CN106519037B - Activable Chimerical receptor - Google Patents
Activable Chimerical receptor Download PDFInfo
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- CN106519037B CN106519037B CN201510578444.8A CN201510578444A CN106519037B CN 106519037 B CN106519037 B CN 106519037B CN 201510578444 A CN201510578444 A CN 201510578444A CN 106519037 B CN106519037 B CN 106519037B
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- chimeric receptor
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- activatable
- pathological tissue
- antigen
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Abstract
本发明涉及可活化的嵌合受体。本发明的可活化的嵌合受体只有在病理性组织特异性表达或高表达的蛋白酶存在的条件下才能够靶向相应的抗原,实现病理性组织或细胞的杀伤作用;而在蛋白酶不存在的条件下不发挥作用,为减免on‑target‑off‑tumor等问题提供了可行的解决方案。The present invention relates to activatable chimeric receptors. The activatable chimeric receptor of the present invention can target the corresponding antigen only in the presence of pathological tissue-specifically expressed or highly expressed protease to achieve the killing effect of pathological tissue or cells; and in the absence of protease It does not work under the conditions of on-target-off-tumor, which provides a feasible solution for reducing on-target-off-tumor and other problems.
Description
技术领域technical field
本发明属于肿瘤免疫治疗领域,更具体地,本发明涉及可活化的嵌合受体,其制备方法及其应用。The present invention belongs to the field of tumor immunotherapy, and more particularly, the present invention relates to an activatable chimeric receptor, its preparation method and its application.
背景技术Background technique
免疫效应细胞在肿瘤免疫应答中的作用日益受到重视。基于免疫效应细胞的过继性免疫治疗在部分肿瘤中取得了一定的效果,并且该种免疫治疗方法可以克服抗体治疗的上述缺陷,但在大多数肿瘤的疗效仍不能令人满意[Grupp SA,et al.Adoptive cellulartherapy.Curr Top Microbiol Immunol.,2011;344:149-72.]。近年来,根据细胞毒性T淋巴细胞(cytotoxic lymphocyte,CTL)对靶细胞的识别特异性依赖于T淋巴细胞受体(TCell Receptor,TCR)的发现,将针对肿瘤细胞相关抗原的抗体的scFv与T淋巴细胞受体的CD3ζ或FcεRIγ等胞内信号激活基序融合成嵌合抗原受体(Chimeric antigen receptor,CAR;现也称为嵌合受体(Chimeric receptor,CR)),并将其通过如慢病毒感染等方式基因修饰在T淋巴细胞表面。这种CAR T淋巴细胞能够以主要组织兼容性复合物(MajorHistocompatibility Complex,MHC)非限制性方式选择性地将T淋巴细胞定向到肿瘤细胞并特异性地杀伤肿瘤。CAR T淋巴细胞是肿瘤免疫治疗领域的一个新的免疫治疗策略[Schmitz M,et al.Chimeric antigen receptor-engineered T cells forimmunotherapy of Cancer.J Biomed Biotechnol,2010,doi:10.1155/2010/956304.]。此外,CAR修饰的NK细胞(Klingemann H.Challenges of cancer therapy with naturalkiller cells.Cytotherapy.2014Dec 18.pii:S1465-3249(14)00791-9)或者NKT细胞也在临床前研究中展示了良好的抗肿瘤活性(Heczey A1,Liu D1,Tian G2,Courtney AN1,WeiJ1,Marinova E1,Gao X1,Guo L1,Yvon E3,Hicks J2,Liu H4,Dotti G5,MetelitsaLS6.Invariant NKT cells with chimeric antigen receptor provide a novelplatform for safe and effective cancer immunotherapy.Blood.2014;124(18):2824-33)。The role of immune effector cells in tumor immune responses has received increasing attention. Adoptive immunotherapy based on immune effector cells has achieved certain effects in some tumors, and this immunotherapy method can overcome the above-mentioned defects of antibody therapy, but the efficacy in most tumors is still unsatisfactory [Grupp SA, et al. al. Adoptive cellulartherapy. Curr Top Microbiol Immunol., 2011;344:149-72.]. In recent years, according to the discovery that the recognition specificity of cytotoxic T lymphocytes (CTL) to target cells depends on the T Cell Receptor (TCR), the scFv of antibodies against tumor cell-associated antigens are combined with T cells. Intracellular signal activation motifs such as CD3ζ or FcεRIγ of lymphocyte receptors are fused into chimeric antigen receptors (Chimeric antigen receptors, CAR; now also known as chimeric receptors (CR)), and they are passed through e.g. Lentiviral infection and other methods are genetically modified on the surface of T lymphocytes. Such CAR T lymphocytes can selectively direct T lymphocytes to tumor cells and specifically kill tumors in a non-limiting manner by the Major Histocompatibility Complex (MHC). CAR T lymphocytes are a new immunotherapy strategy in the field of tumor immunotherapy [Schmitz M, et al. Chimeric antigen receptor-engineered T cells for immunotherapy of Cancer. J Biomed Biotechnol, 2010, doi: 10.1155/2010/956304.]. In addition, CAR-modified NK cells (Klingemann H.Challenges of cancer therapy with naturalkiller cells.Cytotherapy.2014Dec 18.pii:S1465-3249(14)00791-9) or NKT cells also showed good resistance to Tumor activity (Heczey A1, Liu D1, Tian G2, Courtney AN1, WeiJ1, Marinova E1, Gao X1, Guo L1, Yvon E3, Hicks J2, Liu H4, Dotti G5, MetelitsaLS6. Invariant NKT cells with chimeric antigen receptor provide a novel platform for safe and effective cancer immunotherapy. Blood. 2014;124(18):2824-33).
嵌合抗原受体包括胞外结合区,跨膜区和胞内信号区。通常胞外区包含能够识别肿瘤相关抗原的scFv,跨膜区采用CD8,CD28等分子的跨膜区,胞内信号区采用免疫受体酪氨酸活化基序(ITAM)CD3ζ或FcεRIγ及共刺激信号分子CD28、CD27、CD137、CD134等的胞内信号区。Chimeric antigen receptors include an extracellular binding domain, a transmembrane domain and an intracellular signaling domain. Usually the extracellular region contains scFv that can recognize tumor-associated antigens, the transmembrane region adopts the transmembrane region of CD8, CD28 and other molecules, and the intracellular signal region adopts the immunoreceptor tyrosine activation motif (ITAM) CD3ζ or FcεRIγ and co-stimulatory Intracellular signaling region of signaling molecules CD28, CD27, CD137, CD134, etc.
胞内信号区仅包含ITAM的为第一代CAR T淋巴细胞,其中嵌合抗原受体各部分按如下形式连接:scFv-TM-ITAM。该种CAR T可以激发抗肿瘤的细胞毒性效应,但是细胞因子分泌比较少,并且在体内不能激发持久的抗肿瘤效应[Zhang T.et al.Chimeric NKG2D-modified T cells inhibit systemic T-cell lymphoma growth in a mannerinvolving multiple cytokines and cytotoxic pathways,Can Res 2007,67(22):11029-11036.]。The first-generation CAR T lymphocytes that only contain ITAM in the intracellular signal region, in which each part of the chimeric antigen receptor is linked in the following form: scFv-TM-ITAM. This CAR T can stimulate anti-tumor cytotoxic effects, but the secretion of cytokines is relatively low, and it cannot stimulate lasting anti-tumor effects in vivo [Zhang T. et al. Chimeric NKG2D-modified T cells inhibit systemic T-cell lymphoma growth In a manner involving multiple cytokines and cytotoxic pathways, Can Res 2007, 67(22): 11029-11036.].
随后发展的第二代CAR T淋巴细胞加入了CD28或CD137(又名4-1BB)的胞内信号区,其中嵌合抗原受体各部分按如下形式连接:scFv-TM-CD28-ITAM或scFv-TM-/CD137-ITAM。胞内信号区发生的B7/CD28或4-1BBL/CD137共刺激作用引起T淋巴细胞的持续增殖,并能够提高T淋巴细胞分泌IL-2和IFN-γ等细胞因子的水平,同时提高CAR T在体内的存活周期和抗肿瘤效果[Dotti G.et al.CD28costimulation improves expansion andpersistence of chimeric antigen receptor modified T cells in lymphomapatients.J Clin Invest,2011,121(5):1822-1826.]。The second generation of CAR T lymphocytes subsequently developed added the intracellular signaling region of CD28 or CD137 (aka 4-1BB), in which the chimeric antigen receptor moieties were linked as follows: scFv-TM-CD28-ITAM or scFv -TM-/CD137-ITAM. The co-stimulation of B7/CD28 or 4-1BBL/CD137 in the intracellular signaling region causes the continuous proliferation of T lymphocytes, and can increase the levels of cytokines such as IL-2 and IFN-γ secreted by T lymphocytes, and at the same time increase the level of CAR T lymphocytes. In vivo survival cycle and antitumor effect [Dotti G. et al. CD28 costimulation improves expansion and persistence of chimeric antigen receptor modified T cells in lymphomapatients. J Clin Invest, 2011, 121(5): 1822-1826.].
近些年发展的第三代CAR T淋巴细胞,其中嵌合抗原受体各部分按如下形式连接:scFv-TM-CD28-CD137-ITAM或scFv-TM-CD28-CD134-ITAM,进一步提高了CAR T在体内的存活周期和其抗肿瘤效果[Carpenito C.,et al.Control of large established tumorxenografts with genetically retargeted human T cells containing CD28andCD137domains.PNAS,2009,106(9):3360–3365.]。The third generation of CAR T lymphocytes developed in recent years, in which each part of the chimeric antigen receptor is connected as follows: scFv-TM-CD28-CD137-ITAM or scFv-TM-CD28-CD134-ITAM, which further improves the CAR The survival cycle of T in vivo and its antitumor effect [Carpenito C., et al. Control of large established tumorxenografts with genetically retargeted human T cells containing CD28 and CD137 domains. PNAS, 2009, 106(9): 3360-3365.].
尽管CAR T淋巴细胞在肿瘤免疫治疗中具有诱人的前景,但其较高风险亦需要考虑。比如,由于某些/种正常组织低表达CAR所能识别的特异性抗原可能造成CAR T淋巴细胞对表达抗原的正常组织的损伤。如,针对肾细胞癌患者肿瘤细胞上表达的抗原碳酸酐酶IX(CAIX)是第一个用于临床的CAR T淋巴细胞过继治疗的案例,也是第一个报道含CAR细胞的脱靶效应的案例。病人在多次输入CAR T淋巴细胞后出现2-4级肝毒性。分析原因为肝胆管上皮细胞低表达CAIX,原临床试验被迫中断同时排除了病人治疗效果的任何评价[StoterG.et al.Treatment of metastatic renal cell carcinoma with autologous T-lymphocytes genetically retargeted against carbonic anhydrase IX:firstclinical experience.J clin oncol,2006,24(13):e20-e22.;Ngo MC.,et al.Ex vivogene transfer for improved adoptive immunotherapy of cancer.Human MolecularGenetics,2011,R1-R7]。另外,CAR中过多的共刺激信号会降低效应细胞激活所需的阈值,使得基因修饰的T淋巴细胞在低水平抗原或没有抗原触发的条件下也可能会被活化,导致大量细胞因子的释放以致可能引发所谓的“细胞因子风暴”。这种信号外漏(signalleakage)会导致脱靶细胞毒性,从而产生非特异性的组织损伤。例如,在采用针对Her2的第三代CAR临床治疗一个具有肝和肺转移的晚期结肠癌患者的过程中由于正常肺组织中低表达Her2而引发所谓的“细胞因子风暴”致病人猝死[Morgan RA.,et al.Report of aserious adverse event following the administration of T cells transduced witha chimeric antigen receptor recognizing Erbb2.Molecular Therapy,2010,18(4):843-851.]。Although CAR T lymphocytes have an attractive prospect in tumor immunotherapy, their higher risks also need to be considered. For example, due to the low expression of specific antigens recognized by CAR in some/kind of normal tissues, CAR T lymphocytes may damage normal tissues expressing antigens. For example, targeting the antigen carbonic anhydrase IX (CAIX) expressed on tumor cells of patients with renal cell carcinoma is the first case of adoptive therapy of CAR T lymphocytes for clinical use, and the first case to report off-target effects of CAR cells . The patient developed grade 2-4 hepatotoxicity after multiple infusions of CAR T lymphocytes. The reason for the analysis was the low expression of CAIX in hepatic bile duct epithelial cells, and the original clinical trial had to be interrupted and any evaluation of the patient's treatment effect was excluded [StoterG.et al.Treatment of metastatic renal cell carcinoma with autologous T-lymphocytes genetically retargeted against carbonic anhydrase IX: firstclinical experience. J clin oncol, 2006, 24(13): e20-e22.; Ngo MC., et al. Ex vivogene transfer for improved adoptive immunotherapy of cancer. Human Molecular Genetics, 2011, R1-R7]. In addition, excessive co-stimulatory signals in CARs reduce the threshold required for effector cell activation, allowing genetically modified T lymphocytes to be activated even in the presence of low levels of antigen or no antigen triggering, resulting in the release of large amounts of cytokines This may lead to the so-called "cytokine storm". This signalleakage can lead to off-target cytotoxicity, resulting in nonspecific tissue damage. For example, in the clinical treatment of a patient with advanced colon cancer with liver and lung metastases using a third-generation CAR targeting Her2, the so-called "cytokine storm" caused sudden death due to low expression of Her2 in normal lung tissue [Morgan RA., et al. Report of aserious adverse event following the administration of T cells transduced with a chimeric antigen receptor recognizing Erbb2. Molecular Therapy, 2010, 18(4):843-851.].
因此,需要找到合适的方法,来使基于CAR的免疫效应细胞能够更为精准地作用于肿瘤,避免应用于肿瘤免疫治疗时存在的较高风险。Therefore, it is necessary to find a suitable method to enable CAR-based immune effector cells to act on tumors more precisely and avoid the higher risks when applied to tumor immunotherapy.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于提供一种可活化的嵌合受体,其制备方法及其应用。The purpose of the present invention is to provide an activatable chimeric receptor, its preparation method and its application.
在本发明的第一方面,提供一种可活化的嵌合受体(Activatable ChimericReceptor,ACR),其包括:In a first aspect of the present invention, an activatable chimeric receptor (Activatable Chimeric Receptor, ACR) is provided, comprising:
嵌合受体(Chimeric Receptor,CR),其在活化状态下能靶向(结合)病理性组织高表达的抗原;Chimeric Receptor (CR), which can target (bind) antigens highly expressed in pathological tissues in an activated state;
封闭元件(Blocking element,BE),其能抑制嵌合受体与所述病理性组织高表达的抗原结合;和A blocking element (BE) that inhibits the binding of the chimeric receptor to the highly expressed antigen of the pathological tissue; and
可剪切元件(Cleavable element,CE),其位于嵌合受体与封闭元件之间。Cleavable element (CE), which is located between the chimeric receptor and the blocking element.
在一个优选例中,所述的嵌合受体包含顺序连接的:胞外的抗原结合区、跨膜区和胞内信号区;所述的胞内信号区选自:CD3ζ,FcεRIγ,CD27,CD28,CD137,CD134,CD40的胞内信号区序列或Myd88,或其组合。In a preferred embodiment, the chimeric receptor comprises sequentially linked: an extracellular antigen binding region, a transmembrane region and an intracellular signal region; the intracellular signal region is selected from the group consisting of: CD3ζ, FcεRIγ, CD27, CD28, CD137, CD134, the intracellular signal region sequence of CD40 or Myd88, or a combination thereof.
在另一优选例中,所述的胞外的抗原结合区是特异性结合所述病理性组织高表达的抗原的抗体。In another preferred embodiment, the extracellular antigen-binding region is an antibody that specifically binds to an antigen highly expressed in the pathological tissue.
在另一优选例中,所述的特异性结合所述病理性组织高表达的抗原的抗体可以是:单链抗体(scFV),单克隆抗体,单结构域抗体,Fab片段,Fd片段,Fv片段,F(ab’)2片段和其衍生物,或其它形式的抗体。In another preferred example, the antibody that specifically binds to the highly expressed antigen in the pathological tissue may be: single chain antibody (scFV), monoclonal antibody, single domain antibody, Fab fragment, Fd fragment, Fv Fragments, F(ab')2 fragments and derivatives thereof, or other forms of antibodies.
在另一优选例中,所述的特异性结合所述病理性组织高表达的抗原的抗体选自(但不限于):单链抗体或单结构域抗体。In another preferred embodiment, the antibody that specifically binds to the highly expressed antigen of the pathological tissue is selected from (but not limited to): a single-chain antibody or a single-domain antibody.
在另一优选例中,嵌合受体在封闭元件不存在的情况下能有效识别所述病理性组织高表达的抗原,封闭元件可以干扰或竞争嵌合受体与所述病理性组织高表达的抗原的结合。In another preferred example, the chimeric receptor can effectively recognize the highly expressed antigen in the pathological tissue in the absence of the blocking element, and the blocking element can interfere with or compete with the chimeric receptor and the highly expressed antigen in the pathological tissue antigen binding.
在另一优选例中,所述的可活化的嵌合受体按照从氨基端到羧基端的顺序,依次包括:封闭元件,可剪切元件,嵌合受体。In another preferred embodiment, the activatable chimeric receptors, in order from the amino terminus to the carboxyl terminus, include: a blocking element, a cleavable element, and a chimeric receptor.
在另一优选例中,所述的嵌合受体、封闭元件、可剪切元件之间,还包括连接肽。In another preferred embodiment, between the chimeric receptor, the blocking element and the cleavable element, a linker peptide is also included.
在另一优选例中,所述的可活化的嵌合受体,其中含有第一连接多肽(LP1)和第二连接多肽(LP2);其中可活化的嵌合受体按照从氨基端到羧基端的顺序,依次包括:封闭元件,第一连接多肽,可剪切元件,第二连接多肽,嵌合受体。In another preferred embodiment, the activatable chimeric receptor contains a first linking polypeptide (LP1) and a second linking polypeptide (LP2); wherein the activatable chimeric receptor is arranged according to the sequence from the amino terminus to the carboxyl group The sequence of the ends, in turn, includes: a blocking element, a first linking polypeptide, a cleavable element, a second linking polypeptide, and a chimeric receptor.
在另一优选例中,所述的封闭元件选自但不限于:直接与所述的嵌合受体结合的多肽;或从空间上阻碍所述的嵌合受体与抗原结合的多肽。In another preferred example, the blocking element is selected from, but not limited to: a polypeptide that directly binds to the chimeric receptor; or a polypeptide that sterically hinders the binding of the chimeric receptor to an antigen.
在另一优选例中,所述的封闭元件是2~100aa(如10aa,20aa,30aa,40aa,50aa,60aa,70aa,80aa);较佳地是2~40aa的多肽。In another preferred embodiment, the blocking element is 2-100aa (eg 10aa, 20aa, 30aa, 40aa, 50aa, 60aa, 70aa, 80aa); preferably 2-40aa polypeptides.
在另一优选例中,所述的可剪切元件是能被病理性组织特异性表达或高表达的蛋白酶所剪切、还原或分解的元件,所述蛋白酶与所述病理性组织高表达的抗原共定位于同一病理性组织。In another preferred embodiment, the cleavable element is an element that can be cleaved, reduced or decomposed by a protease specifically expressed or highly expressed in the pathological tissue, and the protease and the highly expressed protease in the pathological tissue Antigens co-localize in the same pathological tissue.
在另一优选例中,所述的病理性组织包括但不限于:肿瘤,自身免疫性疾病组织,受病毒(如HIV病毒)感染的组织。In another preferred embodiment, the pathological tissue includes but is not limited to: tumor, tissue of autoimmune disease, tissue infected by virus (such as HIV virus).
在另一优选例中,所述的病理性组织是肿瘤,所述的病理性组织特异性表达或高表达的蛋白酶包括(但不限于):尿激酶型纤溶酶原激活物(urokinase-type plasminogenactivator,uPA),legumain蛋白酶或matriptase(MT-SP1)。In another preferred example, the pathological tissue is a tumor, and the proteases specifically expressed or highly expressed in the pathological tissue include (but are not limited to): urokinase-type plasminogen activator (urokinase-type plasminogen activator) plasminogenactivator, uPA), legumain protease or matriptase (MT-SP1).
在另一优选例中,所述的病理性组织特异性表达或高表达的蛋白酶是尿激酶型纤溶酶原激活物或matriptase,所述的可剪切元件是SEQ ID NO:2所示氨基酸序列的多肽。In another preferred embodiment, the pathological tissue-specifically expressed or highly expressed protease is urokinase-type plasminogen activator or matriptase, and the cleavable element is the amino acid shown in SEQ ID NO: 2 sequence of polypeptides.
在另一优选例中,所述的病理性组织高表达的抗原包括但不限于:GPC3,EGFR,HER2,EphA2,Claudin18.1,Claudin18.2,Claudin 6,GD2,EpCAM,mesothelin,CD19,CD20或ASGPR1。In another preferred example, the highly expressed antigens in pathological tissues include but are not limited to: GPC3, EGFR, HER2, EphA2, Claudin18.1, Claudin18.2, Claudin 6, GD2, EpCAM, mesothelin, CD19, CD20 or ASGPR1.
在另一优选例中,所述的病理性组织高表达的抗原是GPC3,所述的封闭元件是GC33抗体的结合多肽;较佳地,所述的封闭元件是SEQ ID NO:1所示氨基酸序列的多肽。In another preferred example, the highly expressed antigen in the pathological tissue is GPC3, and the blocking element is the binding polypeptide of the GC33 antibody; preferably, the blocking element is the amino acid shown in SEQ ID NO: 1 sequence of polypeptides.
在另一优选例中,当所述的病理性组织高表达的抗原是GPC3时,该病理性组织为肿瘤,包括:肝癌,黑色素瘤,卵巢透明细胞癌、卵黄囊瘤、神经母细胞瘤。In another preferred example, when the highly expressed antigen in the pathological tissue is GPC3, the pathological tissue is a tumor, including liver cancer, melanoma, ovarian clear cell carcinoma, yolk sac tumor, and neuroblastoma.
在本发明的另一方面,提供一种多核苷酸,其编码所述的可活化的嵌合受体。In another aspect of the present invention, there is provided a polynucleotide encoding the activatable chimeric receptor.
在本发明的另一方面,提供一种表达载体,其包含编码所述的可活化的嵌合受体的核酸。In another aspect of the present invention, there is provided an expression vector comprising a nucleic acid encoding the activatable chimeric receptor.
在另一优选例中,所述的表达载体来源于慢病毒质粒pWPT。In another preferred embodiment, the expression vector is derived from the lentiviral plasmid pWPT.
在本发明的另一方面,提供一种病毒,所述的病毒包含所述载体。In another aspect of the present invention, there is provided a virus comprising the vector.
在本发明的另一方面,提供前面任一所述的可活化的嵌合受体、或编码其的核酸、或包含该核酸的表达载体或病毒的用途,用于制备靶向病理性组织的嵌合受体免疫效应细胞。In another aspect of the present invention, the use of any of the aforementioned activatable chimeric receptors, or a nucleic acid encoding the same, or an expression vector or virus comprising the nucleic acid, is provided for the preparation of a target pathological tissue. Chimeric receptor immune effector cells.
在本发明的另一方面,提供一种嵌合受体免疫效应细胞,其转导有编码前面任一所述的可活化的嵌合受体的核酸,或前面所述的表达载体或所述的病毒;或其表面表达前面任一所述的可活化的嵌合受体。In another aspect of the present invention, there is provided a chimeric receptor immune effector cell transduced with a nucleic acid encoding any of the aforementioned activatable chimeric receptors, or the aforementioned expression vector or the aforementioned virus; or its surface expresses any of the activatable chimeric receptors described above.
在另一优选例中,所述的免疫效应细胞包括:T淋巴细胞,NK细胞或NKT细胞,Treg细胞。In another preferred embodiment, the immune effector cells include: T lymphocytes, NK cells or NKT cells, and Treg cells.
在本发明的另一方面,提供所述的嵌合受体免疫效应细胞的用途,用于制备靶向病理性组织的药物,该病理性组织高表达所述嵌合受体能结合的抗原。In another aspect of the present invention, the use of the chimeric receptor immune effector cells is provided for preparing a drug targeting pathological tissue, and the pathological tissue highly expresses the antigen that the chimeric receptor can bind.
在一个优选例中,所述的病理性组织是肿瘤,所述的靶向病理性组织的药物是抑制肿瘤的药物。In a preferred example, the pathological tissue is a tumor, and the drug targeting the pathological tissue is a tumor-inhibiting drug.
在本发明的另一方面,提供一种药物组合物,其包括:前面所述的嵌合受体免疫效应细胞。In another aspect of the present invention, there is provided a pharmaceutical composition comprising: the aforementioned chimeric receptor immune effector cells.
本发明的其它方面由于本文的公开内容,对本领域的技术人员而言是显而易见的。Other aspects of the invention will be apparent to those skilled in the art from the disclosure herein.
附图说明Description of drawings
图1、可活化的嵌合受体ACR的结构示意图。Figure 1. Schematic diagram of the structure of the activatable chimeric receptor ACR.
按照N端→C端依次为:Sp:分泌信号肽,BE:封闭元件,LP1:接头1;CE1:可剪切元件;LP2:接头2,Ab:抗原结合区;LP3:接头3;TM:跨膜区;SD:胞内信号区。In order of N-terminal→C-terminal: Sp: secretion signal peptide, BE: blocking element, LP1: linker 1; CE1: cleavable element; LP2: linker 2, Ab: antigen-binding region; LP3: linker 3; TM: Transmembrane domain; SD: intracellular signaling domain.
图2、GC33-28BBZ-ACR的示意图。Figure 2. Schematic representation of GC33-28BBZ-ACR.
按照N端→C端的方向,图中各个模块依次为CD8分泌信号,BE(封闭元件),LP1,CE(可剪切元件,UP1的酶切底物),LP2,CR(GC33-28BBZ),F2A,eGFP。According to the direction of N-terminal → C-terminal, each module in the figure is CD8 secretion signal, BE (blocking element), LP1, CE (cleavable element, UP1 enzyme cleavage substrate), LP2, CR (GC33-28BBZ), F2A, eGFP.
图3、FACS分析T细胞的GC33-28BBZ-ACR阳性率。Figure 3. FACS analysis of GC33-28BBZ-ACR positive rate of T cells.
通过GFP的阳性率作为指示慢病毒感染后T细胞的GC33-28BBZ-ACR阳性率。The positive rate of GFP was used as an indicator of the positive rate of GC33-28BBZ-ACR in T cells after lentivirus infection.
图4、体外毒性实验。将肝癌细胞系Huh-7作为靶细胞,效应细胞为体外培养11天的表达了GC33-28BBZ-ACR的T细胞,效靶比分别为3:1,1:1和1:3,靶细胞数量为10000个/孔,根据不同效靶比对应效应细胞。分别加入uPA与MTSP1,各设置一个低剂量组,一个高剂量组及空白组。各组均设5个复孔,取5个复孔的平均值。检测时间为第18h。Figure 4. In vitro toxicity test. The liver cancer cell line Huh-7 was used as target cells, and the effector cells were T cells expressing GC33-28BBZ-ACR cultured in vitro for 11 days. The effector-target ratios were 3:1, 1:1 and 1:3, respectively. is 10,000 cells/well, corresponding to effector cells according to different effector-target ratios. Add uPA and MTSP1 respectively, and set up a low-dose group, a high-dose group and a blank group. Each group was set with 5 duplicate wells, and the average value of the 5 duplicate wells was taken. The detection time is the 18th hour.
具体实施方式Detailed ways
本发明人经过广泛的研究,揭示了一种基于嵌合抗原受体(CAR)技术的可活化的嵌合受体,该可活化的嵌合受体只有在病理性组织特异性表达或高表达的蛋白酶存在的条件下才能够靶向相应的抗原,实现病理性组织或细胞的杀伤作用;而在蛋白酶不存在的条件下不发挥作用。本发明为避免on-target-off-tumor的提供了可行的解决方案。After extensive research, the inventors have revealed an activatable chimeric receptor based on chimeric antigen receptor (CAR) technology, which is only specifically expressed or highly expressed in pathological tissues. Only in the presence of protease can target the corresponding antigen to achieve the killing effect of pathological tissue or cells; but it does not play a role in the absence of protease. The present invention provides a feasible solution for avoiding on-target-off-tumor.
如本文所用,所述的“嵌合受体”与“嵌合抗原受体”可互换使用。As used herein, the term "chimeric receptor" is used interchangeably with "chimeric antigen receptor".
如本发明所用,所述的“病理性组织高表达的抗原”是指活化的嵌合受体所靶向的抗原,该抗原在病理性组织或细胞中高表达。在本发明中,该“病理性组织高表达的抗原”也可能在病理性组织或细胞以外的正常组织或细胞中表达。较佳地,该“病理性组织高表达的抗原”是肿瘤相关抗原,例如选自(但不限于):GPC3,EGFR,HER2,EphA2,Claudin18.1,Claudin18.2,Claudin 6,GD2,EpCAM,mesothelin,CD19,CD20或ASGPR1。As used in the present invention, the "antigen highly expressed in pathological tissue" refers to the antigen targeted by the activated chimeric receptor, and the antigen is highly expressed in pathological tissue or cells. In the present invention, the "antigen highly expressed in pathological tissues" may also be expressed in normal tissues or cells other than pathological tissues or cells. Preferably, the "highly expressed antigen in pathological tissue" is a tumor-associated antigen, such as selected from (but not limited to): GPC3, EGFR, HER2, EphA2, Claudin18.1, Claudin18.2, Claudin 6, GD2, EpCAM , mesothelin, CD19, CD20 or ASGPR1.
如本发明所用,所述的“病理性组织特异性表达或高表达的蛋白酶”是指仅在病理性组织或细胞中表达,或在病理性组织或细胞中高表达的蛋白(水解)酶,其能够对其特异性底物进行水解。As used in the present invention, the "pathological tissue-specifically expressed or highly expressed protease" refers to a proteolytic (hydrolytic) enzyme that is only expressed in pathological tissue or cells, or is highly expressed in pathological tissue or cells. Capable of hydrolyzing its specific substrates.
如本发明所用,所述的“封闭元件”是指能够阻断所述的嵌合受体与其相应的抗原结合的多肽,其通过直接与所述的嵌合受体结合或从空间上阻碍所述的嵌合受体与抗原结合等方式来发挥阻断嵌合受体与靶位点结合的作用。As used in the present invention, the "blocking element" refers to a polypeptide capable of blocking the binding of the chimeric receptor to its corresponding antigen, either by directly binding to the chimeric receptor or by sterically blocking the chimeric receptor. The chimeric receptor is combined with the antigen to play the role of blocking the binding of the chimeric receptor to the target site.
如本发明所用,所述的“可剪切元件”是一个位于嵌合受体与封闭元件之间的多肽,其是所述的“病理性组织特异性表达或高表达的蛋白酶”的底物,当存在所述的蛋白酶时,该“可剪切元件”可被剪切、还原或分解,从而使得封闭元件不再阻断所述的嵌合受体与其相应的抗原发生结合。As used in the present invention, the "cleavable element" is a polypeptide located between the chimeric receptor and the blocking element, which is the substrate of the "pathological tissue-specifically expressed or highly expressed protease" , in the presence of the protease, the "cleavable element" can be cleaved, reduced or cleaved, so that the blocking element no longer blocks the binding of the chimeric receptor to its corresponding antigen.
如本发明所用,所述的“病理性组织”包括(但不限于):肿瘤,自身免疫性疾病组织,受病毒(如HIV病毒)感染的组织等。As used in the present invention, the "pathological tissue" includes (but is not limited to): tumor, tissue of autoimmune disease, tissue infected by virus (eg HIV virus) and the like.
本发明中,所述的病理性组织可以是机体内的各种不利于健康的有害组织或病灶,有必要从机体内去除。所述的病理性靶组织包括肿瘤。任何本领域已知的肿瘤均可包含在本发明中,只要该肿瘤能够表达正常组织中低表达的肿瘤相关抗原。例如,所述的肿瘤包括(但不限于):肝癌、肺癌、胶质瘤、乳腺癌、胃癌、前列腺癌、脑肿瘤、卵巢癌、骨肿瘤、结肠癌、甲状腺肿瘤、纵隔肿瘤、肠肿瘤、肾肿瘤、肾上腺肿瘤、膀胱肿瘤、睾丸肿瘤、恶性淋巴瘤、多发性骨髓瘤、神经系统肿瘤、食管癌、胸腺间皮瘤、胰腺癌、白血病、头颈部肿瘤、宫颈癌、皮肤癌、黑色素瘤、阴道上皮癌、胆囊癌、恶性纤维组织细胞瘤。例如,所述的肿瘤相关抗原包括(但不限于):GPC3,EGFR,HER2,EphA2,Claudin18.1,Claudin18.2,Claudin 6,GD2,EpCAM,mesothelin,CD19,CD20,ASGPR1,EGFRvIII,de4 EGFR,CD19,CD33,IL13R,LMP1,PLAC1,NY-ESO-1,MAGE4,MUC1,MUC16,LeY,CEA,CAIX(碳酸酐酶IX),CD123。In the present invention, the pathological tissue can be various harmful tissues or lesions in the body that are not conducive to health, and must be removed from the body. The pathological target tissue includes tumors. Any tumor known in the art can be included in the present invention, as long as the tumor is capable of expressing tumor-associated antigens that are lowly expressed in normal tissues. For example, the tumors include (but are not limited to): liver cancer, lung cancer, glioma, breast cancer, gastric cancer, prostate cancer, brain tumor, ovarian cancer, bone tumor, colon cancer, thyroid tumor, mediastinal tumor, intestinal tumor, Kidney tumor, adrenal tumor, bladder tumor, testicular tumor, malignant lymphoma, multiple myeloma, nervous system tumor, esophageal cancer, thymic mesothelioma, pancreatic cancer, leukemia, head and neck tumor, cervical cancer, skin cancer, melanoma tumor, vaginal epithelial cancer, gallbladder cancer, malignant fibrous histiocytoma. For example, the tumor-associated antigens include (but are not limited to): GPC3, EGFR, HER2, EphA2, Claudin18.1, Claudin18.2, Claudin 6, GD2, EpCAM, mesothelin, CD19, CD20, ASGPR1, EGFRvIII, de4 EGFR , CD19, CD33, IL13R, LMP1, PLAC1, NY-ESO-1, MAGE4, MUC1, MUC16, LeY, CEA, CAIX (carbonic anhydrase IX), CD123.
术语“嵌合受体疫效应细胞”是本领域公知的,其是利用基因改造技术表达抗原(如肿瘤抗原)特异性嵌合受体的免疫效应细胞,能靶向性发挥杀伤作用。所述的免疫效应细胞例如包括T细胞,NK细胞,NKT细胞,调节性T细胞(Regulatory cell,简称Treg)。常规的制备“嵌合受体免疫效应细胞”的方法是本领域技术人员已知的,包括让其表达胞内共刺激细胞分子胞内结构域,例如CD28(较佳地包括CD28a,CD28b),CD137,CD27,CD3ζ(较佳地为CD3ζ细胞内域),CD8,CD19,CD134,CD20,FcεRIγ中的一种或多种。通过它们与相应配体结合,激活免疫效应细胞的第二信号,增强免疫细胞的增殖能力及细胞因子的分泌功能,延长活化免疫细胞的存活时间。The term "chimeric receptor immune effector cell" is well known in the art, which is an immune effector cell that expresses an antigen (eg, tumor antigen) specific chimeric receptor using genetic modification technology, and can play a targeted killing effect. The immune effector cells include, for example, T cells, NK cells, NKT cells, and regulatory T cells (Treg for short). Conventional methods for preparing "chimeric receptor immune effector cells" are known to those skilled in the art, including allowing them to express intracellular co-stimulatory cell molecule intracellular domains, such as CD28 (preferably including CD28a, CD28b), One or more of CD137, CD27, CD3ζ (preferably CD3ζ intracellular domain), CD8, CD19, CD134, CD20, FcεRIγ. Through their binding with corresponding ligands, the second signal of immune effector cells is activated, the proliferation ability of immune cells and the secretion function of cytokines are enhanced, and the survival time of activated immune cells is prolonged.
鉴于肿瘤绝对特异的靶点少之又少,因此大多数的CAR修饰的免疫细胞(如CAR T细胞)针对的抗原(如CD19,CD20,Her2,EGFR,EpCAM等)或多或少地在正常组织中表达,因此难以避免地出现on-target-off-tumor的副作用。如何减少或降低这种On-target-off-tumor的作用变得非常重要。本发明人广泛地比较了肿瘤组织的微环境与正常组织的微环境的差异,首次基于一些蛋白水解酶如uPA、MT-sp1、Legumain protease等在肿瘤组织中高表达而在正常组织不表达或低表达的特点,利用这些水解酶的特异性,改造了嵌合受体修饰的免疫细胞,所获得的免疫细胞只有在这些水解酶作用后才能更有效地发挥抗肿瘤功能,从而可有效地提高免疫细胞的安全性。Given that there are very few absolute tumor-specific targets, most CAR-modified immune cells (such as CAR T cells) target antigens (such as CD19, CD20, Her2, EGFR, EpCAM, etc.) It is expressed in tissues, so on-target-off-tumor side effects are inevitable. How to reduce or reduce the effect of this On-target-off-tumor becomes very important. The inventors extensively compared the differences between the microenvironment of tumor tissue and normal tissue, and for the first time, based on the fact that some proteolytic enzymes such as uPA, MT-sp1, Legumain protease, etc. are highly expressed in tumor tissue but not expressed or low in normal tissue The specificity of these hydrolases is used to transform immune cells modified by chimeric receptors, and the obtained immune cells can only play a more effective anti-tumor function after the action of these hydrolases, thereby effectively improving immunity. Cell safety.
因此,本发明提供一种可活化的嵌合受体(Activatable Chimeric Receptor,ACR),它包括嵌合受体(Chimeric Receptor,CR)、可剪切的元件(Cleavable element,CE)以及封闭元件(Blocking element,BE)连接,三者之间可以藉由连接多肽进行连接。其中CE抗原被剪切、还原、光学分解或其他修饰后,ACRs可以展示出活化的构象,使得CR可以更容易与靶点结合。Therefore, the present invention provides an activatable chimeric receptor (Activatable Chimeric Receptor, ACR), which comprises a chimeric receptor (Chimeric Receptor, CR), a cleavable element (Cleavable element, CE) and a blocking element ( Blocking element, BE) is connected, and the three can be connected by connecting polypeptide. After the CE antigen is cleaved, reduced, optically decomposed, or otherwise modified, ACRs can display an activated conformation, making it easier for CR to bind to the target.
作为本发明的优选方式,本发明的可活化的嵌合受体ACR的一种结构示意图见图1。从左到右排列,即从蛋白质的N端到C端排列组成的一个跨膜受体即可活化得嵌合受体ACR的示意图。在未活化状态下,BE会与Ab区结合,或在空间上阻碍Ab与靶抗原的结合;而一旦CE1被蛋白酶等剪切,那么Ab就可以与靶抗原结合。As a preferred mode of the present invention, a schematic diagram of the structure of the activatable chimeric receptor ACR of the present invention is shown in FIG. 1 . Arranged from left to right, that is, from the N-terminus to the C-terminus of the protein, a transmembrane receptor can be activated to obtain a schematic diagram of the chimeric receptor ACR. In the inactive state, BE will bind to the Ab region, or sterically hinder the binding of Ab to the target antigen; and once CE1 is cleaved by proteases, the Ab can bind to the target antigen.
所述的封闭元件可以是任何可通过直接与所述的嵌合受体结合或从空间上阻碍所述的嵌合受体与抗原结合等方式来发挥阻断嵌合受体与靶位点结合的作用的多肽。可以根据嵌合受体的抗原结合区的类型来选择该封闭元件。例如,所述的抗原结合区是一种抗体,则该封闭元件可以是该抗体的结合多肽。在本发明的具体实施例中,嵌合受体的抗原结合区采用抗GPC3的抗体GC33,而应用其结合多肽(NSQQATPKDNEISTFH)作为封闭元件。The blocking element can be any block that can block the binding of the chimeric receptor to the target site by directly binding to the chimeric receptor or sterically hindering the binding of the chimeric receptor to the antigen. the role of peptides. The blocking element can be selected according to the type of antigen binding region of the chimeric receptor. For example, the antigen binding region is an antibody, and the blocking element can be a binding polypeptide of the antibody. In a specific embodiment of the present invention, the antigen-binding region of the chimeric receptor adopts anti-GPC3 antibody GC33, and its binding polypeptide (NSQQATPKDNEISTFH) is used as a blocking element.
所述的可剪切元件是可以被病理性组织特异性表达或高表达的蛋白酶剪切、还原或分解的底物。可以根据所对应的适应症,来选择其中特异性表达或高表达的蛋白酶,其底物即可作为可剪切元件。所述的蛋白酶的表达特异性越高,则越是优选的。在本发明的优选方式中,适应症为肿瘤,肿瘤组织的微环境与正常组织的微环境存在不同,其中的蛋白水解酶如uPA,MT-sp1,Legumain protease等在肿瘤组织中高表达,而在正常组织不表达或低表达,因此本发明人利用这些水解酶的特异性,来改造嵌合受体修饰的免疫细胞,该免疫细胞只有在这些水解酶作用后才能更有效地发挥抗肿瘤功能,从而有效地提高CAR修饰的免疫细胞的安全性。在本发明的具体实施例中,采用uPA和MT-SP1蛋白酶的底物多肽LSGRSDNH作为可剪切元件。The cleavable element is a substrate that can be cleaved, reduced or decomposed by a pathological tissue-specific or highly expressed protease. The specific or highly expressed protease can be selected according to the corresponding indication, and its substrate can be used as the cleavable element. The higher the expression specificity of the protease, the more preferred it is. In a preferred mode of the present invention, the indication is tumor, the microenvironment of tumor tissue is different from that of normal tissue, and proteolytic enzymes such as uPA, MT-sp1, Legumain protease, etc. are highly expressed in tumor tissue, while the microenvironment of tumor tissue is different from that of normal tissue. Normal tissues do not express or have low expression, so the inventors used the specificity of these hydrolases to transform immune cells modified by chimeric receptors, and the immune cells can only play an anti-tumor function more effectively after the action of these hydrolases, Thus, the safety of CAR-modified immune cells can be effectively improved. In a specific embodiment of the present invention, the substrate polypeptide LSGRSDNH of uPA and MT-SP1 protease is used as the cleavable element.
所述的嵌合受体、封闭元件、可剪切元件之间,还可包括连接肽。所述的连接肽没有特别的限制,可以是任何能够提供所述的嵌合受体、封闭元件、可剪切元件之间柔性连接,不影响各元件自身的功能的任何多肽。较佳地,所述的连接子包括2-40个氨基酸;较佳地为3-30个氨基酸,如5、8、10、15、20、25个氨基酸。Between the chimeric receptor, the blocking element and the cleavable element, a linking peptide can also be included. The connecting peptide is not particularly limited, and can be any polypeptide that can provide flexible connection between the chimeric receptor, blocking element, and cleavable element without affecting the function of each element itself. Preferably, the linker includes 2-40 amino acids; preferably 3-30 amino acids, such as 5, 8, 10, 15, 20, 25 amino acids.
本发明也包括编码所述可活化的嵌合受体的核酸。本发明还涉及上述多核苷酸的变异体,其编码与本发明有相同的氨基酸序列的多肽或多肽的片段、类似物和衍生物。The present invention also includes nucleic acids encoding such activatable chimeric receptors. The present invention also relates to variants of the above-mentioned polynucleotides, which encode polypeptides or fragments, analogs and derivatives of polypeptides having the same amino acid sequence as the present invention.
本发明还提供了包含上述可活化的嵌合受体的核酸的载体。在一个具体实施方案中,本发明使用的载体是一种慢病毒质粒载体pWPT。应理解,其它表达载体也是可用的。The present invention also provides a vector comprising the nucleic acid of the activatable chimeric receptor described above. In a specific embodiment, the vector used in the present invention is a lentiviral plasmid vector pWPT. It will be appreciated that other expression vectors are also useful.
本发明还包括包含上述载体的病毒。本发明的病毒包括包装后的具有感染力的病毒,也包括包含包装为具有感染力的病毒所必需成分的待包装的病毒。本领域内已知的其它可用于将外源基因转导入免疫效应细胞的病毒及其对应的质粒载体也可用于本发明。The present invention also includes viruses comprising the above-described vectors. The virus of the present invention includes the packaged infectious virus, and also includes the virus to be packaged containing the necessary components for packaging as the infectious virus. Other viruses and their corresponding plasmid vectors known in the art that can be used for the transduction of exogenous genes into immune effector cells can also be used in the present invention.
本发明还提供了基因修饰的免疫效应细胞,其被转导有编码所述的可活化的嵌合受体的核酸或被转导有上述包含所述含有该核酸的重组质粒,或包含该质粒的病毒。本领域常规的核酸转导方法,包括非病毒和病毒的转导方法都可以用于本发明。基于非病毒的转导方法包括电穿孔法和转座子法。近期Amaxa公司研发的Nucleofector核转染仪能够直接将外源基因导入细胞核获得目的基因的高效转导。另外,基于睡美人转座子(SleepingBeauty system)或PiggyBac转座子等转座子系统的转导效率较普通电穿孔有较大提高,将nucleofector转染仪与睡美人转座子系统联合应用已有报道[Davies JK.,etal.Combining CD19redirection and alloanergization to generate tumor-specifichuman T cells for allogeneic cell therapy of B-cell malignancies.Cancer Res,2010,70(10):OF1-10.],该方法既具有较高的转导效率又能够实现目的基因的定点整合。在本发明的一个实施方案中,实现嵌合受体(本发明中为可活化的嵌合受体)基因修饰的免疫效应细胞的转导方法是基于病毒如逆转录病毒或慢病毒的转导方法。该方法具有转导效率高,外源基因能够稳定表达,且可以缩短体外培养免疫效应细胞到达临床级数量的时间等优点。在该转基因免疫效应细胞表面,转导的核酸通过转录、翻译表达在其表面。通过对各种不同的培养的肿瘤细胞进行体外细胞毒实验证明,本发明的免疫效应细胞具有高度特异性的肿瘤细胞杀伤效果(亦称细胞毒性)。因此本发明的编码嵌合受体蛋白的核酸,包含该核酸的质粒,包含该质粒的病毒和转导有上述核酸,质粒或病毒的转基因免疫效应细胞可以有效地用于肿瘤的免疫治疗。The present invention also provides a genetically modified immune effector cell transduced with a nucleic acid encoding the activatable chimeric receptor or transduced with the above-mentioned recombinant plasmid comprising the nucleic acid, or comprising the plasmid virus. Conventional nucleic acid transduction methods in the art, including non-viral and viral transduction methods, can be used in the present invention. Non-viral-based transduction methods include electroporation and transposon methods. Recently, the Nucleofector nucleotransfection instrument developed by Amaxa can directly introduce foreign genes into the nucleus to obtain efficient transduction of target genes. In addition, the transduction efficiency of transposon systems based on SleepingBeauty system or PiggyBac transposon is greatly improved compared with ordinary electroporation. It has been reported [Davies JK., et al. Combining CD19 redirection and alloanergization to generate tumor-specific human T cells for allogeneic cell therapy of B-cell malignancies. Cancer Res, 2010, 70(10): OF1-10.], this method has both Higher transduction efficiency can also achieve site-directed integration of target genes. In one embodiment of the present invention, the method of transduction of immune effector cells that achieve genetic modification of chimeric receptors (in the present invention, activatable chimeric receptors) is based on transduction of viruses such as retroviruses or lentiviruses method. The method has the advantages of high transduction efficiency, stable expression of exogenous genes, and shortening the time for in vitro cultured immune effector cells to reach clinical level. On the surface of the transgenic immune effector cell, the transduced nucleic acid is expressed on its surface through transcription and translation. It is proved by in vitro cytotoxicity experiments on various cultured tumor cells that the immune effector cells of the present invention have a highly specific tumor cell killing effect (also known as cytotoxicity). Therefore, the nucleic acid encoding the chimeric receptor protein, the plasmid containing the nucleic acid, the virus containing the plasmid and the transgenic immune effector cells transduced with the nucleic acid, plasmid or virus of the present invention can be effectively used for tumor immunotherapy.
本发明所述的免疫细胞还可以携带外源的细胞因子的编码序列;所述的细胞因子包括但不限于:IL-12,IL-15或IL-21等。这些细胞因子具有免疫调节或抗肿瘤的活性,能增强效应T细胞及活化的NK细胞的功能,或直接发挥抗肿瘤作用。因此,本领域技术人员可以理解,这些细胞因子的运用有助于所述的免疫细胞更好地发挥作用。The immune cells of the present invention can also carry the coding sequences of exogenous cytokines; the cytokines include but are not limited to: IL-12, IL-15 or IL-21 and the like. These cytokines have immunomodulatory or anti-tumor activities, can enhance the function of effector T cells and activated NK cells, or directly exert anti-tumor effects. Therefore, those skilled in the art can understand that the use of these cytokines helps the immune cells to function better.
本发明所述的免疫细胞还可以表达除了上述嵌合受体以外的另一种嵌合受体,该受体不含有CD3ζ,但含有CD28的胞内信号结构域、CD137的胞内信号结构域或者这两者的组合。The immune cells of the present invention can also express another chimeric receptor other than the above-mentioned chimeric receptor, the receptor does not contain CD3ζ, but contains the intracellular signaling domain of CD28 and the intracellular signaling domain of CD137 or a combination of the two.
本发明所述的免疫细胞还可以表达趋化因子受体;所述的趋化因子受体包括但不限于CCR2。本领域技术人员可以理解,所述的CCR2趋化因子受体可以使得体内的CCR2与之竞争性结合,对于阻断肿瘤的转移是有利的。The immune cells of the present invention can also express chemokine receptors; the chemokine receptors include but are not limited to CCR2. Those skilled in the art can understand that the CCR2 chemokine receptor can make CCR2 in vivo competitively bind with it, which is beneficial for blocking tumor metastasis.
本发明所述的免疫细胞还可以表达能降低PD-1表达的siRNA或者阻断PD-L1的蛋白。本领域技术人员可以理解,竞争性阻断PD-L1与其受体PD-1的相互作用,有利于恢复抗肿瘤T细胞反应,从而抑制肿瘤生长。The immune cells of the present invention can also express siRNA that can reduce the expression of PD-1 or a protein that blocks PD-L1. Those skilled in the art can understand that competitive blocking of the interaction of PD-L1 with its receptor PD-1 is beneficial to restore anti-tumor T cell responses, thereby inhibiting tumor growth.
本发明所述的免疫细胞还可以表达安全开关;较佳地,所述的安全开关包括:iCaspase-9,Truancated EGFR或RQR8。The immune cells of the present invention can also express a safety switch; preferably, the safety switch includes: iCaspase-9, Truancated EGFR or RQR8.
本发明的嵌合受体免疫效应细胞可以应用于制备药物组合物或诊断试剂。所述的组合物除了包括有效量的所述免疫细胞,还可包含药学上可接受的载体。术语“药学上可接受的”是指当分子本体和组合物适当地给予动物或人时,它们不会产生不利的、过敏的或其它不良反应。The chimeric receptor immune effector cells of the present invention can be used to prepare pharmaceutical compositions or diagnostic reagents. In addition to comprising an effective amount of the immune cells, the composition may also comprise a pharmaceutically acceptable carrier. The term "pharmaceutically acceptable" means that the molecular entities and compositions do not produce adverse, allergic or other adverse reactions when properly administered to animals or humans.
可作为药学上可接受的载体或其组分的一些物质的具体例子是糖类,如乳糖、葡萄糖和蔗糖;淀粉,如玉米淀粉和土豆淀粉;纤维素及其衍生物,如羧甲基纤维素钠、乙基纤维素和甲基纤维素;西黄蓍胶粉末;麦芽;明胶;滑石;固体润滑剂,如硬脂酸和硬脂酸镁;硫酸钙;植物油,如花生油、棉籽油、芝麻油、橄榄油、玉米油和可可油;多元醇,如丙二醇、甘油、山梨糖醇、甘露糖醇和聚乙二醇;海藻酸;乳化剂,如润湿剂,如月桂基硫酸钠;着色剂;调味剂;压片剂、稳定剂;抗氧化剂;防腐剂;无热原水;等渗盐溶液和磷酸盐缓冲液等。Specific examples of some substances which may be pharmaceutically acceptable carriers or components thereof are sugars such as lactose, glucose and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as carboxymethyl cellulose Sodium, ethyl cellulose and methyl cellulose; tragacanth powder; malt; gelatin; talc; solid lubricants such as stearic acid and magnesium stearate; calcium sulfate; vegetable oils such as peanut oil, cottonseed oil, Sesame oil, olive oil, corn oil, and cocoa butter; polyols such as propylene glycol, glycerol, sorbitol, mannitol, and polyethylene glycols; alginic acid; emulsifiers such as Wetting agents, such as sodium lauryl sulfate; coloring agents; flavoring agents; tableting agents, stabilizers; antioxidants; preservatives; pyrogen-free water; isotonic saline solutions and phosphate buffers, etc.
本发明的组合物可根据需要制成各种剂型,并可由医师根据患者种类、年龄、体重和大致疾病状况、给药方式等因素确定对病人有益的剂量进行施用。给药方式例如可以采用注射或其它治疗方式。The composition of the present invention can be prepared into various dosage forms according to needs, and can be administered by a physician at a dose beneficial to the patient according to factors such as the type, age, weight and general disease state of the patient, and the mode of administration. The mode of administration can be, for example, by injection or other treatment.
下面结合具体实施例,进一步阐述本发明。应理解,这些实施例仅用于说明本发明而不用于限制本发明的范围。下列实施例中未注明具体条件的实验方法,通常按照常规条件如J.萨姆布鲁克等编著,分子克隆实验指南,第三版,科学出版社,2002中所述的条件,或按照制造厂商所建议的条件。The present invention will be further described below in conjunction with specific embodiments. It should be understood that these examples are only used to illustrate the present invention and not to limit the scope of the present invention. The experimental methods that do not indicate specific conditions in the following examples are usually in accordance with conventional conditions such as those described in J. Sambrook et al., Molecular Cloning Experiment Guide, 3rd Edition, Science Press, 2002, or according to the conditions described by the manufacturer. the proposed conditions.
实施例1、抗GPC3第三代嵌合抗原受体的构建Example 1. Construction of anti-GPC3 third-generation chimeric antigen receptors
利用之前构建的抗磷脂酰肌醇蛋白多糖-3(GPC3)第三代嵌合抗原受体(Chimericantigen receptor,CAR),该CAR中所用的单链抗体源自GC33抗体,该CAR T的构建参见申请号为CN201310164725.X中,其GPC3-28BBZ被应用于本实施例中,也称为GC33-28BBZ。其中所述的单链抗体的氨基酸序列如SEQ ID NO:13所示(VLGPC3-(G4S)3-VHGPC3)。Using the previously constructed anti-glypican-3 (GPC3) third-generation chimeric antigen receptor (Chimericantigen receptor, CAR), the single-chain antibody used in the CAR is derived from the GC33 antibody. For the construction of the CAR T, see In the application number CN201310164725.X, its GPC3-28BBZ is used in this embodiment, which is also called GC33-28BBZ. The amino acid sequence of the single chain antibody described therein is shown in SEQ ID NO: 13 (VL GPC3- (G 4 S) 3 -VH GPC3 ).
本发明人将GC33抗体的结合多肽(NSQQATPKDNEISTFH(SEQ ID NO:1))作为BE元件,而uPA和MT-SP1蛋白酶的底物多肽LSGRSDNH(SEQ ID NO:2)作为CE元件。另外通过由来自口蹄疫病毒(food-and-mouth disease virus,FMDV)的核糖体跳跃序列(ribosomalskipping sequence 2A)(简称F2A)将eGFP连接于ACR的C端,实现eGFP与ACR的共表达,从而通过eGFP的表达情况来间接说明ACR的表达。The inventors used the binding polypeptide of GC33 antibody (NSQQATPKDNEISTFH (SEQ ID NO: 1)) as the BE element, and the substrate polypeptide LSGRSDNH (SEQ ID NO: 2) of uPA and MT-SP1 protease as the CE element. In addition, the ribosomal skipping sequence 2A (F2A) from the foot-and-mouth disease virus (FMDV) is used to link eGFP to the C-terminus of ACR to realize the co-expression of eGFP and ACR. The expression of eGFP indirectly indicates the expression of ACR.
(1)Sp+BE+LP1+CE+LP2的片段的获得(1) Obtaining the fragment of Sp+BE+LP1+CE+LP2
设计如表1的引物。Primers were designed as shown in Table 1.
表1Table 1
其中Sp+BE+LP1+CE+LP2的片段采用如表1的引物,通过Overlap PCR获得,扩增条件为:Wherein the fragment of Sp+BE+LP1+CE+LP2 adopts the primers as shown in Table 1, and is obtained by Overlap PCR, and the amplification conditions are:
预变性:94℃,4min;Pre-denaturation: 94℃, 4min;
如下25个循环:变性:94℃,30s,25 cycles as follows: Denaturation: 94°C, 30s,
退火:50℃,30s,Annealing: 50℃, 30s,
延伸:68℃,20s;Extension: 68℃, 20s;
然后,68℃再延伸10min。Then, it was extended for another 10 min at 68°C.
随后采用常规方法对PCR扩增产物进行胶回收,获得Sp+BE+LP1+CE+LP2相互连接的DNA片段。Subsequently, the PCR amplification products were recovered by gel using conventional methods to obtain DNA fragments connected to each other by Sp+BE+LP1+CE+LP2.
(2)LP2-GC33-28BBZ片段的获得(2) Acquisition of LP2-GC33-28BBZ fragment
设计如2的引物。Design primers as in 2.
表2Table 2
取GC33-28BBZ质粒(该质粒参见CN201310164725.X专利)1微升(100ng)为模板,分别将GPC3scfv-F、3z-F2A-R作为上下游引物,50微升体系,进行PCR扩增,获得的PCR产物进行切胶回收,从而获得LP2-GC33-28BBZ片段。Take 1 microliter (100ng) of GC33-28BBZ plasmid (see CN201310164725.X patent for this plasmid) as a template, use GPC3scfv-F and 3z-F2A-R as upstream and downstream primers respectively, and carry out PCR amplification in a 50 microliter system to obtain The PCR product was recovered by gel cutting to obtain the LP2-GC33-28BBZ fragment.
(3)F2A-EGFP的获得(3) Acquisition of F2A-EGFP
设计如3的引物。Design primers as in 3.
表3table 3
取GC33-28BBZ质粒1微升(100ng)为模板,分别将F2A-EGFP-F、pwpt-EGFP-R作为上下游引物,进行PCR扩增,获得的PCR产物进行切胶回收,从而得到F2A-EGFP。Take 1 microliter (100 ng) of the GC33-28BBZ plasmid as a template, use F2A-EGFP-F and pwpt-EGFP-R as upstream and downstream primers, respectively, carry out PCR amplification, and the obtained PCR products are recovered by cutting gel to obtain F2A- EGFP.
(4)慢病毒质粒pWPT-GC33-28BBZ-ACR的获得(4) Acquisition of lentiviral plasmid pWPT-GC33-28BBZ-ACR
将上述(1)~(3)制备获得的三段片段进行overlap PCR,具体地讲三段片段,按照等摩尔比进行混合,按上述步骤(1)所述进行overlap PCR,上下游引物是CD8sp-F与EGFP-R。获得的PCR产物进行切胶回收。Carry out overlap PCR with the three fragments prepared in the above (1) to (3). Specifically, the three fragments are mixed according to an equimolar ratio, and the overlap PCR is carried out as described in the above step (1). The upstream and downstream primers are CD8sp. -F with EGFP-R. The obtained PCR products were recovered by gel cutting.
采用限制性内切酶对MluI及SalI双酶切后连入慢病毒质粒pWPT载体的相应位点内。MluI and SalI were double digested with restriction endonucleases and then ligated into the corresponding site of the lentiviral plasmid pWPT vector.
获得的重组质粒转化大肠杆菌Top10感受态细胞,培养12h左右进行挑克隆验证。选择包含有重组质粒的克隆送测序。选择序列正确的克隆进行病毒制备和包装。The obtained recombinant plasmid was transformed into Escherichia coli Top10 competent cells, and cultured for about 12 h for verification by picking clones. Clones containing recombinant plasmids were selected for sequencing. Sequence-correct clones were selected for virus preparation and packaging.
获得的载体命名为pWPT-GC33-28BBZ-ACR。The obtained vector was named pWPT-GC33-28BBZ-ACR.
实施例3、CAR-T的制备Example 3. Preparation of CAR-T
1、GC33-28BBZ-ACR的慢病毒的包装1. Packaging of lentivirus of GC33-28BBZ-ACR
以6×106的密度接种培养至第6~10代的HEK-293T细胞(ATCC:CRL-11268)于10cm培养皿中,37℃,5%CO2培养过夜准备用于转染。培养基为含10%胎牛血清(购自gibco公司)的DMEM(购自gibco公司)。HEK-293T cells (ATCC: CRL-11268) cultured to passages 6 to 10 were seeded at a density of 6×10 6 in 10 cm dishes at 37° C., 5% CO 2 overnight to prepare for transfection. The medium was DMEM (purchased from gibco company) containing 10% fetal bovine serum (purchased from gibco company).
转染的步骤如下:The steps of transfection are as follows:
(1)将10μg目的基因质粒pWPT-GC33-28BBZ-ACR,分别与6.5μg包装质粒PAX2:和3.5μg包膜质粒pMD2.G,溶入800μL的无血清DMEM培养液中,混匀。(1) Dissolve 10 μg of the target gene plasmid pWPT-GC33-28BBZ-ACR, 6.5 μg of the packaging plasmid PAX2: and 3.5 μg of the envelope plasmid pMD2.G into 800 μL of serum-free DMEM medium, and mix well.
(2)将60μl PEI(聚乙烯亚胺,购自Polysciences公司,配成1μg/μL浓度的工作液),加入上述带有质粒的800μL的无血清DMEM培养液中,涡旋混匀,室温静置孵育25min。(2) Add 60 μl of PEI (polyethyleneimine, purchased from Polysciences, into a working solution with a concentration of 1 μg/μL), into the above-mentioned 800 μL of serum-free DMEM medium with plasmids, vortex and mix, and let stand at room temperature Incubate for 25min.
(3)将转染复合物800μL加入待转染HEK-293T细胞中,6-8h小时后,用10%FBS的DMEM培基给转染的293T细胞换液。(3) 800 μL of the transfection complex was added to the HEK-293T cells to be transfected. After 6-8 hours, the medium was changed to the transfected 293T cells with DMEM medium with 10% FBS.
(4)在转染后约24h,观察转染效率(即呈绿色荧光的细胞比例)。在转染72h后,使用0.45μm滤器(购自Millipore公司)过滤收集病毒,超速离心(Beckman Optima L-100XP超速离心机28000rpm,4℃离心2小时),浓缩病毒。离心所得沉淀用1/30原液体积的AIM-V培养液(购自Gibco公司)进行重悬,以100μL/管分装冻存于-80℃,用以感染T淋巴细胞。同时,将获得的浓缩病毒进行滴定。(4) About 24 hours after transfection, the transfection efficiency (ie, the proportion of cells with green fluorescence) was observed. 72h after transfection, the virus was collected by filtration using a 0.45 μm filter (purchased from Millipore), and the virus was concentrated by ultracentrifugation (Beckman Optima L-100XP ultracentrifuge at 28000rpm, 4°C for 2 hours). The pellet obtained by centrifugation was resuspended with 1/30 stock volume of AIM-V medium (purchased from Gibco Company), and aliquoted in 100 μL/tube and stored at -80° C. to infect T lymphocytes. At the same time, the concentrated virus obtained is titrated.
2、GC33-28BBZ-ACR的感染2. Infection of GC33-28BBZ-ACR
由健康人外周血通过密度梯度离心法获得人外周血单个核细胞(上海市血液中心提供)。外周血单个核细胞通过CD4+/CD8+细胞磁珠(购自Stem Cell Technologies)负性分选方法获得CD4+与CD8+阳性的原代人T淋巴细胞。分选后的T细胞进行流式细胞术检测其纯度,以目标细胞的阳性率≥95%为宜进行下一步操作。以1×106/mL密度加入AIM-V淋巴细胞培养基液(购自Gibco公司,含有2%人AB serum)培养并以细胞:磁珠比例为1:1加入同时包被有抗CD3和CD28抗体的磁珠(Invitrogen公司)和终浓度300U/mL的重组人IL-2(购自上海华新生物高技术有限公司)刺激培养24h。感染前,将CD4+CD8+T淋巴细胞按照1:1的比例混合,然后以MOI≈5-10将上述病毒浓缩液与待感染T细胞混合,同时加入终浓度为6μg/mL的polybrene。感染后的细胞,隔天换液,换不含有病毒的培基。每隔一天采用5×105/mL的密度进行传代,同时在淋巴细胞培养液中补加终浓度300U/mL的重组人IL-2。Human peripheral blood mononuclear cells (provided by Shanghai Blood Center) were obtained from healthy human peripheral blood by density gradient centrifugation. CD4+ and CD8+ positive primary human T lymphocytes were obtained from peripheral blood mononuclear cells by negative sorting with CD4+/CD8+ cell magnetic beads (purchased from Stem Cell Technologies). The purity of the sorted T cells is tested by flow cytometry, and the next step is appropriate when the positive rate of the target cells is ≥95%. AIM-V lymphocyte culture medium (purchased from Gibco, containing 2% human AB serum) was added at a density of 1 × 10 6 /mL for culture and added at a cell:magnetic bead ratio of 1:1 and coated with anti-CD3 and Magnetic beads of CD28 antibody (Invitrogen) and recombinant human IL-2 (purchased from Shanghai Huaxin Biotech Co., Ltd.) with a final concentration of 300 U/mL were stimulated and cultured for 24 h. Before infection, CD4+CD8+ T lymphocytes were mixed at a ratio of 1:1, then the virus concentrate was mixed with the T cells to be infected at MOI ≈ 5-10, and polybrene was added at a final concentration of 6 μg/mL. After infection, the medium was changed every other day, and the medium without virus was changed. The cells were passaged at a density of 5×10 5 /mL every other day, and the lymphocyte culture medium was supplemented with recombinant human IL-2 at a final concentration of 300 U/mL.
感染后的原代T细胞在第9-11天(即第一轮扩增周期结束)时,通过流式细胞术检测嵌合抗原受体GC33-28BBZ-ACR的表达,由于eGFP与GC33-28BBZ-ACR共表达,检测eGFP的阳性细胞即为表达嵌合抗原受体的阳性细胞,并以未感染的T淋巴细胞作为阴性对照。The expression of chimeric antigen receptor GC33-28BBZ-ACR was detected by flow cytometry in primary T cells after infection on days 9-11 (i.e., the end of the first expansion cycle). -ACR co-expression, the positive cells for the detection of eGFP are the positive cells expressing the chimeric antigen receptor, and the uninfected T lymphocytes are used as the negative control.
结果如图3,通过GFP的阳性率作为指示慢病毒感染后T细胞的GC33-28BBZ-ACR阳性率,可见阳性率为61.0%。The results are shown in Figure 3. The positive rate of GFP was used as an indicator of the positive rate of GC33-28BBZ-ACR in T cells after lentivirus infection, and the positive rate was 61.0%.
实施例4、外源重组uPA促进BE-GPC3-CAR T的活化Example 4. Exogenous recombinant uPA promotes the activation of BE-GPC3-CAR T
体外毒性实验使用的材料如下:The materials used in the in vitro toxicity experiments are as follows:
将肝癌细胞系Huh-7作为靶细胞,效应细胞为体外培养11天的表达了GC33-28BBZ-ACR的T细胞(阳性率61%),效靶比分别为3:1,1:1和1:3,靶细胞数量为10000个/孔,根据不同效靶比对应效应细胞。分别加入uPA与MTSP1,各设置一个低剂量组(uPA:0.08μg/mL;MT-SP1:0.04μg/mL),一个高剂量组(uPA:0.4μg/mL;MT-SP1:0.2μg/mL)及空白组(uPA:0μg/mL;MT-SP1:0μg/mL)。各组均设5个复孔,取5个复孔的平均值。检测时间为第18h。The liver cancer cell line Huh-7 was used as the target cells, and the effector cells were T cells (positive rate 61%) expressing GC33-28BBZ-ACR cultured in vitro for 11 days. The effector-target ratios were 3:1, 1:1 and 1, respectively. : 3, the number of target cells is 10,000 cells/well, corresponding to effector cells according to different effector-target ratios. Add uPA and MTSP1 respectively, and set up a low-dose group (uPA: 0.08μg/mL; MT-SP1: 0.04μg/mL) and a high-dose group (uPA: 0.4μg/mL; MT-SP1: 0.2μg/mL) ) and blank group (uPA: 0 μg/mL; MT-SP1: 0 μg/mL). Each group was set with 5 duplicate wells, and the average value of the 5 duplicate wells was taken. The detection time is the 18th hour.
其中各实验组和各对照组如下:The experimental groups and the control groups are as follows:
实验组(空白组):靶细胞Huh-7+GC33-28BBZ-ACR T细胞+不同浓度的酶,Experimental group (blank group): target cells Huh-7+GC33-28BBZ-ACR T cells+different concentrations of enzymes,
对照组1:靶细胞最大释放LDH+不同浓度的酶,Control group 1: target cells release LDH+ enzymes at different concentrations at the maximum,
对照组2:靶细胞自发释放LDH+不同浓度的酶,Control group 2: target cells spontaneously release LDH+ enzymes at different concentrations,
对照组3:效应细胞自发释放LDH+不同浓度的酶。Control group 3: Effector cells spontaneously release LDH+ enzymes at different concentrations.
检测方法:采用CytoTox 96非放射性细胞毒性检测试剂盒(Promega公司)进行检测。Detection method: CytoTox 96 non-radioactive cytotoxicity detection kit (Promega company) was used for detection.
细胞毒性计算公式为:The formula for calculating cytotoxicity is:
从图4可以看出,GC33-28BBZ-ACR T细胞(感染了GC33-28BBZ-ACR的T细胞)的抗肿瘤活性较低,但在uPA或者MT-SP1的作用下均能够有效地活化,从而杀伤肿瘤细胞。It can be seen from Figure 4 that the antitumor activity of GC33-28BBZ-ACR T cells (T cells infected with GC33-28BBZ-ACR) is low, but can be effectively activated under the action of uPA or MT-SP1, thereby Kill tumor cells.
上述结果表明,本发明的设计是合理的,那就是通过封闭元件的作用确实能使T细胞的杀伤作用减弱;但是在肿瘤局部环境中如果有足够量的uPA或者MT-SP1等相应蛋白酶的作用ACR可得到激活并杀伤肿瘤细胞,从而起到局部抗肿瘤活性,减少对正常组织的损伤。The above results show that the design of the present invention is reasonable, that is, through the action of the blocking element, the killing effect of T cells can indeed be weakened; but in the local environment of the tumor, if there is a sufficient amount of uPA or MT-SP1 and other corresponding proteases. ACR can be activated and kill tumor cells, thereby exerting local anti-tumor activity and reducing damage to normal tissues.
在本发明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单独引用作为参考那样。此外应理解,在阅读了本发明的上述讲授内容之后,本领域技术人员可以对本发明作各种改动或修改,这些等价形式同样落于本申请所附权利要求书所限定的范围。All documents mentioned herein are incorporated by reference in this application as if each document were individually incorporated by reference. In addition, it should be understood that after reading the above teaching content of the present invention, those skilled in the art can make various changes or modifications to the present invention, and these equivalent forms also fall within the scope defined by the appended claims of the present application.
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