WO2011136343A1 - Method for detection of cancer - Google Patents

Method for detection of cancer Download PDF

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Publication number
WO2011136343A1
WO2011136343A1 PCT/JP2011/060401 JP2011060401W WO2011136343A1 WO 2011136343 A1 WO2011136343 A1 WO 2011136343A1 JP 2011060401 W JP2011060401 W JP 2011060401W WO 2011136343 A1 WO2011136343 A1 WO 2011136343A1
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Prior art keywords
cancer
tissue
diacspm
tumor
amount
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PCT/JP2011/060401
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French (fr)
Japanese (ja)
Inventor
正夫 川喜田
恭子 平松
啓二郎 鮫島
慶一 高橋
浩一 小泉
剛 桑田
Original Assignee
財団法人東京都医学総合研究所
東京都
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Priority to JP2012512912A priority Critical patent/JPWO2011136343A1/en
Publication of WO2011136343A1 publication Critical patent/WO2011136343A1/en

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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574Immunoassay; Biospecific binding assay; Materials therefor for cancer

Definitions

  • the present invention relates to a cancer detection method capable of easily and quickly detecting the presence of a tumor at an early stage.
  • Non-Patent Document 1 Polyamine is a general term for putrescine, cadaverine, spermidine, spermine and derivatives thereof, and is a physiologically active substance widely distributed in the living body.
  • Non-Patent Document 2 Polyamines increased in the urine of cancer patients.
  • Non-patent Document 3 N 1 , N 12 -diacetylspermine (hereinafter referred to as “DiAcSpm”) exists in urine (Non-patent Document 3), and further, this substance The urinary DiAcSpm was shown to be promising as a new tumor marker by clarifying that it increases frequently in the urine of cancer patients (Non-patent Document 4). In particular, in colorectal cancer, urinary DiAcSpm was shown to increase in about 60% of patients even in early stage cancer (stage 0 and stage I) (Non-patent Document 5).
  • Non-Patent Document 6 changes in the amount of DiAcSpm produced in vivo are directly reflected in changes in urinary excretion, which is a physiological basis for making this substance a particularly good indicator of the pathogenesis of cancer. This is considered to be one (Non-Patent Document 6).
  • DiAcSpm is frequently increased in the urine of cancer patients.
  • DiAcSpm has been detected in cancer tissues isolated from living bodies. There is no one.
  • Hamaoki et al. (Non-Patent Document 7) recently studied the synthesis site of DiAcSpm, that is, the place where the acetylation reaction takes place, and that the DiAcSpm synthesis site is not a cancer tissue itself.
  • Patent Document 1 discloses expression of hepsin polypeptide in prostate tissue.
  • a method for detecting the presence or absence of the disease and evaluating the stage of prostate cancer is disclosed.
  • a mixture of equal amounts of RNA obtained from normal prostate tissues of multiple persons (4 persons) is defined as a reference pool, and the value is compared with a diseased tissue and used for diagnosis.
  • Patent Document 2 a tissue is collected from a human mammal as a biological sample, and DiAcSpm or N 1 , N 8 -diacetylspermidine (hereinafter referred to as “DiAcSpd”) is detected, and the detection result is used as an index. Diagnosing whether a non-human mammal has a tumor is disclosed.
  • the positive detection rate (about 60%) for stage 0 to stage I colorectal cancer when urinary DiAcSpm is used as an index is higher than that when CEA or CA19-9 (about 10%) is used as an index.
  • CEA or CA19-9 about 10%
  • the problem to be solved by the present invention is that a tumor detection method, a tumor condition evaluation method, and the like that can detect the presence of a tumor (particularly, the presence of early cancer) with higher accuracy, simply and quickly, and the like. Is to provide.
  • the present inventor has intensively studied to solve the above problems. As a result, when measuring the amount of DiAcSpm in the living tissue, the amount of DiAcSpm in the affected tissue (cancer tissue or suspected cancer) is measured, and the amount of DiAcSpm in the normal tissue around the affected portion is also measured. As a result, it was found that the amount of DiAcSpm per unit tissue weight was detected from the affected tissue more than the normal tissue, and the present invention was completed.
  • the present invention is as follows.
  • a method for detecting a tumor characterized by measuring the amount of N 1 , N 12 -diacetylspermine (DiAcSpm) in a living tissue and associating the obtained measurement result with a tumor (for example, the presence or absence of cancer).
  • the detection method is characterized in that the amount of DiAcSpm in the affected tissue and the amount of DiAcSpm in the normal tissue around the affected portion are both measured.
  • a method for evaluating a state of a tumor characterized by measuring the amount of N 1 , N 12 -diacetylspermine (DiAcSpm) in a biological tissue and associating the obtained measurement result with the state of the tumor, The method according to claim 1, wherein the measurement is to measure both the amount of DiAcSpm in the affected tissue and the amount of DiAcSpm in normal tissue around the affected region.
  • DiAcSpm N 1 , N 12 -diacetylspermine
  • the state of the tumor is, for example, at least one selected from the group consisting of the presence or absence of cancer, the degree of progression of cancer, the malignancy of cancer, the presence or absence of cancer metastasis, and the presence or absence of cancer recurrence.
  • the tumor for example, colon cancer, breast cancer, stomach cancer, pancreatic cancer, biliary tract cancer, lung cancer, liver cancer, urinary tract malignant tumor, uterine cancer (for example, endometrial cancer, Cervical cancer, endometrial cancer), brain tumor, myeloid leukemia and at least one selected from the group consisting of malignant lymphoma, and these tumors may be, for example, early cancer.
  • a tumor detection kit comprising an antibody against N 1 , N 12 -diacetylspermine and an acidic solution or neutral buffer for preparing a biological tissue extract.
  • the present invention it is possible to provide a tumor detection method, a tumor state evaluation method, and the like that can easily and quickly detect the presence of a tumor (particularly the presence of early cancer) with higher accuracy.
  • the DiAcSpm content per unit tissue weight is compared between living tissue derived from the same individual (same patient, etc.), that is, the affected tissue and the surrounding normal tissue.
  • the influence of the content difference due to the individual difference can be eliminated, so that the presence of the cancer tissue can be determined with extremely high accuracy.
  • the present invention provides a method showing substantially 100% in both sensitivity and specificity in one embodiment, and can detect cancer with extremely high accuracy.
  • the method of the present invention can detect, for example, early stage 0-1 early colon cancer with a substantially 100% positive detection rate, and is a test method showing a higher positive detection rate for early cancer. The task of development can be achieved.
  • the method of the present invention can minimize the time required for a series of operations to extract DiAcSpm from a biological tissue (specimen) collected from a patient and measure the DiAcSpm concentration (for example, less than 1 hour). ) Since the process does not include operations that require a particularly high level of skill, it can be easily carried out in an environment such as a general biochemical laboratory.
  • the diagnosis method is a method that is excellent in rapidity like the method of the present invention. is there.
  • the accuracy of the diagnostic method is not sufficient in terms of the detectability of the location of cancer tissue, and the method of the present invention is much more accurate than the diagnostic method.
  • the method of the present invention is much easier and quicker than the conventional histopathological examination, and the detection result can be compared as an objective numerical value.
  • the location of the cancer tissue can be determined with high accuracy. Since it has the ability to detect, it is a very useful tumor detection method that can sufficiently compensate for the shortcomings of histopathological examination that lacks rapidity.
  • the method of the present invention can be applied to biological tissues collected from mammals other than humans in addition to biological tissues collected from humans.
  • the present inventor has conducted earnest experiments and investigations from an original point of view without being bound by the conventional knowledge that acetylation of spermine is performed by macrophages in the body of a cancer-bearing individual as described above. .
  • the present inventor extracts DiAcSpm from the affected tissue (cancer tissue or tissue suspected of cancer) as a biological tissue and normal tissue around the affected region, and measures and compares the DiAcSpm concentration in these extracts.
  • DiAcSpm DiAcSpm
  • the present invention has been completed based on these findings, and is based on the measurement result of the DiAcSpm amount in the living tissue, specifically, the measurement result of the DiAcSpm amount in the affected tissue and the DiAcSpm amount in the normal tissue.
  • the present invention provides a method for detecting a tumor, a method for evaluating the state of a tumor, and the like using the measurement results of the above as indices.
  • DiAcSpm can be used as a clinical marker (tumor marker) for cancer, and an affected tissue (cancer tissue or tissue suspected of cancer) as a biological sample (living tissue) and its surroundings
  • tumor marker a clinical marker for cancer
  • affected tissue cancer tissue or tissue suspected of cancer
  • biological sample living tissue
  • examples of tumors include, but are not limited to, those shown below.
  • Respiratory lung cancer eg squamous cell carcinoma, adenocarcinoma, alveolar epithelial cancer, large cell undifferentiated cancer, small cell undifferentiated cancer, carcinoid
  • Breast Breast cancer breast Paget's disease, mammary sarcoma
  • Blood Acute myeloid leukemia acute promyelocytic leukemia, acute myelomonocytic leukemia, acute monocytic leukemia, acute lymphocytic leukemia, acute undifferentiated Leukemia, chronic myelogenous leukemia, chronic lymphocytic leukemia, adult T-cell leukemia, malignant lymphoma (eg, lymphosarcoma, reticulosarcoma, Hodgkin's disease), multiple myeloma, primary macroglobulinemia
  • Gastrointestinal esophageal cancer gastric cancer, gastric / intestinal malignant lymphoma, pancreatic cancer, biliary tract cancer, gallbladder cancer, duodenal cancer, colon cancer, liver cancer
  • Female genital uterine cancer eg, endometrial cancer, cervical cancer, Endometrial cancer
  • ovarian cancer eg, uterine sarcoma (eg leiomyosarcoma, rhabdomyosarcoma, lymphosarcoma, reticulosarcoma)
  • Urinary tract malignant tumor eg prostate cancer, kidney cancer, bladder cancer, testicular tumor, urethral cancer
  • the type of cancer to be detected may be one of the above, or a combination of two or more types.
  • colon cancer urinary tract malignant tumor (eg, prostate cancer, kidney cancer, bladder cancer, testicular tumor), breast cancer, gastric cancer, pancreatic cancer, biliary tract cancer, lung cancer, liver cancer, uterine cancer (eg, endometrial cancer, Cervical cancer, endometrial cancer), brain tumor, myeloid leukemia, and malignant lymphoma.
  • the amount of DiAcSpm in the living tissue specifically, the amount of DiAcSpm in the affected tissue and the amount of DiAcSpm in the normal tissue around the affected portion are measured.
  • the amount of DiAcSpm in each tissue is measured as the amount of DiAcSpm per unit tissue weight (that is, the DiAcSpm concentration in each tissue).
  • the affected tissue may be a cancer tissue or a tissue suspected of having cancer, and is not limited.
  • the subject (test animal) from which the biological tissue is collected is preferably a human, but is not particularly limited, and mammals other than humans (non-human mammals) can also be targeted.
  • Non-human mammals include, but are not limited to, dogs, cats, cows, horses, pigs, sheep, goats, mice, rats, rabbits, guinea pigs, monkeys (including marmoset), and hamsters.
  • the “patient” can include a non-human mammal as a test animal.
  • the method for measuring the amount of DiAcSpm in a living tissue is not limited, and a desired tissue can be obtained from a cancer patient or a patient suspected of cancer (preferably the same patient) by a technique usually used in living tissue diagnosis (biopsy).
  • a method is preferred in which the collected tissue is appropriately treated with an acidic solution or neutral buffer to prepare a DiAcSpm extract or the like, and then the DiAcSpm concentration in the extract is measured.
  • the tissue collection method is not limited, and examples include surgical excision, endoscopic biopsy, needle biopsy (including echo biopsy), punch biopsy, and the like. And it can select suitably according to a site
  • the amount of DiAcSpm in the normal tissue around the affected area is also measured together with the measurement of the amount of DiAcSpm in the affected area. That is, first, both the affected tissue and the normal tissue are collected, and the DiAcSpm amount is measured for each collected tissue. Therefore, it is preferable to collect the affected tissue and normal tissue from the patient, and to measure the amount of DiAcSpm in each collected tissue at the same time, and in particular, to collect the affected tissue and normal tissue at the same time. Is more preferable.
  • the term “simultaneous period” is not limited to being completely simultaneous, and may generally be within a time range determined to be the same procedure or the same experimental system.
  • the time from tissue collection to measurement of DiAcSpm may be 1 day (within 24 hours), or within 12 hours, within 6 hours, or within 3 hours.
  • the collected affected tissue and normal tissue are temporarily stored (for example, stored at ⁇ 80 ° C.) and then used for extraction / measurement, the sampling and extraction / measurement (especially at the time of collection) are the same. If it is time, it is included in the range of the same period mentioned above. Note that any of the affected tissue and normal tissue may be collected first, extracted and measured, and is not limited.
  • the amount of the sample to be collected is not limited, and may be sufficient to obtain an extract containing DiAcSpm at a concentration that can be measured with sufficient accuracy in the measurement of the DiAcSpm concentration after the following treatment. It is preferable that it is 10 mg or more.
  • the number of samples to be collected is not limited, and a plurality of affected tissues and normal tissues can be collected and used for measuring the DiAcSpm concentration. When a plurality of tissue samples are used for measurement of the DiAcSpm concentration, the average value of each measurement result can be used as the DiAcSpm concentration of the tissue. Note that the number of samples may be one for both the affected tissue and the normal tissue.
  • the treatment method of the collected tissue is not limited, and examples thereof include chopping with a scalpel, homogenization with stirring, ultrasonic waves, and the like, as described in the examples described later.
  • the tissue thus obtained is treated (sequential treatment or the like) with an acidic solution or a neutral buffer to obtain an extract.
  • the acidic solution include 0.1M hydrochloric acid and 0.5M perchloric acid
  • examples of the neutral buffer include HEPES, Tris, and phosphoric acid (pH 6.5 to 8.0 (preferably pH 7.5)).
  • Examples thereof include, but are not limited to, a solution or a buffer solution in which DiAcSpm is effectively extracted and stably maintained.
  • the method for measuring the DiAcSpm concentration after the above treatment is not limited as long as it has sufficient detection sensitivity and measurement accuracy for DiAcSpm, and is not limited, and known analytical methods and immunological methods such as mass
  • the immunological measurement method include a metal colloid aggregation method, an immunochromatography method, an RIA method, an EIA method, an immunoturbidimetric method, and a latex aggregation method.
  • mass spectrometry particularly ESI-TOF method
  • immunochromatography particularly gold colloid aggregation
  • metal colloid aggregation particularly gold colloid aggregation
  • latex aggregation particularly gold colloid aggregation
  • Examples of the metal colloid used in the metal colloid aggregation method include colloids such as gold, silver, and selenium, and gold colloid is preferable because it is easy to use.
  • An immunoaggregation method that facilitates automation of the test without separation of the reaction solution or a washing operation is preferable, and a latex aggregation method or a gold colloid aggregation method is particularly preferable.
  • an antibody against the substance to be measured is previously bound to latex or metal colloid as a carrier. .
  • the labeled antibody previously bound to the gold colloid aggregates via DiAcSpm which is a substance to be measured.
  • the color difference (color tone change) generated at that time is optically measured, and the amount of DiAcSpm is measured.
  • DiAcSpm is measured immunologically, the method described in JP-A-2006-38594 is also preferably used.
  • an immunochromatography membrane for example, as a permeable material and membrane for allowing tissue extract to permeate (both are collectively referred to as an immunochromatography membrane), a labeled anti-DiAcSpm antibody (labeled antibody), a carrier protein and N 1 -Immunochromatography containing an acetylspermine (hereinafter referred to as “AcSpm”) acylamide bond, a protein having a large number of DiAcSpm-like structures as side chains (antigen analogue), and an antibody against the labeled antibody (capture antibody)
  • AcSpm acetylspermine
  • a membrane for example, bovine serum albumin is preferably used as the carrier protein, but is not limited thereto.
  • DiAcSpm is a low molecular weight alkylamine derivative
  • bovine serum albumin which is a carrier protein
  • AcSpm are acylamide-bonded to produce an immune antigen having many DiAcSpm-like structures as side chains.
  • An immunizing antigen can be prepared according to the method of Kawakita et al. (Hiramatsu, K. et al., J. Biochem., 124, 231-236 (1998)).
  • BSA which is a carrier protein
  • S-acetylmercaptosuccinic acid AMS
  • BSA which is a carrier protein
  • AMS S-acetylmercaptosuccinic acid
  • AcSpm is acylamide-bonded to AMS-BSA via GMBS (N- (4-Maleimidobutyryloxy) succinimide), which is a bivalent cross-linking reagent, to produce the immune antigen AcSpm-GMB-BSA.
  • GMBS N- (4-Maleimidobutyryloxy) succinimide
  • the “antibody” used in the present invention is a whole antibody molecule (which may be a polyclonal antibody or a monoclonal antibody) capable of binding to the antigen DiAcSpm, or a fragment thereof (for example, Fab or F (ab ′)). 2 fragment) or an active fragment having antigen-antibody reaction activity, specifically, Fab, Fv, recombinant Fv body, single chain Fv.
  • the antibodies (polyclonal and monoclonal antibodies and active fragments) used in the present invention can be produced by any of various methods. Methods for producing such antibodies are well known in the art.
  • the antigen prepared as described above is administered to a mammal.
  • the mammal is not particularly limited, and examples thereof include rats, mice, rabbits, and the like, and rabbits are preferable.
  • the dose of the antigen per animal is 5 to 2 mg when no adjuvant is used, and 5 to 2 mg when an adjuvant is used.
  • adjuvants include Freund's complete adjuvant (FCA), Freund's incomplete adjuvant (FIA), and aluminum hydroxide adjuvant. Immunization is performed mainly by injecting intravenously, subcutaneously or intraperitoneally.
  • the immunization interval is not particularly limited, and immunization is performed 1 to 10 times, preferably 2 to 5 times at intervals of several days to several weeks, preferably 2 to 5 weeks. And 6 to 60 days after the last immunization, antibody titer is measured by enzyme immunoassay (ELISA (enzyme-linked immunosorbent assay) or EIA (enzyme immunoassay)), radioimmunoassay (RIA), etc. Blood is collected on the day when the maximum antibody titer is shown to obtain antiserum.
  • ELISA enzyme-linked immunosorbent assay
  • EIA enzyme immunoassay
  • RIA radioimmunoassay
  • the reactivity of the polyclonal antibody in the antiserum against these proteins is measured by ELISA or the like using BSA or the like.
  • the antibody that reacts with DiAcSpm is preferably selected with higher accuracy. Specifically, the antibody exhibits strong reactivity with DiAcSpm, and (a) the cross-reactivity with N 1 -AcSpd is 0.1% or less. And / or (b) an antibody whose sum of interference to the measurement result due to cross-reaction with a DiAcSpm-like substance (DiAcSpd, Spd, Spm, etc.) is 5% or less (preferably 3% or less) preferable.
  • DiAcSpm-like substance DiAcSpd, Spd, Spm, etc.
  • the antigen prepared as described above is administered to mammals such as rats, mice, rabbits and the like.
  • the dose of the antigen per animal is 500 to 200 ⁇ g when no adjuvant is used, and 500 to 200 ⁇ g when an adjuvant is used.
  • adjuvants include Freund's complete adjuvant (FCA), Freund's incomplete adjuvant (FIA), and aluminum hydroxide adjuvant.
  • FCA Freund's complete adjuvant
  • FIA Freund's incomplete adjuvant
  • Immunization is performed mainly by injecting intravenously, subcutaneously or intraperitoneally.
  • the immunization interval is not particularly limited, and immunization is performed 1 to 10 times, preferably 2 to 5 times at intervals of several days to several weeks, preferably 2 to 5 weeks.
  • antibody-producing cells are collected 1 to 60 days, preferably 1 to 14 days after the final immunization day.
  • Examples of antibody-producing cells include spleen cells, lymph node cells, peripheral blood cells, etc., but spleen cells or local lymph node cells are preferred.
  • (ii) Cell fusion Cell fusion between antibody-producing cells and myeloma cells is performed to obtain hybridomas.
  • myeloma cells to be fused with antibody-producing cells generally available cell lines of animals such as mice can be used.
  • the cell line to be used has drug selectivity and cannot survive in a HAT selection medium (including hypoxanthine, aminopterin, and thymidine) in an unfused state, but can survive only in a state fused with antibody-producing cells. Those having the following are preferred.
  • myeloma cells include mouse myeloma cell lines such as P3X63-Ag.8.U1 (P3U1) and NS-I.
  • the myeloma cell and the antibody-producing cell are fused.
  • Cell fusion is performed by using 1 ⁇ 10 6 to 1 ⁇ 10 7 antibody-producing cells and 2 ⁇ 10 5 to 2 ⁇ 10 6 in animal cell culture media such as serum-free DMEM and RPMI-1640 media.
  • 1 / ml myeloma cells are mixed (cell ratio of antibody-producing cells to myeloma cells is preferably 5: 1), and a fusion reaction is performed in the presence of a cell fusion promoter.
  • the cell fusion promoter polyethylene glycol having an average molecular weight of 1000 to 6000 daltons can be used.
  • antibody-producing cells and myeloma cells can be fused using a commercially available cell fusion device utilizing electrical stimulation (for example, electroporation).
  • the target hybridoma is selected from the cells after cell fusion treatment.
  • the cell suspension is appropriately diluted with, for example, fetal bovine serum-containing RPMI-1640 medium, then spread on a microtiter plate, a selective medium is added to each well, and then the selective medium is appropriately replaced and cultured. I do.
  • the culture supernatant of the grown hybridoma is screened for the presence of antibodies that react with DiAcSpm.
  • Hybridoma screening is not particularly limited, and may be performed according to ordinary methods. For example, a part of the culture supernatant contained in a well grown as a hybridoma can be collected and screened by enzyme immunoassay, radioimmunoassay or the like.
  • Cloning of fused cells is performed by the limiting dilution method or the like.
  • an antibody having strong reactivity with DiAcSpm (a) an antibody having a cross-reactivity with N 1 -AcSpd of 0.1% or less, and / or Or (b) selecting a hybridoma that produces an antibody having a total interference of 5% or less (preferably 3% or less) of interference with a measurement result by cross-reaction with a DiAcSpm-like substance (DiAcSpd, Spd, Spm, etc.) Establish.
  • (iv) Collection of monoclonal antibody As a method of collecting a monoclonal antibody from an established hybridoma, a normal cell culture method or ascites formation method can be employed. In the cell culture method, the hybridoma is cultured in an animal cell culture medium such as RPMI-1640 medium containing 10% fetal bovine serum, MEM medium, or serum-free medium under normal culture conditions (eg, 37 ° C., 5% CO 2 concentration). Cultivate for 7 to 14 days and obtain antibody from the culture supernatant.
  • an animal cell culture medium such as RPMI-1640 medium containing 10% fetal bovine serum, MEM medium, or serum-free medium under normal culture conditions (eg, 37 ° C., 5% CO 2 concentration). Cultivate for 7 to 14 days and obtain antibody from the culture supernatant.
  • hybridomas In the case of the ascites formation method, about 1 ⁇ 10 7 hybridomas are administered into the abdominal cavity of a mammal derived from a myeloma cell and the same strain, and the hybridomas are proliferated in large quantities. Ascites is collected after 1-2 weeks.
  • a known method such as ammonium sulfate salting-out method, ion exchange chromatography, gel filtration, affinity chromatography or the like is appropriately selected or combined. Can be purified.
  • the detection method of the present invention is a method of detecting by associating a measurement result of the amount of DiAcSpm in a living tissue with a tumor, and specifically how to associate the measurement result with a tumor (what criteria are applied) There is no particular limitation on whether or not.
  • the ratio between the amount of DiAcSpm per unit tissue weight in the affected tissue (A) and the amount of DiAcSpm per unit tissue weight in the normal tissue around the affected tissue (B) If the lesion / normal ratio (specifically, the value of “A / B”) is 2 or more, it is determined to be positive for tumor / cancer detection, and if it is 1.0 or more and less than 2.0, it is determined to be false positive. be able to.
  • the value of the “A / B” can be determined as positive when the value is 2.6 or more, and false positive when the value is 1.0 or more and less than 2.6, If it is 2.5 or more, it is positive, if it is 1.0 or more and less than 2.5, it is determined as false positive. Also, if it is 2.4 or higher, it is positive, if it is 1.0 or higher and less than 2.4, it is determined as false positive. In addition, it is determined to be positive if it is 2.3 or more, and false positive if it is 1.0 or more and less than 2.3.
  • the above determination result can be used as a risk factor which means that there is a possibility of cancer with a certain probability.
  • the amount of DiAcSpm per unit tissue weight (nmol / g (wet tissue)) in the affected tissue is 0.9 nmol /
  • it can be judged as positive for tumor / cancer detection, and when it is 0.7 nmol / g or more and less than 0.9 nmol / g, it can be judged as false positive.
  • the amount of DiAcSpm per unit tissue weight in the affected tissue is 1.0 nmol / g or more, positive, 0.7 nmol / g or more And if it is less than 1.0 nmol / g, it can be determined as false positive, it can be determined as positive when it is 1.1 nmol / g or more, and it can be determined as false positive when it is 0.7 nmol / g or more and less than 1.1 nmol / g.
  • the level of DiAcSpm in the tissue of a cancer patient is 90% statistically different from normal tissue if the concentration in the test sample is 0.9 nmol / g or more, If the concentration in the test sample is 1.0 nmol / g or more, the statistical difference from the normal tissue is 95%, and if it is 1.3 nmol / g or more, the statistical difference from the normal tissue is 99.7% or more (almost 100%). %). Therefore, if DiAcSpm is not less than the above concentration, cancer can be detected with a predetermined probability.
  • the level of DiAcSpm may be measured using biological tissue samples derived from a plurality of patients.
  • the amount of the DiAcSpm is measured in a predetermined number of cancer patients (primary population), and the obtained measurement values are used as basic data, and the basic data and the tissue derived from each subject to be detected are detected. The amount of DiAcSpm derived can be compared.
  • the data of the measured subject patient can be incorporated into the value of the population, and the DiAcSpm level can be processed again (averaging, etc.) to increase the number of target patients (population).
  • the accuracy of the critical value of DiAcSpm can be increased, thereby increasing the detection or diagnosis accuracy.
  • the detection result can be, for example, main data or auxiliary data when performing a definitive diagnosis of cancer.
  • a comprehensive judgment should be made in combination with at least one selected from other histological examination results, serological examination results, etc. That's fine.
  • the obtained DiAcSpm amount measurement result and the tumor state can be associated with each other to evaluate or diagnose the tumor state. If it is determined as positive, it can be determined that cancer has developed or is likely to occur, and the state of the tumor can be evaluated. Therefore, in the present invention, a method for diagnosing cancer in a human or non-human mammal can also be provided based on the result of the evaluation.
  • the state of the tumor means the presence or degree of progression of the tumor, the presence or absence of onset of cancer, the progression of cancer, the malignancy of cancer, the presence or absence of cancer metastasis, the presence or absence of cancer recurrence, and the like. In the above evaluation, one of these tumor states may be selected, or a plurality may be selected in appropriate combination.
  • To evaluate the presence or absence of cancer it is determined whether or not the patient is afflicted with cancer.
  • the degree of malignancy of cancer is an index indicating how much the cancer has progressed, and benign or malignant differentiation can be made by the present invention. It is also possible to classify and evaluate the stage (Stage), and classify and evaluate so-called early cancer and advanced cancer. Cancer metastasis is evaluated by whether or not a neoplasm has appeared at a site distant from the location of the primary lesion. Recurrence is assessed by whether the cancer reappears after an intermittent period or remission.
  • DiAcSpm clearly shows a high value compared to the adjacent normal tissue regardless of the stage, regardless of whether it is a primary lesion or a metastatic lesion. it can. That is, in one embodiment of the method of the present invention, the sensitivity and specificity are substantially 100%. According to the method of the present invention, it is possible to determine whether or not a cancerous tissue is included in a specific lesion with extremely high accuracy. According to the present invention, the positive detection rate of stage 0 and I colorectal cancer (that is, early colorectal cancer) is substantially 100%, and the method of the present invention has a higher positive detection rate for early cancer. It can be said that the inspection method and the evaluation method are shown.
  • Kit The present invention provides a kit for detecting a tumor comprising an antibody against DiAcSpm and an acidic solution or neutral buffer solution (referred to as a buffer solution) for preparing a biological tissue extract.
  • the detection kit can also be used as a kit for diagnosing cancer in a human or non-human mammal.
  • the antibody, buffer solution and the like are as described above.
  • the kit of the present invention further includes sterilized water, a solution or reagent for detection reaction (gold colloid solution, BSA, sodium azide, etc.), a cleaning agent, a container used for preparing a biological tissue extract, and a detection reaction. Containers, instructions for use, etc. may be included.
  • an immunochromatography membrane for example, a labeled anti-DiAcSpm antibody (labeled antibody), a carrier protein and AcSpm are acylamide-bonded, and a DiAcSpm-like structure is located on the side.
  • An immunochromatographic membrane containing a protein having many chains (antigen analog) and an antibody against the labeled antibody (capture antibody) may also be included.
  • a container utilized for preparation of a biological tissue extract what can crush the extract
  • the one provided with both a crushing rod for crushing a tissue and a filter for collecting an extract from the crushed tissue after centrifugation in a centrifuge tube such as an Eppendorf tube is preferable.
  • the tumor detection kit including the centrifuge tube, the buffer solution, and the like, and the immunochromatography membrane is particularly useful for rapid and simple detection.
  • DiAcSpm was extracted from each patient's cancer tissue and normal tissue adjacent thereto, and colloidal gold aggregation was performed for each of the extracts
  • the DiAcSpm concentration was measured by this method.
  • the DiAcSpm concentration was also measured by ESI-TOF mass spectrometry. The details of the measurement procedure were as follows (1) to (5). In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
  • the affected tissue of a colorectal cancer patient was excised by surgery, and the cancer tissue on the excised specimen and the normal tissue adjacent to the cancerous tumor part were collected and immediately poured into liquid nitrogen and frozen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
  • the frozen specimen is minced on an ice bath using a dissecting scissor, 10 to 300 mg of tissue is taken, homogenized with 1 ml of 0.1 M HCl per 300 mg of tissue, and then 1 ml of 0.5 M HClO 4 solution was added and homogenized again.
  • the supernatant was recovered by centrifugation to obtain an extract.
  • DiAcSpm was quantified by ESI-TOF mass spectrometry.
  • Three samples (Sample 1 to Sample 3) were prepared by adding 0.25 nmol of 15 N-labeled DiAcSpm as an internal standard to 0.1 ml of the supernatant. 0.025 nmol of DiAcSpm standard substance was added to Sample 2 and 0.050 nmol of Sample 3 respectively.
  • 1 ml of 0.05M pyridine was added to a small column (0.2 ml) of carboxymethylcellulose previously equilibrated with 0.01M pyridine / acetic acid buffer.
  • DiAcSpm was eluted from the column with 1 ml of 0.33 M pyridine / acetic acid buffer and collected. After elution of the eluate by centrifugation under reduced pressure, a sample obtained by heptafluorobutylation according to a known method (for example, Samejima et al., Biol. Pharm. Bull., 30, 1943 (2007)) was subjected to DiAcSpm by ESI-TOF mass spectrometry. Was quantified.
  • the DiAcSpm content per unit tissue weight of the cancer tissue in all cases is at least 2.78 times the DiAcSpm content per unit tissue weight of the corresponding normal tissue.
  • Sexual tissue and normal tissue could be easily discriminated by comparing the DiAcSpm content per unit tissue weight.
  • the DiAcSpm concentration in the extract obtained from the same tissue piece was measured by ESI-TOF mass spectrometry and gold colloid aggregation method, and the measured value of DiAcSpm content per unit tissue weight was compared (FIG. 1).
  • the DiAcSpm measurement method may be any method as long as it has sufficient detection sensitivity and measurement accuracy.
  • DiAcSpm was extracted from the tumor tissue of each patient and normal tissue adjacent to each of the 5 colon polyps diagnosed as early (stage 0-I) colorectal cancer from colonoscopy findings.
  • DiAcSpm concentration was measured by colloidal gold aggregation. The details of the measurement procedure were as follows (1) to (3). In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
  • the affected tissue of a patient suspected of having colorectal cancer is removed by colonoscopy, and 4 to 15 mg of tumor tissue on the resected specimen and normal tissue adjacent to the tumor part suspected of cancer are collected. Immediately, it was frozen in liquid nitrogen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction. (2) Frozen specimens were weighed, and 6-12 ⁇ l of 0.1 M HEPES buffer (pH 7.5) per 1 mg of tissue was added and homogenized sufficiently.
  • the said buffer solution is a neutral pH, things (for example, Tris, phosphoric acid, etc.) other than HEPES can also be used. It also usually contains 2.15 mg of protease inhibitor cocktail (Sigma, P8465) per ml, but protease inhibitors are not essential for the extraction of DiAcSpm.
  • PelletPestles registered trademark
  • a homogenizer note that sample dissipation is not necessary
  • Other devices may be used as long as the method can prevent the damage and can effectively disrupt the tissue.
  • the supernatant was collected by centrifugation, and the DiAcSpm concentration was measured by a gold colloid aggregation method using a biochemical automatic analyzer.
  • the DiAcSpm content per unit tissue weight of the tumor tissue is at least 2.65 times the DiAcSpm content per unit tissue weight of the corresponding normal tissue in all cases, and cancerous tissue and normal tissue are per unit tissue weight. It was clear that it could be easily distinguished by comparing the DiAcSpm content.
  • the results of comparing DiAcSpm values between the cancerous part and the non-cancerous part for all cases of colorectal cancer examined in Examples 1 and 2 are collectively shown in FIG.
  • DiAcSpm was extracted from the tumor tissue of each patient and normal tissue adjacent to it for 9 cases of colon polyps diagnosed as moderate or highly atypical adenoma from pathological examination findings of colonoscopy specimens.
  • the DiAcSpm concentration was measured for each solution by the colloidal gold aggregation method. The details of the measurement procedure were as described in Example 2 (1) to (3). In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
  • the DiAcSpm lesion / normal ratio stays within the range of 0.3 to 1.4 times. The value was similar to that of moderate atypical adenoma.
  • DiAcSpm was extracted from the patient's cancer tissue and normal tissue adjacent thereto, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
  • the affected tissue of uterine cancer patients, ovarian cancer patients, and uterine fibroid patients is resected by surgery, and cancerous and benign tumor tissues on the resected specimen and normal tissues adjacent to the cancerous and benign tumor parts are removed. They were collected and immediately poured into liquid nitrogen for freezing. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
  • DiAcSpm was extracted from the specimen, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
  • the details of the measurement procedure were the same as in (2) to (3) of Example 2.
  • the measurement result of the above DiAcSpm concentration was converted into the content per unit tissue weight and shown in Table 4 below.
  • the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 2 or more. In all cases of uterine cancer and ovarian cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 1.5 or more. On the other hand, in the uterine leiomyoma which is a benign tumor, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 0.74.
  • DiAcSpm was extracted from each patient's cancer tissue and normal tissue adjacent thereto, and the DiAcSpm concentration was measured for each of the extracts by the gold colloid aggregation method.
  • (1) Surgical excision of the affected tissue of stomach cancer patients and patients with refractory gastric ulcer, and the cancer tissue and ulcer tissue on the resected specimen, and normal tissue adjacent to the cancerous tumor part and ulcer part are collected immediately. It was frozen in liquid nitrogen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
  • DiAcSpm was extracted from the specimen, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
  • the details of the measurement procedure were the same as in (2) to (3) of Example 2.
  • the measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 5 below.
  • the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 2 or more. In all cases of gastric cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 1.5 or more. On the other hand, in the intractable gastric ulcer, which is a benign disease, the ratio of the DiAcSpm content per unit tissue weight of the lesion tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 0.81.
  • DiAcSpm was extracted from the cancer tissue of each patient and normal tissue adjacent thereto, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
  • the affected tissue of a lung cancer patient was excised by surgery, and the cancerous tissue on the resected specimen and the normal tissue adjacent to the cancerous tumor part were collected and immediately placed in liquid nitrogen and frozen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
  • DiAcSpm was extracted from the specimen, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
  • the details of the measurement procedure were the same as in (2) to (3) of Example 2.
  • the measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 6 below.
  • the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 2 or more. In all cases of lung cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 1.5 or more.
  • GMBS 45 mg and N-acetylspermine trihydrochloride 147 mg, bivalent cross-linking reagent, were added in tetrahydrofuran / 50 mM phosphate buffer (pH 7.0) (1: 1 (v / v)). The mixture was mixed at room temperature for 30 minutes to produce an acetylspermine-GMB conjugate. Subsequently, 4.2 mg of hydroxylamine hydrochloride was added to 200 mg of AMS-BSA to obtain mercaptosuccinyl-BSA (MS-BSA).
  • MS-BSA mercaptosuccinyl-BSA
  • an acetylspermine-GMB-BSA was prepared by mixing acetylspermine-GMB conjugate with MS-BSA to produce an immune antigen acetylspermine-GMB-BSA in which N-acetylspermine was acylamide-linked.
  • an immunized antigen having a large number of DiAcSpm-like compounds as side chains was prepared by binding acetylspermine to an acylamide on a carrier.
  • the concentration of spermine binding BSA is absorbance at 280nm of BSA solution 1 mg / mL to A 280 is a (optical path length 1 cm) as 0.66 was calculated on the basis of the A 280 values.
  • the myeloma cells were mixed and fused with a cell fusion promoter (1000 to 6000 Da polyethylene glycol) added. After cell fusion, the desired hybridoma was selected from the cells. For this purpose, the cell suspension was diluted with fetal bovine serum-containing RPMI-1640 medium and spread on a microtiter plate. A HAT selection medium was added to each well and cultured, and cells grown in about 2 weeks were obtained as hybridomas.
  • a cell fusion promoter 1000 to 6000 Da polyethylene glycol
  • a part of the culture supernatant of the hybridoma that had proliferated was collected and screened for antibodies that react with DiAcSpm by enzyme immunoassay.
  • the fused cells were cloned by the limiting dilution method. Highly reactive to DiAcSpm, and (a) cross-reaction with N 1 -acetylspermidine is 0.1% or less, and / or (b) Hybridomas producing antibodies with a total interference of 5% or less were selected and established.
  • Monoclonal antibodies were collected from the established hybridomas by culturing for 7 to 14 days at 37 ° C. with 5% CO 2 concentration. The collected antibody was purified by ammonium sulfate salting out.
  • Second Reagent The anti-DiAcSpm antibody prepared in Section 2 above was diluted with 10 mM HEPES (pH 7.1) containing 0.05% sodium azide to a concentration of 40 ⁇ g / mL. 100 mL of this solution was added to 1 L of the gold colloid solution prepared in the above section 3, and stirred for 2 hours under refrigeration. To this mixture, add 110 mL of 10 mM HEPES (pH 7.1) containing 5.46% mannitol, 0.5% BSA, and 0.05% sodium azide, stir at 37 ° C. for 90 minutes, centrifuge at 8,000 rpm for 40 minutes, and Qing was removed.
  • 10 mM HEPES pH 7.1
  • DiAcSpm-containing biological tissue extract To 7 ⁇ L of DiAcSpm-containing biological tissue extract, 180 ⁇ L of the first reagent prepared in the above section 4 was mixed and stirred, and heated at 37 ° C. for about 5 minutes. Next, after adding and stirring 60 ⁇ L of the second reagent prepared in Section 5 above, two-point measurement of photometry points 18 to 31 was performed at a main wavelength of 540 nm and a sub-wavelength of 660 nm using Hitachi 7070 type automatic analyzer. The difference in absorbance between them was determined. The measurement time was about 10 minutes. In order to prepare a standard curve, a standard solution was prepared using a diluent. As necessary, a diluted solution was used for the preparation of a DiAcSpm-containing biological tissue extract.
  • a method for detecting a tumor a method for evaluating a tumor state, and a kit that can be used for the method, which can easily and quickly detect the presence of a tumor (particularly, the presence of early cancer) with higher accuracy.

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Abstract

Disclosed are: a tumor detection method which can detect the occurrence of a tumor with higher accuracy, in a simple manner and rapidly; and others. In the tumor detection method, both the amount of N1,N12-diacetylspermine in an affected tissue and the amount of N1,N12-diacetylspermine in a normal tissue that is located at the periphery of the affected tissue are measured, and the occurrence of the tumor is detected by employing the measurement results as measures.

Description

がんの検出方法How to detect cancer
 本発明は、腫瘍の存在を早期の段階で簡便かつ迅速に検出することができるがんの検出方法等に関する。 The present invention relates to a cancer detection method capable of easily and quickly detecting the presence of a tumor at an early stage.
 ポリアミンは、プトレッシン、カダベリン、スペルミジン及びスペルミン並びにそれらの誘導体等の総称で、生体内に広く分布する生理活性物質である。1971年、Russelらは、がん患者の尿中にポリアミンが増加することを見いだし(非特許文献1)、尿中ポリアミンが腫瘍マーカーとなる可能性を指摘した。しかし、その後の研究により、「尿中総ポリアミン」ないし「尿中の特定ポリアミン成分のアミン体並びにそれらのモノアセチル体」は、いずれも腫瘍マーカーとして実用に耐える性能を有しないことが明らかになった(非特許文献2)。 Polyamine is a general term for putrescine, cadaverine, spermidine, spermine and derivatives thereof, and is a physiologically active substance widely distributed in the living body. In 1971, Russel et al. Found that polyamines increased in the urine of cancer patients (Non-Patent Document 1), and pointed out the possibility that urinary polyamines could be tumor markers. However, subsequent studies revealed that neither “total polyamines in urine” nor “amine bodies of specific polyamine components in urine and their monoacetyl bodies” have the ability to withstand practical use as tumor markers. (Non-Patent Document 2).
 このような状況の中で、平松らは、尿中にN1,N12-ジアセチルスペルミン(以下、「DiAcSpm」という)が存在することを見いだし(非特許文献3)、さらに、この物質が各種の癌患者の尿中で高頻度に増加することを明らかにして、尿中DiAcSpmが新たな腫瘍マーカーとして有望であることを示した(非特許文献4)。特に、大腸癌においては、早期癌(0期及びI期)においても約60%の患者で尿中DiAcSpmが上昇することが示された(非特許文献5)。 Under such circumstances, Hiramatsu et al. Found that N 1 , N 12 -diacetylspermine (hereinafter referred to as “DiAcSpm”) exists in urine (Non-patent Document 3), and further, this substance The urinary DiAcSpm was shown to be promising as a new tumor marker by clarifying that it increases frequently in the urine of cancer patients (Non-patent Document 4). In particular, in colorectal cancer, urinary DiAcSpm was shown to increase in about 60% of patients even in early stage cancer (stage 0 and stage I) (Non-patent Document 5).
 近年、三木らは腎尿細管由来細胞を用いてポリアミンの原尿からの再吸収について研究した結果、スペルミン及びモノアセチルスペルミンは刷子縁側から再吸収されるのに対して、DiAcSpmは全く再吸収されないことを明らかにした。原尿からの再吸収が起こる成分では、体内における生産量と尿中への排泄量は直接に対応しない。しかし、再吸収されない成分は、体内で生産された全量が尿中に排泄されることになり、生産量が直接排泄量に反映される。このようなしくみで生体内におけるDiAcSpm生成量の変化が直接的に尿中排泄量の変化に反映されることが、この物質を特に性能のよい癌の病態の指標とするための生理学的基礎の一つであると考えられる(非特許文献6)。 Recently, Miki et al. Studied the reabsorption of polyamine from the original urine using renal tubule-derived cells. As a result, spermine and monoacetylspermine were reabsorbed from the brush border side, whereas DiAcSpm was not reabsorbed at all. It revealed that. For components that cause reabsorption from the raw urine, the amount produced in the body and the amount excreted in the urine do not correspond directly. However, the components that are not reabsorbed are excreted in the urine, and the production amount is directly reflected in the excretion amount. In this way, changes in the amount of DiAcSpm produced in vivo are directly reflected in changes in urinary excretion, which is a physiological basis for making this substance a particularly good indicator of the pathogenesis of cancer. This is considered to be one (Non-Patent Document 6).
 前述のように、癌患者の尿中でDiAcSpmが高頻度に上昇することは従来から知られていたが、これまで、生体から単離された癌組織の中でDiAcSpmが検出されたという報告は1件もない。
 また、生体内においてDiAcSpmがどのようにして生成するか、特に、スペルミンのアセチル化が生体内のどの部分で行われるかということもまだ解明されていない。この点に関連して、最近、Hamaokiら(非特許文献7)は、DiAcSpmの合成部位すなわちアセチル化反応が行われる場所について研究し、DiAcSpm合成部位が癌組織そのものではないこと、実際にDiAcSpmの合成を担っているのは担癌個体内の活性化マクロファージであることを示す実験結果を報告した。担癌個体の血清中でポリアミン濃度が全般的に上昇することは周知であるが、Hamaokiらが実験的に示したような仕組みがあれば、そのポリアミンを利用するマクロファージのアセチル化反応系が活発に働き、多量のDiAcSpmが生成して、それが上述の仕組みで尿中に排泄されることは容易に推論される。
As mentioned above, it has been known that DiAcSpm is frequently increased in the urine of cancer patients. However, there have been reports that DiAcSpm has been detected in cancer tissues isolated from living bodies. There is no one.
In addition, it has not yet been elucidated how DiAcSpm is generated in vivo, particularly in which part of the body acetylation of spermine is performed. In this regard, Hamaoki et al. (Non-Patent Document 7) recently studied the synthesis site of DiAcSpm, that is, the place where the acetylation reaction takes place, and that the DiAcSpm synthesis site is not a cancer tissue itself. We reported experimental results showing that it is activated macrophages in cancer-bearing individuals that are responsible for synthesis. Although it is well known that polyamine levels generally increase in the serum of cancer-bearing individuals, if there is a mechanism as shown experimentally by Hamaoki et al., The acetylation reaction system of macrophages using that polyamine is active. It is easily inferred that a large amount of DiAcSpm is produced and excreted in the urine by the mechanism described above.
 ところで、生体から単離された組織(特に腫瘍組織)中の所定の物質を検出し、当該組織の特徴を決定する方法として、例えば、特許文献1には、前立腺組織中のヘプシンポリペプチドの発現の有無を検出し、前立腺癌の病期を評価する方法が開示されている。この方法は、複数人(4名)の正常前立腺組織から得たRNAの等量混合物を参照プールと規定し、その値を病変組織と比較して診断に利用する方法である。
 また、特許文献2には、ヒト哺乳動物から生体試料として組織を採取し、DiAcSpm又はN1,N8-ジアセチルスペルミジン(以下、「DiAcSpd」という)を検出することにより、その検出結果を指標として非ヒト哺乳動物が腫瘍に罹っているかどうかを診断することが開示されている。
By the way, as a method for detecting a predetermined substance in a tissue (particularly tumor tissue) isolated from a living body and determining the characteristics of the tissue, for example, Patent Document 1 discloses expression of hepsin polypeptide in prostate tissue. A method for detecting the presence or absence of the disease and evaluating the stage of prostate cancer is disclosed. In this method, a mixture of equal amounts of RNA obtained from normal prostate tissues of multiple persons (4 persons) is defined as a reference pool, and the value is compared with a diseased tissue and used for diagnosis.
In Patent Document 2, a tissue is collected from a human mammal as a biological sample, and DiAcSpm or N 1 , N 8 -diacetylspermidine (hereinafter referred to as “DiAcSpd”) is detected, and the detection result is used as an index. Diagnosing whether a non-human mammal has a tumor is disclosed.
国際公開第2003/012067号International Publication No. 2003/012067 特開2007-256129号JP 2007-256129
 尿中DiAcSpmを指標とした場合の0~I期大腸癌に対する陽性検出率(約60%)は、CEAやCA19-9(約10%)を指標とした場合との比較においては高い割合であるが、同時に、なお多数の癌患者が偽陰性として見逃されることを意味しており、早期癌に対してより高い陽性検出率を示す検査方法を開発することが求められている。 The positive detection rate (about 60%) for stage 0 to stage I colorectal cancer when urinary DiAcSpm is used as an index is higher than that when CEA or CA19-9 (about 10%) is used as an index. However, at the same time, it still means that many cancer patients are missed as false negatives, and it is required to develop a test method that shows a higher positive detection rate for early cancer.
 早期癌を含めた大腸癌の判定は、現在は、癌が疑われる組織標本の病理組織検査によって行われ、現状ではその所見が確定診断として採用されている。しかしながら、これは組織の一部から作製された組織切片についての観察に基づくものであるため、癌病変箇所の見落としの危険もあり、また検査者の熟練度や最終的には主観によって結果が影響される場合があることが知られている。これは病理組織検査の問題点の一つである。また、病理組織検査の結果が確定するまでには、通常、数日以上の日数がかかる。これもまた、大きな問題である。 The determination of colorectal cancer including early cancer is currently performed by histopathological examination of a tissue specimen suspected of cancer, and at present, the findings are adopted as a definitive diagnosis. However, since this is based on observation of tissue sections prepared from a part of the tissue, there is also a risk of overlooking the cancerous lesion, and the result depends on the skill level of the examiner and ultimately the subjectivity. It is known that there may be. This is one of the problems of histopathological examination. In addition, it usually takes several days or more before the result of the histopathological examination is confirmed. This is also a big problem.
 このような問題点を克服し、組織標本全体について、数値化可能な客観的指標を採用した判定基準を作製し、さらに判定に至るまでの時間を大幅に短縮することができれば、癌診断に新たな基準を提供することができる。しかしながら、特許文献1及び2に開示されているように、これまでの診断法では、複数の個体(ヒト又は非ヒト哺乳動物)における正常値の平均値を一般的な基準値としているため、個体差により、もともと正常値が当該平均値とは大きく異なる個体の場合は、偽陽性や偽陰性の結果となる場合があった。 If it is possible to overcome these problems and create a criterion that employs an objective index that can be quantified for the entire tissue specimen and significantly reduce the time to the determination, it will be a new candidate for cancer diagnosis. Standards can be provided. However, as disclosed in Patent Documents 1 and 2, in the conventional diagnostic methods, the average value of normal values in a plurality of individuals (human or non-human mammal) is used as a general reference value. Due to the difference, in the case of an individual whose normal value is significantly different from the average value, a false positive or false negative result may be obtained.
 そこで、本発明が解決しようとする課題は、腫瘍の存在(特に早期癌の存在)をより高い確度で、簡便かつ迅速に検出することができる腫瘍の検出方法、及び腫瘍の状態の評価方法等を提供することにある。 Therefore, the problem to be solved by the present invention is that a tumor detection method, a tumor condition evaluation method, and the like that can detect the presence of a tumor (particularly, the presence of early cancer) with higher accuracy, simply and quickly, and the like. Is to provide.
 本発明者は、上記課題を解決するべく鋭意検討を行った。その結果、生体組織中のDiAcSpmの量を測定するにあたり、患部組織(癌組織又は癌が疑われる組織)中のDiAcSpmの量を測定するとともに、その患部周辺の正常組織中のDiAcSpmの量も測定したところ、患部組織からは、正常組織よりも単位組織重量あたりのDiAcSpmの量が多く検出されることを見出し、本発明を完成するに至った。 The present inventor has intensively studied to solve the above problems. As a result, when measuring the amount of DiAcSpm in the living tissue, the amount of DiAcSpm in the affected tissue (cancer tissue or suspected cancer) is measured, and the amount of DiAcSpm in the normal tissue around the affected portion is also measured. As a result, it was found that the amount of DiAcSpm per unit tissue weight was detected from the affected tissue more than the normal tissue, and the present invention was completed.
 すなわち、本発明は以下の通りである。
(1)生体組織中のN1,N12-ジアセチルスペルミン(DiAcSpm)の量を測定し、得られる測定結果と腫瘍(例えば癌の有無)とを関連づけることを特徴とする腫瘍の検出方法であって、前記測定は、患部組織中のDiAcSpmの量と当該患部周辺の正常組織中のDiAcSpmの量とをともに測定するものであることを特徴とする、前記検出方法。
That is, the present invention is as follows.
(1) A method for detecting a tumor characterized by measuring the amount of N 1 , N 12 -diacetylspermine (DiAcSpm) in a living tissue and associating the obtained measurement result with a tumor (for example, the presence or absence of cancer). The detection method is characterized in that the amount of DiAcSpm in the affected tissue and the amount of DiAcSpm in the normal tissue around the affected portion are both measured.
(2)生体組織中のN1,N12-ジアセチルスペルミン(DiAcSpm)の量を測定し、得られる測定結果と腫瘍の状態とを関連づけることを特徴とする腫瘍の状態の評価方法であって、前記測定は、患部組織中のDiAcSpmの量と当該患部周辺の正常組織中のDiAcSpmの量とをともに測定するものであることを特徴とする、前記評価方法。 (2) A method for evaluating a state of a tumor, characterized by measuring the amount of N 1 , N 12 -diacetylspermine (DiAcSpm) in a biological tissue and associating the obtained measurement result with the state of the tumor, The method according to claim 1, wherein the measurement is to measure both the amount of DiAcSpm in the affected tissue and the amount of DiAcSpm in normal tissue around the affected region.
 上記(2)の方法において、腫瘍の状態としては、例えば、癌の有無、癌の進行度、癌の悪性度、癌の転移の有無及び癌の再発の有無からなる群より選ばれる少なくとも1つが挙げられる。
 上記(1)及び(2)の方法において、腫瘍としては、例えば、大腸癌、乳癌、胃癌、膵臓癌、胆道癌、肺癌、肝臓癌、尿路悪性腫瘍、子宮癌(例えば、子宮体癌、子宮頸癌、子宮内膜癌)、脳腫瘍、骨髄性白血病及び悪性リンパ腫からなる群より選ばれる少なくとも1つが挙げられ、さらに、これら腫瘍は、例えば、早期癌であってもよい。
In the method (2), the state of the tumor is, for example, at least one selected from the group consisting of the presence or absence of cancer, the degree of progression of cancer, the malignancy of cancer, the presence or absence of cancer metastasis, and the presence or absence of cancer recurrence. Can be mentioned.
In the above methods (1) and (2), as the tumor, for example, colon cancer, breast cancer, stomach cancer, pancreatic cancer, biliary tract cancer, lung cancer, liver cancer, urinary tract malignant tumor, uterine cancer (for example, endometrial cancer, Cervical cancer, endometrial cancer), brain tumor, myeloid leukemia and at least one selected from the group consisting of malignant lymphoma, and these tumors may be, for example, early cancer.
(3)N1,N12-ジアセチルスペルミンに対する抗体、及び生体組織抽出液調製用の酸性溶液又は中性緩衝液を含む、腫瘍の検出用キット。 (3) A tumor detection kit comprising an antibody against N 1 , N 12 -diacetylspermine and an acidic solution or neutral buffer for preparing a biological tissue extract.
 本発明によれば、腫瘍の存在(特に早期癌の存在)をより高い確度で、簡便かつ迅速に検出することができる腫瘍の検出方法、及び腫瘍の状態の評価方法等を提供することができる。
 具体的には、本発明の方法を用いれば、同一個体(同一患者等)に由来する生体組織、すなわち患部組織とその周辺の正常組織とについて、単位組織重量あたりのDiAcSpm含有量を比較することにより、当該含有量の個体差による影響を消去することができるため、極めて高い確度で癌組織の存在を判定することができる。
According to the present invention, it is possible to provide a tumor detection method, a tumor state evaluation method, and the like that can easily and quickly detect the presence of a tumor (particularly the presence of early cancer) with higher accuracy. .
Specifically, when the method of the present invention is used, the DiAcSpm content per unit tissue weight is compared between living tissue derived from the same individual (same patient, etc.), that is, the affected tissue and the surrounding normal tissue. Thus, the influence of the content difference due to the individual difference can be eliminated, so that the presence of the cancer tissue can be determined with extremely high accuracy.
 また、癌組織に関して、病期を問わず、また原発巣であるか転移病巣であるかによらず、正常組織と比較してDiAcSpmが明らかに高値を示す結果が得られる。すなわち、本発明は、一つの実施態様では感度及び特異度ともに実質的に100%を示す方法を提供するものであり、極めて高い確度で癌を検出することができる。また、本発明の方法は、例えば0期-1期の早期大腸癌を実質的に100%の陽性検出率で検出することができ、早期癌に対してより高い陽性検出率を示す検査方法の開発という課題を達成し得るものである。 In addition, with regard to cancer tissue, regardless of the stage, regardless of whether it is a primary lesion or a metastatic lesion, a result that DiAcSpm is clearly higher than that of a normal tissue is obtained. That is, the present invention provides a method showing substantially 100% in both sensitivity and specificity in one embodiment, and can detect cancer with extremely high accuracy. In addition, the method of the present invention can detect, for example, early stage 0-1 early colon cancer with a substantially 100% positive detection rate, and is a test method showing a higher positive detection rate for early cancer. The task of development can be achieved.
 さらに、本発明の方法は、患者から採取した生体組織(検体)からのDiAcSpmの抽出、及びDiAcSpm濃度の測定に至る一連の操作に要する時間を極めて短時間に抑えることができ(例えば1時間未満)、その過程には特に高度の熟練を必要とする操作は含まれないため、一般の生化学検査室等の環境でも容易に実施することができるものである。ところで、これまで子宮癌の診断においては、術中迅速診断法として、腹腔内洗浄液を用いた細胞診が用いられており、当該診断法は、本発明の方法と同様に迅速性に優れた方法である。しかしながら、癌組織の所在の検出能の点においては、当該診断法の確度は十分ではなく、本発明の方法は当該診断法に比べてはるかに確度が高いものである。 Furthermore, the method of the present invention can minimize the time required for a series of operations to extract DiAcSpm from a biological tissue (specimen) collected from a patient and measure the DiAcSpm concentration (for example, less than 1 hour). ) Since the process does not include operations that require a particularly high level of skill, it can be easily carried out in an environment such as a general biochemical laboratory. By the way, in the diagnosis of uterine cancer, cytodiagnosis using an intraperitoneal washing solution has been used as an intraoperative rapid diagnosis method, and the diagnosis method is a method that is excellent in rapidity like the method of the present invention. is there. However, the accuracy of the diagnostic method is not sufficient in terms of the detectability of the location of cancer tissue, and the method of the present invention is much more accurate than the diagnostic method.
 本発明の方法は、従来の病理組織検査と比較して格段に容易かつ迅速であり、また、検出結果を客観的な数値として比較することができ、前述の通り高い確度で癌組織の所在を検出する能力を有するため、迅速性に欠ける病理組織検査の短所を十分に補い得る極めて有用な腫瘍検出法である。なお、本発明の方法は、ヒトから採取した生体組織のほか、ヒト以外の哺乳動物から採取した生体組織についても適用することができる。 The method of the present invention is much easier and quicker than the conventional histopathological examination, and the detection result can be compared as an objective numerical value. As described above, the location of the cancer tissue can be determined with high accuracy. Since it has the ability to detect, it is a very useful tumor detection method that can sufficiently compensate for the shortcomings of histopathological examination that lacks rapidity. The method of the present invention can be applied to biological tissues collected from mammals other than humans in addition to biological tissues collected from humans.
ESI-TOF質量分析法と金コロイド凝集法とによる、単位組織重量あたりのDiAcSpm含有量の測定値を示す図(両方法による測定値の比較結果を示す図)である。It is a figure which shows the measured value of DiAcSpm content per unit tissue weight by the ESI-TOF mass spectrometry method and the gold colloid aggregation method (the figure which shows the comparison result of the measured value by both methods). 本実施例において検討した大腸癌の全症例について、癌部と非癌部との間でDiAcSpm値を比較した結果を示す図である。It is a figure which shows the result of having compared the DiAcSpm value between the cancer part and the non-cancer part about all the cases of colorectal cancer examined in the present Example.
 以下、本発明を詳細に説明する。本発明の範囲はこれらの説明に拘束されることはなく、以下の例示以外についても、本発明の趣旨を損なわない範囲で適宜変更し実施することができる。なお、本明細書は、本願優先権主張の基礎となる特願2010-103371号明細書(2010年4月28日出願)の全体を包含する。また、本明細書において引用された全ての刊行物、例えば先行技術文献、及び公開公報、特許公報その他の特許文献は、参照として本明細書に組み込まれる。 Hereinafter, the present invention will be described in detail. The scope of the present invention is not limited to these explanations, and modifications other than the following examples can be made as appropriate without departing from the spirit of the present invention. In addition, this specification includes the entirety of Japanese Patent Application No. 2010-103371 (filed on April 28, 2010), which is the basis for claiming priority of the present application. In addition, all publications cited in the present specification, for example, prior art documents, and publications, patent publications, and other patent documents are incorporated herein by reference.
1.本発明の概要
 本発明者は、前述したような、スペルミンのアセチル化が担癌個体の体内ではマクロファージによって行われるという従来の知見にとらわれることなく、独自の観点から鋭意実験及び調査等を進めた。その結果、本発明者は、生体組織として患部組織(癌組織又は癌が疑われる組織)とその患部周辺の正常組織とからDiAcSpmを抽出し、これら抽出液中のDiAcSpm濃度を測定し比較することにより、患部組織中には、それに隣接する正常組織よりも、単位組織重量あたりのDiAcSpm量が多く検出されることを見出した。本発明は、これらの知見に基づき完成されたものであり、生体組織中のDiAcSpm量の測定結果を指標とする、具体的には患部組織中のDiAcSpm量の測定結果と正常組織中のDiAcSpm量の測定結果とを指標とする、腫瘍の検出方法及び腫瘍の状態の評価方法等を提供するものである。
1. Summary of the Invention The present inventor has conducted earnest experiments and investigations from an original point of view without being bound by the conventional knowledge that acetylation of spermine is performed by macrophages in the body of a cancer-bearing individual as described above. . As a result, the present inventor extracts DiAcSpm from the affected tissue (cancer tissue or tissue suspected of cancer) as a biological tissue and normal tissue around the affected region, and measures and compares the DiAcSpm concentration in these extracts. Thus, it was found that a larger amount of DiAcSpm per unit tissue weight was detected in the affected tissue than in the normal tissue adjacent thereto. The present invention has been completed based on these findings, and is based on the measurement result of the DiAcSpm amount in the living tissue, specifically, the measurement result of the DiAcSpm amount in the affected tissue and the DiAcSpm amount in the normal tissue. The present invention provides a method for detecting a tumor, a method for evaluating the state of a tumor, and the like using the measurement results of the above as indices.
2.腫瘍の検出方法
 本発明においては、DiAcSpmは、癌の臨床マーカー(腫瘍マーカー)として利用することができ、生体試料(生体組織)として患部組織(癌組織又は癌が疑われる組織)とその患部周辺の正常組織との両組織中のDiAcSpmの量を測定することにより、それらの測定結果を指標として腫瘍を検出する(腫瘍の存在を検出する)ことができる。
 本発明において、腫瘍としては、例えば以下に示すものが挙げられるが、これらに限定されるものではない。
2. Tumor Detection Method In the present invention, DiAcSpm can be used as a clinical marker (tumor marker) for cancer, and an affected tissue (cancer tissue or tissue suspected of cancer) as a biological sample (living tissue) and its surroundings By measuring the amount of DiAcSpm in both the normal tissue and the normal tissue, it is possible to detect the tumor (detect the presence of the tumor) using those measurement results as an index.
In the present invention, examples of tumors include, but are not limited to, those shown below.
 (1) 口腔、鼻、咽頭
 舌癌、歯肉癌、悪性リンパ腫、悪性黒色腫(メラノーマ)、上顎癌、鼻癌、鼻腔癌、喉頭癌、咽頭癌
 (2) 脳神経系
 神経膠腫、髄膜腫
 (3) 甲状腺
 甲状乳頭腺癌、甲状腺濾胞癌、甲状腺髄様癌
(1) Oral cavity, nose, pharyngeal tongue cancer, gingival cancer, malignant lymphoma, malignant melanoma (melanoma), maxillary cancer, nasal cancer, nasal cavity cancer, laryngeal cancer, pharyngeal cancer (2) cranial nervous system glioma, meningioma (3) Thyroid gland papillary adenocarcinoma, follicular thyroid cancer, medullary thyroid cancer
 (4) 呼吸器
 肺癌(例えば、扁平上皮癌、腺癌、肺胞上皮癌、大細胞性未分化癌、小細胞性未分化癌、カルチノイド)
 (5) 乳房
 乳癌、乳房ページェット病、乳房肉腫
 (6) 血液
 急性骨髄性白血病、急性前髄性白血病、急性骨髄性単球白血病、急性単球性白血病、急性リンパ性白血病、急性未分化性白血病、慢性骨髄性白血病、慢性リンパ性白血病、成人型T細胞白血病、悪性リンパ腫(例えば、リンパ肉腫、細網肉腫、ホジキン病)、多発性骨髄腫、原発性マクログロブリン血症
(4) Respiratory lung cancer (eg squamous cell carcinoma, adenocarcinoma, alveolar epithelial cancer, large cell undifferentiated cancer, small cell undifferentiated cancer, carcinoid)
(5) Breast Breast cancer, breast Paget's disease, mammary sarcoma (6) Blood Acute myeloid leukemia, acute promyelocytic leukemia, acute myelomonocytic leukemia, acute monocytic leukemia, acute lymphocytic leukemia, acute undifferentiated Leukemia, chronic myelogenous leukemia, chronic lymphocytic leukemia, adult T-cell leukemia, malignant lymphoma (eg, lymphosarcoma, reticulosarcoma, Hodgkin's disease), multiple myeloma, primary macroglobulinemia
 (7) 消化器
 食道癌、胃癌、胃・腸悪性リンパ腫、膵臓癌、胆道癌、胆嚢癌、十二指腸癌、大腸癌、肝癌
 (8) 女性性器
 子宮癌(例えば、子宮体癌、子宮頸癌、子宮内膜癌)、卵巣癌、子宮肉腫(例えば、平滑筋肉腫、横紋筋肉腫、リンパ肉腫、細網肉腫)
 (9) 泌尿器
 尿路悪性腫瘍(例えば、前立腺癌、腎癌、膀胱癌、精巣腫瘍、尿道癌)
(7) Gastrointestinal esophageal cancer, gastric cancer, gastric / intestinal malignant lymphoma, pancreatic cancer, biliary tract cancer, gallbladder cancer, duodenal cancer, colon cancer, liver cancer (8) Female genital uterine cancer (eg, endometrial cancer, cervical cancer, Endometrial cancer), ovarian cancer, uterine sarcoma (eg leiomyosarcoma, rhabdomyosarcoma, lymphosarcoma, reticulosarcoma)
(9) Urinary tract malignant tumor (eg prostate cancer, kidney cancer, bladder cancer, testicular tumor, urethral cancer)
 (10) 運動器
 横紋筋肉腫、線維肉腫、骨肉腫、軟骨肉腫、滑液膜肉腫、粘液肉腫、脂肪肉腫、ユーイング肉腫、多発性骨髄腫
 (11) 皮膚
 皮膚癌、皮膚ボーエン病、皮膚ページェット病、皮膚悪性黒色腫
(10) Motor organs Rhabdomyosarcoma, fibrosarcoma, osteosarcoma, chondrosarcoma, synovial sarcoma, myxosarcoma, liposarcoma, Ewing sarcoma, multiple myeloma (11) Skin Skin cancer, cutaneous Bowen's disease, skin page Got's disease, cutaneous malignant melanoma
 本発明において検出の対象となる癌の種類は、上記のうち1種類でもよく、2種類以上が併発したものでもよい。好ましくは、大腸癌、尿路悪性腫瘍(例えば、前立腺癌、腎癌、膀胱癌、精巣腫瘍)、乳癌、胃癌、膵臓癌、胆道癌、肺癌、肝臓癌、子宮癌(例えば、子宮体癌、子宮頸癌、子宮内膜癌)、脳腫瘍、骨髄性白血病及び悪性リンパ腫から選ばれる少なくとも1種が挙げられる。 In the present invention, the type of cancer to be detected may be one of the above, or a combination of two or more types. Preferably, colon cancer, urinary tract malignant tumor (eg, prostate cancer, kidney cancer, bladder cancer, testicular tumor), breast cancer, gastric cancer, pancreatic cancer, biliary tract cancer, lung cancer, liver cancer, uterine cancer (eg, endometrial cancer, Cervical cancer, endometrial cancer), brain tumor, myeloid leukemia, and malignant lymphoma.
 本発明の検出方法においては、前述の通り、生体組織中のDiAcSpmの量、具体的には患部組織中のDiAcSpmの量と当該患部周辺の正常組織中のDiAcSpmの量を測定する。この際、各組織中のDiAcSpmの量は、単位組織重量あたりのDiAcSpm量(すなわち各組織中のDiAcSpm濃度)として測定する。なお、患部組織は、癌組織でもよいし、癌が疑われる組織でもよく、限定はされない。また、本発明において、生体組織が採取される対象(被験動物)としては、ヒトが好ましいが、特に限定はされず、ヒト以外の哺乳動物(非ヒト哺乳動物)も対象とすることができる。非ヒト哺乳動物としては、限定はされないが、例えば、イヌ、ネコ、ウシ、ウマ、ブタ、ヒツジ、ヤギ、マウス、ラット、ウサギ、モルモット、サル(マーモセットも含む)及びハムスター等が挙げられる。本明細書において、「患者」には被験動物としての非ヒト哺乳動物も含まれることができるものとする。 In the detection method of the present invention, as described above, the amount of DiAcSpm in the living tissue, specifically, the amount of DiAcSpm in the affected tissue and the amount of DiAcSpm in the normal tissue around the affected portion are measured. At this time, the amount of DiAcSpm in each tissue is measured as the amount of DiAcSpm per unit tissue weight (that is, the DiAcSpm concentration in each tissue). The affected tissue may be a cancer tissue or a tissue suspected of having cancer, and is not limited. In the present invention, the subject (test animal) from which the biological tissue is collected is preferably a human, but is not particularly limited, and mammals other than humans (non-human mammals) can also be targeted. Non-human mammals include, but are not limited to, dogs, cats, cows, horses, pigs, sheep, goats, mice, rats, rabbits, guinea pigs, monkeys (including marmoset), and hamsters. In the present specification, the “patient” can include a non-human mammal as a test animal.
 生体組織中のDiAcSpm量を測定する方法は、限定はされず、癌患者又は癌が疑われる患者(好ましくは同一患者)から、生体組織診断(生検)において通常用いられる手法等により所望の組織を採取し、採取した組織を酸性溶液又は中性緩衝液を用いて適宜処理し、DiAcSpmの抽出液等を調製した上で、当該抽出液におけるDiAcSpm濃度を測定する方法が好ましい。
 組織の採取方法は、限定はされず、例えば、外科的手術による切除、内視鏡下生検、針生検(エコー下針生検も含む)及びパンチ生検等が挙げられ、採取する組織の種類及び部位によって適宜選択することができる。
The method for measuring the amount of DiAcSpm in a living tissue is not limited, and a desired tissue can be obtained from a cancer patient or a patient suspected of cancer (preferably the same patient) by a technique usually used in living tissue diagnosis (biopsy). A method is preferred in which the collected tissue is appropriately treated with an acidic solution or neutral buffer to prepare a DiAcSpm extract or the like, and then the DiAcSpm concentration in the extract is measured.
The tissue collection method is not limited, and examples include surgical excision, endoscopic biopsy, needle biopsy (including echo biopsy), punch biopsy, and the like. And it can select suitably according to a site | part.
 本発明の方法においては、患部組織中のDiAcSpm量の測定とともに、当該患部周辺の正常組織中のDiAcSpm量の測定も行う。すなわち、まず患部組織の採取と正常組織の採取とをともに行い、採取した各組織についてDiAcSpm量の測定を行う。よって、患者からの患部組織及び正常組織の採取、並びに採取した各組織中のDiAcSpm量の測定は、ともに同時期に行うことが好ましく、特に患部組織及び正常組織の採取をともに同時期に行うことがより好ましい。ここで、同時期とは、完全に同時であることには限定されず、一般的に、同一手技時または同一実験系であると判断される時間範囲内であればよい。例えば、特に限定はされないが、組織採取からDiAcSpm量の測定までは、1日(24時間以内)であってもよいし、あるいは12時間以内、6時間以内、又は3時間以内であってもよい。また、採取した患部組織及び正常組織を一旦保存(例えば-80℃下で保存)しておいて、その後、抽出・測定に用いる場合も、採取時及び抽出・測定時(特に採取時)が同時期であれば、前述した同時期の範囲に含まれる。なお、患部組織及び正常組織は、いずれを先に採取し、抽出・測定を行ってもよく、限定はされない。 In the method of the present invention, the amount of DiAcSpm in the normal tissue around the affected area is also measured together with the measurement of the amount of DiAcSpm in the affected area. That is, first, both the affected tissue and the normal tissue are collected, and the DiAcSpm amount is measured for each collected tissue. Therefore, it is preferable to collect the affected tissue and normal tissue from the patient, and to measure the amount of DiAcSpm in each collected tissue at the same time, and in particular, to collect the affected tissue and normal tissue at the same time. Is more preferable. Here, the term “simultaneous period” is not limited to being completely simultaneous, and may generally be within a time range determined to be the same procedure or the same experimental system. For example, although not particularly limited, the time from tissue collection to measurement of DiAcSpm may be 1 day (within 24 hours), or within 12 hours, within 6 hours, or within 3 hours. . Also, when the collected affected tissue and normal tissue are temporarily stored (for example, stored at −80 ° C.) and then used for extraction / measurement, the sampling and extraction / measurement (especially at the time of collection) are the same. If it is time, it is included in the range of the same period mentioned above. Note that any of the affected tissue and normal tissue may be collected first, extracted and measured, and is not limited.
 採取する試料の量は、限定はされず、下記処理後のDiAcSpm濃度の測定において、十分な精度で測定できる濃度のDiAcSpmを含む抽出液を得るのに十分な量であればよいが、3mg以上であることが好ましく、10mg以上であることがより好ましい。
 採取する試料の数は、限定はされず、患部組織及び正常組織とも複数採取しDiAcSpm濃度の測定に用いることができる。複数の組織試料をDiAcSpm濃度の測定に用いた場合は、各々の測定結果の平均値を当該組織のDiAcSpm濃度とすることができる。なお、患部組織及び正常組織とも、試料数は1つであってもよい。
The amount of the sample to be collected is not limited, and may be sufficient to obtain an extract containing DiAcSpm at a concentration that can be measured with sufficient accuracy in the measurement of the DiAcSpm concentration after the following treatment. It is preferable that it is 10 mg or more.
The number of samples to be collected is not limited, and a plurality of affected tissues and normal tissues can be collected and used for measuring the DiAcSpm concentration. When a plurality of tissue samples are used for measurement of the DiAcSpm concentration, the average value of each measurement result can be used as the DiAcSpm concentration of the tissue. Note that the number of samples may be one for both the affected tissue and the normal tissue.
 採取した組織の処理方法は、限定はされず、後述する実施例に記載のように、メス等による細切や、攪拌及び超音波等によるホモジナイズ等が挙げられる。このようにして得られた組織を、酸性溶液又は中性緩衝液を用いて処理(逐次処理等)し、抽出液とする。酸性溶液としては、例えば0.1M塩酸及び0.5M過塩素酸等が挙げられ、中性緩衝液としては、例えばHEPES、Tris及びリン酸等(pH6.5~8.0(好ましくはpH7.5))が挙げられるが、DiAcSpmが有効に抽出され、安定に保持される溶液ないし緩衝液であれば、これらに限定はされない。 The treatment method of the collected tissue is not limited, and examples thereof include chopping with a scalpel, homogenization with stirring, ultrasonic waves, and the like, as described in the examples described later. The tissue thus obtained is treated (sequential treatment or the like) with an acidic solution or a neutral buffer to obtain an extract. Examples of the acidic solution include 0.1M hydrochloric acid and 0.5M perchloric acid, and examples of the neutral buffer include HEPES, Tris, and phosphoric acid (pH 6.5 to 8.0 (preferably pH 7.5)). Examples thereof include, but are not limited to, a solution or a buffer solution in which DiAcSpm is effectively extracted and stably maintained.
 上記処理後のDiAcSpm濃度の測定方法は、DiAcSpmについて十分な検出感度と測定精度を有する方法であればよく、限定はされず、公知の分析方法や免疫学的方法、例えば、分析方法としては質量分析法等が挙げられ、免疫学的測定法としては金属コロイド凝集法、イムノクロマト法、RIA法、EIA法、免疫比濁法及びラテックス凝集法等が挙げられる。なかでも、質量分析法(特にESI-TOF法等)、イムノクロマト法、金属コロイド凝集法(特に金コロイド凝集法)及びラテックス凝集法が好ましく挙げられる。 The method for measuring the DiAcSpm concentration after the above treatment is not limited as long as it has sufficient detection sensitivity and measurement accuracy for DiAcSpm, and is not limited, and known analytical methods and immunological methods such as mass Examples of the immunological measurement method include a metal colloid aggregation method, an immunochromatography method, an RIA method, an EIA method, an immunoturbidimetric method, and a latex aggregation method. Of these, preferred are mass spectrometry (particularly ESI-TOF method), immunochromatography, metal colloid aggregation (particularly gold colloid aggregation) and latex aggregation.
 金属コロイド凝集法で用いられる金属コロイドとしては、金、銀、セレン等のコロイドが挙げられ、利用しやすい点から、金コロイドが好ましい。反応液の分離や洗浄操作を行わない検査の自動化が容易な免疫凝集法が好ましく、特にラテックス凝集法や金コロイド凝集法が好ましい。例えば、被測定物質であるDiAcSpmを測定する場合、ラテックス凝集法及び金属コロイド凝集法では、当該被測定物質に対する抗体(抗DiAcSpm特異抗体)を、担体となるラテックスや金属コロイドに予め結合させておく。例えば、金コロイド凝集法の場合、予め金コロイドと結合させた標識抗体が、被測定物質であるDiAcSpmを介して凝集する。その際に生じる色差(色調変化)を光学的に測定し、DiAcSpm量を測定する。また、DiAcSpmが免疫学的に測定される場合、特開2006-38594号公報に記載の方法も好ましく用いられる。また、イムノクロマト法では、例えば、組織抽出液を浸透させる浸透性素材及びメンブレン(両者を併せてイムノクロマト用メンブレンと呼ぶ)として、標識化した抗DiAcSpm抗体(標識抗体)、及び、キャリア蛋白質とN1-アセチルスペルミン(以下、「AcSpm」という)とをアシルアミド結合させ、DiAcSpm類似構造物を側鎖として多数持つ蛋白質(抗原類似体)、並びに、上記標識抗体に対する抗体(捕捉抗体)を含有させたイムノクロマト用メンブレンを用いることが好ましい。キャリア蛋白質としては、例えば牛血清アルブミンを用いることが好ましいが、これに限定されるものではない。 Examples of the metal colloid used in the metal colloid aggregation method include colloids such as gold, silver, and selenium, and gold colloid is preferable because it is easy to use. An immunoaggregation method that facilitates automation of the test without separation of the reaction solution or a washing operation is preferable, and a latex aggregation method or a gold colloid aggregation method is particularly preferable. For example, when measuring DiAcSpm as a substance to be measured, in the latex agglutination method and metal colloid agglutination method, an antibody against the substance to be measured (anti-DiAcSpm specific antibody) is previously bound to latex or metal colloid as a carrier. . For example, in the case of the gold colloid aggregation method, the labeled antibody previously bound to the gold colloid aggregates via DiAcSpm which is a substance to be measured. The color difference (color tone change) generated at that time is optically measured, and the amount of DiAcSpm is measured. In addition, when DiAcSpm is measured immunologically, the method described in JP-A-2006-38594 is also preferably used. Further, in the immunochromatography method, for example, as a permeable material and membrane for allowing tissue extract to permeate (both are collectively referred to as an immunochromatography membrane), a labeled anti-DiAcSpm antibody (labeled antibody), a carrier protein and N 1 -Immunochromatography containing an acetylspermine (hereinafter referred to as “AcSpm”) acylamide bond, a protein having a large number of DiAcSpm-like structures as side chains (antigen analogue), and an antibody against the labeled antibody (capture antibody) It is preferable to use a membrane. For example, bovine serum albumin is preferably used as the carrier protein, but is not limited thereto.
 上述した抗DiAcSpm特異抗体の作製について以下に実験等を例説するが、これらに限定されるものではない。
 <抗原の調製>
 DiAcSpmは、低分子量のアルキルアミン誘導体であるため、これを直接ウサギ等に免疫してもDiAcSpmに特異的な抗体を得ることはできない。そこで、キャリア蛋白質である牛血清アルブミンとAcSpmをアシルアミド結合させ、DiAcSpm類似構造物を側鎖として多数持つ免疫抗原を作製する。
 免疫抗原は、川喜田らの方法に準じて作製することができる(Hiramatsu, K. et al., J. Biochem., 124, 231-236 (1998))。まず、キャリア蛋白質であるBSAとS-アセチルメルカプトコハク酸を反応させ、反応生成物であるS-アセチルメルカプトコハク酸(AMS)-BSA複合体を作製する。さらに、AMS-BSAに二価性架橋試薬であるGMBS(N-(4-Maleimidobutyryloxy) succinimide)を介して、AcSpmをアシルアミド結合させ、免疫抗原AcSpm-GMB-BSAを作製する。
Although the experiment etc. are illustrated below about preparation of the anti- DiAcSpm specific antibody mentioned above, it is not limited to these.
<Preparation of antigen>
Since DiAcSpm is a low molecular weight alkylamine derivative, it is not possible to obtain an antibody specific to DiAcSpm by directly immunizing rabbits and the like. Therefore, bovine serum albumin, which is a carrier protein, and AcSpm are acylamide-bonded to produce an immune antigen having many DiAcSpm-like structures as side chains.
An immunizing antigen can be prepared according to the method of Kawakita et al. (Hiramatsu, K. et al., J. Biochem., 124, 231-236 (1998)). First, BSA, which is a carrier protein, is reacted with S-acetylmercaptosuccinic acid to produce an S-acetylmercaptosuccinic acid (AMS) -BSA complex which is a reaction product. Furthermore, AcSpm is acylamide-bonded to AMS-BSA via GMBS (N- (4-Maleimidobutyryloxy) succinimide), which is a bivalent cross-linking reagent, to produce the immune antigen AcSpm-GMB-BSA.
 <抗体の作製>
 本発明に用いる「抗体」とは、抗原であるDiAcSpmに結合し得る抗体分子全体(ポリクローナル抗体であってもモノクローナル抗体であってもよい)、又はその断片(例えば、Fab又はF(ab')2断片)若しくは抗原抗体反応活性を有する活性フラグメント、具体的には、Fab、Fv、組替えFv体、1本鎖Fvを意味する。
 本発明に用いる抗体(ポリクローナル抗体及びモノクローナル抗体および活性フラグメント)は、種々の方法のいずれかによって製造することができる。このような抗体の製造法は当該分野で周知である。
<Production of antibody>
The “antibody” used in the present invention is a whole antibody molecule (which may be a polyclonal antibody or a monoclonal antibody) capable of binding to the antigen DiAcSpm, or a fragment thereof (for example, Fab or F (ab ′)). 2 fragment) or an active fragment having antigen-antibody reaction activity, specifically, Fab, Fv, recombinant Fv body, single chain Fv.
The antibodies (polyclonal and monoclonal antibodies and active fragments) used in the present invention can be produced by any of various methods. Methods for producing such antibodies are well known in the art.
 (1) ポリクローナル抗体の作製
 上記の通り作製した抗原を哺乳動物に投与する。哺乳動物は特に限定されるものではなく、例えばラット、マウス、ウサギなどが挙げられるが、ウサギが好ましい。
 抗原の動物1匹当たりの投与量は、アジュバントを用いないときは5~2mgであり、アジュバントを用いるときは5~2mgである。アジュバントとしては、フロイント完全アジュバント(FCA)、フロイント不完全アジュバント(FIA)、水酸化アルミニウムアジュバント等が挙げられる。免疫は、主として静脈内、皮下、腹腔内等に注入することにより行う。また、免疫の間隔は特に限定されず、数日から数週間間隔、好ましくは2~5週間間隔で、1~10回、好ましくは2~5回免疫を行う。そして、最終の免疫日から6~60日後に、酵素免疫測定法(ELISA(enzyme-linked immunosorbent assay)又は EIA(enzyme immunoassay))、放射性免疫測定法(RIA;radioimmuno assay)等で抗体価を測定し、最大の抗体価を示した日に採血し、抗血清を得る。
(1) Preparation of polyclonal antibody The antigen prepared as described above is administered to a mammal. The mammal is not particularly limited, and examples thereof include rats, mice, rabbits, and the like, and rabbits are preferable.
The dose of the antigen per animal is 5 to 2 mg when no adjuvant is used, and 5 to 2 mg when an adjuvant is used. Examples of adjuvants include Freund's complete adjuvant (FCA), Freund's incomplete adjuvant (FIA), and aluminum hydroxide adjuvant. Immunization is performed mainly by injecting intravenously, subcutaneously or intraperitoneally. The immunization interval is not particularly limited, and immunization is performed 1 to 10 times, preferably 2 to 5 times at intervals of several days to several weeks, preferably 2 to 5 weeks. And 6 to 60 days after the last immunization, antibody titer is measured by enzyme immunoassay (ELISA (enzyme-linked immunosorbent assay) or EIA (enzyme immunoassay)), radioimmunoassay (RIA), etc. Blood is collected on the day when the maximum antibody titer is shown to obtain antiserum.
 その後は、BSAなどを用い、これら蛋白質に対する抗血清中のポリクローナル抗体の反応性をELISA法などで測定する。DiAcSpmに反応する抗体は、さらに高精度に選択されることが好ましく、具体的にはDiAcSpmに強い反応性を示す抗体であって、(a) N1-AcSpdとの交差反応性が0.1%以下である抗体、及び/又は、(b) DiAcSpm類似物質(DiAcSpd、Spd、Spm等)との交差反応による測定結果への干渉の総和が5%以下(好ましくは3%以下)である抗体が特に好ましい。 Thereafter, the reactivity of the polyclonal antibody in the antiserum against these proteins is measured by ELISA or the like using BSA or the like. The antibody that reacts with DiAcSpm is preferably selected with higher accuracy. Specifically, the antibody exhibits strong reactivity with DiAcSpm, and (a) the cross-reactivity with N 1 -AcSpd is 0.1% or less. And / or (b) an antibody whose sum of interference to the measurement result due to cross-reaction with a DiAcSpm-like substance (DiAcSpd, Spd, Spm, etc.) is 5% or less (preferably 3% or less) preferable.
 (2) モノクローナル抗体の作製
 (i) 抗体産生細胞の採取
 前記のようにして作製した抗原を、哺乳動物、例えばラット、マウス、ウサギなどに投与する。抗原の動物1匹当たりの投与量は、アジュバントを用いないときは500~200μgであり、アジュバントを用いるときは500~200μgである。アジュバントとしては、フロイント完全アジュバント(FCA)、フロイント不完全アジュバント(FIA)、水酸化アルミニウムアジュバント等が挙げられる。免疫は、主として静脈内、皮下、腹腔内に注入することにより行われる。また、免疫の間隔は特に限定されず、数日から数週間間隔、好ましくは2~5週間間隔で、1~10回、好ましくは2~5回免疫を行う。そして、最終の免疫日から1~60日後、好ましくは1~14日後に抗体産生細胞を採集する。抗体産生細胞としては、脾臓細胞、リンパ節細胞、末梢血細胞等が挙げられるが、脾臓細胞又は局所リンパ節細胞が好ましい。
(2) Preparation of monoclonal antibody (i) Collection of antibody-producing cells The antigen prepared as described above is administered to mammals such as rats, mice, rabbits and the like. The dose of the antigen per animal is 500 to 200 μg when no adjuvant is used, and 500 to 200 μg when an adjuvant is used. Examples of adjuvants include Freund's complete adjuvant (FCA), Freund's incomplete adjuvant (FIA), and aluminum hydroxide adjuvant. Immunization is performed mainly by injecting intravenously, subcutaneously or intraperitoneally. The immunization interval is not particularly limited, and immunization is performed 1 to 10 times, preferably 2 to 5 times at intervals of several days to several weeks, preferably 2 to 5 weeks. Then, antibody-producing cells are collected 1 to 60 days, preferably 1 to 14 days after the final immunization day. Examples of antibody-producing cells include spleen cells, lymph node cells, peripheral blood cells, etc., but spleen cells or local lymph node cells are preferred.
 (ii) 細胞融合
 ハイブリドーマを得るため、抗体産生細胞とミエローマ細胞との細胞融合を行う。抗体産生細胞と融合させるミエローマ細胞として、マウスなどの動物の一般に入手可能な株化細胞を使用することができる。使用する細胞株としては、薬剤選択性を有し、未融合の状態ではHAT選択培地(ヒポキサンチン、アミノプテリン、チミジンを含む)で生存できず、抗体産生細胞と融合した状態でのみ生存できる性質を有するものが好ましい。ミエローマ細胞としては、例えば P3X63-Ag.8.U1(P3U1)、NS-Iなどのマウスミエローマ細胞株が挙げられる。
 次に、上記ミエローマ細胞と抗体産生細胞とを細胞融合させる。細胞融合は、血清を含まないDMEM、RPMI-1640培地などの動物細胞培養用培地中で、1×106~1×107個/mlの抗体産生細胞と2×105~2×106個/mlのミエローマ細胞とを混合し(抗体産生細胞とミエローマ細胞との細胞比5:1が好ましい)、細胞融合促進剤存在のもとで融合反応を行う。細胞融合促進剤として、平均分子量1000~6000ダルトンのポリエチレングリコール等を使用することができる。また、電気刺激(例えばエレクトロポレーション)を利用した市販の細胞融合装置を用いて抗体産生細胞とミエローマ細胞とを融合させることもできる。
(ii) Cell fusion Cell fusion between antibody-producing cells and myeloma cells is performed to obtain hybridomas. As myeloma cells to be fused with antibody-producing cells, generally available cell lines of animals such as mice can be used. The cell line to be used has drug selectivity and cannot survive in a HAT selection medium (including hypoxanthine, aminopterin, and thymidine) in an unfused state, but can survive only in a state fused with antibody-producing cells. Those having the following are preferred. Examples of myeloma cells include mouse myeloma cell lines such as P3X63-Ag.8.U1 (P3U1) and NS-I.
Next, the myeloma cell and the antibody-producing cell are fused. Cell fusion is performed by using 1 × 10 6 to 1 × 10 7 antibody-producing cells and 2 × 10 5 to 2 × 10 6 in animal cell culture media such as serum-free DMEM and RPMI-1640 media. 1 / ml myeloma cells are mixed (cell ratio of antibody-producing cells to myeloma cells is preferably 5: 1), and a fusion reaction is performed in the presence of a cell fusion promoter. As the cell fusion promoter, polyethylene glycol having an average molecular weight of 1000 to 6000 daltons can be used. Alternatively, antibody-producing cells and myeloma cells can be fused using a commercially available cell fusion device utilizing electrical stimulation (for example, electroporation).
 (iii) ハイブリドーマの選別及びクローニング
 細胞融合処理後の細胞から目的とするハイブリドーマを選別する。その方法として、細胞懸濁液を例えばウシ胎児血清含有RPMI-1640培地などで適当に希釈後、マイクロタイタープレート上にまき、各ウェルに選択培地を加え、以後適当に選択培地を交換して培養を行う。その結果、選択培地で培養開始後、14日前後から生育してくる細胞をハイブリドーマとして得ることができる。
 次に、増殖してきたハイブリドーマの培養上清中に、DiAcSpmに反応する抗体が存在するか否かをスクリーニングする。ハイブリドーマのスクリーニングは、通常の方法に従えばよく、特に限定されるものではない。例えば、ハイブリドーマとして生育したウェルに含まれる培養上清の一部を採集し、酵素免疫測定法、放射性免疫測定法等によってスクリーニングすることができる。
(iii) Selection and cloning of hybridoma The target hybridoma is selected from the cells after cell fusion treatment. As a method for this, the cell suspension is appropriately diluted with, for example, fetal bovine serum-containing RPMI-1640 medium, then spread on a microtiter plate, a selective medium is added to each well, and then the selective medium is appropriately replaced and cultured. I do. As a result, cells that grow from about 14 days after the start of culture in the selective medium can be obtained as hybridomas.
Next, the culture supernatant of the grown hybridoma is screened for the presence of antibodies that react with DiAcSpm. Hybridoma screening is not particularly limited, and may be performed according to ordinary methods. For example, a part of the culture supernatant contained in a well grown as a hybridoma can be collected and screened by enzyme immunoassay, radioimmunoassay or the like.
 融合細胞のクローニングは、限界希釈法等により行う。この場合も、ポリクローナル抗体の項で説明したのと同様に、DiAcSpmに強い反応性を示す抗体であって、(a) N1-AcSpdとの交差反応性が0.1%以下である抗体、及び/又は、(b) DiAcSpm類似物質(DiAcSpd、Spd、Spm等)との交差反応による測定結果への干渉の総和が5%以下(好ましくは3%以下)である抗体を産生するハイブリドーマを選択し、樹立する。 Cloning of fused cells is performed by the limiting dilution method or the like. In this case as well, as described in the section of the polyclonal antibody, an antibody having strong reactivity with DiAcSpm, (a) an antibody having a cross-reactivity with N 1 -AcSpd of 0.1% or less, and / or Or (b) selecting a hybridoma that produces an antibody having a total interference of 5% or less (preferably 3% or less) of interference with a measurement result by cross-reaction with a DiAcSpm-like substance (DiAcSpd, Spd, Spm, etc.) Establish.
 (iv) モノクローナル抗体の採取
 樹立したハイブリドーマからモノクローナル抗体を採取する方法として、通常の細胞培養法又は腹水形成法等を採用することができる。
 細胞培養法においては、ハイブリドーマを10%ウシ胎児血清含有RPMI-1640培地、MEM培地又は無血清培地等の動物細胞培養培地中で、通常の培養条件(例えば37℃、5% CO2濃度)で7~14日間培養し、その培養上清から抗体を取得する。
 腹水形成法の場合は、ミエローマ細胞由来の哺乳動物と同種系動物の腹腔内にハイブリドーマを約1×107個投与し、ハイブリドーマを大量に増殖させる。そして、1~2週間後に腹水を採集する。
 上記抗体の採取方法において抗体の精製が必要とされる場合は、硫安塩析法、イオン交換クロマトグラフィー、ゲル濾過、アフィニティークロマトグラフィー等の公知の方法を適宜選択して、又はこれらを組み合わせることにより精製することができる。
(iv) Collection of monoclonal antibody As a method of collecting a monoclonal antibody from an established hybridoma, a normal cell culture method or ascites formation method can be employed.
In the cell culture method, the hybridoma is cultured in an animal cell culture medium such as RPMI-1640 medium containing 10% fetal bovine serum, MEM medium, or serum-free medium under normal culture conditions (eg, 37 ° C., 5% CO 2 concentration). Cultivate for 7 to 14 days and obtain antibody from the culture supernatant.
In the case of the ascites formation method, about 1 × 10 7 hybridomas are administered into the abdominal cavity of a mammal derived from a myeloma cell and the same strain, and the hybridomas are proliferated in large quantities. Ascites is collected after 1-2 weeks.
When antibody purification is required in the above antibody collection method, a known method such as ammonium sulfate salting-out method, ion exchange chromatography, gel filtration, affinity chromatography or the like is appropriately selected or combined. Can be purified.
<検出方法>
 本発明の検出方法は、生体組織中のDiAcSpm量の測定結果と腫瘍とを関連づけることにより検出する方法であり、具体的に当該測定結果を腫瘍とどのように関連づけるか(どのような基準を適用するか)は、特に限定はされない。本発明の検出方法の一態様として、例えば、患部組織中における単位組織重量あたりのDiAcSpm量(A)と、当該患部組織周辺の正常組織中における単位組織重量あたりのDiAcSpm量(B)との比(病変部/正常部比;具体的には「A/B」の値)が、2以上の場合に腫瘍・癌の検出について陽性と判定し、1.0以上かつ2.0未満の場合に擬陽性と判定することができる。本発明の検出方法の他の態様として、例えば、上記「A/B」の値が、2.6以上の場合に陽性、1.0以上かつ2.6未満の場合に擬陽性と判定することができ、
また2.5以上の場合に陽性、1.0以上かつ2.5未満の場合に擬陽性と判定し、
また2.4以上の場合に陽性、1.0以上かつ2.4未満の場合に擬陽性と判定し、
また2.3以上の場合に陽性、1.0以上かつ2.3未満の場合に擬陽性と判定し、
また2.2以上の場合に陽性、1.0以上かつ2.2未満の場合に擬陽性と判定し、
また2.1以上の場合に陽性、1.0以上かつ2.1未満の場合に擬陽性と判定し、
また2.0以上の場合に陽性、1.0以上かつ2.0未満の場合に擬陽性と判定し、
また1.9以上の場合に陽性、1.0以上かつ1.9未満の場合に擬陽性と判定し、
また1.8以上の場合に陽性、1.0以上かつ1.8未満の場合に擬陽性と判定し、
また1.7以上の場合に陽性、1.0以上かつ1.7未満の場合に擬陽性と判定し、
また1.6以上の場合に陽性、1.0以上かつ1.6未満の場合に擬陽性と判定し、
また1.5以上の場合に陽性、1.0以上かつ1.5未満の場合に擬陽性と判定しすることもできる。
<Detection method>
The detection method of the present invention is a method of detecting by associating a measurement result of the amount of DiAcSpm in a living tissue with a tumor, and specifically how to associate the measurement result with a tumor (what criteria are applied) There is no particular limitation on whether or not. As one aspect of the detection method of the present invention, for example, the ratio between the amount of DiAcSpm per unit tissue weight in the affected tissue (A) and the amount of DiAcSpm per unit tissue weight in the normal tissue around the affected tissue (B) If the lesion / normal ratio (specifically, the value of “A / B”) is 2 or more, it is determined to be positive for tumor / cancer detection, and if it is 1.0 or more and less than 2.0, it is determined to be false positive. be able to. As another aspect of the detection method of the present invention, for example, the value of the “A / B” can be determined as positive when the value is 2.6 or more, and false positive when the value is 1.0 or more and less than 2.6,
If it is 2.5 or more, it is positive, if it is 1.0 or more and less than 2.5, it is determined as false positive.
Also, if it is 2.4 or higher, it is positive, if it is 1.0 or higher and less than 2.4, it is determined as false positive.
In addition, it is determined to be positive if it is 2.3 or more, and false positive if it is 1.0 or more and less than 2.3.
Also, if it is 2.2 or higher, it is determined to be positive, and if it is 1.0 or higher and less than 2.2, it is determined to be false positive.
In addition, it is determined to be positive if it is 2.1 or more, and false positive if it is 1.0 or more and less than 2.1.
If it is 2.0 or higher, it is positive, if it is 1.0 or higher and less than 2.0, it is determined to be false positive.
Also, if it is 1.9 or more, it is positive, if it is 1.0 or more and less than 1.9, it is determined as false positive.
Also, if it is 1.8 or more, it is positive, if it is 1.0 or more and less than 1.8, it is determined as false positive.
If it is 1.7 or higher, it is positive, and if it is 1.0 or higher and less than 1.7, it is determined as false positive.
If it is 1.6 or more, it is positive, if it is 1.0 or more and less than 1.6, it is determined as false positive.
It can also be judged positive if it is 1.5 or more, and false positive if it is 1.0 or more and less than 1.5.
  上記判定結果は、一定の確率をもって癌である可能性があることを意味するリスクファクターとして使用することができる。 The above determination result can be used as a risk factor which means that there is a possibility of cancer with a certain probability.
 他方、患部組織周辺の正常組織が採取困難な場合は、本発明の検出方法の一態様として、患部組織中における単位組織重量あたりのDiAcSpm量(nmol/g(wet tissue))が、0.9 nmol/g以上の場合に腫瘍・癌の検出について陽性と判定し、0.7 nmol/g以上かつ0.9 nmol/g未満の場合に擬陽性と判定することができる。本発明の検出方法の他の態様として、例えば、患部組織中における単位組織重量あたりのDiAcSpm量(nmol/g(wet tissue))が、1.0 nmol/g以上の場合に陽性、0.7 nmol/g以上かつ1.0 nmol/g未満の場合に擬陽性と判定し、また、1.1 nmol/g以上の場合に陽性、0.7 nmol/g以上かつ1.1 nmol/g未満の場合に擬陽性と判定することができ、
また、1.2nmol/g以上の場合に陽性、0.7 nmol/g以上かつ1.2nmol/g未満の場合に擬陽性と判定し、
また、1.3nmol/g以上の場合に陽性、0.7 nmol/g以上かつ1.3nmol/g未満の場合に擬陽性と判定することもできる。
On the other hand, when normal tissue around the affected tissue is difficult to collect, as one aspect of the detection method of the present invention, the amount of DiAcSpm per unit tissue weight (nmol / g (wet tissue)) in the affected tissue is 0.9 nmol / When it is g or more, it can be judged as positive for tumor / cancer detection, and when it is 0.7 nmol / g or more and less than 0.9 nmol / g, it can be judged as false positive. As another embodiment of the detection method of the present invention, for example, when the amount of DiAcSpm per unit tissue weight in the affected tissue (nmol / g (wet tissue)) is 1.0 nmol / g or more, positive, 0.7 nmol / g or more And if it is less than 1.0 nmol / g, it can be determined as false positive, it can be determined as positive when it is 1.1 nmol / g or more, and it can be determined as false positive when it is 0.7 nmol / g or more and less than 1.1 nmol / g.
Moreover, it is determined to be positive when it is 1.2 nmol / g or more, and false positive when it is 0.7 nmol / g or more and less than 1.2 nmol / g,
It can also be determined as positive when 1.3 nmol / g or more, and false positive when 0.7 nmol / g or more and less than 1.3 nmol / g.
 本発明の検出方法の別の態様において、癌患者の組織内DiAcSpmのレベルは、被検試料中の濃度が0.9 nmol/g以上であれば正常組織との統計学的差異は90%であり、被検試料中の濃度が1.0 nmol/g以上であれば正常組織との統計学的差異は95%であり、1.3 nmol/g以上において正常組織との統計学的差異は99.7%以上(ほぼ100%)である。従って、DiAcSpmが上記濃度以上であれば所定確率で癌を検出することができる。
 ところで、本発明の方法では、複数の患者由来の生体組織試料を用いてDiAcSpmのレベルを測定する場合がある。従って、予め規定された数の癌患者(1次母集団)において上記DiAcSpm量を測定し、得られた測定値を基本データとして、この基本データと、検出の対象となる個々の被験者由来の組織由来のDiAcSpmの量とを比較することができる。
In another embodiment of the detection method of the present invention, the level of DiAcSpm in the tissue of a cancer patient is 90% statistically different from normal tissue if the concentration in the test sample is 0.9 nmol / g or more, If the concentration in the test sample is 1.0 nmol / g or more, the statistical difference from the normal tissue is 95%, and if it is 1.3 nmol / g or more, the statistical difference from the normal tissue is 99.7% or more (almost 100%). %). Therefore, if DiAcSpm is not less than the above concentration, cancer can be detected with a predetermined probability.
By the way, in the method of the present invention, the level of DiAcSpm may be measured using biological tissue samples derived from a plurality of patients. Therefore, the amount of the DiAcSpm is measured in a predetermined number of cancer patients (primary population), and the obtained measurement values are used as basic data, and the basic data and the tissue derived from each subject to be detected are detected. The amount of DiAcSpm derived can be compared.
 さらに、上記測定された被験者患者のデータを前記母集団の値に組み込んでDiAcSpmレベルを再度データ処理し(平均値化等)、対象となる患者(母集団)の例数を増やすこともできる。例数を増やすことにより、DiAcSpmの臨界値の精度を高め、これにより検出又は診断精度を高めることができる。
 上記検出結果は、例えば癌の確定診断を行う場合の主要資料又は補助資料とすることができる。癌であることの確定診断を行う場合には、上記検出結果に加えて、その他の組織学的検査結果、血清学的検査の結果等から選択される少なくとも1つと組み合わせて、総合的に判断すればよい。
Furthermore, the data of the measured subject patient can be incorporated into the value of the population, and the DiAcSpm level can be processed again (averaging, etc.) to increase the number of target patients (population). By increasing the number of cases, the accuracy of the critical value of DiAcSpm can be increased, thereby increasing the detection or diagnosis accuracy.
The detection result can be, for example, main data or auxiliary data when performing a definitive diagnosis of cancer. When making a definitive diagnosis of cancer, in addition to the above detection results, a comprehensive judgment should be made in combination with at least one selected from other histological examination results, serological examination results, etc. That's fine.
3.腫瘍の状態の評価方法
 前記2.項に示す検出方法と同様に、得られたDiAcSpm量の測定結果と腫瘍の状態とを関連付けて腫瘍の状態を評価又は診断することができる。陽性と判定される場合には、癌を発症している又はその可能性があると判断し、腫瘍の状態を評価することができる。よって、本発明においては、上記評価の結果に基づいて、ヒト又は非ヒト哺乳動物における癌を診断する方法を提供することもできる。
3. Tumor State Evaluation Method Similar to the detection method described in the above section 2, the obtained DiAcSpm amount measurement result and the tumor state can be associated with each other to evaluate or diagnose the tumor state. If it is determined as positive, it can be determined that cancer has developed or is likely to occur, and the state of the tumor can be evaluated. Therefore, in the present invention, a method for diagnosing cancer in a human or non-human mammal can also be provided based on the result of the evaluation.
 腫瘍の状態とは、腫瘍の罹患の有無又はその進行度を意味し、癌発症の有無、癌の進行度、癌の悪性度、癌の転移の有無及び癌の再発の有無等が挙げられる。上記評価に際し、これらの腫瘍の状態は1つを選択してもよく、複数個を適宜組み合わせて選択してもよい。癌の有無を評価するには、癌に罹患しているか否かを判断する。癌の悪性度は、癌がどの程度進行しているのかを示す指標となるものであり、本発明により良性又は悪性の鑑別が可能となる。また、病期(Stage)を分類して評価し、いわゆる早期癌と進行癌とを分類して評価することも可能である。癌の転移は、原発巣の位置から離れた部位に新生物が出現しているか否かにより評価する。再発は、間欠期又は寛解の後に再び癌が現れたか否かにより評価する。 The state of the tumor means the presence or degree of progression of the tumor, the presence or absence of onset of cancer, the progression of cancer, the malignancy of cancer, the presence or absence of cancer metastasis, the presence or absence of cancer recurrence, and the like. In the above evaluation, one of these tumor states may be selected, or a plurality may be selected in appropriate combination. To evaluate the presence or absence of cancer, it is determined whether or not the patient is afflicted with cancer. The degree of malignancy of cancer is an index indicating how much the cancer has progressed, and benign or malignant differentiation can be made by the present invention. It is also possible to classify and evaluate the stage (Stage), and classify and evaluate so-called early cancer and advanced cancer. Cancer metastasis is evaluated by whether or not a neoplasm has appeared at a site distant from the location of the primary lesion. Recurrence is assessed by whether the cancer reappears after an intermittent period or remission.
 本発明によれば、癌組織に関しては、病期を問わず、また原発巣であるか転移病巣であるかによらず、隣接する正常組織と比較してDiAcSpmが明らかに高値を示すことが確認できる。すなわち、本発明の方法の一つの態様においては、感度及び特異度ともに実質的に100%を示す方法である。本発明の方法によれば、極めて高い確度で特定の病巣に癌組織が含まれるか否かを判定することができる。本発明によれば、Stage 0及びIの大腸癌(すなわち早期大腸癌)の陽性検出率についても実質的に100%であり、本発明の方法は、早期癌に対してより高い陽性検出率を示す検査方法及び評価方法であるということができる。 According to the present invention, regarding cancer tissue, it is confirmed that DiAcSpm clearly shows a high value compared to the adjacent normal tissue regardless of the stage, regardless of whether it is a primary lesion or a metastatic lesion. it can. That is, in one embodiment of the method of the present invention, the sensitivity and specificity are substantially 100%. According to the method of the present invention, it is possible to determine whether or not a cancerous tissue is included in a specific lesion with extremely high accuracy. According to the present invention, the positive detection rate of stage 0 and I colorectal cancer (that is, early colorectal cancer) is substantially 100%, and the method of the present invention has a higher positive detection rate for early cancer. It can be said that the inspection method and the evaluation method are shown.
4.キット
  本発明は、DiAcSpmに対する抗体、及び生体組織抽出液調製用の酸性溶液又は中性緩衝液(緩衝液等とよぶ)を含む、腫瘍の検出用キットを提供する。また、当該検出用キットは、ヒト又は非ヒト哺乳動物における癌の診断用キットとしても用いることができる。抗体及び緩衝液等は、前記の通りである。本発明のキットには、さらに滅菌水、検出反応用の溶液又は試薬(金コロイド液、BSA、アジ化ナトリウム等)、洗浄剤、生体組織抽出液の調製に利用する容器、検出反応に利用する容器、使用説明書などが含まれていてもよい。また、イムノクロマト法を利用した検出用キットの場合は、イムノクロマト用メンブレンとして、例えば、標識化した抗DiAcSpm抗体(標識抗体)、及び、キャリア蛋白質とAcSpmとをアシルアミド結合させ、DiAcSpm類似構造物を側鎖として多数持つ蛋白質(抗原類似体)、並びに、当該標識抗体に対する抗体(捕捉抗体)を含有させたイムノクロマト用メンブレンも含まれていてもよい。さらに、生体組織抽出液の調製に利用する容器としては、例えば、採取した組織の破砕と抽出液の回収とを1つの容器内で一度に行うことができるものが好ましく挙げられる。例えば、エッペンドルフチューブ等の遠心チューブ内に、組織を破砕するための破砕棒と、破砕した組織からの抽出液を遠心後に回収するためのフィルター等とを共に備えたものが好ましく挙げられる。特に、当該遠心チューブ、上記緩衝液等、及び上記イムノクロマト用メンブレンを含む腫瘍の検出用キットは、特に迅速かつ簡便な検出が可能であり実用性に優れたものである。
4). Kit The present invention provides a kit for detecting a tumor comprising an antibody against DiAcSpm and an acidic solution or neutral buffer solution (referred to as a buffer solution) for preparing a biological tissue extract. The detection kit can also be used as a kit for diagnosing cancer in a human or non-human mammal. The antibody, buffer solution and the like are as described above. The kit of the present invention further includes sterilized water, a solution or reagent for detection reaction (gold colloid solution, BSA, sodium azide, etc.), a cleaning agent, a container used for preparing a biological tissue extract, and a detection reaction. Containers, instructions for use, etc. may be included. In the case of a detection kit using an immunochromatography method, as an immunochromatography membrane, for example, a labeled anti-DiAcSpm antibody (labeled antibody), a carrier protein and AcSpm are acylamide-bonded, and a DiAcSpm-like structure is located on the side. An immunochromatographic membrane containing a protein having many chains (antigen analog) and an antibody against the labeled antibody (capture antibody) may also be included. Furthermore, as a container utilized for preparation of a biological tissue extract, what can crush the extract | collected tissue and collection | recovery of an extract at once, for example is mentioned preferably. For example, the one provided with both a crushing rod for crushing a tissue and a filter for collecting an extract from the crushed tissue after centrifugation in a centrifuge tube such as an Eppendorf tube is preferable. In particular, the tumor detection kit including the centrifuge tube, the buffer solution, and the like, and the immunochromatography membrane is particularly useful for rapid and simple detection.
 以下に、実施例を挙げて本発明をより具体的に説明するが、本発明はこれらに限定されるものではない。 Hereinafter, the present invention will be described more specifically with reference to examples. However, the present invention is not limited to these examples.
 大腸癌患者(II期、4例;III期、4例;IV期、6例)について、それぞれの患者の癌組織及びそれに隣接する正常組織からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。また、ESI-TOF質量分析法によってもDiAcSpm濃度を測定した。当該測定の手順の詳細については、下記(1)~(5)の通りに行った。なお、金コロイド凝集法の手順及び条件については、後述する参考例に記載の通りとした。 For patients with colorectal cancer (stage II, 4 cases; stage III, 4 cases; stage IV, 6 cases), DiAcSpm was extracted from each patient's cancer tissue and normal tissue adjacent thereto, and colloidal gold aggregation was performed for each of the extracts The DiAcSpm concentration was measured by this method. The DiAcSpm concentration was also measured by ESI-TOF mass spectrometry. The details of the measurement procedure were as follows (1) to (5). In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
 (1) 大腸癌患者の患部組織を外科手術によって切除し、切除標本上の癌組織、及び、癌性腫瘍部分に隣接する正常組織を採取し、直ちに液体窒素中に投じて凍結した。凍結標本は、-80℃で保存するか又は直ちにDiAcSpmの抽出のために使用した。
 (2) 凍結標本を、解剖用剪刀を用いて氷浴上で細切し、10~300mgの組織片を採り、組織300mgあたり1mlの0.1M HClを加えてホモゲナイズした後、さらに1mlの0.5M HClO4溶液を加えて再び十分にホモゲナイズした。
 (3) 遠心分離によって上清を回収し抽出液とした。
(1) The affected tissue of a colorectal cancer patient was excised by surgery, and the cancer tissue on the excised specimen and the normal tissue adjacent to the cancerous tumor part were collected and immediately poured into liquid nitrogen and frozen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
(2) The frozen specimen is minced on an ice bath using a dissecting scissor, 10 to 300 mg of tissue is taken, homogenized with 1 ml of 0.1 M HCl per 300 mg of tissue, and then 1 ml of 0.5 M HClO 4 solution was added and homogenized again.
(3) The supernatant was recovered by centrifugation to obtain an extract.
 (4) 回収した上清に対して以下の前処理を行った後に、ESI-TOF質量分析法によりDiAcSpmを定量した。上清0.1mlに内部標準として、15N標識DiAcSpm 0.25nmolを加えた試料を3個(試料1~試料3)作製した。試料2に0.025nmol、試料3に0.050nmolのDiAcSpm標準物質をそれぞれ、さらに加えた。試料1~試料3に0.05Mピリジン 1mlを加え、あらかじめ0.01Mピリジン/酢酸緩衝液で平衡化したカルボキシメチルセルロースの小カラム(0.2ml)に添加した。カラムを0.01Mピリジン/酢酸緩衝液 1.5ml、0.05Mピリジン/酢酸緩衝液 3mlで洗浄後、0.33Mピリジン/酢酸緩衝液 1mlを用いてDiAcSpmをカラムから溶出し、回収した。溶出液を遠心減圧乾燥した後、公知の方法(たとえばSamejima et al., Biol. Pharm. Bull., 30, 1943(2007) )に従ってヘプタフルオロブチル化した試料について、ESI-TOF質量分析法によりDiAcSpmを定量した。 (4) After the following pretreatment was performed on the collected supernatant, DiAcSpm was quantified by ESI-TOF mass spectrometry. Three samples (Sample 1 to Sample 3) were prepared by adding 0.25 nmol of 15 N-labeled DiAcSpm as an internal standard to 0.1 ml of the supernatant. 0.025 nmol of DiAcSpm standard substance was added to Sample 2 and 0.050 nmol of Sample 3 respectively. To Sample 1 to Sample 3, 1 ml of 0.05M pyridine was added to a small column (0.2 ml) of carboxymethylcellulose previously equilibrated with 0.01M pyridine / acetic acid buffer. After the column was washed with 1.5 ml of 0.01 M pyridine / acetic acid buffer and 3 ml of 0.05 M pyridine / acetic acid buffer, DiAcSpm was eluted from the column with 1 ml of 0.33 M pyridine / acetic acid buffer and collected. After elution of the eluate by centrifugation under reduced pressure, a sample obtained by heptafluorobutylation according to a known method (for example, Samejima et al., Biol. Pharm. Bull., 30, 1943 (2007)) was subjected to DiAcSpm by ESI-TOF mass spectrometry. Was quantified.
 (5) 上記(3)で得られた抽出液の一部を取り、2M KOHで中和し、析出したKClO4の沈殿を遠心分離で除いた後の上清について、生化学自動分析機を用いて、金コロイド凝集法によりDiAcSpm濃度を測定した。測定試薬としてはAuto DiAcSpm(登録商標) (Alfresa Pharma, Osaka)を使用した。
 上記のDiAcSpm濃度の測定結果を単位組織重量あたりの含有量に換算し、下記表1に示した。また、IV期大腸癌6例のうち5例については、肝転移部位の癌組織、及び、それに隣接する正常組織中のDiAcSpm量を測定及び比較し、この結果についても、併せて下記表1に示した。
(5) Take a part of the extract obtained in (3) above, neutralize with 2M KOH, and remove the precipitated KClO 4 precipitate by centrifugation. The DiAcSpm concentration was measured by the colloidal gold aggregation method. Auto DiAcSpm (registered trademark) (Alfresa Pharma, Osaka) was used as a measurement reagent.
The measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 1 below. In addition, for 5 out of 6 stage IV colorectal cancers, the amount of DiAcSpm in the cancer tissue at the liver metastasis site and normal tissue adjacent thereto was measured and compared, and the results are also shown in Table 1 below. Indicated.
Figure JPOXMLDOC01-appb-T000001
Figure JPOXMLDOC01-appb-T000001
 大腸癌組織及び肝転移癌組織のいずれについても、全症例において癌組織の単位組織重量あたりのDiAcSpm含有量は、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の少なくとも2.78倍であり、癌性組織と正常組織とは、単位組織重量あたりのDiAcSpm含有量の比較によって容易に判別することができた。
 同一の組織片から得た抽出液中のDiAcSpm濃度を、ESI-TOF質量分析法と金コロイド凝集法とで測定し、単位組織重量あたりのDiAcSpm含有量の測定値を比較した(図1)。その結果、DiAcSpmの測定法は十分な検出感度と測定精度をもつ方法であればいかなる方法でもよいことが示された。
For both colorectal cancer tissue and liver metastatic cancer tissue, the DiAcSpm content per unit tissue weight of the cancer tissue in all cases is at least 2.78 times the DiAcSpm content per unit tissue weight of the corresponding normal tissue. Sexual tissue and normal tissue could be easily discriminated by comparing the DiAcSpm content per unit tissue weight.
The DiAcSpm concentration in the extract obtained from the same tissue piece was measured by ESI-TOF mass spectrometry and gold colloid aggregation method, and the measured value of DiAcSpm content per unit tissue weight was compared (FIG. 1). As a result, it was shown that the DiAcSpm measurement method may be any method as long as it has sufficient detection sensitivity and measurement accuracy.
 大腸内視鏡検査所見から早期(0-I期)大腸癌と診断された5例の大腸ポリープについて、それぞれの患者の腫瘍組織及びそれに隣接する正常組織からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。当該測定の手順の詳細については、下記(1)~(3)の通りに行った。なお、金コロイド凝集法の手順及び条件については、後述する参考例に記載の通りとした。 DiAcSpm was extracted from the tumor tissue of each patient and normal tissue adjacent to each of the 5 colon polyps diagnosed as early (stage 0-I) colorectal cancer from colonoscopy findings. DiAcSpm concentration was measured by colloidal gold aggregation. The details of the measurement procedure were as follows (1) to (3). In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
 (1) 大腸癌が疑われる患者の患部組織を大腸内視鏡手術によって摘除し、摘除標本上の腫瘍組織、及び、癌が疑われる腫瘍部分に隣接する正常組織の4~15mgをそれぞれ採取し、直ちに液体窒素中に投じて凍結した。凍結標本は-80℃で保存するか又は直ちにDiAcSpmの抽出のために使用した。
 (2) 凍結標本を秤量し、組織1mgあたり6~12μlの0.1M HEPES 緩衝液 (pH 7.5)を加えて十分にホモゲナイズした。ここで、上記緩衝液は、中性pHのものであればHEPES以外のもの(例えばTris及びリン酸等)も使用できる。また、通常は、1mlあたり2.15mgのプロテアーゼ阻害剤カクテル(Sigma, P8465)を含むが、プロテアーゼ阻害剤はDiAcSpmの抽出に不可欠のものではない。
(1) The affected tissue of a patient suspected of having colorectal cancer is removed by colonoscopy, and 4 to 15 mg of tumor tissue on the resected specimen and normal tissue adjacent to the tumor part suspected of cancer are collected. Immediately, it was frozen in liquid nitrogen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
(2) Frozen specimens were weighed, and 6-12 μl of 0.1 M HEPES buffer (pH 7.5) per 1 mg of tissue was added and homogenized sufficiently. Here, if the said buffer solution is a neutral pH, things (for example, Tris, phosphoric acid, etc.) other than HEPES can also be used. It also usually contains 2.15 mg of protease inhibitor cocktail (Sigma, P8465) per ml, but protease inhibitors are not essential for the extraction of DiAcSpm.
  試料の散逸を防ぎ、少量の検体を効率よく処理するために、ホモゲナイザーとしてはPelletPestles(登録商標)(Kimble Chase, Vineland, NJ, USA)、及び、専用処理チューブを利用した(なお、試料の散逸を防ぐことができ、かつ、組織を有効に破砕できる方法であればこれら以外の機器等を用いてもよい。)。
 (3) 遠心分離によって上清を回収し、生化学自動分析機を用いて、金コロイド凝集法でDiAcSpm濃度を測定した。
In order to prevent sample dissipation and to efficiently process a small amount of sample, PelletPestles (registered trademark) (Kimble Chase, Vineland, NJ, USA) and a special processing tube were used as a homogenizer (note that sample dissipation is not necessary) Other devices may be used as long as the method can prevent the damage and can effectively disrupt the tissue.
(3) The supernatant was collected by centrifugation, and the DiAcSpm concentration was measured by a gold colloid aggregation method using a biochemical automatic analyzer.
 上記のDiAcSpm濃度の測定結果を単位組織重量あたりの含有量に換算し、下記表2に示した。 The measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 2 below.
Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000002
 腫瘍組織の単位組織重量あたりのDiAcSpm含有量は、全症例において、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の少なくとも2.65倍であり、癌性組織と正常組織とは単位組織重量あたりのDiAcSpm含有量の比較によって容易に判別できることが明らかであった。
 実施例1及び2において検討した大腸癌の全症例について、癌部と非癌部との間でDiAcSpm値を比較した結果を、まとめて図2に示した。
The DiAcSpm content per unit tissue weight of the tumor tissue is at least 2.65 times the DiAcSpm content per unit tissue weight of the corresponding normal tissue in all cases, and cancerous tissue and normal tissue are per unit tissue weight. It was clear that it could be easily distinguished by comparing the DiAcSpm content.
The results of comparing DiAcSpm values between the cancerous part and the non-cancerous part for all cases of colorectal cancer examined in Examples 1 and 2 are collectively shown in FIG.
 大腸内視鏡摘除標本の病理検査所見から中等度異型腺腫又は高度異型腺腫と診断された9例の大腸ポリープについて、それぞれの患者の腫瘍組織及びそれに隣接する正常組織からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。当該測定の手順の詳細については、実施例2の(1)~(3)の通りに行った。なお、金コロイド凝集法の手順及び条件については、後述する参考例に記載の通りとした。 DiAcSpm was extracted from the tumor tissue of each patient and normal tissue adjacent to it for 9 cases of colon polyps diagnosed as moderate or highly atypical adenoma from pathological examination findings of colonoscopy specimens. The DiAcSpm concentration was measured for each solution by the colloidal gold aggregation method. The details of the measurement procedure were as described in Example 2 (1) to (3). In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
 上記のDiAcSpm濃度の測定結果を単位組織重量あたりの含有量に換算し、下記表3に示した。 The measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 3 below.
Figure JPOXMLDOC01-appb-T000003
Figure JPOXMLDOC01-appb-T000003
 中等度異型腺腫では50%の症例(検体番号:A-mod-2及びA-mod-3)で、腫瘍組織の単位組織重量あたりのDiAcSpm含有量が、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の1.2~1.3倍と微増を示したが、全体として正常組織と同程度のDiAcSpm含有量であった。これに比して、より悪性化の傾向が強い高度異型腺腫では、40%の症例(検体番号:A-sev-2及びA-sev-3)でDiAcSpmの病変部/正常部比が、0期大腸癌(実施例2参照)に匹敵する数値(具体的には、6.5倍及び3.9倍)を示した。また、残りの約60%の症例(検体番号:A-sev-1、A-sev-4及びA-sev-5)では、DiAcSpmの病変部/正常部比が0.3~1.4倍の範囲にとどまり、中等度異型腺腫と同程度の数値を示した。 In 50% of cases (specimen numbers: A-mod-2 and A-mod-3) in moderate atypical adenomas, the DiAcSpm content per unit tissue weight of the tumor tissue is Although the DiAcSpm content was slightly increased by 1.2 to 1.3 times, the DiAcSpm content was almost the same as that of normal tissues. Compared to this, in advanced atypical adenoma, which is more prone to malignancy, 40% of cases (specimen numbers: A-sev-2 and A-sev-3) had a DiAcSpm lesion / normal ratio of 0. Numerical values (specifically, 6.5 times and 3.9 times) comparable to those of stage colorectal cancer (see Example 2). In the remaining 60% of cases (specimen numbers: A-sev-1, A-sev-4, and A-sev-5), the DiAcSpm lesion / normal ratio stays within the range of 0.3 to 1.4 times. The value was similar to that of moderate atypical adenoma.
 これらの結果は、0期大腸癌と大腸腺腫との間にはDiAcSpmの病変部/正常部比に関して明確な差があることを示しており、このことは、DiAcSpmの病変部/正常部比に基づいて大腸腫瘍組織の悪性及び良性の鑑別を行うことができることを示すものであった。すなわち、本実施例中の高度異型腺腫の2症例のように(表3)、正常部より著しく高いDiAcSpm値を示す病変部は、悪性と判断すべきと考えられることが分かった。 These results indicate that there is a clear difference between the lesion / normal ratio of DiAcSpm between stage 0 colorectal cancer and colorectal adenoma, which indicates that the ratio of lesion / normal area of DiAcSpm Based on this, it was shown that malignant and benign differentiation of colorectal tumor tissue can be performed. That is, as in the two cases of severe atypical adenoma in this Example (Table 3), it was found that lesions showing a DiAcSpm value significantly higher than the normal part should be judged as malignant.
 子宮癌患者5名(具体的には、子宮体癌患者3名、子宮内膜癌患者1名、子宮頸癌患者1名)、卵巣癌患者1名、および子宮筋腫患者1名について、それぞれの患者の癌組織及びそれに隣接する正常組織からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。
 (1) 子宮癌患者、卵巣癌患者、および子宮筋腫患者の患部組織を外科手術によって切除し、切除標本上の癌性及び良性腫瘍組織、及び、癌性及び良性腫瘍部分に隣接する正常組織を採取し、直ちに液体窒素中に投じて凍結した。凍結標本は、-80℃で保存するか又は直ちにDiAcSpmの抽出のために使用した。
For 5 uterine cancer patients (specifically, 3 endometrial cancer patients, 1 endometrial cancer patient, 1 cervical cancer patient), 1 ovarian cancer patient, and 1 uterine fibroid patient, DiAcSpm was extracted from the patient's cancer tissue and normal tissue adjacent thereto, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
(1) The affected tissue of uterine cancer patients, ovarian cancer patients, and uterine fibroid patients is resected by surgery, and cancerous and benign tumor tissues on the resected specimen and normal tissues adjacent to the cancerous and benign tumor parts are removed. They were collected and immediately poured into liquid nitrogen for freezing. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
 (2) 当該標本からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。当該測定の手順の詳細については、実施例2の(2)~(3)と同様に行った。なお、金コロイド凝集法の手順及び条件については、後述する参考例に記載の通りとした。
 上記のDiAcSpm濃度の測定結果を単位組織重量あたりの含有量に換算し、下記表4に示した。
(2) DiAcSpm was extracted from the specimen, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method. The details of the measurement procedure were the same as in (2) to (3) of Example 2. In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
The measurement result of the above DiAcSpm concentration was converted into the content per unit tissue weight and shown in Table 4 below.
Figure JPOXMLDOC01-appb-T000004
Figure JPOXMLDOC01-appb-T000004
 子宮癌及び卵巣癌の83%の症例において、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は2以上であった。また、子宮癌及び卵巣癌の全症例において、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は1.5以上であった。一方、良性腫瘍である子宮筋腫においては、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は0.74であった。 In 83% of cases of uterine cancer and ovarian cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 2 or more. In all cases of uterine cancer and ovarian cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 1.5 or more. On the other hand, in the uterine leiomyoma which is a benign tumor, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 0.74.
 これらの結果は、悪性腫瘍と良性腫瘍の間にはDiAcSpmの病変部/正常部比に関して明確な差があることを示しており、このことは、DiAcSpmの病変部/正常部比に基づいて子宮及び卵巣腫瘍組織の悪性及び良性の鑑別を行うことができることを示すものであった。 These results indicate that there is a clear difference between the lesion / normal ratio of DiAcSpm between malignant and benign tumors, which is based on the ratio of lesion / normal part of DiAcSpm. In addition, it was shown that malignant and benign differentiation of ovarian tumor tissue can be performed.
 胃癌患者4名、および難治性胃潰瘍患者1名について、それぞれの患者の癌組織及びそれに隣接する正常組織からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。
 (1) 胃癌患者、および難治性胃潰瘍患者の患部組織を外科手術によって切除し、切除標本上の癌組織及び潰瘍組織、及び、癌性腫瘍部分及び潰瘍部分に隣接する正常組織を採取し、直ちに液体窒素中に投じて凍結した。凍結標本は、-80℃で保存するか又は直ちにDiAcSpmの抽出のために使用した。
For 4 gastric cancer patients and 1 intractable gastric ulcer patient, DiAcSpm was extracted from each patient's cancer tissue and normal tissue adjacent thereto, and the DiAcSpm concentration was measured for each of the extracts by the gold colloid aggregation method.
(1) Surgical excision of the affected tissue of stomach cancer patients and patients with refractory gastric ulcer, and the cancer tissue and ulcer tissue on the resected specimen, and normal tissue adjacent to the cancerous tumor part and ulcer part are collected immediately. It was frozen in liquid nitrogen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
 (2) 当該標本からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。当該測定の手順の詳細については、実施例2の(2)~(3)と同様に行った。なお、金コロイド凝集法の手順及び条件については、後述する参考例に記載の通りとした。
 上記のDiAcSpm濃度の測定結果を単位組織重量あたりの含有量に換算し、下記表5に示した。
(2) DiAcSpm was extracted from the specimen, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method. The details of the measurement procedure were the same as in (2) to (3) of Example 2. In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
The measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 5 below.
Figure JPOXMLDOC01-appb-T000005
Figure JPOXMLDOC01-appb-T000005
 胃癌の75%の症例において、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は2以上であった。また、胃癌の全症例において、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は1.5以上であった。一方、良性疾患である難治性胃潰瘍においては、病変部組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は0.81であった。
 これらの結果は、胃癌組織と隣接正常組織の間には、病変部/正常部比に関して明確な差があることを示しており、このことは、DiAcSpmの病変部/正常部比に基づいて胃癌組織と正常組織の鑑別を行うことができることを示すものであった。
In 75% of cases of gastric cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 2 or more. In all cases of gastric cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 1.5 or more. On the other hand, in the intractable gastric ulcer, which is a benign disease, the ratio of the DiAcSpm content per unit tissue weight of the lesion tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 0.81.
These results show that there is a clear difference in the lesion / normal ratio between gastric cancer tissue and adjacent normal tissue, which is based on the DiAcSpm lesion / normal ratio. It was shown that the tissue can be differentiated from the normal tissue.
 肺癌患者5名について、それぞれの患者の癌組織及びそれに隣接する正常組織からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。
 (1) 肺癌患者の患部組織を外科手術によって切除し、切除標本上の癌性組織、及び、癌性腫瘍部分に隣接する正常組織を採取し、直ちに液体窒素中に投じて凍結した。凍結標本は、-80℃で保存するか又は直ちにDiAcSpmの抽出のために使用した。
For five lung cancer patients, DiAcSpm was extracted from the cancer tissue of each patient and normal tissue adjacent thereto, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method.
(1) The affected tissue of a lung cancer patient was excised by surgery, and the cancerous tissue on the resected specimen and the normal tissue adjacent to the cancerous tumor part were collected and immediately placed in liquid nitrogen and frozen. Frozen specimens were stored at -80 ° C or used immediately for DiAcSpm extraction.
 (2) 当該標本からDiAcSpmを抽出し、当該抽出液それぞれについて金コロイド凝集法でDiAcSpm濃度を測定した。当該測定の手順の詳細については、実施例2の(2)~(3)と同様に行った。なお、金コロイド凝集法の手順及び条件については、後述する参考例に記載の通りとした。
 上記のDiAcSpm濃度の測定結果を単位組織重量あたりの含有量に換算し、下記表6に示した。
(2) DiAcSpm was extracted from the specimen, and the DiAcSpm concentration was measured for each of the extracts by a gold colloid aggregation method. The details of the measurement procedure were the same as in (2) to (3) of Example 2. In addition, about the procedure and conditions of the gold colloid aggregation method, it was as having described in the reference example mentioned later.
The measurement result of the above DiAcSpm concentration was converted to the content per unit tissue weight and shown in Table 6 below.
Figure JPOXMLDOC01-appb-T000006
Figure JPOXMLDOC01-appb-T000006
 肺癌の60%の症例において、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は2以上であった。また、肺癌の全症例において、腫瘍組織の単位組織重量あたりのDiAcSpm含有量と、対応する正常組織の単位組織重量あたりのDiAcSpm含有量の比は1.5以上であった。
 これらの結果は、肺癌組織と正常組織の間には単位組織重量あたりのDiAcSpmの含有量比に関して明確な差があることを示しており、このことによって、単位組織重量あたりのDiAcSpmの含有量の比較に基づいて肺癌組織と正常組織を容易に判別することができた。
In 60% of lung cancer cases, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 2 or more. In all cases of lung cancer, the ratio of the DiAcSpm content per unit tissue weight of the tumor tissue to the corresponding DiAcSpm content per unit tissue weight of the normal tissue was 1.5 or more.
These results show that there is a clear difference in the ratio of DiAcSpm content per unit tissue weight between lung cancer tissue and normal tissue. Based on the comparison, lung cancer tissue and normal tissue could be easily distinguished.
〔参考例〕
 本実施例で使用した免疫学的測定法(金コロイド凝集法)の手順及び条件等について、以下に説明する。
1.アセチルスペルミン結合BSAの調製
 アセチルスペルミン結合BSAを、「ヒラマツ(Hiramatsu, K.)ら,ジャーナル・オブ・バイオケミストリー(J. Biochem.),1998年,第124巻,p.231-236」に記載の方法に準じて調製した。まず、担体蛋白質であるBSA 200mgとS-アセチルメルカプト無水コハク酸15mgとを0.1Mリン酸緩衝液(pH7.0)中で混合し、室温で30分間攪拌して、S-アセチルメルカプトコハク酸(AMS)-BSA複合体を作製した。これとは別に、二価性架橋試薬であるGMBS 45mgとN-アセチルスペルミン・3塩酸塩147mgとをテトラヒドロフラン/50mMリン酸緩衝液(pH7.0)(1:1(v/v))中で室温にて30分間混合して、アセチルスペルミン-GMB結合物を作製した。次いで、AMS-BSA 200mgにヒドロキシルアミン塩酸塩4.2mgを加え、メルカプトスクシニル-BSA(MS-BSA)とした。次いで、アセチルスペルミン-GMB結合物とMS-BSAとを混合して、N-アセチルスペルミンがアシルアミド結合した免疫抗原アセチルスペルミン-GMB-BSAを作製した。このようにしてアセチルスペルミンを担体にアシルアミド結合させることにより、DiAcSpm類似化合物を側鎖として多数有する免疫抗原を作製した。
 アセチルスペルミン結合BSAの濃度は、1mg/mLのBSA溶液の280nmにおける吸光度(光路長1cm)であるA280を0.66として、A280値に基づいて算出した。
[Reference example]
The procedure and conditions of the immunological measurement method (gold colloid aggregation method) used in this example will be described below.
1. Preparation of Acetylspermine-Binding BSA Acetylspermine-binding BSA is described in “Hiramatsu, K. et al., Journal of Biochem., 1998, Vol. 124, p.231-236”. It was prepared according to the method. First, 200 mg of BSA carrier protein and 15 mg of S-acetylmercaptosuccinic anhydride were mixed in 0.1 M phosphate buffer (pH 7.0), stirred at room temperature for 30 minutes, and S-acetylmercaptosuccinic acid ( AMS) -BSA complex was prepared. Separately, GMBS 45 mg and N-acetylspermine trihydrochloride 147 mg, bivalent cross-linking reagent, were added in tetrahydrofuran / 50 mM phosphate buffer (pH 7.0) (1: 1 (v / v)). The mixture was mixed at room temperature for 30 minutes to produce an acetylspermine-GMB conjugate. Subsequently, 4.2 mg of hydroxylamine hydrochloride was added to 200 mg of AMS-BSA to obtain mercaptosuccinyl-BSA (MS-BSA). Next, an acetylspermine-GMB-BSA was prepared by mixing acetylspermine-GMB conjugate with MS-BSA to produce an immune antigen acetylspermine-GMB-BSA in which N-acetylspermine was acylamide-linked. In this way, an immunized antigen having a large number of DiAcSpm-like compounds as side chains was prepared by binding acetylspermine to an acylamide on a carrier.
The concentration of spermine binding BSA is absorbance at 280nm of BSA solution 1 mg / mL to A 280 is a (optical path length 1 cm) as 0.66 was calculated on the basis of the A 280 values.
2.抗DiAcSpmモノクローナル抗体の調製
 上記1.項で得たアセチルスペルミン結合BSAとアジュバントとの混和物をマウスに投与した。投与は、2週間間隔で4回免疫を行った。免疫する最終日の4日後に抗体産生細胞を採取した。
 次に、採取した抗体産生細胞とミエローマ細胞との細胞融合を行い、ハイブリドーマを得た。細胞融合は、血清を含まない動物細胞培養用培地(RPMI-1640培地)で、1×106~1×107個/mLの抗体産生細胞と2×105~2×106個/mLのミエローマ細胞とを混合し、細胞融合促進剤(1000~6000Daのポリエチレングリコール)を添加した状態で融合させた。細胞融合後、細胞から目的とするハイブリドーマを選択した。このために、細胞懸濁液をウシ胎児血清含有RPMI-1640培地で希釈し、マイクロタイタープレートにまいた。各ウェルにHAT選択培地を加え培養し、2週間程度で生育した細胞をハイブリドーマとして得た。増殖してきたハイブリドーマの培養上清の一部を採集し、酵素免疫測定法によって、DiAcSpmに反応する抗体をスクリーニングした。融合細胞は、限界希釈法によりクローニングを行った。DiAcSpmに強い反応性を示し、かつ(a) N1-アセチルスペルミジンとの交差反応が0.1%以下であり、及び/又は、(b) 尿中のDiAcSpm類似物質との交差反応による測定結果への干渉の総和が5%以下である抗体を産生するハイブリドーマを選択し、樹立した。樹立したハイブリドーマから、37℃にて、5%CO2濃度で7~14日の培養によってモノクローナル抗体を採取した。採取した抗体を、硫安塩析法により精製した。
2. Preparation of Anti-DiAcSpm Monoclonal Antibody A mixture of acetylspermine-bound BSA obtained in Section 1 above and an adjuvant was administered to mice. The administration was immunized 4 times at 2-week intervals. Antibody-producing cells were collected 4 days after the last day of immunization.
Next, cell fusion between the collected antibody-producing cells and myeloma cells was performed to obtain a hybridoma. Cell fusion is an animal cell culture medium that does not contain serum (RPMI-1640 medium). 1 × 10 6 to 1 × 10 7 cells / mL of antibody-producing cells and 2 × 10 5 to 2 × 10 6 cells / mL The myeloma cells were mixed and fused with a cell fusion promoter (1000 to 6000 Da polyethylene glycol) added. After cell fusion, the desired hybridoma was selected from the cells. For this purpose, the cell suspension was diluted with fetal bovine serum-containing RPMI-1640 medium and spread on a microtiter plate. A HAT selection medium was added to each well and cultured, and cells grown in about 2 weeks were obtained as hybridomas. A part of the culture supernatant of the hybridoma that had proliferated was collected and screened for antibodies that react with DiAcSpm by enzyme immunoassay. The fused cells were cloned by the limiting dilution method. Highly reactive to DiAcSpm, and (a) cross-reaction with N 1 -acetylspermidine is 0.1% or less, and / or (b) Hybridomas producing antibodies with a total interference of 5% or less were selected and established. Monoclonal antibodies were collected from the established hybridomas by culturing for 7 to 14 days at 37 ° C. with 5% CO 2 concentration. The collected antibody was purified by ammonium sulfate salting out.
3.金コロイド液の調製
 95℃の蒸留水1Lに10%塩化金酸溶液2mLを攪拌しながら加え、1分後に2%クエン酸ナトリウム溶液10mLを加え、さらに20分間攪拌した後30℃に冷却した。冷却後、0.1M炭酸カリウム溶液でpH7.1に調節した。
3. Preparation of colloidal gold solution 2 mL of 10% chloroauric acid solution was added to 1 L of distilled water at 95 ° C. with stirring. After 1 minute, 10 mL of 2% sodium citrate solution was added, and the mixture was further stirred for 20 minutes and then cooled to 30 ° C. After cooling, the pH was adjusted to 7.1 with 0.1 M potassium carbonate solution.
4.第1試薬の調製
 上記1.項で調製したアセチルスペルミン結合BSA 66.0ng/mL、2.0%塩化ナトリウム、及び1.85%ポリエチレングリコール20000(PEG)(PEG濃度は、測定感度を出すため、ロットにより若干異なった。)を含む、0.2% EDTA、0.2% TWEEN80、0.001% DTT、0.025% 1-チオグリセロールおよび0.01%アジ化ナトリウムを含む250mM MES(pH6.2)を調製し、第1試薬とした。
4). Preparation of First Reagent Acetylspermine-bound BSA prepared in Section 1 above, 66.0 ng / mL, 2.0% sodium chloride, and 1.85% polyethylene glycol 20000 (PEG) (PEG concentration is slightly different depending on the lot in order to obtain measurement sensitivity. 250 mM MES (pH 6.2) containing 0.2% EDTA, 0.2% TWEEN80, 0.001% DTT, 0.025% 1-thioglycerol and 0.01% sodium azide was prepared and used as the first reagent.
5.第2試薬の調製
 上記2.項で調製した抗DiAcSpm抗体を、0.05%アジ化ナトリウムを含む10mM HEPES(pH7.1)で希釈し、40μg/mLの濃度にした。この液100mLを上記3.項で調製した金コロイド液1Lに加え、冷蔵下で2時間攪拌した。この混合物に、5.46%マンニトール、0.5% BSA、及び0.05%アジ化ナトリウムを含む10mM HEPES(pH7.1)を110mL添加し、37℃で90分間攪拌し、8,000回転で40分間遠心分離し、上清を除去した。得られた残渣に、3%マンニトール、0.1% BSA、及び0.05%アジ化ナトリウムを含む5mM HEPES(pH7.5)(A溶液)を約1L加え、抗体結合金コロイドを分散させた後、8,000回転で40分間遠心分離し、上清を除去した。残渣をA溶液に分散させ、この抗DiAcSpm抗体結合金コロイドの分散液を精製水で30倍希釈したときに540nmでの吸光度が1.0となるようにA溶液を添加し、抗体結合金コロイド原液とした。
 さらに、抗体結合金コロイド原液をA溶液で3倍希釈して、抗DiAcSpm抗体結合金コロイド試薬を調製し、第2試薬とした。
5. Preparation of Second Reagent The anti-DiAcSpm antibody prepared in Section 2 above was diluted with 10 mM HEPES (pH 7.1) containing 0.05% sodium azide to a concentration of 40 μg / mL. 100 mL of this solution was added to 1 L of the gold colloid solution prepared in the above section 3, and stirred for 2 hours under refrigeration. To this mixture, add 110 mL of 10 mM HEPES (pH 7.1) containing 5.46% mannitol, 0.5% BSA, and 0.05% sodium azide, stir at 37 ° C. for 90 minutes, centrifuge at 8,000 rpm for 40 minutes, and Qing was removed. About 1L of 5mM HEPES (pH7.5) (solution A) containing 3% mannitol, 0.1% BSA, and 0.05% sodium azide was added to the resulting residue to disperse the antibody-bound gold colloid, and then 8,000 revolutions For 40 minutes, and the supernatant was removed. Disperse the residue in solution A, add solution A so that the absorbance at 540 nm is 1.0 when the anti-DiAcSpm antibody-bound gold colloid dispersion is diluted 30-fold with purified water, and the antibody-bound gold colloid stock solution did.
Furthermore, the antibody-bound gold colloid stock solution was diluted 3-fold with the solution A to prepare an anti-DiAcSpm antibody-bound gold colloid reagent, which was used as the second reagent.
6.生体組織抽出液中のDiAcSpmの測定
 DiAcSpm含有生体組織抽出液7μLに対し、上記4.項で調製した第1試薬180μLを混合及び攪拌し、37℃で約5分加温した。次いで、上記5.項で調製した第2試薬60μLを添加及び攪拌した後、日立7070形自動分析装置により主波長540nmおよび副波長660nmで測光ポイント18から31の二ポイント測定を行って、二ポイント間の吸光度差を求めた。測定時間は約10分間であった。
 標準曲線を作成するために、希釈液を用いて標準液を調製した。必要に応じて、DiAcSpm含有生体組織抽出液の調製のために希釈液を用いた。
6). Measurement of DiAcSpm in biological tissue extract To 7 μL of DiAcSpm-containing biological tissue extract, 180 μL of the first reagent prepared in the above section 4 was mixed and stirred, and heated at 37 ° C. for about 5 minutes. Next, after adding and stirring 60 μL of the second reagent prepared in Section 5 above, two-point measurement of photometry points 18 to 31 was performed at a main wavelength of 540 nm and a sub-wavelength of 660 nm using Hitachi 7070 type automatic analyzer. The difference in absorbance between them was determined. The measurement time was about 10 minutes.
In order to prepare a standard curve, a standard solution was prepared using a diluent. As necessary, a diluted solution was used for the preparation of a DiAcSpm-containing biological tissue extract.
 本発明により、腫瘍の存在(特に早期癌の存在)をより高い確度で、簡便かつ迅速に検出することができる腫瘍の検出方法及び腫瘍の状態の評価方法、ならびに当該方法に使用し得るキットが提供される。 According to the present invention, there is provided a method for detecting a tumor, a method for evaluating a tumor state, and a kit that can be used for the method, which can easily and quickly detect the presence of a tumor (particularly, the presence of early cancer) with higher accuracy. Provided.

Claims (6)

  1.  生体組織中のN1,N12-ジアセチルスペルミンの量を測定し、得られる測定結果と腫瘍とを関連づけることを特徴とする腫瘍の検出方法であって、前記測定は、患部組織中のN1,N12-ジアセチルスペルミンの量と当該患部周辺の正常組織中のN1,N12-ジアセチルスペルミンの量とをともに測定するものであることを特徴とする、前記方法。 A method for detecting a tumor, characterized by measuring the amount of N 1 , N 12 -diacetylspermine in a living tissue and associating the obtained measurement result with the tumor, wherein the measurement comprises N 1 in the affected tissue. , N 12 -diacetylspermine and the amount of N 1 , N 12 -diacetylspermine in normal tissue around the affected area are both measured.
  2.  生体組織中のN1,N12-ジアセチルスペルミンの量を測定し、得られる測定結果と腫瘍の状態とを関連づけることを特徴とする腫瘍の状態の評価方法であって、前記測定は、患部組織中のN1,N12-ジアセチルスペルミンの量と当該患部周辺の正常組織中のN1,N12-ジアセチルスペルミンの量とをともに測定するものであることを特徴とする、前記方法。 A method for evaluating a tumor state, characterized by measuring the amount of N 1 , N 12 -diacetylspermine in a living tissue and correlating the obtained measurement result with the state of the tumor, wherein the measurement comprises the affected tissue N 1, N 12 in the - N 1 in normal tissues of the amount and surrounding the affected area of diacetylspermine, N 12 - characterized in that the amount of diacetylspermine in which both measures, said method.
  3.  腫瘍の状態が、癌の有無、癌の進行度、癌の悪性度、癌の転移の有無及び癌の再発の有無からなる群より選ばれる少なくとも1つである、請求項2記載の方法。 3. The method according to claim 2, wherein the state of the tumor is at least one selected from the group consisting of the presence / absence of cancer, the progression of cancer, the malignancy of cancer, the presence / absence of cancer metastasis, and the presence / absence of cancer recurrence.
  4.  腫瘍が、大腸癌、乳癌、胃癌、膵臓癌、胆道癌、肺癌、肝臓癌、尿路悪性腫瘍、子宮癌、脳腫瘍、骨髄性白血病及び悪性リンパ腫からなる群より選ばれる少なくとも1つである、請求項1~3のいずれか1項に記載の方法。 The tumor is at least one selected from the group consisting of colon cancer, breast cancer, gastric cancer, pancreatic cancer, biliary tract cancer, lung cancer, liver cancer, urinary tract malignancy, uterine cancer, brain tumor, myeloid leukemia, and malignant lymphoma. Item 4. The method according to any one of Items 1 to 3.
  5.  腫瘍が早期癌である、請求項1~4のいずれか1項に記載の方法。 The method according to any one of claims 1 to 4, wherein the tumor is an early cancer.
  6.  N1,N12-ジアセチルスペルミンに対する抗体、及び生体組織抽出液調製用の酸性溶液又は中性緩衝液を含む、腫瘍の検出用キット。 A kit for detecting a tumor comprising an antibody against N 1 , N 12 -diacetylspermine and an acidic solution or neutral buffer for preparing a biological tissue extract.
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