JP2019530470A - γδFoxp3+調節性T細胞のエクスビボ生成及びその治療的使用 - Google Patents
γδFoxp3+調節性T細胞のエクスビボ生成及びその治療的使用 Download PDFInfo
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Abstract
Description
要約
−γδT細胞活性化剤及び以下の薬剤:i)cAMP(環状アデノシン一リン酸)活性化剤、ii)TGFβ(形質転換成長因子ベータ)経路活性化剤、iii)mTOR 阻害剤、場合によりiv)IL−2、IL−7、IL−15、及びTSLPの群において選択される少なくとも1つのサイトカイン、ならびに場合によりv)少なくとも1つのTET酵素活性化剤(好ましくはビタミンC及びNaHS硫化水素放出薬剤より選択される)及び/又は少なくとも1つのDNMT阻害剤(例えば、RG108、DAC、又は5ACなど)の存在において、少なくとも5日間CD3+TCRγδ+T細胞を培養すること。
−γδT細胞活性化剤及び以下の薬剤:i)cAMP(環状アデノシン一リン酸)活性化剤、ii)TGFβ(形質転換成長因子ベータ)経路活性化剤、iii)mTOR阻害剤、場合によりiv)IL−2、IL−7、IL−15、及びTSLP(胸腺ストローマリンホポエチン)の群において選択される少なくとも1つのサイトカイン、ならびに、場合によりv)少なくとも1つのTET酵素活性化剤及び/又は少なくとも1つのDNMT阻害剤の存在においてCD3+TCRγδ+T細胞、好ましくはCD3+TCRγδ+CD45RA+T細胞を、少なくとも5日間培養すること、
−それにより、好ましくはγδナイーブ(CD45RA+)T細胞から、エクスビボで生成されたγδFoxp3+調節性T細胞の集団を得ること。
−CD3+TCRγδ+T細胞、好ましくはCD3+TCRγδ+CD45RA+T細胞を、自己ΔCD3フィーダー細胞及びコーティングされた抗TCRγδ抗体の存在において、ならびに以下の薬剤:i)PGE2、ii)TGFβ、iii)ラパマイシン、場合によりiv)IL−2及びIL−15の群において選択される少なくとも1つのサイトカイン、ならびに場合によりv)ビタミンCの存在において、少なくとも5日間培養すること、
−それにより、好ましくはγδナイーブ(CD45RA+)T細胞から、エクスビボで生成されたγδFoxp3+調節性T細胞の集団を得る。
−約24時間ゾレドロネートを用いてパルスされた寛容原性DCの存在において及びΔCD3フィーダー細胞の存在において及び以下の薬剤:i)PGE2、ii)TGFβ、iii)ラパマイシン、場合によりiv)IL−2及びIL−15の群において選択される少なくとも1つのサイトカイン、及び場合によりv)ビタミンCの存在においてCD3+TCRγδ+T細胞、好ましくはCD3+TCRγδ+CD45RA+T細胞を、少なくとも5日間培養すること、
−それにより、好ましくはγδナイーブ(CD45RA+)T細胞から、エクスビボで生成されたγδFoxp3+調節性T細胞の集団を得ること。
−本明細書において上に記載するようにγδFoxp3+調節性T細胞を生成すること、
−それらを、γδT細胞活性化剤(好ましくは自己△CD3フィーダー細胞及びコーティングされた抗TCRγδ抗体又は約24時間ゾレドロネートを用いてパルスされた寛容原性DCのいずれか、及び△CD3フィーダー細胞の存在において)及び以下の薬剤:i)cAMP(環状アデノシン一リン酸)活性化剤(好ましくはPGE2)、ii)TGFβ(形質転換成長因子ベータ)経路活性化剤(好ましくはTGFβ)、iii)mTOR阻害剤(好ましくはラパマイシン)、場合によりiv)IL−2、IL−7、IL−15、及びTSLP(好ましくはIL−2及び/又はIL−15)の群において選択される少なくとも1つのサイトカイン、ならびに場合によりv)少なくとも1つのTET酵素活性化剤(好ましくはビタミンC及びNaHS硫化水素放出剤より選択される)及び/又は少なくとも1つのDNMT阻害剤(例えばRG108、DAC、又は5ACなど)の存在において接触させることにより生成されたγδFoxp3+調節性T細胞を、少なくとも5日間増殖させること。
−それにより、γδFoxp3+調節性T細胞の増殖集団を得ること。
−処置される被験体からの生物学的サンプル、好ましくは血液サンプル、及び場合により処置される被験体からの腫瘍サンプルを提供すること、
−生物学的サンプルから単離されたCD3+TCRγδ+T細胞、好ましくはCD3+TCRγδ+CD45RA+T細胞からのγδFoxp3+調節性T細胞を本明細書において上に記載するようにエクスビボで生成及び増殖させること、
−以前の工程において得られたγδFoxp3+調節性T細胞を不活化すること、
−それにより本発明の免疫原性産物を得ること。
−本明細書において上に記載する免疫原性産物を調製すること、
−場合により、免疫原性産物を含む医薬組成物又はワクチン組成物を調製すること、
−場合により、被験体を血漿交換療法に供すること、
−本発明の免疫原性産物、医薬組成物、又はワクチン組成物を被験体に投与すること。
a)CD14+単球からのオボアルブミン負荷寛容原性DC(寛容原性単球由来DC(Tol−Mo−DC)と呼ぶ)のインビトロでの生成:単球を、未成熟DCの生成のために100ng/mlの組換えヒト顆粒球−マクロファージコロニー刺激因子(GM−CSF)及び10ng/mlのヒト組換えIL−4を添加した1ウェル当たり0.5mlのAIMVを含む48ウェル平底プレート中で培養する。3日目に、サイトカインを含む500μlの培地を加えた。6日目に、Tol−Mo−DCを、1)ウェルから取り出し、IMDM−5(5%SVF、100IU/mlペニシリン/ストレプトマイシン、1mMピルビン酸ナトリウム、1mM非必須アミノ酸、glutamax、及び10mM HEPESを添加したIMDM)で2回洗浄し、2)IMDM−5中の3×105個/mlの濃度で48ウェルプレートのウェルに加え、3)特異的Ag(OVA)を用いてIMDM−5中でパルスした。
b)特定の機能的にコミットされたFOXP3発現CD3+TCRαβ+MHCII制限T細胞のエクスビボでの生成及び増殖:0日目に、オボアルブミンパルスtDCを、1)IMDM−5で2回洗浄し、2)IMDM−5中の3×105個/mlの濃度で、2×105個の照射自己フィーダー、PGE2 1μM、及びRapa 10nMの存在において48ウェルプレートのウェルに加える。精製されたナイーブ従来型CD4+T細胞(FACSにより以前に凍結されたPBMCから単離)をパルスtDCに加える。1日目に、IL−2(100IU/ml)及びTGFβ(5ng/ml)を共培養物に加える。3日毎に、上清容量の半分を捨て、IL−2を伴う新鮮なIMDM−5(100UI/ml(T細胞クローニング培地))と交換する。12日目に、これらのT細胞を、ΔCD3−フィーダー、PGE2 1μM、TGFβ 5ng/ml、Rapa 10nM、IL−2(100UI/ml)の存在においてovaパルスtDCを用いた再刺激によりさらに増殖させる。一度、T細胞が増殖し始めたら、それらをT細胞クローニング培地及び照射フィーダーを用いて2〜3日毎に分割することができる。21日目に、細胞をフローサイトメトリーにより分析する。CD45RO+になった刺激されたナイーブ従来型CD4+T細胞の85%がFoxp3+を発現する。Ova特異的記憶CD3+TCRαβ+MHCII制限T細胞が、刺激のいかなる培養条件においても、nTreg極性化培地中での21日間の増殖後に、排他的に調節活性を発揮するようにコミットされていることを確認するために、Ova特異的pTregを、nTreg極性化培地(IL−2、TGFβ、PGE2、及びラパマイシンの組み合わせを含む)又はTH−17極性化培地(IL−2、IL−1、IL−6、IL−21、IL−23サイトカインを含むIMDM培地)のいずれかにおいてさらに3週間にわたり培養する。21日増殖させたFoxp3発現CD3+CD4+TCRαβ+MHCII制限T細胞を、48ウェルプレート中で、ΔCD3フィーダー(1M)の存在においてプレート結合抗CD3mAb(4μg/ml)で3日毎に刺激し、上清容量の半分を捨て、新鮮なT細胞クローニング培地又はTH−17極性化培地と21日間にわたり交換する。
a)CD14+単球からの腫瘍負荷寛容原性DC(寛容原性単球由来DC(tDC)と呼ぶ)のインビトロでの生成:単球を、CD1dを発現する未成熟DCの生成のために100ng/ml組換えヒト顆粒球−マクロファージコロニー刺激因子(GM−CSF)ならびに10ng/mlヒト組換えIL−4及びAM580(100nM)を添加した1ウェル当たり0.5mlのAIMVを含む48ウェル平底プレート中で培養する。3日目に、サイトカインを含む500μlの培地を加える。5日目に、tDCの一部を、GM−CSF(100 ng/mL)、IL−4(10ng/mL)を伴うAIMV中で、DC/腫瘍細胞比率1:2で24時間にわたりアポトーシスMCF−7細胞と共培養する。tDCの他の一部を、2×106個/バイアルで90%FBS−10%DMSO中に凍結する。
b)腫瘍抗原特異的に機能的にコミットされたFoxp3発現CD3+invTCR Vα24+CD1d制限T細胞のエクスビボでの生成及び増殖:0日目に、腫瘍抗原パルスtDCを、1)IMDM−5で2回洗浄し、2)2×105個の照射自己フィーダー、PGE2 1μM、及びRapa 10nMの存在においてIMDM−5中の3×105個/mlの濃度で48ウェルプレートのウェルに加える。精製CD3+CD45RA+invTCR Vα24+CD1制限T細胞(FACSにより以前に凍結したPBMCから単離)をパルスtDCに加える。1日目に、IL−2(100IU/ml)、IL−15(10ng/ml)、及びTGFβ(5ng/ml)を共培養物に加える。3日毎に、上清容量の半分を捨て、IL−2(100UI/ml)及びIL−15(10ng/ml)を伴う新鮮なIMDM−5(T細胞クローニング培地)と交換する。12日目に、これらのT細胞を、ΔCD3フィーダー、PGE2 1μM、TGFβ 5ng/ml、Rapa 10nM、IL−2(100UI/ml)、及びIL−15(10ng/ml)の存在における腫瘍AgパルスtDCを用いた再刺激によりさらに増殖させる。T細胞が増殖し始めたら、それらをT細胞クローニング培地及び照射フィーダーを用いて2〜3日毎に分割することができる。21日目に、細胞をフローサイトメトリーにより分析する。CD45RO+になった刺激CD3+CD45RA+invTCR Vα24+細胞の75%がFoxp3+を発現する。
a)CD14+単球からの寛容原性DCのインビトロでの生成(寛容原性単球由来DC(Tol−Mo−DC)と呼ぶ):単球を、未成熟DCの生成のための100ng/ml組換えヒト顆粒球−マクロファージコロニー刺激因子(GM−CSF)及び10ng/mlヒト組換えIL−4を添加した1ウェル当たり0.5mlのAIMVを含む48ウェル平底プレート中で培養する。3日目に、サイトカインを含む500μlの培地を加えた。6日目に、生成したTol−Mo−DCをウェルから取り出し、IMDM−5(5%SVF、100IU/mlペニシリン/ストレプトマイシン、1mMピルビン酸ナトリウム、1mM非必須アミノ酸、グルタマックス、及び10mM HEPESを添加したIMDM)で2回洗浄し、凍結するか、又はリン酸化抗原特異的な機能的にコミットされたFOXP3発現CD3+TCRγδ+非制限T細胞の生成及び増殖のために使用する。
b)リン酸化抗原特異的な機能的にコミットされたFOXP3発現CD3+TCRγδ+非制限T細胞のエクスビボでの生成及び増殖:0日目に、tDMを、2×105個照射自己フィーダー、PGE2 1μM、ならびにRapa 10nM及びゾレドロン酸(100nM)の存在において、IMDM中の3×105個/mlの濃度で48ウェルプレートのウェルに加える。精製されたCD3+CD45RA+TCRγδ+非制限T細胞(FACSにより以前に凍結したPBMCから単離)をパルスtDCに加える。1日目に、IL−2(100IU/ml)、IL−15(10ng/ml)、及びTGFβ(5ng/ml)を共培養物に加える。3日毎に、上清容量の半分を捨て、IL−2(100UI/ml)及びIL−15(10ng/ml)を伴う新鮮なIMDM−5(T細胞クローニング培地)と交換する。12日目に、これらのT細胞を、ΔCD3フィーダー、PGE2 1μM、TGFβ 5ng/ml、Rapa10nM、IL−2(100UI/ml)、IL−15(10ng/ml)、及びゾレドロン酸(100nM)の存在においてtDCでの再刺激によりさらに増殖させる。一度、T細胞が増殖し始めたら、それらをT細胞クローニング培地及び照射フィーダーを用いて2〜3日毎に分割することができる。21日目に、細胞をフローサイトメトリーにより分析する。CD45RO+になった刺激されたCD3+CD45RA+TCRγδ+T細胞の75%がFoxp3+を発現する。
b) 誘導性の特異的Tregについて:誘導性TregでのIL−1R1の存在を、モノクローナル抗Foxp3(259D/C7)−PE−CF594Ab及びポリクローナル抗IL1R1−PE(R&D Systems、FAB269P)を用いて評価した。
Claims (18)
- 以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞をエクスビボで生成するための方法であって、以下を含む方法
γδT細胞活性化剤及び以下の薬剤:i)cAMP(環状アデノシン一リン酸)活性化剤、ii)TGFβ(形質転換成長因子ベータ)経路活性化剤、iii)mTOR 阻害剤、場合によりiv)IL−2、IL−7、IL−15、及びTSLPの群において選択される少なくとも1つのサイトカイン、ならびに場合によりv)少なくとも1つのTET酵素活性化剤及び/又は少なくとも1つのDNMT阻害剤の存在においてCD3+TCRγδ+T細胞を、少なくとも5日間培養すること。 - γδT細胞活性化剤がポリクローナルγδT細胞活性化剤、好ましくは抗TCRγδ抗体又は非ペプチドリン酸化抗原である、請求項1記載の方法。
- γδT細胞活性化剤が抗原特異的γδT細胞活性化剤、好ましくは寛容原性樹状細胞(DC)であり、少なくとも1つのビスホスホネート、好ましくは少なくとも1つのアミノビスホスホネート(aminobiphosphonate)を用いてパルスされる、請求項1記載の方法。
- cAMP活性化剤が、プロスタグランジンE2(PGE2)、EP2もしくはEP4アゴニスト、膜アデニンシクラーゼ活性化剤、又は代謝型グルタミン酸受容体アゴニストを含む群より選択される、請求項1〜3のいずれか一項記載の方法。
- TGFβ経路活性化剤が、TGFβ、骨形成タンパク質(BMP)、成長及び分化因子(GDF)、抗ミュラー管ホルモン(AMH)、アクチビン、ならびにノダールを含む群より選択される、請求項1〜4のいずれか一項記載の方法。
- mTOR阻害剤が、ラパマイシン、ラパマイシン類似体、ウォルトマンニン;テオフィリン;カフェイン;エピガロカテキンガレート(EGCG)、クルクミン、レスベラトロール;ゲニステイン、3,3−ジインドリルメタン(DIM)、LY294002(2−(4−モルホリニル)−8−フェニル−4H−1−ベンゾピラン−4−オン)、PP242、PP30、Torin1、Ku−0063794、WAY−600、WYE−687、WYE−354、GNE477、NVP−BEZ235、PI−103、XL765、及びWJD008を含む群より選択される、請求項1〜5のいずれか一項記載の方法。
- 請求項1〜6の生成方法により得られたγδFoxp3+調節性T細胞を、γδT細胞活性化剤及び以下の薬剤:i)cAMP(環状アデノシン一リン酸)活性化剤、ii)TGFβ(形質転換成長因子ベータ)経路活性化剤、iii)mTOR 阻害剤、場合によりiv)IL−2、IL−7、IL−15、及びTSLPの群において選択される少なくとも1つのサイトカイン、ならびに場合によりv)少なくとも1つのTET酵素活性化剤及び/又は少なくとも1つのDNMT阻害剤の存在において、少なくとも5日間培養する工程をさらに含む、請求項1〜6のいずれか一項記載の方法。
- 請求項1〜6のいずれか一項記載の方法により入手可能なエクスビボで生成されたγδFoxp3+調節性T細胞集団。
- γδFoxp3+調節性T細胞が、以下の表現型:CD3+TCRγδ+Foxp3+を有する、請求項7記載の方法により入手可能なエクスビボで生成及び増殖されたγδFoxp3+調節性T細胞集団。
- γδFoxp3+調節性T細胞が、以下の表現型:CD3+TCRγδ+Foxp3+を有する、炎症条件において機能的に安定なままである、エクスビボで生成されたγδFoxp3+調節性T細胞集団。
- 調節性T細胞集団が以下の表現型:CD3+TCRγδ+Foxp3+IL−1R1−を有する、請求項10記載のエクスビボで生成されたγδFoxp3+調節性T細胞集団。
- 以下の表現型:CD3+TCRγδ+Foxp3+を有する不活化γδFoxp3+調節性T細胞、又は以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞のブレブ、又は以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞のブレブを負荷した免疫原性樹状細胞を含む免疫原性産物。
- 以下の表現型:CD3+TCRγδ+Foxp3+を有する不活化γδFoxp3+調節性T細胞、又は以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞のブレブ、又は以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞のブレブを負荷した免疫原性樹状細胞、及び少なくとも医薬的に許容可能な賦形剤を含む医薬的組成物。
- 以下の表現型:CD3+TCRγδ+Foxp3+を有する不活化γδFoxp3+調節性T細胞、又は以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞のブレブ、又は以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞のブレブを負荷した免疫原性樹状細胞、及び少なくとも1つのアジュバントを含むワクチン組成物。
- 癌を処置する際での使用のための、請求項10〜12のいずれか一項記載の免疫原性産物、医薬組成物、又はワクチン組成物。
- 以下の表現型:CD3+TCRγδ+Foxp3+を有するγδFoxp3+調節性T細胞、及び少なくとも1つの医薬的に許容可能な賦形剤を含む医薬組成物。
- 細胞治療における使用のための、請求項15記載の医薬組成物。
- 炎症性疾患もしくは自己免疫疾患を処置する際での使用のための、又は移植拒絶反応もしくは移植片対宿主病(GVHD)を防止するための、請求項15記載の医薬組成物。
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