WO2023022473A1

WO2023022473A1 - Composition comprising stem cell-derived extracellular vesicle as active ingredient

Info

Publication number: WO2023022473A1
Application number: PCT/KR2022/012195
Authority: WO
Inventors: 이상훈
Original assignee: 주식회사 스템바이오
Priority date: 2021-08-17
Filing date: 2022-08-16
Publication date: 2023-02-23
Also published as: KR20230026096A

Abstract

The present invention relates to a pharmaceutical composition comprising pineal gland hormone-treated mesenchymal stem cell-derived extracellular vesicles as an active ingredient. The extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells or a culture thereof according to the present invention are observed to have increased expression levels of miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p, and miR-486-5p, which are micro RNAs associated with anti-fibrosis and anti-inflammation. When administered into mouse models with chronic renal failure, the extracellular vesicles exhibited anti-inflammatory and anti-fibrotic effects, proliferated fibroblasts and inhibited apoptosis in kidney tissues, and recovered renal functions and thus can be advantageously used for preventing or treating inflammatory or fibrotic diseases or chronic renal failure.

Description

A composition containing stem cell-derived extracellular vesicles as an active ingredient

The present invention relates to a pharmaceutical composition comprising pineal hormone-treated mesenchymal stem cells-derived extracellular vesicles as an active ingredient.

Recently, studies have been reported that cell secretomes contain various bioactive factors that regulate cell behavior, and cells release various membrane-type endoplasmic reticulum into the extracellular environment. Emissive vesicles are called extracellular vesicles (EVs). Extracellular endoplasmic reticulum is known to be secreted in animal cells, plant cells, bacteria and archaea, and the secretion of extracellular endoplasmic reticulum is thought to be an evolutionarily conserved phenomenon in all organisms. When extracellular vesicles were first discovered, they were thought to be simple cellular waste, but recently, as their pathology and physiological functions have been actively identified, they have emerged as new substances for intercellular signaling following hormones and proteins. Extracellular vesicles are various types of membrane structures derived from cells, and are known to consist of exosomes derived from the endosomal system and microvesicles derived from the plasma membrane. . Extracellular vesicles are known to contain specific nucleic acids, lipids, proteins, metabolites, etc. derived from donor cells, and are known to be involved in various physiological and pathological processes in target cells. This extracellular endoplasmic reticulum is also referred to as cell membrane-derived vesicles, ectosomes, shedding vesicles, microparticles, exosomes, and the like. Exosomes are vesicles with a size of tens to hundreds of nanometers made of a double-phospholipid membrane identical to the structure of a cell membrane, and contain proteins, nucleic acids (mRNA, miRNA, etc.) called exosome cargo inside. It is known that the exosome cargo contains a wide range of signaling factors, and these signaling factors are cell type-specific and differently regulated depending on the environment of the secreting cell. Exosomes are intercellular signaling mediators secreted by cells, and various cell signals transmitted through them regulate cell behavior including activation, growth, migration, differentiation, dedifferentiation, apoptosis, and necrosis of target cells. It is known. Exosomes contain specific genetic materials and bioactive factors depending on the nature and state of the derived cell. Among various cells, mesenchymal stem cells are derived from various tissues such as bone marrow, fat, and umbilical cord, and have the ability to differentiate into various cells such as myocytes, endothelial cells, and chondrocytes. Recently, as research has been published that the paracrine ability of mesenchymal stem cells induces tissue regeneration and inflammation inhibition, various fields of medicine have been interested. However, direct injection of stem cells has a risk of inducing inflammation, differentiation into other cells, and especially tumors, so its use is limited. For this purpose, research is being conducted in the direction of using materials derived from stem cells. In the case of proliferating stem cell-derived exosomes, they regulate cell behaviors such as cell migration, proliferation, and differentiation, and reflect the characteristics of stem cells related to tissue regeneration (Nature Review Immunology 2002 (2) 569-579). Extracellular vesicles contain various substances such as stem cell-derived therapeutic nucleic acids, proteins, and lipids, and are considered as a means of treatment, but their therapeutic effect is still insufficient.

On the other hand, chronic kidney disease is defined as a case in which morphological or functional abnormalities are found in the kidney for more than 3 months. Recently, as Korea enters an aging society, the number of patients with chronic kidney disease is continuously increasing. In the case of chronic kidney disease patients, the risk of cardiovascular complications increases up to 30 times, and in fact, more than 50% of chronic kidney disease patients die from cardiovascular complications. Angiotensin 2 inhibitors are almost the only established treatment for suppressing the progression of chronic kidney disease, and other treatments targeting blood pressure, blood sugar, and dyslipidemia are used as supplementary treatments, so dialysis or kidney transplantation is currently being used. There is no other effective treatment for chronic kidney disease.

An object of the present invention is to provide a pharmaceutical composition for preventing or treating inflammatory diseases or fibrotic diseases.

Another object of the present invention is to provide a pharmaceutical composition for preventing or treating chronic kidney disease.

Another object of the present invention is to provide a method for treating inflammatory diseases or fibrotic diseases.

Another object of the present invention is to provide a method for treating chronic kidney disease.

In addition, an object of the present invention is to provide the use of extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells or their culture medium for use in the manufacture of a pharmaceutical composition.

In order to solve the above problems, the present invention provides a pharmaceutical composition for preventing or treating inflammatory diseases or fibrotic diseases, comprising pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture as an active ingredient. .

In addition, the present invention provides a pharmaceutical composition for preventing or treating chronic kidney disease, comprising pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture medium as an active ingredient.

In addition, the present invention consists of miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p and miR-486-5p. Provided is a pharmaceutical composition for preventing or treating chronic kidney disease, comprising at least one microRNA selected from the group as an active ingredient.

In addition, the present invention provides a method for treating inflammatory diseases or fibrotic diseases by administering pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture to a subject suffering from inflammatory diseases or fibrotic diseases.

In addition, the present invention provides a method for treating chronic kidney disease, wherein pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are administered to a subject suffering from chronic kidney disease.

In addition, the present invention provides the use of pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture for use in the preparation of a pharmaceutical composition for the prevention and treatment of inflammatory diseases or fibrotic diseases.

In addition, the present invention provides the use of pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture for use in the preparation of a pharmaceutical composition for the prevention and treatment of chronic kidney disease.

The pineal gland hormone-treated mesenchymal stem cells of the present invention or extracellular vesicles extracted from their culture are anti-fibrotic and anti-inflammatory microRNAs miR-29b-3p, let-7a-3p, let-7b-5p, let Expressions of -7c-3p, miR-153-3p, miR-26a-2-3p and miR-486-5p were found to be increased, and showed anti-inflammatory and anti-fibrotic effects in chronic kidney disease animal models. , suppressed fibroblast proliferation and apoptosis in kidney tissue, and restored kidney function, so it can be usefully used for prevention or treatment of inflammatory or fibrotic diseases or chronic kidney disease.

1 is a diagram confirming the characteristics of extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells:

A: Extracellular vesicles observed with an electron microscope;

B: size of extracellular vesicles determined by nanoparticle tracking analysis;

C: Expression of extracellular endoplasmic reticulum markers confirmed by Western blot analysis;

D: microRNA expression in extracellular endoplasmic reticulum;

cEXO: control exosome extracted from pineal hormone-free mesenchymal stem cells; and

Exocue: Extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells.

Figure 2 is a diagram confirming the concentration of TNF-α, an inflammatory cytokine, and TGF-β, a fibrosis promoting cytokine, in the serum of mice:

Healthy mouse: normal mouse control;

CKD mouse: chronic kidney disease model mouse;

PBS: PBS-treated mouse group;

cEXO: mouse group treated with extracellular vesicles derived from pineal hormone-free mesenchymal stem cells; and

Exocue: A group of mice treated with extracellular vesicles derived from pineal gland hormone-treated mesenchymal stem cells.

Figure 3 is a diagram confirming fibrosis in the renal tissue of mice by Masson's trichrome staining method and Picrosirius staining method:

Healthy mouse: normal mouse control;

CKD mouse: chronic kidney disease model mouse;

PBS: PBS-treated mouse group;

Figure 4 is a diagram confirming fibroblast division (α-SMA and PCNA) (A) and apoptosis (caspase-3) (B) in mice by immunofluorescence staining analysis:

Healthy mouse: normal mouse control;

CKD mouse: chronic kidney disease model mouse;

PBS: PBS-treated mouse group;

Figure 5 is a diagram confirming changes in the expression of water reabsorption-related proteins (AQP2 and AQP5) in renal tissue of mice and changes in BUN and creatine levels in serum:

Healthy mouse: normal mouse control;

CKD mouse: chronic kidney disease model mouse;

PBS: PBS-treated mouse group;

cEXO/Con-Exo: mouse group treated with extracellular vesicles extracted from pineal gland hormone-free mesenchymal stem cells; and

Figure 6 is a diagram confirming the expression changes of miR-4270, miR-4739, miR-636, miR-320c and miR-572, which are diabetic chronic kidney disease markers in mice, by qPCR:

Healthy mouse: normal mouse control;

CKD mouse: chronic kidney disease model mouse;

PBS: PBS-treated mouse group;

Exocue: A group of mice treated with extracellular vesicles derived from pineal hormone-treated mesenchymal stem cells.

Hereinafter, the present invention will be described in detail as an embodiment of the present invention with reference to the accompanying drawings. However, the following embodiments are presented as examples of the present invention, and if it is determined that detailed descriptions of well-known techniques or configurations may unnecessarily obscure the gist of the present invention, the detailed descriptions may be omitted. , the present invention is not limited thereby. Various modifications and applications of the present invention are possible within the scope of the claims described below and equivalents interpreted therefrom.

In addition, the terms used in this specification (terminology) are terms used to appropriately express preferred embodiments of the present invention, which may vary according to the intention of a user or operator or customs in the field to which the present invention belongs. Therefore, definitions of these terms will have to be made based on the content throughout this specification. Throughout the specification, when a certain component is said to "include", it means that it may further include other components without excluding other components unless otherwise stated.

All technical terms used in the present invention, unless defined otherwise, are used with the same meaning as commonly understood by one of ordinary skill in the art related to the present invention. In addition, although preferred methods or samples are described in this specification, those similar or equivalent thereto are also included in the scope of the present invention. The contents of all publications incorporated herein by reference are incorporated herein by reference.

In one aspect, the present invention is a pharmaceutical for preventing or treating inflammatory diseases or fibrotic diseases, comprising pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture medium as an active ingredient It is about the enemy composition.

In one embodiment, the extracellular vesicles are miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p or miR- 486-5p may be overexpressed.

In one embodiment, the extracellular vesicles are miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p and miR- It may include one or more selected from the group consisting of 486-5p.

In one embodiment, the mesenchymal stem cells may be mesenchymal stem cells derived from umbilical cord, cord blood, bone marrow, fat, muscle, nerve, skin, amnion, or placenta, and most preferably mesenchymal stem cells derived from adipose tissue.

In one embodiment, the inflammatory disease is diabetes, colitis, chronic and acute gastritis or enteritis, acute and chronic nephritis, acute and chronic hepatitis, chronic obstructive pulmonary disease, irritable bowel syndrome, inflammatory pain, arthritis, rheumatoid arthritis, ankylosing spondylitis and It may be any one selected from the group consisting of pancreatitis, most preferably acute and chronic nephritis.

In one embodiment, the fibrotic disease may be any one selected from the group consisting of renal fibrosis, liver fibrosis and pulmonary fibrosis, most preferably renal fibrosis.

In one embodiment, the extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells or their culture may have a size of 10 to 1000 nm, more preferably 20 to 500 nm.

In one embodiment, pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are: (a) filtering the cell culture medium of pineal hormone and co-cultured stem cells using a filter; (b) separating the extracellular vesicles from the filtered cell culture medium by tangential fluid filtration; And (c) it can be prepared by a production method comprising the step of concentrating the separated extracellular vesicles with a centrifugal filter.

In one embodiment, the dose of pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture may be 20 to 200 μg, more preferably 50 to 150 μg, and 100 μg It is most preferable to be

The pineal gland-secreted hormone (melatonin) of the present invention is secreted by various tissues such as bone marrow, liver, intestine, placenta, ovary and testis, and is characterized in that it easily passes through physiological barriers including cell membranes and blood vessels in the brain and is released into the bloodstream. These hormones are known to regulate several physiological functions including sleep, circadian rhythms, immune defense and neuroendocrine activity.

Among the microRNAs of the present invention, miR-29b and let-7a inhibit fibrosis by directly inhibiting TGF-β signaling, and inhibition of let-7b expression in proximal tubular epithelial cells It is known that the expression of TGFBR1 (TGF-β receptor 1) is increased and fibrosis is promoted. It has been reported that when human renal tubular epithelial cells (HK-2) and renal fibrosis animal models are treated with LXA4, let-7c is induced and the expression of TGFBR1 is suppressed, thereby suppressing renal fibrosis. It is known to suppress pulmonary fibrosis by suppressing the expression of 2. It is known that miR-26a suppresses fibrosis by inhibiting the translocation of p-Smad3. It is known that the expression of miR-486-5p is inhibited in the lung fibrosis model, and fibrosis is suppressed when the expression of miR-486-5p is enhanced.

In one aspect, the present invention relates to a pharmaceutical composition for preventing or treating chronic kidney disease, comprising pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture medium as an active ingredient.

In one embodiment, the chronic kidney disease may be any one selected from the group consisting of diabetic nephropathy, hypertensive nephropathy, and ischemic nephropathy.

In one embodiment, pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are: (a) filtering the cell culture medium of pineal hormone and co-cultured stem cells using a filter; (b) separating extracellular vesicles from the filtered cell culture medium by tangential flow filtration; And (c) it can be prepared by a manufacturing method comprising the step of concentrating the separated extracellular vesicles with a centrifugal filter.

In one embodiment, pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture may have an anti-inflammatory effect.

In one embodiment, pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture may have an anti-fibrotic effect.

In one embodiment, pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture can inhibit the proliferation and apoptosis of fibroblasts in renal tissue of an individual suffering from chronic kidney disease.

In one embodiment, extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells or their culture medium can restore kidney function in individuals suffering from chronic kidney disease.

In one aspect, the present invention miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p and miR-486-5p It relates to a pharmaceutical composition for preventing or treating chronic kidney disease, comprising at least one microRNA selected from the group consisting of as an active ingredient.

In one embodiment, the micro RNA may be derived from extracellular endoplasmic reticulum.

In one embodiment, the micro RNA is: (i) filtering the cell culture medium of stem cells co-cultured with pineal gland hormone using a filter; (ii) separating extracellular vesicles from the filtered cell culture medium by tangential flow filtration; And (iii) it can be prepared by a production method comprising the step of isolating micro RNA from the separated extracellular vesicles.

In one embodiment, the pharmaceutical composition of the present invention can be used alone or in combination with methods using surgery, radiation therapy, hormone therapy, chemotherapy, and biological response modifiers for the treatment of chronic kidney disease.

As used herein, the term "treatment" refers to an approach to obtain beneficial or desirable clinical results. For purposes of this invention, beneficial or desired clinical results include, but are not limited to, alleviation of symptoms, reduction of disease extent, stabilization of disease state (i.e., not worsening), delay or slowing of disease progression, disease state improvement or palliation and relief (partial or total), detectable or undetectable.

"Treatment" can also mean prolonging survival as compared to expected survival if not receiving treatment. “Treatment” refers to both therapeutic treatment and prophylactic or prophylactic methods. The treatments include treatment required for disorders that have already occurred as well as disorders that are prevented. "Palliating" a disease means reducing the extent and/or undesirable clinical signs of the disease state and/or slowing or prolonging the time course of the disease compared to no treatment. means to lose

By treatment, unless stated otherwise, is meant to reverse, ameliorate, inhibit the progression of, or prevent the disease or disorder to which the term applies, or one or more symptoms of the disease or disorder; The term treatment as used herein refers to the act of treating when treating is defined as above.

A composition is said to be "pharmaceutically or physiologically acceptable" if the recipient animal is able to tolerate administration of the composition, or if administration of the composition to the animal is suitable. An agent can be said to be administered in a "therapeutically effective amount" when the amount administered is physiologically important. An agent is physiologically meaningful if the presence of the agent results in a physiologically detectable change in the recipient patient.

As used herein, an “effective amount” is an appropriate amount that produces beneficial or desirable clinical or biochemical results. An effective amount can be administered once or more. For purposes of this invention, an effective amount of a stimulator is an amount appropriate to temporarily alleviate, ameliorate, stabilize, reverse, slow or retard the progression of the relevant disease state.

In the present invention, the term "prevention" refers to any action that inhibits or delays the occurrence, spread and recurrence of the disease or disease by administration of the protein or fragment thereof according to the present invention, or a composition containing the same.

A therapeutically effective amount of the composition of the present invention may vary depending on several factors, such as the method of administration, the target site, and the condition of the patient. Therefore, when used in the human body, the dosage should be determined in an appropriate amount considering both safety and efficiency. It is also possible to estimate the amount to be used in humans from the effective amount determined through animal experiments. These considerations in determining an effective amount can be found, for example, in Hardman and Limbird, eds., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 10th ed. (2001), Pergamon Press; and E.W. Martin ed., Remington's Pharmaceutical Sciences, 18th ed. (1990), Mack Publishing Co.

The pharmaceutical composition of the present invention is administered in a pharmaceutically effective amount. As used herein, the term "pharmaceutically effective amount" means an amount that is sufficient to treat a disease with a reasonable benefit / risk ratio applicable to medical treatment and does not cause side effects, and the effective dose level is the patient's Health condition, type of disease/illness, severity, activity of drug, sensitivity to drug, method of administration, time of administration, route of administration and excretion rate, duration of treatment, factors including drugs used in combination or concurrently, and other medical fields well known It can be determined according to known factors. The composition of the present invention may be administered as an individual therapeutic agent or in combination with other therapeutic agents, may be administered sequentially or simultaneously with conventional therapeutic agents, and may be administered singly or in multiple doses. Considering all of the above factors, it is important to administer the amount that can obtain the maximum effect with the minimum amount without side effects, which can be easily determined by those skilled in the art.

The pharmaceutical composition of the present invention may include a carrier, diluent, excipient, or a combination of two or more commonly used in biological preparations. As used herein, the term "pharmaceutically acceptable" means exhibiting non-toxic properties to cells or humans exposed to the composition. The carrier is not particularly limited as long as it is suitable for in vivo delivery of the composition. For example, Merck Index, 13th ed., Merck & Co. Inc. , saline, sterile water, Ringer's solution, buffered saline, dextrose solution, maltodextrin solution, glycerol, ethanol, and one or more of these components may be mixed and used. Customary additives may be added. In addition, diluents, dispersants, surfactants, binders, and lubricants may be additionally added to formulate formulations for injection, such as aqueous solutions, suspensions, and emulsions, pills, capsules, granules, or tablets. Furthermore, it can be preferably formulated according to each disease or component by using an appropriate method in the art or by using a method disclosed in Remington's Pharmaceutical Science (Mack Publishing Company, Easton PA, 18th, 1990).

In one embodiment, the pharmaceutical composition may be one or more formulations selected from the group consisting of oral formulations, external preparations, suppositories, sterile injection solutions, and sprays.

The composition of the present invention may also include a carrier, diluent, excipient or a combination of two or more commonly used in biological preparations. The pharmaceutically acceptable carrier is not particularly limited as long as it is suitable for in vivo delivery of the composition, for example, Merck Index, 13th ed., Merck & Co. Inc. , saline, sterile water, Ringer's solution, buffered saline, dextrose solution, maltodextrin solution, glycerol, ethanol, and one or more of these components may be mixed and used. Customary additives may be added. In addition, diluents, dispersants, surfactants, binders and lubricants may be additionally added to formulate formulations for injection such as aqueous solutions, suspensions, emulsions, etc., pills, capsules, granules or tablets. Furthermore, it can be preferably formulated according to each disease or component by using an appropriate method in the art or by using a method disclosed in Remington's Pharmaceutical Science (Mack Publishing Company, Easton PA, 18th, 1990).

In addition to the composition of the present invention, one or more active ingredients exhibiting the same or similar functions may be contained. The composition of the present invention includes 0.0001 to 10% by weight of the protein, preferably 0.001 to 1% by weight, based on the total weight of the composition.

The pharmaceutical composition of the present invention may further include pharmaceutically acceptable additives, wherein the pharmaceutically acceptable additives include starch, gelatinized starch, microcrystalline cellulose, lactose, povidone, colloidal silicon dioxide, and calcium hydrogen phosphate. , Lactose, Mannitol, Taffy, Gum Arabic, Pregelatinized Starch, Corn Starch, Powdered Cellulose, Hydroxypropyl Cellulose, Opadry, Sodium Starch Glycolate, Carnauba Lead, Synthetic Aluminum Silicate, Stearic Acid, Magnesium Stearate, Aluminum Stearate, Calcium stearate, white sugar, dextrose, sorbitol and talc may be used. The pharmaceutically acceptable additive according to the present invention is preferably included in an amount of 0.1 part by weight to 90 parts by weight based on the composition, but is not limited thereto.

The composition of the present invention may be parenterally administered (for example, intravenously, subcutaneously, intraperitoneally or topically applied) or orally, depending on the desired method, and the dosage may be determined by the patient's weight, age, sex, health condition, The range varies according to diet, administration time, administration method, excretion rate, and severity of disease.

Liquid formulations for oral administration of the composition of the present invention include suspensions, internal solutions, emulsions, syrups, etc., and various excipients such as wetting agents, sweeteners, aromatics, and preservatives in addition to water and liquid paraffin, which are commonly used simple diluents etc. may be included. Formulations for parenteral administration include sterilized aqueous solutions, non-aqueous solvents, suspensions, emulsions, freeze-dried formulations, suppositories, and the like.

In one aspect, the present invention relates to a food composition for preventing or improving chronic kidney disease, comprising extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells or their culture medium.

When the composition of the present invention is used as a food composition, the extracellular vesicles may be added as is or used together with other foods or food ingredients, and may be appropriately used according to conventional methods. In addition to the active ingredient, the composition may include food additives acceptable in food science, and the mixing amount of the active ingredient may be appropriately determined depending on the purpose of use (prevention, health or therapeutic treatment).

The term "food supplement additive" used in the present invention refers to a component that can be added to food supplementally, and can be appropriately selected and used by those skilled in the art as being added to prepare a health functional food of each formulation. Examples of food additives include various nutrients, vitamins, minerals (electrolytes), flavors such as synthetic flavors and natural flavors, colorants and fillers, pectic acid and its salts, alginic acid and its salts, organic acids, protective colloidal thickeners , pH regulators, stabilizers, preservatives, glycerin, alcohol, carbonation agents used in carbonated beverages, etc. are included, but the types of food additives of the present invention are not limited by the above examples.

The food composition of the present invention may include health functional food. The term "health functional food" used in the present invention refers to food prepared and processed in the form of tablets, capsules, powders, granules, liquids and pills using raw materials or ingredients having useful functionalities for the human body. Here, 'functionality' means obtaining useful effects for health purposes, such as adjusting nutrients for the structure and function of the human body or physiological functions. The health functional food of the present invention can be manufactured by a method commonly used in the conventional technical field, and can be prepared by adding raw materials and components commonly added in the conventional technical field at the time of manufacture. In addition, the formulation of the health functional food may also be manufactured without limitation as long as the formulation is recognized as a health functional food. The composition for food of the present invention can be prepared in various types of formulations.

In addition, there is no limitation on the type of health food in which the composition of the present invention can be used. In addition, the composition containing the extracellular vesicles of the present invention as an active ingredient may be prepared by mixing appropriate other auxiliary ingredients and known additives that may be contained in health functional foods according to the selection of those skilled in the art. Examples of foods that can be added include sauces, meat, sausages, bread, chocolate, candy, snacks, confectionery, pizza, ramen, other noodles, chewing gum, dairy products including ice cream, various soups, beverages, tea, drinks, and alcohol. There are beverages and vitamin complexes, and it can be prepared by adding the extract according to the present invention to juice, tea, jelly, juice, etc. prepared as a main component.

In one aspect, the present invention comprises the steps of (a) filtering the pineal gland hormone-treated mesenchymal stem cell culture medium with a 0.45 μm filter; (b) separating extracellular vesicles from the cell culture solution obtained in step (a) by tangential flow filtration; and (c) concentrating the extracellular vesicles obtained in step (b) with a centrifugal filter.

In one embodiment, the extracellular vesicles extracted from the pineal gland hormone-treated mesenchymal stem cells may be rich in proteins and nanoparticles.

In one aspect, the present invention relates to a method for treating an inflammatory disease or fibrotic disease by administering pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from a culture medium thereof to a subject suffering from an inflammatory disease or fibrotic disease.

In one embodiment, the inflammatory disease is diabetes, colitis, chronic and acute gastritis or enteritis, acute and chronic nephritis, acute and chronic hepatitis, chronic obstructive pulmonary disease, irritable bowel syndrome, inflammatory pain, arthritis, rheumatoid arthritis, ankylosing spondylitis and It may be any one selected from the group consisting of pancreatitis.

In one aspect, the present invention relates to a chronic kidney disease treatment method comprising administering pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from a culture thereof to a subject suffering from chronic kidney disease.

In one aspect, the present invention relates to the use of pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture for use in the preparation of a pharmaceutical composition for the prevention and treatment of inflammatory diseases or fibrotic diseases.

In one aspect, the present invention relates to the use of pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture for use in the preparation of a pharmaceutical composition for the prevention and treatment of chronic kidney disease.

The present invention will be described in more detail through the following examples. However, the following examples are only for specifying the content of the present invention, and the present invention is not limited thereto.

실시예 1. 송과선 호르몬 처리 중간엽 줄기세포의 세포외소포체 추출 및 특성 분석Example 1. Extracellular vesicle extraction and characterization of pineal hormone-treated mesenchymal stem cells

1-1. Pineal gland hormone-treated mesenchymal stem cell-derived extracellular vesicle isolation and purification

Extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells were obtained by extraction through tangential flow filtration. Specifically, when the density of adipose tissue-derived mesenchymal stem cells purchased from ATCC was > 80%, they were washed with PBS and treated with a serum-free medium containing 1 μM melatonin for 24 hours. cultured. Thereafter, the cell culture medium was recovered and filtered with a 0.45 μm filter, and then the cell culture medium was separated and purified by using a tangential fluid filtration system equipped with a 100 kDa MWCO membrane (membrane) to separate and purify the extracellular vesicles. Additionally, the extracellular vesicles were concentrated using a centrifugal filter.

1-2. Characterization of pineal hormone-treated mesenchymal stem cells-derived extracellular vesicles

In order to analyze the characteristics of the extracellular vesicles extracted from mesenchymal stem cells treated with pineal hormone in Example 1-1, they were observed under an electron microscope and nanoparticle tracking analysis and Western blot analysis were performed. In Western blot analysis, the expression of CD81 and CD9, which are extracellular ER marker proteins, was confirmed.

As a result, the size of the extracellular vesicles extracted from pineal gland hormone-treated mesenchymal stem cells was about 50 to 400 nm, and existed in a uniform size of 173.0 ± 1.0 nm on average (Fig. 1A and B), and the extracellular vesicle marker protein CD81 and CD9 were shown to be expressed (Fig. 1C). In addition, miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-, miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153- Expressions of 3p, miR-26a-2-3p and miR-486-5p were found to be increased (FIG. 1D).

실시예 2. 만성 콩팥병에 대한 항염증 및 항섬유화 효과Example 2. Anti-inflammatory and anti-fibrotic effects on chronic kidney disease

In order to confirm the effect of extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells on chronic kidney disease, a disease in which the kidneys are damaged for more than 3 months or the kidney function is continuously reduced, 6-week-old BALB /c Male mice were fed a diet containing 0.25% adenine for a total of 2 weeks to establish a chronic kidney disease mouse model, and 0.25% adenine-containing diet was started for 2 weeks after each group was treated with PBS or pineal gland hormone. Extracellular vesicles (100 μg) extracted from mesenchymal stem cells and extracellular vesicles (50 or 100 μg) extracted from pineal hormone-treated mesenchymal stem cells were intravenously injected twice a week for a total of 4 times. At the end of the experiment, the animals were euthanized, serum and kidney tissue were collected, and the therapeutic effect of the extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells was confirmed. In particular, in chronic kidney disease, uremic toxin in the bloodstream increases due to decreased kidney function, causing inflammation and fibrosis in the kidney. In order to confirm the anti-fibrotic effect, the concentrations of TNF-α, an inflammatory cytokine, and TGF-β, a fibrosis-promoting cytokine, were measured in the collected mouse serum of each group, and fibrosis in kidney tissue was measured using Masson's trichrome staining method and Picrosirius staining method. confirmed by

As a result, extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells significantly suppressed the concentrations of TNF-α and TGF-β in a mouse model of chronic kidney disease. It was found to be significantly higher than the endoplasmic reticulum (control extracellular vesicles) (Fig. 2A and B). In addition, in the mouse group treated with extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells, fibrosis in renal tissue was significantly reduced compared to mice in other groups (FIG. 3). Through this, it was confirmed that the extracellular vesicles extracted from the pineal gland hormone-treated mesenchymal stem cells of the present invention have anti-inflammatory and anti-fibrotic effects in chronic kidney disease.

실시예 3. 만성 콩팥병에 대한 섬유아세포 증식 억제 및 세포자멸 억제 효과Example 3. Fibroblast proliferation inhibition and apoptosis inhibitory effect on chronic kidney disease

Cells extracted from pineal gland hormone-treated mesenchymal stem cells are stimulated in chronic kidney disease kidney tissue, as proliferation of fibroblasts that synthesize collagen, a fibrotic protein, is promoted and apoptosis is induced in normal kidney cells. Proliferation of fibroblasts and apoptotic changes in renal cells in chronic kidney disease kidney tissue by exoendoplasmic reticulum treatment were confirmed. Specifically, the kidney tissue of the chronic kidney disease mouse model prepared in Example 2 was immunofluorescently stained with α-SMA (alpha smooth muscle actin) and PCNA (Proliferating cell nuclear antigen) to confirm the presence or absence of dividing cells, Apoptotic changes were confirmed by immunofluorescence staining with caspase-3.

As a result, it was found that the extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells significantly inhibited fibroblast division (Fig. 4A) and apoptosis in the kidneys of animals with chronic kidney disease (Fig. 4B).

실시예 4. 만성 콩팥병에 대한 신장 기능 회복 효과Example 4. Effect of renal function recovery on chronic kidney disease

In order to confirm the effect of restoring kidney function by extracellular vesicles extracted from mesenchymal stem cells treated with pineal gland hormone in mice with chronic kidney disease, after collecting kidney tissue and serum from mice with chronic kidney disease prepared in Example 2, kidney The expression of AQP2 (Aquaporin 2) and AQP5 (Aquaporin 5), which are water reabsorption-related proteins, were confirmed in tissues, and the levels of blood urea nitrogen (BUN) and creatinine, which are kidney function indicators, were confirmed in serum.

As a result, when the extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells were administered to animals with chronic kidney disease, the expression of AQP2 and AQP5 was found to be restored in a concentration-dependent manner (FIGS. 5A and B). In addition, it was found that the significantly increased BUN level and creatine level in mice with chronic kidney disease were significantly decreased in a concentration-dependent manner by the treatment of extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells (Fig. 5C and D).

실시예 5.Example 5. 당뇨병성diabetic 만성 콩팥병 질환 마커 microRNA 발현 변화 확인Confirmation of chronic kidney disease marker microRNA expression changes

The effect of extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells of the present invention on the expression of microRNA, which is used as a marker for diabetic chronic kidney disease, as its expression is increased in the urine of patients with diabetic kidney disease compared to normal subjects. It was confirmed in renal disease mice. Specifically, after injecting extracellular vesicles extracted from mesenchymal stem cells treated with pineal gland hormone into the chronic kidney disease mouse prepared in Example 2, the animal was euthanized to separate kidney tissue, and then using mirVana™ miRNA Isolation Kit From this, microRNA was isolated. Then, the expression of miR-4270, miR-4739, miR-636, miR-320c, and miR-572, which are known to be increased in diabetic chronic kidney disease patients, was confirmed using the maxima SYBR/ROX qPCR master mix kit. .

As a result, expression of diabetic chronic kidney disease markers miR-4270, miR-4739, miR-636, miR-320c and miR-572 when extracellular vesicles extracted from mesenchymal stem cells treated with pineal gland hormone were injected into chronic kidney disease animals. As shown in Fig. 6, the extracellular vesicles extracted from pineal hormone-treated mesenchymal stem cells of the present invention can be effective in the treatment of diabetic chronic kidney disease.

Claims

A pharmaceutical composition for preventing or treating inflammatory diseases or fibrotic diseases comprising, as an active ingredient, pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture medium.
The method of claim 1, wherein the extracellular vesicle is miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p or miR- A pharmaceutical composition for preventing or treating inflammatory diseases or fibrotic diseases in which 486-5p is overexpressed.
The pharmaceutical composition for preventing or treating inflammatory diseases or fibrotic diseases according to claim 1, wherein the mesenchymal stem cells are mesenchymal stem cells derived from umbilical cord, cord blood, bone marrow, fat, muscle, nerve, skin, amnion or placenta.
According to claim 1, the inflammatory disease is diabetes, colitis, chronic and acute gastritis or enteritis, acute and chronic nephritis, acute and chronic hepatitis, chronic obstructive pulmonary disease, irritable bowel syndrome, inflammatory pain, arthritis, rheumatoid arthritis, ankylosing spondylitis And any one selected from the group consisting of pancreatitis, a pharmaceutical composition for the prevention or treatment of inflammatory diseases or fibrotic diseases.
According to claim 1, wherein the fibrotic disease is any one selected from the group consisting of renal fibrosis, liver fibrosis and pulmonary fibrosis, inflammatory disease or fibrotic disease prevention or treatment pharmaceutical composition.
The method of claim 1, wherein the pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are:

(a) filtering the cell culture medium of stem cells co-cultured with pineal gland hormone using a filter;

(b) separating the extracellular vesicles from the filtered cell culture medium by tangential fluid filtration; and

(C) a pharmaceutical composition for the prevention or treatment of inflammatory diseases or fibrotic diseases, which is prepared by a manufacturing method comprising the step of concentrating the separated extracellular vesicles with a centrifugal filter (centrifugal filter).
A pharmaceutical composition for preventing or treating chronic kidney disease, comprising pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture medium as an active ingredient.
The method of claim 7, wherein the extracellular vesicle is miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p or miR- A pharmaceutical composition for preventing or treating chronic kidney disease in which 486-5p is overexpressed.
The method of claim 7, wherein the chronic kidney disease is any one selected from the group consisting of diabetic nephropathy, hypertensive nephropathy, and ischemic nephropathy, preventing or treating chronic kidney disease. pharmaceutical composition for use.
The method of claim 7, wherein the pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are:

(a) filtering the cell culture medium of stem cells co-cultured with pineal gland hormone using a filter;

(b) separating extracellular vesicles from the filtered cell culture medium by tangential flow filtration; and

(c) a pharmaceutical composition for preventing or treating chronic kidney disease, which is prepared by a manufacturing method comprising the step of concentrating the separated extracellular vesicles with a centrifugal filter.
The pharmaceutical composition for preventing or treating chronic kidney disease according to claim 7, which has an anti-inflammatory effect.
The pharmaceutical composition for preventing or treating chronic kidney disease according to claim 7, which has an anti-fibrotic effect.
One selected from the group consisting of miR-29b-3p, let-7a-3p, let-7b-5p, let-7c-3p, miR-153-3p, miR-26a-2-3p and miR-486-5p A pharmaceutical composition for preventing or treating chronic kidney disease, comprising the above microRNA as an active ingredient.
[Claim 14] The pharmaceutical composition for preventing or treating chronic kidney disease according to claim 13, which is an extracellular endoplasmic reticulum-derived microRNA.
14. The method of claim 13, wherein the micro RNA is:

(i) filtering the cell culture medium of stem cells co-cultured with pineal gland hormone using a filter;

(ii) separating extracellular vesicles from the filtered cell culture medium by tangential flow filtration; and

(iii) a pharmaceutical composition for preventing or treating chronic kidney disease, which is prepared by a manufacturing method comprising the step of isolating microRNA from the separated extracellular vesicles.
A method for treating inflammatory diseases or fibrotic diseases, wherein pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are administered to individuals suffering from inflammatory diseases or fibrotic diseases.
17. The method of claim 16, wherein the inflammatory disease is diabetes, colitis, chronic and acute gastritis or enteritis, acute and chronic nephritis, acute and chronic hepatitis, chronic obstructive pulmonary disease, irritable bowel syndrome, inflammatory pain, arthritis, rheumatoid arthritis, ankylosing spondylitis And any one selected from the group consisting of pancreatitis, inflammatory disease or fibrotic disease treatment method.
A method for treating chronic kidney disease, wherein pineal gland hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture are administered to individuals suffering from chronic kidney disease.
Use of pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture for use in the preparation of a pharmaceutical composition for the prevention and treatment of inflammatory diseases or fibrotic diseases.
20. The method of claim 19, wherein the inflammatory disease is diabetes, colitis, chronic and acute gastritis or enteritis, acute and chronic nephritis, acute and chronic hepatitis, chronic obstructive pulmonary disease, irritable bowel syndrome, inflammatory pain, arthritis, rheumatoid arthritis, ankylosing spondylitis And any one selected from the group consisting of pancreatitis, use.
Use of pineal hormone-treated mesenchymal stem cells or extracellular vesicles extracted from their culture for use in the preparation of a pharmaceutical composition for the prevention and treatment of chronic kidney disease.