマーカー)について二重染色し、TREM-1を発現する滑膜細胞の解析を行った。その結果を図2のDに示す。図2のDの結果から分かるように、CIAマウスの炎症滑膜組織においてCD11bを発現するマクロファージのほとんどは、TREM-1の発現を示した。特に、初期炎症関節(2回目のコラーゲン免疫から7日後)におけるTREM-1の発現レベル(Day7)は、慢性炎症関節(2回目のコラーゲン免疫から16日後)の場合(Day16)に比べ高かった。このことから、TREM-1は、慢性炎症関節よりも初期炎症関節において重要な役割を担っていることが示された。
(2) Results of flow cytometry analysis on synovial cells of CIA mice Next, in order to examine whether TREM-1 is expressed in the inflamed periosteal tissue of CIA mice, the “CIA induction” described in Example 1 above was conducted. And CIA-induced mice according to the method of “Clinical evaluation of arthritis” were subjected to flow cytometry analysis according to the method of “flow cytometry”. Specifically, a single cell suspension of synovial cells collected from CIA mice was double-stained for TREM-1 and CD11b (macrophage marker), and synovial cells expressing TREM-1 were analyzed. It was. The result is shown in FIG. As can be seen from the results in FIG. 2D, most of the macrophages expressing CD11b in the inflamed synovial tissue of CIA mice showed TREM-1 expression. In particular, the expression level (Day 7) of TREM-1 in the early inflammatory joint (7 days after the second collagen immunization) was higher than that in the chronic inflammatory joint (16 days after the second collagen immunization) (Day 16). This indicates that TREM-1 plays a more important role in early inflammatory joints than in chronic inflammatory joints.
[インビボでのsTREM-1の発現量、及び、インビトロでのAxCA-sTREM-1-Igの生物活性]
(1)マウス血清中のsTREM-1濃度測定の結果
 CIAにおいてTREM-1を阻害することによる治療効果を調べるため、まず、sTREM-1-Ig遺伝子を含む組換えアデノウイルス(AxCA-sTREM-1-Ig)を、上記実施例1に記載された「組換えアデノウイルス」の方法にしたがって構築した。
 次に、AxCA-sTREM-1-Igをマウスに投与した場合に、インビボにおいてsTREM-1が実際に発現するかを調べるため、上記実施例1に記載された「血清中のsTREM-1濃度」の方法にしたがって、マウス血清中のsTREM-1の濃度をELISAで測定した。その結果を図3のAに示す。図3のAの結果から分かるように、AxCA-sTREM-1-Igの静脈内投与の2日後に、sTREM-1濃度が最大値を示し、それ以降7日目まで徐々に減少した。
 一方、AxCA-sTREM-1-Igに代えてAxCA-LacZを投与したマウスでは、血清中のsTREM-1濃度の上昇は見られなかった(データは示さず)。
 これらの結果から、AxCA-sTREM-1-Igの静脈内投与により、sTREM-1-Igがインビボで効率的に産生されることが示された。
[Expression level of sTREM-1 in vivo and biological activity of AxCA-sTREM-1-Ig in vitro]
(1) Result of measurement of sTREM-1 concentration in mouse serum In order to examine the therapeutic effect of inhibiting TREM-1 in CIA, first, a recombinant adenovirus containing sTREM-1-Ig gene (AxCA-sTREM-1 -Ig) was constructed according to the "recombinant adenovirus" method described in Example 1 above.
Next, in order to examine whether sTREM-1 is actually expressed in vivo when AxCA-sTREM-1-Ig is administered to mice, the “sTREM-1 concentration in serum” described in Example 1 above is used. According to the method, the concentration of sTREM-1 in mouse serum was measured by ELISA. The result is shown in FIG. As can be seen from the results in FIG. 3A, the sTREM-1 concentration reached its maximum value 2 days after intravenous administration of AxCA-sTREM-1-Ig, and gradually decreased until the 7th day thereafter.
On the other hand, in mice administered with AxCA-LacZ instead of AxCA-sTREM-1-Ig, no increase in serum sTREM-1 concentration was observed (data not shown).
From these results, it was shown that sTREM-1-Ig was efficiently produced in vivo by intravenous administration of AxCA-sTREM-1-Ig.
(2)TREM-1阻害活性のバイオアッセイの結果
 AxCA-sTREM-1-Igが発現するsTREM-1-Igが生物活性を有しているかを確認するために、上記実施例1に記載された「TREM-1阻害活性のバイオアッセイ」の方法にしたがって実験を行った。すなわち、AxCA-sTREM-1-Igに感染させたNIH/3T3細胞中のsTREM-1-Igを含む培養上清が、抗TREM-1アゴニスト抗体で刺激した常在型腹腔マクロファージ(RPM)によるTNFα産生に対して及ぼす効果を調べた。その結果を図3のBに示す。図3のBの結果から分かるように、AxCA-LacZを感染させた細胞の培養上清(sTREM-1-Igを含まない)を添加した場合は、その添加量にかかわらずTNFαの産生は阻害されなかった。それに対し、AxCA-sTREM-1-Igを感染させたNIH/3T3細胞の培養上清(sTREM-1-Igを含む)を添加した場合は、TNFαの産生が著しく阻害され、また、その阻害の程度は培養上清の添加量に依存的であって、sTREM-1の濃度が320pg/mlのときにTNFαの産生は完全に阻害された。
 これらの結果から、AxCA-sTREM-1-Igの発現産物であるsTREM-1-IGが生物活性(炎症の抑制効果)を有していることが示された。
(2) Results of bioassay of TREM-1 inhibitory activity In order to confirm whether sTREM-1-Ig expressed by AxCA-sTREM-1-Ig has biological activity, it was described in Example 1 above. Experiments were performed according to the method of “Bioassay for TREM-1 Inhibitory Activity”. That is, the culture supernatant containing sTREM-1-Ig in NIH / 3T3 cells infected with AxCA-sTREM-1-Ig was transformed into TNFα by resident peritoneal macrophages (RPM) stimulated with an anti-TREM-1 agonist antibody. The effect on production was investigated. The result is shown in FIG. As can be seen from the results in FIG. 3B, when the culture supernatant of cells infected with AxCA-LacZ (without sTREM-1-Ig) was added, TNFα production was inhibited regardless of the amount added. Was not. In contrast, when the culture supernatant of NIH / 3T3 cells infected with AxCA-sTREM-1-Ig (including sTREM-1-Ig) was added, the production of TNFα was remarkably inhibited, and the inhibition The degree was dependent on the amount of culture supernatant added, and TNFα production was completely inhibited when the concentration of sTREM-1 was 320 pg / ml.
From these results, it was shown that sTREM-1-IG, which is an expression product of AxCA-sTREM-1-Ig, has biological activity (inhibition effect on inflammation).
[コラーゲン関節炎(CIA)におけるsTREM-1-Ig遺伝子導入による関節炎の抑制]
(1)CIA誘導及び関節炎の臨床評価の結果
 CIAにおけるTREM-1の病態生理学的機能を調べるため、上記実施例1に記載された「CIA誘導及び関節炎の臨床評価」の方法にしたがって、マウスにCIAを誘導し、さらに、上記実施例1に記載された「インビボでの遺伝子導入」の方法にしたがってそのマウスにAxCA-sTREM-1-Igを導入してTREM-1の関与を阻害することによって、CIAの病態にどのような影響が見られるかを調べた。CIAマウスの関節炎の組織学的スコアの経時的推移を図4のAに、CIAマウスの足首幅の経時的推移を図4のBに、CIAマウスの後肢の厚さの経時的推移を図4のCに示す。図4のA~Cの結果から分かるように、1×10pfuのAxCA-sTREM-1-Igを静脈内投与した場合は、AxCA-LacZ(コントロール)を投与した場合に比べ、関節炎の進行が著しく抑制された。また、1×10pfuのAxCA-sTREM-1-Igを静脈内投与した場合は、1×10pfu投与した場合ほどではないが、コントロールに対して有意に関節炎が抑制された。すなわち、AxCA-sTREM-1-Igは、投与量依存的に関節炎を阻害することが明らかとなった。これらの知見から、TREM-1がCIAの進行に大きな役割を担っていることが示され、TREM-1を阻害することが関節炎の治療に有用である可能性が極めて高いことが判明した。
[Suppression of arthritis by sTREM-1-Ig gene introduction in collagen arthritis (CIA)]
(1) Results of clinical evaluation of CIA induction and arthritis In order to examine the pathophysiological function of TREM-1 in CIA, mice were treated according to the method of “CIA evaluation of CIA induction and arthritis” described in Example 1 above. By inducing CIA and further inhibiting the involvement of TREM-1 by introducing AxCA-sTREM-1-Ig into the mouse according to the method of “in vivo gene transfer” described in Example 1 above The effect of CIA on the pathological condition was examined. The time course of the histological score of arthritis in CIA mice is shown in FIG. 4A, the time course of the ankle width of CIA mice is shown in FIG. 4B, and the time course of the hind limb thickness of CIA mice is shown in FIG. Of C. As can be seen from the results in FIGS. 4A to 4C, when 1 × 10 9 pfu of AxCA-sTREM-1-Ig was intravenously administered, the progression of arthritis was compared to when AxCA-LacZ (control) was administered. Was significantly suppressed. In addition, when 1 × 10 8 pfu of AxCA-sTREM-1-Ig was administered intravenously, arthritis was significantly suppressed compared to the control, although not as much as when 1 × 10 9 pfu was administered. That is, it was revealed that AxCA-sTREM-1-Ig inhibits arthritis in a dose-dependent manner. These findings indicate that TREM-1 plays a major role in the progression of CIA, and it has been found that inhibiting TREM-1 is very likely to be useful in the treatment of arthritis.
(2)sTREM-1-Igで処理されたマウスのCIAの組織学的評価の結果
 上記実施例5の(1)においてCIA誘導及びAxCA-sTREM-1-Ig導入されたマウスの関節の病変を組織学的に評価するため、2回目の免疫の16日後にAxCA-sTREM-1-Ig又はAxCA-LacZ(コントロール)を導入したマウスの膝関節の切片を用意し、ヘマトキシリン及びエオシン(H&E)で染色した。その観察結果を図5のA(AxCA-LacZ導入マウス)及びB(AxCA-sTREM-1-Ig導入マウス)に示す。図5のA及びBから分かるように、AxCA-LacZ導入マウスの関節は、炎症細胞の顕著な浸潤、滑膜内膜の変性、軟骨破壊、及びパンヌス形成という4つのパラメーター全てにおいてコラーゲン関節炎に特有の特徴を示した。それに対して、AxCA-sTREM-1-Ig導入マウスの関節では、炎症細胞の浸潤が顕著に減少し、内膜の過形成や骨及び軟骨の破壊の程度も低かった。
(2) Results of Histological Evaluation of CIA in Mice Treated with sTREM-1-Ig The lesions in the joints of mice introduced with CIA and AxCA-sTREM-1-Ig in Example 1 (1) For histological evaluation, a section of a knee joint of a mouse into which AxCA-sTREM-1-Ig or AxCA-LacZ (control) was introduced 16 days after the second immunization was prepared, and hematoxylin and eosin (H & E) were used. Stained. The observation results are shown in FIG. 5A (AxCA-LacZ-introduced mouse) and B (AxCA-sTREM-1-Ig-introduced mouse). As can be seen from FIGS. 5A and 5B, the joints of AxCA-LacZ-introduced mice are unique to collagen arthritis in all four parameters: prominent infiltration of inflammatory cells, degeneration of synovial intima, cartilage destruction, and pannus formation. The characteristics were shown. In contrast, in the joints of AxCA-sTREM-1-Ig-introduced mice, the infiltration of inflammatory cells was remarkably reduced, and the degree of intimal hyperplasia and bone and cartilage destruction were low.
 AxCA-LacZ導入マウス、及び、AxCA-sTREM-1-Ig導入マウスの関節における上記の4つのパラメーターを0~3(0,正常; 1,軽微; 2,軽度; 3,重篤)の4段階でそれぞれ評価した。その観察結果を図5のCに示す。図5のCの結果から分かるように、AxCA-sTREM-1-Ig導入マウスの各パラメーターのスコアは、AxCA-LacZ導入マウスのスコアに比べ、著しく低かった。これらの結果から、TREM-1シグナル伝達がコラーゲン関節炎における関節の炎症及び破壊の促進に関与していることが示唆された。 The above four parameters in the joints of AxCA-LacZ-introduced mice and AxCA-sTREM-1-Ig-introduced mice are classified into 4 levels from 0 to 3 (0, normal; 1, slight; 2, mild; 3, severe). Each was evaluated. The observation results are shown in FIG. As can be seen from the results in FIG. 5C, the score of each parameter of the AxCA-sTREM-1-Ig-introduced mouse was significantly lower than that of the AxCA-LacZ-introduced mouse. These results suggested that TREM-1 signaling is involved in promoting joint inflammation and destruction in collagen arthritis.
[T細胞応答に対するsTREM-1-Ig遺伝子導入の効果]
(1)ウシII型コラーゲン(CII)特異的T細胞の増殖の結果
 インビボでのAxCA-sTREM-1-Ig導入により、CIIに対するT細胞性免疫が影響されるかどうかを調べるため、上記実施例5の(1)においてCIA誘導及びAxCA-sTREM-1-Ig導入されたマウスの脾細胞におけるT細胞の増殖を、上記実施例1に記載された「CII特異的T細胞の増殖」の方法にしたがって、インビトロで測定した。すなわち、CIA誘導マウスの2回目の免疫の2日後及び9日後に各種のアデノウイルス(AxCA-sTREM-1-Ig又はAxCA-LacZ)を導入し、16日目にグループ毎に4個の脾臓を取り出し、II型コラーゲンと共培養した。その観察結果を図6のAに示す。図6のAの結果から分かるように、10pfuのAxCA-sTREM-1-Ig、10pfuのAxCA-sTREM-1-Ig、又は、AxCA-LacZ(コントロール)を導入した各グループの増殖応答に有意な違いは観察されなかった。この結果から、TREM-1を阻害しても抗原特異的T細胞応答は損なわれないことが示された。
[Effect of sTREM-1-Ig gene transfer on T cell response]
(1) Results of proliferation of bovine type II collagen (CII) -specific T cells In order to examine whether in vivo introduction of AxCA-sTREM-1-Ig affects T cell immunity against CII, the above example In the method of “Proliferation of CII-specific T cells” described in Example 1 above, the proliferation of T cells in the spleen cells of mice introduced with CIA induction and AxCA-sTREM-1-Ig in (1) of 5 Therefore, it was measured in vitro. That is, various adenoviruses (AxCA-sTREM-1-Ig or AxCA-LacZ) were introduced 2 days and 9 days after the second immunization of CIA-induced mice, and 4 spleens per group were introduced on the 16th day. Removed and co-cultured with type II collagen. The observation result is shown in FIG. As can be seen from the results in FIG. 6A, each group was introduced with 10 8 pfu of AxCA-sTREM-1-Ig, 10 9 pfu of AxCA-sTREM-1-Ig, or AxCA-LacZ (control). No significant difference in response was observed. This result indicated that inhibition of TREM-1 did not impair the antigen-specific T cell response.
[B細胞応答に対するsTREM-1-Ig遺伝子導入の効果]
(1)ウシII型コラーゲン(CII)特異的抗体の検出の結果
 II型コラーゲンに対する液性免疫応答に及ぼすAxCA-sTREM-1-Igの効果を調べるため、上記実施例1に記載された「ウシII型コラーゲン(CII)特異的抗体の検出」の方法にしたがって、2回目の免疫から16日目に、10pfu若しくは10pfuのAxCA-sTREM-1-Ig導入マウス又はAxCA-LacZ導入マウスから採血し、血清中の抗CII抗体(IgG1、IgG2a及びIgG2b)について分析した。その結果を図6のBに示す。図6のBの結果から分かるように、上記の3つのマウス群の間に、IgG1、IgG2a及びIgG2bの各抗CII抗体の血中抗体価に有意な差異は観察されなかった。さらに、これらの抗CII抗体の抗体価は、2回目の免疫から0日目の時点においても有意な違いはなかった(データは示さず)。これらの結果から、AxCA-sTREM-1-Igで処理してもコラーゲン関節炎における抗CII抗体の産生は損なわれないことが示された。
[Effect of sTREM-1-Ig gene transfer on B cell response]
(1) Results of Detection of Bovine Type II Collagen (CII) Specific Antibody In order to examine the effect of AxCA-sTREM-1-Ig on the humoral immune response against type II collagen, “Bovine” described in Example 1 above was used. 10 8 pfu or 10 9 pfu of AxCA-sTREM-1-Ig-introduced mouse or AxCA-LacZ-introduced mouse on the 16th day from the second immunization according to the method of “Detection of type II collagen (CII) -specific antibody” The blood samples were collected and analyzed for anti-CII antibodies (IgG1, IgG2a and IgG2b) in the serum. The result is shown in FIG. As can be seen from the results in FIG. 6B, no significant difference was observed in the blood antibody titers of the IgG1, IgG2a, and IgG2b anti-CII antibodies among the above three groups of mice. Furthermore, the antibody titers of these anti-CII antibodies were not significantly different from the second immunization to day 0 (data not shown). From these results, it was shown that treatment with AxCA-sTREM-1-Ig did not impair the production of anti-CII antibodies in collagen arthritis.
 TREM-1の機能を阻害することにより、膠原病の予防・治療効果を発揮することが可能であり、従って、TREM-1阻害物質は膠原病の予防・治療等に有効である。また、TREM-1阻害物質を探索することにより、膠原病の予防・治療剤をスクリーニングすることができる。 By inhibiting the function of TREM-1, it is possible to exert a preventive / therapeutic effect on collagen disease. Therefore, a TREM-1 inhibitor is effective for preventing or treating a collagen disease. In addition, a prophylactic / therapeutic agent for collagen disease can be screened by searching for a TREM-1 inhibitor.

Claims (12)

  1. TREM-1阻害物質を含有してなる膠原病の予防・治療剤。 A preventive or therapeutic agent for collagen disease comprising a TREM-1 inhibitor.
  2. TREM-1阻害物質が、可溶性TREM-1又は可溶性TREM-1発現ベクターである請求項1に記載の膠原病の予防・治療剤。 The preventive / therapeutic agent for collagen disease according to claim 1, wherein the TREM-1 inhibitor is soluble TREM-1 or a soluble TREM-1 expression vector.
  3. 可溶性TREM-1が、配列番号1におけるアミノ酸番号1~194に示されるアミノ酸配列からなるポリペプチド、配列番号5におけるアミノ酸番号1~200に示されるアミノ酸配列からなるポリペプチド、配列番号3若しくは7に示されるアミノ酸配列からなるポリペプチド、又は、配列番号3若しくは7に示されるアミノ酸配列を含むポリペプチドである請求項2に記載の膠原病の予防・治療剤。 Soluble TREM-1 is a polypeptide comprising the amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1, a polypeptide comprising the amino acid sequence represented by amino acid numbers 1 to 200 in SEQ ID NO: 5, SEQ ID NO: 3 or 7 The preventive / therapeutic agent for collagen disease according to claim 2, which is a polypeptide having the amino acid sequence shown or a polypeptide containing the amino acid sequence shown by SEQ ID NO: 3 or 7.
  4. 可溶性TREM-1が、配列番号1におけるアミノ酸番号1~194に示されるアミノ酸配列、配列番号5におけるアミノ酸番号1~200に示されるアミノ酸配列、及び、配列番号3又は7に示されるアミノ酸配列から選ばれるアミノ酸配列において、1若しくは数個のアミノ酸の置換、欠失、挿入、又は付加されたアミノ酸配列を含み、かつ、TREM-1阻害活性を有するポリペプチドである請求項2に記載の膠原病の予防・治療剤。 Soluble TREM-1 is selected from the amino acid sequence represented by amino acid numbers 1 to 194 in SEQ ID NO: 1, the amino acid sequence represented by amino acid numbers 1 to 200 in SEQ ID NO: 5, and the amino acid sequence represented by SEQ ID NO: 3 or 7. The amino acid sequence according to claim 2, which is a polypeptide having a TREM-1 inhibitory activity, comprising an amino acid sequence substituted, deleted, inserted, or added by one or several amino acids. Prophylactic / therapeutic agent.
  5. TREM-1阻害物質が、イムノグロブリン結合-可溶性TREM-1(sTREM-1-Ig)である請求項1に記載の膠原病の予防・治療剤。 The preventive / therapeutic agent for collagen disease according to claim 1, wherein the TREM-1 inhibitor is immunoglobulin binding-soluble TREM-1 (sTREM-1-Ig).
  6. イムノグロブリン結合-可溶性TREM-1(sTREM-1-Ig)が、配列番号1又は5に示されるアミノ酸配列からなるポリペプチドである請求項5に記載の膠原病の予防・治療剤。 6. The preventive / therapeutic agent for collagen disease according to claim 5, wherein the immunoglobulin binding-soluble TREM-1 (sTREM-1-Ig) is a polypeptide consisting of the amino acid sequence shown in SEQ ID NO: 1 or 5.
  7. 可溶性TREM-1発現ベクターが、配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列からなるポリヌクレオチド、配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列からなるポリヌクレオチド、配列番号4又は8に示されるヌクレオチド配列からなるポリヌクレオチド、及び、配列番号4又は8に示されるヌクレオチド配列を含むポリヌクレオチドから選ばれるポリヌクレオチドを含む組換えベクターである請求項2に記載の膠原病の予防・治療剤。 A soluble TREM-1 expression vector is a polynucleotide consisting of the nucleotide sequence shown in nucleotide numbers 1 to 582 in SEQ ID NO: 2, a polynucleotide consisting of the nucleotide sequence shown in nucleotide numbers 1 to 600 in SEQ ID NO: 6, SEQ ID NO: 4 or The prevention of collagen disease according to claim 2, which is a recombinant vector comprising a polynucleotide comprising the nucleotide sequence represented by 8 and a polynucleotide comprising the nucleotide sequence represented by SEQ ID NO: 4 or 8. Therapeutic agent.
  8. 可溶性TREM-1発現ベクターが、配列番号2におけるヌクレオチド番号1~582に示されるヌクレオチド配列、配列番号6におけるヌクレオチド番号1~600に示されるヌクレオチド配列、及び、配列番号4又は8に示されるヌクレオチド配列から選ばれるヌクレオチド配列に相補的な配列からなるポリヌクレオチドとストリンジェントな条件下でハイブリダイズし、かつ、TREM-1阻害活性を有するポリペプチドをコードするポリヌクレオチドを含む組換えベクターである請求項2に記載の膠原病の予防・治療剤。 A soluble TREM-1 expression vector comprises a nucleotide sequence represented by nucleotide numbers 1 to 582 in SEQ ID NO: 2, a nucleotide sequence represented by nucleotide numbers 1 to 600 in SEQ ID NO: 6, and a nucleotide sequence represented by SEQ ID NO: 4 or 8. A recombinant vector comprising a polynucleotide encoding a polypeptide having a TREM-1 inhibitory activity, which hybridizes with a polynucleotide comprising a sequence complementary to a nucleotide sequence selected from 2. A preventive / therapeutic agent for collagen disease according to 2.
  9. 可溶性TREM-1発現ベクターが、可溶性TREM-1を発現する組換えウイルスベクターである請求項7又は8に記載の膠原病の予防・治療剤。 The preventive / therapeutic agent for collagen disease according to claim 7 or 8, wherein the soluble TREM-1 expression vector is a recombinant viral vector expressing soluble TREM-1.
  10. 膠原病が、関節リウマチである請求項1~9のいずれかに記載の膠原病の予防・治療剤。 The preventive / therapeutic agent for collagen disease according to any one of claims 1 to 9, wherein the collagen disease is rheumatoid arthritis.
  11. TREM-1阻害物質を探索する工程を備えてなる、膠原病の予防・治療剤のスクリーニング法。 A screening method for a prophylactic / therapeutic agent for collagen disease, comprising a step of searching for a TREM-1 inhibitor.
  12. TREM-1阻害物質を探索する工程が、被検物質存在下又は非存在下でTREM-1を含む細胞を培養し、培養上清中のTNFα濃度を測定し、それらのTNFα濃度を比較する工程であることを特徴とする請求項11に記載の膠原病の予防・治療剤のスクリーニング法。 The step of searching for a TREM-1 inhibitor comprises culturing cells containing TREM-1 in the presence or absence of a test substance, measuring the TNFα concentration in the culture supernatant, and comparing the TNFα concentrations The screening method for a prophylactic / therapeutic agent for collagen disease according to claim 11, wherein
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