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WO2019066536A1 - Composition for treating new cancer - Google Patents

Composition for treating new cancer Download PDF

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Publication number
WO2019066536A1
WO2019066536A1 PCT/KR2018/011505 KR2018011505W WO2019066536A1 WO 2019066536 A1 WO2019066536 A1 WO 2019066536A1 KR 2018011505 W KR2018011505 W KR 2018011505W WO 2019066536 A1 WO2019066536 A1 WO 2019066536A1
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protein
domain
cancer
seq
cells
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Korean (ko)
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김윤경
남기훈
양유수
김인산
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Korea Institute of Science and Technology KIST
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/1703Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • A61K38/1709Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/337Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having four-membered rings, e.g. taxol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7034Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin
    • A61K31/704Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a carbocyclic compound, e.g. phloridzin attached to a condensed carbocyclic ring system, e.g. sennosides, thiocolchicosides, escin, daunorubicin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00

Definitions

  • the present invention relates to a novel composition for treating cancer.
  • Methods for treating cancer include surgery, radiation therapy, and chemotherapy. However, these treatments may be accompanied by side effects or limited treatment depending on cancer progression.
  • anti-cancer drugs have increased in quantity in terms of repeated research, but there has been no significant change in terms of quality. The reason for this is that most of the anticancer drugs act as a mechanism to stop and kill the cell cycle of intact cells. In addition to the cancer cells, they also attack normal dividing cells and cause side effects such as hair loss, anorexia and leukocytosis And a decrease in immunity.
  • Doxorubicin a representative anticancer drug, is an anticancer agent belonging to an anthracycline antitumor agent.
  • Anthracycline anticancer agent is an anticancer agent that selectively acts on the cell cycle, inhibits cell division, and is useful for the treatment of malignant lymphoma (lymphoma, Hodgkin's disease and non- It is used to treat various cancers such as gastrointestinal cancer (gastric cancer, liver cancer, rectum cancer, gall bladder cancer, gall bladder cancer, colon cancer, pancreatic cancer), acute myelogenous leukemia, soft tissue osteosarcoma, breast cancer, ovarian cancer, lung cancer, Recent studies have reported that an anthracycline anticancer drug induces preapoptotic translocation of caleticulin to the cell membrane leading to immunological cell death of cancer cells (Obeid et al . , Nat. Med.
  • the present invention aims at solving various problems including the above problems and provides an immunotherapeutic agent capable of maximizing the efficiency of cancer immunotherapy through induction of immunogenic cell death and control of immune cell networking and its use The purpose.
  • these problems are exemplary and do not limit the scope of the present invention.
  • a pharmaceutical composition for treating cancer comprising, as an active ingredient, a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunological cell death-inducing agent.
  • a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunogenic apoptosis-inducing agent in the manufacture of a pharmaceutical composition for the treatment of cancer .
  • a method of treating a subject comprising administering to a subject in need of treatment a signal-regulatory protein or a fusion protein comprising said signal-regulating protein and an immunological inducing agent Or a pharmaceutically acceptable salt thereof.
  • the therapeutic effect of cancer can be maximized by the synergistic effect of the combined administration of the signal regulatory protein and the immunogenic proliferation inducer.
  • FIG. 1A is a schematic diagram showing a schematic view of a doxorubicin-loaded Sirp protein multimer loaded with doxorubicin inside a nanocage produced by self-assembly of a fusion protein composed of ferritin heavy chain protein and Sirp alpha according to an embodiment of the present invention
  • FIG. 1B is a graph showing fluorescence FPLC analysis of FHSirp alpha-dox loaded with doxorubicin according to an embodiment of the present invention.
  • FIG. FIG. 1D is a histogram showing the results of analysis of the particle size of FHSirp alpha-dox loaded with doxorubicin by dynamic light scattering (DLS) analysis.
  • FIG. 1D is a histogram showing FHSirp alpha-dox loaded with doxorubicin It is a photograph taken with a transmission electron microscope.
  • FIG. 2A is a schematic diagram showing an experimental schedule of an animal experiment for analysis of in vivo anticancer activity of Experimental Example 1-1
  • FIG. 2B is a graph showing the results of in vivo anticancer effect analysis performed according to the schedule of FIG. P ⁇ 0.05, ***: P ⁇ 0.001).
  • FIG. 2C is a photograph of the tumor area of each experimental group on the 25th day after inoculation of cancer cells (left and right are independent experimental animals in the same experimental group) (***: P ⁇ 0.001) showing the result of measuring the weight of the tumor tissue extracted from each experimental group.
  • FIG. 3A is a graph showing the presence and proportion of macrophages and dendritic cells in tumor tissues extracted from FHSirp? -Dox according to an embodiment of the present invention and a cancer model animal to which a buffer was administered as a control group. (Left) and CD11c-positive cells (right) as compared to the total number of cells isolated from tumor tissues, and FIG. 3B is a histogram showing the results of FACS analysis using anti-CD11c antibody (*: P ⁇ 0.05, ***: P ⁇ 0.001).
  • FIG. 4a shows the effect of various doses of CT26.CL25 on the tumor drained lymph node cells after administration of a buffer or various experimental materials (dox, wrFH-dox, mSirp ⁇ + > dox and FHSirp & (*: P ⁇ 0.05, **: P ⁇ 0.01).
  • FIG. 4B is a graph showing the results of measurement of the expression level of INF- ⁇ upon treatment of peptides ( ⁇ -galactosidase, AH1 peptide and PIA peptide derived from gp70) (*: P ⁇ 0.05, **: P ⁇ 0.01) in the splenocytes isolated from the experimental animals of FIG. 4A.
  • FIG. 5 is a graph showing the results of comparing the accumulation level of CD8 + T cells in the tumor site after the administration of the buffer solution or the combined administration of doxorubicin (FHSirp ⁇ -dox) according to one embodiment of the present invention.
  • the upper part is a fluorescence staining image of a tumor tissue section after the buffer solution administration
  • the lower part is a fluorescence staining image of a tumor tissue section after administration of FHSirp? -Dox according to one embodiment of the present invention
  • the second column on the left shows the result of staining with anti-CD8 antibody.
  • the third column shows the result of the DAPI staining and the anti-CD8 antibody staining result
  • the rightmost column shows the result of cell segmentation analysis.
  • FIG. 6A shows the results of a single dose of the buffer solution, wtFH-dox, and FHSirp? -Dox according to one embodiment of the present invention in a tumor model by the CT26.CL25 cancer cell inoculation and measuring the size of the tumor over time is a graph showing the results (**: P ⁇ 0.01, I ***: P ⁇ 0.001), Figure 6b is a picture taken with the tumor inoculation site of the cancer in the animal model, 25 days after tumor inoculation, Figure 6c is a (*: P ⁇ 0.05, **: P ⁇ 0.01) obtained by measuring the weight of the tumor tissues extracted from the experimental animals of FIG. 6A on the 25th day after inoculation of cancer cells.
  • FIG. 7A is a graph showing the results of tumor necrosis after 25 days of inoculation of cancer cells after administration of a buffer solution or various experimental materials (dox, wtFH-dox, mSirp ⁇ + dox and FHSirp ⁇ -dox) to cancer model animals by CT26.CL25 cancer cell inoculation After suturing, 1 ⁇ 10 6 cells of the same amount as that of CT26.CL25 tumor cells inoculated on the opposite side were inoculated and rechallenged. After that, the control and FHSirp ⁇ -dox treatment groups were treated with the second cancer cell inoculation site over time
  • FIG. 7B is a graph showing the ratio of tumor-free animals according to the passage of time of the animal model animal
  • FIG. FIG. 7C is a graph showing the survival rate of the animal model animal over time
  • FIG. 8A shows the results of the intravenous injection of a buffer solution or various experimental substances (dox, wtFH-dox, mSirp ⁇ + dox and FHSirp ⁇ -dox) to cancer model animals by CT26 cancer cell inoculation, a graph showing the result of measuring the size (***: P ⁇ 0.001)
  • Fig. 8b is a graph illustrating results of measuring the weight of the excised tumor tissue 25 days after tumor inoculation in the tumor model animals (*: P ≪ 0.05, ***: P ⁇ 0.001).
  • FIG. 9a shows the results of the intravenous injection of a buffer solution or various experimental substances (dox, wtFH-dox, mSirp ⁇ + dox and FHSirpirp ⁇ -dox) to female model animals by B16F10-Ova cancer cell inoculation
  • FIG. 9B is a graph showing a result of measuring the weight of tumor tissue extracted on the 25th day after inoculation of cancer cells in the animal model animal (** ( P : : P ⁇ 0.01).
  • FIG. 10 is a graph showing the results of single-cell culture of tumor cells after administration of a buffer solution or FHSirp? -Dox to a cancer model animal by inoculation with B16F10-Ova cancer cells, and dendritic cells isolated therefrom are co-cultured with OT-1 T cells, (*: P ⁇ 0.05) by determining the amount of INF-y present.
  • FIG. 11A shows the results obtained by injecting a buffer solution or various experimental substances (dox, FHSirp ⁇ , and FHSirp ⁇ -dox) into animal models of cancer by the B16F10.Ova cancer cell inoculation and injecting CFSE-stained OT-1 T-
  • FIG. 11B is a histogram showing the results of FACS analysis after single cellization of the extracted tumor-draining lymph node cells
  • FIG. 11B is a histogram showing the percentage of the generation of OT-1 T-cells stained with CFSE (**: P ⁇ 0.01).
  • FIG. 12A is a series of fluorescence micrographs that analyze the effect of BMDM of FHSirp ⁇ and FcSirp ⁇ on cancer cells (HT29) according to an embodiment of the present invention
  • FIG. 12B is a photograph showing the cancer cell phagocytosis rate
  • Figure 12C is a graph showing the results of quantification (*: P ⁇ 0.05; ***: P ⁇ 0.001) of FcSirp alpha and FHSirp alpha at various concentrations (50 nM, 500 nM, and 5 ⁇ M) (***: P ⁇ 0.001).
  • FIG. 13A is a graph showing the effect of FcSirp alpha and / or mitoxantrone according to an embodiment of the present invention on C57BL / 6 wild-type mice subcutaneously injecting B16F10 cancer cells and inducing cancer
  • FIG. 13B is a graph showing the survival rate of the experimental animals used in the experiment of FIG. 13A until the 21st day after the injection of the cancer cells (FIG. 13B)
  • FIG. 13C is a graph showing the results of measurement of the average weight of cancer tissues obtained after sacrifice of the experimental animals on day 21 after the injection of cancer cells
  • FIG. 13D is a graph showing the change in body weight of the experimental animals And the results are shown in FIG.
  • FIG. 14 is a graph showing the results of the administration of FcSirp alpha and / or mitoxantrone according to one embodiment of the present invention to C57BL / 6 wild-type mice subcutaneously injecting B16F10 cancer cells and inducing cancer, CD8 + T cell infiltration by performing flow cytometry analysis using an anti-CD8 antibody after monoclonalization of the tumor tissue after sacrificing the tumor cells (*: P ⁇ 0.05).
  • the term " immunogenic cell death" refers to a cell proliferation inhibitor such as anthracyclines, oxaliplatin and bortezomib, or a type of cell growth inhibitor induced by radiotherapy and photodynamic therapy Cell death.
  • a cell proliferation inhibitor such as anthracyclines, oxaliplatin and bortezomib
  • the immunological apoptosis of cancer cells can induce an effective anti-cancer immune response through activation of dendritic cells and thus activation of specific T cell responses.
  • the substance causing immunogenic cell death is called " immunogenic cell death inducer ". Immunogenic and immunogenic inducers of apoptosis are well described in Kroemer et al . ( Annu. Rev. Immunol ., 31: 51-72, 2013). This document is incorporated herein by reference in its entirety.
  • multimerization domain refers to a protein domain that contains minimal sites that play an important role in homologous recombination of homologous proteins.
  • Such multimerization domains include self-assembling domains of various self-assembling proteins such as dimerization, trimerization, tetramerization, hexamerization, 12merization, and 24merization domains.
  • the dimerization domain specifically includes an Fc fragment comprising the hinge region of the heavy chain of the antibody and the CH2 and CH3 moieties, the cytoplasmic domain of the receptor tyrosine kinase (RTK), the dimerization domain of kinesin, the dimerization domain of fibronectin, the Tol- (TLR) dimerization domains, tubulin dimerization domains, and the like.
  • the trimerization domain includes a trimerization domain of collagen, a trimerization domain of TRAIL, a trimerization domain of Eml4 protein, a trimerization domain of Clathrin, and the like.
  • the quaternization domain of p53, the quaternization domain of DsRed, and the quaternization domain of acetylcholine esterase (AChE) exist in the above-described quaternization domain.
  • the hexamerization domain includes the hexamerization domain of the HSP100 protein, the 12merization domain includes SPD (surfactant protein D, WO2013115608A1) and M. tuberoculosis Hsp16.3.
  • the 24- merization domain includes ferritin heavy chain protein, ferritin light chain protein, M. jannanschii Hsp16.5, and yeast Hsp26.
  • self-assembled proteins &quot proteins that are mass-produced by self-assembly are referred to as " self-assembled proteins ", which self-assembled proteins form multimers by regular arrangement at the same time as they are expressed without the aid of special inducers, Or a protein that can be formed.
  • Self-assembling proteins include sHsp (small heat shock protein), ferritin, vault, P6HRC1-SAPN, M2e-SAPN, MPER-SAPN, and various virus or bacteriophage capsid proteins.
  • the self-assembled proteins are well described in Hosseinkhani et al. ( Chem. Rev. , 113 (7): 4837-4861, 2013). This document is incorporated herein by reference in its entirety.
  • Sirp signal-regulated protein
  • CD47 protein the broadly expressed transmembrane protein
  • CD47 protein the broadly expressed transmembrane protein
  • innate immune cells such as host cell phagocytosis.
  • This is similar to the self-signal provided by MHC I family molecules via Ig-like or Ly49 receptors.
  • Cancer cells overexpressing CD47 activate Sirp or Sirp gamma to inhibit macrophage-mediated destruction. Recent studies have shown that high-affinity mutants of Sirp ⁇ increase the phagocytosis of cancer cells by masking CD47 on cancer cells (Weiskopf et al ., Science 341 (6141): 88-91, 2013).
  • ferritin heavy chain protein &quot refers to a protein that constitutes the heavy chain subunit of ferritin, a major intracellular iron storage protein in prokaryotes and eukaryotes , And the ferritin protein consists of 24 subunits of the ferritin heavy chain and the light chain, respectively.
  • the main function of ferritin proteins is to store iron in a water-soluble, non-toxic state.
  • the ferritin heavy chain protein has been known to self-assemble into 24 subunits without light chain protein to form hollow internal nanoparticles (Cho et al ., Biochem. Biophys. Res. Commun . 327 (2): 604-608, 2005) .
  • the ferritin heavy chain protein can act as a nanocage by loading other drugs into the empty internal space of self-assembled nanoparticles, and due to these properties, is being studied for the purpose of drug delivery.
  • anthracycline-type anticancer agent refers to an antracycline-type anticancer agent, such as Streptomyces peucetius var. refers to a cell cycle non-specific anticancer agent family used in cancer chemotherapy derived from caesius.
  • Anthracycline-based anticancer agents are used for the treatment of various cancers including leukemia, lymphoma, breast cancer, stomach cancer, uterine cancer, ovarian cancer, bladder cancer and lung cancer.
  • the first anthracycline anticancer drugs discovered were daunorubicin, followed by doxorubicin, followed by epirubicin, idarubicin, and pixantrone.
  • anthracycline-based anticancer agents is to inhibit DNA and RNA synthesis by intercalating between base pairs of DNA / RNA strands, thereby inhibiting the replication of rapidly growing cancer cells, inhibiting the activity of topoisomerase II enzyme, Inhibiting transcription and replication by inhibiting DNA relaxation, inducing DNA damage, protein and cell membrane damage and DNA damage through the formation of iron-mediated free oxygen radicals, chromatin to deregulate epigenomes and transcripts And induction of histone excretion. Recent studies have shown that doxorubicin increases the Th1 immune response by activating CD4 + cells (Park et al ., Int. Immunopharmacol .
  • dendritic cells have been reported to exhibit anticancer activity by inducing immunogenic cell death of osteosarcoma in combination with doxorubicin (Kawano et al ., Oncol. Lett . 11: 2169-2175, 2016).
  • taxanoid anticancer agent or " taxane anticancer drug " as used herein refers to diterpenoid taxane derivatives derived from Taxus sp. It is a mitotic inhibitor with a mechanism of promoting assembly and inhibiting disassembly.
  • paclitaxel and docetaxel are presently available. Among them, paclitaxel is a taxane-based chemotherapeutic agent extracted from juniper of Taxus brevifolia .
  • Docetaxel is a taxane-based anticancer drug derived from Taxus bacaata , which has similar efficacy to paclitaxel and is used for the treatment of breast cancer, non-cell lung cancer, lymphoma, bladder cancer and the like, and is more hydrophilic than paclitaxel.
  • Taxus bacaata Taxus bacaata
  • the taxane-based anticancer agent also has a mechanism of promoting immunological cell death of these cancer cells by sensitizing cancer cells to cytotoxic T lymphocytes.
  • immune checkpoint inhibitor refers to a type of drug that blocks certain types of immune system cells, such as T lymphocytes, and certain proteins produced by some cancer cells, And prevents T lymphocytes from killing cancer cells. Thus, when these proteins are blocked, the "braking device" of the immune system is released and T lymphocytes can kill cancer cells better.
  • PD-1 / PD-L1 and CTLA-4 / B7-1 / B7-2 are well known as the above-mentioned "Immune Check Point".
  • PD-1 inhibitors include Pembrolizumab (trademark: Keytruda), Nivolumab (trade name: Opdivo), PD-1 ligand PD-L1 inhibitors include Atezolizumab (trade name: Tecentriq) and Avelumab And so on. Meanwhile, Ipilimumab (trademark: Yervoy) and the like have been approved by the FDA as CTLA-4 inhibitors that inhibit the interaction of CTLA-4 / B7-1 / B7-2. In recent years there has been an impressive success, especially in patients with metastatic melanoma or hodgkin lymphoma, and there are many possibilities in clinical trials in other types of cancer patients.
  • a pharmaceutical composition for treating cancer comprising, as an active ingredient, a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunological cell death-inducing agent.
  • the signal regulating protein may be Sirp alpha, Sirp alpha, or a high affinity variant thereof.
  • the signal regulatory protein may be composed of an amino acid sequence selected from the group consisting of SEQ ID NOS: 5, 7, 9, 11, 13 and 15 to 65.
  • the fusion protein may include the signal regulatory protein and the functional peptide, and may further include a linker peptide between the signal regulatory protein and the functional peptide.
  • the functional peptide may be a multimerization domain for massimizing the fusion protein, a protein that specifically binds to a cancer cell-specific receptor or ligand, an immunomodulatory polypeptide comprising a costimulation domain, a chemokine receptor, Lt; / RTI > ligand.
  • the multimerization domain may be a dimerization domain, a trimerization domain, a tetramerization domain, a hexamerization domain, a 12merization domain, or a 24merization domain
  • domain is an Fc fragment, receptor tyrosine kinase (RTK) of the cytoplasmic domain, dimerization domain of kinesin, dimerization domain, Tol- like receptor (TLR) of fibronectin comprising the heavy chain hinge region and CH 2 and CH 3 parts of the antibody
  • TLR Tol- like receptor
  • the trimerization domain is selected from the group consisting of a trimerization domain of collagen, a trimerization domain of TRAIL, a trimerization domain of an Eml4 protein, or a trimerization domain of Cllthrin
  • the tetramerization domain may be a tetramerization domain of p53, a tetramerization domain of DsRed, or
  • cancer cell specific receptor or ligand refers to a cell surface receptor or ligand that is specifically expressed in cancer cells.
  • Such cancer cell specific receptor or ligand includes epithelial growth factor receptor (EGFR), somatostatin receptor (SSTR), ⁇ v ⁇ 5 integrin, vascular endothelial growth factor receptor (VEFGR), human epithelial growth factor receptor 2 (HER2), androgen receptor (AR), estrogen receptor (ER), progesterone receptor (PR) (PD-1L), MUC1, MUC2, MUC3, folate receptors, ErbB2, transferrin receptors, TAG-1 receptors, bombesin receptors, prostate-specific G- 72, G M3 , Le x , CD10, CD20, or CEA.
  • the protein specifically binding to the cancer cell-specific receptor or ligand may include an antibody, a functional fragment thereof, or an antibody analogue that specifically binds to the cancer cell-specific receptor or ligand And may be a protein that specifically binds to the cancer cell-specific receptor or ligand, for example, a protein having an RGD domain that specifically binds to an integrin expressed specifically in a cancer cell.
  • the term " antibody” refers to a Y-shaped protein produced from plasma cells used by the immune system to identify or neutralize exogenous substances, such as bacteria or viruses, also referred to as immunoglobulins.
  • the antibody used in this document includes various " functional fragments ", such as Fab, F (ab ') 2, Fab', ScFv and sdAb, from an antibody.
  • the term "functional fragment of an antibody" used in the present specification includes all of the fragments generated by recombinant methods, as well as fragments obtained by digesting an antibody with a protein cleaving enzyme.
  • Fab is an antigen-binding antibody fragment that is produced by digesting an antibody molecule into a protease, papain, and is a dimer of two peptides of VH-CH1 and VL- , And another fragment generated by papain is referred to as Fc (fragment crystallizable).
  • F (ab ') 2 refers to a fragment comprising an antigen binding site in a fragment produced by digesting an antibody with pepsin, a protease, and the form of a tetramer in which two Fabs are linked by a disulfide bond .
  • Another fragment produced by pepsin is referred to as pFc '.
  • Fab &quot is a molecule similar in structure to Fab produced by the separation of F (ab ') 2 under weakly reducing conditions.
  • ScFv is an abbreviation of " single chain variable fragment ", which is not a fragment of an actual antibody.
  • the heavy chain variable region (VH) and the light chain variable region (VL) (Glockshuber et al., Biochem. 29 (6): 1362-1367, 1990), although it is not a unique antibody fragment as a kind of fusion protein prepared by linking with a linker peptide of the size
  • sdAb single domain antibody
  • sdAb single domain antibody
  • antibody mimetic is intended to mean that, unlike conventional full-length antibodies, in which two heavy chains and two light chains form a quaternary structure of a heterozygous complex, Chain variable fragment (scFv), which is an artificial fragment linked by a linker to a variable region of Fab, F (ab ') 2, Fab' or heavy and light chains,
  • scFv Chain variable fragment
  • a concept comprising an antibody-like protein prepared from a non-antibody-derived protein scaffold such as an antibody fragment (V H H, V NAR, etc.) derived from camel or cartilaginous fish consisting only of heavy chain or nanobody, monobody, variable lymphocyte receptor (VLR) to be.
  • the term " costimulatory domain" refers to a cytoplasmic domain responsible for the T cell-assisted stimulatory function of the costimulatory factor, an immunological protein that assists T / NK activation it means.
  • auxiliary stimulatory domains include CD28, inducible costimulator (ICOS), cytotoxic T lymphocyte associated protein 4 (CTLA4), programmed cell death protein 1 (PD1), BTLA (B and T lymphocyte associated protein), DR3 1BB, CD2, CD40, CD30, CD27, SLAM (signaling lymphocyte activation molecule), 2B4 (CD244), NKG2D / DNAX- activating protein 12, TIM1 immunoglobulin and mucin domain containing protein 1), TIM2, TIM3, TIGIT, CD226, CD160, lymphocyte activation gene 3, B7-1, B7-H1, glucocorticoid-induced TNFR family related protein, HVEM mediator) or the cytoplasmic domain of OX40L [ligand
  • the immunomodulatory polypeptide is selected from the group consisting of CD28, ICOS, CTLA4, PD1, BTLA, DR3, 4-1BB, CD2, CD40, CD30, CD27, SLAM, 2B4, NKG2D) / DAP12, TIM1 , TIM2, TIM3, TIGIT, CD226, CD160, LAG3, B7-1, B7-H1, GITR, HVEM or OX40L or their complementary stimulatory domains. and Flies, DB, Nat. Rev. Immunol . 13 (4): 227-242, 2013).
  • &quot refers to a chemotactic cytokine that modulates cell migration and location by activating a G protein-linked chemokine receptor (GPCR) that includes a 7-transmembrane portion.
  • GPCR G protein-linked chemokine receptor
  • Chemokines are divided into four subfamilies, CC, CXC, CX3C and XC, depending on the location of the first two N-terminal cysteine residues.
  • a tumor microenvironment composed of cells of the host surrounding the tumor and the tumor
  • tumor-associated host cells and cancer cells secrete various chemokines
  • Various types of cells that mediate the balance between tumor and tumor-promoting responses are replenished and activated.
  • chemokines also participate in other tumor-related processes, including tumor cell growth, neovascularization and metastasis. Therefore, a polynucleotide encoding a chemokine receptor that is not expressed in NK101 of the present invention can be transduced and expressed by increasing the specific mobility of NK101 cells of the present invention against cancer cells (Yang et al ., J. Immunother Cancer , 3 (Suppl 2): P24, 2015).
  • the chemokine receptor may be CCR or CXCR
  • the CCR may be CCR1, CCR2, CCR2B, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CCR9 or CCR10
  • the CXCR may be CXCR1, CXCR2, CXCR3, CXCR3B, CXCR4, CXCR5, CXCR6, or CXCR7.
  • apoptosis inducing ligand refers to a protein that binds to a receptor on the surface of a cell and induces apoptosis of the target cell.
  • apoptosis inducing ligands include TRAIL (TNF-related apoptosis-inducing ligand) and FasL (Fas ligand).
  • the apoptosis inducing ligand may be TRAIL or FasL.
  • linker peptide is selected from the group consisting of (G 4 S) n, (GSSGGS) n, KESGSVSSEQLAQFRSLD (SEQ ID NO: 5), EGKSSGSGSESKST (SEQ ID NO: 66), GSAGSAAGSGEF (SEQ ID NO: 68), A (EAAAK) 4 ALEA (EAAAK) 4 A (SEQ ID NO: 69), GGGGGGGG (SEQ ID NO: 70), GGGGGG (SEQ ID NO: 71), GGGGS No.
  • the fusion protein may further include a tag peptide for purification at the N-terminal or C-terminal for efficient purification.
  • the tag peptide comprises a HisX6 peptide, a GST peptide, a FLAG peptide (DYKDDDK, SEQ ID NO: 83), a streptavidin binding peptide, a V5 epitope peptide (GKPIPNPLLGLDST, SEQ ID NO: 84), a Myc peptide (EQKLISEE, ), Or HA peptide (YPYDVPDYA, SEQ ID NO: 86).
  • the immunogenic cell death inducer may be selected from the group consisting of an anthracycline anticancer agent, a taxane anticancer agent, an anti-EGFR antibody, a BK channel agonist, bortezomib, a cardiac glycoside, (GADD34 / PP1 inhibitor, LV-tSMAC, Measles virus, bleomycin, mitoxantrone or oxaliplatin, and cardiac glycoside may be a non-immunogenic cell
  • the GADD34 / PP1 inhibitor may be used in combination with mitomycin
  • the anthracycline anticancer agent may be selected from the group consisting of daunorubicin, doxorubicin, epirubicin, ), Idarubicin, pixantrone, sabarubicin, or valrubicin, and the taxane family
  • the anti-cancer agent may be paclitaxel or docetaxel, and the anti-EGFR antibody
  • the immunological checkpoint may be PD-1, PD-L1, CTLA-4, B7-1 or B7-2, and the immune checkpoint inhibitor May be a PD-1 / PD-L1 interaction inhibitor or a CTLA-4 / B7-1 / B7-2 interaction inhibitor.
  • the PD-1 / PDL1 interaction inhibitor may be an antibody targeting PD-1 or PDL1 or a functional fragment of the antibody or a single chain-based antibody analog
  • the CTLA- 4 / B7-1 / B7-2 interaction inhibitor may also be an antibody targeting the CTLA-4, B7-1 or B7-2, or a functional fragment of the antibody or a single chain-based antibody analog
  • the PD- 1 or PDL1 may be Pembrolizumab, Nivolumab, Atezolizumab or Avelumab, and the antibody that targets CTLA-4 / B7-1 / B7-2
  • the interaction inhibitor may be Ipilimumab.
  • the single-chain-based antibody analog may be a scFv, a sdAb, a diabody, a monobody, a variable lymphocyte receptor (VLR), a nanobody, Or a camelized heavy chain fragment (VHH).
  • VLR variable lymphocyte receptor
  • VHH camelized heavy chain fragment
  • the pharmaceutical composition of the present invention may include a pharmaceutically acceptable carrier.
  • the composition comprising a pharmaceutically acceptable carrier may be various oral or parenteral formulations, but is preferably a parenteral formulation.
  • a diluent or excipient such as a filler, an extender, a binder, a wetting agent, a disintegrant, or a surfactant is usually used.
  • Solid formulations for oral administration include tablets, pills, powders, granules, capsules and the like, which may contain at least one excipient such as starch, calcium carbonate, sucrose or lactose, gelatin, .
  • Liquid preparations for oral administration include suspensions, solutions, emulsions, syrups and the like.
  • excipients such as wetting agents, sweeteners, fragrances, preservatives and the like may be included in addition to water and liquid paraffin, which are simple diluents commonly used. have.
  • Formulations for parenteral administration include sterilized aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories.
  • non-aqueous solvent and the suspending agent examples include propylene glycol, polyethylene glycol, vegetable oil such as olive oil, and injectable ester such as ethyl oleate.
  • injectable ester such as ethyl oleate.
  • the suppository base examples include witepsol, macrogol, tween 61, cacao paper, laurin, glycerogelatin and the like.
  • the pharmaceutical composition is selected from the group consisting of tablets, pills, powders, granules, capsules, suspensions, solutions, emulsions, syrups, sterile aqueous solutions, nonaqueous solvents, suspensions, emulsions, lyophilized preparations and suppositories Any one of the formulations can be used.
  • the pharmaceutical composition of the present invention can be administered orally or parenterally.
  • parenterally it can be administered through various routes such as intravenous injection, intranasal inhalation, intramuscular injection, intraperitoneal administration, percutaneous absorption .
  • composition of the present invention is administered in a pharmaceutically effective amount.
  • pharmaceutically effective amount means an amount sufficient to treat a disease at a reasonable benefit / risk ratio applicable to medical treatment, and an effective dosage level will vary depending on the species and severity, age, sex, The activity of the compound, the sensitivity to the drug, the time of administration, the route of administration and the rate of release, the duration of the treatment, factors including co-administered drugs, and other factors well known in the medical arts.
  • the pharmaceutical composition of the present invention may be administered at a dose of 0.1 mg / kg to 1 g / kg, more preferably at a dose of 1 mg / kg to 500 mg / kg. On the other hand, the dose can be appropriately adjusted according to the age, sex and condition of the patient.
  • the pharmaceutical composition of the present invention may be administered as an individual therapeutic agent or in combination with other anti-cancer agents, and may be administered sequentially or simultaneously with other conventional anti-cancer agents. And can be administered singly or multiply. It is important to take into account all of the above factors and to administer the amount in which the maximum effect can be obtained in a minimal amount without adverse effect, and can be easily determined by those skilled in the art.
  • a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunogenic apoptosis-inducing agent in the manufacture of a pharmaceutical composition for the treatment of cancer .
  • a method for the treatment of cancer comprising administering to a subject in need thereof a multimer of a fusion protein comprising a signal-regulatory protein or a multimerization domain and an immunogenicity cell death inducing agent
  • the method comprising administering to the individual a cancer treatment method comprising the steps of:
  • the immunogenic proliferation inducing agent may be such that when the multimer of the fusion protein forms a nanocage, the loading of the immunogenicity cell death inducing agent which can be loaded into the nanocage can be carried out by using a recombinant exosome , And culturing the genetically engineered cells to produce the nano-cage, wherein the separated nanocage is placed in a solvent in which the anthracycline-based anticancer drug is dissolved and stirred.
  • a complex of an anthracycline type anticancer agent is formed in advance with a divalent metal ion (for example, Cu 2+ , Fe 2+ , and Zn 2+ ), and then the above- Ionic-anthracycline-based anticancer drug complex is immersed in the buffer solution.
  • the anticancer agent can be loaded on the inner pore through the disassemble-reassembly process of the ferritin heavy chain nanocage due to the pH difference, and the anticancer agent can be loaded on the protein nanocage by the pore opening due to the difference in ion concentration .
  • neoantigens which are targets of cancer immunotherapy
  • therapies that increase the antitumor T cell response and, although the mutagenic nature of the cancer cells is very high, Only 1% of expressed mutated proteins cause an immune response in cancer patients.
  • MHC major histocompatibility complex
  • APCs immunogenic neoantigen to the host T cell in the tumor
  • the present inventors have developed a new strategy to overcome the activation-energy limit of immunosuppressive tumor microenvironment and to mediate the delivery and presentation of tumor nodal antigens by APC to host T cells.
  • the strategy is based on naturally derived ferritin-based nanocapsules that include drugs that induce immunogenic cancer cell death (ICD) as well as deliver ligands that enhance cancer cell phagocytosis by APC.
  • ICD immunogenic cancer cell death
  • an anticancer compound nano cage in which doxorubicin is loaded inside a nanocage produced by self-assembly of a ferritin heavy chain protein and a fusion protein composed of Sirp alpha or a specific type of immunocyte such as T lymphocyte in the anticancer compound nanocage
  • an immune checkpoint inhibitor which means a drug of the type that blocks a specific protein produced by some cancer cells, thereby inducing immunogenic cell death of cancer cells to promote tumor antigen-specific tumor immunity
  • developed a next-generation anti-cancer drug that does not have side effects caused by conventional anticancer drugs and can sustain the anti-cancer effect by immune cells even after treatment.
  • FIG. 1A is a schematic diagram showing a schematic view of an anticancer compound nanocage in which doxorubicin is loaded inside a nanocage produced by self-assembly of a ferritin heavy chain protein and a fusion protein composed of Sirp alpha according to an embodiment of the present invention.
  • a fusion protein in which a Sirp alpha or Sirp gamma protein is linked to the C-terminus of a ferritin heavy chain protein is expressed, self-assembly of the ferritin heavy chain protein 24 subunit forms an empty ferritin nanocage.
  • the combined administration of the multispecific Sirp alpha protein and doxorubicin according to an embodiment of the present invention not only infiltrates macrophages, dendritic cells and CD8 + cells, which are innate immune cells, into tumor tissue (FIGS. 3A, 3B, 5), activating immune cells in the lymph nodes and spleen around the tumor tissue, and obtaining cancer-specific immunity (FIG. 4).
  • the combination administration of the multispecific Sirp alpha protein and doxorubicin of the present invention has a very effective anticancer activity in CT26.CL25 colorectal cancer cells, CT26 colorectal cancer cells and B16F10-Ova melanoma cells (Figs. 8A to 9B).
  • the conjugate of the present invention delivers drugs that induce immunogenic cancer cell death (ICD) as well as ligands that enhance cancer cell phagocytosis by APCs (antigen presenting cells).
  • ICD immunogenic cancer cell death
  • APCs antigen presenting cells
  • the combination drug of the present invention induces the release of danger signals and neoantigens in dying cancer cells, enhances tumor cell phagocytosis, and induces tumor-specific T cells (DCs) by dendritic cells loaded with a neonatal antigen peptide To cross-priming the immune system of the host against the presence of cancer cells and obtaining an intrinsic anti-cancer vaccination against cancer.
  • DCs tumor-specific T cells
  • Congenital immune cells such as macrophages and dendritic cells mediate the activity of the adaptive immune system through phagocytosis and antigen presentation and play an important role in initial host defense against pathogens
  • One mechanism to avoid phagocytosis by innate immune cells is to "up-regulate CD47, the Do not eat me” signal, to block the CD47-Sirp ⁇ axis between tumor cells and phagocytic cells
  • CD47-based therapies have been shown to increase the number of congenital and adaptive immune responses in immunocompetent mouse models, (Liu, XJ et al., Nat Med. 21, 1209-12). 15, 2015.)
  • Sirp ⁇ mutants and nano-bodies that block CD47 as a cancer treatment have been developed, but the anticancer activities of these Sirp ⁇ mutants themselves are not considered to be superior to what they seem to be.
  • the present inventors have found that, as a result of intensive efforts, the present inventors have found that a Sirp protein capable of binding and antagonizing human and mouse CD47 can be fused with human ferritin heavy chain protein
  • a multimerized fusion protein and an immunogenicity cell death inducer such as doxorubicin
  • the function of these Sirp proteins is remarkably improved to inhibit the immune cell evasion of cancer cells and to prevent the death of cancer cells by immune cells It can be confirmed that it can be promoted.
  • the present inventors have found that the combined treatment of the multispecific Sirp and the immunogenicity cell death inducer stimulates the local inflammatory reaction, And more strongly induces the production of dendritic cells. Some dying cancer cells trigger a massive immune response, which is called 'immunogenic cell death' (Kroemer et al ., Annu. Rev. Immunol. 31: 51-72, 2013).
  • the ICD communicates with a combination of three distinct 'risk' signals, spatially limited.
  • Doxorubicin an anthracycline-based anticancer drug that induces three characteristics of ICD in cancer cells treated with ICD inducers for delivery with multispecific Sirp was selected and the advantages of metal ion-binding affinity of ferritin, Was used.
  • the metal-ion binding affinity of the ferritin allows a metal-based drug or metal-complex drug to accumulate in the central cavity of the ferritin.
  • the present inventors prepared a doxorubicin preparation encapsulated in FHSirp ⁇ nanocage by innoculating doxorubicin pre-complexed with Cu (II) into the interior of the nanocage, and named it FHSirp ⁇ -Dox.
  • Successful loading of doxorubicin into FHSirp ⁇ was confirmed by size-limited chromatography and the amount of doxorubicin captured was found to be 54 doxorubicin molecules per FHSirp ⁇ nanocage.
  • the FHSirpa-Dox was administered to a tumor model mouse, and it was confirmed that there was a strong ascending antitumor activity reflecting a large amount of a mass-multiplied CD47 antagonist and favorable tumor accumulation of ICD.
  • Phagocytosis and maturation of innate immune cells in the immune suppressive tumor microenvironment stimulate local inflammatory responses, leading to effective delivery and presentation of immunogenic tumor neoplasia to T cells.
  • This strong immune response has resulted in total tumor eradication and a persistent anti-tumor immune response and, overall, has proven to be a universal and effective approach to activating the immune system of the host to tumors.
  • Chimeric antigen receptor (CAR) T cell therapy is also associated with other major obstacles including the need for constant expression of the desired target tumor nodal antigen and economic requirements and the cost of in vitro manipulation, and is associated with PD-1 antibodies
  • Such regulatory antibodies have the disadvantage that all active or depleted T cells, including anti-tumor and anti-self-autoimmune T cells, can be stimulated.
  • the combined administration of the multispecific Sirp protein of the present invention and the immunogenicity cell death inducing agent activates both local and systemic anti-tumor specific immunity, and thus the effect thereof as an 'intrinsic anti-cancer vaccination' ,
  • the synergistic effect has a wide potential and can be used for various types of cancer therapy regardless of stage, considering a durable and robust response.
  • a polynucleotide (SEQ ID NO: 4) encoding a linker peptide consisting of the amino acid sequence shown in SEQ ID NO: 3 and a polynucleotide (SEQ ID NO: 6) encoding a Sirp alpha highly compatible variant consisting of the amino acid sequence shown in SEQ ID NO: 5 After cloning by PCR or synthesis, they were ligated using restriction enzymes and ligase, and cloned into an expression vector pT7-7 containing His tag.
  • a restriction enzyme Xho I recognition site was added between hFTH and the linker peptide, and a restriction enzyme Hin d III recognition site was added between the linker peptide and Sirp ⁇ , And a restriction enzyme Cla I recognition site was added to the 3'-end of the polynucleotide encoding Sirp alpha.
  • the vectors prepared above were transformed into E. coli by the method described by Hanahan (Hanahan D, DNA Cloning vol. 1, 109-135, IRS press 1985). Specifically, the above-prepared vectors were transformed with Escherichia coli BL21 (DE3) treated with CaCl 2 by heat shock method, cultured in a medium containing ampicillin, and the expression vector was transformed to select cells showing resistance to ampicillin Respectively. The transformed cells were cultured at 36 ° C. until the OD 600 reached 0.6, and the expression of the fusion protein was induced by adding 1 mM IPTG and further cultured at 20 ° C. for 16 hours.
  • the cultured cells were collected, disrupted by sonication, and centrifuged at 12,000 g for 30 minutes to remove cellular debris.
  • the recombinant proteins were each separated using a Ni 2+ -NTA column (Qiagen, Hilden, Germany) (wash buffer: pH 8.0, 50 mM sodium phosphate, 300 mM NaCl, 80 mM imidazole; elution buffer: mM sodium phosphate, 300 mM NaCl, 250 mM imidazole).
  • the buffer was replaced with PBS using a membrane filter (Amicon, 10K) to remove imidazole from the elution buffer.
  • the concentration of the obtained nanocage was measured by Bradford protein analysis method.
  • the nanocage thus prepared was named 'FHSirp ⁇ HV'.
  • the inventors of the present invention carried out the same method as in Example 1-1 except that the polynucleotide encoding the human Sirp alpha wild type protein (SEQ ID NO: 8) described in SEQ ID NO: 7, which is not a Sirp alpha high affinity mutant, A fusion protein to which a Sirp? Wild-type protein is linked and a ferritin heavy chain nano cage using the same (hereinafter, abbreviated as 'FH-hSirp? WT nanocage').
  • the present inventors prepared a Sirp gamma wild type (SEQ ID NO: 10) in the same manner as in Example 1-1 except that the polynucleotide encoding the Sirp gamma wild type protein (SEQ ID NO: 10), which is not the Sirp alpha high affinity mutant, (Hereinafter abbreviated as " FHSirp gamma WT nanocage ") in which a protein is linked.
  • a polynucleotide encoding a Sirp gamma mutant (hereinafter abbreviated as " Sirp gamma V1 ") having an amino acid mutation corresponding to the mutated amino acid of the above Sirp alpha high affinity mutant in a Sirp gamma wild type protein which is not a Sirp alpha high affinity mutant (Hereinafter abbreviated as 'FHSirp ⁇ V1 nanocage') in which a Sirp ⁇ V1 protein was linked to a ferritin heavy chain protein was prepared in the same manner as in Example 1-1, except that the ferritin heavy chain protein (SEQ ID NO: 12) .
  • a Sirp gamma mutant having an amino acid mutation corresponding to the mutated amino acid of the above Sirp alpha high affinity mutant (hereinafter referred to as " Sirp gamma mutant ") except for the valine in which the 27th amino acid is not substituted in the Sirp gamma wild type protein, (SEQ ID NO: 14) encoding the Sirp gamma V2 protein was linked to the ferritin heavy chain protein in the same manner as in Example 1-1 except that the polynucleotide encoding the Sirp gamma V2 protein (abbreviated as " HV2 & Hereinafter abbreviated as " FHSirp gamma V2 nanocage ").
  • the present inventors firstly reacted 1 mg / ml of doxorubicin with 1 mM of copper ion (Cu 2+ ) at room temperature for 30 minutes to form a doxorubicin-copper ion complex. Then, the mixture was added to the FHSirp? HV solution (250 ⁇ ⁇ / ml) prepared in Example 1-1 and reacted at room temperature for 120 minutes. The reactants were free of free doxorubicin and copper ions by chromatography on a PD-10 column. The loaded doxorubicin was measured by a fluorescence spectrometer (2103 EnVision TM Multilabel Plate Readers, PerkinElmer, USA) and quantitated in comparison with a standard curve.
  • the particle size of the nanocage was analyzed using a dynamic light scattering (DLS) analyzer (Malvern zetasizer nano ZS, UK), and a nanocage produced by transmission electron microscopy was photographed.
  • DLS dynamic light scattering
  • the doxorubicin composite nano cage of the present invention also showed a single peak on the FPLC, and the absorbance at 480 nm for the doxorubicin measurement also showed the same retention as the protein detection at the wavelength of 280 nm Time, it was indirectly confirmed that doxorubicin was successfully loaded into the doxorubicin composite nanocage of the present invention.
  • the particle size analysis results also showed that the nanoparticles had a particle size of 10 to 100 nm (average 19.38 1.7 nm).
  • the transmission electron microscope photographs also showed spherical nanoparticles Respectively.
  • SEQ ID NO: 90 encoding the Fc domain of human IgG1 described in SEQ ID NO: 89 and a polynucleotide (SEQ ID NO: 4) encoding a linker peptide consisting of the amino acid sequence of SEQ ID NO:
  • the polynucleotide encoding the fusion protein to which the polynucleotide encoding the Sirp alpha high-affinity mutant (SEQ ID NO: 6) consisting of the amino acid sequence represented by SEQ ID NO: 5 is linked is cloned by PCR or synthetic method, And then cloned into an expression vector pT7-7 containing His tag.
  • a restriction enzyme Xho I recognition site was added between Fc and linker peptide, and a restriction enzyme Hin d III recognition site was added between the linker peptide and Sirp alpha , And a restriction enzyme Cla I recognition site was added to the 3'-end of the polynucleotide encoding Sirp alpha.
  • the vectors prepared above were transformed into E. coli by the method described by Hanahan (Hanahan D, DNA Cloning vol. 1, 109-135, IRS press 1985). Specifically, the above-prepared vectors were transformed with Escherichia coli BL21 (DE3) treated with CaCl 2 by heat shock method, cultured in a medium containing ampicillin, and the expression vector was transformed to select cells showing resistance to ampicillin Respectively. The transformed cells were cultured at 36 ° C. until the OD 600 reached 0.6, and the expression of the fusion protein was induced by adding 1 mM IPTG and further cultured at 20 ° C. for 16 hours.
  • the cultured cells were collected, disrupted by sonication, and centrifuged at 12,000 g for 30 minutes to remove cellular debris.
  • the recombinant proteins were each separated using a Ni 2+ -NTA column (Qiagen, Hilden, Germany) (wash buffer: pH 8.0, 50 mM sodium phosphate, 300 mM NaCl, 80 mM imidazole; elution buffer: mM sodium phosphate, 300 mM NaCl, 250 mM imidazole).
  • the buffer was replaced with PBS using a membrane filter (Amicon, 10K) to remove imidazole from the elution buffer.
  • the concentration of the obtained fusion protein was measured by Bradford protein analysis method.
  • the fusion protein thus prepared was named 'FcSirp ⁇ '.
  • the inventors of the present invention conducted experiments to confirm whether the combination drug (FHSirp alpha -Dox) of Sirp alpha oligosaccharide and doxorubicin prepared according to an embodiment of the present invention showed the same anti-cancer effect in an animal model experiment,
  • the anticancer activity of FHSirp alpha -Dox prepared in Example 2 of the present invention was examined.
  • Balb / c wild type mouse was used as an experimental animal, and experiments on the above experimental animals were carried out according to the regulations of the KIST animal ethics committee.
  • each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content).
  • the length (L) and the width (W) of the cancer cells were measured using a caliper at intervals of 3 days until the 25th day after the injection of the cancer cells, and then calculated using the following formula (Fig. 2a)
  • the tumor tissue was taken and the tumor tissue was weighed to determine the weight of the tumor tissue ( Figures 2b to 2d):
  • Figs. 2B and 2C the size of the tumor exceeded 1,000 mm 3 in the control group (only the buffer solution was injected), and the effect of doxorubicin alone treatment was also insignificant.
  • the combination of wild-type doxorubicin with doxorubicin (wtFH-dox) and wild-type Sirp ⁇ with doxorubicin (mSirp ⁇ + dox) showed anticancer effects but did not sufficiently inhibit the growth of cancer cells.
  • the FHSirp alpha-dox combination of Sirp alpha oligosaccharide and doxorubicin according to one embodiment of the present invention significantly inhibited the growth of cancer cells to a level of 200 mm 3 or less even after 25 days. Furthermore, in the case of FHSirp ⁇ -dox, the combination of Sirp ⁇ multimer and doxorubicin according to an embodiment of the present invention almost completely inhibited the growth of cancer cells, and thus the cancer cells could not be distinguished visually.
  • FIG. 2d when the tumor cells were sacrificed after 25 days of the injection of the cancer cells, the size of the tumor tissues was measured.
  • the Sirpa multimer of the present invention and doxorubicin were administered concomitantly, (WtFH-dox) with doxorubicin encapsulated in normal ferritin without Sirp ⁇ oligos, the combination of doxorubicin with monomeric recombinant Sirp ⁇ , and the inhibition of cancer cell growth by doxorubicin alone.
  • the present inventors performed flow cytometry analysis on cancer cells to determine whether immunogenetic cell death is induced by the combined administration of Sirp alpha oligonucleotide and doxorubicin according to one embodiment of the present invention.
  • test substance (buffer, dox, wtFH-dox, mSirp? +?)
  • dox doxorubicin
  • wt FH-dox equivalent to 1 mg / kg of doxorubicin
  • doxorubicin equivalent to 1 mg / kg of doxorubicin
  • doxorubicin equivalent to 1 mg / kg of doxorubicin
  • FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content).
  • tumor tissues were harvested and monoclonalized with DNase and collagenase, and tumor-microenvironmental dendritic cells and macrophages were treated with anti-CD11c antibody and anti-F4 / 80 antibody (FACS analysis) (Figs. 3A and 3B).
  • CT26 of the mouse spleen and tumor-draining lymph node by FHSirp alpha-dox was administered with FHSirp alpha oligonucleotide and doxorubicin.
  • FHSirp alpha oligonucleotide and doxorubicin were administered with FHSirp alpha oligonucleotide and doxorubicin.
  • Cellular immune responses to CL25 cancer cells were investigated. That is, the level of interferon-gamma (INF- ⁇ ) of T cells specific to ⁇ -galactosidase, an antigen of CT26.CL25, was quantified by ELISA (R & D Systems, Inc, USA) analysis.
  • mice per group Three mice per group were selected from the mice treated in the same manner as in Experimental Example 1-1, and the tumor-drained lymph node (TDLN) was extracted from each mouse, and the tissue was cultured in a sterile petri dish And cells were separated from the tissue patches of the splenic and tumor draining lymph nodes using a cell strainer. All the contents in the Petri dish were transferred to a 15 ml tube and filled with RPMI 1640 medium. After centrifugation at 500 G for 10 minutes, red blood cells were hemolyzed by using a red blood cell lysis buffer (Sigma-Aldrich, Germany) to the pellet from which the supernatant was removed .
  • red blood cell lysis buffer Sigma-Aldrich, Germany
  • TDLN tumor-drained lymph node
  • splenocytes ⁇ -gal peptide
  • TPHPARIGL ⁇ -gal peptide
  • SEQ ID NO: 87 Including a naturally engineered H-2 Ld restriction epitope including the naturally occurring H-2 Ld restriction epitope, including the CTL determinant derived from the gp70 protein epitope AH1 (SPSYVYHQF, SEQ ID NO: 88, CT26), which is an endogenous antigen of CT26.CL25
  • P1A peptide negative control
  • the FHSirp ⁇ nano cage loaded with doxorubicin according to one embodiment of the present invention recorded a level of interferon gamma expression in the splenocytes of 100 pg / ml or more, indicating that the immune activation degree of cancer cells was very high.
  • mice In order to confirm whether the results of Experimental Examples 1-3 were effective for the immune cell aggregation into tumor cells, the present inventors flipped the tumor tissues extracted in Experimental Example 1-3 to prepare T cell marker CD8 Immunohistochemical analysis was performed on the mice.
  • the tumor tissues obtained from the FHSirp ⁇ -dox-treated experimental animals prepared in Experimental Example 1-3 were fixed in a 10% neutral formalin solution to prepare paraffin blocks, which were prepared into 4 ⁇ m thick flakes, After washing three times with TBST (Tris-buffered saline, Tween-20), the cells were incubated with Renaissance Ab diluent (PD905, Biocare Medical) for blocking. (MP-7445-15, Vector Laboratories, USA) and incubated for 3 min at room temperature for 10 min.
  • TBST Tris-buffered saline, Tween-20
  • TSA triamine signal amplification
  • CD8 + T cells were stained positive in tumor tissues. This demonstrates that CD8 + T cells infiltrate into tumor tissues, suggesting that the anticancer effect is due to the synergistic action of immune cell replacement following CD47 masking of doxorubicin and Sirpa.
  • the inventors of the present invention investigated whether the combination of Sirpa multimer and doxorubicin (FHSirp? -Dox) according to one embodiment of the present invention exhibits an equivalent anticancer effect in intratumoral injection as well as intravenous injection.
  • cancer cells were induced by subcutaneous inoculation of 1 x 10 6 cells of CT26.CL25 cancer cells in an 8-week-old Balb / c wild-type mouse on the left and the like.
  • each test substance buffer, wtFH-dox and FHSirp ⁇ -dox
  • the dose of each substance corresponds to wt FH-dox 15 mg / kg (corresponding to 1 mg / kg for doxorubicin content) and FHSirp ⁇ -dox 28 mg / kg (for doxorubicin 1 mg / kg ).
  • the volume of cancer cells was measured at intervals of 3 days until the 25th day after the injection of the cancer cells as described in Experimental Example 1-1, and the tumor tissues of the experimental animals were removed at 25 days and the tumor tissues were weighed.
  • Nano cage according to one embodiment of the present invention is effected by recruiting immune cells Assuming that the tumor tissue after FHSirp-dox administration according to one embodiment of the present invention was transplanted to the other side of the same animal not sacrificed, the growth of the cancer at the transplanted position was analyzed over time, The number of surviving mice was counted.
  • FIGS. 7A and 7B in the animal to which the tumor tissue harvested from the FHSirp alpha-dox administration group according to the embodiment of the present invention was transplanted, only one mouse in which the cancer cells were grown until 28 days passed And mice transplanted with tumor tissues extracted from the group of administration of other substances showed cancer recurrence although there was a degree of difference with the lapse of time.
  • FIG. 7C in the FHSirp ⁇ -dox administration group according to one embodiment of the present invention, no surviving experimental animals were observed until 80 days after the passage of 80 days. In the case of FHSirp ⁇ , survival rate after 80 days was 80%, which was better after FHSirp ⁇ -Dox, and survival rate after 80 days after doxorubicin alone or recombinant Sirp ⁇ alone was 50%.
  • the nanocage according to an embodiment of the present invention not only inhibits the growth of cancer cells but also provides a memory effect on immune cells capable of inhibiting recurrence after cancer treatment. Therefore, the nanocage according to one embodiment of the present invention can be very effective not only for treatment of cancer but also for suppression of recurrence.
  • Balb / c wild-type mice were subcutaneously inoculated with 1 ⁇ 10 6 cells of CT26 cancer cells on the left side and cancer cells were induced on the 7th day after the injection of the cancer cells.
  • Each test substance (buffer, dox, wtFH-dox, mSirp ⁇ + dox , FHSirp ⁇ -dox) were injected intravenously 5 times at intervals of 3 days.
  • the dose of each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content).
  • dox doxorubicin
  • FH-dox equivalent to 1 mg / kg of doxorubicin
  • 9.5 mg / kg of dox 9.5 mg / kg of dox
  • FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content).
  • the present inventors analyzed the anticancer activity against B16F10-Ova cells, a kind of melanoma expressing ovalbumin.
  • the inventors of the present invention specifically injected 1 ⁇ 10 6 cells of B16F10-Ova cancer cells into 8-week-old Balb / c wild type mice by subcutaneously inoculating them on the left side and induced cancer.
  • wtFH-dox, mSirp ⁇ + dox, and FHSirp ⁇ -dox were injected intravenously three times at intervals of three days.
  • the dose of each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content).
  • dox doxorubicin
  • FH-dox equivalent to 1 mg / kg of doxorubicin
  • 9.5 mg / kg of dox 9.5 mg / kg of dox
  • FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content).
  • Cross-priming is the process by which a specific antigen-presenting cell ingests and processes extracellular antigens and presents it with CD8 + T cells (cytotoxic T cells) along with MHC type 1 molecules (cross- presentation refers to a phenomenon in which untouched CD8 + T cells are stimulated to differentiate into cytotoxic CD8 + T cells.
  • mice 8-week-old Balb / c wild-type mice were subcutaneously inoculated with 1 ⁇ 10 6 cells of B16F10-Ova cancer cells on the left side, and on the 7th day after inoculation of cancer cells, FHSirp ⁇ -dox 28 mg / kg (1 mg / kg as doxorubicin) was injected intravenously three times in total every 3 days.
  • FHSirp ⁇ -dox 28 mg / kg (1 mg / kg as doxorubicin) was injected intravenously three times in total every 3 days.
  • cancer tissues Two days after the last intravenous injection, cancer tissues were extracted, monoclonalized with DNase and collagenase, and CD11c-positive cells (dendritic cells) were isolated by a magnetic-activated cell sorting (MACS) method. Thereafter, co-cultivation was performed for 3 days together with OT-1 cells as a non-contact CD8 + T cell, and then the culture supernatant was obtained and the amount of I
  • INF- ⁇ was secreted by 100 pg / ml or more in the FHSirp ⁇ -dox-treated group according to one embodiment of the present invention, whereas INF- ⁇ expression was extremely small in the control group.
  • the dendritic cells of the FHSirp? -Dox-administered group according to an embodiment of the present invention have a cross-priming ability to stimulate noncontact CD8 + T cells by presenting cancer cell antigens on MHC 1 type molecules and non-contact CD8 + T cells .
  • mice 816-week-old Balb / c wild-type mice were subcutaneously inoculated with 1 ⁇ 10 6 cells of B16F10-Ova cancer cells on the left side and cancer cells were induced on the 7th day after inoculation with each test substance (buffer, dox, FHSirp ⁇ and FHSirp ⁇ -dox ) Were injected intravenously twice at intervals of 3 days.
  • the dose of each test substance used was 1 mg / kg for doxorubicin (dox), 28 mg / kg for FHSirp ⁇ , and 28 mg / kg (1 mg / kg for dox) of FHSirpP ⁇ -dox.
  • OT-1 T cells stained with CFSE (carbolxyfluorescein succinimidyl ester) were injected intravenously, and after 3 days, the tumor draining lymph node (TDLN) After celling, the cross-priming ability of each group was analyzed by confirming the degree of cell proliferation of OT-1 T cells through CFSE proliferation analysis by FACS analysis.
  • the present inventors investigated the anticancer effect of the combined use of the FcSirpa fusion protein prepared in Example 3 and the anticancer agent mitoxantrone in order to confirm whether the combined effect of Sirp alpha with the anticancer agent is realized on other platforms.
  • BMDM bone marrow-derived macrophages
  • the HT29 cancer cell line stained with RPMI SE (Thermo Fisher Scientific, USA) with 120 ng / ml of bone marrow-derived macrophages prepared in RPMI medium was incubated at 37 ° C for 2 hours with the control or FcSirp ⁇ 5 < / RTI > or 400 nM of FHSirp alpha prepared in Example 1.
  • FcSirp ⁇ 5 ⁇ M and FHSirp ⁇ 400 nM have the same amount of Sirp ⁇ .
  • the degree of cancer cell phagocytosis was analyzed using a fluorescence microscope (Fig.
  • FIGS. 12A and 12B red: cancer cell proliferated, green: bone marrow-derived macrophage) and quantified (Fig. As a result, as shown in FIGS. 12A and 12B, FcSirp ⁇ and FHSirp ⁇ significantly increased cancer cell phagocytic ability of macrophages, and FcSirp ⁇ showed the best phagocytic capacity.
  • the present inventors then analyzed the phagocytosis of cancer cells using a flow cytometer with different concentrations of FcSirp ⁇ in order to determine the concentration of FcSirp ⁇ phagocytic activity.
  • BMDM was stained with 1 ⁇ M of CellTracker Green CMFDA (Thermo Fisher Scientific, USA). Stained macrophages of 20x10 4 cells were each inoculated into a 35 mm Peptri dish with 2 ml of RPMI medium.
  • the present inventors investigated the synergistic effect of FcSirp ⁇ and mitoxantrone, which is an immunogenic cell death inducer, in combination.
  • MTX mitoxantrone
  • FcSirp ⁇ + MTX group mitoxantrone was administered by intra-tumor injection at a dose of 400 ⁇ g FcSirp ⁇ 4 h after 10 ⁇ g tumor injection.
  • the cancer size was measured at intervals of 3 days (Fig. 13A), and the survival rate up to 21 days after the injection of cancer cells was recorded (Fig. 13B). On the 21st day after the injection of cancer cells, (Fig. 13C).
  • Figs. 13a to 13c the MTX + FcSirp ⁇ group showed the best survival rate and anticancer effect.
  • the results of the experiments show that the immune response of the individual, especially the innate immune response, is enhanced by the combined administration of a signal regulatory protein such as Sirp alpha and an immunogenic apoptosis inducing agent such as doxorubicin or mitoxantrone, These anticancer activities show that Sirp's mass-multiplication plays a very important role.
  • a signal regulatory protein such as Sirp alpha
  • an immunogenic apoptosis inducing agent such as doxorubicin or mitoxantrone
  • the pharmaceutical composition according to one embodiment of the present invention can be used for the production of a more effective anticancer agent.
  • SEQ ID NO: 1 is the amino acid sequence of the human ferritin heavy chain protein and SEQ ID NO: 2 is the nucleic acid sequence of the polynucleotide encoding the human ferritin heavy chain protein.
  • SEQ ID NO: 3 is the amino acid sequence of the linker peptide and SEQ ID NO: 4 is the nucleic acid sequence of the polynucleotide encoding the linker peptide.
  • SEQ ID NO: 5 is the amino acid sequence of the Sirp alpha high affinity mutant protein and SEQ ID NO: 6 is the nucleic acid sequence of the polynucleotide encoding the Sirp alpha high affinity mutant protein.
  • SEQ ID NO: 7 is the amino acid sequence of the human wild-type Sirp alpha protein and SEQ ID NO: 8 is the nucleic acid sequence of the polynucleotide encoding the human wild-type Sirp alpha protein.
  • SEQ ID NO: 9 is the amino acid sequence of the wild-type Sirp gamma protein and SEQ ID NO: 10 is the nucleic acid sequence of the polynucleotide encoding the wild-type Sirp gamma protein.
  • SEQ ID NO: 11 is the amino acid sequence of the Sirp gamma mutant protein 1 (V1)
  • SEQ ID NO: 12 is the nucleic acid sequence of the polynucleotide encoding the Sirp gamma mutant protein 1.
  • SEQ ID NO: 13 is the amino acid sequence of the Sirp gamma mutant protein 2 (V2)
  • SEQ ID NO: 14 is the nucleic acid sequence of the polynucleotide encoding the Sirp gamma mutant protein 2.
  • SEQ ID NOS: 15-65 are amino acid sequences of various Sirpa mutant proteins.
  • SEQ ID NOS: 66-81 are amino acid sequences of various linker peptides.
  • SEQ ID NOS: 82-86 are amino acid sequences of various tag peptides.
  • SEQ ID NO: 87 is the amino acid sequence of? -Gal peptide.
  • SEQ ID NO: 88 is the amino acid sequence of the AH1 peptide.
  • SEQ ID NO: 89 is the amino acid sequence of the IgG1 Fc domain and SEQ ID NO: 90 is the nucleic acid sequence of the polynucleotide encoding the IgG1 Fc domain.

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Abstract

The present invention relates to a pharmaceutical composition for treating cancer. The present invention provides a pharmaceutical composition for treating cancer, comprising as active ingredients: signal-regulatory proteins or fusion proteins including the signal-regulatory proteins; multimers of the fusion proteins including multimerization domains; and an immunogenic cell death inducer.

Description

신규 암 치료용 조성물Composition for treating new cancer

본 발명은 신규 암 치료용 조성물에 관한 것이다. The present invention relates to a novel composition for treating cancer.

암을 치료하기 위한 방법으로는 수술을 통한 치료, 방사선 치료 그리고 항암제 투여를 통한 치료 등이 있으나 이러한 치료방법들은 부작용이 수반되거나, 암의 진행 정도에 따라 시술이 제한적으로 적용된다. 특히, 항암제는 거듭된 연구결과 양적인 측면에서는 그 종류가 늘었지만, 질적인 측면에서는 큰 변화가 없었다. 그 이유는 항암제 대부분이 분열이 왕성한 세포의 세포주기를 멈추게 하고 사멸케 하는 메커니즘으로 작동하기 때문이며, 이로 인해 암세포 이외에도 정상적으로 분열하는 세포를 공격해서 항암제의 대표적 부작용인 탈모, 식욕부진 그리고 백혈구 감소로 인한 면역력 저하 등이 일어난다. 대표적인 항암제인 독소루비신은 안트라사이클린계 항종양제에 속하는 항암제로, 안트라사이클린계 항암제는 세포 주기 선택적으로 작용하는 항암제로 세포 분열을 저해하며, 악성 림프종(림프육종, 호지킨병 및 비호지킨병), 소화기암(위암, 간암, 직장암, 담낭 및 담관암, 결장암, 췌장암), 급성 골수성 백혈병, 연조직 골육종, 유방암, 난소암, 폐암, 기관지암, 방광암, 윌름종양 등 다양한 암 치료에 사용된다. 최근 연구결과에 따르면 안트라사이클린계 항암제는 칼레티귤린(caleticulin)의 세포막으로의 세포사멸 전 이동(preapoptotic translocation)을 유도하여 암세포의 면역원성 세포사멸을 유도하는 것으로 보고된 바 있다(Obeid et al., Nat. Med., 13(1): 54-61, 2007). 한편, 상기와 같은 면역기능 강화를 통한 암 치료 전략은 최근 들어 주목을 받고 있는데, 면역 세포와 암의 상관관계 연구는 전 세계적으로 1970년대부터 시작되어 암과 싸울 수 있는 생체의 무기인 면역 세포들의 기능들이 매우 중요시 되면서 2000년 이후로 기하급수적으로 연구 보고되고, 항암 면역 치료 항체인 Keytruda(Pembrolizumab, Merck사 개발)가 2014년 9월 미국 FDA를 통해 신속 승인(Accelerated approval)을 받는 등 항암 면역 치료 연구에 대한 중요성이 대두되고 있다. 특히 면역 세포들은 암세포에 대하여 순찰하고 찾아다니며 움직이기 때문에 그 효과가 국소에 그치지 않고 전신의 암 발병을 감시, 억제하는 작용을 해줄 뿐 아니라, 다양한 암세포에 적용 가능하다. 따라서, 기존의 암세포 괴사에 집중하는 기존 접근 방식에서 벗어나, 인체 내 면역세포의 역동적인 네트워킹을 조절함으로써 암 미세환경을 극복하는 암 예방 및 치료 전략의 새로운 패러다임 제시가 필요한 상태이다. Methods for treating cancer include surgery, radiation therapy, and chemotherapy. However, these treatments may be accompanied by side effects or limited treatment depending on cancer progression. In particular, anti-cancer drugs have increased in quantity in terms of repeated research, but there has been no significant change in terms of quality. The reason for this is that most of the anticancer drugs act as a mechanism to stop and kill the cell cycle of intact cells. In addition to the cancer cells, they also attack normal dividing cells and cause side effects such as hair loss, anorexia and leukocytosis And a decrease in immunity. Doxorubicin, a representative anticancer drug, is an anticancer agent belonging to an anthracycline antitumor agent. Anthracycline anticancer agent is an anticancer agent that selectively acts on the cell cycle, inhibits cell division, and is useful for the treatment of malignant lymphoma (lymphoma, Hodgkin's disease and non- It is used to treat various cancers such as gastrointestinal cancer (gastric cancer, liver cancer, rectum cancer, gall bladder cancer, gall bladder cancer, colon cancer, pancreatic cancer), acute myelogenous leukemia, soft tissue osteosarcoma, breast cancer, ovarian cancer, lung cancer, Recent studies have reported that an anthracycline anticancer drug induces preapoptotic translocation of caleticulin to the cell membrane leading to immunological cell death of cancer cells (Obeid et al . , Nat. Med. , 13 (1): 54-61, 2007). In the meantime, the above-mentioned cancer treatment strategy through the enhancement of immune function has been attracting attention recently. The correlation study between immune cells and cancer has been carried out in the world since the 1970s, and the immune cells (Pembrolizumab, Merck), which is an anti-cancer immunotherapy antibody, has been accredited approval by the US FDA in September 2014, and has been actively promoting the anti-cancer immunotherapy The importance of research is emerging. In particular, since the immune cells patrol the cancer cells and move around and move, the effect is not limited to the locality but can be used for various cancer cells as well as for monitoring and inhibiting the oncogenesis of the whole body. Therefore, it is necessary to present a new paradigm of cancer prevention and treatment strategies to overcome the cancer microenvironment by controlling the dynamic networking of immune cells in the human body, away from the conventional approach of concentrating on existing cancer cell necrosis.

본 발명은 상기 문제점을 포함한 다양한 문제점을 해결하기 위한 것으로서, 면역원성 세포사멸(immunogenic cell death) 유도 및 면역세포 네트워킹 제어를 통한 암 면역치료 효율을 극대화할 수 있는 면역 치료제 및 그의 용도를 제공하는 것을 목적으로 한다. 그러나 이러한 과제는 예시적인 것으로, 이에 의해 본 발명의 범위가 한정되는 것은 아니다.Disclosure of the Invention The present invention aims at solving various problems including the above problems and provides an immunotherapeutic agent capable of maximizing the efficiency of cancer immunotherapy through induction of immunogenic cell death and control of immune cell networking and its use The purpose. However, these problems are exemplary and do not limit the scope of the present invention.

본 발명의 일 관점에 따르면, 신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제를 유효성분으로 포함하는 암 치료용 약학적 조성물이 제공된다.According to one aspect of the present invention, there is provided a pharmaceutical composition for treating cancer comprising, as an active ingredient, a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunological cell death-inducing agent.

본 발명의 다른 일 관점에 따르면, 신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제의 암 치료용 약학적 조성물의 제조에 있어서의 용도가 제공된다.According to another aspect of the present invention, there is provided a use of a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunogenic apoptosis-inducing agent in the manufacture of a pharmaceutical composition for the treatment of cancer .

본 발명의 일 관점에 따르면, 신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제를 치료를 필요로 하는 개체에 투여하는 단계를 포함하는 상기 개체에 투여하는 단계를 포함하는 암 치료 방법이 제공된다.According to one aspect of the present invention there is provided a method of treating a subject comprising administering to a subject in need of treatment a signal-regulatory protein or a fusion protein comprising said signal-regulating protein and an immunological inducing agent Or a pharmaceutically acceptable salt thereof.

상기한 바와 같이 이루어진 본 발명의 일 실시예에 따르면, 본 발명은 신호조절 단백질과 면역원성 세포사멸 유도제의 병용투여에 의한 상승효과에 의해 암치료효과를 극대화할 수 있다.According to one embodiment of the present invention as described above, the therapeutic effect of cancer can be maximized by the synergistic effect of the combined administration of the signal regulatory protein and the immunogenic proliferation inducer.

도 1a는 본 발명의 일 실시예에 따른 페리틴 중쇄 단백질 및 Sirpα로 구성된 융합단백질의 자기조립에 의해 생성되는 나노케이지의 내부에 독소루비신이 적재된 독소루비신 적재 Sirp 단백질 다량체의 개략적인 모습을 도시한 개요도이고, 도 1b는 실제 제조된 본 발명의 일 실시예에 따른 독소루비신이 적재된 FHSirpα 다량체(FHSirpα-dox)를 형광 FPLC 분석한 결과 나타내는 그래프이고, 도 1c는 실제 제조된 본 발명의 일 실시예에 따른 독소루비신이 적재된 FHSirpα 다량체(FHSirpα-dox)의 입도를 동적 광산란(DLS) 분석을 통해 분석한 결과를 나타내는 히스토그램이며, 도 1d는 상기 독소루비신이 적재된 FHSirpα 다량체(FHSirpα-dox)를 투과 전자현미경으로 촬영한 사진이다.FIG. 1A is a schematic diagram showing a schematic view of a doxorubicin-loaded Sirp protein multimer loaded with doxorubicin inside a nanocage produced by self-assembly of a fusion protein composed of ferritin heavy chain protein and Sirp alpha according to an embodiment of the present invention FIG. 1B is a graph showing fluorescence FPLC analysis of FHSirp alpha-dox loaded with doxorubicin according to an embodiment of the present invention. FIG. FIG. 1D is a histogram showing the results of analysis of the particle size of FHSirp alpha-dox loaded with doxorubicin by dynamic light scattering (DLS) analysis. FIG. 1D is a histogram showing FHSirp alpha-dox loaded with doxorubicin It is a photograph taken with a transmission electron microscope.

도 2a는 실험예 1-1의 in vivo 항암활성 분석을 위한 동물실험의 실험스케쥴을 나타낸 개요도이고, 도 2b는 상기 도 2a의 스케쥴대로 수행한 in vivo 항암효과 분석결과를 나타내는 그래프이며(*: P < 0.05, ***: P < 0.001), 도 2c는 암세포 접종 25일째 각 실험군의 종양부위를 촬영한 사진이고(좌우측은 동일 실험군의 독립적인 실험동물을 나타냄), 도 2d는 암세포 접종 25일째 각 실험군으로부터 적출된 종양조직의 무게를 측정한 결과를 나타내는 그래프이다(***: P < 0.001). FIG. 2A is a schematic diagram showing an experimental schedule of an animal experiment for analysis of in vivo anticancer activity of Experimental Example 1-1, FIG. 2B is a graph showing the results of in vivo anticancer effect analysis performed according to the schedule of FIG. P <0.05, ***: P <0.001). FIG. 2C is a photograph of the tumor area of each experimental group on the 25th day after inoculation of cancer cells (left and right are independent experimental animals in the same experimental group) (***: P <0.001) showing the result of measuring the weight of the tumor tissue extracted from each experimental group.

도 3a는 본 발명의 일 실시예에 따른 FHSirpα-dox 및 대조군으로 완충액을 투여한 암 모델 동물에서 적출한 종양조직 내의 대식세포 및 수지상세포의 존재여부 및 비율을 확인하고자 각각 항-F4/80 항체 및 항-CD11c 항체를 이용하여 FACS 분석을 수행한 결과를 나타내는 히스토그램이고, 도 3b는 종양조직에서 분리된 전체 세포수 대비 F4/80-양성 세포(좌측) 및 CD11c-양성 세포(우측)의 비율을 나타내는 그래프이다(*: P < 0.05, ***: P < 0.001).FIG. 3A is a graph showing the presence and proportion of macrophages and dendritic cells in tumor tissues extracted from FHSirp? -Dox according to an embodiment of the present invention and a cancer model animal to which a buffer was administered as a control group. (Left) and CD11c-positive cells (right) as compared to the total number of cells isolated from tumor tissues, and FIG. 3B is a histogram showing the results of FACS analysis using anti-CD11c antibody (*: P < 0.05, ***: P < 0.001).

도 4a는 실험동물에 CT26.CL25 암세포 접종 후 완충액 또는 다양한 실험물질(dox, wrFH-dox, mSirpα + dox 및 FHSirpα-dox) 투여 후, 분리된 종양배액림프절(tumor drained lymph node) 세포에 다양한 작용 펩타이드(β-galactosidase, gp70 유래의 AH1 펩타이드 및 PIA 펩타이드) 처리 시 INF-γ의 발현정도를 측정한 결과를 나타내는 그래프이고(*: P < 0.05, **: P < 0.01), 도 4b는 상기 도 4a의 실험동물로부터 분리된 비장세포에 상기 작용 펩타이드 처리 시 INF-γ의 발현정도를 측정한 그래프이다(*: P < 0.05, **: P < 0.01).Figure 4a shows the effect of various doses of CT26.CL25 on the tumor drained lymph node cells after administration of a buffer or various experimental materials (dox, wrFH-dox, mSirp < + &gt; dox and FHSirp & (*: P <0.05, **: P <0.01). FIG. 4B is a graph showing the results of measurement of the expression level of INF-γ upon treatment of peptides (β-galactosidase, AH1 peptide and PIA peptide derived from gp70) (*: P <0.05, **: P <0.01) in the splenocytes isolated from the experimental animals of FIG. 4A.

도 5는 실험동물에 종양이식 후 완충액 또는 본 발명의 일 실시예에 따른 독소루비신의 병용투여제(FHSirpα-dox) 투여 후 종양 부위에서의 CD8+ T 세포의 축적 정도를 비교한 결과를 나타내는 면역조직화학분석 결과로서, 상단은 완충액 투여 후의 종양조직 절편에 대한 형광염색 사진이고, 하단은 본 발명의 일 실시예에 따른 FHSirpα-dox 투여 후 종양조직 절편에 대한 형광염색 사진이며, 맨 좌측열은 DAPI를 이용하여 핵을 염색한 결과를 나타내고, 왼쪽에서 두 번째 열은 항-CD8 항체를 이용하여 염색한 결과를 나타내며, 왼쪽에서 세 번째 열은 상기 DAPI 염색과 항-CD8 항체 염색 결과를 병합한 이미지이고, 맨 우측열은 세포 분절(cell segmentation) 분석 결과를 나타낸다.FIG. 5 is a graph showing the results of comparing the accumulation level of CD8 + T cells in the tumor site after the administration of the buffer solution or the combined administration of doxorubicin (FHSirpα-dox) according to one embodiment of the present invention, As a result of the chemical analysis, the upper part is a fluorescence staining image of a tumor tissue section after the buffer solution administration, and the lower part is a fluorescence staining image of a tumor tissue section after administration of FHSirp? -Dox according to one embodiment of the present invention, And the second column on the left shows the result of staining with anti-CD8 antibody. On the left side, the third column shows the result of the DAPI staining and the anti-CD8 antibody staining result And the rightmost column shows the result of cell segmentation analysis.

도 6a는 CT26.CL25 암세포 접종에 의한 암 모델 동물에 완충액, wtFH-dox 및본 발명의 일 실시예에 따른 FHSirpα-dox를 각각 종양내 1회 투여 후, 시간의 경과에 따른 종양의 크기를 측정한 결과를 나타내는 그래프이고(**: P < 0.01, I***: P < 0.001), 도 6b는 암세포 접종 후 25일째에 상기 암 모델 동물의 종양접종부위를 촬영한 사진이며, 도 6c는 상 도 6a의 실험동물로부터 암세포 접종 25일째에 적출된 종양조직의 무게를 측정한 결과를 나타내는 그래프이다(*: P < 0.05, **: P < 0.01).FIG. 6A shows the results of a single dose of the buffer solution, wtFH-dox, and FHSirp? -Dox according to one embodiment of the present invention in a tumor model by the CT26.CL25 cancer cell inoculation and measuring the size of the tumor over time is a graph showing the results (**: P <0.01, I ***: P <0.001), Figure 6b is a picture taken with the tumor inoculation site of the cancer in the animal model, 25 days after tumor inoculation, Figure 6c is a (*: P < 0.05, **: P < 0.01) obtained by measuring the weight of the tumor tissues extracted from the experimental animals of FIG. 6A on the 25th day after inoculation of cancer cells.

도 7a는 CT26.CL25 암세포 접종에 의한 암 모델 동물에 완충액 또는 다양한 실험물질(dox, wtFH-dox, mSirpα + dox 및 FHSirpα-dox) 투여 후, 암세포 접종 25일째에 종양조직을 적출하고 해당 부위를 봉합한 후, 반대쪽에 최초 접종한 CT26.CL25 암세포와 동일한 양인 1x106 세포를 접종하여 재투여(rechallenge)한 후, 대조군과 FHSirpα-dox 처리군에 대하여 시간의 경과에 따른 2차 암세포 접종부위를 촬영한 일련의 사진이고(상단과 하단은 동일 동물의 촬영각도를 달리하여 촬영한 사진임), 도 7b는 상기 암 모델동물의 시간의 경과에 따른 무-종양 동물의 비율을 측정한 그래프이며, 도 7c는 상기 암 모델동물의 시간의 경과에 따른 생존율을 측정한 그래프이다, FIG. 7A is a graph showing the results of tumor necrosis after 25 days of inoculation of cancer cells after administration of a buffer solution or various experimental materials (dox, wtFH-dox, mSirpα + dox and FHSirpα-dox) to cancer model animals by CT26.CL25 cancer cell inoculation After suturing, 1 × 10 6 cells of the same amount as that of CT26.CL25 tumor cells inoculated on the opposite side were inoculated and rechallenged. After that, the control and FHSirpα-dox treatment groups were treated with the second cancer cell inoculation site over time FIG. 7B is a graph showing the ratio of tumor-free animals according to the passage of time of the animal model animal, and FIG. FIG. 7C is a graph showing the survival rate of the animal model animal over time,

도 8a는 CT26 암세포 접종에 의한 암 모델 동물에 완충액 또는 다양한 실험물질(dox, wtFH-dox, mSirpα + dox 및 FHSirpα-dox) 정맥주사로 투여 후, 암세포 접종 25일째까지 3일 간격으로 종양조직의 크기를 측정한 결과를 나타내는 그래프이고(***: P < 0.001), 도 8b는 상기 암 모델 동물에서 암세포 접종 25일째에 적출된 종양조직의 무게를 측정한 결과를 나타내는 그래프이다(*: P < 0.05, ***: P < 0.001).FIG. 8A shows the results of the intravenous injection of a buffer solution or various experimental substances (dox, wtFH-dox, mSirpα + dox and FHSirpα-dox) to cancer model animals by CT26 cancer cell inoculation, a graph showing the result of measuring the size (***: P <0.001), Fig. 8b is a graph illustrating results of measuring the weight of the excised tumor tissue 25 days after tumor inoculation in the tumor model animals (*: P &Lt; 0.05, ***: P < 0.001).

도 9a는 B16F10-Ova 암세포 접종에 의한 암 모델 동물에 완충액 또는 다양한 실험물질(dox, wtFH-dox, mSirpα + dox 및 FHSirpirpα-dox) 정맥주사로 투여 후, 암세포 접종 25일째까지 3일 간격으로 종양조직의 크기를 측정한 결과를 나타내는 그래프이고(**: P < 0.01), 도 9b는 상기 암 모델 동물에서 암세포 접종 25일째에 적출된 종양조직의 무게를 측정한 결과를 나타내는 그래프이다(**: P < 0.01).FIG. 9a shows the results of the intravenous injection of a buffer solution or various experimental substances (dox, wtFH-dox, mSirpα + dox and FHSirpirpα-dox) to female model animals by B16F10-Ova cancer cell inoculation, FIG. 9B is a graph showing a result of measuring the weight of tumor tissue extracted on the 25th day after inoculation of cancer cells in the animal model animal (** ( P : : P < 0.01).

도 10은 B16F10-Ova 암세포 접종에 의한 암 모델 동물에 완충액 또는 FHSirpα-dox 투여 후, 종양조직을 적출하여 단일세포화한 후 분리된 수지상세포를 OT-1 T 세포와 공배양한 후 배양상등액에 존재하는 INF-γ의 양을 정량함으로써 교차프라이밍 능력을 확인한 그래프이다(*: P < 0.05).FIG. 10 is a graph showing the results of single-cell culture of tumor cells after administration of a buffer solution or FHSirp? -Dox to a cancer model animal by inoculation with B16F10-Ova cancer cells, and dendritic cells isolated therefrom are co-cultured with OT-1 T cells, (*: P < 0.05) by determining the amount of INF-y present.

도 11a는 상기 B16F10.Ova 암세포 접종에 의한 암 모델 동물에 완충액 또는 다양한 실험물질(dox, FHSirpα 및 FHSirpα-dox) 투여 후, CFSE로 염색한 OT-1 T-세포를 주입하고 해당 암 모델 동물에서 적출한 종양배액림프절 세포를 단일세포화한 후, 이를 FACS 분석한 결과를 나타내는 히스토그램이고, 도 11b는 상기 도 11a의 결과를 CFSE로 염색한 OT-1 T-세포의 세대별 비율(%)을 나타내는 그래프이다(**: P < 0.01). FIG. 11A shows the results obtained by injecting a buffer solution or various experimental substances (dox, FHSirpα, and FHSirpα-dox) into animal models of cancer by the B16F10.Ova cancer cell inoculation and injecting CFSE-stained OT-1 T- FIG. 11B is a histogram showing the results of FACS analysis after single cellization of the extracted tumor-draining lymph node cells, and FIG. 11B is a histogram showing the percentage of the generation of OT-1 T-cells stained with CFSE (**: P < 0.01).

도 12a는 본 발명의 일 실시예에 따른 FHSirpα 및 FcSirpα의 BMDM의 암세포(HT29)에 대한 탐식작용에 미치는 영향을 분석한 일련의 형광현미경 사진이고, 도 12b는 상기 도 12a의 BMDM의 암세포 탐식율을 정량화한 결과를 나타내는 그래프이며(*: P < 0.05; ***: P < 0.001), 도 12c는 다양한 농도(50 nM, 500 nM, 및 5 μM)의 FcSirpα 및 400 nm의 FHSirpα를 BMDM에 처리시 HT29 암세포에 대한 탐식 정도를 나타낸 그래프이다(***: P < 0.001).FIG. 12A is a series of fluorescence micrographs that analyze the effect of BMDM of FHSirpα and FcSirpα on cancer cells (HT29) according to an embodiment of the present invention, and FIG. 12B is a photograph showing the cancer cell phagocytosis rate Figure 12C is a graph showing the results of quantification (*: P <0.05; ***: P <0.001) of FcSirp alpha and FHSirp alpha at various concentrations (50 nM, 500 nM, and 5 μM) (***: P < 0.001). &Lt; / RTI &gt;

도 13a는 B16F10 암세포를 피하주입하여 암을 유발시킨 C57BL/6 야생형 마우스에 본 발명의 일 실시예에 따른 FcSirpα 및/또는 미토잔트론을 종양내 주사로 투여한 후 시간의 경과에 따른 종양조직의 부피를 측정한 결과를 나타내는 그래프이고(***: P < 0.001), 도 13b는 상기 도 13a의 실험에 사용된 실험동물의 암세포 주입후 21일째까지의 실험동물의 생존률을 기록한 그래프이며(***: P < 0.001), 도 13c는 상기 실험동물을 암세포 주입후 21일째에 희생시킨 후 적출한 암조직의 평균 무게를 측정한 결과를 나타내는 그래프이고, 도 13d는 상기 실험동물의 몸무게의 변화를 측정한 결과를 나타내는 그래프이다.FIG. 13A is a graph showing the effect of FcSirp alpha and / or mitoxantrone according to an embodiment of the present invention on C57BL / 6 wild-type mice subcutaneously injecting B16F10 cancer cells and inducing cancer, FIG. 13B is a graph showing the survival rate of the experimental animals used in the experiment of FIG. 13A until the 21st day after the injection of the cancer cells (FIG. 13B) FIG. 13C is a graph showing the results of measurement of the average weight of cancer tissues obtained after sacrifice of the experimental animals on day 21 after the injection of cancer cells, FIG. 13D is a graph showing the change in body weight of the experimental animals And the results are shown in FIG.

도 14는 B16F10 암세포를 피하주입하여 암을 유발시킨 C57BL/6 야생형 마우스에 본 발명의 일 실시예에 따른 FcSirpα 및/또는 미토잔트론을 종양내 주사로 투여한 후, 암세포 주입 21일째에 실험동물을 희생시킨 후 적출된 암조직을 단일세포화한 후 항-CD8 항체를 이용하여 유세포분석을 수행함으로써 CD8+ T 세포 침윤정도를 측정한 결과를 나타내는 그래프이다(*: P < 0.05).14 is a graph showing the results of the administration of FcSirp alpha and / or mitoxantrone according to one embodiment of the present invention to C57BL / 6 wild-type mice subcutaneously injecting B16F10 cancer cells and inducing cancer, CD8 + T cell infiltration by performing flow cytometry analysis using an anti-CD8 antibody after monoclonalization of the tumor tissue after sacrificing the tumor cells (*: P <0.05).

용어의 정의Definition of Terms

본 문서에서 사용되는 "면역원성 세포사멸(immunogenic cell death)"는 안트라사이클린(anthracyclines), 옥살리플라틴(oxaliplatin) 및 보르테조밉(bortezomib)과 같은 세포증식 억제제나 방사선 요법 및 광역학 치료법에 의해 야기되는 일종의 세포사멸을 의미한다. 상기 면역원성 세포사멸은 일반적인 세포사멸과 달리, 암세포의 면역학적 세포사멸은 수지상세포(dendritic cell)의 활성화와 그에 따른 특이적인 T 세포 반응의 활성화를 통해 효과적인 항암 면역반응을 유발할 수 있다. 면역원성 세포사멸을 유발하는 물질을 "면역원성 세포사멸 유도제(immunogenic cell death inducer)"라고 한다. 상기 면역원성 세포사멸 및 면역원성 세포사멸 유도제에 대하여는 Kroemer 등(Annu. Rev. Immunol., 31: 51-72, 2013)에 잘 정리되어 있다. 상기 문헌은 전체적으로 본 문서에 참조로 삽입된다.As used herein, the term " immunogenic cell death " refers to a cell proliferation inhibitor such as anthracyclines, oxaliplatin and bortezomib, or a type of cell growth inhibitor induced by radiotherapy and photodynamic therapy Cell death. Unlike general apoptosis, the immunological apoptosis of cancer cells can induce an effective anti-cancer immune response through activation of dendritic cells and thus activation of specific T cell responses. The substance causing immunogenic cell death is called " immunogenic cell death inducer &quot;. Immunogenic and immunogenic inducers of apoptosis are well described in Kroemer et al . ( Annu. Rev. Immunol ., 31: 51-72, 2013). This document is incorporated herein by reference in its entirety.

본 문서에서 사용되는 용어 "다량체화 도메인(multimerization domain)"은 동형의 단백질이 자기조립(self-assembly)에 의해 다량체화 하는데 있어서 중요한 역할을 하는 최소의 부위를 포함하는 단백질 도메인을 의미한다. 상기 다량체화 도메인에는 이량체화 도메인, 삼량체화 도메인, 4량체화 도메인, 6량체화 도메인, 12량체화 도메인, 24량체화 도메인 등 다양한 자기조립단백질의 자기조립 관여 도메인이 포함된다. 상기 이량체화 도메인에는 구체적으로 항체의 중쇄의 힌지 부위와 CH2 및 CH3 부분을 포함하는 Fc 단편, 수용체 타이로신 카이네이즈(RTK)의 세포질 도메인, 키네신의 이량체화 도메인, 피브로넥틴의 이량체화 도메인, Tol-유사 수용체(TLR)의 이량체화 도메인, 튜블린의 이량체화 도메인 등이 포함된다. 상기 삼량체화 도메인에는 콜라겐의 삼량체화 도메인, TRAIL의 삼량체화 도메인, Eml4 단백질의 삼량체화 도메인, 클래트린(Clathrin)의 삼량체화 도메인 등이 포함된다. 상기 4량체화 도메인에는 p53의 4량체화 도메인, DsRed의 4량체화 도메인, 아세틸콜린 에스터레이즈(AChE)의 4량체화 도메인 등이 존재한다. 6량체화 도메인은 HSP100 단백질의 6량체화 도메인, 상기 12량체화 도메인은 SPD(surfactant protein D, WO2013115608A1) 및 M. tuberoculosis Hsp16.3이 포함된다. 상기 24량체화 도메인에는 페리틴 중쇄 단백질, 페리틴 경쇄 단백질, M. jannanschii Hsp16.5, 및 효모 Hsp26이 포함된다. 상기와 같이 자기조립에 의해 다량체화하는 단백질을 "자기조립 단백질"이라 하는데 상기 자기조립 단백질은 특별한 유도물질의 도움이 없이 발현과 동시에 규칙적인 배열에 의해 다량체(multimer)를 형성함으로써 나노입자를 형성할 수 있는 단백질을 의미한다. 자기조립 단백질에는 sHsp(small heat shock protein), 페리틴, vault, P6HRC1-SAPN, M2e-SAPN, MPER-SAPN, 및 다양한 바이러스 또는 박테리오파지 캡시드 단백질이 포함된다. 상기 자기조립 단백질에 관해서는 Hosseinkhani 등(Chem. Rev., 113(7): 4837-4861, 2013)에 잘 기술되어 있다. 상기 문헌은 전체적으로 본 문서에 참조로 삽입된다.As used herein, the term " multimerization domain " refers to a protein domain that contains minimal sites that play an important role in homologous recombination of homologous proteins. Such multimerization domains include self-assembling domains of various self-assembling proteins such as dimerization, trimerization, tetramerization, hexamerization, 12merization, and 24merization domains. The dimerization domain specifically includes an Fc fragment comprising the hinge region of the heavy chain of the antibody and the CH2 and CH3 moieties, the cytoplasmic domain of the receptor tyrosine kinase (RTK), the dimerization domain of kinesin, the dimerization domain of fibronectin, the Tol- (TLR) dimerization domains, tubulin dimerization domains, and the like. The trimerization domain includes a trimerization domain of collagen, a trimerization domain of TRAIL, a trimerization domain of Eml4 protein, a trimerization domain of Clathrin, and the like. The quaternization domain of p53, the quaternization domain of DsRed, and the quaternization domain of acetylcholine esterase (AChE) exist in the above-described quaternization domain. The hexamerization domain includes the hexamerization domain of the HSP100 protein, the 12merization domain includes SPD (surfactant protein D, WO2013115608A1) and M. tuberoculosis Hsp16.3. The 24- merization domain includes ferritin heavy chain protein, ferritin light chain protein, M. jannanschii Hsp16.5, and yeast Hsp26. As described above, proteins that are mass-produced by self-assembly are referred to as " self-assembled proteins &quot;, which self-assembled proteins form multimers by regular arrangement at the same time as they are expressed without the aid of special inducers, Or a protein that can be formed. Self-assembling proteins include sHsp (small heat shock protein), ferritin, vault, P6HRC1-SAPN, M2e-SAPN, MPER-SAPN, and various virus or bacteriophage capsid proteins. The self-assembled proteins are well described in Hosseinkhani et al. ( Chem. Rev. , 113 (7): 4837-4861, 2013). This document is incorporated herein by reference in its entirety.

본 문서에서 사용되는 용어 "Sirp(signal-regulatred protein)"는 골수세포에서 주로 발현되고 그리고 줄기세포 또는 신경세포에서 발현되는 Sirp족 단백질 중 조절성 막 당단백질이다. 상기 Sirp 중 Sirpα 및 Sirpγ는 억제성 수용체로 작용하며, 광범위하게 발현되는 막통과 단백질인 CD47 단백질과 상호작용하는데 이는 이른 바 "날 먹지마(don't eat me)" 신호로 불린다. 이러한 상호작용은 숙주세포 탐식작용과 같은 선천적 면역세포의 효과기 작용을 음성적으로 조절한다. 이는 Ig-유사 또는 Ly49 수용체를 경유한 MHC I 계열 분자에 의해 제공되는 자가 신호와 유사하다. CD47를 과발현하는 암세포는 Sirpα 또는 Sirpγ를 활성화시켜 대식세포-매개 파괴를 억제한다. 최근 연구에 의하면 Sirpα의 고친화성 변이체가 암세포 상에서 CD47을 마스킹하여 암세포에 대한 탐식작용을 증가시킨다는 보고가 있다(Weiskopf et al., Science 341(6141): 88-91, 2013).As used herein, the term " Sirp (signal-regulated protein) " is a regulatory membrane glycoprotein that is expressed predominantly in bone marrow cells and expressed in stem cells or neurons. Sirp &lt; / RTI &gt; and Sirp gamma in the Sirp act as inhibitory receptors and interact with the broadly expressed transmembrane protein, CD47 protein, which is often referred to as the " do not eat me &quot; These interactions negatively regulate the effector function of innate immune cells, such as host cell phagocytosis. This is similar to the self-signal provided by MHC I family molecules via Ig-like or Ly49 receptors. Cancer cells overexpressing CD47 activate Sirp or Sirp gamma to inhibit macrophage-mediated destruction. Recent studies have shown that high-affinity mutants of Sirpα increase the phagocytosis of cancer cells by masking CD47 on cancer cells (Weiskopf et al ., Science 341 (6141): 88-91, 2013).

본 문서에서 사용되는 용어 "페리틴 중쇄 단백질(ferritin heavy chain protein, 이하 'FH'로 약칭함)"은 원핵생물 및 진핵생물에서 주요 세포내 철 저장 단백질인 페리틴의 중쇄 소단위를 구성하는 단백질은 의미하는데, 페리틴 단백질은 페리틴 중쇄 및 경쇄 각각 24 소단위체로 구성된다. 페리틴 단백질의 주요 기능은 철을 수용성의 비독성 상태로 저장하는 것이다. 페리틴 중쇄 단백질은 경쇄 단백질 없이도 24개의 소단위가 자기조립하여 내부가 빈 나노입자 형성하는 것으로 알려진 바 있다(Cho et al., Biochem. Biophys. Res. Commun. 327(2): 604-608, 2005). 페리틴 중쇄 단백질은 자기조립 나노입자 내부의 빈 내부 공간에 다른 약물을 적재함으로써 나노케이지(nanocage)의 역할을 수행할 수 있고, 이런 특성으로 인해 약물전달체 등의 목적으로 연구되고 있다. As used herein, the term " ferritin heavy chain protein &quot; (hereinafter abbreviated as FH) refers to a protein that constitutes the heavy chain subunit of ferritin, a major intracellular iron storage protein in prokaryotes and eukaryotes , And the ferritin protein consists of 24 subunits of the ferritin heavy chain and the light chain, respectively. The main function of ferritin proteins is to store iron in a water-soluble, non-toxic state. The ferritin heavy chain protein has been known to self-assemble into 24 subunits without light chain protein to form hollow internal nanoparticles (Cho et al ., Biochem. Biophys. Res. Commun . 327 (2): 604-608, 2005) . The ferritin heavy chain protein can act as a nanocage by loading other drugs into the empty internal space of self-assembled nanoparticles, and due to these properties, is being studied for the purpose of drug delivery.

본 문서에서 사용되는 용어 "안트라사이클린 계열 항암제(anthracyclin-type anticancer agent)"는 스트렙토마이세스 속 세균인 Streptomyces peucetius var. caesius 유래의 암 화학요법에 사용되는 세포주기 비특이적인 항암제 계열을 지칭한다. 안트라사이클린 계열 항암제는 백혈병, 림프종, 유방암, 위암, 자궁암, 난소암, 방광암, 및 폐암을 포함한 다양한 암의 치료에 사용되는데, 종래에 개발되어온 화학요법 항암제 중 가장 효과적인 항암제 중의 하나이다. 최초로 발견된 안트라사이클린계열 항암제로는 다우노루비신(daunorubicin)이 있고, 바로 이어 개발된 독소루비신(doxorubicin), 그 뒤로 개발된 에피루비신(epirubicin), 이다루비신(idarubicin), 픽산트론(pixantrone), 사바루비신(sabarubicin), 발루비신(valrubicin) 등이 존재한다. 안트라사이클린 계열 항암제의 작용기전으로는 DNA/RNA 가닥의 염기쌍 사이에 삽입됨으로써 DNA 및 RNA 합성을 억제하여 신속히 성장하는 암세포의 복제를 방해하는 것, 토포아이소머레이즈 II 효소 활성을 억제하여 슈퍼코일화 DNA의 긴장완화를 억제하여 전사와 복제를 방해하는 것, 철-매개 유리 산소 라디컬의 형성을 통한 DNA, 단백질 및 세포막의 손상 유도 및 DNA 손상 반응, 에피게놈 및 전사체를 탈조절하는 크로마틴으로부터 히스톤 축출 유도 등이 거론되고 있다. 최근 연구에 따르면 독소루비신이 CD4+ 세포를 활성화시킴으로써 Th1 면역반응을 증가시킨다고 보고된 바 있고(Park et al., Int. Immunopharmacol. 9(13-14): 1530-1539, 2009), 수지상세포(dendritic cell)와 독소루비신의 병용투여시 골육종의 면역학적 세포사멸(immunogenic cell death)를 유발함으로써 항암활성을 나타낸다고 보고된 바 있다(Kawano et al., Oncol. Lett. 11:2169-2175, 2016).As used herein, the term " anthracycline-type anticancer agent " refers to an antracycline-type anticancer agent, such as Streptomyces peucetius var. refers to a cell cycle non-specific anticancer agent family used in cancer chemotherapy derived from caesius. Anthracycline-based anticancer agents are used for the treatment of various cancers including leukemia, lymphoma, breast cancer, stomach cancer, uterine cancer, ovarian cancer, bladder cancer and lung cancer. The first anthracycline anticancer drugs discovered were daunorubicin, followed by doxorubicin, followed by epirubicin, idarubicin, and pixantrone. , Sabarubicin, valrubicin, and the like. The mechanism of action of anthracycline-based anticancer agents is to inhibit DNA and RNA synthesis by intercalating between base pairs of DNA / RNA strands, thereby inhibiting the replication of rapidly growing cancer cells, inhibiting the activity of topoisomerase II enzyme, Inhibiting transcription and replication by inhibiting DNA relaxation, inducing DNA damage, protein and cell membrane damage and DNA damage through the formation of iron-mediated free oxygen radicals, chromatin to deregulate epigenomes and transcripts And induction of histone excretion. Recent studies have shown that doxorubicin increases the Th1 immune response by activating CD4 + cells (Park et al ., Int. Immunopharmacol . 9 (13-14): 1530-1539, 2009), dendritic cells Cells have been reported to exhibit anticancer activity by inducing immunogenic cell death of osteosarcoma in combination with doxorubicin (Kawano et al ., Oncol. Lett . 11: 2169-2175, 2016).

본 문서에서 사용되는 용어 "탁산계열 항암제(taxanoid anticancer agent 또는 taxne anticancer drug)"는 주목속(Taxus sp.) 식물로부터 추출된 디테르페노이드 탁산 유도체(diterpenoid taxane derivatives)로, 세포내의 마이크로튜블의 조립을 증진시키고 해체를 저해하는 기전을 가진 유사분열 억제제이다. 현재 상용화된 약물로는 파클리탁셀(paclitaxel) 및 도세탁셀(docetaxel) 등이 존재하며, 이중 파클리탁셀은 주목(Taxus brevifolia)의 주피에서 추출한 탁산계열 항암제로 1992년 난치성 난소암 치료제로 미국 FDA의 승인을 받았고, 도세탁셀은 Taxus bacaata에서 유래된 탁산계열 항암제로서 파클리탁셀과 효능이 유사하며, 유방암, 비세포폐암, 림프종, 방광암 등의 치료에 사용되고 있으며, 파클리탁셀에 비해 친수성이 높은 특성을 가지고 있다. 최근에는 탁산계열 항암제 역시 암세포를 세포독성 T 림프구에 대하여 감작시킴으로써 이들 암세포의 면역원성 세포사멸을 촉진시키는 기전을 갖는 것으로 밝혀지고 있다.The term " taxanoid anticancer agent " or &quot; taxane anticancer drug &quot; as used herein refers to diterpenoid taxane derivatives derived from Taxus sp. It is a mitotic inhibitor with a mechanism of promoting assembly and inhibiting disassembly. Currently, paclitaxel and docetaxel are presently available. Among them, paclitaxel is a taxane-based chemotherapeutic agent extracted from juniper of Taxus brevifolia . It was approved by the US FDA in 1992 for the treatment of intractable ovarian cancer, Docetaxel is a taxane-based anticancer drug derived from Taxus bacaata , which has similar efficacy to paclitaxel and is used for the treatment of breast cancer, non-cell lung cancer, lymphoma, bladder cancer and the like, and is more hydrophilic than paclitaxel. Recently, it has been found that the taxane-based anticancer agent also has a mechanism of promoting immunological cell death of these cancer cells by sensitizing cancer cells to cytotoxic T lymphocytes.

본 문서에서 사용되는 용어 "면역 검문소 억제제(immune checkpoint inhibitor)"는 T 림프구와 같은 특정 유형의 면역계 세포 및 일부 암세포에 의해 생산된 특정 단백질을 차단하는 유형의 약물을 의미하는데 이들 단백질들은 면역반응을 억제하고, T 림프구가 암세포를 살상하는 것을 방지한다. 따라서 이러한 단백질이 차단되면 면역계의 "제동장치"가 풀어지고 T 림프구가 암세포를 더 잘 죽일 수 있다. 상기 "면역 검문소"로 현재까지 잘 알려진 것은 PD-1/PD-L1 및 CTLA-4/B7-1/B7-2 등이 존재한다. PD-1 저해제로는 Pembrolizumab(상표명: Keytruda), Nivolumab(상표명: Opdivo) 등이 존재하고, PD-1의 리간드인 PD-L1 저해제로는 Atezolizumab(상표명: Tecentriq), 및 Avelumab(상표명: Bavencio) 등이 존재한다. 한편 CTLA-4/B7-1/B7-2의 상호작용을 저해하는 CTLA-4 저해제로는 Ipilimumab(상표명: Yervoy) 등이 FDA의 승인을 받은 바 있다. 최근 몇 년 동안 특히 전이성 흑색종(metastatic melanoma) 또는 호지킨 림프종(hodgkin lymphoma) 환자에게서 인상적인 성공을 거두었으며 다른 유형의 암 환자를 대상으로 한 임상시험에서 많은 가능성을 보여주고 있다. As used herein, the term " immune checkpoint inhibitor " refers to a type of drug that blocks certain types of immune system cells, such as T lymphocytes, and certain proteins produced by some cancer cells, And prevents T lymphocytes from killing cancer cells. Thus, when these proteins are blocked, the "braking device" of the immune system is released and T lymphocytes can kill cancer cells better. PD-1 / PD-L1 and CTLA-4 / B7-1 / B7-2 are well known as the above-mentioned "Immune Check Point". PD-1 inhibitors include Pembrolizumab (trademark: Keytruda), Nivolumab (trade name: Opdivo), PD-1 ligand PD-L1 inhibitors include Atezolizumab (trade name: Tecentriq) and Avelumab And so on. Meanwhile, Ipilimumab (trademark: Yervoy) and the like have been approved by the FDA as CTLA-4 inhibitors that inhibit the interaction of CTLA-4 / B7-1 / B7-2. In recent years there has been an impressive success, especially in patients with metastatic melanoma or hodgkin lymphoma, and there are many possibilities in clinical trials in other types of cancer patients.

발명의 상세한 설명DETAILED DESCRIPTION OF THE INVENTION

본 발명의 일 관점에 따르면, 신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제를 유효성분으로 포함하는 암 치료용 약학적 조성물이 제공된다.According to one aspect of the present invention, there is provided a pharmaceutical composition for treating cancer comprising, as an active ingredient, a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunological cell death-inducing agent.

상기 암 치료용 약학적 조성물에 있어서, 상기 신호조절 단백질은 Sirpα, Sirpγ, 또는 이들의 고친화성 변이체일 수 있다. In the pharmaceutical composition for treating cancer, the signal regulating protein may be Sirp alpha, Sirp alpha, or a high affinity variant thereof.

상기 암 치료용 약학적 조성물에 있어서, 상기 신호조절 단백질은 서열번호 5, 7, 9, 11, 13 및 15 내지 65로 구성되는 군으로부터 선택되는 아미노산 서열로 구성될 수 있다.In the pharmaceutical composition for treating cancer, the signal regulatory protein may be composed of an amino acid sequence selected from the group consisting of SEQ ID NOS: 5, 7, 9, 11, 13 and 15 to 65.

상기 암 치료용 약학적 조성물에 있어서, 상기 융합단백질은 상기 신호조절 단백질 및 기능성 펩타이드를 포함할 수 있고, 상기 신호조절 단백질 및 상기 기능성 펩타이드 사이에 링커 펩타이드를 추가로 포함할 수 있다. 상기 기능성 펩타이드는 상기 융합단백질을 다량체화하기 위한 다량체화 도메인, 암세포 특이적 수용체 또는 리간드에 특이적으로 결합하는 단백질, 보조자극 도메인(costimulation domain)을 포함하는 면역조절 폴리펩타이드, 케모카인 수용체 또는 세포사멸 유발 리간드일 수 있다.In the pharmaceutical composition for treating cancer, the fusion protein may include the signal regulatory protein and the functional peptide, and may further include a linker peptide between the signal regulatory protein and the functional peptide. The functional peptide may be a multimerization domain for massimizing the fusion protein, a protein that specifically binds to a cancer cell-specific receptor or ligand, an immunomodulatory polypeptide comprising a costimulation domain, a chemokine receptor, Lt; / RTI &gt; ligand.

상기 암 치료용 약학적 조성물에 있어서, 상기 다량체화 도메인은 이량체화 도메인, 삼량체화 도메인, 4량체화 도메인, 6량체화 도메인, 12량체화 도메인, 또는 24량체화 도메인일 수 있고, 상기 이량체화 도메인은 항체의 중쇄의 힌지 부위와 CH2 및 CH3 부분을 포함하는 Fc 단편, 수용체 타이로신 카이네이즈(RTK)의 세포질 도메인, 키네신의 이량체화 도메인, 피브로넥틴의 이량체화 도메인, Tol-유사 수용체(TLR)의 이량체화 도메인, 또는 튜블린의 이량체화 도메인일 수 있으며, 상기 삼량체화 도메인은 콜라겐의 삼량체화 도메인, TRAIL의 삼량체화 도메인, Eml4 단백질의 삼량체화 도메인, 또는 클래트린(Clathrin)의 삼량체화 도메인일 수 있고, 상기 4량체화 도메인은 p53의 4량체화 도메인, DsRed의 4량체화 도메인, 또는 아세틸콜린 에스터레이즈(AChE)의 4량체화 도메인일 수 있으며, 상기 6량체화 도메인은 HSP100 단백질의 6량체화 도메인일 수 있고, 상기 12량체화 도메인은 SPD(surfactant protein D, WO2013115608A1) 또는 M. tuberoculosis Hsp16.3일 수 있으며, 상기 24량체화 도메인은 페리틴 중쇄 단백질, 페리틴 경쇄 단백질, M. jannanschii Hsp16.5, 또는 효모 Hsp26일 수 있다.In the pharmaceutical composition for treating cancer, the multimerization domain may be a dimerization domain, a trimerization domain, a tetramerization domain, a hexamerization domain, a 12merization domain, or a 24merization domain, domain is an Fc fragment, receptor tyrosine kinase (RTK) of the cytoplasmic domain, dimerization domain of kinesin, dimerization domain, Tol- like receptor (TLR) of fibronectin comprising the heavy chain hinge region and CH 2 and CH 3 parts of the antibody Or a dimerization domain of tubulin, wherein the trimerization domain is selected from the group consisting of a trimerization domain of collagen, a trimerization domain of TRAIL, a trimerization domain of an Eml4 protein, or a trimerization domain of Cllthrin And the tetramerization domain may be a tetramerization domain of p53, a tetramerization domain of DsRed, or a tetramerization degree of acetylcholine esterase (AChE) May ynyl, the 6-mer localization domain may be a 6-mer of the HSP100 protein localization domain, and the 12-mer localization domain may be a SPD (surfactant protein D, WO2013115608A1) or M. tuberoculosis Hsp16.3, the 24-mer Chemistry The domain may be a ferritin heavy chain protein, a ferritin light chain protein, M. jannanschii Hsp16.5, or yeast Hsp26.

본 문서에서 사용되는 용어 "암세포 특이적 수용체 또는 리간드"는 암세포에서 특이적으로 발현되는 세포 표면의 수용체 또는 리간드를 의미하며, 이러한 암세포 특이적 수용체 또는 리간드에는 상피성장인자 수용체(EGFR), 소마토스타틴 수용체(SSTR), αvβ5 인테그린, 혈관내피성장인자 수용체(VEFGR), 인간 상피성장인자 수용체 2(HER2), 안드로겐 수용체(AR), 에스트로겐 수용체(ER), 프로게스테론 수용체(PR), 시그마-2 수용체, 봄베신 수용체(bombesin receptor), 전립선-특이적 G-단백질 결합 수용체, PD-1 리간드(PD-1L), MUC1, MUC2, MUC3, 폴산 수용체(folate receptor), ErbB2, 트랜스페린 수용체, TAG-72, GM3, Lex, CD10, CD20, 또는 CEA일 수 있다.As used herein, the term " cancer cell specific receptor or ligand " refers to a cell surface receptor or ligand that is specifically expressed in cancer cells. Such cancer cell specific receptor or ligand includes epithelial growth factor receptor (EGFR), somatostatin receptor (SSTR), α v β 5 integrin, vascular endothelial growth factor receptor (VEFGR), human epithelial growth factor receptor 2 (HER2), androgen receptor (AR), estrogen receptor (ER), progesterone receptor (PR) (PD-1L), MUC1, MUC2, MUC3, folate receptors, ErbB2, transferrin receptors, TAG-1 receptors, bombesin receptors, prostate-specific G- 72, G M3 , Le x , CD10, CD20, or CEA.

상기 암 치료용 약학적 조성물에 있어서, 상기 암세포 특이적 수용체 또는 리간드에 특이적으로 결합하는 단백질은, 상기 암세포 특이적 수용체 또는 리간드에 특이적으로 결합하는 항체, 그의 기능성 단편 또는 항체유사체가 포함될 수 있고, 상기 암세포 특이적 수용체 또는 리간드와 특이적으로 결합하는 단백질, 예컨대, 암세포 특이적으로 발현되는 인테그린에 특이적으로 결합하는 RGD 도메인을 가진 단백질일 수 있다. In the pharmaceutical composition for treating cancer, the protein specifically binding to the cancer cell-specific receptor or ligand may include an antibody, a functional fragment thereof, or an antibody analogue that specifically binds to the cancer cell-specific receptor or ligand And may be a protein that specifically binds to the cancer cell-specific receptor or ligand, for example, a protein having an RGD domain that specifically binds to an integrin expressed specifically in a cancer cell.

본 문서에서 사용되는 "항체"는 면역글로불린(immunoglobulin)이라고도 불리우며, 박테리아나 바이러스와 같은 외래성 물질을 확인하거나 중화시키기 위해 면역계에 의해 사용되는 플라스마 세포로부터 생성되는 Y-자 형태의 단백질을 의미한다. 본 문서에서 사용되는 상기 항체에는 항체 유래의 다양한 "기능성 단편", 예컨대, Fab, F(ab')2, Fab', ScFv 및 sdAb가 포함된다.As used herein, the term " antibody " refers to a Y-shaped protein produced from plasma cells used by the immune system to identify or neutralize exogenous substances, such as bacteria or viruses, also referred to as immunoglobulins. The antibody used in this document includes various " functional fragments ", such as Fab, F (ab ') 2, Fab', ScFv and sdAb, from an antibody.

분 문서에서 사용되는 용어 "항체의 기능성 단편"은 항체에서 유래한 항원 결합능을 가지고 있는 단편으로서 항체를 단백질 절단효소로 절단하여 생성된 단편은 물론 재조합 방식에 생성된 단일쇄 단편을 모두 포함한다.The term " functional fragment of an antibody " used in the present specification includes all of the fragments generated by recombinant methods, as well as fragments obtained by digesting an antibody with a protein cleaving enzyme.

본 문서에서 사용되는 용어 "Fab"는 항원-결합 항체단편(fragment antigen-binding)으로서 항체 분자를 단백질 분해효소인 파파인으로 절단하여 생성되는 단편으로 VH-CH1 및 VL-CL의 두 펩타이드의 이량체로, 파파인에 의해 생성된 다른 단편은 Fc(fragment crystallizable)라 지칭한다.As used herein, the term " Fab " is an antigen-binding antibody fragment that is produced by digesting an antibody molecule into a protease, papain, and is a dimer of two peptides of VH-CH1 and VL- , And another fragment generated by papain is referred to as Fc (fragment crystallizable).

본 문서에서 사용되는 용어 "F(ab')2"는 항체를 단백질 분해효소인 펩신으로 절단하여 생성되는 단편 중 항원결합 부위를 포함하는 단편으로 상기 Fab 두 개가 이황화결합으로 연결된 4량체의 형태를 나타낸다. 펩신에 의해 생성된 다른 단편은 pFc'으로 지칭한다.As used herein, the term " F (ab ') 2 " refers to a fragment comprising an antigen binding site in a fragment produced by digesting an antibody with pepsin, a protease, and the form of a tetramer in which two Fabs are linked by a disulfide bond . Another fragment produced by pepsin is referred to as pFc '.

본 문서에서 사용되는 용어 "Fab'"는 상기 F(ab')2를 약한 환원조건에서 분리시킴으로써 생성되는 Fab와 구조가 유사한 분자이다.The term " Fab &quot;, as used herein, is a molecule similar in structure to Fab produced by the separation of F (ab ') 2 under weakly reducing conditions.

본 문서에서 사용되는 용어 "ScFv"는 "single chain variable fragment"의 약어로서 실제 항체의 단편은 아니며, 항체의 중쇄 가변영역(VH)과 경쇄 가변영역(VL)을 약 25 a.a. 크기의 링커 펩타이드로 연결하여 제조한 일종의 융합단백질로서 고유의 항체 단편이 아님에도 불구하고 항원 결합능을 지닌 것으로 알려지고 있다(Glockshuber et al., Biochem. 29(6): 1362-1367, 1990).As used herein, the term " ScFv " is an abbreviation of " single chain variable fragment ", which is not a fragment of an actual antibody. The heavy chain variable region (VH) and the light chain variable region (VL) (Glockshuber et al., Biochem. 29 (6): 1362-1367, 1990), although it is not a unique antibody fragment as a kind of fusion protein prepared by linking with a linker peptide of the size

본 문서에서 사용되는 용어 "sdAb(single domain antibody)"는 나노바디(nanobody)라고 지칭되며, 항체의 단일 가변영역 단편으로 구성된 항체 단편이다. 주로 중쇄로부터 유래한 sdAb가 사용되나, 경쇄로부터 유래한 단일 가변영역 단편 역시 항원에 대하여 특이적 결합이 되는 것으로 보고되고 있다.The term " sdAb (single domain antibody) ", as used herein, refers to an antibody fragment consisting of a single variable region fragment of an antibody, referred to as a nanobody. The sdAb derived mainly from the heavy chain is used, but a single variable region fragment derived from the light chain has also been reported to be a specific binding to the antigen.

본 문서에서 사용되는 "항체 유사체(antibody mimetic)"는 두 개의 중쇄 및 두 개의 경쇄가 이종사합체의 4차구조를 형성하여 기능을 발휘하는 통상의 전장 항체와 달리, 항원 결합능을 유지하는 최소단위를 포함하는 단편(예컨대, Fab, F(ab')2, Fab' 또는 중쇄 및 경쇄의 가변영역을 링커로 연결한 인위적 단편인 단일쇄 가변 단편(single-chain variable fragment, scFv), 경쇄가 없이 중쇄만으로 구성되는 낙타과 또는 연골어류 유래의 항체 단편(VHH, VNAR 등) 또는 nanobody, monobody, 가변 림프구 수용체(VLR) 등 비항체 유래의 단백질 스캐폴드로부터 제조되는 항체 유사단백질을 포함하는 개념이다.As used herein, the term " antibody mimetic " is intended to mean that, unlike conventional full-length antibodies, in which two heavy chains and two light chains form a quaternary structure of a heterozygous complex, Chain variable fragment (scFv), which is an artificial fragment linked by a linker to a variable region of Fab, F (ab ') 2, Fab' or heavy and light chains, A concept comprising an antibody-like protein prepared from a non-antibody-derived protein scaffold such as an antibody fragment (V H H, V NAR, etc.) derived from camel or cartilaginous fish consisting only of heavy chain or nanobody, monobody, variable lymphocyte receptor (VLR) to be.

본 문서에서 사용되는 용어 "보조자극 도메인(costimulatory domain)"은 T/NK 활성화를 보조하는 면역관련 단백질인 보조자극 인자(costimulatory factor)의 T 세포 보조자극 기능을 담당하는 세포질 도메인(cytoplasmic domain)을 의미한다. 이러한 보조자극 도메인은 CD28, ICOS(inducible costimulator), CTLA4(cytotoxic T lymphocyte associated protein 4), PD1(programmed cell death protein 1), BTLA(B and T lymphocyte associated protein), DR3(death receptor 3), 4-1BB, CD2, CD40, CD30, CD27, SLAM(signaling lymphocyte activation molecule), 2B4(CD244), NKG2D(natural-killer group 2, member D)/DAP12(DNAX-activating protein 12), TIM1(T-Cell immunoglobulin and mucin domain containing protein 1), TIM2, TIM3, TIGIT, CD226, CD160, LAG3(lymphocyte activation gene 3), B7-1, B7-H1, GITR(glucocorticoid-induced TNFR family related protein), HVEM(herpesvirus entry mediator) 또는 OX40L[ligand for CD134(OX40), CD252]의 세포질 도메인 또는 이들 중 둘 이상의 연결체일 수 있다.As used herein, the term " costimulatory domain " refers to a cytoplasmic domain responsible for the T cell-assisted stimulatory function of the costimulatory factor, an immunological protein that assists T / NK activation it means. These auxiliary stimulatory domains include CD28, inducible costimulator (ICOS), cytotoxic T lymphocyte associated protein 4 (CTLA4), programmed cell death protein 1 (PD1), BTLA (B and T lymphocyte associated protein), DR3 1BB, CD2, CD40, CD30, CD27, SLAM (signaling lymphocyte activation molecule), 2B4 (CD244), NKG2D / DNAX- activating protein 12, TIM1 immunoglobulin and mucin domain containing protein 1), TIM2, TIM3, TIGIT, CD226, CD160, lymphocyte activation gene 3, B7-1, B7-H1, glucocorticoid-induced TNFR family related protein, HVEM mediator) or the cytoplasmic domain of OX40L [ligand for CD134 (OX40), CD252], or a linker of two or more of these.

상기 암 치료용 약학적 조성물에 있어서, 상기 면역조절 폴리펩타이드는 CD28, ICOS, CTLA4, PD1, BTLA, DR3, 4-1BB, CD2, CD40, CD30, CD27, SLAM, 2B4, NKG2D)/DAP12, TIM1, TIM2, TIM3, TIGIT, CD226, CD160, LAG3, B7-1, B7-H1, GITR, HVEM 또는 OX40L 또는 이들의 보조자극 도메인을 포함하는 단편일 수 있으나, 이에 제한되는 것은 아니다(Chen, L. and Flies, D. B., Nat. Rev. Immunol. 13(4): 227-242, 2013). Wherein the immunomodulatory polypeptide is selected from the group consisting of CD28, ICOS, CTLA4, PD1, BTLA, DR3, 4-1BB, CD2, CD40, CD30, CD27, SLAM, 2B4, NKG2D) / DAP12, TIM1 , TIM2, TIM3, TIGIT, CD226, CD160, LAG3, B7-1, B7-H1, GITR, HVEM or OX40L or their complementary stimulatory domains. and Flies, DB, Nat. Rev. Immunol . 13 (4): 227-242, 2013).

본 문서에서 사용되는 용어 '케모카인'은 7-막통과 부분을 포함하는 G 단백질-연결 케모카인 수용체(GPCR)를 활성화시킴으로써 세포의 이동과 위치를 조절하는 화학주성 사이토카인(chemotatic cytokine)을 의미한다. 케모카인은 첫 두 N-말단 시스테인 잔기의 위치에 따라 CC, CXC, CX3C 및 XC의 네 가지 서브패밀리로 구분이 된다. 특히, 종양과 종양을 둘러싼 숙주의 세포들로 구성되는 종양 미세환경(tumor microenvironment, 이하, 'TME'라 명명함)에서, 종양-연관 숙주세포 및 암세포는 다양한 케모카인을 분비하며, 그에 따라 항-종양 및 종양촉진 반응 사이의 균형을 매개하는 다양한 유형의 세포가 충원되고 활성화된다. 더 나아가, 화학주성의 역할 이외에도, 케모카인은 종양 세포 성장, 신생혈관 생성 및 전이를 포함하는 다른 종양-관련 과정에도 관여한다. 따라서, 본 발명의 NK101 세포의 암세포에 대한 특이적 이동성을 증가시킬 수 있도록 본 발명의 NK101에서 발현되지 않는 케모카인 수용체를 암호화하는 폴리뉴클레오티드를 형질도입하여 발현시킬 수 있다(Yang et al. J. Immunother Cancer, 3(Suppl 2): P24, 2015).As used herein, the term &quot; chemokine &quot; refers to a chemotactic cytokine that modulates cell migration and location by activating a G protein-linked chemokine receptor (GPCR) that includes a 7-transmembrane portion. Chemokines are divided into four subfamilies, CC, CXC, CX3C and XC, depending on the location of the first two N-terminal cysteine residues. In particular, in a tumor microenvironment (hereinafter referred to as 'TME') composed of cells of the host surrounding the tumor and the tumor, tumor-associated host cells and cancer cells secrete various chemokines, Various types of cells that mediate the balance between tumor and tumor-promoting responses are replenished and activated. Furthermore, besides the role of chemotaxis, chemokines also participate in other tumor-related processes, including tumor cell growth, neovascularization and metastasis. Therefore, a polynucleotide encoding a chemokine receptor that is not expressed in NK101 of the present invention can be transduced and expressed by increasing the specific mobility of NK101 cells of the present invention against cancer cells (Yang et al ., J. Immunother Cancer , 3 (Suppl 2): P24, 2015).

상기 암 치료용 약학적 조성물에 있어서, 상기 케모카인 수용체는 CCR 또는 CXCR일 수 있고, 상기 CCR은 상상기 CCR은 CCR1, CCR2, CCR2B, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CCR9 또는 CCR10일 수 있으며, 상기 CXCR은 CXCR1, CXCR2, CXCR3, CXCR3B, CXCR4, CXCR5, CXCR6, 또는 CXCR7일 수 있다. In the pharmaceutical composition for treating cancer, the chemokine receptor may be CCR or CXCR, and the CCR may be CCR1, CCR2, CCR2B, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CCR9 or CCR10 And the CXCR may be CXCR1, CXCR2, CXCR3, CXCR3B, CXCR4, CXCR5, CXCR6, or CXCR7.

본 문서에서 사용되는 용어 "세포사멸 유도 리간드"는 세포 표면의 수용체에 결합하여 표적 세포의 세포사멸을 유도하는 단백질을 의미한다. 이러한 세포사멸 유도 리간드로 대표적인 것은 TRAIL(TNF-related apoptosis-inducing ligand) 및 FasL(Fas ligand) 등이 존재한다.As used herein, the term " apoptosis inducing ligand " refers to a protein that binds to a receptor on the surface of a cell and induces apoptosis of the target cell. Representative examples of such apoptosis inducing ligands include TRAIL (TNF-related apoptosis-inducing ligand) and FasL (Fas ligand).

상기 암 치료용 약학적 조성물에 있어서, 상기 세포사멸 유도 리간드는 TRAIL 또는 FasL일 수 있다.In the pharmaceutical composition for treating cancer, the apoptosis inducing ligand may be TRAIL or FasL.

상기 암 치료용 약학적 조성물에 있어서, 상기 링커 펩타이드는 (G4S)n, (GSSGGS)n, KESGSVSSEQLAQFRSLD(서열번호 5), EGKSSGSGSESKST(서열번호 66), GSAGSAAGSGEF(서열번호 67), (EAAAK)n, CRRRRRREAEAC(서열번호 68), A(EAAAK)4ALEA(EAAAK)4A(서열번호 69), GGGGGGGG(서열번호 70), GGGGGG(서열번호 71), GGGGS(서열번호 72), AEAAAKEAAAAKA(서열번호 73), PAPAP(서열번호 74), (Ala-Pro)n, VSQTSKLTRAETVFPDV(서열번호 75), PLGLWA(서열번호 76), TRHRQPRGWE(서열번호 77), AGNRVRRSVG(서열번호 78), RRRRRRRR(서열번호 79), GFLG(서열번호 80), 또는 GSSGGSGSSGGSGGGDEADGSRGSQKAGVDE(서열번호 81)일 수 있다. Wherein the linker peptide is selected from the group consisting of (G 4 S) n, (GSSGGS) n, KESGSVSSEQLAQFRSLD (SEQ ID NO: 5), EGKSSGSGSESKST (SEQ ID NO: 66), GSAGSAAGSGEF (SEQ ID NO: 68), A (EAAAK) 4 ALEA (EAAAK) 4 A (SEQ ID NO: 69), GGGGGGGG (SEQ ID NO: 70), GGGGGG (SEQ ID NO: 71), GGGGS No. 73), PAPAP (SEQ ID NO: 74), (Ala-Pro) n, VSQTSKLTRAETVFPDV (SEQ ID NO: 75), PLGLWA (SEQ ID NO: 76), TRHRQPRGWE (SEQ ID NO: 77), AGNRVRRSVG (SEQ ID NO: 78), RRRRRRRR 79), GFLG (SEQ ID NO: 80), or GSSGGSGSSGGSGGGDEADGSRGSQKAGVDE (SEQ ID NO: 81).

아울러 상기 약학적 조성물에 있어서, 상기 융합단백질은 정제를 효율적으로 하기 위해 N-말단 또는 C-말단에 정제용 태그 펩타이드가 추가로 포함할 수 있다. 상기 태그 펩타이드는 HisX6 펩타이드(서열번호 82), GST 펩타이드, FLAG 펩타이드(DYKDDDK, 서열번호 83), 스트렙타비딘 결합 펩타이드, V5 에피토프 펩타이드(GKPIPNPLLGLDST, 서열번호 84), Myc 펩타이드(EQKLISEE, 서열번호 85), 또는 HA 펩타이드(YPYDVPDYA, 서열번호 86)일 수 있다.In addition, in the pharmaceutical composition, the fusion protein may further include a tag peptide for purification at the N-terminal or C-terminal for efficient purification. The tag peptide comprises a HisX6 peptide, a GST peptide, a FLAG peptide (DYKDDDK, SEQ ID NO: 83), a streptavidin binding peptide, a V5 epitope peptide (GKPIPNPLLGLDST, SEQ ID NO: 84), a Myc peptide (EQKLISEE, ), Or HA peptide (YPYDVPDYA, SEQ ID NO: 86).

상기 암 치료용 약학적 조성물에 있어서, 상기 면역원성 세포사멸 유도제는 안트라사이클린계열 항암제, 탁산 계열 항암제, 항-EGFR 항체, BK 채널 작용제, 보르테조밉(Bortezomib), 강심성 배당체(cardiac glycoside), 사이클로포스마이드 계열 항암제, GADD34/PP1 저해제, LV-tSMAC, Measles 바이러스, 블레오마이신(bleomycin), 미토잔트론(mitoxantrone) 또는 옥살리플라틴(oxaliplatin)일 수 있고 강심성 배당체(cardiac glycoside)는 비-면역원성 세포사멸 유도제와 조합되어 사용될 수 있고, 상기 GADD34/PP1 저해제는 미토마이신(mitomycin)과 조합되어 사용될 수 있으며, 상기 안트라사이클린 계열 항암제는 다우노루비신(daunorubicin), 독소루비신(doxorubicin), 에피루비신(epirubicin), 이다루비신(idarubicin), 픽산트론(pixantrone), 사바루비신(sabarubicin), 또는 발루비신(valrubicin)일 수 있고, 상기 탁산 계열 항암제는 파클리탁셀(paclitaxel) 또는 도세탁셀(docetaxel)일 수 있으며, 상기 항-EGFR 항체는 세툭시맙(cetuximab)일 수 있다. In the pharmaceutical composition for treating cancer, the immunogenic cell death inducer may be selected from the group consisting of an anthracycline anticancer agent, a taxane anticancer agent, an anti-EGFR antibody, a BK channel agonist, bortezomib, a cardiac glycoside, (GADD34 / PP1 inhibitor, LV-tSMAC, Measles virus, bleomycin, mitoxantrone or oxaliplatin, and cardiac glycoside may be a non-immunogenic cell The GADD34 / PP1 inhibitor may be used in combination with mitomycin, and the anthracycline anticancer agent may be selected from the group consisting of daunorubicin, doxorubicin, epirubicin, ), Idarubicin, pixantrone, sabarubicin, or valrubicin, and the taxane family The anti-cancer agent may be paclitaxel or docetaxel, and the anti-EGFR antibody may be cetuximab.

상기 암 치료용 약학적 조성물은 추가로 면역 검문소 억제제를 포함할 수 있는데, 상기 면역 검문소는 PD-1, PD-L1, CTLA-4, B7-1 또는 B7-2일 수 있고, 상기 면역 검문소 억제제는 PD-1/PD-L1 상호작용 억제제 또는 CTLA-4/B7-1/B7-2 상호작용 억제제일 수 있다.The immunological checkpoint may be PD-1, PD-L1, CTLA-4, B7-1 or B7-2, and the immune checkpoint inhibitor May be a PD-1 / PD-L1 interaction inhibitor or a CTLA-4 / B7-1 / B7-2 interaction inhibitor.

상기 암 치료용 약학적 조성물에 있어서, 상기 PD-1/PDL1 상호작용 저해제 는 PD-1 또는 PDL1을 표적으로 하는 항체 또는 상기 항체의 기능성 단편 또는 단일쇄 기반의 항체 유사체일 수 있고, 상기 CTLA-4/B7-1/B7-2 상호작용 억제제 역시 상기 CTLA-4, B7-1 또는 B7-2를 표적으로 하는 항체 또는 상기 항체의 기능성 단편 또는 단일쇄 기반의 항체 유사체일 수 있으며, 상기 PD-1 또는 PDL1을 표적으로 하는 항체는 펨브롤리주맙(Pembrolizumab), 니볼루맙(Nivolumab), 아테졸리주맙(Atezolizumab) 또는 아벨루맙(Avelumab)일 수 있으며, 상기 CTLA-4/B7-1/B7-2 상호작용 저해제는 이필리무맙(Ipilimumab)일 수 있다.In the pharmaceutical composition for treating cancer, the PD-1 / PDL1 interaction inhibitor may be an antibody targeting PD-1 or PDL1 or a functional fragment of the antibody or a single chain-based antibody analog, and the CTLA- 4 / B7-1 / B7-2 interaction inhibitor may also be an antibody targeting the CTLA-4, B7-1 or B7-2, or a functional fragment of the antibody or a single chain-based antibody analog, wherein the PD- 1 or PDL1 may be Pembrolizumab, Nivolumab, Atezolizumab or Avelumab, and the antibody that targets CTLA-4 / B7-1 / B7-2 The interaction inhibitor may be Ipilimumab.

상기 암 치료용 약학적 조성물에 있어서, 상기 단일쇄 기반의 항체 유사체는 scFv, sdAb, 다이아바디(diabody), 모노바디(monobody), 가변 림프구 수용체(variable lymphocyte receptor, VLR), 나노바디(nanobody) 또는 낙타과 중쇄 단편(VHH)일 수 있다. In the pharmaceutical composition for the treatment of cancer, the single-chain-based antibody analog may be a scFv, a sdAb, a diabody, a monobody, a variable lymphocyte receptor (VLR), a nanobody, Or a camelized heavy chain fragment (VHH).

본 발명의 약학적 조성물은 상기 본 발명의 약학적 조성물은 약학적으로 허용 가능한 담체를 포함할 수 있다. 약학적으로 허용 가능한 담체를 포함하는 상기 조성물은 경구 또는 비경구의 여러 가지 제형일 수 있으나, 비경구를 위한 제형인 것이 바람직하다. 제제화할 경우에는 보통 사용하는 충진제, 증량제, 결합제, 습윤제, 붕해제, 계면활성제 등의 희석제 또는 부형제를 사용하여 조제된다. 경구투여를 위한 고형제제에는 정제, 환제, 산제, 과립제, 캡슐제 등이 포함되며, 이러한 고형제제는 하나 이상의 화합물에 적어도 하나 이상의 부형제 예를 들면, 전분, 탄산칼슘, 수크로오스 또는 락토오스, 젤라틴 등을 섞어 조제된다. 또한 단순한 부형제 이외에 스테아린산 마그네슘, 탈크 등과 같은 윤활제들도 사용될 수 있다. 경구투여를 위한 액상제제로는 현탁제, 내용액제, 유제, 시럽제 등이 해당되는데 흔히 사용되는 단순 희석제인 물, 리퀴드 파라핀 이외에 여러 가지 부형제, 예를 들면 습윤제, 감미제, 방향제, 보존제 등이 포함될 수 있다. 비경구 투여를 위한 제제에는 멸균된 수용액, 비수성용제, 현탁제, 유제, 동결건조제제, 좌제가 포함된다. 비수성용제, 현탁용제로는 프로필렌글리콜(propylene glycol), 폴리에틸렌 글리콜, 올리브 오일과 같은 식물성 기름, 에틸올레이트와 같은 주사 가능한 에스테로 등이 사용될 수 있다. 좌제의 기제로는 위텝솔(witepsol), 마크로골, 트윈(tween) 61, 카카오지, 라우린지, 글리세로젤라틴 등이 사용될 수 있다.In the pharmaceutical composition of the present invention, the pharmaceutical composition of the present invention may include a pharmaceutically acceptable carrier. The composition comprising a pharmaceutically acceptable carrier may be various oral or parenteral formulations, but is preferably a parenteral formulation. In the case of formulation, a diluent or excipient such as a filler, an extender, a binder, a wetting agent, a disintegrant, or a surfactant is usually used. Solid formulations for oral administration include tablets, pills, powders, granules, capsules and the like, which may contain at least one excipient such as starch, calcium carbonate, sucrose or lactose, gelatin, . In addition to simple excipients, lubricants such as magnesium stearate, talc, and the like may also be used. Liquid preparations for oral administration include suspensions, solutions, emulsions, syrups and the like. Various excipients such as wetting agents, sweeteners, fragrances, preservatives and the like may be included in addition to water and liquid paraffin, which are simple diluents commonly used. have. Formulations for parenteral administration include sterilized aqueous solutions, non-aqueous solutions, suspensions, emulsions, freeze-dried preparations, and suppositories. Examples of the non-aqueous solvent and the suspending agent include propylene glycol, polyethylene glycol, vegetable oil such as olive oil, and injectable ester such as ethyl oleate. Examples of the suppository base include witepsol, macrogol, tween 61, cacao paper, laurin, glycerogelatin and the like.

상기 약학적 조성물은 정제, 환제, 산제, 과립제, 캡슐제, 현탁제, 용액제, 유제, 시럽제, 멸균된 수용액, 비수성 용제, 현탁제, 유제, 동결건조제제 및 좌제로 이루어진 군으로부터 선택되는 어느 하나의 제형을 가질 수 있다. The pharmaceutical composition is selected from the group consisting of tablets, pills, powders, granules, capsules, suspensions, solutions, emulsions, syrups, sterile aqueous solutions, nonaqueous solvents, suspensions, emulsions, lyophilized preparations and suppositories Any one of the formulations can be used.

본 발명의 약학적 조성물은 경구 또는 비경구로 투여될 수 있는데, 비경구로 투여되는 경우, 정맥내 주사, 비강내 흡입, 근육내 투여, 복강내 투여, 경피흡수 등 다양한 경로를 통해 투여하는 것이 가능하다.The pharmaceutical composition of the present invention can be administered orally or parenterally. When administered parenterally, it can be administered through various routes such as intravenous injection, intranasal inhalation, intramuscular injection, intraperitoneal administration, percutaneous absorption .

상기 본 발명의 조성물은 약학적으로 유효한 양으로 투여된다.The composition of the present invention is administered in a pharmaceutically effective amount.

본 문서에서 사용되는 용어 "약학적으로 유효한 양"은 의학적 치료에 적용 가능한 합리적인 수혜/위험 비율로 질환을 치료하기에 충분한 양을 의미하며, 유효 용량 수준은 개체 종류 및 중증도, 연령, 성별, 약물의 활성, 약물에 대한 민감도, 투여 시간, 투여 경로 및 배출 비율, 치료 기간, 동시 사용되는 약물을 포함한 요소 및 기타 의학 분야에 잘 알려진 요소에 따라 결정될 수 있다. 본 발명의 약학적 조성물은 0.1 mg/kg 내지 1 g/kg의 용량으로 투여될 수 있으며, 더 바람직하게는 1 mg/kg 내지 500 mg/kg의 투여량으로 투여된다. 한편, 상기 투여량은 환자의 나이, 성별 및 상태에 따라 적절히 조절될 수 있다.The term " pharmaceutically effective amount " as used herein means an amount sufficient to treat a disease at a reasonable benefit / risk ratio applicable to medical treatment, and an effective dosage level will vary depending on the species and severity, age, sex, The activity of the compound, the sensitivity to the drug, the time of administration, the route of administration and the rate of release, the duration of the treatment, factors including co-administered drugs, and other factors well known in the medical arts. The pharmaceutical composition of the present invention may be administered at a dose of 0.1 mg / kg to 1 g / kg, more preferably at a dose of 1 mg / kg to 500 mg / kg. On the other hand, the dose can be appropriately adjusted according to the age, sex and condition of the patient.

본 발명의 약학적 조성물은 개별 치료제로 투여하거나 다른 항암제와 병용하여 투여될 수 있고, 종래의 다른 항암제와 순차적 또는 동시에 투여될 수 있다. 그리고 단일 또는 다중 투여될 수 있다. 상기 요소를 모두 고려하여 부작용 없이 최소한의 양으로 최대 효과를 얻을 수 있는 양을 투여하는 것이 중요하며, 당업자에 의해 용이하게 결정될 수 있다.The pharmaceutical composition of the present invention may be administered as an individual therapeutic agent or in combination with other anti-cancer agents, and may be administered sequentially or simultaneously with other conventional anti-cancer agents. And can be administered singly or multiply. It is important to take into account all of the above factors and to administer the amount in which the maximum effect can be obtained in a minimal amount without adverse effect, and can be easily determined by those skilled in the art.

본 발명의 다른 일 관점에 따르면, 신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제의 암 치료용 약학적 조성물의 제조에 있어서의 용도가 제공된다.According to another aspect of the present invention, there is provided a use of a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunogenic apoptosis-inducing agent in the manufacture of a pharmaceutical composition for the treatment of cancer .

본 발명의 또 다른 일 관점에 따르면, 신호조절 단백질(signal-regulatory protein) 또는 및 다량체화 도메인을 포함하는 융합단백질의 다량체 및 면역원성 세포사멸 유도제를 치료를 필요로 하는 개체에 투여하는 단계를 포함하는 상기 개체에 투여하는 단계를 포함하는 암치료 방법이 제공된다.According to another aspect of the present invention, there is provided a method for the treatment of cancer, comprising administering to a subject in need thereof a multimer of a fusion protein comprising a signal-regulatory protein or a multimerization domain and an immunogenicity cell death inducing agent The method comprising administering to the individual a cancer treatment method comprising the steps of:

상기 면역원성 세포사멸 유도제는 상기 융합단백질의 다량체가 나노케이지를 형성할 경우 상기 나노케이지로 내로 적재될 수 있는 이러한 면역원성 세포사멸 유도제의 적재는 이들 약물이 용해된 세포배양 배지 내에서 재조합 엑소좀을 생산하도록 유전자 조작된 세포를 배양함으로써 달성될 수 있고, 분리된 나노케이지를 안트라사이클린 계열 항암제가 용해된 용매에 넣고 교반함으로써 생성할 수 있다. 바람직하게는 미리 2가 금속이온(예컨대, Cu2+, Fe2+, 및 Zn2+)과 안트라사이클린 계열 항암제의 복합체를 형성시킨 후, 제조된 페리틴 중쇄 나노케이지의 내부 공극에 상기 2가 금속이온-안트라사이클린 계열 항암제 복합체가 스며들도록 완충액 상에서 반응시킴으로써 적재할 수 있다. 또한 pH차이에 의한 페리틴 중쇄 나노케이지의 해체-재조립(disassemble-reassemble)과정을 통하여 내부 공극에 항암제가 적재될 수 있으며, 이온 농도차에 의한 공극 열림 현상에 의하여 단백질 나노케이지에 항암제가 적재될 수 있다. The immunogenic proliferation inducing agent may be such that when the multimer of the fusion protein forms a nanocage, the loading of the immunogenicity cell death inducing agent which can be loaded into the nanocage can be carried out by using a recombinant exosome , And culturing the genetically engineered cells to produce the nano-cage, wherein the separated nanocage is placed in a solvent in which the anthracycline-based anticancer drug is dissolved and stirred. Preferably, a complex of an anthracycline type anticancer agent is formed in advance with a divalent metal ion (for example, Cu 2+ , Fe 2+ , and Zn 2+ ), and then the above- Ionic-anthracycline-based anticancer drug complex is immersed in the buffer solution. In addition, the anticancer agent can be loaded on the inner pore through the disassemble-reassembly process of the ferritin heavy chain nanocage due to the pH difference, and the anticancer agent can be loaded on the protein nanocage by the pore opening due to the difference in ion concentration .

최근 암 면역 요법의 표적이 되는 신생항원(neoantigens)으로 알려진 종양의 돌연변이 된 단백질의 동정은 항종양 T 세포 반응을 증가시키는 치료법의 개발로 이어졌고 암세포의 변이원성(mutagenic nature)이 매우 높기는 하지만 종양에서 발현된 변이 단백질의 1%만이 암 환자에서 면역 반응을 유발한다. 신생항원이 면역원성을 갖기 위해서는 세포 표면의 주요 조직 적합성 복합체(MHC) 분자에 의해 처리된 후 제시되어야 하고 종양에서 숙주의 T 세포로 면역원성 신생항원을 효율적으로 전달하는 것이 활성화되고 이는 항원제시세포(APCs)가 적재된 신생항원 펩타이드에 의해서만 달성된다. 본 발명자들은 면역 억제성 종양 미세 환경의 활성화-에너지 한계점을 극복하고 숙주의 T 세포에 대한 APC에 의한 종양 신생항원의 전달 및 제시를 중재하기 위한 새로운 전략을 개발하였다. 상기 전략은 APC에 의한 암세포 식균작용을 강화시키는 리간드를 전달하는 것뿐만 아니라 면역원성 암 세포 사멸(ICD)을 유도하는 약물을 포함하는 자연적으로 유도된 페리틴 기반 나노 캡슐에 기초한다. 이에 따라 본 발명자들은 페리틴 중쇄 단백질 및 Sirpα로 구성된 융합단백질의 자기조립에 의해 생성되는 나노케이지의 내부에 독소루비신이 적재된 항암 복합 나노케이지 또는 상기 항암 복합 나노케이지에 T 림프구와 같은 특정 유형의 면역계 세포 및 일부 암세포에 의해 생산된 특정 단백질을 차단하는 유형의 약물을 의미하는 면역 검문소 억제제(immune checkpoint inhibitor)를 추가로 포함하여 암세포에 대한 면역원성 세포 사멸을 유도하여 암 항원에 특이적인 종양 면역을 촉진시키고 종래 항암제로부터 유발되는 부작용이 없으며 치료 후에도 면역세포에 의한 항암효과가 지속 가능한 차세대 항암 치료제를 개발하였다. Recently, the identification of mutated proteins in tumors known as neoantigens, which are targets of cancer immunotherapy, has led to the development of therapies that increase the antitumor T cell response and, although the mutagenic nature of the cancer cells is very high, Only 1% of expressed mutated proteins cause an immune response in cancer patients. In order for the new antigen to be immunogenic, it has to be presented after being treated by a major histocompatibility complex (MHC) molecule on the cell surface, and it is activated to efficiently deliver the immunogenic neoantigen to the host T cell in the tumor, (APCs) are loaded only by the loaded neonatal peptide. The present inventors have developed a new strategy to overcome the activation-energy limit of immunosuppressive tumor microenvironment and to mediate the delivery and presentation of tumor nodal antigens by APC to host T cells. The strategy is based on naturally derived ferritin-based nanocapsules that include drugs that induce immunogenic cancer cell death (ICD) as well as deliver ligands that enhance cancer cell phagocytosis by APC. Accordingly, the inventors of the present invention have found that an anticancer compound nano cage in which doxorubicin is loaded inside a nanocage produced by self-assembly of a ferritin heavy chain protein and a fusion protein composed of Sirp alpha or a specific type of immunocyte such as T lymphocyte in the anticancer compound nanocage And an immune checkpoint inhibitor, which means a drug of the type that blocks a specific protein produced by some cancer cells, thereby inducing immunogenic cell death of cancer cells to promote tumor antigen-specific tumor immunity And developed a next-generation anti-cancer drug that does not have side effects caused by conventional anticancer drugs and can sustain the anti-cancer effect by immune cells even after treatment.

이하, 첨부된 도면들을 참조하여 본 발명을 상세히 설명한다. 설명의 편의를 위하여 도면에서는 구성 요소들이 그 크기가 과장 또는 축소될 수 있다.DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention will now be described in detail with reference to the accompanying drawings. For ease of explanation, the components may be exaggerated or reduced in size in the drawings.

도 1a는 본 발명의 일 실시예에 따른 페리틴 중쇄 단백질 및 Sirpα로 구성된 융합단백질의 자기조립에 의해 생성되는 나노케이지의 내부에 독소루비신이 적재된 항암 복합 나노케이지의 개략적인 모습을 도시한 개요도이다. 도 1a에 도시된 바와 같이, 페리틴 중쇄 단백질의 C-말단에 Sirpα 또는 Sirpγ 단백질을 연결한 융합단백질을 발현시킬 경우 페리틴 중쇄 단백질 24 소단위체의 자기조립에 의해 내부가 빈 페리틴 나노케이지를 형성한다. 이러한 나노케이지에 구리(Cu)와 같은 금속입자와 약물의 복합체를 처리할 경우, 나노케이지 내부로 약물이 적재될 수 있다. 이렇게 생성된 독소루비신이 적재된 FHSirpα 나노케이지는 형광 FPLC 분석결과 나노케이지 내부에 독소루비신이 제대로 적재되었음을 확인할 수 있었고(도 1b 참조), 동적 광산란 분석 및 전자현미경 촬영 결과 20 nm 안팎의 직경을 갖는 구형의 나노입자를 형성함을 확인할 수 있었다(도 1c 및 1d 참조)FIG. 1A is a schematic diagram showing a schematic view of an anticancer compound nanocage in which doxorubicin is loaded inside a nanocage produced by self-assembly of a ferritin heavy chain protein and a fusion protein composed of Sirp alpha according to an embodiment of the present invention. As shown in FIG. 1A, when a fusion protein in which a Sirp alpha or Sirp gamma protein is linked to the C-terminus of a ferritin heavy chain protein is expressed, self-assembly of the ferritin heavy chain protein 24 subunit forms an empty ferritin nanocage. When such a nanocage is treated with a complex of a metal particle such as copper (Cu) and a drug, the drug can be loaded into the nanocage. The fluorescence FPLC analysis of the FHSirpα nanocage with the generated doxorubicin showed that the doxorubicin was properly loaded inside the nanocage (see FIG. 1b), and the dynamic light scattering analysis and electron microscopy showed that spherical Nanoparticles were formed (see Figs. 1C and 1D)

상기와 같이 제조된 독소루비신이 적재된 다량체성 FHSirpα은 암 모델 동물을 대상으로 한 생체내 항암활성 분석결과, 정맥내 투여 및 종양내 투여 모두 암세포의 성장을 현저하게 억제시킴을 확인하였다(도 2a 내지 2c, 도 6a 내지 6c 참조). As a result of the in vivo anticancer activity analysis of the animal model animal with the multimeric FHSirp alpha loaded with the doxorubicin prepared as described above, it was confirmed that the intravenous administration and the intratumoral administration markedly inhibited the growth of cancer cells (Figs. 2c, Figs. 6A to 6C).

상기와 같은 본 발명의 일 실시예에 따른 다량체성 Sirpα 단백질 및 독소루비신의 병용투여제는 선천성 면역세포인 대식세포와 수지상세포 그리고 CD8+ 세포를 종양조직으로 침윤시킬 뿐만 아니라(도 3a, 3b 및 도 5 참조), 종양조직 주변의 림프절 및 비장 내에 존재하는 면역세포를 활성화시켜, 암 특이적인 면역을 획득함이 확인되었다(도 4). The combined administration of the multispecific Sirp alpha protein and doxorubicin according to an embodiment of the present invention not only infiltrates macrophages, dendritic cells and CD8 + cells, which are innate immune cells, into tumor tissue (FIGS. 3A, 3B, 5), activating immune cells in the lymph nodes and spleen around the tumor tissue, and obtaining cancer-specific immunity (FIG. 4).

뿐만 아니라, 본 발명의 다량체성 Sirpα 단백질 및 독소루비신의 병용투여제를 투여한 실험동물에서 종양조직을 적출한 후 동일 암세포를 재접종하는 rechallenge 실험결과 추가적인 투여 없이도 동일 암의 재발을 매우 효율적으로 억제하는 것으로 나타났다(도 7a 내지 7c 참조).In addition, the rechallenge experiment of re-vaccinating the same cancer cells after extracting the tumor tissues in an experimental animal administered with the combination agent of the multispecific Sirp alpha protein of the present invention and doxorubicin showed that the cancer recurrence was suppressed very efficiently without additional administration (See Figs. 7A to 7C).

아울러, 본 발명의 일 실시예에 따른 본 발명의 다량체성 Sirpα 단백질 및 독소루비신의 병용투여제는 CT26.CL25 대장암 세포 외에, CT26 대장암 세포 및 B16F10-Ova 흑색종 세포에 있어서도 매우 효과적인 항암활성을 나타냈다(도 8a 내지 9b). In addition, the combination administration of the multispecific Sirp alpha protein and doxorubicin of the present invention according to an embodiment of the present invention has a very effective anticancer activity in CT26.CL25 colorectal cancer cells, CT26 colorectal cancer cells and B16F10-Ova melanoma cells (Figs. 8A to 9B).

특히, 상기 B16F10-Ova 흑색종 세포에 대한 항암활성의 기전과 관련하여 본 발명의 다량체성 Sirpα 단백질 및 독소루비신의 병용투여제가 교차프라이밍 능력을 가지고 있는지 확인한 결과, MHC 1형 분자와 함께 미접촉(naive) CD8+ T 세포에 항원을 제시함으로써 상기 미접촉 CD8+ T 세포의 자극 및 분화를 촉진하는 것으로 확인되었다(도 10 내지 도 11b).In particular, regarding the mechanism of the anticancer activity against the B16F10-Ova melanoma cells, it was confirmed that the combination administration of the multispecific Sirp alpha protein and doxorubicin of the present invention had cross-priming ability. As a result, by presenting the antigen to CD8 + T cells was found to accelerate the differentiation and stimulation of the contactless CD8 + T cells (Figs. 10 to 11b).

상기와 같은 결과는 본 발명의 일 실시예에 따른 다량체성 Sirp 단백질 및 면역원성 세포사멸 유도제의 병용투여가 Sirp 단백질의 단독투여 및 면역원성 세포사멸 유도제 단독투여 시에는 매우 미약했던 면역반응에 기반한 항암활성에 대한 매우 놀라운 상승효과를 나타낼 수 있음을 시사하는 것이다.The above results indicate that the combined administration of the multispecific Sirp protein and the immunogenic apoptosis inducing agent according to an embodiment of the present invention is effective for the single administration of the Sirp protein and the anti- Suggesting that it may exhibit a very surprising synergistic effect on activity.

본 발명의 병용투여제는 APCs(antigen presenting cells)에 의한 암 세포 식균작용을 강화하는 리간드(ligands) 뿐만 아니라 면역원성 암세포 사멸(immunogenic cancer cell death, ICD)을 유발하는 약물을 전달한다. 본 발명의 병용투여제는 죽어가는 암세포에서 위험신호(danger signals) 및 신생항원(neoantigens)의 분비를 유도하고 종양세포 식균작용을 강화하며 신생항원 펩타이드를 적재한 수지상 세포에 의해 종양 특이적 T 세포를 교차프라이밍(cross-priming)함으로써 암세포의 존재에 대한 숙주의 면역계를 일깨우고 암에 대한 내재적 항암 백신효과(intrinsic anti-cancer vaccination)를 획득한다. The conjugate of the present invention delivers drugs that induce immunogenic cancer cell death (ICD) as well as ligands that enhance cancer cell phagocytosis by APCs (antigen presenting cells). The combination drug of the present invention induces the release of danger signals and neoantigens in dying cancer cells, enhances tumor cell phagocytosis, and induces tumor-specific T cells (DCs) by dendritic cells loaded with a neonatal antigen peptide To cross-priming the immune system of the host against the presence of cancer cells and obtaining an intrinsic anti-cancer vaccination against cancer.

대식세포 및 수지상 세포와 같은 선천적 면역세포는 식균작용 및 항원제시(antigen presentation)를 통해 적응면역계의 활성을 매개하고 병원균에 대해 초기 숙주방어(initial host defense)에 있어 중요한 역할을 담당하지만 종양세포가 선천적 면역세포에 의한 식균작용을 회피하는 한 가지 기전은 '나를 먹지 마시오(Do not eat me' 신호인 CD47을 상향 조절하는 하는 것이다. 종양세포와 포식세포(phagocytic cells) 사이의 CD47-Sirpα 축을 차단시킬 경우 종양세포에 대한 식세포작용을 증가시키는 것으로 나타나, 암 면역요법에서의 표적으로서의 장점을 입증하였다. 아울러, CD47 기반 치료법은 면역능을 가진(immunocompetent) 마우스 모델에서 선천 및 적응면역(adaptive immune) 반응 간에 연결을 유도하여 항암 면역 효과를 증진시키는 것으로 보고되었다(Liu, X. J. et al., Nat Med. 21, 1209-1215, 2015). 최근에 암 치료제로 CD47을 차단하는 Sirpα 변이체 및 나노바디가 개발되어 왔다. 그러나, 이들 Sirpα 변이체 자체의 항암활성은 생각보다 뛰어난 것은 아닌 것으로 알려지고 있다.Congenital immune cells such as macrophages and dendritic cells mediate the activity of the adaptive immune system through phagocytosis and antigen presentation and play an important role in initial host defense against pathogens, One mechanism to avoid phagocytosis by innate immune cells is to "up-regulate CD47, the Do not eat me" signal, to block the CD47-Sirpα axis between tumor cells and phagocytic cells In addition, CD47-based therapies have been shown to increase the number of congenital and adaptive immune responses in immunocompetent mouse models, (Liu, XJ et al., Nat Med. 21, 1209-12). 15, 2015.) Recently, Sirpα mutants and nano-bodies that block CD47 as a cancer treatment have been developed, but the anticancer activities of these Sirpα mutants themselves are not considered to be superior to what they seem to be.

이에, 본 발명자들은 CD47-매개 면역치료요법을 개선하기 위하여, 예의 노력한 결과, 인간 및 마우스 CD47에 결합 및 길항할 수 있는 Sirp 단백질이 다량체를 형성할 수 있도록 인간 페리틴 중쇄 단백질과 융합시켜 발현하는 한편, 이러한 다량체화된 융합단백질과 독소루비신과 같은 면역원성 세포사멸 유도제를 병용처리할 경우, 이들 Sirp단백질의 기능을 현저하게 향상시켜 암세포의 면역세포 회피를 억제하고 면역세포에 의한 암세포의 사멸을 더욱 증진시킬 수 있음을 확인할 수 있었다.Thus, in order to improve the CD47-mediated immunotherapy, the present inventors have found that, as a result of intensive efforts, the present inventors have found that a Sirp protein capable of binding and antagonizing human and mouse CD47 can be fused with human ferritin heavy chain protein On the other hand, when such a multimerized fusion protein and an immunogenicity cell death inducer such as doxorubicin are used in combination, the function of these Sirp proteins is remarkably improved to inhibit the immune cell evasion of cancer cells and to prevent the death of cancer cells by immune cells It can be confirmed that it can be promoted.

본 발명자들은 죽어가는 암세포에서 면역원성 신생항원 및 위험신호의 분비를 위한 전략을 예의 연구한 결과, 상기 다량체성 Sirp 및 면역원성 세포사멸 유도제의 병용처리 시 국소 염증반응을 자극하고 신생항원을 적재한 수지상 세포의 생성을 더욱 강력하게 촉발함을 규명하였다. 일부 죽어가는 암세포는 대규모의 면역반응을 유발하는데, 이러한 현상을 '면역원성 세포 사멸(immunogenic cell death, ICD)이라 한다(Kroemer et al. Annu. Rev. Immunol. 31: 51-72, 2013). ICD는 시공간적으로 제한된 하기 세 가지 구분되는 '위험'신호의 조합과 의사소통한다. As a result of intensive studies on the strategy for secretion of immunogenic progenitor antigen and risk signal in dying cancer cells, the present inventors have found that the combined treatment of the multispecific Sirp and the immunogenicity cell death inducer stimulates the local inflammatory reaction, And more strongly induces the production of dendritic cells. Some dying cancer cells trigger a massive immune response, which is called 'immunogenic cell death' (Kroemer et al ., Annu. Rev. Immunol. 31: 51-72, 2013). The ICD communicates with a combination of three distinct 'risk' signals, spatially limited.

1) 소포체(ER)에 존재하는 칼레티큘린(calreticulin, CRT)의 세포 표면으로의 이동(translocation)과 관련된 "나를 먹으시오(eat-me)" 신호; 2) ATP의 분비의 활성화와 관련된 "나를 찾으시오(find-me)"신호; 그리고 3) nuclear high-mobility group box 1(HMGB1) 단백질의 세포외 분비와 관련된 항원 처리 및 T 세포로의 제시를 촉진하는 신호. 이러한 신호는 T 세포로 종양 신생항원의 제시를 자극하기 위해 수지상 세포 표면에 발현된 일련의 수용체를 조절한다. 따라서 본 발명자들은 종양 미세 환경에 CD47 길항제와 함께 전달된 ICD 유도제가 죽어가는 암세포로부터 위험 신호를 유발하고 세포 면역반응을 시작할 것이라는 가설을 정립하였다. 1) an "eat-me" signal associated with translocation of calreticulin (CRT) to the cell surface present in the ER; 2) a " find-me " signal associated with the activation of ATP secretion; And 3) a signal that promotes the antigenic treatment and presentation of T cells to the extracellular secretion of the nuclear high-mobility group box 1 (HMGB1) protein. These signals regulate a series of receptors expressed on the surface of dendritic cells to stimulate the presentation of tumor nodal antigens to T cells. Therefore, the present inventors have hypothesized that the ICD inducer delivered with the CD47 antagonist to the tumor microenvironment would trigger a danger signal from a dying cancer cell and initiate a cellular immune response.

다량체성 Sirp와 함께 전달하기 위한 ICD 유도제로서 치료된 암세포에서 ICD의 세 가지 특성을 유도하는 안트라사이클린 계열 항암제인 독소루비신(dox)을 선택하였고, 철 항성성의 매개자인 페리틴의 금속 이온-결합 친화력의 장점을 이용하였다. 상기 페리틴의 금속-이온 결합 친화력은 금속-기반의 약물 또는 금속-복합체 약물을 페리틴의 내부 공극(central cavity)에 축적시킬 수 있게 해준다. 본 발명자들은 이를 위해 Cu(II)와 사전 복합화 된 독소루비신을 나노케이지 내부 공극으로 내제화시킴으로써 FHSirpα 나노케이지에 봉입된 독소루비신 제제를 제조하였으며, 이를 FHSirpα-Dox로 명명하였다. FHSirpα 내부로의 독소루비신의 성공적인 적재는 크기-제한 크로마토그래피로 확인하였고 포획된 독소루비신의 양은 FHSirpα 나노케이지 당 54 독소루비신 분자인 것으로 확인되었다. Doxorubicin (dox), an anthracycline-based anticancer drug that induces three characteristics of ICD in cancer cells treated with ICD inducers for delivery with multispecific Sirp was selected and the advantages of metal ion-binding affinity of ferritin, Was used. The metal-ion binding affinity of the ferritin allows a metal-based drug or metal-complex drug to accumulate in the central cavity of the ferritin. The present inventors prepared a doxorubicin preparation encapsulated in FHSirpα nanocage by innoculating doxorubicin pre-complexed with Cu (II) into the interior of the nanocage, and named it FHSirpα-Dox. Successful loading of doxorubicin into FHSirpα was confirmed by size-limited chromatography and the amount of doxorubicin captured was found to be 54 doxorubicin molecules per FHSirpα nanocage.

상기 FHSirpα-Dox를 종양모델 마우스에 투여한 결과 다량의 다량체화 CD47 길항제 및 ICD의 유리한 종양 축적을 반영한 강력한 상승성 항암활성을 확인할 수 있었다. 국소 염증반응을 자극하고 면역 억제성 종양 미세환경에서 선천성 면역세포의 식세포 작용과 성숙은 T 세포에 면역원성 종양 신생항원의 효과적인 전달 및 제시를 유도한다. 이러한 강력한 면역반응은 전체 종양 박멸과 지속적인 항-종양 면역반응을 초래하였고 총체적으로, 종양에 대한 숙주의 면역계를 활성화시키는 보편적이고 효과적인 접근법임이 입증되었다. The FHSirpa-Dox was administered to a tumor model mouse, and it was confirmed that there was a strong ascending antitumor activity reflecting a large amount of a mass-multiplied CD47 antagonist and favorable tumor accumulation of ICD. Phagocytosis and maturation of innate immune cells in the immune suppressive tumor microenvironment stimulate local inflammatory responses, leading to effective delivery and presentation of immunogenic tumor neoplasia to T cells. This strong immune response has resulted in total tumor eradication and a persistent anti-tumor immune response and, overall, has proven to be a universal and effective approach to activating the immune system of the host to tumors.

비교해 보면, 현재의 암 백신은 원하는 표적 종양 신생항원의 지속적인 발현을 필요로 하고, 표적 항원을 발현하지 않는 내성 클론의 형성을 유도한다는 점에서 제한적이다. 키메라 항원 수용체(CAR) T 세포 치료법은 또한 원하는 표적 종양 신생항원이 지속적으로 발현될 필요가 있으며, 최적화 요구 사항 및 생체 외 조작의 경제적 비용을 포함한 다른 주요 장애물과도 관련이 있고 PD-1 항체와 같은 조절 항체는 항-종양 및 항-자체 자가면역 T 세포를 포함하여 모든 활성 또는 소진된 T 세포가 자극받을 수 있는 단점을 가지고 있다. 그러나 본 발명의 다량체성 Sirp 단백질 및 면역원성 세포사멸 유도제의 병용투여제는 국소적 및 전신적인 항-종양 특이적 면역 모두를 활성화시켜 '고유의 항암 백신(intrinsic anti-cancer vaccination)'으로서 그 효능을 입증하는 강력한 면역 자극제이고 내구성이 강하고 견고한 반응을 고려할 때 상기 시너지 효과는 광범위한 잠재력을 가지며 단계에 관계없이 여러 유형의 암 치료에 사용될 수 있을 것으로 사료된다.In comparison, current cancer vaccines are limited in that they require constant expression of the desired target tumor nodal antigen and induce the formation of resistant clones that do not express the target antigen. Chimeric antigen receptor (CAR) T cell therapy is also associated with other major obstacles including the need for constant expression of the desired target tumor nodal antigen and economic requirements and the cost of in vitro manipulation, and is associated with PD-1 antibodies Such regulatory antibodies have the disadvantage that all active or depleted T cells, including anti-tumor and anti-self-autoimmune T cells, can be stimulated. However, the combined administration of the multispecific Sirp protein of the present invention and the immunogenicity cell death inducing agent activates both local and systemic anti-tumor specific immunity, and thus the effect thereof as an 'intrinsic anti-cancer vaccination' , The synergistic effect has a wide potential and can be used for various types of cancer therapy regardless of stage, considering a durable and robust response.

이하, 실시예 및 실험예를 통하여 본 발명을 더 상세히 설명한다. 그러나 본 발명은 이하에서 개시되는 실시예 및 실험예에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 수 있는 것으로, 이하의 실시예 및 실험예는 본 발명의 개시가 완전하도록 하며, 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이다. Hereinafter, the present invention will be described in more detail with reference to Examples and Experimental Examples. It should be understood, however, that the invention is not limited to the disclosed embodiments and examples, but may be embodied in many different forms and should not be construed as being limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, It is provided to fully inform the owner of the scope of the invention.

실시예 1: 페리틴 나노케이지의 제조Example 1: Preparation of ferritin nanocage

1-1: 페리틴 중쇄 단백질 및 Sirp-α 고친화성 변이체의 융합단백질1-1: Fusion protein of ferritin heavy chain protein and Sirp-α high affinity mutant

본 발명자들은 서열번호 1로 기재되는 아미노산 서열로 구성되는 인간 페리틴 중쇄 단백질(hFTH)을 암호화하는 폴리뉴클레오티드(서열번호 2); 서열번호 3으로 기재되는 아미노산 서열로 구성되는 링커 펩타이드를 암호화하는 폴리뉴클레오티드(서열번호 4) 및 서열번호 5로 기재되는 아미노산 서열로 구성되는 Sirpα 고친화성 변이체를 암호화하는 폴리뉴클레오티드(서열번호 6)를 각각 PCR 또는 합성에 의해 클로닝한 후 이를 제한효소 및 라이게이즈를 이용하여 연결한 후, His tag를 포함하는 발현벡터 pT7-7에 클로닝하였다. 상기 각각의 단백질 또는 펩타이드를 암호화하는 폴리뉴클레오티드의 클로닝을 용이하게 하기 위해, hFTH와 링커 펩타이드 사이에는 제한효소 Xho I 인식부위를 추가하였고, 링커 펩타이드와 Sirpα 사이에는 제한효소 Hind Ⅲ 인식부위를 추가하였으며, Sirpα를 암호화하는 폴리뉴클레오티드의 3'-말단에는 제한효소 Cla I 인식부위를 추가하였다.The present inventors have found that a polynucleotide encoding a human ferritin heavy chain protein (hFTH) consisting of the amino acid sequence shown in SEQ ID NO: 1 (SEQ ID NO: 2); A polynucleotide (SEQ ID NO: 4) encoding a linker peptide consisting of the amino acid sequence shown in SEQ ID NO: 3 and a polynucleotide (SEQ ID NO: 6) encoding a Sirp alpha highly compatible variant consisting of the amino acid sequence shown in SEQ ID NO: 5 After cloning by PCR or synthesis, they were ligated using restriction enzymes and ligase, and cloned into an expression vector pT7-7 containing His tag. To facilitate cloning of the polynucleotides encoding the respective proteins or peptides, a restriction enzyme Xho I recognition site was added between hFTH and the linker peptide, and a restriction enzyme Hin d III recognition site was added between the linker peptide and Sirpα , And a restriction enzyme Cla I recognition site was added to the 3'-end of the polynucleotide encoding Sirp alpha.

하나한(Hanahan)이 기술한 방법(Hanahan D, DNA Cloning vol.1, 109-135, IRS press 1985)에 의해 상기에서 제조된 벡터들을 대장균에 형질전환하였다. 구체적으로 CaCl2로 처리한 대장균 BL21(DE3)에 상기에서 제조된 벡터들을 열 충격 방법으로 형질전환시킨 후, 암피실린이 포함된 배지에서 배양하여 상기 발현벡터가 형질전환되어 암피실린 저항성을 나타내는 세포를 선별하였다. 형질전환된 세포를 OD600이 0.6이 될 때까지 36℃에서 배양한 후 1 mM IPTG를 가하여 융합단백질의 발현을 유도하고 20℃에서 16시간 동안 추가로 배양하였다. 배양을 마친 세포를 회수하여 초음파를 처리하여 파쇄하고 세포 파쇄액을 12,000 g로 30분간 원심분리하여 세포잔해물을 제거하였다. 재조합 단백질을 Ni2+-NTA 컬럼(Qiagen, Hilden, Germany)을 사용하여 각각 분리하였다(세척 버퍼: pH 8.0, 50 mM 소듐 포스페이트, 300 mM NaCl, 80 mM 이미다졸; 용출 버퍼: pH 8.0, 50 mM 소듐 포스페이트, 300 mM NaCl, 250 mM 이미다졸). 용출 버퍼의 이미다졸을 제거하기 위하여 멤브레인 필터(Amicon, 10K)를 이용하여 PBS로 버퍼를 교체해 주었다. 수득된 나노케이지의 농도는 Bradford 단백질 분석 방법으로 측정하였다. 상기와 같이 제조된 나노케이지를 'FHSirpα HV'로 명명하였다.The vectors prepared above were transformed into E. coli by the method described by Hanahan (Hanahan D, DNA Cloning vol. 1, 109-135, IRS press 1985). Specifically, the above-prepared vectors were transformed with Escherichia coli BL21 (DE3) treated with CaCl 2 by heat shock method, cultured in a medium containing ampicillin, and the expression vector was transformed to select cells showing resistance to ampicillin Respectively. The transformed cells were cultured at 36 ° C. until the OD 600 reached 0.6, and the expression of the fusion protein was induced by adding 1 mM IPTG and further cultured at 20 ° C. for 16 hours. The cultured cells were collected, disrupted by sonication, and centrifuged at 12,000 g for 30 minutes to remove cellular debris. The recombinant proteins were each separated using a Ni 2+ -NTA column (Qiagen, Hilden, Germany) (wash buffer: pH 8.0, 50 mM sodium phosphate, 300 mM NaCl, 80 mM imidazole; elution buffer: mM sodium phosphate, 300 mM NaCl, 250 mM imidazole). The buffer was replaced with PBS using a membrane filter (Amicon, 10K) to remove imidazole from the elution buffer. The concentration of the obtained nanocage was measured by Bradford protein analysis method. The nanocage thus prepared was named 'FHSirpα HV'.

1-2: 페리틴 중쇄 단백질 및 Sirpα 야생형 융합단백질1-2: Ferritin heavy chain protein and Sirp alpha wild-type fusion protein

본 발명자들은 Sirpα 고친화성 변이체가 아닌 서열번호 7로 기재되는 인간 Sirpα 야생형 단백질을 암호화하는 폴리뉴클레오티드(서열번호 8)을 사용한 것을 제외하고는 상기 실시예 1-1과 동일한 방법으로 페리틴 중쇄 단백질에 인간 Sirpα 야생형 단백질이 연결된 융합단백질 및 이를 이용한 페리틴 중쇄 나노케이지(이하, 'FH-hSirpα WT 나노케이지'로 약칭함)를 제조하였다. The inventors of the present invention carried out the same method as in Example 1-1 except that the polynucleotide encoding the human Sirp alpha wild type protein (SEQ ID NO: 8) described in SEQ ID NO: 7, which is not a Sirp alpha high affinity mutant, A fusion protein to which a Sirp? Wild-type protein is linked and a ferritin heavy chain nano cage using the same (hereinafter, abbreviated as 'FH-hSirp? WT nanocage').

1-3: 페리틴 중쇄 단백질 및 Sirpγ 야생형 융합단백질1-3: Ferritin heavy chain protein and Sirp gamma wild type fusion protein

본 발명자들은 Sirpα 고친화성 변이체가 아닌 서열번호 9로 기재되는 Sirpγ 야생형 단백질을 암호화하는 폴리뉴클레오티드(서열번호 10)를 사용한 것을 제외하고는 상기 실시예 1-1과 동일한 방법으로 페리틴 중쇄 단백질에 Sirpγ 야생형 단백질이 연결된 페리틴 중쇄 나노케이지(이하, 'FHSirpγ WT 나노케이지'로 약칭함)를 제조하였다.The present inventors prepared a Sirp gamma wild type (SEQ ID NO: 10) in the same manner as in Example 1-1 except that the polynucleotide encoding the Sirp gamma wild type protein (SEQ ID NO: 10), which is not the Sirp alpha high affinity mutant, (Hereinafter abbreviated as &quot; FHSirp gamma WT nanocage &quot;) in which a protein is linked.

1-4: 페리틴 중쇄 단백질 및 Sirp-γ 변이체 1 융합단백질1-4: Ferritin heavy chain protein and Sirp-gamma mutant 1 fusion protein

본 발명자들은 Sirpα 고친화성 변이체가 아닌 Sirpγ 야생형 단백질에서 상기 Sirpα 고친화성 변이체의 변이 아미노산에 상응하는 아미노산 변이를 가진 Sirpγ 변이체(이하, 'Sirpγ V1'으로 약칭함, 서열번호 11)을 암호화하는 폴리뉴클레오티드(서열번호 12)를 사용한 것을 제외하고는 상기 실시예 1-1과 동일한 방법으로 페리틴 중쇄 단백질에 Sirpγ V1 단백질이 연결된 페리틴 중쇄 나노케이지(이하, 'FHSirpγ V1 나노케이지'로 약칭함)를 제조하였다.The present inventors have found that a polynucleotide encoding a Sirp gamma mutant (hereinafter abbreviated as &quot; Sirp gamma V1 &quot;) having an amino acid mutation corresponding to the mutated amino acid of the above Sirp alpha high affinity mutant in a Sirp gamma wild type protein which is not a Sirp alpha high affinity mutant (Hereinafter abbreviated as 'FHSirpγ V1 nanocage') in which a Sirpγ V1 protein was linked to a ferritin heavy chain protein was prepared in the same manner as in Example 1-1, except that the ferritin heavy chain protein (SEQ ID NO: 12) .

1-5: 페리틴 중쇄 단백질 및 Sirp-γ 변이체 2 융합단백질1-5: Ferritin heavy chain protein and Sirp-gamma mutant 2 fusion protein

본 발명자들은 Sirpα 고친화성 변이체가 아닌 Sirpγ 야생형 단백질에서 27번째 아미노산이 치환되지 않은 것(valine)을 제외하고는 상기 Sirpα 고친화성 변이체의 변이 아미노산에 상응하는 아미노산 변이를 가진 Sirpγ 변이체(이하, 'Sirpγ HV2'으로 약칭함, 서열번호 13)을 암호화하는 폴리뉴클레오티드(서열번호 14)를 사용한 것을 제외하고는 상기 실시예 1-1과 동일한 방법으로 페리틴 중쇄 단백질에 Sirpγ V2 단백질이 연결된 페리틴 중쇄 나노케이지(이하, 'FHSirpγ V2 나노케이지'로 약칭함)를 제조하였다.The present inventors have found that a Sirp gamma mutant having an amino acid mutation corresponding to the mutated amino acid of the above Sirp alpha high affinity mutant (hereinafter referred to as &quot; Sirp gamma mutant &quot;) except for the valine in which the 27th amino acid is not substituted in the Sirp gamma wild type protein, (SEQ ID NO: 14) encoding the Sirp gamma V2 protein was linked to the ferritin heavy chain protein in the same manner as in Example 1-1 except that the polynucleotide encoding the Sirp gamma V2 protein (abbreviated as &quot; HV2 & Hereinafter abbreviated as &quot; FHSirp gamma V2 nanocage &quot;).

실시예 2: 독소루비신 적재 나노 케이지의 제조Example 2: Preparation of doxorubicin loaded nanocage

본 발명자들은 먼저 독소루비신 1 mg/ml을 구리이온(Cu2+) 1 mM과 상온에서 30분간 반응시켜 독소루비신-구리이온 복합체를 형성시켰다. 그런 다음 상기 혼합물을 상기 실시예 1-1에서 제조된 FHSirpα HV 용액(250 ㎍/ml)에 가하고 상온에서 120분간 반응시켰다. 반응물은 PD-10 칼럼을 이용한 크로마토그래피로 유리 독소루비신 및 구리이온을 제거하였다. 상기 적재된 독소루비신은 형광 분광기(2103 EnVision™ Multilabel Plate Readers, PerkinElmer, USA)로 측정한 후 표준 커브와 비교하여 정량하였고 상기 제조된 독소루비신 복합 나노케이지의 나노입자 형성 여부를 확인하기 위해, 상기 회수된 나노케이지의 입도를 동적 광산란(dynamic light scattering, DLS) 분석장치(Malvern zetasizer nano ZS, UK)을 이용하여 분석하는 한편, 투과 전자현미경으로 생성된 나노케이지를 촬영하였다. The present inventors firstly reacted 1 mg / ml of doxorubicin with 1 mM of copper ion (Cu 2+ ) at room temperature for 30 minutes to form a doxorubicin-copper ion complex. Then, the mixture was added to the FHSirp? HV solution (250 占 퐂 / ml) prepared in Example 1-1 and reacted at room temperature for 120 minutes. The reactants were free of free doxorubicin and copper ions by chromatography on a PD-10 column. The loaded doxorubicin was measured by a fluorescence spectrometer (2103 EnVision ™ Multilabel Plate Readers, PerkinElmer, USA) and quantitated in comparison with a standard curve. To confirm whether or not the prepared doxorubicin composite nanocage was formed with nanoparticles, The particle size of the nanocage was analyzed using a dynamic light scattering (DLS) analyzer (Malvern zetasizer nano ZS, UK), and a nanocage produced by transmission electron microscopy was photographed.

그 결과, 도 1b에서 나타난 바와 같이, FPLC상 본 발명의 독소루비신 복합 나노케이지 역시 단일한 피크로 나타났으며, 독소루비신 측정을 위한 480 nm에서의 흡광도 측정 결과 역시 280 nm 파장에서의 단백질 검출과 동일한 머무름시간에서 확인됨으로써 본 발명의 독소루비신 복합 나노케이지 내부에 독소루비신이 성공적으로 적재되었음을 간접적으로 확인할 수 있었다. 입도분석 결과 역시 도 1c에서 나타난 바와 같이 10 내지 100 nm의 입도크기(평균 19.38ㅁ1.7 nm)를 갖는 나노입자임을 확인할 수 있었고, 투과전자현미경 촬영 결과 역시 도 1d에서 나타난 바와 같이 구형의 나노입자가 형성됨을 확인할 수 있었다.As a result, as shown in FIG. 1B, the doxorubicin composite nano cage of the present invention also showed a single peak on the FPLC, and the absorbance at 480 nm for the doxorubicin measurement also showed the same retention as the protein detection at the wavelength of 280 nm Time, it was indirectly confirmed that doxorubicin was successfully loaded into the doxorubicin composite nanocage of the present invention. As shown in FIG. 1C, the particle size analysis results also showed that the nanoparticles had a particle size of 10 to 100 nm (average 19.38 1.7 nm). The transmission electron microscope photographs also showed spherical nanoparticles Respectively.

실시예 3: FcSirpα의 제조Example 3: Preparation of FcSirp alpha

본 발명자들은 서열번호 89로 기재되는 인간 IgG1의 Fc 도메인을 암호화하는 폴리뉴클레오티드(서열번호 90)에 서열번호 3으로 기재되는 아미노산 서열로 구성되는 링커 펩타이드를 암호화하는 폴리뉴클레오티드(서열번호 4) 및 서열번호 5로 기재되는 아미노산 서열로 구성되는 Sirpα 고친화성 변이체를 암호화하는 폴리뉴클레오티드(서열번호 6)가 연결된 융합단백질을 암호화하는 폴리뉴클레오티드를 각각 PCR 또는 합성에 의해 클로닝한 후 이를 제한효소 및 라이게이즈를 이용하여 연결한 후, His tag를 포함하는 발현벡터 pT7-7에 클로닝하였다. 상기 각각의 단백질 또는 펩타이드를 암호화하는 폴리뉴클레오티드의 클로닝을 용이하게 하기 위해, Fc와 링커 펩타이드 사이에는 제한효소 Xho I 인식부위를 추가하였고, 링커 펩타이드와 Sirpα 사이에는 제한효소 Hind Ⅲ 인식부위를 추가하였으며, Sirpα를 암호화하는 폴리뉴클레오티드의 3'-말단에는 제한효소 Cla I 인식부위를 추가하였다.(SEQ ID NO: 90) encoding the Fc domain of human IgG1 described in SEQ ID NO: 89 and a polynucleotide (SEQ ID NO: 4) encoding a linker peptide consisting of the amino acid sequence of SEQ ID NO: The polynucleotide encoding the fusion protein to which the polynucleotide encoding the Sirp alpha high-affinity mutant (SEQ ID NO: 6) consisting of the amino acid sequence represented by SEQ ID NO: 5 is linked is cloned by PCR or synthetic method, And then cloned into an expression vector pT7-7 containing His tag. To facilitate cloning of the polynucleotides encoding the respective proteins or peptides, a restriction enzyme Xho I recognition site was added between Fc and linker peptide, and a restriction enzyme Hin d III recognition site was added between the linker peptide and Sirp alpha , And a restriction enzyme Cla I recognition site was added to the 3'-end of the polynucleotide encoding Sirp alpha.

하나한(Hanahan)이 기술한 방법(Hanahan D, DNA Cloning vol.1, 109-135, IRS press 1985)에 의해 상기에서 제조된 벡터들을 대장균에 형질전환하였다. 구체적으로 CaCl2로 처리한 대장균 BL21(DE3)에 상기에서 제조된 벡터들을 열 충격 방법으로 형질전환시킨 후, 암피실린이 포함된 배지에서 배양하여 상기 발현벡터가 형질전환되어 암피실린 저항성을 나타내는 세포를 선별하였다. 형질전환된 세포를 OD600이 0.6이 될 때까지 36℃에서 배양한 후 1 mM IPTG를 가하여 융합단백질의 발현을 유도하고 20℃에서 16시간 동안 추가로 배양하였다. 배양을 마친 세포를 회수하여 초음파를 처리하여 파쇄하고 세포 파쇄액을 12,000 g로 30분간 원심분리하여 세포잔해물을 제거하였다. 재조합 단백질을 Ni2+-NTA 컬럼(Qiagen, Hilden, Germany)을 사용하여 각각 분리하였다(세척 버퍼: pH 8.0, 50 mM 소듐 포스페이트, 300 mM NaCl, 80 mM 이미다졸; 용출 버퍼: pH 8.0, 50 mM 소듐 포스페이트, 300 mM NaCl, 250 mM 이미다졸). 용출 버퍼의 이미다졸을 제거하기 위하여 멤브레인 필터(Amicon, 10K)를 이용하여 PBS로 버퍼를 교체해 주었다. 수득된 융합단백질의 농도는 Bradford 단백질 분석 방법으로 측정하였다. 상기와 같이 제조된 융합단백질를 'FcSirpα'로 명명하였다. The vectors prepared above were transformed into E. coli by the method described by Hanahan (Hanahan D, DNA Cloning vol. 1, 109-135, IRS press 1985). Specifically, the above-prepared vectors were transformed with Escherichia coli BL21 (DE3) treated with CaCl 2 by heat shock method, cultured in a medium containing ampicillin, and the expression vector was transformed to select cells showing resistance to ampicillin Respectively. The transformed cells were cultured at 36 ° C. until the OD 600 reached 0.6, and the expression of the fusion protein was induced by adding 1 mM IPTG and further cultured at 20 ° C. for 16 hours. The cultured cells were collected, disrupted by sonication, and centrifuged at 12,000 g for 30 minutes to remove cellular debris. The recombinant proteins were each separated using a Ni 2+ -NTA column (Qiagen, Hilden, Germany) (wash buffer: pH 8.0, 50 mM sodium phosphate, 300 mM NaCl, 80 mM imidazole; elution buffer: mM sodium phosphate, 300 mM NaCl, 250 mM imidazole). The buffer was replaced with PBS using a membrane filter (Amicon, 10K) to remove imidazole from the elution buffer. The concentration of the obtained fusion protein was measured by Bradford protein analysis method. The fusion protein thus prepared was named 'FcSirpα'.

실험예 1: FHSirpα-Dox의 Experimental Example 1: Preparation of FHSirp? -Dox in vivoin vivo 항암효과의 분석 Analysis of anti-cancer effect

1-1: CT26.CL25 동소적 종양 마우스 이용 항암효과 분석1-1: CT26.CL25 Anticancer effect analysis using monoclonal tumor mouse

본 발명자들은 본 발명의 일 실시예에 따라 제조된 Sirpα 다량체 및 독소루비신의 병용투여제(FHSirpα-Dox)가 실제로 동물모델 실험에서도 동일한 항암효과가 나타나는지 확인하기 위해 이종이식 암 모델 마우스를 이용하여 본 발명의 실시예 2에서 제조된 FHSirpα-Dox의 항암활성을 조사하였다. 실험동물로는 Balb/c 야생형 마우스를 사용하였으며, 상기 실험동물에 대한 실험은 KIST 동물윤리위원회의 규정에 따라 수행되었다.The inventors of the present invention conducted experiments to confirm whether the combination drug (FHSirp alpha -Dox) of Sirp alpha oligosaccharide and doxorubicin prepared according to an embodiment of the present invention showed the same anti-cancer effect in an animal model experiment, The anticancer activity of FHSirp alpha -Dox prepared in Example 2 of the present invention was examined. Balb / c wild type mouse was used as an experimental animal, and experiments on the above experimental animals were carried out according to the regulations of the KIST animal ethics committee.

우선, 다양한 형태의 Sirpα 단백질과 독소루비신의 in vivo 항암활성의 측정을 위해 8주령의 Balb/c 야생형 마우스에 β-galactose를 발현하는 CT26.CL25 암세포 1X106 cells를 왼쪽 등에 피하주입하여 암을 유발시켰고, 암세포 주입 7일째에 각 실험물질(완충액, dox, wtFH-dox, mSirpα + dox, FHSirpα-dox)를 3일 간격으로 총 5차례 정맥주사로 주입하였다. 이때, 각 물질의 투여량은 각각 독소루비신(dox) 1 mg/kg, wtFH-dox 15 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함), mSirpα 9.5 mg/kg + dox 1 mg/kg, 및 FHSirpα-dox 28 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함)이었다. 그런 다음, 암세포 주입 25일째까지 3일간격으로 암세포의 부피를 캘리퍼를 이용하여 길이(L) 및 폭(W)을 측정한 후, 하기 공식을 이용하여 계산하였고(도 2a), 25일째 실험동물의 종양조직 부위를 촬영한 후 종양조직을 적출하여 종양조직의 무게를 측정하였다(도 2b 내지 2d): First, in order to measure the in vivo antitumor activity of various forms of Sirpα protein and doxorubicin, 1 × 10 6 cells of CT26.CL25 cancer cells expressing β-galactose in 8-week-old Balb / c wild-type mice were injected subcutaneously on the left side to induce cancer , 7 days after the injection of the cancer cells, each test substance (buffer, dox, wtFH-dox, mSirpα + dox, FHSirpα-dox) was injected intravenously 5 times at intervals of 3 days. The dose of each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content). Then, the length (L) and the width (W) of the cancer cells were measured using a caliper at intervals of 3 days until the 25th day after the injection of the cancer cells, and then calculated using the following formula (Fig. 2a) The tumor tissue was taken and the tumor tissue was weighed to determine the weight of the tumor tissue (Figures 2b to 2d):

암세포 부피(V[mm3])=(L[mm])x(W[mm])2x0.5Cancer cell volume (V [mm 3 ]) = (L [mm]) x (W [mm]) 2 x 0.5

그 결과, 도 2b 및 2c에 나타난 바와 같이, 대조군(완충액만 주입)의 경우 종양의 크기가 1,000 mm3을 초과하였으며, 독소루비신 단독 처리군 역시 그 효과가 미미하였다. 아울러, 야생형 페리틴에 독소루비신을 적재한 경우(wtFH-dox) 및 야생형 Sirpα와 독소루비신의 병용투여(mSirpα + dox)의 경우 항암효과가 나타나긴 하였으나, 암세포의 성장을 충분히 억제하는 수준은 아니었다. 반면 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신의 병용투여제(FHSirpα-dox)의 경우 25일 경과 시에도 암세포의 부피가 200 mm3 남짓할 정도로 암세포의 성장을 현저하게 억제하였다. 더 나아가, 본 발명의 일 실시예에 따른 Sirpα 다량체와 독소루비신의 병용투여제(FHSirpα-dox)의 경우 암세포의 성장을 거의 완벽하게 억제하여 육안으로 암세포를 구분할 수 없을 정도의 효과를 나타냈다.As a result, as shown in Figs. 2B and 2C, the size of the tumor exceeded 1,000 mm 3 in the control group (only the buffer solution was injected), and the effect of doxorubicin alone treatment was also insignificant. In addition, the combination of wild-type doxorubicin with doxorubicin (wtFH-dox) and wild-type Sirpα with doxorubicin (mSirpα + dox) showed anticancer effects but did not sufficiently inhibit the growth of cancer cells. On the other hand, the FHSirp alpha-dox combination of Sirp alpha oligosaccharide and doxorubicin according to one embodiment of the present invention significantly inhibited the growth of cancer cells to a level of 200 mm 3 or less even after 25 days. Furthermore, in the case of FHSirpα-dox, the combination of Sirpα multimer and doxorubicin according to an embodiment of the present invention almost completely inhibited the growth of cancer cells, and thus the cancer cells could not be distinguished visually.

상기 결과는 시험관내 실험결과와는 약간 다른 양상으로 나타났는데, 독소루비신 단독 투여, 시험관내 시험에서 대식세포의 암세포에 대한 탐식작용을 유발하였던 재조합 Sirpα 단독투여나 독소루비신과 단량체 재조합 Sirpα의 병용투여시 동물모델 실험에서는 항암효과가 그리 크지 않았다는 점을 고려하면 매우 획기적인 결과라고 할 수 있다.The results were slightly different from those of the in vitro test results. In the case of administration of doxorubicin alone or in combination with monomeric recombinant Sirpα, the recombinant Sirpα alone, which caused phagocytosis of cancer cells in macrophages, Considering the fact that the anticancer effect was not so great in model experiments, it is a remarkable result.

아울러, 암세포 주입 25일 경과 후 실험동물을 희생한 후 적출한 종양조직의 크기를 측정한 결과, 도 2d에 나타난 바와 같이, 본 발명의 Sirpα 다량체 및 독소루비신의 병용투여시 유의한 암세포 감소효과를 나타냈고, Sirpα 다량체 없이 일반 페리틴에 독소루비신이 봉입된 복합 페리틴(wtFH-dox), 독소루비신과 단량체 재조합 Sirpα의 병용투여, 및 독소루비신 단독투여시에는 암세포 성장 억제가 제한적으로 나타났다. In addition, as shown in FIG. 2d, when the tumor cells were sacrificed after 25 days of the injection of the cancer cells, the size of the tumor tissues was measured. As shown in FIG. 2d, when the Sirpa multimer of the present invention and doxorubicin were administered concomitantly, (WtFH-dox) with doxorubicin encapsulated in normal ferritin without Sirpα oligos, the combination of doxorubicin with monomeric recombinant Sirpα, and the inhibition of cancer cell growth by doxorubicin alone.

1-2: 면역원성 세포사멸 분석1-2: Immunogenic cell death analysis

본 발명자들은 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신의 병용투여에 의해 면역원성 세포사멸이 유도되는지 확인하기 위해, 암세포에 대한 유세포 분석을 수행하였다.The present inventors performed flow cytometry analysis on cancer cells to determine whether immunogenetic cell death is induced by the combined administration of Sirp alpha oligonucleotide and doxorubicin according to one embodiment of the present invention.

구체적으로, 본 발명자들은 CT26.CL25 암세포 1ㅧ106 세포를 8주령 Balb/c 마우스에 접종(0일째)한 후, 7일째부터 각 그룹에 실험물질(완충액, dox, wtFH-dox, mSirpα + dox, FHSirpα-dox)를 3일 간격으로 총 5차례 정맥주사로 주입하였다. 이때, 각 물질의 투여량은 각각 독소루비신(dox) 1 mg/kg, wtFH-dox 15 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함), mSirpα 9.5 mg/kg + dox 1 mg/kg, 및 FHSirpα-dox 28 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함)이었다. 암세포 주입 25일째에 종양조직을 척출하고 DNase과 콜라게네이즈(collagenase)을 이용하여 단일세포화한 후, 항-CD11c 항체 및 항-F4/80 항체를 이용하여 종양 미세환경 수지상세포와 대식세포가 얼마나 존재하는지 FACS 분석으로 조사하였다(도 3a 및 3b). Specifically, the present inventors injected test substance (buffer, dox, wtFH-dox, mSirp? +?) In each group from day 7 after inoculation (day 0) of CT26.CL25 cancer cell 1, 106 cells into 8- dox, FHSirpα-dox) were injected intravenously 5 times at intervals of 3 days. The dose of each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content). On the 25th day after the injection of cancer cells, tumor tissues were harvested and monoclonalized with DNase and collagenase, and tumor-microenvironmental dendritic cells and macrophages were treated with anti-CD11c antibody and anti-F4 / 80 antibody (FACS analysis) (Figs. 3A and 3B).

그 결과, 도 3a 및 3b에서 나타난 바와 같이, 대조군에 비해 수지상 세포 및 대식세포의 표지인자인 CD11c 양성 세포 및 F4/80 양성 세포의 수가 두 배이 이상 증가함을 확인하였다. 이는 본 발명의 일 실시예에 따른 FHSirpα-dox가 암세포에 대한 면역세포의 동원을 통해 선천성 면역반응을 유발함을 의미하는 것이다.As a result, as shown in FIGS. 3A and 3B, it was confirmed that the number of CD11c-positive cells and F4 / 80-positive cells, which are markers of dendritic cells and macrophages, increased more than twice as compared with the control group. This means that FHSirp? -Dox according to an embodiment of the present invention induces a congenital immune response through mobilization of immune cells against cancer cells.

1-3: 항원 유도 면역 반응 분석1-3: Analysis of antigen-induced immune response

본 발명자들은 상기 면역반응이 암세포 특이적으로 일어났는지 확인하기 위해, 본 발명의 일 실시예에 따른 FHSirpα 다량체 및 독소루비신의 병용투여제(FHSirpα-dox)에 의한 마우스 비장 및 종양배액 림프절 내 CT26.CL25암세포에 대한 세포성 면역반응을 조사하였다. 즉, CT26.CL25의 항원인 β-galactosidase에 특이적인 T 세포의 인터페론-감마(INF-γ)의 수치를 ELISA(R&D Systems, Inc, USA) 분석으로 정량하였다. 실험예 1-1과 같은 방법으로 처리한 마우스를 그룹 당 3마리씩을 선택하여 각각의 마우스에서 비장과 종양배액림프절(tumor-drained lymph node, TDLN)을 적출하여, 멸균된 페트리디쉬에 상기 조직을 옮기고, cell strainer를 이용하여 상기 비장 및 종양배액림프절을 각각 갈아 조직 피막으로부터 세포를 분리하였다. 상기 페트리디쉬 내의 모든 내용물을 15 ml 튜브에 옮기고 RPMI 1640 배지로 가득 채운 후, 500G에서 10분간 원심분리한 후 상등액을 제거한 펠렛에 적혈구 용해 완충액(Sigma-Aldrich, Germany)를 사용하여 적혈구를 용혈시켰다. 튜브에 포함된 세포를 PBS로 세척한 후, RPMI 1640 배지에 부유시켜 종양배액림프절(tumor- drained lymph node, TDLN) 세포 및 비장세포(splenocyte)를 분리하였다. 분리된 TDLN 세포 및 비장세포를 각각 1ㅧ106 cells/500 μl 및 1ㅧ107 cells/ml로 24 웰 플레이트에 파종하고, β-gal 펩타이드(TPHPARIGL, 서열번호 87, β-gal의 아미노산 잔기 876-884를 포함하는 자연적으로 가공된 H-2 Ld 제한 에피토프를 포함함), CT26.CL25의 내재적 항원인 gp70 단백질 유래의 에피토프인 AH1(SPSYVYHQF, 서열번호 88, CT26 유래의 CTL 결정기를 포함함), P1A 펩타이드(음성대조군)를 5 μg/ml의 농도로 24시간 동안 처리하여 IFN-γ를 분비하는 CD8+ T 세포의 활성화를 촉진시켰다. 그 후에 상층액을 분리하여 인터페론-감마(INF-γ)의 수치를 ELISA(R&D Systems, Inc, USA) 분석으로 정량하였다. In order to confirm whether the above-mentioned immune response was specific to cancer cells, CT26 of the mouse spleen and tumor-draining lymph node by FHSirp alpha-dox according to an embodiment of the present invention was administered with FHSirp alpha oligonucleotide and doxorubicin. Cellular immune responses to CL25 cancer cells were investigated. That is, the level of interferon-gamma (INF-γ) of T cells specific to β-galactosidase, an antigen of CT26.CL25, was quantified by ELISA (R & D Systems, Inc, USA) analysis. Three mice per group were selected from the mice treated in the same manner as in Experimental Example 1-1, and the tumor-drained lymph node (TDLN) was extracted from each mouse, and the tissue was cultured in a sterile petri dish And cells were separated from the tissue patches of the splenic and tumor draining lymph nodes using a cell strainer. All the contents in the Petri dish were transferred to a 15 ml tube and filled with RPMI 1640 medium. After centrifugation at 500 G for 10 minutes, red blood cells were hemolyzed by using a red blood cell lysis buffer (Sigma-Aldrich, Germany) to the pellet from which the supernatant was removed . The cells in the tubes were washed with PBS and suspended in RPMI 1640 medium to isolate tumor-drained lymph node (TDLN) cells and splenocytes. Separated TDLN cells and spleen cells were inoculated into 24-well plates at 1 10 6 cells / 500 μl and 1 ㅧ 10 7 cells / ml, respectively, and β-gal peptide (TPHPARIGL, SEQ ID NO: 87, (Including a naturally engineered H-2 Ld restriction epitope including the naturally occurring H-2 Ld restriction epitope, including the CTL determinant derived from the gp70 protein epitope AH1 (SPSYVYHQF, SEQ ID NO: 88, CT26), which is an endogenous antigen of CT26.CL25 ) And P1A peptide (negative control) were treated at a concentration of 5 μg / ml for 24 hours to promote the activation of IFN-γ-secreting CD8 + T cells. The supernatant was then separated and quantified by ELISA (R & D Systems, Inc, USA) analysis of interferon-gamma (INF-γ).

그 결과, 도 4a 및 4b에서 나타난 바와 같이, 본 발명의 일 실시예에 따른 FHSirpα-dox를 투여한 동물로부터 분리된 종양배액림프절 세포 및 비장 면역세포에 β-gal 펩타이드 및 AH1 펩타이드를 처리할 경우, INF-γ의 발현이 유의하게 증가함을 확인할 수 있었다. 특히 본 발명의 일 실시예에 따른 독소루비신이 적재된 FHSirpα 나노케이지의 경우 비장세포에서 인터페론 감마의 발현 정도가 100 pg/ml 이상으로 기록되어 암세포에 대한 면역활성화 정도가 매우 높게 나타났다. 기타 독소루비신과 재조합 Sirpα의 병용투여 등 다른 제제의 경우 효과가 거의 없거나 미미하게 나타났다. 즉, FHSirpα-dox의 경우, β-galactosidase 단백질을 대식세포와 수지상세포에 효과적으로 전달하여 항원제시세포의 기능을 활성화시키며, 궁극적으로 세포 독성 T 세포를 효과적으로 자극하여 CT26.CL26 암세포에 특이적인 면역반응을 효과적으로 유도하였음을 확인할 수 있었다. As a result, as shown in FIGS. 4A and 4B, when the β-gal peptide and the AH1 peptide were treated with tumor-bearing lymph node cells and spleen immunocytes isolated from an animal to which FHSirpα-dox was administered according to an embodiment of the present invention , INF-y expression was significantly increased. In particular, the FHSirpα nano cage loaded with doxorubicin according to one embodiment of the present invention recorded a level of interferon gamma expression in the splenocytes of 100 pg / ml or more, indicating that the immune activation degree of cancer cells was very high. Other drugs, such as the combination of other doxorubicin and recombinant Sirpα, showed little or no effect. That is, in the case of FHSirpα-dox, β-galactosidase protein is efficiently transferred to macrophages and dendritic cells to activate antigen-presenting cell function, and ultimately to effectively stimulate cytotoxic T cells, resulting in an immune response specific to CT26.CL26 cancer cells As a result,

1-4: 면역조직화학 분석1-4: Immunohistochemical analysis

본 발명자들은 상기 실험예 1-3의 결과가 암세포 조직으로의 면역세포의 결집에 의한 효과인지 확인하기 위해서, 상기 실험예 1-3에서 적출된 종양조직을 박편화하여, T 세포 마커인 CD8에 대한 면역조직화학 분석을 수행하였다.In order to confirm whether the results of Experimental Examples 1-3 were effective for the immune cell aggregation into tumor cells, the present inventors flipped the tumor tissues extracted in Experimental Example 1-3 to prepare T cell marker CD8 Immunohistochemical analysis was performed on the mice.

구체적으로 상기 실험예 1-3에서 제조된 FHSirpα-dox가 투여된 실험동물에서 적출된 종양조직을 10% 중성 포르말린액에 고정 후 파라핀 블록을 제작하였고 이를 4 μm 두께의 박편으로 제조한 후, pH 6.0 구연산 수용액에 넣고 끓여 항원회수(antigen retrieval)를 수행한 다음 TBST(Tris-buffered saline, Tween-20)으로 3차례 세척한 이후 Renaissance Ab diluent(PD905, Biocare Medical)을 이용하여 차단(blocking)을 10분간 실온에서 수행하고, 항-CD8 항체(BD Bioscience, USA)와 반응시킨 후, 3차례 세척하고, 항-rat 이차 항체(MP-7445-15, Vector Laboratories, USA)와 반응시킨 다음, 3차례 세척하고 트리아민-결합 형광단(tyramine-conjugated flourophore, NEL794001KT, PerkinElmer, USA)를 이용하여 트리아민 신호증폭(tyramine signal amplification, TSA)을 수행한 후, 3차례 세척하고, 비특이적인 트리아민-결합 형광단 결합을 제거하기 위해 구연산 수용액에 넣고 끓인 후, DAPI 염색 후, PerkinElmer Vectra platform을 이용하여 촬영하였다.Specifically, the tumor tissues obtained from the FHSirpα-dox-treated experimental animals prepared in Experimental Example 1-3 were fixed in a 10% neutral formalin solution to prepare paraffin blocks, which were prepared into 4 μm thick flakes, After washing three times with TBST (Tris-buffered saline, Tween-20), the cells were incubated with Renaissance Ab diluent (PD905, Biocare Medical) for blocking. (MP-7445-15, Vector Laboratories, USA) and incubated for 3 min at room temperature for 10 min. After incubation with anti-CD8 antibody (BD Bioscience, USA) After washing, triamine signal amplification (TSA) was performed using a tyramine-conjugated flourophore (NEL794001KT, PerkinElmer, USA) and then washed three times to obtain a non-specific triamine- Eliminating Coupled Fluorescence Bonding After boiling in an aqueous solution of citric acid, DAPI was stained and photographed using a PerkinElmer Vectra platform.

그 결과 도 5에서 나타난 바와 같이, 종양조직 내에서 CD8+ T 세포가 양성으로 염색이 되었다. 이는 종양조직 내로 CD8+ T 세포가 침윤하였음을 입증하는 것으로, 상기와 같은 항암효과가 독소루비신과 Sirpα의 CD47 마스킹에 따른 면역세포의 충원의 상승작용에 의한 것임을 시사하는 것이다.As a result, as shown in Fig. 5, CD8 + T cells were stained positive in tumor tissues. This demonstrates that CD8 + T cells infiltrate into tumor tissues, suggesting that the anticancer effect is due to the synergistic action of immune cell replacement following CD47 masking of doxorubicin and Sirpa.

1-5: 종양내 주입시 항암효과1-5: Antitumor effect in tumor implant

본 발명자들은 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신의 병용투여제(FHSirpα-Dox)가 정맥주사 외에 종양내 주입(intratumoral injection) 시에도 동등한 항암효과가 나타나는지 조사하였다.The inventors of the present invention investigated whether the combination of Sirpa multimer and doxorubicin (FHSirp? -Dox) according to one embodiment of the present invention exhibits an equivalent anticancer effect in intratumoral injection as well as intravenous injection.

구체적으로, 8주령의 Balb/c 야생형 마우스에 CT26.CL25 암세포를 1ㅧ106 cells를 왼쪽 등에 피하접종하여 암을 유발시켰고, 암세포 주입 7일째에 각 실험물질(완충액, wtFH-dox, 및 FHSirpα-dox)를 1회 종양내 투여하였다. 이때, 각 물질의 투여량은 각각 wtFH-dox 15 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함), 및 FHSirpα-dox 28 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함)이었다. 그런 다음, 암세포 주입 25일째까지 3일 간격으로 암세포의 부피를 상기 실험예 1-1에 기재된 바와 같이 측정하였고, 25일째 실험동물의 종양조직을 적출하여 종양조직의 무게를 측정하였다.Specifically, cancer cells were induced by subcutaneous inoculation of 1 x 10 6 cells of CT26.CL25 cancer cells in an 8-week-old Balb / c wild-type mouse on the left and the like. On the 7th day after the injection of cancer cells, each test substance (buffer, wtFH-dox and FHSirpα -dox) was intraperitoneally administered once. At this time, the dose of each substance corresponds to wt FH-dox 15 mg / kg (corresponding to 1 mg / kg for doxorubicin content) and FHSirpα-dox 28 mg / kg (for doxorubicin 1 mg / kg ). Then, the volume of cancer cells was measured at intervals of 3 days until the 25th day after the injection of the cancer cells as described in Experimental Example 1-1, and the tumor tissues of the experimental animals were removed at 25 days and the tumor tissues were weighed.

그 결과, 도 6a에 나타난 바와 같이, 야생형 페리틴에 독소루비신을 적재한 경우 대조군에 비해 종양 성장속도가 낮았으나 그래도 여전히 종양조직이 성장하였다. 반면, 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신의 병용투여제(FHSirpα-dox)의 경우 25일 경과 시에도 암세포가 거의 자라지 않았다. 아울러, 적출된 종양조직의 무게를 측정한 결과, 도 6b에서 나타난 바와 같이, wtFH-dox의 경우 종양조직의 무게는 약 0.5 g으로 1.0 g을 초과하는 대조군 대비 반 이하로 줄어든 반면, 본 발명의 일 실시예에 따른 FHSirpα-dox의 경우 종양이 거의 없다고 봐도 무방할 정도였다. 이는 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신의 병용투여제가 종양내 투여시에는 더욱 항암효과가 뛰어남을 입증하는 것이다.As a result, as shown in Fig. 6A, when doxorubicin was loaded on wild-type ferritin, the tumor growth rate was lower than that of the control group, but the tumor tissue still grew. On the other hand, in the case of FHSirp alpha-dox combined with Sirp alpha oligosaccharide and doxorubicin according to one embodiment of the present invention, cancer cells hardly grow even after 25 days. In addition, as shown in FIG. 6B, the weight of tumor tissue in the case of wtFH-dox was reduced to about 0.5 g, which was less than half of that of the control group exceeding 1.0 g, In the case of FHSirp? -Dox according to one embodiment, it could be said that there was almost no tumor. This demonstrates that the combination administration of Sirp alpha oligosaccharide and doxorubicin according to an embodiment of the present invention is more excellent in anti-cancer effect when administered in a tumor.

실험예 2: FHSirpα-Dox의 항암 기억 효과의 분석Experimental Example 2: Analysis of anticancer effect of FHSirp? -Dox

본 발명자들은 상기 실험예 1-3의 결과로부터 본 발명의 일 실시예에 따른 FHSirpα 나노케이지의 작용이 면역세포의 충원(recruiting)에 의한 효과이기 때문에, 면역세포의 기억에 따른 기억효과가 있을 것이라 가정하고, 본 발명의 일 실시예에 따른 FHSirpα-dox 투여 후 적출된 종양조직을 희생시키지 않은 동일 동물의 다른 쪽 등에 이식한 후 시간 경과에 따라 이식된 위치에서의 암의 성장 여부를 분석하였고 및 마우스의 생존 두수를 계수하였다. From the results of Experimental Examples 1-3, the inventors of the present invention will have a memory effect depending on the memory of immune cells since the action of the FHSirp? Nano cage according to one embodiment of the present invention is effected by recruiting immune cells Assuming that the tumor tissue after FHSirp-dox administration according to one embodiment of the present invention was transplanted to the other side of the same animal not sacrificed, the growth of the cancer at the transplanted position was analyzed over time, The number of surviving mice was counted.

그 결과, 도 7a 및 7b에서 나타난 바와 같이, 본 발명의 일 실시예에 따른 FHSirpα-dox 투여군에서 적출된 종양조직이 이식된 동물에서는 28일이 경과할 때까지 암세포가 성장한 마우스가 단 한 마리도 관찰되지 않았으며, 다른 물질들의 투여군으로부터 적출된 종양조직이 이식된 마우스들은 시간이 경과함에 따라 정도의 차이는 있으나 암이 재발하는 양상을 나타냈다. 아울러, 동일 실험군을 대상으로 80일 경과시 생존율을 분석한 결과, 도 7c에서 나타난 바와 같이, 본 발명의 일 실시예에 따른 FHSirpα-dox 투여군은 80일 경과시까지 폐사한 실험동물이 전무했다. FHSirpα의 경우 80일 경과시 생존 두수는 80%로서 FHSirpα-Dox 다음으로 효과가 좋았고, 독소루비신 단독이나 재조합 Sirpα 단독 처리 시에는 80일 경과 후 생존율이 50%로 나타났다. As a result, as shown in FIGS. 7A and 7B, in the animal to which the tumor tissue harvested from the FHSirp alpha-dox administration group according to the embodiment of the present invention was transplanted, only one mouse in which the cancer cells were grown until 28 days passed And mice transplanted with tumor tissues extracted from the group of administration of other substances showed cancer recurrence although there was a degree of difference with the lapse of time. In addition, as shown in FIG. 7C, in the FHSirpα-dox administration group according to one embodiment of the present invention, no surviving experimental animals were observed until 80 days after the passage of 80 days. In the case of FHSirpα, survival rate after 80 days was 80%, which was better after FHSirpα-Dox, and survival rate after 80 days after doxorubicin alone or recombinant Sirpα alone was 50%.

상기 결과는 본 발명의 일 실시예에 따른 나노케이지가 암세포의 생장을 억제할 뿐만 아니라, 암의 치료 이후에 재발을 억제할 수 있는 면역세포에 대한 기억효과를 제공함을 시사하는 것이다. 따라서, 본 발명의 일 실시예에 따른 나노케이지는 암의 치료 뿐만 아니라 재발의 억제에 매우 효과적일 수 있다.The above results suggest that the nanocage according to an embodiment of the present invention not only inhibits the growth of cancer cells but also provides a memory effect on immune cells capable of inhibiting recurrence after cancer treatment. Therefore, the nanocage according to one embodiment of the present invention can be very effective not only for treatment of cancer but also for suppression of recurrence.

실험예 3: FHSirpα-Dox의 다양한 종양에 대한 항암효과 분석Experimental Example 3: Anticancer effect of FHSirp? -Dox on various tumors

3-1: CT26 세포에 대한 항암효과 분석3-1: Analysis of anticancer effect on CT26 cells

본 발명자들은 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신의 병용투여제가 다른 종류의 암세포에 대한 항암효과를 나타내는지 확인하기 위해, β-galatosidae를 발현하지 않는 일반 대장암 세포인 CT26 세포를 보유한 암 모델 동물에 대한 항암효과를 분석하였다. In order to confirm whether the combination administration of Sirp alpha oligonucleotide and doxorubicin according to an embodiment of the present invention shows an anticancer effect on cancer cells of different kinds, the present inventors used CT26 cells, which are general colon cancer cells not expressing? -Galatosidae, We analyzed the anticancer effect on the animal model animals.

구체적으로, 8주령의 Balb/c 야생형 마우스에 CT26 암세포 1ㅧ106 cells를 왼쪽 등에 피하접종하여 암을 유발시켰고, 암세포 주입 7일째에 각 실험물질(완충액, dox, wtFH-dox, mSirpα + dox, FHSirpα-dox)를 3일 간격으로 총 5차례 정맥주사로 주입하였다. 이때, 각 물질의 투여량은 각각 독소루비신(dox) 1 mg/kg, wtFH-dox 15 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함), mSirpα 9.5 mg/kg + dox 1 mg/kg, 및 FHSirpα-dox 28 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함)이었다. 그런 다음, 암세포 주입 25일째까지 3일 간격으로 암세포의 부피를 상기 실험예 1-1에서 기재된 방법대로 측정하였고, 25일째 실험동물의 종양조직을 적출하여 무게를 측정하였다. Specifically, 8 weeks old Balb / c wild-type mice were subcutaneously inoculated with 1 × 10 6 cells of CT26 cancer cells on the left side and cancer cells were induced on the 7th day after the injection of the cancer cells. Each test substance (buffer, dox, wtFH-dox, mSirpα + dox , FHSirpα-dox) were injected intravenously 5 times at intervals of 3 days. The dose of each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content). Then, the volume of cancer cells was measured at intervals of 3 days until the 25th day after the injection of the cancer cells by the method described in Experimental Example 1-1, and the tumor tissues of the experimental animals were extracted and weighed on the 25th day.

그 결과, 도 8a 및 8b에서 나타난 바와 같이, dox, wtFH-dox, mSirpα + dox의 경우 대조군 대비 암세포의 성장 억제 정도가 미미했던 반면, 본 발명의 일 실시예에 따른 FHSirpα-dox의 경우 암세포가 거의 자라지 않았음을 확인할 수 있었다. 적출된 암세포의 무게를 측정한 결과 역시, dox 및 mSirpα + dox의 경우 종양조직의 무게가 대조군과 비교하여 유의한 정도로 낮지 않았으며, wtFH-dox의 경우 대조군 대비 유의하게(P < 0.05) 종양조직의 크기가 줄어들었으나 그 정도는 약하였다. 반면, 본 발명의 일 실시예에 따른 FHSirpα-dox의 경우 종양조직이 거의 없는 수준으로 봐도 무방할 정도였다.As a result, as shown in FIGS. 8A and 8B, inhibition of growth of cancer cells was insignificant in the case of dox, wtFH-dox and mSirpα + dox, whereas in the case of FHSirpα-dox according to one embodiment of the present invention, I was able to confirm that it was not nearly growing. In the case of dox and mSirpα + dox, the weight of tumor tissue was not significantly lower than that of the control group, and the weight of wtFH-dox was significantly (P <0.05) But the extent of it was weak. On the other hand, the FHSirp alpha-dox according to an embodiment of the present invention is almost free from tumor tissue.

3-2: B16F10-Ova 세포에 대한 항암효과 분석3-2: Analysis of anticancer effect on B16F10-Ova cells

본 발명자들은 난백알부민(ovalbumin)을 발현하는 흑색종의 일종인 B16F10-Ova 세포에 대한 항암활성을 분석하였다.The present inventors analyzed the anticancer activity against B16F10-Ova cells, a kind of melanoma expressing ovalbumin.

구체적으로, 본 발명자들은 구체적으로, 8주령의 Balb/c 야생형 마우스에 B16F10-Ova 암세포 1ㅧ106 cells를 왼쪽 등에 피하접종하여 암을 유발시켰고, 암세포 주입 7일째에 각 실험물질(완충액, dox, wtFH-dox, mSirpα + dox, FHSirpα-dox)를 3일 간격으로 총 3차례 정맥주사로 주입하였다. 이때, 각 물질의 투여량은 각각 독소루비신(dox) 1 mg/kg, wtFH-dox 15 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함), mSirpα 9.5 mg/kg + dox 1 mg/kg, 및 FHSirpα-dox 28 mg/kg(독소루비신 함량으로는 1 mg/kg에 상응함)이었다. 그런 다음, 암세포 주입 25일째까지 3일 간격으로 암세포의 부피를 상기 실험예 1-1에서 기재된 방법대로 측정하였고, 25일째 실험동물의 종양조직을 적출하여 무게를 측정하였다. Specifically, the inventors of the present invention specifically injected 1 × 10 6 cells of B16F10-Ova cancer cells into 8-week-old Balb / c wild type mice by subcutaneously inoculating them on the left side and induced cancer. On the 7th day after the injection of cancer cells, , wtFH-dox, mSirpα + dox, and FHSirpα-dox) were injected intravenously three times at intervals of three days. The dose of each substance is 1 mg / kg of doxorubicin (dox), 15 mg / kg of wt FH-dox (equivalent to 1 mg / kg of doxorubicin), 9.5 mg / kg of dox , And FHSirpa-dox 28 mg / kg (corresponding to 1 mg / kg as the doxorubicin content). Then, the volume of cancer cells was measured at intervals of 3 days until the 25th day after the injection of the cancer cells by the method described in Experimental Example 1-1, and the tumor tissues of the experimental animals were extracted and weighed on the 25th day.

그 결과, 도 9a 및 9b에서 나타난 바와 같이, dox, wtFH-dox, mSirpα + dox의 경우 대조군 대비 암세포의 성장 억제 정도가 미미했던 반면, 본 발명의 일 실시예에 따른 FHSirpα-dox의 경우 암세포가 거의 자라지 않았음을 확인할 수 있었다. 적출된 암세포의 무게를 측정한 결과 역시, dox, wtFH-dox 및 mSirpα + dox의 경우 종양조직의 무게가 대조군과 비교하여 낮기는 하였으나, 유의한 정도가 아니었다. 반면, 본 발명의 일 실시예에 따른 FHSirpα-dox의 경우 종양조직 거의 없는 수준으로 봐도 무방할 정도였다.As a result, as shown in FIGS. 9A and 9B, inhibition of growth of cancer cells was insignificant in the case of dox, wtFH-dox and mSirpα + dox, whereas in the case of FHSirpα-dox according to one embodiment of the present invention, I was able to confirm that it was not nearly growing. In the case of dox, wtFH-dox and mSirpα + dox, tumor tissue weights were lower than those of the control group, but not significant. On the other hand, FHSirp? -Dox according to one embodiment of the present invention is almost free from the tumor tissue.

3-3: 크로스프라이밍 능력 분석3-3: Analysis of cross-priming ability

본 발명자들은 본 발명의 일 실시예에 따른 Sirpα 다량체 및 독소루비신 병용투여제가 수지상 세포의 크로스프라이밍 능력을 가지고 있는지 여부를 조사하였다. 크로스프라이밍(cross-priming)이란 특정 항원-제시 세포(antigen-presenting cell)가 세포외 항원을 섭취하고 가공하여 CD8+ T 세포(세포독성 T 세포)에 MHC 1형 분자와 함께 제시함으로써(cross-presentation), 미접촉 CD8+ T 세포가 자극되어 세포독성 CD8+ T 세포로 분화가 되는 현상을 의미한다.The present inventors investigated whether the administration of Sirpa multimer and doxorubicin combination according to an embodiment of the present invention has a cross-priming ability of dendritic cells. Cross-priming is the process by which a specific antigen-presenting cell ingests and processes extracellular antigens and presents it with CD8 + T cells (cytotoxic T cells) along with MHC type 1 molecules (cross- presentation refers to a phenomenon in which untouched CD8 + T cells are stimulated to differentiate into cytotoxic CD8 + T cells.

이를 위해 구체적으로, 8주령의 Balb/c 야생형 마우스에 B16F10-Ova 암세포 1ㅧ106 cells를 왼쪽 등에 피하접종하여 암을 유발시켰고, 암세포 접종 7일째에 대조군으로 완충액 및 실험군으로 FHSirpα-dox 28 mg/kg(독소루비신으로 1 mg/kg)을 3일 간격으로 총 3차례 정맥주사로 주입하였다. 마지막으로 정맥주사한지 이틀 후, 암 조직을 적출하여, DNase 및 콜라게네이즈를 이용하여 단일세포화한 후, MACS(magnetic-activated cell sorting) 방법으로 CD11c 양성 세포(수지상세포)를 분리하였다. 이후, 미접촉(naive) CD8+ T 세포의 일종인 OT-1 세포와 함께 3일간 공배양을 수행한 후, 배양상등액을 수득하여 INF-γ의 양을 ELISA 분석으로 측정하였다.Specifically, 8-week-old Balb / c wild-type mice were subcutaneously inoculated with 1 × 10 6 cells of B16F10-Ova cancer cells on the left side, and on the 7th day after inoculation of cancer cells, FHSirpα-dox 28 mg / kg (1 mg / kg as doxorubicin) was injected intravenously three times in total every 3 days. Two days after the last intravenous injection, cancer tissues were extracted, monoclonalized with DNase and collagenase, and CD11c-positive cells (dendritic cells) were isolated by a magnetic-activated cell sorting (MACS) method. Thereafter, co-cultivation was performed for 3 days together with OT-1 cells as a non-contact CD8 + T cell, and then the culture supernatant was obtained and the amount of INF-γ was measured by ELISA analysis.

그 결과 도 10에서 나타난 바와 같이, 본 발명의 일 실시예에 따른 FHSirpα-dox 처리군의 경우 INF-γ가 100 pg/ml 이상 분비된 반면, 대조군의 경우 INF-γ 발현이 극히 미미하였다. 이는, 본 발명의 일 실시예에 따른 FHSirpα-dox 투여군의 수지상세포가 암세포 항원을 MHC 1형 분자와 함께 미접촉 CD8+ T 세포에 제시하여 이들 미접촉 CD8+ T 세포를 자극하는 크로스프라이밍 능력을 가지고 있음을 시사하는 것이다.As a result, as shown in FIG. 10, INF-γ was secreted by 100 pg / ml or more in the FHSirpα-dox-treated group according to one embodiment of the present invention, whereas INF-γ expression was extremely small in the control group. This is because the dendritic cells of the FHSirp? -Dox-administered group according to an embodiment of the present invention have a cross-priming ability to stimulate noncontact CD8 + T cells by presenting cancer cell antigens on MHC 1 type molecules and non-contact CD8 + T cells .

이어 본 발명자들은 상기 현상이 진정한 크로스프라이밍 능력인지 확인하기 위하여, 하기와 같은 추가분석을 수행하였다. Then, the present inventors carried out further analysis as follows to confirm that the above phenomenon is a true cross-priming ability.

구체적으로, 8주령의 Balb/c 야생형 마우스에 B16F10-Ova 암세포 1ㅧ106 cells를 왼쪽 등에 피하접종하여 암을 유발시켰고, 암세포 접종 7일째에 각 실험물질(완충액, dox, FHSirpα 및 FHSirpα-dox)을 3일 간격으로 총 2차례 정맥주사로 주입하였다. 이 때 사용된 각 실험물질의 투여량은 독소루비신(dox)의 경우 1 mg/kg, FHSirpα는 28 mg/kg, 및 FHSirpPα-dox 28 mg/kg(dox 기준으로 1 mg/kg)이었다. 마지막으로 정맥투여 후 10일이 경과한 후, 세포 추적제인 CFSE(carbolxyfluorescein succinimidyl ester)로 염색한 OT-1 T 세포를 정맥주사로 주입하고 3일 경과 후, 종양배액림프절(TDLN)을 적출하여 단일세포화한 후, FACS 분석을 통해 OT-1 T 세포의 세포증식 정도를 CFSE 증식 분석을 통해 확인함으로써, 그룹별 교차프라이밍 능력을 분석하였다.Specifically, 816-week-old Balb / c wild-type mice were subcutaneously inoculated with 1 × 10 6 cells of B16F10-Ova cancer cells on the left side and cancer cells were induced on the 7th day after inoculation with each test substance (buffer, dox, FHSirpα and FHSirpα-dox ) Were injected intravenously twice at intervals of 3 days. The dose of each test substance used was 1 mg / kg for doxorubicin (dox), 28 mg / kg for FHSirpα, and 28 mg / kg (1 mg / kg for dox) of FHSirpPα-dox. Finally, 10 days after intravenous administration, OT-1 T cells stained with CFSE (carbolxyfluorescein succinimidyl ester) were injected intravenously, and after 3 days, the tumor draining lymph node (TDLN) After celling, the cross-priming ability of each group was analyzed by confirming the degree of cell proliferation of OT-1 T cells through CFSE proliferation analysis by FACS analysis.

그 결과, 도 11a 및 11b에서 나타난 것과 같이, 완충액, dox, FHSirpα그룹에 비해 대비 본 발명의 일 실시예에 따른 FHSirpα-dox의 경우 주입한 CFSE으로 염색된 OT-1 T 세포가 더 효과적으로 증식하는 경향을 확인하였다. 구체적으로 FHSirpα-dox의 경우 증식된 7세대 OT-1 T세포의 비율이 15%로 다른 그룹에 비해 유의미하게 증가되어 있었다.As a result, compared to the buffer, dox, and FHSirpa groups, as shown in FIGS. 11A and 11B, compared with the FHSirp? -Dox according to one embodiment of the present invention, injected CFSE-stained OT-1 T cells more effectively proliferated Trends. Specifically, in the case of FHSirpα-dox, the proportion of proliferated 7th generation OT-1 T cells was 15%, which was significantly increased compared with the other groups.

실험예 4: FcSirpα + Mtx의 항암효과Experimental Example 4: Antitumor effect of FcSirp alpha + Mtx

본 발명자들은 Sirpα와 항암제의 병용효과가 다른 플랫폼에서도 구현이 되는지 확인하기 위해 실시예 3에서 제조된 FcSirpα 융합단백질과 항암제 미토잔트론(mitoxantrone)의 병용시의 항암효과를 조사하였다.The present inventors investigated the anticancer effect of the combined use of the FcSirpa fusion protein prepared in Example 3 and the anticancer agent mitoxantrone in order to confirm whether the combined effect of Sirp alpha with the anticancer agent is realized on other platforms.

4-1: FcSirpα에 의한 식세포 작용 분석4-1: Analysis of phagocytosis by FcSirpα

본 발명자들은 우선 FcSirpα가 암세포에 대한 대식세포의 식세포 작용에 미치는 효과를 조사하기 위해, 골수-유래 대식세포(Bone marrow-derived macrophage: BMDM)를 이용하여 암세포에 대한 식세포 작용을 분석하였다. 이를 위해 구체적으로 준비된 BMDM을 1 μM의 CellTracker Green CMFDA(Thermo Fisher Scientific, USA)로 염색하였다. 각각 20x104 세포의 염색된 대식세포를 2 ml RPMI 배지와 함께 35 mm Confocal dish에 파종하였다. RPMI 배지 내에서 준비된 골수-유래 대식세포와 120 ng/ml의 pH rodo SE(Thermo Fisher Scientific, USA)으로 염색한 HT29 암세포주를 약 37℃에서 2시간 동안 대조군 또는 실시예 1에서 제조된 FcSirpα 5 μM 또는 실시예 1에서 제조된 FHSirpα 400 nM와 함께 공배양하였다. 이 때 FcSirpα 5 μM 와 FHSirpα 400 nM은 동일한 양의 Sirpα을 지니고 있다. 공배양 2시간 후, 형광 현미경을 이용하여 암세포의 탐식정도를 분석하였고 (도 12a, 빨간색: 탐식된 암세포, 초록색: 골수-유래 대식세포), 이를 정량화하였다(도 12b). 그 결과, 도 12a 및 12b에서 확인되는 바와 같이, FcSirpα와 FHSirpα에 의해, 대식세포의 암세포 탐식 능력이 유의하게 증가하였고, 이 중 FcSirpα가 가장 우수한 탐식 능력의 증가함을 확인하였다. To investigate the effect of FcSirpα on the phagocytic action of macrophages on cancer cells, the present inventors analyzed phagocytosis on cancer cells using bone marrow-derived macrophages (BMDM). For this purpose, BMDM was stained with 1 μM of CellTracker Green CMFDA (Thermo Fisher Scientific, USA). The stained macrophages of 20x10 4 cells were inoculated into 35 mm confocal dishes with 2 ml of RPMI medium. The HT29 cancer cell line stained with RPMI SE (Thermo Fisher Scientific, USA) with 120 ng / ml of bone marrow-derived macrophages prepared in RPMI medium was incubated at 37 ° C for 2 hours with the control or FcSirpα 5 &lt; / RTI &gt; or 400 nM of FHSirp alpha prepared in Example 1. At this time, FcSirpα 5 μM and FHSirpα 400 nM have the same amount of Sirpα. After 2 hours of co-cultivation, the degree of cancer cell phagocytosis was analyzed using a fluorescence microscope (Fig. 12A, red: cancer cell proliferated, green: bone marrow-derived macrophage) and quantified (Fig. As a result, as shown in FIGS. 12A and 12B, FcSirpα and FHSirpα significantly increased cancer cell phagocytic ability of macrophages, and FcSirpα showed the best phagocytic capacity.

이어 본 발명자들은 FcSirpα의 식세포 활성이 어떤 농도부터 나타나는지 확인하기 위해, FcSirpα의 농도를 달리하여 유세포 분석기를 이용하여 암세포에 대한 식세포 작용을 분석하였다. 이를 위해 구체적으로 준비된 BMDM을 1 μM의 CellTracker Green CMFDA(Thermo Fisher Scientific, USA)로 염색하였다. 각각 20x104 세포의 염색된 대식세포를 2 ml RPMI 배지와 함께 35 mm Peptri dish에 파종하였다. RPMI 배지 내에서 준비된 골수-유래 대식세포와 1 μM의 CellTracker Deep redd(Thermo Fisher Scientific, USA)으로 염색한 HT29 암세포주를 약 37℃에서 2시간 동안 대조군 또는 실시예 1에서 제조된 FcSirpα 또는 실시예 1에서 제조된 FHSirpα와 함께 공배양하였다. 이 때 FcSirpα 5 μM 와 FHSirpα 400 nM은 동일한 양의 Sirpα을 지니고 있다. 공배양 2시간 후, 유세포 분석기를 이용하여 암세포의 탐식정도를 분석하였고 그 결과, 도 12c에서 확인되는 바와 같이, FcSirpα 50 nM, FcSirpα 500 nM, FcSirpα 5 μM, FHSirpα 400 nM에 의해, 대식세포의 암세포 탐식 능력이 유의하게 증가하였고, 특히 FcSirpα는 50 nM의 농도부터 우수한 탐식 능력의 증가함을 확인하였다. The present inventors then analyzed the phagocytosis of cancer cells using a flow cytometer with different concentrations of FcSirpα in order to determine the concentration of FcSirpα phagocytic activity. For this purpose, BMDM was stained with 1 μM of CellTracker Green CMFDA (Thermo Fisher Scientific, USA). Stained macrophages of 20x10 4 cells were each inoculated into a 35 mm Peptri dish with 2 ml of RPMI medium. The HT29 cancer cell line stained with RPMI medium prepared with bone marrow-derived macrophages and 1 μM CellTracker Deep redd (Thermo Fisher Scientific, USA) was incubated for 2 hours at about 37 ° C. in the control or FcSirpα prepared in Example 1 1 &lt; / RTI &gt; At this time, FcSirpα 5 μM and FHSirpα 400 nM have the same amount of Sirpα. After 2 hours of co-culturing, the degree of cancer cells was analyzed using a flow cytometer. As a result, as shown in FIG. 12C, FcSirpα 50 nM, FcSirpα 500 nM, FcSirpα 5 μM and FHSirpα 400 nM, The cancer cell phagocytic ability was significantly increased, and especially FcSirpα showed an increase in the phagocytic ability from the concentration of 50 nM.

4-2: FcSirpα + 미토잔트론에 의한 4-2: FcSirp &lt; + &gt; in vivoin vivo 항암효과 분석 Anticancer effect analysis

상기 실험결과들을 바탕으로 본 발명자들은 FcSirpα와 다른 면역원성 세포사멸 유도제인 미토잔트론(mitoxantrone)의 병용시 상승효과를 조사하였다.Based on the above experimental results, the present inventors investigated the synergistic effect of FcSirpα and mitoxantrone, which is an immunogenic cell death inducer, in combination.

이를 위해 구체적으로, C57BL/6 야생형 마우스에 B16F10 암세포 5X105 cells를 왼쪽 등에 피하주입하여 암을 유발시켰고, 암세포 주입 후 6일째(암세포 주입한 날을 0일째로 함)에 Mitoxantrone(MTX)을 10 μg 또는 FcSirpa 400 μg의 용량으로 종양 내 주사로 투여하였다. FcSirpα + MTX 그룹의 경우에는 Mitoxantrone을 10 μg 종양 내 주사 후 4시간 뒤 FcSirpα 400 μg의 용량으로 종양 내 주사로 투여하였다. 약물 투여 후, 3일 간격으로 암 사이즈를 측정하였고(도 13a) 암세포 주입 후 21일까지의 생존율을 기록하는 한편(도 13b), 암세포 주입 후 21일째에 실험 마우스를 희생시켜 암세포를 적출 후 무게를 측정하였다(도 13c). 실험결과 도 13a 내지 13c에서 나타난 바와 같이, MTX+ FcSirpα 그룹이 가장 우수한 생존율과 항암 효과를 보였다. Specifically, 5X10 5 cells of B16F10 cancer cells were subcutaneously injected into C57BL / 6 wild-type mice by subcutaneous injection on the left side, and mitoxantrone (MTX) was administered 10 days after the injection of cancer cells on the 6th day ml or FcSirpa at a dose of 400 μg. In the case of FcSirpα + MTX group, mitoxantrone was administered by intra-tumor injection at a dose of 400 μg FcSirpα 4 h after 10 μg tumor injection. After the administration of the drug, the cancer size was measured at intervals of 3 days (Fig. 13A), and the survival rate up to 21 days after the injection of cancer cells was recorded (Fig. 13B). On the 21st day after the injection of cancer cells, (Fig. 13C). Experimental Results As shown in Figs. 13a to 13c, the MTX + FcSirpα group showed the best survival rate and anticancer effect.

4-3: FcSirpα + MTX의 CD8 T 세포 침윤 능력 평가4-3: Evaluation of CD8 T cell infiltration ability of FcSirpα + MTX

본 발명자들은 상기 실험예 4-2의 결과로부터 FcSirpα + MTX의 병용투여시 후천성 면역 작용(adaptive immune response) 역시 증진되는지 여부를 CD8+ T 세포의 종양 미세환경 내로의 침윤 정도를 측정함으로써 평가하였다. 이를 위해 구체적으로 C57BL/6 야생형 마우스에 B16F10 암세포 5X105 cells를 왼쪽 등에 피하주입하여 암을 유발시켰고, 암세포 주입 후 6일째(암세포 주입한 날을 0일째로 함)에 Mitoxantrone을 10 μg 또는 FcSirpα 400 μg의 용량으로 종양 내 주사로 투여하였다. FcSirpα 그룹의 경우에는 Mitoxantrone을 10 μg 종양 내 주사 후 4시간 뒤 FcSirpa 400 μg의 용량으로 종양 내 주사로 투여하였다. 암세포 주입 후 21 일째에 마우스를 희생시켜 암조직을 적출한 후 단일 세포로 만들어 항-CD8 항체 염색 이후 유세포 분석기를 통해 암조직내 CD8+ T cell 침윤 정도를 비교 분석하였다. 그 결과, 도 14에서 확인되는 바와 같이, FcSirpα + MTX 그룹에서 다른 그룹에 비해 유의미한 CD8+ T cell 증가를 확인할 수 있었다. 이는, 본 발명의 일 실시예에 따른 다량체성 Sirpα 융합단백질이 면역원성 세포사멸 유도제와 병용투여시 선천성 면역반응은 물론 후천성 면역반응도 증진시킴으로써 놀라운 항암 작용을 나타냄을 보여주는 것이다.From the results of Experimental Example 4-2, the present inventors evaluated whether or not the adaptive immune response was also enhanced by the combination of FcSirpα + MTX by measuring the degree of infiltration of CD8 + T cells into the tumor microenvironment. Specifically, 5X10 5 cells of B16F10 cancer cells were subcutaneously injected into C57BL / 6 wild type mice to induce cancer. On the 6th day after the injection of cancer cells (with the day of cancer cell injection on the 0th day), 10 μg of Mitoxantrone or FcSirpα 400 lt; RTI ID = 0.0 &gt; mg / ml. &lt; / RTI &gt; In the case of the FcSirpα group, mitoxantrone was administered by intratumoral injection at a dose of 400 μg FcSirpa 4 h after 10 μg tumor injection. On day 21 after the injection of cancer cells, the mice were sacrificed and the cancer tissues were extracted and made into single cells. After anti-CD8 antibody staining, the degree of CD8 + T cell infiltration in cancer tissues was analyzed by flow cytometry. As a result, as shown in Fig. 14, significant CD8 + T cell increase was observed in the FcSirp alpha MTX group as compared with the other groups. This indicates that the multimeric Sirp alpha fusion protein according to an embodiment of the present invention exhibits remarkable anticancer activity by enhancing the acquired immune response as well as the innate immune response upon administration of the immunogenic proliferation inducer.

상기 실험결과들은 Sirpα와 같은 신호조절 단백질 및 독소루비신이나 미토잔트론과 같은 면역원성 세포사멸 유도제의 병용투여에 의해 개체의 면역반응, 특히 선천성 면역반응이 강화되어 암세포의 면역학적 사멸이 매우 촉진되며, 이러한 항암활성에는 Sirp의 다량체화가 매우 중요한 역할을 수행함을 보여주는 것이다. 이와 같이 다량체화 도메인을 활용하여 Sirp 단백질의 다량체화를 하고 여기에 독소루비신과 같은 면역원성 세포사멸을 유도하는 항함화합물을 병용처리하는 병용투여제를 개발할 경우, 종래에 치료가 어려웠던 난치성 암에 대한 효율적인 치료제의 개발이 가능할 것으로 기대된다.The results of the experiments show that the immune response of the individual, especially the innate immune response, is enhanced by the combined administration of a signal regulatory protein such as Sirp alpha and an immunogenic apoptosis inducing agent such as doxorubicin or mitoxantrone, These anticancer activities show that Sirp's mass-multiplication plays a very important role. Thus, when a concomitant use of a multimerization domain to mass-form a Sirp protein and combine with a detersive compound that induces immunogenic cell death such as doxorubicin is developed, it is possible to efficiently and effectively treat the intractable cancer It is expected that the development of therapeutic agents will be possible.

본 발명의 일 실시예에 따른 약학적 조성물은 보다 효율적인 항암제의 제조에 사용될 수 있다.The pharmaceutical composition according to one embodiment of the present invention can be used for the production of a more effective anticancer agent.

서열번호 1은 인간 페리틴 중쇄 단백질의 아미노산 서열이고 서열번호 2는 상기 인간 페리틴 중쇄 단백질을 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 1 is the amino acid sequence of the human ferritin heavy chain protein and SEQ ID NO: 2 is the nucleic acid sequence of the polynucleotide encoding the human ferritin heavy chain protein.

서열번호 3은 링커 펩타이드의 아미노산 서열이고, 서열번호 4는 상기 링커 펩타이드를 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 3 is the amino acid sequence of the linker peptide and SEQ ID NO: 4 is the nucleic acid sequence of the polynucleotide encoding the linker peptide.

서열번호 5는 Sirpα 고친화성 변이체 단백질의 아미노산 서열이고 서열번호 6은 상기 Sirpα 고친화성 변이체 단백질을 암호화하는 폴리뉴클레오타이드의 핵산서열이다. SEQ ID NO: 5 is the amino acid sequence of the Sirp alpha high affinity mutant protein and SEQ ID NO: 6 is the nucleic acid sequence of the polynucleotide encoding the Sirp alpha high affinity mutant protein.

서열번호 7은 인간 야생형 Sirpα 단백질의 아미노산 서열이고, 서열번호 8은 상기 인간 야생형 Sirpα 단백질을 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 7 is the amino acid sequence of the human wild-type Sirp alpha protein and SEQ ID NO: 8 is the nucleic acid sequence of the polynucleotide encoding the human wild-type Sirp alpha protein.

서열번호 9는 야생형 Sirpγ 단백질의 아미노산 서열이고, 서열번호 10은 상기 야생형 Sirpγ 단백질을 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 9 is the amino acid sequence of the wild-type Sirp gamma protein and SEQ ID NO: 10 is the nucleic acid sequence of the polynucleotide encoding the wild-type Sirp gamma protein.

서열번호 11은 Sirpγ 변이체 단백질 1(V1)의 아미노산 서열이고, 서열번호 12는 상기 Sirpγ 변이체 단백질 1을 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 11 is the amino acid sequence of the Sirp gamma mutant protein 1 (V1), and SEQ ID NO: 12 is the nucleic acid sequence of the polynucleotide encoding the Sirp gamma mutant protein 1.

서열번호 13은 Sirpγ 변이체 단백질 2(V2)의 아미노산 서열이고, 서열번호 14는 상기 Sirpγ 변이체 단백질 2를 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 13 is the amino acid sequence of the Sirp gamma mutant protein 2 (V2), and SEQ ID NO: 14 is the nucleic acid sequence of the polynucleotide encoding the Sirp gamma mutant protein 2.

서열번호 15 내지 65는 다양한 Sirpα 변이체 단백질의 아미노산 서열이다.SEQ ID NOS: 15-65 are amino acid sequences of various Sirpa mutant proteins.

서열번호 66 내지 81은 다양한 링커 펩타이드의 아미노산 서열이다.SEQ ID NOS: 66-81 are amino acid sequences of various linker peptides.

서열번호 82 내지 86은 다양한 태그 펩타이드의 아미노산 서열이다.SEQ ID NOS: 82-86 are amino acid sequences of various tag peptides.

서열번호 87은 β-gal 펩타이드의 아미노산 서열이다.SEQ ID NO: 87 is the amino acid sequence of? -Gal peptide.

서열번호 88은 AH1 펩타이드의 아미노산 서열이다.SEQ ID NO: 88 is the amino acid sequence of the AH1 peptide.

서열번호 89는 IgG1 Fc 도메인의 아미노산 서열이고, 서열번호 90은 상기 IgG1 Fc 도메인을 암호화하는 폴리뉴클레오타이드의 핵산서열이다.SEQ ID NO: 89 is the amino acid sequence of the IgG1 Fc domain and SEQ ID NO: 90 is the nucleic acid sequence of the polynucleotide encoding the IgG1 Fc domain.

본 발명은 실시예를 참고로 설명되었으나 이는 예시적인 것에 불과하며, 당해 기술 분야에서 통상의 지식을 가진 자라면 이로부터 다양한 변형 및 균등한 다른 실시예가 가능하다는 점을 이해할 것이다. 따라서 본 발명의 진정한 기술적 보호 범위는 첨부된 특허 청구범위의 기술적 사상에 의하여 정해져야 할 것이다.While the present invention has been described with reference to exemplary embodiments, it is to be understood that the invention is not limited to the disclosed exemplary embodiments, and that various modifications and equivalent embodiments may be made by those skilled in the art. Accordingly, the true scope of the present invention should be determined by the technical idea of the appended claims.

Claims (38)

신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제를 유효성분으로 포함하는 암 치료용 약학적 조성물.A pharmaceutical composition for treating cancer comprising, as an active ingredient, a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunogenic apoptosis-inducing agent. 제1항에 있어서, The method according to claim 1, 상기 신호조절 단백질은 Sirpα, Sirpγ, 또는 이들의 고친화성 변이체인, 암 치료용 약학적 조성물.Wherein the signal regulatory protein is Sirp &lt; alpha &gt;, Sirp [gamma], or a high affinity variant thereof. 제1항에 있어서,The method according to claim 1, 상기 융합단백질은 상기 신호조절 단백질 및 기능성 펩타이드를 포함하는, 암 치료용 약학적 조성물.Wherein the fusion protein comprises the signal regulatory protein and the functional peptide. 제3항에 있어서,The method of claim 3, 상기 기능성 펩타이드는 상기 융합단백질을 다량체화하기 위한 다량체화 도메인, 암세포 특이적 수용체 또는 리간드에 특이적으로 결합하는 단백질, 보조자극 도메인(costimulation domain)을 포함하는 면역조절 폴리펩타이드, 케모카인 수용체 또는 세포사멸 유발 리간드인, 암 치료용 약학적 조성물.The functional peptide may be a multimerization domain for massimizing the fusion protein, a protein that specifically binds to a cancer cell-specific receptor or ligand, an immunomodulatory polypeptide comprising a costimulation domain, a chemokine receptor, Lt; RTI ID = 0.0 &gt; and / or &lt; / RTI &gt; 상기 신호조절 단백질은 서열번호 5, 7, 9, 11, 13 및 15 내지 65로 구성되는 군으로부터 선택되는 아미노산 서열로 구성되는, 암 치료용 약학적 조성물.Wherein the signal regulatory protein is comprised of an amino acid sequence selected from the group consisting of SEQ ID NOS: 5, 7, 9, 11, 13, and 15 to 65. 제4항에 있어서,5. The method of claim 4, 상기 다량체화 도메인은 이량체화 도메인, 삼량체화 도메인, 4량체화 도메인, 6량체화 도메인, 12량체화 도메인, 또는 24량체화 도메인인, 암 치료용 약학적 조성물.Wherein the multimerization domain is a dimerization domain, a trimerization domain, a tetramerization domain, a hexamerization domain, a 12merization domain, or a 24merization domain. 제6항에 있어서,The method according to claim 6, 상기 이량체화 도메인은 항체의 중쇄의 힌지 부위와 CH2 및 CH3 부분을 포함하는 Fc 단편, 수용체 타이로신 카이네이즈(RTK)의 세포질 도메인, 키네신의 이량체화 도메인, 피브로넥틴의 이량체화 도메인, Tol-유사 수용체(TLR)의 이량체화 도메인, 또는 튜블린의 이량체화 도메인인, 암 치료용 약학적 조성물.The dimerization domain comprises an Fc fragment comprising the hinge region of the heavy chain of the antibody and the CH 2 and CH 3 moieties, the cytoplasmic domain of the receptor tyrosine kinase (RTK), the dimerization domain of kinesin, the dimerization domain of fibronectin, the Tol- (TLR) dimerization domain, or a dimerization domain of tubulin. 제6항에 있어서,The method according to claim 6, 상기 삼량체화 도메인은 콜라겐의 삼량체화 도메인, TRAIL의 삼량체화 도메인, Eml4 단백질의 삼량체화 도메인, 또는 Clathrin의 삼량체화 도메인인, 암 치료용 약학적 조성물.Wherein the trimerization domain is a trimerization domain of collagen, a trimerization domain of TRAIL, a trimerization domain of an Eml4 protein, or a trimerization domain of Clathrin. 제6항에 있어서, The method according to claim 6, 상기 4량체화 도메인은 p53의 4량체화 도메인, DsRed의 4량체화 도메인, 또는 아세틸콜린 에스테레이즈(AChE)의 4량체화 도메인인, 암 치료용 약학적 조성물.Wherein the tetramerization domain is a tetramerization domain of p53, a tetramerization domain of DsRed, or a tetramerization domain of acetylcholinesterase (AChE). 제6항에 있어서,The method according to claim 6, 상기 6량체화 도메인은 HSP100 단백질의 6량체화 도메인인, 암 치료용 약학적 조성물.Wherein said hexamerization domain is a hexamerization domain of HSP100 protein. 제6항에 있어서,The method according to claim 6, 상기 12량체화 도메인은 SPD(surfactant protein D, WO2013115608A1) 또는 M. tuberoculosis Hsp16.3인, 암 치료용 약학적 조성물.Wherein the 12-methylation domain is SPD (surfactant protein D, WO2013115608A1) or M. tuberoculosis Hsp16.3. 제6항에 있어서, The method according to claim 6, 상기 24량체화 도메인은 페리틴 중쇄 단백질, 페리틴 경쇄 단백질, M. jannanschii Hsp16.5, 또는 효모 Hsp26인, 암 치료용 약학적 조성물. Wherein the 24- methylation domain is a ferritin heavy chain protein, a ferritin light chain protein, M. jannanschii Hsp16.5, or a yeast Hsp26. 제2항에 있어서,3. The method of claim 2, 상기 고친화성 변이체는 6번째, 27번째, 41번째, 47번째, 53번째, 54번째, 56번째, 66번째, 및 92번째 아미노산으로 구성되는 군으로부터 선택되는 적어도 하나 이상의 아미노산이 변이된, 암 치료용 약학적 조성물.Wherein the high-affinity mutant is a cancer treatment wherein at least one amino acid selected from the group consisting of the 6th, 27th, 41st, 47th, 53rd, 54th, 56th, 66th, A pharmaceutical composition. 제4항에 있어서,5. The method of claim 4, 상기 암세포 특이적 수용체 또는 리간드에 특이적으로 결합하는 단백질은, 상기 암세포 특이적 수용체 또는 리간드에 특이적으로 결합하는 항체, 그의 기능성 단편 또는 항체유사체가 포함될 수 있고, 상기 암세포 특이적 수용체 또는 리간드와 특이적으로 결합하는 단백질, 예컨대, 암세포 특이적으로 발현되는 인테그린에 특이적으로 결합하는 RGD 도메인을 가진 단백질인, 암 치료용 약학적 조성물.The protein specifically binding to the cancer cell-specific receptor or ligand may include an antibody specifically binding to the cancer cell-specific receptor or ligand, a functional fragment thereof or an antibody analogue, and the cancer cell-specific receptor or ligand A pharmaceutical composition for treating cancer, which is a protein having a RGD domain specifically binding to a specifically binding protein, for example, an integrin specifically expressed in a cancer cell. 제4항에 있어서,5. The method of claim 4, 상기 면역조절 펩타이드는 CD28, ICOS, CTLA4, PD1, BTLA, DR3, 4-1BB, CD2, CD40, CD30, CD27, SLAM, 2B4, NKG2D)/DAP12, TIM1, TIM2, TIM3, TIGIT, CD226, CD160, LAG3, B7-1, B7-H1, GITR, HVEM 또는 OX40L 또는 이들의 보조자극 도메인을 포함하는 단편인, 암 치료용 약학적 조성물.TIM1, TIM2, TIM3, TIGIT, CD226, CD160, CD20, CD20, CD30, CD30, CD27, SLAM, 2B4, NKG2D) LAG3, B7-1, B7-H1, GITR, HVEM, or OX40L, or a co-stimulatory domain thereof. 제4항에 있어서, 상기 케모카인 수용체는 CCR 또는 CXCR인, 암 치료용 약학적 조성물.The pharmaceutical composition according to claim 4, wherein the chemokine receptor is CCR or CXCR. 제16항에 있어서,17. The method of claim 16, 상기 CCR은 CCR1, CCR2, CCR2B, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CCR9 또는 CCR10인, 암 치료용 약학적 조성물.Wherein said CCR is CCR1, CCR2, CCR2B, CCR3, CCR4, CCR5, CCR6, CCR7, CCR8, CCR9 or CCR10. 제16항에 있어서,17. The method of claim 16, 상기 CXCR은 CXCR1, CXCR2, CXCR3, CXCR3B, CXCR4, CXCR5, CXCR6, 또는 CXCR7인, 암 치료용 약학적 조성물.Wherein the CXCR is CXCR1, CXCR2, CXCR3, CXCR3B, CXCR4, CXCR5, CXCR6, or CXCR7. 제4항에 있어서, 상기 세포사멸 유도 리간드는 TRAIL 또는 FasL인, 암 치료용 약학적 조성물.The pharmaceutical composition according to claim 4, wherein said apoptosis inducing ligand is TRAIL or FasL. 제1항에 있어서,The method according to claim 1, 상기 신호전달 단백질은 하기 중 어느 하나 이상의 변이를 포함하는, 암 치료용 약학적 조성물:Wherein the signal transduction protein comprises a mutation of any one or more of the following: Sirpα: V6I, V27I, A27I, I31F, E47V, K53R, E54Q, H56P, L66T, S66T, 및 V92I; 및Sirp ?: V6I, V27I, A27I, I31F, E47V, K53R, E54Q, H56P, L66T, S66T, and V92I; And Sirpγ: M6I, V27I, L31F, E47V, L53R, E54Q, H56P, L66T, 및 Y92I.Sirp ?: M6I, V27I, L31F, E47V, L53R, E54Q, H56P, L66T, and Y92I. 제1항에 있어서,The method according to claim 1, 상기 융합단백질은 상기 신호조절 단백질 및 상기 기능성 펩타이드 사이에 링커 펩타이드를 추가로 포함하는, 암 치료용 약학적 조성물.Wherein the fusion protein further comprises a linker peptide between the signal regulatory protein and the functional peptide. 제21항에 있어서,22. The method of claim 21, 상기 링커 펩타이드는 (G4S)n, (GSSGGS)n, KESGSVSSEQLAQFRSLD(서열번호 5), EGKSSGSGSESKST(서열번호 66), GSAGSAAGSGEF(서열번호 67), (EAAAK)n, CRRRRRREAEAC(서열번호 68), A(EAAAK)4ALEA(EAAAK)4A(서열번호 69), GGGGGGGG(서열번호 70), GGGGGG(서열번호 71), GGGGS(서열번호 72), AEAAAKEAAAAKA(서열번호 73), PAPAP(서열번호 74), (Ala-Pro)n, VSQTSKLTRAETVFPDV(서열번호 75), PLGLWA(서열번호 76), TRHRQPRGWE(서열번호 77), AGNRVRRSVG(서열번호 78), RRRRRRRR(서열번호 79), GFLG(서열번호 8), 또는 GSSGGSGSSGGSGGGDEADGSRGSQKAGVDE(서열번호 81)인, 암 치료용 약학적 조성물.The linker peptides include (G 4 S) n, (GSSGGS) n, KESGSVSSEQLAQFRSLD (SEQ ID NO: 5), EGKSSGSGSESKST (SEQ ID NO: 66), GSAGSAAGSGEF (SEQ ID NO: 67), (EAAAK) n, CRRRRRREAEAC (EAAAK) 4 ALEA (EAAAK) 4 A (SEQ ID NO: 69), GGGGGGGG (SEQ ID NO: 70), GGGGGG (SEQ ID NO: 71), GGGGS (SEQ ID NO: 72), AEAAAKEAAAAKA (Ala-Pro) n, VSQTSKLTRAETVFPDV (SEQ ID NO: 75), PLGLWA (SEQ ID NO: 76), TRHRQPRGWE (SEQ ID NO: 77), AGNRVRRSVG (SEQ ID NO: 78), RRRRRRRR (SEQ ID NO: 79), GFLG Or GSSGGSGSSGGSGGGDEADGSRGSQKAGVDE (SEQ ID NO: 81). 제1항에 있어서,The method according to claim 1, 상기 융합단백질은 N-말단 또는 C-말단에 정제용 태그 펩타이드를 추가로 포함하는, 암 치료용 약학적 조성물.Wherein said fusion protein further comprises a tag peptide for purification at the N-terminus or C-terminus. 제23항에 있어서, 24. The method of claim 23, 상기 태그 펩타이드는 HisX6 펩타이드(서열번호 82), GST 펩타이드, FLAG 펩타이드(DYKDDDK, 서열번호 83), 스트렙타비딘 결합 펩타이드, V5 에피토프 펩타이드(GKPIPNPLLGLDST, 서열번호 84), Myc 펩타이드(EQKLISEE, 서열번호 85), 또는 HA 펩타이드(YPYDVPDYA, 서열번호 86)인, 암 치료용 약학적 조성물. The tag peptide comprises a HisX6 peptide, a GST peptide, a FLAG peptide (DYKDDDK, SEQ ID NO: 83), a streptavidin binding peptide, a V5 epitope peptide (GKPIPNPLLGLDST, SEQ ID NO: 84), a Myc peptide (EQKLISEE, ), Or HA peptide (YPYDVPDYA, SEQ ID NO: 86). 제1항에 있어서,The method according to claim 1, 상기 면역원성 세포사멸 유도제는 안트라사이클린계열 항암제, 탁산 계열 항암제, 항-EGFR 항체, BK 채널 작용제, 보르테조밉(Bortezomib), 강심성 배당체(cardiac glycoside), 사이클로포스마이드 계열 항암제, GADD34/PP1 저해제, LV-tSMAC, Measles 바이러스, 블레오마이신(bleomycin), 미토잔트론(mitoxantrone) 또는 옥살리플라틴(oxaliplatin)인, 암 치료용 약학적 조성물.The immunogenic cell death inducer may be selected from the group consisting of an anthracycline based chemotherapeutic agent, a taxane based chemotherapeutic agent, an anti-EGFR antibody, a BK channel agonist, bortezomib, cardiac glycoside, a cyclophosphamide anticancer agent, a GADD34 / PP1 inhibitor, LV-tSMAC, Measles virus, bleomycin, mitoxantrone or oxaliplatin. 제25항에 있어서, 26. The method of claim 25, 상기 안트라사이클린 계열 항암제는 다우노루비신(daunorubicin), 독소루비신(doxorubicin), 에피루비신(epirubicin), 이다루비신(idarubicin), 픽산트론(pixantrone), 사바루비신(sabarubicin), 또는 발루비신(valrubicin)인, 암 치료용 약학적 조성물.The anthracycline anticancer agent may be at least one selected from the group consisting of daunorubicin, doxorubicin, epirubicin, idarubicin, pixantrone, sabarubicin, or valrubicin ). &Lt; / RTI &gt; 제25항에 있어서,26. The method of claim 25, 상기 항-EGFR 항체는 세툭시맙(cetuximab)인, 암 치료용 약학적 조성물.Wherein said anti-EGFR antibody is cetuximab. 제25항에 있어서,26. The method of claim 25, 상기 강심성 배당체는 비-면역원성 세포사멸 유도제와 조합되어 사용되는, 암 치료용 약학적 조성물.Wherein said anhydrous glycosides are used in combination with non-immunogenic apoptosis inducing agents. 제25항에 있어서, 26. The method of claim 25, 상기 GADD34/PP1 저해제는 마이토마이신과 조합되어 사용되는, 암 치료용 약학적 조성물.Wherein said GADD34 / PP1 inhibitor is used in combination with mitomycin. 제25항에 있어서,26. The method of claim 25, 상기 탁산계열 항암제는 파클리탁셀(paclitaxel) 또는 도세탁셀(docetaxel)인, 암 치료용 약학적 조성물.Wherein said taxane-based anticancer agent is paclitaxel or docetaxel. 제1항에 있어서,The method according to claim 1, 면역 검문소 억제제를 추가적으로 포함하는, 암 치료용 약학적 조성물.A pharmaceutical composition for the treatment of cancer, further comprising an immune checkpoint inhibitor. 제31항에 있어서,32. The method of claim 31, 상기 면역 검문소 억제제는 PD-1/PD-L1 상호작용 억제제 또는 CTLA-4/B7-1/B7-2 상호작용 억제제인, 암 치료용 약학적 조성물.Wherein said immune checkpoint inhibitor is a PD-1 / PD-L1 interaction inhibitor or a CTLA-4 / B7-1 / B7-2 interaction inhibitor. 제31항에 있어서,32. The method of claim 31, 상기 PD-1/PD-L1 상호작용 억제제는 PD-1 또는 PDL1을 표적으로 하는 항체 또는 상기 항체의 기능성 단편 또는 단일쇄 기반의 항체 유사체인, 암 치료용 약학적 조성물.Wherein said PD-1 / PD-L1 interaction inhibitor is an antibody targeting PD-1 or PDL1 or a functional fragment or single chain-based antibody analogue of said antibody. 제33항에 있어서,34. The method of claim 33, 상기 PD-1 또는 PDL1을 표적으로 하는 항체는, 펨브롤리주맙(Pembrolizumab), 니볼루맙(Nivolumab), 아테졸리주맙(Atezolizumab) 또는 아벨루맙(Avelumab)인, 암 치료용 약학적 조성물.Wherein the antibody targeting PD-1 or PDL1 is Pembrolizumab, Nivolumab, Atezolizumab or Avelumab. 제32항에 있어서,33. The method of claim 32, 상기 CTLA-4/B7-1/B7-2 상호작용 억제제는 CTLA-4, B7-1 또는 B7-2를 표적으로 하는 항체 또는 상기 항체의 기능성 단편 또는 단일쇄 기반의 항체 유사체인, 암 치료용 약학적 조성물.The CTLA-4 / B7-1 / B7-2 interaction inhibitor may be an antibody targeting CTLA-4, B7-1 or B7-2 or a functional fragment of the antibody or a single chain- A pharmaceutical composition. 제35항에 있어서,36. The method of claim 35, 상기 CTLA-4/B7-1/B7-2 상호작용 억제제는 이필리무맙(Ipilimumab)인, 암 치료용 약학적 조성물.Wherein the CTLA-4 / B7-1 / B7-2 interaction inhibitor is Ipilimumab. 제33항 또는 제35항에 있어서, 34. The method according to claim 33 or 35, 상기 단일쇄 기반 항체 유사체는 상기 단일쇄 기반의 항체 유사체는 scFv, sdAb, 다이아바디(diabody), 모노바디(monobody), 가변 림프구 수용체(variable lymphocyte receptor, VLR), 나노바디(nanobody) 또는 낙타과 항체 중쇄 단편(VHH)인, 암 치료용 약학적 조성물.The single-stranded-based antibody analog may be a single-chain-based antibody analog such as scFv, sdAb, diabody, monobody, variable lymphocyte receptor (VLR), nanobody, Lt; RTI ID = 0.0 &gt; (VH &lt; / RTI &gt; H). 신호조절 단백질(signal-regulatory protein) 또는 상기 신호조절 단백질을 포함하는 융합단백질 및 면역원성 세포사멸 유도제의 암 치료용 약학적 조성물의 제에 있어서의 용도.Use of a signal-regulatory protein or a fusion protein comprising the signal-regulating protein and an immunological cell death inducer in the preparation of a pharmaceutical composition for the treatment of cancer.
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