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TWI485159B - A microvesicle membrane protein and application thereof - Google Patents

A microvesicle membrane protein and application thereof Download PDF

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TWI485159B
TWI485159B TW101137410A TW101137410A TWI485159B TW I485159 B TWI485159 B TW I485159B TW 101137410 A TW101137410 A TW 101137410A TW 101137410 A TW101137410 A TW 101137410A TW I485159 B TWI485159 B TW I485159B
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cse1l
phosphorylated
cells
antibody
protein
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TW201414746A (en
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Ming Chung Jiang
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Ming Chung Jiang
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Description

一個微泡膜蛋白及其應用A microbubble membrane protein and its application

本發明涉及一個新發現的磷酸化CSE1L(染色體分離-1類蛋白,chromosome segregation 1-like protein)(GenBank編號U33286)微泡膜蛋白及其應用。The present invention relates to a newly discovered phosphorylated CSE1L (chromosome segregation 1-like protein) (GenBank No. U33286) microbubble membrane protein and application thereof.

細胞微泡(microvesicles)是由細胞膜衍生,釋放到細胞外環境中的小粒子,其大小約直徑0.1μm至100μm。微泡參與蛋白酶、基因、小分子核糖核酸(RNA)、激素受體、細胞胞器等,在細胞與細胞之間的轉移,因而與多種疾病,包括癌症的惡化有關(Simak 2006;Cocucci 2009;Muralidharan-Chari 2010)。腫瘤細胞的侵襲和轉移為癌症患者死亡的主要因素。腫瘤細胞藉由分泌蛋白酶,分解細胞外基質而進行癌侵襲和癌轉移。由腫瘤細胞釋放的微泡,富含可分解細胞外基質的蛋白酶,從而在癌細胞的侵襲和轉移上,起到重要作用(Cocucci 2009)。Cellular microvesicles are small particles derived from cell membranes that are released into the extracellular environment and are about 0.1 μm to 100 μm in diameter. Microbubbles are involved in the transfer of proteins, genes, small RNAs, hormone receptors, cell organelles, etc. between cells and cells, and thus are associated with various diseases, including cancer (Simak 2006; Cocucci 2009; Muralidharan-Chari 2010). Invasion and metastasis of tumor cells are a major factor in the death of cancer patients. Tumor cells undergo cancer invasion and cancer metastasis by secreting proteases and decomposing extracellular matrices. The microvesicles released by tumor cells are rich in proteases that decompose the extracellular matrix, thereby playing an important role in the invasion and metastasis of cancer cells (Cocucci 2009).

CSE1L蛋白(染色體分離-1類蛋白,chromosome segregation 1-like protein)或稱細胞凋亡易感蛋白(CAS,cellular apoptosis susceptibility protein)(GenBank登錄號U33286),高度表現於多種癌症的腫瘤組織中(Brinkmann 1995;Tung 2009;Tai 2010)。CSE1L之前被Scherf等人發現可被細胞外信號調節激酶(extracellular signal-regulated kinase,ERK)磷酸化,因此是一個酪氨酸磷酸化蛋白(tyrosine phosphorylated protein),且Scherf等人發現酪氨酸磷酸化的CSE1L蛋白其功能在於促使細胞蛋白由細胞質往細胞核運輸(Scherf 1998)。CSE1L protein (chromosome segregation 1-like protein) or cellular apoptosis susceptibility protein (GenBank accession number U33286) is highly expressed in tumor tissues of various cancers ( Brinkmann 1995; Tung 2009; Tai 2010). CSE1L was previously discovered by Scherf et al. to be phosphorylated by extracellular signal-regulated kinase (ERK) and is therefore a tyrosine phosphorylated protein, and Scherf et al. found tyrosine phosphate. The function of the CSE1L protein is to promote the transport of cellular proteins from the cytoplasm to the nucleus (Scherf 1998).

目前所查資料表明,和CSE1L蛋白相關的專利包括:US 6,664,057是關於鑒別一種與癌症有關之人類染色體20q13.2上之新穎擴增子 (amplicon),此擴增子含CSE1L基因。US 6,072,031是關於CSE1L之互補去氧核糖核酸(complementary DNA,cDNA)及胺基酸序列,用於偵測正常細胞及癌細胞中CSE1L基因之表現及擴增,此外將反義CSE1L基因序列引入活細胞中可抑制細胞凋亡。US 6,207,380是關於衍生自角蛋白/細胞角蛋白、CSE1L或mat-8的多肽及多核苷酸於人體泌尿道組織之表現,用於偵測、診斷、監測、活體造影、預防、治療個體罹患泌尿系統疾病(如泌尿系統癌)。US 6,207,380亦揭示特異結合至泌尿道組織角蛋白/細胞角蛋白、CSE1L或mat-8編碼之多肽或蛋白質之抗體,該分子有助於治療泌尿道疾病。故US 6,207,380描述利用特異結合至泌尿道組織之角蛋白/細胞角蛋白、CSE1L或mat-8之抗體以治療泌尿道疾病。US 6,232,086揭示CSE1L之互補去氧核糖核酸及胺基酸序列,用於偵測正常細胞及癌細胞中CSE1L基因之表現及擴增。US 6,156,564是關於偵測人類增生性細胞之方法,其包含測量人體組織檢體中CSE1L蛋白質之表現量,以及偵測該人類蛋白質表現量較正常非增生性細胞之CSE1L蛋白質表現量至少高於兩倍以上。US 6,440,737是關於調控CSE1L基因表現之反義化合物、組合物及方法。US20080081339是關於測量幾十個體液抗體,包括體液中CSE1L“自體抗體“(非CSE1L蛋白)作為前列腺癌的診斷標誌物。US20050260639是關於檢測從體液或身體組織分離出之“癌細胞”內的CSE1L,用以診斷胰腺癌。WO2009/052573是關於檢測從體液或身體組織分離出之“癌細胞”內的幾百個轉錄核糖核酸包括CSE1L的核糖核酸,以診斷胃腸癌。US20100120074是關於測量體液中的CSE1L蛋白以診斷轉移性癌症。由上述之說明可知這些先前技藝(專利)的內容,都在偵測細胞層級之CSE1L基因表現或體液CSE1L蛋白。The data currently available indicate that the patents associated with the CSE1L protein include: US 6,664,057 for the identification of a novel amplicon on human chromosome 20q13.2 associated with cancer. (amplicon), this amplicon contains the CSE1L gene. US 6,072,031 relates to CSE1L's complementary DNA (cDNA) and amino acid sequences for detecting the expression and amplification of the CSE1L gene in normal cells and cancer cells, and introducing the antisense CSE1L gene sequence into the living Apoptosis can be inhibited in cells. US 6,207,380 is about the performance of polypeptides and polynucleotides derived from keratin/cytokeratin, CSE1L or mat-8 in human urinary tract tissues for detection, diagnosis, monitoring, bio-angiography, prevention, and treatment of urinary tract in individuals. Systemic diseases (such as urinary system cancer). US 6,207,380 also discloses antibodies that specifically bind to urinary tract tissue keratin/cytokeratin, CSE1L or mat-8 encoded polypeptides or proteins that are useful in the treatment of urinary tract diseases. Thus, US 6,207,380 describes the use of antibodies that specifically bind to urinary tract tissue of keratin/cytokeratin, CSE1L or mat-8 to treat urinary tract diseases. US 6,232,086 discloses a complementary deoxyribonucleic acid and amino acid sequence of CSE1L for detecting the expression and amplification of the CSE1L gene in normal cells and cancer cells. US 6,156,564 is a method for detecting human proliferating cells, which comprises measuring the amount of CSE1L protein in a human tissue sample, and detecting that the human protein exhibits at least two higher CSE1L protein expressions than normal non-proliferating cells. More than double. US 6,440,737 is an antisense compound, composition and method for regulating the expression of the CSE1L gene. US20080081339 is directed to measuring dozens of individual fluid antibodies, including CSE1L "autoantibody" (non-CSE1L protein) in body fluids as a diagnostic marker for prostate cancer. US20050260639 relates to the detection of CSE1L in "cancer cells" isolated from body fluids or body tissues for the diagnosis of pancreatic cancer. WO 2009/052573 relates to the detection of hundreds of transcriptional ribonucleic acids, including CSE1L, in "cancer cells" isolated from body fluids or body tissues to diagnose gastrointestinal cancer. US20100120074 relates to the measurement of CSE1L protein in body fluids for the diagnosis of metastatic cancer. From the above description, it is known that the contents of these prior art (patent) are to detect the cell level CSE1L gene expression or the humoral CSE1L protein.

本發明的一方面涉及於體外,分離、結合或檢測微泡的方法,用以診斷或治療疾病。One aspect of the invention relates to a method of isolating, binding or detecting microvesicles in vitro for the diagnosis or treatment of a disease.

在本發明的一方面涉及診斷腫瘤的方法,包含以下步驟:1)取得哺乳動物之體液;2)於體外檢測受檢測個體體液中微泡的CSE1L或磷酸化 CSE1L量;2)於體外檢測正常個體體液中微泡的CSE1L或磷酸化CSE1L量做為對照組;3)依據受檢測個體與對照組個體體液中微泡的CSE1L或磷酸化CSE1L量的差別,判別受檢測個體是否有腫瘤。In one aspect of the invention, a method of diagnosing a tumor comprises the steps of: 1) obtaining a body fluid of a mammal; 2) detecting CSE1L or phosphorylation of microvesicles in the body fluid of the test subject in vitro; The amount of CSE1L or phosphorylated CSE1L in the body fluid of normal individuals was used as a control group in vitro; 3) the difference in the amount of CSE1L or phosphorylated CSE1L in the microcapsules of the body fluid of the tested individual and the control group, It is discriminated whether the subject has a tumor.

在本發明的一方面涉及診斷腫瘤的方法,包含以下步驟:1)取得哺乳動物之體液;2)於體外檢測受檢測個體體液中磷酸化CSE1L量;2)於體外檢測正常個體體液中磷酸化CSE1L量做為對照組;3)依據受檢測個體與對照組個體體液中磷酸化CSE1L量的差別,判別受檢測個體是否有腫瘤。In one aspect of the invention, a method for diagnosing a tumor comprises the steps of: 1) obtaining a body fluid of a mammal; 2) detecting the amount of phosphorylated CSE1L in the body fluid of the test subject in vitro; 2) detecting phosphorylation in a body fluid of a normal individual in vitro; The amount of CSE1L was used as a control group; 3) The presence or absence of a tumor was determined based on the difference in the amount of phosphorylated CSE1L in the body fluid of the test individual and the control group.

在本發明的一方面涉及由體液分離微泡的方法,包含以下步驟:1)取得哺乳動物之體液;2)於體外以可和CSE1L或磷酸化CSE1L結合的抗體,分離與抗體結合之微泡。In one aspect of the invention, a method for isolating microvesicles from a body fluid comprises the steps of: 1) obtaining a body fluid of a mammal; 2) isolating the antibody-bound microvesicles in vitro with an antibody that binds to CSE1L or phosphorylated CSE1L. .

在本發明的一方面涉及檢測體液中微泡的方法,包含以下步驟:1)取得哺乳動物之體液;2)於體外以抗CSE1L抗體或抗磷酸化CSE1L抗體,檢測與抗體結合之微泡。In one aspect of the invention, a method for detecting microvesicles in a body fluid comprises the steps of: 1) obtaining a body fluid of a mammal; 2) detecting the microvesicles bound to the antibody with an anti-CSE1L antibody or an anti-phosphorylated CSE1L antibody in vitro.

在本發明的一方面也涉及以可和CSE1L或磷酸化CSE1L結合的抗體與細胞微泡結合,以用於預防或治療疾病的方法。優先考慮的疾病是癌症。In one aspect of the invention, there is also a method of binding to an antibody or cell microbubble that binds to CSE1L or phosphorylated CSE1L for use in a method of preventing or treating a disease. The priority disease is cancer.

在本發明的一方面也涉及以含有抗CSE1L抗體或抗磷酸化CSE1L抗體的組合物與細胞微泡結合,以用於診斷或治療疾病。優先考慮的疾病是癌症。In one aspect of the invention, the invention also relates to the use of a composition comprising an anti-CSE1L antibody or an anti-phosphorylated CSE1L antibody in combination with cellular microvesicles for the diagnosis or treatment of a disease. The priority disease is cancer.

本發明的其他用途,特點,及優點可以從下面的詳細描述和資料圖示中顯示。Other uses, features, and advantages of the invention will be apparent from the description and drawings.

細胞微泡為由細胞產生,分佈於細胞膜,或從細胞釋放,可發現於體液和細胞培養的培養基(Simak 2006;Cocucci 2009;Muralidharan-Chari 2010)。本發明所述的微泡,包括及適用於與細胞膜結合的微泡,及從細胞釋放的微泡。本發明所述的微泡,也包括及適用於所有大小的細胞微泡。Cellular microvesicles are produced by cells, distributed in cell membranes, or released from cells, and found in body fluids and cell culture media (Simak 2006; Cocucci 2009; Muralidharan-Chari 2010). The microvesicles of the present invention include and are suitable for microbubbles that bind to cell membranes, and microvesicles released from cells. The microvesicles of the present invention also include and are suitable for cell microvesicles of all sizes.

本發明首先發現CSE1L調控細胞生成微泡、磷酸化CSE1L位於微泡的膜上、磷酸化CSE1L普遍存在于癌症患者的血清中。微泡在多種疾病尤其癌症惡化過程中起重要的作用(Simak 2006)。因此,可與CSE1L或 磷酸化CSE1L結合的組合物,如抗CSE1L抗體或抗磷酸化CSE1L抗體與其衍生物、以及藥品的成分,可以用於檢測或結合體液微泡及體液內之磷酸化CSE1L,進而診斷或控制疾病。微泡參與蛋白酶、基因、小分子核糖核酸、激素受體、細胞胞器等在細胞與細胞之間的轉移,因而與多種疾病,包括凝血疾病,傷口癒合,動脈粥樣硬化,冠狀動脈疾病,糖尿病,血液病,傳染病,炎症性疾病,神經系統疾病,癌症等的惡化有關(Simak 2006;Cocucci 2009;Muralidharan-Chari 2010)。因此,微泡的蛋白分子,尤其是位於微泡膜上的蛋白分子,可以用來作為診斷疾病的標誌物。另外,可以利用和微泡膜蛋白結合的抗體或組合物與微泡結合,應用於醫療成像或治療疾病。The present invention firstly found that CSE1L regulates cell-forming microvesicles, phosphorylated CSE1L is located on the membrane of microvesicles, and phosphorylated CSE1L is ubiquitous in the serum of cancer patients. Microbubbles play an important role in a variety of diseases, especially cancer progression (Simak 2006). Therefore, it can be combined with CSE1L or Phosphorylated CSE1L-bound compositions, such as anti-CSE1L antibodies or anti-phosphorylated CSE1L antibodies and their derivatives, as well as pharmaceutical ingredients, can be used to detect or bind to humoral microvesicles and phosphorylated CSE1L in body fluids to diagnose or control disease. Microbubbles are involved in the transfer of cells, cells, etc. between proteases, genes, small RNAs, hormone receptors, cell organelles, etc., and thus with a variety of diseases, including coagulation diseases, wound healing, atherosclerosis, coronary artery disease, Diabetes, blood diseases, infectious diseases, inflammatory diseases, nervous system diseases, cancer and other deterioration (Simak 2006; Cocucci 2009; Muralidharan-Chari 2010). Therefore, protein molecules of microbubbles, especially protein molecules located on the microbubble membrane, can be used as markers for diagnosing diseases. In addition, antibodies or compositions that bind to microbubble membrane proteins can be utilized in combination with microvesicles for medical imaging or for treating diseases.

在本發明的另一的發現是,CSE1L與Ras和ERK細胞信號通路連結,活化的Ras和ERK信號通路可磷酸化CSE1L,磷酸化CSE1L普遍性地存在於癌症患者血清中。另外,在癌症的診斷上,檢測血清磷酸化CSE1L的癌症檢驗靈敏度,高於檢測血清非磷酸化CSE1L的癌症檢驗敏度。因此,磷酸化CSE1L具有癌症診斷的臨床應用性。Another finding in the present invention is that CSE1L is linked to the Ras and ERK cell signaling pathways, and the activated Ras and ERK signaling pathways phosphorylate CSE1L, which is ubiquitously present in the serum of cancer patients. In addition, in the diagnosis of cancer, the sensitivity of detecting cancer phosphorylated CSE1L is higher than that of detecting serum non-phosphorylated CSE1L. Therefore, phosphorylated CSE1L has clinical applicability for cancer diagnosis.

本發明的另一發現是,癌症患者的體液中有磷酸化CSE1L存在,而且雖然正常(健康)人的體液也有CSE1L存在,但是在正常人的體液中很難檢測到磷酸化CSE1L(實施例5)。之前有研究指出,一個可被細胞分泌的蛋白若同時具有蛋白磷酸化形(phosphorylated form)和去磷酸化形(dephosphorylated form),則並非此蛋白的磷酸化形和去磷酸化形都可被細胞分泌(Konishi 1994;Fendrick 1997)。因此,本發明的另一發現是磷酸化CSE1L是一種分泌蛋白,且磷酸化CSE1L可在癌症患者的體液中被檢測到。Another finding of the present invention is that phosphorylated CSE1L is present in body fluids of cancer patients, and although CSE1L is also present in normal (healthy) human body fluids, it is difficult to detect phosphorylated CSE1L in normal human body fluids (Example 5 ). Previous studies have indicated that a protein that can be secreted by a cell, if it has both a phosphorylated form and a dephosphorylated form, is not a phosphorylated form or a dephosphorylated form of the protein. Secretion (Konishi 1994; Fendrick 1997). Therefore, another finding of the present invention is that phosphorylated CSE1L is a secreted protein, and phosphorylated CSE1L can be detected in body fluids of cancer patients.

本發明的另一個發現是磷酸化CSE1L為微泡的膜蛋白,且抗CSE1L的抗體能夠尋找並結合腫瘤。經腫瘤細胞釋放的微泡仍然殘留在腫瘤周圍環境。因此,利用CSE1L結合劑或磷酸化CSE1L結合劑與治療藥物或細胞毒性劑結合,可應用於癌症治療。此外,利用CSE1L結合劑或磷酸化CSE1L結合劑與可發出螢光、幅射或其他可被偵測訊息的物質結合,可應用於疾病醫療成像。Another finding of the present invention is that phosphorylated CSE1L is a membrane protein of microvesicles, and antibodies against CSE1L are capable of finding and binding to tumors. The microbubbles released by the tumor cells still remain in the surrounding environment of the tumor. Therefore, the use of a CSE1L binding agent or a phosphorylated CSE1L binding agent in combination with a therapeutic drug or a cytotoxic agent can be applied to cancer treatment. In addition, CSE1L binding agents or phosphorylated CSE1L binding agents can be used in medical imaging of diseases in combination with substances that emit fluorescence, radiation or other detectable messages.

本發明的另一個方面涉及利用可結合CSE1L或磷酸化CSE1L的組合物或抗體,應用於生物體液內微泡,包括細胞條件培養液(cell conditioned media)內微泡的分離和分析。所述包括可結合CSE1L或磷酸化CSE1L的化合物或抗體的方法或試劑套組盒,適用於(但不僅限於),超速離心(ultracentrifugation),免疫沉澱(immunoprecipitation),親和純化(affinity purification),微濾(microfiltration),流式細胞儀或螢光活化細胞分選(fluorescence activated cell sorter),酵素結合免疫吸附法(enzyme-linked immunosorbent assay),抗體晶片(microarray),生物晶片(biochips),色譜法(chromatography),免疫墨點法(immunoblotting),微流體系統(microfluidic systems),微流控晶片(microfluidic chip),及其它免疫學技術。Another aspect of the invention relates to the use of compositions or antibodies that bind CSE1L or phosphorylated CSE1L for the isolation and analysis of microvesicles in biological fluids, including cell conditioned media. The method or kit kit comprising a compound or antibody that binds to CSE1L or phosphorylated CSE1L, suitable for, but not limited to, ultracentrifugation, immunoprecipitation, affinity purification, micro Microfiltration, flow cytometry or fluorescence activated cell sorter, enzyme-linked immunosorbent assay, antibody microarray, biochips, chromatography (chromatography), immunoblotting, microfluidic systems, microfluidic chips, and other immunological techniques.

本發明的另一個方面涉及以包含CSE1L結合劑或磷酸化CSE1L結合劑的方法或試劑盒,分離、分析、或結合微泡,以診斷或監測疾病。CSE1L或磷酸化CSE1L的分析可以是定量(quantitative)或定性(qualitative)分析,並將分析結果與同時對一個或多個確定沒有疾病的生物體(做為對照組)的體液微泡內CSE1L或磷酸化CSE1L的分析結果進行比較。如果受檢測個體體液微泡內CSE1L或磷酸化CSE1L量與對照組進行比較結果有差異,可以指出腫瘤的狀況,例如有無腫瘤和腫瘤惡性程度的變化。Another aspect of the invention relates to the isolation, analysis, or incorporation of microvesicles to diagnose or monitor a disease using a method or kit comprising a CSE1L binding agent or a phosphorylated CSE1L binding agent. The analysis of CSE1L or phosphorylated CSE1L can be quantitative or qualitative analysis, and the results of the analysis are combined with CSE1L or in the humoral microvesicles of one or more organisms that have no disease (as a control). The results of the analysis of phosphorylated CSE1L were compared. If the amount of CSE1L or phosphorylated CSE1L in the humoral microbubbles of the tested individuals is different from that of the control group, the status of the tumor, such as the presence or absence of tumor and tumor malignancy, can be indicated.

由於體液中的微泡可能被溶解,因此微泡所載磷酸化CSE1L可釋放到體液。本發明的另一個方面涉及以包含可以和磷酸化CSE1L結合的結合劑(例如抗磷酸化CSE1L的抗體)的方法或試劑盒,分離或分析體液內磷酸化CSE1L,以診斷或監測疾病。磷酸化CSE1L的分析可以是定性性或定量性分析,並將分析結果與同時對一個或多個確定沒有疾病生物體(做為對照組)的體液內磷酸化CSE1L的分析結果進行比較。如果受檢測個體體液磷酸化CSE1L量與對照組進行比較結果有差異,可以指出腫瘤的狀況,例如有無腫瘤和腫瘤惡性程度的變化。Since the microbubbles in the body fluid may be dissolved, the phosphorylated CSE1L contained in the microbubbles can be released into the body fluid. Another aspect of the invention relates to the isolation or analysis of phosphorylation of CSE1L in a body fluid to diagnose or monitor a disease by a method or kit comprising a binding agent that binds to phosphorylated CSE1L (eg, an antibody that phosphorylates CSE1L). The analysis of phosphorylated CSE1L can be qualitative or quantitative, and the results of the analysis are compared to the results of simultaneous analysis of one or more humoral CSE1L in humoral organisms (as a control). If the amount of CSE1L in the body fluid of the test subject is different from that of the control group, the status of the tumor, such as the presence or absence of tumor and tumor malignancy, can be indicated.

本發明亦提供應用於上述偵測及診斷之套組。於診斷或偵測應用上,該套組可包含下述任何一者或所有:檢測試劑、緩衝液、抗磷酸化CSE1L抗體或可與磷酸化CSE1L蛋白或磷酸化CSE1L多肽結合且可顯示體液或體液微泡內磷酸化CSE1L蛋白或磷酸化CSE1L多肽含量之化學藥品、多 肽及其它分子。The invention also provides a kit for use in the above detection and diagnosis. For diagnostic or detection applications, the kit may comprise any or all of the following: a detection reagent, a buffer, an anti-phosphorylated CSE1L antibody or may bind to a phosphorylated CSE1L protein or a phosphorylated CSE1L polypeptide and may display a body fluid or Chemicals for phosphorylation of CSE1L protein or phosphorylated CSE1L polypeptide in body fluid microvesicles Peptides and other molecules.

本發明所述的“體液(biological fluid)”指的是可由生物體任何部位分離的流體樣品,包括但不限於:血液,血清,血漿,尿液,淋巴液,腦脊液,痰液,胸腔液,乳頭吸出液,呼吸道液,腸道液,泌尿生殖道液,乳汁,淚液,唾液,淋巴液,精液,腦脊液,腹水,羊水,腫瘤囊液。也包括細胞條件培養基。在體液樣本的微泡也包括存在於生物流體樣本內細胞之細胞膜上的微泡。細胞條件培養基為已經培養細胞一段時間的培養基。“取得體液樣本”意指獲取用於本發明所描述方法之體液樣本。"Biological fluid" as used in the present invention refers to a fluid sample that can be separated from any part of the organism, including but not limited to: blood, serum, plasma, urine, lymph, cerebrospinal fluid, sputum, pleural fluid, Nipple aspirate, respiratory fluid, intestinal fluid, genitourinary fluid, milk, tears, saliva, lymph, semen, cerebrospinal fluid, ascites, amniotic fluid, tumor cyst fluid. Also included are cell conditioned media. The microvesicles in the body fluid sample also include microbubbles present on the cell membrane of the cells within the biological fluid sample. The cell conditioned medium is a medium that has been cultured for a period of time. "Acquiring a bodily fluid sample" means obtaining a bodily fluid sample for use in the methods described herein.

本發明所述的“腫瘤(tumor)”是指個體具有引發癌症之細胞存在。具有引發癌症之細胞通常具有失控之增生、永生、轉移潛力、及某些特有的細胞型態及細胞標記之典型特徵。在某些情況下,癌細胞呈腫瘤形式,但其亦可能於動物體中單獨存在或以獨立細胞形式(如白血病細胞)於血流中循環。By "tumor" as used herein, an individual has the presence of a cell that causes cancer. Cells that cause cancer often have uncontrolled proliferation, immortality, metastatic potential, and typical characteristics of certain cell types and cell markers. In some cases, the cancer cells are in the form of a tumor, but they may also be present in the body alone or in a separate cell form (such as leukemia cells) circulating in the bloodstream.

本發明所述的“個體(subject)”是指其細胞會產生微泡的動物。動物包括哺乳動物,尤其是人類。The "subject" as used in the present invention refers to an animal whose cells produce microbubbles. Animals include mammals, especially humans.

本發明所述的“正常個體(normal subject)”是指個體沒有腫瘤或其他疾病。The "normal subject" as used in the present invention means that the individual has no tumor or other disease.

本發明所述的“受檢測個體(test subject)”是指要被檢測有沒有腫瘤或其他疾病的個體。The "test subject" as used in the present invention refers to an individual to be detected for the presence or absence of a tumor or other disease.

本發明所述的“於體外(in vitro)”是指在一個活的個體之外的環境,通常是一種人工環境,如試管中或培養環境。As used herein, "in vitro" refers to an environment other than a living individual, typically an artificial environment, such as a test tube or culture environment.

本發明所述的“免疫學技術(immunological techniques)”是指涉及任何以抗體為基礎的檢測技術,包括但不限於,斑點雜交,免疫墨點法,免疫沉澱,酵素結合免疫吸附法(ELISA),和放射免疫分析(radioimmunoassay,RIA)技術。"Immunological techniques" as used herein refers to any antibody-based detection technique, including but not limited to, dot blot hybridization, immunoblotting, immunoprecipitation, enzyme-bound immunosorbent assay (ELISA). , and radioimmunoassay (RIA) technology.

本發明所述的“斑點雜交(dot blot assay)”是指將樣本固定在紙、玻璃纖維、或塑膠板材的表面,可以用很多方法,包括以直接或間接標記抗體的雜交,檢測待檢測蛋白,待檢測蛋白的存在會形成明顯的檢測信號。The "dot blot assay" as used in the present invention refers to immobilizing a sample on the surface of paper, glass fiber, or plastic sheet, and detecting the protein to be detected by a plurality of methods, including direct or indirect labeling of the antibody. The presence of the protein to be detected forms a distinct detection signal.

本發明所述的“腫瘤靶向性(tumor targeting)”是指化合物偏好或優先 和腫瘤結合的能力。一個腫瘤靶向藥物成分是指藥物成分可偏好或優先結合到腫瘤組織。"Tumor targeting" as used in the present invention refers to compound preference or priority The ability to bind to tumors. A tumor-targeted pharmaceutical ingredient means that the drug component can preferentially or preferentially bind to tumor tissue.

本發明所述的“癌症治療(cancer therapy)”是指可控制腫瘤生長,侵襲,轉移,或癌症死亡率的技術、步驟、或物質。The "cancer therapy" as used herein refers to a technique, step, or substance that can control tumor growth, invasion, metastasis, or cancer mortality.

本發明所述的“醫療成像(medical imaging)”是指臨床用途或醫療科學研究,使人體或動物組織器官產生圖像的技術。"Medical imaging" as used in the present invention refers to a technique for clinically or medically scientifically researching an image of a human or animal tissue.

本發明所述的“治療藥劑(therapeutic agent)”是指對癌細胞具有細胞毒性,生長抑制,或免疫抑制效果的藥劑或化合物。The "therapeutic agent" as used in the present invention means an agent or a compound having cytotoxicity, growth inhibition, or immunosuppressive effect on cancer cells.

本發明所述的“抗體(antibody)”是指:(一)與相應抗原(如CSE1L或磷酸化CSE1L)發生特異性結合反應的免疫球蛋白、免疫球蛋白多肽免疫活性部分(即免疫球蛋白的多肽,或片段及其包含抗原結合位點,可結合到一個特定的抗原(如CSE1L或磷酸化CSE1L);或(二)任何免疫球蛋白的多肽或片段的衍生物等可結合到抗原(如CSE1L或磷酸化CSE1L)。The term "antibody" as used in the present invention means: (i) an immunoglobulin, an immunoglobulin polypeptide immunologically active portion (ie, an immunoglobulin) that specifically binds to a corresponding antigen (such as CSE1L or phosphorylated CSE1L). a polypeptide, or fragment thereof, comprising an antigen binding site, which binds to a specific antigen (such as CSE1L or phosphorylated CSE1L); or (b) a derivative of any polypeptide or fragment of an immunoglobulin that binds to an antigen ( Such as CSE1L or phosphorylated CSE1L).

本發明所述的抗體可以用已知的技術及方法生產。例如,單克隆抗體(monoclonal antibodies)、融合瘤細胞(hybridoma)、重組抗體(recombinant antibodies)、噬菌體展示(phage display)等技術生產抗體。The antibodies of the invention can be produced by known techniques and methods. For example, antibodies such as monoclonal antibodies, hybridomas, recombinant antibodies, phage displays, and the like are produced.

本發明所述的抗CSE1L抗體,或抗磷酸化CSE1L抗體與微泡間的結合反應,是以免疫原理技巧檢測。在典型的免疫檢測,可以將細胞、微泡或抗體固定於支援物(管柱、膜、或膠粒)上,分離掉未反應或未結合的物質後,可檢測這些抗體與微泡間的結合。固定細胞、微泡或抗體的方法為已知的技術。例如,它們可以經由化學聯結(chemical linking)反應或物理吸附(physical adsorption)方法直接固定到固相(solid phase)物質上。另外,本發明的抗體經過生物素聯結生物素化(biotinylated)後,也可將抗體間接地固定到吸附抗生素蛋白(avidin)或鏈黴抗生素蛋白(streptavidin)的固相物質上。當抗體聯結到磁性粒子,不僅抗體,包括微泡也可以快速且方便地被檢測和使用磁鐵分離。另外,當使用一種可識別多種抗原的抗體,例如多重特異性抗體(multispecific antibody),該抗體結合微泡上的CSE1L或磷酸化CSE1L,然後也可以再結合其他抗原蛋白。另外,抗體也可以經過蛋白A(protein A)或G(protein G)或類似物固定到固相物質上。The anti-CSE1L antibody, or the anti-phosphorylated CSE1L antibody and the microbubble binding reaction of the present invention are detected by immunological principle techniques. In a typical immunoassay, cells, microbubbles, or antibodies can be immobilized on a support (column, membrane, or colloid), and unreacted or unbound material can be separated to detect the relationship between these antibodies and microbubbles. Combine. Methods of immobilizing cells, microvesicles or antibodies are known techniques. For example, they can be directly immobilized to a solid phase material via a chemical linking reaction or a physical adsorption method. Alternatively, the antibody of the present invention may be indirectly immobilized to a solid phase substance adsorbing an antibiotic protein (avidin) or a streptavidin after biotinylated biotinylated. When antibodies are bound to magnetic particles, not only antibodies, including microbubbles, can be detected quickly and conveniently and separated using magnets. In addition, when an antibody recognizing a plurality of antigens, such as a multispecific antibody, is used, the antibody binds to CSE1L or phosphorylates CSE1L on the microvesicles, and then can also bind to other antigenic proteins. Alternatively, the antibody may be immobilized to a solid phase material via Protein A or G (protein G) or the like.

本發明所述的固定抗體的時間沒有特別限制,抗體可在與體液樣本混合接觸之前,之後,或同時間被固定。可以使用任何的固相物質固定抗體,此類固相物質包括以玻璃、有機聚合物、聚苯乙烯、矽膠(silica gel)、氧化鋁、活性炭等物質製成之纖維膜、粒子、纖維載體等。例如,本發明的抗體可以固定到試管、盤、碟子、或小珠子的反應容器的內壁。The time for immobilizing the antibody according to the present invention is not particularly limited, and the antibody may be immobilized before, after, or at the same time as the mixed contact with the body fluid sample. The immobilized antibody may be immobilized using any solid phase material including fibrous membranes, particles, fibrous carriers, etc. made of glass, organic polymer, polystyrene, silica gel, alumina, activated carbon, and the like. . For example, the antibody of the present invention can be immobilized to the inner wall of a reaction vessel of a test tube, tray, dish, or bead.

使用本發明所述抗體檢測或定量微泡,包括但不限於以下免疫學方法,例如,螢光抗體法,酵素結合免疫吸附法(ELISA),放射免疫分析(radioimmunoassay,RIA),免疫組織化學染色(見Monoclonal Antibodies:Principle and Practice,3rd ed.(1996)Academic Press),免疫墨點法,免疫沉澱。Detection or quantification of microvesicles using the antibodies of the invention, including but not limited to the following immunological methods, for example, fluorescent antibody method, enzyme-bound immunosorbent assay (ELISA), radioimmunoassay (RIA), immunohistochemical staining (See Monoclonal Antibodies: Principle and Practice, 3rd ed. (1996) Academic Press), immunoblotting, immunoprecipitation.

本發明所述的“平均量(average amount)”之計算方法,為在一個或多個樣本,先確定CSE1L或磷酸化CSE1L在每個樣本內的值或濃度,然後計算CSE1L或磷酸化CSE1L在這些樣本的平均值或平均濃度。平均值可以由多個樣本的單獨值經過總加而成為總加值,再除以值的個數決定平均值。“微泡的CSE1L的平均量”是指在一個或多個對照體液樣本內,CSE1L蛋白在微泡的平均量。“微泡的磷酸化CSE1L的平均量”是指在一個或多個對照體液樣本內,磷酸化CSE1L蛋白在微泡的平均量。“體液樣本中的磷酸化CSE1L的平均量”是指在一個或多個對照組體液樣本內,磷酸化CSE1L蛋白的平均量。受檢測體液樣本內微泡的CSE1L或磷酸化CSE1L的量,或受檢測體液樣本內磷酸化CSE1L的量,高於對照組體液樣本中的CSE1L或磷酸化CSE1L的平均量,是指和對照組體液樣本比較下,受檢測體液樣本CSE1L或磷酸化CSE1L量的增加。“量的增加”通常是至少10%,或至少有20%或50%,或100%,或至少2倍,或至少是5倍,或者可高達10倍甚至20倍的增加。The "average amount" calculation method of the present invention is to first determine the value or concentration of CSE1L or phosphorylated CSE1L in each sample in one or more samples, and then calculate CSE1L or phosphorylated CSE1L in The average or average concentration of these samples. The average value can be added to the total value by the individual values of the multiple samples, and the average value can be divided by the number of values. "Average amount of microvesicles of CSE1L" refers to the average amount of CSE1L protein in microvesicles in one or more control body fluid samples. "Average amount of phosphorylated CSE1L of microvesicles" refers to the average amount of phosphorylated CSE1L protein in microvesicles in one or more control body fluid samples. "Average amount of phosphorylated CSE1L in a body fluid sample" refers to the average amount of phosphorylated CSE1L protein in one or more control body fluid samples. The amount of CSE1L or phosphorylated CSE1L in the microcapsules of the tested body fluid sample, or the amount of phosphorylated CSE1L in the sample of the test body fluid, is higher than the average amount of CSE1L or phosphorylated CSE1L in the body fluid sample of the control group, and refers to the control group. The amount of CSE1L or phosphorylated CSE1L was increased in the body fluid sample compared to the body fluid sample. The "increased amount" is typically at least 10%, or at least 20% or 50%, or 100%, or at least 2 times, or at least 5 times, or can be as high as 10 or even 20 times.

本發明所述的“臨界值(cut-off value)”或“陽性判定值”是指一個閾值,用以區分及判斷受檢測個體是否患有疾病或其疾病之情況。臨界值是一個由統計得出的適當數值,使用於疾病診斷上,其中測試值的平均(mean)和標準偏差(standard deviation,SD)從同一類患者測試及計算獲得。當病人的測試值小於這個臨界值時,病人被視為陰性(例如無腫瘤),當病人的 測試值大於或等於臨界值,病人被視為陽性(例如有腫瘤)。The "cut-off value" or "positive judgment value" as used in the present invention refers to a threshold value for distinguishing and judging whether the subject to be tested has a disease or a disease thereof. The cut-off value is a statistically appropriate value for disease diagnosis, in which the mean and standard deviation (SD) of the test values are obtained from the same type of patient test and calculation. When the patient's test value is less than this threshold, the patient is considered negative (eg, no tumor), when the patient's The test value is greater than or equal to the threshold and the patient is considered positive (eg, with a tumor).

本發明所述的“藥物組合(pharmaceutical composition)”是指一種或多種藥物及一種或多種輔藥、藥物賦形劑的組合。A "pharmaceutical composition" as used in the present invention refers to a combination of one or more drugs and one or more adjuvants, pharmaceutical excipients.

本發明所述的“藥物的賦形劑、稀釋劑或載體(pharmaceutical excipient,diluent or carrier)”包括任何經政府監管機構核準的藥用輔料,稀釋劑或載體,例如磷酸鹽緩衝液、水、水油乳液等。也包括任何藥典中使用的藥劑。The "pharmaceutical excipient, diluent or carrier" as used in the present invention includes any pharmaceutical excipient, diluent or carrier approved by a government regulatory agency, such as phosphate buffer, water, Water oil emulsion, etc. Also included are the agents used in any pharmacopoeia.

本發明所述的“試劑盒(kit)”或“試劑套組”是指配有進行分析或測定所必需的全部試劑的成套用品。試劑盒內包含一個或多個試劑項目,包括但不限於,化合物、組合物成分、儀器或設備等。本發明所述的試劑盒可以附或不附使用說明或操作手冊。The "kit" or "reagent kit" as used in the present invention refers to a kit equipped with all reagents necessary for analysis or measurement. The kit contains one or more reagent items including, but not limited to, compounds, composition components, instruments or equipment, and the like. The kit of the present invention may or may not be accompanied by instructions for use or operation.

除非另有定義,本發明所述的所有技術和科學術語和一般慣用的技術和科學術語具有相同含義。本發明不限於本發明所述的特定檢測方法、檢測指導準則(protocol)、和檢測試劑,因為這些檢測方法和試劑可經適度改變而能達到相同結果與目的。本發明所使用的科學術語是為了要做具體化的描述,並不是要限制本發明的範圍或領域。Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly used technical and scientific terms. The present invention is not limited to the specific detection methods, detection protocols, and detection reagents described in the present invention, as these detection methods and reagents can be appropriately changed to achieve the same result and purpose. The scientific terms used in the present invention are intended to be illustrative, and are not intended to limit the scope or the scope of the invention.

CSE1L蛋白及其編碼基因為已知的技藝。CSE1L基因(GenBank編號U33286)之去氧核醣核酸(DNA)序列如下所示:序列1(SEQ ID NO.:1) The CSE1L protein and its encoding gene are known techniques. The DNA sequence of the CSE1L gene (GenBank Accession No. U33286) is shown below: Sequence 1 (SEQ ID NO.: 1)

CSE1L蛋白(蛋白質ID編號AAC50367.1)之胺基酸序列如下所示:序列2(SEQ ID NO.:2) The amino acid sequence of the CSE1L protein (protein ID number AAC50367.1) is shown below: Sequence 2 (SEQ ID NO.: 2)

用於產生抗磷酸化CSE1L(蛋白質ID編號AAC50367.1)抗體之磷酸化肽的氨基酸序列如下:序列3(SEQ ID NO.:3)LYpEYpLKKTLDPDPAC[Tp代表磷酸化蘇氨酸(phosphothreonine),Yp代表磷酸化酪氨酸(phosphotyrosine)]The amino acid sequence of the phosphorylated peptide used to generate the anti-phosphorylated CSE1L (protein ID number AAC50367.1) antibody is as follows: SEQ ID NO.: 3 LYpEYpLKKTLDPDPAC [Tp represents phosphorylation of phosphothreonine, Yp represents Phosphoryl tyrosine (phosphotyrosine)

實施例Example 抗體antibody

實施例所使用之抗體為:抗p21/ras抗體(EP1125Y)(Epitomics,Burlingame,美國);抗CSE1L抗體(3D8),抗MAPK1/MAPK3抗體(phospho T202/204,G15-B)(Abnova,臺北,台灣);抗CSE1L抗體(24),抗磷酸化酪氨酸抗體(PY20),抗磷酸化絲氨酸及磷酸化蘇氨酸(phospho-serine/threonine)抗體(22A/pSer/Thr)(BD Pharmingen,美國);抗β-微管蛋白抗體(D66)(Sigma,美國);抗β-肌動蛋白抗體(Ab-5),抗GFP抗體(Ab-1)(Lab Vision,美國);抗MMP-2抗體(H-76),抗磷酸化蘇氨酸抗體(H2)(Santa Cruz Biotechnology,美國);山羊抗小鼠IgG(Jackson ImmunoResearch Laboratories,美國);聯結Alexa Fluor 488(或568)的山羊抗小鼠(或抗兔)IgG二級抗體(Molecular Probes,美國)。The antibodies used in the examples were: anti-p21/ras antibody (EP1125Y) (Epitomics, Burlingame, USA); anti-CSE1L antibody (3D8), anti-MAPK1/MAPK3 antibody (phospho T202/204, G15-B) (Abnova, Taipei) , Taiwan); anti-CSE1L antibody (24), anti-phosphotyrosine antibody (PY20), anti-phospho-serine and phospho-serine/threonine antibody (22A/pSer/Thr) (BD Pharmingen , USA); anti-β-tubulin antibody (D66) (Sigma, USA); anti-β-actin antibody (Ab-5), anti-GFP antibody (Ab-1) (Lab Vision, USA); anti-MMP -2 antibody (H-76), anti-phosphorylated threonine antibody (H2) (Santa Cruz Biotechnology, USA); goat anti-mouse IgG (Jackson ImmunoResearch Laboratories, USA); goat linked to Alexa Fluor 488 (or 568) Anti-mouse (or anti-rabbit) IgG secondary antibody (Molecular Probes, USA).

基因表達載體Gene expression vector

pZIP-v-H-ras為一種可以表達v-H-Ras蛋白的表達載體,含有新黴素(neomycin)轉染選擇標記,由Dr.Channing J Der提供。pcDNA-CSE1L為一種可以表達CSE1L蛋白的表達載體,含有新黴素轉染選擇標記,為之前自行建構(Tung 2009)。可降低細胞CSE1L基因表達的CSE1L短髮夾RNA(shRNA,short hairpin RNA)載體(SC-29909-SH,Santa Cruz Biotechnology),和其對照控制shRNA載體(SC-108060,Santa Cruz Biotechnology),含有嘌呤黴素(puromycin)轉染選擇標記,購自Santa Cruz公司(Santa Cruz Biotechnology)。pZIP-v-H-ras is an expression vector that expresses the v-H-Ras protein and contains a neomycin transfection selection marker provided by Dr. Channing J Der. pcDNA-CSE1L is an expression vector that expresses the CSE1L protein and contains a neomycin transfection selection marker, which was previously constructed by itself (Tung 2009). CSE1L short hairpin RNA (shRNA), which reduces the expression of CSE1L gene in cells (SC-29909-SH, Santa Cruz Biotechnology), and its control-controlled shRNA vector (SC-108060, Santa Cruz Biotechnology), contains 嘌呤The puromycin transfection selection marker was purchased from Santa Cruz Biotechnology.

細胞和基因轉染Cell and gene transfection

B16F10黑色素瘤細胞購自American Type Culture Collection(美國)。以10%之胎牛血清(FBS)、100units/mL青黴素(penicillin)、100mg/mL鏈黴素(streptomycin)及2mM谷氨酸(glutamate)補充之DMEM培養基(Dulbecco's Modified Eagle's Medium)於37℃,濕潤之5% CO2 大氣條件下培養細胞。利用脂質轉染胺試劑Lipofectamine plus reagent(Invitrogen,美國)以基因表達載體轉染細胞。以高濃度新黴素和嘌呤黴素篩選經轉染之細胞3週。收集多重抗藥性純系(>100)並增殖成大量細胞。將經轉染之細胞維持於含有新 黴素和嘌呤黴素之培養基中。用於本文所述實驗之細胞則培養於不含新黴素和嘌呤黴素之培養基中。B16F10 melanoma cells were purchased from the American Type Culture Collection (USA). DMEM medium (Dulbecco's Modified Eagle's Medium) supplemented with 10% fetal bovine serum (FBS), 100 units/mL penicillin, 100 mg/mL streptomycin and 2 mM glutamate at 37 ° C, The cells were cultured under humidified 5% CO 2 atmosphere. The cells were transfected with a gene expression vector using a lipofectamine reagent Lipofectamine plus reagent (Invitrogen, USA). Transfected cells were screened for 3 weeks with high concentrations of neomycin and puromycin. Multi-drug resistant lines (>100) were collected and propagated into large numbers of cells. The transfected cells are maintained in medium containing neomycin and puromycin. The cells used in the experiments described herein were cultured in medium without neomycin and puromycin.

免疫墨點法Immune dot method

以磷酸鹽緩衝液(PBS)洗滌細胞,並以刮取法收集細胞。以RIPA放射免疫沈澱緩衝液(radioimmunoprecipitation buffer)[25mM三(羥甲基)氨基甲烷鹽酸鹽(Tris-HCl,pH 7.2)、0.1%十二烷基硫酸鈉(SDS)、0.1% Triton X-100、1%去氧膽酸鈉(sodium deoxycholate)、150mM氯化鈉(NaCl)、1mM乙二胺四乙酸(EDTA)、5mM正釩酸鈉(sodium orthovanadate)、1mM苯甲基磺醯化氟(phenylmethylsulfonyl fluoride)、10μg/mL抑肽酶(aprotinin)、5μg/mL亮抑酶肽(leupeptin)、25mM β-甘油磷酸(β-glycerophosphate)、5mM氟化鈉(sodium fluoride)]溶解收集之細胞。以BCA蛋白質檢測套組(Pierce,美國)測定蛋白質濃度。將50μg之蛋白質檢體做十二烷基磺酸鈉-聚丙烯醯胺凝膠電泳(SDS-PAGE,sodium dodecyl sulfate-polyacrylamide gel electrophoresis)。將蛋白質轉漬至硝酸纖維素膜(nitrocellulose membranes;Amersham Pharmacia,英國)。硝酸纖維素膜於4℃下和含1%牛血清白蛋白(BSA,bovine serum albumin)、50mM三(羥甲基)氨基甲烷鹽酸鹽(Tris-HCl,pH 7.6)、150mM氯化鈉、0.1% Tween-20的免疫染色封閉液(blocking buffer)反應16小時。再將硝酸纖維素膜於室溫下與一級抗體反應1小時,接著與辣根過氧化酶(horseradish peroxidase)結合之二級抗體反應1小時。利用Forte免疫墨點偵測系統(Forte Western HRP Substrate;Millipore,美國)測定蛋白質含量。The cells were washed with phosphate buffered saline (PBS) and the cells were collected by scraping. RIPA radioimmunoprecipitation buffer [25 mM tris(hydroxymethyl)aminomethane hydrochloride (Tris-HCl, pH 7.2), 0.1% sodium dodecyl sulfate (SDS), 0.1% Triton X- 100, 1% sodium deoxycholate, 150 mM sodium chloride (NaCl), 1 mM ethylenediaminetetraacetic acid (EDTA), 5 mM sodium orthovanadate, 1 mM benzylsulfonated fluoride (phenylmethylsulfonyl fluoride), 10 μg/mL aprotinin, 5 μg/mL leupeptin, 25 mM β-glycerophosphate, 5 mM sodium fluoride, dissolved cells . Protein concentration was determined in a BCA protein assay kit (Pierce, USA). 50 μg of the protein sample was subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE). The protein was transferred to nitrocellulose membranes (Amersham Pharmacia, UK). Nitrocellulose membrane at 4 ° C and containing 1% bovine serum albumin (BSA, bovine serum albumin), 50 mM tris (hydroxymethyl) aminomethane hydrochloride (Tris-HCl, pH 7.6), 150 mM sodium chloride, The immunostaining blocking buffer of 0.1% Tween-20 was reacted for 16 hours. The nitrocellulose membrane was then reacted with the primary antibody for 1 hour at room temperature, followed by reaction with a horseradish peroxidase-conjugated secondary antibody for 1 hour. Protein content was determined using a Forte Western blotting system (Forte Western HRP Substrate; Millipore, USA).

免疫沉澱反應Immunoprecipitation

以磷酸鹽緩衝液洗滌細胞,收集細胞,加入適量放射免疫沈澱緩衝液,在冰上或者4℃下裂解20分鐘,12,000rpm離心10分鐘後取上清;用BCA蛋白質檢測套組(Pierce)測定蛋白濃度。將定量細胞裂解液(500μg)、相應的抗體、和30μL蛋白A/G-微珠(protein A/G-beads)加入免疫沉澱緩衝液(immunoprecipitation buffer)[含50mM三(羥甲基)氨基甲烷鹽酸鹽 (Tris-HCl,pH 7.5),150mM氯化鈉]的試管中,於4℃緩慢搖晃孵育過夜;免疫沉澱反應後,在4℃下,以3,000rpm速度離心5分鐘,將蛋白A/G-微珠離心至管底;後將上清液小心吸去,蛋白A/G-微珠用1mL放射免疫沈澱緩衝液洗3-4次;最後加入50μL的2倍十二烷基硫酸鈉蛋白加樣緩衝液(SDS protein loading buffer),在沸水中煮10分鐘;用免疫墨點法分析。以抗GFP的小鼠抗體進行控制組免疫沉澱反應。Wash the cells with phosphate buffer, collect the cells, add appropriate amount of radioimmunoprecipitation buffer, cleave on ice or at 4 ° C for 20 minutes, centrifuge at 12,000 rpm for 10 minutes, and take the supernatant; use BCA protein test kit (Pierce) Protein concentration. Quantitative cell lysate (500 μg), corresponding antibody, and 30 μL of protein A/G-beads (protein A/G-beads) were added to the immunoprecipitation buffer [50 mM tris(hydroxymethyl)aminomethane) Hydrochloride (Tris-HCl, pH 7.5), 150 mM sodium chloride in a test tube, incubate slowly at 4 ° C overnight; after immunoprecipitation, centrifuge at 3,000 rpm for 5 minutes at 4 ° C to protein A / G- The beads were centrifuged to the bottom of the tube; the supernatant was carefully aspirated, and the protein A/G-beads were washed 3-4 times with 1 mL of radioimmunoprecipitation buffer; finally, 50 μL of 2 times sodium dodecyl sulfate protein was added. SDS protein loading buffer, boiled in boiling water for 10 minutes; analyzed by immunoblotting method. The control group immunoprecipitation was carried out with an anti-GFP mouse antibody.

在以血清樣品進行免疫沉澱方面,將血清和與瓊脂糖偶聯的抗磷酸化蘇氨酸抗體(agarose-conjugated anti-phosphothreonine antibodies,H2)(Santa Cruz Biotechnology)於磷酸鹽緩衝液中,在4℃緩慢搖晃孵育過夜;免疫沉澱反應後,在4℃下,以3,000rpm速度離心5分鐘。後將上清液小心吸去,以1mL磷酸鹽緩衝液洗沉澱物3-4次,最後加入50μL的2倍十二烷基硫酸鈉蛋白加樣緩衝液(SDS protein loading buffer),在沸水中煮10分鐘;再以免疫墨點法分析。以和瓊脂糖偶聯的正常小鼠IgG(agarose-conjugated normal mouse IgG)進行控制組免疫沉澱反應。In immunoprecipitation with serum samples, serum and agarose-conjugated anti-phosphothreonine antibodies (H2) (Santa Cruz Biotechnology) in phosphate buffer, at 4 Incubate slowly overnight with °C; after immunoprecipitation, centrifuge at 3,000 rpm for 5 minutes at 4 °C. After careful removal of the supernatant, wash the pellet 3-4 times with 1 mL of phosphate buffer, and finally add 50 μL of 2X SDS protein loading buffer in boiling water. Cook for 10 minutes; then analyze by immunoblotting. The control group immunoprecipitation was carried out with agarose-conjugated normal mouse IgG conjugated to agarose.

免疫螢光實驗及微泡計數Immunofluorescence experiment and microbubble counting

將生長於12x12mm蓋玻片之細胞以1000rpm離心10分鐘。以磷酸鹽緩衝液洗滌並以4%多聚甲醛(paraformaldehyde)之磷酸鹽緩衝液固定細胞,再以甲醇(methanol)處理細胞,之後將細胞以含有0.1%牛血清白蛋白之磷酸鹽緩衝液反應一小時。使細胞與一級抗體反應一小時後以磷酸鹽緩衝液洗滌,接著與Alexa Fluor 488(或568)山羊抗小鼠(或抗兔)IgG二級抗體反應一小時後以磷酸鹽緩衝液洗滌。以倒立式螢光顯微鏡觀察細胞。實驗進行三次獨立實驗,每次實驗含兩個蓋玻片,每片蓋玻片隨機取5個視野觀察。每次實驗觀察三百個細胞並計算這些細胞表面的微泡,由三個獨立實驗所計數的微泡數目繪統計圖並顯示統計標準偏差。The cells grown on a 12x12 mm coverslip were centrifuged at 1000 rpm for 10 minutes. The cells were washed with phosphate buffer and fixed in 4% paraformaldehyde phosphate buffer, then treated with methanol, and then reacted with phosphate buffer containing 0.1% bovine serum albumin. One hour. The cells were allowed to react with the primary antibody for one hour, washed with phosphate buffer, and then reacted with Alexa Fluor 488 (or 568) goat anti-mouse (or anti-rabbit) IgG secondary antibody for one hour and then washed with phosphate buffer. The cells were observed under an inverted fluorescent microscope. Three independent experiments were performed in the experiment. Each experiment contained two coverslips, and each cover slip was randomly observed for 5 fields. Three hundred cells were observed in each experiment and the microvesicles on the surface of these cells were counted. The number of microbubbles counted by three independent experiments was plotted and statistical standard deviation was shown.

細胞增殖分析Cell proliferation analysis

將相同數量之細胞(1×104 細胞個數/盤)接種於100-mm細胞培養盤。細胞接種後,每隔24小時以台盼藍拒染試驗(trypan blue exclusion assay)計 算細胞數量。每隔三天更新培養液。每個時間點算三盤細胞,每盤只計算一次。The same number of cells (1 x 10 4 cell number/plate) were seeded in a 100-mm cell culture dish. After cell seeding, the number of cells was counted every 24 hours using a trypan blue exclusion assay. The culture solution was updated every three days. Three cells are counted at each time point, and each plate is counted only once.

條件培養基(conditioned medium)Conditioned medium

將相同數量之細胞接種於100-mm細胞培養盤,先使細胞生長至快滿(sub-confluence)後以磷酸鹽緩衝液洗滌,接著將細胞培養於不含血清之培養液培養48小時後,測定細胞數,收集該培養液,並以10,000rpm離心收集之培養液10分鐘後收集上清液,以移除任何可能之懸浮細胞或細胞碎片。The same number of cells were seeded in a 100-mm cell culture dish, and the cells were first grown to sub-confluence and washed with phosphate buffer, and then the cells were cultured in serum-free medium for 48 hours. The number of cells was measured, and the culture solution was collected, and the collected culture solution was centrifuged at 10,000 rpm for 10 minutes, and the supernatant was collected to remove any possible suspended cells or cell debris.

微泡收集Microbubble collection

細胞條件培養基和血清中之微泡,基本上以分子篩選層析(size exclusion chromatography)及超高速離心技術收集。簡言之,將細胞條件培養基或血清注入Sepharose 2管柱(Amersham Biosciences,美國)。單獨收集每1毫升通過管柱流出的液體,並且以光度儀器測量280nm吸光度。將含大於50萬kDa的收集蛋白質液體在4℃下離心105,000g一小時。離心下來的即為含有微泡的沉澱物,加入50μL的磷酸鹽緩衝液均勻混合並低溫保存。Cellular conditioned medium and microvesicles in serum are collected essentially by size exclusion chromatography and ultra-high speed centrifugation techniques. Briefly, cell conditioned medium or serum was injected into a Sepharose 2 column (Amersham Biosciences, USA). Each 1 ml of liquid flowing through the column was collected separately, and the absorbance at 280 nm was measured with a photometric instrument. The collected protein liquid containing more than 500,000 kDa was centrifuged at 105,000 g for one hour at 4 °C. The precipitate containing the microbubbles was centrifuged, uniformly mixed with 50 μL of phosphate buffer and stored at low temperature.

GST-CSE1L融合蛋白合成及CSE1L蛋白純化GST-CSE1L fusion protein synthesis and CSE1L protein purification

GST-CSE1L融合蛋白質是利用小麥胚芽無細胞蛋白質合成系統(wheat germ cell-free protein synthesis system;CellFree Sciences,日本)合成。簡言之,以限制酶切割出pcDNA-CSE1L載體的CSE1L蛋白合成序列,再將CSE1L蛋白合成序列以接合酶接合到pPEU-E01小麥胚芽表達載體(CellFree Sciences)。將2微克(μg)的CSE1L小麥胚芽表達載體加入含轉錄溶液(transcription premix solution;CellFree Sciences)的試管中,在37℃進行轉錄反應6小時。將10微升(μL)的轉錄訊息核糖核甘酸(mRNA)產物與10微升的小麥胚芽提取液(WEPRO 3240,CellFree Sciences)混合,並將此混合液注入到含SUB-AMIX(CellFree Sciences)試管的下層,在26℃進行蛋白轉譯反應16小時以合成GST-CSE1L融合蛋白。利用GST純化組件(Bulk GST Purification Modules,Amersham Pharmacia,美國)以谷胱甘肽-瓊脂糖 凝膠4B珠(glutathione-Sepharose 4B beads,Amersham Pharmacia,美國)純化GST-CSE1L融合蛋白。接著,以磷酸鹽緩衝液洗滌含融合蛋白的管柱,再以還原之谷胱甘肽(reduced glutathione;Amersham Pharmacia)分離融合蛋白。以凝血酶(thrombin;Sigma Chemicals,美國)於3units/100μg融合蛋白質的濃度下於22℃切割GST-CSE1L融合蛋白16小時。以Amicon® Ultra-4離心過濾組(Millipore,美國)移除凝血酶及GST。利用抗CSE1L抗體以免疫墨點法確認純化之CSE1L。以BCA蛋白質檢測套組(Pierce,美國)測定CSE1L蛋白質濃度。The GST-CSE1L fusion protein was synthesized using a wheat germ cell-free protein synthesis system (CellFree Sciences, Japan). Briefly, the CSE1L protein synthesis sequence of the pcDNA-CSE1L vector was cleaved by restriction enzymes, and the CSE1L protein synthesis sequence was ligated into the pPEU-E01 wheat germ expression vector (CellFree Sciences). Two micrograms (μg) of CSE1L wheat germ expression vector was added to a test tube containing a transcription premix solution (CellFree Sciences), and transcription reaction was carried out at 37 ° C for 6 hours. Ten microliters (μL) of the transcriptional message ribonucleotide (mRNA) product was mixed with 10 μl of wheat germ extract (WEPRO 3240, Cell Free Sciences) and this mixture was injected into SUB-AMIX (CellFree Sciences) The lower layer of the test tube was subjected to a protein translation reaction at 26 ° C for 16 hours to synthesize a GST-CSE1L fusion protein. Using GST Purification Module (Bulk GST Purification Modules, Amersham Pharmacia, USA) to Glutathione-Sepharose The GST-CSE1L fusion protein was purified by glutathione-Sepharose 4B beads (Amersham Pharmacia, USA). Next, the tube containing the fusion protein was washed with a phosphate buffer, and the fusion protein was isolated with reduced glutathione (Amersham Pharmacia). The GST-CSE1L fusion protein was cleaved with thrombin (thrombin; Sigma Chemicals, USA) at a concentration of 3 units per 100 μg of fusion protein for 16 hours at 22 °C. Thrombin and GST were removed using an Amicon® Ultra-4 centrifugal filter set (Millipore, USA). Purified CSE1L was confirmed by immunoblotting using an anti-CSE1L antibody. CSE1L protein concentration was determined in a BCA protein assay kit (Pierce, USA).

組織微陣列切片和免疫組織化學反應Tissue microarray sections and immunohistochemical reactions

將癌組織和相鄰非癌組織石蠟塊切成適度大小,將組織石蠟塊排列及製成組織微陣列切片。以4μm厚度的組織微陣列切片進行免疫組織化學反應。切片於二甲苯去石蠟並以乙醇複水後,於95℃下將其浸於檸檬酸鹽緩衝液中10分鐘。利用Histostain套組(Zymed,美國)以標記鏈黴抗生物素-生物素法(labeled streptavidin-biotin method)進行免疫組織化學反應。以3%溶于水之過氧化氫遮蓋組織切片內源性過氧化酶活性,之後於室溫下以5%牛血清白蛋白培育1小時以遮蓋非專一性染色。於室溫下使切片與稀釋50倍之抗體反應1小時,之後與生物素化之二級抗體(biotinylated secondary antibodies)反應,最後與鏈黴抗生物素標定之過氧化酶(streptavidin-labeled peroxidase)反應。以二氨基聯苯胺(diaminobenzidine)使切片顯影並以蒸餾水洗滌,最後以Mayer's蘇木清(Mayer's hematoxylin)進行複染。The cancerous tissue and adjacent non-cancerous tissue paraffin blocks were cut to a moderate size, and the paraffin blocks were arranged and made into tissue microarray sections. Immunohistochemical reactions were performed on tissue microarray sections at a thickness of 4 μm. After sectioning the paraxylene in xylene and rehydrating with ethanol, it was immersed in citrate buffer at 95 ° C for 10 minutes. Immunohistochemical reactions were performed using the Histostain kit (Zymed, USA) labeled with the labeled streptavidin-biotin method. The endogenous peroxidase activity of the tissue sections was masked with 3% water-soluble hydrogen peroxide, and then incubated with 5% bovine serum albumin for 1 hour at room temperature to cover non-specific staining. The sections were reacted with 50-fold diluted antibody for 1 hour at room temperature, then reacted with biotinylated secondary antibodies, and finally streptavidin-labeled peroxidase. reaction. The sections were developed with diaminobenzidine and washed with distilled water and finally counterstained with Mayer's hematoxylin.

以Matrigel做細胞侵襲性分析Cell invasion analysis with Matrigel

將matrigel基質膠(BD Pharmingen,美國)以1:10的比例稀釋於DMEM中,並和不含聚乙烯吡咯啶酮之8μm孔徑聚碳酸濾紙(polyvinylpyrrolidone-free polycarbonate filters;Costar,美國)於4℃共置16小時,之後以DMEM洗滌濾紙4次後,將其置於微趨化室(microchemotaxis chambers)中。以0.1%胰蛋白酶-乙二胺四乙酸(trypsin-EDTA)處理細胞並將細胞重新懸浮於含有10%胎牛血清之DMEM培養基,之後以不含血清之 DMEM培養基洗滌細胞。最後將細胞(3×105 )懸浮於DMEM(200μL)並置於微趨化室之上層隔間。將含有20%胎牛血清之細胞培養基(300μL)置於微趨化室之下層當作細胞侵襲引誘劑。於細胞培養箱中培養10小時後,以棉花棒完全拭去微趨化室上層隔間濾紙上面之細胞。以甲醇固定微趨化室上層隔間之濾紙下麵的細胞,並以Liu's A及Liu's B試劑染色,之後於顯微鏡下計數。重複檢測三次,每次檢測包括四個重複。於每個樣本,隨機選擇10個顯微鏡視野計數侵襲到微趨化室濾紙下面的細胞,並且將計數平均統計。Matrigel Matrigel (BD Pharmingen, USA) was diluted 1:10 in DMEM and at 8 °C with polyvinylpyrrolidone-free 8 μm pore size polycarbonate filter (polyvinylpyrroide-free polycarbonate filters; Costar, USA) After standing for 16 hours, after washing the filter paper 4 times with DMEM, it was placed in microchemotaxis chambers. The cells were treated with 0.1% trypsin-EDTA and the cells were resuspended in DMEM medium containing 10% fetal calf serum, after which the cells were washed with serum-free DMEM medium. Finally, cells (3 x 10 5 ) were suspended in DMEM (200 μL) and placed in the upper compartment of the microchemotaxis. A cell culture medium (300 μL) containing 20% fetal bovine serum was placed under the microchemotaxis chamber as a cell invasion attractant. After incubating for 10 hours in a cell culture incubator, the cells on the upper layer of the microchemotaxis compartment filter paper were completely wiped off with a cotton swab. The cells under the filter paper in the upper compartment of the microchemotaxis were fixed with methanol and stained with Liu's A and Liu's B reagents, and then counted under a microscope. The test was repeated three times, and each test included four replicates. For each sample, 10 microscopic field counts were randomly selected to invade cells under the microchemotaxis filter paper, and the counts were averaged.

免疫電子顯微鏡(immunogold electron microscopy)Immunogold electron microscopy

用磷酸鹽緩衝液洗滌細胞,並固定在含0.5%戊二醛(glutaraldehyde)和2%多聚甲醛(paraformaldehyde)的羥乙基呱嗪乙磺酸(HEPES,hydroxyethyl-piperazine ethanesulafonic acid)緩衝液(pH值6.8)15分鐘,然後再將細胞在含2%多聚甲醛的羥乙基呱嗪乙磺酸緩衝液於4℃反應14天。樣品再用80%乙醇脫水再以Lowicryl HM20樹脂(Polysciences,日本)處理及進行聚合反應24小時。將含細胞的樹脂塊做超薄切片,然後將切片置於塗有2%氯丁橡膠(Neoprene,Ohken,日本)的鎳網(nickel grids)上。樣品以100%乙醇處理3分鐘後,浸泡在65℃的0.01M乙二胺四乙酸(EDTA,pH值7.2)24小時。樣品用磷酸鹽緩衝液洗三次,再和含1%牛血清白蛋白和0.1% Tween-20的磷酸鹽緩衝液反應15分鐘。樣品再和稀釋於磷酸鹽緩衝液(1:30)的抗體反應1小時,用磷酸鹽緩衝液洗三次,再和偶聯奈米金粒子的二級抗體(gold-labeled secondary antibodies)反應,再用磷酸鹽緩衝液洗三次。之後樣品以醋酸鈾(uranyl acetate)染色,以Hitachi H-7000(Hitachi,日本)電子顯微鏡觀察。The cells were washed with phosphate buffer and fixed in hydroxyethyl-piperazine ethanesulafonic acid (HEPES) buffer containing 0.5% glutaraldehyde and 2% paraformaldehyde. The pH was 6.8) for 15 minutes, and then the cells were reacted in hydroxyethylpyridazine ethanesulfonic acid buffer containing 2% paraformaldehyde at 4 ° C for 14 days. The sample was further dehydrated with 80% ethanol and treated with Lowicryl HM20 resin (Polysciences, Japan) and polymerization was carried out for 24 hours. The cell-containing resin blocks were subjected to ultrathin sectioning, and then the sections were placed on nickel grids coated with 2% neoprene (Neoprene, Ohken, Japan). After the sample was treated with 100% ethanol for 3 minutes, it was immersed in 0.01 M ethylenediaminetetraacetic acid (EDTA, pH 7.2) at 65 ° C for 24 hours. The sample was washed three times with phosphate buffer and reacted with phosphate buffer containing 1% bovine serum albumin and 0.1% Tween-20 for 15 minutes. The sample was then reacted with an antibody diluted in phosphate buffer (1:30) for 1 hour, washed three times with phosphate buffer, and then reacted with gold-labeled secondary antibodies. Wash three times with phosphate buffer. The sample was then stained with uranyl acetate and observed under an electron microscope by Hitachi H-7000 (Hitachi, Japan).

明膠酶譜檢測(gelatin zymography assay)Gelatin zymography assay

依細胞數量調整細胞條件培養基體積,取由細胞條件培養基收集的微泡,進行明膠酶譜檢測。將微泡溶於不含還原劑二硫蘇糖醇(dithiothreitol)或2-氫硫乙醇(2-Mercaptoethanol)的2倍十二烷基硫酸鈉蛋白加樣緩衝液(SDS protein loading buffer),以含1mg/mL明膠(gelatin)的10%十二烷基硫酸鈉- 聚丙烯醯胺凝膠電泳。之後將凝膠以含2.5% Triton X-100的水洗兩次,每次30分鐘去除十二烷基硫酸鈉(SDS),並隨後將凝膠置於明膠酶譜緩衝液[50mM三(羥甲基)氨基甲烷鹽酸鹽(Tris-HCl,pH 7.6)、200mM氯化鈉、10mM氯化鈣(CaCl2 )]於37℃放置24小時。將凝膠以Comassie blue染色液(0.125% Comassie blue R-250、50%甲醇、10%乙酸)染色30分鐘,再以脫色液(20%甲醇、10%乙酸、70%水)脫色,直到清晰的透明條帶顯現。The volume of the cell conditioned medium was adjusted according to the number of cells, and the microbubbles collected from the cell conditioned medium were taken for gelatin zymography. The microbubbles are dissolved in a 2X sodium dodecyl sulfate protein loading buffer (SDS protein loading buffer) containing no reducing agent dithiothreitol or 2-Mercaptoethanol. 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis containing 1 mg/mL gelatin. The gel was then washed twice with 2.5% Triton X-100 in water for 30 minutes to remove sodium dodecyl sulfate (SDS), and then the gel was placed in gelatin zymography buffer [50 mM tris (hydroxyl) Aminomethane hydrochloride (Tris-HCl, pH 7.6), 200 mM sodium chloride, 10 mM calcium chloride (CaCl 2 )] was allowed to stand at 37 ° C for 24 hours. The gel was stained with Comassie blue staining solution (0.125% Comassie blue R-250, 50% methanol, 10% acetic acid) for 30 minutes, then decolorized with decolorizing solution (20% methanol, 10% acetic acid, 70% water) until clear The transparent strip appears.

動物癌轉移實驗Animal cancer metastasis experiment

於標準環境下(22℃;50%濕度;12小時之光/暗週期),將6至7週(N=18)及14至15週(N=26)大之C57BL/6小鼠(國家實驗動物中心,台灣)圈養於動物室。實驗包括4組[即注射B16-dEV細胞(N=11),B16-CSE1L細胞(N=14),B16-ras細胞(N=8),和B16-Ras/anti-CSE1L細胞(N=11)的小鼠],且不同年齡的小鼠被均勻地分佈在四組。每隻鼠由尾靜脈注射100μL含3×104 細胞的磷酸鹽緩衝液。注射後三個星期將小鼠犧牲。以肉眼檢驗及顯微檢驗計數小鼠肺中之腫瘤數。小鼠之飼育及實驗程式均依照臺灣實驗動物管理委員會之規範。有3隻注射B16-dEV細胞的小鼠、10隻注射B16-CSE1L細胞的小鼠、4隻注射B16-ras細胞的小鼠、和1隻注射B16-Ras/anti-CSE1L細胞的小鼠,於注射3週後失去生命,因而被排除肺腫瘤統計。另外,有1隻注射B16-dEV細胞的小鼠、1隻注射B16-CSE1L細胞的小鼠、0隻注射B16-ras細胞的小鼠、和3隻注射B16-Ras/anti-CSE1L細胞的小鼠,沒有生長腫瘤,因而也被排除腫瘤統計。C57BL/6 mice (6- to 7 weeks (N=18) and 14 to 15 weeks (N=26)) in a standard environment (22 ° C; 50% humidity; 12-hour light/dark cycle) Laboratory Animal Center, Taiwan) is housed in animal rooms. The experiment included 4 groups [ie injection of B16-dEV cells (N=11), B16-CSE1L cells (N=14), B16-ras cells (N=8), and B16-Ras/anti-CSE1L cells (N=11). Mice], and mice of different ages were evenly distributed in four groups. Each mouse was injected with 100 μL of phosphate buffer containing 3 × 10 4 cells from the tail vein. The mice were sacrificed three weeks after the injection. The number of tumors in the lungs of mice was counted by visual inspection and microscopic examination. The breeding and experimental procedures of the mice were in accordance with the specifications of the Taiwan Laboratory Animal Management Committee. There were 3 mice injected with B16-dEV cells, 10 mice injected with B16-CSE1L cells, 4 mice injected with B16-ras cells, and 1 mouse injected with B16-Ras/anti-CSE1L cells. Lost life after 3 weeks of injection, and lung tumor statistics were excluded. In addition, there were 1 mouse injected with B16-dEV cells, 1 mouse injected with B16-CSE1L cells, 0 mice injected with B16-ras cells, and 3 small B16-Ras/anti-CSE1L cells. Rats, which did not grow tumors, were also excluded from tumor statistics.

病人和腫瘤樣本Patient and tumor sample

腫瘤樣本為從臺灣彰化基督教醫院之115個大腸直腸癌病患,取得未經癌治療處理之癌組織及血清檢體。腫瘤檢體在遵循及通過機構人體試驗委員會(IRB)審查核准之指導方針,及告知病患同意下,於診斷及手術時取得檢體。腫瘤的分級和分類,是根據第六版美國聯合委員會的癌症分期手冊。健康捐贈者的血清樣品,獲得自60個健康人(平均年齡61.0±8.7歲;年齡範圍,22-71歲)。收集之血液於室溫下放置至少30分鐘,以形成凝塊。 接著使檢體於4℃以1300g離心20分鐘,收集血清。將血清以10,000rpm離心10分鐘,收集上清液,以移除任何可能之懸浮細胞或細胞殘骸,並保存於-80℃冷凍以備後續檢測使用。將所有檢體以特定標籤標示以保護病患隱私。在進行分析前所有檢體都未經解凍。患者的臨床病理特徵整理於表格1。The tumor samples were obtained from 115 colorectal cancer patients from Changhua Christian Hospital in Taiwan, and cancer tissues and serum samples were obtained without cancer treatment. The tumor specimen is obtained at the time of diagnosis and surgery, following the guidelines approved by the Institutional Human Body Testing Committee (IRB) and informed consent of the patient. The classification and classification of tumors is based on the sixth edition of the United States Joint Commission's cancer staging manual. Serum samples from healthy donors were obtained from 60 healthy individuals (mean age 61.0 ± 8.7 years; age range, 22-71 years). The collected blood is allowed to stand at room temperature for at least 30 minutes to form a clot. The sample was then centrifuged at 1300 g for 20 minutes at 4 ° C, and serum was collected. The serum was centrifuged at 10,000 rpm for 10 minutes, and the supernatant was collected to remove any possible suspended cells or cell debris and stored at -80 °C for subsequent testing. All specimens are labeled with specific labels to protect patient privacy. All specimens were not thawed prior to analysis. The clinicopathological features of the patients are summarized in Table 1.

第1級腫瘤(grade 1):分化良好,第2級腫瘤(grade 2):中度分化,第3級腫瘤(grade 3):低度分化。N0:沒有區域淋巴結轉移,N1:有1-3區域癌淋巴結轉移,N2:癌轉移至多於4個區域淋巴結,M0:無遠處癌轉移,M1:有遠處癌轉移。Grade 1 tumor (grade 1): well differentiated, grade 2 tumor (grade 2): moderately differentiated, grade 3 tumor (grade 3): low grade differentiation. N0: no regional lymph node metastasis, N1: 1-3 regional lymph node metastasis, N2: metastasis to more than 4 regional lymph nodes, M0: no distant cancer metastasis, M1: distant cancer metastasis.

動物活體腫瘤顯像實驗Animal living tumor imaging experiment

依據廠商的操作手冊,利用Qdot 800抗體偶聯試劑盒(Qdot 800 Antibody Conjugation Kit;Invitrogen,美國)將抗CSE1L抗體或小鼠IgG抗體與Qdot 800量子點結合。與Qdot 800量子點結合的正常小鼠IgG抗體將應用於控制組實驗。簡言之,以4-(N-馬來醯亞胺基甲基)環己烷-1-羧酸琥珀醯亞胺酯(SMCC,N-Succinimidyl 4-(N-maleimidomethyl)cyclohexane-1-carboxylate)將Qdot活化,同時以二硫蘇糖醇(dithiothreitol) 進行抗體還原。還原之抗體與活化之Qdot混合以進行偶聯反應,並且以2-氫硫乙醇(2-Mercaptoethanol)終止反應。利用超細過濾(ultrafiltration)和分子篩選層析(size exclusion chromatography)將偶聯Qdot的抗體純化。用分光光度計測定偶聯Qdot的抗體濃度。Anti-CSE1L antibodies or mouse IgG antibodies were bound to Qdot 800 quantum dots using the Qdot 800 Antibody Conjugation Kit (Invitrogen, USA) according to the manufacturer's protocol. Normal mouse IgG antibodies that bind to Qdot 800 quantum dots will be used in control group experiments. Briefly, 4-(N-maleimidomethyl)cyclohexane-1-carboxylic acid amber imidate (SMCC, N-Succinimidyl 4-(N-maleimidomethyl)cyclohexane-1-carboxylate ) Activate Qdot with dithiothreitol Perform antibody reduction. The reduced antibody was mixed with activated Qdot to carry out a coupling reaction, and the reaction was terminated with 2-Mercaptoethanol. The Qdot-conjugated antibody was purified using ultrafiltration and size exclusion chromatography. The antibody concentration of the coupled Qdot was determined using a spectrophotometer.

將6至7週大之C57BL/6小鼠(國家實驗動物中心,台灣)圈養於標準環境下之動物室(22℃;50%濕度;12小時之光/暗週期),每隻鼠由背側皮膚注射100μL含3×104 個B16-CSE1L細胞的磷酸鹽緩衝液。注射後三週,背側有腫瘤的小鼠由尾靜脈注射100μL含500pmole偶聯Qdot的抗CSE1L抗體。控制組實驗注射等量與Qdot 800量子點偶聯的小鼠正常IgG。利用非侵入式Xenogen IVIS 200活體影像系統[激發波長(excitation):525/50nm;發射波長(emission):832/65nm]於注射,0,1和4小時後檢測腫瘤顯像。C57BL/6 mice (National Laboratory Animal Center, Taiwan) from 6 to 7 weeks old were housed in an animal room under standard conditions (22 ° C; 50% humidity; 12 hours light/dark cycle), each mouse was backed The lateral skin was injected with 100 μL of phosphate buffer containing 3 × 10 4 B16-CSE1L cells. Three weeks after the injection, the dorsal tumor-bearing mice were injected with 100 μL of anti-CSE1L antibody containing 500 pmole-conjugated Qdot from the tail vein. The control group was injected with equal amounts of normal IgG from mice conjugated with Qdot 800 quantum dots. Tumor imaging was detected after 0, 1 and 4 hours of injection using a non-invasive Xenogen IVIS 200 in vivo imaging system [excitation: 525/50 nm; emission (emission): 832/65 nm].

生產抗磷酸化CSE1L的抗體Production of antibodies against phosphorylated CSE1L

採用固相法(solid phase method)合成磷酸化肽:LTpEYpLKKTLDPDPAC(Tp代表磷酸化蘇氨酸;Yp代表磷酸化酪氨酸),和非磷酸化肽:LTEYLKKTLDPDPAC。將鑰孔血藍蛋白(keyhole limpet haemocyanin,KLH)經由磷酸化肽N末端的半胱氨酸(cysteine)的巰基(thiol)與磷酸化肽偶聯,並以此當抗原,注射及免疫新西蘭兔(New Zealand rabbit)五次。於末次免疫後的一個星期,收集免疫血清。利用蛋白質G管(protein G column;Amersham Pharmacia,瑞典)純化IgG抗體。利用以磷酸化肽製成的親和層析柱(phosphorylated peptide affinity column)純化抗體,然後利用非磷酸化肽吸附以除去其中之非抗磷酸化CSE1L抗體。以酵素結合免疫吸附法和免疫墨點法分析抗體效價(titer)及專一性。The phosphorylated peptide was synthesized using a solid phase method: LTpEYpLKKTLDPDPAC (Tp represents phosphorylated threonine; Yp represents phosphorylated tyrosine), and non-phosphorylated peptide: LTEYLKKTLDPDPAC. Keyhole limpet haemocyanin (KLH) is coupled to the phosphorylated peptide via the thiol of the cysteine (cysteine) at the N-terminus of the phosphorylated peptide, and is used as an antigen to inject and immunize New Zealand rabbits. (New Zealand rabbit) five times. One week after the last immunization, immune sera were collected. The IgG antibody was purified using a Protein G column (Amersham Pharmacia, Sweden). The antibody is purified using a phosphorylated peptide affinity column, which is then adsorbed with a non-phosphorylated peptide to remove non-anti-phosphorylated CSE1L antibodies therein. Antibody titers and specificity were analyzed by enzyme-linked immunosorbent assay and immunoblot method.

斑點雜交(dot blotting)Dot blotting

將各純化之微泡懸浮液等量(5μL)各別注到96孔斑點印跡盤(96-well dot-blot manifold apparatus;BRL,美國)的硝酸纖維素膜(nitrocellulose membranes;Amersham Pharmacia)。硝酸纖維素膜於室溫和含1%牛血清 白蛋白,50mM三(羥甲基)氨基甲烷鹽酸鹽(Tris-HCl,pH 7.6、150mM氯化鈉、0.1% Tween-20的免疫染色封閉液(blocking buffer)反應一小時。然後與初級抗體4℃下反應16小時,再與偶聯辣根過氧化酶(horseradish peroxidase,HRP)的二次抗體反應1小時。利用Forte免疫墨點偵測系統(Forte Western HRP Substrate;Millipore,美國)測定蛋白質含量。Equal amounts (5 μL) of each purified microbubble suspension were individually injected into a 96-well dot-blot manifold apparatus (BRL, USA) nitrocellulose membranes (Amersham Pharmacia). Nitrocellulose membrane at room temperature and containing 1% bovine serum Albumin, 50 mM tris(hydroxymethyl)aminomethane hydrochloride (Tris-HCl, pH 7.6, 150 mM sodium chloride, 0.1% Tween-20 in an immunostaining blocking buffer for one hour. Then with primary antibody The reaction was carried out at 4 ° C for 16 hours and then reacted with a secondary antibody conjugated with horseradish peroxidase (HRP) for 1 hour. Protein was determined using a Forte Western blotting system (Forte Western HRP Substrate; Millipore, USA). content.

酵素結合免疫吸附法(ELISA)Enzyme combined immunosorbent assay (ELISA)

將各血清以磷酸鹽緩衝液稀釋3倍,再二重複且等量(100μL)置放入96孔的NUNC Immunoplate MaxiSorb孔盤(96-well Nunc Immunoplate MaxiSorb plates;Nunc,丹麥),4℃下反應16小時。然後吸掉孔內懸浮血清,以含1%牛血清白蛋白的磷酸鹽緩衝液與吸附在孔內的血清於室溫反應1小時。吸掉含1%牛血清白蛋白的磷酸鹽緩衝液,以PBST(含0.05% Tween-20的磷酸鹽緩衝液)簡單洗滌孔盤的孔。使孔與標記生物素(biotin)之抗CSE1L抗體(biotin-conjugated anti-CSE1L antibodies)或與標記生物素之抗磷酸化CSE1L抗體反應1小時。標記生物素之抗體是利用Biotin Labeling Kit-NH2試劑盒(Dojindo Laboratories,日本),將抗CSE1L抗體或抗磷酸化CSE1L抗體生物素化(biotinylation)而制得。之後將孔以PBST洗滌並與和鏈黴親和素結合之辣根過氧化酶(streptavidin-conjugated horseradish peroxidase;R&D Systems,美國)反應30分鐘,以PBST洗滌孔盤的孔,再與酵素結合免疫吸附受質試劑(R&D Systems)反應20分鐘。然後用PBST洗滌孔盤的孔。以3個含牛血清白蛋白之孔作為背景值,及3個含牛血清白蛋白之孔但有與所有其他酵素結合免疫吸附試劑反應之孔作為對照組,以供校正。於30分鐘內以盤式光譜分析儀(Thermo Multiskan EX,Thermo Fisher Scientific,美國)測量於450nm之吸光值。每一檢體均進行兩次分析。Each serum was diluted 3-fold in phosphate buffer, twice repeated and equal (100 μL) placed in 96-well NUNC Immunoplate MaxiSorb well plates (96-well Nunc Immunoplate MaxiSorb plates; Nunc, Denmark), reacted at 4 °C 16 hours. Then, the suspended serum in the well was aspirated, and the phosphate buffer containing 1% of bovine serum albumin was reacted with the serum adsorbed in the well at room temperature for 1 hour. The phosphate buffer containing 1% bovine serum albumin was aspirated, and the wells of the well plate were simply washed with PBST (0.05% Tween-20 in phosphate buffer). The wells were reacted with biotin-conjugated anti-CSE1L antibodies or biotinylated anti-phospho CSE1L antibodies for 1 hour. The biotin-labeled antibody was prepared by biotinylation of an anti-CSE1L antibody or an anti-phosphorylated CSE1L antibody using a Biotin Labeling Kit-NH2 kit (Dojindo Laboratories, Japan). The wells were then washed with PBST and reacted with streptavidin-conjugated horseradish peroxidase (R&D Systems, USA) for 30 minutes, the wells of the wells were washed with PBST, and immunosorbed with enzymes. The reagent (R&D Systems) was reacted for 20 minutes. The wells of the well plate were then washed with PBST. Three wells containing bovine serum albumin were used as background values, and three wells containing bovine serum albumin but with all other enzymes in combination with immunosorbent reagents were used as a control group for correction. The absorbance at 450 nm was measured in a disk spectrometer (Thermo Multiskan EX, Thermo Fisher Scientific, USA) in 30 minutes. Each specimen was analyzed twice.

統計分析Statistical Analysis

使用SPSS14.0統計軟體進行資料分析。利用雙尾Fisher精確檢驗(two-tailed Fisher’s exact test)分析統計差異。α值小於0.01則為統計上顯 著。Data analysis was performed using SPSS 14.0 statistical software. Statistical differences were analyzed using a two-tailed Fisher's exact test. A value of less than 0.01 is statistically significant With.

實施例Example

實施例1: 建立B16-dEV細胞、B16-CSE1L細胞、B16-ras細胞和B16-Ras/anti-CSE1L細胞。 Example 1: Establishment of B16-dEV cells, B16-CSE1L cells, B16-ras cells, and B16-Ras/anti-CSE1L cells.

利用pcDNA空載體、pZIP空載體、pcDNA-CSE1L載體、pZIP-v-H-ras載體、CSE1L shRNA載體、或對照控制shRNA載體轉染B16F10細胞,以建立B16-dEV細胞、B16-CSE1L細胞、B16-ras細胞和B16-Ras/anti-CSE1L細胞。圖1是以免疫墨點法分析B16-dEV,B16-ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞的Ras和CSE1L蛋白表達量的結果(圖1)。B16F10 cells were transfected with pcDNA empty vector, pZIP empty vector, pcDNA-CSE1L vector, pZIP-vH-ras vector, CSE1L shRNA vector, or control shRNA vector to establish B16-dEV cells, B16-CSE1L cells, B16-ras Cells and B16-Ras/anti-CSE1L cells. Figure 1 shows the results of Ras and CSE1L protein expression in B16-dEV, B16-ras, B16-CSE1L, and B16-Ras/anti-CSE1L cells by immunoblotting (Fig. 1).

圖1 顯示以抗Ras抗體、抗CSE1L抗體、和免疫墨點法,分析Ras和CSE1L蛋白在B16-dEV細胞、B16-CSE1L細胞、B16-ras細胞、和B16-Ras/anti-CSE1L細胞的表達量。β-肌動蛋白的表達量為對照。 Figure 1 shows the expression of Ras and CSE1L proteins in B16-dEV cells, B16-CSE1L cells, B16-ras cells, and B16-Ras/anti-CSE1L cells by anti-Ras antibody, anti-CSE1L antibody, and immunoblotting method. the amount. The expression level of β-actin was a control.

實施例2: v-H-ras癌基因轉染癌細胞誘導微泡生成。 Example 2: Transfection of cancer cells with vH-ras oncogene induces microbubble formation.

經v-H-ras癌基因轉染的B16F10細胞(即B16-ras細胞)表面,可發現很多泡狀微泡生成(圖2A)。在細胞的細胞質及偽足(pseudopodia)基部,也可發現正在形成或發展中的微泡(圖2B)。因此,v-H-ras基因調控細胞微泡的生成。微泡內含有大量蛋白酶(Taraboletti 2002)。免疫螢光實驗證實B16-ras細胞的微泡內含有基質金屬蛋白酶-2(MMP-2)(圖2C)。以免疫墨點法分析,結果表明v-H-ras癌基因轉染B16F10細胞,會增加微泡MMP-2蛋白量;而PD98059(一種ERK活性抑制劑)處理,會降低v-H-ras所刺激的細胞微泡MMP-2蛋白量的增加(圖2D)。以4',6-聯脒-3-苯吲哚二鹽酸鹽(DAPI;4',6-diamidino-2-phenylindole)染色細胞染色質,結果表明這些細胞沒有染色質濃縮或染色質碎片等細胞凋亡現象。因此,Ras-ERK訊息路徑調控細胞微泡的生成。On the surface of B16F10 cells transfected with the v-H-ras oncogene (ie, B16-ras cells), many vesicular microvesicles were found (Fig. 2A). Microbubbles that are forming or developing can also be found at the cytoplasm of the cell and at the base of the pseudopodia (Fig. 2B). Therefore, the v-H-ras gene regulates the production of cellular microvesicles. Microbubbles contain a large amount of protease (Taraboletti 2002). Immunofluorescence experiments confirmed the presence of matrix metalloproteinase-2 (MMP-2) in the microvesicles of B16-ras cells (Fig. 2C). Analysis by immunoblotting method showed that transfection of VH-ras oncogene with B16F10 cells increased the amount of microbubble MMP-2 protein; while treatment with PD98059 (an inhibitor of ERK activity) decreased the cell microstimulation stimulated by vH-ras. An increase in the amount of vesicular MMP-2 protein (Fig. 2D). Cell chromatin staining with 4',6-biindole-3-phenylindole dihydrochloride (DAPI; 4',6-diamidino-2-phenylindole) showed no chromatin condensation or chromatin fragments in these cells. Apoptosis. Therefore, the Ras-ERK message pathway regulates the generation of cellular microvesicles.

圖2 顯示v-H-ras癌基因轉染誘導癌細胞微泡生成。(A)B16F10細胞,B16-dEV細胞,和B16-ras細胞的顯微鏡像及微泡計數。(B)顯微鏡像顯示 B16-ras細胞的偽足基部和細胞膜上正在生成中的微泡。(C)抗MMP-2抗體免疫螢光顯示B16-ras細胞微泡內的MMP-2。(D)免疫墨點法,分析以50μM PD98059或其溶解劑二甲基亞碸(DMSO,dimethy sulphoxide)處理,且在無血清條件下培養48小時的B16-dEV和B16-ras細胞之微泡的MMP-2量。 Figure 2 shows that vH-ras oncogene transfection induces microbubble formation in cancer cells. (A) Microscopic images and microbubble counts of B16F10 cells, B16-dEV cells, and B16-ras cells. (B) The microscopic image shows the pseudopod base of B16-ras cells and the microbubbles being formed on the cell membrane. (C) Anti-MMP-2 antibody immunofluorescence showed MMP-2 in microvesicles of B16-ras cells. (D) Immunoblotting method, analysis of microbubbles of B16-dEV and B16-ras cells treated with 50 μM PD98059 or its lysing agent dimethyl sulphoxide (DMSO, dimethy sulphoxide) and cultured for 48 hours under serum-free conditions. The amount of MMP-2.

實施例3: v-H-ras癌基因轉染增加癌細胞分泌CSE1L。 Example 3: Transfection of vH-ras oncogene increases the secretion of CSE1L by cancer cells.

免疫墨點法的結果表明,v-H-ras基因轉染B16F10細胞,會增加細胞分泌CSE1L蛋白;而PD98059處理會降低v-H-ras所刺激的細胞CSE1L蛋白分泌(圖3)。v-H-ras基因轉染B16F10細胞或以PD98059處理細胞,沒有明顯影響細胞內的CSE1L表達(圖3)。因此,Ras-ERK訊息路徑調控細胞分泌CSE1L。The results of the immunoblotting method indicated that transfection of the v-H-ras gene into B16F10 cells increased the secretion of CSE1L protein; whereas PD98059 treatment decreased the secretion of CSE1L protein in the cells stimulated by v-H-ras (Fig. 3). Transfection of B16F10 cells with v-H-ras gene or treatment with PD98059 did not significantly affect intracellular CSE1L expression (Fig. 3). Therefore, the Ras-ERK message pathway regulates the secretion of CSE1L by cells.

圖3 顯示v-H-ras癌基因轉染增加癌細胞分泌CSE1L。免疫墨點法,分析以二甲基亞碸(DMSO)或50μM PD98059處理,且在無血清條件下培養24小時的B16-dEV和B16-ras細胞之CSE1L表現量及分泌量。 Figure 3 shows that transfection of the vH-ras oncogene increases the secretion of CSE1L by cancer cells. The CSE1L expression and secretion amount of B16-dEV and B16-ras cells treated with dimethyl sulfoxide (DMSO) or 50 μM PD98059 and cultured for 24 hours under serum-free conditions were analyzed by immunoblotting.

實施例4: CSE1L是一種磷酸化蛋白。 Example 4: CSE1L is a phosphorylated protein.

利用以小麥胚芽無細胞蛋白質合成系統合成的GST-CSE1L融合蛋白及純化之CSE1L蛋白,研究CSE1L的磷酸化。免疫墨點法的結果顯示,CSE1L蛋白可以和抗磷酸化絲氨酸及磷酸化蘇氨酸(phospho-serine/threonine),和抗磷酸化酪氨酸(phosphotyrosine)的抗體反應(圖4)。因此,CSE1L是一種絲氨酸/蘇氨酸和酪氨酸磷酸化蛋白(serine/threonine and tyrosine phosphorylated protein)。The phosphorylation of CSE1L was studied using the GST-CSE1L fusion protein synthesized by the wheat germ cell-free protein synthesis system and the purified CSE1L protein. The results of the immunoblotting method showed that the CSE1L protein reacted with antibodies against phosphorylated serine and phospho-serine/threonine, and against phosphotyrosine (Fig. 4). Therefore, CSE1L is a serine/threonine and tyrosine phosphorylated protein.

圖4 顯示CSE1L是一個磷酸化的蛋白。以抗磷酸化絲氨酸及磷酸化蘇氨酸抗體,和抗磷酸化酪氨酸抗體和免疫墨點法,分析CSE1L蛋白之磷酸化狀況。CSE1L蛋白為以凝血酶(thrombin)分解由小麥胚芽無細胞蛋白質合成系統合成的GST-CSE1L融合蛋白而得。 Figure 4 shows that CSE1L is a phosphorylated protein. Phosphorylation of CSE1L protein was analyzed by anti-phosphorylated serine and phosphorylated threonine antibodies, and anti-phosphotyrosine antibodies and immunoblots. The CSE1L protein is obtained by thrombin-decomposing a GST-CSE1L fusion protein synthesized by the wheat germ cell-free protein synthesis system.

實施例5: v-H-ras癌基因轉染增加癌細胞內CSE1L蛋白之磷酸化,以及 磷酸化CSE1L蛋白存在於癌血清中。 Example 5: Transfection of vH-ras oncogene increased phosphorylation of CSE1L protein in cancer cells, and phosphorylated CSE1L protein was present in cancer serum.

以抗CSE1L抗體和免疫沉澱技術,免疫沉澱以二甲基亞碸(DMSO)或50μM PD98059處理,且在無血清條件下培養24小時的B16-dEV和B16-ras細胞。免疫沉澱物再以經過辣根過氧化酶(horseradish peroxidase)標記的抗磷酸化蘇氨酸抗體做免疫墨點法分析。結果表明,v-H-ras癌基因轉染,會增加細胞內CSE1L蛋白之磷酸化;而PD98059處理會降低v-H-ras癌基因轉染所增加之細胞內CSE1L蛋白之磷酸化(圖5A)。因此,Ras-ERK傳導信號調控CSE1L蛋白磷酸化。CSE1L是一種分泌蛋白,因此也測試Ras-ERK信號通路是否調控磷酸化CSE1L蛋白的分泌。以抗CSE1L抗體和免疫沉澱技術,免疫沉澱收集自以二甲基亞碸(DMSO)或50μM PD98059處理,且在無血清條件下培養24小時的B16-dEV和B16-ras細胞的條件培養基。免疫沉澱物再以經過辣根過氧化酶標記的抗磷酸化蘇氨酸抗體做免疫墨點法分析。結果表明,v-H-ras癌基因轉染,會增加細胞磷酸化CSE1L蛋白之分泌;而PD98059處理會降低v-H-ras癌基因轉染所增加之細胞磷酸化CSE1L蛋白之分泌(圖5B)。B16-dEV and B16-ras cells were treated with anti-CSE1L antibody and immunoprecipitation technique, immunoprecipitated with dimethyl sulfoxide (DMSO) or 50 μM PD98059, and cultured for 24 hours under serum-free conditions. The immunoprecipitate was then analyzed by immunoblotting using an anti-phosphorylated threonine antibody labeled with horseradish peroxidase. The results indicated that transfection of the v-H-ras oncogene increased the phosphorylation of CSE1L protein in cells; whereas PD98059 treatment reduced the phosphorylation of CSE1L protein in cells increased by transfection of v-H-ras oncogene (Fig. 5A). Thus, Ras-ERK signaling regulates phosphorylation of CSE1L protein. CSE1L is a secreted protein and therefore also tests whether the Ras-ERK signaling pathway regulates the secretion of phosphorylated CSE1L protein. The conditioned medium of B16-dEV and B16-ras cells treated with dimethylarsine (DMSO) or 50 μM PD98059 and cultured for 24 hours under serum was immunoprecipitated with anti-CSE1L antibody and immunoprecipitation technique. The immunoprecipitate was then analyzed by immunoblotting using an anti-phospho-threonine antibody labeled with horseradish peroxidase. The results indicated that transfection of the v-H-ras oncogene increased the secretion of CSE1L protein in the cell; whereas PD98059 treatment reduced the secretion of the phosphorylated CSE1L protein in the cells transfected with the v-H-ras oncogene (Fig. 5B).

以瓊脂糖偶聯的抗磷酸化蘇氨酸抗體(agarose-conjugated anti-phosphothreonine antibodies)和免疫沉澱技術,免疫沉澱大腸直腸癌患者血清(N=36)和健康獻血者(N=36)血清。免疫沉澱物再以抗CSE1L抗體做免疫墨點法分析。結果表明,蘇氨酸磷酸化CSE1L蛋白存在於癌患者血清之免疫沉澱物,但不存在于健康獻血者之免疫沉澱物(圖5C)。另一方面,免疫墨點法分析結果表明,雖然這些癌患者血清中CSE1L的量高於健康獻血者血清中之CSE1L的量,但這差異並不如癌患者血清之磷酸化CSE1L與健康獻血者血清中之磷酸化CSE1L量之間的差異顯著(圖5D)。這些結果表明,分泌的磷酸化CSE1L可為癌症診斷標誌。Immunoprecipitation of serum from patients with colorectal cancer (N=36) and healthy blood donors (N=36) with agarose-conjugated anti-phosphothreonine antibodies and immunoprecipitation . The immunoprecipitate was further analyzed by anti-CSE1L antibody by immunoblotting. The results showed that the threonine phosphorylated CSE1L protein was present in the immunoprecipitate of the serum of cancer patients, but not in the immunoprecipitates of healthy blood donors (Fig. 5C). On the other hand, the results of immunoblotting analysis showed that although the amount of CSE1L in the serum of these cancer patients was higher than the amount of CSE1L in the serum of healthy blood donors, the difference was not as good as that of cancer patients with serum phosphorylation CSE1L and healthy blood donation. The difference in the amount of phosphorylated CSE1L in serum was significant (Fig. 5D). These results indicate that secreted phosphorylated CSE1L can be a diagnostic marker for cancer.

圖5 顯示v-H-ras癌基因轉染增加癌細胞內CSE1L蛋白之磷酸化,以及磷酸化CSE1L蛋白存在於癌患者血清中。(A)以抗磷酸化蘇氨酸抗體、抗CSE1L抗體、和免疫沉澱反應,分析以二甲基亞碸(DMSO)或50μM PD98059處理,且在無血清條件下培養24小時的B16-dEV和B16-ras細胞內之CSE1L磷酸化狀況。另外,以抗GFP的小鼠抗體進行控制組免疫 沉澱反應。(B)以抗磷酸化蘇氨酸抗體、抗CSE1L抗體、和免疫沉澱反應,分析以二甲基亞碸(DMSO)或50μM PD98059,且在無血清條件下培養24小時的B16-dEV和B16-ras細胞所分泌之CSE1L蛋白磷酸化狀況。以抗GFP的小鼠抗體進行控制組免疫沉澱反應。(C)以瓊脂糖偶聯的抗磷酸化蘇氨酸抗體、抗CSE1L抗體、和免疫沉澱反應,分析癌患者血清中CSE1L蛋白磷酸化狀況。癌患者血清取自36個大腸直腸癌患者(每個患者10μL),健康獻血者血清取自36位健康人(每人10μL)。以瓊脂糖偶聯的正常小鼠IgG(agarose-conjugated normal mouse IgG)進行控制免疫沉澱。(D)免疫墨點法,分析上述癌患者血清(36個大腸直腸癌患者,每個患者10μL)和健康獻血者血清(36位健康人,每人10μL)中CSE1L蛋白的量。 Figure 5 shows that transfection of the vH-ras oncogene increases the phosphorylation of CSE1L protein in cancer cells, and that phosphorylated CSE1L protein is present in the serum of cancer patients. (A) Analysis of B16-dEV treated with dimethylammonium (DMSO) or 50 μM PD98059 with anti-phosphorylated threonine antibody, anti-CSE1L antibody, and immunoprecipitation, and cultured for 24 hours under serum-free conditions CSE1L phosphorylation status in B16-ras cells. In addition, a control group immunoprecipitation reaction was carried out with a mouse antibody against GFP. (B) Analysis of B16-dEV and B16 cultured in serum-free conditions for 24 hours with anti-phosphorylated threonine antibody, anti-CSE1L antibody, and immunoprecipitation reaction with dimethyl sulfoxide (DMSO) or 50 μM PD98059 Phosphorylation status of CSE1L protein secreted by -ras cells. The control group immunoprecipitation was carried out with an anti-GFP mouse antibody. (C) Analysis of phosphorylation of CSE1L protein in serum of cancer patients by agarose-conjugated anti-phosphorylated threonine antibody, anti-CSE1L antibody, and immunoprecipitation reaction. The serum of cancer patients was obtained from 36 patients with colorectal cancer (10 μL per patient), and the blood of healthy blood donors was obtained from 36 healthy persons (10 μL per person). Controlled immunoprecipitation was performed with agarose-conjugated normal mouse IgG. (D) Immunoblotting method, the amount of CSE1L protein in the serum of the above cancer patients (36 colorectal cancer patients, 10 μL per patient) and healthy blood donor serum (36 healthy persons, 10 μL per person) were analyzed.

實施例6: 磷酸化ERK與CSE1L高表達於大腸直腸癌腫瘤,且相對表染色強度一致。 Example 6: Phosphorylated ERK and CSE1L were highly expressed in colorectal cancer tumors, and the relative staining intensity was consistent.

以組織微陣列切片(tissue microarray),和免疫組織化學技術(immunohistochemistry),分析115個大腸直腸癌檢體,結果顯示磷酸化ERK和CSE1L分別在100%(115/115)和99.1%(114/115)的癌檢體有高表達(圖6A)。相鄰正常組織僅有相對微弱的磷酸化ERK和CSE1L表達(圖6A)。以大腸直腸癌組織相鄰的連續切片,及免疫組織化學技術,分析磷酸化ERK和CSE1L在大腸直腸癌腫瘤的相對染色強度,也發現磷酸化ERK和CSE1L在大部分(97.4%;112/115)大腸直腸癌腫瘤檢體的相對染色強度有一致性。表明磷酸化ERK與CSE1L於大腸直腸癌惡化的密切關係(圖6B)。Analysis of 115 colorectal cancer specimens by tissue microarray and immunohistochemistry showed that phosphorylated ERK and CSE1L were 100% (115/115) and 99.1%, respectively (114/ The cancer sample of 115) was highly expressed (Fig. 6A). Adjacent normal tissues had only relatively weak phosphorylated ERK and CSE1L expression (Fig. 6A). The sequential staining of colorectal cancer tissues and immunohistochemical techniques were used to analyze the relative staining intensity of phosphorylated ERK and CSE1L in colorectal cancer. It was also found that phosphorylated ERK and CSE1L were mostly (97.4%; 112/115). The relative staining intensity of colorectal cancer tumor samples is consistent. This indicates a close relationship between phosphorylated ERK and CSE1L in the progression of colorectal cancer (Fig. 6B).

圖6 顯示磷酸化ERK與CSE1L高表達於大腸直腸癌腫瘤,且相對表染色強度一致。(A)以免疫組織化學技術,及由115癌標本構成的組織微陣列切片分析磷酸化ERK和CSE1L在大腸直腸癌的表達量。左圖:非腫瘤組織;右圖:大腸直腸癌腫瘤。原放大倍率:400倍。(B)以免疫組織化學及大腸直腸癌組織相鄰的連續切片,分析磷酸化ERK和CSE1L在大腸直腸癌腫瘤的相對染色強度。箭頭指示磷酸化ERK與CSE1L相對表染色強度一致的部位。原放大倍率:40倍。 Figure 6 shows that phosphorylated ERK and CSE1L are highly expressed in colorectal cancer tumors, and the relative staining intensity is consistent. (A) Analysis of the expression levels of phosphorylated ERK and CSE1L in colorectal cancer by immunohistochemical techniques and tissue microarray sections consisting of 115 cancer specimens. Left panel: non-tumor tissue; right panel: colorectal cancer tumor. Original magnification: 400 times. (B) The relative staining intensity of phosphorylated ERK and CSE1L in colorectal cancer tumors was analyzed by immunohistochemistry and adjacent serial sections of colorectal cancer tissues. Arrows indicate the location of phosphorylated ERK and CSE1L relative to the table staining intensity. Original magnification: 40 times.

實施例7: CSE1L調控v-H-ras癌基因所誘導的癌細胞微泡生成。 Example 7: CSE1L regulates the generation of cancer cell microvesicles induced by the vH-ras oncogene.

利用攜帶CSE1L shRNA基因的表達載體,轉染B16-ras細胞,以抑制B16-ras細胞內之CSE1L表達,建立B16-Ras/anti-CSE1L細胞。顯微鏡檢查顯示,降低B16-ras細胞內之CSE1L表達,會抑制v-H-ras癌基因所誘導的癌細胞微泡生成(圖7A)。另外,利用攜帶表達CSE1L基因的載體,轉染B16F10細胞使細胞高度表達CSE1L,以建立B16-CSE1L細胞。顯微鏡檢查顯示,細胞高度表達CSE1L也會誘導微泡生成(圖7B)。以免疫螢光技術(immunofluorescence)研究,發現CSE1L和MMP-2皆位於在細胞質及偽足(pseudopodia)基部內正在生成中的微泡內(圖7C)。以上結果表明,CSE1L調控v-H-ras癌基因所誘導的癌細胞微泡生成。B16-Ras/anti-CSE1L cells were established by transfecting B16-ras cells with an expression vector carrying the CSE1L shRNA gene to inhibit CSE1L expression in B16-ras cells. Microscopic examination revealed that reduction of CSE1L expression in B16-ras cells inhibited the generation of cancer cell microvesicles induced by the v-H-ras oncogene (Fig. 7A). In addition, B16F10 cells were transfected with a vector carrying the CSE1L gene to allow cells to highly express CSE1L to establish B16-CSE1L cells. Microscopic examination revealed that high expression of CSE1L in cells also induced microbubble formation (Fig. 7B). Using immunofluorescence studies, it was found that both CSE1L and MMP-2 are located in microvesicles that are being formed in the cytoplasm and pseudopodia base (Fig. 7C). These results indicate that CSE1L regulates the generation of cancer cell microvesicles induced by the v-H-ras oncogene.

圖7 顯示CSE1L調控v-H-ras癌基因所誘導的癌細胞微泡生成。(A)B16-Ras細胞和B16-Ras/anti-CSE1L細胞的顯微鏡像及微泡計數。(B)B16-dEV細胞和B16-CSE1L細胞的顯微鏡像及微泡計數。(C)免疫螢光技術研究,顯示CSE1L和MMP-2蛋白位於B16-ras細胞的偽足基部和細胞膜上正在生成中的微泡內。 Figure 7 shows that CSE1L regulates the generation of cancer cell microvesicles induced by the vH-ras oncogene. (A) Microscopic images and microbubble counts of B16-Ras cells and B16-Ras/anti-CSE1L cells. (B) Microscopic image and microbubble count of B16-dEV cells and B16-CSE1L cells. (C) Immunofluorescence technique studies showing that CSE1L and MMP-2 proteins are located in the microvesicles that are being formed on the base of the pseudopod and on the cell membrane of B16-ras cells.

實施例8: CSE1L調控v-H-ras癌基因所誘導的癌細胞侵襲(invasion)。 Example 8: CSE1L regulates cancer cell invasion induced by the vH-ras oncogene.

收集以二甲基亞碸(DMSO)或50μM PD98059處理,且在無血清條件下培養24小時的B16-dEV,B16-ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞的條件培養基,再分離這些條件培養基中之微泡。以明膠酶譜法(zymography)分析這些條件培養基中微泡之MMP-2明膠酶活性。結果表明,v-H-ras癌基因轉染,會增加細胞釋放至條件培養基中之微泡的MMP-2明膠酶活性;PD98059可抑制v-H-ras癌基因轉染所增加之微泡MMP-2明膠酶活性(圖8A)。此外,細胞高度表達CSE1L也會增加細胞釋放至條件培養基中之微泡的MMP-2明膠酶活性(圖8A)。而且降低B16-ras細胞內之CSE1L表達,會抑制v-H-ras癌基因所增加之微泡MMP-2明膠酶活性(圖8A)。用Matrigel基質膠做B16-dEV,B16-Ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞的細胞侵襲性分析(Matrigel-based invasion assays),結果表明,v-H-ras癌基因轉染增加癌細胞侵襲性(圖8B),細胞高度表達CSE1L也會增加癌細胞侵襲性(圖8B),利用CSE1L shRNA降低B16-ras細胞內之CSE1L表達,也會抑制v-H-ras癌基因轉染所增加之癌細胞侵襲性(圖8B)。因此,CSE1L調控v-H-ras癌基因所誘導的癌細胞侵襲。The conditioned medium of B16-dEV, B16-ras, B16-CSE1L, and B16-Ras/anti-CSE1L cells treated with dimethyl sulfoxide (DMSO) or 50 μM PD98059 and cultured for 24 hours under serum-free conditions was collected. The microvesicles in these conditioned media were then separated. The MMP-2 gelatinase activity of the microvesicles in these conditioned media was analyzed by gelatin zymography. The results showed that transfection of vH-ras oncogene increased MMP-2 gelatinase activity of microvesicles released into conditioned medium; PD98059 inhibited microbubble MMP-2 gelatinase increased by transfection of vH-ras oncogene Activity (Figure 8A). In addition, high expression of CSE1L by cells also increased MMP-2 gelatinase activity of microvesicles released by cells into conditioned medium (Fig. 8A). Furthermore, reducing CSE1L expression in B16-ras cells inhibited the increase in microbubble MMP-2 gelatinase activity of the v-H-ras oncogene (Fig. 8A). Matrigel-based invasion of B16-dEV, B16-Ras, B16-CSE1L, and B16-Ras/anti-CSE1L cells using Matrigel Matrigel Assays), the results indicate that vH-ras oncogene transfection increases cancer cell invasiveness (Fig. 8B), and high expression of CSE1L in cells also increases cancer cell invasiveness (Fig. 8B), using CSE1L shRNA to reduce CSE1L in B16-ras cells. Expression also inhibited the invasiveness of cancer cells increased by transfection of the vH-ras oncogene (Fig. 8B). Therefore, CSE1L regulates cancer cell invasion induced by the v-H-ras oncogene.

圖8 顯示CSE1L調控v-H-ras癌基因所誘導的癌細胞侵襲。(A)以明膠酶譜法,分析以二甲基亞碸(DMSO)或50μM PD98059處理,且在無血清條件下培養24小時的B16-dEV,B16-ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞,所釋放之微泡的MMP-2明膠酶活性(zymographic activities)。(B)用Matrigel做B16-dEV,B16-Ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞的細胞侵襲性分析。侵襲細胞的數目(平均數±標準差;細胞數目/視野)分別為B16-dEV細胞:109.4±12.6;B16-CSE1L細胞:406.8±23.9;B16-Ras細胞:311.25±32.4;B16-Ras/anti-CSE1L細胞:46.75±8.7。 Figure 8 shows that CSE1L regulates cancer cell invasion induced by the vH-ras oncogene. (A) B16-dEV, B16-ras, B16-CSE1L, and B16-Ras treated with dimethyl sulfoxide (DMSO) or 50 μM PD98059 and cultured for 24 hours under serum-free conditions by gelatin zymography /anti-CSE1L cells, MMP-2 gelatinase activity of the released microvesicles. (B) Cell invasiveness analysis of B16-dEV, B16-Ras, B16-CSE1L, and B16-Ras/anti-CSE1L cells using Matrigel. The number of invading cells (mean ± standard deviation; cell number / field of view) were B16-dEV cells: 109.4 ± 12.6; B16-CSE1L cells: 406.8 ± 23.9; B16-Ras cells: 311.25 ± 32.4; B16-Ras/anti - CSE1L cells: 46.75 ± 8.7.

實施例9: CSE1L調控v-H-ras癌基因所誘導的癌細胞轉移。 Example 9: CSE1L regulates cancer cell metastasis induced by the vH-ras oncogene.

MMP-2在腫瘤侵襲浸潤(tumor invasion)起著至關重要的作用(Taraboletti 2002)。免疫螢光顯示,CSE1L和MMP-2共同位於在B16-ras細胞和B16-CSE1L細胞的微泡內,且CSE1L偏好性的累積在微泡中(圖9A)。動物實驗研究結果表明,利用攜帶CSE1L基因的表達載體讓B16F10癌細胞的CSE1L表達增加,使癌細胞轉移至肺的能力增加361.5%(P<0.05)(圖9B)。v-H-ras癌基因轉染B16F10癌細胞,使癌細胞轉移至肺的能力增加了246.1%(P<0.05)(圖9B)。利用CSE1L shRNA降低B16-ras細胞內之CSE1L表達,會抑制v-H-ras癌基因所增加之癌細胞轉移至肺的能力(100%,P<0.01);雖然B16-Ras細胞和B16-Ras/anti-CSE1L細胞的生長速率相似(圖9B和C)。因此,CSE1L調控v-H-ras癌基因所誘導的癌細胞轉移。MMP-2 plays a crucial role in tumor invasion (Taraboletti 2002). Immunofluorescence showed that CSE1L and MMP-2 were co-located in the microvesicles of B16-ras cells and B16-CSE1L cells, and CSE1L was preferentially accumulated in the microvesicles (Fig. 9A). Animal experimental studies showed that the expression of CSE1L in B16F10 cancer cells was increased by the expression vector carrying the CSE1L gene, and the ability of cancer cells to metastasize to the lung was increased by 361.5% (P<0.05) (Fig. 9B). The ability of the v-H-ras oncogene to transfect B16F10 cancer cells increased the ability of cancer cells to metastasize to the lung by 246.1% (P < 0.05) (Fig. 9B). Reduction of CSE1L expression in B16-ras cells by CSE1L shRNA inhibits the ability of cancer cells with increased vH-ras oncogenes to metastasize to the lung (100%, P<0.01); although B16-Ras cells and B16-Ras/anti The growth rate of CSE1L cells was similar (Fig. 9B and C). Therefore, CSE1L regulates cancer cell metastasis induced by the v-H-ras oncogene.

圖9 顯示CSE1L調控v-H-ras癌基因所誘導的癌細胞轉移。(A)細胞免疫螢光分析證明CSE1L和MMP-2共同位於在B16-ras細胞和 B16-CSE1L細胞的微泡內,而且CSE1L偏好性的累積在微泡中,而非像MMP-2平均分佈於細胞。(B)CSE1L調控v-H-ras癌基因所誘導的癌細胞轉移。較上之圖是一個代表性照片,顯示B16-dEV,B16-ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞注入C57BL/6小鼠,所引發的小鼠肺腫瘤。這些細胞注入小鼠所引發之肺腫瘤平均數(平均數±標準差;腫瘤數目/每隻鼠)分別為B16-dEV細胞:13.7±4.8;B16-CSE1L細胞:47±15.8;B16-Ras細胞:32.2±8.5;B16-Ras/anti-CSE1L細胞:7±3.6。(C)B16-dEV,B16-CSE1L,B16-Ras,及B16-Ras/anti-CSE1L細胞的細胞記數生長曲線。圖代表三個獨立的實驗結果。 Figure 9 shows that CSE1L regulates cancer cell metastasis induced by the vH-ras oncogene. (A) Cellular immunofluorescence analysis demonstrated that CSE1L and MMP-2 are co-located in the microvesicles of B16-ras cells and B16-CSE1L cells, and that CSE1L preferentially accumulates in microvesicles rather than like MMP-2. In the cell. (B) CSE1L regulates cancer cell metastasis induced by the vH-ras oncogene. The above figure is a representative photograph showing the lung tumors of mice induced by injection of B16-dEV, B16-ras, B16-CSE1L, and B16-Ras/anti-CSE1L cells into C57BL/6 mice. The mean number of lung tumors (mean ± standard deviation; number of tumors per mouse) of these cells injected into mice were B16-dEV cells: 13.7 ± 4.8; B16-CSE1L cells: 47 ± 15.8; B16-Ras cells : 32.2 ± 8.5; B16-Ras/anti-CSE1L cells: 7 ± 3.6. (C) Cell count growth curves of B16-dEV, B16-CSE1L, B16-Ras, and B16-Ras/anti-CSE1L cells. The graph represents three independent experimental results.

實施例10: CSE1L位於微泡膜,而且抗CSE1L的抗體能夠尋找並結合腫瘤。 Example 10: CSE1L is located in the microvesicle membrane, and antibodies against CSE1L are able to find and bind tumors.

免疫螢光研究顯示CSE1L位於微泡膜(圖10A)。免疫電子顯微鏡(immunogold electron microscopy)研究進一步表明,CSE1L和MMP-2皆位於微泡,而且CSE1L主要位於微泡膜(圖10B)。經腫瘤細胞釋放的微泡仍然殘留在腫瘤周圍環境。CSE1L位於微泡膜,表明CSE1L可為癌症治療的目標物。以B16-CSE1L細胞注射到C57BL/6小鼠背部引發腫瘤,再經由尾巴打入以Qdot 800量子點(quantum dots)標記的抗CSE1L抗體之後,小鼠背部腫瘤發出量子點的近紅外螢光信號(NIR fluorescence signals),這結果表明,抗CSE1L的抗體能夠尋找並結合腫瘤。對照組小鼠打入以量子點標記的小鼠正常IgG(normal mouse IgG),在同等條件下,其腫瘤並沒有發出量子點的近紅外螢光信號(圖10C)。因此,抗CSE1L的抗體能夠尋找並結合腫瘤。Immunofluorescence studies showed that CSE1L was located in the microbubble membrane (Fig. 10A). Immunogold electron microscopy studies further showed that both CSE1L and MMP-2 are located in microvesicles, and CSE1L is mainly located in the microbubble membrane (Fig. 10B). The microbubbles released by the tumor cells still remain in the surrounding environment of the tumor. CSE1L is located in the microbubble membrane, indicating that CSE1L can be a target for cancer therapy. After injecting B16-CSE1L cells into the back of C57BL/6 mice to induce tumors, and then injecting anti-CSE1L antibodies labeled with Qdot 800 quantum dots via tails, the tumors on the back of the mice emit near-infrared fluorescent signals of quantum dots. (NIR fluorescence signals), this result indicates that antibodies against CSE1L can find and bind to tumors. The control mice were injected with normal dot IgG labeled with quantum dots, and under the same conditions, the tumor did not emit near-infrared fluorescence signals of quantum dots (Fig. 10C). Therefore, antibodies against CSE1L are able to find and bind to tumors.

圖10 顯示CSE1L位於微泡膜,而且抗CSE1L的抗體能夠尋找並結合腫瘤。(A)細胞免疫螢光分析證明CSE1L位於B16-CSE1L細胞所生成微泡的膜上。(B)免疫電子顯微鏡分析顯示CSE1L(18-nm奈米金,箭頭指示處)和MMP-2(12nm奈米金)分佈在B16-CSE1L細胞所生成微泡的膜上。原放大倍率:250,000倍。(C)組合圖像顯示,以B16-CSE1L細胞注射引發腫瘤的C57BL/6小鼠,經由尾巴打入以量子點標記的抗CSE1L 抗體(右鼠,N=3)4小時後,其腫瘤發出量子點的近紅外螢光信號。對照組小鼠(左鼠,N=3)為打入以量子點標記的小鼠正常IgG,在同等條件下其腫瘤並沒有發出量子點的近紅外螢光信號。 Figure 10 shows that CSE1L is located in the microvesicle membrane and that antibodies against CSE1L are able to find and bind to the tumor. (A) Cellular immunofluorescence analysis demonstrated that CSE1L is located on the membrane of microvesicles produced by B16-CSE1L cells. (B) Immunoelectron microscopy analysis showed that CSE1L (18-nm nanogold, indicated by the arrow) and MMP-2 (12 nm nanogold) were distributed on the membrane of microvesicles formed by B16-CSE1L cells. Original magnification: 250,000 times. (C) Combined images showed that tumor-infected C57BL/6 mice were injected with B16-CSE1L cells, and tumors were emitted 4 minutes after the quantum dot-labeled anti-CSE1L antibody (right mouse, N=3) via the tail. Near-infrared fluorescent signal of quantum dots. The control mice (left mouse, N=3) were normal IgGs that were labeled with quantum dots, and the tumors did not emit near-infrared fluorescence signals of quantum dots under the same conditions.

實施例11: 抗磷酸化CSE1L抗體針對磷酸化CSE1L蛋白的特異性結合。 Example 11: Specific binding of an anti-phosphorylated CSE1L antibody to a phosphorylated CSE1L protein.

以合成的磷酸化CSE1L肽免疫新西蘭兔,以生產抗磷酸化CSE1L抗體。以酵素結合免疫吸附法分析經過親和性純化的抗體之效價(titer),結果列於表2(表2)。免疫墨點法結果表明,抗磷酸化CSE1L抗體可以專一性地和磷酸化CSE1L結合(圖11)。New Zealand rabbits were immunized with a synthetic phosphorylated CSE1L peptide to produce an anti-phospho CSE1L antibody. The titer of the affinity-purified antibody was analyzed by enzyme-binding immunosorbent assay and the results are shown in Table 2 (Table 2). The results of the immunoblotting method indicated that the anti-phosphorylated CSE1L antibody specifically binds to phosphorylated CSE1L (Fig. 11).

圖11 顯示抗磷酸化CSE1L抗體針對磷酸化CSE1L蛋白的專一性結合。以免疫墨點法,和經二甲基亞碸(DMSO)或50μM的PD98059處理12小時的B16-dEV和B16-ras細胞溶解物,分析抗磷酸化CSE1L抗體針對磷酸化CSE1L蛋白的專一性免疫結合。抗CSE1L抗體和動物免疫前的血清也做測試作為對照。 Figure 11 shows the specific binding of anti-phosphorylated CSE1L antibodies to phosphorylated CSE1L protein. Specific anti-phosphorylation of CSE1L antibody against phosphorylated CSE1L protein by immunoblotting and B16-dEV and B16-ras cell lysates treated with dimethyl hydrazine (DMSO) or 50 μM PD98059 for 12 hours Combine. Anti-CSE1L antibodies and pre-immune sera were also tested as controls.

*O.D.(光學密度)。*O.D. (optical density).

實施例12: 磷酸化CSE1L蛋白位於細胞微泡。 Example 12: Phosphorylated CSE1L protein is located in cellular microvesicles.

以抗磷酸化CSE1L抗體和免疫螢光技術研究,結果表明磷酸化CSE1L蛋白位於細胞微泡(圖12)。Using anti-phospho CSE1L antibody and immunofluorescence techniques, the results showed that the phosphorylated CSE1L protein was located in cellular microvesicles (Fig. 12).

圖12 顯示磷酸化CSE1L蛋白位於細胞微泡。以抗磷酸化CSE1L抗體和B16-CSE1L細胞做細胞免疫螢光分析,結果證明磷酸化CSE1L蛋白位於微泡,而且磷酸化CSE1L偏好性的累積在微泡中。 Figure 12 shows that the phosphorylated CSE1L protein is located in cellular microvesicles. Cellular immunofluorescence analysis with anti-phospho-CSE1L antibody and B16-CSE1L cells demonstrated that the phosphorylated CSE1L protein was located in the microvesicles, and the phosphorylated CSE1L was preferentially accumulated in the microvesicles.

實施例13: 癌症患者血清中分離出的微泡含有磷酸化CSE1L蛋白。 Example 13: Microvesicles isolated from serum of cancer patients contain phosphorylated CSE1L protein.

從大腸癌患者血清和健康獻血者血清中分離出微泡,將各純化之微泡懸浮液等量(5μL)各別注到96孔斑點印跡膜盤(96-well dot-blot manifold),並分別以抗CSE1L抗體和抗磷酸化CSE1L抗體做斑點雜交(dot blot assay)分析。結果表明,相對于由健康獻血者血清中分離到的研究樣本,由癌症患者血清中分離到的研究樣本,有較高的CSE1L蛋白盛行率。CSE1L可在96.5%(111/115)的癌症患者血清內分離到的研究樣本中被檢測到,而只有6.6%(4/60)的健康獻血者血清內分離到的研究樣本可被檢測到CSE1L(圖13A)。癌症組與健康組間具顯著差異(P<0.01)。以合成的CSE1L蛋白作為標準,癌症患者血清中分離到的研究樣本的CSE1L截止值(cut-off value)測定為21ng/mL。另一方面,分析結果也表明,相對于由健康獻血者血清中分離到的研究樣本,由癌症患者血清中分離到的研究樣本,有較高的磷酸化CSE1L盛行率。磷酸化CSE1L可在98.2%(113/115)的癌症患者血清內分離到的研究樣本中被檢測到,而只有3.3%(2/60)的健康獻血者血清內分離到的研究樣本可被檢測到磷酸化CSE1L(P<0.01)(圖13B)。以合成的磷酸化CSE1L肽作為標準,癌症患者血清中分離到的研究樣本的磷酸化CSE1L截止值測定為15ng/mL。The microvesicles were separated from the serum of colorectal cancer patients and healthy blood donors, and each purified microbubble suspension was equally injected (5 μL) into a 96-well dot-blot manifold. Dot blot analysis was performed using an anti-CSE1L antibody and an anti-phosphorylated CSE1L antibody, respectively. The results showed that the study samples isolated from the serum of cancer patients had a higher prevalence of CSE1L protein than the study samples isolated from the serum of healthy blood donors. CSE1L was detected in 96.5% (111/115) of the study samples isolated from the serum of cancer patients, while only 6.6% (4/60) of the blood samples from healthy blood donors were able to be detected. CSE1L (Fig. 13A). There was a significant difference between the cancer group and the healthy group (P<0.01). Using the synthetic CSE1L protein as a standard, the CSE1L cut-off value of the study sample isolated from the serum of the cancer patient was determined as 21 ng/mL. On the other hand, the results of the analysis also showed that the study samples isolated from the serum of cancer patients had a higher prevalence of phosphorylated CSE1L relative to the study samples isolated from the serum of healthy blood donors. Phosphorylated CSE1L was detected in 98.2% (113/115) of the study samples isolated from the serum of cancer patients, while only 3.3% (2/60) of the blood samples from healthy blood donors were isolated. Phosphorylated CSE1L was detected (P < 0.01) (Fig. 13B). Using the synthetic phosphorylated CSE1L peptide as a standard, the phosphorylated CSE1L cut-off value of the study sample isolated from the serum of cancer patients was determined as 15 ng/mL.

圖13 顯示,相對于由健康獻血者血清中分離到的微泡,由癌症患者血清中分離到的微泡有較高的CSE1L和磷酸化CSE1L盛行率。CSE1L(A) 和磷酸化CSE1L(B)在大腸直腸癌患者和健康人血清中的微泡的盛行率是分別利用抗CSE1L抗體和抗磷酸化CSE1L抗體以斑點雜交法檢測。*顯著統計差異。 Figure 13 shows that microvesicles isolated from the serum of cancer patients have a higher prevalence of CSE1L and phosphorylated CSE1L relative to microvesicles isolated from the serum of healthy blood donors. The prevalence of microvesicles in the serum of CSE1L (A) and phosphorylated CSE1L (B) in colorectal cancer patients and healthy humans was detected by dot blot hybridization using anti-CSE1L antibody and anti-phosphorylated CSE1L antibody, respectively. * Significant statistical differences.

實施例14: 於癌症診斷上,檢測血清磷酸化CSE1L優於檢測血清CSE1L。 Example 14: In the diagnosis of cancer, detection of serum phosphorylated CSE1L is superior to detection of serum CSE1L.

免疫沉澱反應的結果顯示,磷酸化CSE1L蛋白存在於癌血清中(圖5C)。以酵素結合免疫吸附法(ELISA),分析大腸直腸癌患者血清的CSE1L和磷酸化CSE1L盛行率。結果表明,92.1%(106/115)的癌症患者血清為磷酸化CSE1L陽性(phosphorylated CSE1L-positive),而只有1.6%(1/60)的健康獻血者血清為磷酸化CSE1L陽性(P<0.01)(圖14)。以合成的磷酸化CSE1L肽作為標準,癌症患者血清的磷酸化CSE1L截止值測定為3ng/mL。酵素結合免疫吸附法結果表明,65.2%(75/115)的癌症患者血清為CSE1L陽性(CSE1L-positive),而13%(8/60)的健康獻血者血清為CSE1L陽性。以合成的CSE1L蛋白作為標準,癌症患者血清CSE1L截止值(cut-off value)測定為8ng/mL。測量血清中磷酸化CSE1L檢驗癌症,其靈敏度和專一性分別為92.1%和98.3%。測量血清中CSE1L檢驗癌症,其靈敏度和專一性分65.2%和86.6%。因此,於癌症診斷上,檢測血清磷酸化CSE1L優於檢測血清CSE1L。The results of the immunoprecipitation showed that the phosphorylated CSE1L protein was present in the cancer serum (Fig. 5C). The prevalence of CSE1L and phosphorylated CSE1L in serum of patients with colorectal cancer was analyzed by enzyme-linked immunosorbent assay (ELISA). The results showed that 92.1% (106/115) of the cancer patients were phosphorylated CSE1L-positive, while only 1.6% (1/60) of the healthy donors were positive for phosphorylated CSE1L (P<0.01). ) (Figure 14). Using the synthetic phosphorylated CSE1L peptide as a standard, the phosphorylation CSE1L cutoff for cancer patients was determined as 3 ng/mL. The results of enzyme-binding immunosorbent assay showed that 65.2% (75/115) of the cancer patients were CSE1L-positive, while 13% (8/60) of the healthy blood donors were CSE1L-positive. Using the synthetic CSE1L protein as a standard, the serum CSE1L cut-off value of cancer patients was determined as 8 ng/mL. Phosphorylation of CSE1L in serum was measured in serum, with sensitivity and specificity of 92.1% and 98.3%, respectively. The CSE1L test for cancer in serum was measured with sensitivity and specificity of 65.2% and 86.6%. Therefore, in the diagnosis of cancer, detection of serum phosphorylated CSE1L is superior to detection of serum CSE1L.

圖14 顯示,相對于健康獻血者血清的磷酸化CSE1L,癌症患者血清有較高的磷酸化CSE1L盛行率。磷酸化CSE1L在大腸直腸癌患者和健康獻血者血清的盛行率以酵素結合免疫吸附法檢測。*顯著統計差異。 Figure 14 shows that cancer patient sera have a higher prevalence of phosphorylated CSE1L relative to phosphorylated CSE1L in healthy blood donor serum. The prevalence of phosphorylated CSE1L in serum of colorectal cancer patients and healthy blood donors was measured by enzyme-bound immunosorbent assay. * Significant statistical differences.

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圖1為本發明實施例1的圖,以免疫墨點法(immunoblotting),分析B16-dEV,B16-ras,B16-CSE1L,和B16-Ras/anti-CSE1L細胞的Ras和CSE1L蛋白的表達量。BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 is a diagram showing the expression of Ras and CSE1L proteins in B16-dEV, B16-ras, B16-CSE1L, and B16-Ras/anti-CSE1L cells by immunoblotting using immunoblotting. .

圖2為本發明實施例2的圖,顯示v-H-ras癌基因轉染誘導癌細胞微泡生成。Figure 2 is a diagram showing Example 2 of the present invention, showing that v-H-ras oncogene transfection induces the generation of microvesicles in cancer cells.

圖3為本發明實施例3的圖,顯示v-H-ras癌基因轉染增加癌細胞分泌CSE1L。Figure 3 is a diagram showing Example 3 of the present invention, showing that transfection of the v-H-ras oncogene increases the secretion of CSE1L by cancer cells.

圖4為本發明實施例4的圖,顯示CSE1L是一個磷酸化的蛋白。Figure 4 is a diagram showing Example 4 of the present invention, showing that CSE1L is a phosphorylated protein.

圖5為本發明實施例5的圖,顯示v-H-ras癌基因轉染增加癌細胞內CSE1L蛋白之磷酸化,以及磷酸化CSE1L蛋白存在於癌血清中。Figure 5 is a diagram showing Example 5 of the present invention, showing that v-H-ras oncogene transfection increases phosphorylation of CSE1L protein in cancer cells, and that phosphorylated CSE1L protein is present in cancer serum.

圖6為本發明實施例6的圖,顯示磷酸化ERK與CSE1L高表達於大腸直腸癌腫瘤,且相對表染色強度一致。Figure 6 is a diagram showing Example 6 of the present invention, showing that phosphorylated ERK and CSE1L are highly expressed in colorectal cancer tumors, and the relative staining intensity is consistent.

圖7為本發明實施例7的圖,顯示CSE1L調控v-H-ras癌基因所誘導的癌細胞微泡生成。Figure 7 is a diagram showing Example 7 of the present invention, showing that CSE1L regulates the generation of cancer cell microvesicles induced by the v-H-ras oncogene.

圖8為本發明實施例8的圖,顯示CSE1L調控v-H-ras癌基因所誘導的癌細胞侵襲。Figure 8 is a diagram showing Example 8 of the present invention, showing that CSE1L regulates cancer cell invasion induced by the v-H-ras oncogene.

圖9為本發明實施例9的圖,顯示CSE1L調控v-H-ras癌基因所誘導的癌細胞轉移。Figure 9 is a diagram showing Example 9 of the present invention, showing that CSE1L regulates cancer cell metastasis induced by the v-H-ras oncogene.

圖10為本發明實施例10的圖,顯示CSE1L位於微泡膜,而且抗CSE1L的抗體能夠尋找並結合腫瘤。Figure 10 is a diagram of Example 10 of the present invention showing that CSE1L is located in the microvesicle membrane and that antibodies against CSE1L are capable of finding and binding to the tumor.

圖11為本發明實施例11的圖,顯示抗磷酸化CSE1L抗體針對磷酸化CSE1L蛋白的專一性結合。Figure 11 is a diagram of Example 11 of the present invention showing the specific binding of an anti-phosphorylated CSE1L antibody to a phosphorylated CSE1L protein.

圖12為本發明實施例12的圖,顯示磷酸化CSE1L蛋白位於細胞微泡。Figure 12 is a diagram showing Example 12 of the present invention showing that the phosphorylated CSE1L protein is located in cellular microbubbles.

圖13為本發明實施例13的圖,顯示相對于由健康獻血者血清中分離到的微泡,由癌症患者血清中分離到的微泡有較高的CSE1L和磷酸化CSE1L盛行率。Figure 13 is a diagram showing Example 13 of the present invention showing that the microvesicles isolated from the serum of cancer patients have a higher prevalence of CSE1L and phosphorylated CSE1L relative to microvesicles isolated from the serum of healthy blood donors.

圖14為本發明實施例14的圖,顯示相對于健康獻血者血清的磷酸化CSE1L,癌症患者血清有較高的磷酸化CSE1L盛行率。Figure 14 is a diagram showing Example 14 of the present invention showing phosphorylation of CSE1L relative to serum of healthy blood donors, and serum of patients with cancer has a higher prevalence of phosphorylated CSE1L.

Claims (11)

抗CSE1L抗體或抗磷酸化CSE1L抗體在製備一種於體外檢測體液樣本中微泡膜上的CSE1L或磷酸化CSE1L的試劑盒中的用途,所述試劑盒用於體外檢測體液樣本中微泡的CSE1L或磷酸化CSE1L的方法,所述方法包括以下步驟:(1)取得受檢測個體的體液樣本;(2)分離樣本中的微泡;(3)於體外,以抗CSE1L抗體或抗磷酸化CSE1L抗體,與樣本混合及反應;及(4)測量受檢測體液樣本中微泡的CSE1L或磷酸化CSE1L的量。 Use of an anti-CSE1L antibody or an anti-phosphorylated CSE1L antibody in the preparation of a kit for detecting CSE1L or phosphorylated CSE1L on a microbubble membrane in a body fluid sample for in vitro detection of CSE1L of microvesicles in a body fluid sample Or a method of phosphorylating CSE1L, the method comprising the steps of: (1) obtaining a body fluid sample of the subject to be tested; (2) isolating the microvesicles in the sample; (3) in vitro, using an anti-CSE1L antibody or an anti-phosphorylated CSE1L An antibody, mixed and reacted with the sample; and (4) measuring the amount of CSE1L or phosphorylated CSE1L of the microvesicle in the sample of the body fluid being tested. 如權利要求項1的用途,CSE1L或磷酸化CSE1L在所述樣本中的量,以斑點雜交法(dot blot assay)進行檢測。 The use according to claim 1, wherein the amount of CSE1L or phosphorylated CSE1L in said sample is detected by dot blot assay. 如權利要求項1的用途,CSE1L在所述樣本中的量,以抗CSE1L抗體和微泡之結合進行檢測;磷酸化CSE1L在所述樣本中的量,以抗磷酸化CSE1L抗體和微泡之結合進行檢測。 The use according to claim 1, wherein the amount of CSE1L in said sample is detected by binding of an anti-CSE1L antibody and microvesicles; the amount of phosphorylated CSE1L in said sample is anti-phosphorylated CSE1L antibody and microvesicle Combine for testing. 如權利要求項1的用途,個體為動物。 The use of claim 1 wherein the individual is an animal. 抗磷酸化CSE1L抗體在製備一種於體外檢測體液樣本中磷酸化CSE1L的試劑盒中的用途,所述試劑盒用於體外檢測體液樣本中磷酸化CSE1L的方法,所述方法包括以下步驟:(1)取得受檢測個體的體液樣本;(2)於體外,以抗磷酸化CSE1L抗體,與受檢測體液樣本混合及反應;及(3)測量受檢測體液樣本的磷酸化CSE1L的量。 The use of an anti-phosphorylated CSE1L antibody for the preparation of a kit for phosphorylating CSE1L in a body fluid sample for in vitro, the kit for in vitro detection of phosphorylated CSE1L in a body fluid sample, the method comprising the steps of: (1) Obtaining a body fluid sample of the subject to be tested; (2) mixing and reacting with the sample of the body fluid to be tested with an anti-phosphorylated CSE1L antibody; and (3) measuring the amount of phosphorylated CSE1L of the sample of the body fluid to be tested. 如權利要求項5的用途,磷酸化CSE1L在所述樣本中的量,以酵素結合免疫吸附法(ELISA)進行檢測。 The use according to claim 5, wherein the amount of phosphorylated CSE1L in said sample is detected by enzyme-bound immunosorbent assay (ELISA). 如權利要求項5的用途,磷酸化CSE1L在所述樣本中的量,以抗磷酸化CSE1L抗體和磷酸化CSE1L之結合進行檢測。 The use according to claim 5, wherein the amount of phosphorylated CSE1L in said sample is detected by binding of an anti-phosphorylated CSE1L antibody to phosphorylated CSE1L. 如權利要求項5的用途,個體為動物。 The use according to claim 5, the individual being an animal. 一種偶聯抗CSE1L抗體或抗磷酸化CSE1L抗體的腫瘤靶向載體。 A tumor targeting vector conjugated to an anti-CSE1L antibody or an anti-phosphorylated CSE1L antibody. 一個用於於體外檢測分離自體液樣本之微泡膜上的CSE1L或磷酸化CSE1L的試劑盒,該試劑盒含有權利要求項1至4所述之抗體。 A kit for the in vitro detection of CSE1L or phosphorylated CSE1L on a microvesicle membrane isolated from a body fluid sample, the kit comprising the antibody of claims 1 to 4. 一個用於於體外檢測體液樣本內之磷酸化CSE1L的試劑盒,該試劑盒含有權利要求項5至8所述之抗體。 A kit for the in vitro detection of phosphorylated CSE1L in a body fluid sample, the kit comprising the antibody of claims 5-8.
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US20110003704A1 (en) * 2008-02-01 2011-01-06 The General Hospital Corporation Use of microvesicles in diagnosis and prognosis of medical diseases and conditions
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