WO2016158670A1 - Composition pour thérapie de régénération vasculaire, contenant des cellules adipeuses dédifférenciées en tant qu'ingrédient actif - Google Patents
Composition pour thérapie de régénération vasculaire, contenant des cellules adipeuses dédifférenciées en tant qu'ingrédient actif Download PDFInfo
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- WO2016158670A1 WO2016158670A1 PCT/JP2016/059386 JP2016059386W WO2016158670A1 WO 2016158670 A1 WO2016158670 A1 WO 2016158670A1 JP 2016059386 W JP2016059386 W JP 2016059386W WO 2016158670 A1 WO2016158670 A1 WO 2016158670A1
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- A—HUMAN NECESSITIES
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- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
- A61K35/35—Fat tissue; Adipocytes; Stromal cells; Connective tissues
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- the present invention relates to a composition for revascularization therapy.
- the present invention relates to a composition for revascularization therapy comprising dedifferentiated fat cells (DFAT) as an active ingredient.
- DFAT dedifferentiated fat cells
- G-CSF mobilized peripheral blood mononuclear cells (iii) adipose tissue derived basal basal fraction (SVF) cells, (iv) peripheral blood mononuclear cells, (v) G-CSF mobilized CD34 positive cells, Similar angiogenesis therapy using many autologous cells such as vi) bone marrow-derived CD133 positive cells, (vii) cultured bone marrow mesenchymal stem cells (MSC) (viii) cultured adipose tissue-derived stem cells (ASC) has been performed.
- MSC bone marrow mesenchymal stem cells
- ASC cultured adipose tissue-derived stem cells
- the cells of (i) to (vi) are not cultured, but a large amount of tissue is required to obtain the required number of cells, which is highly invasive to patients. For this reason, the number of treatments is usually limited to only one, except that the invasiveness associated with collection is relatively low (iv).
- the cells (i) to (iv) are a diverse cell population, the transplantation effect and safety are not constant.
- the cells of (v) and (vi) can be improved in cell uniformity by performing a sorting operation using a stem cell marker antibody, but the complexity and reduction in preparation efficiency associated with antibody selection and preparation are reduced. There is a problem that the cost becomes high.
- the cells of (vii) are used after collecting dozens of ml of bone marrow fluid, adherently cultured and proliferated, and the cells of (viii) are subjected to enzyme treatment of adipose tissue and adherently cultured and proliferated in the same manner as (vii). Use from. Therefore, both (vii) and (viii) cells have the merit that they can be prepared in large quantities from a relatively small amount of tissue, but this method is a method of culturing and proliferating stem cells present in minute amounts in adult tissues. For this reason, contamination with other cells is unavoidable, and it is necessary to repeat the subculture several times in order to obtain the number of cells necessary for treatment. The number of treatments is usually only once.
- rat adipose tissue-derived progenitor cells and rat adipose tissue-derived mesenchymal stem cells are effective for angiogenesis (Patent Documents 1 and 2).
- the present inventors have succeeded for the first time in establishing dedifferentiated adipocytes (DFAT) as preadipocytes by inducing dedifferentiation of mature adipocytes derived from adipose tissue of non-human animals such as mice (patents) Reference 3), it has been shown that by inducing differentiation of DFAT, functions of osteoblasts, myoblasts, chondrocytes, nerve cells and the like can be obtained (Patent Document 4).
- DFAT dedifferentiated adipocytes
- Non-Patent Documents 1 to 3 mouse and rat DFAT has angiogenic ability.
- DFAT in mice and rats is difficult to increase to the number required for transplantation because of its low growth ability after subculture, and since transformation (immortalization) occurs by subculture, it is tumorigenic. The possibility increases and it cannot be safely transplanted. For these reasons, it has been considered that the same phenomenon occurs in human DFAT as in mouse and rat DFAT and is not suitable for treatment.
- the present invention is a cell for revascularization therapy that exhibits an excellent blood flow improvement effect compared to bone marrow MSC, ASC, etc., which are conventional treatment cells, and it is easy to obtain a sufficient amount necessary for transplantation.
- An object of the present invention is to provide a cell for revascularization therapy having a stable quality.
- a blood flow improving agent comprising human dedifferentiated adipocytes (human DFAT) as an active ingredient.
- An angiogenesis promoter containing human dedifferentiated adipocytes (human DFAT) as an active ingredient.
- a therapeutic agent for ischemic disease comprising human dedifferentiated fat cells (human DFAT) as an active ingredient.
- human dedifferentiated adipocytes prepared from human mature adipocytes have excellent angiogenic potential, and are effective cells for cell therapy for ischemic diseases such as peripheral artery disease (PAD). Clarified that it can be a source. Therefore, the present invention has the following effects. (1) Large-scale cell preparation facilities, growth factors, and antibody selection for increasing purity are not necessary. Moreover, since a large amount can be adjusted in a short culture period, the preparation cost can be kept low. (2) Regenerative medical donor cells with high purity can be efficiently collected from a small amount of adipose tissue that can be easily collected, and the obtained cells have high angiogenic ability. (3) Multiple treatments can be performed by collecting a single tissue, and treatment that exhibits a certain level of effectiveness without being affected by donor age or underlying disease is possible. (4) Unlike existing cell sources, it can show long-term efficacy against PAD.
- the karyotype analysis result of human DFAT is shown.
- A Photograph of chromosome structure by Giemsa staining.
- B The table
- the comprehensive analysis result of the cytokine secreted in a human DFAT culture supernatant is shown.
- Human DFAT (hDFAT), human ASC (hASC), human preadipocyte (hPreadipocyte), human fibroblast (hFibroblast), secreted cytokine (HGF, SDF-1, The quantification results of MCP-1, IL-6, VEGF, and Leptin) are shown. Figures in parentheses indicate donor age.
- the examination result of the angiogenesis ability of a human DFAT culture supernatant is shown.
- A Photograph showing the proliferation of vascular endothelial cells by human DFAT culture supernatant.
- B A graph showing the total length (total lumen length) and total area (total lumen area) of the vascular lumen formed in the well by the human DFAT culture supernatant and human bone marrow MMC culture supernatant.
- the examination result of the angiogenesis ability of the human DFAT culture supernatant by the difference in donor age is shown.
- Donors are 2-year-old male (h-DFAT2yM), 29-year-old male (h-DFAT29yM), 56-year-old female (h-dFAT56yF), 75-year-old female (h-DFAT75yF), 82-year-old female (h-DFAT82yF).
- the comparative examination result of the angiogenesis ability of the human DFAT culture supernatant (hDFAT) and human ASC culture supernatant (hASC) derived from the same donor is shown.
- A Photograph showing histological observation results.
- the effect of human DFAT transplantation in an immunodeficient mouse lower limb ischemia model is shown.
- (B) The graph which shows the ischemic rate of the ischemic limb with respect to a mouse
- the quantification result of secretory cytokine (HGF) in the culture supernatant of human DFAT (hDFAT) and human ASC (hASC) is shown.
- the quantification result of secretory cytokine (VEGF) in the culture supernatant of human DFAT (hDFAT) and human ASC (hASC) is shown.
- Human DFAT The method for adjusting human DFAT in the present invention may be performed with reference to, for example, Japanese Patent Application Laid-Open No. 2000-83656 made by the present inventors. That is, after adipose tissue such as human subcutaneous or internal organs is treated with collagenase, a single fraction consisting only of monocystic adipocytes is collected by filtration with a mesh having a diameter of 100 to 200 ⁇ m. Human dedifferentiated adipocytes (human DFAT) can be obtained by further subculturing fibroblast-like adipocytes produced by ceiling culture of these monocystic adipocytes.
- human DFAT can also be obtained by a method of adjusting cells that do not have lipid droplets originating from mature adipocytes by culturing mature adipocytes by methods other than the above-described ceiling culture. Confirmation that the obtained cells are human DFAT can be determined, for example, based on whether or not they have the following characteristics specific to human DFAT. Human DFAT has adhesiveness to plastic and exhibits multipotency into osteoblasts, adipocytes, chondrocytes and smooth muscle cells in vitro.
- human DFAT has lost expression of marker genes of mature adipocytes such as lipoprotein lipase and GLUT4, but expresses early differentiation marker genes of fat, bone and cartilage such as PPARg, RUNX2, and SOX9. Furthermore, human DFAT had a high cell proliferation ability, and the cell doubling time was about 65 hours for the second passage cell and about 48 hours for the tenth passage.
- Human DFAT can be obtained from 10 ml of aspirated fat or 1 g of adipose tissue by the above-mentioned preparation method, and 10 8 cells can be obtained in primary culture for about 2 weeks. This is about 25 times the preparation efficiency of cultured ASC. Therefore, it is possible to obtain cells of the order of 10 9 by subculturing 2-3 times. Since the number of cells used for a single cell therapy is about 10 8 , treatment can be performed about 10 times if the obtained cells are subdivided and cryopreserved by collecting adipose tissue once (about 10 ml). I know that there is.
- human DFAT can obtain homogeneous cells from primary culture.
- Primary cultured ASC contains smooth muscle cells (18.6%), vascular endothelial cells (2.7%) and monocytes (13.3%).
- the contamination rate of these cells in primary cultured human DFAT is It was very low as 0.1% or less.
- human DFAT is not only subcultured but also primary culture cells are CD34 negative, and maintain stable traits compared to ASC that is CD34 positive at the start of culture but whose expression is reduced by subculture (See FIG. 9). When isolating mature adipocytes, if collagenase treatment and filtration are not performed properly and adequately, cells other than mature adipocytes attach to mature adipocytes and proliferate in ceiling culture.
- CD34 positive cells may increase. It was also revealed that human DFAT can be prepared without being affected by donor age or underlying disease. These characteristics are thought to contribute to eliminating individual differences in performance as therapeutic cells and reducing treatment refractory cases (standardization of therapeutic cells). Furthermore, human DFAT showed a significantly higher blood flow improvement effect than peripheral blood mononuclear cells and fibroblasts in transplantation experiments to lower limb ischemia model animals described later in Examples.
- angiogenesis refers to a phenomenon in which new blood vessels are formed from existing blood vessels.
- physiological blood vessel development in the embryonic period, as well as cancer and diabetic properties It also occurs in pathological conditions such as retinopathy.
- angiogenesis and vascular regeneration are used synonymously unless otherwise specified.
- revascularization or therapeutic angiogenesis
- ischemic diseases such as peripheral arterial disease (PAD), angina pectoris, and myocardial infarction.
- PED peripheral arterial disease
- the performance of cells having revascularization ability includes the expression and secretion amount of angiogenesis-promoting factors such as HGF, VEGF-A, FGF-2, SDF-1, and leptin, and vascular endothelial cells and pericytes that are vascular constituent cells. It can be confirmed by the ability to differentiate into.
- DFAT in-house DFAT
- DFAT in-house DFAT
- a method of improving the blood flow by thawing this periodically and injecting it into an ischemic site (muscle) can be mentioned.
- a DFAT cell bank for allogeneic transplantation using adipose tissue discarded by surgery or the like it is possible to construct a DFAT cell bank for allogeneic transplantation using adipose tissue discarded by surgery or the like.
- a therapeutic model is assumed in which cryopreserved DFAT fully matched with HLA is thawed and injected into the patient's ischemic site.
- the present invention relates to a drug for regenerating blood vessels and repairing damaged tissue caused by ischemia, comprising human DFAT of the present invention as an active ingredient.
- the drug of the present invention may be human DFAT itself, or a pharmaceutically acceptable carrier such as a preservative or stabilizer may be added.
- “Pharmaceutically acceptable” means a pharmaceutically acceptable material that itself does not have the above-mentioned activity and can be administered together with the above-mentioned drug.
- parenteral administration includes parenteral administration.
- parenteral administration include administration in the form of injections, and examples of injections include subcutaneous injections, intramuscular injections, intraperitoneal injections, and the like.
- parenteral administration includes administration in the form of injections, and examples of injections include subcutaneous injections, intramuscular injections, intraperitoneal injections, and the like.
- local administration may be performed targeting a part of a human body (one tissue such as an organ), or the cells of the present invention may be applied to an entire organism by administration into a blood vessel. May be circulated. Moreover, you may administer simultaneously to the target of several places.
- the cells of the present invention can be locally administered to a region where treatment is desired. For example, it can be administered by local injection during surgery or by use of a catheter.
- pH adjusters, buffers, stabilizers, preservatives, etc. are added as necessary, and subcutaneous, intramuscular and intravenous injections are prepared by conventional methods.
- the dose varies depending on the patient's age, sex, weight and symptoms, therapeutic effect, administration method, treatment time, type of active ingredient contained in the cells, etc., and is not particularly limited.
- the cells of the invention may be administered as part of a pharmaceutical composition with at least one known chemotherapeutic agent. In one embodiment, the cells of the invention and the known chemotherapeutic agent may be administered substantially simultaneously. It is also possible to administer the cell of the present invention to a part of a human removed from the human and return the part of the human to the removed human or other human.
- Example 1 Character analysis of human DFAT (1) Karyotype analysis (1-1) Test method (i) Preparation of human DFAT This was carried out with reference to Japanese Patent Application Laid-Open No. 2000-83656 made by the present inventors. . That is, a human adipose subcutaneous human tissue was treated with collagenase, and then filtered with a mesh having a diameter of 100 to 200 ⁇ m to collect a single fraction consisting only of monocystic adipocytes. Human dedifferentiated adipocytes (human DFAT) were prepared by subculturing fibroblast-like adipocytes produced by ceiling culture of these monocystic adipocytes.
- Example 2 Examination of angiogenic ability of human DFAT Analysis of DFAT-secreted cytokine (1) Protein array analysis of expressed cytokine (1-1) Test method (i) Preparation method of human ASC Precipitation fraction of human DFAT obtained in the same manner as in Example 1 (stromal vascular fraction) SVF cells were collected from the fractional basal fraction (SVF) and cultured for about 2 weeks in a culture flask to prepare human ASC. The method for adjusting human ASC is the same in the following test examples.
- hPreadipocyte Human preadipocytes purchased from DS Pharma Medical Co., Ltd. were prepared by thawing, washing and adherent culture. As the medium, DMEM containing 10% FBS was used. The method for preparing human preadipocytes is the same in the following test examples.
- hBM-MSC Human bone marrow MSC
- DMEM containing 10% FBS was used.
- the method for adjusting human bone marrow MSC is the same in the following test examples.
- HGF and SDF-1 were found to be characteristically higher in expression than preadipocyte, human ASC, and human bone marrow MSC (FIG. 4).
- Angiogenic ability of human DFAT culture supernatant in vitro (1) Comparison of human DFAT and human bone marrow MSC (hBM-MSC) (1-1) Test method Angiogenesis kit (KZ-1000, KURABO, Osaka, Japan) The in vitro angiogenesis ability of the human DFAT culture supernatant was examined.
- This kit is a design in which human fibroblasts and human vascular endothelial cells are co-cultured in advance in a 24-well plate, and luminal formation of vascular endothelial cells is induced by culturing in a dedicated angiogenic medium. When a sample medium containing a test substance is added to this and cultured, a difference in lumen forming ability occurs.
- the angiogenesis ability was measured by inducing tube formation according to the protocol of this kit, and tube formation was visualized by immunostaining using a mouse anti-human CD31 antibody.
- the DFAT culture supernatant and human bone marrow MSC culture supernatant were prepared by the above method and mixed 1: 1 with the attached angiogenesis medium to obtain a sample medium.
- Test Results The culture supernatant of human DFAT markedly promoted the proliferation and lumen formation of vascular endothelial cells.
- the angiogenic potential of DFAT was equal to or greater than that of bone marrow MSC (FIG. 5).
- SCID immunodeficient mice
- the cell therapy method with respect to ischemic diseases can be provided by utilizing the human dedifferentiated fat cell (human DFAT) prepared from a human mature fat cell. .
- human DFAT human dedifferentiated fat cell
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Abstract
La présente invention vise à fournir une cellule pour une utilisation dans une thérapie de régénération vasculaire qui présente un effet d'amélioration de la circulation sanguine supérieur relativement à une CSM dérivée de la moelle osseuse, une SCA ou équivalent, étant une cellule classiquement utilisée en thérapie, et qui peut être obtenue facilement en une quantité suffisante pour la transplantation tout en ayant une qualité stable. On a découvert découvert qu'une DFAT humaine présente une grande aptitude à la néovascularisation, peut présenter une capacité de prolifération élevée après avoir été l'objet d'un repiquage et peut par conséquent être produite facilement en une quantité nécessaire pour une transplantation, sans subir de transformation. On a par conséquent découvert pour la première fois qu'une DFAT (cellule adipeuse dédifférenciée) humaine est efficace pour une thérapie de régénération vasculaire d'un corps humain. Cette découverte a conduit à l'accomplissement de la présente invention. En d'autres termes, la présente invention concerne un agent d'amélioration de la circulation sanguine contenant des cellules adipeuses dédifférenciées humaines (DFAT humaines) en tant que principe actif.
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JP2007504204A (ja) * | 2003-09-05 | 2007-03-01 | サントル ナショナル ドゥ ラ ルシェルシュ シアンティフィク | 機能的な血管ネットワークの形成を開始するための脂肪組織細胞の使用 |
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JUMABAY M. ET AL.: "Endothelial differentiation in multipotent cells derived from mouse and human white mature adipocytes", J. MOL. CELL . CARDIOL., vol. 53, no. 6, 2012, pages 790 - 800, XP055319355 * |
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SONG N. ET AL.: "The perivascular phenotype and behaviors of dedifferentiated cells derived from human mature adipocytes", BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, vol. 457, no. 3, 13 February 2015 (2015-02-13), pages 479 - 484, XP055319353 * |
TARO MATSUMOTO: "Shibo Soshiki Yurai Kansaibo Ryoho no Kiso Datsubunka Shibo Saibo(DFAT", CLINICAL EVALUATION, vol. 38, no. 4, 2011, pages 761 - 765 * |
TARO MATSUMOTO: "Shibo Yurai Kansaibo no Rinsho Oyo eno Tenkai Biological characterization and potential clinical applications of dedifferentiated fat (DFAT) cells", JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, vol. 242, no. 4, 2012, pages 326 - 331 * |
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JP2020066624A (ja) * | 2018-10-18 | 2020-04-30 | 学校法人日本大学 | 壊死性腸炎治療用組成物 |
JP7348612B2 (ja) | 2018-10-18 | 2023-09-21 | 学校法人日本大学 | 壊死性腸炎治療用組成物 |
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