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WO2025026111A1 - Neutrophil loaded with attenuated salmonella and preparation method therefor and use thereof - Google Patents

Neutrophil loaded with attenuated salmonella and preparation method therefor and use thereof Download PDF

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Publication number
WO2025026111A1
WO2025026111A1 PCT/CN2024/106722 CN2024106722W WO2025026111A1 WO 2025026111 A1 WO2025026111 A1 WO 2025026111A1 CN 2024106722 W CN2024106722 W CN 2024106722W WO 2025026111 A1 WO2025026111 A1 WO 2025026111A1
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attenuated salmonella
loaded
neutrophils
tumor
neutrophil
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Chinese (zh)
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华子春
刘丽娜
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Jiangsu Targetpharma Laboratories Inc
Nanjing Genrecom Laboratories Ltd
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Jiangsu Targetpharma Laboratories Inc
Nanjing Genrecom Laboratories Ltd
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N5/00Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
    • C12N5/06Animal cells or tissues; Human cells or tissues
    • C12N5/0602Vertebrate cells
    • C12N5/0634Cells from the blood or the immune system
    • C12N5/0642Granulocytes, e.g. basopils, eosinophils, neutrophils, mast cells
    • 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
    • A61K35/74Bacteria
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/69Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the conjugate being characterised by physical or galenical forms, e.g. emulsion, particle, inclusion complex, stent or kit
    • A61K47/6901Conjugates being cells, cell fragments, viruses, ghosts, red blood cells or viral vectors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/46Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • C07K14/47Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12RINDEXING SCHEME ASSOCIATED WITH SUBCLASSES C12C - C12Q, RELATING TO MICROORGANISMS
    • C12R2001/00Microorganisms ; Processes using microorganisms
    • C12R2001/01Bacteria or Actinomycetales ; using bacteria or Actinomycetales
    • C12R2001/42Salmonella
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the invention relates to the field of biotechnology, and in particular to a neutrophil loaded with attenuated Salmonella, and a preparation method and application thereof.
  • the attenuated Salmonella typhimurium VNP20009 (VNP for short) strain has lost the purI and msbB genes to reduce toxic side effects and septic shock, and is one of the most promising oncolytic strains.
  • the attenuated Salmonella VNP20009 has a significant ability to inhibit tumors but has a certain degree of side effects.
  • the titer of attenuated Salmonella VNP20009 in tumors is about 1000 times that of other organs (The Journal of Infectious Diseases 2000, 181, 1996–2002.).
  • most melanoma patients had no obvious side effects, proving its safety.
  • VNP20009 colonizes the core area of the tumor through vascular penetration, which indicates that The rapid clearance of VNP20009 from the blood may lead to poor tumor colonization of VNP20009 (J Control Release 2015, 199, 180-9; Cancer Gene Ther 2011, 18, 457-66.).
  • This hypothesis is confirmed by Westphal's work, which reports that depletion of host neutrophils leads to increased bacterial titers in tumors (Cancer Res 2008, 68, 2952-60.).
  • Other studies have reported that by depleting host neutrophils, VNP20009-enhanced tumor therapeutic effects can be observed (Theranostics 2017, 7, 2250-2260.).
  • Neutrophils can load drugs by phagocytosis and release drugs by cell lysis after being recruited to the tumor area (Adv Mater 2018, 30, e1706245; Adv Mater 2020, 32, e2003598.).
  • the purpose of the present invention is to provide a neutrophil loaded with attenuated Salmonella and its preparation method and application, which effectively improves the tumor colonization rate and tumor targeting of bacteria, and can directly kill tumor cells and release intracellular oncolytic bacteria to induce anti-tumor immune response, effectively inhibiting melanoma.
  • the present invention provides the following technical solutions: a neutrophil loaded with attenuated Salmonella of the present invention, wherein the neutrophil loaded with attenuated Salmonella comprises neutrophils and oncolytic bacteria, wherein the oncolytic bacteria are attenuated Salmonella typhimurium VNP20009 and recombinant engineered strains derived therefrom, and wherein the recombinant engineered strain is a strain that does not carry or carries an expression plasmid that expresses an exogenous gene of a therapeutic gene or a tracer gene.
  • Attenuated Salmonella VNP20009 including the aforementioned strains for which invention patents have been applied (ZL201410209851.7, ZL201610946268.3, ZL201610945015.4, ZL201610945021.X, 202010182038.0; Acta Pharmaceutica Sinica B 2021,11(10):3165-3177; phoP/phoQ, etc.), have been experimentally proven to have similar tumor targeting and anti-tumor efficacy, and the above-mentioned modified strains have lower toxicity than VNP20009. These modified strains have similar efficacy to VNP20009 and can be combined with biological drugs, gene therapy, chemotherapy, and traditional Chinese medicine for treatment.
  • the therapeutic or tracing gene that can be expressed in attenuated Salmonella typhimurium VNP20009 includes at least one of an immune checkpoint blocker antibody gene, a cytokine gene, an angiogenesis inhibitor gene, an apoptosis anti-tumor gene or an interference plasmid;
  • the interfering plasmids carried by Salmonella enterica VNP20009 include an interfering plasmid with pRNA-U6.1 as a backbone that can express interfering RNA.
  • the genes with a tracing effect that can be expressed in the attenuated Salmonella typhimurium VNP20009 include at least one of a red fluorescent protein RFP gene, a green fluorescent protein GFP gene, and a luciferase tracing protein LuxCDABE gene.
  • nucleotide sequence of the red fluorescent protein RFP gene is shown in SEQ ID No.1
  • nucleotide sequence of the green fluorescent protein GFP gene is shown in SEQ ID No.2
  • nucleotide sequence of the luciferase tracer protein LuxCDABE gene is shown in SEQ ID No.3.
  • the expression plasmid that can be carried by attenuated Salmonella typhimurium VNP20009 includes a constitutive strong promoter J23100, a PelB extracellular protein secretion signal peptide and a Flag tag, the nucleotide sequence of the constitutive strong promoter J23100 is shown in SEQ ID NO.4, and the nucleotide sequence of the PelB extracellular protein secretion signal peptide is shown in SEQ ID NO.5.
  • the method for preparing neutrophils loaded with attenuated Salmonella of the present invention comprises the following steps: extracting peritoneal neutrophils stimulated with 5% starch broth, co-incubating with VNP20009 at a ratio of attenuated Salmonella: cells of 100:1 for 0.5-2.5 hours, and then treating the cells with 50-100 ⁇ g/mL gentamicin for 30-60 minutes to kill extracellular bacteria, thereby preparing neutrophils loaded with attenuated Salmonella.
  • the in vivo distribution of neutrophils loaded with attenuated Salmonella and the evaluation and tracing method of tumor colonization rate of the present invention comprise the following steps: using Cy5.5-labeled neutrophils and attenuated Salmonella loaded with neutrophils to sustainably express fluorescent protein or luciferase tracer protein, and evaluating the in vivo distribution and level of neutrophils loaded with attenuated Salmonella by tissue plating and in vivo imaging technology.
  • the invention discloses an application of neutrophils loaded with attenuated Salmonella in the preparation of anti-tumor pharmaceutical preparations, wherein the pharmaceutical preparations include at least one of oral preparations, injection preparations, intravenous injection preparations or sprays.
  • neutrophils loaded with attenuated Salmonella can directly kill tumor cells or activate anti-tumor immune responses to inhibit the progression of melanoma lung metastasis.
  • the invention discloses an application of neutrophils loaded with attenuated Salmonella in combination with other anti-tumor drugs in the preparation of anti-tumor drugs, such as antibody drugs, chemotherapy drugs, etc.
  • the present invention provides a highly tumor-targeted, safe, convenient, low-cost, and new oncolytic bacteria delivery method, that is, using neutrophils for loading, which can greatly increase the tumor targeting and safety of oncolytic bacteria while improving the tumor treatment effect of oncolytic bacteria, and can directly kill tumors. It can damage tumor cells and activate the body's anti-tumor immunity to inhibit tumor progression, thus showing good prospects for tumor treatment.
  • the present invention has the following advantages:
  • the present invention proves that neutrophils are a key factor affecting tumor colonization by oncolytic bacteria attenuated Salmonella.
  • the present invention invents a method for preparing neutrophils loaded with attenuated Salmonella, loading attenuated Salmonella into neutrophils; and can temporarily protect attenuated Salmonella from premature exposure and clearance, thereby inventing an effective strategy for maintaining a balance between the therapeutic effect and safety of oncolytic bacteria.
  • the present invention uses primary neutrophils to load attenuated Salmonella.
  • This delivery system can greatly increase the rate and number of attenuated Salmonella colonization in tumors and reduce the infiltration of attenuated Salmonella into normal tissues, thereby significantly improving the safety of attenuated Salmonella.
  • the present invention combines cell therapy and bacterial therapy, and a single administration can achieve good therapeutic effects, providing a convenient and low-cost combined tumor therapy.
  • the present invention can also load two or more oncolytic bacteria at the same time.
  • the neutrophils loaded with attenuated Salmonella of the present invention can directly promote tumor tissue necrosis, thereby exerting good anti-tumor ability; the neutrophils loaded with attenuated Salmonella of the present invention can activate anti-tumor immune response, thereby promoting tumor apoptosis and achieving tumor treatment.
  • VNP attenuated mouse Salmonella VNP20009; RFP: red fluorescent protein; EGFP: green fluorescent protein; VNP-RFP: VNP carrying RFP gene plasmid; VNP-EGFP: VNP carrying EGFP gene plasmid; NEs: primary mouse neutrophils; NEs(VNP): neutrophils loaded with VNP; VNP-Lvx: VNP carrying LuxCDABE gene plasmid.
  • FIG1 is a graph showing the percentage of neutrophils in all immune cells in the blood after injection of attenuated Salmonella of the present invention.
  • FIG2 shows the present invention's confirmation that neutrophil vascular clearance is a key factor affecting the tumor colonization rate of oncolytic bacteria, namely attenuated Salmonella typhimurium. After antibody depletion of neutrophils in tumor-bearing mice, attenuated Salmonella was injected, and the distribution of attenuated Salmonella in the body was detected by plating.
  • FIG3 is a flow cytometric analysis of the purity of peritoneal neutrophils in the present invention.
  • FIG. 4 is a fluorescent image of neutrophils loaded with attenuated Salmonella of the present invention.
  • FIG5 is a graph showing the intracellular activity detection of the attenuated Salmonella of the present invention in neutrophils.
  • FIG. 6 shows the survival ability of neutrophils loaded with attenuated Salmonella of the present invention.
  • FIG. 7 shows the chemotactic ability of neutrophils loaded with attenuated Salmonella of the present invention.
  • FIG. 8 shows the rate of release of the attenuated Salmonella of the present invention from neutrophils.
  • FIG. 9 shows that neutrophils loaded with attenuated Salmonella of the present invention promote apoptosis of tumor cells.
  • FIG. 10 shows that the neutrophils loaded with attenuated Salmonella of the present invention inhibit tumor cell proliferation.
  • FIG. 11 shows the nitric oxide and reactive oxygen levels of neutrophils loaded with attenuated Salmonella of the present invention.
  • FIG. 12 shows the cell status of neutrophils loaded with attenuated Salmonella detected by real-time fluorescence quantitative PCR of the present invention.
  • FIG. 13 is a photograph of in vivo imaging of mouse organs after drug administration of the present invention.
  • FIG. 14 shows the in vivo organ distribution and levels of the melanoma lung metastasis model of the present invention.
  • FIG. 15 shows the organ distribution and levels of the subcutaneous melanoma model of the present invention.
  • FIG. 16 shows the number of lung tumor metastases after systemic administration of the present invention.
  • FIG. 17 shows the changes in body weight of tumor-bearing mice after systemic administration of the present invention.
  • FIG. 18 shows organ weights and spleen photographs of tumor-bearing mice after systemic administration of the present invention.
  • FIG. 19 is the HE staining results of other normal organ tissues of tumor-bearing mice after systemic administration of the present invention.
  • FIG. 20 shows the levels of serum biochemical indices in tumor-bearing mice after systemic administration of the present invention.
  • a relationship such as A and/or B
  • a relationship can mean: A exists alone, A and B exist at the same time, and B exists alone.
  • a and B can be singular or plural.
  • the character "/” generally indicates that the objects before and after are in an "or” relationship.
  • At least one means one or more
  • plural means two or more.
  • At least one of the following” or similar expressions refers to any combination of these items, including any combination of single items or plural items.
  • at least one of a, b, or c or “at least one of a, b, and c” can all mean: a, b, c, a-b (i.e. a and b), a-c, b-c, or a-b-c, where a, b, c can be single or multiple, respectively.
  • the size of the serial numbers of the above-mentioned processes does not mean the order of execution, some or all of the steps can be executed in parallel or sequentially, and the execution order of each process should be determined by its function and internal logic, and should not constitute any limitation on the implementation process of the embodiments of the present application.
  • the weight of the relevant components mentioned in the embodiment description of the present application can not only refer to the specific content of each component, but also represent the proportional relationship between the weights of the components. Therefore, as long as the content of the relevant components is proportionally enlarged or reduced according to the embodiment description of the present application, it is within the scope disclosed in the embodiment description of the present application.
  • the mass in the embodiment description of the present application can be ⁇ g, mg, g, kg and other mass units known in the chemical industry.
  • first and second are used only for descriptive purposes to distinguish objects such as substances from each other, and should not be understood as indicating or implying relative importance or implicitly indicating the number of indicated technical features.
  • first XX may also be referred to as the second XX
  • second XX may also be referred to as the first XX.
  • features defined as “first” and “second” may explicitly or implicitly include one or more of the features.
  • the present invention mainly relates to a method for constructing neutrophils loaded with attenuated Salmonella and its application in anti-tumor treatment.
  • the present invention proves that neutrophils are a key factor affecting tumor colonization of oncolytic bacteria including attenuated Salmonella; on the other hand, the present invention develops a method for constructing neutrophils loaded with attenuated Salmonella and its application in anti-tumor treatment.
  • a neutrophil delivery system for bacteria has shown potential for anti-tumor therapy.
  • the present invention provides a technology for preparing neutrophil carriers that can carry oncolytic bacteria. After being loaded with VNP20009, neutrophils can be recruited to the tumor microenvironment, effectively improving the tumor colonization rate and tumor targeting of oncolytic bacteria. It can directly kill tumor cells and release intracellular oncolytic bacteria to induce anti-tumor immune response, thereby effectively inhibiting melanoma lung metastasis.
  • an embodiment of the present application provides a neutrophil loaded with oncolytic bacteria including attenuated Salmonella.
  • the neutrophil loaded with oncolytic bacteria is a primary neutrophil.
  • the oncolytic bacteria are attenuated Salmonella VNP20009 and a recombinant engineered strain derived therefrom.
  • the recombinant engineered strain is an expression plasmid that does not carry or carries an exogenous gene expressing a therapeutic gene or a tracer gene.
  • Attenuated Salmonella VNP20009 including the aforementioned strains for which invention patents have been applied (ZL201410209851.7, ZL201610946268.3, ZL201610945015.4, ZL201610945021.X, 202010182038.0; Acta Pharmaceutica Sinica B 2021,11(10):3165-3177; phoP/phoQ, etc.), have been experimentally proven to have similar tumor targeting and anti-tumor efficacy, and the above-mentioned modified strains have lower toxicity than VNP20009. These modified strains have similar efficacy to VNP20009 and can be combined with biological drugs, gene therapy, chemotherapy, and traditional Chinese medicine for treatment.
  • the therapeutic or tracing effect genes that can be expressed in attenuated Salmonella VNP20009 include at least one of immune checkpoint blocker antibody genes, cytokine genes, angiogenesis inhibitor genes, apoptosis anti-tumor genes or interfering plasmids; the interfering plasmid that can be carried by attenuated Salmonella typhimurium VNP20009 includes an interfering plasmid with pRNA-U6.1 as the skeleton that can express interfering RNA.
  • the genes with tracing effect that can be expressed in attenuated Salmonella typhimurium VNP20009 include at least one of the red fluorescent protein RFP gene, the green fluorescent protein GFP gene and the luciferase tracing protein LuxCDABE gene.
  • the nucleotide sequence of the red fluorescent protein RFP gene is shown in SEQ ID No.1
  • the nucleotide sequence of the green fluorescent protein GFP gene is shown in SEQ ID No.2
  • the nucleotide sequence of the luciferase tracer protein LuxCDABE gene is shown in SEQ ID No.3.
  • the expression plasmid carried by attenuated Salmonella typhimurium VNP20009 includes a constitutive strong promoter J23100, a PeIB extracellular protein secretion signal peptide and a Flag tag.
  • the nucleotide sequence of is shown in SEQ ID NO.4, and the nucleotide sequence of the PeIB extracellular protein secretion signal peptide is shown in SEQ ID NO.5.
  • the present invention uses attenuated Salmonella VNP20009, including but not limited to the aforementioned strains for which invention patents have been applied (ZL201410209851.7, ZL201610946268.3, ZL201610945015.4, ZL201610945021.X, 202010182038.0; Acta Pharmaceutica Sinica B 2021, 11(10):3165-3177; phoP/phoQ, etc.) as the basic strain, and combines cell drug loading technology to construct a neutrophil delivery system loaded with attenuated Salmonella.
  • the delivery system shows potential for anti-tumor treatment, and the system describes an efficient, highly tumor-targeted, convenient and low-cost oncolytic bacteria delivery strategy, which can significantly increase the tumor colonization rate and level, thereby achieving a balance between the therapeutic effect and safety of oncolytic bacteria.
  • a second aspect of the present application provides a method for preparing neutrophils loaded with attenuated Salmonella, comprising the following steps:
  • Wild-type mice were stimulated with 5% nutrient starch broth for 4-6 hours, and then peritoneal fluid was aspirated. Cells obtained after percoll gradient centrifugation were detected by flow cytometry, and 90% of the cells were neutrophils.
  • the modified or unmodified VNP20009 was incubated with peritoneal neutrophils at a ratio of attenuated Salmonella: cells of 100:1 for 0.5, 1.5, and 2.5 hours, and the cells were treated with 50-100 ⁇ g/mL gentamicin for 30-60 minutes to kill extracellular bacteria; then the cells were treated with 1% TritonX-100 and incubated on ice for 1-2 hours to lyse the cells and release the bacteria. After dilution, the number of intracellular bacteria in neutrophils and the bacterial activity were counted.
  • the third aspect of the embodiments of the present application provides a method for evaluating and tracing the in vivo distribution of neutrophils loaded with attenuated Salmonella and the tumor colonization rate, comprising the following steps: using Cy5.5-labeled neutrophils and neutrophil-loaded attenuated Salmonella that can sustainably express fluorescent protein or luciferase tracer protein, and evaluating the in vivo distribution and level of neutrophils loaded with attenuated Salmonella by tissue plating and in vivo imaging technology.
  • a fourth aspect of the embodiments of the present application provides a use of neutrophils loaded with attenuated Salmonella in the preparation of an anti-tumor pharmaceutical preparation, wherein the pharmaceutical preparation includes at least one of an oral preparation, an injection preparation, and an intravenous injection preparation or a spray.
  • Neutrophils loaded with attenuated Salmonella can directly kill tumor cells or activate anti-tumor immune responses to inhibit the progression of melanoma lung metastasis.
  • the invention discloses an application of neutrophils loaded with attenuated Salmonella in combination with other anti-tumor drugs in the preparation of anti-tumor drugs.
  • the use of neutrophils loaded with attenuated Salmonella in tumor treatment described in the present invention is characterized in that premature exposure of blood vessels of attenuated Salmonella and clearance by the immune system are avoided, thereby increasing the tumor targeting of attenuated Salmonella, and increasing the safety of attenuated Salmonella by reducing the infiltration of attenuated Salmonella into normal tissues and organs; the attenuated Salmonella delivery system described in the present invention can effectively maintain the balance between the therapeutic effect and safety of oncolytic bacteria, thereby expanding the application range of oncolytic bacteria.
  • the neutrophils of the present invention are primary peritoneal neutrophils of mice. 4-6 hours before the separation of peritoneal neutrophils, mice are subcutaneously injected with 1 ml of nutrient broth to stimulate the maturation of peritoneal neutrophils. Neutrophils are separated using Percoll gradient and identified by flow cytometry;
  • Neutrophils loaded with attenuated Salmonella were co-cultured with tumor cells B16F1, B16F10 and mouse embryonic fibroblasts MEF in an incubator at 37°C and 5% CO2 for 0.5h, 1h, 2h, and 4h, respectively. The supernatant was collected and the number of released attenuated Salmonella was counted on LB plates.
  • ROS detection kit S0033S, Bio-Tech
  • DAF-FM DA S0019, Bio-Tech
  • Neutrophil chemotaxis assay Neutrophil chemotaxis was performed using a Transwell with a pore size of 3 ⁇ m. Neutrophil chemotactic factor fMLP (10 nM) or 1 ⁇ 10 6 macrophages/well were added to the upper chamber, and 5 ⁇ 10 5 neutrophils were inoculated per well in the upper chamber for 2 hours. The supernatant in the lower chamber was collected to count the number of neutrophils and the chemotactic ratio.
  • Neutrophil chemotaxis was performed using a Transwell with a pore size of 3 ⁇ m.
  • Neutrophil chemotactic factor fMLP (10 nM) or 1 ⁇ 10 6 macrophages/well were added to the upper chamber, and 5 ⁇ 10 5 neutrophils were inoculated per well in the upper chamber for 2 hours. The supernatant in the lower chamber was collected to count the number of neutrophils and the chemotactic ratio.
  • B16F10-GFP The proliferation of tumor cells after drug administration was detected by the B16F10-GFP method.
  • B16F10 cells were seeded in 24-well plates at a density of 1 ⁇ 10 5 per well and measured once every 12 hours using a microplate reader (488nm ⁇ 510nm) to calculate the proliferation rate of B16F10 cells.
  • the apoptosis rate of B16F10 cells was stained using Annexin V/PI. 1 ⁇ l Annexin V-APC (1mg/ml) and 1 ⁇ l PI-PE (PI, 1mg/ml) were incubated with 1 ⁇ 10 6 cells in binding buffer for 30 minutes at 4°C. The stained cells were analyzed by flow cytometry. The results were statistically analyzed using FlowJo VX software.
  • B16F10 mouse melanoma cells were cultured in DMEM cell culture medium until the exponential growth phase, then digested with trypsin, centrifuged at 1000 rpm, 4°C for 3 minutes to collect the cells, washed twice with PBS, and then counted. The final cell concentration was 1 ⁇ 10 6 cells/mL. Each C57BL/6 mouse was inoculated with 1 ⁇ 10 5 cells/mouse.
  • B16F10 mouse melanoma-bearing mice were randomly divided into 4 groups and injected with 3 ⁇ 10 6 CFU of bacteria and 1 ⁇ 10 6 neutrophils loaded with attenuated Salmonella via tail vein.
  • B16F10 mouse melanoma cells were cultured in DMEM cell culture medium until the exponential growth phase, then digested with trypsin, centrifuged at 1000 rpm, 4°C for 3 minutes to collect cells, washed twice with PBS and counted, and the final cell concentration was 1 ⁇ 10 6 cells/mL.
  • Each C57BL/6 mouse was inoculated with 1 ⁇ 10 5 cells/mouse, and the experiment was performed when the mouse tumor volume grew to about 100 mm3.
  • B16F10 mouse melanoma cells were cultured in DMEM. After culturing to the exponential growth phase with cell culture medium, the cells were digested with trypsin and centrifuged at 1000 rpm, 4°C for 3 minutes to collect the cells. After washing twice with PBS, the cells were counted and the final cell concentration was 1 ⁇ 10 6 cells/mL. Each C57BL/6 mouse was inoculated with 1 ⁇ 10 5 cells/mouse.
  • mice After administration at different time points, the mice were killed, and the various organ tissues of the tumor-bearing mice, including tumors, liver, spleen, kidney, lung and heart, were collected under a sterile environment. They were weighed and placed in 2 mL PBS for tissue homogenization to lyse the cells and release bacteria. According to the different bacterial titers in the tissues, the appropriate bacterial solution was obtained according to different dilution gradients, and spread on LB plates containing kanamycin, and then inverted and cultured in a 37°C bacterial incubator for 12 hours, and the colonies were counted to compare and analyze the tissue distribution of wild-type attenuated Salmonella and NE (VNP) in tumor-bearing mice.
  • VNP wild-type attenuated Salmonella and NE
  • In vivo imaging and immunofluorescence sections were used to detect the in vivo distribution of neutrophils loaded with attenuated Salmonella.
  • Neutrophils labeled with Cy5.5 and neutrophils loaded with attenuated Salmonella could continuously express fluorescent protein or luciferase tracer protein.
  • Tumor-bearing mice were injected with 3 ⁇ 106 CFU of bacteria and 1 ⁇ 106 neutrophils loaded with attenuated Salmonella, respectively.
  • the in vivo distribution and level of neutrophils loaded with attenuated Salmonella were evaluated by in vivo imaging technology and immunofluorescence staining.
  • Histopathology and blood biochemical analysis After the blood was allowed to stand at room temperature for 30 minutes, it was centrifuged at 4 degrees and 3000 rpm for 15 minutes, and the supernatant serum was carefully aspirated. The serum obtained from the blood was frozen and stored at -80°C until the blood biochemical indicators were determined; blood biochemical analysis, H&E staining of tumor, heart, liver, spleen, lung and kidney sections, and fluorescent immunostaining of tumor sections were prepared by Wuhan Service Biology Company.
  • the present invention uses a neutrophil depletion model to demonstrate that vascular clearance of neutrophils is a key factor affecting the tumor colonization rate of oncolytic bacteria, namely, attenuated Salmonella, that is, the tumor colonization rate of attenuated Salmonella is significantly increased after neutrophil depletion ( FIG. 2 ).
  • the purity ratio of primary mouse neutrophils extracted by the present invention is greater than 90% ( Figure 3), and fluorescent photos can prove that neutrophils can be loaded with attenuated Salmonella (Figure 4); and attenuated Salmonella can maintain more than 30% activity in neutrophils (Figure 5); neutrophils can maintain activity at more than about 80% after phagocytizing attenuated Salmonella for 2 hours, so that neutrophils are guaranteed to have activity and chemotaxis before being recruited to the tumor area ( Figures 6 and 7); neutrophils can release more attenuated Salmonella under the induction of highly malignant tumors (B16F10) ( Figure 8).
  • the present invention proves through tumor cell apoptosis and proliferation experiments that neutrophils loaded with attenuated Salmonella have stronger tumor inhibition ability (Figures 9 and 10); neutrophils loaded with attenuated Salmonella have stronger nitric oxide and reactive oxygen levels (Figure 11); the cell state of neutrophils loaded with attenuated Salmonella is detected by real-time fluorescence quantitative PCR, and the results show that attenuated Salmonella can induce neutrophils to polarize toward an anti-tumor morphology (Figure 12).
  • the present invention detects the in vivo distribution of neutrophils loaded with attenuated Salmonella by labeling neutrophils with Cy5.5 and loading attenuated Salmonella expressing fluorescein.
  • the experimental results show that neutrophils are more enriched in the lungs ( Figure 13).
  • the in vivo distribution results of the lung metastasis tumor model show that neutrophils loaded with attenuated Salmonella significantly increase the lung enrichment of attenuated Salmonella and prolong the distribution time of attenuated Salmonella in the lungs, while significantly reducing the infiltration of attenuated Salmonella in the spleen and heart, and improving tumor targeting (Figure 14).

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Abstract

A neutrophil loaded with attenuated salmonella and a preparation method therefor and a use thereof, relating to the technical field of biology. Vascular clearance by a neutrophil is a key factor affecting the tumor colonization rate of oncolytic bacteria, i.e., attenuated salmonella typhimurium. The neutrophil can be recruited to a tumor microenvironment after being loaded with the oncolytic bacteria, so that the tumor colonization rate and tumor targeting performance of the bacteria are effectively improved. The neutrophil can directly kill tumor cells and release intracellular oncolytic bacteria to induce an anti-tumor immune response, thereby effectively inhibiting the progression of pulmonary metastases from melanoma.

Description

一种装载减毒沙门氏菌的中性粒细胞及其制备方法和应用Neutrophil loaded with attenuated Salmonella and preparation method and application thereof 技术领域Technical Field

本发明涉及生物技术领域,具体涉及一种装载减毒沙门氏菌的中性粒细胞及其制备方法和应用。The invention relates to the field of biotechnology, and in particular to a neutrophil loaded with attenuated Salmonella, and a preparation method and application thereof.

背景技术Background Art

减毒鼠伤寒沙门氏菌VNP20009(简称VNP)株缺失了purI和msbB基因以减少毒副作用和感染性休克,是最有潜力的溶瘤菌株之一。与野生型鼠伤寒沙门氏菌相比,减毒沙门氏菌VNP20009具有显著的抑制肿瘤的能力但具有一定程度的副作用。肿瘤中的减毒沙门氏菌VNP20009滴度约为其他器官的1000倍(The Journal of Infectious Diseases 2000,181,1996–2002.)。在减毒沙门氏菌VNP20009的I期临床试验中,除了最高剂量组,大多数黑色素瘤患者没有明显的副作用,证明了其安全性。然而,只有在最高剂量组,才观察到减毒沙门氏菌VNP20009在肿瘤组织中的定植(Journal of Clinical Oncology 2002,20,142-152.)。溶瘤菌的肿瘤定殖率是肿瘤治疗中最重要的因素。因此如何平衡溶瘤菌的治疗效果和安全性是亟待解决的问题。The attenuated Salmonella typhimurium VNP20009 (VNP for short) strain has lost the purI and msbB genes to reduce toxic side effects and septic shock, and is one of the most promising oncolytic strains. Compared with wild-type Salmonella typhimurium, the attenuated Salmonella VNP20009 has a significant ability to inhibit tumors but has a certain degree of side effects. The titer of attenuated Salmonella VNP20009 in tumors is about 1000 times that of other organs (The Journal of Infectious Diseases 2000, 181, 1996–2002.). In the Phase I clinical trial of attenuated Salmonella VNP20009, except for the highest dose group, most melanoma patients had no obvious side effects, proving its safety. However, only in the highest dose group was attenuated Salmonella VNP20009 observed to colonize tumor tissue (Journal of Clinical Oncology 2002, 20, 142-152.). The tumor colonization rate of oncolytic bacteria is the most important factor in tumor treatment. Therefore, how to balance the therapeutic effect and safety of oncolytic bacteria is an urgent problem to be solved.

为了提高沙门氏菌的治疗效果,报道了许多优秀的研究,如携带针对肿瘤转移关键基因的shRNA(J Exp Clin Cancer Res 2016,35,107;Oncotarget 2016,7,12.),表达效应蛋白如干扰素-γ蛋白或细胞毒蛋白(Eur J Cancer 2017,70,48-61.),以及荷载可编码肿瘤特异性抗原的质粒(Scientific Reports 2016,6,34178;Biotechnol Bioeng 2016,113,2698-2711.),或共价结合的光敏剂或细胞毒性生物材料(Biomaterials 2019,214,119226;ACS Nano 2018,12,5995-6005.)。最近的研究表明,细菌免疫原性屏蔽是增加溶瘤菌在肿瘤中定植的可行措施。据报道,细胞膜包裹细菌可降低细菌的免疫原性缓解细菌的血管清除率,从而增强肿瘤的靶向性和安全性(Nature Communication 2019,10,3452.)。In order to improve the therapeutic effect of Salmonella, many excellent studies have been reported, such as carrying shRNA targeting key genes for tumor metastasis (J Exp Clin Cancer Res 2016, 35, 107; Oncotarget 2016, 7, 12.), expressing effector proteins such as interferon-γ protein or cytotoxic protein (Eur J Cancer 2017, 70, 48-61.), and carrying plasmids encoding tumor-specific antigens (Scientific Reports 2016, 6, 34178; Biotechnol Bioeng 2016, 113, 2698-2711.), or covalently bound photosensitizers or cytotoxic biomaterials (Biomaterials 2019, 214, 119226; ACS Nano 2018, 12, 5995-6005.). Recent studies have shown that bacterial immunogenicity shielding is a feasible measure to increase oncolytic bacteria colonization in tumors. It is reported that cell membrane encapsulation of bacteria can reduce bacterial immunogenicity and alleviate bacterial vascular clearance, thereby enhancing tumor targeting and safety (Nature Communication 2019, 10, 3452.).

有证据表明,VNP20009通过血管穿透从而定植于肿瘤核心区域,这表明 VNP20009在血液中的快速清除可能导致了VNP20009的肿瘤定植不良(JControl Release 2015,199,180-9;Cancer Gene Ther 2011,18,457-66.)。Westphal的工作证实了这一假设,该工作报告称,宿主中性粒细胞的耗尽会导致肿瘤中细菌滴度增加(Cancer Res 2008,68,2952-60.)。还有研究报道通过耗尽宿主中性粒细胞,可以观察到VNP20009增强的肿瘤治疗效果(Theranostics 2017,7,2250-2260.)。中性粒细胞可通过吞噬来装载药物,被招募至肿瘤区域后通过细胞裂解释放药物(Adv Mater 2018,30,e1706245;Adv Mater 2020,32,e2003598.)。There is evidence that VNP20009 colonizes the core area of the tumor through vascular penetration, which indicates that The rapid clearance of VNP20009 from the blood may lead to poor tumor colonization of VNP20009 (J Control Release 2015, 199, 180-9; Cancer Gene Ther 2011, 18, 457-66.). This hypothesis is confirmed by Westphal's work, which reports that depletion of host neutrophils leads to increased bacterial titers in tumors (Cancer Res 2008, 68, 2952-60.). Other studies have reported that by depleting host neutrophils, VNP20009-enhanced tumor therapeutic effects can be observed (Theranostics 2017, 7, 2250-2260.). Neutrophils can load drugs by phagocytosis and release drugs by cell lysis after being recruited to the tumor area (Adv Mater 2018, 30, e1706245; Adv Mater 2020, 32, e2003598.).

发明内容Summary of the invention

如何利用中性粒细胞装载减毒沙门氏菌,以降低细菌的免疫原性、缓解细菌的血管清除率,增强肿瘤的靶向性和安全性;同时,又能避免中性粒细胞固有的清除细菌的特性而导致被装载的减毒沙门氏菌不被清除而仍能保持活性?本发明的目的是提供一种装载减毒沙门氏菌的中性粒细胞及其制备方法和应用,有效提升细菌的肿瘤定植速率以及肿瘤靶向性,其可通过直接杀死肿瘤细胞以及释放胞内溶瘤细菌以诱导抗肿瘤免疫反应,有效抑制黑色素瘤。How to use neutrophils to load attenuated Salmonella to reduce the immunogenicity of bacteria, alleviate the vascular clearance rate of bacteria, and enhance tumor targeting and safety; at the same time, avoid the inherent bacterial clearance characteristics of neutrophils, which causes the loaded attenuated Salmonella to remain active without being cleared? The purpose of the present invention is to provide a neutrophil loaded with attenuated Salmonella and its preparation method and application, which effectively improves the tumor colonization rate and tumor targeting of bacteria, and can directly kill tumor cells and release intracellular oncolytic bacteria to induce anti-tumor immune response, effectively inhibiting melanoma.

为了解决现有技术的问题,本发明提供了如下技术方案:本发明的一种装载减毒沙门氏菌的中性粒细胞,所述装载减毒沙门氏菌的中性粒细胞包括中性粒细胞和溶瘤细菌,所述溶瘤细菌为减毒鼠伤寒沙门氏菌VNP20009及其衍生的重组工程菌株,所述重组工程菌株为不携带或携带表达治疗基因、示踪基因外源基因的表达质粒的菌株。减毒沙门氏菌VNP20009,包括前述已经申请发明专利的各菌株(ZL201410209851.7,ZL201610946268.3,ZL201610945015.4,ZL201610945021.X,202010182038.0;Acta Pharmaceutica Sinica B 2021,11(10):3165-3177;phoP/phoQ,等)都已被实验证明都具有相似的肿瘤靶向性和抗肿瘤疗效,上述改造菌株具有比VNP20009更低的毒性。这些改造菌株都具有与VNP20009相似的、能够与生物药、基因治疗、化疗、中药联合治疗的疗效。In order to solve the problems of the prior art, the present invention provides the following technical solutions: a neutrophil loaded with attenuated Salmonella of the present invention, wherein the neutrophil loaded with attenuated Salmonella comprises neutrophils and oncolytic bacteria, wherein the oncolytic bacteria are attenuated Salmonella typhimurium VNP20009 and recombinant engineered strains derived therefrom, and wherein the recombinant engineered strain is a strain that does not carry or carries an expression plasmid that expresses an exogenous gene of a therapeutic gene or a tracer gene. Attenuated Salmonella VNP20009, including the aforementioned strains for which invention patents have been applied (ZL201410209851.7, ZL201610946268.3, ZL201610945015.4, ZL201610945021.X, 202010182038.0; Acta Pharmaceutica Sinica B 2021,11(10):3165-3177; phoP/phoQ, etc.), have been experimentally proven to have similar tumor targeting and anti-tumor efficacy, and the above-mentioned modified strains have lower toxicity than VNP20009. These modified strains have similar efficacy to VNP20009 and can be combined with biological drugs, gene therapy, chemotherapy, and traditional Chinese medicine for treatment.

进一步地,可在减毒鼠伤寒沙门氏菌VNP20009中表达的治疗性或具有示踪效果的基因包括免疫检查点阻断剂抗体基因、细胞因子基因、血管生成抑制剂基因、细胞凋亡类抗肿瘤基因或干扰质粒中的至少一种;所述可被减毒鼠伤 寒沙门氏菌VNP20009携带的干扰质粒包括以pRNA-U6.1为骨架的、可表达干扰RNA的干扰质粒。Furthermore, the therapeutic or tracing gene that can be expressed in attenuated Salmonella typhimurium VNP20009 includes at least one of an immune checkpoint blocker antibody gene, a cytokine gene, an angiogenesis inhibitor gene, an apoptosis anti-tumor gene or an interference plasmid; The interfering plasmids carried by Salmonella enterica VNP20009 include an interfering plasmid with pRNA-U6.1 as a backbone that can express interfering RNA.

进一步地,可在减毒鼠伤寒沙门氏菌VNP20009中表达具有示踪效果的基因包括红色荧光蛋白RFP基因、绿色荧光蛋白GFP基因和荧光素酶示踪蛋白LuxCDABE基因中的至少一种。Furthermore, the genes with a tracing effect that can be expressed in the attenuated Salmonella typhimurium VNP20009 include at least one of a red fluorescent protein RFP gene, a green fluorescent protein GFP gene, and a luciferase tracing protein LuxCDABE gene.

更进一步地,红色荧光蛋白RFP基因的核苷酸序列为SEQ ID No.1所示,绿色荧光蛋白GFP基因的核苷酸序列为SEQ ID No.2所示,荧光素酶示踪蛋白LuxCDABE基因的核苷酸序列为SEQ ID No.3所示。Furthermore, the nucleotide sequence of the red fluorescent protein RFP gene is shown in SEQ ID No.1, the nucleotide sequence of the green fluorescent protein GFP gene is shown in SEQ ID No.2, and the nucleotide sequence of the luciferase tracer protein LuxCDABE gene is shown in SEQ ID No.3.

进一步地,可被减毒鼠伤寒沙门氏菌VNP20009携带的表达质粒包括组成型强启动子J23100和PelB胞外蛋白分泌信号肽以及Flag标签,所述组成型强启动子J23100的核苷酸序列如SEQ ID NO.4所示,PelB胞外蛋白分泌信号肽的核苷酸序列如SEQ ID NO.5所示。Furthermore, the expression plasmid that can be carried by attenuated Salmonella typhimurium VNP20009 includes a constitutive strong promoter J23100, a PelB extracellular protein secretion signal peptide and a Flag tag, the nucleotide sequence of the constitutive strong promoter J23100 is shown in SEQ ID NO.4, and the nucleotide sequence of the PelB extracellular protein secretion signal peptide is shown in SEQ ID NO.5.

本发明装载减毒沙门氏菌的中性粒细胞的制备方法,包括如下步骤:提取5%淀粉肉汤刺激后的腹腔中性粒细胞,与VNP20009按照减毒沙门氏菌:细胞为100:1的比例共孵育0.5-2.5小时后使用50-100μg/mL庆大霉素处理细胞30-60分钟以杀死细胞外细菌,制得装载减毒沙门氏菌的中性粒细胞。The method for preparing neutrophils loaded with attenuated Salmonella of the present invention comprises the following steps: extracting peritoneal neutrophils stimulated with 5% starch broth, co-incubating with VNP20009 at a ratio of attenuated Salmonella: cells of 100:1 for 0.5-2.5 hours, and then treating the cells with 50-100 μg/mL gentamicin for 30-60 minutes to kill extracellular bacteria, thereby preparing neutrophils loaded with attenuated Salmonella.

本发明装载减毒沙门氏菌的中性粒细胞的体内分布以及肿瘤定植率评价和示踪方法,包括如下步骤:使用Cy5.5标记的中性粒细胞以及中性粒细胞装载的减毒沙门氏菌可持续表达荧光蛋白或荧光素酶示踪蛋白,通过组织涂板以及活体成像技术评估装载减毒沙门氏菌的中性粒细胞的体内分布及水平。The in vivo distribution of neutrophils loaded with attenuated Salmonella and the evaluation and tracing method of tumor colonization rate of the present invention comprise the following steps: using Cy5.5-labeled neutrophils and attenuated Salmonella loaded with neutrophils to sustainably express fluorescent protein or luciferase tracer protein, and evaluating the in vivo distribution and level of neutrophils loaded with attenuated Salmonella by tissue plating and in vivo imaging technology.

本发明装载减毒沙门氏菌的中性粒细胞在制备抗肿瘤药物制剂中的应用,药物制剂包括口服制剂、注射制剂和静脉注射制剂或喷剂中的至少一种。The invention discloses an application of neutrophils loaded with attenuated Salmonella in the preparation of anti-tumor pharmaceutical preparations, wherein the pharmaceutical preparations include at least one of oral preparations, injection preparations, intravenous injection preparations or sprays.

进一步地,装载减毒沙门氏菌的中性粒细胞可直接杀伤肿瘤细胞或激活抗肿瘤免疫反应从而抑制黑色素瘤肺转移进展。Furthermore, neutrophils loaded with attenuated Salmonella can directly kill tumor cells or activate anti-tumor immune responses to inhibit the progression of melanoma lung metastasis.

本发明装载减毒沙门氏菌的中性粒细胞联合其他抗肿瘤药物在制备抗肿瘤药物中的应用,例如抗体类药物、化疗药物等。The invention discloses an application of neutrophils loaded with attenuated Salmonella in combination with other anti-tumor drugs in the preparation of anti-tumor drugs, such as antibody drugs, chemotherapy drugs, etc.

有益效果:本发明提供了一种高肿瘤靶向性的、安全的、方便的、低廉的、全新的溶瘤细菌的递送方式,即使用中性粒细胞装载,在提升溶瘤细菌的肿瘤治疗效果的同时可大大增加溶瘤细菌的肿瘤靶向性以及安全性,可通过直接杀 伤肿瘤细胞以及激活机体抗肿瘤免疫来抑制肿瘤进展,因此表现出良好的肿瘤治疗前景。Beneficial effects: The present invention provides a highly tumor-targeted, safe, convenient, low-cost, and new oncolytic bacteria delivery method, that is, using neutrophils for loading, which can greatly increase the tumor targeting and safety of oncolytic bacteria while improving the tumor treatment effect of oncolytic bacteria, and can directly kill tumors. It can damage tumor cells and activate the body's anti-tumor immunity to inhibit tumor progression, thus showing good prospects for tumor treatment.

与现有技术相比,本发明具有如下优点:Compared with the prior art, the present invention has the following advantages:

(1)本发明证明中性粒细胞是影响溶瘤细菌减毒沙门氏菌肿瘤定植的关键因素。(1) The present invention proves that neutrophils are a key factor affecting tumor colonization by oncolytic bacteria attenuated Salmonella.

(2)减毒沙门氏菌被注射到体内后,会快速地被中性粒细胞吞噬并清除。本发明通过发明了一种装载减毒沙门氏菌的中性粒细胞的制备方法,将减毒沙门氏菌荷载在中性粒细胞中;并能暂时保护减毒沙门氏菌的过早暴露和清除,发明了一种可实现维持溶瘤细菌在其治疗效果和安全性之间达到平衡的有效策略。(2) After being injected into the body, attenuated Salmonella will be rapidly engulfed and cleared by neutrophils. The present invention invents a method for preparing neutrophils loaded with attenuated Salmonella, loading attenuated Salmonella into neutrophils; and can temporarily protect attenuated Salmonella from premature exposure and clearance, thereby inventing an effective strategy for maintaining a balance between the therapeutic effect and safety of oncolytic bacteria.

(3)本发明使用原代中性粒细胞来荷载减毒沙门氏菌,该递送系统可大大增加减毒沙门氏菌的瘤内定植速率和数量,减少减毒沙门氏菌对正常组织的浸润,因此可显著提升减毒沙门氏菌的安全性。(3) The present invention uses primary neutrophils to load attenuated Salmonella. This delivery system can greatly increase the rate and number of attenuated Salmonella colonization in tumors and reduce the infiltration of attenuated Salmonella into normal tissues, thereby significantly improving the safety of attenuated Salmonella.

(4)本发明联合细胞疗法以及细菌疗法,单次给药即可实现良好的治疗效果,提供了一种方便、低廉的肿瘤联合疗法。同时,本发明还可同时荷载两种及以上的溶瘤细菌。(4) The present invention combines cell therapy and bacterial therapy, and a single administration can achieve good therapeutic effects, providing a convenient and low-cost combined tumor therapy. At the same time, the present invention can also load two or more oncolytic bacteria at the same time.

(5)本发明荷载减毒沙门氏菌的中性粒细胞可直接促进肿瘤组织坏死从而发挥良好的抗肿瘤能力;本发明荷载减毒沙门氏菌的中性粒细胞可激活抗肿瘤免疫反应从而促进肿瘤凋亡,实现肿瘤治疗。(5) The neutrophils loaded with attenuated Salmonella of the present invention can directly promote tumor tissue necrosis, thereby exerting good anti-tumor ability; the neutrophils loaded with attenuated Salmonella of the present invention can activate anti-tumor immune response, thereby promoting tumor apoptosis and achieving tumor treatment.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

为了更清楚地说明本申请实施例中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present application, the drawings required for use in the embodiments or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying any creative work.

附图缩写说明:Description of the abbreviations in the accompanying drawings:

VNP:减毒鼠伤害沙门氏菌VNP20009;RFP:红色荧光蛋白;EGFP:绿色荧光蛋白;VNP-RFP:VNP携带RFP基因质粒;VNP-EGFP:VNP携带EGFP基因质粒;NEs:小鼠原代中性粒细胞;NEs(VNP):装载有VNP的中性粒细胞;VNP-Lvx:VNP携带LuxCDABE基因质粒。 VNP: attenuated mouse Salmonella VNP20009; RFP: red fluorescent protein; EGFP: green fluorescent protein; VNP-RFP: VNP carrying RFP gene plasmid; VNP-EGFP: VNP carrying EGFP gene plasmid; NEs: primary mouse neutrophils; NEs(VNP): neutrophils loaded with VNP; VNP-Lvx: VNP carrying LuxCDABE gene plasmid.

图1为本发明的注射减毒沙门氏菌后血液中中性粒细胞占所有免疫细胞的百分比,;FIG1 is a graph showing the percentage of neutrophils in all immune cells in the blood after injection of attenuated Salmonella of the present invention;

图2为本发明的确认中性粒细胞的血管清除是影响溶瘤细菌即减毒鼠伤寒沙门氏菌肿瘤定植率的关键因素,抗体耗竭荷瘤小鼠体内中性粒细胞后注射减毒沙门氏菌,涂板检测减毒沙门氏菌体内分布。FIG2 shows the present invention's confirmation that neutrophil vascular clearance is a key factor affecting the tumor colonization rate of oncolytic bacteria, namely attenuated Salmonella typhimurium. After antibody depletion of neutrophils in tumor-bearing mice, attenuated Salmonella was injected, and the distribution of attenuated Salmonella in the body was detected by plating.

图3为本发明的流式细胞术检测腹腔中性粒细胞的纯度。FIG3 is a flow cytometric analysis of the purity of peritoneal neutrophils in the present invention.

图4为本发明的荷载了减毒沙门氏菌的中性粒细胞的荧光图片。FIG. 4 is a fluorescent image of neutrophils loaded with attenuated Salmonella of the present invention.

图5为本发明的减毒沙门氏菌在中性粒细胞胞内的活性检测。FIG5 is a graph showing the intracellular activity detection of the attenuated Salmonella of the present invention in neutrophils.

图6为本发明的荷载了减毒沙门氏菌的中性粒细胞存活能力。FIG. 6 shows the survival ability of neutrophils loaded with attenuated Salmonella of the present invention.

图7为本发明的荷载了减毒沙门氏菌的中性粒细胞的趋化能力。FIG. 7 shows the chemotactic ability of neutrophils loaded with attenuated Salmonella of the present invention.

图8为本发明的减毒沙门氏菌从中性粒细胞胞内释放的比率。FIG. 8 shows the rate of release of the attenuated Salmonella of the present invention from neutrophils.

图9为本发明的荷载了减毒沙门氏菌的中性粒细胞促进肿瘤细胞凋亡。FIG. 9 shows that neutrophils loaded with attenuated Salmonella of the present invention promote apoptosis of tumor cells.

图10为本发明的荷载了减毒沙门氏菌的中性粒细胞抑制肿瘤细胞增殖。FIG. 10 shows that the neutrophils loaded with attenuated Salmonella of the present invention inhibit tumor cell proliferation.

图11为本发明的荷载了减毒沙门氏菌的中性粒细胞的一氧化氮以及活性氧水平。FIG. 11 shows the nitric oxide and reactive oxygen levels of neutrophils loaded with attenuated Salmonella of the present invention.

图12为本发明的实时荧光定量PCR检测荷载了减毒沙门氏菌的中性粒细胞的细胞状态。FIG. 12 shows the cell status of neutrophils loaded with attenuated Salmonella detected by real-time fluorescence quantitative PCR of the present invention.

图13为本发明的给药后小鼠脏器活体成像照片。FIG. 13 is a photograph of in vivo imaging of mouse organs after drug administration of the present invention.

图14为本发明的黑色素瘤肺转移模型的体内器官分布及水平。FIG. 14 shows the in vivo organ distribution and levels of the melanoma lung metastasis model of the present invention.

图15为本发明的黑色素瘤皮下模型的体内器官分布及水平FIG. 15 shows the organ distribution and levels of the subcutaneous melanoma model of the present invention.

图16为本发明的系统给药后肺部肿瘤转移灶数量。FIG. 16 shows the number of lung tumor metastases after systemic administration of the present invention.

图17为本发明的系统给药后荷瘤小鼠体重变化。FIG. 17 shows the changes in body weight of tumor-bearing mice after systemic administration of the present invention.

图18为本发明的系统给药后荷瘤小鼠器官重量以及脾脏照片。FIG. 18 shows organ weights and spleen photographs of tumor-bearing mice after systemic administration of the present invention.

图19为本发明的系统给药后荷瘤小鼠的其他正常器官组织的HE染色结果。FIG. 19 is the HE staining results of other normal organ tissues of tumor-bearing mice after systemic administration of the present invention.

图20为本发明的系统给药后荷瘤小鼠血清生化指标的水平。FIG. 20 shows the levels of serum biochemical indices in tumor-bearing mice after systemic administration of the present invention.

具体实施方式DETAILED DESCRIPTION

为了使本申请要解决的技术问题、技术方案及有益效果更加清楚明白,以下结合实施例,对本申请进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本申请,并不用于限定本申请。In order to make the technical problems, technical solutions and beneficial effects to be solved by the present application more clearly understood, the present application is further described in detail below in conjunction with the embodiments. It should be understood that the specific embodiments described herein are only used to explain the present application and are not used to limit the present application.

本申请中,术语“和/或”,描述关联对象的关联关系,表示可以存在三种 关系,例如,A和/或B,可以表示:单独存在A,同时存在A和B,单独存在B的情况。其中A,B可以是单数或者复数。字符“/”一般表示前后关联对象是一种“或”的关系。In this application, the term "and/or" describes the association relationship between associated objects, indicating that there may be three A relationship, such as A and/or B, can mean: A exists alone, A and B exist at the same time, and B exists alone. A and B can be singular or plural. The character "/" generally indicates that the objects before and after are in an "or" relationship.

本申请中,“至少一个”是指一个或者多个,“多个”是指两个或两个以上。“以下至少一项(个)”或其类似表达,是指的这些项中的任意组合,包括单项(个)或复数项(个)的任意组合。例如,“a,b,或c中的至少一项(个)”,或,“a,b,和c中的至少一项(个)”,均可以表示:a,b,c,a-b(即a和b),a-c,b-c,或a-b-c,其中a,b,c分别可以是单个,也可以是多个。In this application, "at least one" means one or more, and "plurality" means two or more. "At least one of the following" or similar expressions refers to any combination of these items, including any combination of single items or plural items. For example, "at least one of a, b, or c", or "at least one of a, b, and c" can all mean: a, b, c, a-b (i.e. a and b), a-c, b-c, or a-b-c, where a, b, c can be single or multiple, respectively.

应理解,在本申请的各种实施例中,上述各过程的序号的大小并不意味着执行顺序的先后,部分或全部步骤可以并行执行或先后执行,各过程的执行顺序应以其功能和内在逻辑确定,而不应对本申请实施例的实施过程构成任何限定。It should be understood that in the various embodiments of the present application, the size of the serial numbers of the above-mentioned processes does not mean the order of execution, some or all of the steps can be executed in parallel or sequentially, and the execution order of each process should be determined by its function and internal logic, and should not constitute any limitation on the implementation process of the embodiments of the present application.

在本申请实施例中使用的术语是仅仅出于描述特定实施例的目的,而非旨在限制本申请。在本申请实施例和所附权利要求书中所使用的单数形式的“一种”、“所述”和“该”也旨在包括多数形式,除非上下文清楚地表示其他含义。The terms used in the embodiments of the present application are only for the purpose of describing specific embodiments, and are not intended to limit the present application. The singular forms "a", "said" and "the" used in the embodiments of the present application and the appended claims are also intended to include plural forms, unless the context clearly indicates other meanings.

本申请实施例说明书中所提到的相关成分的重量不仅仅可以指代各组分的具体含量,也可以表示各组分间重量的比例关系,因此,只要是按照本申请实施例说明书相关组分的含量按比例放大或缩小均在本申请实施例说明书公开的范围之内。具体地,本申请实施例说明书中质量可以是μg、mg、g、kg等化工领域公知的质量单位。The weight of the relevant components mentioned in the embodiment description of the present application can not only refer to the specific content of each component, but also represent the proportional relationship between the weights of the components. Therefore, as long as the content of the relevant components is proportionally enlarged or reduced according to the embodiment description of the present application, it is within the scope disclosed in the embodiment description of the present application. Specifically, the mass in the embodiment description of the present application can be μg, mg, g, kg and other mass units known in the chemical industry.

术语“第一“、“第二”仅用于描述目的,用来将目的如物质彼此区分开,而不能理解为指示或暗示相对重要性或者隐含指明所指示的技术特征的数量。例如,在不脱离本申请实施例范围的情况下,第一XX也可以被称为第二XX,类似地,第二XX也可以被称为第一XX。由此,限定有“第一”、“第二”的特征可以明示或者隐含地包括一个或者更多个该特征。The terms "first" and "second" are used only for descriptive purposes to distinguish objects such as substances from each other, and should not be understood as indicating or implying relative importance or implicitly indicating the number of indicated technical features. For example, without departing from the scope of the embodiments of the present application, the first XX may also be referred to as the second XX, and similarly, the second XX may also be referred to as the first XX. Thus, features defined as "first" and "second" may explicitly or implicitly include one or more of the features.

本发明主要涉及一种荷载减毒沙门氏菌的中性粒细胞的构建方法以及抗肿瘤治疗应用。一方面,本发明证明了中性粒细胞是影响包含减毒沙门氏菌在内的溶瘤细菌的肿瘤定植的关键因素;另一方面,本发明开发了荷载减毒沙门氏 菌的中性粒细胞的递送系统,该递送系统展示出了抗肿瘤治疗的潜力。The present invention mainly relates to a method for constructing neutrophils loaded with attenuated Salmonella and its application in anti-tumor treatment. On the one hand, the present invention proves that neutrophils are a key factor affecting tumor colonization of oncolytic bacteria including attenuated Salmonella; on the other hand, the present invention develops a method for constructing neutrophils loaded with attenuated Salmonella and its application in anti-tumor treatment. A neutrophil delivery system for bacteria has shown potential for anti-tumor therapy.

本发明针对包含减毒沙门氏菌在内的溶瘤细菌应用的限制,提供了一种可荷载溶瘤细菌的中性粒细胞载体制备技术,中性粒细胞装载VNP20009后可被招募至肿瘤微环境,有效提升溶瘤细菌的肿瘤定植速率以及肿瘤靶向性,其可通过直接杀死肿瘤细胞以及释放胞内溶瘤细菌以诱导抗肿瘤免疫反应,从而有效抑制黑色素瘤肺转移。In response to the limitations in the application of oncolytic bacteria including attenuated Salmonella, the present invention provides a technology for preparing neutrophil carriers that can carry oncolytic bacteria. After being loaded with VNP20009, neutrophils can be recruited to the tumor microenvironment, effectively improving the tumor colonization rate and tumor targeting of oncolytic bacteria. It can directly kill tumor cells and release intracellular oncolytic bacteria to induce anti-tumor immune response, thereby effectively inhibiting melanoma lung metastasis.

本申请实施例第一方面提供了一种装载包含减毒沙门氏菌在内的溶瘤细菌的中性粒细胞,装载溶瘤细菌的中性粒细胞为原代中性粒细胞,溶瘤细菌为减毒沙门氏菌VNP20009及其衍生的重组工程菌株,重组工程菌株为不携带或携带表达治疗基因、示踪基因外源基因的表达质粒。减毒沙门氏菌VNP20009,包括前述已经申请发明专利的各菌株(ZL201410209851.7,ZL201610946268.3,ZL201610945015.4,ZL201610945021.X,202010182038.0;Acta Pharmaceutica Sinica B 2021,11(10):3165-3177;phoP/phoQ,等)都已被实验证明都具有相似的肿瘤靶向性和抗肿瘤疗效,上述改造菌株具有比VNP20009更低的毒性。这些改造菌株都具有与VNP20009相似的、能够与生物药、基因治疗、化疗、中药联合治疗的疗效。In a first aspect, an embodiment of the present application provides a neutrophil loaded with oncolytic bacteria including attenuated Salmonella. The neutrophil loaded with oncolytic bacteria is a primary neutrophil. The oncolytic bacteria are attenuated Salmonella VNP20009 and a recombinant engineered strain derived therefrom. The recombinant engineered strain is an expression plasmid that does not carry or carries an exogenous gene expressing a therapeutic gene or a tracer gene. Attenuated Salmonella VNP20009, including the aforementioned strains for which invention patents have been applied (ZL201410209851.7, ZL201610946268.3, ZL201610945015.4, ZL201610945021.X, 202010182038.0; Acta Pharmaceutica Sinica B 2021,11(10):3165-3177; phoP/phoQ, etc.), have been experimentally proven to have similar tumor targeting and anti-tumor efficacy, and the above-mentioned modified strains have lower toxicity than VNP20009. These modified strains have similar efficacy to VNP20009 and can be combined with biological drugs, gene therapy, chemotherapy, and traditional Chinese medicine for treatment.

可在减毒沙门氏菌VNP20009中表达的治疗性或具有示踪效果的基因包括免疫检查点阻断剂抗体基因、细胞因子基因、血管生成抑制剂基因、细胞凋亡类抗肿瘤基因或干扰质粒中的至少一种;所述可被减毒鼠伤寒沙门氏菌VNP20009携带的干扰质粒包括以pRNA-U6.1为骨架的、可表达干扰RNA的干扰质粒。The therapeutic or tracing effect genes that can be expressed in attenuated Salmonella VNP20009 include at least one of immune checkpoint blocker antibody genes, cytokine genes, angiogenesis inhibitor genes, apoptosis anti-tumor genes or interfering plasmids; the interfering plasmid that can be carried by attenuated Salmonella typhimurium VNP20009 includes an interfering plasmid with pRNA-U6.1 as the skeleton that can express interfering RNA.

可在减毒鼠伤寒沙门氏菌VNP20009中表达具有示踪效果的基因包括红色荧光蛋白RFP基因、绿色荧光蛋白GFP基因和荧光素酶示踪蛋白LuxCDABE基因中的至少一种。The genes with tracing effect that can be expressed in attenuated Salmonella typhimurium VNP20009 include at least one of the red fluorescent protein RFP gene, the green fluorescent protein GFP gene and the luciferase tracing protein LuxCDABE gene.

红色荧光蛋白RFP基因的核苷酸序列为SEQ ID No.1所示,绿色荧光蛋白GFP基因的核苷酸序列为SEQ ID No.2所示,荧光素酶示踪蛋白LuxCDABE基因的核苷酸序列为SEQ ID No.3所示。The nucleotide sequence of the red fluorescent protein RFP gene is shown in SEQ ID No.1, the nucleotide sequence of the green fluorescent protein GFP gene is shown in SEQ ID No.2, and the nucleotide sequence of the luciferase tracer protein LuxCDABE gene is shown in SEQ ID No.3.

可被减毒鼠伤寒沙门氏菌VNP20009携带的表达质粒包括组成型强启动子J23100和PelB胞外蛋白分泌信号肽以及Flag标签,所述组成型强启动子J23100 的核苷酸序列如SEQ ID NO.4所示,PelB胞外蛋白分泌信号肽的核苷酸序列如SEQ ID NO.5所示。The expression plasmid carried by attenuated Salmonella typhimurium VNP20009 includes a constitutive strong promoter J23100, a PeIB extracellular protein secretion signal peptide and a Flag tag. The nucleotide sequence of is shown in SEQ ID NO.4, and the nucleotide sequence of the PeIB extracellular protein secretion signal peptide is shown in SEQ ID NO.5.

本发明以减毒沙门氏菌VNP20009包括但不限于前述已经申请发明专利的各菌株(ZL201410209851.7,ZL201610946268.3,ZL201610945015.4,ZL201610945021.X,202010182038.0;Acta Pharmaceutica Sinica B 2021,11(10):3165-3177;phoP/phoQ,等)为基础菌株,结合细胞载药技术构建了一种荷载减毒沙门氏菌的中性粒细胞递送系统,该递送系统展示出了抗肿瘤治疗的潜力,且该系统描述了一种高效的、高肿瘤靶向性的、便捷的、低廉的溶瘤菌的递送策略,可显著增加肿瘤定植速率和水平,从而实现溶瘤细菌在治疗效果以及安全性间维持平衡。The present invention uses attenuated Salmonella VNP20009, including but not limited to the aforementioned strains for which invention patents have been applied (ZL201410209851.7, ZL201610946268.3, ZL201610945015.4, ZL201610945021.X, 202010182038.0; Acta Pharmaceutica Sinica B 2021, 11(10):3165-3177; phoP/phoQ, etc.) as the basic strain, and combines cell drug loading technology to construct a neutrophil delivery system loaded with attenuated Salmonella. The delivery system shows potential for anti-tumor treatment, and the system describes an efficient, highly tumor-targeted, convenient and low-cost oncolytic bacteria delivery strategy, which can significantly increase the tumor colonization rate and level, thereby achieving a balance between the therapeutic effect and safety of oncolytic bacteria.

本申请实施例第二方面提供了一种装载减毒沙门氏菌的中性粒细胞的制备方法,包括如下步骤:A second aspect of the present application provides a method for preparing neutrophils loaded with attenuated Salmonella, comprising the following steps:

野生型小鼠经5%营养淀粉肉汤刺激4-6小时后吸取腹腔积液,经percoll梯度离心后所获取细胞经流式细胞术检测90%的细胞为中性粒细胞。Wild-type mice were stimulated with 5% nutrient starch broth for 4-6 hours, and then peritoneal fluid was aspirated. Cells obtained after percoll gradient centrifugation were detected by flow cytometry, and 90% of the cells were neutrophils.

将改造或不改造的VNP20009按照减毒沙门氏菌:细胞为100:1的比例与腹腔中性粒细胞共孵育0.5、1.5、2.5小时,使用50-100μg/mL庆大霉素处理细胞30-60分钟以杀死细胞外细菌;之后使用1%TritonX-100处理细胞,冰上孵育1-2小时以裂解细胞游离出细菌,稀释后涂板统计中性粒细胞胞内细菌数量以及细菌活性。The modified or unmodified VNP20009 was incubated with peritoneal neutrophils at a ratio of attenuated Salmonella: cells of 100:1 for 0.5, 1.5, and 2.5 hours, and the cells were treated with 50-100 μg/mL gentamicin for 30-60 minutes to kill extracellular bacteria; then the cells were treated with 1% TritonX-100 and incubated on ice for 1-2 hours to lyse the cells and release the bacteria. After dilution, the number of intracellular bacteria in neutrophils and the bacterial activity were counted.

本申请实施例第三方面提供了一种装载减毒沙门氏菌的中性粒细胞的体内分布以及肿瘤定植率评价和示踪方法,包括如下步骤:使用Cy5.5标记的中性粒细胞以及中性粒细胞装载的减毒沙门氏菌可持续表达荧光蛋白或荧光素酶示踪蛋白,通过组织涂板以及活体成像技术评估装载减毒沙门氏菌的中性粒细胞的体内分布及水平。The third aspect of the embodiments of the present application provides a method for evaluating and tracing the in vivo distribution of neutrophils loaded with attenuated Salmonella and the tumor colonization rate, comprising the following steps: using Cy5.5-labeled neutrophils and neutrophil-loaded attenuated Salmonella that can sustainably express fluorescent protein or luciferase tracer protein, and evaluating the in vivo distribution and level of neutrophils loaded with attenuated Salmonella by tissue plating and in vivo imaging technology.

本申请实施例第四方面提供了一种装载减毒沙门氏菌的中性粒细胞在制备抗肿瘤药物制剂中的应用,药物制剂包括口服制剂、注射制剂和静脉注射制剂或喷剂中的至少一种。A fourth aspect of the embodiments of the present application provides a use of neutrophils loaded with attenuated Salmonella in the preparation of an anti-tumor pharmaceutical preparation, wherein the pharmaceutical preparation includes at least one of an oral preparation, an injection preparation, and an intravenous injection preparation or a spray.

装载减毒沙门氏菌的中性粒细胞可直接杀伤肿瘤细胞或激活抗肿瘤免疫反应从而抑制黑色素瘤肺转移进展。 Neutrophils loaded with attenuated Salmonella can directly kill tumor cells or activate anti-tumor immune responses to inhibit the progression of melanoma lung metastasis.

本发明装载减毒沙门氏菌的中性粒细胞联合其他抗肿瘤药物在制备抗肿瘤药物中的应用。The invention discloses an application of neutrophils loaded with attenuated Salmonella in combination with other anti-tumor drugs in the preparation of anti-tumor drugs.

本发明所述的荷载减毒沙门氏菌的中性粒细胞的在肿瘤治疗中的应用,其特征是避免了减毒沙门氏菌的血管过早暴露以及被免疫系统清除从而增加了减毒沙门氏菌的肿瘤靶向性,通过减少减毒沙门氏菌对正常组织器官的浸润从而增加减毒沙门氏菌的安全性;本发明所述的减毒沙门氏菌递送系统可有效的维持溶瘤细菌在其治疗效果和安全性的平衡,从而扩大了溶瘤细菌的应用范围。The use of neutrophils loaded with attenuated Salmonella in tumor treatment described in the present invention is characterized in that premature exposure of blood vessels of attenuated Salmonella and clearance by the immune system are avoided, thereby increasing the tumor targeting of attenuated Salmonella, and increasing the safety of attenuated Salmonella by reducing the infiltration of attenuated Salmonella into normal tissues and organs; the attenuated Salmonella delivery system described in the present invention can effectively maintain the balance between the therapeutic effect and safety of oncolytic bacteria, thereby expanding the application range of oncolytic bacteria.

实施例1Example 1

荷载减毒沙门氏菌的中性粒细胞的构建及评估Construction and evaluation of neutrophils loaded with attenuated Salmonella

腹腔中性粒细胞的获取:本发明中性粒细胞为小鼠原代腹腔中性粒细胞,在分离腹腔中性粒细胞前4-6小时,小鼠皮下注射1ml营养肉汤刺激腹膜中性粒细胞成熟。用Percoll梯度分离中性粒细胞,流式细胞仪鉴定;Acquisition of peritoneal neutrophils: The neutrophils of the present invention are primary peritoneal neutrophils of mice. 4-6 hours before the separation of peritoneal neutrophils, mice are subcutaneously injected with 1 ml of nutrient broth to stimulate the maturation of peritoneal neutrophils. Neutrophils are separated using Percoll gradient and identified by flow cytometry;

菌与中性粒细胞共孵育:在5%CO2,37℃的条件下培养细胞,将摩尔浓度为100:1的减毒沙门氏菌与中性粒细胞孵育0.5、1.5或2.5小时。然后,加入50-100μg/mL硫酸庆大霉素到培养基中1小时,来杀死中性粒细胞表面的细菌;为了测量中性粒细胞的荷载VNP的效率,用流式细胞仪检测中性粒细胞中VNP-RFP阳性的比例;为了评估胞内细菌活性,使用1%TritonX-100处理细胞,冰上孵育1-2小时以裂解细胞游离出细菌,稀释后涂板统计中性粒细胞胞内细菌数量以及细菌活性。Co-incubation of bacteria with neutrophils: Cells were cultured at 5% CO 2 and 37°C, and attenuated Salmonella at a molar concentration of 100:1 was incubated with neutrophils for 0.5, 1.5 or 2.5 hours. Then, 50-100 μg/mL gentamicin sulfate was added to the culture medium for 1 hour to kill bacteria on the surface of neutrophils; in order to measure the efficiency of VNP loading of neutrophils, the proportion of VNP-RFP positive in neutrophils was detected by flow cytometry; in order to evaluate the activity of intracellular bacteria, cells were treated with 1% TritonX-100, incubated on ice for 1-2 hours to lyse the cells and release the bacteria, and the number of intracellular bacteria in neutrophils and bacterial activity were counted after dilution.

中性粒细胞释放减毒沙门氏菌检测:将荷载减毒沙门氏菌的中性粒细胞分别与肿瘤细胞B16F1、B16F10以及小鼠胚胎成纤维细胞MEF在37℃、5%CO2孵箱中共培养0.5h、1h、2h、4h,收集上清液,在LB板上计数释放的减毒沙门氏菌数。Detection of attenuated Salmonella released by neutrophils: Neutrophils loaded with attenuated Salmonella were co-cultured with tumor cells B16F1, B16F10 and mouse embryonic fibroblasts MEF in an incubator at 37°C and 5% CO2 for 0.5h, 1h, 2h, and 4h, respectively. The supernatant was collected and the number of released attenuated Salmonella was counted on LB plates.

实施例2Example 2

荷载减毒沙门氏菌的中性粒细胞状态表征Characterization of the state of neutrophils loaded with attenuated Salmonella

活性氧以及一氧化氮水平检测:中性粒细胞在0.5h、1、5h或2.5h负载减毒沙门氏菌后,用ROS检测试剂盒(S0033S,碧云天)和DAF-FM DA(S0019,碧云天)检测中性粒细胞ROS和NO,实验操作按照试剂盒说明书进行;Detection of reactive oxygen species and nitric oxide levels: After neutrophils were loaded with attenuated Salmonella for 0.5 h, 1 h, 5 h, or 2.5 h, ROS detection kit (S0033S, Bio-Tech) and DAF-FM DA (S0019, Bio-Tech) were used to detect neutrophil ROS and NO. The experimental operation was carried out according to the instructions of the kit.

中性粒细胞趋化实验:中性粒细胞趋化采用孔径为3μm的Transwell。下 室加入中性粒细胞趋化因子fMLP(10nM)或预置1×106个/孔巨噬细胞,上室每孔接种5×105个中性粒细胞,共培养2小时。收集下室上清液,计数中性粒细胞数和趋化比率。Neutrophil chemotaxis assay: Neutrophil chemotaxis was performed using a Transwell with a pore size of 3 μm. Neutrophil chemotactic factor fMLP (10 nM) or 1×10 6 macrophages/well were added to the upper chamber, and 5×10 5 neutrophils were inoculated per well in the upper chamber for 2 hours. The supernatant in the lower chamber was collected to count the number of neutrophils and the chemotactic ratio.

细胞增殖和细胞凋亡检测。用B16F10-GFP法检测给药后肿瘤细胞的增殖情况,B16F10细胞以每孔1×105的密度接种于24孔板中,每12h用微型平板阅读器(488nm~510nm)测量一次,以计算B16F10细胞的增殖率。B16F10细胞的凋亡率使用Annexin V/PI染色。1μl Annexin V-APC(1mg/ml)和1μl PI-PE(PI,1mg/ml)与1×106细胞在结合缓冲液中孵育30分钟,4℃。用流式细胞仪对染色的细胞进行分析。结果用FlowJo VX软件进行统计分析。Cell proliferation and apoptosis detection. The proliferation of tumor cells after drug administration was detected by the B16F10-GFP method. B16F10 cells were seeded in 24-well plates at a density of 1×10 5 per well and measured once every 12 hours using a microplate reader (488nm~510nm) to calculate the proliferation rate of B16F10 cells. The apoptosis rate of B16F10 cells was stained using Annexin V/PI. 1μl Annexin V-APC (1mg/ml) and 1μl PI-PE (PI, 1mg/ml) were incubated with 1×10 6 cells in binding buffer for 30 minutes at 4°C. The stained cells were analyzed by flow cytometry. The results were statistically analyzed using FlowJo VX software.

实时荧光定量PCR检测中性粒细胞状态:用TRIzol试剂提取总RNA。根据说明书,用TUYOBO cDNA合成试剂盒逆转录出cDNA模板。采用一步法RT-PCR SYBR Green试剂盒(诺唯赞)检测相对基因表达水平。Real-time fluorescence quantitative PCR to detect neutrophil status: Total RNA was extracted using TRIzol reagent. According to the instructions, the cDNA template was reverse transcribed using the TUYOBO cDNA synthesis kit. The relative gene expression level was detected using the one-step RT-PCR SYBR Green kit (Novozymes).

实施例3Example 3

荷载减毒沙门氏菌的中性粒细胞的肿瘤治疗效果鉴定Identification of the therapeutic effect of neutrophils loaded with attenuated Salmonella on tumors

构建肺转移黑色素瘤肿瘤模型:B16F10小鼠黑色素瘤细胞使用DMEM细胞培养基来培养至指数生长期后用胰酶消化,1000rpm,4℃,离心3分钟收集细胞,PBS洗涤2次后进行细胞计数,最终使用细胞终浓度为1×106个/mL。每只C57BL/6小鼠接种1×105个/只。Construction of lung metastasis melanoma tumor model: B16F10 mouse melanoma cells were cultured in DMEM cell culture medium until the exponential growth phase, then digested with trypsin, centrifuged at 1000 rpm, 4°C for 3 minutes to collect the cells, washed twice with PBS, and then counted. The final cell concentration was 1×10 6 cells/mL. Each C57BL/6 mouse was inoculated with 1×10 5 cells/mouse.

荷瘤小鼠分组且细菌给药:将荷B16F10小鼠黑色素瘤的小鼠随机分为4组,尾静脉注射3×106CFU细菌以及1×106个荷载减毒沙门氏菌的中性粒细胞。Grouping of tumor-bearing mice and administration of bacteria: B16F10 mouse melanoma-bearing mice were randomly divided into 4 groups and injected with 3×10 6 CFU of bacteria and 1×10 6 neutrophils loaded with attenuated Salmonella via tail vein.

每天记录体重变化情况,一周后解剖小鼠获取各个脏器来统计小鼠肺部转移灶数量。Body weight changes were recorded every day, and one week later, the mice were dissected to obtain various organs to count the number of lung metastases in the mice.

实施例4Example 4

荷载减毒沙门氏菌的中性粒细胞在荷瘤小鼠体内分布情况探究Study on the distribution of neutrophils loaded with attenuated Salmonella in tumor-bearing mice

构建皮下黑色素瘤肿瘤模型:B16F10小鼠黑色素瘤细胞使用DMEM细胞培养基来培养至指数生长期后用胰酶消化,1000rpm,4℃,离心3分钟收集细胞,PBS洗涤2次后进行细胞计数,最终使用细胞终浓度为1×106个/mL。每只C57BL/6小鼠接种1×105个/只,小鼠肿瘤体积生长至约100mm3时进行实验。Construction of subcutaneous melanoma tumor model: B16F10 mouse melanoma cells were cultured in DMEM cell culture medium until the exponential growth phase, then digested with trypsin, centrifuged at 1000 rpm, 4°C for 3 minutes to collect cells, washed twice with PBS and counted, and the final cell concentration was 1×10 6 cells/mL. Each C57BL/6 mouse was inoculated with 1×10 5 cells/mouse, and the experiment was performed when the mouse tumor volume grew to about 100 mm3.

构建肺转移黑色素瘤肿瘤模型:B16F10小鼠黑色素瘤细胞使用DMEM细 胞培养基来培养至指数生长期后用胰酶消化,1000rpm,4℃,离心3分钟收集细胞,PBS洗涤2次后进行细胞计数,最终使用细胞终浓度为1×106个/mL。每只C57BL/6小鼠接种1×105个/只。Construction of lung metastasis melanoma tumor model: B16F10 mouse melanoma cells were cultured in DMEM. After culturing to the exponential growth phase with cell culture medium, the cells were digested with trypsin and centrifuged at 1000 rpm, 4°C for 3 minutes to collect the cells. After washing twice with PBS, the cells were counted and the final cell concentration was 1×10 6 cells/mL. Each C57BL/6 mouse was inoculated with 1×10 5 cells/mouse.

给药不同时间点后,处死小鼠,在无菌环境下收集荷瘤小鼠各个脏器组织,其中包括肿瘤、肝脏、脾脏、肾脏、肺以及心脏,分别称重后置于2mL PBS中进行组织匀浆从而裂解细胞释放细菌。根据组织中细菌滴度的不同,按照不同的稀释梯度获取合适的细菌菌液,于含有卡纳霉素的LB平板进行涂布,随后在37℃细菌培养箱中倒置培养12h,进行菌落计数,从而比较分析野生型减毒沙门氏菌和NE(VNP)在荷瘤小鼠体内组织分布情况。After administration at different time points, the mice were killed, and the various organ tissues of the tumor-bearing mice, including tumors, liver, spleen, kidney, lung and heart, were collected under a sterile environment. They were weighed and placed in 2 mL PBS for tissue homogenization to lyse the cells and release bacteria. According to the different bacterial titers in the tissues, the appropriate bacterial solution was obtained according to different dilution gradients, and spread on LB plates containing kanamycin, and then inverted and cultured in a 37°C bacterial incubator for 12 hours, and the colonies were counted to compare and analyze the tissue distribution of wild-type attenuated Salmonella and NE (VNP) in tumor-bearing mice.

活体成像以及免疫荧光切片检测荷载减毒沙门氏菌的中性粒细胞在体内分布,使用Cy5.5标记的中性粒细胞以及中性粒细胞装载的减毒沙门氏菌可持续表达荧光蛋白或荧光素酶示踪蛋白,荷瘤小鼠分别注射3×106CFU细菌以及1×106个荷载减毒沙门氏菌的中性粒细胞,通过活体成像技术以及免疫荧光染色评估装载减毒沙门氏菌的中性粒细胞的体内分布及水平。In vivo imaging and immunofluorescence sections were used to detect the in vivo distribution of neutrophils loaded with attenuated Salmonella. Neutrophils labeled with Cy5.5 and neutrophils loaded with attenuated Salmonella could continuously express fluorescent protein or luciferase tracer protein. Tumor-bearing mice were injected with 3× 106 CFU of bacteria and 1×106 neutrophils loaded with attenuated Salmonella, respectively. The in vivo distribution and level of neutrophils loaded with attenuated Salmonella were evaluated by in vivo imaging technology and immunofluorescence staining.

组织病理与血生化分析:将血液室温静置30分钟后,4度、3000转、离心15分钟,小心吸取上清血清。从血液中获得的血清在-80℃下冷冻保存,直到测定血液生化指标;血液生化分析、肿瘤、心脏、肝脏、脾脏、肺和肾脏切片的H&E染色和肿瘤切片荧光免疫染色由武汉服务生物公司制备。Histopathology and blood biochemical analysis: After the blood was allowed to stand at room temperature for 30 minutes, it was centrifuged at 4 degrees and 3000 rpm for 15 minutes, and the supernatant serum was carefully aspirated. The serum obtained from the blood was frozen and stored at -80°C until the blood biochemical indicators were determined; blood biochemical analysis, H&E staining of tumor, heart, liver, spleen, lung and kidney sections, and fluorescent immunostaining of tumor sections were prepared by Wuhan Service Biology Company.

试验例1Test Example 1

本发明通过中性粒细胞耗竭模型证明中性粒细胞的血管清除是影响溶瘤细菌即减毒沙门氏菌肿瘤定植率的关键因素,即在中性粒细胞耗竭后减毒沙门氏菌的肿瘤定植比率显著提升(图2)。The present invention uses a neutrophil depletion model to demonstrate that vascular clearance of neutrophils is a key factor affecting the tumor colonization rate of oncolytic bacteria, namely, attenuated Salmonella, that is, the tumor colonization rate of attenuated Salmonella is significantly increased after neutrophil depletion ( FIG. 2 ).

试验例2Test Example 2

本发明提取小鼠原代中性粒细胞纯度比例大于90%(图3),且通过荧光照片可证明中性粒细胞可荷载减毒沙门氏菌(图4);并且减毒沙门氏菌可在中性粒细胞胞内维持30%以上的活性(图5);中性粒细胞可在吞噬减毒沙门氏菌2小时后保持活性在大约80%以上,因此,中性粒细胞在被招募至肿瘤区域前保证活性以及趋化能力(图6、图7);中性粒细胞可在高恶性的肿瘤(B16F10)诱导下释放出更多的减毒沙门氏菌(图8)。 The purity ratio of primary mouse neutrophils extracted by the present invention is greater than 90% (Figure 3), and fluorescent photos can prove that neutrophils can be loaded with attenuated Salmonella (Figure 4); and attenuated Salmonella can maintain more than 30% activity in neutrophils (Figure 5); neutrophils can maintain activity at more than about 80% after phagocytizing attenuated Salmonella for 2 hours, so that neutrophils are guaranteed to have activity and chemotaxis before being recruited to the tumor area (Figures 6 and 7); neutrophils can release more attenuated Salmonella under the induction of highly malignant tumors (B16F10) (Figure 8).

试验例3Test Example 3

本发明通过肿瘤细胞凋亡以及增殖实验证明荷载了减毒沙门氏菌的中性粒细胞有更强的肿瘤抑制能力(图9、图10);荷载了减毒沙门氏菌的中性粒细胞具有更强的一氧化氮以及活性氧水平(图11);通过实时荧光定量PCR检测荷载了减毒沙门氏菌的中性粒细胞的细胞状态,结果表明减毒沙门氏菌可诱导中性粒细胞向抗肿瘤形态极化(图12)。The present invention proves through tumor cell apoptosis and proliferation experiments that neutrophils loaded with attenuated Salmonella have stronger tumor inhibition ability (Figures 9 and 10); neutrophils loaded with attenuated Salmonella have stronger nitric oxide and reactive oxygen levels (Figure 11); the cell state of neutrophils loaded with attenuated Salmonella is detected by real-time fluorescence quantitative PCR, and the results show that attenuated Salmonella can induce neutrophils to polarize toward an anti-tumor morphology (Figure 12).

试验例4Test Example 4

本发明通过Cy5.5标记中性粒细胞以及荷载表达荧光素的减毒沙门氏菌来检测荷载了减毒沙门氏菌的中性粒细胞的体内分布,实验结果表明:中性粒细胞更多的富集在肺部(图13)。肺转移肿瘤模型的体内分布结果表明:荷载了减毒沙门氏菌的中性粒细胞显著提升减毒沙门氏菌的肺部富集、且延长了肺部的减毒沙门氏菌分布时间,同时显著降低了减毒沙门氏菌在脾脏、心脏的浸润,提升了肿瘤靶向性(图14)。皮下瘤模型结果表明:荷载了减毒沙门氏菌的中性粒细胞可降低其他正常器官的减毒沙门氏菌滴度、且肿瘤组织的细菌滴度维持不变(图15)。荷载了减毒沙门氏菌的中性粒细胞可显著减少肿瘤肺转移病灶(图16)。该系统的安全性评价结果出乎意料,荷载了减毒沙门氏菌的中性粒细胞可显著缓解减毒沙门氏菌引起的毒副作用,例如体重下降以及肝脾肿大(图17、图18);其他正常组织的HE染色结果表明:脏器损伤也明显缓解(图19);且治疗后荷瘤小鼠血清生化检测结果也证明了该系统可提升溶瘤细菌的安全性(图20)。The present invention detects the in vivo distribution of neutrophils loaded with attenuated Salmonella by labeling neutrophils with Cy5.5 and loading attenuated Salmonella expressing fluorescein. The experimental results show that neutrophils are more enriched in the lungs (Figure 13). The in vivo distribution results of the lung metastasis tumor model show that neutrophils loaded with attenuated Salmonella significantly increase the lung enrichment of attenuated Salmonella and prolong the distribution time of attenuated Salmonella in the lungs, while significantly reducing the infiltration of attenuated Salmonella in the spleen and heart, and improving tumor targeting (Figure 14). The results of the subcutaneous tumor model show that neutrophils loaded with attenuated Salmonella can reduce the titer of attenuated Salmonella in other normal organs, and the bacterial titer of tumor tissue remains unchanged (Figure 15). Neutrophils loaded with attenuated Salmonella can significantly reduce tumor lung metastasis lesions (Figure 16). The safety evaluation results of this system were unexpected. Neutrophils loaded with attenuated Salmonella could significantly alleviate the toxic side effects caused by attenuated Salmonella, such as weight loss and hepatosplenomegaly (Figures 17 and 18). HE staining results of other normal tissues showed that organ damage was also significantly alleviated (Figure 19). The serum biochemical test results of tumor-bearing mice after treatment also proved that this system can improve the safety of oncolytic bacteria (Figure 20).

以上显示和描述了本发明的基本原理、主要特征和本发明的优点。本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,本发明要求保护范围由所附的权利要求书、说明书及其等效物界定。 The above shows and describes the basic principles, main features and advantages of the present invention. Those skilled in the art should understand that the present invention is not limited to the above embodiments, and the above embodiments and descriptions are only for explaining the principles of the present invention. Without departing from the spirit and scope of the present invention, the present invention may have various changes and improvements, and the scope of protection of the present invention is defined by the attached claims, description and their equivalents.

Claims (10)

一种装载减毒沙门氏菌的中性粒细胞,其特征在于:所述装载减毒沙门氏菌的中性粒细胞包括中性粒细胞和溶瘤细菌,所述溶瘤细菌为减毒鼠伤寒沙门氏菌VNP20009及其衍生的重组工程菌株,所述重组工程菌株为不携带或携带表达治疗基因、示踪基因外源基因的表达质粒的菌株。A neutrophil loaded with attenuated Salmonella, characterized in that: the neutrophil loaded with attenuated Salmonella includes neutrophils and oncolytic bacteria, the oncolytic bacteria are attenuated Salmonella typhimurium VNP20009 and recombinant engineered strains derived therefrom, and the recombinant engineered strains are strains that do not carry or carry expression plasmids that express exogenous genes such as therapeutic genes and tracer genes. 权利要求1所述的中性粒细胞装载的重组减毒沙门氏菌工程菌,其特征在于:可在减毒沙门氏菌VNP20009及其衍生的重组工程菌株中表达治疗性或具有示踪效果的基因包括免疫检查点阻断剂抗体基因、细胞因子基因、血管生成抑制剂基因、细胞凋亡类抗肿瘤基因和干扰质粒中的至少一种;所述可被减毒鼠伤寒沙门氏菌VNP20009携带的干扰质粒包括以pRNA-U6.1为骨架的、可表达干扰RNA的干扰质粒。The neutrophil-loaded recombinant attenuated Salmonella engineered bacteria described in claim 1 is characterized in that: genes that can express therapeutic or tracing effects in attenuated Salmonella VNP20009 and its derived recombinant engineered strains include at least one of immune checkpoint blocker antibody genes, cytokine genes, angiogenesis inhibitor genes, apoptosis anti-tumor genes and interfering plasmids; the interfering plasmid that can be carried by attenuated Salmonella typhimurium VNP20009 includes an interfering plasmid with pRNA-U6.1 as the backbone that can express interfering RNA. 根据权利要求2所述的中性粒细胞装载的重组减毒沙门氏菌工程菌,其特征在于:所述可在减毒鼠伤寒沙门氏菌VNP20009中表达具有示踪效果的基因包括红色荧光蛋白RFP基因、绿色荧光蛋白GFP基因和荧光素酶示踪蛋白LuxCDABE基因中的至少一种。The neutrophil-loaded recombinant attenuated Salmonella engineered bacteria according to claim 2 is characterized in that the gene that can be expressed in the attenuated Salmonella typhimurium VNP20009 and has a tracing effect includes at least one of a red fluorescent protein RFP gene, a green fluorescent protein GFP gene, and a luciferase tracer protein LuxCDABE gene. 根据权利要求3所述的中性粒细胞装载的重组工程减毒沙门氏菌工程菌,其特征在于:所述红色荧光蛋白RFP基因的核苷酸序列为SEQ ID No.1所示,所述绿色荧光蛋白GFP基因的核苷酸序列为SEQ ID No.2所示,所述荧光素酶示踪蛋白LuxCDABE基因的核苷酸序列为SEQ ID No.3所示。The neutrophil-loaded recombinant engineered attenuated Salmonella engineered bacteria according to claim 3 is characterized in that the nucleotide sequence of the red fluorescent protein RFP gene is shown in SEQ ID No.1, the nucleotide sequence of the green fluorescent protein GFP gene is shown in SEQ ID No.2, and the nucleotide sequence of the luciferase tracer protein LuxCDABE gene is shown in SEQ ID No.3. 根据权利要求2所述的中性粒细胞装载的重组工程减毒沙门氏菌工程菌,其特征在于:所述可被减毒沙门氏菌VNP20009携带的表达质粒包括组成型强启动子J23100和PelB胞外蛋白分泌信号肽以及Flag标签,所述组成型强启动子J23100的核苷酸序列如SEQ ID NO.4所示,PelB胞外蛋白分泌信号肽的核苷酸序列如SEQ ID NO.5所示。The neutrophil-loaded recombinant engineered attenuated Salmonella engineered bacteria according to claim 2 is characterized in that: the expression plasmid that can be carried by the attenuated Salmonella VNP20009 includes a constitutive strong promoter J23100, a PelB extracellular protein secretion signal peptide and a Flag tag, the nucleotide sequence of the constitutive strong promoter J23100 is shown in SEQ ID NO.4, and the nucleotide sequence of the PelB extracellular protein secretion signal peptide is shown in SEQ ID NO.5. 权利要求1所述的装载减毒沙门氏菌的中性粒细胞的制备方法,其特征在于包括如下步骤:提取5%淀粉肉汤刺激后的中性粒细胞,与减毒沙门氏菌按照减毒沙门氏菌:细胞为100:1的比例共孵育0.5-2.5小时后使用50-100μg/mL庆大霉素处理细胞30-60分钟以杀死细胞外细菌,制得装载减毒沙门氏菌的中性 粒细胞。The method for preparing neutrophils loaded with attenuated Salmonella according to claim 1 is characterized in that it comprises the following steps: extracting neutrophils stimulated with 5% starch broth, incubating with attenuated Salmonella at a ratio of attenuated Salmonella: cells of 100:1 for 0.5-2.5 hours, and then treating the cells with 50-100 μg/mL gentamicin for 30-60 minutes to kill extracellular bacteria, thereby obtaining neutrophils loaded with attenuated Salmonella. Granulocytes. 权利要求1所述的装载减毒沙门氏菌的中性粒细胞的体内分布以及肿瘤定植率评价和示踪方法,其特征在于包括如下步骤:使用Cy5.5标记的中性粒细胞以及中性粒细胞装载可持续表达荧光蛋白或荧光素酶示踪蛋白的减毒沙门氏菌,通过活体成像技术,或者通过将裂解的组织稀释后涂板统计细菌数量评估装载减毒沙门氏菌的中性粒细胞的体内分布及水平。The method for evaluating and tracing the in vivo distribution of neutrophils loaded with attenuated Salmonella and the tumor colonization rate described in claim 1 is characterized by comprising the following steps: using Cy5.5-labeled neutrophils and neutrophils loaded with attenuated Salmonella that can sustainably express fluorescent protein or luciferase tracer protein, and evaluating the in vivo distribution and level of neutrophils loaded with attenuated Salmonella by in vivo imaging technology, or by diluting the lysed tissue and then plating to count the number of bacteria. 权利要求1所述的装载减毒沙门氏菌的中性粒细胞在制备抗肿瘤药物制剂中的应用,其特征在于:所述药物制剂包括口服制剂、注射制剂和静脉注射制剂或喷剂中的至少一种。The use of neutrophils loaded with attenuated Salmonella in claim 1 in the preparation of an anti-tumor pharmaceutical preparation is characterized in that the pharmaceutical preparation comprises at least one of an oral preparation, an injection preparation, and an intravenous injection preparation or a spray. 根据权利要求8所述的应用,其特征在于:装载减毒沙门氏菌的中性粒细胞可直接杀伤肿瘤细胞或激活抗肿瘤免疫反应从而抑制肿瘤进展。The use according to claim 8 is characterized in that neutrophils loaded with attenuated Salmonella can directly kill tumor cells or activate anti-tumor immune response to inhibit tumor progression. 权利要求1所述的装载减毒沙门氏菌的中性粒细胞联合其他抗肿瘤药物在制备抗肿瘤药物中的应用。 Use of the neutrophils loaded with attenuated Salmonella as claimed in claim 1 in combination with other anti-tumor drugs in the preparation of anti-tumor drugs.
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