WO2019129232A1 - Application of cdk inhibitor and oncolytic virus in preparation of antitumor drug - Google Patents

Application of cdk inhibitor and oncolytic virus in preparation of antitumor drug Download PDF

Info

Publication number
WO2019129232A1
WO2019129232A1 PCT/CN2018/125013 CN2018125013W WO2019129232A1 WO 2019129232 A1 WO2019129232 A1 WO 2019129232A1 CN 2018125013 W CN2018125013 W CN 2018125013W WO 2019129232 A1 WO2019129232 A1 WO 2019129232A1
Authority
WO
WIPO (PCT)
Prior art keywords
virus
cdk
cdk inhibitor
group
cancer
Prior art date
Application number
PCT/CN2018/125013
Other languages
French (fr)
Chinese (zh)
Inventor
颜光美
张海鹏
朱文博
林园
梁剑开
蔡静
龚守芳
Original Assignee
广州威溶特医药科技有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 广州威溶特医药科技有限公司 filed Critical 广州威溶特医药科技有限公司
Publication of WO2019129232A1 publication Critical patent/WO2019129232A1/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • A61K31/4523Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
    • A61K31/454Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. pimozide, domperidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/76Viruses; Subviral particles; Bacteriophages
    • A61K35/768Oncolytic viruses not provided for in groups A61K35/761 - A61K35/766
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents

Definitions

  • the invention belongs to the field of biomedicine and relates to the application of a combination of a CDK inhibitor and an oncolytic virus in the preparation of an antitumor drug.
  • Oncolytic virus is a type of replicable virus that selectively infects and kills tumor cells without damaging normal cells.
  • Oncolytic virotherapy is an innovative tumor-targeted therapeutic strategy that uses natural or genetically engineered viruses to selectively infect tumor cells and replicate in tumor cells for targeted lysis. Kills the role of tumor cells, but does not damage normal cells.
  • the M1 virus (Alphavirus M1) belongs to the genus Alphavirus, and has a good application effect in the preparation of antitumor drugs.
  • Chinese invention patent application 201410425510.3 discloses that the M1 virus can selectively cause tumor cell death without affecting normal cell survival, and has a very good application prospect in anti-tumor.
  • different tumors have different sensitivities to the M1 virus. For some tumors, when the M1 virus is administered alone, the oncolytic effect is not ideal.
  • M1 when used as an anti-tumor drug, M1 is less effective for colorectal cancer, liver cancer, bladder cancer and breast cancer than pancreatic cancer, nasopharyngeal cancer, prostate cancer and melanoma; Tumor, cervical cancer, and lung cancer are second, while gastric cancer is the least significant.
  • Compounds that screen to increase the therapeutic effect of oncolytic virus tumors are expected to increase the antitumor profile and antitumor strength of oncolytic viruses.
  • drugs may have some negative effects on the body. However, if the dosage of the drug used can be reduced to a very low level, the negative effects are greatly reduced, and the impact on the body is greatly reduced. This is undoubtedly a good way to reduce the side effects of the drug, and it is also a combination of drugs. Another benefit that can be brought about by improving the efficacy.
  • Another object of the present invention is to provide an oncolytic anti-toxic anti-tumor synergist which acts synergistically at low doses.
  • Another object of the present invention is to provide an oncolytic virus anti-cancer synergist based on a precise mechanism capable of selectively enhancing the killing effect of oncolytic viruses on tumor cells without affecting normal cells.
  • Another object of the present invention is to provide a use of a CDK inhibitor for the preparation of an oncolytic antitumor synergist.
  • Another object of the present invention is to provide an antitumor pharmaceutical composition which allows the oncolytic virus to exert a better antitumor effect.
  • Another object of the present invention is to provide a safe and effective oncolytic virus potentiating drug against tumors which are insensitive to oncolytic viruses.
  • CDK inhibitors unexpectedly enhance the oncolytic effect of oncolytic viruses.
  • the CDK inhibitor is a substance that inhibits CDK activity, or a substance that degrades CDK, or a genetic tool that lowers CDK levels.
  • CDK cyclin-dependent kinase
  • CDK inhibitors can block cell cycle and control cell proliferation to have anti-tumor. active.
  • CDK inhibitors have become a research hotspot of current anticancer drugs.
  • the inventors can significantly enhance the oncolytic effect of oncolytic viruses by inhibiting CDK.
  • the inventors used a compound SNS-032 that inhibits CDK activity to cooperate with oncolytic viruses, especially M1 virus, on tumor cells.
  • SNS-032 can synergize with oncolytic viruses to enhance antitumor effects.
  • CDK inhibitors can be used as antitumor synergists/drug resistance reversal agents for oncolytic viruses.
  • the present invention provides the use of a CDK inhibitor for the preparation of an oncolytic virus anti-tumor synergist/drug reversal agent.
  • the drug resistance reversal agent means that when some alphaviruses are used as antitumor drugs for treating tumors, some tumors are not sensitive to oncolytic viruses, or these tumors are resistant to oncolytic viruses.
  • the oncolytic virus can be used in combination with a CDK inhibitor (as a drug resistance reversal agent) to reverse the tumor's resistance to the oncolytic virus.
  • the CDK inhibitor is selected from the group consisting of; preferably, the CDK inhibitor includes, but is not limited to, a compound selected from the group consisting of or a derivative thereof having a CDK inhibitory effect, or a pharmaceutically acceptable salt, solvate thereof, or Isomers, isomers: SNS-032, Dinaciclib, etc.
  • Compounds that inhibit CDK activity may be selected from, but not limited to, chemical separation or synthesis by itself or from commercial sources.
  • the CDK protein inhibitor is SNS-032, and the structural formula is as shown in Formula 1:
  • the CDK protein inhibitor is Dinaciclib, and the structural formula is as shown in Formula 2:
  • the CDK inhibitors also include tools for CDK gene expression inhibition, including but not limited to genes, gene silencing, and gene editing or knockout.
  • the CDK inhibitor is selected from the group consisting of DNA, RNA, PNA or DNA-RNA-hybrid. They can be single-stranded or double-stranded.
  • CDK inhibitors may include small inhibitory nucleic acid molecules such as short interfering RNA (siRNA), double stranded RNA (dsRNA), microRNA (miRNA), ribozymes, and small hairpin RNA (shRNA), all of which attenuate or eliminate Expression of CDK protein.
  • siRNA short interfering RNA
  • dsRNA double stranded RNA
  • miRNA microRNA
  • ribozymes ribozymes
  • shRNA small hairpin RNA
  • These small inhibitory nucleic acid molecules may include first and second strands that hybridize to each other to form one or more double-stranded regions, each strand having a length of about 18 to 28 nucleotides, and about 18 to 23 nucleotides. The length, or 18, 19, 20, 21, 22 nucleotides in length.
  • single strands may also comprise regions that are capable of hybridizing to each other to form a double strand, such as in a shRNA molecule.
  • These small inhibitory nucleic acid molecules may include modified nucleotides while retaining this ability to attenuate or abolish the expression of a CDK protein.
  • Modified nucleotides can be used to improve in vitro or in vivo properties such as stability, activity and/or bioavailability.
  • These modified nucleotides may contain deoxynucleotides, 2'-methyl nucleotides, 2'-deoxy-2'-fluoronucleotides, 4'-trinucleotides, locked nucleic acid (LNA) nucleosides. Acid and/or 2'-O-methoxyethyl nucleotide and the like.
  • Small inhibitory nucleic acid molecules such as short interfering RNA (siRNA), may also contain 5'- and/or 3'-cap structures to prevent exonuclease degradation.
  • a double-stranded nucleic acid consisting of a small suppressor nucleic acid molecule contains a blunt, or overhanging, nucleotide at both ends.
  • Other nucleotides may include nucleotides that result in misalignment, bulging, cycling, or oscillating base pairs.
  • Small inhibitory nucleic acid molecules can be formulated for administration, for example, by liposome encapsulation, or by incorporation into other carriers such as biodegradable polymer hydrogels, or cyclodextrins.
  • the CDK inhibitor further comprises one or more of an antibody, an antibody functional fragment, a peptide, and a peptidomimetic.
  • the antibody may be a monoclonal antibody, a polyclonal antibody, a multivalent antibody, a multispecific antibody (eg, a bispecific antibody), and/or an antibody fragment ligated to the CDK.
  • the antibody may be a chimeric antibody, a humanized antibody, a CDR-grafted antibody or a human-type antibody.
  • the antibody fragment may be, for example, Fab, Fab', F(ab')2, Fv, Fd, single-chain Fv (scFv), a disulfide-bonded FV (sdFv), or a VL, VH domain.
  • the antibody may be in a conjugated form, for example, in combination with a label, a detectable label, or a cytotoxic agent.
  • the antibody may be a homotypic IgG (eg, IgGl, IgG2, IgG3, IgG4), IgA, IgM, IgE or IgD.
  • the oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus; wherein the alphavirus is selected from the group consisting of an M1 virus, Gaeta virus.
  • the oncolytic virus is selected from the group consisting of an M1 virus, a Gaeta virus, or a combination thereof.
  • the oncolytic viruses may especially refer to existing viruses, but do not exclude Some natural mutations that may occur or viruses that have undergone mutations (natural mutations, mandatory mutations, or selective mutations), genetic modifications, sequence additions or deletions, or partial replacements.
  • the oncolytic viruses described herein include viruses that have undergone the above changes. Preferably, the above changes do not affect the effect of said oncolytic virus as described herein.
  • the CDK inhibitor is a substance (for example, a compound, or an amino acid sequence, a nucleotide sequence, etc.) or a tool which can knock down or affect the expression of a CDK gene or decrease the amount of a CDK protein or a protein.
  • a person skilled in the art may modify, replace, change, etc. the inhibitory compound or the gene tool, but the CDK inhibitor belonging to the present invention belongs to the homologous substance of the above substances, compounds or tools as long as the above-mentioned action for inhibiting CDK is exerted. replace.
  • the alphavirus is the M1 virus deposited under the accession number CCTCC V201423 (as deposited with the China Center for Type Culture Collection, deposited on July 17, 2014).
  • Genbank Accession No. EF011023 records a sequence of M1.
  • the Gita virus is a virus having a homology of up to 97.8% (Wen et al. Virus Genes. 2007; 35(3): 597-603) with the M1 virus, and the two have a high identity, and the M1 virus is also somewhat
  • the literature is classified as a Gaetavirus. Both can be expected to have similar efficacy.
  • a single alphavirus strain can also be administered. In other embodiments, a variety of strains and/or types of alphaviruses can also be used.
  • the invention also provides a pharmaceutical composition for treating a tumor comprising a CDK inhibitor and an oncolytic virus.
  • the invention also provides a pharmaceutical kit for treating a tumor comprising a CDK inhibitor or a derivative thereof or a combination thereof, and an oncolytic virus.
  • the drug kit differs from the composition in that the CDK inhibitor is different from the oncolytic virus in the form of a separate package (eg, a pill, or a capsule, or a tablet or vial containing a CDK inhibitor; additional pills, Or capsules, or tablets or vials containing oncolytic viruses).
  • an oncolytic virus, a CDK inhibitor, and a combination of an oncolytic virus and a CDK inhibitor may also contain one or more adjuvants.
  • the adjuvant refers to an ingredient which can assist the therapeutic effect of the drug in the composition of the drug.
  • the drug kit can also contain individually packaged CDK inhibitors as well as individually packaged oncolytic viruses.
  • the CDK inhibitor in the drug kit, and the administration of the oncolytic virus may be administered simultaneously or in any anterior-posterior sequence, such as administration of a CDK inhibitor prior to the oncolytic virus, or administration of a CDK inhibitor following the oncolytic virus, or Both are administered simultaneously.
  • the patient can be a mammal. In some embodiments, the mammal can be a human.
  • the CDK inhibitors include, but are not limited to, compounds that inhibit CDK protein activity, such as SNS-032 (Formula 1) or Dinaciclib (Formula 2). Or for CDK gene expression inhibition tools, including but not limited to gene interference, gene silencing, and gene editing or knockout tools.
  • the CDK inhibitor is SNS-032.
  • the oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus; wherein the alphavirus is selected from the group consisting of an M1 virus and Gaeta virus. In a preferred embodiment, the oncolytic virus is selected from at least one of an M1 virus and a Gata virus.
  • the ratio of SNS-032 or Dinaciclib to the oncolytic virus is optionally: 0.005 to 200 mg: 10 3 to 10 9 PFU; preferably 0.005 to 50 mg: 10 4 to 10 9 PFU; further preferably 0.005 to 20 mg: 10 5 to 10 9 PFU.
  • the dosage is: SNS-032 or Dinaciclib is used in the range of 0.01 mg/kg to 200 mg/kg, and the oncolytic virus uses a titer of MOI from 10 3 to 10 9 (PFU/kg); preferably SNS-032 or Dinaciclib is used.
  • the range is from 0.05 mg/kg to 200 mg/kg, while the oncolytic virus uses a titer of MOI from 10 4 to 10 9 (PFU/kg); more preferably SNS-032 or Dinaciclib is used from 0.05 mg/kg to 20 mg/kg.
  • the oncolytic virus uses a titer of MOI from 10 5 to 10 9 (PFU/kg).
  • the oncolytic virus is selected from the group consisting of an M1 virus, a Gata virus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus.
  • the oncolytic virus is at least one of an M1 virus and a Gata virus.
  • the tumor is a solid tumor or a hematoma.
  • the solid tumor is liver cancer, colorectal cancer, bladder cancer, breast cancer, cervical cancer, prostate cancer, glioma, melanoma, pancreatic cancer, nasopharyngeal cancer, lung cancer, or gastric cancer.
  • the tumor is a tumor that is insensitive to oncolytic viruses.
  • the tumor is a tumor that is insensitive to Ml oncolytic virus.
  • the SNS-032 or Dinaciclib provided by the present invention may be an injection, a tablet, a capsule, a patch, a kit, or the like.
  • the synergistic drug of the present invention is an injection; preferably, intravenous injection can be employed.
  • CDK inhibitors especially SNS-032
  • SNS-032 can increase the antitumor effect of oncolytic viruses to enhance the therapeutic effectiveness of oncolytic viruses as antitumor drugs.
  • Cytological experiments show that the combination of M1 virus and SNS-032 can significantly cause morphological lesions of tumor cells, thereby significantly enhancing the inhibition of tumor cells.
  • the oncolytic virus synergist used in the present invention also has a feature that it can obtain an effect of enhancing the effect of oncolytic virus at an extremely low application dose.
  • the dose is so low (eg, as low as 50 nM)
  • the killing rate of SNS-032 on cancer cells is almost negligible (hepatocellular carcinoma cell survival rate is still as high as 90.0%).
  • tumor cell survival rate dropped significantly to 47.6%.
  • the use of very low doses can greatly reduce other toxic side effects that may be caused by the drug itself, and the effect of the drug on the body is reduced. This is very important for patients who are undergoing cancer treatment.
  • FIG. 1 SNS-032 combined with M1 virus treatment significantly reduced the survival rate of human hepatocellular carcinoma cell line Hep3B.
  • Selected from in the specification is connected to the selected object, and can be understood as, for example, "X is selected from: A, B, C, ..., E” or "X is selected from: A, B, C, ... and One or more of E, etc., can be understood to include X, one of A, B, C, ... E, or any combination of the two, or any combination of the plurality. It is not excluded at this time that X also includes some other categories of substances.
  • the inhibitors of the present invention may also be selected from CDK inhibitors which are well known in the art, or substances which have been found to have CDK inhibition by subsequent studies.
  • Example 1 SNS-032 combined with M1 virus significantly reduced the survival rate of human hepatocellular carcinoma Hep3B material:
  • Human hepatocellular carcinoma Hep3B (purchased from ATCC), M1 virus (Accession No. CCTCC V201423), high glucose DMEM medium (purchased from Corning), automatic enzyme-linked detection microplate reader.
  • MTT and intracellular succinate dehydrogenase reaction when cultured to 48h, add 20 ⁇ l (5mg/ml) of MTT to each well and continue to incubate for 4 hours. At this time, microscopically formed granular particles can be observed in living cells. Blue-purple nails crystallize.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Virology (AREA)
  • Oncology (AREA)
  • Microbiology (AREA)
  • Mycology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

An application of a CDK inhibitor and an oncolytic virus in the preparation of an antitumor drug. A CDK inhibitor can be used in the preparation of an oncolytic virus-based antitumor potentiator. Provided are a pharmaceutical composition comprising the CDK inhibitor and the oncolytic virus, a drug kit comprising the CDK inhibitor and the oncolytic virus, and a use of the CDK inhibitor and the oncolytic virus in the treatment of tumors, particularly the tumors not sensitive to the oncolytic virus.

Description

CDK抑制剂和溶瘤病毒在制备抗肿瘤药物的应用Application of CDK inhibitors and oncolytic viruses in the preparation of antitumor drugs 技术领域Technical field
本发明属于生物医药领域,涉及CDK抑制剂与溶瘤病毒的联合在制备抗肿瘤药物中的应用。The invention belongs to the field of biomedicine and relates to the application of a combination of a CDK inhibitor and an oncolytic virus in the preparation of an antitumor drug.
背景技术Background technique
溶瘤病毒(oncolytic virus)是一类选择性的感染并杀伤肿瘤细胞,而不损伤正常细胞的可复制病毒。溶瘤病毒疗法(oncolytic virotherapy)是一种创新的肿瘤靶向治疗策略,它利用天然的或经基因工程改造的病毒选择性的感染肿瘤细胞,并在肿瘤细胞中复制,达到靶向性溶解、杀伤肿瘤细胞的作用,但是对正常细胞没有损伤。Oncolytic virus is a type of replicable virus that selectively infects and kills tumor cells without damaging normal cells. Oncolytic virotherapy is an innovative tumor-targeted therapeutic strategy that uses natural or genetically engineered viruses to selectively infect tumor cells and replicate in tumor cells for targeted lysis. Kills the role of tumor cells, but does not damage normal cells.
M1病毒(Alphavirus M1)属于甲病毒属(Alphavirus),其在制备抗肿瘤药物方面具有较好的应用效果。例如中国发明专利申请201410425510.3公开了M1病毒能选择性引起肿瘤细胞死亡而不影响正常细胞存活,其在抗肿瘤方面具有非常好的应用前景。然而,不同肿瘤对M1病毒的敏感性不一,对于某些肿瘤,M1病毒单独用药时,溶瘤作用还不够理想。例如中国发明专利申请201410425510.3所记载的,M1作为抗肿瘤药物使用时,对于结直肠癌、肝癌、膀胱癌和乳腺癌的效果不如胰腺癌、鼻咽癌、前列腺癌和黑色素瘤明显;而胶质瘤、宫颈癌、肺癌则更其次;而胃癌则最不显著。筛选增加溶瘤病毒肿瘤治疗效果的化合物有望增加溶瘤病毒的抗瘤谱及抗瘤强度。The M1 virus (Alphavirus M1) belongs to the genus Alphavirus, and has a good application effect in the preparation of antitumor drugs. For example, Chinese invention patent application 201410425510.3 discloses that the M1 virus can selectively cause tumor cell death without affecting normal cell survival, and has a very good application prospect in anti-tumor. However, different tumors have different sensitivities to the M1 virus. For some tumors, when the M1 virus is administered alone, the oncolytic effect is not ideal. For example, as described in the Chinese invention patent application 201410425510.3, when used as an anti-tumor drug, M1 is less effective for colorectal cancer, liver cancer, bladder cancer and breast cancer than pancreatic cancer, nasopharyngeal cancer, prostate cancer and melanoma; Tumor, cervical cancer, and lung cancer are second, while gastric cancer is the least significant. Compounds that screen to increase the therapeutic effect of oncolytic virus tumors are expected to increase the antitumor profile and antitumor strength of oncolytic viruses.
发明人此前将大黄酚及其衍生物作为M1病毒的抗癌增效剂,经试验发现,50μM的大黄酚与(MOI=0.001)M1病毒联用后,肿瘤细胞的存活率下降至39.6%。The inventors previously used chrysophanol and its derivatives as anti-cancer synergists for M1 virus. It was found that the survival rate of tumor cells decreased to 39.6% after 50 μM of chrysophanol was combined with (MOI=0.001) M1 virus.
药物的使用可能会给机体带来一些负面影响。但如果所采用的药物的使用 剂量可以降至极低,大幅地降低这些负面影响,使得机体所受的影响大大降低,这无疑是一个很好地减轻毒副作用的途径,也是药物联用方案除了提高药效之外可以带来的另一个好处。The use of drugs may have some negative effects on the body. However, if the dosage of the drug used can be reduced to a very low level, the negative effects are greatly reduced, and the impact on the body is greatly reduced. This is undoubtedly a good way to reduce the side effects of the drug, and it is also a combination of drugs. Another benefit that can be brought about by improving the efficacy.
然而,对于溶瘤病毒的增效药物,尤其是甲病毒的增效药物,目前的研究还很少,并且大多数是在μM级的实验剂量下起作用。However, there are few studies on synergistic drugs for oncolytic viruses, especially for alphaviruses, and most of them work at experimental doses of the μM class.
发明内容Summary of the invention
本发明的目的在于提供一种溶瘤病毒抗肿瘤增效剂。It is an object of the present invention to provide an oncolytic virus anti-tumor synergist.
本发明的另一个目的在于提供一种可在低剂量下起到增效作用的溶瘤抗毒抗肿瘤增效剂。Another object of the present invention is to provide an oncolytic anti-toxic anti-tumor synergist which acts synergistically at low doses.
本发明的另一个目的在于提供一种基于精确机制的溶瘤病毒抗癌增效剂,能够选择性的增强溶瘤病毒对肿瘤细胞的杀伤作用,而不影响正常细胞。Another object of the present invention is to provide an oncolytic virus anti-cancer synergist based on a precise mechanism capable of selectively enhancing the killing effect of oncolytic viruses on tumor cells without affecting normal cells.
本发明的另一个目的在于提供一种CDK抑制剂在制备溶瘤病毒抗瘤增效剂方面的应用。Another object of the present invention is to provide a use of a CDK inhibitor for the preparation of an oncolytic antitumor synergist.
本发明的另一个目的在于提供一种抗瘤药物组合物,其可以使得溶瘤病毒发挥更好的抗瘤效果。Another object of the present invention is to provide an antitumor pharmaceutical composition which allows the oncolytic virus to exert a better antitumor effect.
本发明的另一个目的在于提供一种针对溶瘤病毒不敏感的肿瘤,安全有效的溶瘤病毒增效药物。Another object of the present invention is to provide a safe and effective oncolytic virus potentiating drug against tumors which are insensitive to oncolytic viruses.
发明通过以下技术方案实现上述目的:The invention achieves the above objects by the following technical solutions:
发明人通过研究、筛选发现,CDK抑制剂出人意料地可以增强溶瘤病毒的溶瘤效果。The inventors found through research and screening that CDK inhibitors unexpectedly enhance the oncolytic effect of oncolytic viruses.
所述的CDK抑制剂为抑制CDK活性的物质、或降解CDK的物质、或降低CDK水平的基因工具。The CDK inhibitor is a substance that inhibits CDK activity, or a substance that degrades CDK, or a genetic tool that lowers CDK levels.
细胞周期是细胞生命活动的重要部分。研究发现,多种恶性肿瘤的发生、发展都与细胞周期调节机制的紊乱有密切关系,因此肿瘤也被认为是一种细胞周期疾病。CDK(cyclin-dependent kinase,周期蛋白依赖性激酶)是一类重要的 丝氨酸/苏氨酸激酶,负责调控细胞周期有序进行,因此CDK抑制剂可以阻断细胞周期,控制细胞增殖从而具有抗肿瘤活性。近年来,CDK抑制剂已成为当前抗癌药物的研究热点。The cell cycle is an important part of the life of a cell. Studies have found that the occurrence and development of a variety of malignant tumors are closely related to the disorder of cell cycle regulation mechanism, so tumors are also considered to be a cell cycle disease. CDK (cyclin-dependent kinase) is an important class of serine/threonine kinases that regulate cell cycle progression. Therefore, CDK inhibitors can block cell cycle and control cell proliferation to have anti-tumor. active. In recent years, CDK inhibitors have become a research hotspot of current anticancer drugs.
发明人通过抑制CDK可以显著增强溶瘤病毒的溶瘤效应。发明人采用了抑制CDK活性的化合物SNS-032协同溶瘤病毒尤其是M1病毒作用于肿瘤细胞,实验结果发现,SNS-032可以协同溶瘤病毒增强抗肿瘤效应。The inventors can significantly enhance the oncolytic effect of oncolytic viruses by inhibiting CDK. The inventors used a compound SNS-032 that inhibits CDK activity to cooperate with oncolytic viruses, especially M1 virus, on tumor cells. The results showed that SNS-032 can synergize with oncolytic viruses to enhance antitumor effects.
本发明首次发现,CDK抑制剂可以作为溶瘤病毒的抗瘤增效剂/耐药逆转剂。The present inventors have found for the first time that CDK inhibitors can be used as antitumor synergists/drug resistance reversal agents for oncolytic viruses.
本发明提供了CDK抑制剂在制备溶瘤病毒抗瘤增效剂/耐药逆转剂方面的应用。The present invention provides the use of a CDK inhibitor for the preparation of an oncolytic virus anti-tumor synergist/drug reversal agent.
耐药逆转剂是指,当采用一些甲病毒作为抗肿瘤药物用于治疗肿瘤时,存在着一些肿瘤对溶瘤病毒并不太敏感,或者说这些肿瘤对溶瘤病毒具有抗性,此时,可以采用与CDK抑制剂(作为耐药逆转剂)联用溶瘤病毒的方式,以逆转肿瘤对所述溶瘤病毒的抗性。The drug resistance reversal agent means that when some alphaviruses are used as antitumor drugs for treating tumors, some tumors are not sensitive to oncolytic viruses, or these tumors are resistant to oncolytic viruses. The oncolytic virus can be used in combination with a CDK inhibitor (as a drug resistance reversal agent) to reverse the tumor's resistance to the oncolytic virus.
所述的CDK抑制剂选自化合物;优选地,所述的CDK抑制剂包括但不限于选自以下化合物或其具有CDK抑制作用的衍生物、或其药学上可接受的盐、溶剂化物、互变异构体、同分异构体:SNS-032、Dinaciclib等抑制CDK活性的化合物。化合物的获取方式可选但不限于:自己化学分离或合成或者从商业途径购买。The CDK inhibitor is selected from the group consisting of; preferably, the CDK inhibitor includes, but is not limited to, a compound selected from the group consisting of or a derivative thereof having a CDK inhibitory effect, or a pharmaceutically acceptable salt, solvate thereof, or Isomers, isomers: SNS-032, Dinaciclib, etc. Compounds that inhibit CDK activity. The manner in which the compound is obtained may be selected from, but not limited to, chemical separation or synthesis by itself or from commercial sources.
在本发明一优选的实施例中,CDK蛋白抑制剂为SNS-032,其结构式如式1所示:In a preferred embodiment of the invention, the CDK protein inhibitor is SNS-032, and the structural formula is as shown in Formula 1:
Figure PCTCN2018125013-appb-000001
Figure PCTCN2018125013-appb-000001
在本发明另一优选的实施例中,CDK蛋白抑制剂为Dinaciclib,其结构式如式2所示:In another preferred embodiment of the invention, the CDK protein inhibitor is Dinaciclib, and the structural formula is as shown in Formula 2:
Figure PCTCN2018125013-appb-000002
Figure PCTCN2018125013-appb-000002
所述的CDK抑制剂还包括针对CDK基因表达抑制工具,包括但不限于基因、基因沉默以及基因编辑或敲除等工具手段。The CDK inhibitors also include tools for CDK gene expression inhibition, including but not limited to genes, gene silencing, and gene editing or knockout.
作为一种可选的实施方式,所述CDK抑制剂选自DNA、RNA、PNA或DNA-RNA-杂合体。它们可以是单链的或双链的。As an alternative embodiment, the CDK inhibitor is selected from the group consisting of DNA, RNA, PNA or DNA-RNA-hybrid. They can be single-stranded or double-stranded.
CDK抑制剂可包括一些小的抑制核酸分子,例如短干扰RNA(siRNA),双链RNA(dsRNA),microRNA(miRNA),核酶,以及小发夹RNA(shRNA),这些都能减弱或消除CDK蛋白的表达。CDK inhibitors may include small inhibitory nucleic acid molecules such as short interfering RNA (siRNA), double stranded RNA (dsRNA), microRNA (miRNA), ribozymes, and small hairpin RNA (shRNA), all of which attenuate or eliminate Expression of CDK protein.
这些小的抑制核酸分子可能包括第一、第二链,二者杂交彼此形成一个或多个双链区,每条链大约18~28个核苷酸的长度,大约18~23个核苷酸的长度, 或者18,19,20,21,22个核苷酸的长度。另外,单链也可能包含能够相互杂交形成双链的区域,例如在shRNA分子中。These small inhibitory nucleic acid molecules may include first and second strands that hybridize to each other to form one or more double-stranded regions, each strand having a length of about 18 to 28 nucleotides, and about 18 to 23 nucleotides. The length, or 18, 19, 20, 21, 22 nucleotides in length. In addition, single strands may also comprise regions that are capable of hybridizing to each other to form a double strand, such as in a shRNA molecule.
这些小的抑制核酸分子在保持这种减弱或消除CDK蛋白的表达的能力时,可能包括修饰性核苷酸。修饰性核苷酸可用于改善体外或体内特性,如稳定性、活性和/或生物利用度。这些修饰性核苷酸可能含有脱氧核苷酸、2’-甲基核苷酸、2’-脱氧-2’-氟核苷酸、4’-三核苷酸、锁核酸(LNA)核苷酸和/或2’-O-甲氧乙基核苷酸等。小的抑制核酸分子,如短干扰RNA(siRNA),也可能含有5’-和/或3’-帽结构,以此来防止核酸外切酶对其降解。These small inhibitory nucleic acid molecules may include modified nucleotides while retaining this ability to attenuate or abolish the expression of a CDK protein. Modified nucleotides can be used to improve in vitro or in vivo properties such as stability, activity and/or bioavailability. These modified nucleotides may contain deoxynucleotides, 2'-methyl nucleotides, 2'-deoxy-2'-fluoronucleotides, 4'-trinucleotides, locked nucleic acid (LNA) nucleosides. Acid and/or 2'-O-methoxyethyl nucleotide and the like. Small inhibitory nucleic acid molecules, such as short interfering RNA (siRNA), may also contain 5'- and/or 3'-cap structures to prevent exonuclease degradation.
在一些实施例中,小抑制核酸分子组成的双链核酸含有两端钝、或悬垂的核苷酸。其他核苷酸可能包括会导致错位、凸起、循环、或摆动碱基对的核苷酸。小抑制核酸分子可以设计配方以便施用,例如,通过脂质体包裹,或掺入其他载体(如可生物降解聚合物水凝胶,或环糊精)。In some embodiments, a double-stranded nucleic acid consisting of a small suppressor nucleic acid molecule contains a blunt, or overhanging, nucleotide at both ends. Other nucleotides may include nucleotides that result in misalignment, bulging, cycling, or oscillating base pairs. Small inhibitory nucleic acid molecules can be formulated for administration, for example, by liposome encapsulation, or by incorporation into other carriers such as biodegradable polymer hydrogels, or cyclodextrins.
或者,所述的CDK抑制剂还包括抗体、抗体功能性片段、肽类、和拟肽类中的一种或几种。其中,所述的抗体可能是单克隆抗体,多克隆抗体,多价抗体,多特异性抗体(例如:双特异性抗体),和/或连接在CDK上的抗体片段。该抗体可以是嵌合抗体、人源化抗体、CDR移植抗体或人型抗体。抗体片段可以是,例如,Fab,Fab’,F(ab’)2,Fv,Fd,单链Fv(scFv),具二硫键的FV(sdFv),或VL、VH结构域。抗体可能是一个共轭的形式,例如,结合一个标签、一个可检测标记,或一种细胞毒性剂。抗体可能是同型IgG(例如:IgG1、IgG2、IgG3、IgG4)、IgA、IgM、IgE或IgD。Alternatively, the CDK inhibitor further comprises one or more of an antibody, an antibody functional fragment, a peptide, and a peptidomimetic. Wherein, the antibody may be a monoclonal antibody, a polyclonal antibody, a multivalent antibody, a multispecific antibody (eg, a bispecific antibody), and/or an antibody fragment ligated to the CDK. The antibody may be a chimeric antibody, a humanized antibody, a CDR-grafted antibody or a human-type antibody. The antibody fragment may be, for example, Fab, Fab', F(ab')2, Fv, Fd, single-chain Fv (scFv), a disulfide-bonded FV (sdFv), or a VL, VH domain. The antibody may be in a conjugated form, for example, in combination with a label, a detectable label, or a cytotoxic agent. The antibody may be a homotypic IgG (eg, IgGl, IgG2, IgG3, IgG4), IgA, IgM, IgE or IgD.
所述的溶瘤病毒选自甲病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒中的一种或多种;其中,所述的甲病毒选自M1病毒、盖塔病毒。作为优选的实施方式,所述的溶瘤病毒选自M1病毒、盖塔病毒或者它们的组合。The oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus; wherein the alphavirus is selected from the group consisting of an M1 virus, Gaeta virus. In a preferred embodiment, the oncolytic virus is selected from the group consisting of an M1 virus, a Gaeta virus, or a combination thereof.
本发明所说的溶瘤病毒(M1病毒、盖塔病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒)可以尤其地指目前已有的病毒,但也 不排除一些可能发生的自然变异或者进行了突变(自然突变、强制性突变、或选择性突变)、基因修饰、序列增加或删除或部分替换的病毒。这里所述的溶瘤病毒包括已经进行了上述改变的病毒。最好是上述改变并不影响所说的溶瘤病毒发挥本发明所述的作用。所说的CDK抑制剂为能起到敲低或影响CDK基因表达或者降低CDK蛋白量或蛋白活性的物质(例如化合物、或氨基酸序列、核苷酸序列等)或工具等。本领域技术人员可以对其抑制化合物或者基因工具进行修饰、替换、改变等,但只要起到上述抑制CDK作用的,则属于本发明的CDK抑制剂,属于上述物质、化合物或工具等的同质替换。The oncolytic viruses (M1 virus, Gaeta virus, adenovirus, vaccinia virus, measles virus, vesicular stomatitis virus, and herpes simplex virus) according to the present invention may especially refer to existing viruses, but do not exclude Some natural mutations that may occur or viruses that have undergone mutations (natural mutations, mandatory mutations, or selective mutations), genetic modifications, sequence additions or deletions, or partial replacements. The oncolytic viruses described herein include viruses that have undergone the above changes. Preferably, the above changes do not affect the effect of said oncolytic virus as described herein. The CDK inhibitor is a substance (for example, a compound, or an amino acid sequence, a nucleotide sequence, etc.) or a tool which can knock down or affect the expression of a CDK gene or decrease the amount of a CDK protein or a protein. A person skilled in the art may modify, replace, change, etc. the inhibitory compound or the gene tool, but the CDK inhibitor belonging to the present invention belongs to the homologous substance of the above substances, compounds or tools as long as the above-mentioned action for inhibiting CDK is exerted. replace.
在一些实施例中,甲病毒是保藏编号CCTCC V201423(保藏于中国典型培养物保藏中心,保藏日期2014年7月17日)的M1病毒。作为很可能来源于同一毒株的病毒,Genbank Accession No.EF011023记录了一株M1的序列。盖塔病毒作为与M1病毒具有高达97.8%(Wen et al.Virus Genes.2007;35(3):597-603)同源性的病毒,两者具有很高的同一性,M1病毒也被一些文献归类为类盖塔病毒。可以预期二者具有相似的功效。单个甲病毒株也可以施用。在其他实施方案中,也可使用多种菌株和/或类型的甲病毒。In some embodiments, the alphavirus is the M1 virus deposited under the accession number CCTCC V201423 (as deposited with the China Center for Type Culture Collection, deposited on July 17, 2014). As a virus most likely derived from the same strain, Genbank Accession No. EF011023 records a sequence of M1. The Gita virus is a virus having a homology of up to 97.8% (Wen et al. Virus Genes. 2007; 35(3): 597-603) with the M1 virus, and the two have a high identity, and the M1 virus is also somewhat The literature is classified as a Gaetavirus. Both can be expected to have similar efficacy. A single alphavirus strain can also be administered. In other embodiments, a variety of strains and/or types of alphaviruses can also be used.
本发明还提供一种用于治疗肿瘤的药物组合物,其包含CDK抑制剂以及溶瘤病毒。本发明还提供用于治疗肿瘤的药品套装,其包含CDK抑制剂或其衍生物或它们的组合,以及溶瘤病毒。药品套装区别于组合物的地方在于,CDK抑制剂不同于溶瘤病毒的剂型,而是独立包装(例如:药丸、或胶囊、或药片或安剖瓶中,含有CDK抑制剂;另外的药丸、或胶囊、或药片或安剖瓶中,含有溶瘤病毒)。在一些实施例中,溶瘤病毒、CDK抑制剂,以及溶瘤病毒和CDK抑制剂的组合,也可含一种或多种佐剂。所述的佐剂是指在药物组成中,可辅助药物疗效的成分。药品套装也可以包含独立包装的CDK抑制剂,以及独立包装的溶瘤病毒。药物套装中CDK抑制剂,以及溶瘤病毒的施用,可以是同时施用或者是以任意的前后顺序施用,例如在溶瘤病毒之前施用CDK抑制剂,或者在溶瘤病毒之后施用CDK抑制剂,或者两者同时施用。在各种实施例中,患者 可以是哺乳动物。在一些实施例中,哺乳动物可以是人。The invention also provides a pharmaceutical composition for treating a tumor comprising a CDK inhibitor and an oncolytic virus. The invention also provides a pharmaceutical kit for treating a tumor comprising a CDK inhibitor or a derivative thereof or a combination thereof, and an oncolytic virus. The drug kit differs from the composition in that the CDK inhibitor is different from the oncolytic virus in the form of a separate package (eg, a pill, or a capsule, or a tablet or vial containing a CDK inhibitor; additional pills, Or capsules, or tablets or vials containing oncolytic viruses). In some embodiments, an oncolytic virus, a CDK inhibitor, and a combination of an oncolytic virus and a CDK inhibitor may also contain one or more adjuvants. The adjuvant refers to an ingredient which can assist the therapeutic effect of the drug in the composition of the drug. The drug kit can also contain individually packaged CDK inhibitors as well as individually packaged oncolytic viruses. The CDK inhibitor in the drug kit, and the administration of the oncolytic virus, may be administered simultaneously or in any anterior-posterior sequence, such as administration of a CDK inhibitor prior to the oncolytic virus, or administration of a CDK inhibitor following the oncolytic virus, or Both are administered simultaneously. In various embodiments, the patient can be a mammal. In some embodiments, the mammal can be a human.
所述的CDK抑制剂包括但不限于SNS-032(式1)或Dinaciclib(式2)这一类的抑制CDK蛋白活性的化合物。或者针对CDK基因表达抑制工具,包括但不限于基因干扰、基因沉默以及基因编辑或敲除等工具手段。作为本发明优选的实施方式,所述的CDK抑制剂为SNS-032。The CDK inhibitors include, but are not limited to, compounds that inhibit CDK protein activity, such as SNS-032 (Formula 1) or Dinaciclib (Formula 2). Or for CDK gene expression inhibition tools, including but not limited to gene interference, gene silencing, and gene editing or knockout tools. As a preferred embodiment of the present invention, the CDK inhibitor is SNS-032.
所述的溶瘤病毒选自甲病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒中的一种或多种;其中,所述的甲病毒选自M1病毒和盖塔病毒。作为优选的实施方式,所述的溶瘤病毒选自M1病毒和盖塔病毒的至少一种。The oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus; wherein the alphavirus is selected from the group consisting of an M1 virus and Gaeta virus. In a preferred embodiment, the oncolytic virus is selected from at least one of an M1 virus and a Gata virus.
在组合物或药品套装中,SNS-032或Dinaciclib与溶瘤病毒的配比可选地为:0.005~200mg:10 3~10 9PFU;优选0.005~50mg:10 4~10 9PFU;进一步优选0.005~20mg:10 5~10 9PFU。 In the composition or the pharmaceutical kit, the ratio of SNS-032 or Dinaciclib to the oncolytic virus is optionally: 0.005 to 200 mg: 10 3 to 10 9 PFU; preferably 0.005 to 50 mg: 10 4 to 10 9 PFU; further preferably 0.005 to 20 mg: 10 5 to 10 9 PFU.
优选使用剂量为:SNS-032或Dinaciclib使用范围为0.01mg/kg至200mg/kg,同时溶瘤病毒使用滴度为MOI从10 3至10 9(PFU/kg);优选SNS-032或Dinaciclib使用范围为0.05mg/kg至200mg/kg,同时溶瘤病毒使用滴度为MOI从10 4至10 9(PFU/kg);更优选SNS-032或Dinaciclib使用范围为0.05mg/kg至20mg/kg,同时溶瘤病毒使用滴度为MOI从10 5至10 9(PFU/kg)。 Preferably, the dosage is: SNS-032 or Dinaciclib is used in the range of 0.01 mg/kg to 200 mg/kg, and the oncolytic virus uses a titer of MOI from 10 3 to 10 9 (PFU/kg); preferably SNS-032 or Dinaciclib is used. The range is from 0.05 mg/kg to 200 mg/kg, while the oncolytic virus uses a titer of MOI from 10 4 to 10 9 (PFU/kg); more preferably SNS-032 or Dinaciclib is used from 0.05 mg/kg to 20 mg/kg. At the same time, the oncolytic virus uses a titer of MOI from 10 5 to 10 9 (PFU/kg).
在一个实施方式中,所述溶瘤病毒选自M1病毒、盖塔病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒和单纯性疱疹病毒。优选地,所述溶瘤病毒为M1病毒和盖塔病毒中的至少一种。In one embodiment, the oncolytic virus is selected from the group consisting of an M1 virus, a Gata virus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus. Preferably, the oncolytic virus is at least one of an M1 virus and a Gata virus.
在一个实施方式中,所述肿瘤为实体瘤或血液瘤。在一个实施方式中,所述实体瘤为肝癌、结直肠癌、膀胱癌、乳腺癌、宫颈癌、前列腺癌、胶质瘤、黑色素瘤、胰腺癌、鼻咽癌、肺癌、或胃癌。在优选的实施方式中,所述肿瘤为对溶瘤病毒不敏感的肿瘤。在更优选的实施方式中,所述肿瘤为对M1溶瘤病毒不敏感的肿瘤。In one embodiment, the tumor is a solid tumor or a hematoma. In one embodiment, the solid tumor is liver cancer, colorectal cancer, bladder cancer, breast cancer, cervical cancer, prostate cancer, glioma, melanoma, pancreatic cancer, nasopharyngeal cancer, lung cancer, or gastric cancer. In a preferred embodiment, the tumor is a tumor that is insensitive to oncolytic viruses. In a more preferred embodiment, the tumor is a tumor that is insensitive to Ml oncolytic virus.
作为可选的实施方案,本发明所提供的SNS-032或Dinaciclib可以是注射剂、 片剂、胶囊、贴剂、试剂盒等。作为优选的实施方案,本发明的增效药物是注射剂;优选地,可采用静脉注射。As an alternative embodiment, the SNS-032 or Dinaciclib provided by the present invention may be an injection, a tablet, a capsule, a patch, a kit, or the like. As a preferred embodiment, the synergistic drug of the present invention is an injection; preferably, intravenous injection can be employed.
作为本发明进一步优选的实施方案:As a further preferred embodiment of the invention:
本发明发现了CDK抑制剂,尤其是SNS-032可以增加溶瘤病毒的抗肿瘤效应,以提高溶瘤病毒作为抗肿瘤药物时的治疗有效性。细胞学实验证明M1病毒和SNS-032联合应用,可显著引起肿瘤细胞的形态学病变,从而显著增强对肿瘤细胞的抑制作用。The present inventors have found that CDK inhibitors, especially SNS-032, can increase the antitumor effect of oncolytic viruses to enhance the therapeutic effectiveness of oncolytic viruses as antitumor drugs. Cytological experiments show that the combination of M1 virus and SNS-032 can significantly cause morphological lesions of tumor cells, thereby significantly enhancing the inhibition of tumor cells.
我们联合SNS-032和M1病毒作用于人肝细胞癌Hep3B株,出人意料的发现抗病毒化合物SNS-032和M1病毒联合应用时,显著增加肿瘤细胞形态病变,显著降低肿瘤细胞生存率。例如在本发明的一个实施例中,当M1病毒(MOI=0.001)单独处理肝癌细胞时,肿瘤细胞存活率为79.9%,当以50nM的SNS-032单独处理肝癌细胞时,肿瘤细胞存活率仍高达为90.0%,而当以50nM的SNS-032与同样MOI的M1病毒联用时,肿瘤细胞存活率大幅下降至47.6%。与单用M1病毒的抗肿瘤效果相比,SNS-032与M1联用时,溶瘤效果显著提升。可见,SNS-032与M1联用时大幅提升的溶瘤效果,是得益于SNS-032与M1病毒之间的协同性机制,并非简单地通过SNS-032的抗肿瘤机制发挥作用。We combined SNS-032 and M1 virus on human hepatocellular carcinoma Hep3B strain, and unexpectedly found that the combination of antiviral compound SNS-032 and M1 virus significantly increased tumor cell morphology and significantly reduced tumor cell survival rate. For example, in one embodiment of the present invention, when the M1 virus (MOI=0.001) is treated with liver cancer cells alone, the tumor cell survival rate is 79.9%, and when the liver cancer cells are treated with 50 nM SNS-032 alone, the tumor cell survival rate remains. Up to 90.0%, when combined with 50 nM SNS-032 and the same MOI M1 virus, the tumor cell survival rate dropped significantly to 47.6%. Compared with the anti-tumor effect of the M1 virus alone, the oncolytic effect was significantly improved when SNS-032 was combined with M1. It can be seen that the greatly enhanced oncolytic effect of SNS-032 in combination with M1 is due to the synergistic mechanism between SNS-032 and M1 virus, and does not simply act through the anti-tumor mechanism of SNS-032.
本发明采用的溶瘤病毒增效剂还具备一个特点,其可以以极其低的施用剂量,而获得明显的增效溶瘤病毒的效果。例如,尽管在如此低的(例如,低至50nM)使用剂量时,SNS-032对癌细胞的杀伤率几乎可以忽略(肝癌细胞存活率仍高达为90.0%)。然而,当同样以如此低的剂量与甲病毒(MOI=0.001)联用时,肿瘤细胞存活率大幅下降至47.6%。极低剂量的使用,可以大大降低药物本身可能引起的其他毒副作用,使得用药对机体的影响降低。这对于正在接受癌症治疗的病人来说是十分重要的。The oncolytic virus synergist used in the present invention also has a feature that it can obtain an effect of enhancing the effect of oncolytic virus at an extremely low application dose. For example, although the dose is so low (eg, as low as 50 nM), the killing rate of SNS-032 on cancer cells is almost negligible (hepatocellular carcinoma cell survival rate is still as high as 90.0%). However, when used in combination with alphavirus (MOI = 0.001) at such a low dose, tumor cell survival rate dropped significantly to 47.6%. The use of very low doses can greatly reduce other toxic side effects that may be caused by the drug itself, and the effect of the drug on the body is reduced. This is very important for patients who are undergoing cancer treatment.
附图说明DRAWINGS
图1SNS-032与M1病毒联合处理显著降低人肝细胞癌株Hep3B生存率。Figure 1 SNS-032 combined with M1 virus treatment significantly reduced the survival rate of human hepatocellular carcinoma cell line Hep3B.
具体实施方式Detailed ways
以下实施方式是对本发明作进一步说明,但本发明的实施方式不局限于以下的实施例介绍,凡依照本发明的原理或理念所作的等同的变化或变通都应视为本发明保护的范畴。The invention is further described in the following embodiments, but the embodiments of the present invention are not limited to the following embodiments, and equivalent changes or modifications made in accordance with the principles and concepts of the present invention are considered to be within the scope of the present invention.
在没有特别指明的情况下,本发明采用的材料及实验方法为常规材料及方法。The materials and experimental methods employed in the present invention are conventional materials and methods, unless otherwise specified.
说明书中的“选自”连接着所选对象,可以理解为,例如:“X选自:A、B、C、……、E”或“X选自:A、B、C、……和E中的一种或多种”,等等,均可理解为,X包括了A、B、C、……E中的一种、或者两者的任意组合、或者多者的任意组合。此时不排除X还包括了一些其他类别的物质。"Selected from" in the specification is connected to the selected object, and can be understood as, for example, "X is selected from: A, B, C, ..., E" or "X is selected from: A, B, C, ... and One or more of E, etc., can be understood to include X, one of A, B, C, ... E, or any combination of the two, or any combination of the plurality. It is not excluded at this time that X also includes some other categories of substances.
除了上述提及的特定CDK抑制剂,本发明的抑制剂还可以选自现有技术中已经公知的CDK抑制剂、或者经后续研究发现具备CDK抑制作用的物质。In addition to the specific CDK inhibitors mentioned above, the inhibitors of the present invention may also be selected from CDK inhibitors which are well known in the art, or substances which have been found to have CDK inhibition by subsequent studies.
实施例1 SNS-032与M1病毒联合处理显著降低人肝细胞癌株Hep3B生存率材料:Example 1 SNS-032 combined with M1 virus significantly reduced the survival rate of human hepatocellular carcinoma Hep3B material:
人肝细胞癌Hep3B(购于ATCC),M1病毒(保藏编号CCTCC V201423),高糖DMEM培养基(购于Corning),自动酶联检测酶标仪。Human hepatocellular carcinoma Hep3B (purchased from ATCC), M1 virus (Accession No. CCTCC V201423), high glucose DMEM medium (purchased from Corning), automatic enzyme-linked detection microplate reader.
方法:method:
a)接种细胞、给药处理:选择对数生长期细胞,DMEM完全培养液(含10%胎牛血清、1%双抗)制成细胞悬液,以每孔4×10 3/孔的密度接种在96孔培养板内。12小时后见细胞完全贴壁,实验分对照组,单独SNS-032组,M1感染组和SNS-032/M1联用组。所用剂量为:所用剂量为:M1病毒(MOI=0.001)感染细胞;SNS-032为50nM。 a) Inoculation of cells, administration: Select logarithmic growth phase cells, DMEM complete medium (containing 10% fetal bovine serum, 1% double antibody) to make cell suspension, with a density of 4 × 10 3 /well per well Inoculate in a 96-well culture plate. After 12 hours, the cells were fully adherent. The experiment was divided into control group, SNS-032 group alone, M1 infection group and SNS-032/M1 combination group. The doses used were: M1 virus (MOI = 0.001) infected cells; SNS-032 was 50 nM.
b)MTT与细胞内的琥珀酸脱氢酶反应:培养至48h时,每孔加入MTT 20μl(5mg/ml),继续孵育4小时,此时镜检可观察到、活细胞内形成的颗粒状蓝 紫色甲臜结晶。b) MTT and intracellular succinate dehydrogenase reaction: when cultured to 48h, add 20μl (5mg/ml) of MTT to each well and continue to incubate for 4 hours. At this time, microscopically formed granular particles can be observed in living cells. Blue-purple nails crystallize.
c)溶解甲臜颗粒:小心吸去上清,加DMSO 100μl/孔溶解形成的结晶,在微型振荡器上震荡5min,然后在酶联检测仪上用波长570nm检测各孔的光密度(OD值)。细胞存活率=药物处理组OD值/对照组OD值×100%。c) Dissolving the formazan granules: carefully aspirate the supernatant, add DMSO 100 μl/well to dissolve the crystals, shake on a micro-vibrator for 5 min, and then measure the optical density (OD value) of each well with a wavelength of 570 nm on an enzyme-linked detector. ). Cell viability = OD value of the drug-treated group / OD value of the control group × 100%.
结果:result:
如图1所示,M1病毒(MOI=0.001)单独处理对肿瘤细胞Hep3B具有较小的生存率抑制作用,肿瘤细胞存活率达到79.9%,50nM的SNS-032处理组肿瘤细胞存活率仍高达90.0%,然而,当同样的50nM的SNS-032与M1病毒(MOI=0.001)联用(SNS-032+M1)时,肿瘤细胞存活率大幅下降至47.3%。As shown in Figure 1, M1 virus (MOI=0.001) treatment alone had a lower survival rate inhibition effect on tumor cell Hep3B, tumor cell survival rate reached 79.9%, and 50NM SNS-032 treatment group tumor cell survival rate was still as high as 90.0. %, however, when the same 50 nM SNS-032 was combined with the M1 virus (MOI=0.001) (SNS-032+M1), the tumor cell survival rate dropped significantly to 47.3%.

Claims (9)

  1. CDK抑制剂在制备溶瘤病毒抗肿瘤增效剂或耐药逆转剂方面的应用;The use of CDK inhibitors in the preparation of oncolytic virus anti-tumor synergists or drug resistance reversal agents;
    优选地,所述的溶瘤病毒选自甲病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒中的一种或多种;Preferably, the oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus;
    更优选地,所述的甲病毒选自M1病毒和盖塔病毒中的至少一种。More preferably, the alphavirus is selected from at least one of an M1 virus and a Gata virus.
  2. 如权利要求1所述的应用,其特征在于,所述的CDK抑制剂为抑制CDK活性的物质、或降解CDK的物质、或降低CDK水平的基因工具、或它们的任意组合;The use according to claim 1, wherein the CDK inhibitor is a substance that inhibits CDK activity, or a substance that degrades CDK, or a genetic tool that lowers CDK levels, or any combination thereof;
    优选地,所述的CDK抑制剂选自化合物;更优选地,所述的CDK抑制剂选自以下化合物或其具有CDK抑制作用的衍生物、或其药学上可接受的盐、溶剂化物、互变异构体、同分异构体:SNS-032、Dinaciclib;Preferably, the CDK inhibitor is selected from the group consisting of compounds; more preferably, the CDK inhibitor is selected from the following compounds or derivatives thereof having CDK inhibitory effects, or pharmaceutically acceptable salts, solvates thereof, and Isomers, isomers: SNS-032, Dinaciclib;
    更优选地,所述的SNS-032的结构式如式1所示:More preferably, the structural formula of the SNS-032 is as shown in Equation 1:
    Figure PCTCN2018125013-appb-100001
    Figure PCTCN2018125013-appb-100001
    更优选地,所述的Dinaciclib的结构式如式2所示:More preferably, the structural formula of the Dinaciclib is as shown in Equation 2:
    Figure PCTCN2018125013-appb-100002
    Figure PCTCN2018125013-appb-100002
    或者优选地,所述的CDK抑制剂选自抗体、抗体功能性片段、肽类、和拟肽 类中的一种或几种;Or preferably, the CDK inhibitor is selected from one or more of an antibody, an antibody functional fragment, a peptide, and a peptidomimetic;
    或者优选地,所述的CDK抑制剂为基因干扰、基因沉默、基因编辑或基因敲除材料;Or preferably, the CDK inhibitor is a gene interference, gene silencing, gene editing or gene knockout material;
    或者优选地,所述的CDK抑制剂选自:DNA、RNA、PNA和DNA-RNA-杂合体中的一种或几种;Or preferably, said CDK inhibitor is selected from one or more of the group consisting of: DNA, RNA, PNA and DNA-RNA-hybrid;
    更优选地,所述CDK抑制剂选自:siRNA、dsRNA、miRNA、shRNA和核酶中的一种或几种;More preferably, the CDK inhibitor is selected from one or more of the group consisting of: siRNA, dsRNA, miRNA, shRNA, and ribozyme;
    更优选地,所述的CDK抑制剂为肿瘤靶向CDK抑制剂。More preferably, the CDK inhibitor is a tumor targeting CDK inhibitor.
  3. 一种治疗肿瘤的药物组合物,包含:A pharmaceutical composition for treating a tumor comprising:
    (a)CDK抑制剂;(a) a CDK inhibitor;
    所述的CDK抑制剂为抑制CDK活性的物质、或降解CDK的物质、或降低CDK水平的基因工具、或它们的任意组合;The CDK inhibitor is a substance that inhibits CDK activity, or a substance that degrades CDK, or a genetic tool that lowers CDK levels, or any combination thereof;
    优选地,所述的CDK抑制剂选自化合物;更优选地,所述的CDK抑制剂选自以下化合物或其具有CDK抑制作用的衍生物、或其药学上可接受的盐、溶剂化物、互变异构体、同分异构体:SNS-032、Dinaciclib;Preferably, the CDK inhibitor is selected from the group consisting of compounds; more preferably, the CDK inhibitor is selected from the following compounds or derivatives thereof having CDK inhibitory effects, or pharmaceutically acceptable salts, solvates thereof, and Isomers, isomers: SNS-032, Dinaciclib;
    更优选地,所述的SNS-032的结构式如式1所示:More preferably, the structural formula of the SNS-032 is as shown in Equation 1:
    Figure PCTCN2018125013-appb-100003
    Figure PCTCN2018125013-appb-100003
    更优选地,所述的Dinaciclib的结构式如式2所示:More preferably, the structural formula of the Dinaciclib is as shown in Equation 2:
    Figure PCTCN2018125013-appb-100004
    Figure PCTCN2018125013-appb-100004
    或者优选地,所述的CDK抑制剂选自抗体、抗体功能性片段、肽类、和拟肽类中的一种或几种;Or preferably, the CDK inhibitor is selected from one or more of an antibody, an antibody functional fragment, a peptide, and a peptidomimetic;
    或者优选地,所述的CDK抑制剂为基因干扰、基因沉默、基因编辑或基因敲除材料;Or preferably, the CDK inhibitor is a gene interference, gene silencing, gene editing or gene knockout material;
    或者优选地,所述的CDK抑制剂选自:DNA、RNA、PNA和DNA-RNA-杂合体中的一种或几种;Or preferably, said CDK inhibitor is selected from one or more of the group consisting of: DNA, RNA, PNA and DNA-RNA-hybrid;
    更优选地,所述CDK抑制剂选自:siRNA、dsRNA、miRNA、shRNA和核酶中的一种或几种;More preferably, the CDK inhibitor is selected from one or more of the group consisting of: siRNA, dsRNA, miRNA, shRNA, and ribozyme;
    更优选地,所述的CDK抑制剂为肿瘤靶向CDK抑制剂;More preferably, the CDK inhibitor is a tumor targeting CDK inhibitor;
    (b)溶瘤病毒;所述的溶瘤病毒选自甲病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒中的一种或多种;(b) an oncolytic virus; the oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus;
    优选地,所述的甲病毒选自M1病毒和盖塔病毒中的至少一种。Preferably, the alphavirus is selected from at least one of an M1 virus and a Gata virus.
  4. 一种药品套装,包含:A medicine kit containing:
    (a)CDK抑制剂;(a) a CDK inhibitor;
    所述的CDK抑制剂为抑制CDK活性的物质、或降解CDK的物质、或降低CDK水平的基因工具、或它们的任意组合;The CDK inhibitor is a substance that inhibits CDK activity, or a substance that degrades CDK, or a genetic tool that lowers CDK levels, or any combination thereof;
    优选地,所述的CDK抑制剂选自化合物;更优选地,所述的CDK抑制剂选自以下化合物或其具有CDK抑制作用的衍生物、或其药学上可接受的盐、溶剂化物、互变异构体、同分异构体:SNS-032、Dinaciclib;Preferably, the CDK inhibitor is selected from the group consisting of compounds; more preferably, the CDK inhibitor is selected from the following compounds or derivatives thereof having CDK inhibitory effects, or pharmaceutically acceptable salts, solvates thereof, and Isomers, isomers: SNS-032, Dinaciclib;
    更优选地,所述的SNS-032的结构式如式1所示:More preferably, the structural formula of the SNS-032 is as shown in Equation 1:
    Figure PCTCN2018125013-appb-100005
    Figure PCTCN2018125013-appb-100005
    更优选地,所述的Dinaciclib的结构式如式2所示:More preferably, the structural formula of the Dinaciclib is as shown in Equation 2:
    Figure PCTCN2018125013-appb-100006
    Figure PCTCN2018125013-appb-100006
    或者优选地,所述的CDK抑制剂选自抗体、抗体功能性片段、肽类、和拟肽类中的一种或几种;Or preferably, the CDK inhibitor is selected from one or more of an antibody, an antibody functional fragment, a peptide, and a peptidomimetic;
    或者优选地,所述的CDK抑制剂为基因干扰、基因沉默、基因编辑或基因敲除材料;Or preferably, the CDK inhibitor is a gene interference, gene silencing, gene editing or gene knockout material;
    或者优选地,所述的CDK抑制剂选自:DNA、RNA、PNA和DNA-RNA-杂合体中的一种或几种;Or preferably, said CDK inhibitor is selected from one or more of the group consisting of: DNA, RNA, PNA and DNA-RNA-hybrid;
    更优选地,所述CDK抑制剂选自:siRNA、dsRNA、miRNA、shRNA和核酶中的一种或几种;More preferably, the CDK inhibitor is selected from one or more of the group consisting of: siRNA, dsRNA, miRNA, shRNA, and ribozyme;
    更优选地,所述的CDK抑制剂为肿瘤靶向CDK抑制剂;More preferably, the CDK inhibitor is a tumor targeting CDK inhibitor;
    (c)溶瘤病毒;所述的溶瘤病毒选自甲病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒中的一种或多种;(c) an oncolytic virus; the oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus;
    优选地,所述的甲病毒选自M1病毒和盖塔病毒中的至少一种;Preferably, the alphavirus is selected from at least one of an M1 virus and a Gata virus;
    优选地,所述的药品套装包含独立包装的CDK抑制剂及独立包装的溶瘤病毒。Preferably, the pharmaceutical kit comprises a separately packaged CDK inhibitor and a separately packaged oncolytic virus.
  5. CDK抑制剂及溶瘤病毒的组合在制备治疗肿瘤药物中的应用;The use of a combination of a CDK inhibitor and an oncolytic virus for the preparation of a medicament for treating tumors;
    所述的溶瘤病毒选自甲病毒、腺病毒、牛痘病毒、麻疹病毒、水泡口炎病毒、和单纯性疱疹病毒中的一种或多种;The oncolytic virus is selected from one or more of the group consisting of an alphavirus, an adenovirus, a vaccinia virus, a measles virus, a vesicular stomatitis virus, and a herpes simplex virus;
    优选地,所述的甲病毒选自M1病毒和盖塔病毒中的至少一种;Preferably, the alphavirus is selected from at least one of an M1 virus and a Gata virus;
    所述的CDK抑制剂为抑制CDK活性的物质、或降解CDK的物质、或降低CDK水平的基因工具;The CDK inhibitor is a substance that inhibits CDK activity, or a substance that degrades CDK, or a genetic tool that lowers CDK levels;
    优选地,所述的CDK抑制剂选自化合物;更优选地,所述的CDK抑制剂选自以下化合物或其具有CDK抑制作用的衍生物、或其药学上可接受的盐、溶剂化物、互变异构体、同分异构体:SNS-032、Dinaciclib;Preferably, the CDK inhibitor is selected from the group consisting of compounds; more preferably, the CDK inhibitor is selected from the following compounds or derivatives thereof having CDK inhibitory effects, or pharmaceutically acceptable salts, solvates thereof, and Isomers, isomers: SNS-032, Dinaciclib;
    更优选地,所述的SNS-032的结构式如式1所示:More preferably, the structural formula of the SNS-032 is as shown in Equation 1:
    Figure PCTCN2018125013-appb-100007
    Figure PCTCN2018125013-appb-100007
    更优选地,所述的Dinaciclib的结构式如式2所示:More preferably, the structural formula of the Dinaciclib is as shown in Equation 2:
    Figure PCTCN2018125013-appb-100008
    Figure PCTCN2018125013-appb-100008
    或者优选地,所述的CDK抑制剂选自抗体、抗体功能性片段、肽类、和拟肽类中的一种或几种;Or preferably, the CDK inhibitor is selected from one or more of an antibody, an antibody functional fragment, a peptide, and a peptidomimetic;
    或者优选地,所述的CDK抑制剂选自基因干扰、基因沉默、基因编辑或基因敲除材料;Or preferably, said CDK inhibitor is selected from the group consisting of a gene interference, a gene silencing, a gene editing or a gene knockout material;
    或者优选地,所述的CDK抑制剂选自:DNA、RNA、PNA和DNA-RNA-杂合体中的一种或几种;Or preferably, said CDK inhibitor is selected from one or more of the group consisting of: DNA, RNA, PNA and DNA-RNA-hybrid;
    更优选地,所述CDK抑制剂选自:siRNA、dsRNA、miRNA、shRNA和核酶中的一种或几种;More preferably, the CDK inhibitor is selected from one or more of the group consisting of: siRNA, dsRNA, miRNA, shRNA, and ribozyme;
    更优选地,所述的CDK抑制剂为肿瘤靶向CDK抑制剂。More preferably, the CDK inhibitor is a tumor targeting CDK inhibitor.
  6. 根据权利要求3所述的组合物,其中所述组合物还包含药学上可接受的载体;所述载体优选地选自冻干粉针、注射剂、片剂、胶囊、试剂盒或贴剂。The composition of claim 3 wherein said composition further comprises a pharmaceutically acceptable carrier; said carrier is preferably selected from the group consisting of lyophilized powders, injections, tablets, capsules, kits or patches.
  7. 如权利要求1-6任一所述的应用/组合物/药品套装,其特征在于所述的CDK抑制剂为SNS-032和/或Dinaciclib。The use/composition/drug set according to any of claims 1-6, characterized in that the CDK inhibitor is SNS-032 and/or Dinaciclib.
  8. 如权利要求3、4、6或7任一所述的组合物/药品套装,其特征在于所述的SNS-032或Dinaciclib与溶瘤病毒的配比为:0.005~200mg:10 3~10 9PFU;优选0.005~50mg:10 4~10 9PFU;进一步优选0.005~20mg:10 5~10 9PFU; The composition/pharmaceutical kit according to any one of claims 3, 4, 6 or 7, wherein the ratio of the SNS-032 or Dinaciclib to the oncolytic virus is 0.005 to 200 mg: 10 3 to 10 9 PFU; preferably 0.005 to 50 mg: 10 4 to 10 9 PFU; further preferably 0.005 to 20 mg: 10 5 to 10 9 PFU;
    进一步优选地,使用剂量为:SNS-032或Dinaciclib使用范围为0.01mg/kg至200mg/kg,同时溶瘤病毒使用滴度为MOI从10 3至10 9(PFU/kg);优选SNS-032或Dinaciclib使用范围为0.05mg/kg至200mg/kg,同时溶瘤病毒使用滴度为MOI从10 4至10 9(PFU/kg);更优选SNS-032或Dinaciclib使用范围为0.05mg/kg至20mg/kg,同时溶瘤病毒使用滴度为MOI从10 5至10 9(PFU/kg)。 Further preferably, the dosage used is: SNS-032 or Dinaciclib, the use range is from 0.01 mg/kg to 200 mg/kg, and the oncolytic virus uses a titer of MOI from 10 3 to 10 9 (PFU/kg); preferably SNS-032 Or Dinaciclib is used in the range of 0.05 mg/kg to 200 mg/kg, while the oncolytic virus uses a titer of MOI from 10 4 to 10 9 (PFU/kg); more preferably SNS-032 or Dinaciclib is used in the range of 0.05 mg/kg to 20 mg/kg, while the oncolytic virus uses a titer of MOI from 10 5 to 10 9 (PFU/kg).
  9. 如权利要求1-8任一所述的应用/组合物/药品套装,其特征在于所述的肿瘤为实体瘤或血液瘤;优选地,所述的实体瘤为肝癌、结直肠癌、膀胱癌、乳腺癌、宫颈癌、前列腺癌、胶质瘤、黑色素瘤、胰腺癌、鼻咽癌、肺癌或胃癌;The use/composition/drug set according to any one of claims 1 to 8, wherein the tumor is a solid tumor or a hematoma; preferably, the solid tumor is liver cancer, colorectal cancer, bladder cancer , breast cancer, cervical cancer, prostate cancer, glioma, melanoma, pancreatic cancer, nasopharyngeal cancer, lung cancer or stomach cancer;
    或者优选地,所述的肿瘤为对溶瘤病毒不敏感的肿瘤;Or preferably, the tumor is a tumor that is insensitive to oncolytic viruses;
    更优选地,所述肿瘤为对溶瘤病毒不敏感的肝癌、结直肠癌、膀胱癌、乳腺癌、宫颈癌、前列腺癌、胶质瘤、黑色素瘤、胰腺癌、鼻咽癌、肺癌或胃癌。More preferably, the tumor is liver cancer, colorectal cancer, bladder cancer, breast cancer, cervical cancer, prostate cancer, glioma, melanoma, pancreatic cancer, nasopharyngeal cancer, lung cancer or gastric cancer which are insensitive to oncolytic virus. .
PCT/CN2018/125013 2017-12-29 2018-12-28 Application of cdk inhibitor and oncolytic virus in preparation of antitumor drug WO2019129232A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201711482361.4 2017-12-29
CN201711482361.4A CN109985241A (en) 2017-12-29 2017-12-29 CDK inhibitor and oncolytic virus are in the application for preparing anti-tumor drug

Publications (1)

Publication Number Publication Date
WO2019129232A1 true WO2019129232A1 (en) 2019-07-04

Family

ID=67066666

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2018/125013 WO2019129232A1 (en) 2017-12-29 2018-12-28 Application of cdk inhibitor and oncolytic virus in preparation of antitumor drug

Country Status (3)

Country Link
CN (1) CN109985241A (en)
TW (1) TWI691333B (en)
WO (1) WO2019129232A1 (en)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106177955A (en) * 2016-08-18 2016-12-07 广州威溶特医药科技有限公司 Bcl xL inhibitor and oncolytic virus application in preparing antitumor drug
CN106177961A (en) * 2016-08-18 2016-12-07 广州威溶特医药科技有限公司 The application in preparing antitumor drug of VCP inhibitor and oncolytic virus
CN106265764A (en) * 2016-08-18 2017-01-04 广州威溶特医药科技有限公司 The application in preparing antitumor drug of IAP inhibitor and oncolytic virus
CN106967074A (en) * 2010-10-25 2017-07-21 G1治疗公司 CDK inhibitor

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0226583D0 (en) * 2002-11-14 2002-12-18 Cyclacel Ltd Compounds
AU2007336933A1 (en) * 2006-12-22 2008-07-03 Novartis Ag Heteroaryl-heteroaryl compounds as CDK inhibitors for the treatment of cancer, inflammation and viral infections
CN106029889A (en) * 2013-11-22 2016-10-12 德那翠丝有限公司 Adenovirus expressing immune cell stimulatory receptor agonist(s)
CN104814984B (en) * 2014-08-26 2017-09-15 广州威溶特医药科技有限公司 Application of the Alphavirus in terms of antineoplastic is prepared

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106967074A (en) * 2010-10-25 2017-07-21 G1治疗公司 CDK inhibitor
CN106177955A (en) * 2016-08-18 2016-12-07 广州威溶特医药科技有限公司 Bcl xL inhibitor and oncolytic virus application in preparing antitumor drug
CN106177961A (en) * 2016-08-18 2016-12-07 广州威溶特医药科技有限公司 The application in preparing antitumor drug of VCP inhibitor and oncolytic virus
CN106265764A (en) * 2016-08-18 2017-01-04 广州威溶特医药科技有限公司 The application in preparing antitumor drug of IAP inhibitor and oncolytic virus

Also Published As

Publication number Publication date
CN109985241A (en) 2019-07-09
TW201929881A (en) 2019-08-01
TWI691333B (en) 2020-04-21

Similar Documents

Publication Publication Date Title
TWI732025B (en) Application of Bcl-XL inhibitor and oncolytic virus in the preparation of anti-tumor drugs
WO2019129235A1 (en) Application of e3 ligase inhibitor and oncolytic virus in preparing anti-tumor drug
TWI707695B (en) Application of IAP inhibitor and oncolytic virus in the preparation of anti-tumor drugs
US11234968B2 (en) Use of VCP inhibitor and oncolytic virus in the preparation of an anti-tumor drug
CN108686221B (en) Synergistic antitumor drug
WO2019129234A1 (en) Use of aurora kinase inhibitor and alphavirus in preparing anti-tumor drug
TWI685343B (en) Use of PARP inhibitors and oncolytic viruses for preparing anti-tumor drugs
US20210228660A1 (en) Use of proteasome inhibitor and alphavirus in preparation of anti-tumor medicament
WO2019129231A1 (en) Use of mevalonate metabolic pathway inhibitor and alphavirus in preparing anti-tumor drug
WO2019129232A1 (en) Application of cdk inhibitor and oncolytic virus in preparation of antitumor drug
CN111544595B (en) Application of ubiquitin-conjugating enzyme E2 inhibitor and oncolytic virus in preparation of antitumor drugs

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 18896275

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

32PN Ep: public notification in the ep bulletin as address of the adressee cannot be established

Free format text: NOTING OF LOSS OF RIGHTS PURSUANT TO RULE 112(1) EPC (EPO FORM 1205A DATED 16.11.2020)

122 Ep: pct application non-entry in european phase

Ref document number: 18896275

Country of ref document: EP

Kind code of ref document: A1