WO2016167573A1 - Composition de biomarqueur pour le diagnostic de la maladie de still, trousse de diagnostic et procédé de diagnostic - Google Patents
Composition de biomarqueur pour le diagnostic de la maladie de still, trousse de diagnostic et procédé de diagnostic Download PDFInfo
- Publication number
- WO2016167573A1 WO2016167573A1 PCT/KR2016/003898 KR2016003898W WO2016167573A1 WO 2016167573 A1 WO2016167573 A1 WO 2016167573A1 KR 2016003898 W KR2016003898 W KR 2016003898W WO 2016167573 A1 WO2016167573 A1 WO 2016167573A1
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- Prior art keywords
- disease
- still
- cd11b
- sample
- lymphocytes
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/577—Immunoassay; Biospecific binding assay; Materials therefor involving monoclonal antibodies binding reaction mechanisms characterised by the use of monoclonal antibodies; monoclonal antibodies per se are classified with their corresponding antigens
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/68—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving proteins, peptides or amino acids
Definitions
- the present invention relates to a composition for diagnosing Still's disease, a diagnostic kit, and a method for providing information necessary for diagnosis.
- Still's disease is a systemic form of juvenile rheumatoid arthritis that has not yet been identified since it was first described and develops in both children and adults.
- Adult Still's disease, which occurs in adults, has been reported all over the world since it was reported by Bywaters in 1971, and is known as a rare disease or a cause of unknown fever.
- Still's disease is mainly based on clinical findings, including high fever, arthralgia or arthritis, characteristic skin lesions, lymphadenopathy, hepatomegaly, splenomegaly, meningitis and sore throat, leukocytosis, increased blood infiltration rate, Diagnosis is based on laboratory findings such as antibody negative and rheumatoid factor negative.
- HLAs human leucocyte antigens
- DAMPs damage-associated molecular patterns
- MAMPs microbe-associated molecular patterns
- an object of the present invention is to provide a biomarker composition capable of diagnosing Still's disease.
- Another object of the present invention is to provide a kit for diagnosing Still's disease.
- Another object of the present invention is to provide a method for providing information necessary for diagnosing Still's disease.
- the present invention provides a biomarker composition for diagnosing Stillse disease comprising at least one protein selected from CD11b or CD32.
- the present invention provides a stye disease diagnostic kit comprising an antibody that specifically binds to CD11b or CD32 cell surface antigen.
- the present invention comprises the steps of measuring the expression level of one or more proteins selected from CD11b or CD32 from the sample; Comparing the expression level with the expression level of a normal control sample; And diagnosing Still's disease when at least one expression level selected from CD11b or CD32 of the sample is higher than that of the normal control sample.
- the present invention comprises the steps of measuring the frequency ratio of granulocytes to lymphocytes from the sample; Comparing the frequency ratio with the frequency ratio of a normal control sample; And it provides a method for providing information necessary for diagnosing Still's disease, if the frequency ratio of granulocytes to lymphocytes of the sample is higher than the normal control sample.
- the frequency of CD11b-expressing cells and CD32-expressing cells is higher, and lymphocytes
- the frequency ratio of the granulocytes to the other also shows a higher difference, which is why still's disease comprising the antibody specifically binding to the CD11b or CD32 cell surface antigen, the diagnostic biomarker composition comprising one or more proteins selected from CD11b or CD32
- PBMC peripheral blood mononuclear cells
- FIG. 2 is an image showing the frequency of living cells (P1%), the frequency of cells expressing CD11b and the frequency of cells expressing CD32 in PBMC,
- 3 is a table showing the ratio of granulocytes, lymphocytes and lymphocytes to lymphocytes in PBMC,
- Figure 4 is an image showing the ratio of granulocytes, lymphocytes in PBMC.
- the inventor of the present invention while studying a biomarker for diagnosing Still's disease, the frequency of CD11b-expressing cells, the frequency of CD32-expressing cells and the frequency of granulocytes for lymphocytes in normal people and patients with Still's disease. The difference in the ratio was found to complete the present invention.
- the frequency means the number of cells expressing the CD11b, the number of cells expressing CD32, and the number of frequencies occupied by granulocytes or lymphocytes.
- the present invention provides a biomarker composition for diagnosing Still's disease, which comprises at least one protein selected from CD11b or CD32.
- the frequency of CD11b-expressing cells and CD32-expressing cells in the whole peripheral blood mononuclear cells (PBMC) of the Still's disease patients, respectively, of the PBMCs of normal or rheumatic patients Expression was higher than the frequency of cells expressing CD11b or CD32.
- the proportion of granulocytes in PBMCs of patients with Stillse disease was higher than that of granulocytes in PBMCs of normal or rheumatic patients, and the proportion of lymphocytes was lower.
- the present invention provides a kit for diagnosing Still's disease, which comprises an antibody that specifically binds to CD11b or CD32 cell surface antigen.
- the antibody is a polyclonal antibody or a monoclonal antibody.
- the polyclonal antibody can be prepared by injecting a CD11b or CD32 protein or fragment thereof into an external host with an immunogen according to methods known to those skilled in the art.
- External hosts include mammals such as mice, rats, sheep or rabbits.
- Immunogens are injected by intramuscular, intraperitoneal or subcutaneous injection and are usually administered with an adjuvant to increase antigenicity. Serum is periodically collected from external hosts to collect serum that shows improved titers and specificity for antigen or to separate and purify antibodies therefrom.
- the monoclonal antibodies can be prepared by the technology of generating immortalized cell lines by fusion known to those skilled in the art.
- the protein expressed by the gene is immunized in mice by immunizing mice or by synthesizing peptides and binding to bovine serum albumin.
- Antigen-producing B lymphocytes isolated from mice are fused with myeloma of human or mouse to produce immortalized hybridomas, indirect enzyme-linked immunosorbent assays with the hybridoma cells.
- Monoclonal antibodies can be prepared by confirming the production of monoclonal antibodies using linked immunoabsorbent assays (ELISA), selecting positive clones, incubating them, and then separating or purifying the antibodies or injecting them into the abdominal cavity of rats. have.
- ELISA linked immunoabsorbent assays
- the monoclonal antibody is generally quantified by color reaction using a secondary antibody to which an enzyme such as alkaline phosphatase (AP) or horseradish peroxidase (HRP) is bound, and a substrate thereof.
- an enzyme such as alkaline phosphatase (AP) or horseradish peroxidase (HRP) is bound
- the antibody may be directly quantitated using a combination of an AP or HRP enzyme or the like with a monoclonal antibody directed against the protein.
- antibodies with various fluorescent labels including fluorescein isothiocyanat (FITC), phycoerythrin (PE), and the like can also be used.
- the reaction between the protein and the antibody is Western blot, immunoprecipitation (IP), enzyme-linked immunoabsorbent assays (ELISA), immunohistochemistry (IHC) and flow cytometry (Flow) Protein identification experiments, such as cytometry analysis (FACS), can be confirmed, but are not limited thereto.
- Kits comprising such antibodies typically include lyophilized antibodies, buffers, stabilizers, inactive proteins, and the like, wherein the antibodies are prepared by radionuclides, fluorescors, enzymes, and the like. Can be labeled.
- the present invention comprises the steps of measuring the expression level of at least one protein selected from CD11b or CD32; Comparing the expression level with the expression level of a normal control sample; And diagnosing Still's disease when at least one expression level selected from CD11b or CD32 of the sample is higher than that of the normal control sample.
- the present invention comprises the steps of measuring the frequency ratio of granulocytes to lymphocytes from the sample; Comparing the frequency ratio with the frequency ratio of a normal control sample; And it provides a method for providing information necessary for diagnosing Still's disease, if the frequency ratio of granulocytes to lymphocytes of the sample is higher than the normal control sample.
- the frequency ratio of granulocytes to lymphocytes can be diagnosed as Still's disease when 3.0 to 50.0.
- the sample uses blood, and more preferably, it is preferable to use peripheral blood mononuclear cells (PBMC) isolated from blood, but is not limited thereto.
- PBMC peripheral blood mononuclear cells
- PBMCs Human PBMCs were isolated from human blood from healthy volunteer donors using Ammonium-Chloride-Potassium (ACK) Lysis Buffer. Ethylenediaminetetraacetic acid (EDTA) was added to 2 mL of blood in a tube treated with 15 inversions. It was then placed in 40 mL ACK lysis buffer and left at room temperature for 5 minutes. White blood cells (WBC) were collected by centrifugation at 300 xg for 5 minutes, the supernatant was discarded, and the precipitated cells were mixed in 5 ml PBS. PBMC was prepared by repeating the centrifugation twice for 5 minutes at a speed of 300 xg at 4 ° C.
- WBC White blood cells
- Example 2 peripheral blood mononuclear cells, PBMC )in CD11b Or measuring the frequency of cells expressing CD32
- red blood cells are removed from each blood, lymphocytes are collected and reacted with anti-CD11b and anti-CD32 antibodies with different fluorescence, and then the number of cells with antibodies is counted using flow cytometry (FACS). And the frequency which these cells occupy in the whole cell was analyzed.
- FACS flow cytometry
- the frequency (P1%) of living cells in the total cells did not have a big difference as a whole.
- Example 3 peripheral blood mononuclear cells, PBMC Frequency of granulocytes and lymphocytes
- Example 2 In the same manner as in Example 2, the frequency of granulocytes and lymphocytes was measured in PBMCs obtained from normal (19 patients), rheumatoid patients (RA) (19), and Still's disease patients (18), and the ratio of granulocytes to lymphocytes was measured. Confirmed.
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- Biomedical Technology (AREA)
- Urology & Nephrology (AREA)
- Hematology (AREA)
- General Health & Medical Sciences (AREA)
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- Cell Biology (AREA)
- Biotechnology (AREA)
- Food Science & Technology (AREA)
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- Analytical Chemistry (AREA)
- Microbiology (AREA)
- General Physics & Mathematics (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
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Abstract
La présente invention concerne une composition de biomarqueur pour le diagnostic de la maladie de Still, une trousse de diagnostic et un procédé de diagnostic, et plus spécifiquement, la présente invention permet de diagnostiquer avec précision la maladie de Still chez les jeunes enfants et les adultes à l'aide du taux d'expression de CD11b ou CD32 et du rapport de fréquence des granulocytes aux lymphocytes en tant qu'index.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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EP16780296.6A EP3285071B1 (fr) | 2015-04-15 | 2016-04-14 | Utilisation d'une composition de biomarqueur ou trousse de diagnostic pour le diagnostic de la maladie de still et procédé de diagnostic |
Applications Claiming Priority (4)
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KR10-2015-0053231 | 2015-04-15 | ||
KR20150053231 | 2015-04-15 | ||
KR10-2016-0044090 | 2016-04-11 | ||
KR1020160044090A KR101806681B1 (ko) | 2015-04-15 | 2016-04-11 | 스틸씨병 진단용 바이오마커 조성물, 진단 키트 및 진단 방법 |
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WO2016167573A1 true WO2016167573A1 (fr) | 2016-10-20 |
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PCT/KR2016/003898 WO2016167573A1 (fr) | 2015-04-15 | 2016-04-14 | Composition de biomarqueur pour le diagnostic de la maladie de still, trousse de diagnostic et procédé de diagnostic |
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WO (1) | WO2016167573A1 (fr) |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1111049A1 (fr) * | 1998-09-03 | 2001-06-27 | Asahi Kasei Kabushiki Kaisha | Nouvelle proteine de recepteur et procede servant a diagnostiquer des maladies inflammatoires au moyen de cette proteine |
KR20140093901A (ko) * | 2013-01-18 | 2014-07-29 | 서울대학교산학협력단 | 류마티스 관절염 진단용 바이오마커 |
-
2016
- 2016-04-14 WO PCT/KR2016/003898 patent/WO2016167573A1/fr unknown
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1111049A1 (fr) * | 1998-09-03 | 2001-06-27 | Asahi Kasei Kabushiki Kaisha | Nouvelle proteine de recepteur et procede servant a diagnostiquer des maladies inflammatoires au moyen de cette proteine |
KR20140093901A (ko) * | 2013-01-18 | 2014-07-29 | 서울대학교산학협력단 | 류마티스 관절염 진단용 바이오마커 |
Non-Patent Citations (3)
Title |
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JUNG, YOON SUK ET AL.: "A Case of Adult-onset Still's Disease Combined with Sjogren's Syndrome", THE KOREAN JOURNAL OF INTERNAL MEDICINE, vol. 77, no. 1, 2009, pages S240 - S244, XP009507331 * |
SEUNG, O. P. ET AL.: "Adult-onset Still's Disease: a Case Report", OMAN MEDICAL JOURNAL, vol. 26, no. 5, 2011, pages 1 - 3, XP055497994 * |
YAMAGUCHI, M. ET AL.: "Preliminary Criteria for Classification of Adult Still's Disease", THE JOURNAL OF RHEUMATOLOGY, vol. 19, no. 3, March 1992 (1992-03-01), pages 424 - 430, XP009507351 * |
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