JP2020511987A - 移植された組織を拒絶反応から保護するための方法 - Google Patents
移植された組織を拒絶反応から保護するための方法 Download PDFInfo
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Abstract
Description
本出願は、米国特許法第119条(e)の下、2017年3月28日に出願された米国仮特許出願第62/477,815号の優先権を主張する権利を有し、これは、参照によってその全体が本明細書に組み入れられる。
移植拒絶反応は、移植された組織または臓器をレシピエントの免疫系が攻撃するときに起こる。拒絶反応は、一般には、ドナーの同種抗原または異種抗原を認識する、レシピエント中に存在する同種反応性T細胞によって媒介される。宿主T細胞は、同種移植ヒト白血球抗原(HLA)または関連結合ペプチドを認識することができる。同種反応性T細胞は、同種MHCおよび共刺激活性の両方を発現する、ドナー抗原提示細胞(APC)によって刺激される。同種反応性CD4+T細胞は、同種抗原に対する細胞溶解性CD8反応を悪化させるサイトカインを産生する。患者における望ましくない同種反応性T細胞反応(同種移植片拒絶反応、移植片対宿主病)は、典型的には、プレドニゾン、アザチオプリン、およびシクロスポリンAなどの免疫抑制薬を用いて対処される。残念ながら、これらの薬物は、一般には、患者の一生にわたって維持される必要があり、そして、これらの薬物は、全身性免疫抑制を含む数多くの危険な副作用を有する。
本明細書に記載されている通り、本発明は、HLA-A2特異的CARを利用して、移植された組織を拒絶反応から保護するための、組成物および方法に関する。
定義
他に規定のない限り、本明細書において使用される全ての技術用語および科学用語は、本発明が関係する当業者によって一般的に理解されるものと同じ意味を有する。本明細書に記載するものと類似または同等の任意の方法および材料を、本発明の試験の実践に使用することができるが、好ましい材料および方法を本明細書に記載する。本発明を説明および請求する際に、以下の専門用語を使用する。
本発明は、HLA-A2特異的CARを利用して移植された組織を拒絶反応から保護するための組成物および方法を含む。HLA-A2特異的CARは、HLA-A2、HLA-A28、および/またはHLA-A68に結合する抗原結合ドメインを含む。ヒト制御性T細胞(Treg)上に発現されたとき、HLA-A2特異的CARは、抗原特異的抑制を媒介する。HLA-A2特異的CARは、制御性T細胞を、HLA-A2、HLA-A28、および/またはHLA-A68を発現する組織に再指向させ、寛容を媒介することができる。
本発明は、HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む、改変された免疫細胞またはその前駆細胞、例えば、改変された制御性T細胞のための組成物および方法を提供する。本発明の対象のCARは、抗原結合ドメイン(例えば、HLA-A2結合ドメイン)、膜貫通ドメインおよび細胞内ドメインを含む。本発明の対象のCARは、場合により、ヒンジドメインおよび/またはシグナルペプチドを含み得る。いくつかの態様において、シグナルペプチドは、CD8シグナルペプチドである。したがって、本発明の対象のCARは、抗原結合ドメイン(例えば、HLA-A2結合ドメイン)、ヒンジドメイン、膜貫通ドメインおよび細胞内ドメインを含む。いくつかの態様において、本発明の対象のCARは、シグナルペプチド、抗原結合ドメイン(例えば、HLA-A2結合ドメイン)、ヒンジドメイン、膜貫通ドメインおよび細胞内ドメインを含む。いくつかの態様において、対象のCARのドメインの各々は、リンカーによって分離される。
CARの抗原結合ドメインは、タンパク質、炭水化物および糖脂質を含む特異的な標的抗原に結合するためのCARの細胞外領域である。いくつかの態様において、CARは、標的細胞上の標的抗原への親和性を含む。標的抗原は、標的細胞と関連する任意のタイプのタンパク質またはそのエピトープを含み得る。例えば、CARは、標的細胞の特定の状態を示す、標的細胞上の標的抗原への親和性を含み得る。
(式中、nは、少なくとも1の整数を表す)などのグリシンセリン(GS)リンカーを非限定的に含む、様々なリンカー配列が当技術分野において公知である。例示的なリンカー配列は、
などを非限定的に含むアミノ酸配列を含むことができる。当業者は、本発明において使用するために適切なリンカー配列を選択することができるであろう。一態様において、本発明の抗原結合ドメイン(例えば、HLA-A2結合ドメイン)は、重鎖可変領域(VH)および軽鎖可変領域(VL)を含み、該VHおよびVLは、アミノ酸配列
を有するリンカー配列によって分離され、それは核酸配列
によってコードされ得る。
膜貫通ドメインに関して、CARの抗原結合ドメインを細胞内ドメインに接続する膜貫通ドメインを含むように、本発明のCAR(例えば、HLA-A2 CAR)を設計することができる。対象のCARの膜貫通ドメインは、細胞(例えば、免疫細胞またはその前駆体)の原形質膜を貫通することができる領域である。膜貫通ドメインは、細胞膜、例えば、真核細胞膜への挿入のためのものである。いくつかの態様において、膜貫通ドメインは、CARの抗原結合ドメインと細胞内ドメインとの間に介在する。
を含む、式中、nは、少なくとも1の整数である)、グリシン-アラニンポリマー、アラニン-セリンポリマー、および当技術分野において公知の他のフレキシブルなリンカーを含む。グリシンおよびグリシン-セリンポリマーを使用することができる;GlyおよびSerの両方は、それほど構造化されておらず、それ故、成分間の中立的テサー(neutral tether)として役立つことができる。グリシンポリマーを使用することができる;グリシンは、同等なアラニンよりも顕著にphi-psi空間に接近し、より長い側鎖を有する残基よりもはるかに制限は少ない(例えば、Scheraga, Rev. Computational. Chem. (1992) 2: 73-142を参照のこと)。例示的なヒンジ領域は、
などを非限定的に含むアミノ酸配列を含むことができる。
(例えば、Glaser et al., J. Biol. Chem. (2005) 280:41494-41503を参照のこと);
;など。
を含む;例えば、Yan et al., J. Biol. Chem. (2012) 287: 5891-5897を参照されたい。一態様において、ヒンジ領域は、ヒトCD8に由来するアミノ酸配列、またはそのバリアントを含むことができる。
本発明の対象のCARはまた、細胞内シグナル伝達ドメインを含む。用語「細胞内シグナル伝達ドメイン」および「細胞内ドメイン」は、本明細書において互換的に使用される。CARの細胞内シグナル伝達ドメインは、CARが発現される細胞(例えば、免疫細胞)のエフェクター機能の少なくとも1つの活性化を担っている。細胞内シグナル伝達ドメインは、エフェクター機能シグナルを伝達し、細胞(例えば、免疫細胞)がその特殊な機能、例えば、標的細胞の損傷および/または破壊を遂行するように指示する。
本発明の対象のCARは、HLA-A2に対して親和性を有するCARであり得る。一態様において、本発明のHLA-A2 CARは、SEQ ID NO:24に示される核酸配列によってコードされ得る、SEQ ID NO:23に示されるアミノ酸配列を含む。
CARの抗原結合ドメインがヒト抗体またはその断片を含むことが好ましい場合がある。完全ヒト抗体は、ヒト対象の治療的処置に特に望ましい。ヒト免疫グロブリン配列に由来する抗体ライブラリーを使用したファージディスプレイ法(これらの技法に対する改善を含む)を含めた当技術分野において公知の多種多様な方法によって、ヒト抗体を製造することができる。また、米国特許第4,444,887号および第4,716,111号;ならびにPCT公報WO 98/46645、WO 98/50433、WO 98/24893、WO 98/16654、WO 96/34096、WO 96/33735およびWO 91/10741を参照されたい;その各々は、参照によってその全体が本明細書に組み入れられる。
あるいは、いくつかの態様において、非ヒト抗体を、ヒト化することができ、その場合、ヒトにおいて天然に産生される抗体との類似点を増加させるように抗体の特定の配列または領域が改変される。例として、本発明において、抗体またはその断片は、ヒト以外の哺乳動物のscFvを含み得る。一態様において、抗原結合ドメイン部分がヒト化される。
本発明は、HLA-A2に対して親和性を有するCARをコードする核酸を提供する。本明細書に記載の通り、対象のCARは、抗原結合ドメイン(例えば、HLA-A2結合ドメイン)、膜貫通ドメインおよび細胞内ドメインを含む。したがって、本発明は、対象のCARの抗原結合ドメイン(例えば、HLA-A2結合ドメイン)、膜貫通ドメインおよび細胞内ドメインをコードする核酸を提供する。
本発明は、改変された免疫細胞またはその前駆細胞(例えば、制御性T細胞)を生産/生成するための方法を提供する。細胞は、一般には、対象のCAR(例えば、HLA-A2 CAR)をコードする核酸を導入することによって操作される。
一態様において、宿主細胞に導入される核酸は、RNAである。別の態様において、RNAは、インビトロ転写されたRNAまたは合成RNAを含むmRNAである。RNAは、ポリメラーゼ連鎖反応(PCR)によって生成された鋳型を使用して、インビトロ転写によって生産される。任意の供給源由来の関心対象のDNAを、適切なプライマーおよびRNAポリメラーゼを使用してPCRによって、インビトロmRNA合成の鋳型に直接変換することができる。DNAの供給源は、例えば、ゲノムDNA、プラスミドDNA、ファージDNA、cDNA、合成DNA配列または他の任意の適切なDNA供給源であることができる。
拡大増殖の前に、免疫細胞の供給源がエクスビボ操作のために対象から得られる。エクスビボ操作のための標的細胞の供給源はまた、例えば、自家または異種ドナーの血液、臍帯血または骨髄を含み得る。例えば、免疫細胞の供給源は、本発明の改変された免疫細胞で処置されるべき対象に由来する、例えば、対象の血液、対象の臍帯血または対象の骨髄であり得る。対象の非限定例は、ヒト、イヌ、ネコ、マウス、ラットおよびそれらのトランスジェニック種を含む。好ましくは、対象は、ヒトである。
対象のCARを発現するための細胞の改変の前か後かを問わず、細胞を、例えば、米国特許第6,352,694号;第6,534,055号;第6,905,680号;第6,692,964号;第5,858,358号;第6,887,466号;第6,905,681号;第7,144,575号;第7,067,318号;第7,172,869号;第7,232,566号;第7,175,843号;第5,883,223号;第6,905,874号;第6,797,514号;第6,867,041号;および米国公報第20060121005号に記載されているような方法を使用して、活性化させてその数を増大させることができる。例えば、本発明の免疫細胞を、CD3/TCR複合体関連シグナルを刺激する作用物質および免疫細胞の表面上の共刺激分子を刺激するリガンドに付着した表面と接触させることによって拡大増殖させてよい。特に、免疫細胞集団を、表面上に固定化された抗CD3抗体もしくはその抗原結合断片、または抗CD2抗体と接触させることによって、または、カルシウムイオノフォアと併せてタンパク質キナーゼCアクチベーター(例えば、ブリオスタチン)と接触させることによって刺激してよい。免疫細胞の表面上のアクセサリー分子の共刺激のために、アクセサリー分子と結合するリガンドが使用される。例えば、免疫細胞の増殖を刺激するのに適した条件下で、免疫細胞を抗CD3抗体および抗CD28抗体と接触させることができる。抗CD28抗体の例は、9.3、B-T3、XR-CD28(Diaclone, Besancon, France)を含み、これらを、当技術分野において公知である他の方法および試薬と同様に本発明において使用することができる(例えば、ten Berge et al., Transplant Proc. (1998) 30(8): 3975-3977; Haanen et al., J. Exp. Med. (1999) 190(9): 1319-1328; および Garland et al., J. Immunol. Methods (1999) 227(1-2): 53-63を参照のこと)。
本明細書に記載の改変された免疫細胞(例えば、制御性T細胞)は、免疫療法、特に抑制免疫療法のための組成物中に含めてよい。組成物は、薬学的組成物を含んでよく、薬学的に許容される担体をさらに含んでよい。改変された免疫細胞を含む薬学的組成物の治療有効量を投与してよい。
本発明の薬学的組成物は、1つまたは複数の薬学的にまたは生理学的に許容される担体、希釈剤または賦形剤と組み合わされた本明細書に記載の通りの改変された免疫細胞を含み得る。そのような組成物は、中性の緩衝食塩水、リン酸緩衝食塩水などの緩衝液;グルコース、マンノース、スクロースまたはデキストラン、マンニトールなどの炭水化物;タンパク質;ポリペプチドまたはグリシンなどのアミノ酸;酸化防止剤;EDTAまたはグルタチオンなどのキレート剤;補助剤(例えば、水酸化アルミニウム);および保存料を含み得る。本発明の組成物は、好ましくは、静脈内投与用に製剤化される。
本発明は、ここで、以下の実施例を参照して記載される。これらの実施例は、例証を目的としてのみ提供されるものであって、本発明は、これらの実施例に限定されず、むしろ本明細書に提供される教示の結果として明白な全ての変形物を包含する。
初代ヒトCD8+T細胞を、正常なドナーアフェレーシス産物から、RosetteSep試薬と室温で20分間インキュベートし、続いて、細胞をLymphoprepの上部に層状化し、室温で400×gにて30分間遠心分離することによって単離した。次いで、細胞を、OPTI-MEM低血清培地(Thermo Fisher Scientific)で3回洗浄し、100×106個の細胞/mLでOPTI-MEMに再懸濁し、インビトロ転写された10μgの3PF12-28z RNAと混合し、そして、BTX830(Harvard Apparatus BTX)を用いて、0.2cmのエレクトロポレーションキュベット中、500Vで700μsエレクトロポレーションした。mMessage mMachine T7転写キット(ThermoFisher Scientific)を用いて製造業者の説明書に従ってインビトロRNA転写を実施し、RNeasy MinElute Clean Up Kit(Qiagen)でクリーンアップした。細胞を、37℃/5% CO2インキュベーター内で16時間インキュベートした後に、F(ab')2断片特異的な抗ビオチン-SP(長いスペーサー)AffiniPureヤギ抗ヒトIgG抗体(Jackson Labs)を用いて氷上で30分間染色し、続いて、PBSで3回洗浄し、PBSで希釈した1μLのストレプトアビジン-PEおよび1μLの抗ヒトCD8-APC-H7(BD Biosciences)とさらに30分間インキュベートした。細胞を、2%パラホルムアルデヒドで固定し、LSRIIフローサイトメーター(BD Biosciences)で解析した(図2)。3PF12-28z RNAでエレクトロポレーションした細胞は、細胞表面上で検出可能なCAR発現を示した。
ヒト臍帯血ドナーから、CD4+RosetteSep試薬(Stem Cell)とのインキュベーション、Lymphoprep上での層状化、および400×gで30分間の遠心分離とそれに続くCD25磁気ポジティブセレクション(StemCell Technologies)によって、制御性T細胞を単離した。Tregを、α-CD3/α-CD28ビーズ(Gibco)で刺激し、1×GlutaMAXおよび300IU/mLのIL-2を含有する5%ヒトAB血清含有XVIVO15(Invitrogen)中で増殖させ、37℃/5% CO2インキュベーター内に置いた。最初の刺激の48時間後、3PF12-28z CARまたは無関係なCARを発現するように、レンチウイルスベクターでTregに形質導入した。4日目にα-CD3/α-CD28ビーズを除去し、4、6、9、および12日目に上記の完全XVIVO15培地を、必要に応じて消費を仮定してIL-2を入れ替えながら細胞に供給した。細胞を14日目まで静置したら、Tregを3回洗浄してIL-2を除去し、これらを同種T細胞(SL9 WT TCRを発現するためのRNAを用いてエレクトロポレーションされており、16時間前に2.5μMのCFSEで標識されている)およびK562細胞(HLA-A2およびSL9抗原を遺伝子導入により発現する)と、8:1:0.5(Teff:Treg:K562)の比で混合することによって、抗原特異的抑制を評価した。非特異的な抑制機能を調べるために、Tregを、CFSEで標識されたPBMCおよびα-CD3刺激剤ビーズ(Gibco)と、8:1:3(Teff:Treg:ビーズ)の比で混合した。37℃/5% CO2インキュベーター内でのインキュベーションの5日後、細胞を、100μLのPBSで希釈した1μLのCD8-APC-H7および0.5μLのCD4-BV421抗体を用いて4℃で15分間染色した後、洗浄し、固定のために2% PFAに再懸濁した。次いで、細胞をLSR IIフローサイトメーターで解析した(図4)。他の任意の介入なしに、CFSEで標識された標的細胞は、SL9 WT TCRと、K562細胞上に発現されるMHCクラスIによって提示されるSL9ペプチドとの相互作用に起因して***し、その結果、CFSEシグナルの希薄化がもたらされる。HLA-A2+CAR Tregを標的細胞と共培養することによって、CFSEシグナルの希薄化が少ないことから明らかなように、細胞***が抑制された(青色)。一方で、CFSE標的細胞は、無関係なCAR Treg(緑色)または非Treg CD4+T細胞(赤色)のいずれかと共培養した場合、高度に増殖性であった。Tregの両方のセットが等しい抑制能を有していたことを示すために、図4の右パネルは、共培養中のCFSEで標識されたPBMCおよびTregをα-CD3刺激剤ビーズでポリクローナル刺激したときに、無関係なCAR Treg(緑色)およびHLA-A2+CAR Treg(青色)の両方が等しく、非Treg CD4+細胞(赤色)よりもはるかに高いレベルで抑制することを示す。
ヒトドナー由来のHLA-A2+膵島を、NSGマウスの左腎臓被膜下に移植した。3日後、3PF12-28z CARまたは無関係なCD19-28z CARのいずれかを保有するレンチウイルスベクターで形質導入した10×106個のT細胞を静脈内注射した。形質導入していないT細胞を陰性対照として使用した。尿試料を定期的に収集し、ELISAによってヒトc-ペプチドレベルを評価するまで-80℃で貯蔵した(図5)。図5に示す通り、3PF12-28z CAR形質導入T細胞は、ヒトC-ペプチドレベルを枯渇させることができたが、このことは、3PF12-28z CAR形質導入T細胞が、移植されたHLA-A2+膵島を標的としたことを示している。
1型糖尿病は、膵島β細胞破壊、低インスリン血症および重度に変化したグルコース恒常性をもたらす、T細胞媒介性自己免疫疾患である。制御性T細胞(Treg)の減退は、1型糖尿病の発生において役割を果たし得る。免疫恒常性の間、Tregは、自己反応性エフェクターT細胞の作用を相殺し、それによって、末梢性寛容に関与する。したがって、エフェクターT細胞とTregとの間の不均衡は、末梢性寛容の破綻に寄与し、1型糖尿病の発生を導き得る。
本明細書における可変部の任意の定義における要素の列記の記述は、列記される要素のうちの任意の単一要素または組み合わせ(もしくはその部分的組み合わせ)としてのその可変部の定義を含む。本明細書におけるある態様の記述は、その態様を、任意の単一の態様としてまたは他の任意の態様もしくはその部分との組み合わせで含む。
[本発明1001]
HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む、改変された免疫細胞またはその前駆細胞であって、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、およびCD8ヒンジドメインを含む、細胞。
[本発明1002]
前記HLA-A2結合ドメインが、抗体、Fab、またはscFvからなる群より選択される、本発明1001の改変された細胞。
[本発明1003]
前記HLA-A2結合ドメインが、SEQ ID NO:3に示されるアミノ酸配列を含む重鎖可変領域を含む、前記本発明のいずれかの改変された細胞。
[本発明1004]
前記HLA-A2結合ドメインが、SEQ ID NO:8に示されるアミノ酸配列を含む軽鎖可変領域を含む、前記本発明のいずれかの改変された細胞。
[本発明1005]
前記HLA-A2結合ドメインが、スペーサー配列を含む、本発明1003または1004のいずれかの改変された細胞。
[本発明1006]
前記HLA-A2結合ドメインが、SEQ ID NO:1に示されるアミノ酸配列を含む、前記本発明のいずれかの改変された細胞。
[本発明1007]
前記CARが、膜貫通ドメインおよび細胞内ドメインを含む、前記本発明のいずれかの改変された細胞。
[本発明1008]
前記膜貫通ドメインが、CD28膜貫通ドメインを含む、本発明1007の改変された細胞。
[本発明1009]
前記膜貫通ドメインが、SEQ ID NO:17に示されるアミノ酸配列を含む、本発明1007または1008のいずれかの改変された細胞。
[本発明1010]
前記細胞内ドメインが、CD28細胞内ドメインおよびCD3ζ細胞内ドメインを含む、本発明1007〜1009のいずれかの改変された細胞。
[本発明1011]
前記CD28細胞内ドメインが、SEQ ID NO:19に示されるアミノ酸配列を含む、本発明1010の改変された細胞。
[本発明1012]
前記CD3ζ細胞内ドメインが、SEQ ID NO:21に示されるアミノ酸配列を含む、本発明1010または1011のいずれかの改変された細胞。
[本発明1013]
前記CD8ヒンジが、SEQ ID NO:15に示されるアミノ酸配列を含む、前記本発明のいずれかの改変された細胞。
[本発明1014]
前記CD8シグナルペプチドが、SEQ ID NO:13に示されるアミノ酸配列を含む、前記本発明のいずれかの改変された細胞。
[本発明1015]
HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む、改変された免疫細胞またはその前駆細胞であって、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、CD8ヒンジドメイン、CD28膜貫通ドメイン、CD28共刺激ドメイン、およびCD3ζ細胞内ドメインを含む、細胞。
[本発明1016]
前記CARが、SEQ ID NO:23に示されるアミノ酸配列を含む、前記本発明のいずれかの改変された細胞。
[本発明1017]
前記HLA-A2結合ドメインが、HLA-A28と交差反応する、前記本発明のいずれかの改変された細胞。
[本発明1018]
前記HLA-A2結合ドメインが、HLA-A68と交差反応する、前記本発明のいずれかの改変された細胞。
[本発明1019]
改変された制御性T細胞である、本発明1001〜1018のいずれかの改変された細胞。
[本発明1020]
自家細胞である、前記本発明のいずれかの改変された細胞。
[本発明1021]
ヒトに由来する、前記本発明のいずれかの改変された細胞。
[本発明1022]
HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)をコードする核酸配列を含む単離された核酸であって、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、およびCD8ヒンジドメインを含む、核酸。
[本発明1023]
前記CARが、CD28膜貫通ドメインを含む、本発明1022の単離された核酸。
[本発明1024]
前記CARが、CD28共刺激ドメインを含む、本発明1022または1023のいずれかの単離された核酸。
[本発明1025]
前記CARが、CD3ζ細胞内ドメインを含む、本発明1022〜1024のいずれかの単離された核酸。
[本発明1026]
SEQ ID NO:24に示される核酸配列を含む、本発明1022〜1025のいずれかの単離された核酸。
[本発明1027]
本発明1022〜1026のいずれかの単離された核酸を含む、発現構築物。
[本発明1028]
EF-1αプロモーターを含む、本発明1027の発現構築物。
[本発明1029]
rev応答エレメント(RRE)を含む、本発明1027または1028のいずれかの発現構築物。
[本発明1030]
ウッドチャック肝炎ウイルス転写後調節エレメント(WPRE)を含む、本発明1027〜1029のいずれかの発現構築物。
[本発明1031]
cPPT配列を含む、本発明1027〜1030のいずれかの発現構築物。
[本発明1032]
EF-1αプロモーター、rev応答エレメント(RRE)、ウッドチャック肝炎ウイルス転写後調節エレメント(WPRE)、およびcPPT配列を含む、本発明1027〜1031のいずれかの発現構築物。
[本発明1033]
レトロウイルスベクター、レンチウイルスベクター、アデノウイルスベクター、およびアデノ随伴ウイルスベクターからなる群より選択されるウイルスベクターである、本発明1027〜1032のいずれかの発現構築物。
[本発明1034]
レンチウイルスベクターである、本発明1027〜1033のいずれかの発現構築物。
[本発明1035]
前記レンチウイルスベクターが、自己不活化レンチウイルスベクターである、本発明1034の発現構築物。
[本発明1036]
本発明1001〜1021のいずれかの改変された免疫細胞またはその前駆細胞を生成するための方法であって、本発明1022〜1026のいずれかの核酸、または本発明1027〜1035のいずれかの発現構築物を該免疫細胞に導入する工程を含む、方法。
[本発明1037]
その必要のある対象において免疫抑制効果を達成するための方法であって、有効量の本発明1001〜1021のいずれかの改変された免疫細胞またはその前駆細胞を該対象に投与する工程を含む、方法。
[本発明1038]
前記対象が、同種反応および/または自己免疫反応を患っている、本発明1037の方法。
[本発明1039]
その必要のある対象において予防的治療効果を達成するための方法であって、同種反応または自己免疫反応が発症する前に、有効量の本発明1001〜1021のいずれかの改変された免疫細胞またはその前駆細胞を該対象に投与する工程を含む、方法。
[本発明1040]
その必要のある対象において免疫抑制効果を達成するための方法であって、該対象が同種反応または自己免疫反応を有し、該方法が、HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む改変された制御性T細胞を該対象に投与する工程を含み、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、CD8ヒンジドメイン、CD28膜貫通ドメイン、CD28共刺激ドメイン、およびCD3ζ細胞内ドメインを含む、方法。
[本発明1041]
前記同種反応または自己免疫反応が組織移植に続いて起き、前記方法が前記対象における移植片対宿主病を抑制、遮断、または阻害する、本発明1037〜1040のいずれかの方法。
[本発明1042]
前記改変された細胞が、改変された制御性T細胞である、本発明1037〜1041のいずれかの方法。
[本発明1043]
前記改変された細胞が、自家細胞である、本発明1037〜1042のいずれかの方法。
[本発明1044]
前記改変された細胞が、ヒトに由来する、本発明1037〜1043のいずれかの方法。
[本発明1045]
その必要のある対象における糖尿病を治療する方法であって、有効量の本発明1001〜1021のいずれかの改変された免疫細胞またはその前駆細胞を該対象に投与する工程を含む、方法。
[本発明1046]
その必要のある対象における糖尿病を治療する方法であって、該方法が、HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む改変された制御性T細胞を該対象に投与する工程を含み、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、CD8ヒンジドメイン、CD28膜貫通ドメイン、CD28共刺激ドメイン、およびCD3ζ細胞内ドメインを含む、方法。
[本発明1047]
前記糖尿病が、1型糖尿病である、本発明1045または1046のいずれかの方法。
[本発明1048]
前記改変された細胞が、改変された制御性T細胞である、本発明1045〜1047のいずれかの方法。
[本発明1049]
前記改変された細胞が、自家細胞である、本発明1045〜1048のいずれかの方法。
[本発明1050]
前記改変された細胞が、ヒトに由来する、本発明1045〜1049のいずれかの方法。
Claims (50)
- HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む、改変された免疫細胞またはその前駆細胞であって、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、およびCD8ヒンジドメインを含む、細胞。
- 前記HLA-A2結合ドメインが、抗体、Fab、またはscFvからなる群より選択される、請求項1記載の改変された細胞。
- 前記HLA-A2結合ドメインが、SEQ ID NO:3に示されるアミノ酸配列を含む重鎖可変領域を含む、前記請求項のいずれか一項記載の改変された細胞。
- 前記HLA-A2結合ドメインが、SEQ ID NO:8に示されるアミノ酸配列を含む軽鎖可変領域を含む、前記請求項のいずれか一項記載の改変された細胞。
- 前記HLA-A2結合ドメインが、スペーサー配列を含む、請求項3または4のいずれか一項記載の改変された細胞。
- 前記HLA-A2結合ドメインが、SEQ ID NO:1に示されるアミノ酸配列を含む、前記請求項のいずれか一項記載の改変された細胞。
- 前記CARが、膜貫通ドメインおよび細胞内ドメインを含む、前記請求項のいずれか一項記載の改変された細胞。
- 前記膜貫通ドメインが、CD28膜貫通ドメインを含む、請求項7記載の改変された細胞。
- 前記膜貫通ドメインが、SEQ ID NO:17に示されるアミノ酸配列を含む、請求項7または8のいずれか一項記載の改変された細胞。
- 前記細胞内ドメインが、CD28細胞内ドメインおよびCD3ζ細胞内ドメインを含む、請求項7〜9のいずれか一項記載の改変された細胞。
- 前記CD28細胞内ドメインが、SEQ ID NO:19に示されるアミノ酸配列を含む、請求項10記載の改変された細胞。
- 前記CD3ζ細胞内ドメインが、SEQ ID NO:21に示されるアミノ酸配列を含む、請求項10または11のいずれか一項記載の改変された細胞。
- 前記CD8ヒンジが、SEQ ID NO:15に示されるアミノ酸配列を含む、前記請求項のいずれか一項記載の改変された細胞。
- 前記CD8シグナルペプチドが、SEQ ID NO:13に示されるアミノ酸配列を含む、前記請求項のいずれか一項記載の改変された細胞。
- HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む、改変された免疫細胞またはその前駆細胞であって、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、CD8ヒンジドメイン、CD28膜貫通ドメイン、CD28共刺激ドメイン、およびCD3ζ細胞内ドメインを含む、細胞。
- 前記CARが、SEQ ID NO:23に示されるアミノ酸配列を含む、前記請求項のいずれか一項記載の改変された細胞。
- 前記HLA-A2結合ドメインが、HLA-A28と交差反応する、前記請求項のいずれか一項記載の改変された細胞。
- 前記HLA-A2結合ドメインが、HLA-A68と交差反応する、前記請求項のいずれか一項記載の改変された細胞。
- 改変された制御性T細胞である、請求項1〜18のいずれか一項記載の改変された細胞。
- 自家細胞である、前記請求項のいずれか一項記載の改変された細胞。
- ヒトに由来する、前記請求項のいずれか一項記載の改変された細胞。
- HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)をコードする核酸配列を含む単離された核酸であって、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、およびCD8ヒンジドメインを含む、核酸。
- 前記CARが、CD28膜貫通ドメインを含む、請求項22記載の単離された核酸。
- 前記CARが、CD28共刺激ドメインを含む、請求項22または23のいずれか一項記載の単離された核酸。
- 前記CARが、CD3ζ細胞内ドメインを含む、請求項22〜24のいずれか一項記載の単離された核酸。
- SEQ ID NO:24に示される核酸配列を含む、請求項22〜25のいずれか一項記載の単離された核酸。
- 請求項22〜26のいずれか一項記載の単離された核酸を含む、発現構築物。
- EF-1αプロモーターを含む、請求項27記載の発現構築物。
- rev応答エレメント(RRE)を含む、請求項27または28のいずれか一項記載の発現構築物。
- ウッドチャック肝炎ウイルス転写後調節エレメント(WPRE)を含む、請求項27〜29のいずれか一項記載の発現構築物。
- cPPT配列を含む、請求項27〜30のいずれか一項記載の発現構築物。
- EF-1αプロモーター、rev応答エレメント(RRE)、ウッドチャック肝炎ウイルス転写後調節エレメント(WPRE)、およびcPPT配列を含む、請求項27〜31のいずれか一項記載の発現構築物。
- レトロウイルスベクター、レンチウイルスベクター、アデノウイルスベクター、およびアデノ随伴ウイルスベクターからなる群より選択されるウイルスベクターである、請求項27〜32のいずれか一項記載の発現構築物。
- レンチウイルスベクターである、請求項27〜33のいずれか一項記載の発現構築物。
- 前記レンチウイルスベクターが、自己不活化レンチウイルスベクターである、請求項34記載の発現構築物。
- 請求項1〜21のいずれか一項記載の改変された免疫細胞またはその前駆細胞を生成するための方法であって、請求項22〜26のいずれか一項記載の核酸、または請求項27〜35のいずれか一項記載の発現構築物を該免疫細胞に導入する工程を含む、方法。
- その必要のある対象において免疫抑制効果を達成するための方法であって、有効量の請求項1〜21のいずれか一項記載の改変された免疫細胞またはその前駆細胞を該対象に投与する工程を含む、方法。
- 前記対象が、同種反応および/または自己免疫反応を患っている、請求項37記載の方法。
- その必要のある対象において予防的治療効果を達成するための方法であって、同種反応または自己免疫反応が発症する前に、有効量の請求項1〜21のいずれか一項記載の改変された免疫細胞またはその前駆細胞を該対象に投与する工程を含む、方法。
- その必要のある対象において免疫抑制効果を達成するための方法であって、該対象が同種反応または自己免疫反応を有し、該方法が、HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む改変された制御性T細胞を該対象に投与する工程を含み、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、CD8ヒンジドメイン、CD28膜貫通ドメイン、CD28共刺激ドメイン、およびCD3ζ細胞内ドメインを含む、方法。
- 前記同種反応または自己免疫反応が組織移植に続いて起き、前記方法が前記対象における移植片対宿主病を抑制、遮断、または阻害する、請求項37〜40のいずれか一項記載の方法。
- 前記改変された細胞が、改変された制御性T細胞である、請求項37〜41のいずれか一項記載の方法。
- 前記改変された細胞が、自家細胞である、請求項37〜42のいずれか一項記載の方法。
- 前記改変された細胞が、ヒトに由来する、請求項37〜43のいずれか一項記載の方法。
- その必要のある対象における糖尿病を治療する方法であって、有効量の請求項1〜21のいずれか一項記載の改変された免疫細胞またはその前駆細胞を該対象に投与する工程を含む、方法。
- その必要のある対象における糖尿病を治療する方法であって、該方法が、HLA-A2に対して親和性を有するキメラ抗原受容体(CAR)を含む改変された制御性T細胞を該対象に投与する工程を含み、該CARが、CD8シグナルペプチド、HLA-A2結合ドメイン、CD8ヒンジドメイン、CD28膜貫通ドメイン、CD28共刺激ドメイン、およびCD3ζ細胞内ドメインを含む、方法。
- 前記糖尿病が、1型糖尿病である、請求項45または46のいずれか一項記載の方法。
- 前記改変された細胞が、改変された制御性T細胞である、請求項45〜47のいずれか一項記載の方法。
- 前記改変された細胞が、自家細胞である、請求項45〜48のいずれか一項記載の方法。
- 前記改変された細胞が、ヒトに由来する、請求項45〜49のいずれか一項記載の方法。
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WO2018183293A1 (en) | 2018-10-04 |
CA3058425A1 (en) | 2018-10-04 |
US20180282416A1 (en) | 2018-10-04 |
CN110678190A (zh) | 2020-01-10 |
TW201840845A (zh) | 2018-11-16 |
AU2018246143A1 (en) | 2019-10-31 |
US11827705B2 (en) | 2023-11-28 |
EP3600355A4 (en) | 2020-12-16 |
JP2023062132A (ja) | 2023-05-02 |
EP3600355A1 (en) | 2020-02-05 |
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