WO2019139279A1 - Nanovesicles derived from morganella bacteria, and uses thereof - Google Patents

Nanovesicles derived from morganella bacteria, and uses thereof Download PDF

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Publication number
WO2019139279A1
WO2019139279A1 PCT/KR2018/016494 KR2018016494W WO2019139279A1 WO 2019139279 A1 WO2019139279 A1 WO 2019139279A1 KR 2018016494 W KR2018016494 W KR 2018016494W WO 2019139279 A1 WO2019139279 A1 WO 2019139279A1
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cancer
disease
vesicles
morganella
derived
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PCT/KR2018/016494
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French (fr)
Korean (ko)
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김윤근
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주식회사 엠디헬스케어
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Priority claimed from KR1020180158636A external-priority patent/KR102095355B1/en
Application filed by 주식회사 엠디헬스케어 filed Critical 주식회사 엠디헬스케어
Priority to EP18900497.1A priority Critical patent/EP3739067A4/en
Priority to CN201880086010.8A priority patent/CN111587294A/en
Priority to JP2020557894A priority patent/JP2021510309A/en
Priority to US16/399,919 priority patent/US10858670B2/en
Publication of WO2019139279A1 publication Critical patent/WO2019139279A1/en
Priority to US17/082,008 priority patent/US11898156B2/en
Priority to JP2021185327A priority patent/JP7264531B2/en

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    • AHUMAN NECESSITIES
    • A23FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23LFOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • 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
    • A61K35/74Bacteria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6876Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
    • C12Q1/6888Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for detection or identification of organisms
    • C12Q1/689Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for detection or identification of organisms for bacteria
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the present invention relates to a nano-vesicle derived from a bacterium belonging to the genus Morganella and a use thereof. More specifically, the present invention relates to a nano-vesicle derived from a bacterium belonging to the genus Morganella, A method for diagnosing cardiovascular diseases such as myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, etc., diabetes, and Parkinson's disease, and prevention or prevention of the above diseases or inflammatory diseases including the vesicles, ≪ / RTI >
  • Inflammation is a local or systemic defense mechanism against damage or infection of cells and tissues. It mainly affects the humoral mediator that is the immune system, or stimulates the local or systemic effector system It is caused by a series of biological reactions that occur.
  • Major inflammatory diseases include gastrointestinal diseases such as gastritis and inflammatory bowel disease, oral diseases such as periodontitis, respiratory diseases such as asthma, chronic obstructive pulmonary disease (COPD), rhinitis, skin diseases such as atopic dermatitis, hair loss, psoriasis, degenerative arthritis, Arthritis such as rheumatoid arthritis; And metabolic diseases such as obesity, diabetes, and liver cirrhosis.
  • COPD chronic obstructive pulmonary disease
  • rhinitis skin diseases such as atopic dermatitis, hair loss, psoriasis, degenerative arthritis
  • Arthritis such as rheumatoid arthritis
  • metabolic diseases such as obesity, diabetes, and liver cir
  • microbiota or microbiome refers to a microbial community, including true bacteria, archaea, and eukarya in a given settlement.
  • the mucous membrane forms a physical barrier that can not pass through particles of 200 nanometers (nm) or larger, and can not pass through the mucous membrane when the bacteria are symbiotic to the mucous membrane.
  • the bacterial-derived vesicles are less than 100 nanometers in size, It passes through epithelial cells through the mucosa and is absorbed by our body.
  • the locally secreted bacterial-derived vesicles are absorbed through the mucosal epithelial cells or keratinocytes to induce a local inflammatory reaction, as well as being absorbed into our body and distributed in each organ to regulate immune and inflammatory responses in the organs absorbed do.
  • E. coli Eshcherichia
  • the vesicles derived from pathogenic Gram-negative bacteria such as E. coli when absorbed into the blood vessels, promote the systemic inflammatory reaction and blood coagulation through the endothelial cell inflammatory reaction and are also absorbed into the muscle cells acting on the insulin, It triggers diabetes.
  • beneficial bacteria-derived vesicles can regulate disease by controlling immune function and metabolic dysfunction by pathogenic vesicles (Choi YW et al., Gut microbe-derived extracellular vesicles induce insulin resistance, thereby impairing glucose metabolism in skeletal muscle. Scientific Reports, 2015.).
  • Th17 immune response characterized by IL-17 cytokine secretion, which upon exposure to bacterial-derived vesicles secretes IL-6, which induces a Th17 immune response.
  • Th17 inflammation is characterized by neutrophil infiltration and TNF-alpha secreted by inflammatory cells such as macrophages plays an important role in the process of inflammation.
  • the present invention can diagnose disease by confirming that the vesicles derived from the genus Morganella are significantly reduced in clinical samples of patients suffering from cancer, cardiovascular diseases, metabolic diseases, inflammatory diseases, and neuropsychiatric disorders Respectively.
  • the vesicles were isolated from Morganella Morgani and analyzed for their characteristics. As a result, it was confirmed that the vesicles could be used as a composition for preventing or treating malignant diseases, cardiovascular diseases, metabolic diseases, inflammatory diseases and neuropsychiatric diseases.
  • the present inventors have conducted intensive studies to solve the conventional problems as described above. As a result of the meta genome analysis, the present inventors have found that malignant diseases such as gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, , Myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes mellitus, and Parkinson's disease were significantly reduced in the clinical samples of patients with Morganella subspecies.
  • malignant diseases such as gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, , Myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes mellitus, and Parkinson's disease were significantly reduced in the clinical samples of patients with Morganella subspecies.
  • the present invention provides a method for diagnosis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, And a method of providing the same.
  • the present invention also relates to a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, , Diabetes, Parkinson's disease, or inflammatory diseases.
  • the present invention provides a pharmaceutical composition for treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, Fibrinolysis, angina pectoris, stroke, diabetes, or Parkinson's disease:
  • the present invention also relates to a method for the treatment or prophylaxis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, A method of diagnosing Parkinson's disease is provided:
  • the sample in step (a) may be blood, urine, or feces.
  • the primer pair in step (b) may be a primer of SEQ ID NO: 1 or SEQ ID NO: 2.
  • the present invention also relates to a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, Angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  • the present invention also provides a pharmaceutical composition for preventing or treating at least one disease selected from the group consisting of angina pectoris, angina pectoris, stroke,
  • the present invention also relates to a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, Angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  • the present invention also relates to a method for treating cancer of the stomach, colon, pancreatic cancer, breast cancer, ovarian cancer, bladder cancer, prostate cancer, colon cancer, There is provided a method of preventing or treating at least one disease selected from the group consisting of lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  • at least one disease selected from the group consisting of lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  • the present invention also relates to a method for the treatment and prophylaxis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, , Parkinson's disease, and inflammatory diseases.
  • the inflammatory disease is atopic dermatitis, acne, psoriasis, sinusitis, rhinitis, conjunctivitis, asthma, dermatitis, inflammatory collagen vascular disease, glomerulonephritis, encephalitis, inflammatory bowel disease, chronic obstructive pulmonary disease, sepsis, Inflammatory bowel disease, chronic inflammatory disease due to inflammatory osteolysis, viral or bacterial infection, colitis, ulcerative colitis, inflammatory bowel disease, arthritis, rheumatoid arthritis, reactive arthritis, osteoarthritis Lyme disease, Borreliosis, Neurogenic-Borrelia, Tuberculosis, Sarcoidosis, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Sarcoidosis, lupus, alopecia areata, tuberculosis lupus, lupus nephritis,
  • the inflammatory disease may be a disease mediated by IL-6 or TNF-a.
  • the vesicles may have an average diameter of 10 to 200 nm.
  • the vesicles may be naturally or artificially secreted from Morganella spp.
  • the morgellella bacteria-derived vesicle may be secreted from Morganella Morgani.
  • the present inventors confirmed that intestinal bacteria are not absorbed into the body but they are absorbed into the body through epithelial cells in the case of bacterial-derived vesicles, and are excreted through the kidneys, liver, and lungs systemically, Colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke , Diabetes mellitus, and Parkinson's disease were significantly lower than those of normal persons.
  • morganella morgani a kind of bacterium belonging to the genus Morganella, was cultured in vitro to separate the vesicles and, when administered to the inflammatory cells in vitro, significantly suppressed the inflammatory mediator secretion by the pathogenic vesicles.
  • the present inventors have found that the bacterium derived from Morganella bacterium according to the present invention is useful for the treatment of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, , Atrial fibrillation, angina pectoris, stroke, diabetes, and Parkinson's disease, and foods or medicines for the above diseases or inflammatory diseases.
  • FIG. 1A is a photograph showing distribution patterns of bacteria and vesicles by time after oral administration of bacteria and bacterial-derived vesicles (EV) to a mouse.
  • FIG. 1B is a photograph of blood, kidney , Liver and various organs were extracted to evaluate the distribution patterns of bacteria and vesicles in the body.
  • FIGS. 2A to 2C show the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in gastric cancer patients and the normal faeces (2a), blood (2b), and urine (2c) to be.
  • FIG. 3 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in colon cancer patients and normal urine.
  • FIG. 4 shows the results of a comparison of the distribution of vesicles derived from bacteria belonging to the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in pancreatic cancer patients and normal human blood.
  • FIG. 5 shows the results of a comparison of the distribution of vesicles derived from bacteria belonging to the genus Morganella after carrying out the analysis of bacterium-derived vesicle metagenomes present in patients with biliary cancer and normal human blood.
  • FIG. 6 shows the results of a comparison of the distribution of vesicles derived from bacteria belonging to the genus Morganella after carrying out the analysis of microbial-derived vesicle metagenomes present in breast cancer patients and normal urine.
  • FIGS. 7A and 7B show the results of a comparison of the distribution of vesicles derived from Morganella subsp. Bacterium after the analysis of the bacterial-derived vesicle metagenomes existing in ovarian cancer patients and normal blood (7a) and urine (7b).
  • FIGS. 8A and 8B are the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of bacterial-derived vesicle metagenomes existing in bladder cancer patients and normal blood (8a) and urine (8b).
  • Fig. 9 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in prostate cancer patients and normal urine.
  • Fig. 10 shows the results of a comparison of the distribution of vesicles derived from Morganella subsp. Bacterium after the analysis of the bacterial-derived vesicle metagenomes in lymphoma patients and normal blood.
  • FIG. 11 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in the myocardial infarction patient and the normal blood.
  • FIG. 12 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after carrying out the analysis of microbial-derived vesicle metagenomes present in blood of cardiomyopathy patients and normal subjects.
  • FIG. 13 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in the blood of atrial fibrillation and normal human.
  • FIG. 14 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after carrying out the analysis of the bacterial-derived vesicle metagenomes present in blood of the patients with angina pectoris and normal.
  • 16A and 16B are the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in the blood (16a) and the urine (16b) of diabetic patients and normal subjects.
  • Fig. 17 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in Parkinson's disease patients and normal urine.
  • 19A and 19B show the results of pretreatment of Morganella Morgani vesicles prior to the treatment of E. coli EV, a pathogenic vesicle, to evaluate the anti-inflammatory effect of Morganella morganii-derived vesicles, (19a) and TNF-alpha (19b) secreted by the transfected cells.
  • Figure 20 is a know the Nella know going to compare the effect of each other, derived from different strains package for anti-inflammatory properties of the resulting package, separated from the other before the parcel pathogenic E. coli vesicles (E. coli EV) processing know (NC: negative control; PC: positive control; L. plantarum: Lactobacillus plantarum) was prepared by pretreating vesicles derived from Kanera morgani (MMR101, MMR201) and evaluating the effect on the secretion of TNF- ⁇ by E. coli vesicles.
  • E. coli EV E. coli EV
  • NC negative control
  • PC positive control
  • L. plantarum Lactobacillus plantarum
  • 21 is a graph showing the effect of heat treatment or acid treatment on the antiinflammatory effect of Morganella morgani-deficient vesicles in the presence of heat treated or acid treated Morganella Morgana before treatment with E. coli EV, a pathogenic vesicle, (NC: negative control; PC: positive control; L. plantarum: Lactobacillus plantarum) was pre-treated with vesicles derived from MMR101 and MMR201 and evaluated for TNF- ⁇ secretion by E. coli vesicles.
  • NC negative control
  • PC positive control
  • L. plantarum Lactobacillus plantarum
  • vesicle derived from Morganella morgani is administered to a mouse to evaluate the anticancer efficacy of Morganella morgani-derived vesicles.
  • IP cancer cells
  • PO oral administration
  • the present invention relates to vesicles derived from Morganella spp. And their use.
  • the present inventors have found that metagenomic analysis enables the diagnosis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, It was confirmed that the content of Morganella microbes-derived vesicles was significantly reduced in the sample derived from the diseased patient, and the present invention was completed on the basis thereof.
  • the present invention provides a method of treating or preventing gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, Providing a method for providing information for diagnosis of Parkinson's disease.
  • the term " diagnosis " used in the present invention means, in a broad sense, judging the actual conditions of a patient in all aspects.
  • the contents of the judgment are the pathology, etiology, pathology, severity, details of the disease, presence of complications, and prognosis.
  • the diagnosis is made based on whether or not the disease is gastric cancer, colorectal cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angelic angina, stroke, diabetes, And so on.
  • nano-vesicle or vesicle means a nano-sized membrane structure secreted by various bacteria.
  • Gram-negative bacteria-derived vesicles or outer membrane vesicles have not only lipopolysaccharides but also toxic proteins and bacterial DNA and RNA, and gram-positive bacteria-derived vesicles Has peptidoglycan and lipoteichoic acid which are cell wall components of bacteria as well as protein and nucleic acid.
  • nano-vesicles or vesicles are naturally secreted or artificially produced in bacteria belonging to the genus Morganella, and are spherical in shape and have an average diameter of 10 to 200 nm.
  • the vesicles can be obtained by culturing a culture containing Morganella bacterium by centrifugation, ultracentrifugation, high pressure treatment, extrusion, sonication, cell lysis, homogenization, freezing-thawing, electroporation, mechanical degradation, May be separated using one or more methods selected from the group consisting of filtration, gel filtration chromatography, pre-flow electrophoresis, and capillary electrophoresis. Further, it may further include processes such as washing for removal of impurities and concentration of the resulting vesicles.
  • a metagenome refers to the total of all genomes including all viruses, bacteria, fungi, etc. in an isolated area such as soil, animal field, etc., and refers to a microorganism It is used as a concept of a genome to explain the identification of many microorganisms at once using a sequencer for analysis.
  • a metagenome is not a genome or a genome, but a kind of mixed genome as a genome of all species of an environmental unit. This is a term derived from the viewpoint that when defining a species in the course of omics biology development, it functions not only as an existing species but also as a species that interacts with various species to form a complete species.
  • it is the subject of techniques that analyze all DNA and RNA regardless of species, identify all species in an environment, identify interactions, and metabolism using rapid sequencing.
  • the sample in step (a) may be blood, urine, or feces, but is not limited thereto.
  • the primer pair in step (b) may be a primer of SEQ ID NO: 1 or SEQ ID NO: 2.
  • the present invention provides a pharmaceutical composition for treating gastric cancer, colon cancer, pancreatic cancer, breast cancer, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, , Atrial fibrillation, angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  • the present invention provides a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction,
  • a food composition for the prevention or amelioration of at least one disease selected from the group consisting of inflammatory diseases, pathologies, atrial fibrillation, angioedema, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  • the inflammatory diseases are selected from the group consisting of atopic dermatitis, acne, psoriasis, sinusitis, rhinitis, conjunctivitis, asthma, dermatitis, inflammatory collagen vascular disease, glomerulonephritis, encephalitis, inflammatory bowel disease, chronic obstructive pulmonary disease, sepsis, Inflammatory bowel disease, ulcerative colitis, inflammatory bowel disease, arthritis, rheumatoid arthritis, reactive arthritis, osteoarthritis, arthritis, osteoarthritis, arthritis, osteoarthritis, , osteoarthritis, , Lyme disease, Borreliosis, Neurogenic-Borrelia, Tuberculosis, Sarcoidosis (including, but not limited to, osteoporosis, atherosclerosis, atherosclerosis, myocarditis, endocarditis, pericarditis, cystic fibrosis, Hashimoto's thyroiditis, Graves disease, Sarcoidosis),
  • the inflammatory disease may be a disease mediated by interleukin-6 (IL-6) or tumor necrosis factor-alpha (TNF-a) Do not.
  • IL-6 interleukin-6
  • TNF-a tumor necrosis factor-alpha
  • &quot prevention " refers to all actions that inhibit or delay the onset of cancer, inflammatory disease, cardiovascular disease, metabolic disease, or neuropsychiatric disorder by administration of the food or pharmaceutical composition according to the present invention do.
  • " treatment " used in the present invention refers to any action that improves or alleviates symptoms of cancer, inflammatory disease, cardiovascular disease, metabolic disease, or neuropsychiatric disease by administration of the pharmaceutical composition according to the present invention .
  • &quot means all actions that at least reduce the degree of symptom associated with the condition being treated.
  • bacterial and bacterial-derived vesicles were orally administered to mice to evaluate the absorption, distribution, and excretion of bacteria and vesicles in the body.
  • the vesicles were not absorbed through the intestinal membrane, And was excreted through kidneys, liver, and the like (see Example 1).
  • the mouse macrophage cell line, Raw 264.7 cells was inoculated with morganella morganii (MMR101, (MMR101, MMR201, MMR202) were treated with various concentrations (0.1, 1, 10 ⁇ g / ml) and then evaluated for apoptosis. As a result, was not observed (see Example 17).
  • a strain of Morganella morgani was cultured to evaluate whether the vesicles secreted therefrom had an anticancer therapeutic effect.
  • a cancer model was prepared by subcutaneous injection of a cancer cell line, and the morphology of cancer tissues was measured for 20 days after oral administration of morganella morgani-derived vesicles administered orally or intraperitoneally to mice from 4 days before the cancer cell line treatment.
  • the vesicles were administered intraperitoneally and orally, the size of cancer tissues was decreased compared with the control group, and it was confirmed that the vesicles were remarkably decreased when administered orally (see Example 20).
  • the pharmaceutical composition according to the present invention may comprise a pharmaceutically acceptable carrier.
  • pharmaceutically acceptable carriers are those conventionally used in the formulation and include, but are not limited to, saline, sterilized water, Ringer's solution, buffered saline, cyclodextrin, dextrose solution, maltodextrin solution, glycerol, ethanol, And may further contain other conventional additives such as antioxidants and buffers as needed.
  • it may be formulated into injectable formulations, pills, capsules, granules, or tablets such as aqueous solutions, suspensions, emulsions and the like by additionally adding diluents, dispersants, surfactants, binders, lubricants and the like.
  • Suitable pharmaceutically acceptable carriers and formulations can be suitably formulated according to the respective ingredients using the methods disclosed in Remington's reference.
  • the pharmaceutical composition of the present invention is not particularly limited to a formulation, but may be formulated into an injection, an inhalant, an external preparation for skin, or an oral ingestion agent.
  • the pharmaceutical composition of the present invention may be administered orally or parenterally (for example, intravenous, subcutaneous, skin, nasal, or airway) according to the desired method, The type of administration, the route of administration, and the time, but may be suitably selected by those skilled in the art.
  • a pharmaceutically effective amount means an amount sufficient to treat a disease at a reasonable benefit / risk ratio applicable to medical treatment, and an effective dose level is determined by the type of disease, severity, activity of the drug, The time of administration, the route of administration and the rate of excretion, the duration of the treatment, factors including co-administered drugs, and other factors well known in the medical arts.
  • the composition according to the present invention can be administered as an individual therapeutic agent or in combination with other therapeutic agents, and can be administered sequentially or simultaneously with conventional therapeutic agents, and can be administered singly or in multiple doses. It is important to take into account all of the above factors and to administer the amount in which the maximum effect can be obtained in a minimal amount without side effects, which can be easily determined by those skilled in the art.
  • the effective amount of the pharmaceutical composition according to the present invention may vary depending on the age, sex, and body weight of the patient. Generally, 0.001 to 150 mg, preferably 0.01 to 100 mg per 1 kg of body weight is administered daily or every other day Or one to three times a day. However, the dosage may be varied depending on the route of administration, the severity of obesity, sex, weight, age, etc. Therefore, the dosage is not limited to the scope of the present invention by any means.
  • the food composition of the present invention comprises a health functional food composition.
  • the food composition according to the present invention can be used as it is or in combination with other food or food ingredients, and can be suitably used according to conventional methods.
  • the amount of the active ingredient to be mixed can be suitably determined according to the intended use (for prevention or improvement).
  • the composition of the present invention is added in an amount of not more than 15% by weight, preferably not more than 10% by weight based on the raw material, in the production of food or beverage.
  • the amount may be less than the above range.
  • the food composition of the present invention has no particular limitation on the ingredients other than those containing the active ingredient as an essential ingredient in the indicated ratios and may contain various flavors or natural carbohydrates as additional ingredients such as ordinary drinks.
  • natural carbohydrates include monosaccharides such as glucose, fructose and the like; Disaccharides such as maltose, sucrose and the like; And polysaccharides, for example, conventional sugars such as dextrin, cyclodextrin and the like, and sugar alcohols such as xylitol, sorbitol and erythritol.
  • Natural flavors tau martin, stevia extracts (e.g., rebaudioside A, glycyrrhizin, etc.) and synthetic flavors (saccharin, aspartame, etc.) can be advantageously used as flavors other than those described above .
  • the ratio of the above-mentioned natural carbohydrate can be appropriately determined by a person skilled in the art.
  • the food composition of the present invention can be used as a flavoring agent such as a variety of nutrients, vitamins, minerals (electrolytes), synthetic flavors and natural flavors, coloring agents and thickening agents (cheese, chocolate etc.), pectic acid and its salts, Salts thereof, organic acids, protective colloid thickeners, pH adjusting agents, stabilizers, preservatives, glycerin, alcohols, carbonating agents used in carbonated drinks, and the like. These components may be used independently or in combination. The ratios of these additives can also be appropriately selected by those skilled in the art.
  • Example 1 Analysis of intestinal absorption, distribution, and excretion of intestinal bacteria and bacterial-derived vesicles
  • Example 2 Analysis of bacterial-derived vesicle metagenomes in clinical samples
  • the DNA extracted by the above method was amplified using the 16S rDNA primer described above, followed by sequencing (Illumina MiSeq sequencer), and the result was output to a Standard Flowgram Format (SFF) file and analyzed using GS FLX software (v2.9) (.Fasta) and nucleotide quality score files, then check the reliability of the lead, and remove the portion of the window (20 bps) with an average base call accuracy of less than 99% (Phred score ⁇ 20) Respectively.
  • SFF Standard Flowgram Format
  • GS FLX software v2.9
  • .Fasta nucleotide quality score files
  • Genus is 94%, family is 90%, order is 85%, class is 80%, phylum is 75%
  • Example 3 Analysis of vesicle metagenomes from gastric cancer stool, blood and urine bacteria
  • Example 4 Analysis of vesicle metagenomes derived from urine bacteria in patients with colorectal cancer
  • the urine samples were collected from 38 patients with colorectal cancer and 38 healthy adults who matched the age and sex by the method of Example 2.
  • the genes were extracted from the vesicles present in the urine and analyzed by metagenome. The distribution of the resulting vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella were significantly reduced in the feces of colon cancer patients compared to normal human urine (see Table 5 and FIG. 3).
  • Example 5 Analysis of vesicle meta-genome derived from blood bacteria of pancreatic cancer patients
  • Example 2 A total of 176 pancreatic cancer patients and 271 healthy persons whose age and gender matched each other were examined by the method of Example 2 were subjected to metagenome analysis by extracting genes from the vesicles present in the blood, The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the pancreatic cancer patients were significantly reduced compared to the normal blood (see Table 6 and FIG. 4).
  • Example 6 Analysis of vesicle meta-genome from blood bacterium of patients with cholangiocarcinoma
  • Example 7 Analysis of vesicle metagenomes derived from urine bacteria of breast cancer patients
  • Example 8 Analysis of vesicle metagenomes derived from blood and urine bacteria of ovarian cancer patients
  • Example 9 Analysis of vesicle metagenomes from bladder cancer patient blood and urine bacteria
  • Example 10 Analysis of vesicle metagenomes derived from urine bacteria in patients with prostate cancer
  • Example 11 Analysis of vesicle meta-genomic DNA derived from blood microbes of lymphoma patients
  • the genomic DNA was extracted from the vesicles present in the blood of 63 lymphoma patients and 53 healthy persons whose age and sex were matched by the method of Example 2 to analyze the metagenome, The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the lymphoma patients were significantly reduced compared to the normal blood (see Table 14 and FIG. 10).
  • Example 12 Analysis of vesicle meta genome derived from blood microbes in patients with heart disease
  • Genomic analysis was performed on the blood of 57 myocardial infarction patients and the blood of 163 normal controls matched with sex and age by the method of Example 2, and the genes were extracted from the vesicles present in the blood, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of patients suffering from myocardial infarction were significantly reduced compared to normal blood (see Table 15 and FIG. 11).
  • the genome was extracted from the vesicles present in the blood of blood of 72 patients with dilated cardiac myopathy according to the method of Example 2, and 163 blood of a normal control group matched with sex and age, The distribution of bacteria derived from Morganella was evaluated. As a result, it was confirmed that the vesicles derived from Morganella spp. Were significantly reduced in the blood of patients with dilated cardiac myopathy compared with normal blood (see Table 16 and Fig. 12).
  • Example 2 80 genes of dysmorphic angina pectoris and 80 healthy individuals matched with age and gender were analyzed by the method of Example 2, and the genes were extracted from the vesicles present in the blood to perform metagenome analysis. Then, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella were significantly reduced in the blood of the patients with diastolic myopathy compared with the normal blood (see Table 18 and Fig. 14).
  • Example 13 Analysis of vesicle meta-genomes derived from blood microbes in stroke patients
  • Example 14 Analysis of vesicle meta genome derived from blood bacteria of diabetic patients
  • the genomic DNA was extracted from the vesicles present in the blood of blood of the 73 diabetic patients and the blood of 146 normal control group matched with sex and age by the method of Example 2, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the diabetic patients were significantly reduced compared to the normal blood (see Table 20 and FIG. 16a).
  • Example 15 Analysis of vesicle metagenomes from urine bacteria of Parkinson's disease patients
  • Example 16 Isolation of vesicles from a morganella Morgani culture
  • the M. morganii strain was isolated from one of the standard strains (MMR101) and two isolates (MMR201 and MMR202) isolated from humans in the Korean Microorganism Conservation Center (KCCM) After culturing, the vesicles were separated from the culture solution and analyzed for their characteristics. M. morganii was subcultured in an LB (Luria-Bertani) medium until the absorbance (OD 600) reached 1.0 ⁇ 1.5 in a 37 ° C incubator. Then, the culture containing the strain was recovered and centrifuged at 10,000 g at 4 ° C for 20 minutes to remove the strain, which was then filtered through a 0.22 ⁇ m filter.
  • the filtered supernatant was concentrated to a volume of 50 ml or less through a microfiltration using a 100 kDa Pellicon 2 Cassette filter membrane (Merck Millipore, US) using a MasterFlex pump system (Cole-Parmer, US). The concentrated supernatant was again filtered through a 0.22 [mu] m filter. Then, proteins were quantified by BCA assay, and the following experiments were carried out on the vesicles obtained.
  • Example 17 Cell death effect of vesicles derived from Morganella morganii
  • MMR101, MMR201, MMR202 -deleted vesicles in the mouse macrophage cell line
  • Raw 264.7 cells at various concentrations, to evaluate the cytotoxic effect of M. morganii EV in inflammatory cells (0.1, 1, 10 ⁇ ⁇ / ml), and the degree of apoptosis was evaluated. More specifically, Raw 264.7 cells were seeded at a density of 5 x 10 4 cells in 48-well cell culture plates and treated with various concentrations of Morganella morgani (MMR101, MMR201, MMR202) vesicles diluted with DMEM serum- Lt; / RTI > Cell death was measured using EZ-CYTOX (Dogen, Korea). As a result, cell death was not observed upon vesicle treatment from Morganella morgani (MMR101, MMR201, MMR202) (see Fig. 18).
  • Example 18 Anti-inflammatory effect of vesicles derived from Moganella morganis
  • morganella morgani-derived vesicles In order to examine the effect of morganella morgani-derived vesicles on inflammatory mediator release in inflammatory cells, morphogranular mor- bane (MMR101) -derived vesicles were injected into mouse macrophages Raw 264.7 cells at various concentrations (0.1, 1, / Ml), and then E. coli- derived vesicle ( E. coli) EV) to measure the secretion amount of inflammatory mediators (IL-6, TNF-a, etc.). More specifically, Raw 264.7 cells were plated on 24-well cell culture plates at 1 ⁇ 10 5 cells and then cultured in DMEM complete medium for 24 hours.
  • MMR101 morphogranular mor- bane
  • the culture supernatant was collected in a 1.5 ml tube and centrifuged at 3000 g for 5 minutes. The supernatant was collected and stored at 4 ° C for ELISA analysis.
  • IL-6 and TNF- ⁇ secretion by E. coli-derived vesicles was remarkably inhibited when the vesicles derived from Morganella morgani were pretreated (see FIGS. 19A and 19B).
  • the TNF-a secretion in macrophages was markedly higher than that in Lactobacillus plantarum vesicles when the vesicles from Morganella morgani were pretreated (see Fig. 19B).
  • morganella morganii (MMR101, MMR201, MMR202) at various concentrations (0.1, 1, 10 / / ) was pretreated with mouse macrophage cells for 12 hours, treated with 1 ⁇ g / ml of E. coli-derived vesicle, which was a pathogenic vesicle, and the secretion of TNF- ⁇ , an inflammatory cytokine, was measured by ELISA after 12 hours.
  • the antiinflammatory effect of the vesicles derived from the standard strains of Morganella morgani (MMR101) and the isolated strain (MMR201) was confirmed through Example 18, and furthermore, the stability of the vesicles and the characteristics of the active substances were examined in detail.
  • MMR101, MMR201 two types of morganella morganis-derived vesicles pretreated with macrophages (Raw 264.7) boiled at 100 ° C for 10 minutes or acid treated (pH 2.0) Respectively.
  • the anti-inflammatory effect of the vesicles derived from Morgana morgani was maintained even if the vesicles were boiled or treated with acid at 100 ° C (see FIG. 21). This suggests that the anti-inflammatory action of morganella morgana-derived vesicles is stable
  • vesicles derived from Morgana morgani were intraperitoneally injected or injected intraperitoneally into C57BL / 6 male mice at 6 weeks of age and the cancer cells (CT26 cell) And subcutaneously injected into a cancer model.
  • the vesicles derived from the isolate of Morganella morgani were intraperitoneally injected or injected daily, and the size of the cancer tissue was measured until day 24 (see FIG. 22).
  • the size of cancer tissues was reduced in the size of cancer tissues in mice administered with intraperitoneal injection of the vesicles or oral administration of the vesicles compared with the control group of oral administration of physiological saline, and in particular, (See Fig. 23). This means that the morganella morgana-derived vesicles can effectively inhibit the growth of cancer tissues.
  • the vesicles derived from the genus Morganella according to the present invention can be used for the treatment of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, A diagnostic method for Parkinson's disease, and a composition for preventing or treating a food or a drug against the disease or inflammatory disease.

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Abstract

The present invention relates to vesicles derived from Morganella bacteria and to uses thereof. It has been experimentally confirmed by the present inventors that the vesicles were significantly reduced in clinical samples derived from patients with malignant diseases such as gastric cancer, colorectal cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, and lymphoma; cardiovascular diseases such as myocardial infarction, cardiomyopathy, atrial fibrillation, variant angina, and strokes; diabetes, and Parkinson's disease, in comparison with a normal person and that the vesicles inhibited carcinogenesis in cancer animal models while inhibiting the secretion of inflammatory mediators caused by pathogenic vesicles. The vesicles derived from Morganella bacteria according to the present invention will be usefully employed for the purposes of developing a method for diagnosing malignant diseases such as gastric cancer, colorectal cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, and lymphoma; cardiovascular diseases such as myocardial infarction, cardiomyopathy, atrial fibrillation, variant angina, and strokes; diabetes, and Parkinson's disease, and a composition for preventing or treating said diseases or inflammatory diseases.

Description

모르가넬라 속 세균 유래 나노소포 및 이의 용도Nano-vesicles derived from bacteria of Morganella and uses thereof
본 발명은 모르가넬라 속 세균 유래 나노소포 및 이의 용도에 관한 것으로, 보다 구체적으로 모르가넬라 속 세균에서 유래하는 나노소포를 이용한 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암 및 림프종 등의 악성질환, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중 등의 심혈관질환, 당뇨병, 및 파킨슨병의 진단방법, 및 상기 소포를 포함하는 상기 질환 또는 염증성 질환에 대한 예방 또는 치료용 조성물에 관한 것이다. The present invention relates to a nano-vesicle derived from a bacterium belonging to the genus Morganella and a use thereof. More specifically, the present invention relates to a nano-vesicle derived from a bacterium belonging to the genus Morganella, A method for diagnosing cardiovascular diseases such as myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, etc., diabetes, and Parkinson's disease, and prevention or prevention of the above diseases or inflammatory diseases including the vesicles, ≪ / RTI >
21세기에 들어서면서 과거 전염병으로 인식되던 급성 감염성질환의 중요성이 덜해지는 반면, 인간과 마이크로바이옴과의 부조화에 의해 발생하는 면역기능 이상을 동반한 만성질환이 삶의 질과 인간 수명을 결정하는 주요 질환으로 질병패턴이 바뀌었다. 21세기 난치성 만성질환으로서, 암, 심혈관질환, 만성폐질환, 대사질환, 염증성 질환, 및 신경-정신질환이 인간 수명과 삶의 질을 결정하는 주요 질환으로서 국민보건에 큰 문제가 되고 있다.In the 21st century, the importance of acute infectious diseases, which have been recognized as epidemic in the past, has become less important, while chronic diseases with immune dysfunction caused by incompatibility between human and microbiome have been linked to quality of life and life expectancy The disease pattern changed as a major disease. Cancer, cardiovascular disease, chronic pulmonary disease, metabolic disease, inflammatory disease, and neuropsychiatric disease are major diseases that determine human life and quality of life as a 21 st century intractable chronic disease.
염증(Inflammation)은 세포 및 조직의 손상이나 감염에 대한 국부적 또는 전신적인 방어기작으로, 주로 면역계를 이루는 체액성 매개체(humoral mediator)가 직접 반응하거나, 국부적 또는 전신적 작동 시스템(effector system)을 자극함으로써 일어나는 연쇄적인 생체반응에 의해 유발된다. 주요 염증성 질환으로는 위염, 염증성 장염 등의 소화기질환, 치주염 등의 구강 질환, 천식, 만성폐쇄성폐질환(COPD), 비염 등의 호흡기질환, 아토피 피부염, 탈모, 건선 등의 피부질환, 퇴행성관절염, 류마티스 관절염 등과 같은 관절염; 및 비만, 당뇨병, 간경화증 등이 대사질환이 포함된다. 또한, 다양한 연구들을 통해 지속적인 염증이 암을 유발할 수 있다는 결과들이 보고되어 왔다.Inflammation is a local or systemic defense mechanism against damage or infection of cells and tissues. It mainly affects the humoral mediator that is the immune system, or stimulates the local or systemic effector system It is caused by a series of biological reactions that occur. Major inflammatory diseases include gastrointestinal diseases such as gastritis and inflammatory bowel disease, oral diseases such as periodontitis, respiratory diseases such as asthma, chronic obstructive pulmonary disease (COPD), rhinitis, skin diseases such as atopic dermatitis, hair loss, psoriasis, degenerative arthritis, Arthritis such as rheumatoid arthritis; And metabolic diseases such as obesity, diabetes, and liver cirrhosis. In addition, various studies have reported that sustained inflammation can cause cancer.
인체에 공생하는 미생물은 100조에 이르러 인간 세포보다 10배 많으며, 미생물의 유전자수는 인간 유전자수의 100배가 넘는 것으로 알려지고 있다. 미생물총(microbiota 혹은 microbiome)은 주어진 거주지에 존재하는 진정세균(bacteria), 고세균(archaea), 진핵생물(eukarya)을 포함한 미생물 군집(microbial community)을 말한다. The number of microorganisms that are symbiotic to the human body is 10 times more than that of human cells, and the number of microorganisms is known to be over 100 times that of human genes. A microbiota or microbiome refers to a microbial community, including true bacteria, archaea, and eukarya in a given settlement.
우리 몸에 공생하는 세균 및 주변 환경에 존재하는 세균은 다른 세포로의 유전자, 저분자화합물, 단백질 등의 정보를 교환하기 위하여 나노미터 크기의 소포(vesicle)를 분비한다. 점막은 200 나노미터(nm) 크기 이상의 입자는 통과할 수 없는 물리적인 방어막을 형성하여 점막에 공생하는 세균인 경우에는 점막을 통과하지 못하지만, 세균 유래 소포는 크기가 100 나노미터 크기 이하라서 비교적 자유롭게 점막을 통하여 상피세포를 통과한 후 우리 몸에 흡수된다. 국소적으로 분비된 세균 유래 소포는 점막의 상피세포 혹은 피부 각질세포를 통해 흡수되어 국소 염증반응을 유도할 뿐만 아니라, 우리 몸에 흡수되어 각 장기로 분포하여 흡수된 장기에서 면역 및 염증반응을 조절한다. 예를 들어, 대장균(Eshcherichia coli)과 같은 병원성 그람음성세균에서 유래하는 소포는 혈관으로 흡수된 경우에 혈관 내피세포 염증반응을 통해 전신적인 염증반응 및 혈액응고를 촉진시키고, 또한 인슐린이 작용하는 근육세포 등에 흡수되어 인슐린저항성과 당뇨병을 유발한다. 반면, 유익한 세균에서 유래하는 소포는 병원성 소포에 의한 면역기능 및 대사기능 이상을 조절하여 질병을 조절할 수 있다(Choi YW et al., Gut microbe-derived extracellular vesicles induce insulin resistance, thereby impairing glucose metabolism in skeletal muscle. Scientific Reports, 2015.). Bacteria that coexist in our bodies and bacteria in the environment secrete nanometer-sized vesicles to exchange information such as genes, small molecules, and proteins into other cells. The mucous membrane forms a physical barrier that can not pass through particles of 200 nanometers (nm) or larger, and can not pass through the mucous membrane when the bacteria are symbiotic to the mucous membrane. However, since the bacterial-derived vesicles are less than 100 nanometers in size, It passes through epithelial cells through the mucosa and is absorbed by our body. The locally secreted bacterial-derived vesicles are absorbed through the mucosal epithelial cells or keratinocytes to induce a local inflammatory reaction, as well as being absorbed into our body and distributed in each organ to regulate immune and inflammatory responses in the organs absorbed do. For example, E. coli (Eshcherichia The vesicles derived from pathogenic Gram-negative bacteria such as E. coli , when absorbed into the blood vessels, promote the systemic inflammatory reaction and blood coagulation through the endothelial cell inflammatory reaction and are also absorbed into the muscle cells acting on the insulin, It triggers diabetes. On the other hand, beneficial bacteria-derived vesicles can regulate disease by controlling immune function and metabolic dysfunction by pathogenic vesicles (Choi YW et al., Gut microbe-derived extracellular vesicles induce insulin resistance, thereby impairing glucose metabolism in skeletal muscle. Scientific Reports, 2015.).
세균에서 유래하는 소포 등의 인자에 대한 면역반응은 IL-17 사이토카인 분비를 특징으로 하는 Th17 면역반응으로, 이는 세균 유래 소포에 노출 시 IL-6가 분비되고, 이는 Th17 면역반응을 유도한다. Th17 면역반응에 의한 염증은 호중구 침윤을 특징으로 하고, 염증이 발생하는 과정에서 대식세포 등과 같은 염증세포에서 분비되는 TNF-alpha가 중요한 역할을 담당한다.The immune response to bacterial-derived factors such as vesicles is a Th17 immune response characterized by IL-17 cytokine secretion, which upon exposure to bacterial-derived vesicles secretes IL-6, which induces a Th17 immune response. Th17 inflammation is characterized by neutrophil infiltration and TNF-alpha secreted by inflammatory cells such as macrophages plays an important role in the process of inflammation.
모르가넬라 속 세균은 혐기성 그람음성간균으로서 사람과 동물의 장에 공생하는 세균으로 알려져 있다. 상기 세균 중에서 모르가넬라 모르가니(Morganella morganii) 균은 수술후 감염 또는 요로감염 등을 일으키는 병원성 세균으로 알려져 있다. 그러나 현재까지, 모르가넬라 속 세균이 세포밖으로 소포를 분비한다는 사실이 보고되지 않았고, 특히 암, 심혈관질환, 대사질환, 염증성 질환, 및 신경-정신질환의 진단 및 치료에 응용한 사례는 보고된 바가 없다.Morganella bacterium is an anaerobic gram-negative bacterium and is known to be a bacterium that symbiotes in the intestines of humans and animals. Among these bacteria, Morganella < RTI ID = 0.0 > morganii ) is known to be a pathogenic bacterium that causes postoperative infection or urinary tract infection. However, to date, there has been no report that bacterium Morganella secretes vesicles out of the cell, and applications for diagnosis and treatment of cancer, cardiovascular diseases, metabolic diseases, inflammatory diseases, and neuropsychiatric diseases have been reported There is no bar.
이에, 본 발명에서는 모르가넬라 속 세균 유래 소포가 정상인에 비하여 암, 심혈관질환, 대사질환, 염증성 질환, 및 신경-정신질환 환자의 임상 샘플에 유의하게 감소되어 있음을 확인하여 질병을 진단할 수 있음을 확인하였다. 또한, 모르가넬라 모르가니균 으로부터 소포를 분리하고 특성을 분석한 결과, 악성질환, 심혈관질환, 대사질환, 염증성 질환, 및 신경-정신질환의 예방 또는 치료용 조성물로 이용할 수 있음을 확인하였다.Accordingly, the present invention can diagnose disease by confirming that the vesicles derived from the genus Morganella are significantly reduced in clinical samples of patients suffering from cancer, cardiovascular diseases, metabolic diseases, inflammatory diseases, and neuropsychiatric disorders Respectively. In addition, the vesicles were isolated from Morganella Morgani and analyzed for their characteristics. As a result, it was confirmed that the vesicles could be used as a composition for preventing or treating malignant diseases, cardiovascular diseases, metabolic diseases, inflammatory diseases and neuropsychiatric diseases.
본 발명자들은 상기와 같은 종래의 문제점을 해결하기 위해 예의 연구한 결과, 메타게놈 분석을 통해 정상인에 비하여 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암 및 림프종 등의 악성질환, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중 등의 심혈관질환, 당뇨병, 및 파킨슨병 등의 환자 임상샘플에서 모르가넬라 속 세균 유래 소포의 함량이 유의하게 감소되어 있음을 확인하였다. 또한, 모르가넬라 속 세균에 속하는 모르가넬라 모르가니 균에서 소포를 분리하여 대식세포에 처리하였을 때, 병원성 소포에 의한 TNF-alpha 분비를 현저히 억제함을 확인한 바, 이에 기초하여 본 발명을 완성하였다. The present inventors have conducted intensive studies to solve the conventional problems as described above. As a result of the meta genome analysis, the present inventors have found that malignant diseases such as gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, , Myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes mellitus, and Parkinson's disease were significantly reduced in the clinical samples of patients with Morganella subspecies. Further, it was confirmed that when the vesicles were isolated from Morganella morganii belonging to the genus Morganella to treat macrophages, TNF-alpha secretion by the pathogenic vesicles was significantly inhibited, and thus the present invention was completed Respectively.
이에, 본 발명은 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병의 진단을 위한 정보제공방법을 제공하는 것을 목적으로 한다. Accordingly, the present invention provides a method for diagnosis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, And a method of providing the same.
또한, 본 발명은 모르가넬라 유래 소포를 유효성분으로 포함하는 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 또는 염증성 질환의 예방 또는 치료용 조성물을 제공하는 것을 다른 목적으로 한다. The present invention also relates to a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, , Diabetes, Parkinson's disease, or inflammatory diseases.
그러나 본 발명이 이루고자 하는 기술적 과제는 이상에서 언급한 과제에 제한되지 않으며, 언급되지 않은 또 다른 과제들은 아래의 기재로부터 당업자에게 명확하게 이해될 수 있을 것이다.However, the technical problem to be solved by the present invention is not limited to the above-mentioned problems, and other matters not mentioned can be clearly understood by those skilled in the art from the following description.
상기와 같은 본 발명의 목적을 달성하기 위하여, 본 발명은 하기의 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병의 진단을 위한 정보제공방법을 제공한다: In order to achieve the object of the present invention as described above, the present invention provides a pharmaceutical composition for treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, Fibrinolysis, angina pectoris, stroke, diabetes, or Parkinson's disease:
(a) 정상인 및 피검자 샘플에서 분리한 소포로부터 DNA를 추출하는 단계;(a) extracting DNA from vesicles isolated from normal and subject samples;
(b) 상기 추출한 DNA에 대하여 16S rDNA에 존재하는 유전자 서열에 기초하여 제작한 프라이머 쌍을 이용하여 PCR을 수행하여 각각의 PCR 산물을 수득하는 단계; 및(b) performing PCR on the extracted DNA using primer pairs prepared based on the gene sequences present in 16S rDNA to obtain respective PCR products; And
(c) 상기 PCR 산물의 정량분석을 통하여 정상인에 비하여 모르가넬라 속 세균 유래 소포의 함량이 낮을 경우 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병으로 판정하는 단계.(c) Quantitative analysis of the PCR products revealed that the content of morganella bacteria-derived vesicles is lower than that of a normal person, and thus the gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, Cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, or Parkinson's disease.
또한, 본 발명은 하기의 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병의 진단 방법을 제공한다: The present invention also relates to a method for the treatment or prophylaxis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, A method of diagnosing Parkinson's disease is provided:
(a) 정상인 및 피검자 샘플에서 분리한 소포로부터 DNA를 추출하는 단계;(a) extracting DNA from vesicles isolated from normal and subject samples;
(b) 상기 추출한 DNA에 대하여 16S rDNA에 존재하는 유전자 서열에 기초하여 제작한 프라이머 쌍을 이용하여 PCR을 수행하여 각각의 PCR 산물을 수득하는 단계; 및(b) performing PCR on the extracted DNA using primer pairs prepared based on the gene sequences present in 16S rDNA to obtain respective PCR products; And
(c) 상기 PCR 산물의 정량분석을 통하여 정상인에 비하여 모르가넬라 속 세균 유래 소포의 함량이 낮을 경우 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병으로 판정하는 단계.(c) Quantitative analysis of the PCR products revealed that the content of morganella bacteria-derived vesicles is lower than that of a normal person, and thus the gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, Cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, or Parkinson's disease.
본 발명의 또 다른 구현예로, 상기 (a) 단계에서의 샘플은 혈액, 소변, 또는 대변일 수 있다. In another embodiment of the present invention, the sample in step (a) may be blood, urine, or feces.
본 발명의 또 다른 구현예로, 상기 (b) 단계에서의 프라이머 쌍은 서열번호 1 및 서열번호 2의 프라이머일 수 있다.In another embodiment of the present invention, the primer pair in step (b) may be a primer of SEQ ID NO: 1 or SEQ ID NO: 2.
또한, 본 발명은 모르가넬라 속 세균 유래 소포를 유효성분으로 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료용 약학적 조성물을 제공한다. The present invention also relates to a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, Angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases. The present invention also provides a pharmaceutical composition for preventing or treating at least one disease selected from the group consisting of angina pectoris, angina pectoris, stroke,
또한, 본 발명은 모르가넬라 속 세균 유래 소포를 유효성분으로 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 개선용 식품 조성물을 제공한다. The present invention also relates to a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, Angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
또한, 본 발명은 모르가넬라 속 세균 유래 소포를 유효성분으로 포함하는 약학적 조성물을 개체에 투여하는 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료 방법을 제공한다. The present invention also relates to a method for treating cancer of the stomach, colon, pancreatic cancer, breast cancer, ovarian cancer, bladder cancer, prostate cancer, colon cancer, There is provided a method of preventing or treating at least one disease selected from the group consisting of lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
또한, 본 발명은 모르가넬라 속 세균 유래 소포의, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료 용도를 제공한다. The present invention also relates to a method for the treatment and prophylaxis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, , Parkinson's disease, and inflammatory diseases.
본 발명의 일 구현예로, 상기 염증성 질환은 아토피 피부염, 여드름, 건선, 부비동염, 비염, 결막염, 천식, 피부염, 염증성 콜라겐 혈관질환, 사구체신염, 뇌염, 염증성 장염, 만성 폐쇄성 폐질환, 패혈증, 패혈성 쇼크증, 폐섬유증, 미분화 척추관절증, 미분화 관절병증, 관절염, 염증성 골용해, 바이러스 또는 박테리아 감염에 의한 만성 염증질환, 대장염, 궤양성 대장염, 염증성 장질환, 관절염, 류마티스 관절염, 반응성 관절염, 골관절염, 공피증, 골다공증, 아테롬성 동맥경화증, 심근염, 심내막염, 심낭염, 낭성 섬유증, 하시모토 갑상선염, 그레이브스병, 나병, 매독, 라임병(Lyme disease), 보렐리아증(Borreliosis), 신경성-보렐리아증, 결핵, 사르코이드증(Sarcoidosis), 루프스, 동창성 루프스, 결핵성 루프스, 루프스 신염, 전신성 홍반성 루프스, 황반변성, 포도막염, 과민대장 증후군, 크론씨병, 쇼그랜 증후군, 섬유근통, 만성피로 증후군, 만성피로 면역부전 증후군, 근육통성 뇌척수염, 근위축성 측삭경화증, 파키슨병, 및 다발성경화증으로 이루어진 군으로부터 선택되는 하나 이상일 수 있다.In one embodiment of the present invention, the inflammatory disease is atopic dermatitis, acne, psoriasis, sinusitis, rhinitis, conjunctivitis, asthma, dermatitis, inflammatory collagen vascular disease, glomerulonephritis, encephalitis, inflammatory bowel disease, chronic obstructive pulmonary disease, sepsis, Inflammatory bowel disease, chronic inflammatory disease due to inflammatory osteolysis, viral or bacterial infection, colitis, ulcerative colitis, inflammatory bowel disease, arthritis, rheumatoid arthritis, reactive arthritis, osteoarthritis Lyme disease, Borreliosis, Neurogenic-Borrelia, Tuberculosis, Sarcoidosis, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Alzheimer's disease, Sarcoidosis, lupus, alopecia areata, tuberculosis lupus, lupus nephritis, systemic lupus erythematosus, macular degeneration, uveitis , May be at least one selected from irritable bowel syndrome, Crohn's disease, it shows Gran syndrome, fibromyalgia, chronic fatigue syndrome, chronic fatigue immune dysfunction syndrome, muscular encephalomyelitis, amyotrophic lateral sclerosis, Parkinson seunbyeong, and the group consisting of multiple sclerosis.
본 발명의 다른 구현예로, 상기 염증성 질환은 IL-6 또는 TNF-α에 의해 매개되는 질환일 수 있다.In another embodiment of the present invention, the inflammatory disease may be a disease mediated by IL-6 or TNF-a.
본 발명의 또 다른 구현예로, 상기 소포는 평균 직경이 10 내지 200 nm인 것일 수 있다. In another embodiment of the present invention, the vesicles may have an average diameter of 10 to 200 nm.
본 발명의 또 다른 구현예로, 상기 소포는 모르가넬라 속 세균에서 자연적으로 또는 인공적으로 분비되는 것일 수 있다. In another embodiment of the present invention, the vesicles may be naturally or artificially secreted from Morganella spp.
본 발명의 또 다른 구현예로, 상기 모르가넬라 속 세균 유래 소포는 모르가넬라 모르가니에서 분비되는 것일 수 있다. In another embodiment of the present invention, the morgellella bacteria-derived vesicle may be secreted from Morganella Morgani.
본 발명자들은 장내 세균인 경우에는 체내에 흡수되지 않지만, 세균유래 소포인 경우에는 상피세포를 통해 체내에 흡수되어, 전신적으로 분포하고, 콩팥, 간, 폐를 통해 체외로 배설됨을 확인하였고, 환자 혈액, 소변, 또는 대변 등에 존재하는 세균유래 소포 메타게놈 분석을 통해 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병 환자의 혈액, 소변, 또는 대변에 존재하는 모르가넬라 속 세균 유래 소포가 정상인에 비하여 유의하게 감소되어 있음을 확인하였다. 또한, 모르가넬라 속 세균의 한 종인 모르가넬라 모르가니를 체외에서 배양하여 소포를 분리하여, 체외에서 염증세포에 투여하였을 때, 병원성 소포에 의한 염증매개체 분비를 유의하게 억제함과 동시에 암 동물모델에서 암 발생을 억제함을 관찰하였는 바, 본 발명에 따른 모르가넬라 속 세균 유래 소포는 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병에 대한 진단방법, 및 상기 질환 또는 염증성 질환에 대한 식품 또는 약물 등의 예방용 혹은 치료용 조성물에 유용하게 이용될 수 있을 것으로 기대된다. The present inventors confirmed that intestinal bacteria are not absorbed into the body but they are absorbed into the body through epithelial cells in the case of bacterial-derived vesicles, and are excreted through the kidneys, liver, and lungs systemically, Colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke , Diabetes mellitus, and Parkinson's disease were significantly lower than those of normal persons. In addition, morganella morgani, a kind of bacterium belonging to the genus Morganella, was cultured in vitro to separate the vesicles and, when administered to the inflammatory cells in vitro, significantly suppressed the inflammatory mediator secretion by the pathogenic vesicles, The present inventors have found that the bacterium derived from Morganella bacterium according to the present invention is useful for the treatment of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, , Atrial fibrillation, angina pectoris, stroke, diabetes, and Parkinson's disease, and foods or medicines for the above diseases or inflammatory diseases.
도 1a는 마우스에 세균과 세균유래 소포 (EV)를 구강으로 투여한 후, 시간별로 세균과 소포의 분포양상을 촬영한 사진이고, 도 1b는 구강으로 투여한 후 12시간째에, 혈액, 콩팥, 간, 및 여러 장기를 적출하여, 세균과 소포의 체내 분포양상을 평가한 결과이다.FIG. 1A is a photograph showing distribution patterns of bacteria and vesicles by time after oral administration of bacteria and bacterial-derived vesicles (EV) to a mouse. FIG. 1B is a photograph of blood, kidney , Liver and various organs were extracted to evaluate the distribution patterns of bacteria and vesicles in the body.
도 2a 내지 2c는 위암 환자 및 정상인 대변(2a), 혈액(2b), 및 소변(2c)에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIGS. 2A to 2C show the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in gastric cancer patients and the normal faeces (2a), blood (2b), and urine (2c) to be.
도 3은 대장암 환자 및 정상인 소변에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 3 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in colon cancer patients and normal urine.
도 4는 췌장암 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 4 shows the results of a comparison of the distribution of vesicles derived from bacteria belonging to the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in pancreatic cancer patients and normal human blood.
도 5는 담관암 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 5 shows the results of a comparison of the distribution of vesicles derived from bacteria belonging to the genus Morganella after carrying out the analysis of bacterium-derived vesicle metagenomes present in patients with biliary cancer and normal human blood.
도 6은 유방암 환자 및 정상인 소변에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 6 shows the results of a comparison of the distribution of vesicles derived from bacteria belonging to the genus Morganella after carrying out the analysis of microbial-derived vesicle metagenomes present in breast cancer patients and normal urine.
도 7a 및 7b는 난소암 환자 및 정상인 혈액(7a) 및 소변(7b)에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIGS. 7A and 7B show the results of a comparison of the distribution of vesicles derived from Morganella subsp. Bacterium after the analysis of the bacterial-derived vesicle metagenomes existing in ovarian cancer patients and normal blood (7a) and urine (7b).
도 8a 및 8b는 방광암 환자 및 정상인 혈액(8a) 및 소변(8b)에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIGS. 8A and 8B are the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of bacterial-derived vesicle metagenomes existing in bladder cancer patients and normal blood (8a) and urine (8b).
도 9는 전립선암 환자 및 정상인 소변에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. Fig. 9 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in prostate cancer patients and normal urine.
도 10은 림프종 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. Fig. 10 shows the results of a comparison of the distribution of vesicles derived from Morganella subsp. Bacterium after the analysis of the bacterial-derived vesicle metagenomes in lymphoma patients and normal blood.
도 11은 심근경색 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 11 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in the myocardial infarction patient and the normal blood.
도 12는 심근병증 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 12 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after carrying out the analysis of microbial-derived vesicle metagenomes present in blood of cardiomyopathy patients and normal subjects.
도 13은 심방세동 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 13 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in the blood of atrial fibrillation and normal human.
도 14는 이형협심증 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. FIG. 14 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after carrying out the analysis of the bacterial-derived vesicle metagenomes present in blood of the patients with angina pectoris and normal.
도 15는 뇌졸중 환자 및 정상인 혈액에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. 15 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in the blood of a stroke patient and a normal person.
도 16a 및 16b는 당뇨병 환자 및 정상인 혈액(16a) 및 소변(16b)에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. 16A and 16B are the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes existing in the blood (16a) and the urine (16b) of diabetic patients and normal subjects.
도 17은 파킨슨병 환자 및 정상인 소변에 존재하는 세균유래 소포 메타게놈 분석을 실시한 후, 모르가넬라 속 세균유래 소포의 분포를 비교한 결과이다. Fig. 17 shows the results of a comparison of the distribution of vesicles derived from the genus Morganella after the analysis of the bacterial-derived vesicle metagenomes present in Parkinson's disease patients and normal urine.
도 18은 모르가넬라 모르가니 유래 소포의 세포사멸 효과를 평가하기 위하여, 모르가넬라 모르가니 유래 소포를 대식세포에 처리하여, 모르가넬라 모르가니 유래 소포의 세포사멸 효과를 평가한 결과이다.18 is a result of evaluating the cell death effect of Morganella morgani-treated vesicles by treating macrophages derived from Morganella morgani to evaluate the apoptotic effect of vesicles derived from Morganella morgani.
도 19a 및 19b는 모르가넬라 모르가니 유래 소포의 항염증 효과를 평가하기 위하여, 병원성 소포인 대장균 소포 (E. coli EV) 처리 전에 모르가넬라 모르가니 유래 소포를 전처리하여, 대장균 소포에 의한 염증매개체인 IL-6(19a) 및 TNF-α(19b) 분비에 미치는 영향을 평가한 결과이다.19A and 19B show the results of pretreatment of Morganella Morgani vesicles prior to the treatment of E. coli EV, a pathogenic vesicle, to evaluate the anti-inflammatory effect of Morganella morganii-derived vesicles, (19a) and TNF-alpha (19b) secreted by the transfected cells.
도 20은 모르가넬라 모르가니 유래 소포의 항염증 효과에 대한 서로 다른 균주에서 유래한 소포의 영향을 비교하기 위하여, 병원성 소포인 대장균 소포 (E. coli EV) 처리 전에 서로 다른 사람에서 분리한 모르가넬라 모르가니 (MMR101, MMR201) 유래 소포를 전처리하여, 대장균 소포에 의한 TNF-α 분비에 미치는 영향을 평가한 결과이다 (NC: negative control; PC: positive control; L. plantarum: Lactobacillus plantarum).Figure 20 is a know the Nella know going to compare the effect of each other, derived from different strains package for anti-inflammatory properties of the resulting package, separated from the other before the parcel pathogenic E. coli vesicles (E. coli EV) processing know (NC: negative control; PC: positive control; L. plantarum: Lactobacillus plantarum) was prepared by pretreating vesicles derived from Kanera morgani (MMR101, MMR201) and evaluating the effect on the secretion of TNF-α by E. coli vesicles.
도 21은 모르가넬라 모르가니 유래 소포의 항염증 효과에 대한 열처리 또는 산처리의 영향을 평가하기 위하여, 병원성 소포인 대장균 소포 (E. coli EV) 처리 전에 열처리 또는 산처리한 모르가넬라 모르가니 (MMR101, MMR201) 유래 소포를 전처리하여, 대장균 소포에 의한 TNF-α 분비에 미치는 영향을 평가한 결과이다 (NC: negative control; PC: positive control; L. plantarum: Lactobacillus plantarum).21 is a graph showing the effect of heat treatment or acid treatment on the antiinflammatory effect of Morganella morgani-deficient vesicles in the presence of heat treated or acid treated Morganella Morgana before treatment with E. coli EV, a pathogenic vesicle, (NC: negative control; PC: positive control; L. plantarum: Lactobacillus plantarum) was pre-treated with vesicles derived from MMR101 and MMR201 and evaluated for TNF-α secretion by E. coli vesicles.
도 22는 모르가넬라 모르가니 유래 소포의 항암효능을 평가하기 위하여, 모르가넬라 모르가니 유래 소포를 마우스에 투여한 프로토콜이다.22 is a protocol in which a vesicle derived from Morganella morgani is administered to a mouse to evaluate the anticancer efficacy of Morganella morgani-derived vesicles.
도 23은 모르가넬라 모르가니 유래 소포의 항암효능을 평가하기 위하여, 모르가넬라 모르가니 소포를 복강(IP) 또는 경구(PO)로 투여하여, 암세포에 의한 종양발생에 미치는 영향을 평가한 결과이다.23 shows the results of evaluating the effect of morganella morganis vesicles on the tumor development by cancer cells (IP) or oral administration (PO) in order to evaluate the anticancer efficacy of vesicles derived from Morganella morgani to be.
본 발명은 모르가넬라 속 세균 유래 소포 및 이의 용도에 관한 것이다. The present invention relates to vesicles derived from Morganella spp. And their use.
본 발명자들은 메타게놈 분석을 통해 정상인에 비하여 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병 환자 유래 샘플에서 모르가넬라 속 세균유래 소포의 함량이 현저히 감소되어 있음을 확인하였는바, 이에 기초하여 본 발명을 완성하였다.The present inventors have found that metagenomic analysis enables the diagnosis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, It was confirmed that the content of Morganella microbes-derived vesicles was significantly reduced in the sample derived from the diseased patient, and the present invention was completed on the basis thereof.
이에, 본 발명은 하기의 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병의 진단을 위한 정보제공방법을 제공한다. Accordingly, the present invention provides a method of treating or preventing gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, Providing a method for providing information for diagnosis of Parkinson's disease.
(a) 정상인 및 피검자 샘플에서 분리한 소포로부터 DNA를 추출하는 단계;(a) extracting DNA from vesicles isolated from normal and subject samples;
(b) 상기 추출한 DNA에 대하여 16S rDNA에 존재하는 유전자 서열에 기초하여 제작한 프라이머 쌍을 이용하여 PCR을 수행하여 각각의 PCR 산물을 수득하는 단계; 및(b) performing PCR on the extracted DNA using primer pairs prepared based on the gene sequences present in 16S rDNA to obtain respective PCR products; And
(c) 상기 PCR 산물의 정량분석을 통하여 정상인에 비하여 모르가넬라 속 세균 유래 소포의 함량이 낮을 경우 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병으로 판정하는 단계.(c) Quantitative analysis of the PCR products revealed that the content of morganella bacteria-derived vesicles is lower than that of a normal person, and thus the gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, Cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, or Parkinson's disease.
본 발명에서 사용되는 용어, 진단이란 넓은 의미로는 환자의 병의 실태를 모든 면에 걸쳐서 판단하는 것을 의미한다. 판단의 내용은 병명, 병인, 병형, 경중, 병상의 상세한 양태, 합병증의 유무, 및 예후 등이다. 본 발명에서 진단은 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병의 발병 여부 및 질환의 수준 등을 판단하는 것이다. The term " diagnosis " used in the present invention means, in a broad sense, judging the actual conditions of a patient in all aspects. The contents of the judgment are the pathology, etiology, pathology, severity, details of the disease, presence of complications, and prognosis. In the present invention, the diagnosis is made based on whether or not the disease is gastric cancer, colorectal cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angelic angina, stroke, diabetes, And so on.
본 발명에서 사용되는 용어, 나노소포(Nanovesicle)혹은 소포(Vesicle)란, 다양한 세균에서 분비되는 나노크기의 막으로 된 구조물을 의미한다. 그람음성균(gram-negative bacteria) 유래 소포, 또는 외막 소포(outer membrane vesicles, OMVs)는 내독소(lipopolysaccharide) 뿐만 아니라 독성 단백질 및 세균 DNA와 RNA도 가지고 있고, 그람양성균(gram-positive bacteria) 유래 소포는 단백질과 핵산 외에도 세균의 세포벽 구성성분인 펩티도글리칸(peptidoglycan)과 리포테이코산(lipoteichoic acid)도 가지고 있다. 본 발명에 있어서, 나노소포 혹은 소포는 모르가넬라 속 세균에서 자연적으로 분비되거나 또는 인공적으로 생산하는 것으로, 구형의 형태이며, 10 내지 200 nm의 평균 직경을 가지고 있다.As used herein, the term "nanovesicle" or "vesicle" means a nano-sized membrane structure secreted by various bacteria. Gram-negative bacteria-derived vesicles or outer membrane vesicles (OMVs) have not only lipopolysaccharides but also toxic proteins and bacterial DNA and RNA, and gram-positive bacteria-derived vesicles Has peptidoglycan and lipoteichoic acid which are cell wall components of bacteria as well as protein and nucleic acid. In the present invention, nano-vesicles or vesicles are naturally secreted or artificially produced in bacteria belonging to the genus Morganella, and are spherical in shape and have an average diameter of 10 to 200 nm.
상기 소포는 모르가넬라 속 세균을 포함하는 배양액을 원심분리, 초고속 원심분리, 고압처리, 압출, 초음파분해, 세포 용해, 균질화, 냉동-해동, 전기천공, 기계적 분해, 화학물질 처리, 필터에 의한 여과, 겔 여과 크로마토그래피, 프리-플로우 전기영동, 및 모세관 전기영동으로 이루어진 군에서 선택된 하나 이상의 방법을 사용하여 분리할 수 있다. 또한, 불순물의 제거를 위한 세척, 수득된 소포의 농축 등의 과정을 추가로 포함할 수 있다. The vesicles can be obtained by culturing a culture containing Morganella bacterium by centrifugation, ultracentrifugation, high pressure treatment, extrusion, sonication, cell lysis, homogenization, freezing-thawing, electroporation, mechanical degradation, May be separated using one or more methods selected from the group consisting of filtration, gel filtration chromatography, pre-flow electrophoresis, and capillary electrophoresis. Further, it may further include processes such as washing for removal of impurities and concentration of the resulting vesicles.
본 발명에서 사용되는 용어, 메타게놈이란 군유전체라고도 하며, 흙, 동물의 장 등 고립된 지역 내의 모든 바이러스, 세균, 곰팡이 등을 포함하는 유전체의 총합을 의미하는 것으로, 주로 배양이 되지 않는 미생물을 분석하기 위해서 서열분석기를 사용하여 한꺼번에 많은 미생물을 동정하는 것을 설명하는 유전체의 개념으로 쓰인다. 특히, 메타게놈은 한 종의 게놈, 유전체를 말하는 것이 아니라, 한 환경단위의 모든 종의 유전체로서 일종의 혼합유전체를 말한다. 이는 오믹스적으로 생물학이 발전하는 과정에서 한 종을 정의할 때 기능적으로 기존의 한 종뿐만 아니라, 다양한 종이 서로 상호작용하여 완전한 종을 만든다는 관점에서 나온 용어이다. 기술적으로는 빠른 서열분석법을 이용해서, 종에 관계없이 모든 DNA, RNA를 분석하여, 한 환경 내에서의 모든 종을 동정하고, 상호작용, 대사작용을 규명하는 기법의 대상이다.The term "metagenome" as used in the present invention refers to the total of all genomes including all viruses, bacteria, fungi, etc. in an isolated area such as soil, animal field, etc., and refers to a microorganism It is used as a concept of a genome to explain the identification of many microorganisms at once using a sequencer for analysis. In particular, a metagenome is not a genome or a genome, but a kind of mixed genome as a genome of all species of an environmental unit. This is a term derived from the viewpoint that when defining a species in the course of omics biology development, it functions not only as an existing species but also as a species that interacts with various species to form a complete species. Technically, it is the subject of techniques that analyze all DNA and RNA regardless of species, identify all species in an environment, identify interactions, and metabolism using rapid sequencing.
본 발명에 있어서, 상기 (a) 단계에서의 샘플은 혈액, 소변, 또는 대변일 수 있으나, 이에 제한되는 것은 아니다.In the present invention, the sample in step (a) may be blood, urine, or feces, but is not limited thereto.
본 발명에 있어서, 상기 (b) 단계에서의 프라이머 쌍은 서열번호 1 및 서열번호 2의 프라이머일 수 있다.In the present invention, the primer pair in step (b) may be a primer of SEQ ID NO: 1 or SEQ ID NO: 2.
본 발명의 다른 양태로서, 본 발명은 모르가넬라 속 세균유래 소포를 유효성분으로 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료용 약학적 조성물을 제공한다. In another aspect of the present invention, the present invention provides a pharmaceutical composition for treating gastric cancer, colon cancer, pancreatic cancer, breast cancer, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, , Atrial fibrillation, angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
본 발명의 또 다른 양태로서, 본 발명은 모르가넬라 속 세균 유래 소포를 유효성분으로 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 개선용 식품 조성물을 제공한다. In another aspect of the present invention, the present invention provides a pharmaceutical composition for preventing or treating gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, There is provided a food composition for the prevention or amelioration of at least one disease selected from the group consisting of inflammatory diseases, pathologies, atrial fibrillation, angioedema, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
본 발명에 있어서, 상기 염증성 질환은 아토피 피부염, 여드름, 건선, 부비동염, 비염, 결막염, 천식, 피부염, 염증성 콜라겐 혈관질환, 사구체신염, 뇌염, 염증성 장염, 만성 폐쇄성 폐질환, 패혈증, 패혈성 쇼크증, 폐섬유증, 미분화 척추관절증, 미분화 관절병증, 관절염, 염증성 골용해, 바이러스 또는 박테리아 감염에 의한 만성 염증질환, 대장염, 궤양성 대장염, 염증성 장질환, 관절염, 류마티스 관절염, 반응성 관절염, 골관절염, 공피증, 골다공증, 아테롬성 동맥경화증, 심근염, 심내막염, 심낭염, 낭성 섬유증, 하시모토 갑상선염, 그레이브스병, 나병, 매독, 라임병(Lyme disease), 보렐리아증(Borreliosis), 신경성-보렐리아증, 결핵, 사르코이드증(Sarcoidosis), 루프스, 동창성 루프스, 결핵성 루프스, 루프스 신염, 전신성 홍반성 루프스, 황반변성, 포도막염, 과민대장 증후군, 크론씨병, 쇼그랜 증후군, 섬유근통, 만성피로 증후군, 만성피로 면역부전 증후군, 근육통성 뇌척수염, 근위축성 측삭경화증, 파키슨병, 및 다발성경화증으로 이루어진 군으로부터 선택되는 하나 이상일 수 있으나, 이에 제한되지 않는다.In the present invention, the inflammatory diseases are selected from the group consisting of atopic dermatitis, acne, psoriasis, sinusitis, rhinitis, conjunctivitis, asthma, dermatitis, inflammatory collagen vascular disease, glomerulonephritis, encephalitis, inflammatory bowel disease, chronic obstructive pulmonary disease, sepsis, Inflammatory bowel disease, ulcerative colitis, inflammatory bowel disease, arthritis, rheumatoid arthritis, reactive arthritis, osteoarthritis, arthritis, osteoarthritis, arthritis, osteoarthritis, , Lyme disease, Borreliosis, Neurogenic-Borrelia, Tuberculosis, Sarcoidosis (including, but not limited to, osteoporosis, atherosclerosis, atherosclerosis, myocarditis, endocarditis, pericarditis, cystic fibrosis, Hashimoto's thyroiditis, Graves disease, Sarcoidosis), lupus, albuminous lupus, tuberculous lupus, lupus nephritis, systemic lupus erythematosus, macular degeneration, uveitis, Atherosclerosis, Parkinson's disease, and multiple sclerosis, but the present invention is not limited thereto, and the present invention is not limited thereto. It does not.
본 발명에 있어서, 상기 염증성 질환은 인터루킨-6(Interleukin-6; IL-6) 또는 종양괴사인자-알파(Tumor necrosis factor-alpha; TNF-α)에 의해 매개되는 질환일 수 있으나, 이에 제한되지 않는다.In the present invention, the inflammatory disease may be a disease mediated by interleukin-6 (IL-6) or tumor necrosis factor-alpha (TNF-a) Do not.
본 발명에서 사용되는 용어, 예방이란 본 발명에 따른 식품 또는 약학적 조성물의 투여에 의해 암, 염증질환, 심혈관질환, 대사질환, 또는 신경-정신질환을 억제시키거나 발병을 지연시키는 모든 행위를 의미한다.As used herein, the term " prevention " refers to all actions that inhibit or delay the onset of cancer, inflammatory disease, cardiovascular disease, metabolic disease, or neuropsychiatric disorder by administration of the food or pharmaceutical composition according to the present invention do.
본 발명에서 사용되는 용어, 치료란 본 발명에 따른 약학적 조성물의 투여에 의해 암, 염증질환, 심혈관질환, 대사질환, 또는 신경-정신질환에 대한 증세가 호전되거나 이롭게 변경되는 모든 행위를 의미한다. The term " treatment " used in the present invention refers to any action that improves or alleviates symptoms of cancer, inflammatory disease, cardiovascular disease, metabolic disease, or neuropsychiatric disease by administration of the pharmaceutical composition according to the present invention .
본 발명에서 사용되는 용어, 개선이란, 치료되는 상태와 관련된 파라미터, 예를 들면 증상의 정도를 적어도 감소시키는 모든 행위를 의미한다. The term " improvement " used in the present invention means all actions that at least reduce the degree of symptom associated with the condition being treated.
본 발명의 일실시예에서는 세균 및 세균유래 소포를 마우스 경구로 투여하여 세균 및 소포의 체내 흡수, 분포, 및 배설 양상을 평가하여, 세균인 경우에는 장점막을 통해 흡수되지 않는데 비해 소포는 투여 5분 이내에 흡수되어 전신적으로 분포하고, 신장, 간 등을 통해 배설됨을 확인하였다(실시예 1 참조).In one embodiment of the present invention, bacterial and bacterial-derived vesicles were orally administered to mice to evaluate the absorption, distribution, and excretion of bacteria and vesicles in the body. In the case of bacteria, the vesicles were not absorbed through the intestinal membrane, And was excreted through kidneys, liver, and the like (see Example 1).
본 발명의 다른 일실시예에서는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병 환자에 연령과 성별을 매칭한 정상인의 혈액, 소변, 또는 대변에서 분리한 소포를 이용하여 세균 메타게놈 분석을 실시하였다. 그 결과, 정상인 샘플에 비하여, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병 환자의 샘플에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다(실시예 3 내지 15 참조).In another embodiment of the present invention there is provided a method of treating a patient suffering from gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, Were analyzed for bacterial metagenomes using vesicles isolated from the blood, urine, or feces of healthy individuals that matched age and gender. As a result, it was found that patients with gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, and Parkinson's disease It was confirmed that the sample contained morphologically reduced vesicles derived from Morganella (see Examples 3 to 15).
본 발명의 또 다른 실시예에서는, 염증세포에서 모르가넬라 모르가니 유래 소포(M. morganii EV)의 세포사멸 효과를 평가하기 위해, 마우스 대식세포주인 Raw 264.7 세포에 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포를 다양한 농도(0.1, 1, 10 ㎍/㎖)로 처리한 후, 세포사멸 정도를 평가한 결과, 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포 처리 시 세포사멸은 관찰되지 않음을 확인하였다(실시예 17 참조). In another embodiment of the present invention, in order to evaluate the cytotoxic effect of M. morganii EV in inflammatory cells, the mouse macrophage cell line, Raw 264.7 cells, was inoculated with morganella morganii (MMR101, (MMR101, MMR201, MMR202) were treated with various concentrations (0.1, 1, 10 ㎍ / ㎖) and then evaluated for apoptosis. As a result, Was not observed (see Example 17).
본 발명의 또 다른 실시예에서는, 상기 실시예 결과를 바탕으로 모르가넬라 속 세균에 속하는 모르가넬라 모르가니 종 세균유래 소포의 특성을 분석하기 위해 더욱 연구한 결과, 모르가넬라 모르가니 균주를 배양하여 이로부터 분비된 소포가 항염증 효과를 나타내는지를 평가하였는데, 다양한 농도의 모르가넬라 모르가니 유래 소포를 대식세포에 처리한 후, 염증질환 원인인자인 대장균 유래 소포를 처리하여 염증매개체 분비를 평가한 결과, 대장균 유래 소포에 의한 IL-6 및 TNF-α 분비를 모르가넬라 모르가니 유래 소포가 효율적으로 억제함을 확인하였다(실시예 18 참조). In a further embodiment of the present invention, further studies were carried out to analyze the characteristics of Morganella Morgani bacterium-derived vesicles belonging to the genus Morganella based on the results of the above Examples. As a result, a strain of Morganella morgani And then examined for the anti-inflammatory effect of the vesicles secreted from the cells. After treating the vesicles derived from Morganella morgani with various concentrations of macrophages, the cells were treated with Escherichia coli-derived vesicles, As a result of the evaluation, it was confirmed that IL-6 and TNF-α secretion by E. coli-derived vesicles effectively suppressed vesicles derived from Morganella morgani (see Example 18).
본 발명의 또 다른 실시예에서는, 모르가넬라 모르가니 유래 소포의 항염증 작용이 열처리 또는 산처리의 효과를 평가하기 위하여, 대식세포에 대장균 유래 소포를 처리하기 전에 열처리 또는 산처리한 소포를 투여하여 TNF-α 분비에 미치는 영향 평가한 결과, 모르가넬라 모르가니 유래 소포에 의한 TNF-α 분비 억제 효과가 열처리나 산처리에 의해 변하지 않음을 확인하였다(실시예 19 참조). In another embodiment of the present invention, in order to evaluate the effect of the heat treatment or the acid treatment on the anti-inflammatory action of the mor- phanella morganis-derived vesicle, heat treatment or acid treatment of vesicles before treating the macrophages-derived vesicles is carried out . As a result, it was confirmed that the effect of suppressing the secretion of TNF-α by the vesicles derived from Morganella morganii was not changed by heat treatment or acid treatment (see Example 19).
본 발명의 또 다른 실시예에서는, 모르가넬라 모르가니 균주를 배양하여 이로부터 분비된 소포가 항암 치료효과를 나타내는지를 평가하였다. 이를 위하여, 암세포주를 피하로 주사하여 암모델을 만들었고, 모르가넬라 모르가니 유래 소포를 암세포주 처처 4일전부터 마우스에 경구 또는 복강으로 투여한 후 20일간 암조직의 크기를 측정한 결과, 상기 소포를 복강 및 경구로 투여한 경우에, 대조군에 비하여 암조직의 크기가 감소하였고, 특히 경구로 투여한 경우에 현저히 감소되어 있음을 확인하였다(실시예 20 참조).In another embodiment of the present invention, a strain of Morganella morgani was cultured to evaluate whether the vesicles secreted therefrom had an anticancer therapeutic effect. For this purpose, a cancer model was prepared by subcutaneous injection of a cancer cell line, and the morphology of cancer tissues was measured for 20 days after oral administration of morganella morgani-derived vesicles administered orally or intraperitoneally to mice from 4 days before the cancer cell line treatment. When the vesicles were administered intraperitoneally and orally, the size of cancer tissues was decreased compared with the control group, and it was confirmed that the vesicles were remarkably decreased when administered orally (see Example 20).
본 발명에 따른 약학적 조성물은 약학적으로 허용 가능한 담체를 포함할 수 있다. 상기 약학적으로 허용 가능한 담체는 제제 시에 통상적으로 이용되는 것으로서, 식염수, 멸균수, 링거액, 완충 식염수, 사이클로덱스트린, 덱스트로즈 용액, 말토덱스트린 용액, 글리세롤, 에탄올, 리포좀 등을 포함하지만 이에 한정되지 않으며, 필요에 따라 항산화제, 완충액 등 다른 통상의 첨가제를 더 포함할 수 있다. 또한, 희석제, 분산제, 계면활성제, 결합제, 윤활제 등을 부가적으로 첨가하여 수용액, 현탁액, 유탁액 등과 같은 주사용 제형, 환약, 캡슐, 과립, 또는 정제로 제제화할 수 있다. 적합한 약학적으로 허용되는 담체 및 제제화에 관해서는 레밍턴의 문헌에 개시되어 있는 방법을 이용하여 각 성분에 따라 바람직하게 제제화할 수 있다. 본 발명의 약학적 조성물은 제형에 특별한 제한은 없으나 주사제, 흡입제, 피부 외용제, 또는 경구 섭취제 등으로 제제화할 수 있다. The pharmaceutical composition according to the present invention may comprise a pharmaceutically acceptable carrier. Such pharmaceutically acceptable carriers are those conventionally used in the formulation and include, but are not limited to, saline, sterilized water, Ringer's solution, buffered saline, cyclodextrin, dextrose solution, maltodextrin solution, glycerol, ethanol, And may further contain other conventional additives such as antioxidants and buffers as needed. In addition, it may be formulated into injectable formulations, pills, capsules, granules, or tablets such as aqueous solutions, suspensions, emulsions and the like by additionally adding diluents, dispersants, surfactants, binders, lubricants and the like. Suitable pharmaceutically acceptable carriers and formulations can be suitably formulated according to the respective ingredients using the methods disclosed in Remington's reference. The pharmaceutical composition of the present invention is not particularly limited to a formulation, but may be formulated into an injection, an inhalant, an external preparation for skin, or an oral ingestion agent.
본 발명의 약학적 조성물은 목적하는 방법에 따라 경구 투여하거나 비경구투여(예를 들어, 정맥 내, 피하, 피부, 비강, 기도에 적용)할 수 있으며, 투여량은 환자의 상태 및 체중, 질병의 정도, 약물형태, 투여경로 및 시간에 따라 다르지만, 당업자에 의해 적절하게 선택될 수 있다.The pharmaceutical composition of the present invention may be administered orally or parenterally (for example, intravenous, subcutaneous, skin, nasal, or airway) according to the desired method, The type of administration, the route of administration, and the time, but may be suitably selected by those skilled in the art.
본 발명에 따른 약학적 조성물은 약학적으로 유효한 양으로 투여한다. 본 발명에 있어서, 약학적으로 유효한 양은 의학적 치료에 적용 가능한 합리적인 수혜/위험 비율로 질환을 치료하기에 충분한 양을 의미하며, 유효용량 수준은 환자의 질환의 종류, 중증도, 약물의 활성, 약물에 대한 민감도, 투여 시간, 투여 경로 및 배출 비율, 치료기간, 동시 사용되는 약물을 포함한 요소 및 기타 의학 분야에 잘 알려진 요소에 따라 결정될 수 있다. 본 발명에 따른 조성물은 개별 치료제로 투여하거나 다른 치료제와 병용하여 투여될 수 있고 종래의 치료제와는 순차적 또는 동시에 투여될 수 있으며, 단일 또는 다중 투여될 수 있다. 상기한 요소들을 모두 고려하여 부작용없이 최소한의 양으로 최대 효과를 얻을 수 있는 양을 투여하는 것이 중요하며, 이는 당업자에 의해 용이하게 결정될 수 있다.The pharmaceutical composition according to the present invention is administered in a pharmaceutically effective amount. In the present invention, a pharmaceutically effective amount means an amount sufficient to treat a disease at a reasonable benefit / risk ratio applicable to medical treatment, and an effective dose level is determined by the type of disease, severity, activity of the drug, The time of administration, the route of administration and the rate of excretion, the duration of the treatment, factors including co-administered drugs, and other factors well known in the medical arts. The composition according to the present invention can be administered as an individual therapeutic agent or in combination with other therapeutic agents, and can be administered sequentially or simultaneously with conventional therapeutic agents, and can be administered singly or in multiple doses. It is important to take into account all of the above factors and to administer the amount in which the maximum effect can be obtained in a minimal amount without side effects, which can be easily determined by those skilled in the art.
구체적으로, 본 발명에 따른 약학적 조성물의 유효량은 환자의 나이, 성별, 체중에 따라 달라질 수 있으며, 일반적으로는 체중 1 kg 당 0.001 내지 150 mg, 바람직하게는 0.01 내지 100 mg을 매일 또는 격일 투여하거나 1일 1 내지 3회로 나누어 투여할 수 있다. 그러나 투여 경로, 비만의 중증도, 성별, 체중, 연령 등에 따라서 증감될 수 있으므로 상기 투여량이 어떠한 방법으로도 본 발명의 범위를 한정하는 것은 아니다.Specifically, the effective amount of the pharmaceutical composition according to the present invention may vary depending on the age, sex, and body weight of the patient. Generally, 0.001 to 150 mg, preferably 0.01 to 100 mg per 1 kg of body weight is administered daily or every other day Or one to three times a day. However, the dosage may be varied depending on the route of administration, the severity of obesity, sex, weight, age, etc. Therefore, the dosage is not limited to the scope of the present invention by any means.
본 발명의 식품 조성물은 건강기능식품 조성물을 포함한다. 본 발명에 따른식품 조성물은 유효성분을 식품에 그대로 첨가하거나 다른 식품 또는 식품 성분과 함께 사용될 수 있고, 통상적인 방법에 따라 적절하게 사용될 수 있다. 유효 성분의 혼합량은 그의 사용 목적(예방 또는 개선용)에 따라 적합하게 결정될 수 있다. 일반적으로, 식품 또는 음료의 제조 시에 본 발명의 조성물은 원료에 대하여 15 중량% 이하, 바람직하게는 10 중량% 이하의 양으로 첨가된다. 그러나 건강 및 위생을 목적으로 하거나 또는 건강 조절을 목적으로 하는 장기간의 섭취의 경우에는 상기 양은 상기 범위 이하일 수 있다.The food composition of the present invention comprises a health functional food composition. The food composition according to the present invention can be used as it is or in combination with other food or food ingredients, and can be suitably used according to conventional methods. The amount of the active ingredient to be mixed can be suitably determined according to the intended use (for prevention or improvement). In general, the composition of the present invention is added in an amount of not more than 15% by weight, preferably not more than 10% by weight based on the raw material, in the production of food or beverage. However, in the case of long-term consumption intended for health and hygiene purposes or for health control purposes, the amount may be less than the above range.
본 발명의 식품 조성물은 지시된 비율로 필수 성분으로서 상기 유효성분을 함유하는 것 외에 다른 성분에는 특별한 제한이 없으며 통상의 음료와 같이 여러 가지 향미제 또는 천연 탄수화물 등을 추가 성분으로서 함유할 수 있다. 상술한 천연 탄수화물의 예는 모노사카라이드, 예를 들어, 포도당, 과당 등; 디사카라이드, 예를 들어 말토스, 슈크로스 등; 및 폴리사카라이드, 예를 들어 덱스트린, 시클로덱스트린 등과 같은 통상적인 당, 및 자일리톨, 소르비톨, 에리트리톨 등의 당알콜이다. 상술한 것 이외의 향미제로서 천연 향미제(타우마틴, 스테비아 추출물(예를 들어 레바우디오시드 A, 글리시르히진등) 및 합성 향미제(사카린, 아스파르탐 등)를 유리하게 사용할 수 있다. 상기 천연 탄수화물의 비율은 당업자의 선택에 의해 적절하게 결정될 수 있다.The food composition of the present invention has no particular limitation on the ingredients other than those containing the active ingredient as an essential ingredient in the indicated ratios and may contain various flavors or natural carbohydrates as additional ingredients such as ordinary drinks. Examples of the above-mentioned natural carbohydrates include monosaccharides such as glucose, fructose and the like; Disaccharides such as maltose, sucrose and the like; And polysaccharides, for example, conventional sugars such as dextrin, cyclodextrin and the like, and sugar alcohols such as xylitol, sorbitol and erythritol. Natural flavors (tau martin, stevia extracts (e.g., rebaudioside A, glycyrrhizin, etc.) and synthetic flavors (saccharin, aspartame, etc.) can be advantageously used as flavors other than those described above . The ratio of the above-mentioned natural carbohydrate can be appropriately determined by a person skilled in the art.
상기 외에 본 발명의 식품 조성물은 여러 가지 영양제, 비타민, 광물(전해질), 합성 풍미제 및 천연 풍미제 등의 풍미제, 착색제 및 중진제(치즈, 초콜릿 등), 펙트산 및 그의 염, 알긴산 및 그의 염, 유기산, 보호성 콜로이드 증점제, pH 조절제, 안정화제, 방부제, 글리세린, 알코올, 탄산음료에 사용되는 탄산화제 등을 함유할 수 있다. 이러한 성분은 독립적으로 또는 조합하여 사용할 수 있다. 이러한 첨가제의 비율 또한 당업자에 의해 적절히 선택될 수 있다. In addition to the above, the food composition of the present invention can be used as a flavoring agent such as a variety of nutrients, vitamins, minerals (electrolytes), synthetic flavors and natural flavors, coloring agents and thickening agents (cheese, chocolate etc.), pectic acid and its salts, Salts thereof, organic acids, protective colloid thickeners, pH adjusting agents, stabilizers, preservatives, glycerin, alcohols, carbonating agents used in carbonated drinks, and the like. These components may be used independently or in combination. The ratios of these additives can also be appropriately selected by those skilled in the art.
이하, 본 발명의 이해를 돕기 위하여 바람직한 실시예를 제시한다. 그러나 하기의 실시예는 본 발명을 보다 쉽게 이해하기 위하여 제공되는 것일 뿐, 하기 실시예에 의해 본 발명의 내용이 한정되는 것은 아니다.Hereinafter, preferred embodiments of the present invention will be described in order to facilitate understanding of the present invention. However, the following examples are provided only for the purpose of easier understanding of the present invention, and the present invention is not limited by the following examples.
[실시예][Example]
실시예 1. 장내 세균 및 세균 유래 소포의 체내 흡수, 분포, 및 배설 양상 분석Example 1. Analysis of intestinal absorption, distribution, and excretion of intestinal bacteria and bacterial-derived vesicles
장내 세균과 세균유래 소포가 위장관을 통해 전신적으로 흡수되는 지를 평가하기 위하여 다음과 같은 방법으로 실험을 수행하였다. 마우스의 위장에 형광으로 표지한 장내세균과 장내 세균유래 소포를 각각 50 μg의 용량으로 위장관으로 투여하고 0분, 5분, 3시간, 6시간, 12시간 후에 형광을 측정하였다. 마우스 전체 이미지를 관찰한 결과, 도 1a에 나타낸 바와 같이, 세균인 경우에는 장 점막을 통해 전신적으로 흡수되지 않았지만, 세균유래 소포인 경우에는, 투여 후 5분에 전신적으로 흡수되었고, 투여 30분에는 방광에 형광이 진하게 관찰되어, 소포가 비뇨기계로 배설됨을 알 수 있었다. 또한, 소포는 투여 12시간까지 체내에 존재함을 알 수 있었다(도 1a 참조). Experiments were carried out in the following manner to evaluate whether intestinal bacteria and bacterial - derived vesicles were systemically absorbed through the gastrointestinal tract. Fluorescence was measured at 0 min, 5 min, 3 hr, 6 hr, and 12 hr after administration of fluorescein-labeled intestinal bacteria and intestinal bacterial-derived vesicles in the stomach of mice to the gastrointestinal tract at a dose of 50 μg, respectively. As a result of observing the whole image of the mouse, it was not systemically absorbed through the intestinal mucosa when it was a bacterium as shown in Fig. 1A, but when it was a bacterium-derived vesicle, it was systemically absorbed 5 minutes after administration, Fluorescence was observed intensely in the bladder, and vesicles were excreted in the urinary tract. It was also found that the vesicles were present in the body for up to 12 hours of administration (see FIG. 1A).
장내세균과 장내 세균유래 소포가 전신적으로 흡수된 후, 여러 장기로 침윤된 양상을 평가하기 위하여, 형광으로 표지한 50 μg의 세균과 세균유래 소포를 상기의 방법과 같이 투여한 후, 투여 12시간 후에 혈액, 심장, 간, 신장, 비장, 지방, 근육을 채취하였다. 채취한 조직에서 형광을 관찰한 결과, 도1b에 나타낸 바와 같이, 세균 유래 소포가 혈액, 심장, 폐, 간, 콩팥, 비장, 지방, 근육, 신장에 분포하였으나, 세균은 흡수되지 않음을 알 수 있었다(도 1b 참조).After intestinal bacteria and intestinal bacteria-derived vesicles were systemically absorbed, 50 μg of fluorescently labeled bacteria and bacterial-derived vesicles were administered as described above to evaluate the invasiveness of various organs. After 12 hours of administration Later, blood, heart, liver, kidney, spleen, fat, and muscle were collected. As a result of observing the fluorescence in the collected tissues, it was found that the bacterium-derived vesicles were distributed in blood, heart, lung, liver, kidney, spleen, fat, muscle and kidney as shown in Fig. (See FIG. 1B).
실시예 2. 임상샘플에서 세균 유래 소포 메타게놈 분석Example 2. Analysis of bacterial-derived vesicle metagenomes in clinical samples
혈액, 소변, 대변 등의 임상샘플을 먼저 10 ml 튜브에 넣고 원심분리법(3,500 x g, 10min, 4℃)으로 부유물을 가라앉히고 상등액만을 새로운 10 ml 튜브에 옮겼다. 0.22㎛ 필터를 사용하여 세균 및 이물질을 제거한 후, 센트리프랩튜브 (centripreigugal filters 50 kD)에 옮겨서 1500 x g, 4℃에서 15분간 원심분리하여 50 kD 보다 작은 물질은 버리고 10 ml 까지 농축 시켰다. 다시 한 번 0.22㎛ filter를 사용하여 박테리아 및 이물질을 제거한 후, Type 90ti 로터로 150,000 x g, 4℃에서 3시간동안 초고속원심분리방법을 사용하여 상등액을 버리고 덩어리진 pellet을 생리식염수(PBS)로 녹였다. Clinical samples such as blood, urine, and stool were first placed in a 10 ml tube and the supernatant was transferred to a new 10 ml tube by centrifugation (3,500 x g, 10 min, 4 ° C). Bacteria and foreign matter were removed using a 0.22 μm filter, transferred to centripreigugal filters (50 kD), centrifuged at 1500 x g for 15 minutes at 4 ° C to discard substances smaller than 50 kD and concentrated to 10 ml. After removing the bacteria and foreign matter by using a 0.22 μm filter, the supernatant was discarded by using a high speed centrifugation method at 150,000 × g and 4 ° C. for 3 hours using a Type 90ti rotor, and the lumpy pellet was dissolved in physiological saline (PBS) .
상기 방법으로 분리한 소포 100㎕를 100℃에서 끓여서 내부의 DNA를 지질 밖으로 나오게 하고 그 후 얼음에 5분 동안 식혔다. 그리고 남은 부유물을 제거하기 위하여 10,000 x g, 4℃에서 30분간 원심분리하고 상등액만을 모았다. 그리고 Nanodrop을 이용하여 DNA 양을 정량하였다. 이후, 상기 추출된 DNA에 세균 유래 DNA가 존재하는지 확인하기 위하여 하기 표 1에 나타낸 16s rDNA primer로 PCR을 수행하여 상기 추출된 유전자에 세균 유래 유전자가 존재하는 것을 확인하였다.100 쨉 l of the vesicles isolated by the above method were boiled at 100 째 C to allow the internal DNA to come out of the lipid, and then cooled on ice for 5 minutes. The supernatant was collected by centrifugation at 10,000 x g for 30 minutes at 4 ° C to remove the remaining suspension. The amount of DNA was quantified using Nanodrop. Then, PCR was performed with the 16s rDNA primer shown in Table 1 below to confirm whether the DNA extracted from the bacterium was present in the extracted DNA to confirm that the gene derived from the bacterium existed in the extracted gene.
primerprimer 서열order 서열번호SEQ ID NO:
16S rDNA16S rDNA 16S_V3_F16S_V3_F 5'-TCGTCGGCAGCGTCAGATGTGTATAAGAGACAGCCTACGGGNGGCWGCAG-3'5'-TCGTCGGCAGCGTCAGATGTGTATAAGAGACAGCCTACGGGNGGCWGCAG-3 ' 1One
16S_V4_R16S_V4_R 5'-GTCTCGTGGGCTCGGAGATGTGTATAAGAGACAGGACTACHVGGGTATCTAATCC-35'-GTCTCGTGGGCTCGGAGATGTGTATAAGAGACAGGACTACHVGGGTATCTAATCC-3 22
상기 방법으로 추출한 DNA를 상기의 16S rDNA 프라이머를 사용하여 증폭한 다음 시퀀싱을 수행하고(Illumina MiSeq sequencer), 그 결과를 Standard Flowgram Format (SFF) 파일로 출력하고 GS FLX software (v2.9)를 이용하여 SFF 파일을 sequence 파일 (.fasta)과 nucleotide quality score파일로 변환한 다음 리드의 신용도 평가를 확인하고, window (20 bps) 평균 base call accuracy가 99% 미만 (Phred score <20)인 부분을 제거하였다. Operational Taxonomy Unit (OTU) 분석을 위해서는 UCLUST와 USEARCH를 이용하여 시퀀스 유사도에 따라 클러스터링을 수행하고, genus는 94%, family는 90%, order는 85%, class는 80%, phylum은 75% 시퀀스 유사도를 기준으로 클러스터링을 하고 각 OTU의 phylum, class, order, family, genus 레벨의 분류를 수행하고, BLASTN와 GreenGenes의 16S RNA 시퀀스 데이터베이스 (108,453 시퀀스)를 이용하여 속 수준에서 97% 이상의 시퀀스 유사도를 갖는 세균을 프로파일링 하였다 (QIIME).The DNA extracted by the above method was amplified using the 16S rDNA primer described above, followed by sequencing (Illumina MiSeq sequencer), and the result was output to a Standard Flowgram Format (SFF) file and analyzed using GS FLX software (v2.9) (.Fasta) and nucleotide quality score files, then check the reliability of the lead, and remove the portion of the window (20 bps) with an average base call accuracy of less than 99% (Phred score <20) Respectively. In order to analyze Operational Taxonomy Unit (OTU), clustering is performed according to sequence similarity using UCLUST and USEARCH. Genus is 94%, family is 90%, order is 85%, class is 80%, phylum is 75% Clustering based on the genomic sequence, classification of phylum, class, order, family, genus level of each OTU and sequence homology of 97% or more at the genome level using BLASTN and GreenGenes 16S RNA sequence database (108,453 sequence) Bacteria were profiled (QIIME).
실시예 3. 위암환자 대변, 혈액 및 소변 세균 유래 소포 메타게놈 분석Example 3. Analysis of vesicle metagenomes from gastric cancer stool, blood and urine bacteria
실시예 2의 방법으로 위암환자 63명 및, 나이와 성별을 매칭한 정상인 126명의 대변을 대상으로, 대변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 대변에 비하여 위암환자의 대변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 2 및 도 2a 참조).Gene samples were extracted from the faecal feces in the stool of 63 stomach cancer patients and 126 normal stools matched with age and gender by the method of Example 2 to perform metagenomic analysis, The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the stool of gastric cancer patients were significantly reduced compared to normal stools (see Table 2 and Fig. 2a).
대변credit 대조군Control group 위암Gastric cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00010.0001 0.00070.0007 0.00000.0000 0.00020.0002 0.04720.0472 0.200.20
실시예 2의 방법으로 위암환자 66명 및, 나이와 성별을 매칭한 정상인 198명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 위암환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 3 및 도 2b 참조).Genomic DNA was extracted from the vesicles present in the blood of 66 gastric cancer patients and 198 healthy persons whose age and sex were matched by the method of Example 2, and the results were analyzed by metagenome analysis. The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of patients with gastric cancer were significantly reduced compared with normal blood (see Table 3 and Fig. 2b).
혈액blood 대조군Control group 위암Gastric cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00160.0016 0.00960.0096 0.00010.0001 0.00030.0003 0.02470.0247 0.050.05
또한, 실시예 2의 방법으로 위암환자 61명의 소변 및, 성별과 연령을 매칭한 정상대조군 120명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 위암환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 4 및 도 2c 참조).In addition, in a urine sample of 61 gastric cancer patients and a urine sample of 120 healthy control subjects whose sex and age were matched with each other, genes were extracted from the vesicles present in the urine and metagenomic analysis was carried out. The distribution of vesicles derived from bacteria in Nella was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the urine of the gastric cancer patients were significantly decreased compared to the normal urine (see Table 4 and Fig. 2c).
소변Pee 대조군Control group 위암Gastric cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00820.0082 0.02170.0217 0.00000.0000 0.00010.0001 0.00040.0004 0.000.00
실시예 4. 대장암환자 소변 세균 유래 소포 메타게놈 분석Example 4. Analysis of vesicle metagenomes derived from urine bacteria in patients with colorectal cancer
실시예 2의 방법으로 대장암환자 38명 및, 나이와 성별을 매칭한 정상인 38명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 대장암환자의 대변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 5 및 도 3 참조).The urine samples were collected from 38 patients with colorectal cancer and 38 healthy adults who matched the age and sex by the method of Example 2. The genes were extracted from the vesicles present in the urine and analyzed by metagenome. The distribution of the resulting vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella were significantly reduced in the feces of colon cancer patients compared to normal human urine (see Table 5 and FIG. 3).
소변Pee 대조군Control group 대장암Colon cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.02110.0211 0.02950.0295 0.00130.0013 0.00600.0060 0.00020.0002 0.060.06
실시예 5. 췌장암환자 혈액 세균 유래 소포 메타게놈 분석Example 5: Analysis of vesicle meta-genome derived from blood bacteria of pancreatic cancer patients
실시예 2의 방법으로 췌장암환자 176명 및, 나이와 성별을 매칭한 정상인 271명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 췌장암환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 6 및 도 4 참조).A total of 176 pancreatic cancer patients and 271 healthy persons whose age and gender matched each other were examined by the method of Example 2 were subjected to metagenome analysis by extracting genes from the vesicles present in the blood, The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the pancreatic cancer patients were significantly reduced compared to the normal blood (see Table 6 and FIG. 4).
혈액blood 대조군Control group 췌장암Pancreatic cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00200.0020 0.00880.0088 0.00000.0000 0.00010.0001 0.00030.0003 0.00 0.00
실시예 6. 담관암환자 혈액 세균 유래 소포 메타게놈 분석Example 6: Analysis of vesicle meta-genome from blood bacterium of patients with cholangiocarcinoma
실시예 2의 방법으로 담관암환자 79명 및, 나이와 성별을 매칭한 정상인 259명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 담관암환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 7 및 도 5 참조).Blood samples were collected from 79 cases of cholangiocarcinoma patients and 259 healthy persons whose age and gender matched with the method of Example 2, and the genes were extracted from the vesicles present in the blood, and the results were analyzed by metagenome analysis. The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the bacterium Morganella in the blood of the patients with biliary cancer were significantly reduced compared to the normal blood (see Table 7 and FIG. 5).
혈액blood 대조군Control group 담관암Bile duct cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00210.0021 0.00910.0091 0.00000.0000 0.00000.0000 0.04420.0442 0.000.00
실시예 7. 유방암환자 소변 세균 유래 소포 메타게놈 분석Example 7. Analysis of vesicle metagenomes derived from urine bacteria of breast cancer patients
실시예 2의 방법으로 유방암환자 127명의 소변 및, 성별과 연령을 매칭한 정상대조군 220명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 유방암환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 8 및 도 6 참조).In a urine sample of 220 breast cancer patients whose sex and age were matched to 127 breast cancer patients by the method of Example 2, the genes were extracted from the vesicles present in the urine and analyzed by metagenome, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the urine of the breast cancer patients were significantly decreased compared to the normal urine (see Table 8 and FIG. 6).
소변Pee 대조군Control group 유방암Breast cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00900.0090 0.02380.0238 0.00020.0002 0.00070.0007 0.00000.0000 0.020.02
실시예 8. 난소암환자 혈액 및 소변 세균 유래 소포 메타게놈 분석Example 8. Analysis of vesicle metagenomes derived from blood and urine bacteria of ovarian cancer patients
실시예 2의 방법으로 난소암환자 137명 및, 나이와 성별을 매칭한 정상인 139명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 난소암환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 9 및 도 7a 참조).137 genes of ovarian cancer patients and 139 healthy individuals whose age and sex were matched by the method of Example 2 were subjected to the metagenome analysis by extracting genes from the vesicles present in the blood, The distribution of the resulting vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the ovarian cancer patients were significantly reduced compared to the normal blood (see Table 9 and Fig. 7a).
혈액blood 대조군Control group 난소암Ovarian cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00120.0012 0.00320.0032 0.00000.0000 0.00020.0002 0.00000.0000 0.02 0.02
또한, 실시예 2의 방법으로 난소암환자 136명의 소변 및, 성별과 연령을 매칭한 정상대조군 136명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 난소암환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 10 및 도 7b 참조).In addition, in the urine of 136 ovarian cancer patients and the urine of 136 normal control group matching sex and age, the gene was extracted from the vesicles present in the urine and analyzed by metagenome, The distribution of bacterial-derived vesicles in the genus Kanera was evaluated. As a result, it was confirmed that the vesicles derived from Morganella spp. Were significantly reduced in the urine of ovarian cancer patients compared to normal urine (see Table 10 and Fig. 7b).
소변Pee 대조군Control group 난소암Ovarian cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00910.0091 0.02430.0243 0.00000.0000 0.00020.0002 0.00000.0000 0.000.00
실시예 9. 방광암환자 혈액 및 소변 세균 유래 소포 메타게놈 분석Example 9. Analysis of vesicle metagenomes from bladder cancer patient blood and urine bacteria
실시예 2의 방법으로 방광암환자 96명의 혈액 및, 성별과 연령을 매칭한 정상대조군 184명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 방광암환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 11 및 도 8a 참조).Genes were extracted from the vesicles present in the blood of 184 blasts of 96 normal bladder cancer patients and sex-matched normal controls by the method of Example 2, and then metagenomic analysis was carried out. The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the bladder cancer patients were significantly reduced compared with normal blood (see Table 11 and Fig. 8a).
혈액blood 대조군Control group 방광암Bladder cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00270.0027 0.01280.0128 0.00000.0000 0.00000.0000 0.04880.0488 0.000.00
또한, 실시예 2의 방법으로 방광암환자 95명의 소변 및, 성별과 연령을 매칭한 정상대조군 157명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 방광암환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 12 및 도 8b 참조).In addition, in a urine of a bladder cancer patient and urine of a normal control group that matched sex and age in the urine of a bladder cancer patient according to the method of Example 2, a gene was extracted from the vesicles present in the urine, The distribution of vesicles derived from bacteria in Nella was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the urine of the bladder cancer patients were significantly reduced compared to the normal urine (see Table 12 and Fig. 8b).
소변Pee 대조군Control group 방광암Bladder cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00790.0079 0.02240.0224 0.00030.0003 0.00120.0012 0.00090.0009 0.040.04
실시예 10. 전립선암환자 소변 세균 유래 소포 메타게놈 분석Example 10. Analysis of vesicle metagenomes derived from urine bacteria in patients with prostate cancer
실시예 2의 방법으로 전립선암환자 53명의 소변 및, 성별과 연령을 매칭한 정상대조군 159명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 전립선암환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 13 및 도 9 참조).In the urine of 53 men of prostate cancer and the urine of 159 normal control group matched sex and age by the method of Example 2, the genes were extracted from the vesicles present in the urine and the metagenomic analysis was carried out. The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the urine of the prostate cancer patients were significantly reduced compared to the normal urine (see Table 13 and FIG. 9).
소변Pee 대조군Control group 전립선암Prostate cancer t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00420.0042 0.01690.0169 0.00040.0004 0.00100.0010 0.00500.0050 0.090.09
실시예 11. 림프종환자 혈액 세균 유래 소포 메타게놈 분석Example 11. Analysis of vesicle meta-genomic DNA derived from blood microbes of lymphoma patients
실시예 2의 방법으로 림프종환자 63명 및, 나이와 성별을 매칭한 정상인 53명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 림프종환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 14 및 도 10 참조).The genomic DNA was extracted from the vesicles present in the blood of 63 lymphoma patients and 53 healthy persons whose age and sex were matched by the method of Example 2 to analyze the metagenome, The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the lymphoma patients were significantly reduced compared to the normal blood (see Table 14 and FIG. 10).
혈액blood 대조군Control group 림프종Lymphoma t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00050.0005 0.00300.0030 0.00000.0000 0.00000.0000 0.19670.1967 0.000.00
실시예 12. 심장질환환자 혈액 세균 유래 소포 메타게놈 분석Example 12. Analysis of vesicle meta genome derived from blood microbes in patients with heart disease
실시예 2의 방법으로 심근경색환자 57명의 혈액 및, 성별과 연령을 매칭한 정상대조군 163명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 심근경색환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 15 및 도 11 참조).Genomic analysis was performed on the blood of 57 myocardial infarction patients and the blood of 163 normal controls matched with sex and age by the method of Example 2, and the genes were extracted from the vesicles present in the blood, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of patients suffering from myocardial infarction were significantly reduced compared to normal blood (see Table 15 and FIG. 11).
혈액blood 대조군Control group 심근경색Myocardial infarction t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00220.0022 0.01030.0103 0.00040.0004 0.00220.0022 0.04000.0400 0.190.19
또한, 실시예 2의 방법으로 확장성심근병증환자 72명의 혈액 및, 성별과 연령을 매칭한 정상대조군 163명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 확장성심근병증환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 16 및 도 12 참조).In addition, the genome was extracted from the vesicles present in the blood of blood of 72 patients with dilated cardiac myopathy according to the method of Example 2, and 163 blood of a normal control group matched with sex and age, The distribution of bacteria derived from Morganella was evaluated. As a result, it was confirmed that the vesicles derived from Morganella spp. Were significantly reduced in the blood of patients with dilated cardiac myopathy compared with normal blood (see Table 16 and Fig. 12).
혈액blood 대조군Control group 심근병증Cardiomyopathy t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00220.0022 0.01040.0104 0.00020.0002 0.00060.0006 0.01330.0133 0.08 0.08
또한, 실시예 2의 방법으로 심방세동환자 32명의 혈액과 성별과 연령을 매칭한 정상대조군 32명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 심방세동환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 17 및 도 13 참조).In addition, 32 normal control subjects whose blood and sex and age matched the blood of 32 patients with atrial fibrillation according to the method of Example 2 were subjected to metagenome analysis by extracting genes from the vesicles present in the blood, The distribution of vesicles derived from bacteria in Nella was evaluated. As a result, it was confirmed that the vesicles derived from Morganella spp. In the blood of patients with atrial fibrillation were significantly reduced compared with normal blood (see Table 17 and Fig. 13).
혈액blood 대조군Control group 심방세동Atrial fibrillation t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00020.0002 0.00100.0010 0.00000.0000 0.00000.0000 0.17740.1774 0.00 0.00
또한, 실시예 2의 방법으로 이형협심증환자 80명 및, 나이와 성별을 매칭한 정상인 80명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 확장성심근병증환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 18 및 도 14 참조).In addition, 80 genes of dysmorphic angina pectoris and 80 healthy individuals matched with age and gender were analyzed by the method of Example 2, and the genes were extracted from the vesicles present in the blood to perform metagenome analysis. Then, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella were significantly reduced in the blood of the patients with diastolic myopathy compared with the normal blood (see Table 18 and Fig. 14).
혈액blood 대조군Control group 이형협심증Angina pectoris t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00280.0028 0.01460.0146 0.00050.0005 0.00200.0020 0.17360.1736 0.18 0.18
실시예 13. 뇌졸중환자 혈액 세균 유래 소포 메타게놈 분석Example 13. Analysis of vesicle meta-genomes derived from blood microbes in stroke patients
실시예 2의 방법으로 뇌졸중환자 115명 및, 나이와 성별을 매칭한 정상인 109명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 뇌졸중환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 19 및 도 15 참조).Genes were extracted from vesicles present in the blood of blood samples of 115 stroke patients and normal 109 matched age and sex patients according to the method of Example 2 and the results were analyzed by metagenome analysis. The distribution of vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the stroke patients were significantly reduced compared to the normal blood (see Table 19 and FIG. 15).
혈액blood 대조군Control group 뇌졸중stroke t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00060.0006 0.00280.0028 0.00010.0001 0.00140.0014 0.13310.1331 0.220.22
실시예 14. 당뇨병환자 혈액 세균 유래 소포 메타게놈 분석Example 14. Analysis of vesicle meta genome derived from blood bacteria of diabetic patients
실시예 2의 방법으로 당뇨병환자 73명의 혈액 및, 성별과 연령을 매칭한 정상대조군 146명의 혈액을 대상으로, 혈액 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 혈액에 비하여 당뇨병환자의 혈액에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 20 및 도 16a 참조).The genomic DNA was extracted from the vesicles present in the blood of blood of the 73 diabetic patients and the blood of 146 normal control group matched with sex and age by the method of Example 2, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the blood of the diabetic patients were significantly reduced compared to the normal blood (see Table 20 and FIG. 16a).
혈액blood 대조군Control group 당뇨병diabetes t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00540.0054 0.01770.0177 0.00030.0003 0.00030.0003 0.00120.0012 0.050.05
또한, 실시예 2의 방법으로 당뇨병환자 60명 및, 나이와 성별을 매칭한 정상인 134명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 당뇨병환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 21 및 도 16b 참조).In the urine of a normal person who matched 60 persons with diabetes mellitus and normal persons matched with age and sex by the method of Example 2, the gene was extracted from the vesicles present in the urine and the result was analyzed by metagenome, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the urine of the diabetic patients were significantly reduced compared to the normal urine (see Table 21 and Fig. 16b).
소변Pee 대조군Control group 당뇨병diabetes t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00250.0025 0.01190.0119 0.00000.0000 0.00000.0000 0.02450.0245 0.000.00
실시예 15. 파킨슨병환자 소변 세균 유래 소포 메타게놈 분석Example 15. Analysis of vesicle metagenomes from urine bacteria of Parkinson's disease patients
실시예 2의 방법으로 파킨슨병환자 39명의 소변 및, 성별과 연령을 매칭한 정상대조군 79명의 소변을 대상으로, 소변 내에 존재하는 소포에서 유전자를 추출하여 메타게놈 분석을 수행한 후, 모르가넬라 속 세균유래 소포의 분포를 평가하였다. 그 결과, 정상인 소변에 비하여 파킨슨병환자의 소변에 모르가넬라 속 세균유래 소포가 유의하게 감소되어 있음을 확인하였다 (표 22 및 도 17 참조).In a urine sample of 39 normal control subjects whose urine and sex matched the age and sex of 39 patients with Parkinson's disease by the method of Example 2, the genes were extracted from the vesicles present in the urine and analyzed by metagenome, The distribution of bacterial-derived vesicles was evaluated. As a result, it was confirmed that the vesicles derived from the genus Morganella in the urine of patients with Parkinson's disease were significantly reduced compared to normal urine (see Table 22 and FIG. 17).
소변Pee 대조군Control group 파킨슨병Parkinson's disease t-testt-test
TaxonTaxon MeanMean SDSD MeanMean SDSD p-valuep-value RatioRatio
g__Morganellag__Morganella 0.00660.0066 0.01820.0182 0.00030.0003 0.00080.0008 0.00370.0037 0.050.05
실시예 16. 모르가넬라 모르가니 배양액에서 소포 분리Example 16. Isolation of vesicles from a morganella Morgani culture
상기 실시예를 바탕으로, 모르가넬라 모르가니 (M. morganii) 균주는 한국 미생물 보존센터 (KCCM)에서 표준균주 1종(MMR101) 및 사람에게서 분리한 2종의 분리균주 (MMR201, MMR202)를 배양한 후, 배양액에서 소포를 분리하여 특성을 분석하였다. 모르가넬라 균주(M. morganii)를 37℃ 배양기에서 흡광도(OD 600)가 1.0~1.5가 될 때까지 LB(Luria-Bertani) 배지에서 배양한 후 sub-culture 하였다. 이후 균주가 포함되어 있는 배양액을 회수하여 10,000 g, 4 ℃에서 20분 동안 원심분리하여 균주를 제거하고, 0.22μm 필터에 여과하였다. 여과한 상층액을 100 kDa Pellicon 2 Cassette 필터 멤브레인(Merck Millipore, US)으로 MasterFlex pump system(Cole-Parmer, US)를 이용하여 microfiltration을 통해 50 ㎖ 이하의 부피로 농축하였다. 농축시킨 상층액을 다시 한 번 0.22 μm 필터로 여과하였다. 이후 BCA assay를 이용해 단백질을 정량하였고, 얻어진 소포에 대하여 하기 실험들을 실시하였다. Based on the above examples, the M. morganii strain was isolated from one of the standard strains (MMR101) and two isolates (MMR201 and MMR202) isolated from humans in the Korean Microorganism Conservation Center (KCCM) After culturing, the vesicles were separated from the culture solution and analyzed for their characteristics. M. morganii was subcultured in an LB (Luria-Bertani) medium until the absorbance (OD 600) reached 1.0 ~ 1.5 in a 37 ° C incubator. Then, the culture containing the strain was recovered and centrifuged at 10,000 g at 4 ° C for 20 minutes to remove the strain, which was then filtered through a 0.22 μm filter. The filtered supernatant was concentrated to a volume of 50 ml or less through a microfiltration using a 100 kDa Pellicon 2 Cassette filter membrane (Merck Millipore, US) using a MasterFlex pump system (Cole-Parmer, US). The concentrated supernatant was again filtered through a 0.22 [mu] m filter. Then, proteins were quantified by BCA assay, and the following experiments were carried out on the vesicles obtained.
실시예 17. 모르가넬라 모르가니 유래 소포의 세포사멸 효과Example 17. Cell death effect of vesicles derived from Morganella morganii
염증세포에서 모르가넬라 모르가니 유래 소포(M. morganii EV)의 세포사멸 효과를 평가하기 위해, 마우스 대식세포주인 Raw 264.7 세포에 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포를 다양한 농도(0.1, 1, 10 ㎍/㎖)로 처리한 후, 세포사멸 정도를 평가하였다. 보다 구체적으로, 48-well 세포 배양 플레이트 안에 5 x 104 개씩 분주한 Raw 264.7 세포에 DMEM 무혈청 배지로 희석한 다양한 농도의 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포를 처리하여 12시간동안 배양하였다. 이후 세포사멸은 EZ-CYTOX (Dogen, Korea)을 이용하여 측정하였다. 그 결과, 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포 처리 시 세포사멸은 관찰되지 않았다(도 18 참조). (MMR101, MMR201, MMR202) -deleted vesicles in the mouse macrophage cell line, Raw 264.7 cells, at various concentrations, to evaluate the cytotoxic effect of M. morganii EV in inflammatory cells (0.1, 1, 10 占 퐂 / ml), and the degree of apoptosis was evaluated. More specifically, Raw 264.7 cells were seeded at a density of 5 x 10 4 cells in 48-well cell culture plates and treated with various concentrations of Morganella morgani (MMR101, MMR201, MMR202) vesicles diluted with DMEM serum- Lt; / RTI &gt; Cell death was measured using EZ-CYTOX (Dogen, Korea). As a result, cell death was not observed upon vesicle treatment from Morganella morgani (MMR101, MMR201, MMR202) (see Fig. 18).
실시예 18. 모르가넬라 모르가니 유래 소포의 항염증 효과Example 18. Anti-inflammatory effect of vesicles derived from Moganella morganis
모르가넬라 모르가니 유래 소포가 염증세포에서 염증매개체 분비에 대한 영향을 알아보기 위해, 마우스 대식세포주인 Raw 264.7 세포에 모르가넬라 모르가니 (MMR101) 유래 소포를 다양한 농도(0.1, 1, 10 ㎍/㎖)로 처리한 후, 염증질환 병원성 소포인 대장균 유래 소포 (E. coli EV)를 처리하여 염증매개체 (IL-6, TNF-α 등)의 분비량을 측정하였다. 보다 구체적으로, Raw 264.7 세포를 1 x 105 개씩 24-well 세포 배양 플레이트에 분주한 후, 24시간 동안 DMEM 완전배지에서 배양시켰다. 이후, 배양 상층액을 1.5 ml 튜브에 모아 3000 g에서 5분간 원심분리하여 상층액을 모아 4 ℃에 보관해두었다가 ELISA 분석을 진행하였다. 그 결과, 모르가넬라 모르가니 유래 소포를 전 처리 한 경우, 대장균 유래 소포에 의한 IL-6 및 TNF-α 분비가 현저히 억제됨을 확인하였다(도 19a 및 19b 참조). 특히, 모르가넬라 모르가니 유래 소포를 전 처리 한 경우에 대식세포에서 TNF-α 분비가 락토바실러스 플란타룸 소포에 비해 억제 정도가 현저히 높았다(도 19b 참조). In order to examine the effect of morganella morgani-derived vesicles on inflammatory mediator release in inflammatory cells, morphogranular mor- bane (MMR101) -derived vesicles were injected into mouse macrophages Raw 264.7 cells at various concentrations (0.1, 1, / Ml), and then E. coli- derived vesicle ( E. coli) EV) to measure the secretion amount of inflammatory mediators (IL-6, TNF-a, etc.). More specifically, Raw 264.7 cells were plated on 24-well cell culture plates at 1 × 10 5 cells and then cultured in DMEM complete medium for 24 hours. The culture supernatant was collected in a 1.5 ml tube and centrifuged at 3000 g for 5 minutes. The supernatant was collected and stored at 4 ° C for ELISA analysis. As a result, it was confirmed that IL-6 and TNF-α secretion by E. coli-derived vesicles was remarkably inhibited when the vesicles derived from Morganella morgani were pretreated (see FIGS. 19A and 19B). In particular, the TNF-a secretion in macrophages was markedly higher than that in Lactobacillus plantarum vesicles when the vesicles from Morganella morgani were pretreated (see Fig. 19B).
또한, 다양한 샘플에서 분리한 모르가넬라 모르가니 균주에서 분리한 소포의 항염증 효과를 평가하기 위하여, 다양한 농도(0.1, 1, 10 ㎍/㎖)의 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포를 마우스 대식세포주에 12시간 전처리한 후, 병원성 소포인 대장균 유래 소포 1㎍/㎖을 처리하고 12시간 뒤 염증성 사이토카인인 TNF-α의 분비를 ELISA로 측정하였다. 그 결과, 유용미생물 대조군인 락토바실러스 플란타룸 (Lactobacillus plantarum) 유래 소포의 전처리에 의한 TNF-α의 분비 억제효과보다 모르가넬라 모르가니 (MMR101, MMR201, MMR202) 유래 소포의 억제효과가 더 높음을 확인하였다(도 20 참조). 이는 모르가넬라 모르가니의 소스에 상관없이 모르가넬라 모르가니 균이 분비하는 소포가 항염증 효과가 있음을 의미한다.In order to evaluate the antiinflammatory effect of the vesicles isolated from the morganella morganii strains isolated from the various samples, morganella morganii (MMR101, MMR201, MMR202) at various concentrations (0.1, 1, 10 / / ) Was pretreated with mouse macrophage cells for 12 hours, treated with 1 μg / ml of E. coli-derived vesicle, which was a pathogenic vesicle, and the secretion of TNF-α, an inflammatory cytokine, was measured by ELISA after 12 hours. As a result, the suppressive effect of morpholino morgani (MMR101, MMR201, MMR202) -derived vesicles was higher than that of TNF-α secretion inhibition effected by pretreatment of the microbial control group Lactobacillus plantarum -derived vesicles (See Fig. 20). This means that irrespective of the source of Morgana Morgani, the parasite secreted by Morgana Morgani is anti-inflammatory.
실시예Example 19.  19. 모르가넬라Morganella 모르가니Morgani 유래 소포의 항염증 작용에 대한 열 또는 산 처리의 효과 Effect of heat or acid treatment on the anti-inflammatory action of the resulting vesicles
상기 실시예 18을 통해 모르가넬라 모르가니 표준균주 (MMR101) 및 분리균주 (MMR201) 유래 소포의 항염증 효과를 확인하였고, 나아가 상기 소포의 안정성 및 유효물질의 특성을 구체적으로 알아보고자 하였다. 이를 위해, 100℃에서 10분간 끓이거나, 10분간 산 처리 (pH 2.0)를 한 2종의 모르가넬라 모르가니 유래 소포 (MMR101, MMR201)를 대식세포(Raw 264.7)에 전처리하여 항염증 효과를 평가하였다. 그 결과, 소포를 100℃에서 끓이거나 산 처리를 하여도 모르가넬라 모르가니 유래 소포의 항염증 효과가 유지됨을 확인하였다 (도 21 참조). 이는 모르가넬라 모르가니 유래 소포의 항염증 작용은 온도와 산에 안정함을 의미한다.The antiinflammatory effect of the vesicles derived from the standard strains of Morganella morgani (MMR101) and the isolated strain (MMR201) was confirmed through Example 18, and furthermore, the stability of the vesicles and the characteristics of the active substances were examined in detail. For this purpose, two types of morganella morganis-derived vesicles (MMR101, MMR201) pretreated with macrophages (Raw 264.7) boiled at 100 ° C for 10 minutes or acid treated (pH 2.0) Respectively. As a result, it was confirmed that the anti-inflammatory effect of the vesicles derived from Morgana morgani was maintained even if the vesicles were boiled or treated with acid at 100 ° C (see FIG. 21). This suggests that the anti-inflammatory action of morganella morgana-derived vesicles is stable to temperature and acid.
실시예Example 20.  20. 모르가넬라Morganella 모르가니Morgani 유래 소포의 항암 효과 Anticancer effect of derived parasites
상기 실시예를 바탕으로, 나아가 모르가넬라 모르가니 유래 소포의 항암효과를 알아보고자 하였다. 이를 위해, 도 22에 나타난 바와 같이, 모르가넬라 모르가니 분리균주 (MMR201) 유래 소포를 6 주령 C57BL/6 수컷 마우스에 복강주사 또는 경구로 투여하고, 투여 4일째에 암세포주 (CT26 cell)를 피하로 주사하여 암모델을 만들었다. 암세포주를 투여한 후, 모르가넬라 모르가니 분리균주 유래 소포를 복강주사 또는 경구로 매일 투여하며 24일째까지 암조직의 크기를 측정하였다 (도 22 참조). 그 결과, 암조직의 크기는 대조군인 생리식염수 경구 투여군에 비하여 상기 소포를 복강주사로 투여한 마우스와 경구로 투여한 마우스에서 암조직의 크기가 감소하였고, 특히, 경구로 투여한 경우에 크기가 더욱 감소하였다(도 23 참조). 이는 모르가넬라 모르가니 유래 소포를 투여했을 때 암조직의 성장을 효율적으로 억제할 수 있음을 의미한다. Based on the above examples, further investigation was made on the anticancer effect of vesicles derived from Morgana morgani. For this, as shown in FIG. 22, vesicles derived from the isolate of Morganella morgani (MMR201) were intraperitoneally injected or injected intraperitoneally into C57BL / 6 male mice at 6 weeks of age and the cancer cells (CT26 cell) And subcutaneously injected into a cancer model. After administration of the cancer cell line, the vesicles derived from the isolate of Morganella morgani were intraperitoneally injected or injected daily, and the size of the cancer tissue was measured until day 24 (see FIG. 22). As a result, the size of cancer tissues was reduced in the size of cancer tissues in mice administered with intraperitoneal injection of the vesicles or oral administration of the vesicles compared with the control group of oral administration of physiological saline, and in particular, (See Fig. 23). This means that the morganella morgana-derived vesicles can effectively inhibit the growth of cancer tissues.
상기 진술한 본 발명의 설명은 예시를 위한 것이며, 본 발명이 속하는 기술분야의 통상의 지식을 가진 자는 본 발명의 기술적 사상이나 필수적인 특징을 변경하지 않고서 다른 구체적인 형태로 쉽게 변형이 가능하다는 것을 이해할 수 있을 것이다. 그러므로 이상에서 기술한 실시예들은 모든 면에서 예시적인 것이며 한정적이 아닌 것으로 이해해야만 한다. It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the invention. There will be. It is therefore to be understood that the above-described embodiments are illustrative in all aspects and not restrictive.
본 발명에 따른 모르가넬라 속 세균 유래 소포는 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 및 파킨슨병에 대한 진단방법, 및 상기 질환 또는 염증성 질환에 대한 식품 또는 약물 등의 예방용 혹은 치료용 조성물에 유용하게 이용될 수 있을 것으로 기대된다. The vesicles derived from the genus Morganella according to the present invention can be used for the treatment of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, A diagnostic method for Parkinson's disease, and a composition for preventing or treating a food or a drug against the disease or inflammatory disease.

Claims (20)

  1. 하기의 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병의 진단을 위한 정보제공방법:The diagnosis of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, or Parkinson's disease How to provide information for:
    (a) 정상인 및 피검자 샘플에서 분리한 소포로부터 DNA를 추출하는 단계;(a) extracting DNA from vesicles isolated from normal and subject samples;
    (b) 상기 추출한 DNA에 대하여 16S rDNA에 존재하는 유전자 서열에 기초하여 제작한 프라이머 쌍을 이용하여 PCR을 수행하여 각각의 PCR 산물을 수득하는 단계; 및(b) performing PCR on the extracted DNA using primer pairs prepared based on the gene sequences present in 16S rDNA to obtain respective PCR products; And
    (c) 상기 PCR 산물의 정량분석을 통하여 정상인에 비하여 모르가넬라(Morganella) 속 세균 유래 소포의 함량이 낮을 경우 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병으로 판정하는 단계.(c) Quantitative analysis of the PCR products revealed that the content of Morganella bacterium-derived vesicles is lower than that of a normal human, Myocardial infarction, cardiomyopathy, atrial fibrillation, variant angina, stroke, diabetes, or Parkinson's disease.
  2. 제1항에 있어서,The method according to claim 1,
    상기 (a) 단계에서의 샘플은 혈액, 소변, 또는 대변인 것을 특징으로 하는, 정보제공방법.Wherein the sample in step (a) is blood, urine, or sputum.
  3. 제1항에 있어서,The method according to claim 1,
    상기 (b) 단계에서의 프라이머 쌍은 서열번호 1 및 서열번호 2의 프라이머인 것을 특징으로 하는, 정보제공방법.Wherein the primer pair in the step (b) is a primer of SEQ ID NO: 1 and SEQ ID NO: 2.
  4. 모르가넬라(Morganella) 속 세균 유래 소포를 유효성분으로 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료용 약학적 조성물.Know the Nella (Morganella) in bacterial-derived, gastric cancer, colon cancer comprising a package as an active ingredient, pancreatic cancer, bile duct cancer, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, variant angina, A pharmaceutical composition for preventing or treating at least one disease selected from the group consisting of stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  5. 제4항에 있어서,5. The method of claim 4,
    상기 염증성 질환은 아토피 피부염, 여드름, 건선, 부비동염, 비염, 결막염, 천식, 피부염, 염증성 콜라겐 혈관질환, 사구체신염, 뇌염, 염증성 장염, 만성 폐쇄성 폐질환, 패혈증, 패혈성 쇼크증, 폐섬유증, 미분화 척추관절증, 미분화 관절병증, 관절염, 염증성 골용해, 바이러스 또는 박테리아 감염에 의한 만성 염증질환, 대장염, 궤양성 대장염, 염증성 장질환, 관절염, 류마티스 관절염, 반응성 관절염, 골관절염, 공피증, 골다공증, 아테롬성 동맥경화증, 심근염, 심내막염, 심낭염, 낭성 섬유증, 하시모토 갑상선염, 그레이브스병, 나병, 매독, 라임병(Lyme disease), 보렐리아증(Borreliosis), 신경성-보렐리아증, 결핵, 사르코이드증(Sarcoidosis), 루프스, 동창성 루프스, 결핵성 루프스, 루프스 신염, 전신성 홍반성 루프스, 황반변성, 포도막염, 과민대장 증후군, 크론씨병, 쇼그랜 증후군, 섬유근통, 만성피로 증후군, 만성피로 면역부전 증후군, 근육통성 뇌척수염, 근위축성 측삭경화증, 파키슨병, 및 다발성경화증으로 이루어진 군으로부터 선택되는 하나 이상인 것을 특징으로 하는, 약학적 조성물.The inflammatory disease may be atopic dermatitis, acne, psoriasis, sinusitis, rhinitis, conjunctivitis, asthma, dermatitis, inflammatory collagen vascular disease, glomerulonephritis, encephalitis, inflammatory bowel disease, chronic obstructive pulmonary disease, sepsis, septic shock, pulmonary fibrosis, Inflammatory bowel disease, inflammatory bowel disease, arthritis, rheumatoid arthritis, reactive arthritis, osteoarthritis, arthritis, osteoporosis, atherosclerosis, arthritis, arthritis, inflammatory bowel disease, chronic inflammatory disease due to inflammatory osteolysis, viral or bacterial infection, A disease selected from the group consisting of Crohn's disease, myocarditis, endocarditis, pericarditis, cystic fibrosis, Hashimoto's thyroiditis, Graves disease, leprosy, syphilis, Lyme disease, Borreliosis, neurogenic-borrelia, tuberculosis, sarcoidosis, Albuminous lupus, tuberculous lupus, lupus nephritis, systemic lupus erythematosus, macular degeneration, uveitis, irritable bowel syndrome Disease, show Gran syndrome, fibromyalgia, chronic fatigue syndrome, chronic fatigue immune dysfunction syndrome, muscular encephalomyelitis, amyotrophic lateral sclerosis, Parkinson seunbyeong, and that at least one selected from the group consisting of multiple sclerosis, characterized in, the pharmaceutical compositions.
  6. 제4항에 있어서,5. The method of claim 4,
    상기 염증성 질환은 인터루킨-6(Interleukin-6; IL-6) 또는 종양괴사인자-알파(Tumor necrosis factor-alpha; TNF-α)에 의해 매개되는 질환인 것을 특징으로 하는, 약학적 조성물.Wherein said inflammatory disease is a disease mediated by interleukin-6 (IL-6) or tumor necrosis factor-alpha (TNF-alpha).
  7. 제4항에 있어서,5. The method of claim 4,
    상기 소포는 평균 직경이 10 내지 200 nm인 것을 특징으로 하는, 약학적 조성물.Wherein said vesicles have an average diameter of from 10 to 200 nm.
  8. 제4항에 있어서,5. The method of claim 4,
    상기 소포는 모르가넬라(Morganella) 속 세균에서 자연적 또는 인공적으로 분비되는 것을 특징으로 하는, 약학적 조성물. Wherein said vesicles are secreted naturally or artificially in bacteria of the genus Morganella .
  9. 제4항에 있어서,5. The method of claim 4,
    상기 모르가넬라(Morganella) 속 세균 유래 소포는 모르가넬라 모르가니(Morganella morganii)에서 분비되는 것을 특징으로 하는, 약학적 조성물. Wherein the bacterium-derived vesicles of the genus Morganella are secreted in Morganella morganii .
  10. 모르가넬라(Morganella) 속 세균 유래 소포를 유효성분으로 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 개선용 식품 조성물.Know the Nella (Morganella) in bacterial-derived, gastric cancer, colon cancer comprising a package as an active ingredient, pancreatic cancer, bile duct cancer, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, variant angina, Stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  11. 제10항에 있어서,11. The method of claim 10,
    상기 염증성 질환은 아토피 피부염, 여드름, 건선, 부비동염, 비염, 결막염, 천식, 피부염, 염증성 콜라겐 혈관질환, 사구체신염, 뇌염, 염증성 장염, 만성 폐쇄성 폐질환, 패혈증, 패혈성 쇼크증, 폐섬유증, 미분화 척추관절증, 미분화 관절병증, 관절염, 염증성 골용해, 바이러스 또는 박테리아 감염에 의한 만성 염증질환, 대장염, 궤양성 대장염, 염증성 장질환, 관절염, 류마티스 관절염, 반응성 관절염, 골관절염, 공피증, 골다공증, 아테롬성 동맥경화증, 심근염, 심내막염, 심낭염, 낭성 섬유증, 하시모토 갑상선염, 그레이브스병, 나병, 매독, 라임병(Lyme disease), 보렐리아증(Borreliosis), 신경성-보렐리아증, 결핵, 사르코이드증(Sarcoidosis), 루프스, 동창성 루프스, 결핵성 루프스, 루프스 신염, 전신성 홍반성 루프스, 황반변성, 포도막염, 과민대장 증후군, 크론씨병, 쇼그랜 증후군, 섬유근통, 만성피로 증후군, 만성피로 면역부전 증후군, 근육통성 뇌척수염, 근위축성 측삭경화증, 파키슨병, 및 다발성경화증으로 이루어진 군으로부터 선택되는 하나 이상인 것을 특징으로 하는, 식품 조성물.The inflammatory disease may be atopic dermatitis, acne, psoriasis, sinusitis, rhinitis, conjunctivitis, asthma, dermatitis, inflammatory collagen vascular disease, glomerulonephritis, encephalitis, inflammatory bowel disease, chronic obstructive pulmonary disease, sepsis, septic shock, pulmonary fibrosis, Inflammatory bowel disease, inflammatory bowel disease, arthritis, rheumatoid arthritis, reactive arthritis, osteoarthritis, arthritis, osteoporosis, atherosclerosis, arthritis, arthritis, inflammatory bowel disease, chronic inflammatory disease due to inflammatory osteolysis, viral or bacterial infection, A disease selected from the group consisting of Crohn's disease, myocarditis, endocarditis, pericarditis, cystic fibrosis, Hashimoto's thyroiditis, Graves disease, leprosy, syphilis, Lyme disease, Borreliosis, neurogenic-borrelia, tuberculosis, sarcoidosis, Albuminous lupus, tuberculous lupus, lupus nephritis, systemic lupus erythematosus, macular degeneration, uveitis, irritable bowel syndrome Disease, show Gran syndrome, fibromyalgia, chronic fatigue syndrome, chronic fatigue immune dysfunction syndrome, muscular encephalomyelitis, amyotrophic lateral sclerosis, Parkinson seunbyeong, and that at least one selected from the group consisting of multiple sclerosis, characterized in, a food composition.
  12. 제10항에 있어서,11. The method of claim 10,
    상기 염증성 질환은 인터루킨-6(Interleukin-6; IL-6) 또는 종양괴사인자-알파(Tumor necrosis factor-alpha; TNF-α)에 의해 매개되는 질환인 것을 특징으로 하는, 식품 조성물.Wherein the inflammatory disease is a disease mediated by Interleukin-6 (IL-6) or Tumor Necrosis Factor-alpha (TNF-alpha).
  13. 제10항에 있어서,11. The method of claim 10,
    상기 소포는 평균 직경이 10 내지 200 nm인 것을 특징으로 하는, 식품 조성물.Wherein said vesicles have an average diameter of 10 to 200 nm.
  14. 제10항에 있어서,11. The method of claim 10,
    상기 소포는 모르가넬라(Morganella) 속 세균에서 자연적 또는 인공적으로 분비되는 것을 특징으로 하는, 식품 조성물.Characterized in that said vesicles are secreted naturally or artificially in bacteria of the genus Morganella .
  15. 제10항에 있어서,11. The method of claim 10,
    상기 모르가넬라(Morganella) 속 세균 유래 소포는 모르가넬라 모르가니(Morganella morganii)에서 분비되는 것을 특징으로 하는, 식품 조성물.The idea is Nella (Morganella) in bacterial-derived vesicles, a food composition characterized in that the idea is secreted from Nella know going (Morganella morganii).
  16. 하기의 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병의 진단방법:Diagnostic methods of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes or Parkinson's disease :
    (a) 정상인 및 피검자 샘플에서 분리한 소포로부터 DNA를 추출하는 단계;(a) extracting DNA from vesicles isolated from normal and subject samples;
    (b) 상기 추출한 DNA에 대하여 16S rDNA에 존재하는 유전자 서열에 기초하여 제작한 프라이머 쌍을 이용하여 PCR을 수행하여 각각의 PCR 산물을 수득하는 단계; 및(b) performing PCR on the extracted DNA using primer pairs prepared based on the gene sequences present in 16S rDNA to obtain respective PCR products; And
    (c) 상기 PCR 산물의 정량분석을 통하여 정상인에 비하여 모르가넬라(Morganella) 속 세균 유래 소포의 함량이 낮을 경우 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 또는 파킨슨병으로 판정하는 단계.(c) Quantitative analysis of the PCR products revealed that the content of Morganella bacterium-derived vesicles is lower than that of a normal human, Myocardial infarction, cardiomyopathy, atrial fibrillation, variant angina, stroke, diabetes, or Parkinson's disease.
  17. 제16항에 있어서,17. The method of claim 16,
    상기 (a) 단계에서의 샘플은 혈액, 소변, 또는 대변인 것을 특징으로 하는, 진단방법.Wherein the sample in step (a) is blood, urine, or sputum.
  18. 제16항에 있어서,17. The method of claim 16,
    상기 (b) 단계에서의 프라이머 쌍은 서열번호 1 및 서열번호 2의 프라이머인 것을 특징으로 하는, 진단방법.Wherein the primer pair in step (b) is a primer of SEQ ID NO: 1 and SEQ ID NO: 2.
  19. 모르가넬라(Morganella) 속 세균 유래 소포를 유효성분으로 포함하는 약학적 조성물을 개체에 투여하는 단계를 포함하는, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료 방법.Colon cancer, cholangiocarcinoma, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, lymphoma, liver cancer and the like, which comprises administering to a subject a pharmaceutical composition comprising an effective amount of a bacterium-derived vesicle of the genus Morganella . Myocardial infarction, cardiomyopathy, atrial fibrillation, angina pectoris, stroke, diabetes, Parkinson's disease, and inflammatory diseases.
  20. 모르가넬라(Morganella) 속 세균 유래 소포의, 위암, 대장암, 췌장암, 담관암, 유방암, 난소암, 방광암, 전립선암, 림프종, 심근경색, 심근병증, 심방세동, 이형협심증, 뇌졸중, 당뇨병, 파킨슨병, 및 염증성 질환으로 이루어진 군으로부터 선택된 하나 이상의 질병의 예방 또는 치료 용도.The present invention relates to a method for the treatment and prophylaxis of Morganella genus-derived vesicles of gastric cancer, colon cancer, pancreatic cancer, cholangiocarcinoma, breast cancer, ovarian cancer, bladder cancer, prostate cancer, lymphoma, myocardial infarction, cardiomyopathy, atrial fibrillation, For the prevention or treatment of one or more diseases selected from the group consisting of inflammatory diseases, diseases, and inflammatory diseases.
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