WO2014075580A1 - Use of aurintricarboxylic acid in preparation of drug targeting chemokine receptor - Google Patents

Use of aurintricarboxylic acid in preparation of drug targeting chemokine receptor Download PDF

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WO2014075580A1
WO2014075580A1 PCT/CN2013/086679 CN2013086679W WO2014075580A1 WO 2014075580 A1 WO2014075580 A1 WO 2014075580A1 CN 2013086679 W CN2013086679 W CN 2013086679W WO 2014075580 A1 WO2014075580 A1 WO 2014075580A1
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cells
ata
eae
day
mice
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谢欣
张菲菲
魏巍
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中国科学院上海药物研究所
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/194Carboxylic acids, e.g. valproic acid having two or more carboxyl groups, e.g. succinic, maleic or phthalic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/04Drugs for skeletal disorders for non-specific disorders of the connective tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators

Definitions

  • the present invention relates to the field of biomedicine, and in particular to the use of aurintricarboxylic acid in the preparation of a medicament for targeting a chemokine receptor, and further relates to the preparation of a preventive and/or therapeutic autoimmune disease by aurintricarboxylic acid. Use of the drug. Background technique
  • MS Multiple sclerosis
  • EEE experimental autoimmune encephalomyelitis
  • DCs Dendritic cells
  • Immature DCs in peripheral tissues especially those in contact with the surrounding environment, like DCs in the skin and mucous membranes, will encounter them when they encounter antigens, and immature DCs will capture them and process them into small peptides.
  • Capacitive complex molecules present it to the cell surface.
  • signals from pathogens or inflammatory factors initiate the maturation process of DCs, further enhancing their antigen-presenting capacity.
  • the mature DC carries the antigen, moves out of the tissue, and reaches the secondary lymphatic organ.
  • DC stimulates the proliferation and differentiation of T cells by cell-to-cell contact and secretion of cytokines, thereby initiating an antigen-specific immune response.
  • chemokines can be broadly divided into two broad categories: chemokines that induce expression and chemokines that are constitutively expressed.
  • the constitutively expressed chemokine induces basic leukocyte migration and transport, forming a system of secondary lymphoid organs, and the chemokines that induce expression mainly recruit leukocytes to respond to physiological stress and stimulate the migration of inflammatory cells to inflammatory tissues.
  • Many studies have shown that the expression of multiple chemokines is up-regulated during EAE. After interfering with its function by specific antibodies to chemokines, it can well inhibit or alleviate the condition of EAE.
  • Chemokines are classified into four classes based on their very conserved cysteine residues at the N-terminus: CXC, due to an amino acid residue between its two adjacent cysteine residues; CC, two conserved Cysteine residue in close proximity; CX3C, two conserved cysteine The acid residues are separated by 3 amino acid residues; C, such chemokines have only one conserved cysteine residue at the N-terminus.
  • CXC and CC are two of the most important families of chemokines. Therefore, the present inventors took the receptors of these two types of chemokines as the main research object.
  • Chemokines function through chemokine receptors, one chemokine can be a ligand for multiple chemokine receptors, and one chemokine receptor can also have multiple chemokine ligands.
  • Chemokine receptors are a class of G-protein coupled receptors with seven transmembrane structures, and most are coupled to Gai , and their transduced signals are inhibited by pertussis toxin.
  • Chemokine receptors expressed in many cells, such as T cells, neutrophils, monocytes, monocyte-derived macrophages, natural killer cells, dendritic cells, eosinophils, and alkaloids
  • Cells involved in inflammation and immune response, such as neutrophils are also expressed in cells of the central nervous system such as microglia, astrocytes, neurons, and endothelial cells.
  • Different immune cells have different surface-specific high expression of chemokine receptors.
  • mature DCs express CCR7
  • Thl cells express CCR5 and CXCR3
  • Th17 cells express CCR6. Therefore, by interfering with the function of these chemokine receptors, the migration of the corresponding cells to the site of inflammation can be inhibited, thereby achieving the purpose of alleviating the condition of EAE.
  • ATA Aurintricarboxylic acid
  • CCR2 CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6.
  • ATA is an inhibitor of protein-nucleic acid interactions and is therefore capable of inhibiting many enzymes involved in DNA or RNA. Its ammonium salt is called an aluminum reagent and is used to detect aluminum in water, biological tissues and food.
  • ATA was found to exert anti-HIV activity by blocking the binding of the HIV coat protein gpl20 and CD4 molecules.
  • the inventors found that ATA can significantly alleviate the clinical symptoms and pathological changes of the mouse EAE model. Excessive activation of inflammatory cells and infiltration of tissues are common features of many autoimmune diseases, including multiple sclerosis, rheumatoid arthritis, lupus erythematosus, inflammatory bowel disease, and the like.
  • ATA does not directly affect the differentiation of pathogenic Th1 or TW7 cells, but inhibits the migration and aggregation of antigen-presenting DC cells into the spleen, thereby reducing T cell activation and differentiation; ATA can also inhibit The migration of diseased T cells into the central nervous system, thereby alleviating the disease.
  • ATA a ATA or a pharmaceutical composition comprising ATA for the preparation of a medicament for targeting a chemokine receptor.
  • Another object of the present invention is to provide use of a ATA or a pharmaceutical composition containing ATA for the preparation of a medicament for preventing and/or treating an autoimmune disease.
  • the chemokine receptor comprises CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6.
  • the chemokine receptor is one or more selected from the group consisting of CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 and CXCR6.
  • the spermidine tricarboxylic acid simultaneously targets three or more of the chemokine receptors.
  • the autoimmune diseases include multiple sclerosis, rheumatoid arthritis, erythema, and inflammatory bowel disease.
  • the present invention provides a method for preventing and/or treating an autoimmune disease, which comprises administering a therapeutically effective amount of ATA or a pharmaceutical composition containing ATA to a subject in need thereof.
  • the ATA-containing pharmaceutical composition comprises a therapeutically effective amount of aurin tricarboxylic acid and optionally a pharmaceutically acceptable carrier.
  • the present invention has the following advantages over existing chemokine inhibitors
  • ATA can simultaneously target multiple chemokines including CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6, etc., while inhibiting the migration of DC cells to secondary lymphoid organs and pathogenic T cells.
  • the migration to the central nervous system plays an inhibitory role in many aspects of the pathogenesis of autoimmune diseases, and may have a better therapeutic effect than drugs targeting a single chemokine.
  • Figure 1 shows the function of ATA to inhibit chemokine receptors. among them:
  • A is a diagram showing the molecular structural formula of ATA.
  • B is a graph showing the calcium flow response evoked by ATA inhibition chemokines.
  • HEK293 or CHO cell line stably expressing Gal6 and each receptor (CCR6, CCR7, CXCR4, S1P1, KOR or ⁇ 2 ⁇ ), after incubation with the dye fluo4-AM for 45 minutes, pre-incubated with ATA for 10 minutes, then with the corresponding ligand (30 nM) stimulation, calcium signal was recorded.
  • Data were from three independent experiments, three replicate wells per experiment, expressed as mean ⁇ standard error (mean ⁇ SEM).
  • C is a graph showing ATA inhibition of chemokine-induced cell chemotaxis.
  • Spleen cells isolated from female C57/B6 mice were stimulated with 10 ⁇ M ⁇ ⁇ LPS for 48 hours and then added to the upper chamber of the Transwell® transmembrane compartment sandwich system.
  • the upper and lower chambers were separated by microporous membranes; SDF Factors such as CCL19, CCL20 or SIP (both 30 nM) that induce cell migration are added to the lower chamber; different concentrations of ATA are added to the upper and lower chambers.
  • SDF Factors such as CCL19, CCL20 or SIP (both 30 nM) that induce cell migration are added to the lower chamber; different concentrations of ATA are added to the upper and lower chambers.
  • After 3 hours, cells migrating from the upper chamber to the lower chamber were counted by flow cytometry. Data were obtained from three independent experiments, three replicate wells per experiment, expressed as mean ⁇ standard error.
  • D is a graph showing endocytosis of ATA-inhibiting chemokine receptors. Expression of CXCR4, CCR6 or S1P1 receptors After the cells were stimulated with the corresponding ligands in the presence or absence of ATA, immunofluorescence staining of the receptors was performed to observe the localization.
  • the tailless arrow indicates that the receptor is located on the membrane, and the tail arrow refers to the endocytosis point formed by the receptor after endocytosis.
  • Figure 2 shows that ATA reduces the clinical signs and tissue damage of EAE. among them:
  • EAE was induced by immunizing female C57/B6 mice with MOG 35 _ 55 , once daily from the third day (A), day 12 (C) after immunization until the end of the experiment; or from the third day, administration By day 12 (B) ; the control group was given phosphate buffer and the clinical score was recorded daily. Data are expressed as mean ⁇ standard error (6 mice per group).
  • GI is a quantitative analysis of the total number of cell infiltration, demyelination area, and number of CD45+ cell infiltration in DF, and the data are expressed as mean ⁇ standard error.
  • Three mice were taken from each group, and 10 sections of each mouse spinal cord were analyzed for comparison. Compared with the control group, *** ⁇ 0.001 (Student's ?-test) o
  • Figure 3 shows that ATA inhibits in vivo but does not affect T cell differentiation in vitro. among them:
  • A On day 12 after EAE immunization, control group and ATA administration group (20 mg/kg/day, day 3 to day 12) CD4+ T cells, CD1 lc DC Thl (IFN- ⁇ ) in mouse spleen Flow cytometry analysis of cells and TW7 (IL-17 cell ratio; B: 12 days after EAE immunization, control group and ATA administration group (20 mg/kg/day, day 3 to day 12) murine splenocytes with MOG 35 - 55 weight supernatants were collected after 48 hours stimulation, measured by ELISA IL-17a IFN- ⁇ , IL -6 and TNF- ⁇ content; data are expressed as mean ⁇ standard error (each group 6 mice), compared with the control group, *p ⁇ 0.05 * p ⁇ 0.01, **p ⁇ 0.001 (Stittton's t-test); C and D: in the presence of differentiation factors and various concentrations of ATA From the spleen of 6-8 weeks old mice, the differentiation of naive CD4 + T cells
  • Figure 4 shows that ATA inhibits chemokine-mediated DC migration but does not affect other DC functions.
  • A DCs from the spleens of mice isolated on day 12 after EAE immunization were added to the Transwell® transmembrane compartment In the upper chamber of the culture system, the upper and lower chambers are separated by a membrane with micropores; 30 nM CCL19 is added to the lower chamber; ⁇ ⁇ is added to the upper and lower chambers. After 3 hours, cells migrating from the upper chamber to the lower chamber were counted by flow cytometry. Data were obtained from three independent experiments, three replicate wells per experiment, expressed as mean ⁇ standard error. Compared with the CCL19 untreated group, ### ⁇ 0.001 ; compared with the ATA untreated group, *** ⁇ 0.001 (Stittton's t-test).
  • CD4 + T cells and CD1 lc + DC were isolated from the spleen of ADA-treated mice on day 12 after EAE immunization, and CD4 + T cells were labeled with CFSE after MOG 35 _ 55 (25 ⁇ )
  • ATA 10 ⁇
  • 72 chambers were co-cultured, and the proliferation of CD4+ sputum cells by flow cytometry (D) or ELISA was used to measure IL-17a, IFN- ⁇ , IL-6 and TNF- in the supernatant.
  • FIG. 5 shows that ATA blocks the infiltration of inflammatory T cells into the central nervous system. among them:
  • mice Central nervous system infiltration in mice (ATA 20 mg/kg/day, day 3 to day 18) on day 18 after EAE immunization with 37-70% silica colloidal suspension (Percoll®) Cells, and the number of CD4+ T cells, Th1 (IFN-y) cells, and Th17 (IL-17 + ) cells were analyzed by flow cytometry. Data are expressed as mean ⁇ standard error (5 mice per group) compared to the control group, p ⁇ 0.05 (Stittton's t-test).
  • C57BL/6 female rats were purchased from Shanghai Experimental Animal Center (Shanghai, China) and raised in the SPF laboratory of the Experimental Animals Room of Shanghai Institute of Materia Medica. The light-dark 12-hour cycle was maintained, giving sufficient food and clean drinking water to The experiment was started at 8 weeks of age. All experiments were approved and introduced in accordance with the guidelines of the Animal Management and Use Committee of the Shanghai Institute of Materia Medica.
  • CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6, S1P1, DOR, KOR, 2AR and Gal6 plasmids were purchased from the Missouri S&T cDNA Resource Center.
  • Auchin tricarboxylic acid (ATA), lipopolysaccharide, Hochest33342, forskolin, GLP-1, U50488 and isoproterenol were purchased from Sigma-Aldricho anti-mouse CD3 (145-2C11) monoclonal antibody.
  • Anti-mouse CD28 (37.51) monoclonal antibodies and anti-mouse IFN- ⁇ (R4-6A2) monoclonal antibodies were purchased from BD Pharmingen.
  • Recombination MCP-l, TARC, RANTES, ⁇ -3 ⁇ , ⁇ -3 ⁇ , TECK, SDF-1, CXCL13 and ⁇ CXCL16 were purchased from PeproTech.
  • Recombinant murine IL-12, recombinant murine IL-6, recombinant human TGF- ⁇ , recombinant murine IL- ⁇ , recombinant murine IL-23 and recombinant murine TNF- ⁇ were purchased from R&D Systems.
  • the various cell lines stably expressing the receptor and God6 involved in the experiment were constructed in-house.
  • the specific steps are as follows: HEK293 or CHO cells are trypsinized, centrifuged, and 200 ⁇ M electroporation (ATP 200 g/L, MgCl 2 ⁇ 6H 2 0 120 g/L, KH 2 P0 4 12 g/L, NaHC0 3) 1.2 g/L), add the receptor plasmid and God6 plasmid 2 ⁇ ⁇ at a concentration of 100-200 million cells/200 ⁇ electroporation, mix well, and use Scientz-2C gene importer (Ningbo Xinzhi Biotechnology Co., Ltd.) Make an electric shock.
  • the cells are transferred to the culture plate or the culture dish to continue to culture the cells, and the cells can be used after 24 hours.
  • the calcium flow test was performed. After 24 hours in the culture dish, antibiotics were added for screening, and positive cloned cells were selected to establish a monoclonal cell line.
  • mice Female C57BL/6 mice were injected subcutaneously with 200 MOG35-55 (MEVGWYRSPFSRVVHLYRNGK, purchased from Jill Biochemistry) supplemented with complete Freund's adjuvant and 5 m ⁇ ml heat-killed Mycobacterium tuberculosis (H37Ra strain, purchased from Difco Laboratories). Day 0. Peripheral injection of pertussis toxin 200 ng per mouse on day 0 and day 2
  • mice were scored daily, and the scores were based on the "5-point scale" as follows: 0 points, no clinical symptoms; 1 point, tail sputum; 2 points, mild hind squats (unilateral or bilateral hind limb weakness, no Completely paralyzed); 3 points, paraplegia (complete paralysis of both hind limbs); 4 points, paraplegia and forelimb weakness or paralysis; 5 points, sudden death or death.
  • EAE administration group ATA (10-20 mg/kg) was administered intraperitoneally from the 3rd day or the 12th day after immunization until the end of the experiment; or from the 3rd day after immunization (administered ATA by intraperitoneal injection) (10-20 mg/kg) ) to day 12.
  • the solvent for dissolving ATA was phosphate buffered saline (PBS) containing 0.4% dimethyl sulfoxide (DMSO).
  • EAE control group A solvent control, i.e., a phosphate buffer containing 0.4% dimethyl sulfoxide, was administered by intraperitoneal injection from the 3rd day or the 12th day after immunization.
  • mice in the EAE administration group and the EAE control group in Example 1 were anesthetized, fixed by PBS perfusion and 4% paraformaldehyde perfusion.
  • the removed spinal tissue samples were fixed overnight in 4% paraformaldehyde.
  • inflammatory cell infiltration was analyzed by hematoxylin and eosin (H&E) staining, and demyelination of the spinal cord was analyzed by fast blue staining.
  • H&E hematoxylin and eosin
  • the spinal cord and brain tissue of the diseased mice of the EAE administration group and the EAE control group in Example 1 were ground on a 40 ⁇ filter, and the obtained cell suspension was centrifuged at 500 g for 10 minutes at 4° C., and 8 ml was used. Resuspend 37% Percoll® Reagent, carefully add to 4 ml of 70% Percoll® Reagent, and centrifuge at 25 °C 780 g for 25 minutes. Collect 37% to 70% Percoll® intermediate cells and perform flow assays.
  • Spleen cells of disease mice taken from the EAE administration group and the EAE control group in Example 1 or from Example 3 Surface staining of cells infiltrating into the mouse central nervous system. Cells were incubated with fluorescently labeled anti-mouse CD4, CD1 lc antibodies for 30 minutes at 4 °C.
  • CD4+ T cells Isolation of naive CD4+ T cells from spleens of 6-8 weeks old normal female C57BL/6 mice using magnetic beads (Dynal® Mouse CD4 Cell Negative Isolation kit; Invitrogen), and the isolated CD4+ T cells were added with anti-CD3 (2 g/ml).
  • mice from the EAE control group (12 days after immunization) or the EAE-administered group (ATA, 20 mg/k ⁇ day, day 3 administration) were sorted by MACS magnetic beads (Miltenyi Biotec). After CD1 lc + DC cells in the spleen on day 12, CD4 + T cells in the spleen of CFSE-labeled EAE-controlled mice (12 days after immunization) were mixed at a ratio of 3:1 in MOG.
  • CD4 + T cells and DC cells were isolated from EAE control mice (12 days after immunization) in co-culture system ⁇ (10 ⁇ ) was added, and after 72 hours of culture, the proliferation of CD4 + ⁇ cells was detected by flow cytometry.
  • the cytokines IFN- ⁇ , IL-17a, IL-6 and TNF- were detected by ELISA. The content of ⁇ (Dakewe, Shenzhen, China).
  • CDl lc + DCs from spleens of 8-10 week old normal C57BL/6 mice were incubated with ATA (0-30 ⁇ ) or camptothecin (0-30 ⁇ ) for 18 hours at 37 °C.
  • Cells were harvested for Annexin V/propidium iodide staining. Early apoptosis was positive for Annexin V, propidium iodide was negative, and late apoptosis was positive for Annexin V and propidium iodide. Detected by flow cytometry.
  • HEK293 cell lines stably constructed by various G-protein coupled receptors including CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 and CXCR6) and Gal6 (constructed by the laboratory as described above) were inoculated In a 96-well plate, after 24 hours of incubation, incubate the cells with 2 ⁇ ⁇ 1 ⁇ 4- ⁇ dye for 45 minutes at 37 ° C, remove the dye, and add 50 ⁇ with different concentrations of ATA (0-100 ⁇ ) or 1% DMSO ( The negative control) of HBSS was incubated for 10 min at room temperature, and then stimulated with the corresponding ligands (SDF-1, CCL19, CCL20, SIP, etc.
  • G-protein coupled receptors including CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 and CXCR6
  • Gal6 constructed by the laboratory as described above
  • the detector can automatically add 25 ⁇ agonist (final concentration 30 ⁇ ) to the reaction system, and simultaneously stimulate the intensity of dye fluorescence induced by intracellular calcium concentration change at 525 nm with 485 nm light. The change.
  • HEK293 cell lines stably expressing Myc-CXCR4, EGFP-CCR6 or HA-S1P1 were inoculated on coverslips and cultured overnight. Cells were pre-incubated with ATA (0-30 ⁇ ) for 10 minutes and then stimulated with the corresponding ligand (SDF-1, CCL20 or SIP) for 30 min at 30 nM.
  • the cells were fixed with 4% paraformaldehyde, 0.3% Triton X-100 was disrupted, and then incubated with anti-myc or HA-labeled antibody at 4 ° C overnight, and the corresponding Alexa Fluor 488 secondary antibody was incubated for 1 hour at room temperature, Hochest 33342 stained. After the nucleus, a photograph was taken with a fluorescence confocal microscope (Olympus FVlOi confocal microscope).
  • ATA inhibits the function of various chemokine receptors
  • Chemokine receptors are a class of G-protein coupled receptors (GPCRs) that play a very important role in cell migration and contribute to the pathogenesis of EAE.
  • GPCRs G-protein coupled receptors
  • Example 9 It can inhibit cell signal transduction and migration caused by various chemokines.
  • the inventors utilized stable expression of Gal6 and various GPCRs (including chemokine receptors including: CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 or CXCR6; non-chemokine receptors) Including: S1P1, DOR, KOR, GLP-1R and ⁇ 2 ⁇ 0 cell lines detect the inhibitory effect of guanidine on GPCR-mediated calcium flux response.
  • Gal6 is a type of pan-host G protein, often associated with G protein-coupled receptors. Coupling, initiates a downstream calcium signaling pathway.
  • the results of Example 9 show that ATA dose-dependently inhibits most chemokine receptor-mediated calcium flux responses, except CCR2 only
  • Example 8 the inventors subsequently examined the effect of ATA on ligand activity of several different chemokines, such as CCL19/CCR7, CCL20/CCR6 or SDF-1/CXCR4, spleen cell migration.
  • the results of Example 8 show that ATA dose-dependently inhibits the migration of spleen cells induced by CCL19, CCL20 or SDF-1 with IC50 of 0.24, 3.36, 11.46 ⁇ , respectively (Fig. 1C, Table 1 below); S1P1 receptor It plays an important role in the migration of lymphocytes from secondary lymphoid organs, but ATA does not affect S1P1-mediated cell chemotaxis (Fig. 1C, Table 1 below).
  • Receptor endocytosis is a common phenomenon in which GPCRs are stimulated by their ligands.
  • the inventors also examined the effect of ATA on the endocytosis effects of CXCR4, CCR6 and S1P1 receptors after ligand stimulation.
  • Cells expressing CXCR4, CCR6 or S1P1 receptors were preincubated with ATA for 10 minutes and then stimulated with the corresponding ligands SDF-1, CCL20 or S1P for 30 minutes, followed by immunofluorescence staining of the receptor.
  • the results of Example 10 showed that the receptors were localized on the cell membrane without ligand stimulation, and the receptor was endocytosed into the cells after stimulation of the ligand (Fig.
  • Example 1 immunization with MOG 35 _ 55 8-9 week old female C57BL mice induced EAE / 6, from day 3 or day 12 by intraperitoneal injection of ATA (10 or 20 mg / kg) to the end of the experiment, Or dosing from day 3 to day 12.
  • the solvent control was PBS containing 0.4% DMSO.
  • the clinical score data for EAE are shown in Figures 2A-2C and Table 2 below.
  • ATA When administered only from day 3 to day 12, ATA was also able to reduce its severity at the onset and peak of EAE disease, but after 20 days, the disease score increased, indicating that drug removal resulted in The recurrence of the disease (Figure 2B). After the start of the disease (starting from the 12th day), 20 mg/kg ATA was still effective in reducing the severity of EAE (Fig. 2C, Table 2), indicating that the drug not only has a preventive effect, but also achieves the purpose of treating the disease.
  • Example 2 the inventors analyzed pathological sections of the spinal cord 21 days after immunization.
  • the results of the study of Example 2 showed that ATA administration significantly reduced leukocyte infiltration of the spinal cord compared to the control group (Fig. 2D and 2G); fast blue staining showed extensive demyelination of the white matter of the EAE mouse in the control group. Phenomenon, after deprivation of ATA, demyelination was significantly reduced ( Figures 2E and 2H); immunofluorescence staining of frozen sections showed that the number of CD45+ cells in the spinal cord of EAE mice was significantly reduced after ATA administration ( Figures 2F and 21). ).
  • Example 4 the inventors examined the proportion of each subpopulation of cells in the spleen of mice on the 12th day after EAE immunization by flow cytometry.
  • the ratio of the two major effector T cells Th1 and TW7 cells in CDl lc + DC and EAE of the ATA-administered mice was significantly lower than that of the control group ( FIG. 3A ).
  • This result is consistent with the administration group mouse splenocytes in vitro with MOG 35 - 55 weight stimulation, supernatant cytokines (including IFN-y, IL17, IL6 Wo ⁇ TNF- ⁇ ) have also significantly reduced (FIG. 3B ).
  • ATA reduced the proportion of these two cells in the spleen by directly affecting the differentiation of Th1 or TW7 cells.
  • naive CD4 + T cells were sorted from 6-8 week old female C57BL/6 mouse spleen cells by immunomagnetic beads, activated with anti-CD3 and anti-CD28 antibodies, and then added with different differentiation factors and Cells were induced to differentiate into Th1 or TW7 cells at various concentrations of ATA. Three days later, cells were collected for staining of intracellular IFN- ⁇ , IL-17a. Flow analysis revealed that ATA did not directly affect the in vitro differentiation of Th1 (Fig. 3C) or Thl7 (Fig. 3D).
  • Th1 or Thl7 in vivo The differentiation of Th1 or Thl7 in vivo is largely influenced by DC. Since ATA does not directly affect the differentiation of Th1 or TW7, the reduction of these cells in vivo is most likely due to the decrease in CD1 lc + DC (Fig. 3A). In Example 7, the inventors examined whether ATA promotes apoptosis of DC, thereby reducing the amount of DC in the spleen.
  • Figure 3E shows that the type I topoisomerase inhibitor camptothecin dose-dependently promotes apoptosis in DC, but ATA does not have this effect, indicating that ATA does not promote DC apoptosis.
  • DC then to secondary lymphoid organs Migration, and in these organs, present antigens to naive T cells, causing them to differentiate into Th1 or Thl7, thereby initiating an antigen-specific immune response.
  • ATA does not promote DC apoptosis, it is likely to inhibit DC migration to the spleen.
  • the inventors used chemotaxis experiments to study the effect of ATA on DC migration.
  • CCR7 is a major chemokine receptor that is highly expressed on mature DCs that mediates DC migration. The results showed that ATA (10 ⁇ ) was able to completely inhibit the chemotactic effect of the obtained DC isolated from the spleen of mice on day 12 after the induction of CCR7 ligand CCL19 (Fig. 4A).
  • Example 6 the inventors designed a DC-CD4+ T cell co-culture experiment in order to further verify whether ATA affects the antigen presentation of DCs to CD4 + T cells and the secretion of cytokines.
  • CD4 + T cells were isolated from control mice, labeled with CFSE, and co-cultured with CD1 lc + DC isolated from control EAE or ATA-administered EAE mice for 72 hours.
  • DCs from ATA-administered EAE mice had the same stimulation of CD4 + T cell proliferation (Fig. 4B) and their ability to secrete cytokines (Fig. 4C).
  • the inventors designed another experiment in which CD4 + T cells isolated from control EAE mice were co-cultured with CDl lc + DC, and ATA (10 ⁇ ) was added to the culture system, and flow was used 72 hours later.
  • the proliferation of CD4+ sputum cells (Fig. 4D) and their cytokine secretion were examined by ELISA and ELISA (Fig. 4 ⁇ -4 ⁇ ).
  • the results showed that co-culture of CD4 + T cells and CD1 lc + DC significantly enhanced the proliferation of CD4 + T cells and the production of cytokines.
  • MOG 35 — 55 stimuli can further enhance this effect.
  • ATA does not affect the proliferation of CD4 + T cells and the secretion of their cytokines in this system.
  • the protective effect of ATA on EAE is to inhibit the migration and aggregation of DC into the spleen, thereby reducing the activation and differentiation of T cells.
  • ATA blocks the infiltration of pathogenic lymphocytes into the central nervous system
  • ATA also showed a certain therapeutic effect after the onset of the disease (Fig. 2C). Therefore, the inventors further verified whether ATA affects the process of pathogenic T cells infiltrating into the central nervous system. Flow cytometry was used to detect CNS leukocyte infiltration on day 18 after immunization. After ATA administration, the number of CD4 + T cells and the two major pathogenic cells ThH and TW7 cells was significantly reduced (Fig. 5A). However, at the same time, the proportion of TW7 cells in the blood was found to be significantly increased in the ATA administration group as compared with the control group (Fig. 5B). This interesting phenomenon suggests that ATA may inhibit the infiltration of inflammatory T cells into the CNS, resulting in the accumulation of TW7 cells in the blood.
  • the choroid plexus forms part of the blood-brain barrier, and the passage of T cells through the choroid plexus into the central nervous system is a critical step in the initiation of EAE. It has been reported in the literature that CCL20/CCR6-mediated infiltration of Th1 cells into the CNS triggers the onset of EAE. CD45+ cells of CCR6 knockout mice cannot cross the blood-brain barrier and accumulate in the choroid plexus. Figures 5C and 5D show that there is more accumulation of CD45+ cells in the choroid plexus of EAE mice compared to the control group, which indicates that ATA also inhibits the infiltration of pathogenic T cells into the CNS. Thereby alleviating the condition of EAE. discuss
  • Chemokines are a class of cytokines associated with leukocyte migration and inflammatory responses that can be divided into two large families (CXC and CC) and two small families (C and CX3C) depending on their structural properties.
  • the chemokine receptor downstream signal is delivered by the heterotrimeric G protein.
  • G protein can regulate a variety of signaling pathways, including intracellular calcium, mitogen-activated protein kinases (MAPK), PLCP, PI3K, Ras and Rho GTPases. These transduction signals are thought to be responsible for the movement of cells and the transport of immune cells.
  • the immature DCs After the antigen enters the peripheral tissues, the immature DCs slowly mature under the induction of pathogens or inflammatory factors. Mature DCs carrying antigen migrate out of peripheral tissues to secondary lymphoid organs where they stimulate T cell proliferation and differentiation. During the maturation of DC, the type of chemokine receptors expressed on the surface changes. It is determined that the expression of the chemokine receptor CCR7, which is accumulated in the T cell-rich region, is gradually up-regulated by mature DCs carrying antigen. Recent studies have also shown that CXCR4 and CCR7-mediated signaling synergistically regulate DC migration to the spleen white pulp. Drugs that inhibit DC migration are used to treat autoimmune diseases.
  • CsA cyclosporin A
  • cytosporin A is a very important and effective immunosuppressive agent for the treatment of organ transplants, allergic disorders, autoimmune diseases and acute inflammation.
  • CsA mainly interferes with the expression of chemokine receptors by inhibiting the production of PGE 2 under LPS stimulation, and impairs the migration ability of DCs.
  • the inventors' data show that ATA non-specifically inhibits the function of chemokine receptors and that it is also best for inhibiting CCL19/CCR7-mediated DC chemotaxis. This suggests that inhibiting the homing of DCs to secondary lymphoid organs may be an effective method for treating autoimmune diseases.
  • lymphocytes into CNS are another key step in the development of EAE, a neurodegenerative disease, which is also regulated by chemokine receptors.
  • Leukocyte exudation from the blood to the extravascular is a multi-step process.
  • a key step in this cascade is the binding of chemokine receptors expressed on the surface of leukocytes in the circulation to chemokines on the surface of vascular endothelial cells, triggering intracellular signaling, leading to integrin activation, leukocyte arrest and extravasation .
  • TW7 cells expressing IL-17 are the most important pro-inflammatory T cells in EAE.
  • TW7 cells highly express the chemokine receptor CCR6, and its ligand CCL20 is highly expressed on choroid plexus cells of healthy and EAE mice.
  • Reboldi et al reported that the process of CCR6+ Thl7 cells entering the CNS through choroid plexus epithelial cells is very important for the initiation of EAE.
  • CCR6 knockdown can block the infiltration of TW7 cells and alleviate the condition of EAE.
  • the inventors have also demonstrated that ATA inhibits CCL20/CCR6-mediated chemotaxis of splenocytes and reduces the infiltration of inflammatory T cells into CNS.
  • ATA as a non-specific inhibitor of multiple chemokine receptors is responsible for its therapeutic effect on EAE. It is noteworthy that ATA has been reported to inhibit HIV entry by inhibiting the binding of CD4 to the viral envelope glycoprotein gpl20. It is well known that CCR5 and CXCR4 are co-receptors of HIV invasion. According to the inventor's data, ATA may also pass inhibition CCR5 and CXCR4 block HIV entry into CD4 + T cells.
  • the present invention discloses the activity of ATA to inhibit the function of chemokine receptors, and discloses the inhibition of ATA by
  • the process of CNS can achieve the purpose of treating EAE.
  • ATA inhibits chemokine receptor-mediated calcium flux response and cell migration. among them:
  • the inhibitory activity of ATA on various chemokine receptors and other GPCRs was examined by calcium flow and chemotaxis assays. The data was obtained from three independent experiments, three replicate wells per experiment, expressed as mean ⁇ standard error.

Abstract

Disclosed is a use of aurintricarboxylic acid (ATA) as a selective chemokine receptor inhibitor. Also disclosed is a use of ATA in the preparation of a drug for prevention and/or treatment of autoimmune diseases comprising multiple sclerosis, rheumatoid arthritis, lupus erythematosus and inflammatory bowel disease.

Description

金精三羧酸在制备靶向趋化因子受体的药物中的用途  Use of aurintricarboxylic acid in the preparation of a medicament for targeting a chemokine receptor
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本发明涉及生物医药领域,具体而言,涉及金精三羧酸在制备靶向趋化因子受体的药 物中的用途,进而涉及金精三羧酸在制备预防和 /或治疗自身免疫性疾病的药物中的用途。 背景技术  The present invention relates to the field of biomedicine, and in particular to the use of aurintricarboxylic acid in the preparation of a medicament for targeting a chemokine receptor, and further relates to the preparation of a preventive and/or therapeutic autoimmune disease by aurintricarboxylic acid. Use of the drug. Background technique
多发性硬化症(Multiple sclerosis, MS ) 是一种发生在中枢神经系统中的自身免疫性 疾病, 表现为中枢神经系统的脱髓鞘及神经退行性病变。 实验性自身免疫性脑脊髓炎 (Experimental Autoimmune Encephalomyelitis, EAE) 的病理特征与 MS相似, 是研究 MS的理想动物模型。被广泛接受的观点认为, CD4+ T细胞的过度活化, 尤其是辅助型 T 细胞 1 (T helper-1 cell,Th-l ) 或者辅助型 T细胞 17 (T helper- 17 cell, Th-17 )两种亚群的 过度活化, 是导致这种疾病的直接原因。在 EAE动物模型中, 血脑屏障的完整性被破坏, 外周致炎性 CD4+ T细胞向中枢神经系统中浸润, 并引起其他免疫细胞的聚集, 激活小胶 质细胞, 最终导致神经髓鞘脱落, 轴突损伤, 影响神经冲动的传导并可致瘫痪。 Multiple sclerosis (MS) is an autoimmune disease that occurs in the central nervous system and is characterized by demyelination and neurodegenerative diseases of the central nervous system. The experimental autoimmune encephalomyelitis (EEE) has similar pathological features to MS and is an ideal animal model for studying MS. It is widely accepted that excessive activation of CD4 + T cells, especially T helper-1 cell (Th-l ) or T helper 17 cell ( Th-17 ) Overactivation of the two subpopulations is the direct cause of the disease. In the EAE animal model, the integrity of the blood-brain barrier is disrupted, peripheral inflammatory CD4 + T cells infiltrate into the central nervous system, cause aggregation of other immune cells, activate microglia, and ultimately lead to neuromyelin shedding. , axonal injury, affecting the conduction of nerve impulses and can cause paralysis.
T细胞的活化和分化需要抗原递呈细胞(antigen-presenting cells, APCs) 的参与。 树 突状细胞 (dendritic cells, DC) 是专职的抗原递呈细胞, 其在 EAE的发病过程中发挥了 非常重要的作用。 外周组织中的未成熟 DC, 尤其是与周围环境接触的组织, 像皮肤和黏 膜中的 DC, —旦遇到抗原, 未成熟 DC即会将它们扑捉, 加工成小肽, 由主要组织相容 性复合物分子将其递呈到细胞表面。同时,来自病原体或炎症因子的信号启动 DC的成熟 过程, 进一步加强它们的抗原递呈能力。成熟 DC携带抗原, 从组织中迁出, 到达次级淋 巴器官。 在这里, DC通过细胞与细胞的接触和细胞因子的分泌, 刺激 T细胞的增殖和分 化, 从而启动抗原特异性免疫反应。  The activation and differentiation of T cells requires the involvement of antigen-presenting cells (APCs). Dendritic cells (DCs) are full-time antigen-presenting cells that play a very important role in the pathogenesis of EAE. Immature DCs in peripheral tissues, especially those in contact with the surrounding environment, like DCs in the skin and mucous membranes, will encounter them when they encounter antigens, and immature DCs will capture them and process them into small peptides. Capacitive complex molecules present it to the cell surface. At the same time, signals from pathogens or inflammatory factors initiate the maturation process of DCs, further enhancing their antigen-presenting capacity. The mature DC carries the antigen, moves out of the tissue, and reaches the secondary lymphatic organ. Here, DC stimulates the proliferation and differentiation of T cells by cell-to-cell contact and secretion of cytokines, thereby initiating an antigen-specific immune response.
成熟 DC细胞向次级淋巴器官的迁移以及致病性 T细胞向中枢神经系统的迁移很大程 度上受趋化因子的调控。趋化因子可被广泛的分为两大类:诱导表达的趋化因子和组成性 表达的趋化因子。组成性表达的趋化因子诱导基本的白细胞迁移转运,形成次级淋巴器官 的构成体系,而诱导表达的趋化因子主要招募白细胞对生理应激产生反应,刺激炎性细胞 向炎症组织的迁移。 许多研究巳经证明, 在 EAE的过程中多种趋化因子的表达会上调。 通过趋化因子的特异抗体干预其功能后, 能很好地抑制或缓解 EAE的病情。 趋化因子根 据其 N末端非常保守的半胱氨酸残基被分为四类: CXC, 因其临近的两个半胱氨酸残基 之间有一个氨基酸残基; CC, 两个保守的半胱氨酸残基紧邻; CX3C, 两个保守的半胱氨 酸残基之间被 3个氨基酸残基隔开; C,此类趋化因子 N末端只有一个保守的半胱氨酸残 基。 其中, CXC和 CC是两类最主要的趋化因子家族。 因此, 本发明人以这两类趋化因 子的受体作为主要的研究对象。趋化因子通过趋化因子受体来发挥其功能,一种趋化因子 可以成为多个趋化因子受体的配体,一个趋化因子受体也可以有多个趋化因子配体。趋化 因子受体是一类具有七次跨膜结构的 G蛋白偶联受体,且大部分与 Gai偶联,其转导的信 号可被百日咳毒素所抑制。 趋化因子受体, 在很多细胞中表达, 如 T细胞、 中性粒细胞、 单核细胞、 单核细胞来源的巨噬细胞、 自然杀伤细胞、树突状细胞、 嗜酸性粒细胞和嗜碱 性粒细胞等参与炎症和免疫反应的细胞, 不仅如此, 在小胶质细胞、星形胶质细胞、神经 元和内皮细胞等中枢神经系统的细胞中也有表达。不同的免疫细胞,其表面特异性高表达 的趋化因子受体也有所不同,如成熟 DC高表达 CCR7,Thl细胞高表达 CCR5和 CXCR3 , 而 Thl7细胞特异性高表达 CCR6。 因此, 可以通过干预这些趋化因子受体的功能, 抑制 相应的细胞向炎症部位的迁移, 达到缓解 EAE病情的目的。 The migration of mature DC cells to secondary lymphoid organs and the migration of pathogenic T cells to the central nervous system are largely regulated by chemokines. Chemokines can be broadly divided into two broad categories: chemokines that induce expression and chemokines that are constitutively expressed. The constitutively expressed chemokine induces basic leukocyte migration and transport, forming a system of secondary lymphoid organs, and the chemokines that induce expression mainly recruit leukocytes to respond to physiological stress and stimulate the migration of inflammatory cells to inflammatory tissues. Many studies have shown that the expression of multiple chemokines is up-regulated during EAE. After interfering with its function by specific antibodies to chemokines, it can well inhibit or alleviate the condition of EAE. Chemokines are classified into four classes based on their very conserved cysteine residues at the N-terminus: CXC, due to an amino acid residue between its two adjacent cysteine residues; CC, two conserved Cysteine residue in close proximity; CX3C, two conserved cysteine The acid residues are separated by 3 amino acid residues; C, such chemokines have only one conserved cysteine residue at the N-terminus. Among them, CXC and CC are two of the most important families of chemokines. Therefore, the present inventors took the receptors of these two types of chemokines as the main research object. Chemokines function through chemokine receptors, one chemokine can be a ligand for multiple chemokine receptors, and one chemokine receptor can also have multiple chemokine ligands. Chemokine receptors are a class of G-protein coupled receptors with seven transmembrane structures, and most are coupled to Gai , and their transduced signals are inhibited by pertussis toxin. Chemokine receptors, expressed in many cells, such as T cells, neutrophils, monocytes, monocyte-derived macrophages, natural killer cells, dendritic cells, eosinophils, and alkaloids Cells involved in inflammation and immune response, such as neutrophils, are also expressed in cells of the central nervous system such as microglia, astrocytes, neurons, and endothelial cells. Different immune cells have different surface-specific high expression of chemokine receptors. For example, mature DCs express CCR7, Thl cells express CCR5 and CXCR3, and Th17 cells express CCR6. Therefore, by interfering with the function of these chemokine receptors, the migration of the corresponding cells to the site of inflammation can be inhibited, thereby achieving the purpose of alleviating the condition of EAE.
发明内容 Summary of the invention
本发明人致力于研究自身免疫性疾病的发病原因和机理,以及趋化因子受体抑制剂在 治疗自身免疫性疾病中的用途。 在化合物筛选中, 发明人发现金精三羧酸 (Aurintricarboxylic acid, ATA) 可以抑制多种趋化因子受体介导的细胞信号转导及细胞 迁移, 这些趋化因子受体包括 CCR2, CCR4, CCR5 , CCR6, CCR7, CCR9 , CXCR4, CXCR5 , CXCR6。 ATA是一种蛋白 -核酸相互作用的抑制剂,因此能够抑制许多涉及 DNA 或 RNA的酶类。其铵盐被称作铝试剂, 用来检测水、生物组织和食物中的铝含量。此外, ATA被发现可通过阻断 HIV外壳蛋白 gpl20和 CD4分子的结合发挥抗 HIV活性。 本发 明中, 发明人发现 ATA能显著减轻小鼠 EAE模型的临床症状及病理改变。 炎症细胞的过 度激活及对组织的浸润是许多自身免疫疾病(包括多发性硬化症、类风湿性关节炎、红斑 狼疮、炎症性肠病等)的共同特征。机制研究显示, ATA并不直接影响致病性 Thl或 TW7 细胞的分化,而是通过抑制抗原递呈的 DC细胞向脾脏内的迁移聚集,从而减少 T细胞的 活化和分化; ATA还能抑制致病性 T细胞向中枢神经系统中的迁移浸润, 从而缓解疾病。  The present inventors focused on the causes and mechanisms of autoimmune diseases and the use of chemokine receptor inhibitors in the treatment of autoimmune diseases. In compound screening, the inventors found that Aurintricarboxylic acid (ATA) inhibits a variety of chemokine receptor-mediated cell signaling and cell migration, including CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6. ATA is an inhibitor of protein-nucleic acid interactions and is therefore capable of inhibiting many enzymes involved in DNA or RNA. Its ammonium salt is called an aluminum reagent and is used to detect aluminum in water, biological tissues and food. In addition, ATA was found to exert anti-HIV activity by blocking the binding of the HIV coat protein gpl20 and CD4 molecules. In the present invention, the inventors found that ATA can significantly alleviate the clinical symptoms and pathological changes of the mouse EAE model. Excessive activation of inflammatory cells and infiltration of tissues are common features of many autoimmune diseases, including multiple sclerosis, rheumatoid arthritis, lupus erythematosus, inflammatory bowel disease, and the like. Mechanism studies have shown that ATA does not directly affect the differentiation of pathogenic Th1 or TW7 cells, but inhibits the migration and aggregation of antigen-presenting DC cells into the spleen, thereby reducing T cell activation and differentiation; ATA can also inhibit The migration of diseased T cells into the central nervous system, thereby alleviating the disease.
因此,本发明的一个目的是提供 ATA或含有 ATA的药物组合物在制备靶向趋化因子 受体的药物中的用途。  Accordingly, it is an object of the present invention to provide the use of a ATA or a pharmaceutical composition comprising ATA for the preparation of a medicament for targeting a chemokine receptor.
本发明的另一个目的是提供 ATA或含有 ATA的药物组合物在制备用于预防和 /或治疗 自身免疫性疾病的药物中的用途。  Another object of the present invention is to provide use of a ATA or a pharmaceutical composition containing ATA for the preparation of a medicament for preventing and/or treating an autoimmune disease.
本发明中, 优选地, 所述趋化因子受体包括 CCR2, CCR4, CCR5 , CCR6, CCR7, CCR9 , CXCR4, CXCR5 , CXCR6。 In the present invention, preferably, the chemokine receptor comprises CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6.
本发明中, 优选地, 所述趋化因子受体为选自 CCR2, CCR4, CCR5 , CCR6, CCR7, CCR9 , CXCR4, CXCR5和 CXCR6中的一种或多种。  In the present invention, preferably, the chemokine receptor is one or more selected from the group consisting of CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 and CXCR6.
本发明中, 优选地, 金精三羧酸同时靶向 3个以上的所述趋化因子受体。  In the present invention, preferably, the spermidine tricarboxylic acid simultaneously targets three or more of the chemokine receptors.
本发明中, 优选地, 所述自身免疫性疾病包括多发性硬化症、类风湿性关节炎、红斑 狼搭、 炎症性肠病 (inflammatory bowel disease )。  In the present invention, preferably, the autoimmune diseases include multiple sclerosis, rheumatoid arthritis, erythema, and inflammatory bowel disease.
此外, 本发明还提供了一种预防和 /或治疗自身免疫性疾病的方法, 所述方法包括向 需要其的对象施用治疗有效量的 ATA或含有 ATA的药物组合物。  Further, the present invention provides a method for preventing and/or treating an autoimmune disease, which comprises administering a therapeutically effective amount of ATA or a pharmaceutical composition containing ATA to a subject in need thereof.
本发明中, 优选地, 所述含有 ATA的药物组合物包含治疗有效量的金精三羧酸和任 选的可药用载体。  In the present invention, preferably, the ATA-containing pharmaceutical composition comprises a therapeutically effective amount of aurin tricarboxylic acid and optionally a pharmaceutically acceptable carrier.
本发明与现有趋化因子抑制剂相比, 具有如下优点;  The present invention has the following advantages over existing chemokine inhibitors;
ATA可同时靶向包括 CCR2, CCR4, CCR5 , CCR6, CCR7 , CCR9, CXCR4, CXCR5 , CXCR6等在内的多个趋化因子, 同时抑制 DC细胞向二级淋巴器官的迁移及致病性 T细 胞向中枢神经系统的迁移,在自身免疫病发病的多个环节同时起到抑制作用,与靶向单个 趋化因子的药物相比, 可能具有更好的疗效。 附图说明  ATA can simultaneously target multiple chemokines including CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6, etc., while inhibiting the migration of DC cells to secondary lymphoid organs and pathogenic T cells. The migration to the central nervous system plays an inhibitory role in many aspects of the pathogenesis of autoimmune diseases, and may have a better therapeutic effect than drugs targeting a single chemokine. DRAWINGS
图 1显示 ATA抑制趋化因子受体的功能。 其中:  Figure 1 shows the function of ATA to inhibit chemokine receptors. among them:
A为显示 ATA的分子结构式的图。  A is a diagram showing the molecular structural formula of ATA.
B为显示 ATA抑制趋化因子激起的钙流反应的图。稳定表达 Gal6及各个受体(CCR6、 CCR7、 CXCR4、 S1P1、 KOR或 β2ΑΙΟ的 HEK293或 CHO细胞系, 与染料 fluo4-AM孵 育 45分钟后,先和 ATA预孵育 10分钟,然后再用相应配体(30 nM)刺激,记录钙信号。 数据来自三次独立实验, 每次实验三复孔, 表示为平均值 ±标准误差 (mean ± SEM)。  B is a graph showing the calcium flow response evoked by ATA inhibition chemokines. HEK293 or CHO cell line stably expressing Gal6 and each receptor (CCR6, CCR7, CXCR4, S1P1, KOR or β2ΑΙΟ), after incubation with the dye fluo4-AM for 45 minutes, pre-incubated with ATA for 10 minutes, then with the corresponding ligand (30 nM) stimulation, calcium signal was recorded. Data were from three independent experiments, three replicate wells per experiment, expressed as mean ± standard error (mean ± SEM).
C为显示 ATA抑制趋化因子诱导的细胞趋化的图。分离自雌性 C57/B6小鼠的脾细胞, 用 10 μ^ιηΐ LPS刺激 48小时后加入到 Transwell®穿膜小室夹层培养体系的上层小室内, 上下层小室以带微孔的膜隔开; SDF-1、 CCL19、 CCL20或 SIP (均为 30 nM)等能诱导 细胞迁移的因子加入到下层小室内; 不同浓度的 ATA被加入到上层及下层小室。 3小时 后, 从上层小室迁移到下层小室的细胞通过流式细胞仪计数。数据来自三次独立实验, 每 次实验三复孔, 表示为平均值 ±标准误差。  C is a graph showing ATA inhibition of chemokine-induced cell chemotaxis. Spleen cells isolated from female C57/B6 mice were stimulated with 10 μM ΐ ΐ LPS for 48 hours and then added to the upper chamber of the Transwell® transmembrane compartment sandwich system. The upper and lower chambers were separated by microporous membranes; SDF Factors such as CCL19, CCL20 or SIP (both 30 nM) that induce cell migration are added to the lower chamber; different concentrations of ATA are added to the upper and lower chambers. After 3 hours, cells migrating from the upper chamber to the lower chamber were counted by flow cytometry. Data were obtained from three independent experiments, three replicate wells per experiment, expressed as mean ± standard error.
D为显示 ATA抑制趋化因子受体内吞的图。 表达 CXCR4、 CCR6或 S1P1受体的细 胞在 ATA存在或不存在的情况下, 以相应的配体刺激后, 进行受体免疫荧光染色, 观察 其定位情况。无尾箭头所指为受体定位于膜上,有尾箭头所指为受体内吞后进入胞内形成 的内吞点。 D is a graph showing endocytosis of ATA-inhibiting chemokine receptors. Expression of CXCR4, CCR6 or S1P1 receptors After the cells were stimulated with the corresponding ligands in the presence or absence of ATA, immunofluorescence staining of the receptors was performed to observe the localization. The tailless arrow indicates that the receptor is located on the membrane, and the tail arrow refers to the endocytosis point formed by the receptor after endocytosis.
图 2显示 ATA减轻 EAE的临床症状及组织损伤。 其中:  Figure 2 shows that ATA reduces the clinical signs and tissue damage of EAE. among them:
用 MOG35_55免疫雌性 C57/B6小鼠诱导 EAE, 从免疫后第 3天 (A)、 第 12天 (C) 起每天一次腹腔给药至实验结束; 或从第 3天开始, 给药至第 12天(B) ; 对照组给予磷 酸缓冲液, 每天记录临床评分。 数据表示为平均值 ±标准误差(每组为 6只小鼠)。 ###p <0.001 #p<0.05 (双方向方差检验(two-way ANOVA test) ) ; 与对照组相比, <0.05 * p<0.01 (曼 -惠特尼检验 ( Mann- Whitney test) ) D和 E为正常或免疫后对照组及 ATA 给药组(20 mg/kg,第 3天给药,至实验结束)的小鼠腰髓组织石蜡切片的 H&E染色 (D) 及快蓝染色(E)图片。 F为正常或免疫后对照组及 ATA给药组(20 mg/kg, 第 3天给药, 至实验结束) 的小鼠腰髓组织冰冻切片的 CD45+细胞免疫荧光染色图片, 图片中左下角 的图片为中央方框的放大图像。 G-I为对 D-F中细胞浸润总数、脱髓鞘面积及 CD45+细胞 浸润数目进行的定量分析, 数据以平均值 ±标准误差表示。 每组取 3只小鼠, 每只小鼠 脊髓取 10块切片进行分析, 与对照组比较, ***ρ<0.001 (史蒂顿特氏 t检验 (Student's ?-test) ) o EAE was induced by immunizing female C57/B6 mice with MOG 35 _ 55 , once daily from the third day (A), day 12 (C) after immunization until the end of the experiment; or from the third day, administration By day 12 (B) ; the control group was given phosphate buffer and the clinical score was recorded daily. Data are expressed as mean ± standard error (6 mice per group). ### p <0.001 # p<0.05 (two-way ANOVA test); <0.05 * p<0.01 compared with the control group (Mann-Whitney test) D and E were H&E staining (D) and fast blue staining of paraffin sections of the lumbar spinal cord tissue of normal or immunized control group and ATA administration group (20 mg/kg, day 3 administration, to the end of the experiment). E) Picture. F is the immunofluorescence staining image of CD45+ cells in frozen sections of normal or immunized control group and ATA administration group (20 mg/kg, day 3, until the end of the experiment), in the lower left corner of the picture. The picture is a magnified image of the central box. GI is a quantitative analysis of the total number of cell infiltration, demyelination area, and number of CD45+ cell infiltration in DF, and the data are expressed as mean ± standard error. Three mice were taken from each group, and 10 sections of each mouse spinal cord were analyzed for comparison. Compared with the control group, ***ρ<0.001 (Student's ?-test) o
图 3显示 ATA抑制体内但不影响体外 T细胞分化。 其中:  Figure 3 shows that ATA inhibits in vivo but does not affect T cell differentiation in vitro. among them:
A: EAE免疫后第 12天, 对照组及 ATA给药组 (20 mg/kg/天, 第 3天给药至第 12 天) 小鼠脾脏中 CD4+ T细胞、 CDl lc DC Thl (IFN-γ)细胞和 TW7 (IL-17 细胞比 例的流式分析; B: EAE免疫后第 12天, 对照组及 ATA给药组(20 mg/kg/天, 第 3天给 药至第 12天)小鼠的脾细胞用 MOG3555重刺激 48小时后收集上清,用 ELISA检测 IL-17a IFN-γ, IL-6和 TNF-α的含量; 数据表示为平均值 ±标准误差(每组为 6只小鼠), 与对 照组比较, *p<0.05 * p<0.01 , ** p<0.001 (史蒂顿特氏 t检验); C禾 Π D: 在分化因子 及各种浓度 ATA存在下,来源于 6-8周龄小鼠脾内幼稚型 CD4+ T细胞在体内向 Thl (C) 或 TW7 (D) 分化的状况, 数据来自三次独立实验, 表示为平均值 ±标准偏误差; E: 向分离自 8-10周龄小鼠脾内的 DC加入不同浓度的 ATA或喜树碱 (0-30 μΜ), 培养 18 小时, annexin V/碘化丙啶 (PI) 染色, 流式分析其凋亡情况。 数据来自三次独立实验, 每次实验三复孔, 表示为平均值 ±标准误差。 A: On day 12 after EAE immunization, control group and ATA administration group (20 mg/kg/day, day 3 to day 12) CD4+ T cells, CD1 lc DC Thl (IFN-γ) in mouse spleen Flow cytometry analysis of cells and TW7 (IL-17 cell ratio; B: 12 days after EAE immunization, control group and ATA administration group (20 mg/kg/day, day 3 to day 12) murine splenocytes with MOG 35 - 55 weight supernatants were collected after 48 hours stimulation, measured by ELISA IL-17a IFN-γ, IL -6 and TNF-α content; data are expressed as mean ± standard error (each group 6 mice), compared with the control group, *p<0.05 * p<0.01, **p<0.001 (Stittton's t-test); C and D: in the presence of differentiation factors and various concentrations of ATA From the spleen of 6-8 weeks old mice, the differentiation of naive CD4 + T cells into Th1 (C) or TW7 (D) in vivo, data from three independent experiments, expressed as mean ± standard deviation error; : Add different concentrations of ATA or camptothecin (0-30 μΜ) to DCs isolated from the spleens of 8-10 weeks old mice, culture for 18 hours, annexin V/propidium iodide (PI) staining, flow analysis Its apoptotic situation. Independent experiments, each experiment triplicates, expressed as mean ± standard error.
图 4显示 ATA抑制趋化因子介导的 DC的迁移, 但不影响 DC的其他功能。 其中: A: 将分离自 EAE免疫后第 12天的小鼠脾内的 DC加入到 Transwell®穿膜小室夹层 培养体系的上层小室内, 上下层小室以带微孔的膜隔开; 将 30 nM CCL19 加入到下层小 室内;将 ΙΟ μΜ ΑΤΑ加入到上层及下层小室。 3小时后, 从上层小室迁移到下层小室的细 胞通过流式细胞仪计数。 数据来自三次独立实验, 每次实验三复孔, 表示为平均值 ±标 准误差。 与 CCL19未处理组比较, ###ρ<0.001 ; 与 ATA未处理组比较, ***ρ<0.001 (史蒂 顿特氏 t检验)。 Figure 4 shows that ATA inhibits chemokine-mediated DC migration but does not affect other DC functions. Where: A: DCs from the spleens of mice isolated on day 12 after EAE immunization were added to the Transwell® transmembrane compartment In the upper chamber of the culture system, the upper and lower chambers are separated by a membrane with micropores; 30 nM CCL19 is added to the lower chamber; ΙΟμΜ ΑΤΑ is added to the upper and lower chambers. After 3 hours, cells migrating from the upper chamber to the lower chamber were counted by flow cytometry. Data were obtained from three independent experiments, three replicate wells per experiment, expressed as mean ± standard error. Compared with the CCL19 untreated group, ### ρ<0.001 ; compared with the ATA untreated group, ***ρ<0.001 (Stittton's t-test).
B和 C:将分离自 EAE免疫后第 12天的未经 ATA治疗的小鼠脾脏的 CD4+ T细胞用 CFSE标记, 在 MOG3555 (25 μ^ηιΐ) 存在或不存在的条件下, 与分离自 ΕΑΕ免疫后第 12天的对照组或 ΑΤΑ给药组 (20 mg/k^天, 第 3天给药至第 12天) 的 CDl lc+ DC共培 养 72小时,用流式检测 CD4+ T细胞的增殖 (B)或用 ELISA方法检测上清中 IL-17a、IFN-y、 IL-6和 TNF-α等细胞因子的含量 (C)。 B and C: The separated mouse spleen CD4 + T cells labeled with CFSE without ATA treatment of EAE after 12 days from immunization, the MOG 35 - the presence or absence of 55 (25 μ ^ ηιΐ), CD4 lc + DC was co-cultured for 72 hours with the control group or the sputum administration group (20 mg/k^day, day 3 administration to day 12) after the autoimmunization on the 12th day, and the CD4 was detected by flow cytometry. + T cell proliferation (B) or ELISA method to detect the content of cytokines such as IL-17a, IFN-y, IL-6 and TNF-α in the supernatant (C).
D-H: CD4+ T细胞和 CDl lc+ DC均分离自 EAE免疫后第 12天的未经 ATA治疗的小 鼠脾脏, CD4+ T细胞用 CFSE标记后, 在 MOG35_55 (25 μ^ηιΐ)及 ATA ( 10 μΜ) 存在 或不存在条件下, 共培养 72小室, 用流式测 CD4+ Τ细胞的增殖 (D) 或 ELISA测上清 中 IL-17a, IFN-γ, IL-6和 TNF-α等细胞因子的含量(E-H)。 数据来自三次独立实验, 表 示为平均值 ±标准误差。 DH: CD4 + T cells and CD1 lc + DC were isolated from the spleen of ADA-treated mice on day 12 after EAE immunization, and CD4 + T cells were labeled with CFSE after MOG 35 _ 55 (25 μ^ηιΐ) In the presence or absence of ATA (10 μΜ), 72 chambers were co-cultured, and the proliferation of CD4+ sputum cells by flow cytometry (D) or ELISA was used to measure IL-17a, IFN-γ, IL-6 and TNF- in the supernatant. The content of cytokines such as α (EH). Data were from three independent experiments and expressed as mean ± standard error.
图 5显示 ATA阻断致炎性 T细胞向中枢神经系统浸润。 其中:  Figure 5 shows that ATA blocks the infiltration of inflammatory T cells into the central nervous system. among them:
A: 用 37-70%硅石胶态悬浮液 (Percoll®)分离出 EAE免疫后第 18 天小鼠 (ATA 20 mg/kg/天, 第 3天给药至第 18天) 的中枢神经系统浸润细胞, 并用流式仪分析 CD4+ T 细胞、 Thl (IFN-y) 细胞和 Thl7 (IL-17+) 细胞的数目。 数据表示为平均值士标准误差 (每组为 5只小鼠), 与对照组比较, p<0.05 (史蒂顿特氏 t检验)。 A: Central nervous system infiltration in mice (ATA 20 mg/kg/day, day 3 to day 18) on day 18 after EAE immunization with 37-70% silica colloidal suspension (Percoll®) Cells, and the number of CD4+ T cells, Th1 (IFN-y) cells, and Th17 (IL-17 + ) cells were analyzed by flow cytometry. Data are expressed as mean ± standard error (5 mice per group) compared to the control group, p < 0.05 (Stittton's t-test).
B: EAE免疫后第 18天(ATA 20 mg/kg/天, 第 3天给药至第 18天), 对照组和 ATA 给药组小鼠血液中 CD4+ T细胞、 CDl lc+ DC、 Thl (IFN-y) 细胞和 Thl 7 (IL-17+) 细胞 的比例流式分析结果。 数据表示为平均值 ±标准误差 (每组为 6只小鼠), 与对照组比 较, p<0.05 (史蒂顿特氏 t检验)。 B: 18 days after EAE immunization (ATA 20 mg/kg/day, day 3 to day 18), blood and CD4 + T cells, CD1 lc + DC, Thl in the control and ATA-administered mice Proportional flow analysis of (IFN-y) cells and Th17 (IL-17 + ) cells. Data are expressed as mean ± standard error (6 mice per group) compared to the control group, p < 0.05 (Stittton's t-test).
C: 正常组或免疫后第 18天对照组及 ATA给药组(20 mg/k^天, 第 3天给药至第 18 天) 小鼠脑部脉络丛 CD45+细胞免疫荧光染色图片。  C: Immunofluorescence staining of CD45+ cells in the choroid plexus of mice in the normal group or the 18th day after immunization and the ATA administration group (20 mg/k^day, day 3 to day 18).
D:对 C图中 CD45+细胞浸润数目进行的定量分析,数据以平均值 ±标准误差表示。 每组取 3只小鼠, 每只小鼠取 5块切片进行分析, 与对照组比较, p<0.01 (史蒂顿特氏 t检验)。 具体实肺式 D: Quantitative analysis of the number of CD45+ cell infiltration in the C map, data are expressed as mean ± standard error. Three mice were taken from each group, and 5 sections were taken from each mouse for analysis. Compared with the control group, p < 0.01 (Stittton's t-test). Specific lung
在下文中,将参照附图, 结合举例说明本发明的实施例来更加详细地描述本发明, 但 其不以任何形式限制本发明。 材 方法  In the following, the invention will be described in more detail with reference to the accompanying drawings, by way of example only, Material method
实验动物:  Experimental animals:
C57BL/6雌鼠购自上海实验动物中心(上海, 中国)并饲养于上海药物研究所实验动 物室 SPF级实验室, 维持光-暗 12小时循环交替,给以充足的食料和洁净饮水, 至 8周龄 开始实验。所有实验均获得批准,并按照上海药物研究所动物管理与使用委员会的指引进 行。  C57BL/6 female rats were purchased from Shanghai Experimental Animal Center (Shanghai, China) and raised in the SPF laboratory of the Experimental Animals Room of Shanghai Institute of Materia Medica. The light-dark 12-hour cycle was maintained, giving sufficient food and clean drinking water to The experiment was started at 8 weeks of age. All experiments were approved and introduced in accordance with the guidelines of the Animal Management and Use Committee of the Shanghai Institute of Materia Medica.
试剂:  Reagents:
CCR2 , CCR4, CCR5 , CCR6, CCR7 , CCR9, CXCR4, CXCR5 , CXCR6, S1P1 , DOR, KOR, 2AR和 Gal6质粒均购自 Missouri S&T cDNA资源中心。金精三羧酸(ATA), 脂多糖, Hochest33342, 福斯高林 (forskolin) , GLP-1 , U50488 和异丙肾上腺素均购自 Sigma-Aldricho 抗小鼠 CD3 ( 145-2C11 )单克隆抗体, 抗小鼠 CD28 (37.51 )单克隆抗体 和抗小鼠 IFN-γ ( R4-6A2 ) 单克隆抗体均购自 BD Pharmingen。 藻红蛋白-蓝色素 7 (Phycoerythrin-cyanine 7, PE-Cy7 )抗小鼠 CD4 (RM4-5 ), 别藻蓝素(Allophycocyanin, APC)抗小鼠 CD8a (53-6.7 ),别藻蓝素(Allophycocyanin, APC)抗小鼠 IFN-γ (XMG1.2 ), 藻红蛋白 (Phycoerythrin, PE ) 抗小鼠 CDllc (N418 ) 和抗小鼠 CD45 (30-F11 ) 购自 eBiosciences。抗 myc禾口抗 HA单克隆抗体贝勾自 Cell Signaling Technology。 Alexa Fluor 488 羊抗小鼠 IgG抗体, Alexa Fluor 488羊抗大鼠 IgG抗体和 Fluo-4 AM购自 Invitrogen。 重 组 MCP-l , TARC, RANTES, ΜΙΡ-3α, ΜΙΡ-3β, TECK, SDF-1 , CXCL13禾 Π CXCL16 购自 PeproTech。重组鼠 IL-12 ,重组鼠 IL-6,重组人 TGF-βΙ ,重组鼠 IL-Ιβ,重组鼠 IL-23 和重组鼠 TNF-α购自 R&D Systems。  CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6, S1P1, DOR, KOR, 2AR and Gal6 plasmids were purchased from the Missouri S&T cDNA Resource Center. Auchin tricarboxylic acid (ATA), lipopolysaccharide, Hochest33342, forskolin, GLP-1, U50488 and isoproterenol were purchased from Sigma-Aldricho anti-mouse CD3 (145-2C11) monoclonal antibody. Anti-mouse CD28 (37.51) monoclonal antibodies and anti-mouse IFN-γ (R4-6A2) monoclonal antibodies were purchased from BD Pharmingen. Phycoerythrin-cyanine 7, PE-Cy7 anti-mouse CD4 (RM4-5), Allophycocyanin (APC) anti-mouse CD8a (53-6.7), allophycocyanin (Allophycocyanin, APC) anti-mouse IFN-γ (XMG1.2), phycoerythrin (PE) anti-mouse CDllc (N418) and anti-mouse CD45 (30-F11) were purchased from eBiosciences. Anti-myc and anti-HA monoclonal antibodies are hooked from Cell Signaling Technology. Alexa Fluor 488 goat anti-mouse IgG antibody, Alexa Fluor 488 goat anti-rat IgG antibody and Fluo-4 AM were purchased from Invitrogen. Recombination MCP-l, TARC, RANTES, ΜΙΡ-3α, ΜΙΡ-3β, TECK, SDF-1, CXCL13 and Π CXCL16 were purchased from PeproTech. Recombinant murine IL-12, recombinant murine IL-6, recombinant human TGF-βΙ, recombinant murine IL-Ιβ, recombinant murine IL-23 and recombinant murine TNF-α were purchased from R&D Systems.
细胞系:  Cell line:
实验涉及的各种稳定表达受体和 God6的细胞系均由实验室内部构建。具体步骤如下: HEK293或 CHO细胞经胰酶消化后,离心,加入 200 μΐ电转液(ATP 200 g/L, MgCl2 · 6H20 120 g/L, KH2P04 12 g/L, NaHC03 1.2 g/L), 以 100-200万细胞 /200 μΐ电转液的浓度加入受 体质粒和 God6质粒各 2 μ§, 混匀, 用 Scientz-2C基因导入仪(宁波新芝生物科技有限公 司) 进行电击。 电击后的细胞转入培养板或培养皿中继续培养细胞, 24 小时后即可以用 于钙流实验进行检测。 培养皿中的细胞 24小时后加入抗生素进行筛选, 并挑选阳性克隆 细胞, 建立单克隆细胞系。 The various cell lines stably expressing the receptor and God6 involved in the experiment were constructed in-house. The specific steps are as follows: HEK293 or CHO cells are trypsinized, centrifuged, and 200 μM electroporation (ATP 200 g/L, MgCl 2 · 6H 2 0 120 g/L, KH 2 P0 4 12 g/L, NaHC0 3) 1.2 g/L), add the receptor plasmid and God6 plasmid 2 μ § at a concentration of 100-200 million cells/200 μΐ electroporation, mix well, and use Scientz-2C gene importer (Ningbo Xinzhi Biotechnology Co., Ltd.) Make an electric shock. After the electric shock, the cells are transferred to the culture plate or the culture dish to continue to culture the cells, and the cells can be used after 24 hours. The calcium flow test was performed. After 24 hours in the culture dish, antibiotics were added for screening, and positive cloned cells were selected to establish a monoclonal cell line.
^m EAE诱导及小鼠给药 ^m EAE induction and mouse administration
雌性 C57BL/6小鼠皮下注射 200 MOG35-55 ( MEVGWYRSPFSRVVHLYRNGK,购 自吉尔生化) 辅以完全弗氏佐剂及 5 m^ml热灭活结核杆菌 (H37Ra菌株, 购自 Difco Laboratories ) 0 免疫当天为第 0天。 第 0天及第 2天每只小鼠腹腔注射百日咳毒素 200 ng Female C57BL/6 mice were injected subcutaneously with 200 MOG35-55 (MEVGWYRSPFSRVVHLYRNGK, purchased from Jill Biochemistry) supplemented with complete Freund's adjuvant and 5 m^ml heat-killed Mycobacterium tuberculosis (H37Ra strain, purchased from Difco Laboratories). Day 0. Peripheral injection of pertussis toxin 200 ng per mouse on day 0 and day 2
(Calbiochem) o 每天为小鼠评分, 评分按 "5分制"标准如下: 0分, 无临床症状; 1分, 尾部瘫痪; 2分, 后肢轻度瘫痪(单侧或双侧后肢无力, 不完全瘫痪); 3分, 截瘫(双侧 后肢完全瘫痪); 4分, 截瘫并前肢无力或瘫痪; 5分, 濒死状态或死亡。 (Calbiochem) o The mice were scored daily, and the scores were based on the "5-point scale" as follows: 0 points, no clinical symptoms; 1 point, tail sputum; 2 points, mild hind squats (unilateral or bilateral hind limb weakness, no Completely paralyzed); 3 points, paraplegia (complete paralysis of both hind limbs); 4 points, paraplegia and forelimb weakness or paralysis; 5 points, sudden death or death.
小鼠给药:  Mouse administration:
EAE给药组: 从免疫后第 3天或第 12天起经腹腔注射给予 ATA ( 10-20 mg/kg) , 直 至实验结束; 或从免疫后第 3天起给药 (经腹腔注射给予 ATA ( 10-20 mg/kg) ) 至第 12 天。 溶解 ATA的溶剂为含有 0.4%二甲亚砜(Dimethyl Sulfoxide, DMSO) 的磷酸盐缓冲 液 (phosphate buffered saline, PBS)。  EAE administration group: ATA (10-20 mg/kg) was administered intraperitoneally from the 3rd day or the 12th day after immunization until the end of the experiment; or from the 3rd day after immunization (administered ATA by intraperitoneal injection) (10-20 mg/kg) ) to day 12. The solvent for dissolving ATA was phosphate buffered saline (PBS) containing 0.4% dimethyl sulfoxide (DMSO).
EAE对照组:从免疫后第 3天或第 12天起经腹腔注射给予溶剂对照,即含有 0.4%二 甲亚砜的磷酸盐缓冲液。  EAE control group: A solvent control, i.e., a phosphate buffer containing 0.4% dimethyl sulfoxide, was administered by intraperitoneal injection from the 3rd day or the 12th day after immunization.
錢例 2: 组织病理与免疫荧光分析  Example 2: Histopathology and immunofluorescence analysis
将实施例 1中 EAE给药组和 EAE对照组的疾病小鼠麻醉,经 PBS灌流及 4%多聚甲 醛灌流固定。 取出的脊髓组织样品在 4%多聚甲醛中固定过夜。 固定的脊髓组织样品经石 蜡包埋后, 用苏木精和伊红(hematoxylin and eosin,H&E)染色分析炎症细胞浸润, 用快 蓝染色分析脊髓脱髓鞘现象。脊髓和脑的冰冻切片用抗小鼠 CD45—抗及相应荧光二抗染 色; 细胞核用 HocheSt 33342室温染色 10分钟, 切片用荧光封片剂 (Dako ) 封片。 Disease mice in the EAE administration group and the EAE control group in Example 1 were anesthetized, fixed by PBS perfusion and 4% paraformaldehyde perfusion. The removed spinal tissue samples were fixed overnight in 4% paraformaldehyde. After fixed spinal cord tissue samples were embedded in paraffin, inflammatory cell infiltration was analyzed by hematoxylin and eosin (H&E) staining, and demyelination of the spinal cord was analyzed by fast blue staining. Frozen sections of the spinal cord and brain were stained with anti-mouse CD45-antibody and the corresponding fluorescent secondary antibody; the nuclei were stained with Hoch eS t 33342 for 10 minutes at room temperature, and the sections were mounted with fluorescent sealing tablets (Dako).
«例3: 中枢神经系统浸润细胞分离  «Example 3: Central nervous system infiltration cell separation
将实施例 1中 EAE给药组和 EAE对照组的疾病小鼠的脊髓及脑组织放在 40 μιη滤网 上碾碎, 获得的细胞悬液在 4°C, 500g离心 10分钟后, 用 8 ml 37% Percoll®试剂重悬, 小心加入到 4 ml 70% Percoll®试剂中, 在 25 °C 780 g条件下离心 25分钟。 收集位于 37%~70% Percoll®中间层细胞并进行流式检测。  The spinal cord and brain tissue of the diseased mice of the EAE administration group and the EAE control group in Example 1 were ground on a 40 μηη filter, and the obtained cell suspension was centrifuged at 500 g for 10 minutes at 4° C., and 8 ml was used. Resuspend 37% Percoll® Reagent, carefully add to 4 ml of 70% Percoll® Reagent, and centrifuge at 25 °C 780 g for 25 minutes. Collect 37% to 70% Percoll® intermediate cells and perform flow assays.
錢例 4: 流式细胞检测  Money Example 4: Flow Cytometry
将取自实施例 1 中 EAE给药组和 EAE对照组的疾病小鼠的脾细胞或取自实施例 3 中的浸润到小鼠中枢神经系统的细胞进行表面染色。 细胞与荧光标记的抗小鼠 CD4 , CDl lc抗体, 4°C孵育 30 分钟。 对于胞内染色, 细胞先与 12-十四酸佛波酯 -13-乙酸盐 (phorbol 12-myristate 13 -acetate) (50 ng/ml; Sigma) 伊屋诺霉素 (ionomycin) (750 ng/ml; Sigma)和布雷菲德菌素 A(brefeldin A) (3.0 μ^ηιΐ; Sigma)混合后在 37°C孵育 5小时, 细胞 重悬于固定 /通透液 (Cytofix/Cytoperm试剂盒; BD Pharmingen)中, 胞内 IL-17a和 IFN-γ染 色按产品说明操作。 结果用 Guava easyCyte™ 8HT流式细胞仪和 GuavaSoft软件进行分 析。 Spleen cells of disease mice taken from the EAE administration group and the EAE control group in Example 1 or from Example 3 Surface staining of cells infiltrating into the mouse central nervous system. Cells were incubated with fluorescently labeled anti-mouse CD4, CD1 lc antibodies for 30 minutes at 4 °C. For intracellular staining, cells were first treated with phorbol 12-myristate 13-acetate (50 ng/ml; Sigma) ionomycin (750 ng) /ml; Sigma) and brefeldin A (3.0 μ^ηιΐ; Sigma) were mixed and incubated at 37 ° C for 5 hours, the cells were resuspended in a fixed / permeate (Cytofix / Cytoperm kit; In BD Pharmingen), intracellular IL-17a and IFN-γ staining were performed as described in the product instructions. Results were analyzed using a Guava easyCyteTM 8HT flow cytometer and GuavaSoft software.
錢例 5: CD4+ T细胞分离和体外分化  Example 5: CD4+ T cell isolation and in vitro differentiation
用磁珠 (Dynal® Mouse CD4 Cell Negative Isolation kit; Invitrogen)分离 6-8周龄正常雌 性 C57BL/6 小鼠脾中幼稚型 CD4+ T细胞,分离后的 CD4+ T细胞加入抗 CD3 (2 g/ml; 145-2C11; BD Pharmingen)和抗 CD28 (2 μ^ηιΐ; 37.51; BD Pharmingen)抗体激活后分别加 入 IL-12 (10 ng/ml; R&D)和抗 -IL-4 (10 μ^ηιΐ; 11B11; BD Pharmingen)诱导分化为 Thl 细 胞, 或加入抗 -IL-4、 抗 -IFN-y(10 μ^ηιΐ; BD Pharmingen)及含 TGF-βΙ (3 ng/ml) ^ IL-6 (30 ng/ml; eBioscience)、肿瘤坏死因子 (tumor necrosis factor) (10 ng/ml; R&D)、 IL-23 (10 ng/ml; R&D)和 IL-Ιβ (10 ng/ml; R&D)的 Th-17 "分化因子组合"来诱导分化为 Th-17 细胞。在上 述分化过程中, 同时加入各种浓度(0-30 μΜ)的 ATA以评估其对 Τ细胞分化的影响。三 天后收集细胞进行胞内 IFN-y、 IL-17a的染色。  Isolation of naive CD4+ T cells from spleens of 6-8 weeks old normal female C57BL/6 mice using magnetic beads (Dynal® Mouse CD4 Cell Negative Isolation kit; Invitrogen), and the isolated CD4+ T cells were added with anti-CD3 (2 g/ml). 145-2C11; BD Pharmingen) and anti-CD28 (2 μ^ηιΐ; 37.51; BD Pharmingen) antibody were added with IL-12 (10 ng/ml; R&D) and anti-IL-4 (10 μ^ηιΐ; 11B11; BD Pharmingen) induced differentiation into Th1 cells, or added anti-IL-4, anti-IFN-y (10 μ^ηιΐ; BD Pharmingen) and TGF-βΙ (3 ng/ml) ^ IL-6 (30 Ng/ml; eBioscience), tumor necrosis factor (10 ng/ml; R&D), IL-23 (10 ng/ml; R&D) and IL-Ιβ (10 ng/ml; R&D) Th- 17 "Differentiation factor combination" to induce differentiation into Th-17 cells. During the above differentiation, various concentrations (0-30 μΜ) of ATA were simultaneously added to evaluate their effects on the differentiation of sputum cells. Three days later, cells were collected for staining of intracellular IFN-y and IL-17a.
錢例 6: DC分离及 DC-T细胞共培养实验  Example 6: DC separation and DC-T cell co-culture experiment
用 MACS磁珠(Miltenyi Biotec)分选来源于实施例 1中 EAE对照组小鼠(免疫后第 12天)或 EAE给药组小鼠(ATA, 20 mg/k^天,第 3天给药至第 12天)脾脏中的 CDl lc+ DC细胞后, 与 CFSE标记的来源于 EAE对照组小鼠(免疫后第 12天)脾脏中的 CD4+ T 细胞以 3:1的比例混合, 在 MOG35_55 ( 25 μ§/ιη1) 存在或不存在的条件下, 培养 72小时; 或 CD4+T细胞和 DC细胞均分离自 EAE对照组小鼠(免疫后第 12天),在共培养体系中 加入 ΑΤΑ ( 10 μΜ), 培养 72小时后, 流式细胞仪检测 CD4+ Τ细胞的增殖情况, ELISA 方法检测上清液中细胞因子 IFN-γ, IL-17a, IL-6 禾 Π TNF-α的含量 (Dakewe, Shenzhen, China)。 The mice from the EAE control group (12 days after immunization) or the EAE-administered group (ATA, 20 mg/k^day, day 3 administration) were sorted by MACS magnetic beads (Miltenyi Biotec). After CD1 lc + DC cells in the spleen on day 12, CD4 + T cells in the spleen of CFSE-labeled EAE-controlled mice (12 days after immunization) were mixed at a ratio of 3:1 in MOG. 35 _ 55 ( 25 μ§ /ιη1) in the presence or absence of culture for 72 hours; or CD4 + T cells and DC cells were isolated from EAE control mice (12 days after immunization) in co-culture system ΑΤΑ (10 μΜ) was added, and after 72 hours of culture, the proliferation of CD4 + Τ cells was detected by flow cytometry. The cytokines IFN-γ, IL-17a, IL-6 and TNF- were detected by ELISA. The content of α (Dakewe, Shenzhen, China).
例 7: DC凋亡实验  Example 7: DC Apoptosis Experiment
将分选自 8-10周龄正常 C57BL/6小鼠脾脏中的 CDl lc+ DC与 ATA (0-30 μΜ) 或喜 树碱 (0-30 μΜ) 在 37 °C孵育 18小时。 收集细胞进行 Annexin V/碘化丙啶染色。 早期凋 亡表现为 Annexin V阳性,碘化丙啶阴性,晚期凋亡表现为 Annexin V和碘化丙啶双阳性, 用流式细胞仪检测。 CDl lc + DCs from spleens of 8-10 week old normal C57BL/6 mice were incubated with ATA (0-30 μΜ) or camptothecin (0-30 μΜ) for 18 hours at 37 °C. Cells were harvested for Annexin V/propidium iodide staining. Early apoptosis was positive for Annexin V, propidium iodide was negative, and late apoptosis was positive for Annexin V and propidium iodide. Detected by flow cytometry.
^m 8: 趋化实验  ^m 8: Chemotaxis experiment
体外趋化实验采用 5 μιη孔径穿膜小室(Transwell®, Corning )0从实施例 1中的 EAE 对照组小鼠(免疫后第 12天)中提取全脾细胞或 DC细胞,并且将该细胞用含 10 μ§/ιη1 LPS 的 RPMI-1640培养液培养 48小时,细胞洗后用含 0.5% BSA的 RPMI-1640培养液稀释成 密度为 l xlO7细胞 /ml悬液。 将各种趋化因子受体的相应配体 (SDF-1、 CCL19、 CCL20 或 SIP (均为 30 nM) ) 加入到下层小室内而将 100 μΐ细胞悬液加入到上层小室内。 对于 趋化阻滞实验, 各种浓度的 ΑΤΑ (0-100 μΜ) 被加入到下层小室及上层小室内。 正常培 养 3小时后从上层小室迁移至下层小室内的脾细胞用流式细胞仪计数。 In vitro chemotaxis experiments Whole spleen cells or DC cells were extracted from EAE control mice (Day 12 post-immunization) in Example 1 using a 5 μηη pore size penetrating chamber (Transwell®, Corning) 0 and used for the cells. RPMI-1640 medium containing 10 μ§ / ιη1 LPS 48 hours of culture, cells were washed and diluted with RPMI-1640 medium containing 0.5% BSA to a density of l xlO 7 cells / ml suspension. The corresponding ligands of various chemokine receptors (SDF-1, CCL19, CCL20 or SIP (both 30 nM)) were added to the lower chamber and 100 μM cell suspension was added to the upper chamber. For chemotaxis retardation experiments, various concentrations of cesium (0-100 μΜ) were added to the lower chamber and the upper chamber. Splenocytes that migrated from the upper chamber to the lower chamber after 3 hours of normal culture were counted by flow cytometry.
錢例 9: 钙流实验  Example 9: Calcium flow experiment
将稳定表达各种 G蛋白偶联受体(包括 CCR2, CCR4, CCR5 , CCR6, CCR7, CCR9, CXCR4, CXCR5和 CXCR6 ) 禾 Π Gal6的 HEK293细胞株 (如上所述由实验室自行构建) 接种在 96孔板里, 培养 24小时后, 将细胞与 2 μΜ ί1ιιο 4-ΑΜ染料在 37°C孵育 45分钟, 移去染料,加入 50 μ 含不同浓度 ATA (0-100 μΜ)或者 1% DMSO (阴性对照)的 HBSS, 室温孵育 10 min, 然后再用相应配体 (SDF-1、 CCL19、 CCL20, SIP等 (均为 30 nM) ) 作为激动剂进行刺激, 记录钙信号。 用 Flex Station 3微孔板检测仪 (Molecular Devices) 读数。检测仪在指定时间点, 可自动将 25 μΐ激动剂(终浓度 30 ηΜ)加入到反应体系中, 同时用 485 nm的光激发并于 525 nm波段检测细胞内钙离子浓度变化引起的染料荧光强 度的变化。 HEK293 cell lines stably constructed by various G-protein coupled receptors (including CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 and CXCR6) and Gal6 (constructed by the laboratory as described above) were inoculated In a 96-well plate, after 24 hours of incubation, incubate the cells with 2 μΜ ί1ιιο 4-ΑΜ dye for 45 minutes at 37 ° C, remove the dye, and add 50 μ with different concentrations of ATA (0-100 μΜ) or 1% DMSO ( The negative control) of HBSS was incubated for 10 min at room temperature, and then stimulated with the corresponding ligands (SDF-1, CCL19, CCL20, SIP, etc. (both 30 nM)) as agonists to record calcium signals. Read with a Flex Station 3 microplate reader (Molecular Devices). At the specified time point, the detector can automatically add 25 μΐ agonist (final concentration 30 ηΜ) to the reaction system, and simultaneously stimulate the intensity of dye fluorescence induced by intracellular calcium concentration change at 525 nm with 485 nm light. The change.
u 10: 受体内吞实验  u 10: Receptor endocytosis experiment
将稳定表达 Myc-CXCR4、 EGFP-CCR6或 HA-S1P1的 HEK293细胞株(如上所述由 实验室自行构建) 接种在盖玻片上, 培养过夜。 细胞先用 ATA (0-30 μΜ) 预孵育 10分 钟, 后用相应的配体(SDF-1、 CCL20或 SIP) 30 nM刺激 30分钟。 然后, 将细胞用 4% 多聚甲醛固定, 0.3% Triton X-100破膜后,用抗 myc或 HA标签的抗体 4°C孵育过夜, 相 应的 Alexa Fluor 488二抗室温孵育 1小时, Hochest33342染核后, 用荧光共聚焦显微镜 ( Olympus FVlOi confocal microscope) 拍照。  HEK293 cell lines stably expressing Myc-CXCR4, EGFP-CCR6 or HA-S1P1 (constructed by the laboratory as described above) were inoculated on coverslips and cultured overnight. Cells were pre-incubated with ATA (0-30 μΜ) for 10 minutes and then stimulated with the corresponding ligand (SDF-1, CCL20 or SIP) for 30 min at 30 nM. Then, the cells were fixed with 4% paraformaldehyde, 0.3% Triton X-100 was disrupted, and then incubated with anti-myc or HA-labeled antibody at 4 ° C overnight, and the corresponding Alexa Fluor 488 secondary antibody was incubated for 1 hour at room temperature, Hochest 33342 stained. After the nucleus, a photograph was taken with a fluorescence confocal microscope (Olympus FVlOi confocal microscope).
¾M处理  3⁄4M processing
数据用 GraphPad Prism软件分析处理。 非线性回归分析产生剂量依赖曲线并计算半 数抑制浓度 (IC5())。 数据表示为平均值 ±标准误差, EAE小鼠处理组间统计学差异用 双方向方差检验 (two-way ANOVA test) 分析, 时间点内 EAE评分统计学差异用曼-惠 特尼检验 (Mann- Whitney test)分析。 其他数据分析(如基因表达, 细胞因子生成后病理 学统计分析) 用史蒂顿特氏 t检验分析。 p < 0.05为有统计学意义。 结果 Data were analyzed by GraphPad Prism software. Nonlinear regression analysis yielded a dose-dependent curve and calculated the half-inhibitory concentration (IC 5() ). Data were expressed as mean±standard error. Statistical differences between EAE mice treated groups were analyzed by two-way ANOVA test. Statistical differences in EAE scores at time points were used by Man-Hui. Mann-Whitney test analysis. Other data analyses (eg, gene expression, pathological statistical analysis after cytokine production) were analyzed by the Stittton's t-test. p < 0.05 was considered statistically significant. result
ATA抑制多种趋化因子受体的功能  ATA inhibits the function of various chemokine receptors
趋化因子受体是一类 G蛋白偶联受体 (GPCR) , 它们对细胞的迁移有非常重要的作 用,对 EAE的发病机制也有一定的贡献。在筛选趋化因子受体拮抗剂时,发明人发现 ATA Chemokine receptors are a class of G-protein coupled receptors (GPCRs) that play a very important role in cell migration and contribute to the pathogenesis of EAE. When screening chemokine receptor antagonists, the inventors discovered ATA
(图 1A) 能抑制多种趋化因子导致的细胞信号转导和迁移。 首先, 实施例 9中, 发明人 利用稳定表达 Gal6和各类 GPCR (其中趋化因子受体包括: CCR2, CCR4, CCR5 , CCR6, CCR7 , CCR9 , CXCR4, CXCR5或 CXCR6; 非趋化因子受体包括: S1P1, DOR, KOR, GLP-1R和 β2ΑΡ0 的细胞系检测了 ΑΤΑ对 GPCR介导的钙流反应的抑制作用。 Gal6是 一类泛宿主性的 G蛋白, 常与 G蛋白偶联受体偶联, 启动下游钙信号通路。 实施例 9的 结果显示, ATA剂量依赖性地抑制大多数趋化因子受体介导的钙流反应, 仅 CCR2除外(Fig. 1A) It can inhibit cell signal transduction and migration caused by various chemokines. First, in Example 9, the inventors utilized stable expression of Gal6 and various GPCRs (including chemokine receptors including: CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 or CXCR6; non-chemokine receptors) Including: S1P1, DOR, KOR, GLP-1R and β2ΑΡ0 cell lines detect the inhibitory effect of guanidine on GPCR-mediated calcium flux response. Gal6 is a type of pan-host G protein, often associated with G protein-coupled receptors. Coupling, initiates a downstream calcium signaling pathway. The results of Example 9 show that ATA dose-dependently inhibits most chemokine receptor-mediated calcium flux responses, except CCR2 only
(图 1B, 下表 1 )。 但是对于其他非趋化因子受体, ATA则没有显示出抑制效应(图 1B, 下表 1 )。 (Figure 1B, Table 1 below). However, for other non-chemokine receptors, ATA showed no inhibitory effect (Fig. 1B, Table 1 below).
实施例 8中,发明人随后检测了 ATA对几个不同趋化因子受配体对如 CCL19/CCR7, CCL20/CCR6或 SDF-1/CXCR4介导的脾细胞迁移活性的影响。实施例 8的结果显示, ATA 剂量依赖性的抑制 CCL19,CCL20或 SDF-1所诱导的脾细胞的迁移,其 IC50分别为 0.24, 3.36, 11.46 μΜ (图 1C, 下表 1 ) ; S1P1受体在淋巴细胞迁出次级淋巴器官过程中发挥了 重要作用, 但 ATA并不影响 S1P1介导的细胞趋化 (图 1C, 下表 1 )。  In Example 8, the inventors subsequently examined the effect of ATA on ligand activity of several different chemokines, such as CCL19/CCR7, CCL20/CCR6 or SDF-1/CXCR4, spleen cell migration. The results of Example 8 show that ATA dose-dependently inhibits the migration of spleen cells induced by CCL19, CCL20 or SDF-1 with IC50 of 0.24, 3.36, 11.46 μΜ, respectively (Fig. 1C, Table 1 below); S1P1 receptor It plays an important role in the migration of lymphocytes from secondary lymphoid organs, but ATA does not affect S1P1-mediated cell chemotaxis (Fig. 1C, Table 1 below).
受体内吞是 GPCR被其配体刺激后的一种常见现象。 实施例 10中, 发明人也检测了 ATA对配体刺激后的 CXCR4, CCR6和 S1P1受体内吞效应的影响。表达 CXCR4, CCR6 或 S1P1受体的细胞与 ATA预孵育 10分钟后, 再用相应的配体 SDF-1 , CCL20或 S1P刺 激 30分钟, 然后进行受体免疫荧光染色。 实施例 10的结果显示, 未经配体刺激地细胞, 受体都定位在细胞膜上, 配体刺激后, 受体内吞至胞内 (图 1D); 加入 ATA处理后, 配 体刺激导致的 CXCR4和 CCR6受体内吞显著减少; 但 ATA不影响 S1P1受体的内吞(图 1D)。 综上所述, ATA抑制许多趋化因子受体的功能, 但不影响其他的 GPCR的功能。  Receptor endocytosis is a common phenomenon in which GPCRs are stimulated by their ligands. In Example 10, the inventors also examined the effect of ATA on the endocytosis effects of CXCR4, CCR6 and S1P1 receptors after ligand stimulation. Cells expressing CXCR4, CCR6 or S1P1 receptors were preincubated with ATA for 10 minutes and then stimulated with the corresponding ligands SDF-1, CCL20 or S1P for 30 minutes, followed by immunofluorescence staining of the receptor. The results of Example 10 showed that the receptors were localized on the cell membrane without ligand stimulation, and the receptor was endocytosed into the cells after stimulation of the ligand (Fig. 1D); Endocytosis of CXCR4 and CCR6 receptors was significantly reduced; however, ATA did not affect endocytosis of the S1P1 receptor (Fig. 1D). In summary, ATA inhibits the function of many chemokine receptors, but does not affect the function of other GPCRs.
ATA减轻 EAE的临床症状及病理学特征  ATA alleviates the clinical symptoms and pathological features of EAE
实施例 1中, 用 MOG35_55免疫 8-9周的雌性 C57BL/6小鼠诱导 EAE, 从第 3天或第 12天起开始腹腔注射 ATA (10或 20 mg/kg)至实验结束, 或者在第 3天到第 12天给药。 溶剂对照为含 0.4% DMSO的 PBS。 EAE的临床评分数据见图 2A-2C和下表 2。 ATA剂 量依赖性地缓解 EAE的临床评分 (图 2A), 并显著降低疾病的最高临床评分和累计临床 评分(图 2A, 下表 2)。 当仅第 3天到第 12天给药时, ATA也能够在 EAE疾病发生的起 始和高峰阶段降低其严重程度, 但在 20天后疾病的分数又有上升的趋势, 表明药物的移 除导致了疾病的再次发生 (图 2B)。 在疾病开始之后 (第 12天起) 给药, 20 mg/kg ATA 仍能有效减轻 EAE的严重程度 (图 2C, 表 2), 表明该药物不仅有预防效果, 也能达到 治疗疾病的目的。 In Example 1, immunization with MOG 35 _ 55 8-9 week old female C57BL mice induced EAE / 6, from day 3 or day 12 by intraperitoneal injection of ATA (10 or 20 mg / kg) to the end of the experiment, Or dosing from day 3 to day 12. The solvent control was PBS containing 0.4% DMSO. The clinical score data for EAE are shown in Figures 2A-2C and Table 2 below. ATA dose-dependently ameliorated the clinical score of EAE (Fig. 2A) and significantly reduced the highest clinical score and cumulative clinical score of the disease (Fig. 2A, Table 2 below). When administered only from day 3 to day 12, ATA was also able to reduce its severity at the onset and peak of EAE disease, but after 20 days, the disease score increased, indicating that drug removal resulted in The recurrence of the disease (Figure 2B). After the start of the disease (starting from the 12th day), 20 mg/kg ATA was still effective in reducing the severity of EAE (Fig. 2C, Table 2), indicating that the drug not only has a preventive effect, but also achieves the purpose of treating the disease.
实施例 2中,发明人分析了免疫 21天后脊髓的病理切片。实施例 2的研究结果显示, 相较于对照组, ATA给药可明显减少白细胞对脊髓的浸润(图 2D和 2G) ; 快蓝染色显示 对照组的 EAE小鼠脊髓白质出现广泛的脱髓鞘现象, 而给予 ATA后, 脱髓鞘现象明显减 少 (图 2E和 2H); 冰冻切片免疫荧光染色的结果显示, ATA给药后能明显减少 EAE小 鼠脊髓中 CD45+细胞的数量 (图 2F和 21)。  In Example 2, the inventors analyzed pathological sections of the spinal cord 21 days after immunization. The results of the study of Example 2 showed that ATA administration significantly reduced leukocyte infiltration of the spinal cord compared to the control group (Fig. 2D and 2G); fast blue staining showed extensive demyelination of the white matter of the EAE mouse in the control group. Phenomenon, after deprivation of ATA, demyelination was significantly reduced (Figures 2E and 2H); immunofluorescence staining of frozen sections showed that the number of CD45+ cells in the spinal cord of EAE mice was significantly reduced after ATA administration (Figures 2F and 21). ).
ATA减少疾病起始阶段脾脏内 DC和效应 T细胞的比例  ATA reduces the proportion of DCs and effector T cells in the spleen at the onset of disease
CD4+ T细胞的活化,增殖和分化是 EAE疾病发生的前提。实施例 4中, 发明人利用 流式分析检测了 EAE免疫后第 12天, 小鼠脾脏内各细胞亚群的比例。 与对照组相比, ATA给药组小鼠的 CDl lc+ DC和 EAE中两种主要效应 T细胞 Thl和 TW7细胞的比例显 著下降(图 3A)。 与此结果一致, 给药组小鼠脾细胞在体外用 MOG3555重刺激, 上清中 的细胞因子 (包括 IFN-y,IL17,IL6禾 Π TNF-α)也有显著性减少 (图 3B)。 Activation, proliferation and differentiation of CD4+ T cells are prerequisites for the development of EAE disease. In Example 4, the inventors examined the proportion of each subpopulation of cells in the spleen of mice on the 12th day after EAE immunization by flow cytometry. The ratio of the two major effector T cells Th1 and TW7 cells in CDl lc + DC and EAE of the ATA-administered mice was significantly lower than that of the control group ( FIG. 3A ). This result is consistent with the administration group mouse splenocytes in vitro with MOG 35 - 55 weight stimulation, supernatant cytokines (including IFN-y, IL17, IL6 Wo Π TNF-α) have also significantly reduced (FIG. 3B ).
发明人随后进一步验证 ATA是否是通过直接影响 Thl或 TW7细胞的分化, 而使脾 脏中这两种细胞比例减少的。 实施例 5中, 用免疫磁珠从 6-8周龄雌性 C57BL/6 小鼠脾 细胞中分选出幼稚型 CD4+ T细胞, 用抗 -CD3 和抗 -CD28 抗体激活后加入不同分化因 子及各种浓度的 ATA, 将细胞诱导分化为 Thl或 TW7细胞。 三天后收集细胞进行胞内 IFN-γ, IL-17a的染色。流式分析后发现 ATA并不直接影响 Thl (图 3C)或 Thl7(图 3D) 的 体外分化。 体内 Thl或 Thl7的分化很大程度上受到 DC的影响, 既然 ATA不直接影响 Thl或 TW7的分化,那么这些细胞在体内的减少很可能是因为 CDl lc+ DC的减少所引起 (图 3A)。 实施例 7中, 发明人检测了 ATA是否会促进 DC的凋亡, 从而使脾脏中 DC 的含量减少。 图 3E显示, I型拓扑异构酶抑制剂喜树碱剂量依赖性的促进 DC的凋亡, 但 ATA却没有这种效应, 说明 ATA对 DC的凋亡没有促进作用。 The inventors then further verified whether ATA reduced the proportion of these two cells in the spleen by directly affecting the differentiation of Th1 or TW7 cells. In Example 5, naive CD4 + T cells were sorted from 6-8 week old female C57BL/6 mouse spleen cells by immunomagnetic beads, activated with anti-CD3 and anti-CD28 antibodies, and then added with different differentiation factors and Cells were induced to differentiate into Th1 or TW7 cells at various concentrations of ATA. Three days later, cells were collected for staining of intracellular IFN-γ, IL-17a. Flow analysis revealed that ATA did not directly affect the in vitro differentiation of Th1 (Fig. 3C) or Thl7 (Fig. 3D). The differentiation of Th1 or Thl7 in vivo is largely influenced by DC. Since ATA does not directly affect the differentiation of Th1 or TW7, the reduction of these cells in vivo is most likely due to the decrease in CD1 lc + DC (Fig. 3A). In Example 7, the inventors examined whether ATA promotes apoptosis of DC, thereby reducing the amount of DC in the spleen. Figure 3E shows that the type I topoisomerase inhibitor camptothecin dose-dependently promotes apoptosis in DC, but ATA does not have this effect, indicating that ATA does not promote DC apoptosis.
ATA抑制 DC的迁移, 伹不影响 他功能  ATA suppresses the migration of DC, does not affect his function.
DC在外周组织中捕获、 加工并向 MHC分子递呈抗原。 DC随后向次级淋巴器官中 迁移, 并在这些器官中, 向幼稚型 T细胞递呈抗原, 促使它们向 Thl或 Thl7分化, 从而 启动抗原特异性免疫反应。因为 ATA不会促进 DC的凋亡,那么它很有可能是抑制了 DC 向脾脏的迁移。 实施例 8中, 发明人用趋化实验研究 ATA对于 DC迁移的作用。 CCR7 是成熟 DC上高表达的介导 DC迁移的主要的趋化因子受体。 结果显示, ATA ( 10 μΜ) 能够完全抑制 CCR7的配体 CCL19所诱导的 ΕΑΕ免疫后第 12天小鼠脾脏中分离的获得 的 DC的趋化效应 (图 4A)。 The DC captures, processes, and presents antigen to MHC molecules in peripheral tissues. DC then to secondary lymphoid organs Migration, and in these organs, present antigens to naive T cells, causing them to differentiate into Th1 or Thl7, thereby initiating an antigen-specific immune response. Because ATA does not promote DC apoptosis, it is likely to inhibit DC migration to the spleen. In Example 8, the inventors used chemotaxis experiments to study the effect of ATA on DC migration. CCR7 is a major chemokine receptor that is highly expressed on mature DCs that mediates DC migration. The results showed that ATA (10 μΜ) was able to completely inhibit the chemotactic effect of the obtained DC isolated from the spleen of mice on day 12 after the induction of CCR7 ligand CCL19 (Fig. 4A).
实施例 6中,发明人为了进一步验证 ATA是否影响 DC向 CD4+ T细胞的抗原递呈及 其细胞因子的分泌,设计了 DC-CD4+ T细胞共培养实验。 CD4+ T细胞分离自对照组小鼠, 用 CFSE标记后,与分离自对照组 EAE或 ATA给药组 EAE小鼠的 CD1 lc+ DC共培养 72 小时。 来自 ATA给药组 EAE小鼠的 DC与来自对照组 EAE小鼠的 DC具有相同的刺激 CD4+ T细胞增殖(图 4B)及促进它们分泌细胞因子的能力 (图 4C)。 同时, 发明人设计 了另一个实验, 将均分离自对照组 EAE小鼠的 CD4+ T细胞和 CDl lc+ DC共培养, 并向 培养体系中加入 ATA ( 10 μΜ), 72小时后分别用流式和 ELISA检测 CD4+ Τ细胞的增殖 (图 4D)及它们细胞因子的分泌(图 4Ε-4Η)。 结果显示, CD4+ T细胞和 CDl lc+ DC共 培养能显著增强 CD4+ T细胞的增殖及其细胞因子的产生。 MOG3555重刺激能进一步加强 这种效应。但 ATA并不影响该系统中 CD4+ T细胞的增殖及它们细胞因子的分泌。综上所 述, ATA在 EAE上展现出来的保护作用是通过抑制 DC向脾脏内的迁移聚集, 从而减少 了 T细胞的活化和分化。 In Example 6, the inventors designed a DC-CD4+ T cell co-culture experiment in order to further verify whether ATA affects the antigen presentation of DCs to CD4 + T cells and the secretion of cytokines. CD4 + T cells were isolated from control mice, labeled with CFSE, and co-cultured with CD1 lc + DC isolated from control EAE or ATA-administered EAE mice for 72 hours. DCs from ATA-administered EAE mice had the same stimulation of CD4 + T cell proliferation (Fig. 4B) and their ability to secrete cytokines (Fig. 4C). At the same time, the inventors designed another experiment in which CD4 + T cells isolated from control EAE mice were co-cultured with CDl lc + DC, and ATA (10 μΜ) was added to the culture system, and flow was used 72 hours later. The proliferation of CD4+ sputum cells (Fig. 4D) and their cytokine secretion were examined by ELISA and ELISA (Fig. 4Ε-4Η). The results showed that co-culture of CD4 + T cells and CD1 lc + DC significantly enhanced the proliferation of CD4 + T cells and the production of cytokines. MOG 3555 stimuli can further enhance this effect. However, ATA does not affect the proliferation of CD4 + T cells and the secretion of their cytokines in this system. In summary, the protective effect of ATA on EAE is to inhibit the migration and aggregation of DC into the spleen, thereby reducing the activation and differentiation of T cells.
ATA阻断致病性淋巴细胞向中枢神经系统的浸润  ATA blocks the infiltration of pathogenic lymphocytes into the central nervous system
ATA在疾病开始之后也表现除了一定的治疗效果 (图 2C)。 所以发明人进一步验证 了 ATA是否会影响致病性 T细胞向中枢神经系统浸润的过程。 利用流式分析技术对免疫 后第 18天 CNS白细胞浸润情况的进行检测, ATA给药后, CD4+ T细胞和两个主要致病 细胞 Thl和 TW7细胞的数目显著性减少 (图 5A)。 然而, 同时发现血液中 TW7细胞的 比例, 与对照组相比, ATA给药组有显著性上升 (图 5B)。 这个有趣的现象表明 ATA可 能抑制了致炎性 T细胞向 CNS中的浸润, 从而导致 TW7细胞在血液中的积累。 脉络丛 形成了血脑屏障的一部分, T细胞穿过脉络丛进入中枢神经系统是 EAE病情起始的关键 一步。 有文献报道, CCL20/CCR6介导的 Thl7细胞向 CNS的浸润触发了 EAE的开始。 CCR6基因敲除小鼠的 CD45+细胞不能穿过血脑屏障, 积聚在脉络丛中。 图 5C和 5D显 示, 与对照组相比, ATA给药组 EAE小鼠脉络丛中有更多的 CD45+细胞的聚集, 这些 都说明了 ATA同时还会抑制致病性 T细胞向 CNS的浸润, 从而缓解 EAE的病情。 讨论 ATA also showed a certain therapeutic effect after the onset of the disease (Fig. 2C). Therefore, the inventors further verified whether ATA affects the process of pathogenic T cells infiltrating into the central nervous system. Flow cytometry was used to detect CNS leukocyte infiltration on day 18 after immunization. After ATA administration, the number of CD4 + T cells and the two major pathogenic cells ThH and TW7 cells was significantly reduced (Fig. 5A). However, at the same time, the proportion of TW7 cells in the blood was found to be significantly increased in the ATA administration group as compared with the control group (Fig. 5B). This interesting phenomenon suggests that ATA may inhibit the infiltration of inflammatory T cells into the CNS, resulting in the accumulation of TW7 cells in the blood. The choroid plexus forms part of the blood-brain barrier, and the passage of T cells through the choroid plexus into the central nervous system is a critical step in the initiation of EAE. It has been reported in the literature that CCL20/CCR6-mediated infiltration of Th1 cells into the CNS triggers the onset of EAE. CD45+ cells of CCR6 knockout mice cannot cross the blood-brain barrier and accumulate in the choroid plexus. Figures 5C and 5D show that there is more accumulation of CD45+ cells in the choroid plexus of EAE mice compared to the control group, which indicates that ATA also inhibits the infiltration of pathogenic T cells into the CNS. Thereby alleviating the condition of EAE. discuss
趋化因子是一类与白细胞迁移和炎症反应相关的细胞因子,根据它们的结构性质可被 分为两个大的家族 (CXC和 CC) 和两个小的家族(C和 CX3C)。 趋化因子受体下游信 号通过异源三聚体 G蛋白传递。 G蛋白能够调节多种信号传导通路, 包括细胞内钙离子, 丝裂酶原活化蛋白激酶(mitogen-activated protein kinases, MAPK) , PLCP, PI3K, Ras 和 Rho GTPases等。 这些转导信号被认为负责细胞的运动及免疫细胞的运输。  Chemokines are a class of cytokines associated with leukocyte migration and inflammatory responses that can be divided into two large families (CXC and CC) and two small families (C and CX3C) depending on their structural properties. The chemokine receptor downstream signal is delivered by the heterotrimeric G protein. G protein can regulate a variety of signaling pathways, including intracellular calcium, mitogen-activated protein kinases (MAPK), PLCP, PI3K, Ras and Rho GTPases. These transduction signals are thought to be responsible for the movement of cells and the transport of immune cells.
抗原进入外周组织后,未成熟 DC在病原体或炎症因子诱导下慢慢成熟。携带抗原的 成熟 DC迁出外周组织到达次级淋巴器官, 并在此刺激 T细胞的增殖和分化。 DC成熟过 程中,其表面表达的趋化因子受体类型会改变。决定携带抗原的成熟 DC在 T细胞富集区 域积累的趋化因子受体 CCR7的表达会逐渐上调。最近的研究也表明 CXCR4和 CCR7介 导的信号协同调节 DC向脾白髓迁移。 抑制 DC迁移的药物巳经用于治疗自身免疫疾病。 例如, 环孢霉素 A (Cyclosporin A, CsA)在临床上是一种非常重要的有效的免疫抑制剂, 用于治疗器官移植, 变应性紊乱, 自身免疫疾病和急性炎症。 CsA主要通过抑制 DC在 LPS刺激下产生 PGE2, 进而干预了趋化因子受体的表达, 损伤 DC的迁移能力。 发明人 的数据显示, ATA非特异性地抑制趋化因子受体的功能, 且它对于抑制 CCL19/CCR7介 导的 DC趋化的活性也是最好的。这表明抑制 DC向次级淋巴器官的归巢也许是治疗自身 免疫疾病的一种有效方法。 After the antigen enters the peripheral tissues, the immature DCs slowly mature under the induction of pathogens or inflammatory factors. Mature DCs carrying antigen migrate out of peripheral tissues to secondary lymphoid organs where they stimulate T cell proliferation and differentiation. During the maturation of DC, the type of chemokine receptors expressed on the surface changes. It is determined that the expression of the chemokine receptor CCR7, which is accumulated in the T cell-rich region, is gradually up-regulated by mature DCs carrying antigen. Recent studies have also shown that CXCR4 and CCR7-mediated signaling synergistically regulate DC migration to the spleen white pulp. Drugs that inhibit DC migration are used to treat autoimmune diseases. For example, cyclosporin A (CsA) is a very important and effective immunosuppressive agent for the treatment of organ transplants, allergic disorders, autoimmune diseases and acute inflammation. CsA mainly interferes with the expression of chemokine receptors by inhibiting the production of PGE 2 under LPS stimulation, and impairs the migration ability of DCs. The inventors' data show that ATA non-specifically inhibits the function of chemokine receptors and that it is also best for inhibiting CCL19/CCR7-mediated DC chemotaxis. This suggests that inhibiting the homing of DCs to secondary lymphoid organs may be an effective method for treating autoimmune diseases.
淋巴细胞向 CNS的浸润是 EAE这种神经退行性疾病发生的另外一个关键步骤,它也 是由趋化因子受体所调节。白细胞从血液向血管外渗出是一个多步骤的过程。在这一级联 反应中的关键一步是循环中的白细胞表面表达的趋化因子受体与血管内皮细胞表面的趋 化因子结合, 启动细胞内信号, 导致整合素活化, 白细胞阻滞及外渗。最近的证据表明表 达 IL-17的 TW7细胞是 EAE中最重要的致炎性 T细胞。 TW7细胞高表达趋化因子受体 CCR6, 并且其配体 CCL20在健康的及 EAE小鼠的脉络丛细胞上高表达。 Reboldi等报道 CCR6+ Thl7细胞穿过脉络丛上皮细胞进入 CNS的过程对于 EAE的起始是非常重要的。 CCR6基因敲除后能阻滞 TW7细胞的浸润, 减轻 EAE的病情。 发明人也证明了 ATA抑 制 CCL20/CCR6介导的脾细胞的趋化, 并减少致炎性 T细胞向 CNS的浸润。  The infiltration of lymphocytes into CNS is another key step in the development of EAE, a neurodegenerative disease, which is also regulated by chemokine receptors. Leukocyte exudation from the blood to the extravascular is a multi-step process. A key step in this cascade is the binding of chemokine receptors expressed on the surface of leukocytes in the circulation to chemokines on the surface of vascular endothelial cells, triggering intracellular signaling, leading to integrin activation, leukocyte arrest and extravasation . Recent evidence suggests that TW7 cells expressing IL-17 are the most important pro-inflammatory T cells in EAE. TW7 cells highly express the chemokine receptor CCR6, and its ligand CCL20 is highly expressed on choroid plexus cells of healthy and EAE mice. Reboldi et al reported that the process of CCR6+ Thl7 cells entering the CNS through choroid plexus epithelial cells is very important for the initiation of EAE. CCR6 knockdown can block the infiltration of TW7 cells and alleviate the condition of EAE. The inventors have also demonstrated that ATA inhibits CCL20/CCR6-mediated chemotaxis of splenocytes and reduces the infiltration of inflammatory T cells into CNS.
许多其他的趋化因子受体在 EAE发病过程中的作用也有报道,而 ATA作为一个多趋 化因子受体的非特异性抑制剂正是其对 EAE有治疗效果的原因。值得注意的是 ATA巳经 被报道可通过抑制 CD4与病毒包膜糖蛋白 gpl20的结合来抑制 HIV的进入。 众所周知, CCR5和 CXCR4是 HIV入侵的共受体。 通过发明人的数据显示, ATA也许还通过抑制 CCR5和 CXCR4来阻挡 HIV进入 CD4+ T细胞。 The role of many other chemokine receptors in the pathogenesis of EAE has also been reported, and ATA as a non-specific inhibitor of multiple chemokine receptors is responsible for its therapeutic effect on EAE. It is noteworthy that ATA has been reported to inhibit HIV entry by inhibiting the binding of CD4 to the viral envelope glycoprotein gpl20. It is well known that CCR5 and CXCR4 are co-receptors of HIV invasion. According to the inventor's data, ATA may also pass inhibition CCR5 and CXCR4 block HIV entry into CD4 + T cells.
本发明公开了 ATA 抑制趋化因子受体功能的活性, 并公开了 ATA 通过抑制 The present invention discloses the activity of ATA to inhibit the function of chemokine receptors, and discloses the inhibition of ATA by
CCL19/CCR7介导的 DC向次级淋巴器官的归巢及 CCL20/CCR6介导的 TW7细胞进入CCL19/CCR7-mediated homing of DCs to secondary lymphoid organs and CCL20/CCR6-mediated TW7 cell entry
CNS的过程, 可以达到治疗 EAE的目的。 The process of CNS can achieve the purpose of treating EAE.
表 1 : ATA抑制趋化因子受体介导的钙流反应及细胞迁移。 其中:  Table 1: ATA inhibits chemokine receptor-mediated calcium flux response and cell migration. among them:
通过钙流和趋化实验检测 ATA在多种趋化因子受体和其他 GPCR上的抑制活性。 数 据来自三次独立实验, 每次实验三复孔, 表示为平均值 ±标准误差。  The inhibitory activity of ATA on various chemokine receptors and other GPCRs was examined by calcium flow and chemotaxis assays. The data was obtained from three independent experiments, three replicate wells per experiment, expressed as mean ± standard error.
【表 1】  【Table 1】
Figure imgf000015_0001
a数据表示为平均值 ±标准误差;
Figure imgf000015_0001
a data is expressed as mean ± standard error;
NA: 未检测 表 2: ATA减轻 EAE临床评分。 其中: NA: not detected Table 2: ATA reduces EAE clinical score. among them:
ATA不同给药剂量及给药方式对 EAE病情临床评分的影响统计表。 【表 2】  A statistical table of the effects of different doses of ATA and the mode of administration on the clinical score of EAE. 【Table 2】
Figure imgf000016_0001
a平均值士标准误差;
Figure imgf000016_0001
a mean standard error;
***p<0.001, **p<0.01, *p<0.05(史蒂顿特氏 t检验).  ***p<0.001, **p<0.01, *p<0.05 (Stittton's t-test).

Claims

权 利 要 求 Rights request
1、 金精三羧酸或含有金精三羧酸的药物组合物在制备靶向趋化因子受体的药物中的 用途。 1. The use of aurin tricarboxylic acid or a pharmaceutical composition containing aurin tricarboxylic acid in the preparation of drugs targeting chemokine receptors.
2、 如权利要求 1所述的用途, 其中, 所述靶向趋化因子受体的药物为趋化因子受体 抑制剂。 2. The use as claimed in claim 1, wherein the drug targeting chemokine receptors is a chemokine receptor inhibitor.
3、如权利要求 1或 2所述的用途,其中,所述趋化因子受体包括 CCR2, CCR4, CCR5 , CCR6, CCR7, CCR9 , CXCR4, CXCR5 , CXCR6。 3. The use according to claim 1 or 2, wherein the chemokine receptors include CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5, CXCR6.
4、根据权利要求 3所述的用途,其中,所述趋化因子受体为选自 CCR2,CCR4,CCR5, CCR6, CCR7, CCR9 , CXCR4, CXCR5和 CXCR6中的一种或多种。 4. The use according to claim 3, wherein the chemokine receptor is one or more selected from the group consisting of CCR2, CCR4, CCR5, CCR6, CCR7, CCR9, CXCR4, CXCR5 and CXCR6.
5、 根据权利要求 3所述的用途, 其特征在于, 金精三羧酸同时靶向 3个以上的所述 趋化因子受体。 5. The use according to claim 3, characterized in that aurin tricarboxylic acid targets more than 3 chemokine receptors at the same time.
6、金精三羧酸或含有金精三羧酸的药物组合物在制备用于预防和 /或治疗自身免疫性 疾病的药物中的用途。 6. The use of aurintricarboxylic acid or pharmaceutical compositions containing aurintricarboxylic acid in the preparation of drugs for preventing and/or treating autoimmune diseases.
7、 如权利要求 6所述的用途, 其中所述自身免疫性疾病选自多发性硬化症、 类风湿 性关节炎、 红斑狼疮和炎症性肠病。 7. The use according to claim 6, wherein the autoimmune disease is selected from the group consisting of multiple sclerosis, rheumatoid arthritis, lupus erythematosus and inflammatory bowel disease.
8、 如权利要求 1-7中任一项所述的用途, 其中, 所述含有金精三羧酸的药物组合物 包含治疗有效量的金精三羧酸和任选的可药用载体。 8. The use according to any one of claims 1 to 7, wherein the pharmaceutical composition containing aurin tricarboxylic acid contains a therapeutically effective amount of aurin tricarboxylic acid and optionally a pharmaceutically acceptable carrier.
9、一种预防和 /或治疗自身免疫性疾病的方法, 所述方法包括向需要其的对象施用治 疗有效量的金精三羧酸或含有金精三羧酸的药物组合物。 9. A method for preventing and/or treating autoimmune diseases, the method comprising administering a therapeutically effective amount of aurintricarboxylic acid or a pharmaceutical composition containing aurintricarboxylic acid to a subject in need thereof.
10、 如权利要求 9所述的方法, 其中, 所述自身免疫性疾病选自多发性硬化症、类风 湿性关节炎、 红斑狼疮和炎症性肠病。 10. The method of claim 9, wherein the autoimmune disease is selected from the group consisting of multiple sclerosis, rheumatoid arthritis, lupus erythematosus and inflammatory bowel disease.
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WO2021219849A1 (en) 2020-04-30 2021-11-04 Idorsia Pharmaceuticals Ltd Azetidin-3-ylmethanol derivatives as ccr6 receptor modulators
WO2023057548A1 (en) 2021-10-07 2023-04-13 Idorsia Pharmaceuticals Ltd Ccr6 receptor modulators
WO2023072924A1 (en) 2021-10-26 2023-05-04 Idorsia Pharmaceuticals Ltd Ccr6 receptor modulators
WO2023073082A1 (en) 2021-10-28 2023-05-04 Idorsia Pharmaceuticals Ltd Ccr6 receptor modulators

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Publication number Priority date Publication date Assignee Title
WO2021219849A1 (en) 2020-04-30 2021-11-04 Idorsia Pharmaceuticals Ltd Azetidin-3-ylmethanol derivatives as ccr6 receptor modulators
WO2023057548A1 (en) 2021-10-07 2023-04-13 Idorsia Pharmaceuticals Ltd Ccr6 receptor modulators
WO2023072924A1 (en) 2021-10-26 2023-05-04 Idorsia Pharmaceuticals Ltd Ccr6 receptor modulators
WO2023073082A1 (en) 2021-10-28 2023-05-04 Idorsia Pharmaceuticals Ltd Ccr6 receptor modulators

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