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WO2019093047A1 - Method for producing functional exocrine gland in vitro, and exocrine gland produced thereby - Google Patents

Method for producing functional exocrine gland in vitro, and exocrine gland produced thereby Download PDF

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Publication number
WO2019093047A1
WO2019093047A1 PCT/JP2018/037678 JP2018037678W WO2019093047A1 WO 2019093047 A1 WO2019093047 A1 WO 2019093047A1 JP 2018037678 W JP2018037678 W JP 2018037678W WO 2019093047 A1 WO2019093047 A1 WO 2019093047A1
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Prior art keywords
pharmaceutical composition
salivary gland
cell
gene
cells
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PCT/JP2018/037678
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French (fr)
Japanese (ja)
Inventor
田中 準一
健二 美島
孝 辻
美帆 小川
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Showa University
Organ Technologies Inc
RIKEN
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Showa University
Organ Technologies Inc
RIKEN
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Priority to JP2019552666A priority Critical patent/JPWO2019093047A1/en
Publication of WO2019093047A1 publication Critical patent/WO2019093047A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/37Digestive system
    • A61K35/38Stomach; Intestine; Goblet cells; Oral mucosa; Saliva
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/38Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/40Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L27/44Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N5/00Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
    • C12N5/10Cells modified by introduction of foreign genetic material

Definitions

  • the present invention relates to a method of inducing functional exocrine glands from pluripotent stem cells, and exocrine glands induced by the method.
  • regenerative medicine which replaces the diseased or damaged organ or tissue that has become dysfunctional with age, with a fully functional regenerated organ or tissue.
  • regeneration of organs or tissues having the same function and structure as organs or tissues in a living body has not been achieved.
  • stem cell technology has established a technique for inducing cells that constitute various tissues of a living body from stem cells.
  • organs of a living body take on a three-dimensional arrangement of multiple types of functional cells and their development progresses through the interaction of each cell, it is necessary to compare specific organs in comparison with the case of inducing each cell. It is very difficult to artificially guide.
  • construction techniques for rapidly transplantable regenerative organs have not yet been developed.
  • the present inventors artificially reconstruct an organ primordia such as a hair follicle primordial or the like using epithelial cells and mesenchymal cells derived from organ primordia in a living body ("Organ primordia Law) was established (Non-Patent Document 1). Furthermore, the present inventors use the above-described organ primordia method to prepare a primordia of a secretory gland such as a salivary gland and a lacrimal gland, insert a guide into the primordia, and culture the living body. Also shown is a method of manufacturing an organ primordia having a conduit connectable with the conduit (US Pat.
  • the methods described in these documents use epithelial cells and / or mesenchymal cells derived from a tissue of a living body at least in part as a source of regenerated organ primordia. Therefore, as a more versatile method for producing organs, development of a method for producing organs in vitro, which is completely derived from pluripotent stem cells, is required.
  • Non-patent document 2 for eye cup
  • Non-patent document 3 for anterior segment tissue
  • non-patent document 4 for pituitary
  • the present inventors diligently studied about a method of inducing differentiation of functional exocrine gland derived from pluripotent stem cells. As a result, it has been surprisingly found that, by adding predetermined steps to oral ectoderm derived from pluripotent stem cells, functional exocrine glands (eg, salivary glands) can be produced in vitro. , Came to complete the present invention.
  • functional exocrine glands eg, salivary glands
  • the present invention is a method of producing a functional exocrine gland in vitro, comprising (I): culturing cell aggregates containing oral ectoderm under conditions that induce the expression of Sox9 and Foxc1; (Ii): further culturing all or part of the cell aggregate cultured in the above step (i) in a medium containing FGF7 and FGF10, On the way, including.
  • the oral ectoderm is characterized by being derived from ES cells or iPS cells.
  • the exocrine gland is a salivary gland.
  • the “condition for inducing the expression of Sox9 and Foxc1” in the step (i) is (A) A condition that induces the expression of Sox9 and Foxc1 by introducing the Sox9 expression gene and the Foxc1 expression gene into the cell aggregate containing the above-mentioned oral ectoderm, or (B) conditions for inducing the expression of the introduced Sox9 gene and Foxc1 gene in a cell aggregate containing oral ectoderm into which Sox9 expression gene and Foxc1 expression gene have been introduced in advance; It is characterized by being.
  • the gene transfer is characterized by the transfer of a gene by a viral vector, the transfer of a gene by a transfection reagent, or the transfer of a gene by electroporation.
  • the virus vector is an adenovirus vector, an adeno-associated virus vector, a lentivirus vector, a retrovirus vector, or a Sendai virus vector.
  • the step (ii) is a step of further culturing a part of the outer layer of the cell aggregate cultured in the step (i) in a medium containing FGF7 and FGF10. It is characterized by
  • the concentration of FGF7 in the medium is 1 to 1000 ng / ml
  • the concentration of FGF10 in the medium is 1 to 1000 ng / ml.
  • the step (i) is characterized in that it is carried out using a growth factor-free medium.
  • the culture period of the step (i) is 0 to 7 days, and the culture period of the step (ii) is 10 to 32 days.
  • Another embodiment of the present invention relates to a pharmaceutical composition for use in the treatment of a disease accompanied by tissue disorder or dysfunction of salivary gland, wherein said pharmaceutical composition is regenerated by any of the above methods It is characterized by containing a salivary gland.
  • the pharmaceutical composition comprises a complex comprising a cell assembly substantially composed of mesenchymal cells, and a regenerating salivary gland produced by any of the above methods. It is characterized by including.
  • a filamentous structure is inserted so as to penetrate the cell assembly substantially composed of the mesenchymal cells and the regenerated salivary gland. It features.
  • all or part of the regenerated salivary gland or all or part of the complex is characterized in being embedded in a cell culture scaffold material.
  • the scaffold material is a collagen gel.
  • the disease is Sjogren's syndrome, litholithiasis, LADDO (Lacrimo-auriculo-dento-digital syndrome), ALSG (aplasia of lacrimal and salivary glands), Mikulicz disease (IgG4 associated sclerosability) Disease), other salivary gland inflammatory diseases, or salivary gland dysfunction due to the side effect of radiation treatment.
  • Another embodiment of the present invention relates to the use of the regenerated salivary gland produced by any of the above methods for the production of a pharmaceutical composition for use in the treatment of a disease associated with tissue disorder or dysfunction of the salivary gland.
  • Another embodiment of the present invention relates to a method of treating a disease associated with tissue disorder or dysfunction of salivary gland, wherein the method comprises regenerating salivary gland produced by the above method, or the pharmaceutical composition as described above. Applying to a subject in need of treatment of a disease.
  • the subject is a mammal other than human.
  • FIG. 1 shows the procedure of an embodiment of the present invention.
  • ES Embryonic Stem Cell (embryonic stem cells)
  • ME Mesendoderm (embryonic stem cells)
  • DE Definitive Ectoderm (embryonic ectoderm)
  • NNE Non-neural Ectoderm (non-neural ectoderm)
  • NE Neural Ectoderm (neural ectoderm)
  • EPI Epidermis (epidermis)
  • OE Oral Ectoderm (oral ectoderm)
  • OESG Oral Epithelial Salivary Gland (oral epithelial salivary gland)
  • SG Salivary Gland (salivary gland)
  • FIG. 2 is a diagram showing that Pan-cytokeratin (PK) -positive primordial oral mucosa (oral ectoderm) positive is formed in the outer layer of the aggregate on the 8th day after the induction of differentiation induction.
  • FIG. 3 shows that Sox9-expressing gene and Foxc1-expressing gene are introduced into the aggregate on the 8th day of differentiation induction initiation using an adenovirus vector, then the outer layer of the aggregate is separated and further cultured in the presence of FGF7 and FGF10 It is the figure which showed that.
  • FIG. 3 shows that Sox9-expressing gene and Foxc1-expressing gene are introduced into the aggregate on the 8th day of differentiation induction initiation using an adenovirus vector, then the outer layer of the aggregate is separated and further cultured in the presence of FGF7 and FGF10 It is the figure which showed that.
  • FIG. 4 is a diagram showing that a budding-like structure similar to the embryonic salivary gland primordia is formed from the clumps on day 23 of differentiation induction, and branching morphogenesis is observed on day 28 of differentiation induction.
  • FIG. 5 shows that ES cell-derived salivary glands on day 23 and 28 of differentiation induction are composed of Pan-cytokeratin (PK) -positive epithelial cells, and Keratin 18 (K18) -positive ductal epithelium is placed on the mesial side, AQP5 It is a figure which shows that the positive acinar cell and the (alpha)-SMA positive myoepithelial cell are arrange
  • PK Pan-cytokeratin
  • K18 Keratin 18
  • FIG. 6 is a diagram showing that, as a result of component analysis of gene expression profile by RNA-sequence, gene expression of ES cell-derived salivary gland (i-SG) is similar to that of salivary gland source at 15-18 days of embryonic day .
  • FIG. 7 shows that ES cell-derived salivary glands show an increase in intracellular Ca 2+ concentration by carbachol stimulation, and that the action is suppressed by atropine.
  • FIG. 8 left is a stereomicroscopic image of ES cell-derived salivary glands 30 days after transplantation. In FIG.
  • FIG. 8 shows that the excretory duct and ES of the recipient are obtained by transplanting the ES cell-derived salivary gland (i-SG) into the parotid ablated mouse.
  • FIG. 5 is a diagram showing that cell-derived salivary gland structures are connected and engrafted mature acinar cells having mucus-producing ability.
  • FIG. 9A is a diagram showing an outline of a method of transplanting ES cell-derived salivary glands in the present example.
  • FIG. 9B shows a histologic image of the case where fetal derived salivary gland mesenchymal tissue is added to ES cell-derived salivary gland and transplanted (FIG.
  • FIG. 10 is a diagram showing that the recipient-derived nerve invades into the transplanted ES cell-derived salivary gland structure. Arrowheads in the figure represent nerve fibers, arrows represent calponin-positive myoepithelial cells, and myoepithelial cells are arranged to wrap ES cell-derived acinar cells (A, B, C), and nerve fibers close to myoepithelial cells. Is oriented.
  • FIG. 10 is a diagram showing that the recipient-derived nerve invades into the transplanted ES cell-derived salivary gland structure. Arrowheads in the figure represent nerve fibers, arrows represent calponin-positive myoepithelial cells, and myoepithelial cells are arranged to wrap ES cell-derived acinar cells (A, B, C), and nerve fibers close to myoepithelial cells. Is oriented.
  • FIG. 10 is a diagram showing that the recipient-derived nerve invades into the transplanted ES cell-derived salivary gland structure. Arrow
  • FIG. 11A is a diagram showing that the amount of salivary secretion is increased by taste stimulation by citric acid to a recipient transplanted with ES cell-derived salivary gland obtained by laminating salivary gland mesenchymal tissue of 13.5 days of gestational age.
  • FIG. 11B is a diagram showing an increase in the amount of saliva secretion by stimulating the transplanted ES cell-derived salivary gland with the parasympathomimetic agent pilocarpic acid.
  • pluripotent stem cell refers to a cell having both pluripotency capable of differentiating into any cell of a living body and self-replication ability capable of maintaining pluripotency even after differentiation and proliferation. Cells and iPS cells.
  • ES cells Embryonic Stem cells
  • stem cell lines produced from an inner cell mass belonging to a part of blastocyst stage embryo which is an early developmental stage of an animal, and very many And pluripotency capable of differentiating into cells, and self-replication ability capable of maintaining pluripotency even after division and proliferation.
  • ES cells derived from the inner cell mass of any animal can be used.
  • ES cells derived from the inner cell mass of human, mouse, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig and monkey can be used as a source of ES cells.
  • iPS cells induced Pluripotent Stem cells
  • ES cells ES cells
  • somatic cells ES cells
  • the present invention is not limited to the above description, and broadly includes cells that those skilled in the art recognize as "iPS cells”.
  • the origin of the iPS cells that can be used in the present invention is not particularly limited, and any animal-derived iPS cells can be used.
  • iPS cells derived from human, mouse, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig and monkey can be used as a source of iPS cells.
  • somatic cells from which iPS cells can be derived which can be used in the present invention are not particularly limited, and iPS cells derived from cells derived from any tissue can be used.
  • the method for inducing iPS cells that can be used in the present invention is not particularly limited, and iPS cells derived using any method can be used as long as they can induce iPS cells from somatic cells. be able to.
  • the method for culturing pluripotent stem cells without differentiation is not particularly limited, and a person skilled in the art can appropriately select a known culture environment or culture medium.
  • adhesion culture may be performed using feeder cells or the like, or suspension culture may be performed without using feeder cells or the like.
  • a medium for culturing pluripotent stem cells a medium generally used for culturing pluripotent stem cells can be used, and the composition thereof is not particularly limited, and a person skilled in the art is an expert in the field. It can be suitably prepared based on common sense.
  • exocrine gland in the present invention refers to a gland in which secretory granules from exocrine cells are released directly or through a conduit to the surface of the body surface or lumenal epithelium.
  • examples of the "exocrine gland” in the present invention include lacrimal gland, salivary gland, cardiac gland, pyloric gland, gastric gland, intestinal crypt, prostate, sweat gland, sebaceous gland and the like, preferably salivary gland.
  • the confirmation that salivary gland was formed can use suitably the method which can be utilized for persons skilled in the art, such as analysis by a tissue image and functional analysis by stimulation.
  • oral ectoderm in the present invention refers to a single-layer cell sheet that forms the mucous membrane epithelium of the oral cavity during embryonic development.
  • the oral ectoderm develops from the ectoderm adjacent to the interbrain in the early embryo, and a portion of it forms the ratoke sac underlying the pituitary.
  • the presence of oral ectoderm in tissues can be confirmed, for example, by expression of pan-cytokeartin (PK).
  • PK pan-cytokeartin
  • the buccal ectoderm used in the methods of the present invention may be derived from pluripotent stem cells (eg, ES cells or iPS cells).
  • pluripotent stem cells eg, ES cells or iPS cells.
  • the method for inducing buccal ectoderm from pluripotent stem cells is not limited, and methods known to those skilled in the art can be used.
  • the induction of buccal ectoderm from ES cells in the examples of the present invention is described by K. K. et al. R. Koehler, A .; M. Mikosz, A .; I. Molosh D. Patel, E., et al. Reference is made to the method described in Hashino, Nature 500, 217 (Aug 08, 2013). Suga et al. , Nature 480, 57 (Nov 09, 2011), and Ochiai H et al. , Stem Cell Research 15: 290-298, 2015, and the like
  • SFEBq method serum agglutination suspension culture: S erum-free F loating culture of E mbryoid B ody-like aggregates with q uick reaggregation
  • pluripotent stem cells are single-celled with an enzyme and reaggregated into a cluster of about 3000 cells is used as a material for differentiation culture.
  • culturing this cell aggregate in a method of adhering cells to a culture petri dish and conducting culture as in the usual cell culture, three-dimensional tissue formation is impaired, and a clean structure can not be formed.
  • the culture vessel by coating the culture vessel with non-cell-adhesive polymer to prevent cells and tissues from adhering to the vessel, three-dimensional tissue formation is enabled by the culture method in which the cell mass is suspended in the culture solution. .
  • the cells are cultured for several days while suspended in a special culture solution that does not contain any component having a neural differentiation inhibitory effect such as serum or transcription factor. This method makes it possible to differentiate some cells into ectodermal cells.
  • the description of WO2009 / 148170 can be referred to.
  • the “cell aggregate containing buccal ectoderm” in the present invention may be a cell clump containing the number of buccal ectoderm required for induction to exocrine glands, and can be prepared, for example, by the method described above.
  • cell aggregates containing oral ectoderm are cultured under conditions that induce the expression of Sox9 and Foxc1.
  • the culture in the first step of the present invention may preferably be suspension culture.
  • the Sox9 expression gene and the Foxc1 expression gene are introduced into a cell aggregate containing oral ectoderm by gene transfer with a viral vector, gene transfer with a transfection reagent, or gene transfer with electroporation. You may When a gene is introduced by a viral vector, for example, an adenovirus vector, an adeno-associated virus vector, a lentivirus vector, a retrovirus vector, a Sendai virus vector, etc. can be used.
  • Sox9 and Foxc1 As another “condition for inducing the expression of Sox9 and Foxc1”, for example, in the cell aggregate containing the oral ectoderm in which Sox9 expression gene and Foxc1 expression gene have been introduced in advance, the Sox9 gene and the Foxc1 gene Conditions may be mentioned which induce (start) expression. Specifically, for example, by using a Tet expression induction system, expression is induced by inducing Sox9 expression gene and Foxc1 expression gene introduced at the ES cell stage with a drug in the first culture step of the present invention. It can be started. In addition, it is not limited to the above-mentioned example, but various gene expression induction systems available to those skilled in the art can be used in the present invention.
  • condition for inducing the expression of Sox9 and the “condition for inducing the expression of Foxc1” may be the same or different.
  • the respective conditions can be appropriately selected by those skilled in the art based on the common technical knowledge in this field.
  • the first culture step of the present invention may be carried out for 0 to 7 days (preferably 0 to 3 days, more preferably 0 to 1 day).
  • the first step on day 0 means, for example, starting the second step of the present invention the day the Sox 9 expression gene and the Foxc 1 expression gene were introduced into a cell aggregate containing oral ectoderm.
  • the medium used in the first culture step of the present invention is a medium substantially free of growth factor (eg, growth-factor-free Chemically Defined Medium (gfCDM medium) used in the SFEBq method)
  • gfCDM medium growth-factor-free Chemically Defined Medium
  • various other media may be used as long as they do not cause unintended differentiation induction in oral ectoderm.
  • substances generally added to the cell culture medium for example, supplements such as amino acids and transferrin, antibiotics, etc. may be added to the culture medium as long as they do not cause unintended differentiation induction in oral ectoderm. Good.
  • all or part of the cell aggregate prepared in the first step is further cultured in a medium containing FGF7 and FGF10.
  • the culture in the second step of the present invention may preferably be suspension culture.
  • the concentration of FGF7 in the culture medium and FGF10 may be contained at a concentration necessary for inducing exocrine glands (eg, salivary glands) from oral ectoderm, and can be appropriately adjusted by those skilled in the art.
  • the concentration of FGF7 in the medium may be in the range of 1 to 1000 ng / ml, preferably 5 to 750 ng / ml, 10 to 500 ng / ml, 20 to 400 ng / ml, 30 to 300 ng / ml, 40 It may be in the range of ⁇ 200 ng / ml or 50 ⁇ 150 ng / ml.
  • the concentration of FGF10 in the medium may be in the range of 1 to 1000 ng / ml, preferably 5 to 750 ng / ml, 10 to 600 ng / ml, 30 to 500 ng / ml, 50 to 400 ng / ml , 100-300 ng / ml, or 150-250 ng / ml.
  • various media can be used as long as they do not cause unintended differentiation induction in oral ectoderm.
  • BME medium, BGJb medium, CMRL 1066 medium, Glasgow MEM medium, Improved MEM Zinc Option medium, IMDM medium, Medium 199 medium, Eagle MEM medium, ⁇ MEM medium, ⁇ MEM medium, DMEM medium, advanced DMEM / F12 medium, Ham medium, Ham ' s F-12 medium, RPMI 1640 medium, Fischer's medium, Neurobasal medium, mixed medium thereof and the like can be mentioned.
  • substances eg, supplements such as amino acids and transferrin, antibiotics, etc.
  • supplements such as amino acids and transferrin, antibiotics, etc.
  • the cell aggregate cultured in the first culture step may be used as it is, but using only a part of the cell aggregate cultured in the first culture step It is also good.
  • a part of the outer layer of the cell aggregate cultured in the first culture step can be isolated and applied to the second culture step to increase the induction efficiency of exocrine glands (eg, salivary glands) .
  • the method of isolating a part of the outer layer of the cell aggregate is not limited, and may be mechanically isolated using, for example, a pipette, an injection needle, a medical scalpel or the like.
  • the second culture step of the present invention is carried out for 10 to 32 days (preferably 12 to 20 days, more preferably 15 to 18 days).
  • the regenerated salivary glands produced by the method of the present invention can be used, for example, in the treatment of diseases involving tissue damage or dysfunction of the salivary glands.
  • diseases include Sjogren's syndrome, litholithiasis, Lacrimo-auriculo-dento-digital syndrome, ALSG (aplasia of lacrimal and salivary glands), Mikulicz's disease (IgG4 related sclerosability) Disease), other salivary gland inflammatory diseases, or salivary gland dysfunction due to the side effect of radiation treatment.
  • the treatment of diseases utilizing the present invention can be used for any animal, for example, mammals (mouse, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig, monkey) , Humans, etc.).
  • mammals mae, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig, monkey
  • Humans etc.
  • humans can be excluded from the subject.
  • the regenerated salivary glands produced by the method of the present invention are used to treat a disease, it is preferable to transplant the regenerated salivary glands produced by the method of the present invention to a subject in need of treatment.
  • the method for transplanting the regenerating salivary gland to the subject is not limited, but for example, referring to WO 2012/108069, after inserting a guide (filamentary structure) for promoting the formation of the duct of the secretory gland into the regenerating salivary gland, It can be ported.
  • a guide filamentary structure
  • the regenerated salivary gland produced by the method of the present invention may be transplanted to a subject alone, but when it is adhered to a cell assembly substantially composed of mesenchymal cells and transplanted as a complex, The growth efficiency of salivary gland tissue at the transplantation destination is improved.
  • the origin of the mesenchymal cells used in the present invention is not limited, and may be, for example, mesenchymal cells derived from pluripotent stem cells (eg, ES cells, iPS cells) by a known method, or a living tissue It may be a mesenchymal cell of origin (eg, a fetal mesenchymal cell).
  • the whole or part of the regenerated salivary gland produced by the method of the present invention or the complex of the regenerated salivary gland and the mesenchymal cells is embedded in a scaffold for cell culture and then transplanted to the subject. And increase the survival rate in the target tissue.
  • scaffolds for cell culture which can be used in the present invention include collagen gels (more specifically, type I collagen gel, type III collagen gel, type IV collagen gel, matrigel, etc.) .
  • the material of the thread-like structure used as a guide for promoting the formation of the conduit of regenerated salivary gland in the present invention is not limited, for example, fibers made of synthetic or natural bioabsorbable polymers, metal fibers such as stainless steel, Chemical fibers such as carbon fibers and glass fibers, natural animal fibers, plant fibers and the like can be mentioned, and more specifically, nylon yarn, stainless steel wire and the like can be mentioned.
  • the guide may have various shapes as long as it is thread-like, for example, it may be in the form of hollow fiber.
  • the diameter and length of the thread-like structure used as a guide for promoting the formation of the conduit of the regenerating salivary gland can be appropriately designed according to the subject.
  • the diameter may be 5 to 100 ⁇ m, more preferably 10 to 70 ⁇ m, and still more preferably 20 to 50 ⁇ m.
  • the length of the guide may be, for example, 1 mm to 10 mm, more preferably 2 to 8 mm, and still more preferably 2 mm to 5 mm.
  • the method of inserting the filamentous structure into the regenerating salivary gland is not limited as long as it is inserted so as not to destroy the tissue of the regenerating salivary gland.
  • the filamentous structure is inserted so as to penetrate the regenerating salivary gland and the aggregate of mesenchymal cells. Preferably.
  • the regenerated salivary gland may be cultured for a certain period of time with the filamentous structure inserted, and then subjected to transplantation.
  • the culture period after guide insertion can be set appropriately depending on the subject, but can be cultured, for example, for 1 to 7 days.
  • FIG. 1 shows an outline of the procedure of this embodiment.
  • the procedure for inducing from the oral ectoderm (OE) to the salivary gland (SG) is the subject of the present invention.
  • Mouse ES cells are dispersed into single cells by trypsinization, and clumps are formed according to the SFEBq method (Nakano et al, Cell Stem Cell, 10 (6): 771-785, 2012) to induce differentiation Flocculation culture for 37 ° C. in the presence of 5% CO 2.
  • the specific procedure is shown below.
  • the culture medium for differentiation induction is a growth factor-free chemically-defined medium (gfCDM; Wataya et al, Proc Natl Acad Sci USA, 105 (33): 11796-11801, 2008). Using.
  • the induction from ES cells to oral ectoderm in this example is as described in K. et al. R. Koehler, A .; M. Mikosz, A .; I. Molosh D. Patel, E., et al. It implemented with reference to the method as described in Hashino, Nature 500, 217 (Aug 08, 2013).
  • SB-431542 TGF- ⁇ inhibitor
  • FGF2 thickens the epithelium of the outer layer of cell mass, so LDN-193189 ( BMP inhibitors are added respectively to suppress differentiation into the epidermis (see FIG. 1).
  • Second culture step The outer layer of the aggregate was mechanically isolated under a stereomicroscope and transferred to a 24-well plate coated with a low cell adsorptive surface.
  • the medium used was one obtained by adding 1% matrigel to a medium (advanced DMEM / F12 supplemented with N2 supplement, GlutaMax, penicillin, streptomycin) to which FGF7 (100 ng / ml) and FGF10 (200 ng / ml) were added. Medium replacement was continued once every two days.
  • This structure was composed of Pan-cytokeratin-positive epithelial cells, and Keratin 18-positive ductal epithelium, AQP5-positive acinar cells, and ⁇ -SMA-positive myoepithelial cells were arranged with polarity (FIG. 5). Moreover, the result of gene expression profile by RNA-sequence was also similar to the gene expression profile in the salivary gland source at 15 to 18 days of gestation (FIG. 6).
  • ES cell-derived salivary glands were transplanted into mice from which parotid glands had been excised, they were joined with existing excretory ducts, and production of saliva containing salivary secretory proteins was observed (Fig. 8 left: ES cell-derived 30 days after transplantation)
  • the transplantation of regenerated salivary gland was performed according to the method described in WO 2012/108069.
  • the isolated regenerated salivary gland was embedded in a scaffold material (collagen gel), and a guide (a filamentous structure) for promoting formation of a duct of a secretory gland was inserted, and then transplanted to a mouse (FIG. 9A).
  • a scaffold material collagen gel
  • a guide a filamentous structure
  • FIG. 9B Left: Stereomicroscopic image of ES cell-derived salivary gland 30 days after transplantation, in FIG. 9B: H & E stained image, FIG. 9B right: PAS stained image).
  • the transplanted ES cell-derived salivary gland contained nerves and blood vessels from the recipient (FIG. 10). That is, it has been shown that the regenerated salivary glands produced by the method of the present invention properly engraft the recipient's tissue and cooperate with the surrounding tissue.
  • FIG. 11B when the transplanted ES cell-derived salivary gland was stimulated with the parasympathomimetic agent pilocarpic acid, an increase in salivary secretion was observed (FIG. 11B). That is, it has been shown that the regenerated salivary glands produced by the method of the present invention properly engraft and function in recipient tissues.

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Abstract

[Problem] To provide a method for inducing a functional exocrine gland from pluripotent stem cells. [Solution] A method for producing a functional exocrine gland in vitro, said method comprising: (i) a step for culturing an oral ectoderm-containing cellular aggregate under such conditions that the expression of Sox9 and Foxc1 is induced; and (ii) a step for further culturing all or part of the cellular aggregate, that has been cultured in step (i), in a medium containing FGF7 and FGF10.

Description

インビトロでの機能的な外分泌腺の製造方法、および、当該方法によって製造される外分泌腺Method of producing functional exocrine glands in vitro and exocrine glands produced by said method

 本発明は、多能性幹細胞からの機能的な外分泌腺の誘導方法、および、当該方法によって誘導される外分泌腺に関する。 The present invention relates to a method of inducing functional exocrine glands from pluripotent stem cells, and exocrine glands induced by the method.

 再生医療の究極の目標は、病気や損傷、加齢によって機能不全となった臓器または組織を、完全な機能を持つ再生臓器または再生組織と置き換える、置換再生医療である。しかしながら、現在までに生体内の臓器または組織と同等の機能と構造を持つ臓器または組織の再生には至っていない。 The ultimate goal of regenerative medicine is replacement regenerative medicine, which replaces the diseased or damaged organ or tissue that has become dysfunctional with age, with a fully functional regenerated organ or tissue. However, to date, regeneration of organs or tissues having the same function and structure as organs or tissues in a living body has not been achieved.

 近年の幹細胞技術の発達により、幹細胞から生体の様々な組織を構成する細胞を誘導する技術が確立されている。しかし、生体の器官は複数種類の機能的な細胞が三次元的な配置をとり、それぞれの細胞の相互作用によって発達が進むため、それぞれの細胞を誘導する場合と比較して、特定の器官を人為的に誘導することは非常に難しい。現在の再生医療技術では、すぐに移植可能な再生器官の構築技術はまだ開発されていない。 Recent development of stem cell technology has established a technique for inducing cells that constitute various tissues of a living body from stem cells. However, since organs of a living body take on a three-dimensional arrangement of multiple types of functional cells and their development progresses through the interaction of each cell, it is necessary to compare specific organs in comparison with the case of inducing each cell. It is very difficult to artificially guide. With current regenerative medicine technology, construction techniques for rapidly transplantable regenerative organs have not yet been developed.

 本発明者らは、生体における器官の原基を由来とする上皮系細胞および間葉系細胞を用いて、人為的に毛包原基等の器官原基を再構築する技術(「器官原基法」という)を確立した(非特許文献1)。さらに本発明者らは、上記の器官原基法を用いて唾液腺や涙腺のような分泌腺の原基を作製し、当該原基にガイドを挿入したうえで培養を行うことで、生体側の導管と結合可能な導管を有する器官原基を製造する方法も示している(特許文献1)。しかし、これらの文献に示される方法は、再生器官原基の由来として、少なくとも一部に生体の組織由来の上皮系細胞および/または間葉系細胞を用いるものであった。そのため、より汎用性の高い器官の製造方法として、完全に多能性幹細胞を由来とする、インビトロでの器官の製造方法の開発が求められている。 The present inventors artificially reconstruct an organ primordia such as a hair follicle primordial or the like using epithelial cells and mesenchymal cells derived from organ primordia in a living body ("Organ primordia Law) was established (Non-Patent Document 1). Furthermore, the present inventors use the above-described organ primordia method to prepare a primordia of a secretory gland such as a salivary gland and a lacrimal gland, insert a guide into the primordia, and culture the living body. Also shown is a method of manufacturing an organ primordia having a conduit connectable with the conduit (US Pat. However, the methods described in these documents use epithelial cells and / or mesenchymal cells derived from a tissue of a living body at least in part as a source of regenerated organ primordia. Therefore, as a more versatile method for producing organs, development of a method for producing organs in vitro, which is completely derived from pluripotent stem cells, is required.

 これまで、無血清凝集浮遊培養法(SFEBq法)を用いて、多能性幹細胞の凝集体を無血清培地中で浮遊培養することにより、眼杯、前眼部組織、下垂体等をインビトロで誘導できることが報告されている(眼杯について非特許文献2、前眼部組織について非特許文献3、下垂体について非特許文献4)。 Until now, by using the serum-free aggregation suspension culture method (SFEBq method), suspension culture of aggregates of pluripotent stem cells in a serum-free medium, eye cup, anterior segment tissue, pituitary body, etc. in vitro It has been reported that it can be induced (Non-patent document 2 for eye cup, Non-patent document 3 for anterior segment tissue, and non-patent document 4 for pituitary).

WO2012/108069WO 2012/108069

Nakao,K.,et al. Nat Methods 4, 227-30(2007)Nakao, K. , Et al. Nat Methods 4, 227-30 (2007) M. Eiraku et al., Nature 472, 51 (Apr 07, 2011)M. Eiraku et al. , Nature 472, 51 (Apr 07, 2011) T. Nakano et al., Cell stem cell 10, 771 (Jun 14, 2012)T. Nakano et al. , Cell stem cell 10, 771 (Jun 14, 2012) H. Suga et al., Nature 480, 57 (Nov 09, 2011)H. Suga et al. , Nature 480, 57 (Nov 09, 2011)

 上記のとおり、多能性幹細胞を材料とする組織の再構築方法については盛んに研究がなされている。しかし、唾液腺等の外分泌腺組織の発生過程の分子メカニズムは極めて複雑であり未だ不明な点が多く、多能性幹細胞を由来とするインビトロでの機能的な外分泌腺の分化誘導方法についてはこれまで報告されていない。 As described above, research has been actively conducted on methods for reconstituting tissues from pluripotent stem cells. However, the molecular mechanism of the developmental process of exocrine gland tissues such as salivary glands is extremely complicated, and there are still many unknown points, and the method for inducing differentiation of functional exocrine glands in vitro derived from pluripotent stem cells has been described so far. Not reported

 本発明者らは、多能性幹細胞を由来とする機能的な外分泌腺の分化誘導方法について鋭意検討を重ねた。その結果、驚くべきことに、多能性幹細胞から誘導された口腔外胚葉に対して、所定の工程を加えることにより、インビトロで機能的な外分泌腺(例えば、唾液腺)を製造し得ることを見出し、本発明を完成させるに到った。 The present inventors diligently studied about a method of inducing differentiation of functional exocrine gland derived from pluripotent stem cells. As a result, it has been surprisingly found that, by adding predetermined steps to oral ectoderm derived from pluripotent stem cells, functional exocrine glands (eg, salivary glands) can be produced in vitro. , Came to complete the present invention.

 すなわち本発明は、一実施態様において、インビトロで機能的な外分泌腺を製造する方法であって、
 (i):口腔外胚葉を含む細胞凝集塊を、Sox9およびFoxc1の発現を誘導する条件下で培養する工程、および、
 (ii):前記の工程(i)において培養された細胞凝集塊の全部または一部を、FGF7およびFGF10を含む培地でさらに培養する工程、
を含む、方法に関する。
Thus, in one embodiment, the present invention is a method of producing a functional exocrine gland in vitro, comprising
(I): culturing cell aggregates containing oral ectoderm under conditions that induce the expression of Sox9 and Foxc1;
(Ii): further culturing all or part of the cell aggregate cultured in the above step (i) in a medium containing FGF7 and FGF10,
On the way, including.

 本発明の一実施態様においては、前記口腔外胚葉が、ES細胞またはiPS細胞から誘導された口腔外胚葉であることを特徴とする。 In one embodiment of the present invention, the oral ectoderm is characterized by being derived from ES cells or iPS cells.

 本発明の一実施態様においては、前記外分泌腺が、唾液腺であることを特徴とする。 In one embodiment of the present invention, the exocrine gland is a salivary gland.

 本発明の一実施態様においては、前記工程(i)における「Sox9およびFoxc1の発現を誘導する条件」が、
(a)前記の口腔外胚葉を含む細胞凝集塊にSox9発現遺伝子およびFoxc1発現遺伝子を導入することによって、Sox9およびFoxc1の発現を誘導する条件、または、
(b)前もってSox9発現遺伝子およびFoxc1発現遺伝子が導入された口腔外胚葉を含む細胞凝集塊において、前記導入されたSox9遺伝子およびFoxc1遺伝子の発現を誘導する条件、
であることを特徴とする。
In one embodiment of the present invention, the “condition for inducing the expression of Sox9 and Foxc1” in the step (i) is
(A) A condition that induces the expression of Sox9 and Foxc1 by introducing the Sox9 expression gene and the Foxc1 expression gene into the cell aggregate containing the above-mentioned oral ectoderm, or
(B) conditions for inducing the expression of the introduced Sox9 gene and Foxc1 gene in a cell aggregate containing oral ectoderm into which Sox9 expression gene and Foxc1 expression gene have been introduced in advance;
It is characterized by being.

 本発明の一実施態様においては、前記遺伝子の導入が、ウイルスベクターによる遺伝子の導入、トランスフェクション試薬による遺伝子の導入、または、エレクトロポレーションによる遺伝子の導入、であることを特徴とする。 In one embodiment of the present invention, the gene transfer is characterized by the transfer of a gene by a viral vector, the transfer of a gene by a transfection reagent, or the transfer of a gene by electroporation.

 また、一実施態様においては、前記ウイルスベクターが、アデノウイルスベクター、アデノ随伴ウイルスベクター、レンチウイルスベクター、レトロウイルスベクター、または、センダイウイルスベクターであることを特徴とする。 In one embodiment, the virus vector is an adenovirus vector, an adeno-associated virus vector, a lentivirus vector, a retrovirus vector, or a Sendai virus vector.

 本発明の一実施態様においては、前記工程(ii)が、前記の工程(i)において培養された細胞凝集塊の外層の一部を、FGF7およびFGF10を含む培地でさらに培養するステップであることを特徴とする。 In one embodiment of the present invention, the step (ii) is a step of further culturing a part of the outer layer of the cell aggregate cultured in the step (i) in a medium containing FGF7 and FGF10. It is characterized by

 本発明の一実施態様においては、前記工程(ii)において、培地中のFGF7の濃度が1~1000ng/mlであり、培地中のFGF10の濃度が1~1000ng/mlであることを特徴とする。 In one embodiment of the present invention, in the step (ii), the concentration of FGF7 in the medium is 1 to 1000 ng / ml, and the concentration of FGF10 in the medium is 1 to 1000 ng / ml. .

 本発明の一実施態様においては、前記工程(i)は、実質的に成長因子を含まない培地を用いて実施されることを特徴とする。 In one embodiment of the present invention, the step (i) is characterized in that it is carried out using a growth factor-free medium.

 本発明の一実施態様においては、前記工程(i)の培養期間は、0~7日であり、前記工程(ii)の培養期間は、10~32日である、ことを特徴とする。 In one embodiment of the present invention, the culture period of the step (i) is 0 to 7 days, and the culture period of the step (ii) is 10 to 32 days.

 本発明の他の実施形態は、唾液腺の組織障害または機能障害を伴う疾患の治療に用いるための医薬組成物に関し、ここで、前記医薬組成物は、上記のいずれかの方法によって製造される再生唾液腺を含むことを特徴とする。 Another embodiment of the present invention relates to a pharmaceutical composition for use in the treatment of a disease accompanied by tissue disorder or dysfunction of salivary gland, wherein said pharmaceutical composition is regenerated by any of the above methods It is characterized by containing a salivary gland.

 本発明の一実施形態においては、前記医薬組成物は、間葉系細胞から実質的に構成される細胞集合体と、上記のいずれかの方法によって製造される再生唾液腺とを含む複合体、
を含むことを特徴とする。
In one embodiment of the present invention, the pharmaceutical composition comprises a complex comprising a cell assembly substantially composed of mesenchymal cells, and a regenerating salivary gland produced by any of the above methods.
It is characterized by including.

 本発明の一実施形態においては、前記複合体において、前記間葉系細胞から実質的に構成される細胞集合体と、前記再生唾液腺とを貫くように、糸状構造物が挿入されていることを特徴とする。 In one embodiment of the present invention, in the complex, a filamentous structure is inserted so as to penetrate the cell assembly substantially composed of the mesenchymal cells and the regenerated salivary gland. It features.

 本発明の一実施形態においては、前記再生唾液腺の全部または一部、または、前記複合体の全部または一部が、細胞培養用足場材料に包埋されていることを特徴とする。 In one embodiment of the present invention, all or part of the regenerated salivary gland or all or part of the complex is characterized in being embedded in a cell culture scaffold material.

 本発明の一実施形態においては、前記足場材料がコラーゲンゲルであることを特徴とする。 In one embodiment of the present invention, the scaffold material is a collagen gel.

 本発明の一実施形態においては、前記疾患が、シェーグレン症候群、唾石症、LADD症候群(Lacrimo-auriculo-dento-digital syndrome)、ALSG(Aplasia of lacrimal and salivary glands)、Mikulicz病(IgG4 関連硬化性疾患)、その他の唾液腺炎症性疾患、または、放射線治療の副作用による唾液腺機能障害であることを特徴とする。 In one embodiment of the present invention, the disease is Sjogren's syndrome, litholithiasis, LADDO (Lacrimo-auriculo-dento-digital syndrome), ALSG (aplasia of lacrimal and salivary glands), Mikulicz disease (IgG4 associated sclerosability) Disease), other salivary gland inflammatory diseases, or salivary gland dysfunction due to the side effect of radiation treatment.

 本発明の他の実施態様は、唾液腺の組織障害または機能障害を伴う疾患の治療に用いる医薬組成物の製造のための、上記のいずれかの方法で製造した再生唾液腺の使用、に関する。 Another embodiment of the present invention relates to the use of the regenerated salivary gland produced by any of the above methods for the production of a pharmaceutical composition for use in the treatment of a disease associated with tissue disorder or dysfunction of the salivary gland.

 本発明の他の実施態様は、唾液腺の組織障害または機能障害を伴う疾患の治療方法に関し、ここで、前記方法は、上記の方法で製造した再生唾液腺、または、上記の医薬組成物を、前記疾患の治療を必要とする対象に適用する工程、を含むことを特徴とする。 Another embodiment of the present invention relates to a method of treating a disease associated with tissue disorder or dysfunction of salivary gland, wherein the method comprises regenerating salivary gland produced by the above method, or the pharmaceutical composition as described above. Applying to a subject in need of treatment of a disease.

 本発明の一実施態様においては、前記対象が、ヒト以外の哺乳動物であることを特徴とする。 In one embodiment of the present invention, the subject is a mammal other than human.

 上記に挙げた本発明の一または複数の特徴を任意に組み合わせた発明も、本発明の範囲に含まれる。 The invention which arbitrarily combines one or more features of the present invention mentioned above is also included in the scope of the present invention.

図1は、本発明の実施例の手順を示す。図中の略語は以下を意味する。ES:Embryonic Stem Cell(胚性幹細胞)ME:Mesendoderm(胚性幹細胞)DE:Definitive Ectoderm(胚性外胚葉)NNE:Non-neural Ectoderm(非神経外胚葉)NE:Neural Ectoderm(神経外胚葉)EPI:Epidermis(表皮)OE:Oral Ectoderm(口腔外胚葉)OESG:Oral Epithelial Salivary Gland(口腔上皮唾液腺)SG:Salivary Gland(唾液腺)FIG. 1 shows the procedure of an embodiment of the present invention. The abbreviations in the figure mean the following. ES: Embryonic Stem Cell (embryonic stem cells) ME: Mesendoderm (embryonic stem cells) DE: Definitive Ectoderm (embryonic ectoderm) NNE: Non-neural Ectoderm (non-neural ectoderm) NE: Neural Ectoderm (neural ectoderm) EPI : Epidermis (epidermis) OE: Oral Ectoderm (oral ectoderm) OESG: Oral Epithelial Salivary Gland (oral epithelial salivary gland) SG: Salivary Gland (salivary gland) 図2は、分化誘導開始8日目の凝集塊の外層に、Pan-cytokeratin(PK)陽性の原始口腔粘膜(口腔外胚葉)が形成されていることを示す図である。FIG. 2 is a diagram showing that Pan-cytokeratin (PK) -positive primordial oral mucosa (oral ectoderm) positive is formed in the outer layer of the aggregate on the 8th day after the induction of differentiation induction. 図3は、分化誘導開始8日目の凝集塊にアデノウイルスベクターを用いてSox9発現遺伝子およびFoxc1発現遺伝子を導入し、その後凝集塊の外層を分離してFGF7およびFGF10の存在下でさらに培養することを示した図である。FIG. 3 shows that Sox9-expressing gene and Foxc1-expressing gene are introduced into the aggregate on the 8th day of differentiation induction initiation using an adenovirus vector, then the outer layer of the aggregate is separated and further cultured in the presence of FGF7 and FGF10 It is the figure which showed that. 図4は、分化誘導23日目の凝集塊から胎生期唾液腺原基に類似するbudding様構造が形成され、分化誘導28日目には分枝形態形成が認められたことを示す図である。FIG. 4 is a diagram showing that a budding-like structure similar to the embryonic salivary gland primordia is formed from the clumps on day 23 of differentiation induction, and branching morphogenesis is observed on day 28 of differentiation induction. 図5は、分化誘導23日目および28日目におけるES細胞由来唾液腺はPan-cytokeratin(PK)陽性の上皮細胞で構成され、Keratin18(K18)陽性の導管上皮が近心側に配置し、AQP5陽性の腺房細胞、α-SMA陽性の筋上皮細胞が遠心側に配置していることを示す図である。なお、図中の矢頭「e」は腺房(epithelial bud)を示し、図中の矢印「d」は導管(duct)を示す。FIG. 5 shows that ES cell-derived salivary glands on day 23 and 28 of differentiation induction are composed of Pan-cytokeratin (PK) -positive epithelial cells, and Keratin 18 (K18) -positive ductal epithelium is placed on the mesial side, AQP5 It is a figure which shows that the positive acinar cell and the (alpha)-SMA positive myoepithelial cell are arrange | positioned at the centrifugal side. The arrowhead "e" in the figure indicates an acini (epithelial bud), and the arrow "d" in the figure indicates a duct (duct). 図6は、RNA-sequenceによる遺伝子発現プロファイルの成分解析の結果、ES細胞由来唾液腺(i-SG)は胎生15-18日の唾液腺原器と遺伝子発現が類似していることを示す図である。FIG. 6 is a diagram showing that, as a result of component analysis of gene expression profile by RNA-sequence, gene expression of ES cell-derived salivary gland (i-SG) is similar to that of salivary gland source at 15-18 days of embryonic day . 図7は、ES細胞由来唾液腺はcarbachol刺激によって細胞内Ca2+濃度の上昇がみられ、その作用はatropineにより抑制されることを示す図である。FIG. 7 shows that ES cell-derived salivary glands show an increase in intracellular Ca 2+ concentration by carbachol stimulation, and that the action is suppressed by atropine. 図8左は、移植30日後のES細胞由来唾液腺の実体顕微鏡像である。図8中(GFP/DAPI染色像)および図8右(PAS染色像)は、耳下腺切除マウスにES細胞由来唾液腺(i-SG)を移植することで、レシピエントの排泄部導管とES細胞由来唾液腺構造が接続し粘液産生能を持つ成熟した腺房細胞が生着していることを示した図である。FIG. 8 left is a stereomicroscopic image of ES cell-derived salivary glands 30 days after transplantation. In FIG. 8 (GFP / DAPI stained image) and FIG. 8 right (PAS stained image), the excretory duct and ES of the recipient are obtained by transplanting the ES cell-derived salivary gland (i-SG) into the parotid ablated mouse. FIG. 5 is a diagram showing that cell-derived salivary gland structures are connected and engrafted mature acinar cells having mucus-producing ability. 図9Aは、本実施例におけるES細胞由来唾液腺の移植方法の概要を示した図である。図9Bは、胎児由来唾液腺間葉組織をES細胞由来唾液腺に付加して移植した場合の組織像を示す(図9B左:移植30日後のES細胞由来唾液腺の実体顕微鏡像、図9B中:H&E染色像、図9B右:PAS染色像)。FIG. 9A is a diagram showing an outline of a method of transplanting ES cell-derived salivary glands in the present example. FIG. 9B shows a histologic image of the case where fetal derived salivary gland mesenchymal tissue is added to ES cell-derived salivary gland and transplanted (FIG. 9B left: stereomicroscopic image of ES cell-derived salivary gland 30 days after transplantation, in FIG. 9B: H & E) Stained image, right in FIG. 9B: PAS stained image). 図10は、移植したES細胞由来唾液腺構造に、レシピエント由来の神経が侵入していることを示した図である。図中の矢頭は神経線維、矢印はカルポニン陽性筋上皮細胞を表し、ES細胞由来の腺房(A,B,C)を包むように筋上皮細胞が配置し、筋上皮細胞に近接して神経線維が配向している。FIG. 10 is a diagram showing that the recipient-derived nerve invades into the transplanted ES cell-derived salivary gland structure. Arrowheads in the figure represent nerve fibers, arrows represent calponin-positive myoepithelial cells, and myoepithelial cells are arranged to wrap ES cell-derived acinar cells (A, B, C), and nerve fibers close to myoepithelial cells. Is oriented. 図11Aは、胎齢13.5日の唾液腺間葉組織を貼り合わせたES細胞由来唾液腺を移植したレシピエントへのクエン酸による味刺激によって唾液分泌量が増加することを示した図である。図11Bは、移植したES細胞由来唾液腺を副交感神経作動薬であるピロカルピン酸で刺激することによる、唾液分泌量の増加を示す図である。FIG. 11A is a diagram showing that the amount of salivary secretion is increased by taste stimulation by citric acid to a recipient transplanted with ES cell-derived salivary gland obtained by laminating salivary gland mesenchymal tissue of 13.5 days of gestational age. FIG. 11B is a diagram showing an increase in the amount of saliva secretion by stimulating the transplanted ES cell-derived salivary gland with the parasympathomimetic agent pilocarpic acid.

 本発明において、「多能性幹細胞」とは、生体のあらゆる細胞に分化できる分化万能性と、分化増殖を経ても分化万能性を維持できる自己複製能をあわせもつ細胞をいい、その例としてES細胞やiPS細胞が挙げられる。 In the present invention, “pluripotent stem cell” refers to a cell having both pluripotency capable of differentiating into any cell of a living body and self-replication ability capable of maintaining pluripotency even after differentiation and proliferation. Cells and iPS cells.

 本発明において、「ES細胞(Embryonic Stem cells)」とは、動物の発生初期段階である胚盤胞期の胚の一部に属する内部細胞塊より作られる幹細胞株のことをいい、非常に多くの細胞に分化できる分化万能性と、分裂増殖を経ても分化万能性を維持できる自己複製能を持つ。 In the present invention, "ES cells (Embryonic Stem cells)" refers to stem cell lines produced from an inner cell mass belonging to a part of blastocyst stage embryo which is an early developmental stage of an animal, and very many And pluripotency capable of differentiating into cells, and self-replication ability capable of maintaining pluripotency even after division and proliferation.

 本発明において用いることのできるES細胞の由来は特に限定されず、あらゆる動物の内部細胞塊由来のES細胞を用いることができる。例えば、ES細胞の由来として、ヒト、マウス、ラット、イヌ、ネコ、ウサギ、ウシ、ウマ、ヒツジ、ヤギ、ブタ、サルの内部細胞塊由来のES細胞を用いることができる。 The origin of ES cells that can be used in the present invention is not particularly limited, and ES cells derived from the inner cell mass of any animal can be used. For example, ES cells derived from the inner cell mass of human, mouse, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig and monkey can be used as a source of ES cells.

 「iPS細胞(induced Pluripotent Stem cells)」とは、一般的に、体細胞へ、例えば数種類の遺伝子および/または薬剤を導入することにより、ES細胞のように非常に多くの細胞に分化できる分化万能性と、分裂増殖を経ても分化万能性を維持できる自己複製能を持たせた細胞をいう。ただし、本発明においては、上記の説明に限定されず、当業者が「iPS細胞」であると認識する細胞を広く含む。 In general, “iPS cells (induced Pluripotent Stem cells)” are pluripotent capable of differentiating into so many cells like ES cells by introducing several types of genes and / or drugs into somatic cells, for example. Refers to cells that have sex and self-replication ability to maintain pluripotency even after division and proliferation. However, the present invention is not limited to the above description, and broadly includes cells that those skilled in the art recognize as "iPS cells".

 本発明において用いることのできるiPS細胞の由来は特に限定されず、あらゆる動物由来のiPS細胞を用いることができる。例えば、iPS細胞の由来として、ヒト、マウス、ラット、イヌ、ネコ、ウサギ、ウシ、ウマ、ヒツジ、ヤギ、ブタ、サル由来のiPS細胞を用いることができる。また、本発明において用いることのできるiPS細胞の由来となる体細胞も特に限定されず、あらゆる組織由来の細胞から誘導されたiPS細胞を用いることができる。さらに、本発明において用いることのできるiPS細胞の誘導方法も特に限定されず、体細胞からiPS細胞を誘導することができる方法であれば、どのような方法を用いて誘導されたiPS細胞でも用いることができる。 The origin of the iPS cells that can be used in the present invention is not particularly limited, and any animal-derived iPS cells can be used. For example, as a source of iPS cells, iPS cells derived from human, mouse, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig and monkey can be used. Further, somatic cells from which iPS cells can be derived which can be used in the present invention are not particularly limited, and iPS cells derived from cells derived from any tissue can be used. Furthermore, the method for inducing iPS cells that can be used in the present invention is not particularly limited, and iPS cells derived using any method can be used as long as they can induce iPS cells from somatic cells. be able to.

 本発明において、多能性幹細胞を分化させずに培養する方法は特に限定されず、当業者が公知の培養環境や培地を適宜選択することができる。例えば、フィーダー細胞等を用いて接着培養してもよく、フィーダー細胞等を用いずに浮遊培養してもよい。また、多能性幹細胞を培養するための培地としては、一般的に多能性幹細胞の培養に用いられる培地を用いることができ、その組成については特に限定されず、当業者が本分野の技術常識に基づいて適宜調製することができる。 In the present invention, the method for culturing pluripotent stem cells without differentiation is not particularly limited, and a person skilled in the art can appropriately select a known culture environment or culture medium. For example, adhesion culture may be performed using feeder cells or the like, or suspension culture may be performed without using feeder cells or the like. In addition, as a medium for culturing pluripotent stem cells, a medium generally used for culturing pluripotent stem cells can be used, and the composition thereof is not particularly limited, and a person skilled in the art is an expert in the field. It can be suitably prepared based on common sense.

 本発明における「外分泌腺」とは、外分泌細胞からの分泌顆粒が直接ないし導管を介して体表あるいは管腔の上皮表面に放出される腺をいう。本発明における「外分泌腺」の例としては、涙腺、唾液腺、噴門腺、幽門腺、胃腺、腸陰窩、前立腺、汗腺、皮脂腺等を挙げることができ、好ましくは唾液腺であってよい。なお、本発明の方法によって唾液腺を製造する場合、唾液腺が形成されたことの確認は、組織像による解析や、刺激による機能解析等、当業者に利用可能な手法を適宜用いることができる。 The "exocrine gland" in the present invention refers to a gland in which secretory granules from exocrine cells are released directly or through a conduit to the surface of the body surface or lumenal epithelium. Examples of the "exocrine gland" in the present invention include lacrimal gland, salivary gland, cardiac gland, pyloric gland, gastric gland, intestinal crypt, prostate, sweat gland, sebaceous gland and the like, preferably salivary gland. In addition, when manufacturing a salivary gland by the method of this invention, the confirmation that salivary gland was formed can use suitably the method which can be utilized for persons skilled in the art, such as analysis by a tissue image and functional analysis by stimulation.

 本発明における「口腔外胚葉」とは、胚の発生過程で、口腔の粘膜上皮を形成する1層の細胞シートいう。口腔外胚葉は初期胚において間脳に隣接する外胚葉から発生し、その一部は下垂体のもとになるラトケ嚢を形成する。組織における口腔外胚葉の存在は、例えばpan-cytokeartin(PK)の発現等によって確認することができる。 The "oral ectoderm" in the present invention refers to a single-layer cell sheet that forms the mucous membrane epithelium of the oral cavity during embryonic development. The oral ectoderm develops from the ectoderm adjacent to the interbrain in the early embryo, and a portion of it forms the ratoke sac underlying the pituitary. The presence of oral ectoderm in tissues can be confirmed, for example, by expression of pan-cytokeartin (PK).

 本発明の方法において用いられる口腔外胚葉は、多能性幹細胞(例えば、ES細胞またはiPS細胞)から誘導されたものであってよい。多能性幹細胞から口腔外胚葉を誘導する方法は限定されず、当業者に公知の方法を用いることができる。例えば、本発明の実施例におけるES細胞からの口腔外胚葉の誘導はK.R.Koehler,A.M.Mikosz,A.I.Molosh,D.Patel,E.Hashino,Nature 500,217(Aug 08,2013)に記載の方法を参考にしているが、他にもH.Suga et al.,Nature 480,57(Nov 09,2011)の記載や、Ochiai H et al.,Stem Cell Research 15:290-298,2015の記載等を参照して実施することができる。 The buccal ectoderm used in the methods of the present invention may be derived from pluripotent stem cells (eg, ES cells or iPS cells). The method for inducing buccal ectoderm from pluripotent stem cells is not limited, and methods known to those skilled in the art can be used. For example, the induction of buccal ectoderm from ES cells in the examples of the present invention is described by K. K. et al. R. Koehler, A .; M. Mikosz, A .; I. Molosh D. Patel, E., et al. Reference is made to the method described in Hashino, Nature 500, 217 (Aug 08, 2013). Suga et al. , Nature 480, 57 (Nov 09, 2011), and Ochiai H et al. , Stem Cell Research 15: 290-298, 2015, and the like.

 上記に挙げた方法のいくつかにおいては、SFEBq法(無血清凝集浮遊培養法:erum-free loating culture of mbryoid ody-like aggregates with uick reaggregation)を利用する。SFEBq法においては、多能性幹細胞を酵素で単一細胞化し、それを3000個程度の細胞の塊に再凝集させたものを分化培養の材料に用いる。この細胞凝集塊を培養する場合、通常の細胞培養で行うような細胞を培養シャーレに接着させて培養する方法では、立体的な組織形成が損なわれて、きれいな構造体を作ることができない。そのため、培養容器を細胞非接着性ポリマーでコーティングし、細胞や組織が容器に付着しないようにすることで、細胞塊を培養液の中で浮遊させる培養方法で立体的な組織形成を可能にする。SFEBq法では、血清や転写因子などの神経分化阻害効果のある成分を一切含まない特殊な培養液に浮遊させて数日培養する。この方法により、一部の細胞を外胚葉系の細胞に分化させることが可能になる。なお、SFEBq法の具体的手順に関しては、WO2009/148170の記載を参照することができる。 In some of the methods listed above, SFEBq method (serum agglutination suspension culture: S erum-free F loating culture of E mbryoid B ody-like aggregates with q uick reaggregation) utilize. In the SFEBq method, pluripotent stem cells are single-celled with an enzyme and reaggregated into a cluster of about 3000 cells is used as a material for differentiation culture. In the case of culturing this cell aggregate, in a method of adhering cells to a culture petri dish and conducting culture as in the usual cell culture, three-dimensional tissue formation is impaired, and a clean structure can not be formed. Therefore, by coating the culture vessel with non-cell-adhesive polymer to prevent cells and tissues from adhering to the vessel, three-dimensional tissue formation is enabled by the culture method in which the cell mass is suspended in the culture solution. . In the SFEBq method, the cells are cultured for several days while suspended in a special culture solution that does not contain any component having a neural differentiation inhibitory effect such as serum or transcription factor. This method makes it possible to differentiate some cells into ectodermal cells. For the specific procedure of the SFEBq method, the description of WO2009 / 148170 can be referred to.

 本発明における「口腔外胚葉を含む細胞凝集塊」は、外分泌腺への誘導に必要な数の口腔外胚葉を含む細胞凝集塊であればよく、例えば上述の方法によって作製することができる。 The “cell aggregate containing buccal ectoderm” in the present invention may be a cell clump containing the number of buccal ectoderm required for induction to exocrine glands, and can be prepared, for example, by the method described above.

 本発明の第1の培養工程においては、口腔外胚葉を含む細胞凝集塊を、Sox9およびFoxc1の発現を誘導する条件下で培養する。本発明の第1の工程における培養は、好ましくは浮遊培養であってよい。ここで、「Sox9およびFoxc1の発現を誘導する条件」とは、例えば、前記口腔外胚葉を含む細胞凝集塊にSox9発現遺伝子およびFoxc1発現遺伝子を導入することによって、Sox9およびFoxc1の発現を誘導する条件であってよい。具体的には、ウイルスベクターによる遺伝子の導入、トランスフェクション試薬による遺伝子の導入、または、エレクトロポレーションによる遺伝子の導入によって、口腔外胚葉を含む細胞凝集塊にSox9発現遺伝子およびFoxc1発現遺伝子を導入してよい。ウイルスベクターによって遺伝子を導入する場合、例えばアデノウイルスベクター、アデノ随伴ウイルスベクター、レンチウイルスベクター、レトロウイルスベクター、センダイウイルスベクター等を用いることができる。 In the first culture step of the present invention, cell aggregates containing oral ectoderm are cultured under conditions that induce the expression of Sox9 and Foxc1. The culture in the first step of the present invention may preferably be suspension culture. Here, the “conditions for inducing the expression of Sox9 and Foxc1”, for example, induces the expression of Sox9 and Foxc1 by introducing the Sox9 expression gene and the Foxc1 expression gene into the cell aggregate containing the oral ectoderm. It may be a condition. Specifically, the Sox9 expression gene and the Foxc1 expression gene are introduced into a cell aggregate containing oral ectoderm by gene transfer with a viral vector, gene transfer with a transfection reagent, or gene transfer with electroporation. You may When a gene is introduced by a viral vector, for example, an adenovirus vector, an adeno-associated virus vector, a lentivirus vector, a retrovirus vector, a Sendai virus vector, etc. can be used.

 他の「Sox9およびFoxc1の発現を誘導する条件」としては、例えば、前もってSox9発現遺伝子およびFoxc1発現遺伝子が導入された口腔外胚葉を含む細胞凝集塊において、前記導入されたSox9遺伝子およびFoxc1遺伝子の発現を誘導する(開始させる)条件を挙げることができる。具体的には、例えば、Tet発現誘導システムを利用して、ES細胞の段階で導入したSox9発現遺伝子およびFoxc1発現遺伝子を、本発明の第1の培養工程において薬剤で誘導することにより、発現を開始させることができる。なお、上記の例に限定されず、当業者に利用可能な様々な遺伝子発現誘導システムを本発明において用いることができる。 As another “condition for inducing the expression of Sox9 and Foxc1”, for example, in the cell aggregate containing the oral ectoderm in which Sox9 expression gene and Foxc1 expression gene have been introduced in advance, the Sox9 gene and the Foxc1 gene Conditions may be mentioned which induce (start) expression. Specifically, for example, by using a Tet expression induction system, expression is induced by inducing Sox9 expression gene and Foxc1 expression gene introduced at the ES cell stage with a drug in the first culture step of the present invention. It can be started. In addition, it is not limited to the above-mentioned example, but various gene expression induction systems available to those skilled in the art can be used in the present invention.

 なお、本発明の工程において、「Sox9の発現を誘導する条件」と「Foxc1の発現を誘導する条件」とは同じであってよく、異なっていてもよい。それぞれの条件は、本分野の技術常識に基づいて、当業者が適宜選択することができる。 In the process of the present invention, the “condition for inducing the expression of Sox9” and the “condition for inducing the expression of Foxc1” may be the same or different. The respective conditions can be appropriately selected by those skilled in the art based on the common technical knowledge in this field.

 本発明の第1の培養工程は、0~7日間(好ましくは0~3日、さらに好ましくは0~1日)実施されてよい。第1の工程が0日とは、例えば、口腔外胚葉を含む細胞凝集塊にSox9発現遺伝子およびFoxc1発現遺伝子を導入したその日に、本発明の第2の工程を開始することを意味する。 The first culture step of the present invention may be carried out for 0 to 7 days (preferably 0 to 3 days, more preferably 0 to 1 day). The first step on day 0 means, for example, starting the second step of the present invention the day the Sox 9 expression gene and the Foxc 1 expression gene were introduced into a cell aggregate containing oral ectoderm.

 本発明の第1の培養工程において用いる培地は、実質的に成長因子(growth factor)を含まない培地(例えば、SFEBq法において用いられるgrowth-factor-free Chemically Defined Medium(gfCDM培地))であることが好ましいが、口腔外胚葉に意図しない分化誘導を引き起こさない限りにおいて、他の様々な培地を用いてもよい。なお、口腔外胚葉に意図しない分化誘導を引き起こさない限りにおいて、細胞培養用培地に一般的に添加される物質(例えば、アミノ酸やトランスフェリン等のサプリメント、抗生剤、等)を培地に添加してもよい。 The medium used in the first culture step of the present invention is a medium substantially free of growth factor (eg, growth-factor-free Chemically Defined Medium (gfCDM medium) used in the SFEBq method) However, various other media may be used as long as they do not cause unintended differentiation induction in oral ectoderm. It should be noted that substances generally added to the cell culture medium (for example, supplements such as amino acids and transferrin, antibiotics, etc.) may be added to the culture medium as long as they do not cause unintended differentiation induction in oral ectoderm. Good.

 本発明の第2の培養工程においては、第1の工程で準備された細胞凝集塊の全部または一部を、FGF7およびFGF10を含む培地でさらに培養する。本発明の第2の工程における培養は、好ましくは浮遊培養であってよい。培地中のFGF7の濃度およびFGF10は、口腔外胚葉から外分泌腺(例えば、唾液腺)を誘導するために必要な濃度で含まれていればよく、当業者が適宜調節することができる。例えば、培地中のFGF7の濃度は、1~1000ng/mlの範囲であってよく、好ましくは、5~750ng/ml、10~500ng/ml、20~400ng/ml、30~300ng/ml、40~200ng/ml、または、50~150ng/mlの範囲であってよい。また、例えば、培地中のFGF10の濃度は、1~1000ng/mlの範囲であってよく、好ましくは、5~750ng/ml、10~600ng/ml、30~500ng/ml、50~400ng/ml、100~300ng/ml、または、150~250ng/mlの範囲であってよい。 In the second culture step of the present invention, all or part of the cell aggregate prepared in the first step is further cultured in a medium containing FGF7 and FGF10. The culture in the second step of the present invention may preferably be suspension culture. The concentration of FGF7 in the culture medium and FGF10 may be contained at a concentration necessary for inducing exocrine glands (eg, salivary glands) from oral ectoderm, and can be appropriately adjusted by those skilled in the art. For example, the concentration of FGF7 in the medium may be in the range of 1 to 1000 ng / ml, preferably 5 to 750 ng / ml, 10 to 500 ng / ml, 20 to 400 ng / ml, 30 to 300 ng / ml, 40 It may be in the range of ̃200 ng / ml or 50 ̃150 ng / ml. Also, for example, the concentration of FGF10 in the medium may be in the range of 1 to 1000 ng / ml, preferably 5 to 750 ng / ml, 10 to 600 ng / ml, 30 to 500 ng / ml, 50 to 400 ng / ml , 100-300 ng / ml, or 150-250 ng / ml.

 本発明の第2の培養工程において用いる培地は、口腔外胚葉に意図しない分化誘導を引き起こさない限りにおいて、様々な培地を用いることができる。例えば、BME培地、BGJb培地、CMRL 1066培地、Glasgow MEM培地、Improved MEM Zinc Option培地、IMDM培地、Medium 199培地、Eagle MEM培地、αMEM培地、DMEM培地、advanced DMEM/F12培地、ハム培地、Ham’s F-12培地、RPMI1640培地、Fischer’s培地、Neurobasal培地およびこれらの混合培地等が挙げられる。なお、口腔外胚葉に意図しない分化誘導を引き起こさない限りにおいて、細胞培養用培地に一般的に添加される物質(例えば、アミノ酸やトランスフェリン等のサプリメント、抗生剤等)を培地に添加してもよい。 As the medium used in the second culture step of the present invention, various media can be used as long as they do not cause unintended differentiation induction in oral ectoderm. For example, BME medium, BGJb medium, CMRL 1066 medium, Glasgow MEM medium, Improved MEM Zinc Option medium, IMDM medium, Medium 199 medium, Eagle MEM medium, αMEM medium, αMEM medium, DMEM medium, advanced DMEM / F12 medium, Ham medium, Ham ' s F-12 medium, RPMI 1640 medium, Fischer's medium, Neurobasal medium, mixed medium thereof and the like can be mentioned. In addition, substances (eg, supplements such as amino acids and transferrin, antibiotics, etc.) generally added to the culture medium for cell culture may be added to the culture medium as long as they do not cause differentiation induction to the oral ectoderm. .

 本発明の第2の培養工程においては、第1の培養工程において培養された細胞凝集塊をそのまま用いてもよいが、第1の培養工程において培養された細胞凝集塊の一部のみを用いてもよい。例えば、第1の培養工程において培養された細胞凝集塊の外層の一部を単離して第2の培養工程に適用することで、外分泌腺(例えば、唾液腺)の誘導効率を上昇させることができる。細胞凝集塊の外層の一部を単離する方法は限定されず、例えば、ピペット、注射針、医療用メス等を用いて、機械的に単離してよい。 In the second culture step of the present invention, the cell aggregate cultured in the first culture step may be used as it is, but using only a part of the cell aggregate cultured in the first culture step It is also good. For example, a part of the outer layer of the cell aggregate cultured in the first culture step can be isolated and applied to the second culture step to increase the induction efficiency of exocrine glands (eg, salivary glands) . The method of isolating a part of the outer layer of the cell aggregate is not limited, and may be mechanically isolated using, for example, a pipette, an injection needle, a medical scalpel or the like.

 本発明の第2の培養工程は、10~32日間(好ましくは12~20日、さらに好ましくは15~18日)実施される。 The second culture step of the present invention is carried out for 10 to 32 days (preferably 12 to 20 days, more preferably 15 to 18 days).

 その他、一般的な細胞培養条件については、当業者の技術常識に基づき、適宜調製することができる。 Other general cell culture conditions can be appropriately prepared based on the common technical knowledge of those skilled in the art.

 本発明の方法によって製造される再生唾液腺は、例えば、唾液腺の組織障害または機能障害を伴う疾患の治療に用いることができる。このような疾患の非限定的な例としては、シェーグレン症候群、唾石症、LADD症候群(Lacrimo-auriculo-dento-digital syndrome)、ALSG(Aplasia of lacrimal and salivary glands)、Mikulicz病(IgG4 関連硬化性疾患)、その他の唾液腺炎症性疾患、または、放射線治療の副作用による唾液腺機能障害を挙げることができる。 The regenerated salivary glands produced by the method of the present invention can be used, for example, in the treatment of diseases involving tissue damage or dysfunction of the salivary glands. Non-limiting examples of such diseases include Sjogren's syndrome, litholithiasis, Lacrimo-auriculo-dento-digital syndrome, ALSG (aplasia of lacrimal and salivary glands), Mikulicz's disease (IgG4 related sclerosability) Disease), other salivary gland inflammatory diseases, or salivary gland dysfunction due to the side effect of radiation treatment.

 本発明を利用する疾患の治療は、どのような動物に対しても用いることができるが、例えば、哺乳動物(マウス、ラット、イヌ、ネコ、ウサギ、ウシ、ウマ、ヒツジ、ヤギ、ブタ、サル、ヒト等)であってよい。なお、好ましくない場合は、ヒトを対象から除くことができる。 The treatment of diseases utilizing the present invention can be used for any animal, for example, mammals (mouse, rat, dog, cat, rabbit, cow, horse, sheep, goat, pig, monkey) , Humans, etc.). In addition, when it is not preferable, humans can be excluded from the subject.

 本発明の方法によって製造される再生唾液腺を疾患の治療に用いる場合には、治療を必要とする対象に、本発明の方法によって製造される再生唾液腺を移植することが好ましい。再生唾液腺の対象への移植方法は限定されないが、例えばWO2012/108069を参照して、再生唾液腺へ、分泌腺の導管の形成を促すためのガイド(糸状構造物)を挿入したうえで、対象へ移植することができる。再生唾液腺へガイドを挿入して対象へ移植することにより、移植先の組織において、分泌腺の導管の形成を方向付けることができる。 When the regenerated salivary glands produced by the method of the present invention are used to treat a disease, it is preferable to transplant the regenerated salivary glands produced by the method of the present invention to a subject in need of treatment. The method for transplanting the regenerating salivary gland to the subject is not limited, but for example, referring to WO 2012/108069, after inserting a guide (filamentary structure) for promoting the formation of the duct of the secretory gland into the regenerating salivary gland, It can be ported. By inserting a guide into the regenerating salivary gland and transplanting it into the subject, it is possible to direct the formation of the ducts of the secretory gland in the tissue to be transplanted.

 本発明の方法によって製造される再生唾液腺は、単独で対象へ移植されてもよいが、間葉系細胞から実質的に構成される細胞集合体と接着されて、複合体として移植されると、移植先における唾液腺組織の成長効率が向上する。本発明に用いられる間葉系細胞の由来は限定されず、例えば多能性幹細胞(例えばES細胞、iPS細胞)から公知の方法で誘導された間葉系細胞であってよく、または、生体組織由来の間葉系細胞(例えば、胎児由来間葉系細胞)であってもよい。 The regenerated salivary gland produced by the method of the present invention may be transplanted to a subject alone, but when it is adhered to a cell assembly substantially composed of mesenchymal cells and transplanted as a complex, The growth efficiency of salivary gland tissue at the transplantation destination is improved. The origin of the mesenchymal cells used in the present invention is not limited, and may be, for example, mesenchymal cells derived from pluripotent stem cells (eg, ES cells, iPS cells) by a known method, or a living tissue It may be a mesenchymal cell of origin (eg, a fetal mesenchymal cell).

 また、本発明の方法によって製造される再生唾液腺、または、再生唾液腺と間葉系細胞との複合体の全部または一部を、細胞培養用足場材料に包埋したうえで対象へ移植することで、対象組織における生着率を高めることができる。本発明において用いることができる細胞培養用足場材料の例としては、コラーゲンゲル(より具体的には、I型コラーゲンゲル、III型コラーゲンゲル、IV型コラーゲンゲル、マトリゲル、等)を挙げることができる。 In addition, the whole or part of the regenerated salivary gland produced by the method of the present invention or the complex of the regenerated salivary gland and the mesenchymal cells is embedded in a scaffold for cell culture and then transplanted to the subject. And increase the survival rate in the target tissue. Examples of scaffolds for cell culture which can be used in the present invention include collagen gels (more specifically, type I collagen gel, type III collagen gel, type IV collagen gel, matrigel, etc.) .

 本発明において再生唾液腺の導管の形成を促すためのガイドとして用いられる糸状構造物の材質は限定されないが、例えば、合成または天然の生体吸収可能なポリマーより作られた繊維、ステンレス等の金属繊維、炭素繊維やガラス繊維等の化学繊維、天然の動物繊維や植物繊維等を挙げることができ、より具体的には、ナイロン糸やステンレス線等を挙げることができる。また、ガイドは、糸状である限りにおいて様々な形状であってよく、例えば中空糸の形状とすることもできる。なお、移植後、糸状構造物が再生唾液腺とともにレシピエントの皮下に埋まる場合には、生体吸収性のものを用いることが好ましい。 The material of the thread-like structure used as a guide for promoting the formation of the conduit of regenerated salivary gland in the present invention is not limited, for example, fibers made of synthetic or natural bioabsorbable polymers, metal fibers such as stainless steel, Chemical fibers such as carbon fibers and glass fibers, natural animal fibers, plant fibers and the like can be mentioned, and more specifically, nylon yarn, stainless steel wire and the like can be mentioned. Also, the guide may have various shapes as long as it is thread-like, for example, it may be in the form of hollow fiber. In addition, it is preferable to use a bioabsorbable one when the filamentous structure and the regenerated salivary gland are buried under the skin of the recipient after transplantation.

 再生唾液腺の導管の形成を促すためのガイドとして用いられる糸状構造物の直径および長さは、対象に応じて適宜設計することができる。例えば、その直径は、5~100μmであってよく、10~70μmとすることがより好ましく、20μm~50μmとすることがさらに好ましい。また、また、ガイドの長さは、例えば1mm~10mmとしてよく、2~8mmとすることがより好ましく、2mm~5mmとすることがより好ましい。 The diameter and length of the thread-like structure used as a guide for promoting the formation of the conduit of the regenerating salivary gland can be appropriately designed according to the subject. For example, the diameter may be 5 to 100 μm, more preferably 10 to 70 μm, and still more preferably 20 to 50 μm. In addition, the length of the guide may be, for example, 1 mm to 10 mm, more preferably 2 to 8 mm, and still more preferably 2 mm to 5 mm.

 糸状構造物の再生唾液腺への挿入方法は、再生唾液腺の組織を破壊しないように挿入される限り、限定されない。また、再生唾液腺と間葉系細胞の集合体とが接着されて、複合体として移植される場合には、当該糸状構造物は、再生唾液腺と間葉系細胞の集合体とを貫くように挿入されることが好ましい。 The method of inserting the filamentous structure into the regenerating salivary gland is not limited as long as it is inserted so as not to destroy the tissue of the regenerating salivary gland. In addition, when the regenerating salivary gland and the aggregate of mesenchymal cells are adhered and transplanted as a complex, the filamentous structure is inserted so as to penetrate the regenerating salivary gland and the aggregate of mesenchymal cells. Preferably.

 また、再生唾液腺へ糸状構造物を挿入した後は、当該再生唾液腺を、糸状構造物が挿入された状態で一定期間培養し、その後移植に供してもよい。ガイド挿入後の培養期間は、対象により適宜設定することができるが、例えば、1~7日間培養することができる。 Moreover, after inserting the filamentous structure into the regenerated salivary gland, the regenerated salivary gland may be cultured for a certain period of time with the filamentous structure inserted, and then subjected to transplantation. The culture period after guide insertion can be set appropriately depending on the subject, but can be cultured, for example, for 1 to 7 days.

 本明細書において用いられる用語は、特に定義されたものを除き、特定の実施態様を説明するために用いられるのであり、発明を限定する意図ではない。 The terms used herein, except as specifically defined, are used to describe particular embodiments and are not intended to limit the invention.

 また、本明細書において用いられる「含む」との用語は、文脈上明らかに異なる理解をすべき場合を除き、記述された事項(部材、ステップ、要素、数字など)が存在することを意図するものであり、それ以外の事項(部材、ステップ、要素、数字など)が存在することを排除しない。 In addition, the term "including" as used herein is intended to include the described items (members, steps, elements, numbers, etc.) unless clearly understood in context. It does not exclude the existence of other matters (members, steps, elements, numbers, etc.).

 異なる定義が無い限り、ここに用いられるすべての用語(技術用語および科学用語を含む。)は、本発明が属する技術の当業者によって広く理解されるのと同じ意味を有する。ここに用いられる用語は、異なる定義が明示されていない限り、本明細書および関連技術分野における意味と整合的な意味を有するものとして解釈されるべきであり、理想化され、又は、過度に形式的な意味において解釈されるべきではない。 Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terms used herein should be construed as having a meaning consistent with that in the present specification and related art, unless a different definition is explicitly stated, and are idealized or excessively formalized. It should not be interpreted in the sense of meaning.

 以下において、本発明を、実施例を参照してより詳細に説明する。しかしながら、本発明はいろいろな態様により具現化することができ、ここに記載される実施例に限定されるものとして解釈されてはならない。 In the following, the invention is described in more detail with reference to the examples. However, the present invention can be embodied in various aspects and should not be construed as limited to the embodiments set forth herein.

 図1に本実施例の手順の概要を示す。なお、図1に示した手順のうち、口腔外胚葉(OE)から唾液腺(SG)までを誘導する手順が本発明の対象である。 FIG. 1 shows an outline of the procedure of this embodiment. Among the procedures shown in FIG. 1, the procedure for inducing from the oral ectoderm (OE) to the salivary gland (SG) is the subject of the present invention.

材料と方法
 マウスES細胞をトリプシン処理により単一細胞に分散し、SFEBq法(Nakano et al, Cell Stem Cell,10(6):771-785,2012)に準じて凝集塊を形成し、分化誘導のための浮遊凝集塊培養を37℃、5%CO2存在下で行った。具体的な手順を以下に示す。
Materials and Methods Mouse ES cells are dispersed into single cells by trypsinization, and clumps are formed according to the SFEBq method (Nakano et al, Cell Stem Cell, 10 (6): 771-785, 2012) to induce differentiation Flocculation culture for 37 ° C. in the presence of 5% CO 2. The specific procedure is shown below.

(1)ES細胞から口腔外胚葉への誘導
 分散した3000個のマウスES細胞を、低細胞吸着性の表面コートをした丸底型96ウェルプレートの各ウェルに播種した。分化誘導用の培養液は、成長因子を含まない化学合成培地(growth-factor-free Chemically Defined Medium; gfCDM; Wataya et al, Proc Natl Acad Sci USA, 105(33): 11796-11801, 2008)を用いた。
(1) Induction of ES Cells into Oral Ectoderm The dispersed 3,000 mouse ES cells were seeded in each well of a low cell adsorptive surface-coated round bottom 96 well plate. The culture medium for differentiation induction is a growth factor-free chemically-defined medium (gfCDM; Wataya et al, Proc Natl Acad Sci USA, 105 (33): 11796-11801, 2008). Using.

 ES細胞播種の1日後(分化誘導開始1日後)に、最終濃度1%のGrowth factor free matrigelを添加した。分化誘導開始後3日目にBMP4(10ng/ml)およびSB-431542(1μM)を添加し、5日目にFGF2(25ng/ml)およびLDN-193189(1μM)を添加した。 One day after ES cell seeding (one day after induction of differentiation induction), Growth factor free matrigel at a final concentration of 1% was added. BMP4 (10 ng / ml) and SB-431542 (1 μM) were added 3 days after the induction of differentiation induction, and 5 days FGF2 (25 ng / ml) and LDN-193189 (1 μM) were added.

 なお、本実施例におけるES細胞から口腔外胚葉への誘導は、K.R.Koehler,A.M.Mikosz,A.I.Molosh,D.Patel,E.Hashino,Nature 500,217(Aug 08,2013)に記載の方法を参照して実施した。BMP4は幹細胞の外胚葉への誘導のため、SB-431542(TGF-βのinhibitor)は中内胚葉への分化抑制のため、FGF2は細胞塊の外層の上皮を肥厚させるため、LDN-193189(BMPのinhibitor)は表皮への分化抑制のために、それぞれ添加されている(図1参照)。 In addition, the induction from ES cells to oral ectoderm in this example is as described in K. et al. R. Koehler, A .; M. Mikosz, A .; I. Molosh D. Patel, E., et al. It implemented with reference to the method as described in Hashino, Nature 500, 217 (Aug 08, 2013). Because BMP4 induces stem cells into ectoderm, SB-431542 (TGF-β inhibitor) suppresses differentiation into mesendoderm, and FGF2 thickens the epithelium of the outer layer of cell mass, so LDN-193189 ( BMP inhibitors are added respectively to suppress differentiation into the epidermis (see FIG. 1).

(2)口腔外胚葉から唾液腺への誘導:第1の培養工程
 8日目にアデノウイルスベクターを用いて細胞凝集塊の外層にhuman Sox9およびmouse Foxc1を過剰発現させた。なお、この工程における培地はgfCDM培地を用いた。
(2) Induction of oral ectoderm into salivary gland: First culture step On day 8, human Sox9 and mouse Foxc1 were overexpressed in the outer layer of cell aggregates using an adenovirus vector. In addition, the culture medium in this process used gfCDM culture medium.

(3)口腔外胚葉から唾液腺への誘導:第2の培養工程
 凝集塊の外層を実体顕微鏡下で機械的に単離し、低細胞吸着性の表面コートをした24ウェルプレートに移した。培地はFGF7(100ng/ml)およびFGF10(200ng/ml)を添加した培地(advanced DMEM/F12にN2 supplement、GlutaMax、ペニシリン、ストレプトマイシンを添加した培地)に1%matrigelを加えたものを用いた。2日に一回の培地交換を継続した。
(3) Derivation from oral ectoderm to salivary gland: Second culture step The outer layer of the aggregate was mechanically isolated under a stereomicroscope and transferred to a 24-well plate coated with a low cell adsorptive surface. The medium used was one obtained by adding 1% matrigel to a medium (advanced DMEM / F12 supplemented with N2 supplement, GlutaMax, penicillin, streptomycin) to which FGF7 (100 ng / ml) and FGF10 (200 ng / ml) were added. Medium replacement was continued once every two days.

(4)誘導された唾液腺の解析
 マウスES細胞由来唾液腺の解析としては組織学的解析や、RNA-seqを用いた遺伝子発現プロファイルの作製、Carbacol刺激による細胞内Ca2+濃度の測定、耳下腺切除モデルマウスへの移植実験による組織学的解析および唾液分泌測定を行った。
(4) Analysis of induced salivary glands As analysis of mouse ES cell-derived salivary glands, histological analysis, preparation of gene expression profile using RNA-seq, measurement of intracellular Ca 2+ concentration by carbacol stimulation, parotid gland Histological analysis and salivation measurement by transplantation experiment to a resected model mouse were performed.

(5)結果
 ES細胞の分化誘導開始8日後には凝集塊の最外層にPan-cytokeratin(PK)陽性の原始口腔粘膜(口腔外胚葉)を含む細胞凝集塊が誘導された(図2)。
(5) Results At 8 days after initiation of differentiation induction of ES cells, cell aggregates including Pan-cytokeratin (PK) positive primary oral mucosa (oral ectoderm) were induced in the outermost layer of aggregates (FIG. 2).

 分化誘導開始8日後において、誘導された口腔外胚葉を含む細胞凝集塊に、アデノウイルスベクターを用いて転写因子2種(Sox9、Foxc1)を発現する遺伝子を導入した。その後、細胞凝集塊の外層を外科的に単離後、FGF7およびFGF10存在下で浮遊培養を継続した(図3)。ES細胞からの分化誘導開始23日後(転写因子の導入から15日後)には、凝集塊の表層に、マウス唾液腺原器に類似したbudding様の形態変化が観察され、28日(転写因子の導入から20日後)には3次元的な分枝形態形成が認められた(図4)。 Eight days after initiation of differentiation induction, genes expressing two types of transcription factors (Sox9, Foxc1) were introduced into cell aggregates containing the induced oral ectoderm using an adenovirus vector. Thereafter, after the outer layer of the cell aggregate was surgically isolated, suspension culture was continued in the presence of FGF7 and FGF10 (FIG. 3). At 23 days after initiation of differentiation induction from ES cells (15 days after introduction of transcription factor), budding-like morphological changes similar to mouse salivary gland protozoa are observed in the surface layer of aggregates, and 28 days (introduction of transcription factor) After 20 days, three-dimensional branching morphogenesis was observed (FIG. 4).

 この構造はPan-cytokeratin陽性の上皮細胞から構成されKeratin18陽性の導管上皮、AQP5陽性の腺房細胞、α-SMA陽性の筋上皮細胞が極性を持って配列していた(図5)。また、RNA-sequenceによる遺伝子発現プロファイルの結果も、胎生15-18日の唾液腺原器における遺伝子発現プロファイルと類似していた(図6)。 This structure was composed of Pan-cytokeratin-positive epithelial cells, and Keratin 18-positive ductal epithelium, AQP5-positive acinar cells, and α-SMA-positive myoepithelial cells were arranged with polarity (FIG. 5). Moreover, the result of gene expression profile by RNA-sequence was also similar to the gene expression profile in the salivary gland source at 15 to 18 days of gestation (FIG. 6).

 さらに、このES細胞由来唾液腺はcarbachol刺激により細胞内Ca2+濃度の上昇がみられ(図7左、中)、その作用はatropineにより抑制された(図7右)。 Furthermore, in this ES cell-derived salivary gland, an increase in intracellular Ca 2+ concentration was observed by carbachol stimulation (FIG. 7, left, middle), and its action was suppressed by atropine (FIG. 7, right).

 また、耳下腺を切除したマウスにES細胞由来唾液腺を移植すると、既存の排泄導管と接合し、唾液分泌タンパクを含む唾液の産生がみられた(図8左:移植30日後のES細胞由来唾液腺の実体顕微鏡像、図8中:GFP/DAPI染色像、図8右:PAS染色像)。なお、再生唾液腺の移植は、WO2012/108069に記載の方法に準じて行った。すなわち、単離した再生唾液腺を足場材料(コラーゲンゲル)に包埋し、分泌腺の導管の形成を促すためのガイド(糸状構造物)を挿入したうえで、マウスへ移植した(図9A)。 In addition, when ES cell-derived salivary glands were transplanted into mice from which parotid glands had been excised, they were joined with existing excretory ducts, and production of saliva containing salivary secretory proteins was observed (Fig. 8 left: ES cell-derived 30 days after transplantation) Stereomicroscopic image of salivary gland, in FIG. 8: GFP / DAPI stained image, FIG. 8 right: PAS stained image). The transplantation of regenerated salivary gland was performed according to the method described in WO 2012/108069. That is, the isolated regenerated salivary gland was embedded in a scaffold material (collagen gel), and a guide (a filamentous structure) for promoting formation of a duct of a secretory gland was inserted, and then transplanted to a mouse (FIG. 9A).

 上記と同様の手順で、胎児由来唾液腺間葉組織をES細胞由来唾液腺に付加して移植した場合も、既存の排泄導管と接合し、唾液分泌タンパクを含む唾液の産生がみられた(図9B左:移植30日後のES細胞由来唾液腺の実体顕微鏡像、図9B中:H&E染色像、図9B右:PAS染色像)。 When fetal fetal salivary gland mesenchymal tissue was added to ES cell-derived salivary gland and transplanted in the same procedure as above, it was also joined with the existing excretory duct, and saliva production including salivary secretory protein was observed (FIG. 9B) Left: Stereomicroscopic image of ES cell-derived salivary gland 30 days after transplantation, in FIG. 9B: H & E stained image, FIG. 9B right: PAS stained image).

 移植したES細胞由来唾液腺は組織学的解析の結果、レシピエント由来の神経および血管を含んでいた(図10)。すなわち、本発明の方法によって製造した再生唾液腺は、レシピエントの組織に適切に生着し、周辺組織と連携することが示された。 As a result of histological analysis, the transplanted ES cell-derived salivary gland contained nerves and blood vessels from the recipient (FIG. 10). That is, it has been shown that the regenerated salivary glands produced by the method of the present invention properly engraft the recipient's tissue and cooperate with the surrounding tissue.

 なお、再生唾液腺のみを足場材料に包埋して移植した場合においても、移植先において機能的な唾液腺の生着が見られたが、再生唾液腺に間葉系細胞を付加して足場材料に包埋し、移植した場合には、移植先における再生唾液腺の成長がさらに良好であった。 In addition, even when only the regenerating salivary gland was embedded in the scaffolding material and engrafted, engraftment of functional salivary gland was observed at the transplantation destination, but mesenchymal cells were added to the regenerating salivary gland and encased in the scaffolding material When buried and transplanted, the growth of regenerated salivary glands at the transplant destination was even better.

 胎齢13.5日の唾液腺間葉組織を貼り合わせて移植したES細胞由来唾液腺は、クエン酸による味刺激に対しても唾液分泌が認められた(図11A)。また、移植したES細胞由来唾液腺を副交感神経作動薬であるピロカルピン酸で刺激すると、唾液分泌量の増加が認められた(図11B)。すなわち、本発明の方法によって製造した再生唾液腺は、レシピエントの組織に適切に生着し、機能することが示された。 The ES cell-derived salivary glands in which the 13.5-day-old salivary gland mesenchymal tissues were adhered and transplanted, also exhibited salivation in response to taste stimulation with citric acid (FIG. 11A). In addition, when the transplanted ES cell-derived salivary gland was stimulated with the parasympathomimetic agent pilocarpic acid, an increase in salivary secretion was observed (FIG. 11B). That is, it has been shown that the regenerated salivary glands produced by the method of the present invention properly engraft and function in recipient tissues.

Claims (19)

 インビトロで機能的な外分泌腺を製造する方法であって、
 (i):口腔外胚葉を含む細胞凝集塊を、Sox9およびFoxc1の発現を誘導する条件下で培養する工程、および、
 (ii):前記の工程(i)において培養された細胞凝集塊の全部または一部を、FGF7およびFGF10を含む培地でさらに培養する工程、
を含む、
方法。
A method of producing a functional exocrine gland in vitro, comprising
(I): culturing cell aggregates containing oral ectoderm under conditions that induce the expression of Sox9 and Foxc1;
(Ii): further culturing all or part of the cell aggregate cultured in the above step (i) in a medium containing FGF7 and FGF10,
including,
Method.
 請求項1に記載の方法であって、
 前記口腔外胚葉が、ES細胞またはiPS細胞から誘導された口腔外胚葉であることを特徴とする、
方法。
The method according to claim 1, wherein
The oral ectoderm is characterized by being an oral ectoderm derived from ES cells or iPS cells,
Method.
 請求項1または2に記載の方法であって、
 前記外分泌腺が、唾液腺であることを特徴とする、
方法。
The method according to claim 1 or 2, wherein
The exocrine gland is a salivary gland,
Method.
 請求項1~3のいずれか1項に記載の方法であって、
 前記工程(i)における「Sox9およびFoxc1の発現を誘導する条件」が、
(a)前記の口腔外胚葉を含む細胞凝集塊にSox9発現遺伝子およびFoxc1発現遺伝子を導入することによって、Sox9およびFoxc1の発現を誘導する条件、または、
(b)前もってSox9発現遺伝子およびFoxc1発現遺伝子が導入された口腔外胚葉を含む細胞凝集塊において、前記導入されたSox9遺伝子およびFoxc1遺伝子の発現を誘導する条件、
であることを特徴とする、
方法。
A method according to any one of the preceding claims, wherein
The “condition for inducing the expression of Sox9 and Foxc1” in the step (i) is
(A) A condition that induces the expression of Sox9 and Foxc1 by introducing the Sox9 expression gene and the Foxc1 expression gene into the cell aggregate containing the above-mentioned oral ectoderm, or
(B) conditions for inducing the expression of the introduced Sox9 gene and Foxc1 gene in a cell aggregate containing oral ectoderm into which Sox9 expression gene and Foxc1 expression gene have been introduced in advance;
Is characterized by
Method.
 請求項4に記載の方法であって、
 前記遺伝子の導入が、ウイルスベクターによる遺伝子の導入、トランスフェクション試薬による遺伝子の導入、または、エレクトロポレーションによる遺伝子の導入、であることを特徴とする、
方法。
The method according to claim 4, wherein
The introduction of the gene is characterized in that the introduction of the gene by a viral vector, the introduction of the gene by a transfection reagent, or the introduction of the gene by electroporation is carried out.
Method.
 請求項5に記載の方法であって、
 前記ウイルスベクターが、アデノウイルスベクター、アデノ随伴ウイルスベクター、レンチウイルスベクター、レトロウイルスベクター、または、センダイウイルスベクターであることを特徴とする、
方法。
The method according to claim 5, wherein
The viral vector is an adenoviral vector, an adeno-associated viral vector, a lentiviral vector, a retroviral vector, or a Sendai virus vector,
Method.
 請求項1~6のいずれか1項に記載の方法であって、
 前記工程(ii)が、前記の工程(i)において培養された細胞凝集塊の外層の一部を、FGF7およびFGF10を含む培地でさらに培養するステップであることを特徴とする、
方法。
The method according to any one of claims 1 to 6, wherein
Characterized in that the step (ii) is a step of further culturing a part of the outer layer of the cell aggregate cultured in the step (i) in a medium containing FGF7 and FGF10.
Method.
 請求項1~7のいずれか1項に記載の方法であって、
 前記工程(ii)において、培地中のFGF7の濃度が1~1000ng/mlであり、培地中のFGF10の濃度が1~1000ng/mlであることを特徴とする、
方法。
A method according to any one of the preceding claims, wherein
In the step (ii), the concentration of FGF7 in the medium is 1 to 1000 ng / ml, and the concentration of FGF10 in the medium is 1 to 1000 ng / ml,
Method.
 請求項1~8のいずれか1項に記載の方法であって、
 前記工程(i)は、実質的に成長因子を含まない培地を用いて実施されることを特徴とする、
方法。
A method according to any one of the preceding claims, wherein
The step (i) is characterized in that it is carried out using a growth factor-free medium.
Method.
 請求項1~9のいずれか1項に記載の方法であって、
 前記工程(i)の培養期間は、0~7日であり、
 前記工程(ii)の培養期間は、10~32日である、ことを特徴とする、
方法。
A method according to any one of the preceding claims, wherein
The culture period of the step (i) is 0 to 7 days,
The culture period of the step (ii) is 10 to 32 days,
Method.
 唾液腺の組織障害または機能障害を伴う疾患の治療に用いるための医薬組成物であって、
 前記医薬組成物は、請求項1~10のいずれか1項に記載の方法によって製造される再生唾液腺を含むことを特徴とする、
医薬組成物。
A pharmaceutical composition for use in the treatment of a disease associated with tissue damage or dysfunction of salivary gland,
The pharmaceutical composition is characterized in that it comprises regenerated salivary glands produced by the method according to any one of claims 1-10.
Pharmaceutical composition.
 請求項11に記載の医薬組成物であって、
 前記医薬組成物は、間葉系細胞から実質的に構成される細胞集合体と、請求項1~10のいずれか1項に記載の方法によって製造される再生唾液腺とを含む複合体、
を含むことを特徴とする、
医薬組成物。
The pharmaceutical composition according to claim 11, which is
The pharmaceutical composition comprises a complex comprising a cell assembly substantially comprising mesenchymal cells, and a regenerating salivary gland produced by the method according to any one of claims 1 to 10.
Characterized in that,
Pharmaceutical composition.
 請求項12に記載の医薬組成物であって、
 前記複合体において、前記間葉系細胞から実質的に構成される細胞集合体と、前記再生唾液腺とを貫くように、糸状構造物が挿入されていることを特徴とする、
医薬組成物。
A pharmaceutical composition according to claim 12, which is:
In the complex, a thread-like structure is inserted so as to penetrate the cell assembly substantially composed of the mesenchymal cells and the regenerated salivary gland.
Pharmaceutical composition.
 請求項11~13のいずれか1項に記載の医薬組成物であって、前記再生唾液腺の全部または一部、または、前記複合体の全部または一部が、細胞培養用足場材料に包埋されていることを特徴とする、
医薬組成物。
The pharmaceutical composition according to any one of claims 11 to 13, wherein all or part of the regenerated salivary gland or all or part of the complex is embedded in a scaffold for cell culture. Are characterized by
Pharmaceutical composition.
 請求項14に記載の医薬組成物であって、
 前記足場材料がコラーゲンゲルであることを特徴とする、
医薬組成物。
The pharmaceutical composition according to claim 14, which is
The scaffold material is a collagen gel,
Pharmaceutical composition.
 請求項11~15のいずれか1項に記載の医薬組成物であって、
 前記疾患が、シェーグレン症候群、唾石症、LADD症候群(Lacrimo-auriculo-dento-digital syndrome)、ALSG(Aplasia of lacrimal and salivary glands)、Mikulicz病、その他の唾液腺炎症性疾患、または、放射線治療の副作用による唾液腺機能障害であることを特徴とする、
医薬組成物。
The pharmaceutical composition according to any one of claims 11 to 15, wherein
Said diseases include Sjogren's syndrome, lipolithiasis, Lacrimo-auriculo-dento-digital syndrome, ASLIA (aplasia of lacrimal and salivary glands), Mikulicz's disease, other salivary gland inflammatory diseases, or side effects of radiation therapy Characterized by salivary gland dysfunction due to
Pharmaceutical composition.
 唾液腺の組織障害または機能障害を伴う疾患の治療に用いる医薬組成物の製造のための、請求項1~10のいずれか1項に記載の方法で製造される再生唾液腺の使用。 The use of a regenerated salivary gland produced by the method according to any one of claims 1 to 10 for the production of a pharmaceutical composition for use in the treatment of a disease associated with tissue disorder or dysfunction of salivary gland.  唾液腺の組織障害または機能障害を伴う疾患の治療方法であって、
 請求項1~10のいずれか1項に記載の方法で製造した再生唾液腺、または、請求項11~16のいずれか1項に記載の医薬組成物を、前記疾患の治療を必要とする対象に適用する工程、を含む、
方法。
A method of treating a disease associated with tissue damage or dysfunction of salivary gland,
A regenerated salivary gland produced by the method according to any one of claims 1 to 10, or a pharmaceutical composition according to any one of claims 11 to 16 to a subject in need of the treatment of the disease. Applying, including
Method.
 請求項18に記載の方法であって、
 前記対象が、ヒト以外の哺乳動物であることを特徴とする、
方法。
Method according to claim 18, wherein
The subject is a non-human mammal,
Method.
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Citations (1)

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