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WO2023013719A1 - Pharmaceutical composition for treating and/or preventing cancer - Google Patents

Pharmaceutical composition for treating and/or preventing cancer Download PDF

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Publication number
WO2023013719A1
WO2023013719A1 PCT/JP2022/029888 JP2022029888W WO2023013719A1 WO 2023013719 A1 WO2023013719 A1 WO 2023013719A1 JP 2022029888 W JP2022029888 W JP 2022029888W WO 2023013719 A1 WO2023013719 A1 WO 2023013719A1
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Prior art keywords
cancer
pharmaceutical composition
composition according
polynucleotide
seq
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PCT/JP2022/029888
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French (fr)
Japanese (ja)
Inventor
柏村智織
宮野敦子
高山愛子
高橋圭
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Toray Industries Inc
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Toray Industries Inc
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Priority to JP2022556108A priority Critical patent/JPWO2023013719A1/ja
Publication of WO2023013719A1 publication Critical patent/WO2023013719A1/en
Anticipated expiration legal-status Critical
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7088Compounds having three or more nucleosides or nucleotides
    • 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
    • A61K35/66Microorganisms or materials therefrom
    • A61K35/76Viruses; Subviral particles; Bacteriophages
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K48/00Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/02Antineoplastic agents specific for leukemia
    • 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
    • C12N15/00Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
    • C12N15/09Recombinant DNA-technology
    • C12N15/11DNA or RNA fragments; Modified forms thereof; Non-coding nucleic acids having a biological activity
    • C12N15/113Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing

Definitions

  • the present invention relates to a pharmaceutical composition for treating and/or preventing cancer, which contains microRNA-derived polynucleotides as active ingredients.
  • miRNAs are protein-untranslated RNAs of 16 to 28 bases, and according to miRBase release 22 (http://www.mirbase.org/), there are currently 2,654 types known to exist in humans. In recent years, miRNAs have attracted attention as molecules that suppress the expression of various genes in vivo. Each miRNA gene region exists on the genome, and is transcribed as an RNA precursor with a hairpin structure by RNA polymerase II. Cleaved to form mature miRNA. It is known that this mature miRNA is incorporated into a protein complex called RISC, interacts with multiple target gene mRNAs having complementary sequences, and suppresses gene expression.
  • RISC protein complex
  • Certain miRNAs have been suggested to be associated with human diseases including cancer, and in cancer in particular, many miRNAs such as hsa-miR-6778-5p can serve as pancreatic cancer-specific markers in the blood. It is known (Patent Document 1).
  • a method of treating diseases such as cancer by administering activated serum containing 153 miRNAs such as hsa-Let-7a to upregulate miRNAs (Patent Document 2), hsa-miR-513c- A method of overexpressing multiple miRNAs such as 5p in prostate cancer cell lines to suppress proliferation (Non-Patent Document 1), administering antisense oligonucleotides of many miRNAs such as hsa-miR-1321 contained in circulating exosomes in the body
  • An object of the present invention is to identify, from various miRNAs associated with cancer, miRNAs that exert therapeutic and/or preventive effects in common on various types of cancer, and to create new novel therapeutic agents containing polynucleotides derived from the miRNAs as active ingredients. It is to provide a pharmaceutical composition for treating and/or preventing cancer.
  • the present inventors have found novel polynucleotides that suppress the growth of cancer cells from miRNAs whose expression is increased or decreased in body fluids or tissues of cancer patients. was completed.
  • the present invention has the following features (1) to (14).
  • a pharmaceutical composition for treating and/or preventing cancer comprising a polynucleotide comprising the base sequence represented by SEQ ID NO: 1 as an active ingredient.
  • the medicament according to (1) or (2), wherein the polynucleotide comprises the following nucleotide sequence (a) or (b) on the 3′ end side of the nucleotide sequence represented by SEQ ID NO: 1 Composition.
  • nucleotide sequence represented by either SEQ ID NO: 2 or 3 (b) the nucleotide sequence represented by either SEQ ID NO: 2 or 3, in which 1 to 5 bases are deleted, substituted, inserted and /or added nucleotide sequence (4)
  • RNA The pharmaceutical composition according to any one of (1) to (5), wherein the polynucleotide is RNA.
  • the pharmaceutical composition according to any one of (1) to (6), wherein the cancer is solid cancer.
  • the solid cancer is breast cancer, kidney cancer, pancreatic cancer, colon cancer, lung cancer, brain tumor, gastric cancer, cervical cancer, ovarian cancer, prostate cancer, bladder cancer, esophageal cancer, liver cancer, fibrosarcoma, mast cell tumor,
  • the pharmaceutical composition according to (7) which is selected from the group consisting of melanoma.
  • the pharmaceutical composition according to any one of (1) to (6), wherein the cancer is blood cancer.
  • the pharmaceutical composition according to (9), wherein the blood cancer is leukemia.
  • a pharmaceutical combination for treating and/or preventing cancer comprising the pharmaceutical composition according to any one of (1) to (12) and an antitumor agent as active ingredients.
  • administering the pharmaceutical composition according to any one of (1) to (12) or the pharmaceutical combination according to (13) to a subject who has or has had cancer A method of treating or preventing cancer in said subject, comprising:
  • the pharmaceutical composition for treating and/or preventing cancer of the present invention dramatically suppresses the growth of cancer cells of various cancer types, and is therefore useful for treating and preventing cancer.
  • SEQ ID NOS: 1-6 The base sequences represented by SEQ ID NOS: 1-6 are as shown in Table 1.
  • This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4 and a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5.
  • the ratio of the cell survival number of the post-pancreatic cancer cell line Panc-1 to the cell survival number (100%) after the synthetic RNA introduction of the negative control oligo is shown.
  • This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4 and a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5.
  • the ratio of the cell survival number of the post-cholangiocarcinoma cell line TFK-1 to the cell survival number (100%) after the synthetic RNA introduction of the negative control oligo is shown.
  • This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4 and a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5.
  • the ratio of the cell survival number of colon cancer cell line HCT116 after colon cancer to the cell survival number (100%) after synthetic RNA introduction of the negative control oligo is shown.
  • This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4, a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5, and Cell viability after introduction of synthetic RNA of negative control oligo in pancreatic cancer cell line Panc-1 after introduction of synthetic RNA having the same base sequence as hsa-miR-4488 represented by SEQ ID NO: 6 (100 %).
  • the pharmaceutical composition for treating and/or preventing cancer of the present invention is characterized by comprising a polynucleotide comprising a base sequence represented by AGUGGGAG (SEQ ID NO: 1) as an active ingredient.
  • Polynucleotides serving as active ingredients are described below.
  • the nucleotide sequence represented by SEQ ID NO: 1 is a nucleotide sequence identified as a partial sequence on the 5' end side of human miRNA hsa-miR-6778-5p (miRBase Accession No. MIMAT0027456).
  • This miRNA is known to be a part of miRNA that serves as a specific marker for pancreatic cancer (International Publication No. 2015/182781), but suppresses the proliferation of pancreatic cancer and other cancer cells.
  • the present inventors have newly discovered that the polynucleotide having the base sequence represented by SEQ ID NO: 1, which is a partial sequence of miRNA, plays an important role in suppressing the proliferation of cancer cells.
  • the polynucleotide is not particularly limited as long as it contains the nucleotide sequence represented by SEQ ID NO:1. That is, it may be the polynucleotide itself of the base sequence represented by SEQ ID NO: 1, or another base sequence is added to the 5' end side or 3' end side of the base sequence represented by SEQ ID NO: 1. However, it is preferably a polynucleotide in which another nucleotide sequence is added to the 3' end of the nucleotide sequence represented by SEQ ID NO:1.
  • the base length of the base sequence of the polynucleotide is preferably 8-60 bases, more preferably 16-28 bases.
  • the nucleotide sequence added to the 3′ end of the nucleotide sequence represented by SEQ ID NO: 1 is preferably a nucleotide sequence containing the following (a) or (b) as a partial sequence, more preferably the following ( It is a nucleotide sequence containing a) or (b) at the 5′ end, and more preferably a nucleotide sequence consisting of the following (a) or (b).
  • a preferred specific example of the polynucleotide in which another nucleotide sequence is added to the 3′ end of the nucleotide sequence represented by SEQ ID NO: 1 consists of the nucleotide sequence represented by either SEQ ID NO: 4 or 5.
  • Polynucleotides. These two types of polynucleotides are known as miRNAs that have already been identified in humans. Names of these miRNAs and miRBase Accession No. (Registration number) is as shown in Table 2.
  • hsa-miR-6778-5p which is a miRNA having the nucleotide sequence represented by SEQ ID NO: 4
  • SEQ ID NO: 1 from the 5' end to the 8th
  • SEQ ID NO: 2 from the 9th. Consists of the represented base sequence.
  • hsa-miR-1233-5p which is a miRNA having the nucleotide sequence represented by SEQ ID NO: 5
  • hsa-mir-1233-1 miRBase Accession No. MI0006323
  • sequence-based compounds can suppress tumor cells.
  • the polynucleotide may have any structure as long as it can exhibit cancer treatment and/or prevention effects, for example, it may have a single-stranded, double-stranded, or three or more multiplex structure, but is preferably is a single-stranded or double-stranded structure, more preferably a single-stranded structure.
  • the polynucleotide may be RNA, DNA, or RNA/DNA (chimera) as long as it can exert an effect of cancer treatment and/or prevention (the polynucleotide described in the sequence list).
  • U uracil
  • T thymine
  • RNA from the viewpoint of gene regulation involved in suppressing tumor cells, in addition to the above-mentioned miRNA, mRNA, rRNA, non-coding RNA, siRNA, shRNA, snoRNA, snRNA, nkRNA (registered trademark) , PnkRNA (trademark) and the like, preferably miRNA.
  • miRNAs include not only naturally occurring miRNAs but also synthetic miRNAs called so-called mimics.
  • a polynucleotide that can be used in the present invention can contain at least one modified nucleotide analogue.
  • Nucleotide analogues can be placed, for example, at the 5' end, 3' end and/or internally of the RNA molecule. In particular, it can be stabilized by incorporating modified nucleotide analogues.
  • Preferred nucleotide analogues are sugar- or backbone-modified ribonucleotides, more preferably nucleobase-modified ribonucleotides, that is, ribonucleotides containing non-naturally occurring nucleobases.
  • non-naturally occurring nucleobases include uridine or cytidine modified at the 5-position, such as 5-methyluridine, 5-(2-amino)propyluridine, 5-methyl-2-thiouridine, or 5- Bromouridine, 6-azouridine, adenosines and guanosines modified at position 8, such as 8-bromoguanosine, deazanucleotides, 7-deazaadenosine; O- and N-alkylated nucleotides, N6-methyladenosine, universal bases and so on.
  • uridine or cytidine modified at the 5-position such as 5-methyluridine, 5-(2-amino)propyluridine, 5-methyl-2-thiouridine, or 5- Bromouridine, 6-azouridine, adenosines and guanosines modified at position 8, such as 8-bromoguanosine, deazanucleotides, 7-deazaadenosine; O- and N-alkylated
  • Preferred sugar-modified ribonucleotides include replacing the 2'OH group with a group selected from the group consisting of H, OR, halo, SH, SR, NH2 , NHR, NR2 , CN, or 2'-O, 4 It may contain '-C methylene bridges and ethylene bridges (eg, LNA, ENA, etc.).
  • R is C1-C6 alkyl, alkenyl or alkynyl and halo is F, Cl, Br or I;
  • Sugar moieties may also be mannose, arabinose, glucopyranose, galactopyranose, 4'-thioribose and other sugars, heterocycles or carbocycles.
  • Preferred backbone-modified ribonucleotides include phosphoester groups that link adjacent ribonucleotides, such as modified groups of phosphothioate groups, boranophosphate, 3′-(or 5′-)deoxy-3′-(or 5′-) '-) substituted with aminophosphoramidates, hydrogen phosphonates, boranophosphate esters, phosphoramidates, alkyl or aryl phosphonates and phosphotriesters or phosphorus linkages. Combinations of the aforementioned modifications may also be used.
  • the pharmaceutical composition for treating and/or preventing cancer of the present invention may contain a pharmaceutically acceptable carrier in addition to the polynucleotide.
  • a pharmaceutically acceptable carrier is a substance that facilitates selective delivery of said polynucleotide to a target cancer cell or tissue, is non-irritating to the organism, and does not affect the activity and properties of said polynucleotide. and preferably does not itself induce the production of antibodies harmful to the individual to whom the composition is administered.
  • the size of the carrier a size that does not permeate normal vascular walls but allows permeation through neovascular walls in cancer tissue is preferred.
  • the diameter of the carrier can preferably be nano-sized, for example, about 1 nm or more and less than 1000 nm.
  • the carrier may enclose the polynucleotide, or may be movably bound thereto.
  • “Mobably associated” refers to electronic interactions between a carrier and one or more agents. Such interactions may be in any form of chemical bonding including, but not limited to, covalent, polar covalent, ionic, electrostatic, coordinative, aromatic, hydrogen bonding, dipole or van der Waals interactions. can be taken.
  • the binding portion between the polynucleotide and the carrier is preferably the 5'-terminal side or the 3'-terminal side, more preferably the 5'-terminal side.
  • the carrier include non-cationic polymer carriers, liposome carriers, dendritic carriers, nanomaterial carriers, microparticle carriers, biostructural carriers, micellar carriers, polymer microparticles and magnetic fine particles.
  • Non-cationic polymeric carriers may entrap and/or movably associate one or more agents, such as anionic (i.e., negatively charged) polymers or electronically neutral flocculents. Alternatively, it can be a branched polymer. The form may be microparticulate or nanoparticulate, water soluble or water insoluble, biodegradable or non-biodegradable. Suitable non-cationic polymeric carriers are known to those skilled in the art.
  • poly-L-glutamic acid PGA
  • poly-( ⁇ -L-glutamylglutamine) PGGA
  • poly-( ⁇ -L-aspartylglutamine) PGAA
  • poly-(lactic-co-glycolic acid) PLGA
  • PGA poly-L-glutamic acid
  • PGGA poly-( ⁇ -L-glutamylglutamine)
  • PGAA poly-( ⁇ -L-aspartylglutamine)
  • PLGA poly-(lactic-co-glycolic acid) and may include a mixture of at least two polymers.
  • Liposomal carriers are lipids attached to polar hydrophilic groups that form a substantially closed structure capable of encapsulating and/or movably associated with one or more agents in an aqueous medium.
  • represents a lipid bilayer structure which may comprise a single lipid bilayer (ie, unilamellar), or may comprise two or more concentric lipid bilayers (ie, multilamellar).
  • a liposome carrier may be generally spherical or generally elliptical in shape.
  • Suitable liposome carriers are known to those of skill in the art and are selected based on a variety of properties, such as the rigidity of the lipid bilayer, the electronic charge of the lipid bilayer and/or the compatibility of one or both of the agents with the liposome carrier. can do.
  • natural phospholipids such as egg phosphatidylcholine, egg phosphatidylethanolamine, soybean phosphatidylcholine, lecithin and sphingomyelin, synthetic phosphatidylcholine, lysophosphatidylcholine, phosphatidylglycerol, phosphatidic acid, phosphatidylethanolamine, dioctadecylamidoglycylspermine, dioleoylphosphatidyl.
  • natural phospholipids such as egg phosphatidylcholine, egg phosphatidylethanolamine, soybean phosphatidylcholine, lecithin and sphingomyelin
  • synthetic phosphatidylcholine lysophosphatidylcholine, phosphatidylglycerol, phosphatidic acid, phosphatidylethanolamine, dioctadecylamidoglycylspermine, dioleoyl
  • Ethanolamine N-[1-(2,3-dioleyloxy)propyl]-N,N,N-trimethylammonium chloride, 2,3-diolexioroxy-N-[2-(sperminecarboxamido)ethyl ]-N,N-dimethyl-1-propaneammonium trifluoroacetamide, phosphatidylserine and derivatives thereof, PEGylated phospholipids, and the like.
  • a dendritic carrier may enclose and/or movably bind one or more agents, and may be, for example, a dendrimer, dendron, or derivative thereof.
  • Dendrimers are macromolecules that have a core and multiple shells of branched structures emanating from the core. Dendrons are a type of dendrimer with branches radiating out from a focal point.
  • Dendritic supports are commercially available or can be synthesized by methods known to those skilled in the art. At least a portion of the dendritic support may be hydrophobic or hydrophilic.
  • Dendritic carriers can be cationic and can be electronically neutral or anionic.
  • Core molecules may also include alkyldiamines such as ethylenediamine, 1,4-diaminobutane, 1,6-diaminohexane and 1,12-diaminodecane, amines such as ammonia, cystamine, polyethylenimine (PEI) and the like. Chlorinated phosphorus molecules such as alkylimine, cyclotriphosphazene and thiophosphoryl may also be included. Also included are polypropyleneimine (PPI), polyalkylimines such as DAB-Am-16, tertiary amines such as polyamidoamine (PAMAM), polyamino acids such as polylysine, and phenoxymethyl(methylhydrazono) (PMMH). It's okay.
  • alkyldiamines such as ethylenediamine, 1,4-diaminobutane, 1,6-diaminohexane and 1,12-diaminodecane
  • amines
  • a nanomaterial carrier can be, for example, a material having a longest dimension ranging from about 1 nm to about 100 nm and capable of encapsulating and/or movably binding one or more agents.
  • Suitable nanomaterial carriers are known to those skilled in the art and include nanoparticles, nanopowders, nanoclusters, nanocrystals, nanospheres, nanofibers, nanotubes, nanoclusters, nanocrystals, nanospheres, nanofibers, nanotubes, nanogels and nanorods.
  • the nanomaterial carrier may include Substances constituting the nanomaterial carrier include poly-(lactic-co-glycolic acid) (PLGA), polyalkylcyanoacrylate (PACA), polyepsilon-caprolactone (PCL), polylactic acid (PLA), and polyethylene glycol. (PEG), poly-N-vinylcaprolactam sodium acrylate, poly-N-isopropylacrylamide, polyvinyl acetate and the like.
  • the nanomaterial carrier may be a fullerene, and may include spherical fullerenes (eg, C60), carbon nanotubes, fullerene derivatives.
  • a microparticle carrier can be, for example, a particle having a longest dimension in the range of about 100 to about 1000 nm. Microparticles may have any shape and any morphology. Substances constituting microparticle carriers include poly-(lactic-co-glycolic acid) (PLGA), polyalkylcyanoacrylate (PACA), polyepsilon-caprolactone (PCL), polylactic acid (PLA), PLGA, and polyethylene glycol. (PEG) and the like are examples of biostructure carriers, in which many units of the biostructure carrier are amino acids and/or saccharides, and one or more agents can be encapsulated and/or movably bound.
  • a polymer or compound that contains Suitable biostructure carriers are known to those skilled in the art and include sugars, monosaccharides, oligosaccharides, polysaccharides, cyclic polysaccharides, acyclic polysaccharides, linear polysaccharides, branched polysaccharides, amino acids, proteins and peptides, and semisyntheses thereof. Derivatives may also be included, such as ⁇ -cyclodextrin, ⁇ -cyclodextrin, ⁇ -cyclodextrin, methyl ⁇ -cyclodextrin, dimethyl- ⁇ -cyclodextrin, carboxymethyl- ⁇ -cyclodextrin, hydroxypropyl- ⁇ -cyclodextrin.
  • a micelle carrier is a micelle structure of lipids, any fat-soluble (that is, lipophilic) molecules, oils, waxes, sterols, monoglycerides, diglycerides, triglycerides, phospholipids, and the like.
  • Polyalkylene glycols such as polyethylene glycol (PEG), polyamino acids such as polyaspartic acid and polyglutamic acid (PGA), poly-( ⁇ -L-glutamylglutamine) (PGGA), polyphenylene oxide (PPO), poly( ⁇ -caprolactone ) (PCL), poly(lactic-co-glycolic acid) (PLGA), diblock copolymers, and the like.
  • the carrier may also be a conjugate, a nucleotide linker, a non-nucleotide linker, or a nucleotide/non-nucleotide composite linker, polyethylene glycol, human serum albumin, or cellular uptake linking the sense and antisense regions of the nucleic acid.
  • the nucleotide linker may be a linker with a length of 2 or more nucleotides, or may be a nucleic acid aptamer.
  • the polynucleotide may further comprise at least one selected from pharmaceutically acceptable excipients, pharmaceutical carriers and diluents, diluents, dispersants, surfactants, binders, lubricants. or a parenteral dosage form such as an injectable dosage form, or a form suitable for buccal, rectal, nasal, topical, subcutaneous, vaginal or parenteral administration, or a pill, capsule, with the additional addition of a mixture thereof. , in oral dosage forms such as granules or tablets, or in dosage forms including forms suitable for administration by inhalation or injection.
  • the carrier is preferably sterile and biocompatible, and other common additives such as antioxidants, buffers, and bacteriostats may be added.
  • Preferred are large, slowly metabolized macromolecules such as proteins, polysaccharides, polylactose, polyglycolic acid, polymeric amino acids, amino acid copolymers, lipid aggregates, hydrogels and inert virus particles, collagens.
  • liquids such as water, saline, sterile water, Ringer's solution, buffered saline, albumin injection solution, dextrose solution, maltodextrin solution, glycerol and ethanol, wetting or emulsifying agents, pH buffering.
  • auxiliary substances such as substances may also be included.
  • Administering means introducing into a patient a pharmaceutical composition for treating cancer comprising said polynucleotide as an active ingredient by any suitable method, including delivery of said polynucleotide by viral or non-viral techniques, or Including transplantation of cells expressing the polynucleotide.
  • the administration route can be administered via various oral or parenteral routes as long as the target tissue can be reached.
  • administration can be by oral, rectal, topical, intravenous, intraperitoneal, intramuscular, intraarterial, transdermal, intranasal, inhalation, intraocular or intradermal routes.
  • the dosage varies depending on the purpose of administration, method of administration, tumor type, size, and subject (i.e., subject) circumstances (sex, age, weight, etc.). Typically, dosage is administered at lower levels and increased until the desired effect is achieved. Suitable doses of said polynucleotides may, for example, range from 1 pmol to 100 nmol per kilogram of body weight, range from 0.001 to 0.25 mg per kilogram of body weight, The range may be, but is not limited to, 0.10 to 5 ⁇ g/kg body weight. Such doses are preferably administered 1 to 10 times, more preferably 5 to 10 times.
  • the polynucleotide may be provided in the form introduced into the cell.
  • introduction into a cell is meant the entry of an exogenous polynucleotide into a cell by transfection or transduction.
  • Transfection may be performed by, for example, calcium phosphate-DNA co-precipitation, DEAE-dextran-mediated transfection, polybrene-mediated transfection, electroporation, microinjection, liposome fusion, lipofectamine transfection, and plasma transfection.
  • Transduction refers to methods such as plasma fusion, and transduction refers to viruses or viral vector particles (e.g.
  • vectors such as adenoviruses, adeno-associated viruses, Sendai viruses, retroviruses (such as lentiviruses)) by means of infection. or using a plasmid vector to transfer genes into other cells.
  • the vector can contain elements (e.g., promoters, etc.) necessary for expressing the polynucleotide in the present invention, and can be produced by known techniques (e.g., Sambrook and Russell, Molecular Cloning A Laboratory Manual ( 4th Ed., 2001), Cold Spring Harbor Laboratory Press, JP-A-2016-153403, JP-A-2016-025853, etc.). Since cells into which the polynucleotide has been introduced by such a method can express the base sequence at a high level, a cell therapeutic agent that suppresses the growth of cancer by transplanting such cells into cancer tissue. can be used as
  • tumor and cancer refer to malignant neoplasms and are used interchangeably.
  • solid cancer include bladder, bone, bone marrow, brain, breast, colon/rectum, esophagus, gastrointestinal tract, gingiva, head, kidney, liver, lung, and nasopharynx. , cervix, ovary, prostate, skin, stomach, testis, tongue, blood, or cancer and cancer cells in the uterus.
  • breast cancer, renal cancer, pancreatic cancer, colon cancer, lung cancer, brain cancer, stomach cancer, cervical cancer, endometrial cancer, ovarian cancer, prostate cancer, bladder cancer, esophageal cancer, liver cancer, fibrosarcoma, mast cell tumor and melanoma is mentioned.
  • These specific cancers include, for example, mammary adenocarcinoma, combined mammary adenocarcinoma, malignant mixed malignant mammary tumor, intraductal papillary adenocarcinoma, lung adenocarcinoma, squamous cell carcinoma, small cell carcinoma, large cell carcinoma, neuroepithelial carcinoma Glioma, ependymoma, neurocellular tumor, fetal neuroectodermal tumor, schwannoma, neurofibroma, meningioma, chronic lymphocytic leukemia, lymphoma, gastrointestinal tract type lymphoma, gastrointestinal lymphoma, small to medium cell lymphoma, cecal cancer, ascending colon cancer, descending colon cancer, transverse colon cancer, sigmoid colon cancer, rectal cancer, ovarian epithelial cancer, germ cell tumor, stromal cell tumor , pancreatic ductal carcinoma, invasive pancreatic ductal carcinoma, adenocar
  • Preferred subjects to be treated in the present invention are mammals. It includes mammals and the like, preferably humans.
  • a pharmaceutical composition comprising a pharmaceutical composition for the treatment and/or prevention of cancer containing the polynucleotide as an active ingredient and another antitumor agent (i.e., a pharmaceutical composition containing another antitumor agent) in combination ( (referred to as a "combination drug”) can be co-administered to a subject to increase the anti-tumor effect.
  • a pharmaceutical composition for treating and/or preventing cancer of the present invention and another anti-tumor agent that is, a pharmaceutical composition containing another anti-tumor agent
  • either pharmaceutical composition When administered separately, either pharmaceutical composition may be administered first or later, and their administration interval, dosage, administration route and administration frequency can be appropriately selected by a specialist.
  • the pharmaceutical composition for treating and/or preventing cancer and another antitumor agent are mixed in a pharmaceutically acceptable carrier (or medium) and formulated.
  • a pharmaceutical composition also referred to as a “mixed drug” obtained by
  • Antitumor agents include the following antitumor agents known in literature.
  • alkylsulfonates such as (i.e., "such as") busulfan, improsulfan and piposulfan, as alkylating agents such as thiotepa and cyclosulfamide; aziridines such as benzodopa, carbocone, metledopa, and uredopa; amines, ethyleneimines such as triethyleneamine, triethylenephosphoramide, triethylenethiophosphoramide and trimethylolamine; acetogenins such as bratacin and bratacinone; camptothecin; bryostatin; callistatin; cryptophycin 1, cryptophycin 8; dolastatin; duocarmycin; elothrobin; pancratistatin; sarcodictin; spongestatin; , novenbicin; phenesterin, prednimustine, trophosphamide, uracil mustard; nitrosoureas such as bendamustine, carmustine, chlor
  • Anticancer antibiotics include calicheamicin, dynemycin, clodronate, esperamycin, aclacinomycin, actinomycin, auslamycin, azaserine, bleomycin, cactinomycin, carabicin, carminomycin, cardinophylline, chromomycin, dactinomycin, daunorubicin, detrubicin, 6-diazo-5-oxo-L-norleucine, adriamycin (doxorubicin), bleomycin, aclarubicin, amrubicin, epirubicin, ethorubicin, idarubicin, merceromycin, mitomycin C, mycophenolic acid, nogaramycin, olibomycin, peplomycin, potofilomycin, puromycin, keramycin, rhodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex, dino
  • Antimetabolites such as folic acid analogues such as denopterin, pteropterin, methotrexate, trimetrexate, pemetrexed; purine analogues such as fludarabine, 6-mercaptopurine, thiamipurine, thioguanine, cladribine, clofarabine; ancitabine, azacytidine, 6 - pyrimidine analogues such as azauridine, carmofur, cytarabine, dideoxyuridine, doxifluridine, enocitabine, floxyuridine, trifluridine, capecitabine, 5-FU, gemcitabine, S-1, tegafur; hydroxycarbamide, nerarabine, azacitidine, and the like.
  • folic acid analogues such as denopterin, pteropterin, methotrexate, trimetrexate, pemetrexed
  • purine analogues such as fludarabine, 6-mer
  • Hormonal agents such as anastrozole, bicalutamide, degarelix, estramustine, exemestane, flutamide, fulvestrant, goserelin, letrozole, luprin, medroxyprogesterone, mepitiostane, octreotide, tamoxifen, toremifene, e.g.
  • propion androgenic agents such as dromostanolone acid, epithiostanol, mepitiostane, testolactone, enzalutamide; anti-adrenal agents such as aminoglutethimide, mitotane, trilostane; uracil, amsacrine, bestrabcil, bisantrene, edatraxate, defofamine, demecolcine, diaziquone, elformitin, elliptinium acetate, epothilone, etogluside, lentinan, lonidamine, maytansine, ansamitocin, abiraterone, mitguazone, mitoxantrone, mopidanmol, nitraeline, Pentostatin, fenamet, pirarubicin, losoxantrone, podophyllic acid, 2-ethylhydrazide, procarbazine, laz
  • anticancer agents derived from plants, such as docetaxel, etoposide, teniposide, irinotecan, topotecan, paclitaxel, cabazitaxel, vinblastine, vincristine, vindesine, vinorelbine, carboplatin, cisplatin, dacarbazine, eribulin, L-asparakinase, miriplatin, mitoxantrone, nedaplatin, oxaliplatin, pentostatin, procarbazine, arsenic trioxide, sobuzoxan, tamibarotene, mitoxantrone, novantrone, edatrexate, ibandronate, topoisomerase inhibitors, difluoromethylolnithine (DMFO), retinoic acid and the like.
  • DMFO difluoromethylolnithine
  • Molecular targeted drugs such as afatinib, axitinib, alectinib, bevacizumab, cetuximab, crizotinib, erlotinib, everolimus, gefitinib, lapatinib, ramucirumab, panitumumab, pazopanib, pertuzumab, nivolumab, regorafenib, lenvatinib, sorafenib, sunitinib, temisilolimus, , pembrolizumab, venetoclax, etc., and pharmaceutically acceptable salts or derivatives thereof.
  • the present invention provides a pharmaceutical composition for the treatment and/or prevention of cancer of the present invention, or a combination pharmaceutical comprising the pharmaceutical composition and the other antitumor agent of the present invention. Also provided is a method of treating and/or preventing cancer in a subject, comprising administering to the subject (or who has had cancer).
  • prevention includes prevention of cancer recurrence to reduce the risk of recurrence after cancer treatment in cancer therapy such as surgery, chemotherapy, radiotherapy and immunotherapy.
  • hsa-miR-1233-5p represented by SEQ ID NO: 5 The effectiveness of each synthetic RNA having the same base sequence as that for pancreatic cancer cells was evaluated.
  • Panc-1 cell line as pancreatic cancer cells was plated in DMEM medium (Nacalai Tesque, Japan) containing 10% FBS and cultured at 37° C. and 5% CO 2 . 6 ⁇ 10 3 cells were seeded per well in a 96-well plate, and synthetic RNA products having the base sequences represented by SEQ ID NOs: 4 and 5 (mirVana TM miRNA, Thermo Fisher Scientific, Inc.) were added at a concentration of 30 nM, respectively. Mimics) or a negative control oligo (Thermo Fisher Scientific, mirVana TM miRNA Mimic, Negative Control) was transfected using Lipofectamine RNAiMAX (Thermo Fisher Scientific).
  • the culture medium was changed and the number of cells was counted for 4 days.
  • pancreatic cancer cells transfected with synthetic RNA products having nucleotide sequences represented by SEQ ID NOs: 4 and 5 had cell survival rates of 57% and 47%, respectively, compared to pancreatic cancer cells transfected with the negative control oligo. Met.
  • the results are shown in FIG.
  • Each synthetic RNA having the same nucleotide sequence as 5p was evaluated for efficacy against cholangiocarcinoma cells.
  • TFK-1 cell line (ATCC) as cholangiocarcinoma cells was plated in RPMI medium (Nacalai Tesque) containing 10% FBS and cultured at 37° C. and 5% CO 2 .
  • RNA synthetic products (mirVana TM miRNA, Thermo Fisher Scientific, Inc.) having nucleotide sequences represented by SEQ ID NOs: 4 and 5 were added at a concentration of 30 nM, respectively.
  • Each synthetic RNA having the same nucleotide sequence as 5p was evaluated for efficacy against colon cancer cells.
  • HCT116 cell line As colon cancer cells, HCT116 cell line (ATCC) was plated in McCoy's medium (Nacalai Tesque) containing 10% FBS and cultured at 37° C. and 5% CO 2 . 6 ⁇ 10 3 cells were seeded per well in a 96-well plate, and synthetic RNA products having the base sequences represented by SEQ ID NOs: 4 and 5 (mirVana TM miRNA, Thermo Fisher Scientific, Inc.) were added at a concentration of 30 nM, respectively. Mimics) or a negative control oligo (Thermo Fisher Scientific, mirVana TM miRNA Mimic, Negative Control) was transfected using Lipofectamine RNAiMAX (Thermo Fisher Scientific).
  • the culture medium was changed and the number of cells was counted for 4 days.
  • colon cancer cells transfected with each of the synthetic RNA products having nucleotide sequences represented by SEQ ID NOs: 4 and 5 had a cell survival rate of 22% compared to colon cancer cells transfected with the negative control oligo. and 8%.
  • the results are shown in FIG.
  • the pharmaceutical composition for cancer treatment of the present invention is useful for treating and/or preventing cancer.

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Abstract

There has been demand to identify miRNA that could be made to be involved in treatment and/or prevention in common across various cancer types from a variety of miRNA relating to cancer, and to provide a novel pharmaceutical composition for treating and/or preventing cancer in which a polynucleotide derived from said miRNA is employed as an active ingredient. The present invention provides an agent for treating and/or preventing cancer, said agent containing, as an active ingredient, a polynucleotide including a base sequence represented by SEQ ID NO: 1.

Description

癌の治療及び/又は予防用医薬組成物Pharmaceutical composition for treating and/or preventing cancer

 本発明はマイクロRNA由来のポリヌクレオチドを有効成分とする、癌の治療及び/又は予防用医薬組成物に関する。 The present invention relates to a pharmaceutical composition for treating and/or preventing cancer, which contains microRNA-derived polynucleotides as active ingredients.

 マイクロRNA(miRNA)は16~28塩基のタンパク質非翻訳RNAであり、miRBase release 22(http://www.mirbase.org/)によるとヒトには現在2654種類存在することが知られている。近年、miRNAは生体内でさまざまな遺伝子の発現抑制を行う分子として注目されている。ゲノム上には各miRNA遺伝子の領域が存在し、RNAポリメラーゼIIによりヘアピン構造のRNA前駆体として転写され、核内でDrosha、細胞質内でDicerと呼ばれる2種類のRNaseIII切断活性を有するdsRNA切断酵素により切断され、成熟miRNAが形成される。この成熟miRNAはRISCと称するタンパク質複合体に取り込まれ、相補的配列をもつ複数のターゲット遺伝子のmRNAと相互作用し、遺伝子の発現を抑制することが知られている。 MicroRNAs (miRNAs) are protein-untranslated RNAs of 16 to 28 bases, and according to miRBase release 22 (http://www.mirbase.org/), there are currently 2,654 types known to exist in humans. In recent years, miRNAs have attracted attention as molecules that suppress the expression of various genes in vivo. Each miRNA gene region exists on the genome, and is transcribed as an RNA precursor with a hairpin structure by RNA polymerase II. Cleaved to form mature miRNA. It is known that this mature miRNA is incorporated into a protein complex called RISC, interacts with multiple target gene mRNAs having complementary sequences, and suppresses gene expression.

 ある種のmiRNAは、癌を含めたヒト疾患との関連が示唆されており、特に癌では、例えばhsa-miR-6778-5pなど多くのmiRNAが血液中の膵臓癌特異的マーカーとなることが知られている(特許文献1)。 Certain miRNAs have been suggested to be associated with human diseases including cancer, and in cancer in particular, many miRNAs such as hsa-miR-6778-5p can serve as pancreatic cancer-specific markers in the blood. It is known (Patent Document 1).

 また、癌細胞の増殖に関与するmiRNAだけでなく、癌細胞を抑制する方向に働くmiRNAの存在が報告されており、miRNAの発現パターンを利用した癌の治療法が示唆されている。具体例として、hsa-Let-7aなど153個のmiRNAを含む活性化血清を投与してmiRNAを上方調節することにより癌などの疾患を治療する方法(特許文献2)、hsa-miR-513c-5pなど複数のmiRNAを前立腺がん細胞株に過剰発現させ増殖を抑制させる方法(非特許文献1)、体内の循環エキソソームに含まれるhsa-miR-1321など多くのmiRNAのアンチセンスオリゴヌクレオチドを投与して血液癌を治療する方法(特許文献3)が知られている。 In addition, the existence of not only miRNAs involved in the proliferation of cancer cells, but also miRNAs that act to suppress cancer cells have been reported, suggesting cancer treatment methods that utilize miRNA expression patterns. As a specific example, a method of treating diseases such as cancer by administering activated serum containing 153 miRNAs such as hsa-Let-7a to upregulate miRNAs (Patent Document 2), hsa-miR-513c- A method of overexpressing multiple miRNAs such as 5p in prostate cancer cell lines to suppress proliferation (Non-Patent Document 1), administering antisense oligonucleotides of many miRNAs such as hsa-miR-1321 contained in circulating exosomes in the body A method of treating hematologic cancer by using a

国際公開第2015/182781号WO2015/182781 特表2013-504542号公報Japanese translation of PCT publication No. 2013-504542 国際公開第2014/071205号WO2014/071205

BD Wang CLINICAL CANCER RESEARCH Vol.21, 4970-4984 (2015) “Identification and Functional Validation of Reciprocal microRNA-mRNA Pairings in African American Prostate Cancer Disparities”BD Wang CLINICAL CANCER RESEARCH Vol. 21, 4970-4984 (2015) "Identification and Functional Validation of Reciprocal microRNA-mRNA Pairings in African American Prostate Cancer Disparities"

 本発明の目的は、癌と関連する様々なmiRNAから、様々な癌種に共通して治療及び/又は予防効果を奏するmiRNAを同定し、該miRNAを由来とするポリヌクレオチドを有効成分とする新たな癌の治療及び/又は予防用医薬組成物を提供することである。 An object of the present invention is to identify, from various miRNAs associated with cancer, miRNAs that exert therapeutic and/or preventive effects in common on various types of cancer, and to create new novel therapeutic agents containing polynucleotides derived from the miRNAs as active ingredients. It is to provide a pharmaceutical composition for treating and/or preventing cancer.

 本発明者らは上記課題を解決すべく鋭意検討の結果、癌患者の体液もしくは組織中で発現が上昇又は減少しているmiRNAより癌細胞の増殖を抑制する新規のポリヌクレオチドを見出し、本発明を完成するに至った。 As a result of intensive studies to solve the above problems, the present inventors have found novel polynucleotides that suppress the growth of cancer cells from miRNAs whose expression is increased or decreased in body fluids or tissues of cancer patients. was completed.

 すなわち、本発明は以下の(1)~(14)の特徴を有する。
(1)配列番号1で表される塩基配列を含むポリヌクレオチドを有効成分として含む、癌の治療及び/又は予防用医薬組成物。
(2)前記ポリヌクレオチドの塩基長が8~60塩基である、(1)に記載の医薬組成物。
(3)前記ポリヌクレオチドが、前記配列番号1で表される塩基配列の3’末端側に下記の(a)又は(b)の塩基配列を含む、(1)又は(2)に記載の医薬組成物。
(a)配列番号2又は3のいずれかで表される塩基配列
(b)配列番号2又は3のいずれかで表される塩基配列において、1~5個の塩基が欠失、置換、挿入及び/又は付加された塩基配列
(4)前記ポリヌクレオチドが配列番号4又は5のいずれかで表される塩基配列を含む、(1)~(3)のいずれかに記載の医薬組成物。
(5)前記ポリヌクレオチドが一本鎖又は二本鎖である、(1)~(4)のいずれかに記載の医薬組成物。
(6)前記ポリヌクレオチドがRNAである、(1)~(5)のいずれかに記載の医薬組成物。
(7)前記癌が固形癌である、(1)~(6)のいずれかに記載の医薬組成物。
(8)前記固形癌が、乳癌、腎癌、膵臓癌、大腸癌、肺癌、脳腫瘍、胃癌、子宮頸癌、卵巣癌、前立腺癌、膀胱癌、食道癌、肝癌、線維肉腫、肥満細胞腫、メラノーマからなる群から選択される、(7)に記載の医薬組成物。
(9)前記癌が血液癌である、(1)~(6)のいずれかに記載の医薬組成物。
(10)前記血液癌が白血病である、(9)に記載の医薬組成物。
(11)前記ポリヌクレオチドが、DNAの形態でベクターに発現可能に挿入されている、(1)~(10)のいずれかに記載の医薬組成物。
(12)前記ポリヌクレオチドが、非カチオン性ポリマー担体、リポソーム担体、樹枝状担体、ナノ材料担体、ミクロ粒子担体、生体構造担体、ミセル担体、高分子微粒子及び磁気微粒子からなる群から選択される担体中に内包されている、あるいは、該担体に結合されている、(1)~(11)のいずれかに記載の医薬組成物。
(13)(1)~(12)のいずれかに記載の医薬組成物、並びに抗腫瘍剤を有効成分として含む、癌の治療及び/又は予防のための組み合わせ医薬品。
(14)(1)~(12)のいずれかに記載の医薬組成物、又は(13)に記載の組み合わせ医薬品を、癌に罹患した、又は癌に罹患したことのある被験体に投与することを含む、前記被験体において癌を治療又は予防する方法。
That is, the present invention has the following features (1) to (14).
(1) A pharmaceutical composition for treating and/or preventing cancer, comprising a polynucleotide comprising the base sequence represented by SEQ ID NO: 1 as an active ingredient.
(2) The pharmaceutical composition according to (1), wherein the polynucleotide has a base length of 8 to 60 bases.
(3) The medicament according to (1) or (2), wherein the polynucleotide comprises the following nucleotide sequence (a) or (b) on the 3′ end side of the nucleotide sequence represented by SEQ ID NO: 1 Composition.
(a) the nucleotide sequence represented by either SEQ ID NO: 2 or 3 (b) the nucleotide sequence represented by either SEQ ID NO: 2 or 3, in which 1 to 5 bases are deleted, substituted, inserted and /or added nucleotide sequence (4) The pharmaceutical composition according to any one of (1) to (3), wherein the polynucleotide comprises a nucleotide sequence represented by either SEQ ID NO:4 or 5.
(5) The pharmaceutical composition according to any one of (1) to (4), wherein the polynucleotide is single-stranded or double-stranded.
(6) The pharmaceutical composition according to any one of (1) to (5), wherein the polynucleotide is RNA.
(7) The pharmaceutical composition according to any one of (1) to (6), wherein the cancer is solid cancer.
(8) the solid cancer is breast cancer, kidney cancer, pancreatic cancer, colon cancer, lung cancer, brain tumor, gastric cancer, cervical cancer, ovarian cancer, prostate cancer, bladder cancer, esophageal cancer, liver cancer, fibrosarcoma, mast cell tumor, The pharmaceutical composition according to (7), which is selected from the group consisting of melanoma.
(9) The pharmaceutical composition according to any one of (1) to (6), wherein the cancer is blood cancer.
(10) The pharmaceutical composition according to (9), wherein the blood cancer is leukemia.
(11) The pharmaceutical composition according to any one of (1) to (10), wherein the polynucleotide is inserted into a vector in the form of DNA so as to be expressible.
(12) A carrier in which the polynucleotide is selected from the group consisting of non-cationic polymer carriers, liposome carriers, dendritic carriers, nanomaterial carriers, microparticle carriers, biological structure carriers, micellar carriers, polymeric microparticles and magnetic microparticles. The pharmaceutical composition according to any one of (1) to (11), which is encapsulated therein or bound to the carrier.
(13) A pharmaceutical combination for treating and/or preventing cancer, comprising the pharmaceutical composition according to any one of (1) to (12) and an antitumor agent as active ingredients.
(14) administering the pharmaceutical composition according to any one of (1) to (12) or the pharmaceutical combination according to (13) to a subject who has or has had cancer A method of treating or preventing cancer in said subject, comprising:

 本発明の癌の治療及び/又は予防用医薬組成物は、種々の癌種の癌細胞の増殖を劇的に抑制することから、癌の治療や予防に有用である。 The pharmaceutical composition for treating and/or preventing cancer of the present invention dramatically suppresses the growth of cancer cells of various cancer types, and is therefore useful for treating and preventing cancer.

 配列番号1~6で表される塩基配列は、表1に記載の通りである。 The base sequences represented by SEQ ID NOS: 1-6 are as shown in Table 1.

Figure JPOXMLDOC01-appb-T000001
Figure JPOXMLDOC01-appb-T000001

この図は、配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA及び配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNA導入後の膵癌細胞株Panc-1の細胞生存数の、ネガティブコントロールオリゴの合成RNA導入後の細胞生存数(100%)に対する割合を示す。This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4 and a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5. The ratio of the cell survival number of the post-pancreatic cancer cell line Panc-1 to the cell survival number (100%) after the synthetic RNA introduction of the negative control oligo is shown. この図は、配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA及び配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNA導入後の胆管癌細胞株TFK-1の細胞生存数の、ネガティブコントロールオリゴの合成RNA導入後の細胞生存数(100%)に対する割合を示す。This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4 and a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5. The ratio of the cell survival number of the post-cholangiocarcinoma cell line TFK-1 to the cell survival number (100%) after the synthetic RNA introduction of the negative control oligo is shown. この図は、配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA及び配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNA導入後の大腸癌細胞株HCT116の細胞生存数の、ネガティブコントロールオリゴの合成RNA導入後の細胞生存数(100%)に対する割合を示す。This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4 and a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5. The ratio of the cell survival number of colon cancer cell line HCT116 after colon cancer to the cell survival number (100%) after synthetic RNA introduction of the negative control oligo is shown. この図は、配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA、配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNA及び配列番号6で表されるhsa-miR-4488と同じ塩基配列を有する合成RNA導入後の膵臓癌細胞株Panc-1の細胞生存数の、ネガティブコントロールオリゴの合成RNA導入後の細胞生存数(100%)に対する割合を示す。This figure shows a synthetic RNA having the same nucleotide sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4, a synthetic RNA having the same nucleotide sequence as hsa-miR-1233-5p represented by SEQ ID NO: 5, and Cell viability after introduction of synthetic RNA of negative control oligo in pancreatic cancer cell line Panc-1 after introduction of synthetic RNA having the same base sequence as hsa-miR-4488 represented by SEQ ID NO: 6 (100 %).

 本発明をさらに詳細に説明する。 The present invention will be explained in further detail.

 <有効成分となるポリヌクレオチド>
 本発明の癌の治療及び/又は予防用医薬組成物は、AGUGGGAG(配列番号1)で表される塩基配列を含むポリヌクレオチドを有効成分とすることを特徴とする。以下、有効成分となるポリヌクレオチドについて説明する。
<Polynucleotide as an active ingredient>
The pharmaceutical composition for treating and/or preventing cancer of the present invention is characterized by comprising a polynucleotide comprising a base sequence represented by AGUGGGAG (SEQ ID NO: 1) as an active ingredient. Polynucleotides serving as active ingredients are described below.

 配列番号1で表される塩基配列は、ヒトのmiRNAであるhsa-miR-6778-5p(miRBase Accession No.MIMAT0027456)の5’末端側の部分配列として同定された塩基配列である。このmiRNAは膵臓癌の特異的マーカーとなるmiRNAの一部であることが知られているが(国際公開第2015/182781号)、膵臓癌やそれ以外の癌細胞の増殖を抑制すること、これらmiRNAの部分配列である配列番号1で表される塩基配列のポリヌクレオチドが癌細胞の増殖抑制に重要な役割を果たしていることについては本発明者が新規に見出した知見である。 The nucleotide sequence represented by SEQ ID NO: 1 is a nucleotide sequence identified as a partial sequence on the 5' end side of human miRNA hsa-miR-6778-5p (miRBase Accession No. MIMAT0027456). This miRNA is known to be a part of miRNA that serves as a specific marker for pancreatic cancer (International Publication No. 2015/182781), but suppresses the proliferation of pancreatic cancer and other cancer cells. The present inventors have newly discovered that the polynucleotide having the base sequence represented by SEQ ID NO: 1, which is a partial sequence of miRNA, plays an important role in suppressing the proliferation of cancer cells.

 従って、前記ポリヌクレオチドは、配列番号1で表される塩基配列を含んでいれば特に制限はない。すなわち、配列番号1で表される塩基配列のポリヌクレオチドそのものであってもよいし、あるいは、配列番号1で表される塩基配列の5’末端側又は3’末端側に別の塩基配列が付加されていてもよいが、好ましくは、配列番号1で表される塩基配列の3’末端側に別の塩基配列が付加されているポリヌクレオチドである。また、ポリヌクレオチドの塩基配列の塩基長は、好ましくは8~60塩基であり、より好ましくは16~28塩基である。 Therefore, the polynucleotide is not particularly limited as long as it contains the nucleotide sequence represented by SEQ ID NO:1. That is, it may be the polynucleotide itself of the base sequence represented by SEQ ID NO: 1, or another base sequence is added to the 5' end side or 3' end side of the base sequence represented by SEQ ID NO: 1. However, it is preferably a polynucleotide in which another nucleotide sequence is added to the 3' end of the nucleotide sequence represented by SEQ ID NO:1. The base length of the base sequence of the polynucleotide is preferably 8-60 bases, more preferably 16-28 bases.

 配列番号1で表される塩基配列の3’末端側に付加される塩基配列としては、好ましくは以下の(a)又は(b)を部分配列として含む塩基配列であり、より好ましくは以下の(a)又は(b)を5’末端側に含む塩基配列であり、さらに好ましくは以下の(a)又は(b)からなる塩基配列である。
(a)配列番号2又は3で表される塩基配列。
(b)配列番号2又は3で表される塩基配列において、1~5個、好ましくは1~4個、より好ましくは1~3個、さらに好ましくは1~2個、特に好ましくは1個の塩基が欠失、置換、挿入及び/又は付加された塩基配列。
The nucleotide sequence added to the 3′ end of the nucleotide sequence represented by SEQ ID NO: 1 is preferably a nucleotide sequence containing the following (a) or (b) as a partial sequence, more preferably the following ( It is a nucleotide sequence containing a) or (b) at the 5′ end, and more preferably a nucleotide sequence consisting of the following (a) or (b).
(a) a base sequence represented by SEQ ID NO: 2 or 3;
(b) in the nucleotide sequence represented by SEQ ID NO: 2 or 3, 1 to 5, preferably 1 to 4, more preferably 1 to 3, still more preferably 1 to 2, particularly preferably 1 A base sequence in which bases have been deleted, substituted, inserted and/or added.

 前記配列番号1で表される塩基配列の3’末端側に別の塩基配列が付加されているポリヌクレオチドの好ましい具体例としては、配列番号4又は5のいずれかで表される塩基配列からなるポリヌクレオチドが挙げられる。なお、これら2種のポリヌクレオチドに関しては、既にヒトで同定されているmiRNAとして知られている。これらmiRNAの名称とmiRBase Accession No.(登録番号)は表2に記載の通りである。 A preferred specific example of the polynucleotide in which another nucleotide sequence is added to the 3′ end of the nucleotide sequence represented by SEQ ID NO: 1 consists of the nucleotide sequence represented by either SEQ ID NO: 4 or 5. Polynucleotides. These two types of polynucleotides are known as miRNAs that have already been identified in humans. Names of these miRNAs and miRBase Accession No. (Registration number) is as shown in Table 2.

Figure JPOXMLDOC01-appb-T000002
Figure JPOXMLDOC01-appb-T000002

 配列番号4で表される塩基配列を有するmiRNAであるhsa-miR-6778-5pは、5’末端から8番目までが配列番号1で表される塩基配列と、9番目以降が配列番号2で表される塩基配列で構成される。前述の通り、膵臓癌の特異的マーカーであると知られているが、これまでに遺伝子又はその転写産物の配列を用いた化合物が腫瘍細胞を抑制しうるという報告は知られていない。 hsa-miR-6778-5p, which is a miRNA having the nucleotide sequence represented by SEQ ID NO: 4, has a nucleotide sequence represented by SEQ ID NO: 1 from the 5' end to the 8th, and SEQ ID NO: 2 from the 9th. Consists of the represented base sequence. As described above, it is known to be a specific marker for pancreatic cancer, but there have been no reports to date that compounds using the sequence of a gene or its transcription product can suppress tumor cells.

 配列番号5で表される塩基配列を有するmiRNAであるhsa-miR-1233-5pは、5’末端から8番目までの塩基配列が配列番号1で表される塩基配列と、9番目以降が配列番号3で表される塩基配列で構成される。Berezikov Eら、2007年、Mol Cell、28巻、p328-336に記載される方法によって同定されたものである。また、hsa-miR-1233-5pは、その前駆体としてヘアピン様構造をとるhsa-mir-1233-1(miRBase Accession No.MI0006323)が知られているが、これまでに遺伝子又はその転写産物の配列を用いた化合物が腫瘍細胞を抑制しうるという報告は知られていない。 hsa-miR-1233-5p, which is a miRNA having the nucleotide sequence represented by SEQ ID NO: 5, has the nucleotide sequence represented by SEQ ID NO: 1 from the 5' end to the 8th nucleotide sequence, and the 9th and subsequent nucleotide sequences. It is composed of the nucleotide sequence represented by number 3. Berezikov E et al., 2007, Mol Cell 28:328-336. In addition, hsa-mir-1233-1 (miRBase Accession No. MI0006323), which has a hairpin-like structure as its precursor, is known for hsa-miR-1233-5p. There are no known reports that sequence-based compounds can suppress tumor cells.

 前記ポリヌクレオチドは、癌の治療及び/又は予防の効果を発揮しうる限りにおいてはいかなる構造をとってもよく、例えば、一本鎖、二本鎖、又は三本以上の多重構造をとってもよいが、好ましくは一本鎖又は二本鎖構造であり、より好ましくは一本鎖構造である。 The polynucleotide may have any structure as long as it can exhibit cancer treatment and/or prevention effects, for example, it may have a single-stranded, double-stranded, or three or more multiplex structure, but is preferably is a single-stranded or double-stranded structure, more preferably a single-stranded structure.

 前記ポリヌクレオチドは、癌の治療及び/又は予防の効果を発揮しうる限りにおいては、RNA、DNAあるいはRNA/DNA(キメラ)であってもよいが(なお、前記ポリヌクレオチドについて、配列表に記載の塩基配列に該当する塩基配列の全部又は一部がDNAに相当する場合、配列表のU(ウラシル)はT(チミン)に読み替えるものとする。)、好ましくはRNAである。RNAである場合の形態としては、腫瘍細胞の抑制に関与する遺伝子制御の観点から、前述のmiRNAの他、mRNA、rRNA、non-coding RNA、siRNA、shRNA、snoRNA、snRNA、nkRNA(登録商標)、PnkRNA(商標)等の形態が挙げられるが、好ましくはmiRNAである。なお、miRNAには天然由来のmiRNAの他、いわゆるミミックと呼ばれる合成miRNAも包含される。 The polynucleotide may be RNA, DNA, or RNA/DNA (chimera) as long as it can exert an effect of cancer treatment and/or prevention (the polynucleotide described in the sequence list). When all or part of the nucleotide sequence corresponding to the nucleotide sequence of corresponds to DNA, U (uracil) in the sequence listing shall be replaced with T (thymine)), preferably RNA. In the case of RNA, from the viewpoint of gene regulation involved in suppressing tumor cells, in addition to the above-mentioned miRNA, mRNA, rRNA, non-coding RNA, siRNA, shRNA, snoRNA, snRNA, nkRNA (registered trademark) , PnkRNA (trademark) and the like, preferably miRNA. Note that miRNAs include not only naturally occurring miRNAs but also synthetic miRNAs called so-called mimics.

 本発明で使用可能なポリヌクレオチドは、少なくとも1つの修飾ヌクレオチド類似体を含むことができる。ヌクレオチド類似体は、例えば、RNA分子の5’末端、3’末端及び/又は分子内部に配置することができる。特に、修飾ヌクレオチド類似体を組み込むことにより、安定化させることができる。 A polynucleotide that can be used in the present invention can contain at least one modified nucleotide analogue. Nucleotide analogues can be placed, for example, at the 5' end, 3' end and/or internally of the RNA molecule. In particular, it can be stabilized by incorporating modified nucleotide analogues.

 好ましいヌクレオチド類似体としては、糖又は骨格鎖修飾リボヌクレオチドであり、さらに好ましくは核酸塩基が修飾されたリボヌクレオチド、すなわち、天然に存在しない核酸塩基を含むリボヌクレオチドである。すなわち、天然に存在しない核酸塩基としては、5位で修飾されたウリジン、又はシチジン、例えば、5-メチルウリジン、5-(2-アミノ)プロピルウリジン、5-メチル-2-チオウリジン、あるいは5-ブロモウリジン、6-アゾウリジン、8位で修飾されたアデノシン及びグアノシン、例えば、8-ブロモグアノシン、デアザヌクレオチド、7-デアザーアデノシン;O-及びN-アルキル化ヌクレオチド、N6-メチルアデノシン、ユニバーサル塩基などである。 Preferred nucleotide analogues are sugar- or backbone-modified ribonucleotides, more preferably nucleobase-modified ribonucleotides, that is, ribonucleotides containing non-naturally occurring nucleobases. That is, non-naturally occurring nucleobases include uridine or cytidine modified at the 5-position, such as 5-methyluridine, 5-(2-amino)propyluridine, 5-methyl-2-thiouridine, or 5- Bromouridine, 6-azouridine, adenosines and guanosines modified at position 8, such as 8-bromoguanosine, deazanucleotides, 7-deazaadenosine; O- and N-alkylated nucleotides, N6-methyladenosine, universal bases and so on.

 好ましい糖修飾リボヌクレオチドとしては、H、OR、ハロ、SH、SR、NH、NHR、NR、CNからなる群より選択される基で2’OH基を置換、あるいは2’-O、4’-Cメチレン架橋やエチレン架橋を含有(例えば、LNAやENAなど)してもよい。ここで、Rは、C1~C6アルキル、アルケニル又はアルキニルであり、ハロは、F、Cl、Br又はIである。また糖部分は、マンノース、アラビノース、グルコピラノース、ガラクトピラノース、4’-チオリボース及び他の糖、ヘテロ環又は炭素環であってもよい。 Preferred sugar-modified ribonucleotides include replacing the 2'OH group with a group selected from the group consisting of H, OR, halo, SH, SR, NH2 , NHR, NR2 , CN, or 2'-O, 4 It may contain '-C methylene bridges and ethylene bridges (eg, LNA, ENA, etc.). where R is C1-C6 alkyl, alkenyl or alkynyl and halo is F, Cl, Br or I; Sugar moieties may also be mannose, arabinose, glucopyranose, galactopyranose, 4'-thioribose and other sugars, heterocycles or carbocycles.

 好ましい骨格鎖修飾リボヌクレオチドとしては、隣接するリボヌクレオチドを結合するホスホエステル基を、例えば、ホスホチオエート基の修飾基やボラノホスフェート、3’-(又は5’ -)デオキシ-3’-(又は5’ -)アミノホスホルアミデート、水素ホスホネート、ボラノリン酸エステル、ホスホルアミデート、アルキル又はアリールホスホネート及びホスホトリエステル又はリン結合で置換する。前述した修飾を組み合わせてもよい。 Preferred backbone-modified ribonucleotides include phosphoester groups that link adjacent ribonucleotides, such as modified groups of phosphothioate groups, boranophosphate, 3′-(or 5′-)deoxy-3′-(or 5′-) '-) substituted with aminophosphoramidates, hydrogen phosphonates, boranophosphate esters, phosphoramidates, alkyl or aryl phosphonates and phosphotriesters or phosphorus linkages. Combinations of the aforementioned modifications may also be used.

 <有効成分であるポリヌクレオチドに付加する担体>
 本発明の癌の治療及び/又は予防用医薬組成物は、前記ポリヌクレオチドに加えて薬学的に許容しうる担体を含んでいてもよい。薬学的に許容しうる担体とは、標的癌細胞又は癌組織への前記ポリヌクレオチドの選択的輸送を容易にする物質であって、生物体を刺激せず、また、前記ポリヌクレオチドの活性及び特性を阻害しないものが好ましく、また、それ自体が組成物を投与された個体に有害な抗体の生産を誘導することがないことが好ましい。担体のサイズについて、正常な血管壁を透過しないが、癌組織内の新生血管壁を透過することができるサイズが好ましい。担体が略球状体であるとした場合、好ましくは、担体の直径を例えば約1nm以上1000nm未満のナノサイズとしうる。
<Carrier added to polynucleotide as active ingredient>
The pharmaceutical composition for treating and/or preventing cancer of the present invention may contain a pharmaceutically acceptable carrier in addition to the polynucleotide. A pharmaceutically acceptable carrier is a substance that facilitates selective delivery of said polynucleotide to a target cancer cell or tissue, is non-irritating to the organism, and does not affect the activity and properties of said polynucleotide. and preferably does not itself induce the production of antibodies harmful to the individual to whom the composition is administered. Regarding the size of the carrier, a size that does not permeate normal vascular walls but allows permeation through neovascular walls in cancer tissue is preferred. When the carrier is a substantially spherical body, the diameter of the carrier can preferably be nano-sized, for example, about 1 nm or more and less than 1000 nm.

 前記担体は、前記ポリヌクレオチドを内包していてもよく、可動的に結合していてもよい。「可動的に結合している」とは、担体と1又は2以上の剤との間の電子的相互作用を指す。かかる相互作用は、限定されずに、共有結合、極性共有結合、イオン結合、静電結合、配位共有結合、芳香族結合、水素結合、双極子又はファンデルワールス相互作用を含む化学結合の形をとってもよい。 The carrier may enclose the polynucleotide, or may be movably bound thereto. "Mobably associated" refers to electronic interactions between a carrier and one or more agents. Such interactions may be in any form of chemical bonding including, but not limited to, covalent, polar covalent, ionic, electrostatic, coordinative, aromatic, hydrogen bonding, dipole or van der Waals interactions. can be taken.

 前記ポリヌクレオチドと担体の結合部分としては、好ましくは5’末端側又は3’末端側であり、より好ましくは5’末端側である。 The binding portion between the polynucleotide and the carrier is preferably the 5'-terminal side or the 3'-terminal side, more preferably the 5'-terminal side.

 前記担体の具体例としては、非カチオン性ポリマー担体、リポソーム担体、樹枝状担体、ナノ材料(ナノマテリアル)担体、ミクロ粒子担体、生体構造(バイオストラクチュアル)担体、ミセル担体、高分子微粒子及び磁気微粒子が挙げられる。 Specific examples of the carrier include non-cationic polymer carriers, liposome carriers, dendritic carriers, nanomaterial carriers, microparticle carriers, biostructural carriers, micellar carriers, polymer microparticles and magnetic fine particles.

 非カチオン性ポリマー担体は、1又は2以上の剤を内包し得る、及び/又は可動的に結合し得る、例えば、アニオン性(すなわち、負に荷電した)ポリマー又は電子的に中性の綿状あるいは分枝したポリマーとしうる。形態はミクロ粒子であってもナノ粒子であってもよく、水溶性あるいは水不溶性であってもよく、生分解性あるいは非生分解性であってもよい。好適な非カチオン性ポリマー担体は当業者に知られている。例えば、ポリ-L-グルタミン酸(PGA)、ポリ-(γ-L-グルタミルグルタミン)(PGGA)、ポリ-(γ-L-アスパルチルグルタミン)(PGAA)、ポリ-(乳酸-コ-グリコール酸)(PLGA)を含んでもよく、少なくとも2種のポリマーの混合物を含んでもよい。 Non-cationic polymeric carriers may entrap and/or movably associate one or more agents, such as anionic (i.e., negatively charged) polymers or electronically neutral flocculents. Alternatively, it can be a branched polymer. The form may be microparticulate or nanoparticulate, water soluble or water insoluble, biodegradable or non-biodegradable. Suitable non-cationic polymeric carriers are known to those skilled in the art. For example, poly-L-glutamic acid (PGA), poly-(γ-L-glutamylglutamine) (PGGA), poly-(γ-L-aspartylglutamine) (PGAA), poly-(lactic-co-glycolic acid) (PLGA) and may include a mixture of at least two polymers.

 リポソーム担体は、水性媒体中で、1又は2以上の剤を内包し得る、及び/又は可動的に結合し得る実質的に閉鎖された構造を形成する、極性の親水性基に付着した脂質を含む、脂質二重層構造を表し、単一の脂質二重層(すなわちユニラメラ)を含んでもよく、あるいは、2層又は3層以上の同心の脂質二重層(すなわち、マルチラメラ)を含んでもよい。リポソーム担体は、略球状又は略楕円状の形状であってもよい。好適なリポソーム担体は当業者に知られており、種々の特性、例えば脂質二重層の剛性、脂質二重層の電子電荷及び/又は剤の一方もしくは両方とリポソーム担体との適合性などに基づいて選択することができる。例えば、天然リン脂質、例えば卵ホスファチジルコリン、卵ホスファチジルエタノールアミン、大豆ホスファチジルコリン、レシチン及びスフィンゴミエリン、合成ホスファチジルコリン、リゾホスファチジルコリン、ホスファチジルグリセロール、ホスファチジン酸、ホスファチジルエタノールアミン、ジオクタデシルアミドグリシルスペルミン、ジオレオイルホスファチジルエタノールアミン、N-[1-(2,3-ジオレイルオキシ)プロピル]-N,N,N-トリメチルアンモニウムクロライド、2,3-ジオレキシオロキシ-N-[2-(スペルミンカルボキシアミド)エチル] -N,N-ジメチル-1-プロパンアンモニウムトリフルオロアセトアミド、ホスファチジルセリン及びこれらの誘導体、PEG化リン脂質などである。 Liposomal carriers are lipids attached to polar hydrophilic groups that form a substantially closed structure capable of encapsulating and/or movably associated with one or more agents in an aqueous medium. represents a lipid bilayer structure, which may comprise a single lipid bilayer (ie, unilamellar), or may comprise two or more concentric lipid bilayers (ie, multilamellar). A liposome carrier may be generally spherical or generally elliptical in shape. Suitable liposome carriers are known to those of skill in the art and are selected based on a variety of properties, such as the rigidity of the lipid bilayer, the electronic charge of the lipid bilayer and/or the compatibility of one or both of the agents with the liposome carrier. can do. For example, natural phospholipids such as egg phosphatidylcholine, egg phosphatidylethanolamine, soybean phosphatidylcholine, lecithin and sphingomyelin, synthetic phosphatidylcholine, lysophosphatidylcholine, phosphatidylglycerol, phosphatidic acid, phosphatidylethanolamine, dioctadecylamidoglycylspermine, dioleoylphosphatidyl. Ethanolamine, N-[1-(2,3-dioleyloxy)propyl]-N,N,N-trimethylammonium chloride, 2,3-diolexioroxy-N-[2-(sperminecarboxamido)ethyl ]-N,N-dimethyl-1-propaneammonium trifluoroacetamide, phosphatidylserine and derivatives thereof, PEGylated phospholipids, and the like.

 樹枝状担体は、1種又は2種以上の剤を内包し得る、及び/又は可動的に結合し得る、例えば、デンドリマー、デンドロン又はこれらの誘導体としうる。デンドリマーは、コアを有し、かつ、コアから広がる分枝構造の複数のシェルを有する巨大分子である。デンドロンは、焦点から広がる分枝を有するタイプのデンドリマーである。樹枝状担体は商業的に入手可能であるか、又は当業者に既知の方法によって合成することができる。樹枝状担体の少なくとも一部分は疎水性であってもよく、親水性であってもよい。樹枝状担体はカチオン性であってもよく、電子的に中性であってもアニオン性であってもよい。コア分子を含んでもよく、例えば、エチレンジアミン、1,4-ジアミノブタン、1,6-ジアミノヘキサン及び1,12-ジアミノデカンなどのアルキルジアミン、アンモニアなどのアミン、シスタミン、ポリエチレンイミン(PEI)などのアルキルイミン、シクロトリホスファゼン及びチオホスホリルなどの塩素化リン分子を含んでもよい。また、ポリプロピレンイミン(PPI)、DAB-Am-16などのポリアルキルイミン、ポリアミドアミン(PAMAM)などの第三級アミン、ポリリジンなどのポリアミノ酸、及びフェノキシメチル(メチルヒドラゾノ)(PMMH)を含んでもよい。 A dendritic carrier may enclose and/or movably bind one or more agents, and may be, for example, a dendrimer, dendron, or derivative thereof. Dendrimers are macromolecules that have a core and multiple shells of branched structures emanating from the core. Dendrons are a type of dendrimer with branches radiating out from a focal point. Dendritic supports are commercially available or can be synthesized by methods known to those skilled in the art. At least a portion of the dendritic support may be hydrophobic or hydrophilic. Dendritic carriers can be cationic and can be electronically neutral or anionic. Core molecules may also include alkyldiamines such as ethylenediamine, 1,4-diaminobutane, 1,6-diaminohexane and 1,12-diaminodecane, amines such as ammonia, cystamine, polyethylenimine (PEI) and the like. Chlorinated phosphorus molecules such as alkylimine, cyclotriphosphazene and thiophosphoryl may also be included. Also included are polypropyleneimine (PPI), polyalkylimines such as DAB-Am-16, tertiary amines such as polyamidoamine (PAMAM), polyamino acids such as polylysine, and phenoxymethyl(methylhydrazono) (PMMH). It's okay.

 ナノ材料担体は、例えば約1nm~約100nmの範囲の最長寸法を有し、1又は2以上の剤を内包し得る、及び/又は可動的に結合し得る材料としうる。好適なナノ材料担体は、当業者に知られており、ナノ粒子、ナノパウダー、ナノクラスター、ナノ結晶、ナノスフェア、ナノファイバー、ナノチューブ、ナノクラスター、ナノ結晶、ナノスフェア、ナノファイバー、ナノチューブ、ナノゲル及びナノロッドを含んでもよい。また、ナノ材料担体を構成する物質としては、ポリ-(乳酸-コ-グリコール酸)(PLGA)、ポリアルキルシアノアクリレート(PACA)、ポリイプシロン-カプロラクトン(PCL)、ポリ乳酸(PLA)、ポリエチレングリコール(PEG)、ポリ-N-ビニルカプロラクタムアクリル酸ナトリウム、ポリ-N-イロプロピルアクリルアミド、ポリ酢酸ビニルなどが例示される。また、一部の態様においてナノ材料担体はフラーレンであってもよく、球状フラーレン(例えばC60)、カーボンナノチューブ、フラーレン誘導体を含んでもよい。 A nanomaterial carrier can be, for example, a material having a longest dimension ranging from about 1 nm to about 100 nm and capable of encapsulating and/or movably binding one or more agents. Suitable nanomaterial carriers are known to those skilled in the art and include nanoparticles, nanopowders, nanoclusters, nanocrystals, nanospheres, nanofibers, nanotubes, nanoclusters, nanocrystals, nanospheres, nanofibers, nanotubes, nanogels and nanorods. may include Substances constituting the nanomaterial carrier include poly-(lactic-co-glycolic acid) (PLGA), polyalkylcyanoacrylate (PACA), polyepsilon-caprolactone (PCL), polylactic acid (PLA), and polyethylene glycol. (PEG), poly-N-vinylcaprolactam sodium acrylate, poly-N-isopropylacrylamide, polyvinyl acetate and the like. Also, in some embodiments, the nanomaterial carrier may be a fullerene, and may include spherical fullerenes (eg, C60), carbon nanotubes, fullerene derivatives.

 ミクロ粒子担体は、例えば約100~約1000nmの範囲の最長寸法を有する粒子としうる。ミクロ粒子は、あらゆる形状及びあらゆる形態を有してもよい。ミクロ粒子担体を構成する物質としては、ポリ-(乳酸-コ-グリコール酸)(PLGA)、ポリアルキルシアノアクリレート(PACA)、ポリイプシロン-カプロラクトン(PCL)、ポリ乳酸(PLA)、PLGA、ポリエチレングリコール(PEG)などが例示される
 生体構造担体は、生体構造担体の多数の単位がアミノ酸及び/又はサッカリドであり、かつ、1又は2以上の剤を内包し得る、及び/又は可動的に結合しているポリマー又は化合物を指す。好適な生体構造担体は当業者に知られており、糖、単糖、オリゴ糖、多糖、環状多糖、非環状多糖、線状多糖、分枝多糖、アミノ酸、タンパク質及びペプチド、ならびにこれらの半合成誘導体を含んでもよく、例えば、α-シクロデキストリン、β-シクロデキストリン、γ-シクロデキストリン、メチルβ-シクロデキストリン、ジメチル-β-シクロデキストリン、カルボキシメチル-β-シクロデキストリン、ヒドロキシプロピル-β-シクロデキストリン、スルホブチルエーテル-β-シクロデキストリン、トリ-O-メチル-β-シクロデキストリン、グルコシル-β-シクロデキストリン、β1,3Dグルカン、β1,6グルカン、C反応性タンパク質、コンアルブミン、ラクトアルブミン、オボアルブミン、パルブアルブミン、血清アルブミン、テクネチウムTC99m凝集アルブミン、ヒト血清アルブミン(HSA)、ウシ血清アルブミン(BSA)、組換えヒト血清アルブミン(rHSA)、グルコース(デキストロース)、フルクトース、ガラクトース、キシロース、リボース、スクロース、セルロース、シクロデキストリン、デンプンなどを含んでいてもよい。
A microparticle carrier can be, for example, a particle having a longest dimension in the range of about 100 to about 1000 nm. Microparticles may have any shape and any morphology. Substances constituting microparticle carriers include poly-(lactic-co-glycolic acid) (PLGA), polyalkylcyanoacrylate (PACA), polyepsilon-caprolactone (PCL), polylactic acid (PLA), PLGA, and polyethylene glycol. (PEG) and the like are examples of biostructure carriers, in which many units of the biostructure carrier are amino acids and/or saccharides, and one or more agents can be encapsulated and/or movably bound. A polymer or compound that contains Suitable biostructure carriers are known to those skilled in the art and include sugars, monosaccharides, oligosaccharides, polysaccharides, cyclic polysaccharides, acyclic polysaccharides, linear polysaccharides, branched polysaccharides, amino acids, proteins and peptides, and semisyntheses thereof. Derivatives may also be included, such as α-cyclodextrin, β-cyclodextrin, γ-cyclodextrin, methyl β-cyclodextrin, dimethyl-β-cyclodextrin, carboxymethyl-β-cyclodextrin, hydroxypropyl-β-cyclodextrin. Dextrin, sulfobutyl ether-β-cyclodextrin, tri-O-methyl-β-cyclodextrin, glucosyl-β-cyclodextrin, β1,3D-glucan, β1,6-glucan, C-reactive protein, conalbumin, lactalbumin, ovo Albumin, Parvalbumin, Serum Albumin, Technetium TC99m Aggregated Albumin, Human Serum Albumin (HSA), Bovine Serum Albumin (BSA), Recombinant Human Serum Albumin (rHSA), Glucose (Dextrose), Fructose, Galactose, Xylose, Ribose, Sucrose , cellulose, cyclodextrin, starch, and the like.

 ミセル担体は、脂質、任意の脂溶性(すなわち、親油性)分子、油、ワックス、ステロール、モノグリセリド、ジグリセリド、トリグリセリド、リン脂質等がミセル構造をとったものである。ポリエチレングリコール(PEG)などのポリアルキレングリコール、ポリアスパラギン酸及びポリグルタミン酸(PGA)などのポリアミノ酸、ポリ-(γ-L-グルタミルグルタミン)(PGGA)、ポリフェニレンオキシド(PPO)、ポリ(ε-カプロラクトン)(PCL)、ポリ(乳酸-コ-グリコール酸)(PLGA)、ジブロックコポリマーなどを含んでもよい。 A micelle carrier is a micelle structure of lipids, any fat-soluble (that is, lipophilic) molecules, oils, waxes, sterols, monoglycerides, diglycerides, triglycerides, phospholipids, and the like. Polyalkylene glycols such as polyethylene glycol (PEG), polyamino acids such as polyaspartic acid and polyglutamic acid (PGA), poly-(γ-L-glutamylglutamine) (PGGA), polyphenylene oxide (PPO), poly(ε-caprolactone ) (PCL), poly(lactic-co-glycolic acid) (PLGA), diblock copolymers, and the like.

 また、担体は、コンジュゲートであってもよく、核酸のセンス領域とアンチセンス領域とを連結する、ヌクレオチドリンカー、非ヌクレオチドリンカー、又はヌクレオチド/非ヌクレオチド複合リンカー、ポリエチレングリコール、ヒト血清アルブミン又は細胞取り込みを誘導することができる細胞レセプターに対するリガンドなどを含んでもよい。また、ヌクレオチドリンカーは、長さが2ヌクレオチド以上のリンカーであってもよく、核酸アプタマーであってもよい。 The carrier may also be a conjugate, a nucleotide linker, a non-nucleotide linker, or a nucleotide/non-nucleotide composite linker, polyethylene glycol, human serum albumin, or cellular uptake linking the sense and antisense regions of the nucleic acid. may also include ligands for cellular receptors capable of inducing . Also, the nucleotide linker may be a linker with a length of 2 or more nucleotides, or may be a nucleic acid aptamer.

 前記ポリヌクレオチドは、薬学的に許容し得る賦形剤、医薬担体及び希釈剤から選択される少なくとも1つをさらに含んでいてもよく、希釈剤、分散剤、界面活性剤、結合剤、潤滑剤、あるいは、それらの混合物を付加的に添加して注射用剤形などの非経口用剤型、口腔、直腸、鼻腔、局所、皮下、膣又は非経口投与に適した形態、又は、丸薬、カプセル、顆粒又は錠剤などの経口用剤型に、又は吸入若しくは注入による投与に適した形態を含む剤形で製剤化することができる。 The polynucleotide may further comprise at least one selected from pharmaceutically acceptable excipients, pharmaceutical carriers and diluents, diluents, dispersants, surfactants, binders, lubricants. or a parenteral dosage form such as an injectable dosage form, or a form suitable for buccal, rectal, nasal, topical, subcutaneous, vaginal or parenteral administration, or a pill, capsule, with the additional addition of a mixture thereof. , in oral dosage forms such as granules or tablets, or in dosage forms including forms suitable for administration by inhalation or injection.

 前記ポリヌクレオチドを液状製剤として使用する場合、担体は滅菌及び生体に適したものが好ましく、抗酸化剤、緩衝液、静菌剤などの他の通常の添加剤を添加してもよい。好ましくは、大きく、ゆっくりと代謝される巨大分子、例えばタンパク質、多糖、ポリ乳糖、ポリグリコール酸、ポリマー状アミノ酸、アミノ酸コポリマー、脂質凝集体、ハイドロジェル及び不活性ウイルス粒子、コラーゲン類である。また、水、食塩水、滅菌水、リンガー液、緩衝食塩水、アルブミン注射溶液、デキストロース溶液、マルトデキストリン溶液、グリセロール及びエタノールのような液体を含んでいてもよく、湿潤剤又は乳化剤、pH緩衝化物質等の補助物質も含んでいてもよい。 When the polynucleotide is used as a liquid formulation, the carrier is preferably sterile and biocompatible, and other common additives such as antioxidants, buffers, and bacteriostats may be added. Preferred are large, slowly metabolized macromolecules such as proteins, polysaccharides, polylactose, polyglycolic acid, polymeric amino acids, amino acid copolymers, lipid aggregates, hydrogels and inert virus particles, collagens. It may also contain liquids such as water, saline, sterile water, Ringer's solution, buffered saline, albumin injection solution, dextrose solution, maltodextrin solution, glycerol and ethanol, wetting or emulsifying agents, pH buffering. Auxiliary substances such as substances may also be included.

 投与とは、いずれの適切な方法で患者に前記ポリヌクレオチドを有効成分とする癌治療用医薬組成物を導入することを意味し、前記ポリヌクレオチドのウイルス性又は非ウイルス性技術による運搬、あるいは前記ポリヌクレオチドを発現する細胞の移植を含む。 Administering means introducing into a patient a pharmaceutical composition for treating cancer comprising said polynucleotide as an active ingredient by any suitable method, including delivery of said polynucleotide by viral or non-viral techniques, or Including transplantation of cells expressing the polynucleotide.

 投与経路は、目的組織に到達することができる限り、経口又は非経口の多様な経路を介して投与できる。例えば、経口、直腸内、局所、静脈内、腹腔内、筋肉内、動脈内、経皮、鼻腔内、吸入、眼球内又は皮内経路によって投与できる。 The administration route can be administered via various oral or parenteral routes as long as the target tissue can be reached. For example, administration can be by oral, rectal, topical, intravenous, intraperitoneal, intramuscular, intraarterial, transdermal, intranasal, inhalation, intraocular or intradermal routes.

 投与量は、投与の目的、投与方法、腫瘍の種類、大きさ、投与対象者(すなわち、被験体)の状況(性別、年齢、体重など)によって異なる。典型的には、投薬量はより低いレベルで投与され、所望の効果が達成されるまで増量する。前記ポリヌクレオチドの好適な投与量は、例えば、体重1キログラムにつき1pmolから100nmolの範囲にあってもよく、体重1キログラムにつき0.001から0.25mgの範囲、体重1kgにつき0.01から20μgの範囲、体重1kgにつき0.10から5μgの範囲にあってもよいが、これらに限定されない。かかる投与量は、1~10回、より好ましくは5~10回投与することが好ましい。 The dosage varies depending on the purpose of administration, method of administration, tumor type, size, and subject (i.e., subject) circumstances (sex, age, weight, etc.). Typically, dosage is administered at lower levels and increased until the desired effect is achieved. Suitable doses of said polynucleotides may, for example, range from 1 pmol to 100 nmol per kilogram of body weight, range from 0.001 to 0.25 mg per kilogram of body weight, The range may be, but is not limited to, 0.10 to 5 μg/kg body weight. Such doses are preferably administered 1 to 10 times, more preferably 5 to 10 times.

 <ポリヌクレオチドによる癌の抑制>
 前記ポリヌクレオチドは細胞に導入された形態で提供してもよい。「細胞に導入させる」とは、形質感染(transfection)又は形質導入(transduction)によって外来のポリヌクレオチドを細胞に流入させることを意味する。形質感染は、例えば、リン酸カルシウム-DNA共沈法、DEAE-デキストラン-媒介形質感染法、ポリブレン媒介形質感染法、エレクトロポレーション法、微細注射法、リポソーム融合法、リポフェクタミントランスフェクション、及び原形質体融合法などを意味し、また、形質導入は、感染(infection)を手段としてウイルス又はウイルスベクター粒子(例えばアデノウイルス、アデノ随伴ウイルス、センダイウイルス、レトロウイルス(レンチウイルスなど)などのベクター)を用いて、あるいはプラスミドベクターを用いて、他の細胞内に遺伝子を伝達させることを意味する。ベクターは、本発明における前記ポリヌクレオチドを発現可能とするために必要な要素(例えばプロモーターなど)を含むことができるし、公知の手法で作製可能である(例えば、Sambrook and Russell, Molecular Cloning A Laboratory Manual (4th Ed., 2001), Cold Spring Harbor Laboratory Press、特開2016-153403号公報、特開2016-025853号公報など)。このような方法によって前記ポリヌクレオチドを導入された細胞は、該塩基配列を高い水準に発現することができるため、このような細胞を癌組織に移植することにより癌の増殖を抑制させる細胞治療剤として利用することができる。
<Cancer Suppression by Polynucleotide>
The polynucleotide may be provided in the form introduced into the cell. By "introduced into a cell" is meant the entry of an exogenous polynucleotide into a cell by transfection or transduction. Transfection may be performed by, for example, calcium phosphate-DNA co-precipitation, DEAE-dextran-mediated transfection, polybrene-mediated transfection, electroporation, microinjection, liposome fusion, lipofectamine transfection, and plasma transfection. Transduction refers to methods such as plasma fusion, and transduction refers to viruses or viral vector particles (e.g. vectors such as adenoviruses, adeno-associated viruses, Sendai viruses, retroviruses (such as lentiviruses)) by means of infection. or using a plasmid vector to transfer genes into other cells. The vector can contain elements (e.g., promoters, etc.) necessary for expressing the polynucleotide in the present invention, and can be produced by known techniques (e.g., Sambrook and Russell, Molecular Cloning A Laboratory Manual ( 4th Ed., 2001), Cold Spring Harbor Laboratory Press, JP-A-2016-153403, JP-A-2016-025853, etc.). Since cells into which the polynucleotide has been introduced by such a method can express the base sequence at a high level, a cell therapeutic agent that suppresses the growth of cancer by transplanting such cells into cancer tissue. can be used as

 <癌の種類>
 本発明において腫瘍及び癌は、悪性新生物を意味し、互換的に使用される。対象となる癌としては特に制限はないが、固形癌の具体例として膀胱、骨、骨髄、脳、乳房、結腸・直腸、食道、消化管、歯肉、頭部、腎臓、肝臓、肺、鼻咽頭、頚部、卵巣、前立腺、皮膚、胃、精巣、舌、血液、又は子宮における癌及び癌細胞を含む。好ましくは、乳癌、腎癌、膵臓癌、大腸癌、肺癌、脳腫瘍、胃癌、子宮頸癌、子宮体癌、卵巣癌、前立腺癌、膀胱癌、食道癌、肝癌、線維肉腫、肥満細胞腫及びメラノーマが挙げられる。なお、これらの特定の癌には、例えば、乳腺癌、複合型乳腺癌、乳腺悪性混合腫瘍、乳管内乳頭状腺癌、肺腺癌、扁平上皮癌、小細胞癌、大細胞癌、神経上皮組織性腫瘍である神経膠腫、脳質上衣腫、神経細胞性腫瘍、胎児型神経外胚葉性腫瘍、神経鞘腫、神経線維腫、髄膜腫、慢性型リンパ球性白血病、リンパ腫、消化管型リンパ腫、消化器型リンパ腫、小~中細胞型リンパ腫、盲腸癌、上行結腸癌、下行結腸癌、横行結腸癌、S状結腸癌、直腸癌、卵巣上皮癌、胚細胞腫瘍、間質細胞腫瘍、膵管癌、浸潤性膵管癌、膵臓癌の腺癌、腺房細胞癌、腺扁平上皮癌、巨細胞腫、膵管内乳頭粘液性腫瘍、粘液性嚢胞腺癌、膵芽腫、漿液性嚢胞腺癌、固体乳頭状癌、ガストリノーマ、グルカゴノーマ、インスリノーマ、多発性内分泌腺腫症、非機能性島細胞腫、ソマトスタチノーマ、VIP産生腫瘍が包含されるが、これらに限定されない。また、血液癌の具体例として白血病が挙げられる。
<type of cancer>
In the present invention tumor and cancer refer to malignant neoplasms and are used interchangeably. There are no particular restrictions on the target cancer, but specific examples of solid cancer include bladder, bone, bone marrow, brain, breast, colon/rectum, esophagus, gastrointestinal tract, gingiva, head, kidney, liver, lung, and nasopharynx. , cervix, ovary, prostate, skin, stomach, testis, tongue, blood, or cancer and cancer cells in the uterus. Preferably, breast cancer, renal cancer, pancreatic cancer, colon cancer, lung cancer, brain cancer, stomach cancer, cervical cancer, endometrial cancer, ovarian cancer, prostate cancer, bladder cancer, esophageal cancer, liver cancer, fibrosarcoma, mast cell tumor and melanoma is mentioned. These specific cancers include, for example, mammary adenocarcinoma, combined mammary adenocarcinoma, malignant mixed malignant mammary tumor, intraductal papillary adenocarcinoma, lung adenocarcinoma, squamous cell carcinoma, small cell carcinoma, large cell carcinoma, neuroepithelial carcinoma Glioma, ependymoma, neurocellular tumor, fetal neuroectodermal tumor, schwannoma, neurofibroma, meningioma, chronic lymphocytic leukemia, lymphoma, gastrointestinal tract type lymphoma, gastrointestinal lymphoma, small to medium cell lymphoma, cecal cancer, ascending colon cancer, descending colon cancer, transverse colon cancer, sigmoid colon cancer, rectal cancer, ovarian epithelial cancer, germ cell tumor, stromal cell tumor , pancreatic ductal carcinoma, invasive pancreatic ductal carcinoma, adenocarcinoma of pancreatic cancer, acinic cell carcinoma, adenosquamous cell carcinoma, giant cell tumor, intraductal papillary mucinous tumor, mucinous cystadenocarcinoma, pancreatoblastoma, serous cyst gland Carcinoma, solid papillary carcinoma, gastrinoma, glucagonoma, insulinoma, multiple endocrine neoplasia, nonfunctioning islet cell tumor, somatostatinoma, VIP-producing tumors include, but are not limited to. A specific example of blood cancer is leukemia.

 また、本発明において対象となる好ましい被験体は、哺乳動物であり、例えばヒトなどの霊長類、牛、豚、羊、馬などの家畜類、犬、猫などのペット動物、動物園で飼育される哺乳動物などを含み、好ましくはヒトである。 Preferred subjects to be treated in the present invention are mammals. It includes mammals and the like, preferably humans.

 <抗腫瘍剤の種類>
 本発明において、前記ポリヌクレオチドを有効成分とする癌の治療及び/又は予防用医薬組成物と、別の抗腫瘍剤(すなわち、別の抗腫瘍剤を含む医薬組成物)とを組み合わせた医薬品(「組み合わせ医薬品」という)を被験体に併用投与して抗腫瘍効果を増大させることができる。本発明の癌の治療及び/又は予防用医薬組成物と別の抗腫瘍剤(すなわち、別の抗腫瘍剤を含む医薬組成物)は、同時に、又は、別々に被験者に投与されうる。別々に投与する場合には、いずれの医薬組成物が先であっても又は後であってもよく、それらの投与間隔、投与量、投与経路及び投与回数は専門医によって適宜選択されうる。同時に投与する別の医薬剤型には、例えば、前記癌の治療及び/又は予防用医薬組成物と別の抗腫瘍剤を、薬学的に許容される担体(又は媒体)中で混合し製剤化して得られる医薬組成物(「混合医薬品」ともいう)も包含されるものとする。
<Types of antitumor agents>
In the present invention, a pharmaceutical composition comprising a pharmaceutical composition for the treatment and/or prevention of cancer containing the polynucleotide as an active ingredient and another antitumor agent (i.e., a pharmaceutical composition containing another antitumor agent) in combination ( (referred to as a "combination drug") can be co-administered to a subject to increase the anti-tumor effect. The pharmaceutical composition for treating and/or preventing cancer of the present invention and another anti-tumor agent (that is, a pharmaceutical composition containing another anti-tumor agent) can be administered to a subject simultaneously or separately. When administered separately, either pharmaceutical composition may be administered first or later, and their administration interval, dosage, administration route and administration frequency can be appropriately selected by a specialist. In another pharmaceutical dosage form for simultaneous administration, for example, the pharmaceutical composition for treating and/or preventing cancer and another antitumor agent are mixed in a pharmaceutically acceptable carrier (or medium) and formulated. A pharmaceutical composition (also referred to as a “mixed drug”) obtained by

 抗腫瘍剤とは、文献等で公知の下記の抗腫瘍剤が挙げられる。 Antitumor agents include the following antitumor agents known in literature.

 チオテパやシクロスファミドのようなアルキル化剤として、ブスルファン、インプロスルファン及びピポスルファンのような(すなわち、「などの」)アルキルスルホネート;ベンゾドーパ、カルボコン、メツレドーパ、及びウレドーパのようなアジリジン;アルトレタアミン、トリエチレンアミン、トリエチレンホスホルアミド、トリエチレンチオホスホルアミド及びトリメチロールアミン等のエチレンイミン;ブラタシン及びブラタシノンのようなアセトゲニン;カンプトテシン;ブリオスタチン;カリスタチン;クリプトフィシン1、クリプトフィシン8;ドラスタチン;ドゥオカルマイシン;エロイスロビン;パンクラチスタチン;サルコジクチン;スポンジスタチン;クロラムブシル、クロルナファジン、コロホスファミド、エストラムスチンのようなナイトロジェンマスタード;イホスファミド、メクロルエタミン、塩酸メクロレタミンオキシド、メルファラン、テモゾロミド、ノベンビシン;フェネステリン、プレドニムスチン、トロホスファミド、ウラシルマスタード;ベンダムスチン、カルムスチン、クロロゾトシン、ストレプトゾシン、ホテムスチン、ロムスチン、ニムスチン及びラニンヌスチンのようなニトロソウレア類などが挙げられる。 alkylsulfonates such as (i.e., "such as") busulfan, improsulfan and piposulfan, as alkylating agents such as thiotepa and cyclosulfamide; aziridines such as benzodopa, carbocone, metledopa, and uredopa; amines, ethyleneimines such as triethyleneamine, triethylenephosphoramide, triethylenethiophosphoramide and trimethylolamine; acetogenins such as bratacin and bratacinone; camptothecin; bryostatin; callistatin; cryptophycin 1, cryptophycin 8; dolastatin; duocarmycin; elothrobin; pancratistatin; sarcodictin; spongestatin; , novenbicin; phenesterin, prednimustine, trophosphamide, uracil mustard; nitrosoureas such as bendamustine, carmustine, chlorozotocin, streptozocin, fotemustine, lomustine, nimustine and laninnustine.

 抗癌性抗生物質として、カリケアマイシン、ダイネマイシン、クロドロネート、エスペラマイシン、アクラシノマイシン、アクチノマイシン、オースラマイシン、アザセリン、ブレオマイシン、カクチノマイシン、カラビシン、カルミノマイシン、カルジノフィリン、クロモマイシン、ダクチノマイシン、ダウノルビシン、デトルビシン、6-ジアゾ-5-オキソ-L-ノルロイシン、アドリアマイシン(ドキソルビシン)、ブレオマイシン、アクラルビシン、アムルビシン、エピルビシン、エソルビシン、イダルビシン、マーセロマイシン、マイトマイシンC、マイコフェノール酸、ノガラマイシン、オリボマイシン、ペプロマイシン、ポトフィロマイシン、ピューロマイシン、ケラマイシン、ロドルビシン、ストレプトニグリン、ストレプトゾシン、ツベルシジン、ウベニメクス、ジノスタチン、ゾルビシンなどが挙げられる。 Anticancer antibiotics include calicheamicin, dynemycin, clodronate, esperamycin, aclacinomycin, actinomycin, auslamycin, azaserine, bleomycin, cactinomycin, carabicin, carminomycin, cardinophylline, chromomycin, dactinomycin, daunorubicin, detrubicin, 6-diazo-5-oxo-L-norleucine, adriamycin (doxorubicin), bleomycin, aclarubicin, amrubicin, epirubicin, ethorubicin, idarubicin, merceromycin, mitomycin C, mycophenolic acid, nogaramycin, olibomycin, peplomycin, potofilomycin, puromycin, keramycin, rhodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex, dinostatin, zorubicin and the like.

 代謝拮抗物質として例えば、デノプテリン、プテロプテリン、メソトレキサート、トリメトレキセート、ペメトレキセドのような葉酸類似体;フルダラビン、6-メルカプトプリン、チアミプリン、チオグアニン、クラドリビン、クロファラビンのようなプリン類似体;アンシタビン、アザシチジン、6-アザウリジン、カルモフール、シタラビン、ジデオキシウリジン、ドキシフルリジン、エノシタビン、フロキシウリジン、トリフルリジン、カペシタビン、5-FU、ゲムシタビン、S-1、テガフールのようなピリミジン類似体;ヒドロキシカルバミド、ネララビン、アザシチジンなどが挙げられる。 Antimetabolites such as folic acid analogues such as denopterin, pteropterin, methotrexate, trimetrexate, pemetrexed; purine analogues such as fludarabine, 6-mercaptopurine, thiamipurine, thioguanine, cladribine, clofarabine; ancitabine, azacytidine, 6 - pyrimidine analogues such as azauridine, carmofur, cytarabine, dideoxyuridine, doxifluridine, enocitabine, floxyuridine, trifluridine, capecitabine, 5-FU, gemcitabine, S-1, tegafur; hydroxycarbamide, nerarabine, azacitidine, and the like.

 ホルモン製剤として例えば、アナストロゾール、ビカルタミド、デガレリクス、エストラムスチン、エキセメスタン、フルタミド、フルベストラント、ゴセレリン、レトロゾール、リュープリン、メドロキシプロゲステロン、メピチオスタン、オクトレオチド、タモキシフェン、トレミフェンがあり、例えばカルステロン、プロピオン酸ドロモスタノロン、エピチオスタノール、メピチオスタン、テストラクトン、エンザルタミドのようなアンドロゲン製剤;アミノグルテチミド、ミトタン、トリロスタンのような抗副腎性製剤;フロリン酸、アセグラトン、アルドホスファミドグリコシド、アミノレブリン酸、エニルウラシル、アムサクリン、ベストラブシル、ビサントレン、エダトラキセート、デフォファミン、デメコルシン、ジアジクオン、エルフォルミチン 、酢酸エリプチニウム、エポチロン、エトグルシド、レンチナン、ロニダミン、メイタンシン、アンサミトシン、アビラテロン、ミトグアゾン、ミトキサントロン、モピダンモール、ニトラエリン、ペントスタチン、フェナメット、ピラルビシン、ロソキサントロン、ポドフィリン酸、2-エチルヒドラジド、プロカルバジン、ラゾキサン、リゾキシン、シゾフィラン、スピロゲルマニウム、テニュアゾン酸、トリアジコン、ロリジンA、アングイジン、ウレタン、ビンデシン、ダカーバジン、マンノムスチン、ミトブロニトール、ミトラクトール、ピポブロマン、ガシトシン、アラビノシド、BCG、クレスチン、ピシバニールなどが挙げられる。 Hormonal agents such as anastrozole, bicalutamide, degarelix, estramustine, exemestane, flutamide, fulvestrant, goserelin, letrozole, luprin, medroxyprogesterone, mepitiostane, octreotide, tamoxifen, toremifene, e.g. carsterone, propion androgenic agents such as dromostanolone acid, epithiostanol, mepitiostane, testolactone, enzalutamide; anti-adrenal agents such as aminoglutethimide, mitotane, trilostane; uracil, amsacrine, bestrabcil, bisantrene, edatraxate, defofamine, demecolcine, diaziquone, elformitin, elliptinium acetate, epothilone, etogluside, lentinan, lonidamine, maytansine, ansamitocin, abiraterone, mitguazone, mitoxantrone, mopidanmol, nitraeline, Pentostatin, fenamet, pirarubicin, losoxantrone, podophyllic acid, 2-ethylhydrazide, procarbazine, lazoxan, rhizoxin, schizophyllan, spirogermanium, tenureazonic acid, triazicone, roridin A, anguidine, urethane, vindesine, dacarbazine, mannomustine, mitobronitol, mitractol, pipobroman, gacytosine, arabinoside, BCG, krestin, picibanil and the like.

 植物由来などその他の抗癌剤として、例えばドセタキセル、エトポシド、テニポシド、イリノテカン、ノギテカン、パクリタキセル、カバジタキセル、ビンブラスチン、ビンクリスチン、ビンデシン、ビノレルビン、カルボプラチン、シスプラチン、ダカルバジン、エリブリン、L-アスパラキナーゼ、ミリプラチン、ミトキサントロン、ネダプラチン、オキサリプラチン、ペントスタチン、プロカルバジン、三酸化ヒ素、ソブゾキサン、タミバロテン、マイトキサントロン、ノバントロン、エダトレキセート、イバンドロナート、トポイソメラーゼインヒビター、ジフルオロメチロールニチン(DMFO)、レチノイン酸などが挙げられる。 Other anticancer agents derived from plants, such as docetaxel, etoposide, teniposide, irinotecan, topotecan, paclitaxel, cabazitaxel, vinblastine, vincristine, vindesine, vinorelbine, carboplatin, cisplatin, dacarbazine, eribulin, L-asparakinase, miriplatin, mitoxantrone, nedaplatin, oxaliplatin, pentostatin, procarbazine, arsenic trioxide, sobuzoxan, tamibarotene, mitoxantrone, novantrone, edatrexate, ibandronate, topoisomerase inhibitors, difluoromethylolnithine (DMFO), retinoic acid and the like.

 分子標的薬として、例えば、アファチニブ、アキシチニブ、アレクチニブ、ベバシズマブ、セツキシマブ、クリゾチニブ、エルロチニブ、エベロリムス、ゲフィチニブ、ラパチニブ、ラムシルマブ、パニツムマブ、パゾパニブ、ペルツズマブ、ニボルマブ、レゴラフェニブ、レンバチニブ、ソラフェニブ、スニチニブ、テミシロリムス、トラスツズマブ、ボスチニブ、ペムブロリズマブ、ベネトクラクスなど、並びにそれらの薬学的に許容可能な塩又は誘導体が挙げられる。 さらには、文献等で公知の、211At、131I、125I、90Y、186Re、188Re、153Sm、212Bi、32P、175Lu、176Lu、89Sr、223Ra、161Tb、などの放射性同位体であってもよい。なお、放射性同位体は、腫瘍の治療や診断のために有効なものが好ましく、このような放射性同位体も、本発明における癌の治療及び/又は予防用医薬組成物に含まれてもよい。
<治療及び予防法>
 さらにまた本発明は、前記の本発明の癌の治療及び/又は予防用医薬組成物、あるいは、前記の医薬組成物と前記の別の抗腫瘍剤とを含む組み合わせ医薬品を、癌に罹患した(又は癌に罹患したことのある)被験体に投与することを含む、被験体において癌を治療及び/又は予防する方法も提供する。
Molecular targeted drugs such as afatinib, axitinib, alectinib, bevacizumab, cetuximab, crizotinib, erlotinib, everolimus, gefitinib, lapatinib, ramucirumab, panitumumab, pazopanib, pertuzumab, nivolumab, regorafenib, lenvatinib, sorafenib, sunitinib, temisilolimus, , pembrolizumab, venetoclax, etc., and pharmaceutically acceptable salts or derivatives thereof. Furthermore, 211 At, 131 I, 125 I, 90 Y, 186 Re, 188 Re, 153 Sm, 212 Bi, 32 P, 175 Lu, 176 Lu, 89 Sr, 223 Ra, 161 Tb, which are known in literature, etc. , and other radioactive isotopes. The radioisotope is preferably effective for treating or diagnosing tumors, and such a radioisotope may also be included in the pharmaceutical composition for cancer treatment and/or prevention of the present invention.
<Treatment and prophylaxis>
Furthermore, the present invention provides a pharmaceutical composition for the treatment and/or prevention of cancer of the present invention, or a combination pharmaceutical comprising the pharmaceutical composition and the other antitumor agent of the present invention. Also provided is a method of treating and/or preventing cancer in a subject, comprising administering to the subject (or who has had cancer).

 本明細書における「予防」なる用語は、外科手術、化学療法、放射線療法、免疫療法などの癌療法における癌処置後の再発のリスクを低減するための癌再発の予防を含む。 The term "prevention" as used herein includes prevention of cancer recurrence to reduce the risk of recurrence after cancer treatment in cancer therapy such as surgery, chemotherapy, radiotherapy and immunotherapy.

 上記の医薬組成物、組み合わせ医薬品、有効成分であるポリヌクレオチド、用量、用法、製剤形態、対象となる癌の種類などについては、上で説明した内容をこの節でも同様に適用する。 Regarding the above pharmaceutical composition, combination drug, polynucleotide as an active ingredient, dosage, usage, dosage form, type of target cancer, etc., the contents explained above apply to this section as well.

 本発明を以下の実施例によってさらに具体的に説明する。しかし、本発明の範囲は、この実施例によって制限されないものとする。 The present invention will be explained more specifically by the following examples. However, the scope of the invention shall not be limited by this example.

 <実施例1>合成RNAの膵癌細胞に対する有効性
 配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA、配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNAのそれぞれの、膵癌細胞に対する有効性を評価した。
<Example 1> Efficacy of synthetic RNA against pancreatic cancer cells Synthetic RNA having the same base sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4, hsa-miR-1233-5p represented by SEQ ID NO: 5 The effectiveness of each synthetic RNA having the same base sequence as that for pancreatic cancer cells was evaluated.

 膵癌細胞としてPanc-1細胞株(ATCC)を、10%FBSを含んだDMEM培地(ナカライテスク社、日本)に蒔いて37℃、5%CO条件下で培養を行った。96ウェルプレートに1ウェルあたり6×10個の細胞を蒔いて、それぞれ30nMの濃度で配列番号4及び5で表される塩基配列を有するRNA合成品(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimics)あるいはネガティブコントロールオリゴ(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimic,Negative Control)をリポフェクタミンRNAiMAX(サーモフィッシャーサイエンティフィック社)を用いて遺伝子導入した。24時間後に培養液を交換し、細胞数を4日間カウントした。細胞数の測定は、Celtiter-glo(プロメガ社)試薬を用いてATP活性を測定し生存細胞数とした。n=3で行い、グラフには平均±標準偏差で示す。 Panc-1 cell line (ATCC) as pancreatic cancer cells was plated in DMEM medium (Nacalai Tesque, Japan) containing 10% FBS and cultured at 37° C. and 5% CO 2 . 6×10 3 cells were seeded per well in a 96-well plate, and synthetic RNA products having the base sequences represented by SEQ ID NOs: 4 and 5 (mirVana miRNA, Thermo Fisher Scientific, Inc.) were added at a concentration of 30 nM, respectively. Mimics) or a negative control oligo (Thermo Fisher Scientific, mirVana miRNA Mimic, Negative Control) was transfected using Lipofectamine RNAiMAX (Thermo Fisher Scientific). After 24 hours, the culture medium was changed and the number of cells was counted for 4 days. The number of cells was determined by measuring ATP activity using Celtiter-glo (Promega) reagent to determine the number of viable cells. The analysis was performed at n=3, and the graph shows the mean±standard deviation.

 その結果、配列番号4及び5で表される塩基配列を有するRNA合成品のそれぞれを遺伝子導入した膵癌細胞では、ネガティブコントロールオリゴを導入した膵癌細胞に比べて細胞生存比率はそれぞれ57%及び47%であった。結果を図1に示す。 As a result, pancreatic cancer cells transfected with synthetic RNA products having nucleotide sequences represented by SEQ ID NOs: 4 and 5 had cell survival rates of 57% and 47%, respectively, compared to pancreatic cancer cells transfected with the negative control oligo. Met. The results are shown in FIG.

 <実施例2>合成RNAの胆管癌細胞に対する有効性
 配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA、配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNAのそれぞれの、胆管癌細胞に対する有効性を評価した。 胆管癌細胞としてTFK-1細胞株(ATCC)を、10%FBSを含んだRPMI培地(ナカライテスク社)に蒔いて37℃、5%CO条件下で培養を行った。96ウェルプレートに1ウェルあたり3×10個の細胞を蒔いて、それぞれ30nMの濃度で配列番号4及び5で表される塩基配列を有するRNA合成品(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimics)あるいはネガティブコントロールオリゴ(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimic,Negative Control)をリポフェクタミンRNAiMAX(サーモフィッシャーサイエンティフィック社)を用いて遺伝子導入した。24時間後に培養液を交換し、細胞数を4日間カウントした。細胞数の測定は、Celtiter-glo(プロメガ社)試薬を用いてATP活性を測定し生存細胞数とした。n=3で行い、グラフには平均±標準偏差で示す。
<Example 2> Efficacy of synthetic RNA against cholangiocarcinoma cells Synthetic RNA having the same base sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4, hsa-miR-1233- represented by SEQ ID NO: 5 Each synthetic RNA having the same nucleotide sequence as 5p was evaluated for efficacy against cholangiocarcinoma cells. TFK-1 cell line (ATCC) as cholangiocarcinoma cells was plated in RPMI medium (Nacalai Tesque) containing 10% FBS and cultured at 37° C. and 5% CO 2 . 3×10 3 cells were seeded per well in a 96-well plate, and RNA synthetic products (mirVana miRNA, Thermo Fisher Scientific, Inc.) having nucleotide sequences represented by SEQ ID NOs: 4 and 5 were added at a concentration of 30 nM, respectively. Mimics) or a negative control oligo (Thermo Fisher Scientific, mirVana miRNA Mimic, Negative Control) was transfected using Lipofectamine RNAiMAX (Thermo Fisher Scientific). After 24 hours, the culture medium was changed and the number of cells was counted for 4 days. The number of cells was determined by measuring ATP activity using Celtiter-glo (Promega) reagent to determine the number of viable cells. The analysis was performed at n=3, and the graph shows the mean±standard deviation.

 その結果、配列番号4及び5で表される塩基配列を有するRNA合成品をそれぞれ遺伝子導入した胆管癌細胞の細胞生存比率は、それぞれ67%及び25%であった。結果を図2に示す。 As a result, the cell survival rates of cholangiocarcinoma cells transfected with synthetic RNA products having nucleotide sequences represented by SEQ ID NOs: 4 and 5 were 67% and 25%, respectively. The results are shown in FIG.

 <実施例3>合成RNAの大腸癌細胞に対する有効性
 配列番号4で表されるhsa-miR-6778-5pと同じ塩基配列を有する合成RNA、配列番号5で表されるhsa-miR-1233-5pと同じ塩基配列を有する合成RNAのそれぞれの、大腸癌細胞に対する有効性を評価した。
<Example 3> Efficacy of synthetic RNA against colon cancer cells Synthetic RNA having the same base sequence as hsa-miR-6778-5p represented by SEQ ID NO: 4, hsa-miR-1233- represented by SEQ ID NO: 5 Each synthetic RNA having the same nucleotide sequence as 5p was evaluated for efficacy against colon cancer cells.

 大腸癌細胞としてHCT116細胞株(ATCC)を、10%FBSを含んだMcCoy’s培地(ナカライテスク社)に蒔いて37℃、5%CO条件下で培養を行った。96ウェルプレートに1ウェルあたり6×10個の細胞を蒔いて、それぞれ30nMの濃度で配列番号4及び5で表される塩基配列を有するRNA合成品(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimics)あるいはネガティブコントロールオリゴ(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimic,Negative Control)をリポフェクタミンRNAiMAX(サーモフィッシャーサイエンティフィック社)を用いて遺伝子導入した。24時間後に培養液を交換し、細胞数を4日間カウントした。細胞数の測定は、Celtiter-glo(プロメガ社)試薬を用いてATP活性を測定し生存細胞数とした。n=3で行い、グラフには平均±標準偏差で示す。 As colon cancer cells, HCT116 cell line (ATCC) was plated in McCoy's medium (Nacalai Tesque) containing 10% FBS and cultured at 37° C. and 5% CO 2 . 6×10 3 cells were seeded per well in a 96-well plate, and synthetic RNA products having the base sequences represented by SEQ ID NOs: 4 and 5 (mirVana miRNA, Thermo Fisher Scientific, Inc.) were added at a concentration of 30 nM, respectively. Mimics) or a negative control oligo (Thermo Fisher Scientific, mirVana miRNA Mimic, Negative Control) was transfected using Lipofectamine RNAiMAX (Thermo Fisher Scientific). After 24 hours, the culture medium was changed and the number of cells was counted for 4 days. The number of cells was determined by measuring ATP activity using Celtiter-glo (Promega) reagent to determine the number of viable cells. The analysis was performed at n=3, and the graph shows the mean±standard deviation.

 その結果、配列番号4及び5で表される塩基配列を有するRNA合成品のそれぞれを遺伝子導入した大腸癌細胞では、ネガティブコントロールオリゴを導入した大腸癌細胞に比べて細胞生存比率は、それぞれ22%及び8%であった。結果を図3に示す。 As a result, colon cancer cells transfected with each of the synthetic RNA products having nucleotide sequences represented by SEQ ID NOs: 4 and 5 had a cell survival rate of 22% compared to colon cancer cells transfected with the negative control oligo. and 8%. The results are shown in FIG.

 <比較例1>合成RNAの膵臓癌細胞に対する有効性
 癌マーカーとして公知である配列番号6で表されるhsa-miR-4488と同じ塩基配列を有する合成RNA(サーモフィッシャーサイエンティフィック社、mirVanaTM miRNA Mimics)の膵臓癌に対する有効性を実施例1に記載の方法に準じて評価した。
<Comparative Example 1> Efficacy of synthetic RNA against pancreatic cancer cells Synthetic RNA having the same nucleotide sequence as hsa-miR-4488 represented by SEQ ID NO: 6, which is known as a cancer marker (Thermo Fisher Scientific, mirVana TM The efficacy of miRNA Mimics) against pancreatic cancer was evaluated according to the method described in Example 1.

 その結果、配列番号4及び5で表される塩基配列を有するRNA合成品をそれぞれ遺伝子導入した膵臓癌細胞では、細胞生存比率は60%以下であったのに対して、配列番号6で表される塩基配列を有するRNA合成品をそれぞれ遺伝子導入した膵臓癌細胞の細胞生存比率は、92%であり、ほとんど有効でなかった。結果を図4に示す。 As a result, the pancreatic cancer cells transfected with the synthetic RNA products having the base sequences represented by SEQ ID NO: 4 and 5, respectively, had a cell survival rate of 60% or less, whereas the cell survival rate was 60% or less. The cell survival rate of pancreatic cancer cells transfected with synthetic RNA products having nucleotide sequences of 92% was almost ineffective. The results are shown in FIG.

 本発明の癌治療用医薬組成物は、癌の治療及び/又は予防のため有用である。 The pharmaceutical composition for cancer treatment of the present invention is useful for treating and/or preventing cancer.

 本明細書で引用した全ての刊行物、特許及び特許出願はそのまま引用により本明細書に組み入れられるものとする。 All publications, patents and patent applications cited herein are hereby incorporated by reference as is.

Claims (14)

 配列番号1で表される塩基配列を含むポリヌクレオチドを有効成分として含む、癌の治療及び/又は予防用医薬組成物。 A pharmaceutical composition for treating and/or preventing cancer, comprising a polynucleotide comprising the base sequence represented by SEQ ID NO: 1 as an active ingredient.  前記ポリヌクレオチドの塩基長が8~60塩基である、請求項1に記載の医薬組成物。 The pharmaceutical composition according to claim 1, wherein the polynucleotide has a base length of 8 to 60 bases.  前記ポリヌクレオチドが、前記配列番号1で表される塩基配列の3’末端側に下記の(a)又は(b)の塩基配列を含む、請求項1に記載の医薬組成物。
(a)配列番号2又は3のいずれかで表される塩基配列
(b)配列番号2又は3のいずれかで表される塩基配列において、1~5個の塩基が欠失、置換、挿入及び/又は付加された塩基配列
2. The pharmaceutical composition according to claim 1, wherein the polynucleotide comprises the following nucleotide sequence (a) or (b) at the 3' end of the nucleotide sequence represented by SEQ ID NO:1.
(a) the nucleotide sequence represented by either SEQ ID NO: 2 or 3 (b) the nucleotide sequence represented by either SEQ ID NO: 2 or 3, in which 1 to 5 bases are deleted, substituted, inserted and / or added base sequence
 前記ポリヌクレオチドが配列番号4又は5のいずれかで表される塩基配列を含む、請求項1~3のいずれか1項に記載の医薬組成物。 The pharmaceutical composition according to any one of claims 1 to 3, wherein the polynucleotide comprises a base sequence represented by either SEQ ID NO: 4 or 5.  前記ポリヌクレオチドが一本鎖又は二本鎖である、請求項1~4のいずれか1項に記載の医薬組成物。 The pharmaceutical composition according to any one of claims 1 to 4, wherein the polynucleotide is single-stranded or double-stranded.  前記ポリヌクレオチドがRNAである、請求項1~5のいずれか1項に記載の医薬組成物。 The pharmaceutical composition according to any one of claims 1 to 5, wherein the polynucleotide is RNA.  前記癌が固形癌である、請求項1~6のいずれか1項に記載の医薬組成物。 The pharmaceutical composition according to any one of claims 1 to 6, wherein the cancer is solid cancer.  前記固形癌が、乳癌、腎癌、膵臓癌、大腸癌、肺癌、脳腫瘍、胃癌、子宮頸癌、卵巣癌、前立腺癌、膀胱癌、食道癌、肝癌、線維肉腫、肥満細胞腫及びメラノーマからなる群から選択される、請求項7に記載の医薬組成物。 The solid cancer consists of breast cancer, kidney cancer, pancreatic cancer, colon cancer, lung cancer, brain cancer, stomach cancer, cervical cancer, ovarian cancer, prostate cancer, bladder cancer, esophageal cancer, liver cancer, fibrosarcoma, mast cell tumor and melanoma. 8. A pharmaceutical composition according to claim 7, selected from the group.  前記癌が血液癌である、請求項1~6のいずれか1項に記載の医薬組成物。 The pharmaceutical composition according to any one of claims 1 to 6, wherein the cancer is blood cancer.  前記血液癌が白血病である、請求項9に記載の医薬組成物。 The pharmaceutical composition according to claim 9, wherein said blood cancer is leukemia.  前記ポリヌクレオチドが、DNAの形態でベクターに発現可能に挿入されている、請求項1~10のいずれか1項に記載の医薬組成物。 The pharmaceutical composition according to any one of claims 1 to 10, wherein the polynucleotide is inserted into a vector in the form of DNA so that it can be expressed.  前記ポリヌクレオチドが、非カチオン性ポリマー担体、リポソーム担体、樹枝状担体、ナノ材料担体、ミクロ粒子担体、生体構造担体、ミセル担体、高分子微粒子及び磁気微粒子からなる群から選択される担体中に内包されている、あるいは、該担体に結合されている、請求項1~11のいずれか1項に記載の医薬組成物。 The polynucleotide is encapsulated in a carrier selected from the group consisting of non-cationic polymer carriers, liposome carriers, dendritic carriers, nanomaterial carriers, microparticle carriers, biological structure carriers, micellar carriers, polymeric microparticles and magnetic microparticles. The pharmaceutical composition according to any one of claims 1 to 11, which is attached to or bound to said carrier.  請求項1~12のいずれか1項に記載の医薬組成物、並びに抗腫瘍剤を有効成分として含む、癌の治療及び/又は予防のための組み合わせ医薬品。 A combination drug for treating and/or preventing cancer, comprising the pharmaceutical composition according to any one of claims 1 to 12 and an antitumor agent as active ingredients.  請求項1~12のいずれか1項に記載の医薬組成物、又は請求項13に記載の組み合わせ医薬品を、癌に罹患した、又は癌に罹患したことのある被験体に投与することを含む、前記被験体において癌を治療又は予防する方法。
 
administering the pharmaceutical composition of any one of claims 1 to 12, or the pharmaceutical combination of claim 13, to a subject with or who has had cancer, A method of treating or preventing cancer in said subject.
PCT/JP2022/029888 2021-08-06 2022-08-04 Pharmaceutical composition for treating and/or preventing cancer Ceased WO2023013719A1 (en)

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