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TWI248973B - Methods for the treatment of cellular proliferative disorders - Google Patents

Methods for the treatment of cellular proliferative disorders Download PDF

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TWI248973B
TWI248973B TW90126592A TW90126592A TWI248973B TW I248973 B TWI248973 B TW I248973B TW 90126592 A TW90126592 A TW 90126592A TW 90126592 A TW90126592 A TW 90126592A TW I248973 B TWI248973 B TW I248973B
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Taiwan
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virus
tumor
cancer
cells
leo
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TW90126592A
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Chinese (zh)
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Matthew C Coffey
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Oncolytics Biotech Inc
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Abstract

The present invention relates to methods of identifying the susceptibility of cells to reovirus infection by measuring constitutive ras-MAP signaling. The invention also pertains to methods using reovirus for the treatment of cellular proliferative disorders, and particularly cellular proliferative disorders wherein the proliferating cells exhibit constitutive MAPK phosphorylation, in mammals. In particular, the methods provide for reovirus treatment of mammals to treat proliferative disorders which include breast tumors, a subset of tumors in which mutation of the ras gene is not believed to play a significant role.

Description

1248973 A7 B7 五、發明説明(1 ) 發明範圍 本發明係有關於藉測量結構性ras-MAP發訊以確認細胞 對里歐病毒感染感受性之方法。本發明亦有關於使用里歐 病毒治療細胞增殖失調之方法,且特定言之為哺乳動物的 細胞增殖失調,其中該增殖細胞呈現結構性MAPK磷酸化. 。特定言之,本方法係提供哺乳動物之里歐病毒治療法以 治療其增殖失調,其中包含乳房腫瘤、以及ras基因突變應 非主因之腫瘤次族群。 參考文獻 下列文獻、專利申請案及專利在此以引用之方式併入本 申請案: 美國專利案號5,023,252。 W0 99/08692,1999年 2月 5 日發表。 亞確(Archer)爭乂( 1995),Br· J. Cancer 72:1259-1266。 阿姆斯壯(Armstrong),G.D·等人(1984),Virology 138:37。 巴爾巴席德(Barbacid),M·,Annu Rev. Biochem·,56:779-827 (1987) 〇 巴協加(Baselga)等人(1996),J_ Clin· One· 14:737-744。 伯司(Bos),J. (1989) Cancer Res. 49:4682 〇 卡特(Carter)等人(1992),PNAS 89:4285-4289。 千仲(Chandron)及尼伯特(Nibert),’’Protease cleavage of reovirus capsid protein mul and mulC is blocked by alkyl sulfate detergents, yielding a new type of infectious subvirion particle’’,J. of Virology 72(1):467-75 (1998)。 -4- 本紙張尺度適用中國國家榡準(CNS) A4規格(210 X 297公爱)1248973 A7 B7 V. INSTRUCTIONS OF THE INVENTION (1) Scope of the Invention The present invention relates to a method for confirming the sensitivity of a cell to a virus infection in Central Europe by measuring a structural ras-MAP. The invention also relates to a method of treating a disorder of cell proliferation using a Leovirus, and in particular a mammalian cell proliferation disorder, wherein the proliferating cell exhibits structural MAPK phosphorylation. In particular, the present method provides a mammalian solution for the treatment of proliferative disorders in mammals, including breast tumors, and tumor subpopulations in which ras gene mutations are not the primary cause. REFERENCES The following documents, patent applications, and patents are hereby incorporated by reference in its entirety in its entirety in its entirety in its entirety in W0 99/08692, published on February 5, 1999. Archer (1995), Br. J. Cancer 72: 1259-1266. Armstrong, G.D. et al. (1984), Virology 138:37. Barbacid, M., Annu Rev. Biochem, 56: 779-827 (1987) Baselga et al. (1996), J_Clin·One 14: 737-744. Bos, J. (1989) Cancer Res. 49:4682 Carter et al. (1992), PNAS 89: 4285-4289. "Chandron" and "Nibert", ''Protease cleavage of reovirus capsid protein mul and mulC is blocked by alkyl sulfate detergents, yielding a new type of infectious subvirion particle'', J. of Virology 72(1) :467-75 (1998). -4- This paper scale applies to China National Standard (CNS) A4 specification (210 X 297 public)

1248973 A7 B7 五、發明説明(2 ) 喬伯特(Chaubert),P.等人,(1994),Am· J. Path· 144:767。 克拉克(Clark)等人,(1995),Science 268:233-239。 克拉克等人(1996),Inti. J. Cancer 65: 186-191 〇 卡夫(Cuff)等人,,’Enteric reovirus infection as a probe to study immunotoxicity of the gastrointestinal tract” Toxicological Sciences 42(2):99-108 (1998)。 迪多門尼科(DiDomenico)等人(1996),Cancer Res. 56:4516-4521。 鄧肯(Duncan)等人,"Conformational and functional analysis of the C-terminal globular head of the reovirus cell attachment protein” Virology 182(2):810-9 (1991)。 德佛拉克(Dvorak)等人( 1988),Am J Path 133:95-109。 菲爾茲(Fields),Β·Ν·等人(1996),Fundamental Virology, 3rd Edition,Lippincott-Raven o 簡祖(Gentsch),J.R.K.及帕西提(Pacitti),A.F. (1985),J. Virol. 56:356 o E.哈爾婁(Harlow)及 D.連(Lane),’丨Antibodies: A laboratory manualn,Cold Spring Harbor Laboratory ( 1988) o 哈爾維斯(Harweth)等人(1992),J Biol Chem 267:15160-15167 。 休德柴克(Hudziak)等人(1989),Mol Cell Biol 9:1165-1172。 杭(Hung)等人( 1995),Gene 159:65-71 〇 賈可伯司(Jacob s)等人(1983),Cancer Res 43:1696-1702 o 簡斯(Janes),P.W·,等人(1994) Oncogene 9:3601。 -5- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐) 1248973 A7 B7 五、發明説明(3 ) 賈丁斯(Jardines)等人(1993) Pathobiology 61:268-282。 寇顏德斯(Koenders)等人(1991),Cancer Res 51:4544-4548。 李(Lee). J.M·等人( 1993) PNAS 90:5742-5746。 李(Lee),P.W.K·等人(1981) Virology,108:134·146。 雷維茲基(Levitzki),Α· (1994) Eur· J. Biochem. 226:1。 羅維(Lowe). S.W.等人(1994) Science,807-8 10。 瑪(Mah)等人 M The N-terminal quarter of reovirus cell attachment protein sigma 1 possesses intrinsic virion-anchoring function丨’ Virology 179(1):95-103 (1990) o 米格里亞希歐(Migliaccio)等人(1996), EMBO J 15:1292-1300 〇 米格里亞希歐等人( 1998),EMBO J 17:2008-2018。 米黎司(Millis),NE等人(1995) Cancer Res. 55:1444。 拿紀(Nagy)等人(1989) Biochim Biophys Acta 948:305-326。 保羅(Paul) R.W.等人(1989) Virology 172:3 82-3 85。 皮崔司(Pietras)等人( 1994),Oncogene 9: 1829-1838。 雷伯德-戴歐建(Raybaud-Diogene)· H_ 等人( 1997) J. Clin· Oncology,15(3):1030-1038。1248973 A7 B7 V. INSTRUCTIONS (2) Chaubert, P. et al. (1994), Am. J. Path. 144:767. Clark et al. (1995), Science 268: 233-239. Clark et al. (1996), Inti. J. Cancer 65: 186-191, Cuff et al., 'Enteric reovirus infection as a probe to study immunotoxicity of the gastrointestinal tract.' Toxicological Sciences 42(2):99 -108 (1998) DiDomenico et al. (1996), Cancer Res. 56:4516-4521. Duncan et al., "Conformational and functional analysis of the C-terminal globular head of the Reovirus cell attachment protein" Virology 182(2): 810-9 (1991). Dvorak et al. (1988), Am J Path 133: 95-109. Fields, Β·Ν· et al. (1996), Fundamental Virology, 3rd Edition, Lippincott-Raven o Gentsch, JRK and Pacitti, AF (1985), J. Virol 56:356 o E. Harlow and D. Lian, '丨Antibodies: A laboratory manualn, Cold Spring Harbor Laboratory (1988) o Harweth et al. (1992), J Biol Chem 267: 15160-15167. Hudziak et al. (1989), Mol Cell Biol 9: 1165-1172. Hung et al. (1995), Gene 159: 65-71, Jacobs et al. (1983), Cancer Res 43: 1696-1702 o Janes, PW, et al. (1994) Oncogene 9:3601. -5- This paper scale applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm) 1248973 A7 B7 V. Description of invention (3) Jardines et al. (1993) Pathobiology 61:268-282. Koenders et al. (1991), Cancer Res 51:4544-4548. Lee (Lee). J. M. et al. (1993) PNAS 90: 5742-5746. Lee, P. W. K. et al. (1981) Virology, 108: 134. Levitzki, Α (1994) Eur J. Biochem. 226:1. Lowe. S. W. et al. (1994) Science, 807-8 10. M The N-terminal quarter of reovirus cell attachment protein sigma 1 possesses intrinsic virion-anchoring function丨 Virology 179(1): 95-103 (1990) o Migliaccio et al. (1996), EMBO J 15: 1292-1300 〇米格里希欧 et al. (1998), EMBO J 17:2008-2018. Millis, NE et al. (1995) Cancer Res. 55:1444. Nagy et al. (1989) Biochim Biophys Acta 948: 305-326. Paul R. W. et al. (1989) Virology 172: 3 82-3 85. Pietras et al. (1994), Oncogene 9: 1829-1838. Raybaud-Diogene H_ et al. (1997) J. Clin Oncology, 15(3): 1030-1038.

Remington’s Pharmaceutical Sciences, Mace Publishing Company,Philadelphia PA 17th ed. (1985) o 羅森(Rosen),L· ( 1960) Am· J. Hyg.71:242。 沙賓(Sabin),A.B. (1959),Science 130:966。 霞克尼(Shackney)等人(1998),Clin Cancer Res 4:913-928 〇 -6- 本紙張尺度適用中國國家榡準(CNS) A4規格(210X 297公釐) 螫Remington’s Pharmaceutical Sciences, Mace Publishing Company, Philadelphia PA 17th ed. (1985) o Rosen, L. (1960) Am. J. Hyg. 71:242. Sabin, A.B. (1959), Science 130:966. Shackney et al. (1998), Clin Cancer Res 4: 913-928 〇 -6- This paper scale applies to China National Standard (CNS) A4 specification (210X 297 mm) 螫

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1248973 A7 B7 五、發明説明(4 ) 斯拉蒙(Slamon)等人(1989),Science 244:707-712。 史密斯(Smith),R.E.等人(1969) Virology, 39:791-800。 史班迪歐多斯(Spandiodos) (1987),Anticancer Res 7:991-996 〇 史坦力(Stanley),N.F· (1967) Br. Med. Bull· 23:150。 史壯(Strong) J.E.等人,( 1993) Virology,197:405-41 1。 史壯,J.E·及李,P.W.K·,(1996) J. Virol.,70:612-616。 史壯,J.E.等人,(1998) EMBO J,17:3351-3362。 透納(Turner)及鄭肯(Duncan),"Site directed mutageneis of the C-terminal portion of reovirus protein sigmal :evidence for a conformation-dependent receptor binding domain11 Virology 186(1):219_27 (1992)。 佛畢克(Verbeek)等人( 1996) J Path 180:383-388。 維司慕樂(Wiessmuller),L.及維;丁霍佛(\\^1:111§]1〇€61·),?· (1994),Cellular signaling 6(3):247-267。 周(Zhou)等人(1989),Oncogene 4:105-108。 上述所有文獻、專利申請案及專利全文皆以引用方式併, 入本文中,各文獻、專利申請案及專利之引用地位皆等同 於特定及個別地將各全文以引用的方式併入本文中。 技藝說明 正常細胞增殖係藉促進生長原致癌基因及抑制生長腫瘤-抑制基因之間的平衡加以調節。腫瘤發生可起因於某些基 因組之遺傳變異,其可導致控制細胞信號闡釋作用之細胞 元件突變’如原致癌基因活性的增強或腫瘤抑制作用之不 -7- 本紙張尺度適用中國國家檩準(CNS) A4規格(210X297公釐)1248973 A7 B7 V. INSTRUCTIONS (4) Slamon et al. (1989), Science 244: 707-712. Smith, R.E., et al. (1969) Virology, 39:791-800. Spadiodos (1987), Anticancer Res 7:991-996 S Stanley, N.F. (1967) Br. Med. Bull 23:150. Strong J.E. et al. (1993) Virology, 197:405-41 1. Shi Zhuang, J.E. and Li, P.W.K., (1996) J. Virol., 70:612-616. Shi Zhuang, J.E., et al. (1998) EMBO J, 17: 3351-3362. Turner and Duncan, "Site directed mutageneis of the C-terminal portion of reovirus protein sigmal :evidence for a conformation-dependent receptor binding domain 11 Virology 186(1): 219_27 (1992). Verbeek et al. (1996) J Path 180: 383-388. Wiessmuller, L. and Wei; Ding Huofo (\\^1:111§]1〇€61·),? (1994), Cellular signaling 6(3): 247-267. Zhou et al. (1989), Oncogene 4: 105-108. All of the above-mentioned documents, patent applications, and patents are hereby incorporated by reference in their entirety in their entireties in the the the the the the the the Technical Description Normal cell proliferation is regulated by promoting the balance between growth of the proto-oncogene and inhibition of growth tumor-suppressor genes. Tumor development can result from genetic variation in certain genomes, which can lead to mutations in cellular components that control cellular signal interpretation. For example, the enhancement of the activity of the original oncogene or the inhibition of tumors -7 - the paper scale is applicable to the Chinese national standard ( CNS) A4 size (210X297 mm)

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線 1248973 A7 _B7 _ 五、發明説明(5 ) 活化。咸信這些信號闡釋作用最後可影響細胞生長及分化 ,且錯誤闡釋信號可導致贅瘤生長(贅瘤形成)。 原致癌基因Ras之遺傳變異咸信造成了約30%之所有人類 腫瘤(維司慕樂,L.及維汀霍佛,F. (1994),Cellular Signaling 6(3):247-267 ;巴爾巴席德,]^.(1987)八1^¥· Biochem· 56, 779-827)。Ras於人類腫瘤發病所扮演角色係 係決定於腫瘤類型。Ras本身之活化突變見於大部分之人 類惡性腫瘤類型,且常見於胰臟癌(80% )、偶發於結腸直 腸癌(40-50%)、人類肺腺癌(15-24%)、甲狀腺腫瘤(50%) 及骨髓性白血病(30%)(米黎司,NE等人,(1995) Cancer Res. 55:1444;喬伯特,Ρ·等人(1994),Am. J· Path· 144:767 ; 伯司,J. (1989) Cancer Res. 49:4682)。Ras激活作用亦可藉 上游有絲分裂發訊元件來顯現,特別係經由酪胺酸接受器 激酶(RTKs)。這些上游元件(若放大或過度表現)最終可藉 Ras之信號轉導活性而導致Ras活性升高。其實例包含某些 神經膠母細胞瘤型式、以及乳癌之c-erbB-2/neu的PDGFR過 度表現(雷維茲基,A· (1994) Eur. J. Biochem· 226:1 ;簡斯, P.W·,爭入(1994) Oncogene 9:3601 ;伯司,1.(1989) CancerLine 1248973 A7 _B7 _ V. Description of invention (5) Activation. The signal interpretation of these signals can ultimately affect cell growth and differentiation, and misinterpretation of signals can lead to tumor growth (tumor formation). The genetic variation of the original oncogene Ras has caused about 30% of all human tumors (Vistula, L. and Wittenhofer, F. (1994), Cellular Signaling 6(3): 247-267; Barr Bassett,]^.(1987) 八1^¥· Biochem· 56, 779-827). The role of Ras in the pathogenesis of human tumors is determined by the type of tumor. The activating mutation of Ras itself is found in most human malignant tumor types, and is common in pancreatic cancer (80%), occasional in colorectal cancer (40-50%), human lung adenocarcinoma (15-24%), thyroid tumor. (50%) and myeloid leukemia (30%) (Millies, NE et al., (1995) Cancer Res. 55:1444; Joebert, Ρ· et al. (1994), Am. J. Path· 144 :767 ; Boss, J. (1989) Cancer Res. 49:4682). Ras activation can also be manifested by upstream mitotic signaling elements, particularly via tyrosine acceptor kinases (RTKs). These upstream elements (if amplified or overexpressed) eventually lead to an increase in Ras activity by the signal transduction activity of Ras. Examples include certain glioblastoma types, and PDGFR overexpression of c-erbB-2/neu in breast cancer (Revizki, A. (1994) Eur. J. Biochem 226:1; Janes, PW·, Striving (1994) Oncogene 9:3601; Boss, 1. (1989) Cancer

Res. 49:4682) ° 目前治療贊瘤形成之方法包含手術、化學療法及放射療 法。手術典型係用於治療早期癌症;然而,許多腫瘤無法 藉由手術方式完全移除。除此之外,贅瘤轉移生長使手術 無法完全治癒癌症。化學療法包含投予具抗腫瘤活性之化 合物’如烷基化劑、抗代謝物、及抗腫瘤抗生素。化學療 -8- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)Res. 49:4682) ° Current methods of treating tumor formation include surgery, chemotherapy, and radiation therapy. Surgery is typically used to treat early cancer; however, many tumors cannot be completely removed by surgery. In addition, the metastatic growth of the tumor prevents the surgery from completely curing the cancer. Chemotherapy comprises administering a compound having antitumor activity such as an alkylating agent, an antimetabolite, and an antitumor antibiotic. Chemotherapy -8- This paper scale applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm)

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1248973 A7 ___B7 五、發明説明(6 ) 法之效用通常受限於嚴重副作用,其包含噁心及嘔吐、骨 髓抑制、腎損害、及中樞神經系統抑制。放射療法係利用 於放射療法後,正常細胞比贅瘤細胞具有較大的自我修復 能力。然而,由於腫瘤周圍之組織感受性,許多贅瘤無法 使用放射療法治療。除此之外,某些腫瘤已顯示出對放射 療法具抵抗性,該類腫瘤可依賴致癌基因或細胞抗_致癌基 因狀態來治療(李· J.M·等人,(1993) PNAS 90:5742-5746 ; 羅維 S.W.等人(1994) Science,266:807-810 ;雷伯德.戴歐 建 H·等人 ’(1997) J. Clin. Oncology,15(3) : 1030-1038) 〇 乳癌係女性取$見且畏懼的癌症之=,估計每八名美國 女性就有一名罹患此病(NCI-SEER,1998)。雖然乳癌治療 已有極大成就’於面對逐漸增加的患病率時其死亡率並未 上升’這些進步大多數可歸因於早期檢測方法及非新類治 療策略之進步改良。但於實際治療該痛苦方面卻少有進展 ’故需要彳木索非傳統治療策略。 在癌症生物學中,乳癌治療之發展從未如目前有希望。 在這些療法中許多係標定於該癌症亞型中過度表現之特定 接受器’目前已發現其某些臨床用途。這些新療法中最有 希望者係使用可標定經常於乳癌中過度表現之HER2接受器 的抗體。直接將這些單株抗體使用於該生長因子接受器之 細胞外部分所產生的結果甚有可為,並已達成某些臨床成 就(巴協加,1996 ;詳見於那司(Nass),1998 ;杭,1995)。然 而,其中仍有許多需要處理之技術障礙。首先,這些專一 對抗HER2足單株抗體本身無法殺死細胞,而係使細胞靜止 -9 - 本紙張尺舰财®國格(21〇^iy 1248973 A7 B7 五、發明説明(7 (皮崔司’ 1994,哈爾維斯(Harwerth),1992 ;休德柴克, 1989 ;卡特(Carter),1992)。重點是,於SCID或裸鼠模式 中,抗-HER2抗體僅能抑制腫瘤生長而不是實際上引起腫 瘤退化。再者,抗體投藥一旦停止,腫瘤生長的抑制快速 消失。更不利的是,有證據顯示用抗-HER2抗體治療免疫 反應潛力動物之腫瘤可實際上可導致由抗體-決定性細胞性 細胞毒素作用(ADCC)所媒介的殺害細胞作用(卡特,ι992) 。其次,標定生長因子接受器( EGFR)之重要性可能受限, 因並非所有乳癌皆會高度表現這些接受器。此外,該策略 方法僅標定接受器酪胺酸激酶且對那些.過度表現非·接受器 酪胺酸激酶(如Src)之乳癌具微小療效,而Src已被認為與 某些乳癌之生長有關(克拉克,1996)。最後,亦需腫瘤血 管之生物學來考慮輸送這些巨大分子至其標的細胞之能力 。經顯示腫瘤血管之分佈為異質性的,且其血管滲出巨大 分子(如抗體)之能力係決定於其對腫瘤團塊之空間定向功 能(德佛拉克,1988 ;拿紀及德佛拉克,1989)。已顯示對這 些分子具有最大滲透性之血管主要分佈於腫瘤-宿主接觸面 ,而滲透性最小之血管則為實際上穿透腫瘤團塊者(德佛拉 克,19 8 8)。不同的滲透性使這些腫瘤特定抗體及其細胞致 死受動細胞可能無法滲透腫瘤團塊並僅可作用於團塊周圍。 除了 ras活化突變係罕見於乳癌之事實以外’愈來愈多的 證據顯示Ras/MAPK路徑之激活作用對於該疾病之激發及 發展相當重要。Ras路徑之上游元件,特別係接受器酪胺 酸激酶(RTK),經常於乳癌中過度表現。所有乳癌中約 -10- 本紙張尺度適用中國國家標準(CNS) A4规格(210 X 297公釐)1248973 A7 ___B7 V. INSTRUCTIONS (6) The utility of the method is usually limited by serious side effects including nausea and vomiting, osteomyelin, renal damage, and central nervous system depression. After radiation therapy is used in radiation therapy, normal cells have greater self-healing ability than tumor cells. However, many tumors cannot be treated with radiation therapy due to tissue susceptibility around the tumor. In addition, some tumors have been shown to be resistant to radiation therapy, which can be treated with oncogene or cell anti-oncogene status (Li JM et al., (1993) PNAS 90:5742- 5746 ; Rowe SW et al. (1994) Science, 266: 807-810; Lei Bode. Dai Oujian H. et al. (1997) J. Clin. Oncology, 15(3): 1030-1038) Women who take $ see and fear cancer are estimated to have one out of every eight American women (NCI-SEER, 1998). Although breast cancer treatment has achieved great success, its mortality has not risen in the face of increasing prevalence. Most of these advances can be attributed to advances in early detection methods and non-new treatment strategies. However, there has been little progress in the actual treatment of this pain. Therefore, it is necessary to use the traditional treatment strategy of eucalyptus. In cancer biology, the development of breast cancer treatment has never been as promising. Many of these therapies have been identified for certain clinical uses of specific receptors that are over-expressed in this cancer subtype. The most promising of these new therapies are antibodies that calibrate HER2 receptors that are often overexpressed in breast cancer. The results obtained by directly using these monoclonal antibodies in the extracellular portion of the growth factor receptor are very promising, and some clinical achievements have been achieved (Ba Xiejia, 1996; see Nass, 1998). ; Hang, 1995). However, there are still many technical barriers to deal with. First of all, these antibodies against the HER2 foot alone can not kill the cells themselves, but the cells make the cells quiescent-9 - This paper ruler ® ® 国 (21〇^iy 1248973 A7 B7 V, invention description (7 (Pitris '1994, Harwerth, 1992; Hugh Tecker, 1989; Carter, 1992). The point is that in SCID or nude mouse models, anti-HER2 antibodies only inhibit tumor growth rather than In fact, the tumor is degraded. Furthermore, once the antibody administration is stopped, the inhibition of tumor growth disappears rapidly. What is more unfavorable is that there is evidence that treatment of tumors with anti-HER2 antibodies to immunoreactive potential animals can actually lead to antibody-determination. Cellular cytotoxic effect (ADCC) mediates the killing effect (Carter, ι992). Second, the importance of calibrating growth factor receptors (EGFR) may be limited, as not all breast cancers will highly express these receptors. This strategy approach only calibrates the receptor tyrosine kinase and has a minor effect on breast cancer that overexpresses non-receptor tyrosine kinases (such as Src), while Src has been identified as certain milk Related to growth (Clark, 1996). Finally, the biology of tumor blood vessels is also needed to consider the ability to deliver these giant molecules to their target cells. It has been shown that the distribution of tumor blood vessels is heterogeneous and that their blood vessels ooze out of giant molecules (eg The ability of antibodies) is determined by its spatial orientation to tumor mass (De Flack, 1988; Naji and Defrak, 1989). It has been shown that the vessels with the greatest permeability to these molecules are mainly distributed in tumor-hosts. The contact surface, and the least permeable blood vessels are those who actually penetrate the tumor mass (Develak, 1988). Different permeability makes these tumor-specific antibodies and their cell-killing cells may not penetrate the tumor mass. It can only act around the mass. In addition to the fact that ras activating mutations are rare in breast cancer, 'increasing evidence suggests that the activation of the Ras/MAPK pathway is important for the activation and progression of the disease. The upstream components of the Ras pathway In particular, the receptor tyrosine kinase (RTK) is often overexpressed in breast cancer. About -10- of this paper scale is suitable for all breast cancers. National Standards (CNS) A4 size (210 X 297 mm)

1248973 A7 B7 五、發明説明(8 )1248973 A7 B7 V. Description of invention (8)

30%有HER-2/neu(erbB-2)呈過度表現(史班迪歐多斯, 1987;周,1989;亞確,1995)並有關於不良之病患預後(斯拉 蒙,1989)。當於NIH-3T3細胞中過度表現時,HER-2可媒介 轉化作用;然而,其中顯示出過度表現須達到一底線濃度 方能促使轉化作用發生(賈丁斯,1993;克拉克,1995)。該 HER_2之轉化能力似乎取決於Ras活性,因為過度表現HER-2之細胞株展現出戲劇性的MAP激酶活性增加,後者為Ras 活性之反映(簡斯,1994)。與HER-2密切相關但互異之生長 因子受體EGFR亦已觀察到於乳房腫瘤中過度表現,並亦與 不良病患預後息息相關(霞克尼,1998 寇顏德斯,1991)。30% have HER-2/neu (erbB-2) overexpressed (Sbandodiods, 1987; Zhou, 1989; Aya, 1995) and have a prognosis for patients with adverse conditions (Slammon, 1989) . When overexpressed in NIH-3T3 cells, HER-2 can mediate transformation; however, it shows that overexpression must reach a baseline concentration to promote transformation (Jardins, 1993; Clark, 1995). The ability to transform HER_2 appears to be dependent on Ras activity, as cell lines overexpressing HER-2 exhibit dramatic increases in MAP kinase activity, which is a reflection of Ras activity (Janes, 1994). The growth factor receptor EGFR, which is closely related to HER-2 but is different from each other, has also been observed to be overexpressed in breast tumors and is also associated with the prognosis of adverse patients (Charkny, 1998, Yan Deides, 1991).

Ras上游之附加元件亦與乳癌病原學相牽連。非-接受器 酪胺酸激酶c-Src為促進乳癌發展之重要候選物。某些研究 顯示與正常乳房組織相比、原發性乳癌腫瘤之c-Src活性增 加了 -4至_30倍(佛畢克司(Verbeeks),1996 ;賈可伯司及魯 伯撒曼(Rubsamen),1983)。C-Src應於來自經由 Ras/MAPK 路徑之雌激素及黃體激素接受器兩者之信號傳送中皆扮演 重要角色。某些團體已觀察到使用雌二醇處理乳房腫瘤來 源之MCF-7細胞可導致c-Src激酶活性之激活作用,最終產 生MAPK之激活作用(迪多門尼科,1996;米格里亞希歐, 1996)。近來,米格里亞希歐·( 1998)已在T47D乳癌細胞中 證明由黃體激素所刺激之細胞增殖係取決於Src/ Ras/ MAPK 之發訊。類固醇接受器可利用Ras作為其發訊之事實顯示 Ras可能於促進ER及PR陽性乳房腫瘤生長中所扮演的角色 更加重要。 -11 - 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐) 1248973 A7 B7 五、發明説明(9 )Additional components upstream of Ras are also implicated in breast cancer etiology. Non-receptor The tyrosine kinase c-Src is an important candidate for the development of breast cancer. Some studies have shown that c-Src activity in primary breast cancer tumors is increased by -4 to _30 times compared to normal breast tissue (Verbeeks, 1996; Jakob and Rubsamen) ), 1983). C-Src should play an important role in signal transmission from both estrogen and progesterone receptors via the Ras/MAPK pathway. Some groups have observed that treatment of breast cancer-derived MCF-7 cells with estradiol can lead to activation of c-Src kinase activity, ultimately resulting in activation of MAPK (Didomenico, 1996; Migliacio) , 1996). Recently, Migliacio (1998) has demonstrated that cell proliferation stimulated by progesterone is dependent on Src/Ras/MAPK in T47D breast cancer cells. The fact that steroid receptors can use Ras as their signaling shows that Ras may play a more important role in promoting the growth of ER and PR-positive breast tumors. -11 - The paper size applies to the Chinese National Standard (CNS) A4 specification (210 X 297 mm) 1248973 A7 B7 V. Description of invention (9)

Ras本身於乳癌發展可能亦扮演較當初想像中更關键的角 色。雖然Ras之活化突變罕見於乳癌發展,但已觀察到乳 房腫瘤中正常H-Ras之過度表現(霞克尼,1998;史班迪歐多 斯,1987)。該Ras之過度表現可提供一未耦合正常信號轉 導之額外機制並可促進腫瘤生成狀況。综合這些資料顯示 出在新穎乳癌療法之發展方面尋求標定活化Ras路徑之可 行性。 之前已說明里歐病毒僅能於包含已活化Ras發訊路徑之 細胞中進行複製,其可經由Ras本身之直接突變或經由可 導致活化之上游元件(史壯,1993;史壯.,1998)。除此之外 ,證據顯示在生體中里歐病毒可用以對抗含有Ras激活作 用之腫瘤(寇費(Coffey),1998)。利用人類神經膠母細胞瘤 細胞株U87可建立腫瘤異種移植之SCID鼠模式。可選擇 U87細胞作為適當之模式,因其可過度表現RTKPDGF並導 致Ras活化,並可於活體外顯示對里歐病毒感染之急性感 受性。對SCID鼠植入U87腫瘤異種移植株,並於確定觸知 腫瘤後以單次腫瘤内注射里歐病毒來治療腫瘤。該單次治 療可導致戲劇性的腫瘤退化。 當考慮到有關於目前治療贅瘤生長方法之缺點時,仍然 需求治療大多數癌症類型(特定言之為乳癌)之改良方法。 如有方法可用於測定里歐病毒感受性以預測里歐病毒治療 的有效性則甚為實用。 發明說明 本發明係有關於藉由測量結構性ras-MAP發訊以識別細 -12- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)Ras itself may play a more critical role in the development of breast cancer than it was originally imagined. Although activating mutations in Ras are rare in the development of breast cancer, excessive expression of normal H-Ras in breast tumors has been observed (Charkny, 1998; Spenced Otis, 1987). This overexpression of Ras provides an additional mechanism for uncoupled normal signal transduction and can promote tumorigenesis. Combining these data demonstrates the feasibility of calibrating the activation of the Ras pathway in the development of novel breast cancer therapies. It has been previously stated that the Leo virus can only replicate in cells containing the activated Ras signaling pathway, which can be directly mutated by Ras itself or via upstream elements that can lead to activation (Shi Zhuang, 1993; Shi Zhuang., 1998) . In addition, evidence suggests that Central European viruses can be used in organisms to combat tumors that contain Ras activation (Coffey, 1998). The SCID mouse model of tumor xenograft was established using the human glioblastoma cell line U87. U87 cells can be selected as a suitable model because they overexpress RTKPDGF and cause activation of Ras, and can show acute susceptibility to influenza virus infection in vitro. The U87 tumor xenograft strain was implanted into the SCID mouse, and the tumor was treated with a single intratumoral injection of the Ley virus after the tactile tumor was determined. This single treatment can lead to dramatic tumor regression. While considering the shortcomings of current methods for treating neoplasm growth, there remains a need for improved methods of treating most cancer types, specifically breast cancer. It is useful if there is a method for determining the sensitivity of the Central European virus to predict the effectiveness of the treatment of Central European virus. DESCRIPTION OF THE INVENTION The present invention relates to the identification of fine -12- by means of measuring structural ras-MAP. The paper is applicable to the Chinese National Standard (CNS) A4 specification (210 X 297 mm).

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1248973 A7 B7 五、發明説明(1〇 ) 胞對里歐病毒感染的感受性之方法。本發明亦提供使用里 歐病毒以治療細胞增殖失調之方法,且特定言之為其中增 殖細胞呈現結構性MAPK磷酸化之哺乳動物的細胞增殖失 調。特定言之,該方法係提供以里歐病毒治療哺乳動物增 殖失調,其包含乳房腫瘤,即其中據信iras基因突變並未扮 演重要角色的腫瘤次族群。 本發明亦有關於防止里歐病毒識別以治療細胞增殖失調 之方法,且特定言之為哺乳動物之呈現結構性MAPK磷酸 化的細胞增殖失調。哺乳動物可選自犬、貓、綿羊、山羊 、牛、馬、豬、鼠、人類及非-人類靈長類。該方法包括對 增殖細胞投予有效量之一或多種里歐病毒,使導致增殖細 胞實質溶解。 該里歐病毒可為哺乳動物或禽類里歐病毒。里歐病毒可 經改造移除衣殼、將病毒粒子填裝於脂質體或膠質粒子中 或將衣殼之蛋白質突變。里歐病毒藥劑可以單一劑量或多 重劑量投予。增殖失調可能為一贅瘤。固體及造血贅瘤皆 可接受標定。預先、同時或隨後使用免疫抑制可導致更有 效之里歐病毒治療。 因此,於本發明之一觀點中提供了一種藉測量結構性 ras-MAP發訊以測定細胞對里歐病毒感染感受性之方法, 其中該發訊的出現即顯示出對里歐病毒感染之感受性。無 論是否存在有絲分裂原,結構性ras-MAP發訊皆可導致 MAP激酶激活作用,而MAP激酶激活作用可導致MAP激酶 之磷酸化。因此,MAP激酶磷酸化狀態可經測定作為對結 -13- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)1248973 A7 B7 V. INSTRUCTIONS (1〇) Methods of susceptibility of cells to Central European virus infection. The present invention also provides a method of using a Leo virus to treat a disorder of cell proliferation, and in particular, a cell proliferation disorder in a mammal in which the proliferating cells exhibit structural MAPK phosphorylation. Specifically, the method provides for the treatment of mammalian dysregulation with the Leo virus, which comprises a breast tumor, i.e., a tumor subpopulation in which the iras gene mutation is believed to not play an important role. The present invention also relates to a method for preventing recognition of a virus in the body to treat a disorder of cell proliferation, and in particular a mammalian cell proliferation disorder exhibiting structural MAPK phosphorylation. Mammals may be selected from the group consisting of dogs, cats, sheep, goats, cows, horses, pigs, rats, humans, and non-human primates. The method comprises administering to the proliferating cells an effective amount of one or more Central European viruses to cause substantial expansion of the proliferating cells. The Leo virus can be a mammalian or avian Central European virus. The Leo virus can be engineered to remove the capsid, fill the virions in liposomes or colloidal particles, or mutate the capsid protein. The Leo virus agent can be administered in a single dose or in multiple doses. The disorder of proliferation may be a tumor. Both solid and hematopoietic tumors are acceptable for calibration. Pre-, simultaneous or subsequent use of immunosuppression can lead to more effective treatment with Central European virus. Thus, in one aspect of the present invention, a method for measuring the susceptibility of a cell to a Leu virus infection by measuring structural ras-MAP signaling is provided, wherein the appearance of the message exhibits sensitivity to a virus infection in Rio. Regardless of the presence of mitogens, structural ras-MAP signaling can lead to MAP kinase activation, whereas MAP kinase activation leads to phosphorylation of MAP kinase. Therefore, the phosphorylation status of MAP kinase can be determined as the equivalent of the Chinese National Standard (CNS) A4 specification (210 X 297 mm) for the knot-13- paper scale.

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1248973 A71248973 A7

任何本技Μ:發訊《測量法。MAP激酶之磷酸化狀態可藉 < =技#中已知之方法來測定,且特定言之係藉由使用 士粦鉍化MAP激酶具特異性之抗體。 因:匕,本發明可用於診斷出可以里歐病毒治療之增殖失 、匕可由懷疑罹患增殖失調之哺乳動物採集生物樣 二:如本發明方法來測試該樣本中細胞之結構性跡 又訊狀況。肖增殖失調可為任何與不正常活性細胞生 關《狀況’如神經纖維瘤病。增殖失調較佳係選自由 下列各疾病所組成的群組:肺癌、攝護腺癌、結腸直腸癌 、甲狀腺癌、腎臟癌、腎上腺癌、肝癌、胰臟癌、乳癌及 中樞與末梢神經系統癌症m調中特佳者為為乳癌。 本發明可用於任何罹患增殖失調之動物。該動物較佳為 哺乳動物;該動物更佳係選自包括下列各動物之群組··犬 、雜、綿羊、山羊、牛、馬、豬、r、非人類靈長類、及 人類。該動物最佳為人類。 於進一步之觀點中,本發明係提供一種治療哺乳動物增 殖失凋之方法,該失調之特徵為其增殖細胞顯示出結構性 MAPK磷酸化,其方法包括在可造成增殖細胞實質溶解之 條件狀況下、對該哺乳動物之增殖細胞投予有效量之一或 多種里歐病毒。方法進一步包括選自由下列步驟所組成之 群組:對該哺乳動物之增殖細胞投予有效量之免疫抑制劑 ’由該哺乳動物移除B·細胞或T-細胞;由該哺乳動物移除 抗-里歐病毒抗體;由該哺乳動物移除抗體;對該哺乳動物 -14- 本紙張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)Any of the techniques: Sending a measurement. The phosphorylation state of MAP kinase can be determined by a method known in <=Technology#, and specifically by using an antibody specific for the MAP MAP MAP kinase. Because: 匕, the present invention can be used to diagnose the proliferative loss that can be treated by the Leo virus, and the biological sample can be collected from a mammal suspected of having a proliferative disorder: the method of the present invention is used to test the structural traces of the cells in the sample. . A dysplastic disorder can be any condition associated with abnormally active cells such as neurofibromatosis. Proliferative disorders are preferably selected from the group consisting of lung cancer, prostate cancer, colorectal cancer, thyroid cancer, kidney cancer, adrenal cancer, liver cancer, pancreatic cancer, breast cancer, and central and peripheral nervous system cancer m Tiaozhong special is for breast cancer. The invention is applicable to any animal suffering from a disorder of proliferation. Preferably, the animal is a mammal; the animal is preferably selected from the group consisting of: dogs, miscellaneous, sheep, goats, cows, horses, pigs, r, non-human primates, and humans. The animal is best for humans. In a further aspect, the present invention provides a method of treating proliferative loss in a mammal characterized by a proliferating cell exhibiting structural MAPK phosphorylation, the method comprising the condition of causing substantial dissolution of the proliferating cell An effective amount of one or more Central European viruses is administered to the proliferating cells of the mammal. The method further comprises a group selected from the group consisting of administering to the proliferating cells of the mammal an effective amount of an immunosuppressant 'removing B cells or T-cells from the mammal; removing the anti-antigen from the mammal - Leo virus antibody; remove antibodies from the mammal; apply to the Chinese National Standard (CNS) A4 specification (210X 297 mm) for the mammal-14- paper scale

1248973 A7 B71248973 A7 B7

五、發明説明( 投予抗·抗里歐病毒抗體;且同時抑制該哺乳動物免疫系統 ’以及進一步包括投予化學治療劑之方法。 同時亦提供-種治療人類贅瘤之方法,該贅瘤特徵為可 顯示結構性MAPK磷酸化之増殖細胞,其方法包括對贊瘤 投予足以導致贅瘤細胞實質溶解劑量之里歐病毒。較佳地 ,里歐病毒係經由全身投藥或藉由注射至實質贅瘤中或附 近。該方法進-步包括預先、同時或隨後地抑制哺乳動物 免疫系統之步驟或亦包含用其它方法折衷塾抑哺乳動物之 免疫系統。 .同時提供一種抑制哺乳動物贅瘤轉移之方法,該贅瘤之 特徵為其增殖細胞顯示出結構性MAPK磷酸化,其方法包 括對哺乳動物投予足以有效導致贅瘤細胞冑質溶解劑量之 里歐病母。孩万法亦進-步包括預先、同時或隨後地抑制 哺乳動物免疫系統之步驟或亦包含用其它方法折衷壓抑哺 乳動物之免疫系統。 同時提供-治療哺乳動物可疑贅瘤之方法,該贅瘤之特 徵為其增殖細胞顯示出結構性MAPK磷酸化,包括手術實 質移除所有贅瘤及投Μ效量之里歐病毒於手術部位或鄰 近區域以使任何殘留贅瘤細胞溶冑。里歐病毒亦可以全身 性投藥》本方法進-步包括縣、同時或隨後地抑制哺乳 動物免疫紐之步驟或亦包含用其它方法折衷壓抑哺乳動 物之免疫系統。 :時供-醫藥學組合物,其包括有效量之里歐病毒及 醫藥學上可接受之職形劑。同時亦提供一種包含免疫抑制 -15- 本紙張尺度適用中國國豕標準(CNS) A4規格(2ΐ〇χ 297公爱) 1248973 A7 B7_ 五、發明説明(13 ) 劑(immunosuppressant)或免疫壓制劑(immunoinhibitant)、 里歐病毒及醫藥學上可接受賦形劑之醫藥學組合物。套組 包括里歐病毒且視需要亦提供免疫抑制劑或免疫壓制劑。 本發明方法及醫藥學組合物提供一治療贅瘤形成之有效 方法,其排除其它癌症療法類型之副作用。使用時,免疫 系統的壓制或抑制可有助於里歐病毒感染及溶解呈現結構 性MAPK磷酸化之增殖細胞,此係因未形成抗-里歐病毒抗 體之故。由於已知里歐病毒不會產生疾病,其使用時之任 何安全考量可降至最低。 上述及其它本發明目的、特色及優點經由下列更特定之 本發明較佳具體實施例及附圖之敘述將更明顯。 附圖簡述 圖1顯示v-src對里歐病毒感染感受性宿主細胞之轉化效 果。將非感染性NIH-3T3親代細胞及v-src轉化NIH-3T3細胞 於24孔試盤中培養至80%細胞群集(confluency),隨後暴露 於里歐病毒中,估計MOI為每細胞80個PFU。感染後於指 定時間採集細胞及培養基,並將產生之溶胞產物進行溶菌 斑力價分析。V-src可轉化NIH-3T3細胞(密閉環)、NIH-3T3 親代細胞(開放環)。(平均值土標準誤差)。 圖2A至2C說明於人類乳房腫瘤細胞株中之活體外里歐病 毒複製。(A)模擬-感染及里歐病毒感染後之乳癌細胞株中 的里歐病毒蛋白質合成。感染後46至48小時以[35S] -甲硫 胺酸標示細胞。製備溶解產物並隨後以多株抗-里歐病毒第 3型血清進行免疫沉澱,並以SDS-PAGE法分析。里歐病毒 -16- 本紙張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)5. Description of the invention (administering an anti-anti-European virus antibody; and simultaneously inhibiting the mammalian immune system' and further comprising a method of administering a chemotherapeutic agent. Also providing a method for treating a human tumor, the tumor A sputum cell characterized by a structural MAPK phosphorylation, the method comprising administering to the tumor a Leo virus sufficient to cause a substantial lytic dose of the tumor cell. Preferably, the Leo virus is administered systemically or by injection. In or near the parenchyma. The method further comprises the steps of pre-, simultaneously or subsequently inhibiting the immune system of the mammal or including other methods of detracting from suppressing the immune system of the mammal. In the method of metastasis, the tumor is characterized by the fact that the proliferating cells exhibit structural MAPK phosphorylation, and the method comprises administering to the mammal a Leo disease mother sufficient to effectively cause a dose of sputum lysis of the tumor cells. - the step of pre-, simultaneously or subsequently inhibiting the mammalian immune system or including other methods of compromising the mammal Immune system. Also provided is a method for treating a suspected tumor in a mammal characterized by a proliferating cell exhibiting structural MAPK phosphorylation, including surgical removal of all tumors and a dose of the Levi virus. The surgical site or adjacent area to dissolve any residual tumor cells. The Central European virus can also be administered systemically. The method includes the steps of inhibiting mammalian immunity at the same time, or including other methods. Repressing the immune system of a mammal.: A pharmaceutical-medicinal composition comprising an effective amount of a Leo virus and a pharmaceutically acceptable agent. Also providing an immunosuppressive -15- National Standard (CNS) A4 Specification (2ΐ〇χ 297 公爱) 1248973 A7 B7_ V. Inventive Note (13) Agent (immunosuppressant) or immunoinhibitant, Liouvirus and pharmaceutically acceptable excipients Pharmaceutical composition. The kit includes the Leo virus and, if necessary, an immunosuppressant or an immunological preparation. The method and pharmaceutical composition of the invention provide a An effective method for the treatment of neoplasms, which excludes the side effects of other types of cancer therapy. When used, suppression or inhibition of the immune system can help the Leo virus to infect and dissolve proliferating cells that exhibit structural MAPK phosphorylation. The formation of anti-Leovirus antibodies. Since it is known that the Leo virus does not cause disease, any safety considerations in its use can be minimized. The above and other objects, features and advantages of the present invention are more specific to the present invention The description of the specific embodiments and the accompanying drawings will be more apparent. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 shows the transformation effect of v-src on a Leu virus-infected host cell. Transformation of non-infectious NIH-3T3 parental cells and v-src NIH-3T3 cells were cultured in a 24-well assay plate to 80% cell confluency and subsequently exposed to the Leo virus, with an estimated MOI of 80 PFU per cell. After infection, cells and medium were collected at the indicated times, and the resulting lysate was subjected to plaque valence analysis. V-src can transform NIH-3T3 cells (closed loop), NIH-3T3 parental cells (open loop). (average soil standard error). Figures 2A through 2C illustrate in vitro Euravirus replication in human breast tumor cell lines. (A) Simulated-infection and Leo virus protein synthesis in breast cancer cell lines after infection with Leo virus. Cells were labeled with [35S]-methionine 46 to 48 hours after infection. The lysate was prepared and subsequently immunoprecipitated with a plurality of anti-Liouvirus type 3 sera and analyzed by SDS-PAGE. Leo virus -16- This paper size applies to the Chinese National Standard (CNS) A4 specification (210X 297 mm)

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v1248973 A7 B7 五、發明説明(14 ) 蛋白質顯示於右方。(B)里歐病毒感染力係相關於結構性 MAPK磷酸化。將乳房組織細胞株HBL-100及乳房腫瘤細胞 株 MDA-MB-468、MCF7、MDA-MB-435、T47D 及 SK-BR-3 置於六孔試盤内。將細胞培養於10% FCS或低血清濃度 (0.5% FCS)中48小時。以PBS沖洗單細胞層並製備細胞溶 解產物以便進行SDS-PAGE分析。將樣本塗染至硝基纖維 素紙後,使用專一對抗含磷-MAPK抗體加以探測。將所有 含磷-MAPK濃度以總MAPK濃度加以標準化。(C)加總人 類乳房組織及乳癌細胞株中之MAPK濃度。 圖3說明在活體内以里歐病毒-媒介瘤細胞溶解來對抗人 類乳房腫瘤異種移植物。對SCID鼠單側皮下植入MDA-MB-468人類乳房腫瘤異種移植物。確定可觸知腫瘤團塊後, 以活里歐病毒(開放環)或UV-不活化病毒(密閉環)給予單 次腫瘤内注射並追蹤腫瘤生長四週。(平均值士標準誤差)。 發明詳述 先前已說明在SCID鼠模式(WO 99/08692)中,人類里歐 病毒可做為有效之溶瘤劑,以對抗人類神經膠母細胞瘤異 種移植物。在此本發明人發現細胞對里歐病毒感染之感受 性可藉測量細胞之結構性ras-MAP發訊來測定,而該發訊 的出現可顯示出對里歐病毒感染之感受性。本發明亦提出 里歐病毒可做為對抗乳房腫瘤之溶瘤劑之證據。雖然r a s 突變於乳癌病原學中十分罕見,但經由上游信號元件(如 接受器酪胺酸激酶及非-接受器酪胺酸激酶(如c-Src))之異 常Ras/θΑΡΚ發訊卻十分常見。 -17- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)V1248973 A7 B7 V. INSTRUCTIONS (14) The protein is shown on the right. (B) The Leu virus infectivity is related to structural MAPK phosphorylation. The breast tissue cell line HBL-100 and the breast tumor cell lines MDA-MB-468, MCF7, MDA-MB-435, T47D and SK-BR-3 were placed in a six-well test plate. The cells were cultured in 10% FCS or low serum concentration (0.5% FCS) for 48 hours. The monolayer was washed with PBS and cell lysate was prepared for SDS-PAGE analysis. After the samples were coated onto nitrocellulose paper, they were probed with a specific anti-phosphorus-MAPK antibody. All phosphorus-containing MAPK concentrations were normalized to the total MAPK concentration. (C) Addition of MAPK concentrations in human breast tissue and breast cancer cell lines. Figure 3 illustrates the lysis of Leovirus-vector tumor cells in vivo against human breast tumor xenografts. MDA-MB-468 human breast tumor xenografts were implanted subcutaneously into SCID mice. After confirming the palpable tumor mass, a single intratumoral injection was given with a viable virus (open loop) or a UV-inactivated virus (closed loop) and the tumor growth was followed for four weeks. (Average standard error). DETAILED DESCRIPTION OF THE INVENTION It has previously been shown that in the SCID murine model (WO 99/08692), human Leuvirus can be used as an effective oncolytic agent against human glioblastoma xenografts. Here, the inventors have found that the sensitivity of a cell to a virus infection in Central Europe can be determined by measuring the structural ras-MAP of the cell, and the appearance of the signal can show the sensitivity to the infection of the Leu virus. The present invention also suggests that the Leo virus can be used as an oncolytic agent against breast tumors. Although ras mutations are rare in breast cancer etiology, it is common to send abnormal Ras/θΑΡΚ via upstream signaling elements such as receptor tyrosine kinase and non-receptor tyrosine kinase (eg c-Src). . -17- This paper scale applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm)

k 1248973 A7 B7 五、發明説明(15 ) 基於以單株抗體治療乳癌之功效可能減弱(見上述)的相 同理由,里歐病毒可成為一種引人注目的癌症療法。首先 ,里歐病毒本身係一種細胞殺傷劑且並不須依賴免疫受動 細胞來引起腫瘤退化。事實上,殺害受感染細胞之原始機 轉係經由病毒複製所導致的直接溶解(泰樂(Tyler)及菲爾 茲菲爾茲,1996)。其次,其可標定具有Ras激活作用之乳 癌。該激活作用並不僅限於觸發Ras突變(一種公認少見之 乳房腫瘤亞型)且亦包含由Ras本身上游元件所引起之Ras激 活作用。這些元件不僅包含接受器酪胺酸激酶(如EGFR及 HER2),且亦包含非-接受器酪胺酸激酶(如Src族群成員) 。综合其優點,該類型療法可運用於高效率對抗異質性腫 瘤類型(如乳癌),且不會像僅標定接受器之療法一樣受到 限制。最後,抗體無法穿透至固體腫瘤團塊内之事實顯示 出若以腫瘤内遞送里歐病毒,應可輕易展開複製。因此, 了解增殖失調細胞是否易受里歐病毒感染成為相當有用的 工作,其可據以預測該治療之效力。 為評估Src族激酶是否可媒介里歐病毒感染,使用v-src轉 化未感染NIH-3T3細胞後,再以里歐病毒攻擊。測定v-src 發訊可參考作為對里歐病毒之易感染性。 接著檢查五種乳癌細胞株:MDA-MB-468、MCF7、 MDA-MB-435、T47D、及SK-BR-3以及衍生自正常乳房組 織之細胞株(HBL-100),檢查其活體外里歐病毒複製能力 。所有五種源自細胞株之腫瘤皆可接受里歐病毒感染,而 HBL-100則無法有效複製病毒。 -18- 本紙張尺度適用中國國家標準(CNS) A4規格(210X 297公釐) 1248973 A7 B7 五、發明説明(16 ) 為測定這些細胞株中之Ras路徑是否確實被活化,於血 清存在及缺乏血清之條件環境下評估MAPK磷酸化濃度。 易感染之細胞株即使缺乏有絲分裂原亦可呈現結構性 MAPK磷酸化,而不易受里歐病毒感染之細胞株則僅於血 清存在時方展現MAPK磷酸化。因此,結構性MAPK磷酸化 為對里歐病毒感染之感受性指標。 為測定里歐病毒是否可於活體内做為溶瘤劑以對抗乳房 腫瘤,將MDA-MB-468人類腫瘤異種移植物植入SCID鼠中 。確定可觸知腫瘤後,對該鼠以單次注射里歐病毒處理並 於四週期間内監測腫瘤大小。單次注射可導致腫瘤大小戲 劇性退化。最後,可測定里歐病毒對抗原發性乳癌腫瘤之 能力,其結果顯示里歐病毒在由各種不同病患所收集之生 檢樣本中皆可複製。因此,有許多乳房腫瘤易受里歐病毒 感染。 里歐病毒(reovirus)為呼吸道與腸道孤病毒(Respiratory and enteric orphan virus)之簡稱,其全名顯示此病毒雖然與 任何已知人類疾病狀態無關,但可同時由呼吸道及腸道分 離出(沙賓,A.B· (1959),Science 130:966)。’’ 里歐病毒 π — 詞意指所有歸類於里歐病毒屬之病毒。 里歐病毒係一種雙股片段RNA基因組病毒。病毒粒子直 徑為60-80毫微米並擁有二個皆為二十面體之同心衣殼。該 基因組係由10-12個不相連片段之雙股RNA所組成,其總基 因組大小為16-27仟鹼基。個別RNA片段尺寸呈多樣化。有 三種不同但相關類型之里歐病毒已由許多生物品種中分離 -19- 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐)k 1248973 A7 B7 V. INSTRUCTIONS (15) Based on the same reason that the efficacy of monoclonal antibodies for breast cancer may be diminished (see above), the Leo virus can be a compelling cancer therapy. First, the Leo virus itself is a cell killer and does not have to rely on immune-activated cells to cause tumor regression. In fact, the original machine that kills infected cells is directly lysed by viral replication (Tyler and Fieldsfields, 1996). Second, it can calibrate breast cancer with Ras activation. This activation is not limited to triggering Ras mutations (a well-recognized breast tumor subtype) and also includes Ras activation by the upstream elements of Ras itself. These elements include not only receptor tyrosine kinases (such as EGFR and HER2), but also non-receptor tyrosine kinases (such as members of the Src population). Taken together, this type of therapy can be used to combat heterogeneous tumor types (such as breast cancer) with high efficiency and is not as restrictive as the treatment of only the receptor. Finally, the fact that antibodies cannot penetrate into solid tumor masses suggests that replication should be easily carried out if the Central European virus is delivered intratumorally. Therefore, it is useful to understand whether proliferative cells are susceptible to infection with the Leo virus, which can be used to predict the efficacy of the treatment. To assess whether the Src family of kinases can mediate the infection with the Leu virus, the uninfected NIH-3T3 cells were transformed with v-src and challenged with the Leo virus. The determination of v-src signaling can be referred to as the susceptibility to the Leo virus. Next, examine five breast cancer cell lines: MDA-MB-468, MCF7, MDA-MB-435, T47D, and SK-BR-3, and cell lines derived from normal breast tissue (HBL-100), and examine them in vitro. European virus replication capability. All five tumor-derived tumors can be infected with the virus, while HBL-100 does not replicate the virus. -18- This paper scale applies to Chinese National Standard (CNS) A4 specification (210X 297 mm) 1248973 A7 B7 V. Description of invention (16) To determine whether the Ras pathway in these cell lines is indeed activated, in serum presence and deficiency MAPK phosphorylation concentration was assessed under serum conditions. Infected cell lines exhibit structural MAPK phosphorylation even in the absence of mitogens, whereas cell lines that are not susceptible to infection by the Leo virus exhibit MAPK phosphorylation only in the presence of serum. Thus, structural MAPK phosphorylation is a sensory marker for infection with Leu. MDA-MB-468 human tumor xenografts were implanted into SCID mice to determine whether the Leo virus could be used as an oncolytic agent in vivo to combat breast tumors. After confirming the palpable tumor, the mice were treated with a single injection of Central European virus and the tumor size was monitored over a four-week period. A single injection can result in dramatic degradation of tumor size. Finally, the ability of the Central European virus to develop antigenic breast cancer tumors can be determined, and the results show that the Leo virus can be replicated in the biopsy samples collected by various patients. Therefore, many breast tumors are susceptible to infection by the Leo virus. The reovirus is an abbreviation for Respiratory and Enteric orphan virus. The full name indicates that the virus is isolated from the respiratory tract and the intestine, although it is not related to any known human disease state. Sabin, AB. (1959), Science 130: 966). ‘’Leo virus π — The word means all viruses classified under the genus Leo. The Leo virus is a double-stranded RNA genomic virus. The virions are 60-80 nm in diameter and have two concentric shells that are all icosahedral. The genome consists of 10-12 unpaired fragments of double-stranded RNA with a total genome size of 16-27仟 bases. The size of individual RNA fragments is diverse. There are three different but related types of Leoviruses that have been separated from many biological species. -19- This paper scale applies to the Chinese National Standard (CNS) A4 specification (210X297 mm).

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1248973 A7 B7 五、發明説明(17 ) 出。所有三種類型皆擁有相同之補體-結合抗原。 人類里歐病毒係由三種血清型所組成:第1型(梁(Lang) 病毒株或TIL)、第2型(瓊斯(Jones)病毒株,T2J)及第3型( 迪爾林(Dearing)病毒株或阿伯尼(Abney)病毒株,T3D)。這 三種血清型可以中和作用及血球凝集素·抑制分析來輕易分 辨(沙賓,A.B. ( 1959),Science 130:966 ;菲爾茲,爭乂 ( 1996),Fundamental Virology. 3rd Edition. Lippincott-Raven;羅森,L· ( 1960) Am· J· Hyg.71: 242 ;史坦力,N.F· (1967) Br· Med. Bull· 23: 150)。 雖然里歐病毒未與已知任何特定疾病有關,許多人於成 年以前即已暴露於里歐病毒中(即由5歲以下幼童之25%以 下,到20-30歲成人之50%以上(傑克森(Jackson) G.G·及慕 爾敦(Muldoon) R.L. (1973) J. Infect. Dis. 128··811;史坦力, N.F. (1974) In: Comparative Diagnosis of Viral Diseases, edited by E. Kurstak 及 K. Kurstak,385-421,Academic Press, New York) 〇 對哺乳動物里歐病毒而言,其細胞表面識別信號為唾液 酸(sialic acid)(阿姆斯壯,G.D·等人( 1984),Virology 138:37 ;簡祖,J.R.K.及帕西提,A_F. (1985),J. Virol· 56:356 ;保羅 (Paul) R.W·等人( 1989) Virology 172:382-385)。由於唾液 酸普遍存在的特性,里歐病毒可有效結合多種細胞株並因 此可有效標定許多不同的組織;然而,各細胞株對里歐病 毒感染之感受性顯然有所差異。 如在此所述,申請人已發現呈現結構性MAPK磷酸化之 -20- 本紙張尺度適用中國國家榡準(CNS) A4規格(210X297公釐)1248973 A7 B7 V. Description of invention (17). All three types share the same complement-binding antigen. The human Central European virus system consists of three serotypes: type 1 (Lang virus strain or TIL), type 2 (Jones virus strain, T2J) and type 3 (Dearing) Viral strain or Abney virus strain, T3D). These three serotypes can be easily distinguished by neutralization and hemagglutinin-inhibition analysis (Sabin, AB (1959), Science 130: 966; Fields, Debate (1996), Fundamental Virology. 3rd Edition. Lippincott- Raven; Rosen, L. (1960) Am. J. Hyg. 71: 242; Steiner, NF (1967) Br. Med. Bull· 23: 150). Although the Leo virus is not associated with any specific disease known, many people have been exposed to the Leo virus before adulthood (ie, less than 25% of young children under 5 years old, and more than 50% of adults between 20-30 years old ( Jackson GG· and Muldoon RL (1973) J. Infect. Dis. 128··811; Stanley, NF (1974) In: Comparative Diagnosis of Viral Diseases, edited by E. Kurstak And K. Kurstak, 385-421, Academic Press, New York) 细胞 For mammalian Central European viruses, the cell surface recognition signal is sialic acid (Amsz, GD et al. (1984) , Virology 138:37; Jane, JRK and Pasiti, A_F. (1985), J. Virol 56:356; Paul (RW) RW et al. (1989) Virology 172:382-385). The ubiquitous nature of the acid, the Leo virus can effectively bind to a variety of cell lines and thus can effectively calibrate many different tissues; however, the sensitivity of each cell line to the infection of the Leo virus is clearly different. As described herein, the applicant It has been found that the presence of structural MAPK phosphorylation -20- this paper scale is applicable National Su quasi (CNS) A4 size (210X297 mm)

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1248973 A7 B7 五、發明説明(18 ) 細胞易感染里歐病毒。細胞對里歐病毒感染之π抵抗性π意 指病毒感染該細胞後並未有明顯的病毒製造或產生。π易 感染”之細胞係可顯示引發細胞病變、病毒蛋白質合成、 及/或病毒產生者。對里歐病毒感染之抵抗性見於基因轉 譯期,而非轉錄早期:病毒轉錄本產生之後並未表現病毒 蛋白質。 將人類腫瘤細胞植入SCID鼠已被認可為一種眾所熟知之 、用於測試各種抗-腫瘤藥劑對人類有效性之模式系統。過 去顯示可有效對抗以人類腫瘤植入之SCID鼠之醫藥物亦可 預期能在人類身上有效對抗相同之人類,腫瘤。 基於這些發現,本申請人已開發出藉測量結構性ras-MAP信號以測定對里歐病毒感染感受性之方法及治療哺乳 動物增殖失調之方法,其中該增殖細胞係可顯示結構性 MAPK磷酸化者。代表性哺乳動物包含犬、貓、綿羊、山 羊、牛、馬、豬、鼠、非-人類靈長類、及人類。於一較佳 具體實施例中,該哺乳動物係人類。 於本發明之診斷方法中,增殖細胞MAPK磷酸化程度係 以有絲分裂原出現與否來測定。細胞中出現該結構性ras-MAP訊號即表示對里歐病毒感染之感受性。 於本發明治療方法中,里歐病毒之投藥對象為其增殖細 胞呈現結構性MAPK磷酸化之哺乳動物個體。於本發明之 一具體實施例中,里歐病毒之療程可投予一次或數次。 於本發明治療方法中,里歐病毒之投藥對象為其增殖細 -21 - 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)1248973 A7 B7 V. INSTRUCTIONS (18) Cells are susceptible to infection with Central European viruses. The π-resistance π of the cell against the infection of the Leu virus means that no virus is produced or produced after the virus infects the cell. A cell line that is susceptible to π infection can show cytopathic, viral protein synthesis, and/or virus production. Resistance to Leo virus infection is seen in the gene translation phase, but not in the early transcription: the virus transcript does not appear after production. Viral proteins. The implantation of human tumor cells into SCID mice has been recognized as a well-known model system for testing the effectiveness of various anti-tumor agents on humans. It has been shown to be effective against SCID mice implanted with human tumors. The pharmaceuticals are also expected to be effective against humans, tumors in humans. Based on these findings, the Applicant has developed a method for measuring the sensitivity to infection of the Leu virus by measuring structural ras-MAP signals and treating mammals. A method of proliferative disorders, wherein the proliferating cell line can exhibit a structural MAPK phosphorylation. Representative mammals include dogs, cats, sheep, goats, cows, horses, pigs, mice, non-human primates, and humans. In a preferred embodiment, the mammal is a human. In the diagnostic method of the invention, the proliferating cell MAPK phosphorylation process The degree of mitogen is determined by the presence or absence of the mitogen. The presence of the structural ras-MAP signal in the cell indicates the susceptibility to the infection of the Leo virus. In the treatment method of the present invention, the drug of the Leo virus is presented to the proliferating cell. In a specific embodiment of the present invention, the course of the Leo virus can be administered once or several times. In the treatment method of the present invention, the drug of the Leo virus is finely propagated - 21 - This paper size applies to the Chinese National Standard (CNS) A4 specification (210 X 297 mm)

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1248973 A7 B7 五、發明説明(19 ) 胞呈現結構性MAPK磷酸化之哺乳動物個體。可使用之典 型人類里歐病毒包含第1型(如梁病毒株*T1L)、第2型(如 瓊斯病毒株或T2J)、及第3型(如迪爾林病毒株或阿伯尼病 毒株、T3D或T3A),亦可使用其它類型之里歐病毒。於一 較佳具體實施例中,里歐病毒為人類里歐病毒血清3型, 里歐病毒更佳為人類里歐病毒血清3型,迪爾林病毒株。 或者’里歐病毒可為非人類之哺乳動物里歐病毒(如非人 類-靈長類里歐病毒,如狒狒里歐病毒、馬、或犬里歐病毒) 、或非哺乳動物里歐病毒(如鳥類里歐病毒)。不同血清型 及/或不同病毒株之里歐病毒(如來自不同種類動物之里歐 病毒)之組合皆可使用。 里歐病毒可為天然產生或經修飾者。”天然產生”者為分 離自天然來源且未經人類於實驗室中特意修飾之里歐病毒 。如里歐病毒可來自,,田野來源”:如來自病患。 里歐病毒可為修飾過但仍可對展現結構性MAPK嶙酸化 的哺乳動物細胞進行溶解性感染。對增殖細胞投藥前可以 化學或生化法預先處理里歐病毒(如使用蛋白酶處理,如 胰凝乳蛋白酶或胰蛋白酶)。使用蛋白酶預先處理可移除 病毒之外層或衣殼並可能增加病毒傳染性。里歐病毒可包 覆於脂質體或膠質粒子(千仲及尼伯特,”Pr〇teaSe cleavage of reovirus capsid protein mul and mulC is blocked by alkyl sulfate detergents, yielding a new type of infectious subvirion particle1丨,J. of Virology 72(1):467-75 (1998))以 減低或預防已對里歐病毒發展出免疫力之哺乳動物的免疫 -22- 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐)1248973 A7 B7 V. INSTRUCTIONS (19) Cells are mammalian individuals that exhibit structural MAPK phosphorylation. Typical human Leuviruses that can be used include type 1 (eg, beam strain *T1L), type 2 (eg, Jones strain or T2J), and type 3 (eg, Deerin strain or Aberni strain) , T3D or T3A), other types of Leo virus can also be used. In a preferred embodiment, the Leo virus is a human Leovirus serotype 3, and the Leo virus is preferably a human Leovirus serotype 3, a Deerlin virus strain. Or the 'Lio virus can be a non-human mammalian virus (such as a non-human-primate Leo virus, such as a leo virus, a horse, or a canine leu virus), or a non-mammalian Central European virus ( Such as the bird Central European virus). Combinations of different serotypes and/or different strains of Central European viruses (such as the Central European virus from different species of animals) can be used. The Leo virus can be naturally occurring or modified. "Naturally produced" are Central European viruses that are isolated from natural sources and have not been specially modified by humans in the laboratory. Such as the Leo virus can come from, the source of the field:: from the patient. The Leo virus can be modified but still can cause soluble infection of mammalian cells exhibiting structural MAPK citrate. Can be chemistry before administration of proliferating cells Or biochemical pre-treatment of the Central European virus (such as the use of protease treatment, such as chymotrypsin or trypsin). Pretreatment with protease can remove the outer layer or capsid of the virus and may increase the virus infectivity. For liposome or colloidal particles (Pr〇teaSe cleavage of reovirus capsid protein mul and mulC is blocked by alkyl sulfate detergents, yielding a new type of infectious subvirion particle1丨, J. of Virology 72(1) ): 467-75 (1998)) To reduce or prevent immunity to mammals that have developed immunity to the Leo virus-22- This paper scale applies to the Chinese National Standard (CNS) A4 specification (210X297 mm)

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1248973 A7 B7 五、發明説明(2〇 ) 反應。如病毒粒子可於膠質分子形成濃度之烷基硫酸鹽清 潔劑存在下以胰凝乳蛋白酶處理以產生新的感染性次病毒 顆粒(ISVP)。ISVP可單獨應用或與完整病毒混合以提供一 種不易辨識或未被該病患之免疫系統事先防備之藥劑。 里歐病毒可為重組之里歐病毒,其可由二或多種具有不 同病原性表現型之里歐病毒所組成,其中含有各同抗原決 定位以藉此減少或預防哺乳動物因預先暴露於某里歐病毒 亞型所產生之免疫反應。該重組之病毒粒子(亦稱為重組 物)可藉由以不同亞型之里歐病毒共同感染哺乳動物細胞 而產生,其可於所產生之病毒粒子衣殼中包含所產生之重 組及不同亞型之外殼蛋白質混合物。 里歐病毒可藉由導入突變外殼蛋白質(如σΐ)至病毒粒子 外衣殼來修改。蛋白質可藉取代、插入或刪除而突變。取 代包含插入不同胺基酸取代原有的胺基酸。插入包含將額 外胺基酸殘基插入至一或多個蛋白質部位。刪除包含刪除 蛋白質中一或多種胺基酸殘基。該突變可藉本技藝中已知 方法產生。如可編碼一種外殼蛋白質之基因的單核苷酸位 置專一致突變可導致產生所需外殼蛋白質之突變。於活體 外,以里歐病毒感染之哺乳動物細胞(如COS 1細胞)表現突 變蛋白質可使突變蛋白質併、入里歐病毒病毒粒子顆粒中( 透納及鄧肯,’’Site directed mutagenesis of the Cterminal portion of reovirus protein sigmal: evidence for a conformation-dependent receptor binding domain11 Virology 186(1):219-27 (1992);鄧肯等人,”Conformational and functional analysis of -23-1248973 A7 B7 V. INSTRUCTIONS (2〇) Reaction. For example, virions can be treated with chymotrypsin in the presence of a colloidal molecule forming concentration of an alkyl sulphate cleaner to produce new infectious subviral particles (ISVP). ISVP can be used alone or mixed with a complete virus to provide an agent that is not readily identifiable or that is not pre-prepared by the patient's immune system. The Leo virus can be a recombinant Leo virus, which can be composed of two or more Central European viruses with different pathogenic phenotypes, each containing the same epitope to thereby reduce or prevent the mammal from being exposed to some The immune response produced by the European virus subtype. The recombinant virion (also referred to as a recombinant) can be produced by co-infecting mammalian cells with different subtypes of the Central European virus, which can comprise the resulting recombinant and different sub-assemblies in the resulting virion capsid. Type of shell protein mixture. The Leo virus can be modified by introducing a mutant coat protein (such as σΐ) to the virion outer capsid. Proteins can be mutated by substitution, insertion or deletion. Substitution involves the insertion of a different amino acid to replace the original amino acid. Insertion involves the insertion of an additional amino acid residue into one or more protein sites. The deletion contains one or more amino acid residues in the deleted protein. This mutation can be produced by methods known in the art. A single nucleotide position-specific mutation that encodes a gene for a coat protein can result in a mutation in the desired coat protein. In vitro, mammalian cells infected with Leovirus (such as COS 1 cells) exhibit mutant proteins that allow the mutated protein to enter the Leo virus virion particles (Turner and Duncan, ''Site directed mutagenesis of the Cterminal Portions of reovirus protein sigmal: evidence for a conformation-dependent receptor binding domain11 Virology 186(1):219-27 (1992); Duncan et al., "Conformational and functional analysis of -23-

1248973 A7 B7 五、發明説明(21 the C-terminal globular head of the reovirus cell attachment protein" Virology 182(2):810-9 (1991);瑪等人,”N-terminal quarter of reovirus cell attachment protein sigma 1 possesses intrinsic virion-anchoring function” Virology 179(1): 95-103 (1990))。 里歐病毒較佳為一種經修改以減少或移除對里歐病毒免 疫反應之里歐病毒。該經修改之里歐病毒稱為π免疫保護 里歐病毒”。該修改可包含將里歐病毒裝填於脂質體、膠 質粒子或其它賦形劑中以保護里歐病毒以避開哺乳動物之 免疫系統。或者,可移除里歐病毒病毒粒子衣殼,因呈現於 外衣殼之蛋白質係宿主體液及細胞反應之主要決定因素。 ’’增殖失調π係指其細胞增殖遠較正常組織生長快速之任 何細胞失調。因此,”增殖細胞”係指增殖遠較正常細胞快 速之細胞。增殖失調包含(但不限於)贅瘤。贅瘤係一種不 正常組織生長,通常可形成一明顯的團塊,其因細胞增殖 故成長遠較正常組織快速。贅瘤呈現出部分或全面缺乏結 構組織並無法與正常組織協調功能。這些贅瘤可概括分為 三種主要類型。起源自上皮組織之惡性贅瘤稱為癌,源自 結缔組織(如肌肉、軟骨、脂肪或骨骼)之惡性贅瘤稱為肉 瘤,而影響造血組織(屬於形成血液細胞之構造)之惡性腫 瘤(包含免疫系統成分)稱為血癌及淋巴瘤。腫瘤係疾病性 癌症之贅瘤性生長。在此所用之,,贅瘤”(亦稱為"腫瘤π)係 包含造血的贅瘤以及實質赘瘤。其它增殖失調包含(但不 限於)神經纖維素瘤病。 -24- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)1248973 A7 B7 5. The C-terminal globular head of the reovirus cell attachment protein" Virology 182(2): 810-9 (1991); Ma et al., "N-terminal quarter of reovirus cell attachment protein sigma 1 possesses intrinsic virion-anchoring function” Virology 179(1): 95-103 (1990)). The Leo virus is preferably a Central European virus modified to reduce or remove the immune response to the Leo virus. The modified Central European virus is referred to as π-immunoprotective Central European virus. The modification may include loading the Leo virus into liposomes, colloidal particles or other excipients to protect the Leo virus against mammalian immunity. System. Alternatively, the Leo virus virion capsid can be removed due to the protein body host fluid present in the outer capsid and the main determinant of cellular response. ''Proliferation disorder π means that its cell proliferation is much faster than normal tissue growth. Any cell is dysregulated. Thus, "proliferating cell" refers to a cell that proliferates much faster than normal cells. Proliferation disorders include, but are not limited to, neoplasms. A tumor is an abnormal tissue that grows, usually forming a distinct mass. It grows far faster than normal tissues due to cell proliferation. The tumors show partial or total lack of structural organization and cannot coordinate with normal tissues. These tumors can be broadly classified into three main types. The malignant tumors originating from epithelial tissues are called For cancer, a malignant tumor derived from connective tissue (such as muscle, cartilage, fat or bone) is called a sarcoma and affects the hematopoietic group. Malignant tumors (including components of the immune system) (including components of the immune system) are called blood cancers and lymphomas. Tumor-based growth of disease-causing cancers. As used herein, tumors (also known as " Tumor π) is a hematopoietic tumor and a solid tumor. Other proliferative disorders include, but are not limited to, neuroblastoma. -24- This paper size is applicable to China National Standard (CNS) A4 specification (210 X 297 mm)

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k 1248973 A7 B7 五、發明説明(22 ) 使用本發明方法所治療之增殖失調中至少有某些細胞呈 現結構性MAPK磷酸化。同樣地,使用本發明方法確定為 易感染里歐病毒之細胞中至少有某些呈現結構性ΜΑρκ磷 酸化。 ΠΒ-細胞”係指B-淋巴球。B_淋巴球有二種主要的次族群 ,B-1及B-2細胞。B-1細胞可自體更新並可經常分泌高濃度 抗體,其可與多種抗原結合(多重特異性)但親和性甚低。 大部分B細胞為Β·2細胞,其係由骨髓中之前趨物直接產生 並可分泌高特異性抗體。 ’’ Τ-細胞”係指Τ-淋巴球。細胞係於胸腺内分化,其特 化為對抗可產生細胞内生物之細胞。細胞僅可識別位於 身體細胞表面之抗原。 抗-里歐病毒抗體”係指一種可結合里歐病毒之抗體。 ” IgG抗體”係指免疫球蛋白G抗體。Ig(}(最多量之抗體類 型)負貴中和細菌毒素之主要工作並可與微生物結合以提 同其呑噬作用。’’人類化抗體”係指非抗原結合區之胺基酸 序列已改變為更接近類似人類抗體之抗體分子,並且 留其原有結合能力。 ’’投藥至增殖細胞或贅瘤”係指將里歐病毒以一種可使其 接觸增殖細胞或贅瘤之細胞(在此亦稱為,,贅瘤細胞")的方 式投藥。里歐病毒之投藥途徑以及調配物、載劑或賦形劑 係依其部位及贅瘤類型而定。有多種投藥途徑可供應用。 如對於可靠近之實質贅瘤而言,里歐病毒可藉注射直接對 養瘤投藥。對於造血的贅瘤,里歐病毒可經由如靜脈注射 •25- 本紙張尺度適用巾@ S家標準(CNS) A4規格(210 X 297公釐) ----^k 1248973 A7 B7 V. INSTRUCTIONS (22) At least some of the cells in the proliferative disorder treated by the method of the present invention exhibit structural MAPK phosphorylation. Similarly, at least some of the cells identified to be susceptible to infection with the Leu virus using the methods of the present invention exhibit structural ΜΑρκ phosphorylation. ΠΒ-cells refer to B-lymphocytes. B_lymphocytes have two major subgroups, B-1 and B-2 cells. B-1 cells can be autologously renewed and often secrete high concentrations of antibodies. Binding to multiple antigens (multiple specificity) but low affinity. Most B cells are Β2 cells, which are directly produced by the precursors in the bone marrow and secrete highly specific antibodies. '' Τ-cells' Finger lick - lymphocytes. The cell line differentiates within the thymus and is specialized to combat cells that produce intracellular organisms. Cells only recognize antigens that are located on the surface of body cells. "Anti-Liouvirus antibody" refers to an antibody that binds to the Leo virus. "IgG antibody" refers to an immunoglobulin G antibody. Ig(} (the most abundant antibody type) is the main work of neutralizing bacterial toxins and It can bind to microorganisms to enhance its phlegm. ''Humanized antibody' means that the amino acid sequence of the non-antigen-binding region has been changed to an antibody molecule that is closer to a human-like antibody, and retains its original binding ability.' 'Administration to proliferating cells or neoplasms' refers to the administration of the Leo virus in a manner that allows it to contact proliferating cells or tumor cells (also referred to herein as tumor cells). The route of administration, as well as the formulation, carrier or excipient, depends on the site and the type of tumor. There are a variety of routes of administration available. For a parenchymal tumor that can be accessed, the Leo virus can be directly injected by injection. In the case of hematopoietic tumors, the Leo virus can be administered by intravenous injection. 25- This paper size is applicable to the towel@S standard (CNS) A4 size (210 X 297 mm) ----^

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1248973 A7 B7 五、發明説明(1248973 A7 B7 V. Description of invention (

或血管内投藥。對於體内不易接近之贅瘤(如轉移性或腦 腫瘤),里歐病毒可以全身性運輸的方式經過哺乳動物身 體而達到贅瘤(如髓鞘内注射、靜脈注射或肌肉注射)進行 投藥。或者,里歐病毒可直接對單一實質贅瘤投藥,然後 再由此經過全身性系統遞送至轉移部位。里歐病毒亦可以 皮下注射、腹腔内注射、局部投藥(如用於黑色素瘤)、口 服(如用於口腔或食道贅瘤)、直腸投藥(如用於結腸直腸 贅瘤)、陰道内投藥(如用於子宮頸或陰道贅瘤)、鼻内投 藥或藉吸入噴霧(如用於肺贅瘤)等途徑投藥。 里歐病毒可經全身性投予免疫受損或尚未對里歐病毒抗 原決定位發展出免疫力之哺乳動物。在此例中,全身性投 藥之里歐病毒(即藉靜脈注射)可接觸增殖細胞導致其溶解 。當所治療的哺乳動物具有較高抗-里歐病毒抗體力價時, 需投予更多的里歐病毒以便發生作用。 先削暴露於里歐病毒亞型之免疫活性的哺乳動物可能已 發展出對该里歐病毒亞型之體液及/或細胞免疫。然而, 頃發現直接注射里歐病毒至具免疫活性的哺乳動物之固體 腫瘤可導致贅瘤細胞溶解。另一方面,當里歐病毒經全身 性投予具免疫活性的哺乳動物時,該哺乳動物會產生對里 歐病毒之免疫反應。若該里歐病毒為哺乳動物未發展免疫 力之亞型’或該里歐病毒已如前述預先修飾成免疫保護性 (如藉蛋白酶消化外層衣殼或包裝於膠質粒子中),則可避 免該種免疫反應。 或者’可考慮事先或同時投予本技藝中已知藥物以進行 -26 -Or intravascular administration. For tumors that are not easily accessible in the body (such as metastatic or brain tumors), the Leo virus can be administered to the tumor through a mammalian body (such as intramedullary, intravenous or intramuscular). Alternatively, the Leo virus can be administered directly to a single parenchymal tumor and then delivered to the metastatic site via a systemic system. The Leo virus can also be administered subcutaneously, intraperitoneally, topically (eg for melanoma), orally (eg for oral or esophageal tumors), rectal (eg for colorectal tumors), intravaginal administration (eg For example, for cervical or vaginal tumors, intranasal administration or by inhalation spray (such as for pulmonary tumors). The Leo virus can be administered systemically to a mammal that is immunocompromised or has not developed immunity to the Leo virus antigenic epitope. In this case, the systemically administered Central European virus (i.e., by intravenous injection) can be exposed to proliferating cells to cause its dissolution. When the mammal being treated has a higher anti-Liouvirus antibody price, more Leo virus needs to be administered in order to function. Mammals that are first exposed to the immunological activity of the Leo virus subtype may have developed humoral and/or cellular immunity to the Viol virus subtype. However, it has been found that direct injection of the Central European virus into a solid tumor of an immunocompetent mammal can result in lysis of the tumor cells. On the other hand, when the Leo virus is administered systemically to an immunocompetent mammal, the mammal will develop an immune response against the Leu virus. If the Leo virus is a subtype that does not develop immunity in mammals' or the Leo virus has been previously modified to be immunoprotective as described above (eg, by enzymatic digestion of the outer capsid or in a colloidal particle), this can be avoided. An immune response. Or 'may consider prior or simultaneous administration of a known drug of the art to carry out -26 -

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k 1248973 A7 B7 五、發明説明(24 ) 整體性壓抑免疫系統,而達到抑制哺乳動物對抗里歐病毒 之免疫活性的目的(卡夫等人,"Enteric reovirus infection as a probe to study immunotoxicity of the gastrointestinal tract” Toxicological Sciences 42(2):99-108 (1998))或者投予如抗抗 里歐病毒抗體之類的免疫壓抑劑。哺乳動物對抗里歐病毒 之體液免疫亦可藉哺乳動物血液之漿泳法移除抗-里歐病毒 抗體以便暫時減低或壓抑。藉由靜脈注射投予哺乳動物非 特定性免疫球蛋白亦可暫時減少或壓抑該哺乳動物對抗里 歐病毒之體液免疫。 可考慮將里歐病毒與免疫抑制劑及/或免疫壓抑劑共同 投予已具有對抗里歐病毒免疫活性之哺乳動物。該免疫抑 制劑及免疫壓抑劑為熟諳此技藝者所熟知,且其中包含環 司波靈(cyclosporin)、拉帕麥信(rapamycin)、塔克羅力馬 司(tacrolimus)、黴酴酸、阿查赛歐普靈(azathioprine)及其 類似物、及相似物。其它尚有已知具有免疫抑制劑特性之 藥劑(見於如古德曼與吉爾曼(Goodman & Gilman),第7版 ,1242頁,其揭露内容在此以引用之方式併入本文中)。 該類免疫壓抑劑亦包含π抗-抗里歐病毒抗體π,其係專一 對抗抗-里歐病毒抗體之抗體。該抗體可藉本技藝中已知方 法製備。見於如 ’’Antibodies : A laboratory manual” Ε· Harlow and D. Lane,Cold Spring Harbor Laboratory( 1988) 〇 該抗抗里歐病毒抗體可於投予里歐病毒前、與里歐病毒同 時或於里歐病毒投藥後投予。有效量之抗抗里歐病毒抗體 較佳需投予足夠的時間以減少或消除哺乳動物對投予之里 -27- 本紙張尺度適用中國國家標準(CNS) Α4規格(210X297公釐)k 1248973 A7 B7 V. INSTRUCTIONS (24) Integral suppression of the immune system to achieve the purpose of inhibiting the immune activity of mammals against the Leo virus (Kraft et al., "Enteric reovirus infection as a probe to study immunotoxicity of the Gastrointestinal tract" Toxicological Sciences 42(2): 99-108 (1998)) or administration of an immunosuppressive agent such as an anti-European virus antibody. Mammalian immunity against the Leo virus can also be used by mammalian blood. Slurry-pulling removes anti-Liouvirus antibodies for temporary reduction or suppression. Administration of non-specific immunoglobulins to mammals by intravenous injection can also temporarily reduce or suppress humoral immunity of the mammal against the Leo virus. The Leo virus is co-administered with a immunosuppressant and/or an immunosuppressant to a mammal that has been immunologically active against the Leu virus. The immunosuppressant and immunosuppressant are well known to those skilled in the art and include cyclosporine. (cyclosporin), rapamycin, tacrolimus, mycophenolic acid, achaisep Azathioprine and its analogues, and similar substances. Other agents known to have immunosuppressive properties are known (see, for example, Goodman & Gilman, 7th ed., page 1242, which discloses The disclosure is incorporated herein by reference.) The immunosuppressive agent also comprises a π anti-anti-European antibody π, which is an antibody specific against an anti-Liovirus antibody. Prepared by known methods. See, for example, ''Antibodies: A laboratory manual' Ε· Harlow and D. Lane, Cold Spring Harbor Laboratory (1988) 〇The anti-Erivirus antibody can be administered before the Leo virus, with Rio The virus is administered at the same time or after administration of the Leo virus. An effective amount of anti-European virus antibody is preferably administered for a sufficient period of time to reduce or eliminate mammalian administration. -27- This paper scale applies to Chinese National Standard (CNS) Α4 specification (210X297 mm)

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1248973 A7 B7 醫藥學上可接受賦形劑為稀釋劑時,其可為固體、半固體 、或液體物質,其可作用為賦形劑、載劑或活性成分之介 、丸劑、粉劑、錠劑、小藥 懸浮液、乳劑、溶液、糖 、含如可達1〇重量百分比活 、栓劑、無菌注射溶液、及 五、發明説明(25 ) 歐病毒的免疫反應。π免疫抑制劑”或”免疫壓抑劑”等詞包 含傳統免疫抑制劑、免疫壓抑劑、抗體、及可導致危害免 疫系統之狀況,如放射療法或HIV感染。 ”實質溶解” 一詞意指至少10%之增殖細胞溶解,更隹為 至少50% ’而最佳為至少75%之細胞溶解。腫瘤細胞之溶 解百分比可藉由測量哺乳動物腫瘤尺寸減小或活體外腫瘤 細胞之溶解狀況來測定。 ”懷疑患有增殖失調之哺乳動物”意指哺乳動物可能患有 增殖失調或腫瘤或已診斷為患有增殖失調或腫瘤或先前已 診斷患有增殖失調或腫瘤,該腫瘤或大體上所有腫瘤已經 手術移除且懷疑該哺乳動物可能仍存有某些殘留的腫瘤細 胞0 本發明亦包含一醫藥學組合物,其中含有作為活性成分 之一或多種免疫抑制劑或免疫壓抑劑及一或多種里歐病毒 與”醫藥學上可接受載劑或賦形劑”。於製備本發明組合物 時,該活性成分/免疫抑制劑或免疫壓抑劑及里歐病毒通 常與賦形劑混合,以賦形劑稀釋或封裝於容器中,如其可 為膠囊、小藥囊(sachet)、紙(paper)或其它容器型式。當 質。因此,該組合物可為片劑 囊、膠囊、芳香酒劑(elixirs) 漿、氣溶膠(固體或液體介質) 性化合物之軟膏、軟及硬膠囊 -28- 本纸張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)1248973 A7 B7 When the pharmaceutically acceptable excipient is a diluent, it may be a solid, semi-solid, or liquid substance which acts as an excipient, carrier or active ingredient, pill, powder, lozenge , small drug suspension, emulsion, solution, sugar, containing up to 1% by weight of live, suppository, sterile injection solution, and 5, invention instructions (25) European virus immune response. The terms "π immunosuppressant" or "immunosuppressive agent" include traditional immunosuppressive agents, immunosuppressive agents, antibodies, and conditions that can cause damage to the immune system, such as radiation therapy or HIV infection. The term "substantially dissolved" means at least 10% of proliferating cells are lysed, more preferably at least 50% 'and optimally at least 75% of cells are lysed. The percentage of tumor cells dissolved can be determined by measuring the tumor size reduction in mammals or the dissolution status of in vitro tumor cells. "A mammal suspected of having a proliferative disorder" means that the mammal may have a proliferative disorder or tumor or has been diagnosed with a proliferative disorder or tumor or has been previously diagnosed with a proliferative disorder or tumor, the tumor or substantially all of the tumor has Surgical removal and suspected that the mammal may still have some residual tumor cells. The present invention also encompasses a pharmaceutical composition comprising as an active ingredient one or more immunosuppressants or immunosuppressive agents and one or more European virus and "pharmaceutically acceptable carrier or excipient". In the preparation of the compositions of the invention, the active ingredient is exempted The inhibitor or immunosuppressive agent and the Central European virus are usually mixed with an excipient, diluted with an excipient or packaged in a container, such as a capsule, sachet, paper or other container type. Therefore, the composition may be a tablet capsule, a capsule, an elixirs slurry, an aerosol (solid or liquid medium) compound ointment, soft and hard capsules -28- The paper size is applicable to the Chinese country. Standard (CNS) A4 size (210X 297 mm)

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A7 ______B7 五、發明説明(% ) 1248973 無菌包裝粉劑型式。 某些適當賦形劑實例包含乳糖、葡萄糖、蔗糖、山梨糖 醇、替露糖醇、澱粉、阿拉伯樹膠、磷酸鈣、藻酸鹽、黃 者膠、明膠、矽酸鈣、微晶纖維素、聚乙烯口比咯烷嗣、 纖維素、播菌水、糖漿、及甲基纖維素。該調配物可額外 包含·潤滑劑(如滑石、硬脂酸鎂、及礦油)、濕潤劑、乳 化对〗及懸浮劑、防腐劑(如苯甲酸甲酯及經基苯甲酸丙酯) 、香化劑、及調味劑。本發明組合物可應用本技藝中已知 步驟調配使其對病患投藥後能提供迅速、持續或延後釋出 活性成分。 當製備如片劑之固體組合物時,可將主要活性成分/免 疫抑制劑或免疫壓抑劑及里歐病毒與醫藥學賦形劑混合以 =成3本發明化合物均質混合物之固體預先調配組合物。 田提到k些預先碉配組合物為均質時,其意指該活性成分 已經平均散佈於組合物中,故該組合物很容易可分裝成相 等作用單位劑型,如片劑、丸劑、及膠囊。 本發明片劑或丸劑可經包衣或以其它方法化合以提供具 有延長作用優點之劑型。如片劑或丸劑可包括内劑及外劑 成分,後者當作包覆前者。這二種成分係以腸性層分離, 其作用為抵抗胃酸之分解並、使内層成分完整通過以達十二 指腸或延緩釋出。各種物質皆可用於該腸性層或包衣,該 物負:包含某些聚合酸及包含如紫膠,十六烷醇及乙酸纖維 素等物質之聚合酸混合物。 包含本發明新穎組合物之液體型式可供口服投藥或藉注 -29- 本紙張尺度適用中國國家標準(CNS) A4規格(210X297公釐)A7 ______B7 V. Description of invention (%) 1248973 Aseptic packaging powder type. Examples of certain suitable excipients include lactose, glucose, sucrose, sorbitol, telitol, starch, gum arabic, calcium phosphate, alginate, yellow gum, gelatin, calcium citrate, microcrystalline cellulose, Polyethylene port than pyrrolidine, cellulose, soda water, syrup, and methyl cellulose. The formulation may additionally comprise a lubricant (such as talc, magnesium stearate, and mineral oil), a wetting agent, an emulsifying pair, a suspending agent, a preservative (such as methyl benzoate and propyl benzoate), Aromatizers, and flavoring agents. The compositions of the present invention can be formulated to provide rapid, sustained or delayed release of the active ingredient after administration to a patient using procedures known in the art. When preparing a solid composition such as a tablet, the main active ingredient/immunosuppressive or immunosuppressive agent and the Central European virus can be mixed with a pharmaceutical excipient to form a solid premixed composition of the compound of the present invention. . The reference to k that the pre-compound composition is homogeneous means that the active ingredient has been dispersed throughout the composition, so that the composition can be easily dispensed into equivalent unit dosage forms such as tablets, pills, and capsule. The tablets or pills of the present invention may be coated or otherwise combined to provide a dosage form having the advantage of prolonged action. For example, tablets or pills may include internal and external ingredients, the latter being used as the former. These two components are separated by an intestinal layer, which acts to resist the decomposition of gastric acid and to allow the inner layer components to pass intact to reach the duodenum or to delay release. A variety of materials can be used for the enteric layer or coating, which is a polymeric acid mixture comprising certain polymeric acids and materials including, for example, shellac, cetyl alcohol and cellulose acetate. Liquid type containing the novel composition of the present invention for oral administration or borrowing -29- This paper scale applies to Chinese National Standard (CNS) A4 specification (210X297 mm)

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1248973 五 發明説明 A7 B7 射投藥之用 油性懸浮液 、椰予油、 藥學賦形劑 八可包3水性落液、適當調味糖漿、水性或 2以食用油(如玉米油、棉花子油、芝麻油 或化生油)調味乳劑、以及芳香酒劑與類似醫 水::2或::入性組合物包含了存在於醫藥學上可接受、 、/機洛劑、或其混合物之溶液及懸浮液,以及粉劑 赋二體或固體組合物可含在此所述之適當醫藥學上可接受 。n組合物之投藥較佳可藉口服或鼻内吸入途徑以 2局料全身作用。存於較佳醫藥學上可接受溶劑之組 可藉使用f “生氣體加以霧化。霧化溶液可經由霧化裝 u =接吸入或可將該霧化裝置連結至面具或週期性正壓呼 a ^所有的/合液、懸浮液、或粉末組合物皆可以能以適 -万式輸运調配物、較佳為經由口服或鼻腔投藥之裝置加 以投予。 了用於本發明方法之較佳調配物為經皮輸送裝置(,,貼 片)。藏經皮貼片可用於提供持續或間斷注入控制量之本 發明里歐病4。供輸送藥劑之經皮貼片的構造及用法為本 技藝中眾所皆知。見於如美國專利號5,Q23,252,其以引用 之方式併入本文中。該貼片製備提供連續、悸動性、或即 時遞送(on demand)藥劑。 其k可用於本發明之適當調配物可見於雷明頓醫藥科學 (Remmgton’s Pharmaceutical Sciences),其揭露内容在此以 引用的方式併入本文中。 免疫抑制劑或免疫壓抑劑及里歐病毒或包括免疫抑制劑 -30- 本紙張尺度適用中國國家標準(CNS) A4規格(21〇x 297公釐) 1248973 A7 _B7 五、發明説明(28 ) 或免疫壓抑劑及里歐病毒之醫藥學組合物可包裝於方便的 套組中以k供包裝於適當容器之必要物質。套組中亦可考 慮包含化學治療劑。 免疫抑制劑或免疫壓抑劑係以適當劑量投予並採用可使 哺乳動物之免疫系統免疫抑制或免疫壓抑之適當投藥計劃 。其用量及計劃為精於此技藝者所熟知。 里I病母係以足以治療增殖失調之用量(即,,有效量”)投 藥。”治療”增殖失調係指對增殖細胞投予里歐病毒以引起 增殖細胞溶解。其可導致贅瘤尺寸減少,或完全去除贅瘤 。贅瘤尺寸減少或根除贅瘤通常係藉由里歐病毒使贅瘤細 胞溶解(”瘤細胞溶解”)所引起。有效量較佳為可抑制腫瘤 細胞生長之劑量。較佳有效量係由約1〇pfu/公斤體重至約 1015 pfu/公斤體重,更佳由約1〇2 pfu/公斤體重至約1〇3 pfu/公斤體重。在治療人類時,可依腫瘤顯現之類型、大 小、數量使用約102至1017溶菌斑形成單位(PFU)之里歐病 毒。有效量應取決於每一個體且可根據,至少部分根據, 里歐病毒類型、選擇之投藥途徑、個體大小、年齡、性別 、病患症狀嚴重性、贅瘤大小及其它特徵、及其類似狀況 等考量。療程可持續數日至數月或直到疾病減輕為止。 免疫抑制劑或免疫壓抑劑及里歐病毒可以單一劑量或多 次劑量(即多於一劑量)投藥。多次劑量可同時、或連績( 如於數日或數週之一段期間内)投藥。里歐病毒亦可對同 一個體之一個以上的贅瘤進行投藥。 該組合物較佳可調配為單位劑量型式,每劑含適量免疫 -31 -1248973 5 invention description A7 B7 oily suspension for injection, coconut oil, pharmaceutical excipients can be 3 aqueous drops, suitable flavored syrup, water or 2 edible oils (such as corn oil, cottonseed oil, sesame oil Or probiotic oil) flavored emulsions, as well as aromatic liquors and similar medical waters:: 2 or:: The in-situ composition comprises solutions and suspensions present in pharmaceutically acceptable, / /, or a mixture thereof And the powdered dimer or solid composition may be suitably pharmaceutically acceptable as described herein. Preferably, the administration of the composition can be administered systemically by oral or intranasal inhalation. The group stored in the preferred pharmaceutically acceptable solvent can be atomized by using the raw gas. The atomized solution can be inhaled via the atomization device or can be attached to the mask or periodic positive pressure. a ^All/liquid, suspension, or powder compositions may be administered in a suitable regimen, preferably via oral or nasal administration. The preferred formulation is a transdermal delivery device (., patch). The Tibetan transdermal patch can be used to provide continuous or intermittent injection control of the present invention. The structure and usage of the transdermal patch for delivery of the drug is It is well known in the art. See, for example, U.S. Patent No. 5, Q23, 252, which is incorporated herein by reference. Suitable formulations for the present invention can be found in Remmgton's Pharmaceutical Sciences, the disclosure of which is incorporated herein by reference. Immunosuppressants or immunosuppressants and Leovirus or immunosuppression -30- This paper scale is applicable to China National Standard (CNS) A4 specification (21〇x 297 mm) 1248973 A7 _B7 V. Invention description (28) or pharmaceutical composition of immunosuppressive agent and Leo virus can be packaged in convenience The kit contains the necessary substances for packaging in a suitable container. The kit may also be considered to contain a chemotherapeutic agent. The immunosuppressive or immunosuppressive agent is administered at an appropriate dose and is immunosuppressing the immune system of the mammal. Or an appropriate dosing schedule for immunosuppression. The dosage and schedule are well known to those skilled in the art. The parental disease is administered in an amount sufficient to treat the proliferative disorder (i.e., an effective amount). "Treatment" of a disorder of proliferation refers to the administration of a Leo virus to a proliferating cell to cause proliferating cell lysis. It can result in a reduction in the size of the tumor or a complete removal of the tumor. A reduction in the size of the tumor or eradication of the tumor is usually caused by the dissolution of the tumor cells by the Central European virus ("tumor cell lysis"). The effective amount is preferably a dose which inhibits the growth of tumor cells. Preferably, the effective amount is from about 1 pfu/kg body weight to about 1015 pfu/kg body weight, more preferably from about 1〇2 pfu/kg body weight to about 1〇3 pfu/kg body weight. In the treatment of humans, about 102 to 1017 plaque forming units (PFU) of the Levi virus can be used depending on the type, size, and amount of tumor appearance. The effective amount should depend on each individual and can be based, at least in part, on the type of Leo virus, the route of administration chosen, the size of the individual, the age, sex, the severity of the symptoms of the patient, the size of the tumor and other characteristics, and the like. Etc. The course of treatment can last from a few days to a few months or until the disease is relieved. The immunosuppressive or immunosuppressive agent and the Central European virus can be administered in a single dose or in multiple doses (i.e., more than one dose). Multiple doses can be administered simultaneously, or consecutively (eg, over a period of days or weeks). The Leo virus can also be administered to more than one tumor of the same body. The composition is preferably formulated as a unit dosage form, each dose containing an appropriate amount of immunization -31 -

本纸張尺度適用國家A4規格(2lQX297^iT 1248973 A7 B7 五、發明説明(29 ) 抑制劑或免疫壓抑劑及由約102 pfu至約l〇u pfu之里歐病毒 。π單位劑量型式”一詞指實際適合作為人類病患及其它哺 乳動物單一劑量之用的不連續單位,每單位含有預先決定 劑量之里歐病毒(其經計算可產生所需療效),以及適當之 醫藥學上賦形劑。 如上述,已發現里歐病毒可有效治療具免疫活性的哺乳 動物之實質贅瘤。直接對贅瘤投予未修飾里歐病毒可導致 贅瘤細胞溶解並減少免疫活性的動物之腫瘤大小。當運用 某些方法使動物成為免疫抑制或免疫不全,再經全身性投 予里歐病毒對產生瘤細胞溶解更有效力。 經過考慮可將里歐病毒投藥與手術或贅瘤移除相結合。 因此可提供治療實質贅瘤之方法,其包括手術移除贅瘤及 對贅瘤或其附近部位投予里歐病毒。 經過考慮可將里歐病毒投藥與可使哺乳動物受免疫抑制 之放射療法相結合。 本發明可進一步考慮將本發明里歐病毒與已知抗癌化合 物或化學治療劑共同投藥。化學治療劑係可抑制腫瘤生長 之化合物。該藥劑包含(但不限於)5-氟尿嘧啶、絲裂黴素C 、月备〒蝶吟、喪基H尿、環鱗酿胺、達卡巴仁(dacarbazine) 、米透仙重(mitoxantrone)、安丨麗賽克林(anthracyclins)(依 皮路必信(Epirubicin)及鬥蘇路必信(D〇xUrubicin)、接受器 之抗體’如兔協普ί丁( herceptin)、依透普赛德(etopside)、 普雷格拿松(pregn a some)、鉑化合物(如卡爾伯普蘭汀 (carboplatin)及西司普蘭汀(cisplatin))、帖克仙(taxanes) -32- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)This paper scale applies to the national A4 specification (2lQX297^iT 1248973 A7 B7 5. Inventive Note (29) Inhibitor or immunosuppressive agent and the Central European virus from about 102 pfu to about l〇u pfu. π unit dose type" Words refer to discrete units that are practically suitable for single doses in human patients and other mammals, each unit containing a predetermined dose of Leovirus (which is calculated to produce the desired therapeutic effect), and appropriate medical morphing As mentioned above, it has been found that Leovirus can effectively treat parenchymal tumors in immunocompetent mammals. Direct administration of unmodified Lipovirus to tumors can lead to tumor cell lysis and reduce the tumor size of animals with immunological activity. When some methods are used to make the animal immunosuppressive or immunodeficiency, the systemic administration of the Leo virus is more effective in producing tumor cells. After consideration, the administration of the Leo virus can be combined with surgery or tumor removal. Therefore, a method for treating a parenchymal tumor can be provided, which includes surgical removal of the tumor and administration of a Leo virus to the tumor or a nearby part thereof. The toxic drug is combined with radiation therapy which can immunosuppress mammals. The present invention further contemplates co-administration of the Leo virus of the present invention with a known anticancer compound or chemotherapeutic agent. The chemotherapeutic agent is a compound which inhibits tumor growth. The agent includes, but is not limited to, 5-fluorouracil, mitomycin C, chlorpyrifos, sputum H urine, ring-amplifier, dacarbazine, mitoxantrone, Anthracyclins (Epirubicin and D〇xUrubicin, receptor antibody) such as rabbit herceptin, 依普普德德(etopside), pregn a some, platinum compounds (such as carboplatin and cisplatin), taxanes -32- This paper size applies to China National Standard (CNS) A4 Specification (210 X 297 mm)

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1248973 A7 B7 五、發明説明(3〇 ) (如帖克题(taxol)及帖克颼特(taxotere))、激素治療物(如 塔摩希芬(tamoxifen)及抗雌激素)、干擾素、芳香酶 (aromatase)抑制劑、前列腺素劑及LHRH類似物。 已發現本發明里歐病毒及免疫抑制劑可減少轉移性腫瘤 之生長。於本發明一具體實施例中,其係提供一種可減少 哺乳動物轉移性腫瘤生長之方法,其包括對抑制免疫之哺 乳動物投予有效量之里歐病毒。 實用性 本發明之診斷方法可藉由測量結構性ras-MAp發訊而用 於確為細胞對里歐病毒感染之感受性。其可用於測定出斜 以里歐病毒治療細胞增殖失調可能收到成效的病患。 本發明之里歐病毒及免疫抑制劑可運用於各種目的。其 可運用於可展現結構性ΜΑρκ磷酸化之哺乳動物增殖失調 的/口療方法中。其可用於減少或消除贅瘤。其可用於治療 轉移&lt;方法。其可與已知之治療癌症方法(包含手術、 化學療法與放射療法)併用。 為進-步說明本發明及其優點,提供下列特例 其絕非意欲限制本發明之範圍。 1〜 實例 有ϋ】;^所有溫度皆為攝氏(⑽㈣度數(除非另 有;明),所有比率皆為重量比(除非另有指明)。 ,A音μ务, 寫又意義如下。若縮寫未經定義 其意我為一般所接受者· 心我 297公釐) 1248973 A7 B7 五、發明説明(31 ) μΜ = 微當量 mM = 毫當量 Μ = 當量 ml = 毫升 μΐ = 微升 mg = 毫克 Kg = 微克 PAGE = 聚丙晞醯胺凝膠電泳 rpm = 每分鐘轉數 FBS = 胎牛血清 DTT = 二硫蘚糖醇 SDS = 十二燒基硫酸鋼 PBS = 磷酸鹽緩衝溶液 DMEM = 杜貝寇(Dulbecco’ s)改性 依格(Eagli s)培養基 a -MEM = α-改性依格培養基 β -ME = β-銃基乙醇 MOI = 感染倍率 PFU = 嗤菌斑形成單位 MAPK = MAP激酶 phosph-MAPK = 磷酸化MAP激酶 HRP = 辣根過氧化酶 PKR = 雙股DNA活化蛋白質激酶 RT-PCR = 反轉錄激酶·多聚酶鏈式 反應 -34- 本紙張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)1248973 A7 B7 V. Description of invention (3〇) (such as taxol and taxotere), hormone therapeutics (such as tamoxifen and antiestrogens), interferon, Aromatase inhibitors, prostaglandin agents and LHRH analogues. The Leu virus and immunosuppressive agents of the present invention have been found to reduce the growth of metastatic tumors. In a specific embodiment of the invention, there is provided a method of reducing the growth of metastatic tumors in a mammal comprising administering an effective amount of a Leo virus to a mammal that suppresses immunization. Utility The diagnostic method of the present invention can be used to determine the susceptibility of a cell to a virus infection in Central Europe by measuring structural ras-MAp signaling. It can be used to determine patients who may have achieved success in treating cell proliferation disorders with Leydig virus. The Leo virus and immunosuppressant of the present invention can be used for various purposes. It can be used in an oral therapy method that exhibits structural dysregulation of mammalian κρκ phosphorylation. It can be used to reduce or eliminate tumors. It can be used to treat metastases&lt;methods. It can be used in combination with known methods of treating cancer, including surgery, chemotherapy, and radiation therapy. The invention and its advantages are set forth in the <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; 1~ Examples are ϋ]; ^All temperatures are in Celsius ((10) (four) degrees (unless otherwise stated), all ratios are weight ratios (unless otherwise specified), A sound, write and meaning as follows. Undefined, I am generally accepted. I am 297 mm. 1248973 A7 B7 V. Description of invention (31) μΜ = microequivalent mM = milliequivalent Μ = equivalent ml = ml μΐ = microliter mg = milligram Kg = microgram PAGE = polyacrylamide gel electrophoresis rpm = revolutions per minute FBS = fetal bovine serum DTT = dithioxitol SDS = twelve alkyl sulfate steel PBS = phosphate buffer solution DMEM = Dubecco ' s) Modified Eagli s medium a -MEM = α-modified yege medium β -ME = β-mercaptoethanol MOI = infection rate PFU = plaque forming unit MAPK = MAP kinase phosph-MAPK = phosphorylated MAP kinase HRP = horseradish peroxidase PKR = double-stranded DNA activated protein kinase RT-PCR = reverse transcription kinase - polymerase chain reaction - 34 - This paper scale applies to Chinese National Standard (CNS) A4 specification (210X 297 MM)

1248973 A7 B7 五、發明説明(32 ) GAPDH = 甞油醛-3-磷酸脫氫酶 EGFR = 上皮細胞生長因子接受器 MEK激酶 = 有絲分裂原-活化細胞外 信號-調節激酶 DMSO = 二甲基亞颯 SCID = .嚴重複合免疫缺陷 一般方法 細胞及病毒 親代NIH-3T3細胞及以v-Src轉化之NIH-3T3細胞係由喬夫 (Jove)博士(University of Florida)慷慨贈送。乳房腫瘤細胞 株 MDA-MB-468、MCF7、MDA-MB-435、T_47D、SK-BR-3 及控制組HBL100細胞則係由卡爾里爾包華(Karl Riabowol) 博士(University of Calgary)慷慨贈送。所有細胞株皆於含 10%胎牛血清(FBS)之(杜貝寇改性依格培養基)(DMEM) 中生長。 用於這些研究中之里歐病毒血清3型的迪爾林病毒株係 於L細胞懸浮液培養基中製備並依史密斯等人之方法 ( 1969)加以純化,除了 β-銃基乙醇(β-ΜΕ)係由萃取緩衝溶 液刪出。 細胞感染及病毒定量 將群集之單層細胞培養於24-孔試盤並以感染倍率估計為 80 PFU/細胞之里歐病毒進行感染。於37°C培育1小時後, 使用溫DMEM-10% FBS沖洗該單層細胞並再於相同培養基 中培育。於感染後不同時間,將NP-40及脫氧膽酸鈉混合 -35- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)1248973 A7 B7 V. INSTRUCTIONS (32) GAPDH = oleylaldehyde-3-phosphate dehydrogenase EGFR = epithelial growth factor receptor MEK kinase = mitogen-activated extracellular signal-regulated kinase DMSO = dimethyl hydrazine SCID = . General Methods for Severe Complex Immunodeficiency Cell and viral parental NIH-3T3 cells and the NIH-3T3 cell line transformed with v-Src were generously presented by Dr. Jove (University of Florida). Breast tumor cell lines MDA-MB-468, MCF7, MDA-MB-435, T_47D, SK-BR-3 and control group HBL100 cells were generously presented by Dr. Karl Riabowol (University of Calgary) . All cell lines were grown in 10% fetal bovine serum (FBS) (Dubecide-modified yege medium) (DMEM). The Deerlin virus strains used in these studies were tested in L cell suspension medium and purified by Smith et al. (1969) except for beta-mercaptoethanol (β-ΜΕ). ) is deleted from the extraction buffer solution. Cellular infection and virus quantification The clustered monolayer cells were cultured on a 24-well plate and infected with a Levi virus estimated to have an infection rate of 80 PFU/cell. After incubation at 37 ° C for 1 hour, the monolayer cells were washed with warm DMEM-10% FBS and incubated in the same medium. Mix NP-40 and sodium deoxycholate at different times after infection -35- This paper size applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm)

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1248973 A7 B7 五、發明説明(S3 ) 物直接加入培養基之感染單層細胞上至其最終濃度分別為 1%及0.5 %。再採集溶解產物並藉溶菌斑力價測試L-929細 胞以決定病毒產量。 放射性標記里歐病毒-感染之細胞及溶解產物之製備 以里歐病毒(MOI〜10 PFU/細胞)感染次群集單層(80%群 集)細胞。於感染後46小時,以含10% FBS及0.1微居里/毫 升[35S]甲硫胺酸之無甲硫胺酸DMEM取代培養基。於37t 進一步培育2小時後,以磷酸鹽-緩衝溶液(PBS)沖洗細胞 並於含1%(翠同(Triton)) X· 100、及0.5%脫氧膽酸鈉之相 同緩衝溶液中溶解。再煮沸溶解產物並貯存於-70°C備用。 免疫沉澱及SDS-PAGE分析 使用如上述方法(李,P.W.K.等人(1981) Virology, 108:134-146)以抗-里歐病毒血清3型血清進行免疫沉澱經 35S-標定之里歐病毒-感染細胞溶解產物。1248973 A7 B7 V. INSTRUCTIONS (S3) The substances were directly added to the infected monolayer cells of the medium to a final concentration of 1% and 0.5%, respectively. The lysate was collected and the L-929 cells were tested for plaque strength to determine virus production. Preparation of radiolabeled Central European virus-infected cells and lysates Secondary cluster monolayer (80% cluster) cells were infected with Leovirus (MOI ~10 PFU/cell). At 46 hours post infection, the medium was replaced with methionine-free DMEM containing 10% FBS and 0.1 microcurie/ml [35S]methionine. After further incubation for 2 hours at 37t, the cells were washed with phosphate-buffered solution (PBS) and dissolved in the same buffer solution containing 1% (Triton) X·100, and 0.5% sodium deoxycholate. The lysate was boiled again and stored at -70 °C until use. Immunoprecipitation and SDS-PAGE analysis were performed by 35S-calibrated Leovirus using the anti-Liovirus serum type 3 serum as described above (Li, PWK et al. (1981) Virology, 108: 134-146). Infected with cell lysates.

偵測含磷-MAPK及總MAPK 利用’磷加(PhosphoPlus)’ p44/42 MAP 激酶(Thr202/Tyr204) 抗體套組(New England Biolabs),依原廠說明使用於偵測 細胞溶解產物之MAP激酶。簡而言之,使用推薦之含SDS 樣本緩衝溶液將次群集單層培養物溶解,並進行SDS-PAGE後,電塗染至硝化纖維素紙上。按照原廠手冊,先 使用初級抗體(抗-總MAPK或抗-含磷-MAPK)探測該薄膜, 再以結合辣根過氧化酶(HRP)之二級抗體探測。 嚴重混合免疫缺陷(SCID)鼠 由加拿大之查爾斯河公司(Charles River Canada)購買五 -36- 本紙張尺度適用中國國家標準(CNS) A4規格(210X 297公釐)Detection of Phosphorus-MAPK and Total MAPK Using the PhosphoPlus p44/42 MAP Kinase (Thr202/Tyr204) Antibody Kit (New England Biolabs), MAP Kinase for Detection of Cell Lysates by Original Factory Instructions . Briefly, the secondary cluster monolayer culture was dissolved using the recommended SDS-containing sample buffer solution and subjected to SDS-PAGE and electro-dyed onto nitrocellulose paper. The primary antibody (anti-total MAPK or anti-phosphorus-MAPK) was first probed according to the original manual and probed with a secondary antibody that binds horseradish peroxidase (HRP). Severe Mixed Immunodeficiency (SCID) Rats Purchased by Charles River Canada, Canada -36- This paper size applies to the Chinese National Standard (CNS) A4 specification (210X 297 mm)

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1248973 A7 _B7__ 五、發明説明(34 ) 至八週齡之雄性SCID鼠並依卡爾蓋瑞大學動物關懷委員會· (University of Calgary Animal Care Committee)認可之方案 處理。 植入同種移植物及異種移植物 採集活躍生長之MDA-MB-468人類乳癌細胞,加以.沖洗 並再懸浮於密度為2xl07細胞/毫升之無菌PBS中。將含2.0 X 106細胞之100微升之成品經皮下注射於極後腰側部位。 讓植入腫瘤生長2-3週至可觸知0·5 X 0.5公分大之腫瘤。 腫瘤内注射里歐病毒 一旦腫瘤達到治療大小,進行單一次腫瘤内注射含1.0 X 107 PFU之活或UV-不活化里歐病毒(血清3型,迪爾林病毒 株)之20微升無菌PBS。於2至4週期間,每週測量腫瘤大小 二次。當動物因過度腫瘤負荷或任何明顯痛苦而顯示嚴重 病況時犧牲動物。 里歐病毒感染之組織免疫學分析 將使用福馬林-固定、經石蠟包埋之腫瘤切片,以蓋玻片 封片後進行免疫螢光分析。以二甲苯移除石蠟後,將切片 再水化,並於室溫暴露於初級抗體(兔多株抗-里歐病毒第3 型血清,以PBS稀釋100倍)2小時。以PBS沖洗三次後,將切 片於室溫下暴露於二級抗體[山羊抗-兔子IgG (完整分子)-螢光素異硫氫酸鹽結合物(FITC)或依試驗而定為相同濃度 之Cy3,以含10%山羊血清及0.005%伊凡藍(Evan’s Blue) 對比染色之PBS稀釋100倍]中1小時。為進行附加對比染色 ,同時使用核染色DAPI。最後,再以PBS沖洗三次已固定 -37- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)1248973 A7 _B7__ V. INSTRUCTIONS (34) Male SCID rats up to eight weeks of age were treated according to the program approved by the University of Calgary Animal Care Committee. Implantation of allografts and xenografts Actively growing MDA-MB-468 human breast cancer cells were harvested, washed, and resuspended in sterile PBS at a density of 2 x 107 cells/ml. One hundred microliters of the finished product containing 2.0 X 106 cells was injected subcutaneously into the extreme posterior lumbar region. The implanted tumor is allowed to grow for 2-3 weeks to reach a tumor of 0. 5 X 0.5 cm. Intratumoral injection of the Leu virus Once the tumor has reached the size of the treatment, a single intratumoral injection of 10 μl of sterile PBS containing 1.0 X 107 PFU of live or UV-inactive Liouvirus (serum type 3, Dilling virus strain) is performed. . Tumor size was measured twice a week for 2 to 4 weeks. Animals are sacrificed when they show severe conditions due to excessive tumor burden or any significant pain. Tissue immunology analysis of the Leu virus infection will be performed using a formalin-fixed, paraffin-embedded tumor section, which is covered with a coverslip and subjected to immunofluorescence analysis. After the paraffin was removed with xylene, the sections were rehydrated and exposed to primary antibodies (rabbit multiple anti-leovirus type 3 serum, diluted 100-fold with PBS) for 2 hours at room temperature. After washing three times with PBS, the sections were exposed to a secondary antibody [goat anti-rabbit IgG (intact molecule)-luciferin isothionate complex (FITC) at room temperature or according to the test. Cy3 was diluted 100-fold with 10% goat serum and 0.005% Evan's Blue in contrast-stained PBS] for 1 hour. For additional contrast staining, nuclear staining DAPI was also used. Finally, rinse again with PBS three times. -37- This paper size applies to China National Standard (CNS) A4 specification (210 X 297 mm)

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1248973 A71248973 A7

及處理之切片並再以二次蒸餾水沖洗一次。切片乾燥後並 以含0.1%苯二胺之90%甞油封片、並使用裝有卡爾蔡斯 (Carl Zeiss)相機之蔡斯艾克颼佛特(Zeiss Axiophot)顯微 鏡觀祭(所有相片之放大倍數為2〇〇χ)。 里歐病毒感染原發性乳房腫瘤樣本 將活體組織檢查之乳房腫瘤樣本浸潰於950/0乙醇中殺菌 後以無菌PBS沖洗數次。再將樣本切為小薄片並置於含 DMEM (含i0% FCS)之24孔試盤中。加入里歐病毒 (1X108PFU)。於感染後不同時間,以無菌PBS沖洗樣本再 以福馬林固定。再將樣本包埋於石蠟中並切片以便使用專 一對抗總里歐病毒蛋白質之抗體進行免疫組織化學分析。 i例1 · 鱼I-six非-接受器酪胺酸激酶族成員韓化比舫對田 歐病喜感染之感受性 雖然先前已說明轉移感染具接受器酪胺酸激酶之非感染 性NR6及NIH-3T3細胞足以使里歐病毒複製(史壯,1993), 但轉移感染非-接受器酪胺酸激酶是否可導致里歐病毒感受 性仍未可知。為測定Src族群激酶激活作用(其經常造成許 多乳癌不受控制的增殖)是否可導致足供里歐病毒複製之 Ras活性量,以v-src轉化非感染性NIH-3T3細胞並評估對里 歐病毒感受性。將v-src轉化NIH-3T3凝集單層細胞或其親 代細胞暴露於感染倍率(MOI)為〜50溶菌般形成單位 (PFUs)之里歐病毒中。於感染後不同時間採集細胞及培養 基並將所產生之樣本進行於溶菌斑力價測試分析以測定里 歐病毒複製狀況。結果顯示感染48小時後,v-src轉化細胞 -38- 本纸張尺度適用中國國家標準(CNS) A4规格(210X297公釐) 1248973 A7 B7 五、發明説明(36 ) 產生戲劇性的細胞病變(資料未顯示),以及以溶菌斑力價 分析測量之里歐病毒產量增加。這些結合(圖1)顯示即使 非接受器酪胺酸激酶亦可能媒介里歐病毒感染並因此可標 的附加亞型之乳房腫瘤。 實例2. 里歐病毒可感染一組人類乳癌來源細胞株,.該類 細胞株可測出結構性Ras/MAPK訊號 為評估使用里歐病毒對抗源自乳房之腫瘤的可能性,選 出具代表性之一組乳癌細胞(包含·· MDA-MB-468、MCF7 、MDA-MB-435、T-47D、及SK-BR-3)並測定其於活體外 對里歐病毒感染之感受性。使用衍生自正常乳房組織之 HBL-100細胞做為控制組。俟這六種細胞株成長至80%群 集後再以Μ〇ί為10之里歐病毒攻擊。於感染48小時後以 [35S]甲硫胺酸標識細胞2小時。再以磷酸鹽-緩衝溶液沖洗 及溶解細胞。製成之溶解產物再以專一對抗總里歐病毒蛋 白質之抗體進行免疫沉澱。免疫沉澱蛋白質藉由十二烷基 硫酸鈉聚丙婦醯胺凝膠電泳(SDS-PAGE)分析。結果(圖 2A)清楚地顯示里歐病毒可於源自乳房腫瘤細胞株中有效 複製,然而於HBL-100細胞株中里歐病毒之複製受限。其 顯示這些乳房腫瘤細胞之傳染性係Ras激活作用結果,其 可經由直接突變或經由上游發訊元件。其明顯證明有很高 比率之乳癌可藉由標定Ras之療法治療,雖然該特定激活 作用罕見於此癌症類型。 由於MAPK磷酸化係Ras發訊之必然結果,蛋白質磷醯化 狀態應僅見於具正常Ras發訊之細胞株中(若出現有絲分裂 -39 - 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)The treated sections were then rinsed once with double distilled water. The sections were dried and sealed with 90% eucalyptus oil containing 0.1% phenylenediamine, and a Zeiss Axiophot microscope observation with a Carl Zeiss camera (magnification of all photos) The multiple is 2〇〇χ). Leo virus infection of primary breast tumor samples Biopsy samples of breast tumors were immersed in 950/0 ethanol and sterilized several times with sterile PBS. The sample was then cut into small pieces and placed in a 24-well test disk containing DMEM (containing i0% FCS). Join the Leo virus (1X108PFU). Samples were washed with sterile PBS and fixed with formalin at various times after infection. The samples were then embedded in paraffin and sectioned for immunohistochemical analysis using antibodies specific against the total Leovirus protein. i Example 1 · Fish I-six non-receptor tyrosine kinase family member Hanization than 舫 舫 舫 田 田 田 田 田 田 田 田 田 田 田 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然 虽然-3T3 cells are sufficient for replication of the Leo virus (Shi Zhuang, 1993), but whether the transfer of non-receptor tyrosine kinase can cause the sensitivity of the Leo virus remains unknown. To determine whether Src group kinase activation, which often causes uncontrolled proliferation of many breast cancers, can result in a dose of Ras activity in the full-fledged Violvirus, transforming non-infectious NIH-3T3 cells with v-src and assessing the response to Rio Viral susceptibility. The v-src-transformed NIH-3T3 agglutinated monolayer cells or their parental cells were exposed to a Levi virus with a infection magnification (MOI) of ~50 lytic-like units (PFUs). Cells and medium were harvested at different times after infection and the resulting samples were subjected to plaque assay to determine the replication status of the virus. The results showed that after 48 hours of infection, v-src transformed cells-38- This paper scale is applicable to China National Standard (CNS) A4 specification (210X297 mm) 1248973 A7 B7 V. Invention description (36) Produces dramatic cytopathic effect (data Not shown), as well as an increase in the production of Central European virus measured by plaque strength analysis. These combinations (Figure 1) show that even non-receptor tyrosine kinases may mediate a subtype of breast tumor that is infected with the Central European virus and is therefore identifiable. Example 2. The Leo virus can infect a group of human breast cancer-derived cell lines. This type of cell line can detect the structural Ras/MAPK signal to evaluate the possibility of using the Leo virus against tumors derived from the breast. One group of breast cancer cells (including MDA-MB-468, MCF7, MDA-MB-435, T-47D, and SK-BR-3) was assayed for its sensitivity to Inovirus infection in vitro. HBL-100 cells derived from normal breast tissue were used as a control group.俟 These six cell lines grew to 80% of the cluster and then attacked with a violent virus of 10 Μ〇. Cells were labeled with [35S]methionine for 2 hours after 48 hours of infection. Rinse and dissolve the cells with a phosphate-buffer solution. The resulting lysate is then immunoprecipitated with antibodies that specifically target the total virion protein. The immunoprecipitated protein was analyzed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). The results (Fig. 2A) clearly show that the Leo virus can be efficiently replicated in a cell line derived from a breast tumor, whereas the replication of the Leu virus in the HBL-100 cell line is limited. It shows the result of Ras activation of the infectious line of these breast tumor cells, which can be via direct mutation or via upstream signaling elements. It is clearly demonstrated that a high rate of breast cancer can be treated by calibrating Ras therapy, although this particular activation is rare in this cancer type. Due to the inevitable result of MAPK phosphorylation Ras signaling, the protein phosphorylation status should only be found in cell lines with normal Ras signaling (if mitosis occurs -39 - this paper scale applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm)

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k 1248973 A7 B7 五、發明説明(37 ) 之刺激)。於具有正常Ras發訊之細胞株中,若移除這些有 絲分裂刺激應可導致經由該路徑之信號中斷、造成MAPK 去磷酸化。於一具有異常Ras活性之細胞中,無論是直接 經Ras之突變激活作用或者經由上游元件,且無論有無添 加血清,MAPK磷酸化型式應始終存在。為確定所觀專到 之乳房腫瘤細胞株感染性係Ras/MAPK發訊路徑激活作用 之結果,對這些細胞株進行西方墨潰分析(Western blot analysis),其中使用專一對抗含麟·ΜΑΡΚ之抗體。將1^0八-ΜΒ-468、MCF7、MDA-MB-435、T-47D、SK-BR-3 及 HBL-100細胞塗佈至六孔試盤中。隨後將細胞培育於10%之胎牛 血清(FCS)中或低血清(0.5% FCS)培養48小時。以磷酸鹽 緩衝溶液(PBS)沖洗細胞並採集蛋白質樣本緩衝溶液。將 細胞溶解產物進行SDS-PAGE法,並隨後塗染至硝基纖維 素紙上,再按照原廠建議方法以抗-含磷-MAPK抗體加以偵 測。結果(圖2B)清楚顯示唯一之非感染性細胞株(HBL-100)在有血清供應下擁有含磷-MAPK,而無血清時則沒有 ,其顯示該路徑之Ras發訊正常。其餘可感染細胞株無論 有無有絲分裂信號皆擁有含磷-MAPK,如同所預料其擁有 結構性激活作用之該類路徑。使用專一對抗總MAPK(圖 2C)抗體將蛋白質濃度標準化、。 實例3. 里歐病奏可做為抗腫瘤劑以對抗活體内乳房腫瘤 將人類乳癌細胞株MDA-MB-468做為腫瘤異種移植物, 以皮下注射引入SCID鼠之極後脅部。確定可觸知腫瘤後, 對MDA-MB_468腫瘤投予單次腫瘤内注射含1.0 X 1〇7溶菌 -40- 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)k 1248973 A7 B7 V. Stimulation of invention (37)). In cell lines with normal Ras signaling, removal of these mitotic stimuli should result in signal disruption via this pathway, resulting in MAPK dephosphorylation. In a cell with abnormal Ras activity, whether directly activated by mutation of Ras or via upstream elements, with or without serum added, the MAPK phosphorylation pattern should always be present. In order to determine the activation of the Ras/MAPK signaling pathway of the infective line of the breast tumor cell line to be observed, Western blot analysis was performed on these cell lines, in which a specific antibody against the antibody containing Lin·ΜΑΡΚ was used. . 1^0 octa-ΜΒ-468, MCF7, MDA-MB-435, T-47D, SK-BR-3 and HBL-100 cells were plated into a six-well assay plate. The cells were then incubated in 10% fetal bovine serum (FCS) or low serum (0.5% FCS) for 48 hours. The cells were washed with phosphate buffered saline (PBS) and a protein sample buffer solution was collected. The cell lysate was subjected to SDS-PAGE and then stained onto nitrocellulose paper and detected by an anti-phosphorus-MAPK antibody according to the manufacturer's recommended method. The results (Fig. 2B) clearly show that the only non-infectious cell line (HBL-100) possesses phosphorus-MAPK in the presence of serum, but not in serum, indicating that the Ras signaling of this pathway is normal. The remaining infective cell lines possess a phosphorus-MAPK with or without mitotic signals, as would be expected to have a structural activation. Protein concentration was normalized using a specific anti-total MAPK (Fig. 2C) antibody. Example 3. Leo disease can be used as an anti-tumor agent to combat breast tumors in vivo Human breast cancer cell line MDA-MB-468 is used as a tumor xenograft and introduced into the posterior flank of SCID mice by subcutaneous injection. After confirming the palpable tumor, a single intratumoral injection of MDA-MB_468 tumor containing 1.0 X 1〇7 lysate -40- This paper scale applies Chinese National Standard (CNS) A4 specification (210 X 297 mm)

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1248973 A7 B7 五、發明説明(38 ) 斑形成單位(PFU)的里歐病毒血清3型(迪爾林病毒株)之 PBS。控制組動物則以腫瘤内注射投予以UV-不活化之里歐 病毒。於四週内密切注意腫瘤生長。如圖3顯示,里歐病 毒治療可導致腫瘤大小戲劇性退化。如上述,殘留團塊之 蘇木紫/伊紅(HE)染色顯示出,當與控制組腫瘤(資料未顯 示)相比,單次里歐病毒注射可導致腫瘤細胞徹底毀滅。 為測定觀察到之腫瘤細胞溶解是否起因於病毒複製並測定 里歐病毒蛋白質是否散佈出腫瘤團塊以外,進行免疫勞光 顯微檢查。使用專一對抗里歐病毒蛋白質之抗體並以石蠟 包埋殘留腫瘤團塊薄切片,可檢查出里歐病毒之複製限制 於MDA-MB-468腫瘤細胞中且並未延伸至周圍骨赂肌。 4- J:歐病毒可於原發性乳房樣本中jg制 為確定里歐病毒溶瘤作用並非起因於繼代細胞株之固有 特性,採集原發性人類乳癌樣本以評估里歐病毒感染力。 將生檢之乳房腫瘤樣本浸於95%乙醇中進行消毒後再以無 菌PBS沖洗數次。將該樣本切為小薄片並置於含dmem(含 10% FCS)的24孔試盤中。加入里歐病毒(iX1〇8pFUs)。於 感染後不同時間,以無菌PBS沖洗樣本後再固定於福馬林 中。再將樣本包埋於石蠟中並切片以便進行使用專一對抗 總里歐病毒蛋白質抗體之免、疫組織化學分析。結果(未顯 示)明確顯示那些經攻毒腫瘤中之里歐病毒染色,其顯示 病毒可於這些原發性樣本中進行複製。 本發明雖經參考較佳具體實施例之特定顯示及描述,但 熟請此技藝者應瞭解其中仍存有各種形式變化及細節,其 -41 - 本紙張尺度適财S S家標準(CNS) A4規格(加X 297公釐)1248973 A7 B7 V. INSTRUCTIONS (38) PBS of Leovirus serotype 3 (Dirrin virus strain) of plaque forming unit (PFU). Animals in the control group were injected intratumorally with UV-inactivated Leovirus. Pay close attention to tumor growth within four weeks. As shown in Figure 3, treatment with Leo disease can cause dramatic deterioration in tumor size. As described above, the hematoxylin/eosin (HE) staining of the residual mass showed that a single intra-Lion virus injection resulted in complete destruction of the tumor cells when compared with the control group tumors (data not shown). Immunological light microscopy was performed to determine whether the observed tumor cell lysis was due to viral replication and to determine whether the Leo virus protein was interspersed with tumor mass. Using a monoclonal antibody against the virus of the Central European virus and a thin section of the residual tumor mass embedded in paraffin, it was examined that the replication of the Leo virus was restricted to MDA-MB-468 tumor cells and did not extend to the surrounding skeletal muscle. 4- J: European virus can be used in primary breast samples to determine the intrinsic properties of the Leo virus, not due to the inherent characteristics of the secondary cell line, to collect primary human breast cancer samples to assess the influenza virus infection. The biopsied breast tumor samples were immersed in 95% ethanol for disinfection and then washed several times with sterile PBS. The sample was cut into small pieces and placed in a 24-well test plate containing dmem (containing 10% FCS). Join the Leo virus (iX1〇8pFUs). At different times after infection, the samples were washed with sterile PBS and then fixed in formalin. The sample was then embedded in paraffin and sectioned for immunohistochemical analysis using a specific anti-European virus protein antibody. The results (not shown) clearly show the staining of the Central European virus in the challenged tumors, which shows that the virus can replicate in these primary samples. The present invention has been specifically shown and described with reference to the preferred embodiments, but it should be understood by those skilled in the art that various forms and details are still present therein, and the paper size standard (CNS) A4 Specifications (plus X 297 mm)

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線 1248973 A7 B7 五、發明説明(39 ) 並不偏離如附加之申請專利範圍所定義的本發明精神及範 圍。线 1248973 A7 B7 V. The invention (39) does not depart from the spirit and scope of the invention as defined by the appended claims.

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-42 - 本紙張尺度適用中國國家標準(CNS) A4規格(210 X 297公釐)-42 - This paper size applies to Chinese National Standard (CNS) A4 specification (210 X 297 mm)

Claims (1)

I料8轉3〇126592號專利申請案 AS ^ 一一—一中文申請專利範圍替換本(94年10月) d D8^—&quot; 六、申請專利範圍 1· 一種診斷可用里歐病毒(reovirus)治療之增殖疾病之方 法,其包含: U)由疑似有增殖失調之哺乳動物提供生物樣本; (b)測量該生物樣本中map激酶之磷酸化狀態,其中在 缺乏血清下結構性MAP激酶磷酸化係為可用里歐病毒 治療增殖疾病之指標。 2·如申請專利範圍第1項之方法,其中MAP激酶磷酸化狀 態係使用對磷酸化MAP激酶具特異性之抗體來測定。 3·如申請專利範圍第1或2項之方法,其中之增殖失調係纖 維神經瘤病。 4 ·如申請專利範圍第1或2項之方法,其中之增殖失調係一 種實質贅瘤。 5. 如申請專利範圍第1或2項之方法’其中之增殖失調係選 自由下列各疾病所組成之群:肺癌、攝護腺癌、結腸 直腸癌、甲狀腺癌、腎癌、腎上腺癌、肝癌、胰臟癌 、乳癌及中樞與末梢神經細統癌症。 6. 如申請專利範圍第1或2項之方法,其中之增殖失調係乳 癌。 7. 如申請專利範圍第1或2項之方法,其中之哺乳動物係選 自由下列動物組成之群:犬、貓、綿羊、山羊、牛、 馬、豬、鼠、非人類-靈長類、及人類。 8·如申請專利範圍第1或2項之方法,其中之哺乳動物為人 類。 本紙張尺度適用中國國家標準((:^8) A4規格(21〇x297公釐)I material 8 to 3 〇 126, 592 patent application AS ^ one - one Chinese application patent scope replacement (94 October) d D8^-&quot; VI, the scope of application for patents 1 · a diagnosis of available Leovirus (reovirus A method of treating a proliferative disease, comprising: U) providing a biological sample from a mammal suspected of having a proliferative disorder; (b) measuring a phosphorylation state of a map kinase in the biological sample, wherein the structural MAP kinase phosphate is absent in the absence of serum The Department of Health is an indicator of the treatment of proliferative diseases with the Central European virus. 2. The method of claim 1, wherein the MAP kinase phosphorylation state is determined using an antibody specific for phosphorylated MAP kinase. 3. The method of claim 1 or 2, wherein the proliferative disorder is fibrosarcoma. 4. The method of claim 1 or 2 wherein the proliferative disorder is a parenchymal tumor. 5. The method of claim 1 or 2 wherein the proliferative disorder is selected from the group consisting of lung cancer, prostate cancer, colorectal cancer, thyroid cancer, renal cancer, adrenal cancer, liver cancer , pancreatic cancer, breast cancer and central and peripheral nerve fine cancer. 6. The method of claim 1 or 2, wherein the proliferative disorder is breast cancer. 7. The method of claim 1 or 2, wherein the mammal is selected from the group consisting of a dog, a cat, a sheep, a goat, a cow, a horse, a pig, a mouse, a non-human-primate, And humans. 8. The method of claim 1 or 2 wherein the mammal is a human. This paper scale applies to Chinese national standards ((:^8) A4 specification (21〇x297 mm)
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