WO2025185753A1 - Fusion protein inhalant for treating respiratory allergic diseases - Google Patents
Fusion protein inhalant for treating respiratory allergic diseasesInfo
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- WO2025185753A1 WO2025185753A1 PCT/CN2025/081418 CN2025081418W WO2025185753A1 WO 2025185753 A1 WO2025185753 A1 WO 2025185753A1 CN 2025081418 W CN2025081418 W CN 2025081418W WO 2025185753 A1 WO2025185753 A1 WO 2025185753A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/08—Antiallergic agents
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/46—Hybrid immunoglobulins
Definitions
- the present invention belongs to the fields of genetic engineering and immunology, and in particular relates to a fusion protein inhaler for treating respiratory allergic diseases.
- Allergic diseases are the sixth leading cause of acute and chronic illnesses and have a clear genetic predisposition. Common allergic diseases include allergic asthma, allergic rhinitis, hay fever, atopic dermatitis, allergic arthritis, urticaria, and anaphylactic shock.
- Allergic rhinitis mainly affects the patient's quality of life, while allergic asthma can be life-threatening in severe cases.
- the mechanism of allergy development is as follows: when an allergen (antigen) first comes into contact with immune B cells, the B cells and T cells come into contact, differentiate into plasma cells, and produce large amounts of antibodies called IgE. These IgEs then bind to immune cells such as mast cells. Upon subsequent exposure to the allergen, the IgE-bound immune cells become activated, releasing substances like histamine, causing allergic symptoms and impacting the immune response.
- allergens cross-link specific IgE antibodies with the IgE receptor Fc ⁇ RI on the surface of allergic cells, thereby activating activation signaling pathways within the allergic cells and leading to the release of large numbers of intracellular granules. These granules contain numerous cytokines and chemokines, which act on surrounding tissues and organs, triggering an inflammatory response. This is often associated with clinical symptoms such as increased mucus secretion, nasal congestion, and bronchospasm.
- the present invention provides a fusion protein inhaler and its application in treating respiratory allergic diseases.
- the fusion protein inhaler of the present invention can block the degranulation of allergic reaction cells and can effectively treat respiratory allergic asthma.
- a first aspect of the present invention provides a drug for treating respiratory allergic diseases, the drug comprising a fusion protein having an amino acid sequence as shown in SEQ ID NO: 3; and a medically acceptable excipient;
- the medically acceptable excipients include anti-adhesive agents, penetration enhancers, buffers, plasticizers, surfactants, defoamers, thickeners, inclusion agents, absorbents, humectants, solvents, propellants, solubilizers, cosolvents, emulsifiers, colorants, pH regulators, adhesives, disintegrants, fillers, lubricants, wetting agents, integrators, osmotic pressure regulators, stabilizers, glidants, flavoring agents, preservatives, foaming agents, suspending agents, coating materials, fragrances, diluents, flocculants and deflocculants, filter aids, release retardants or combinations thereof;
- the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
- the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
- the drug is a drug that reduces inflammatory cell infiltration and alleviates lung tissue fibrosis.
- the inflammatory cells are peribronchial inflammatory cells or lung tissue inflammatory cells.
- the drug is a drug that reduces airway hyperresponsiveness.
- the drug is a drug that reduces eosinophil infiltration of peribronchial or lung tissue.
- the drug is a drug that reduces neutrophil infiltration in peribronchial or lung tissue.
- the drug is a drug that reduces lymphocyte infiltration in peribronchial or lung tissue.
- the drug is a drug that reduces mononuclear cell infiltration of peribronchial or lung tissue.
- the medicament is a spray or inhaler.
- the second aspect of the present invention provides the use of a fusion protein in the preparation of a drug for treating or preventing respiratory allergic diseases, wherein the fusion protein has an amino acid sequence as shown in SEQ ID NO: 3.
- the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
- the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
- the drug is a drug that reduces inflammatory cell infiltration and alleviates lung tissue fibrosis.
- the inflammatory cells are peribronchial inflammatory cells or lung tissue inflammatory cells.
- the drug is a drug that reduces airway hyperresponsiveness.
- the drug is a drug that reduces eosinophil infiltration of peribronchial or lung tissue.
- the drug is a drug that reduces neutrophil infiltration in peribronchial or lung tissue.
- the drug is a drug that reduces lymphocyte infiltration in peribronchial or lung tissue.
- the drug is a drug that reduces mononuclear cell infiltration of peribronchial or lung tissue.
- the medicament is a spray or inhaler.
- the third aspect of the present invention provides a fusion protein for treating or preventing respiratory allergic diseases, wherein the fusion protein has an amino acid sequence as shown in SEQ ID NO:3.
- the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
- the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
- the fourth aspect of the present invention provides a method for treating or preventing respiratory allergic diseases, administering the drug as described in the first aspect of the present invention or the fusion protein consisting of the amino acid sequence shown in SEQ ID NO: 3 to a subject in need.
- the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
- the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
- the administration is respiratory administration.
- the level of inflammatory cells in the lung as assessed by total cell counts in bronchoalveolar lavage fluid, bronchial biopsy is reduced relative to pre-administration levels.
- the reagents and raw materials used in the present invention are commercially available.
- Fusion protein technology is used to specifically crosslink Fc ⁇ RII and Fc ⁇ RI on the surface of allergic cells, effectively activating inhibitory signaling pathways within the cells, thereby blocking the release of intracellular granules.
- Further studies in animal disease models have shown that fusion protein inhalers can block degranulation of allergic cells, reduce inflammatory cell infiltration, alleviate lung fibrosis, and reduce airway hyperresponsiveness. Fusion protein inhalers can reduce the infiltration of eosinophils, neutrophils, lymphocytes, and monocytes in peribronchial or lung tissue, and are effective in treating allergic rhinitis, allergic cough, allergic asthma, or anaphylactic shock.
- Figure 1A shows that mGE2 protein inhibits the degranulation reaction induced by DNP-IgE in wild-type mice; L is injected with mDNP-IgE on the left side, and R is injected with mDNP-IgE+mGE2 on the right side.
- Figure 1B shows that mGE2 protein inhibits the degranulation reaction induced by DNP-IgE in Fc ⁇ RII-deficient mice; L: mDNP-IgE was injected on the left side, and R: mDNP-IgE+mGE2 was injected on the right side.
- FIG2 is a schematic diagram of the establishment of an OVA-induced asthma model in mice.
- FIG3A is a diagram showing cell counts of bronchoalveolar lavage fluid (BAL).
- FIG3B is a statistical graph showing the number of eosinophils, neutrophils, lymphocytes, and monocytes.
- FIG3C is a statistical diagram of the number of macrophages.
- Figure 4 is a stained image of bronchial pathological tissue sections.
- FIG5 is a dose-response curve diagram showing the maximum drug resistance value after drug administration.
- Fc ⁇ RIIb is used to refer to the Fc ⁇ RIIb receptor of any species present in nature, including any mammalian species.
- the mammal is a human.
- Fc ⁇ RIIb is an isotype of the low-affinity IgG receptor Fc ⁇ RII that contains an immunoreceptor tyrosine-based inhibitory motif (ITIM).
- ITIM immunoreceptor tyrosine-based inhibitory motif
- the Fc ⁇ RIIb receptor is found on, for example, basophils, mast cells, B cells, and dendritic cells.
- Fc ⁇ RIIb has three alternative splicing forms, designated Fc ⁇ RIIb1, Fc ⁇ RIIb1', and Fc ⁇ RIIb2, which differ only in the sequence of the cytoplasmic domain.
- All three alternative splicing isoforms contain two extracellular immunoglobulin-like loops and a conserved ITIM motif located in the cytoplasmic tail and are explicitly included in the definition of Fc ⁇ RIIb, along with other splicing variants that may be identified in the future.
- Fc ⁇ RI refers to the Fc ⁇ RI receptor of any species, including any mammalian species found in nature.
- Fc ⁇ RI is a member of the multiunit immune response receptor (MIRR) family of cell surface receptors. Receptors in the MIRR family of cell surface receptors are generally capable of transducing intracellular signals by binding to cytoplasmic tyrosine kinases.
- MIRR multiunit immune response receptor
- Fusion proteins can be prepared, for example, by recombinant DNA technology or by chemical bonding to form a covalent bond or other well-known techniques in the art for forming fusion proteins. Providing an appropriate DNA sequence encoding the desired fusion protein allows the generation of the fusion protein using recombinant techniques well-known in the art.
- the coding sequence can be obtained from natural resources or synthesized or constructed using widely available starting materials by conventional methods. When the coding DNA is prepared synthetically, the codon preference of the intended host in which the DNA is to be expressed can be utilized.
- Fusion proteins can be formed by combining the Fc ⁇ fragment with the Fc ⁇ fragment via various linkers well known in the art.
- fusion proteins of the present invention one of ordinary skill in the art can use known techniques to synthesize or obtain a DNA molecule encoding an Fc ⁇ fragment or a portion thereof from readily available human DNA (combined with a DNA molecule encoding an Fc ⁇ fragment or a portion thereof), and then insert the DNA molecule into a commercially available expression vector for use in known expression systems.
- Such systems include those in which the relevant fusion protein is produced as a single chain.
- Transfection/transduction refers to methods for introducing a gene into a cell and expressing the gene in the cell, which are known in the art.
- the vector can be easily introduced into a host cell, such as a mammalian cell, a bacterial cell, a yeast cell, or an insect cell, by any method in the art.
- the expression vector can be transferred into the host cell by physical, chemical, or biological means.
- IgE plays a key role in many acute and chronic allergic reactions, including, for example, asthma, allergic rhinitis, atopic dermatitis, severe food allergies, chronic urticaria and angioedema, and the serious physiological conditions of anaphylactic shock caused by, for example, food allergies, bee stings or penicillin allergies.
- the Fc portion of human IgE can bind to Fc ⁇ RI or Fc ⁇ RII cell surface receptors on various cell types such as basophils, mast cells, dendritic cells and B lymphocytes (B cells).
- IgE When antigen binds to IgE, IgE binds to certain cell surface receptors on, for example, basophils and mast cells, and IgE binds to these cells causing vasoactive and proinflammatory mediators, including histamine.
- the mediators released when antigen-bound IgE bind to certain cell surface receptors significantly cause asthma and acute and late allergic reactions.
- pharmaceutically acceptable diluent, excipient, carrier or adjuvant refers to a diluent, excipient, carrier or adjuvant that is physiologically acceptable to a subject while retaining the therapeutic properties of the pharmaceutical composition with which it is administered, such as a preservative, antioxidant, buffer, acidifier, alkalizer, solubilizer, complexation-enhancing agent, diluent, electrolyte, dextrose, stabilizer, bulking agent, defoaming agent, emulsifier, flavoring agent, sweetener, taste-masking agent, osmotic pressure regulator, surface tension regulator, viscosity regulator, density regulator or a combination thereof.
- subject or “individual” may include, but is not limited to, mammals, such as humans or non-human mammals, e.g., domesticated animals, agricultural animals, or wild animals, as well as birds and aquatic animals.
- a "patient” is a subject who suffers from a disease, disorder, or condition, or is at risk of developing the disease, disorder, or condition, or who is otherwise in need of the compositions and methods provided herein. In some embodiments, the subject suffers from an autoimmune disease as described herein.
- treatment refers to any sign of successful treatment or improvement of a disease or disorder. Treatment may include, for example, alleviating, delaying, or relieving the severity of one or more symptoms of a disease or disorder, or it may include reducing the frequency with which a patient experiences symptoms of a disease, defect, condition, or adverse condition. As used herein, "treating or preventing” is sometimes used herein to refer to a method that results in some degree of treatment or improvement of a disease or disorder, and contemplates a range of outcomes for that purpose, including, but not limited to, complete prevention of the disorder.
- prevent refers to the prevention of a disease or condition, such as a tumor, in a patient.
- a disease or condition such as a tumor
- Airway hyperreactivity refers to an excessively strong or premature airway constriction in response to various stimuli. If such stimuli, which are unresponsive or mild in normal individuals, cause significant bronchoconstriction in some individuals, this is considered AHR.
- Bronchial hyperresponsiveness (also known as BH, bronchial hyperresponsiveness, AHR, or airway hypersensitivity) is a condition that predisposes to triggering or inducing bronchospasm.
- the methods disclosed herein i.e., administering the formulations disclosed herein by inhalation, reduce BH by relaxing the ASM and reducing the sensitivity of the ASM.
- the disclosure provides methods for reducing airway hyperresponsiveness by administering an effective amount of the formulations disclosed herein by inhalation.
- Intrathecal injection aims to inject the drug into the subarachnoid space so that it can be delivered and diffused in the cerebrospinal fluid (CSF).
- CSF cerebrospinal fluid
- Methacholine is the most commonly used stimulant in bronchial provocation tests.
- Example 1 Construction and expression of mouse IgE and IgG Fc fusion protein (mGE2)
- the FP4 gene was synthesized according to the nucleotide sequence shown in SEQ ID NO:3, and the synthesized FP4 (its amino acid sequence is shown in SEQ ID NO:3, and its nucleotide sequence is shown in SEQ ID NO:4) gene was cloned into the p-CI expression vector using SOE PCR and enzyme cutting methods. After verification by sequencing, the expression plasmid was transfected into CHO-S cells. After a large number of cells were cultured in 50% CD CHO + 50% Dynamis medium, the supernatant was collected, and the FP4 protein was isolated and purified from the culture supernatant of the transiently transfected cells using Protein A affinity chromatography.
- the mGE2 gene was synthesized based on the mouse immunoglobulin IgE Fc ⁇ and IgG Fc ⁇ sequences.
- the synthesized mouse mGE2 (Fc ⁇ CH2-CH3-CH4-Fc ⁇ Hinge-CH2-CH3) (its amino acid sequence is shown in SEQ ID NQ:1, and its nucleotide sequence is shown in SEQ ID NO:2) gene was cloned into the p-CI expression vector using SOE PCR and enzyme cutting methods. After verification by sequencing, the expression plasmid was transfected into CHO-S cells. After culturing the cells in 50% CD CHO + 50% Dynamis medium, the supernatant was collected and mGE2 was isolated and purified from the culture supernatant of transiently transfected cells using Protein A affinity chromatography.
- amino acid sequence of the mGE2 fusion protein is shown in SEQ ID NO: 1:
- the underline represents the B region Fc- ⁇ .
- Nucleotide sequence encoding FP4 gene (SEQ ID NO: 4):
- Example 2 mGE2 blocks allergic cell degranulation (PCA)
- mice were subcutaneously injected into the ears with 10 ⁇ g of mouse DNP-IgE (Sigma).
- the left ear contained DNP-IgE antibody alone, while the right ear contained DNP-IgE antibody plus 10 ⁇ g of mGE2.
- the allergen 100 ⁇ g of DNP-human serum albumin (DNP-HAS) and 200 ⁇ L of 1% Evans blue (EVANS)
- DNP-HAS DNP-human serum albumin
- EVANS 1% Evans blue
- Fc ⁇ RIIb was knocked out in C57BL/6 mice, creating Fc ⁇ RIIb-deficient mice.
- the same procedures as in Example 2 were followed, revealing that the inhibitory effect of mGE2 on allergic cell degranulation was significantly abolished in Fc ⁇ RIIb-deficient mice ( Figure 1B ). This suggests that the inhibitory effect of mGE2 on allergic cell degranulation occurs through cross-linking of Fc ⁇ RI with Fc ⁇ RIIb.
- OVA ovalbumin
- Thermo aluminum hydroxide adjuvant
- sensitizer Weigh 0.018 g of ovalbumin and dissolve it in 6 mL of phosphate buffered saline to prepare an ovalbumin solution with a concentration of 3 mg/mL; take 70 ⁇ L of the 3 mg/mL ovalbumin solution and add it to 2.03 mL of phosphate buffered saline to prepare 2.1 mL of 0.1 mg/mL ovalbumin solution, then add an equal amount (2.1 mL) of aluminum hydroxide adjuvant to prepare a 0.05 mg/mL sensitizer, which is prepared for immediate use.
- mice Eighteen Balb/C mice weighing approximately 20 g were selected. Six mice were used as negative controls and injected intraperitoneally (i.p.) with saline/aluminum adjuvant at a volume of 200 ⁇ L. The other 12 mice were used as the asthma model group and were sensitized with ovalbumin VI/aluminum adjuvant via intraperitoneal injection. The mice were sensitized twice, on day 0 and day 7, respectively, with an injection volume of 200 ⁇ L.
- the rats were challenged twice with physiological saline (negative control group) and ovalbumin VI (asthma model group) by subarachnoid injection, with an injection volume of 50 ⁇ L.
- mice On the 19th day, intravenous treatment was performed, and normal saline was used as a control.
- the asthma model mice were divided into two groups: an mGE2 treatment group and a positive control group with 6 mice in each group. Subcutaneous injection was used. The injection dose of the mGE2 treatment group was 10 mg/kg, and the positive control group used an equal volume of normal saline.
- the rats were challenged again with normal saline (negative and positive control groups) and ovalbumin VI (treatment group) injected into the subarachnoid space with an injection volume of 50 ⁇ L.
- mice bronchoalveolar lavage (BAL) of mice was collected for cell counting and classification, and lung tissue was obtained for section staining and analysis.
- BAL bronchoalveolar lavage
- mice were anesthetized with approximately 60 mg/kg of pentobarbital, and the trachea was then intubated with an 18-gauge metal needle.
- a computer-controlled rodent ventilator (flexiVent) was then used to deliver a tidal volume of 10 mL/kg (approximately 250 ⁇ L/breath) at a rate of 150 breaths per minute, with a positive end-expiratory pressure of 2.5 cm H2O .
- Dynamic pulmonary resistance was measured by fitting a linear, first-order, single-compartment model of airway mechanics to measurements of airway pressure, volume, and airflow during a single sinusoidal perturbation with an amplitude of 150 ⁇ L at 2.5 Hz for approximately 1.2 seconds, using the manufacturer's software (flexiVent). The mean of two tolerance measurements performed before methacholine administration was then established as a baseline. Subsequently, increasing concentrations of methacholine (1.25, 3.125, 12.5, and 50 mg/mL) were delivered to the airways via the ultrasonic nebulizer reservoir, which temporarily diverted the inspiratory limb of the ventilator for 30 seconds.
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Abstract
Description
本申请要求2024年3月08日提交的申请号为:PCT/CN2024/080787,发明创造名称为“融合蛋白吸入剂治疗呼吸道过敏性疾病”的PCT专利申请的优先权。This application claims priority to PCT patent application number PCT/CN2024/080787, filed on March 8, 2024, entitled “Fusion protein inhaler for the treatment of respiratory allergic diseases”.
本发明属于基因工程和免疫学领域,具体地,涉及融合蛋白吸入剂治疗呼吸道过敏性疾病。The present invention belongs to the fields of genetic engineering and immunology, and in particular relates to a fusion protein inhaler for treating respiratory allergic diseases.
过敏性疾病是引起急、慢性疾病的第六大因素,其具有明显的遗传倾向。常见的过敏性疾病有过敏性哮喘、过敏性鼻炎、花粉病、过敏性皮炎、过敏性关节炎、荨麻症,过敏性休克等。Allergic diseases are the sixth leading cause of acute and chronic illnesses and have a clear genetic predisposition. Common allergic diseases include allergic asthma, allergic rhinitis, hay fever, atopic dermatitis, allergic arthritis, urticaria, and anaphylactic shock.
常见的呼吸道过敏性疾病有过敏性鼻炎和过敏性哮喘,其中过敏性鼻炎主要是影响患者的生活质量;而过敏性哮喘严重的可危及生命。Common respiratory allergic diseases include allergic rhinitis and allergic asthma. Allergic rhinitis mainly affects the patient's quality of life, while allergic asthma can be life-threatening in severe cases.
过敏产生的原理是:当过敏原(抗原)第一次接触免疫B细胞后,B细胞和T细胞接触而分化成浆细胞并产生大量抗体IgE,这些IgE会与肥大细胞等免疫细胞结合,当下一次接触过敏原时,IgE结合的免疫细胞被激活,免疫细胞释放组胺等物质,引起过敏症状并影响免疫反应。目前的发病机理研究认为:过敏原通过特异性的IgE抗体交联过敏反应细胞表面的IgE受体FcεRI,从而激活过敏反应细胞内的激活信号通路,导致胞内大量颗粒的释放。由于这些颗粒含有许多细胞因子和趋化因子,这些炎性因子作用于细胞周围的组织和器官,从而引起炎症反应,即临床常见的粘液分泌增多,鼻塞,支气管痉挛等症状。The mechanism of allergy development is as follows: when an allergen (antigen) first comes into contact with immune B cells, the B cells and T cells come into contact, differentiate into plasma cells, and produce large amounts of antibodies called IgE. These IgEs then bind to immune cells such as mast cells. Upon subsequent exposure to the allergen, the IgE-bound immune cells become activated, releasing substances like histamine, causing allergic symptoms and impacting the immune response. Current research on the pathogenesis suggests that allergens cross-link specific IgE antibodies with the IgE receptor FcεRI on the surface of allergic cells, thereby activating activation signaling pathways within the allergic cells and leading to the release of large numbers of intracellular granules. These granules contain numerous cytokines and chemokines, which act on surrounding tissues and organs, triggering an inflammatory response. This is often associated with clinical symptoms such as increased mucus secretion, nasal congestion, and bronchospasm.
有研究表明,如果将FcγRII受体与FcεRI受体交联,可诱发肥大细胞或嗜碱性粒细胞内的抑制信号,阻断细胞内的激活通路,从而抑制活性介质的释放,进一步抑制过敏反应。因此,运用该反应机理来研究一种具有激活过敏反应中的抑制信号的融合蛋白,应是治疗过敏的一条崭新的途径。Studies have shown that cross-linking the FcγRII receptor with the FcεRI receptor can induce inhibitory signals in mast cells or basophils, blocking the activation pathway within the cells, thereby inhibiting the release of active mediators and further suppressing allergic reactions. Therefore, using this reaction mechanism to develop a fusion protein that activates inhibitory signals in allergic reactions should be a new approach to treating allergies.
本发明提供一种融合蛋白吸入剂及其治疗呼吸道过敏性疾病的应用。本发明的融合蛋白吸入剂能够阻断过敏反应细胞的脱颗粒,可有效治疗呼吸道过敏性哮喘。The present invention provides a fusion protein inhaler and its application in treating respiratory allergic diseases. The fusion protein inhaler of the present invention can block the degranulation of allergic reaction cells and can effectively treat respiratory allergic asthma.
本发明第一方面提供一种治疗呼吸道过敏性疾病的药物,所述药物包含融合蛋白,所述融合蛋白具有如SEQ ID NO:3所示的氨基酸序列;以及医学上可接受的辅料;A first aspect of the present invention provides a drug for treating respiratory allergic diseases, the drug comprising a fusion protein having an amino acid sequence as shown in SEQ ID NO: 3; and a medically acceptable excipient;
所述医学上可接受的辅料包含抗黏合剂、渗透促进剂、缓冲剂、增塑剂、表面活性剂、消泡剂、增稠剂、包合剂、吸收剂、保湿剂、溶剂、抛射剂、增溶剂、助溶剂、乳化剂、着色剂、pH值调节剂、黏合剂、崩解剂、填充剂、润滑剂、润湿剂、整合剂、渗透压调节剂、稳定剂、助流剂、矫味剂、防腐剂、发泡剂、助悬剂、包衣材料、芳香剂、稀释剂、絮凝剂与反絮凝剂、助滤剂、释放阻滞剂或者其组合;The medically acceptable excipients include anti-adhesive agents, penetration enhancers, buffers, plasticizers, surfactants, defoamers, thickeners, inclusion agents, absorbents, humectants, solvents, propellants, solubilizers, cosolvents, emulsifiers, colorants, pH regulators, adhesives, disintegrants, fillers, lubricants, wetting agents, integrators, osmotic pressure regulators, stabilizers, glidants, flavoring agents, preservatives, foaming agents, suspending agents, coating materials, fragrances, diluents, flocculants and deflocculants, filter aids, release retardants or combinations thereof;
所述呼吸道过敏性疾病选自过过敏性鼻炎或过敏性哮喘。The respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
在一些具体实施方案中,所述融合蛋白具有如SEQ ID NO:4所示的核苷酸序列。In some specific embodiments, the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
在一些实施方案中,所述药物为减少炎症细胞浸润及减轻肺组织纤维化的药物。In some embodiments, the drug is a drug that reduces inflammatory cell infiltration and alleviates lung tissue fibrosis.
在一些实施方案中,所述炎症细胞为支气管周围的炎症细胞或肺组织炎症细胞。In some embodiments, the inflammatory cells are peribronchial inflammatory cells or lung tissue inflammatory cells.
在一些实施方案中,所述药物为降低气道高反应性的药物。In some embodiments, the drug is a drug that reduces airway hyperresponsiveness.
在一些实施方案中,所述药物为降低支气管周围或肺组织嗜酸性粒细胞浸润的药物。In some embodiments, the drug is a drug that reduces eosinophil infiltration of peribronchial or lung tissue.
在一些实施方案中,所述药物为降低支气管周围或肺组织中性粒细胞浸润的药物。In some embodiments, the drug is a drug that reduces neutrophil infiltration in peribronchial or lung tissue.
在一些实施方案中,所述药物为降低支气管周围或肺组织淋巴细胞浸润的药物。In some embodiments, the drug is a drug that reduces lymphocyte infiltration in peribronchial or lung tissue.
在一些实施方案中,所述药物为降低支气管周围或肺组织单核细胞浸润的药物。In some embodiments, the drug is a drug that reduces mononuclear cell infiltration of peribronchial or lung tissue.
在一些实施方案中,所述药物为喷雾剂或吸入剂。In some embodiments, the medicament is a spray or inhaler.
本发明第二方面提供融合蛋白在制备治疗或预防呼吸道过敏性疾病药物中的应用,所述融合蛋白具有如SEQ ID NO:3所示的氨基酸序列。The second aspect of the present invention provides the use of a fusion protein in the preparation of a drug for treating or preventing respiratory allergic diseases, wherein the fusion protein has an amino acid sequence as shown in SEQ ID NO: 3.
在一些实施方案中,所述融合蛋白具有如SEQ ID NO:4所示的核苷酸序列。In some embodiments, the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
在一些实施方案中,所述呼吸道过敏性疾病选自过敏性鼻炎或过敏性哮喘。In some embodiments, the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
在一些实施方案中,所述药物为减少炎症细胞浸润及减轻肺组织纤维化的药物。In some embodiments, the drug is a drug that reduces inflammatory cell infiltration and alleviates lung tissue fibrosis.
在一些实施方案中,所述炎症细胞为支气管周围的炎症细胞或肺组织炎症细胞。In some embodiments, the inflammatory cells are peribronchial inflammatory cells or lung tissue inflammatory cells.
在一些实施方案中,所述药物为降低气道高反应性的药物。In some embodiments, the drug is a drug that reduces airway hyperresponsiveness.
在一些实施方案中,所述药物为降低支气管周围或肺组织嗜酸性粒细胞浸润的药物。In some embodiments, the drug is a drug that reduces eosinophil infiltration of peribronchial or lung tissue.
在一些实施方案中,所述药物为降低支气管周围或肺组织中性粒细胞浸润的药物。In some embodiments, the drug is a drug that reduces neutrophil infiltration in peribronchial or lung tissue.
在一些实施方案中,所述药物为降低支气管周围或肺组织淋巴细胞浸润的药物。In some embodiments, the drug is a drug that reduces lymphocyte infiltration in peribronchial or lung tissue.
在一些实施方案中,所述药物为降低支气管周围或肺组织单核细胞浸润的药物。In some embodiments, the drug is a drug that reduces mononuclear cell infiltration of peribronchial or lung tissue.
在一些实施方案中,所述药物为喷雾剂或吸入剂。In some embodiments, the medicament is a spray or inhaler.
本发明第三方面提供一种用于治疗或预防呼吸道过敏性疾病的融合蛋白,所述融合蛋白具有如SEQ ID NO:3所示的氨基酸序列。The third aspect of the present invention provides a fusion protein for treating or preventing respiratory allergic diseases, wherein the fusion protein has an amino acid sequence as shown in SEQ ID NO:3.
在一些实施方案中,所述呼吸道过敏性疾病选自过敏性鼻炎或过敏性哮喘。In some embodiments, the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
在一些具体实施方案中,所述融合蛋白具有如SEQ ID NO:4所示的核苷酸序列。In some specific embodiments, the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
本发明第四方面提供一种治疗或预防呼吸道过敏性疾病的方法,向有需要的对象施用如本发明第一方面所述的药物或由如SEQ ID NO:3所示氨基酸序列的融合蛋白。The fourth aspect of the present invention provides a method for treating or preventing respiratory allergic diseases, administering the drug as described in the first aspect of the present invention or the fusion protein consisting of the amino acid sequence shown in SEQ ID NO: 3 to a subject in need.
在一些实施方案中,所述呼吸道过敏性疾病选自过敏性鼻炎或过敏性哮喘。In some embodiments, the respiratory allergic disease is selected from allergic rhinitis or allergic asthma.
在一些具体实施方案中,所述融合蛋白具有如SEQ ID NO:4所示的核苷酸序列。In some specific embodiments, the fusion protein has a nucleotide sequence as shown in SEQ ID NO:4.
在一些实施方案中,所述施用为呼吸道给药。In some embodiments, the administration is respiratory administration.
在一些实施方案中,其中相对于施用前水平,经支气管肺泡灌洗液、支气管活组织切片检查中总细胞计数评估的肺内炎症细胞水平被减少。In some embodiments, the level of inflammatory cells in the lung as assessed by total cell counts in bronchoalveolar lavage fluid, bronchial biopsy is reduced relative to pre-administration levels.
在符合本领域常识的基础上,上述各优选条件,可任意组合,即得本发明各较佳实例。On the basis of conforming to the common sense in this field, the above-mentioned preferred conditions can be arbitrarily combined to obtain the preferred embodiments of the present invention.
本发明所用试剂和原料均市售可得。The reagents and raw materials used in the present invention are commercially available.
本发明的积极进步效果在于:The positive progress effect of the present invention is:
采用融合蛋白技术特异性交联过敏反应细胞表面的FcγRII和FcεRI,可有效的激活细胞内的抑制信号通路,从而阻断细胞内的颗粒释放。融合蛋白吸入剂在动物疾病模型中进一步研究表明:能够阻断过敏反应细胞的脱颗粒,能够减少炎症细胞浸润、减轻肺组织纤维化,能够降低气道高反应性。融合蛋白吸入剂能够降低支气管周围或肺组织嗜酸性粒细胞、中性粒细胞、淋巴细胞和单核细胞的浸润,可有效治疗过敏性鼻炎、过敏性咳嗽、过敏性哮喘或过敏性休克。Fusion protein technology is used to specifically crosslink FcγRII and FcεRI on the surface of allergic cells, effectively activating inhibitory signaling pathways within the cells, thereby blocking the release of intracellular granules. Further studies in animal disease models have shown that fusion protein inhalers can block degranulation of allergic cells, reduce inflammatory cell infiltration, alleviate lung fibrosis, and reduce airway hyperresponsiveness. Fusion protein inhalers can reduce the infiltration of eosinophils, neutrophils, lymphocytes, and monocytes in peribronchial or lung tissue, and are effective in treating allergic rhinitis, allergic cough, allergic asthma, or anaphylactic shock.
图1A为mGE2蛋白抑制野生型小鼠DNP-IgE诱导的脱颗粒反应图;L左侧注射mDNP-IgE,R右侧注射mDNP-IgE+mGE2。Figure 1A shows that mGE2 protein inhibits the degranulation reaction induced by DNP-IgE in wild-type mice; L is injected with mDNP-IgE on the left side, and R is injected with mDNP-IgE+mGE2 on the right side.
图1B为mGE2蛋白抑制FcγRII缺陷型小鼠DNP-IgE诱导的脱颗粒反应图;L左侧注射mDNP-IgE,R右侧注射mDNP-IgE+mGE2。Figure 1B shows that mGE2 protein inhibits the degranulation reaction induced by DNP-IgE in FcγRII-deficient mice; L: mDNP-IgE was injected on the left side, and R: mDNP-IgE+mGE2 was injected on the right side.
图2为小鼠OVA诱导哮喘模型的建立示意图。FIG2 is a schematic diagram of the establishment of an OVA-induced asthma model in mice.
图3A为肺泡灌洗液BAL的细胞统计图。FIG3A is a diagram showing cell counts of bronchoalveolar lavage fluid (BAL).
图3B为嗜酸性粒细胞、中性粒细胞、淋巴细胞和单核细胞的数量统计图。FIG3B is a statistical graph showing the number of eosinophils, neutrophils, lymphocytes, and monocytes.
图3C为巨噬细胞的数量统计图。FIG3C is a statistical diagram of the number of macrophages.
图4为支气管病理组织切片染色图。Figure 4 is a stained image of bronchial pathological tissue sections.
图5为给药后最大耐药性值建立的剂量反应曲线图。FIG5 is a dose-response curve diagram showing the maximum drug resistance value after drug administration.
术语“FcγRIIb”用于指自然界中存在的任何物种的FcγRIIb受体,包括任何哺乳动物物种。在一些实施方案中,哺乳动物是人。FcγRIIb是低亲和力IgG受体FcγRII的同种型,包含免疫受体酪氨酸基抑制基序(ITIM)。FcγRIIb受体在例如嗜碱性粒细胞、肥大细胞、B细胞和树突细胞上发现。FcγRIIb具有三种选择性剪接形式,分别命名为FcγRIIb1、FcγRIIb1’和FcγRIIb2,它们仅在细胞质结构域序列上有所不同。所有三种选择性剪接异构体都包含两个细胞外免疫球蛋白样环和一个位于胞质尾部的保守ITIM基序,并与未来可能鉴定的其他剪接变体一起被明确包含在FcγRIIb的定义中。The term "FcγRIIb" is used to refer to the FcγRIIb receptor of any species present in nature, including any mammalian species. In some embodiments, the mammal is a human. FcγRIIb is an isotype of the low-affinity IgG receptor FcγRII that contains an immunoreceptor tyrosine-based inhibitory motif (ITIM). The FcγRIIb receptor is found on, for example, basophils, mast cells, B cells, and dendritic cells. FcγRIIb has three alternative splicing forms, designated FcγRIIb1, FcγRIIb1', and FcγRIIb2, which differ only in the sequence of the cytoplasmic domain. All three alternative splicing isoforms contain two extracellular immunoglobulin-like loops and a conserved ITIM motif located in the cytoplasmic tail and are explicitly included in the definition of FcγRIIb, along with other splicing variants that may be identified in the future.
术语“FcεRI”指任何物种的FcεRI受体,包括自然界中存在的任何哺乳动物物种。FcεRI是细胞表面受体多亚基免疫反应受体(MIRR)家族的一员。细胞表面受体MIRR家族中的受体通常能够通过与胞质酪氨酸激酶结合来转导细胞内信号。The term "FcεRI" refers to the FcεRI receptor of any species, including any mammalian species found in nature. FcεRI is a member of the multiunit immune response receptor (MIRR) family of cell surface receptors. Receptors in the MIRR family of cell surface receptors are generally capable of transducing intracellular signals by binding to cytoplasmic tyrosine kinases.
融合蛋白可通过(例如)重组DNA技术或通过形成一共价键的化学结合或此项技术中用于形成融合蛋白的其他熟知技术制备。提供一编码所需融合蛋白的适当DNA序列即可容许使用此项技术中熟知的重组技术生成该融合蛋白。该编码序列可自天然资源获得或使用广泛可用的起始材料通过常规方法来合成或构建。当以合成方式制备该编码DNA时,可利用DNA欲表达于其中的预期宿主的密码子偏好。Fusion proteins can be prepared, for example, by recombinant DNA technology or by chemical bonding to form a covalent bond or other well-known techniques in the art for forming fusion proteins. Providing an appropriate DNA sequence encoding the desired fusion protein allows the generation of the fusion protein using recombinant techniques well-known in the art. The coding sequence can be obtained from natural resources or synthesized or constructed using widely available starting materials by conventional methods. When the coding DNA is prepared synthetically, the codon preference of the intended host in which the DNA is to be expressed can be utilized.
融合蛋白,可通过该技术领域中熟知的各种连接体将Fcε片段结合至Fcγ片段。Fusion proteins can be formed by combining the Fcε fragment with the Fcγ fragment via various linkers well known in the art.
为生成本发明的融合蛋白,所属技术领域的普通技术人员可使用已知技术可自易于获得的人类DNA合成或获得一编码Fcε片段或其若干部分的DNA分子(其与一编码Fcγ片段或其若干部分的DNA分子结合)并将该DNA分子嵌入一市售表达载体中以用于已知表达系统中。该等系统包括那些其中相关融合蛋白作为一单链生成的系统。To produce the fusion proteins of the present invention, one of ordinary skill in the art can use known techniques to synthesize or obtain a DNA molecule encoding an Fcε fragment or a portion thereof from readily available human DNA (combined with a DNA molecule encoding an Fcγ fragment or a portion thereof), and then insert the DNA molecule into a commercially available expression vector for use in known expression systems. Such systems include those in which the relevant fusion protein is produced as a single chain.
此项技术中的普通技术人员可使用该些市售表达载体及系统或使用已知方法及易于获得的起始材料生产载体。对于多种宿主而言,包含必需控制序列(例如启动子和聚腺苷酸化信号且较佳为增强子)的表达系统易于获得且已为熟悉此项技术者所熟知。因此,所需蛋白质可在原核及真核系统中制备,由此可生成蛋白质的多种处理形式。Those skilled in the art can use these commercially available expression vectors and systems or produce vectors using known methods and readily available starting materials. Expression systems containing the necessary control sequences (e.g., promoters and polyadenylation signals and preferably enhancers) are readily available for a variety of hosts and are well known to those skilled in the art. Thus, the desired protein can be produced in both prokaryotic and eukaryotic systems, thereby allowing the generation of a variety of processed forms of the protein.
转染/转导是指将基因引入细胞并在细胞中表达基因的方法是本领域已知的。在表达载体的情况下,可通过本领域的任何方法将载体容易地引入宿主细胞,例如哺乳动物细胞、细菌细胞、酵母细胞或昆虫细胞。例如,该表达载体可通过物理、化学或生物学手段转移到宿主细胞中。Transfection/transduction refers to methods for introducing a gene into a cell and expressing the gene in the cell, which are known in the art. In the case of an expression vector, the vector can be easily introduced into a host cell, such as a mammalian cell, a bacterial cell, a yeast cell, or an insect cell, by any method in the art. For example, the expression vector can be transferred into the host cell by physical, chemical, or biological means.
IgE在许多急性和慢性过敏反应中起关键作用,包括例如哮喘、过敏性鼻炎、特应性皮炎、严重食物过敏、慢性荨麻疹和血管性水肿,以及由例如食物过敏、蜂蛰伤或青霉素过敏导致的过敏性休克的严重生理状况。人IgE的Fe部分能够与各种细胞类型如嗜碱性粒细胞、肥大细胞、树突细胞和B淋巴细胞(B细胞)上的FcεRI或FcεRII细胞表面受体结合。当抗原与IgE结合时,IgE与例如嗜碱性粒细胞和肥大细胞上的某些细胞表面受体结合,IgE结合导致这些细胞释放血管活性和促炎介质,包括组胺。当抗原结合的IgE与某些细胞表面受体结合时释放的介质显著导致哮喘以及急性和晚期过敏反应。IgE plays a key role in many acute and chronic allergic reactions, including, for example, asthma, allergic rhinitis, atopic dermatitis, severe food allergies, chronic urticaria and angioedema, and the serious physiological conditions of anaphylactic shock caused by, for example, food allergies, bee stings or penicillin allergies. The Fc portion of human IgE can bind to FcεRI or FcεRII cell surface receptors on various cell types such as basophils, mast cells, dendritic cells and B lymphocytes (B cells). When antigen binds to IgE, IgE binds to certain cell surface receptors on, for example, basophils and mast cells, and IgE binds to these cells causing vasoactive and proinflammatory mediators, including histamine. The mediators released when antigen-bound IgE bind to certain cell surface receptors significantly cause asthma and acute and late allergic reactions.
术语“药学上可接受的稀释剂、赋形剂、载剂或佐剂”是指受试者生理上可接受的稀释剂、赋形剂、载剂或佐剂,同时保留与其一起给药的药物组合物的治疗特性。例如防腐剂、抗氧化剂、缓冲剂、酸化剂、碱化剂、增溶剂、复合增强剂(complexation-enhancing agent)、稀释剂、电解质、葡萄糖、稳定剂、膨胀剂、消泡剂、乳化剂、调味剂、增甜剂、掩味剂、渗涨度调节剂、表面张力调节剂、粘度调节剂、密度调节剂或者其组合。The term "pharmaceutically acceptable diluent, excipient, carrier or adjuvant" refers to a diluent, excipient, carrier or adjuvant that is physiologically acceptable to a subject while retaining the therapeutic properties of the pharmaceutical composition with which it is administered, such as a preservative, antioxidant, buffer, acidifier, alkalizer, solubilizer, complexation-enhancing agent, diluent, electrolyte, dextrose, stabilizer, bulking agent, defoaming agent, emulsifier, flavoring agent, sweetener, taste-masking agent, osmotic pressure regulator, surface tension regulator, viscosity regulator, density regulator or a combination thereof.
术语“受试者”或“个体”可以包括但不限于哺乳动物,诸如人或非人哺乳动物,例如驯养动物、农业动物或野生动物以及鸟类和水生动物。“患者”是患有疾病、病症或疾患或有发展所述疾病、病症或疾患的风险或另外地需要本文提供的组合物和方法的受试者。在一些实施方案中,受试者患有本文所述的自身免疫性疾病。The term "subject" or "individual" may include, but is not limited to, mammals, such as humans or non-human mammals, e.g., domesticated animals, agricultural animals, or wild animals, as well as birds and aquatic animals. A "patient" is a subject who suffers from a disease, disorder, or condition, or is at risk of developing the disease, disorder, or condition, or who is otherwise in need of the compositions and methods provided herein. In some embodiments, the subject suffers from an autoimmune disease as described herein.
术语“治疗”是指疾病或疾患的成功治疗或改善的任何征候。治疗可包括例如减轻、延迟或缓解疾病或疾患的一个或多个症状的严重度,或者其可包括降低由患者经历疾病、缺陷、病症或不利状况等的症状的频率。如本文中所用,“治疗或预防”有时在本文中用于指导致疾病或疾患的某种程度的治疗或改善的方法,并考虑了针对该目的的一系列结果,包括但不限于疾患的完全预防。The term "treatment" refers to any sign of successful treatment or improvement of a disease or disorder. Treatment may include, for example, alleviating, delaying, or relieving the severity of one or more symptoms of a disease or disorder, or it may include reducing the frequency with which a patient experiences symptoms of a disease, defect, condition, or adverse condition. As used herein, "treating or preventing" is sometimes used herein to refer to a method that results in some degree of treatment or improvement of a disease or disorder, and contemplates a range of outcomes for that purpose, including, but not limited to, complete prevention of the disorder.
术语“预防”是指对患者中的疾病或疾患,例如肿瘤形成的预防。例如,如果用本公开的方法治疗了有发展自身免疫性疾病的风险的个体,并且所述个体后来没有发展自身免疫性疾病,则在该个体中在至少一段时间内该疾病已被预防。The term "prevent" refers to the prevention of a disease or condition, such as a tumor, in a patient. For example, if an individual at risk for developing an autoimmune disease is treated with the methods of the present disclosure, and the individual does not subsequently develop the autoimmune disease, the disease has been prevented in the individual for at least a period of time.
气道高反应性(Airway Hyper Reactivity,AHR),指气道对各种刺激因子出现过强或过早的收缩反应。如果这种刺激在正常人呈无反应状态或反应程度较轻,而在某些人却引起了明显的支气管狭窄,称为气道高反应性。Airway hyperreactivity (AHR) refers to an excessively strong or premature airway constriction in response to various stimuli. If such stimuli, which are unresponsive or mild in normal individuals, cause significant bronchoconstriction in some individuals, this is considered AHR.
气道高反应性的减少支气管高反应性(也称为BH、支气管高反应性、AHR或气道高敏性)是易于触发或诱发支气管痉挛的病况。本发明公开的方法,即通过吸入施用本公开的制剂,通过松弛ASM并降低ASM的敏感性来减少BH。在一些实施方案中,本公开提供了通过吸入施用有效量的本发明公开的制剂来减少气道高反应性的方法。Reduction of Airway Hyperresponsiveness Bronchial hyperresponsiveness (also known as BH, bronchial hyperresponsiveness, AHR, or airway hypersensitivity) is a condition that predisposes to triggering or inducing bronchospasm. The methods disclosed herein, i.e., administering the formulations disclosed herein by inhalation, reduce BH by relaxing the ASM and reducing the sensitivity of the ASM. In some embodiments, the disclosure provides methods for reducing airway hyperresponsiveness by administering an effective amount of the formulations disclosed herein by inhalation.
鞘内注射(Intrathecal injection,IT),鞘内注射的目的是通过将药物注射进蛛网膜下腔来使其在脑脊液(Cerebral spinal fluid,CSF)中传递扩散。Intrathecal injection (IT) aims to inject the drug into the subarachnoid space so that it can be delivered and diffused in the cerebrospinal fluid (CSF).
乙酰甲胆碱(Methacholine,MCh)是支气管激发试验中最常用的一种激发剂。Methacholine (MCh) is the most commonly used stimulant in bronchial provocation tests.
实施例1:小鼠IgE和IgG Fc融合蛋白(mGE2)的构建及表达Example 1: Construction and expression of mouse IgE and IgG Fc fusion protein (mGE2)
按照如SEQ ID NO:3所示的核苷酸序列合成FP4基因,将合成的FP4(其氨基酸序列如SEQ ID NO:3所示,其核苷酸序列如SEQ ID NO:4所示)基因利用SOE PCR及酶切的方法将其克隆至p-CI表达载体中,经测序验证正确后,然后再将表达质粒转染至CHO-S细胞,在50% CD CHO+50%Dynamis培养基中大量培养细胞后收集上清,采用Protein A亲和层析法从瞬时转染的细胞培养上清中分离纯化FP4蛋白。The FP4 gene was synthesized according to the nucleotide sequence shown in SEQ ID NO:3, and the synthesized FP4 (its amino acid sequence is shown in SEQ ID NO:3, and its nucleotide sequence is shown in SEQ ID NO:4) gene was cloned into the p-CI expression vector using SOE PCR and enzyme cutting methods. After verification by sequencing, the expression plasmid was transfected into CHO-S cells. After a large number of cells were cultured in 50% CD CHO + 50% Dynamis medium, the supernatant was collected, and the FP4 protein was isolated and purified from the culture supernatant of the transiently transfected cells using Protein A affinity chromatography.
根据鼠免疫球蛋白IgE Fcε和IgG Fcγ序列合成mGE2基因,将合成的小鼠mGE2(FcεCH2-CH3-CH4-FcγHinge-CH2-CH3)(其氨基酸序列如SEQ ID NQ:1所示,其核苷酸序列如SEQ ID NO:2所示)基因利用SOE PCR及酶切的方法将其克隆至p-CI表达载体中,经测序验证正确后,然后再将表达质粒转染至CHO-S细胞,在50% CD CHO+50% Dynamis培养基中大量培养细胞后收集上清,采用Protein A亲和层析法从瞬时转染的细胞培养上清中分离纯化mGE2。The mGE2 gene was synthesized based on the mouse immunoglobulin IgE Fcε and IgG Fcγ sequences. The synthesized mouse mGE2 (FcεCH2-CH3-CH4-FcγHinge-CH2-CH3) (its amino acid sequence is shown in SEQ ID NQ:1, and its nucleotide sequence is shown in SEQ ID NO:2) gene was cloned into the p-CI expression vector using SOE PCR and enzyme cutting methods. After verification by sequencing, the expression plasmid was transfected into CHO-S cells. After culturing the cells in 50% CD CHO + 50% Dynamis medium, the supernatant was collected and mGE2 was isolated and purified from the culture supernatant of transiently transfected cells using Protein A affinity chromatography.
mGE2融合蛋白的氨基酸序列如SEQ ID NO:1所示:
The amino acid sequence of the mGE2 fusion protein is shown in SEQ ID NO: 1:
mGE2的核苷酸序列:
Nucleotide sequence of mGE2:
FP4的氨基酸序列(SEQ ID NO:3):
Amino acid sequence of FP4 (SEQ ID NO: 3):
其中,下划线代表B区Fc-γ。The underline represents the B region Fc-γ.
编码FP4基因的核苷酸序列(SEQ ID NO:4):
Nucleotide sequence encoding FP4 gene (SEQ ID NO: 4):
实施例2:mGE2阻断过敏反应细胞脱颗粒(PCA)Example 2: mGE2 blocks allergic cell degranulation (PCA)
将BALB/c小鼠耳部皮下注射10μg鼠DNP-IgE(Sigma),左侧仅含DNP-IgE抗体,右侧为DNP-IgE抗体加10μg mGE2,2小时后,尾部皮下静脉注射过敏原100μg DNP-人血清白蛋白(DNP-HAS)和200μL 1%埃文斯蓝(EVANS),30分钟后观察耳部皮肤颜色。结果显示:mGE2可显著抑制过敏反应细胞脱颗粒(图1A)。BALB/c mice were subcutaneously injected into the ears with 10 μg of mouse DNP-IgE (Sigma). The left ear contained DNP-IgE antibody alone, while the right ear contained DNP-IgE antibody plus 10 μg of mGE2. Two hours later, the allergen, 100 μg of DNP-human serum albumin (DNP-HAS) and 200 μL of 1% Evans blue (EVANS), was injected subcutaneously into the tail vein. Thirty minutes later, the ear skin color was observed. Results showed that mGE2 significantly inhibited allergic cell degranulation (Figure 1A).
实施例3:mGE2在FcγRII缺陷小鼠中的抑制作用Example 3: Inhibitory Effects of mGE2 in FcγRII-Deficient Mice
将C57BL/6小鼠的FcγRIIb敲除,形成FcγRIIb缺陷的小鼠,同样进行实施例2的操作,发现在FcγRIIb缺陷的小鼠中mGE2对过敏反应细胞脱颗粒的抑制作用明显消失(图1B)。说明mGE2对过敏反应细胞脱颗粒的抑制作用是通过FcγRIIb交联FcεRI而产生的。FcγRIIb was knocked out in C57BL/6 mice, creating FcγRIIb-deficient mice. The same procedures as in Example 2 were followed, revealing that the inhibitory effect of mGE2 on allergic cell degranulation was significantly abolished in FcγRIIb-deficient mice ( Figure 1B ). This suggests that the inhibitory effect of mGE2 on allergic cell degranulation occurs through cross-linking of FcεRI with FcγRIIb.
实施例4:小鼠ova诱导哮喘模型的建立Example 4: Establishment of OVA-induced asthma model in mice
采用标准的卵清蛋白(OVA)混合氢氧化铝佐剂(Thermo)的致敏/激发方法建立鼠哮喘模型(见图2)。A standard ovalbumin (OVA) mixed with aluminum hydroxide adjuvant (Thermo) sensitization/challenge method was used to establish a mouse asthma model (see Figure 2).
致敏剂配制:称取0.018g卵白蛋白溶于6mL磷酸缓冲盐溶液中,配制成浓度为3mg/mL的卵白蛋白溶液;取70μL的3mg/mL的卵白蛋白溶液,加入2.03mL磷酸缓冲盐溶液中,配制成0.1mg/mL的卵白蛋白溶液2.1mL,再加入等量(2.1mL)氢氧化铝佐剂,配制成0.05mg/mL的致敏剂,现配现用。Preparation of sensitizer: Weigh 0.018 g of ovalbumin and dissolve it in 6 mL of phosphate buffered saline to prepare an ovalbumin solution with a concentration of 3 mg/mL; take 70 μL of the 3 mg/mL ovalbumin solution and add it to 2.03 mL of phosphate buffered saline to prepare 2.1 mL of 0.1 mg/mL ovalbumin solution, then add an equal amount (2.1 mL) of aluminum hydroxide adjuvant to prepare a 0.05 mg/mL sensitizer, which is prepared for immediate use.
激发剂配制:称取0.204mg卵白蛋白溶于4.08mL生理盐水中,配制成5%卵白蛋白溶液,现配现用。Preparation of the stimulant: Weigh 0.204 mg of ovalbumin and dissolve it in 4.08 mL of normal saline to prepare a 5% ovalbumin solution, which is ready for use.
取18只体重为20g左右的Balb/C小鼠,其中,6只鼠作为阴性对照,腹腔注射(i.p.)生理盐水/铝佐剂,注射量为200μL,另12只鼠作为哮喘模型组,腹腔注射卵清蛋白VI/铝佐剂致敏,分别在第0天和第7天致敏小鼠2次,注射量为200μL。Eighteen Balb/C mice weighing approximately 20 g were selected. Six mice were used as negative controls and injected intraperitoneally (i.p.) with saline/aluminum adjuvant at a volume of 200 μL. The other 12 mice were used as the asthma model group and were sensitized with ovalbumin VI/aluminum adjuvant via intraperitoneal injection. The mice were sensitized twice, on day 0 and day 7, respectively, with an injection volume of 200 μL.
第15天和第17天分别用生理盐水(阴性对照组)和卵清蛋白VI(哮喘模型组)蛛网膜下腔注射激发两次,注射量为50μL。On the 15th day and the 17th day, the rats were challenged twice with physiological saline (negative control group) and ovalbumin VI (asthma model group) by subarachnoid injection, with an injection volume of 50 μL.
第19天进行静脉给药治疗,并以生理盐水作为对照,将哮喘模型鼠分成2个组:mGE2治疗组和阳性对照组各6只,采用皮下注射,mGE2治疗组注射量为10mg/kg,阳性对照组使用等体积的生理盐水。On the 19th day, intravenous treatment was performed, and normal saline was used as a control. The asthma model mice were divided into two groups: an mGE2 treatment group and a positive control group with 6 mice in each group. Subcutaneous injection was used. The injection dose of the mGE2 treatment group was 10 mg/kg, and the positive control group used an equal volume of normal saline.
第20天再次使用生理盐水(阴性和阳性对照组)和卵清蛋白VI(治疗组)蛛网膜下腔注射激发,注射量为50μL。On the 20th day, the rats were challenged again with normal saline (negative and positive control groups) and ovalbumin VI (treatment group) injected into the subarachnoid space with an injection volume of 50 μL.
第21天评估治疗效果,采集小鼠肺泡灌洗液(BAL)进行细胞计数和分类,并取肺组织进行切片染色分析。The therapeutic effect was evaluated on day 21, bronchoalveolar lavage (BAL) of mice was collected for cell counting and classification, and lung tissue was obtained for section staining and analysis.
实施例5:mGE2在OVA诱导过敏性哮喘中的作用Example 5: Role of mGE2 in OVA-induced allergic asthma
过敏性哮喘的临床表现主要是肺组织内的炎性渗出和气道反应性增加。在收集肺泡灌洗液BAL中发现mGE2治疗组的细胞总数明显低于对照组(图3A),进一步细胞分类发现,其中嗜酸性粒细胞、中性粒细胞、淋巴细胞、单核细胞的数量显著性下降(图3B)。结果表明:mGE2可以减轻哮喘发病中的炎性细胞渗出,从而减轻过敏哮喘的炎症。支气管病理组织切片染色也观察到:治疗组支气管周围的炎性细胞渗出明显少于对照组(图4)。采用与以往报道相似的完整、插管、麻醉的小鼠模型对呼吸力学进行侵入性评估。简而言之,用约60mg/kg戊巴比妥麻醉小鼠,然后用18号金属针插管气管。然后使用计算机控制的啮齿动物呼吸机(flexiVent)以每分钟150次呼吸的速度提供10mL/kg(约250μL/呼吸)的潮气量,呼气末正压为2.5cm H2O。动态肺阻力是通过将气道力学的线性一阶单室模型拟合到气道压力、体积和气流的测量值,在施加振幅为150μL的单正弦扰动期间进行的测量,振幅为2.5Hz,持续约1.2秒,使用制造商提供的软件(flexiVent)。然后建立在给予乙酰甲胆碱之前进行的2次耐药性测量的平均值作为基线。随后,通过超声雾化器的储液器暂时转移呼吸机的吸气支30秒,将浓度增加的乙酰甲胆碱(1.25、3.125、12.5、50mg/mL)输送到气道。每次给药后以30秒的间隔测量耐药性,持续5分钟,并使用每次给药后的最大耐药性值建立剂量反应曲线。结果显示:在施用50mg/mL乙酰甲胆碱后,使用mGE2相比空白组下降了64%,mGE2可有效的降低气道高反应性(图5)。The clinical manifestations of allergic asthma are primarily inflammatory infiltrates and increased airway reactivity within the lung tissue. In bronchoalveolar lavage (BAL) fluid (BAL), the total number of cells in the mGE2-treated group was significantly lower than in the control group (Figure 3A). Further cell classification revealed a significant decrease in the number of eosinophils, neutrophils, lymphocytes, and monocytes (Figure 3B). These results suggest that mGE2 can mitigate inflammatory cell infiltration during asthma, thereby alleviating the inflammation of allergic asthma. Bronchial pathological tissue staining also revealed significantly less inflammatory cell infiltration around the bronchi in the treated group than in the control group (Figure 4). Invasive assessment of respiratory mechanics was performed using an intact, intubated, anesthetized mouse model similar to that previously reported. Briefly, mice were anesthetized with approximately 60 mg/kg of pentobarbital, and the trachea was then intubated with an 18-gauge metal needle. A computer-controlled rodent ventilator (flexiVent) was then used to deliver a tidal volume of 10 mL/kg (approximately 250 μL/breath) at a rate of 150 breaths per minute, with a positive end-expiratory pressure of 2.5 cm H₂O . Dynamic pulmonary resistance was measured by fitting a linear, first-order, single-compartment model of airway mechanics to measurements of airway pressure, volume, and airflow during a single sinusoidal perturbation with an amplitude of 150 μL at 2.5 Hz for approximately 1.2 seconds, using the manufacturer's software (flexiVent). The mean of two tolerance measurements performed before methacholine administration was then established as a baseline. Subsequently, increasing concentrations of methacholine (1.25, 3.125, 12.5, and 50 mg/mL) were delivered to the airways via the ultrasonic nebulizer reservoir, which temporarily diverted the inspiratory limb of the ventilator for 30 seconds. Drug tolerance was measured at 30-second intervals for 5 minutes after each administration, and a dose-response curve was constructed using the maximum drug tolerance value after each administration. The results showed that after administration of 50 mg/mL methacholine, mGE2 decreased airway hyperresponsiveness by 64% compared to the control group, indicating that mGE2 effectively reduced airway hyperresponsiveness (Figure 5).
虽然以上描述了本发明的具体实施方式,但是本领域的技术人员应当理解,这些仅是举例说明,在不背离本发明的原理和实质的前提下,可以对这些实施方式做出多种变更或修改。因此,本发明的保护范围由所附权利要求书限定。Although the above describes specific embodiments of the present invention, it should be understood by those skilled in the art that these are merely illustrative and that various changes or modifications may be made to these embodiments without departing from the principles and essence of the present invention. Therefore, the scope of protection of the present invention is defined by the appended claims.
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