WO2025137979A1 - Use of specific polypeptide in the preparation of drug for treating and preventing prostate cancer - Google Patents
Use of specific polypeptide in the preparation of drug for treating and preventing prostate cancer Download PDFInfo
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- WO2025137979A1 WO2025137979A1 PCT/CN2023/142593 CN2023142593W WO2025137979A1 WO 2025137979 A1 WO2025137979 A1 WO 2025137979A1 CN 2023142593 W CN2023142593 W CN 2023142593W WO 2025137979 A1 WO2025137979 A1 WO 2025137979A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/08—Drugs for disorders of the urinary system of the prostate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
Definitions
- the present invention relates to the field of medicine, and more specifically, to the use of a specific polypeptide in preparing a drug for treating and preventing prostate cancer and the use of the specific polypeptide in preparing an immune inducer.
- Prostate cancer is the second most common tumor causing cancer-related deaths in men worldwide and is one of the major diseases affecting men's health.
- the incidence of prostate cancer is related to race, ethnicity, geographic location and genetic factors. Its clinical manifestations are mainly frequent urination, decreased urination force, difficulty starting or stopping urine flow, blood in semen, pain or discomfort in the pelvic area, bone pain, etc.
- prostate cancer In the early stages of prostate cancer, it is usually androgen-sensitive prostate cancer, which is usually treated with surgery or radiotherapy, followed by adjuvant endocrine therapy including anti-androgen drugs carbilutamide, enzalutamide or luteinizing hormone-releasing hormone agonists leuprolide and goserelin, but it will eventually progress to androgen-independent prostate carcinoma (AIPC).
- adjuvant endocrine therapy including anti-androgen drugs carbilutamide, enzalutamide or luteinizing hormone-releasing hormone agonists leuprolide and goserelin, but it will eventually progress to androgen-independent prostate carcinoma (AIPC).
- AIPC androgen-independent prostate carcinoma
- Androgen-independent prostate cancer is insensitive to androgen suppression therapy and will continue to grow. Cancer cells have low responsiveness to the above treatment, or even completely lose their response, and relapse in the form of AIPC, eventually leading to the patient's death. This drug resistance of prostate cancer is a serious challenge in the treatment process, and most hormone-dependent cancers still relapse to varying degrees during the 1-3 years of treatment despite hormone therapy. Therefore, advanced prostate cancer is difficult to treat effectively due to the lack of methods to block drug resistance.
- the specific polypeptide of the present invention in the preparation of a drug for preventing or treating prostate cancer, is derived from TRPM8 protein.
- amino acid sequence of the specific polypeptide can be shown as SEQ ID NO: 1.
- the above-mentioned drug can be prepared by mixing the above-mentioned specific polypeptide with complete Freund's adjuvant.
- the above-mentioned medicine may be an injection.
- the prostate cancer may be androgen-independent prostate cancer.
- amino acid sequence of the above-mentioned specific polypeptide can be shown as SEQ ID NO: 1.
- the specific polypeptide of the present invention has a good effect on the treatment and prevention of prostate cancer at all stages, especially androgen-independent prostate cancer.
- Figure 1 is a Luc RM-1 Luciferase detection diagram according to an embodiment of the present invention.
- FIG. 2 shows a statistical graph of tumor weights of treatment groups according to an embodiment of the present invention.
- FIG. 3 shows a statistical graph of tumor weight of the prevention group according to an embodiment of the present invention.
- FIG. 4 is a survival analysis graph of treatment groups according to an embodiment of the present invention.
- FIG. 5 is a survival analysis diagram of the prevention group according to an embodiment of the present invention.
- 6a and 6b show representative images of pathological sections and inflammation scores of the prostate of the blank group and the control group according to an embodiment of the present invention.
- FIG. 7a and 7b are schematic diagrams showing HE staining of tumor tissue and statistics of relative tumor necrosis area in the treatment group according to an embodiment of the present invention.
- 8a and 8b are schematic diagrams of HE staining of tumor tissue and statistics of relative tumor necrosis area in the prevention group according to an embodiment of the present invention.
- FIG. 9 shows a statistical graph of IFN- ⁇ content in serum of a treatment group according to an embodiment of the present invention.
- FIG. 10 shows a statistical graph of IFN- ⁇ content in serum of a prevention group according to an embodiment of the present invention.
- ADT androgen deprivation therapy
- PCa can achieve good treatment effects through radical surgery or radical radiotherapy, and as the disease progresses, it slowly transforms into androgen-independent PCa, namely androgen-independent prostate cancer (AIPC).
- AIPC metastatic androgen-independent prostate cancer
- TRPM8 Transient receptor potential melastatin 8, member of transient receptor potential cation channel subfamily M
- TRPM8 protein is widely distributed in the body, including prostate, pancreas, testis, thymus, lung, skin, bladder, liver, brain, intestine, sperm, etc.
- TRPM8 protein is composed of 1104 amino acids, with a complex structure and numerous antigenic epitopes. In normal prostate, the expression of TRPM8 in apical secretory epithelial cells remains at a moderate level. Fuessel (Fuessel, S., et al., Multiple tumor marker analyses (PSA, hK2, PSCA, trp-p8) in primary prostate cancers using quantitative RT-PCR. Int J Oncol, 2003. 23 (1): p.
- the specific polypeptide T-8 is a useful, convenient and economical tool for establishing an EAP model. It has low chemical synthesis difficulty, simple preparation of immune antigen solution, high modeling success rate and saves animals required for antigen preparation.
- the specific polypeptide T-8 derived from the TRPM8 protein is used as an antigen to specifically regulate the local tissue of the prostate, thereby enhancing the autoimmune system to achieve the purpose of preventing and treating tumors.
- C57BL/6 mice were used for the experiments. Compared with nude mice, C57BL/6 mice have a normal immune system, which is beneficial for evaluating the activity of anticancer drugs or vaccines.
- the C57BL/6 mouse prostate cancer cell line RM-1 used is an androgen-independent prostate cancer cell.
- mice were used. Animal experiments were conducted in accordance with the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health and approved by the Institutional Animal Ethics and Use Committee of China Pharmaceutical University. The selected mice weighed approximately 24-26 g and were 10-12 weeks old. The mice were kept in a closed and well-ventilated environment with 12h/12h of light/darkness, temperature control of (20-25°C) and humidity control of (40-60%), and preventive measures were taken to prevent pathogen infection. Mice were free to eat and drink. The animals selected and the experimental operations performed were strictly in accordance with the Regulations on the Management of Laboratory Animals promulgated by the State Science and Technology Commission.
- Specific peptide T-8 (amino acid sequence is CSEEM RHRFR QLDTK LNDLKG, i.e., SEQ ID NO: 1), with a molecular weight of 2.57695 kDa, is an antigenic epitope that induces autoimmune prostatitis (further synthesized and purified by Nanjing GenScript Biotech Co., Ltd., catalog number C3949G);
- RM-1 C57BL/6 mouse prostate cancer cell line
- Hematoxylin is dissolved in 1L of distilled water with heating, and then sodium iodate and potassium aluminum sulfate are added to promote its rapid dissolution, and then citric acid and chloral hydrate are added and stirred until it turns purple-red.
- RM-1 prostate cancer cells were stably cultured in RPMI 1640+10% FBS+1% Pen/Strep complete medium for 3-4 generations. Cells were extracted during the logarithmic phase of RM-1 prostate cancer cell growth and stained with trypan blue. Cell morphology was observed under an inverted microscope, and the cells were counted using a hemocytometer. The cell suspension was diluted to 4 ⁇ 10 6 cells/ml with serum-free medium, and then the matrix gel was mixed with the cell suspension at a volume ratio of 1:1 (on ice), and the final concentration of the cell suspension was 2 ⁇ 10 6 cells/mL for later use.
- the mouse was anesthetized with ether, fixed in the supine position, disinfected with iodine, and a 1 cm midline incision was made above the mouse's external genitalia.
- the bladder was lifted up to expose the ventral prostate.
- a microsyringe was used to draw the cell suspension and inject 5 ⁇ L of RM-1-Luc cell suspension into the capsule of the dorsal lobe of the prostate, with a total of 10,000 cells.
- the capsule at the injection site bulged upward to form a raised vesicle as a satisfactory standard. Then slowly withdraw the needle, and then use tissue glue to seal it.
- mice were all modeled with RM-1 on day 0.
- 0.01M PBS (model group) or specific peptide T-8 emulsion was injected subcutaneously at five points. The injection was repeated on the 35th day of the experiment, and the natural death of mice was the experimental endpoint.
- the treatment groups included a 2.250mg/kg low-dose treatment group (also called a 2.250mg/kg group), a 11.25mg/kg medium-dose treatment group (also called a 11.25mg/kg group), and a 22.50mg/kg high-dose treatment group (also called a 22.50mg/kg group).
- the mice were dosed according to their body weight before each dose.
- the model group and the preventive administration group were all modeled with RM-1 on day 0, and the day of RM-1 modeling was recorded as day 0.
- PBS model group
- specific peptide T-8 emulsion was injected subcutaneously at five points, the second injection was performed on day 14 of the experiment, and RM-1-Luc cells were injected orthotopically into the prostate on day 28.
- the mice were administered according to their body weight before each administration.
- the preventive administration groups included a 2.250 mg/kg low-dose preventive group (also called a 2.250 mg/kg group); a 11.25 mg/kg medium-dose preventive group (also called a 11.25 mg/kg group); and a 22.50 mg/kg high-dose preventive group (also called a 22.50 mg/kg group).
- mice were dissected, the weight and volume of the tumor tissue were measured, and the tumor was photographed. The status and weight of the mice were tracked three times a week.
- the efficacy of solid tumors is expressed as the percentage of tumor growth inhibition.
- the calculation method is:
- Tumor growth inhibition rate % (1-T/C) ⁇ 100%
- T average tumor weight of the treatment group
- C average tumor weight of the negative control group (i.e., model group).
- Evaluation criteria Tumor growth inhibition percentage ⁇ 40% is ineffective; ⁇ 40% and statistical P ⁇ 0.05 is effective. The experiment needs to be repeated once to determine the efficacy.
- the different pathological sections were randomly numbered in a random and blinded manner, and then three researchers independently scored to evaluate the morphological changes of prostate tissue and the degree of inflammatory cell infiltration in different pathological sections.
- the scoring criteria were: 0 points, no inflammation; 1 point, mild inflammatory cell infiltration in the prostate stroma, perivascular or periglandular areas; 2 points, moderate infiltration with epithelial cell degeneration; 3 points, atrophy of most alveolar epithelial cells, significant inflammatory cell infiltration and severe congestion.
- the final score of each pathological section was the average of the scores of the three researchers.
- Tissue dehydration Tissues fixed with 4% formaldehyde were dehydrated. The dehydration procedure is shown in Table 5.
- Dewaxing xylene I (10 min), xylene II (10 min); ethanol washing: anhydrous ethanol I (2 min), anhydrous ethanol II (2 min), 95% ethanol (1 min), 75% ethanol (1 min); rinsing with running water (2 min), hematoxylin solution (8 min), rinsing with running water (3 s), differentiation: 1% hydrochloric acid ethanol (10 s, 70% ethanol and concentrated hydrochloric acid), blueing with running water (20 min), eosin staining (2 min), rinsing with running water (3 s), dehydration: 95% ethanol (30 s), 95% ethanol II (30 s), anhydrous ethanol I (2 min), anhydrous ethanol II (2 min); transparentization: xylene I (2 min), xylene II (2 min), xylene III (2 min), neutral resin sealing.
- cytokine interferon- ⁇ IFN- ⁇
- SPSS v 21.0 software was used for statistical analysis of differences, and one-way analysis of variance (ANOVA) was used to determine the differences between groups. P ⁇ 0.05, P ⁇ 0.01, and P ⁇ 0.001 indicated statistically significant differences, extremely significant differences, and extremely significant differences, respectively.
- GraphPad Prism v 7.0 software was used for drawing.
- Table 6 shows the tumor inhibition rate of the treatment group
- P ⁇ 0.05 As shown in Table 6 and Figure 2, compared with the model group, there were significant differences in tumor weight and tumor inhibition rate in the treatment group of 11.25 mg/kg (P ⁇ 0.05).
- the present invention uses enzalutamide, which is commonly used in clinical practice, as a comparative example to verify its efficacy in mice with prostate cancer after inoculation with RM-1 prostate cancer cells.
- Enzalutamide an androgen receptor inhibitor, was approved by the FDA in August 2012 for the treatment of metastatic castration-resistant prostate cancer (mAIPC).
- mice Male C57BL/6 mice aged 22-24 g and 6-8 weeks were selected and randomly divided into a model group (modeling but no drug administration) and a positive drug group (modeling and drug administration).
- RM-1-Luc cells in the logarithmic growth phase, transfer the cell culture flask to the clean bench, remove the remaining culture medium with a rubber-tipped dropper, wash twice with PBS, add 2mL of trypsin to the culture flask, and digest the cells for 2 minutes. After digestion, discard the trypsin, add 4mL of complete culture medium to the culture flask again to terminate digestion, and blow the cells to make them fall off.
- the formula for calculating the concentration of cell suspension is:
- mice After anesthetizing the mice, let them lie on the heating plate in the supine position to prevent hypothermia during and after the operation. Fix the limbs of the mice with medical tape to prevent them from struggling. After wetting the abdominal hair with 75% ethanol, remove the hair in the perineum. Make an incision about 1 cm above the genitals with ophthalmic scissors to expose the abdominal cavity. Quickly locate the spermatic cord by finding the bladder and find the prostate attached to the spermatic cord. Lift the prostate with ophthalmic forceps so that the prostate is in a vertical position. Use a microinjector to absorb 5 ⁇ L of cell suspension, and the needle is inserted vertically into the prostate tissue with a depth of not less than 5mm.
- Enzalutamide was dissolved in DMSO to prepare a solution, and 50 mg/kg was administered orally by gavage to the mice in the positive drug group. The drug was administered once a day starting 21 days after modeling for 28 days.
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Abstract
Description
本发明涉及医药领域,更具体地讲,涉及一种特异性多肽在制备治疗、预防前列腺癌的药物中的应用以及特异性多肽在制备免疫诱导剂中的应用。The present invention relates to the field of medicine, and more specifically, to the use of a specific polypeptide in preparing a drug for treating and preventing prostate cancer and the use of the specific polypeptide in preparing an immune inducer.
前列腺癌(Prostate cancer)是全世界男性癌症相关死亡的第二大常见肿瘤,是影响男性健康的主要疾病之一。前列腺癌的发病率与种族、民族、地理位置以及遗传因素相关。其临床表现主要是尿频、排尿力下降、难以开始或停止尿流、精液中的血液、骨盆区域疼痛或不适、骨痛等。前列腺癌发生初期一般为雄激素敏感性前列腺癌,一般采用手术或者放疗,然后辅助内分泌治疗包括抗雄激素药物卡比鲁胺、恩杂鲁胺或者促黄体生成素释放激素激动剂亮丙瑞林和戈舍瑞林等进行治疗,但最终会进展为雄激素非依赖性前列腺癌(Androgen-independent prostate carcinoma,AIPC)。Prostate cancer is the second most common tumor causing cancer-related deaths in men worldwide and is one of the major diseases affecting men's health. The incidence of prostate cancer is related to race, ethnicity, geographic location and genetic factors. Its clinical manifestations are mainly frequent urination, decreased urination force, difficulty starting or stopping urine flow, blood in semen, pain or discomfort in the pelvic area, bone pain, etc. In the early stages of prostate cancer, it is usually androgen-sensitive prostate cancer, which is usually treated with surgery or radiotherapy, followed by adjuvant endocrine therapy including anti-androgen drugs carbilutamide, enzalutamide or luteinizing hormone-releasing hormone agonists leuprolide and goserelin, but it will eventually progress to androgen-independent prostate carcinoma (AIPC).
雄激素非依赖性前列腺癌对雄激素抑制疗法的作用不敏感,仍然会继续生长,癌细胞对上述治疗反应性低下,甚至完全丧失反应,并以AIPC形式复发,终至患者死亡。前列腺癌的这种耐药性是治疗过程中的一个严重的挑战,且大多数激素依赖型癌症在1~3年的治疗期间尽管接受了激素治疗,但仍具有不同程度的复发。因此,晚期前列腺癌(Advanced prostate cancer)由于缺乏阻断耐药性的方法而难以有效治疗。Androgen-independent prostate cancer is insensitive to androgen suppression therapy and will continue to grow. Cancer cells have low responsiveness to the above treatment, or even completely lose their response, and relapse in the form of AIPC, eventually leading to the patient's death. This drug resistance of prostate cancer is a serious challenge in the treatment process, and most hormone-dependent cancers still relapse to varying degrees during the 1-3 years of treatment despite hormone therapy. Therefore, advanced prostate cancer is difficult to treat effectively due to the lack of methods to block drug resistance.
因此,临床一直希望寻找更加有效的方法来达到预防、治疗前列腺癌的目的。Therefore, clinicians have been hoping to find more effective methods to prevent and treat prostate cancer.
需要说明的是,以上背景技术部分所公开的信息仅用于增强对本发明背景的理解,因此其可能包含不构成对本领域技术人员已知的现有技术的信息。It should be noted that the information disclosed in the above background technology section is only used to enhance the understanding of the background of the present invention, and therefore it may contain information that does not constitute the prior art known to those skilled in the art.
发明内容Summary of the invention
为了解决现有技术中存在的上述问题中的一个或多个,本发明提供涉及一种特异性多肽在制备治疗、预防前列腺癌的药物中的应用以及特异性多肽在制备免疫诱导剂中的应用。In order to solve one or more of the above problems existing in the prior art, the present invention provides a use of a specific polypeptide in preparing a drug for treating and preventing prostate cancer and a use of a specific polypeptide in preparing an immune inducer.
在本发明的特异性多肽在制备预防或治疗前列腺癌的药物中的应用中,上述特异性多肽来源于TRPM8蛋白。In the use of the specific polypeptide of the present invention in the preparation of a drug for preventing or treating prostate cancer, the specific polypeptide is derived from TRPM8 protein.
根据本发明一实施例,特异性多肽的氨基酸序列可以如SEQ ID NO:1所示。According to one embodiment of the present invention, the amino acid sequence of the specific polypeptide can be shown as SEQ ID NO: 1.
根据本发明一实施例,可以通过将上述特异性多肽与完全弗氏佐剂并用来制备上述药物。According to one embodiment of the present invention, the above-mentioned drug can be prepared by mixing the above-mentioned specific polypeptide with complete Freund's adjuvant.
根据本发明一实施例,上述药物可以为注射液。According to an embodiment of the present invention, the above-mentioned medicine may be an injection.
根据本发明一实施例,上述前列腺癌可以为雄激素非依赖性前列腺癌。According to one embodiment of the present invention, the prostate cancer may be androgen-independent prostate cancer.
本发明还提供一种特异性多肽在制备免疫诱导剂中的应用,上述免疫诱导剂用于诱导前列腺组织特异性免疫,上述特异性多肽来源于TRPM8蛋白。The present invention also provides an application of a specific polypeptide in the preparation of an immune inducer, wherein the immune inducer is used to induce prostate tissue-specific immunity, and the specific polypeptide is derived from TRPM8 protein.
根据本发明一实施例,上述特异性多肽的氨基酸序列可以如SEQ ID NO:1所示。According to one embodiment of the present invention, the amino acid sequence of the above-mentioned specific polypeptide can be shown as SEQ ID NO: 1.
根据本发明一实施例,通过可以将上述特异性多肽与完全弗氏佐剂并用来制备上述免疫诱导剂。According to one embodiment of the present invention, the above-mentioned specific polypeptide can be combined with complete Freund's adjuvant to prepare the above-mentioned immune inducer.
根据本发明一实施例,上述免疫诱导剂可以为注射液。According to one embodiment of the present invention, the immune inducing agent may be an injection.
本发明的特异性多肽对各阶段的前列腺癌特别是雄激素非依赖性前列腺癌的治疗和预防均具有良好的效果。The specific polypeptide of the present invention has a good effect on the treatment and prevention of prostate cancer at all stages, especially androgen-independent prostate cancer.
附图用来提供对本发明的进一步理解,并且构成说明书的一部分,与本发明的实施例一起用于解释本发明,但并不构成对本发明的限制。在附图中:The accompanying drawings are used to provide a further understanding of the present invention and constitute a part of the specification. Together with the embodiments of the present invention, they are used to explain the present invention but do not constitute a limitation of the present invention. In the accompanying drawings:
图1是根据本发明实施例的Luc RM-1 Luciferase检测图。Figure 1 is a Luc RM-1 Luciferase detection diagram according to an embodiment of the present invention.
图2示出了根据本发明实施例的治疗组的肿瘤重量的统计图。FIG. 2 shows a statistical graph of tumor weights of treatment groups according to an embodiment of the present invention.
图3示出了根据本发明实施例的预防组的肿瘤重量的统计图。FIG. 3 shows a statistical graph of tumor weight of the prevention group according to an embodiment of the present invention.
图4是根据本发明实施例的治疗组的生存分析图。FIG. 4 is a survival analysis graph of treatment groups according to an embodiment of the present invention.
图5是根据本发明实施例的预防组的生存分析图。FIG. 5 is a survival analysis diagram of the prevention group according to an embodiment of the present invention.
图6a和6b示出了根据本发明实施例的空白组与对照组的前列腺的病理切片代表图及炎症评分。6a and 6b show representative images of pathological sections and inflammation scores of the prostate of the blank group and the control group according to an embodiment of the present invention.
图7a和7b示出了根据本发明实施例的治疗组的肿瘤组织HE染色及肿瘤相对坏死面积统计示意图。7a and 7b are schematic diagrams showing HE staining of tumor tissue and statistics of relative tumor necrosis area in the treatment group according to an embodiment of the present invention.
图8a和8b根据本发明实施例的预防组的肿瘤组织HE染色及肿瘤相对坏死面积统计示意图。8a and 8b are schematic diagrams of HE staining of tumor tissue and statistics of relative tumor necrosis area in the prevention group according to an embodiment of the present invention.
图9示出了根据本发明实施例的治疗组的血清中IFN-γ含量统计图。FIG. 9 shows a statistical graph of IFN-γ content in serum of a treatment group according to an embodiment of the present invention.
图10示出了根据本发明实施例的预防组的血清中IFN-γ含量统计图。FIG. 10 shows a statistical graph of IFN-γ content in serum of a prevention group according to an embodiment of the present invention.
图11a和11b是根据本发明实施例的治疗组间隔13天的相对荧光量子数图。11a and 11b are graphs showing relative fluorescence quantum numbers of treatment groups at 13-day intervals according to an embodiment of the present invention.
图12a和12b是根据本发明实施例的预防组的终点荧光量子数图。12a and 12b are endpoint fluorescence quantum number diagrams of the prevention group according to an embodiment of the present invention.
图13是根据本发明比较例的小鼠的生存曲线。FIG. 13 is a survival curve of mice according to a comparative example of the present invention.
图14是根据本发明比较例的肿瘤重量的统计图。FIG. 14 is a statistical graph of tumor weight according to a comparative example of the present invention.
图15a和15b是根据本发明比较例的肿瘤组织HE染色及肿瘤相对坏死面积统计示意图。15a and 15b are schematic diagrams showing HE staining of tumor tissue and statistics of relative necrosis area of tumor according to a comparative example of the present invention.
以下通过具体实施例对本发明进行详细描述,以使本领域普通技术人员能够容易地根据本说明书公开的内容实施本发明。以下所描述的实施例仅是本发明的一部分实施例,而非全部。基于本说明书所描述的实施例,本领域普通技术人员在不付出创造性劳动的前提下所获得的所有其它实施例,都属于本发明保护的范围。需要说明的是,在不发生冲突的情况下,本说明书中的实施例及实施例中的特征可以相互组合。The present invention is described in detail below through specific embodiments so that those skilled in the art can easily implement the present invention according to the contents disclosed in this specification. The embodiments described below are only some embodiments of the present invention, not all. Based on the embodiments described in this specification, all other embodiments obtained by those skilled in the art without creative work belong to the scope of protection of the present invention. It should be noted that the embodiments in this specification and the features in the embodiments can be combined with each other without conflict.
前列腺癌的独特之处在于其生长和进展依赖于雄激素,而雄激素剥夺治疗(ADT)是临床实践中一种有效的治疗策略。早期PCa可以通过根治性手术或根治性放疗等方式,达到良好的治疗效果,随着疾病的发展进程,慢慢转化成雄激素非依赖性PCa,即雄激素非依赖性前列腺癌(AIPC)。其中,转移性雄激素非依赖性前列腺癌(AIPC)更是前列腺癌中的严重类型。The uniqueness of prostate cancer lies in its dependence on androgen for growth and progression, and androgen deprivation therapy (ADT) is an effective treatment strategy in clinical practice. Early PCa can achieve good treatment effects through radical surgery or radical radiotherapy, and as the disease progresses, it slowly transforms into androgen-independent PCa, namely androgen-independent prostate cancer (AIPC). Among them, metastatic androgen-independent prostate cancer (AIPC) is a more serious type of prostate cancer.
前列腺癌主要发生在免疫抑制性群体中。前列腺癌是低肿瘤突变负荷的并且近年来针对前列腺癌的ICB治疗策略的应用相对有限。在临床试验中,IMvigor210、atezolizumab、帕博利珠单抗等对癌症的治疗显示出一定疗效,所以说前列腺癌肿瘤微环境的状态对药物治疗具有重要意义。Prostate cancer mainly occurs in immunosuppressive populations. Prostate cancer has a low tumor mutation burden and the application of ICB treatment strategies for prostate cancer has been relatively limited in recent years. In clinical trials, IMvigor210, atezolizumab, pembrolizumab, etc. have shown certain efficacy in the treatment of cancer, so the state of the prostate cancer tumor microenvironment is of great significance for drug treatment.
在晚期使用DC疫苗与全身或者局部细胞减灭疗法联合使用可克服抗原特异性耐受,逆转肿瘤免疫抑制环境。因此,发明人认为利用TRPM8短肽皮下注射引起的前列腺局部炎症增强、免疫浸润增加可能在前列腺癌的控制中发挥着重要作用。基于以上免疫细胞对癌症的影响,尝试进行来源于TRPM8蛋白的特异性多肽对前列腺癌原位模型的治疗效果研究。The use of DC vaccines in combination with systemic or local cytoreductive therapy in the late stage can overcome antigen-specific tolerance and reverse the tumor immunosuppressive environment. Therefore, the inventors believe that the enhanced local inflammation and increased immune infiltration of the prostate caused by subcutaneous injection of TRPM8 short peptides may play an important role in the control of prostate cancer. Based on the above effects of immune cells on cancer, an attempt was made to study the therapeutic effect of specific peptides derived from TRPM8 protein on the in situ model of prostate cancer.
关于炎症与治疗癌症的关系,有一种观点认为:炎症的抗癌作用主要体现在激活体内免疫相关炎性细胞及炎性因子对肿瘤的抑制作用,这其中包括固有免疫和适应性免疫。目前,在免疫治疗癌症相关的思路中,主要是增强癌细胞表面抗原的识别和阻断肿瘤细胞的免疫逃逸,其目标是启动或重新启动癌症免疫的自我维持循环,但不会产生不受限制的自身免疫炎症反应。Regarding the relationship between inflammation and cancer treatment, there is a view that the anti-cancer effect of inflammation is mainly reflected in the activation of immune-related inflammatory cells and inflammatory factors in the body to inhibit tumors, which includes innate immunity and adaptive immunity. At present, the main idea of immunotherapy for cancer is to enhance the recognition of cancer cell surface antigens and block the immune escape of tumor cells. The goal is to start or restart the self-sustaining cycle of cancer immunity, but it will not produce an unrestricted autoimmune inflammatory response.
肿瘤的免疫治疗旨在激活人体免疫系统,依靠自身免疫机能激活杀灭癌细胞和肿瘤组织,引起肿瘤的衰退。与以往的手术、化疗、放疗和靶向治疗不同的是,免疫治疗针对的靶标不是肿瘤细胞和组织,而是人体自身的免疫系统。主要通过阻止或者减弱肿瘤诱导的免疫抑制发挥作用,从而实现免疫介导的肿瘤清除。免疫治疗的目标不一定是完全根除晚期癌症,而是恢复到一种免疫状态的平衡,抑制其肿瘤发展的速度和进程。目前开发的癌症疫苗利用自身免疫系统的作用增强对癌症的抵抗作用,从而达到治疗的目的。Tumor immunotherapy aims to activate the human immune system, relying on the body's own immune function to activate and kill cancer cells and tumor tissues, causing tumor regression. Unlike previous surgery, chemotherapy, radiotherapy and targeted therapy, immunotherapy targets not tumor cells and tissues, but the body's own immune system. It mainly works by preventing or weakening tumor-induced immunosuppression, thereby achieving immune-mediated tumor clearance. The goal of immunotherapy is not necessarily to completely eradicate advanced cancer, but to restore a state of immune balance and inhibit the speed and progress of tumor development. The cancer vaccines currently being developed use the effects of the body's own immune system to enhance resistance to cancer, thereby achieving the purpose of treatment.
肿瘤免疫疗法是当前肿瘤治疗领域最具前景研究方向之一。癌症免疫疗法可以分为被动免疫疗法和主动免疫疗法。被动免疫疗法是通过提供外源性促炎细胞因子和单克隆抗体,采用短期先天免疫增强或过继性免疫恢复T辅助细胞(Th)-1反应。主动免疫疗法可刺激患者自身的免疫反应,激发特异性免疫,从而激活免疫细胞、自然杀伤细胞或细胞毒性T细胞,或产生针对肿瘤特异性抗原的抗体,特异性靶向肿瘤抗原。Tumor immunotherapy is one of the most promising research directions in the current field of tumor treatment. Cancer immunotherapy can be divided into passive immunotherapy and active immunotherapy. Passive immunotherapy is to provide exogenous proinflammatory cytokines and monoclonal antibodies, using short-term innate immune enhancement or adoptive immune restoration of T helper cell (Th)-1 response. Active immunotherapy can stimulate the patient's own immune response and stimulate specific immunity, thereby activating immune cells, natural killer cells or cytotoxic T cells, or producing antibodies against tumor-specific antigens, specifically targeting tumor antigens.
前列腺癌是一种生长缓慢、低突变负荷的恶性肿瘤,被称为“冷肿瘤”。由于前列腺癌TME中抗肿瘤活性的免疫细胞数量少活性低,抗肿瘤免疫作用有限。在前列腺癌中阻断PD-1和PD-L1的作用并不能恢复肿瘤浸润CD8+T细胞诱导的抗肿瘤反应,但是在其他类型的肿瘤中却可以看到。这从两方面对比说明了前列腺癌免疫治疗对比其他恶性肿瘤免疫治疗的困难性。Prostate cancer is a slow-growing, low-mutation-load malignant tumor known as a "cold tumor." Due to the small number and low activity of immune cells with anti-tumor activity in the prostate cancer TME, the anti-tumor immune effect is limited. Blocking the effects of PD-1 and PD-L1 in prostate cancer does not restore the anti-tumor response induced by tumor-infiltrating CD8+T cells, but this can be seen in other types of tumors. This comparison from two aspects illustrates the difficulty of immunotherapy for prostate cancer compared with immunotherapy for other malignant tumors.
对此,发明人尝试另一条癌症免疫的思路。即,通过促进DC细胞的成熟,加强DC-T细胞的激活,同时逆转肿瘤微环境的变化,促进前列腺癌TME中抗肿瘤免疫细胞的作用,同时又调节PD-1和PD-L1的相互作用。肿瘤免疫微环境(TME)也会影响免疫效果的发挥。In response to this, the inventor tried another approach to cancer immunity. That is, by promoting the maturation of DC cells, strengthening the activation of DC-T cells, and reversing the changes in the tumor microenvironment, the role of anti-tumor immune cells in prostate cancer TME was promoted, while regulating the interaction between PD-1 and PD-L1. The tumor immune microenvironment (TME) also affects the immune effect.
TRPM8(Transient receptor potential melastatin 8,瞬时受体电位阳离子通道亚家族M成员)蛋白广泛分布于体内,包括前列腺、胰、睾丸、胸腺、肺、皮肤、膀胱、肝脏、脑、肠道、精子等。TRPM8蛋白由1104个氨基酸组成,结构复杂并且抗原表位众多。在正常的前列腺中,TRPM8在顶端分泌上皮细胞中的表达保持在中等水平。Fuessel(Fuessel,S.,et al.,Multiple tumor marker analyses(PSA,hK2,PSCA,trp-p8)in primary prostate cancers using quantitative RT-PCR.Int J Oncol,2003.23(1):p.221-8)等人证明,TRPM8在正常前列腺细胞中表达非常低,而在前列腺癌细胞中,它的表达却急剧增加,因此,TRPM8被认为是前列腺癌中的促癌因子。在前列腺癌早期,TRPM8的表达会受到雄激素的调节而增加,但是,随着肿瘤的发展,到晚期、侵袭性和雄激素非依赖性阶段,TRPM8的表达则又降低。此外,TRPM8表达的雄激素依赖性、TRPM8通道在胞浆或细胞膜的表达,均与前列腺上皮细胞的分化程度有关。综合以上情况,可以推论:TRPM8在肿瘤增殖中具有肿瘤特异性的作用,而不仅仅是肿瘤发展的结果。TRPM8 (Transient receptor potential melastatin 8, member of transient receptor potential cation channel subfamily M) protein is widely distributed in the body, including prostate, pancreas, testis, thymus, lung, skin, bladder, liver, brain, intestine, sperm, etc. TRPM8 protein is composed of 1104 amino acids, with a complex structure and numerous antigenic epitopes. In normal prostate, the expression of TRPM8 in apical secretory epithelial cells remains at a moderate level. Fuessel (Fuessel, S., et al., Multiple tumor marker analyses (PSA, hK2, PSCA, trp-p8) in primary prostate cancers using quantitative RT-PCR. Int J Oncol, 2003. 23 (1): p. 221-8) et al. demonstrated that TRPM8 is expressed at a very low level in normal prostate cells, but its expression increases sharply in prostate cancer cells. Therefore, TRPM8 is considered to be a carcinogenic factor in prostate cancer. In the early stage of prostate cancer, the expression of TRPM8 is increased by androgen regulation. However, as the tumor develops, the expression of TRPM8 decreases in the late, invasive and androgen-independent stages. In addition, the androgen dependence of TRPM8 expression and the expression of TRPM8 channels in the cytoplasm or cell membrane are related to the degree of differentiation of prostate epithelial cells. Based on the above, it can be inferred that TRPM8 has a tumor-specific role in tumor proliferation, not just the result of tumor development.
TRPM8是一种在前列腺中表达,在前列腺癌中表达上升的蛋白,因为其在前列腺癌中的表达上升,并且其与肿瘤侵袭性相关,因此靶向TRPM8对于前列腺癌的治疗可能具有重要意义。TRPM8 is a protein expressed in the prostate and whose expression is increased in prostate cancer. Because its expression is increased in prostate cancer and it is associated with tumor aggressiveness, targeting TRPM8 may be important for the treatment of prostate cancer.
在前列腺癌中,TRPM8呈现过表达状态并且与前列腺癌的预后及潜在治疗相关,可以认定为前列腺癌的诊断标志物,也是AIPC的潜在预后标志物。存在于前列腺癌中的TRPM8蛋白的细胞外结构会被细胞毒性T淋巴细胞靶向,增强免疫系统针对前列腺癌的靶向攻击作用。同时,TRPM8是一种非选择性的Ca2+离子通道,在维持细胞稳态和肿瘤发生中的重要作用,主要调节细胞的生长、迁移和凋亡,免疫调节和炎症反应,使其作为治疗前列腺癌的靶点受到关注。In prostate cancer, TRPM8 is overexpressed and is associated with the prognosis and potential treatment of prostate cancer. It can be identified as a diagnostic marker for prostate cancer and a potential prognostic marker for AIPC. The extracellular structure of the TRPM8 protein present in prostate cancer is targeted by cytotoxic T lymphocytes, enhancing the immune system's targeted attack on prostate cancer. At the same time, TRPM8 is a non-selective Ca 2+ ion channel that plays an important role in maintaining cell homeostasis and tumorigenesis. It mainly regulates cell growth, migration and apoptosis, immune regulation and inflammatory response, making it a target for the treatment of prostate cancer.
因此,发明人尝试开发一种可以特异性调节前列腺局部组织自身免疫系统的增强来达到抗肿瘤目的的药物。由此,该药物可以是用于诱导前列腺组织特异性免疫的免疫诱导剂,通过诱导前列腺组织特异性免疫增强来预防并治疗前列腺癌特别是雄激素非依赖性前列腺癌。Therefore, the inventor attempts to develop a drug that can specifically regulate the enhancement of the local autoimmune system of the prostate tissue to achieve the anti-tumor purpose. Thus, the drug can be an immune inducer for inducing prostate tissue-specific immunity, and prevents and treats prostate cancer, especially androgen-independent prostate cancer, by inducing prostate tissue-specific immune enhancement.
发明人之前的研究表明,来源于TRPM8蛋白的特异性多肽(有时也称为“TRPM8短肽”)具有独特的前列腺组织特异性,作为一种抗原进入体内后会激活全身免疫系统攻击前列腺,造成慢性非细菌性前列腺炎模型,而且,TRPM8短肽引发的前列腺组织局部炎症反应会伴随着全身免疫的增强,免疫细胞增加及炎症因子增加。由此,发明人假设全身免疫系统的激活会对已经癌变的前列腺组织进行靶向的攻击,从而达到治疗雄激素非依赖性前列腺癌的目的。Previous studies by the inventors have shown that specific polypeptides derived from TRPM8 protein (sometimes also referred to as "TRPM8 short peptides") have unique prostate tissue specificity. As an antigen, they will activate the systemic immune system to attack the prostate after entering the body, resulting in a chronic non-bacterial prostatitis model. Moreover, the local inflammatory response of the prostate tissue induced by TRPM8 short peptides will be accompanied by enhanced systemic immunity, increased immune cells and increased inflammatory factors. Therefore, the inventors hypothesize that the activation of the systemic immune system will target the already cancerous prostate tissue, thereby achieving the purpose of treating androgen-independent prostate cancer.
另外,在预防给药实验方案中,给予免疫TRPM8短肽形成局部炎症反应并伴随着全身免疫的增强,对小鼠的生存时间以及瘤重的减轻具有积极作用,在前列腺癌发生初期就能对肿瘤形成一个免疫攻击或者压制作用,使初期肿瘤发育不良或者不发生,从而达到治疗效果。在治疗阶段主要是通过激活免疫系统,针对不同类型免疫细胞的激活作用,促进DC的APC功能,T细胞的活化和增殖,巨噬细胞的吞噬等能力,抑制PCa的生长能力或者增强其坏死凋亡能力,从而达到治疗的效果,TRPM8作为免疫肽激活局部前列腺免疫的增强及全身免疫增强,改善肿瘤发生的微环境。无论是预防阶段给予TRPM8短肽还是治疗阶段给予TRPM8短肽,只是在干预初始阶段存在不同,与前列腺癌的发展阶段存在关系,这就造成了可能在预防和治疗上面相同剂量的TRPM8短肽可能发挥不同的作用效果,原因的本质可能还是与前列腺癌的肿瘤微环境状态存在差异。In addition, in the preventive administration experimental scheme, the administration of TRPM8 short peptides formed a local inflammatory response accompanied by the enhancement of systemic immunity, which had a positive effect on the survival time of mice and the reduction of tumor weight. In the early stage of prostate cancer, an immune attack or suppression effect can be formed on the tumor, so that the early tumor is poorly developed or does not occur, thereby achieving a therapeutic effect. In the treatment stage, it is mainly through activating the immune system, targeting the activation of different types of immune cells, promoting the APC function of DC, the activation and proliferation of T cells, the phagocytosis of macrophages, etc., inhibiting the growth ability of PCa or enhancing its necrosis and apoptosis ability, so as to achieve the therapeutic effect. TRPM8, as an immune peptide, activates the enhancement of local prostate immunity and systemic immunity, and improves the microenvironment of tumor occurrence. Whether TRPM8 short peptides are given in the prevention stage or the treatment stage, there are only differences in the initial stage of intervention, which is related to the development stage of prostate cancer. This may cause the same dose of TRPM8 short peptides in prevention and treatment to have different effects. The essence of the reason may still be different from the tumor microenvironment state of prostate cancer.
因此免疫TRPM8短肽激活的局部前列腺免疫反应对治疗AIPC的进展具有抑制作用,也证明TRPM8在炎症与癌症的进展中的桥梁作用。Therefore, the local prostate immune response activated by TRPM8 short peptide has an inhibitory effect on the progression of AIPC, which also proves the bridging role of TRPM8 in the progression of inflammation and cancer.
推测可能存在TRPM8短肽以其与PD-L1更强的结合力,通过拮抗AIPC肿瘤细胞表面的PD-L1与T淋巴细胞PD-1分子的结合,恢复AIPC局部TME内T淋巴细胞识别AIPC中肿瘤细胞的能力,抑制AIPC中肿瘤细胞经免疫编辑过程而致的免疫逃逸,进一步促使AIPC的杀灭,最终促使“肿瘤免疫编辑”过程由“清除→平衡→逃逸”趋势向“逃逸→平衡→清除”趋势转变,从而改善AIPC预后。It is speculated that there may be TRPM8 short peptides with stronger binding force to PD-L1, which can antagonize the binding of PD-L1 on the surface of AIPC tumor cells and PD-1 molecules on T lymphocytes, restore the ability of T lymphocytes in the local TME of AIPC to recognize tumor cells in AIPC, inhibit the immune escape of tumor cells in AIPC caused by the immune editing process, further promote the killing of AIPC, and ultimately promote the "tumor immune editing" process from the "clearance → balance → escape" trend to the "escape → balance → clearance" trend, thereby improving the prognosis of AIPC.
据此,本发明人尝试利用由TRPM8蛋白分离得到的特异性多肽作为抗原来特异性调节前列腺局部组织,使自身免疫系统增强来达到预防、治疗肿瘤的目的,从而完成了本发明。Based on this, the present inventors attempted to use specific polypeptides separated from TRPM8 protein as antigens to specifically regulate local prostate tissues and enhance the autoimmune system to achieve the purpose of preventing and treating tumors, thereby completing the present invention.
其中,TRPM8蛋白是非选择性阳离子通道,也是受冷温度(8-28℃)和薄荷醇等凉性物质所激活的温度感受器,由四条相同的6次跨膜结构组成(S1-S6)。发明人基于TRPM8通道蛋白的六个胞外环,设计和合成了六条肽段。其中,特异性多肽T-8(其氨基酸序列如SEQ ID NO:1所示,为CSEEM RHRFR QLDTK LNDLKG)衍生于TRPM8蛋白的第二胞外环(1075-1094位氨基酸残基),与TRP家族其他成员具有较低的同源性。单独使用特异性多肽T-8免疫可诱导轻度前列腺炎,炎性细胞包括CD4+T细胞、巨噬细胞、粒细胞。特异性多肽T-8加CFA(Complete freund’s adjuvant,完全弗氏佐剂)或Al(OH)3,或三者联用造模,均可加重上皮变性、炎性浸润和充血。因此,优选特异性多肽T-8与致炎剂CFA联合使用来制造本发明的药物。炎性细胞多见于腺体间质和腺周,偶见于管腔。前列腺中IL-1β和血浆中TNF-α和CRP水平升高。此外,还评估了EAP的表型特征,骨盆疼痛程度和尿频均增加。特异性多肽T-8是建立EAP模型的一种有用、方便且经济的工具,其化学合成难度低、免疫抗原液制备简单、造模成功率高并节省了制备抗原所需的动物。Among them, TRPM8 protein is a non-selective cation channel and a temperature receptor activated by cold temperature (8-28°C) and cooling substances such as menthol. It consists of four identical six-transmembrane structures (S1-S6). The inventors designed and synthesized six peptides based on the six extracellular loops of the TRPM8 channel protein. Among them, the specific polypeptide T-8 (its amino acid sequence is shown in SEQ ID NO: 1, CSEEM RHRFR QLDTK LNDLKG) is derived from the second extracellular loop of the TRPM8 protein (amino acid residues 1075-1094) and has a low homology with other members of the TRP family. Immunization with specific polypeptide T-8 alone can induce mild prostatitis, and inflammatory cells include CD4+T cells, macrophages, and granulocytes. Specific polypeptide T-8 plus CFA (Complete freund's adjuvant) or Al(OH) 3 , or a combination of the three, can aggravate epithelial degeneration, inflammatory infiltration and congestion. Therefore, it is preferred that the specific polypeptide T-8 is used in combination with the inflammatory agent CFA to manufacture the drug of the present invention. Inflammatory cells are mostly found in the glandular stroma and peri-glandular area, and occasionally in the lumen. The levels of IL-1β in the prostate and TNF-α and CRP in the plasma are elevated. In addition, the phenotypic characteristics of EAP were also evaluated, and the degree of pelvic pain and frequent urination were increased. The specific polypeptide T-8 is a useful, convenient and economical tool for establishing an EAP model. It has low chemical synthesis difficulty, simple preparation of immune antigen solution, high modeling success rate and saves animals required for antigen preparation.
因此,在本发明的实施例中,采用来源于TRPM8蛋白的特异性多肽T-8作为抗原来特异性调节前列腺局部组织,使自身免疫系统增强来达到预防、治疗肿瘤的目的。Therefore, in the embodiments of the present invention, the specific polypeptide T-8 derived from the TRPM8 protein is used as an antigen to specifically regulate the local tissue of the prostate, thereby enhancing the autoimmune system to achieve the purpose of preventing and treating tumors.
应予说明,在本说明书的实施例中,采用C57BL/6小鼠进行实验。与裸鼠相比,C57BL/6小鼠的免疫系统正常,有利于评价抗癌药物或疫苗的活性。另外,采用的C57BL/6小鼠前列腺癌细胞系RM-1是一种雄激素非依赖性的前列腺癌细胞。It should be noted that in the examples of this specification, C57BL/6 mice were used for the experiments. Compared with nude mice, C57BL/6 mice have a normal immune system, which is beneficial for evaluating the activity of anticancer drugs or vaccines. In addition, the C57BL/6 mouse prostate cancer cell line RM-1 used is an androgen-independent prostate cancer cell.
实施例Example
1、实验准备1. Experimental Preparation
1.1动物1.1 Animals
[根据细则91更正 02.09.2024]
采用C57BL/6雄性小鼠。动物实验按照美国国家卫生研究院《实验动物护理和使用指南》进行,并经中国药科大学机构动物伦理和使用委员会批准。选取的小鼠体重约为24~26g,周龄分别处于10-12周。小鼠的饲养环境封闭且通风良好,光照/黑暗为12h/12h,温度控制为(20~25℃)和湿度控制为(40~60%),并采取了预防措施以防止病原体感染。小鼠自由摄食与自由饮水。所选用的动物以及进行的实验操作均严格国家科学技术委员会颁布的实验动物管理条例。[Corrected 02.09.2024 in accordance with Article 91]
C57BL/6 male mice were used. Animal experiments were conducted in accordance with the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health and approved by the Institutional Animal Ethics and Use Committee of China Pharmaceutical University. The selected mice weighed approximately 24-26 g and were 10-12 weeks old. The mice were kept in a closed and well-ventilated environment with 12h/12h of light/darkness, temperature control of (20-25°C) and humidity control of (40-60%), and preventive measures were taken to prevent pathogen infection. Mice were free to eat and drink. The animals selected and the experimental operations performed were strictly in accordance with the Regulations on the Management of Laboratory Animals promulgated by the State Science and Technology Commission.
1.2试剂1.2 Reagents
特异性多肽T-8(氨基酸序列为CSEEM RHRFR QLDTK LNDLKG,即SEQ ID NO:1所示),其分子量为2.57695kDa,是诱导自身免疫性前列腺炎的抗原表位(由南京金斯瑞生物技术有限公司进一步合成和纯化,货号C3949G);Specific peptide T-8 (amino acid sequence is CSEEM RHRFR QLDTK LNDLKG, i.e., SEQ ID NO: 1), with a molecular weight of 2.57695 kDa, is an antigenic epitope that induces autoimmune prostatitis (further synthesized and purified by Nanjing GenScript Biotech Co., Ltd., catalog number C3949G);
完全弗氏佐剂,货号F5881,购自美国Sigma-Aldrich公司;Complete Freund's adjuvant, product number F5881, was purchased from Sigma-Aldrich, USA;
PBS缓冲液;PBS buffer;
苏木素-伊红染液;Hematoxylin-eosin stain;
4%甲醛溶液;4% formaldehyde solution;
无水乙醚;Anhydrous ether;
C57BL/6小鼠前列腺癌细胞株(RM-1);C57BL/6 mouse prostate cancer cell line (RM-1);
10%普通胎牛血清;10% normal fetal bovine serum;
RMPI-1640基础培养基;RMPI-1640 basal medium;
0.25%胰酶蛋白-EDTA消化液(含酚红);0.25% trypsin protein-EDTA digestion solution (containing phenol red);
台盼蓝;Trypan blue;
表1:细胞培养试剂 Table 1: Cell culture reagents
表2:4%多聚甲醛溶液配制 Table 2: Preparation of 4% paraformaldehyde solution
表3:苏木素染液配方 Table 3: Hematoxylin staining solution formula
苏木素加温溶于1L蒸馏水中,再加入碘酸钠和硫酸铝钾,促进其速溶后加入柠檬酸和水合氯醛,搅拌,呈现紫红色。Hematoxylin is dissolved in 1L of distilled water with heating, and then sodium iodate and potassium aluminum sulfate are added to promote its rapid dissolution, and then citric acid and chloral hydrate are added and stirred until it turns purple-red.
伊红染液的配制:Preparation of eosin stain:
将2.50g伊红溶于500mL蒸馏水中,加入10mL的浓盐酸,静置过夜后,过滤物连同滤纸防止烘箱内烤干,用这些干燥物溶于1000mL95%乙醇中,配制成伊红原液,用时可用95%乙醇稀释成1︰1的溶液。Dissolve 2.50g of eosin in 500mL of distilled water, add 10mL of concentrated hydrochloric acid, let it stand overnight, filter the material together with the filter paper to prevent it from drying in an oven, dissolve the dry material in 1000mL of 95% ethanol to prepare eosin stock solution, which can be diluted with 95% ethanol to a 1:1 solution when used.
特异性多肽T-8乳浊液的配制:Preparation of specific polypeptide T-8 emulsion:
22.50mg/kg组使用的特异性多肽T-8乳浊液配制:(1)取43.2mg的特异性多肽T-8冻干粉,用19.2mL 0.01M的PBS溶解,并且振荡使得其溶解均匀,得到特异性多肽T-8溶液;(2)取出12.0mL特异性多肽T-8溶液,至离心管中;(3)取12.0mL的完全弗氏佐剂,充分混悬,混悬结果以静止过夜时间不分层为宜,备用;Preparation of the specific polypeptide T-8 emulsion used in the 22.50 mg/kg group: (1) Take 43.2 mg of specific polypeptide T-8 lyophilized powder, dissolve it in 19.2 mL 0.01 M PBS, and shake it to make it dissolve evenly to obtain a specific polypeptide T-8 solution; (2) Take out 12.0 mL of the specific polypeptide T-8 solution and put it into a centrifuge tube; (3) Take 12.0 mL of complete Freund's adjuvant and suspend it thoroughly. The suspension should be allowed to stand overnight without stratification and set aside;
11.25mg/kg组使用的特异性多肽T-8乳浊液配制:(1)取6.0mL上述22.50mg/kg组的(1)中得到的特异性多肽T-8溶液至离心管中;(2)加入6.0mL PBS,至离心管中;(3)取12.0mL的完全弗氏佐剂,充分混悬,混悬结果以静止过夜时间不分层为宜,备用;Preparation of the specific polypeptide T-8 emulsion used in the 11.25 mg/kg group: (1) Take 6.0 mL of the specific polypeptide T-8 solution obtained in (1) of the 22.50 mg/kg group and put it into a centrifuge tube; (2) Add 6.0 mL of PBS to the centrifuge tube; (3) Take 12.0 mL of complete Freund's adjuvant and suspend it thoroughly. The suspension should not stratify after being left to stand overnight and is ready for use;
2.250mg/kg组使用的特异性多肽T-8乳浊液配制:(1)取3.0mL上述实施例1中的4.500mg/kg组的(1)中得到的特异性多肽T-8溶液至离心管中;(2)加入9.0mL PBS,至离心管中;(3)取12.0mL的完全弗氏佐剂,充分混悬,混悬结果以静止过夜时间不分层为宜,备用。Preparation of the specific polypeptide T-8 emulsion used in the 2.250 mg/kg group: (1) Take 3.0 mL of the specific polypeptide T-8 solution obtained in (1) of the 4.500 mg/kg group in the above Example 1 and put it into a centrifuge tube; (2) Add 9.0 mL of PBS to the centrifuge tube; (3) Take 12.0 mL of complete Freund's adjuvant and suspend it thoroughly. The suspension should be allowed to stand overnight without stratification and is ready for use.
1.3仪器1.3 Instruments
表4仪器列表 Table 4 Instrument List
2、实验方法2. Experimental methods
2.1细胞培养与RM-1-Luciferase稳转株细胞构建2.1 Cell culture and construction of RM-1-Luciferase stable transfected cell lines
2.1.1慢病毒感染目的细胞构建稳定株2.1.1 Lentivirus infection of target cells to construct stable strains
用包装好的PGMLV-CMV-Luc-PGK-Puro慢病毒感染RM-1细胞,得到Luc RM-1稳定株。RM-1 cells were infected with the packaged PGMLV-CMV-Luc-PGK-Puro lentivirus to obtain the Luc RM-1 stable strain.
第一天,以1×105个细胞接种RM-1细胞于24孔板中。第二天,感染前,病毒原液从-80℃冰箱取出后冰浴融化,用500μL完全培养基按MOI>500稀释病毒原液,吸除处理组原有的培养基,含有慢病毒液稀释液的300μL培养基加到处理组细胞中。第三天,更换培养液,在感染16h后将含有慢病毒的培养液全量更换成500μL完全培养液。第五天,感染效率检测,在倒置荧光显微镜观察荧光,估计慢病毒感染目的细胞的效率。选择合适的真核抗性筛选细胞(Puromycin全致死浓度2μg/mL,维持浓度1μg/mL),一般药筛两轮(1轮2天,由抗生素预实验决定),细胞即可稳定,稳定后使用RPMI 1640+10%FBS+1%Pen/Strep+1μg/mL Puromycin完全培养基维持细胞。On the first day, RM-1 cells were inoculated in 24-well plates at 1×10 5 cells. On the second day, before infection, the virus stock solution was taken out of the -80℃ refrigerator and melted in an ice bath. The virus stock solution was diluted with 500μL complete medium at MOI>500, the original medium of the treatment group was removed, and 300μL medium containing the lentivirus dilution solution was added to the cells of the treatment group. On the third day, the culture medium was replaced. After 16h of infection, the culture medium containing the lentivirus was replaced with 500μL complete culture medium. On the fifth day, the infection efficiency was detected, and the fluorescence was observed under an inverted fluorescence microscope to estimate the efficiency of lentivirus infection of the target cells. Appropriate eukaryotic resistance screening cells (Puromycin full lethal concentration 2μg/mL, maintenance concentration 1μg/mL) were selected. Generally, two rounds of drug screening (1 round for 2 days, determined by the antibiotic pre-experiment) were performed, and the cells were stable. After stabilization, RPMI 1640+10% FBS+1% Pen/Strep+1μg/mL Puromycin complete medium was used to maintain the cells.
2.1.2 Luc RM-1Luciferase检测2.1.2 Luc RM-1Luciferase Detection
用构建完成的Luc RM-1细胞收样检测Luciferase。Luciferase was detected using samples collected from the constructed Luc RM-1 cells.
(1)培养箱中取出RM-1和Luc RM-1细胞,离心收集细胞沉淀至1.5mL EP管,再次用PBS重悬细胞,计数,取含有3×105个细胞的悬液至新的1.5mL EP管中,离心收集细胞沉淀(等同24孔板细胞量)。(1) Remove RM-1 and Luc RM-1 cells from the incubator, collect the cell pellet by centrifugation and transfer to a 1.5 mL EP tube. Resuspend the cells in PBS and count them. Transfer the suspension containing 3 × 10 5 cells to a new 1.5 mL EP tube and collect the cell pellet by centrifugation (equivalent to the amount of cells in a 24-well plate).
(2)细胞裂解:(2) Cell lysis:
加入120μL细胞裂解液,用手指轻弹管壁以充分裂解细胞,同时用移液枪吹打数下,使裂解液和细胞充分接触,通常裂解液接触细胞30秒后,细胞就会被裂解。Add 120 μL of cell lysis buffer, tap the tube wall with your fingers to fully lyse the cells, and use a pipette to blow several times to ensure that the lysis buffer and cells are in full contact. Usually, the cells will be lysed after the lysis buffer contacts the cells for 30 seconds.
(3)将充分裂解后的产物,10,000rpm离心5min。离心后将上清液移入新的1.5mL EP管进行后续检测。(3) Centrifuge the fully lysed product at 10,000 rpm for 5 min. After centrifugation, transfer the supernatant into a new 1.5 mL EP tube for subsequent testing.
(4)将Infinite/M1000仪器设备荧光检测打开,设定参数,测定时间为10s,测定间隔为2s。(4) Turn on the fluorescence detection of the Infinite/M1000 instrument and set the parameters: the measurement time is 10 s and the measurement interval is 2 s.
(5)将样品按照每孔20μL的体积加入全白酶标板中,各自3重复,再分别每孔加入20μL荧光素酶检测试剂,用移液枪轻轻吹打混匀2-3次(注意避免有气泡,否则会影响数值),后测定RLU(Relative light unit)。(5) Add 20 μL of the sample to each well of the all-white ELISA plate, repeat three times, and then add 20 μL of luciferase detection reagent to each well. Use a pipette to gently pipette and mix 2-3 times (be careful to avoid bubbles, otherwise it will affect the value), and then measure the RLU (Relative light unit).
2.1.3细胞培养2.1.3 Cell culture
将RM-1前列腺癌细胞在RPMI 1640+10%FBS+1%Pen/Strep完全培养基中稳定培养3-4代,在RM-1前列腺癌细胞生长的对数期提取细胞,使用台盼蓝染色。在倒置显微镜下观察细胞形态,采用血球计数板计数,无血清培养基将细胞悬液稀释为4×106个/ml的细胞悬液,再使用基质胶与细胞悬液按照体积1:1混合(冰上进行),细胞悬液最终浓度为2×106个/mL,备用。RM-1 prostate cancer cells were stably cultured in RPMI 1640+10% FBS+1% Pen/Strep complete medium for 3-4 generations. Cells were extracted during the logarithmic phase of RM-1 prostate cancer cell growth and stained with trypan blue. Cell morphology was observed under an inverted microscope, and the cells were counted using a hemocytometer. The cell suspension was diluted to 4×10 6 cells/ml with serum-free medium, and then the matrix gel was mixed with the cell suspension at a volume ratio of 1:1 (on ice), and the final concentration of the cell suspension was 2×10 6 cells/mL for later use.
2.2动物模型与免疫2.2 Animal models and immunization
2.2.1前列腺癌原位模型的建立2.2.1 Establishment of orthotopic prostate cancer model
使用乙醚麻醉小鼠,仰卧位固定,碘伏消毒,于小鼠外生殖器上方作1cm正中切口,将膀胱向上提起,暴露腹侧前列腺。用微量注射器吸取细胞悬液向前列腺背侧叶包膜下注射RM-1-Luc细胞悬液5μL,细胞总数为10000个。注射处包膜向上鼓起,形成隆起小泡作为满意标准。然后缓缓退出针头,然后使用组织胶水进行封闭,确认无溢后,恢复前列腺和膀胱正常的解剖位置,1-0丝线间断、双层缝合关闭切口。将小鼠放回笼中。术中操作需要轻柔,避免损伤正常组织。The mouse was anesthetized with ether, fixed in the supine position, disinfected with iodine, and a 1 cm midline incision was made above the mouse's external genitalia. The bladder was lifted up to expose the ventral prostate. A microsyringe was used to draw the cell suspension and inject 5 μL of RM-1-Luc cell suspension into the capsule of the dorsal lobe of the prostate, with a total of 10,000 cells. The capsule at the injection site bulged upward to form a raised vesicle as a satisfactory standard. Then slowly withdraw the needle, and then use tissue glue to seal it. After confirming that there is no overflow, restore the normal anatomical position of the prostate and bladder, and close the incision with 1-0 silk thread interrupted and double-layer sutures. Put the mouse back in the cage. The operation needs to be gentle during the operation to avoid damaging normal tissue.
2.2.2特异性多肽T-8治疗前列腺癌动物免疫(治疗组)2.2.2 Specific peptide T-8 for the treatment of prostate cancer animals (treatment group)
除了空白组和特异性多肽T-8皮下注射对照组以外,模型组和治疗给药组均在第0天进行RM-1造模,实验第21天,采取皮下五点注射0.01M PBS(模型组)或特异性多肽T-8乳浊液,实验第35天进行再次注射,小鼠自然死亡为实验终点。治疗给药组包括2.250mg/kg低剂量治疗组(也称为2.250mg/kg组)、11.25mg/kg中剂量治疗组(也称为11.25mg/kg组)、22.50mg/kg高剂量治疗组(也称为22.50mg/kg组)。依据小鼠每次给药前的体重来给药。Except for the blank group and the control group of subcutaneous injection of specific peptide T-8, the model group and the treatment group were all modeled with RM-1 on day 0. On the 21st day of the experiment, 0.01M PBS (model group) or specific peptide T-8 emulsion was injected subcutaneously at five points. The injection was repeated on the 35th day of the experiment, and the natural death of mice was the experimental endpoint. The treatment groups included a 2.250mg/kg low-dose treatment group (also called a 2.250mg/kg group), a 11.25mg/kg medium-dose treatment group (also called a 11.25mg/kg group), and a 22.50mg/kg high-dose treatment group (also called a 22.50mg/kg group). The mice were dosed according to their body weight before each dose.
2.2.3特异性多肽T-8预防前列腺癌动物免疫(预防组)2.2.3 Specific peptide T-8 to prevent prostate cancer in animals (prevention group)
除了空白组以外,模型组和预防给药组均在第0天进行RM-1造模,RM-1造模这一天记为第0天,且第0天采取皮下五点注射PBS(模型组)或特异性多肽T-8乳浊液,实验第14天进行第二次注射,第28天进行前列腺原位注射RM-1-Luc细胞。依据小鼠每次给药前的体重来给药,预防给药组包括2.250mg/kg低剂量预防组(也称为2.250mg/kg组);11.25mg/kg中剂量预防组(也称为11.25mg/kg组);22.50mg/kg高剂量预防组(也称为22.50mg/kg组)。In addition to the blank group, the model group and the preventive administration group were all modeled with RM-1 on day 0, and the day of RM-1 modeling was recorded as day 0. On day 0, PBS (model group) or specific peptide T-8 emulsion was injected subcutaneously at five points, the second injection was performed on day 14 of the experiment, and RM-1-Luc cells were injected orthotopically into the prostate on day 28. The mice were administered according to their body weight before each administration. The preventive administration groups included a 2.250 mg/kg low-dose preventive group (also called a 2.250 mg/kg group); a 11.25 mg/kg medium-dose preventive group (also called a 11.25 mg/kg group); and a 22.50 mg/kg high-dose preventive group (also called a 22.50 mg/kg group).
2.3小鼠的生存率及死亡率比较2.3 Comparison of survival and mortality rates of mice
记录所有小鼠死亡时间,制作所有组小鼠生存曲线。The death time of all mice was recorded, and the survival curves of all groups of mice were prepared.
2.4肿瘤生长潜力评价2.4 Evaluation of tumor growth potential
实验结束后,将小鼠解剖,取肿瘤组织的重量和体积测量并进行肿瘤拍照。同时每周跟踪小鼠的状态与体重3次。After the experiment, the mice were dissected, the weight and volume of the tumor tissue were measured, and the tumor was photographed. The status and weight of the mice were tracked three times a week.
实体瘤的疗效以肿瘤生长抑制百分率表示。计算方法为:The efficacy of solid tumors is expressed as the percentage of tumor growth inhibition. The calculation method is:
肿瘤生长抑制率%=(1-T/C)×100%Tumor growth inhibition rate % = (1-T/C) × 100%
T:治疗组平均瘤重;C:阴性对照组(即模型组)平均瘤重。T: average tumor weight of the treatment group; C: average tumor weight of the negative control group (i.e., model group).
评价标准:肿瘤生长抑制百分率<40%为无效;≥40%及统计学P<0.05为有效,实验并需重复一次,以确定疗效。Evaluation criteria: Tumor growth inhibition percentage <40% is ineffective; ≥40% and statistical P < 0.05 is effective. The experiment needs to be repeated once to determine the efficacy.
2.5病理观察2.5 Pathological observation
沿最大横截面以5μm的厚度切片,将每张切片脱蜡,苏木精和伊红染色,树胶封片后镜下观察。用扫描仪进行切片扫描,Image J进行图像分析,圈定要计算的面积后由特定的软件分析系统完成面积的计算,记录面积的数据后算出比值。肿瘤面积与坏死面积值及坏死面积/肿瘤面积值(面积比值)。Slices were cut along the maximum cross section at a thickness of 5 μm. Each slice was dewaxed, stained with hematoxylin and eosin, and observed under a microscope after being sealed with gum. The slices were scanned with a scanner, and image analysis was performed using Image J. After the area to be calculated was circled, the area was calculated using a specific software analysis system. The area data was recorded and the ratio was calculated. The values of tumor area and necrosis area and the values of necrosis area/tumor area (area ratio) were calculated.
采用随机、盲法,对不同病理切片进行随机编号,再由三位研究者独立评分,评估不同病理切片的前列腺组织形态学变化和炎性细胞浸润程度。评分标准为:0分,无炎症;1分,前列腺基质、血管周或腺周区域轻度炎性细胞浸润;2分,中度浸润伴上皮细胞变性;3分,大部分腺泡上皮萎缩、显著的炎性细胞浸润以及充血严重。每个病理切片的最终评分取三位研究者评分的均值。The different pathological sections were randomly numbered in a random and blinded manner, and then three researchers independently scored to evaluate the morphological changes of prostate tissue and the degree of inflammatory cell infiltration in different pathological sections. The scoring criteria were: 0 points, no inflammation; 1 point, mild inflammatory cell infiltration in the prostate stroma, perivascular or periglandular areas; 2 points, moderate infiltration with epithelial cell degeneration; 3 points, atrophy of most alveolar epithelial cells, significant inflammatory cell infiltration and severe congestion. The final score of each pathological section was the average of the scores of the three researchers.
组织脱水:4%甲醛固定好的组织进行脱水,脱水程序如下表5。Tissue dehydration: Tissues fixed with 4% formaldehyde were dehydrated. The dehydration procedure is shown in Table 5.
表5:组织脱水时间和程序 Table 5: Tissue dehydration time and procedures
苏木素-伊红染色步骤:Hematoxylin-eosin staining steps:
脱蜡:二甲苯I(10min),二甲苯II(10min);乙醇洗涤:无水乙醇I(2min),无水乙醇II(2min),95%乙醇(1min),75%乙醇(1min);流水冲洗(2min)苏木精溶液(8min),流水冲洗(3s),分化:1%盐酸乙醇(10s,70%乙醇和浓盐酸),流水返蓝(20min),伊红染色(2min),流水冲洗(3s),脱水:95%乙醇(30s),95%乙醇II(30s),无水乙醇I(2min),无水乙醇II(2min);透明:二甲苯I(2min),二甲苯II(2min),二甲苯III(2min),中性树脂封片。Dewaxing: xylene I (10 min), xylene II (10 min); ethanol washing: anhydrous ethanol I (2 min), anhydrous ethanol II (2 min), 95% ethanol (1 min), 75% ethanol (1 min); rinsing with running water (2 min), hematoxylin solution (8 min), rinsing with running water (3 s), differentiation: 1% hydrochloric acid ethanol (10 s, 70% ethanol and concentrated hydrochloric acid), blueing with running water (20 min), eosin staining (2 min), rinsing with running water (3 s), dehydration: 95% ethanol (30 s), 95% ethanol II (30 s), anhydrous ethanol I (2 min), anhydrous ethanol II (2 min); transparentization: xylene I (2 min), xylene II (2 min), xylene III (2 min), neutral resin sealing.
2.6酶联免疫分析2.6 Enzyme-linked immunosorbent assay
在处死小鼠之前采集血液,并让血液在4℃下静置1小时。随后,血液3000r/10min离心以获取上清液,上清液储存在-20℃下。通过ELISA检测试剂盒检测免疫动物体内细胞因子干扰素-γ(IFN-γ)的浓度。Blood was collected before killing the mice and allowed to stand at 4°C for 1 hour. The blood was then centrifuged at 3000r/10min to obtain the supernatant, which was stored at -20°C. The concentration of cytokine interferon-γ (IFN-γ) in the immunized animals was detected by ELISA detection kit.
2.7小鼠成像分析肿瘤细胞浸润生长状态2.7 Mouse imaging analysis of tumor cell infiltration and growth status
在成像之前,向小鼠腹膜内注射100μL荧光素(在PBS中30mg/mL)约15分钟后进行成像。小鼠经过常规麻醉(气麻或针麻)后放入成像暗箱平台,在诱导室中用水合氯醛麻醉小鼠,软件控制平台的升降到一个合适的视野,自动开启照明灯(明场)拍摄第一次背景图。下一步,自动关闭照明灯,在没有外界光源的条件下(暗场)拍摄由小鼠体内发出的特异光子。明场与暗场的背景图叠加后可以直观的显示动物体内特异光子的部位和强度,完成成像操作。Before imaging, 100 μL of fluorescein (30 mg/mL in PBS) was injected intraperitoneally into the mouse and imaging was performed about 15 minutes later. After conventional anesthesia (gas anesthesia or needle anesthesia), the mouse was placed on the imaging dark box platform, and the mouse was anesthetized with chloral hydrate in the induction chamber. The software controlled the platform to rise and fall to a suitable field of view, and the lighting was automatically turned on (bright field) to take the first background image. In the next step, the lighting was automatically turned off, and the specific photons emitted by the mouse were photographed in the absence of external light sources (dark field). After the background images of the bright field and the dark field are superimposed, the location and intensity of the specific photons in the animal can be intuitively displayed to complete the imaging operation.
2.8数据统计2.8 Statistics
使用SPSS v 21.0软件进行统计学差异分析,单因素方差分析(ANOVA)确定组间差异性,P<0.05、P<0.01和P<0.001分别表示统计学上的显著差异、极显著差异和极极显著差异。使用GraphPad Prism v 7.0软件作图。SPSS v 21.0 software was used for statistical analysis of differences, and one-way analysis of variance (ANOVA) was used to determine the differences between groups. P<0.05, P<0.01, and P<0.001 indicated statistically significant differences, extremely significant differences, and extremely significant differences, respectively. GraphPad Prism v 7.0 software was used for drawing.
3、结果3. Results
3.1 Luc RM-1 Luciferase检测3.1 Luc RM-1 Luciferase Detection
Luc RM-1 Luciferase检测结果如图1所示。其使用荧光素酶检测试剂进行检测,实验重复三次,取平均值,结果转染效率达到99.8%。The results of Luc RM-1 Luciferase detection are shown in Figure 1. The luciferase detection reagent was used for detection, the experiment was repeated three times, and the average value was taken. The result showed that the transfection efficiency reached 99.8%.
3.2肿瘤重量和抑瘤率3.2 Tumor weight and tumor inhibition rate
表6示出了治疗组的抑瘤率,图2示出了治疗组的肿瘤重量(N=9)。如表6和图2所示,与模型组相比,治疗给药11.25mg/kg组的小鼠肿瘤重量和抑瘤率存在显著性差异(P<0.05)。Table 6 shows the tumor inhibition rate of the treatment group, and Figure 2 shows the tumor weight of the treatment group (N=9). As shown in Table 6 and Figure 2, compared with the model group, there were significant differences in tumor weight and tumor inhibition rate in the treatment group of 11.25 mg/kg (P<0.05).
表6:治疗组的抑瘤率 Table 6: Tumor inhibition rate of treatment groups
*表示与模型组比较P<0.05*P<0.05 compared with the model group
表7示出了预防组的抑瘤率,图3示出了预防组的肿瘤重量(N=7)。如表7和图3所示,与模型组相比,预防给药11.25mg/kg组小鼠肿瘤重量和抑瘤率存在显著性差异(P<0.05)。Table 7 shows the tumor inhibition rate of the prevention group, and Figure 3 shows the tumor weight of the prevention group (N=7). As shown in Table 7 and Figure 3, compared with the model group, there were significant differences in tumor weight and tumor inhibition rate in the 11.25 mg/kg prevention group (P<0.05).
表7:预防组的抑瘤率 Table 7: Tumor inhibition rate in the prevention group
*表示与模型组比较P<0.05*P<0.05 compared with the model group
3.3小鼠生存时间分析3.3 Analysis of mouse survival time
图4示出了治疗组的生存分析图(其中,N=9,*代表P<0.05)。如图4所示,与模型组相比,治疗给药2.25mg/kg、22.50mg/kg组的小鼠生存时间存在显著性差异(P<0.05)。图5示出了预防组的生存分析图(其中,N=7,*代表P<0.05)。如图5所示,与模型组相比,预防给药2.25mg/kg组小鼠生存时间存在显著性差异(P<0.05)。Figure 4 shows the survival analysis graph of the treatment group (wherein, N = 9, * represents P < 0.05). As shown in Figure 4, compared with the model group, there was a significant difference in the survival time of mice in the treatment administration 2.25 mg/kg and 22.50 mg/kg groups (P < 0.05). Figure 5 shows the survival analysis graph of the prevention group (wherein, N = 7, * represents P < 0.05). As shown in Figure 5, compared with the model group, there was a significant difference in the survival time of mice in the prevention administration 2.25 mg/kg group (P < 0.05).
3.4组织病理3.4 Histopathology
3.4.1前列腺组织病理评分3.4.1 Prostate tissue pathology scoring
图6a和6b示出了空白组与对照组的前列腺的病理切片代表图及炎症评分,其中,图6a是空白组与对照组(即特异性多肽T-8皮下注射诱导前列腺组织发生特异性免疫炎症的组别,即炎症模型对照组)的前列腺的病理切片代表图;图6b是空白组与对照组的前列腺的炎症评分(**代表对照组与空白组相比P<0.0001)。具体操作为,取各组小鼠前列腺组织制备病理切片,通过前列腺炎组织学评估对照组与空白组病理评分的差异。如图6a和6b所示,空白组的前列腺内腺体分布均匀,仅基质中偶见单个散在炎症细胞浸润;对照组前列腺内腺体分布均匀且局部炎症细胞浸润增加。对照组与空白组病理评分存显著统计学差异(P<0.0001)。结果表明对照组成功增强了前列腺局部炎症浸润。Figures 6a and 6b show representative images of pathological sections and inflammation scores of the prostate in the blank group and the control group, wherein Figure 6a is a representative image of pathological sections of the prostate in the blank group and the control group (i.e., the group in which specific polypeptide T-8 was subcutaneously injected to induce specific immune inflammation in prostate tissue, i.e., the inflammation model control group); Figure 6b is the inflammation score of the prostate in the blank group and the control group (** represents the comparison of the control group with the blank group, P<0.0001). The specific operation is to prepare pathological sections from the prostate tissue of each group of mice, and evaluate the difference in pathological scores between the control group and the blank group by prostatitis histology. As shown in Figures 6a and 6b, the glands in the prostate of the blank group are evenly distributed, with only occasional single scattered inflammatory cell infiltration in the matrix; the glands in the prostate of the control group are evenly distributed and local inflammatory cell infiltration increases. There is a significant statistical difference in pathological scores between the control group and the blank group (P<0.0001). The results show that the control group successfully enhanced local inflammatory infiltration of the prostate.
3.4.2肿瘤坏死面积/肿瘤面积比3.4.2 Tumor necrosis area/tumor area ratio
肿瘤组织见肿瘤细胞呈弥漫片状分布,部分区域可见巢样结构。细胞间界限不清,胞浆弱嗜酸性,细胞核呈圆形、卵圆形,异型性大,核浆比高,部分可见核仁,核分裂像易见,部分肿瘤细胞坏死伴核固缩,肿瘤边缘间质及坏死区内见极少量炎症细胞浸润。In the tumor tissue, the tumor cells were diffusely distributed in sheets, and nest-like structures were visible in some areas. The boundaries between cells were unclear, the cytoplasm was weakly eosinophilic, the nuclei were round or oval, with large atypia, high nuclear-cytoplasmic ratio, some nucleoli were visible, and nuclear division images were easy to see. Some tumor cells were necrotic with nuclear pyknosis, and very few inflammatory cells were infiltrated in the tumor edge stroma and necrotic areas.
图7a和7b是治疗组的肿瘤坏死面积/肿瘤面积示意图,其中,图7a是治疗组的肿瘤图片,图7b是治疗组的肿瘤坏死面积/肿瘤面积比值图表(其中,N=6,*代表与模型组之间比较P<0.05)。由图7a和7b可知,与模型组相比,治疗给药2.25mg/kg、11.25mg/kg组小鼠肿瘤坏死面积/肿瘤面积比值存在显著性差异(P<0.05)。Figures 7a and 7b are schematic diagrams of tumor necrosis area/tumor area in the treatment group, wherein Figure 7a is a tumor picture of the treatment group, and Figure 7b is a graph of the ratio of tumor necrosis area/tumor area in the treatment group (where N=6, * represents P<0.05 compared with the model group). As shown in Figures 7a and 7b, compared with the model group, there was a significant difference in the ratio of tumor necrosis area/tumor area in the mice in the treatment and administration groups of 2.25 mg/kg and 11.25 mg/kg (P<0.05).
图8a和8b是预防组的肿瘤坏死面积/肿瘤面积示意图,其中,图8a是治疗组的肿瘤图片,图8b是治疗组的肿瘤坏死面积/肿瘤面积比值图表(其中,N=5,*代表与模型组之间比较P<0.05)。由图8a和8b可知,与模型组相比,预防给药2.25mg/kg、22.50mg/kg组小鼠肿瘤坏死面积/肿瘤面积比值存在显著性差异(P<0.05)。Figures 8a and 8b are schematic diagrams of tumor necrosis area/tumor area in the prevention group, wherein Figure 8a is a tumor picture of the treatment group, and Figure 8b is a graph of the ratio of tumor necrosis area/tumor area in the treatment group (where N=5, * represents P<0.05 compared with the model group). As shown in Figures 8a and 8b, compared with the model group, there was a significant difference in the ratio of tumor necrosis area/tumor area in the mice in the prevention administration 2.25 mg/kg and 22.50 mg/kg groups (P<0.05).
3.5生化指标3.5 Biochemical indicators
图9示出了治疗组的血清中IFN-γ含量(N=7,*代表P<0.05,**代表P<0.01,***代表P<0.001)。如图9所示,与模型组相比,治疗给药11.25mg/kg组小鼠血清中IFN-γ存在显著性差异(P<0.01);与模型组相比,治疗给药22.50mg/kg组小鼠血清中IFN-γ存在显著性差异(P<0.05)。图10示出了预防组的血清中IFN-γ含量(N=7,*代表P<0.05,**代表P<0.01,***代表P<0.001)。如图10所示,与模型组相比,预防给药11.25mg/kg血清中IFN-γ存在显著性差异(P<0.05);预防给药22.50mg/kg组小鼠血清中IFN-γ存在极显著性差异(P<0.001)。Figure 9 shows the IFN-γ content in the serum of the treatment group (N=7, * represents P<0.05, ** represents P<0.01, *** represents P<0.001). As shown in Figure 9, compared with the model group, there was a significant difference in IFN-γ in the serum of mice in the treatment group of 11.25 mg/kg (P<0.01); compared with the model group, there was a significant difference in IFN-γ in the serum of mice in the treatment group of 22.50 mg/kg (P<0.05). Figure 10 shows the IFN-γ content in the serum of the prevention group (N=7, * represents P<0.05, ** represents P<0.01, *** represents P<0.001). As shown in Figure 10, compared with the model group, there was a significant difference in IFN-γ in the serum of mice in the prevention group of 11.25 mg/kg (P<0.05); there was a very significant difference in IFN-γ in the serum of mice in the prevention group of 22.50 mg/kg (P<0.001).
3.6小鼠成像3.6 Mouse imaging
图11a和11b是治疗组间隔13天的相对荧光量子数图,其中,图11a是治疗组0天、14天小鼠活体成像图,图11b是治疗组13天相对荧光量子数统计图(N=5)。如图11a和11b所示,与模型组相比,治疗给药2.25mg/kg、11.25mg/kg、22.50mg/kg组小鼠间隔13天相对荧光量子(相对荧光量子数=第14天荧光量子数/第0天荧光量子数)数降低,但无显著性差异。图12a和12b是预防组的终点荧光量子数图,其中,图12a是预防组终点小鼠活体成像图,图12b是预防组的终点荧光量子数统计图(N=6,*表示与模型组比较P<0.05)。如图12a和12b所示,与模型组相比,预防给药组2.25mg/kg、22.5mg/kg存在显著性差异(P<0.05)。Figures 11a and 11b are relative fluorescence quantum number diagrams of the treatment group at intervals of 13 days, wherein Figure 11a is a live imaging diagram of mice on days 0 and 14 of the treatment group, and Figure 11b is a statistical diagram of the relative fluorescence quantum number of the treatment group on days 13 (N=5). As shown in Figures 11a and 11b, compared with the model group, the relative fluorescence quantum (relative fluorescence quantum number=fluorescence quantum number on day 14/fluorescence quantum number on day 0) of mice in the treatment and administration groups of 2.25 mg/kg, 11.25 mg/kg, and 22.50 mg/kg was reduced at intervals of 13 days, but there was no significant difference. Figures 12a and 12b are endpoint fluorescence quantum number diagrams of the prevention group, wherein Figure 12a is a live imaging diagram of mice at the endpoint of the prevention group, and Figure 12b is a statistical diagram of the endpoint fluorescence quantum number of the prevention group (N=6, * indicates P<0.05 compared with the model group). As shown in Figures 12a and 12b, compared with the model group, there were significant differences in the preventive administration groups of 2.25 mg/kg and 22.5 mg/kg (P<0.05).
由以上结果可知,在治疗组中,与模型组相比,治疗给药11.25mg/kg组小鼠肿瘤重量和抑瘤率存在显著性差异(P<0.05)。在预防组中,与模型组相比,预防给药11.25mg/kg组小鼠肿瘤重量和抑瘤率存在显著性差异(P<0.05)。在治疗组中,与模型组相比,治疗给药2.25mg/kg、22.50mg/kg组小鼠生存时间存在显著性差异(P<0.05)。在预防组中,与模型组相比,预防给药2.25mg/kg组小鼠生存时间存在显著性差异(P<0.05)。在治疗组中,与模型组相比,治疗给药2.25mg/kg、11.25mg/kg组小鼠肿瘤坏死面积/肿瘤面积比值存在显著性差异(P<0.05)。在预防组中,与模型组相比,预防给药2.25mg/kg、22.50mg/kg组小鼠肿瘤坏死面积/肿瘤面积比值存在显著性差异(P<0.05)。在治疗组中,与模型组相比,治疗给药11.25mg/kg组小鼠血清中IFN-γ存在显著性差异(P<0.01);与模型组相比,治疗给药22.50mg/kg组小鼠血清中IFN-γ存在显著性差异(P<0.05)。在预防组中,与模型组相比,预防给药11.25mg/kg血清中IFN-γ存在显著性差异(P<0.05);预防给药22.50mg/kg组小鼠血清中IFN-γ存在极显著性差异(P<0.001)。在治疗组中,与模型组相比,治疗给药2.25mg/kg、11.25mg/kg、22.50mg/kg组小鼠间隔13天相对荧光量子数降低,但无显著性差异。在预防组中,与模型组相比,预防给药组2.25mg/kg、22.5mg/kg存在显著性差异(P<0.05)。即,实验结果显示,在抑制肿瘤生长、延长小鼠生存时间、肿瘤组织局部免疫细胞浸润及免疫细胞对肿瘤组织攻击形成的坏死灶以及血清中细胞因子IFN-γ含量等都证明了,特异性多肽T-8对雄激素非依赖性前列腺癌具有治疗和预防作用。From the above results, it can be seen that in the treatment group, compared with the model group, there were significant differences in the tumor weight and tumor inhibition rate of mice in the treatment administration of 11.25 mg/kg group (P<0.05). In the prevention group, compared with the model group, there were significant differences in the tumor weight and tumor inhibition rate of mice in the prevention administration of 11.25 mg/kg group (P<0.05). In the treatment group, compared with the model group, there were significant differences in the survival time of mice in the treatment administration of 2.25 mg/kg and 22.50 mg/kg groups (P<0.05). In the prevention group, compared with the model group, there were significant differences in the survival time of mice in the prevention administration of 2.25 mg/kg group (P<0.05). In the treatment group, compared with the model group, there were significant differences in the ratio of tumor necrosis area/tumor area in the treatment administration of 2.25 mg/kg and 11.25 mg/kg groups (P<0.05). In the prevention group, compared with the model group, there was a significant difference in the ratio of tumor necrosis area/tumor area in the 2.25mg/kg and 22.50mg/kg groups (P<0.05). In the treatment group, compared with the model group, there was a significant difference in IFN-γ in the serum of the mice in the 11.25mg/kg group (P<0.01); compared with the model group, there was a significant difference in IFN-γ in the serum of the mice in the 22.50mg/kg group (P<0.05). In the prevention group, compared with the model group, there was a significant difference in IFN-γ in the serum of the mice in the 11.25mg/kg group (P<0.05); there was a very significant difference in IFN-γ in the serum of the mice in the 22.50mg/kg group (P<0.001). In the treatment group, compared with the model group, the relative fluorescence quantum number of mice in the treatment administration groups of 2.25mg/kg, 11.25mg/kg, and 22.50mg/kg decreased at intervals of 13 days, but there was no significant difference. In the prevention group, compared with the model group, there were significant differences in the prevention administration groups of 2.25mg/kg and 22.5mg/kg (P<0.05). That is, the experimental results showed that the specific peptide T-8 had a therapeutic and preventive effect on androgen-independent prostate cancer in terms of inhibiting tumor growth, prolonging the survival time of mice, local immune cell infiltration in tumor tissue, necrotic foci formed by immune cells attacking tumor tissue, and the content of cytokine IFN-γ in serum.
应予说明,虽然在本实施例中,将特异性多肽T-8与完全弗氏佐剂并用,但是本发明不限于此,也可以添加氢氧化铝佐剂或其他佐剂。It should be noted that, although the specific polypeptide T-8 was used together with complete Freund's adjuvant in this example, the present invention is not limited thereto, and aluminum hydroxide adjuvant or other adjuvants may also be added.
另外,在本实施例中,将包含特异性多肽T-8的注射液作为药物,但是本发明不限于此,也可以将包含特异性多肽T-8的药剂制作为乳浊液、混悬液、油剂、片剂、胶囊等剂型来使用,但是,作为注射液直接注入体内的效果更佳。In addition, in this embodiment, an injection containing the specific polypeptide T-8 is used as a drug, but the present invention is not limited to this. The drug containing the specific polypeptide T-8 can also be made into an emulsion, suspension, oil, tablet, capsule and other dosage forms for use. However, the effect is better when it is directly injected into the body as an injection.
比较例Comparative Example
本发明采用临床上常用的恩杂鲁胺作为比较例,来验证其对于接种RM-1前列腺癌细胞后患有前列腺癌小鼠的疗效。雄激素受体抑制剂恩杂鲁胺于2012年8月被FDA批准用于治疗转移性去势抵抗性前列腺癌(mAIPC)。The present invention uses enzalutamide, which is commonly used in clinical practice, as a comparative example to verify its efficacy in mice with prostate cancer after inoculation with RM-1 prostate cancer cells. Enzalutamide, an androgen receptor inhibitor, was approved by the FDA in August 2012 for the treatment of metastatic castration-resistant prostate cancer (mAIPC).
1.实验方法1. Experimental Methods
1.1分组设置1.1 Group settings
选用22-24g,6-8周的雄性C57BL/6小鼠,随机地设置为模型组(造模但不给药)和阳性药物组(造模且给药)。Male C57BL/6 mice aged 22-24 g and 6-8 weeks were selected and randomly divided into a model group (modeling but no drug administration) and a positive drug group (modeling and drug administration).
1.2 RM-1-Luc细胞复苏1.2 RM-1-Luc cell recovery
从-80℃冰箱中取出冻存的RM-1-Luc细胞后,在37℃水浴锅中水浴加热,尽量保证冻存液在1min内溶解。随后将细胞冻存管转移至超净台中,用胶头滴管吸出冻存液转移至10mL离心管中并加入4mL培养基。1000rmp,5min离心后,弃去上清,加入1mL培养基后使细胞重悬。取一新细胞培养瓶,加入7mL培养基后,将重悬后的细胞悬液加入细胞培养瓶后,拧紧瓶盖,放进细胞培养箱进行培养,培养条件为37℃,5%CO2。After taking out the frozen RM-1-Luc cells from the -80℃ refrigerator, heat them in a 37℃ water bath, and try to ensure that the cryopreservation solution dissolves within 1 minute. Then transfer the cell cryopreservation tube to the clean bench, use a rubber-tipped dropper to aspirate the cryopreservation solution and transfer it to a 10mL centrifuge tube and add 4mL of culture medium. After centrifugation at 1000rmp for 5min, discard the supernatant, add 1mL of culture medium to resuspend the cells. Take a new cell culture bottle, add 7mL of culture medium, add the resuspended cell suspension to the cell culture bottle, tighten the bottle cap, and place it in a cell culture incubator for culture at 37℃ and 5% CO 2 .
1.3细胞传代1.3 Cell passaging
取处于对数生长期的细胞,用胶头滴管吸取细胞培养瓶中的培养基并加入2mL PBS进行清洗。随后加入2mL胰酶-EDTA溶液消化细胞2min。消化结束后,在显微镜下观察细胞形态,若细胞呈圆形,说明消化程度适宜。此时向培养瓶中加入4mL培养基终止消化,并吹打细胞使细胞从壁上脱落。Take cells in the logarithmic growth phase, use a rubber-tipped dropper to absorb the culture medium in the cell culture bottle and add 2mL PBS to wash. Then add 2mL trypsin-EDTA solution to digest the cells for 2min. After digestion, observe the cell morphology under a microscope. If the cells are round, it means that the digestion degree is appropriate. At this time, add 4mL of culture medium to the culture bottle to stop digestion, and blow the cells to make them fall off the wall.
将液体转移至10mL离心管中,1000rmp离心5min,弃去上清,向离心管中加入2mL培养基重悬细胞。取新的T25细胞培养瓶,向瓶中加入7mL培养基和1mL细胞悬液,轻轻晃动混匀后继续细胞培养。Transfer the liquid to a 10mL centrifuge tube, centrifuge at 1000rmp for 5min, discard the supernatant, add 2mL of culture medium to the centrifuge tube to resuspend the cells. Take a new T25 cell culture flask, add 7mL of culture medium and 1mL of cell suspension to the flask, gently shake to mix, and continue cell culture.
1.4细胞冻存1.4 Cell cryopreservation
细胞消化、离心后(步骤同上),用冻存液重悬细胞并转移到冻存管中,封口膜封口后,放进-80℃冰箱中冻存。After cell digestion and centrifugation (same steps as above), resuspend the cells in freezing solution and transfer them to cryopreservation tubes. After sealing with sealing film, freeze them in a -80°C refrigerator.
1.5细胞计数1.5 Cell counting
取对数生长期的RM-1-Luc细胞,将细胞培养瓶转移至超净台中,用胶头滴管吸去剩余培养基,PBS清洗2次,向培养瓶中加入2mL胰酶,消化细胞2min。消化结束后,弃掉胰酶,重新向培养瓶中加入4mL完全培养基终止消化,并吹打细胞使细胞脱落。Take RM-1-Luc cells in the logarithmic growth phase, transfer the cell culture flask to the clean bench, remove the remaining culture medium with a rubber-tipped dropper, wash twice with PBS, add 2mL of trypsin to the culture flask, and digest the cells for 2 minutes. After digestion, discard the trypsin, add 4mL of complete culture medium to the culture flask again to terminate digestion, and blow the cells to make them fall off.
将液体转移至10mL离心管中,1000rmp离心5min,弃去上清,向离心管中加入适量无血清培养基重悬细胞。取10μL重悬后的细胞悬液至适宜容器中,并加入10μL4%台盼蓝溶液,混合均匀。将盖玻片覆盖于细胞计数板上,从盖玻片的边缘加入10μL细胞悬液与4%台盼蓝的混合液,通过虹吸效应使液体自然进入盖玻片下,避免气泡的产生。Transfer the liquid to a 10mL centrifuge tube, centrifuge at 1000rmp for 5min, discard the supernatant, and add an appropriate amount of serum-free medium to the centrifuge tube to resuspend the cells. Take 10μL of the resuspended cell suspension to a suitable container, add 10μL of 4% trypan blue solution, and mix well. Cover the cover glass on the cell counting plate, add 10μL of the mixture of cell suspension and 4% trypan blue from the edge of the cover glass, and let the liquid naturally enter under the cover glass through the siphon effect to avoid the generation of bubbles.
将细胞计数板置于显微镜下,调整焦距至能够清晰观察到细胞计数板上的刻线及活细胞。只记录左上、左下、右上、右下四角方块中的活细胞数量,并且遵循计上不计下,计左不计右的计数原则。Place the cell counting plate under a microscope and adjust the focus to clearly observe the lines and live cells on the cell counting plate. Only record the number of live cells in the upper left, lower left, upper right, and lower right corners, and follow the counting principle of counting the upper part but not the lower part, and counting the left part but not the right part.
细胞悬液浓度计算公式为: The formula for calculating the concentration of cell suspension is:
1.6细胞悬液制作1.6 Preparation of cell suspension
细胞计数完成后,按照稀释公式向细胞悬液中加入适量无血清培养基,将细胞悬液稀释至目标浓度(2×106个/mL)备用。After the cell counting is completed, add an appropriate amount of serum-free culture medium to the cell suspension according to the dilution formula to dilute the cell suspension to the target concentration (2×10 6 cells/mL) for later use.
1.7前列腺癌原位造模1.7 Prostate cancer in situ model
麻醉小鼠后,让小鼠处于仰卧位躺在加热板上,防止术中、术后失温。用医用胶布固定住小鼠的四肢防止其挣扎,75%乙醇打湿腹部毛发后,除去其会阴部位的毛发。用眼科剪在其生殖器上方约1cm处做一切口,暴露腹腔。通过找到膀胱迅速定位精索,并找到附着于精索上的前列腺。用眼科镊提起前列腺,使前列腺处于一个竖直位置,使用微量进样器吸取5μL细胞悬液,针头竖直进入前列腺组织中,进针深度不小于5mm。推动注射器针筒活塞使悬液进入组织,以观察到组织变肿胀透明为进样成功标志。注射完成后,针头在组织内稍停留1~2s再抽出,并用生物胶涂抹针眼处。将内脏重新摆放为正常生理位置并缝合切口。手术过程中注意动作轻柔,防止对小鼠造成过大损伤。假手术组则只进行麻醉、开腹腔、定位前列腺和缝合等操作,不进行细胞悬液注射。After anesthetizing the mice, let them lie on the heating plate in the supine position to prevent hypothermia during and after the operation. Fix the limbs of the mice with medical tape to prevent them from struggling. After wetting the abdominal hair with 75% ethanol, remove the hair in the perineum. Make an incision about 1 cm above the genitals with ophthalmic scissors to expose the abdominal cavity. Quickly locate the spermatic cord by finding the bladder and find the prostate attached to the spermatic cord. Lift the prostate with ophthalmic forceps so that the prostate is in a vertical position. Use a microinjector to absorb 5μL of cell suspension, and the needle is inserted vertically into the prostate tissue with a depth of not less than 5mm. Push the syringe piston to allow the suspension to enter the tissue, and observe that the tissue becomes swollen and transparent as a sign of successful injection. After the injection is completed, the needle stays in the tissue for 1 to 2 seconds before being withdrawn, and the needle eye is coated with biological glue. Reposition the internal organs to their normal physiological position and suture the incision. Pay attention to gentle movements during the operation to prevent excessive damage to the mouse. The sham operation group only underwent anesthesia, abdominal opening, prostate positioning and suturing, but no cell suspension injection.
1.8药物配置1.8 Drug configuration
恩杂鲁胺配制:将恩杂鲁胺用DMSO溶解,配置成溶液,以50mg/kg给药量,对阳性药物组的小鼠进行口服灌胃给药,造模21天后开始每天给药一次,持续28天。Preparation of Enzalutamide: Enzalutamide was dissolved in DMSO to prepare a solution, and 50 mg/kg was administered orally by gavage to the mice in the positive drug group. The drug was administered once a day starting 21 days after modeling for 28 days.
1.9取材1.9 Collection of materials
每只小鼠都取其血液、前列腺和肿瘤、脾等组织,并用多聚甲醛固定48h以上,等待后续操作。Blood, prostate, tumor, spleen and other tissues were collected from each mouse and fixed with paraformaldehyde for more than 48 hours, awaiting subsequent operations.
1.10组织脱水及染色1.10 Tissue dehydration and staining
[根据细则91更正 02.09.2024]
将固定好的前列腺组织放入金属脱水盒中,用记号笔在每一个盒中做好标记。将金属脱水盒放入篮中排列整齐,依次按照下表8中的顺序进行脱水处理。组织完成脱水后,进行石蜡包埋及组织切片,切片厚度约为5μm,于40℃恒温水浴锅中进行粘片,再用干净的载玻片将完整合适的病理切片捞出放于搪瓷盘内过夜晾干。晾干的片子放于烘箱中68℃烤片120min,防止脱片。待病理切片冷却至室温后,保存于切片盒中。[Corrected 02.09.2024 in accordance with Article 91]
Place the fixed prostate tissue in a metal dehydration box and mark each box with a marker. Place the metal dehydration boxes in a basket and arrange them neatly, and perform dehydration treatment in the order in Table 8 below. After the tissue is dehydrated, it is paraffin-embedded and sliced. The slice thickness is about 5μm. The slices are glued in a 40℃ constant temperature water bath, and then the complete and appropriate pathological slices are fished out with a clean glass slide and placed in an enamel tray to dry overnight. The dried slices are placed in an oven at 68℃ for 120 minutes to prevent detachment. After the pathological slices have cooled to room temperature, they are stored in the slice box.
表8:组织脱水时间和程序 Table 8: Tissue dehydration time and procedures
将病理切片过夜晾干,然后置于烘箱(68℃)中进行烘烤固定60分钟。按照如下次序:二甲苯脱蜡、乙醇梯度脱水、染色、分化、染色、二甲苯透明等步骤进行。染色完成后,中性树脂进行封片,并静置过夜,镜下观察前可用浸过二甲苯的棉球擦去表面多余的中性树脂,然后进行镜下观察评和拍照。具体流程参见以下表9。The pathological sections were dried overnight and then placed in an oven (68°C) for baking and fixation for 60 minutes. The following steps were followed: xylene dewaxing, ethanol gradient dehydration, staining, differentiation, staining, xylene transparentization, etc. After staining, the sections were sealed with neutral resin and left to stand overnight. Before microscopic observation, the excess neutral resin on the surface could be wiped off with a cotton ball soaked in xylene, and then microscopic observation and photography were performed. For the specific process, see Table 9 below.
表9 HE染色流程 Table 9 HE staining process
2实验结果2 Experimental results
2.1生存曲线2.1 Survival curve
模型组与阳性药物组的生存时间如图13所示。由图13可知,与模型组相比,阳性药物组不存在显著性差异(P>0.05)。The survival time of the model group and the positive drug group is shown in Figure 13. As shown in Figure 13, there is no significant difference in the positive drug group compared with the model group (P>0.05).
2.2抑瘤率2.2 Tumor inhibition rate
阳性药物组与模型组的肿瘤重量平均值如图14所示。根据两组肿瘤重量的平均值计算出了抑瘤率(参见下表10)。由图14和表10可知,与模型组相比,阳性药物组抑瘤率不存在显著性差异,肿瘤重量下降趋势相对较小。The average tumor weights of the positive drug group and the model group are shown in Figure 14. The tumor inhibition rate was calculated based on the average tumor weights of the two groups (see Table 10 below). As shown in Figure 14 and Table 10, there is no significant difference in the tumor inhibition rate of the positive drug group compared with the model group, and the downward trend of tumor weight is relatively small.
表10比较例中各组的抑瘤率 Table 10 Tumor inhibition rate of each group in the comparative example
2.3肿瘤组织病理切片2.3 Tumor tissue pathology sections
模型组和阳性药物组的HE染色结果如图15a和15b所示。其中,图15a是治疗组的肿瘤图片,图15b是各组的肿瘤坏死面积/肿瘤面积比值图表。由图15a和15b可知,阳性药物组的肿瘤切面中,坏死面积占比相对更高(颜色偏粉部分为坏死部分,颜色偏紫部分为正常肿瘤组织),但仍未产生显著性差异。The HE staining results of the model group and the positive drug group are shown in Figures 15a and 15b. Figure 15a is a tumor picture of the treatment group, and Figure 15b is a graph of the ratio of tumor necrosis area to tumor area of each group. As shown in Figures 15a and 15b, the proportion of necrosis area in the tumor section of the positive drug group is relatively higher (the pink part is the necrotic part, and the purple part is the normal tumor tissue), but there is still no significant difference.
3.实验结论:3. Experimental conclusion:
阳性药物组相较于模型组在生存时间分析、抑瘤率和肿瘤坏死面积比值上均未产生显著性差异,但均表现出抑制了疾病进程的趋势。与比较例相比,实施例的各给药组的疗效更佳。The positive drug group had no significant difference in survival time analysis, tumor inhibition rate and tumor necrosis area ratio compared with the model group, but both showed a trend of inhibiting the disease process. Compared with the comparative example, the therapeutic effect of each drug administration group in the embodiment was better.
综上所述,皮下注射特异性多肽T-8对原位雄激素非依赖性前列腺癌在预防和治疗中均具有良好的特异性作用。应予说明,在预防性阶段及前列腺癌各阶段均可单独使用本发明或配合雄激素等其他药物联合使用。In summary, subcutaneous injection of specific polypeptide T-8 has good specific effects in both prevention and treatment of in situ androgen-independent prostate cancer. It should be noted that the present invention can be used alone or in combination with other drugs such as androgens in the preventive stage and at all stages of prostate cancer.
上述实施例,特别是任何“优选”实施例是实施方式的可能示例,并且仅仅为了清楚理解本发明的原理而提出。在基本上不脱离本文描述的技术的精神和原理的情况下,可以对上述实施例做出许多变化和修改。所有修改旨在被包括在本公开的范围内。The above-described embodiments, particularly any "preferred" embodiments, are possible examples of implementations and are presented only for a clear understanding of the principles of the present invention. Many changes and modifications may be made to the above-described embodiments without substantially departing from the spirit and principles of the technology described herein. All modifications are intended to be included within the scope of the present disclosure.
在本说明书中提及的所有文献都在本申请中引用作为参考,就如同每一篇文献被完整引用至本说明书作为参考。All documents mentioned in this specification are cited in this application as references, just as if each document was fully cited in this specification as references.
此外应理解,在阅读了本发明的上述说明内容之后,本领域技术人员可以对本发明做出各种改动或修改,这些等同形式同样落入本发明的保护范围。In addition, it should be understood that after reading the above description of the present invention, those skilled in the art may make various changes or modifications to the present invention, and these equivalent forms also fall within the protection scope of the present invention.
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Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2015014820A1 (en) * | 2013-07-29 | 2015-02-05 | Eberhard Karls Universitaet Tuebingen Medizinische Fakultaet | Prostate cancer immunotherapy |
| CN107849107A (en) * | 2015-08-05 | 2018-03-27 | 伊玛提克斯生物技术有限公司 | Novel peptides and peptide compositions for immunotherapy of prostate and other cancers |
| US20190192567A1 (en) * | 2015-12-11 | 2019-06-27 | Immatics Biotechnologies Gmbh | Novel peptides and combination of peptides for use in immunotherapy against various cancers |
| US11175289B2 (en) * | 2016-11-16 | 2021-11-16 | Lei Han | Application of TRPM8 protein, related peptide fragment and their antibodies |
| CN118356407A (en) * | 2023-01-10 | 2024-07-19 | 祺安(广州)生物科技有限公司 | A polypeptide lipid nanosystem and its preparation method and application |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2015014820A1 (en) * | 2013-07-29 | 2015-02-05 | Eberhard Karls Universitaet Tuebingen Medizinische Fakultaet | Prostate cancer immunotherapy |
| CN107849107A (en) * | 2015-08-05 | 2018-03-27 | 伊玛提克斯生物技术有限公司 | Novel peptides and peptide compositions for immunotherapy of prostate and other cancers |
| US20190192567A1 (en) * | 2015-12-11 | 2019-06-27 | Immatics Biotechnologies Gmbh | Novel peptides and combination of peptides for use in immunotherapy against various cancers |
| US11175289B2 (en) * | 2016-11-16 | 2021-11-16 | Lei Han | Application of TRPM8 protein, related peptide fragment and their antibodies |
| CN118356407A (en) * | 2023-01-10 | 2024-07-19 | 祺安(广州)生物科技有限公司 | A polypeptide lipid nanosystem and its preparation method and application |
Non-Patent Citations (2)
| Title |
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| LIU TAO, TAO HUANGHENG;FANG ZHIHAI;WANG GANG;SHI MINGJUN;JIANG KUN;WANG XIAO;WANG XINGHUAN: "Anti-Tumor Activity of TRPM8 Inhibitor BCTC in Prostate Cancer DU145 Cells", MEDICAL JOURNAL OF WUHAN UNIVERSITY, vol. 36, no. 2, 15 February 2015 (2015-02-15), CN , pages 225 - 230, XP093330287, ISSN: 1671-8852, DOI: 10.14188/j.1671-8852.2015.02.013 * |
| LIU YUQIAN; WAZIR JUNAID; TANG MENG; ULLAH RAHAT; CHEN YUETING; CHEN TINGTING; ZHOU XIAOHUI: "Experimental autoimmune prostatitis: different antigens induction and antigen-specific therapy", INTERNATIONAL UROLOGY AND NEPHROLOGY, vol. 53, no. 4, 1 January 2021 (2021-01-01), HU , pages 607 - 618, XP037419286, ISSN: 0301-1623, DOI: 10.1007/s11255-020-02703-8 * |
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