WO2012152222A1 - 一种双功能肿瘤诊断试剂及方法 - Google Patents
一种双功能肿瘤诊断试剂及方法 Download PDFInfo
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- WO2012152222A1 WO2012152222A1 PCT/CN2012/075291 CN2012075291W WO2012152222A1 WO 2012152222 A1 WO2012152222 A1 WO 2012152222A1 CN 2012075291 W CN2012075291 W CN 2012075291W WO 2012152222 A1 WO2012152222 A1 WO 2012152222A1
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- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
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- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
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- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/543—Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
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- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/543—Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals
- G01N33/54313—Immunoassay; Biospecific binding assay; Materials therefor with an insoluble carrier for immobilising immunochemicals the carrier being characterised by its particulate form
- G01N33/54346—Nanoparticles
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- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2800/00—Detection or diagnosis of diseases
- G01N2800/70—Mechanisms involved in disease identification
- G01N2800/7023—(Hyper)proliferation
- G01N2800/7028—Cancer
Definitions
- the invention belongs to the intersection of nanotechnology, biomimetic, immunology and biomedicine.
- the present invention provides a tumor diagnostic test which combines the specific recognition of cancer and the dual function of color development, and a method for the diagnosis of cancer tissues and cancer cells using the tumor diagnostic reagent. Background technique
- Pathological biopsy is the most accurate and reliable, and is recognized as the "gold standard" for tumor diagnosis at home and abroad (Shi, et al, (2008) Am. J. Clin. Pathol, 129:358-366; Taylor et al. (2006) Biotech Histochem., 81:3-12.; Larsson, et al, (1988) Immunocytochemistry: Theory and Practice. Boca Raton, FL: CRC Press 41-73).
- the main staining methods for pathological sections are hematoxylin-eosin staining (HE:), immunohistochemistry, and immunofluorescence.
- HE staining mainly uses hematoxylin to make the chromatin in the nucleus purple-blue.
- the common eosin makes the cytoplasm and the extracellular matrix are red, thus providing information on cell morphology.
- the pathologists based on these cell morphology. Change, roughly identify the cancerous changes of tissue cells.
- the staining method is convenient and rapid, but it can only provide changes in histomorphology, and the amount of information is small. For more complex and polymorphic tumors, correct judgment cannot be made.
- Immunohistochemistry or immunofluorescence uses a primary antibody to bind to the detected tissue antigen, a fluorescent signal molecule or an enzyme-labeled secondary antibody, a triple antibody, and a primary antibody, and then reacts with a fluorescent signal or an enzyme substrate to provide a desired antigen to be detected. Localization and semi-quantitative information to identify pathological changes in tissue cells such as carcinogenesis, necrosis, and inflammatory cell infiltration. Immunohistochemistry or immunofluorescence can provide detailed information on the distribution, content and cell morphology of a particular antigen. It is very meaningful to study pathology in depth, but immunostaining requires the incubation of primary, secondary or even tertiary antibodies.
- Natural human ferritin is a globular ferritin that is free from 24 heavy or light chain subunits. The ratios are complexed, and the heavy and light chain subunits have high homology with molecular weights of 21 kDa and 19 kDa (Theil, ( ⁇ 9S7) A nu. Rev. Biochem" 56:289-315 ). The subunit composition of ferritin is different in different tissues. The heavy chain subunit is mainly in the heart, while the light chain subunit is more in the liver. The two subunits also change due to environmental requirements, providing elastic iron for the organism. Ion supply.
- iron ions form crystals together with phosphate and hydroxide ions, which have similar chemical properties to hydrated iron oxide in minerals (Harrison) , et al, (1996) Biochim. Biophys. Acta 1275: 161-203; Levi, et al. (1988) J. Biol. Chem. 263: 18086-18092; Ford, et al. ( ⁇ 9S4) Philos Trans. R. Soc. LondB Biol. Sci. 304:551-565).
- heavy chain subunit ferritin can specifically bind to activated lymphocytes, leukemia cells, cervical cancer cells, lymphoma cells, etc.
- the transferrin receptor is a key molecule for obtaining iron in cells, and is required for the rapid growth of proliferating cells and tumor cells.
- Many tumors such as hepatocellular carcinoma, breast cancer, pancreatic cancer, gastric cancer, colon cancer, etc., highly express Tf l . Therefore, Tf l is a specific target for tumor recognition and treatment (Larrick, et al. (1979) J. Supramol. Struct ⁇ ⁇ 5 ⁇ 9 -5?>6; Daniels, et al. (2006) Clin. Immunol. , ⁇ 2 ⁇ : ⁇ 44- ⁇ 5S; Ryschich, et al. (2004) Eur. J. Caner 40: 1418-1422.
- TfRl is a co-receptor of heavy chain subunit ferritin, and heavy chain subunit ferritin can be used for tumor specific recognition.
- the natural protein shells with nano-cavity structures of different sizes mainly include deferoxin, heat shock protein (HSP, diameter 12 nm), DNA binding protein (DPs, diameter 9 nm), acridine synthase (LS, diameter 15 Nm) and viral protein shells, such as: cowpea green mottle virus (CCMV, diameter 28nm) and cowpea mosaic virus protein (CMV, diameter 31nm), these nanocavities provide a nanoparticle growth and can effectively prevent nanoparticles Good aggregation during the synthesis process
- the spatial structure using this special structure, can synthesize various sizes of inorganic nanoparticles in the cavity to realize the controllable synthesis of nanomaterials in size, shape and crystal structure (Turyanska L., et al.
- iron oxide nanoparticles have catalytic activity similar to peroxidase.
- iron oxide nanoparticles can react with substrates of horseradish peroxidase such as DAB and TMB. , producing the same reaction product as peroxidase, thereby producing a catalytic similar to peroxidase.
- horseradish peroxidase such as DAB and TMB.
- the invention provides a novel tumor diagnostic reagent and method by utilizing the peroxidase activity of the nano material and combining the tumor recognition protein.
- the tumor diagnostic reagent provided by the invention consists of a protein shell and a nanoparticle core, and the protein shell can specifically recognize cancer tissues and cells, and the nanoparticle core has peroxidase catalytic activity and can react with the substrate of horseradish peroxidase. color.
- the tumor diagnostic reagent provided by the invention can realize tissue-specific recognition and complete color development, and does not require primary antibody, secondary antibody, and third antibody to be incubated, and the antibody does not require enzyme or signal molecule labeling, and operates. Simple, convenient and fast.
- an aspect of the present invention provides a bifunctional tumor diagnostic reagent characterized in that it is composed of a protein shell that specifically recognizes cancer tissues and/or cancer cells and an inorganic nanocore having peroxidase catalytic activity.
- the protein shell of the present invention which specifically recognizes cancerous tissues and/or cancer cells can be selected from a number of proteins specifically recognizing cancerous tissues and/or cancer cells disclosed in the art.
- the protein shell of the invention is a genetically recombinant or native ferritin.
- the deferoxin can be self-assembled from any of 12 or 24 heavy chain subunits and light chain subunits.
- natural ferritin may be derived from eukaryotes, prokaryotes, preferably from mammals.
- the protein shell of the invention is a genetically recombined full heavy chain subunit ferritin.
- the protein shell of the invention is also a heat shock protein (HSP, 12 nm in diameter), a DNA binding protein (DPs, 9 nm in diameter), acridine synthase (LS, 15 nm in diameter) or a viral protein shell.
- the viral protein shell includes cowpea green mottle virus (CCMV, diameter 28 nm) and cowpea mosaic virus protein (CMV, diameter 31 nm).
- the protein shells of the invention are chemically coupled or genetically fused to target molecules and/or signal molecules.
- the targeting molecules of the invention comprise a polypeptide or a nucleic acid aptamer.
- the targeting molecule of the invention is an antibody.
- the signal molecules of the invention comprise fluorescent, radionuclides.
- the inorganic nanocore of the present invention has peroxidase catalytic activity and is capable of reacting with a substrate to develop color, including but not limited to: magnetic iron oxide nanoparticles, iron sulfide nanoparticles, noble metal doped iron oxide. Nanoparticles, bimetallic alloy nanoparticles or cerium oxide nanoparticles.
- the protein shell of the invention is a genetically recombined full heavy chain subunit ferritin.
- the inorganic core of the present invention is a magnetic iron oxide nanoparticle.
- kits comprising the bifunctional tumor diagnostic reagent of the present invention.
- the kit further comprises a peroxidase substrate.
- the peroxidase substrate comprises DAB, TMB.
- the kit of the invention further includes instructions.
- the use of the dual-function tumor diagnostic reagent of the present invention for preparing a tumor diagnostic reagent is provided.
- the bifunctional tumor diagnostic reagent of the present invention is composed of a protein shell and a nanoparticle core, and the protein shell can specifically recognize cancer tissues and cells, and the nanoparticle core has peroxidase catalytic activity and can be combined with horseradish peroxidase.
- the substrate reacts to develop color and can therefore be used to diagnose tumors.
- a further aspect of the invention provides a biomimetic protein consisting of a protein shell that specifically recognizes cancerous tissue and/or cancer cells and an inorganic nanocore having peroxidase catalytic activity.
- the biomimetic protein of the invention is a biomimetic ferritin.
- the protein shell of the invention is a genetically recombinant or native ferritin.
- the deferoxin can be self-assembled from any of 12 or 24 heavy chain subunits and light chain subunits.
- the native ferritin can be derived from eukaryotes, prokaryotes, preferably from a mammal.
- the protein shell of the invention is a genetically recombined full heavy chain subunit ferritin. The invention also provides the use of the biomimetic protein for preparing a tumor detecting reagent.
- the biomimetic protein of the present invention is composed of a protein shell and a nanoparticle core, and the protein shell can specifically recognize cancer tissues and cells, and the nanoparticle core has peroxidase catalytic activity and can react with a substrate of horseradish peroxidase. Color development, so it can be used to diagnose tumors.
- a further aspect of the invention provides a method of detecting a tumor in an individual, comprising: obtaining a body tissue or a cell sample from the individual, contacting the sample with the bifunctional tumor diagnostic reagent of the invention or the biomimetic protein of the invention, The substrate is directly developed, thereby determining the presence of the tumor in the individual.
- the tissue is a perforated biopsy specimen, a postoperative pathological section, or a necropsy tissue of a clinical patient or animal model.
- the cell is exfoliated cells, tissue lysed cells, or cultured cells in vitro in the body's circulatory system.
- the reagents and methods of the present invention are useful for clinical cancer screening, early diagnosis, cancer cell metastasis diagnosis, therapeutic monitoring, tumor imaging, necropsy histopathological analysis, or postoperative cancer recurrence evaluation.
- the tumor diagnostic reagent provided by the invention can realize tissue-specific recognition and color development, and does not require primary antibody, secondary antibody, and third antibody to be incubated, and the antibody does not need enzyme or signal molecule labeling, and operates. Simple, convenient and fast.
- Figure 1 Among them, A: TEM electron micrograph of bionic ferritin; B: bionic ferritin has peroxidase activity, catalyzes the color reaction of HRP substrate TMB; C: bionic ferritin has peroxidase activity, catalyzes HRP The substrate DAB produces a color reaction.
- the antibody of (Transferrin receptor 1, Tf l) competes with the bionic ferritin receptor site, a: PBS control, b: Cy5.5-labeled bionic ferritin, c: Excessive anti-TfR1 antibody blocks the receptor site; C : Cell-binding saturation curve of biomimetic ferritin.
- Figure 5 Staining of various human cancer tissues and normal tissues by bionic ferritin.
- A1 colon cancer grade II
- ⁇ 2 colonic mucosa
- B1 non-specific invasive ductal carcinoma grade I
- ⁇ 2 mammary fibrosis
- C1 ovarian serous papillary adenocarcinoma grade III
- C2 ovarian tissue
- D1 Prostate cancer grade 4
- D2 Prostatic smooth muscle tissue
- E1 Lung squamous cell carcinoma grade III
- ⁇ 2 Lung tissue with congestion
- F1 Esophageal cancer grade III
- F2 Esophageal chronic inflammation with epithelial hyperplasia
- G1 Thymus Cancer
- G2 Thymus tissue
- HI Cervical squamous cell carcinoma grade III
- H2 Chronic cervicitis.
- FIG. 6 Fluorescently labeled bionic ferritin shells specifically recognize a variety of human cancer tissues.
- A1 Colon cancer grade III
- A2 colonic mucosal chronic inflammation with epithelial hyperplasia
- B1 non-specific invasive ductal carcinoma of the breast grade I
- B2 breast tissue
- C1 ovarian serous papillary adenocarcinoma grade III
- C2 ovary Tissue
- D1 colon adenocarcinoma grade II
- D2 colonic mucosal tissue
- E1 prostate cancer grade 4
- E2 benign prostatic hyperplasia with PIN grade I
- F1 lung squamous cell carcinoma grade III
- F2 lung tissue
- G1 Ovarian serous papillary adenocarcinoma grade III
- G2 ovarian tissue
- HI lung squamous cell carcinoma grade III
- H2 lung tissue with congestion
- II esophageal squamous cell carcinoma grade III
- Example 1 Preparation of Biomimetic Ferritin
- bionic ferritin The iron-nanocore full-heavy chain human ferritin, named bionic ferritin, is used for tumor detection.
- the specific operation is as follows: First, construct the recombinant plasmid of human heavy chain subunit ferritin gene sequence
- PCR target gene product and pET-12b plasmid (Novagen, Inc., Madison, WI, USA) were digested with restriction endonucleases Ndel and BamHI, and the target gene was ligated to the vector pET-12b, and the obtained gene was obtained.
- the recombinant plasmid pET12b-HFn of the full-heavy chain subunit ferritin gene sequence is shown in the following figure, wherein the restriction site is indicated by a red arrow and the antibiotic resistance is ampicillin.
- the formation principle of the pseudo-magnetic ferritin is shown in the following formula (1).
- the collected product was purified by exclusion chromatography to remove the denatured heteroprotein to obtain a magnetized full-chain subunit of the bionic ferritin.
- Fig. 1A is a TEM electron micrograph of the synthetic bionic ferritin. It can be seen that the bionic iron egg is uniformly dispersed. The outer diameter of the protein shell is about 12 nm and the inner diameter is about 8 nm.
- Example 2 Peroxidase activity of bionic ferritin
- biomimetic ferritin In order to study the binding of biomimetic ferritin to human tumor cells, common human tumor cells were selected. Fluorescent molecularly labeled biomimetic ferritin was incubated, and cell-streaming was used to detect the binding of biomimetic ferritin to each tumor cell.
- the experimental procedure was as follows: NHS-activated Cy5.5 (Cy5.5-NHS, purchased from GE Healthcare) was labeled onto the bionic ferritin according to the labeling method provided in the instructions. Each strain of cells was cultured to about 1 ⁇ 10 5 , trypsinized, washed three times with 0.3% BSA/PBS, and added with 50 g/ml of Cy5.5-labeled biomimetic ferritin, and incubated at 4 ° C for 45 minutes. The cells were then washed three times with 0.3% BSA/PBS, finally resuspended in PBS, and the sample was fluorescently detected.
- the binding of the labeled protoplastin to the cells was mostly able to be competed by an excess of unlabeled proto-fetoprotein, and further, the binding of the bionic ferritin to the cancer cells was specific, and the cell surface was only A small amount of non-competitive non-specific binding molecules.
- mice The paraffin sections of the mouse xenografts were prepared as follows: Cultured HT-29, SMMC-7721 and SKOV-3 tumor cells (purchased from ATCC) were collected, washed in serum-free medium, and resuspended in PBS buffer. Female BALB/c mice (purchased from Beijing Experimental Animal Center) were injected subcutaneously with 5 ⁇ 10 6 HT-29, SMMC-7721 or SKOV-3 cells in the scapular region, and the mice were treated with a tumor diameter of 0.4-0.6 cm.
- the tumor was removed and fixed with 4% paraformaldehyde for 12-24 hours, rinsed with 70% ethanol solution, and then dehydrated by 70-80-90-95-95-100% ethanol for 35 minutes, immersed in 1:1 ethanol. / xylene solution for 5 minutes, taken out and then immersed in xylene for 20 minutes, transparent 2 times, put into the hot melt paraffin (melting point 56-58 ° C) for 4 hours, remove the waxing tissue and transfer it into the wax-containing carton. The cut surface is facing down, and the paraffin wax surface is condensed and then embedded, and immersed in cold water to solidify to obtain a paraffin block.
- the paraffin-embedded tissues were cut into 5 ⁇ sections using a Le 1C a paraffin slicer, and spread on a glass slide at 42 ° C. The samples were naturally dried and baked at 50 ° C for 6 hours to obtain HT-29, SMMC-7721 and SKOV. -3 mouse transplanted tumor paraffin sections.
- the anti-Tf l antibody CD71 stained tumor tissue method is as follows: The paraffin section of the transplanted tumor is dewaxed to water, washed 3 times with PBS, and added to a 0.3% 3 ⁇ 40 2 methanol solution for 30 minutes to eliminate tissue endogenous peroxidation.
- Enzyme Add 1 mM citrate antigen repair solution, heat in a microwave oven for 30 minutes, antigen retrieval; rinse with deionized water, 5% normal sheep serum blocked at 37 °C for 1 hour, force B Anti-TfRl antibody CD71 (BD Pharmingen ), overnight at 4°C; after rinsing with PBS, add 1000-fold diluted secondary antibody, incubate at 37 °C for 1 hour, rinse with PBS; add HRP-labeled 2000 diluted primary antibody, incubate at 37 °C for 1 hour, rinse with PBS, 1 Add 1 ml of Buffer, 3 ⁇ 40 2 and DAB in DAB deionized water to the deionized water, mix and add to the slide tissue specimen for 5 mm, rinse with deionized water, counterstain with hematoxylin, dehydrated and sealed. , microscopic imaging observation.
- bionic ferritin-implanted tumor tissue is as follows: dewaxing the paraffin sections of the transplanted tumor tissue, eliminating endogenous peroxidase, antigen repair, and blocking the serum, adding bionic ferritin, incubating for 45 minutes at room temperature, rinsing with PBS, DAB staining, hematoxylin counterstaining, conventional dehydration sealing, microscopic observation.
- FITC-labeled bionic ferritin-infected mouse xenografts Fluorescein isothiocyanate FITC (purchased from Sigma-Aldrich) was labeled with a bionic ferritin shell according to the method provided in the instructions. After the paraffin section of the transplanted tumor tissue was blocked, add the FITC-labeled bionic ferritin shell and incubate for 45 minutes at room temperature. Clock, PBS rinse 2 times DAPI stained for 10 minutes. The quencher was sealed and observed by fluorescence confocal. As shown in Fig.
- the bionic ferritin can specifically recognize the tumor cells in the tissue, and the staining region and the antibody CD71 are similar, and the tumor staining effect and the antibody are comparable, and the cell morphology can be clearly distinguished.
- the fluorescence confocal results of the biomimetic ferritin shell to identify tumor tissue have further verified that the bionic ferritin shell can achieve specific recognition of tumors.
- bionic ferritin can be integrated with antigen-specific recognition and staining, without the need for traditional immunohistochemical primary antibody, secondary antibody, triple antibody, etc., and does not require HRP enzymes. The modification of signal molecules is therefore simpler, more convenient and faster than traditional immunohistochemistry methods.
- liver tissue samples came from Beijing Anzhen Hospital and Beijing Cancer Hospital. All liver tissue samples were large samples of surgically resected tumors and adjacent tissues. All tissues were embedded in paraffin.
- biomimetic ferritin staining tissue sectioning method is briefly described as follows: paraffin-embedded liver cancer tissue and normal liver tissue are dewaxed, endogenous peroxidase is eliminated, antigen-repaired, serum-blocked, and bionic ferritin is added, and incubation is carried out at room temperature. Minutes, PBS rinse, DAB staining, hematoxylin counterstaining, conventional dehydration mounting, microscopic observation.
- biomimetic ferritin fluorescent staining tissue section is briefly described as follows: paraffin-embedded liver cancer tissue and normal liver tissue are dewaxed, serum is blocked, FITC-labeled bionic ferritin shell is added, and incubation is performed for 45 minutes at room temperature, and DAPI staining is performed twice in PBS. 10 minutes. The quencher was sealed and observed by fluorescence confocal.
- the results are shown in Fig. 4.
- the bionic ferritin specifically recognizes cancerous cells in the liver tissue and does not stain the normal tissues surrounding the tumor.
- the liver tissue chronic inflammation, nodular cirrhosis, biliary cirrhosis and other tissues are also Not recognized.
- the positive rate was 54/55 in all detected hepatocellular carcinoma tissues, while the positive rate of normal liver tissue, hepatitis, and cirrhosis was 7/45. It was confirmed that the biomimetic ferritin specifically recognizes liver cancer tissues.
- Example 6 Biomimetic ferritin specifically recognizes multiple human cancer tissues
- biomimetic iron protein staining tissue section is briefly described as follows: Deacetylation of paraffin-embedded human tumor tissue, normal tissue or corresponding inflammatory tissue, elimination of endogenous peroxidase, addition of bionic ferritin after antigen retrieval and serum blocking, Incubate for 45 minutes at room temperature, rinse with PBS, DAB stain, hematoxylin counterstaining, conventional dehydrated mounting, microscopic observation, tissue recognition results are shown in Figure 5 and Table 2.
- the biomimetic ferritin fluorescent staining tissue section is briefly described as follows: Paraffin-embedded tumor tissue or normal, inflamed tissue is dewaxed, serum is blocked, FITC-labeled bionic ferritin shell is added, incubation at room temperature for 45 minutes, PBS rinse 2 times, DAPI Dye the core for 10 minutes. The quenching agent was sealed and observed by fluorescence confocal observation. The results are shown in Fig. 6.
- bionic ferritin is useful for colon cancer, breast cancer, ovarian cancer, colon adenocarcinoma, lung squamous cell carcinoma, prostate cancer, esophageal squamous cell carcinoma, thymic carcinoma, and cervical squamous cell carcinoma. It shows a strong combination, and there is no corresponding combination of its corresponding chronic inflammation of the colon, breast tissue, ovarian tissue, colonic mucosa, lung tissue, benign prostatic hyperplasia, chronic esophagus, thymus tissue, cervical tissue and chronic inflammation of the cervix. .
- the biomimetic ferritin-based cancer tissue detection and recognition method can be integrated with tumor-specific recognition and staining, without the need for primary antibody, secondary antibody, triple antibody, etc. Or the labeling of the signal molecule, the operation is simple and convenient, and the staining effect on the tumor tissue and the antibody immunohistochemistry method are comparable.
- Table 2 Specific recognition analysis of clinical tumor tissue and corresponding normal tissues by bionic ferritin
- Transferrin receptor is a marker of malignant phenotype in human pancreatic cancer and in neuroendocrine carcinoma of the pancreas, Eur. J. Caner, 40: 1418-1422.
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US14/117,229 US20150037817A1 (en) | 2011-05-12 | 2012-05-10 | Bifunctional tumor diagnosis reagent and method for tumor diagnosis |
EP12782401.9A EP2733490B1 (en) | 2011-05-12 | 2012-05-10 | Bifunctional tumour diagnosis reagent and method therefor |
JP2014509596A JP6117185B2 (ja) | 2011-05-12 | 2012-05-10 | 二機能の腫瘍診断試薬及び方法 |
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WO2018153372A1 (zh) * | 2017-02-27 | 2018-08-30 | 中科新蕴生物科技(北京)有限公司 | 穿越血脑屏障的纳米药物载体 |
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US8217143B2 (en) * | 2006-07-13 | 2012-07-10 | National Institute Of Aerospace Associates | Fabrication of metal nanoshells |
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EP2733490A1 (en) | 2014-05-21 |
JP2014516153A (ja) | 2014-07-07 |
CN102778567A (zh) | 2012-11-14 |
JP6117185B2 (ja) | 2017-04-19 |
US20150037817A1 (en) | 2015-02-05 |
EP2733490B1 (en) | 2017-02-22 |
CN102778567B (zh) | 2015-05-06 |
EP2733490A4 (en) | 2014-12-17 |
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