WO2005052156A1 - 肝癌の検出方法及び肝癌診断薬並びに癌治療薬 - Google Patents
肝癌の検出方法及び肝癌診断薬並びに癌治療薬 Download PDFInfo
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- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61P35/00—Antineoplastic agents
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- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
- C07K16/303—Liver or Pancreas
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- C12Q1/00—Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
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- C12Q1/6883—Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
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- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
- G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
- G01N33/57407—Specifically defined cancers
- G01N33/57438—Specifically defined cancers of liver, pancreas or kidney
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
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- C07K2317/734—Complement-dependent cytotoxicity [CDC]
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- C12Q2600/00—Oligonucleotides characterized by their use
- C12Q2600/158—Expression markers
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- G—PHYSICS
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- G01N2333/912—Transferases (2.) transferring phosphorus containing groups, e.g. kinases (2.7)
- G01N2333/91205—Phosphotransferases in general
- G01N2333/9121—Phosphotransferases in general with an alcohol group as acceptor (2.7.1), e.g. general tyrosine, serine or threonine kinases
Definitions
- liver cancer detection method liver cancer diagnostic agent and cancer therapeutic agent
- the present invention relates to a method for detecting liver cancer, a diagnostic agent for liver cancer, and a therapeutic agent for cancer.
- Hepatocellular carcinoma is one of the most common carcinomas in the world, and it is particularly common in Southeast Asia, China, and sub-Saharan Africa. The incidence and prevalence in Japan are also high. The number of deaths from liver cancer in Japan is over 30,000 annually and is still increasing. Most hepatocellular carcinomas are hepatocellular carcinomas, whose origin is due to hepatitis virus infection. However, the mechanism by which cancer progresses from viral hepatitis to liver cirrhosis and hepatocellular carcinoma is still unknown. Therefore, the currently used diagnostic methods (ultrasound diagnosis, imaging diagnosis using CT, blood diagnosis using tumor markers such as ⁇ -fetoprotein (AFP)) target cancer tissues that have already formed.
- AFP ⁇ -fetoprotein
- Hematological diagnosis using AFP as a tumor marker is simple but not highly specific for liver cancer, and is known to show high values in cirrhosis and hepatitis.
- liver cancer The death toll from liver cancer is more than 35,000 a year, making it the third-largest cancer death. In the future, the incidence of liver cancer is expected to increase further unless innovative diagnostic and therapeutic agents are developed.
- local therapy such as surgical hepatectomy, percutaneous ethanol injection therapy, and hepatic artery embolization therapy and systemic therapy such as systemic administration of anticancer drugs and immunotherapy are used.
- the mainstream of treatment is local treatment, which has the best hepatectomy S compared to percutaneous ethanol injection and hepatic artery embolization in terms of the degree of healing.
- surgery is often not indicated, depending on the degree of impairment of liver function and the extent of tumor occupancy.
- Non-Patent Document 1 With regard to systemic treatment, standard chemotherapy has not been established, and only cisplatin showed an efficacy rate of 10% or more in single-agent treatment, and The law has not been established (Non-Patent Document 1).
- the immunostimulant Picibanil (OK-432) (Chugai Pharmaceutical) is effective against liver cancer. Even with these treatments, it is difficult to completely cure liver cancer due to multicentric carcinogenesis and recurrence. It is important to develop molecularly targeted drugs (therapeutic antibodies) that specifically attack liver cancer. It is considered to be.
- Cancer cells are killed by in vivo immune mechanisms such as complement-dependent cytotoxicity (CDC) activity. Although few cancer-specific targeted drugs are currently being promoted, the development of a drug with high specificity for such cancers will increase the cure rate of cancer, including liver cancer. There is expected.
- CDC complement-dependent cytotoxicity
- Dlkl / Pref-1 is a membrane protein having an EGF-like motif, and its extracellular region shows homology to the Notch / Delta / Serrate family.
- Dlkl / Pref-1 has been cloned as a molecule that is expressed in a GRP (gastrin releasing peptide) -responsive cell line derived from small cell lung cancer (Non-Patent Document 1) or as a factor that suppresses preadipocyte cell division ( Non-patent document 2). Its expression is found in multiple tissues and organs during the fetal period, but is lost in most tissues after birth (Non-Patent Documents 2 and 3).
- Non-patent Documents 4 and 5 Regarding the function of DM / Pref-1, in addition to the suppression of preadipocyte cell division, its involvement in hematopoiesis has recently been suggested (Non-Patent Document 6). However, the expression pattern and the like suggest that it may be involved in the undifferentiated state maintenance mechanism in undifferentiated cells.
- a signal trap method that selectively isolates offspring, that is, genes encoding cell surface antigens and secretory proteins, a gene dlk highly expressed in the liver of mouse embryonic day 14.5 was identified.
- Non-Patent Documents 7, 13 Dlk expression during mouse liver development was already seen before embryonic day 10 and was strongly expressed up to around embryonic day 16, but decreased rapidly around the time of birth and was not expressed in adult liver. Powerful (Non-Patent Documents 7, 13). Further, they have found that hepatic stem cells can be purified from fetal liver in one step with high purity using an anti-Dlk monoclonal antibody (Non-Patent Document 7, Patent Document 1).
- Non-Patent Document 1 Laborda, J., et al (1993) J. Biol. Chem. 268 (6): 3817-20
- Non-Patent Document 2 Smas, CM., Et al (1993) Cell. 73 (4): 725-34
- Non-Patent Document 3 Floridon, C, et al (2000) Differentiation 66 (1): 49-59
- Non-Patent Document 4 Harken, J.C., et al (1999) Tumour Biol. 20 (5): 256-62
- Non-Patent Document 5 Jensen, CH, et al (1999) Br. J. Dermatol. 140 (6): 1054-9
- Non-Patent Document 6 Ohno, N., et al (2001) Stem Cells 19 (1): 71— 9
- Non-Patent Document 7 Tanimizu, N "et al (2003) J. Cell Sci. 116 (Pt 9): 1775-86
- Non-Patent Document 8 Onishi, M., et al (1996) Exp.Hematol. 24; 324-329
- Non-Patent Document 9 Sell, S. (1993) Int.J. Dev. Biol. 37: 189-201
- Non-Patent Document 10 Jensen, C.H. et al (1994) Eur.J. Biochem. 225: 83-92
- Non-patent literature l l Kaneta, M. et al. (2000) J. Immunol. 164: 256-264
- Non-Patent Document 12 Okada, S., et al (1993) Oncology. 50 (1): 22-26.
- Non-Patent Document 13 Kitajima, T., et al (1999) Nat. Biotechnol. 17 (5): 487-490.
- Non-Patent Document 14 Jensen, C. H "et al (1999) Br. J. Dermatol. 140 (6): 1054-1059.
- Non-Patent Document 15 Russell, W. C, et al (1977) J. Gen . Virol. 36: 59-72.
- Non-Patent Document 16 Kipps, T. J "et al (1985) J. Exp. Med. 161: 1-17.
- Patent Document 1 International Publication WO 02/103033
- the present inventors have conducted extensive studies and found that dlk was expressed on the surface of adult hepatoma cells, and demonstrated that the dlk could be used as a tumor marker to detect hepatoma cells. I confirmed it properly. Furthermore, we succeeded in producing an anti-human dlk monoclonal antibody that reacts antigen-antibody with the extracellular region of dlk expressed on the cell surface. Furthermore, it was confirmed that the anti-human dlk monoclonal antibody also had an antigen-antibody reaction with FA1, which is extracellular of dlk released into the blood.
- the inventors of the present application have thought that there is a possibility that the anti-human Dlk monoclonal antibody will become a therapeutic antibody targeting cancer cells expressing Dlk.
- the anti-human Dlk monoclonal antibodies produced we examined the antitumor activity that specifically kills cancer cell lines that expressed Dlk in an in vitro experimental system, and examined the anti-human Dlk monoclonal antibody.
- the present inventors have completed the present invention after confirming the anticancer activity of the antibody.
- the present invention provides a method for detecting liver cancer cells in a sample, using the expression of the dlk gene as an index. Further, the present invention provides a method for detecting liver cancer, comprising measuring the extracellular region of dlk present in blood or urine collected from a living body. Furthermore, the present invention provides a diagnostic agent for liver cancer, which comprises an antibody or an antigen-binding fragment thereof that reacts with the extracellular region of dlk as an antigen-antibody.
- the present invention provides a nucleic acid for detecting liver cancer, which hybridizes with mRNA or cDNA of dlk gene and has a nucleic acid power which can be used as a primer or probe for measuring mRNA or cDNA of dlk gene. Further, the present invention provides the use of an antibody or an antigen-binding fragment thereof, which reacts with the extracellular region of dlk as an antigen-antibody, for the production of a diagnostic agent for liver cancer. Further, the present invention relates to a cancer therapeutic agent which is an antibody that reacts antigen-antibody with Dlk expressed on the surface of a cancer cell and which contains an antibody that exerts an anticancer effect on the cancer cell as an active ingredient. provide.
- the present invention provides an effective amount of an antibody that is expressed on the surface of a cancer cell and reacts with Dlk as an antigen-antibody, and that exerts an anticancer effect on the cancer cell.
- a method of treating cancer comprising administering.
- the present invention relates to an antibody for performing an antigen-antibody reaction with Dlk expressed on the surface of a cancer cell, wherein the antibody exerts an anticancer effect on the cancer cell. The use of provide.
- the present invention provides a method for detecting liver cancer using a novel liver cancer marker.
- dlk in an adult is not detected in an organ other than the placenta and is not detected in a mouse acute liver injury model, it is possible to detect liver cancer with high specificity by the method of the present invention. Furthermore, dlk is also expressed in highly proliferative fetal hepatocytes and opal cells that appear during adult liver regeneration, and is considered to be expressed in proliferating liver cancer cells. It is considered that the liver cancer can be detected.
- an anti-dlk monoclonal antibody it is possible to detect the extracellular region of dlk, FA1, which is released in blood or urine.The extracellular region of dlk was used as a tumor marker. It is possible to easily detect liver cancer by a blood test or urine test. Further, the present invention provides a novel therapeutic agent for cancer that exhibits a high anticancer effect.
- the cancer therapeutic agent of the present invention is particularly effective for treating liver cancer.
- FIG. 1 is a photograph showing the results of Northern blot showing Dlk gene expression in human fetuses and adult tissues.
- A Dlk gene expression in fetal liver from 6 to 12 weeks of gestation
- B Gene expression of Dlk in fetal tissues
- C Gene expression of Dlk in adult tissues.
- FIG. 2 shows the results of Dlk expression analysis in a human liver cancer-derived cell line, (A) FACS analysis, (B) immunofluorescent staining, and (C) RT-PCR analysis.
- FIG. 3 is a photograph showing the expression of Dlk in human liver cancer tissue, showing the results for (A) hepatocellular carcinoma tissue and (B) cholangiocellular carcinoma tissue.
- FIG. 4 shows the detection of human FA1 using an anti-human Dlk monoclonal antibody, and shows the results of detection and confirmation by ELISA.
- B shows the detection of purified human FA1 using an anti-human Dlk monoclonal antibody. The results of detection and confirmation by ELISA using a luminescent substrate (QuantaBlu (trade name) Fluorogenic Peroxidase Substrates: PIERCE) are shown. Show.
- FIG. 5 shows the results of immunostaining of human Dlk in tissues (64 years) based on Dlk staining.
- the arrow indicates the Dlk-positive site as a reference.
- FIG. 6 shows a stained image of hepatocellular carcinoma.
- HE Hematoxylin'eosin staining Center: Human Dlk-positive immunostaining
- Gradel Human immunostaining Gradel: HE, Dlk-positive (48-year-old male), Dlk-negative (39-year-old male)
- Gradell HE, Dlk-positive ( 68-year-old man), Dlk-negative (36-year-old man)
- Gradelll HE, Dlk-positive (63-year-old man), Dlk-negative (43-year-old man)
- FIG. 7 is a view showing the expression of Dlk by FACS analysis of HEK293 cells and HEK293 (hdlk) cells.
- Dotted line control IgG antibody
- solid line anti-human Dlk monoclonal antibody.
- FIG. 8 is a diagram showing CDC activity using an anti-human Dlk monoclonal antibody.
- FIG. 9 is a graph showing ADCC activity using an anti-human Dlk monoclonal antibody.
- HEK293 cells and HEK293 (hdlk) cells were cultured with 5 g / ml of antibody and healthy human peripheral blood mononuclear cells for 3 days. Then, ADCC activity was measured by MTT assay, and the result was shown by a standard error of the mean. The cells were cultured at a 1: 1 target ratio of 10: 1.
- FIG. 10 shows the expression of Dlk in Huh-7 EGFP and Huh-7 (hdlk) cells (clone PC14, PC16) by FACS analysis.
- Dotted line control IgG antibody
- solid line anti-human Dlk monoclonal antibody
- FIG. 11 is a view showing CDC activity using an anti-human Dlk monoclonal antibody.
- B Antibody 0, 0.3, 1, 3, 5 to Huh-7 EGFP cells and Huh-7 (hdlk) cells (clone PC14, PC16)
- the normal rat complement serum was added at 25% at a concentration of 10 ⁇ g / ml and cultured for 3 days. CDC activity was measured by MTT assay, and the mean value was indicated by standard error.
- FIG. 12 is a view showing the effect of promoting tumorigenicity by human Dlk gene expression.
- Huh-7 Tumor formation of EGFP and Huh-7 (hdlk) cells (clone PC14) subcutaneously in nude mice. The tumor volume (mm 3 ) up to 19 days after transplantation is shown.
- B Tumor formation of Huh-7 EGFP and Huh-7 (hdlk) cells (clone PC16) subcutaneously in nude mice. No tumor volume (mm ') up to 21 days after transplantation.
- dlk is expressed on adult liver cancer cells with high V and specificity, and that dlk antigen on the cell surface is expressed in tumors. It was found that liver cancer cells could be detected by using them as an indicator or by measuring the mRNA of the dlk gene. The present invention is based on this finding.
- “measurement” includes detection, quantification, and semi-quantification.
- dlk itself is known, the cDNA encoding dlk is cloned, and its nucleotide sequence and the amino acid sequence encoded by it are also known.
- human dlk is shown in GenBank accession numbers U15979 and NM-003836.
- Rat dlk is shown in GenBank accession numbers AB046763 and D84336 and the like.
- the dlk of the network is shown in GenBank accession number AB009278.
- the cDNA sequence of human dlk represented by GenBank accession number U15979 and the amino acid sequence encoded thereby are shown in SEQ ID NOs: 1 and 2 in the sequence listing, respectively.
- the extracellular region is a region of 24aa-304aa.
- liver cancer cells can be detected by using this as a tumor marker antigen.
- Hepatocellular carcinoma cells include hepatocellular carcinoma cells and cholangiocellular carcinoma cells, and as described in the examples below, it was confirmed that dlk was expressed on any of these surfaces.
- the method itself for measuring a tumor marker antigen on a cell surface is well known, and can be performed by various methods utilizing an antigen-antibody reaction between the tumor marker antigen and an antibody that reacts with the antigen.
- As the antibody to be used a monoclonal antibody having high and uniform specificity is preferable. Anti Mouse dlk monoclonal antibody is known (Non-Patent Document 11).
- human dlk cDNA is incorporated into an expression vector for mammalian cells, this recombinant vector is introduced into a cell line to create a cell line that expresses dlk on the cell surface, and this is used as an immunogen in a conventional manner.
- a hybridoma producing an anti-human dlk monoclonal antibody can be established.
- the extracellular region of dlk or a part thereof can be easily prepared by genetic engineering techniques or peptide synthesis methods. Can be prepared. The prepared extracellular region of dlk or a part thereof can be used as it is, or can be conjugated to a keyhole limpet to a carrier such as mosyanin (KLH) or serum albumin (BSA) as an immunogen. It is possible to produce anti-dlk monoclonal antibodies. It also has antigen-binding properties, such as antibody Fab fragments and F (ab ') fragments.
- KLH mosyanin
- BSA serum albumin
- the anti-dlk antibody Liver cancer cells in a sample can be measured based on a well-known technique using Examples of the measuring method include a sandwich method such as immunostaining and ELISA, an agglutination method such as a latex agglutination method, and a competitive method. These are all well known, and can be easily carried out by a conventional method once the antibody to be used is obtained.
- a preferred method for efficiently detecting the liver cancer cells of the present invention is a method using a magnetic cell sorter (MACS) or a flow cytometer, particularly a method using a fluorescence activated cell sorter (FACS).
- MACS is a system in which cells are labeled with ultrafine magnetic beads in which antibodies against cell surface antigens have been immobilized, and this is passed through a column set in a strong magnetic field to separate target cells. Cells can be obtained, large amounts of cells can be efficiently separated, and separation can be performed while maintaining cell function and proliferation ability.
- FACS also labels cells with fluorescently labeled antibodies, irradiates the nozzle with a laser beam to the injected cell stream, analyzes the scattered light and fluorescence generated, and charges water droplets containing one cell each. , It is a device that separates by high electric field. FACS is also preferred for the method of the present invention for the same reasons as MACS. Both MACS and FACS are well known in the art, and devices for them are commercially available. Therefore, once the antibody to be used is obtained, it can be easily performed using these commercially available products.
- the sample subjected to the method for detecting dlk antigen on the cell surface is a sample that may contain liver cancer cells, and is usually a liver biopsy sample.
- the biopsy sample may be a tissue section (in the case of immunostaining) or a cell suspension obtained by treating liver tissue with a protease such as collagenase or trypsin.
- Non-Patent Document 10 Non-Patent Document 10
- the anti-human dlk monoclonal antibody produced by the present inventors has an antigen-antibody reaction with FA1. Therefore, diagnosing liver cancer using a blood sample (serum, plasma, whole blood, etc.) or urine sample by immunoassaying FA1 in blood using an anti-dlk antibody, preferably an anti-dlk monoclonal antibody. It is possible.
- the immunoassay itself can be easily performed by the usual method as described above.
- an anti-Dlk antibody or an antigen-binding fragment thereof is immobilized on a solid phase as a first antibody, reacted with a sample, washed, and then washed with a second antibody that reacts with Dlk as an antigen antibody. After washing, the second antibody bound to the solid phase is measured.
- the second antibody bound to the solid phase is measured.
- the second antibody bound to the solid phase can be measured. Measurement was performed on a plurality of standard samples with known concentrations by the above method, and a calibration curve was created based on the relationship between the measured amount of label and the amount of FA1 in the standard sample.
- an anti-dlk antibody preferably an anti-dlk monoclonal antibody can be used for detecting liver cancer, and thus has use as a diagnostic agent for liver cancer.
- Expression of the dlk gene can also be examined by measuring dlk mRNA in cells.
- the measurement of mRNA in cells can be performed by a conventional method. That is, for example, as described in the following examples, the electrophoretic band can be further analyzed by Northern blotting, or by performing reverse transcription PCR (RT-PCR) and electrophoresing the PCR product, thereby further analyzing the electrophoretic band. It can be done by applying the law. Alternatively, by performing RT-PCR by real-time detection PCR (RTD-PCR), the amount of type III cDNA, and thus the amount of mRNA, can be accurately quantified.
- RT-PCR real-time detection PCR
- mRNA can be directly amplified by the NASBA method or the like, and measured by electrophoresis, or by Northern plot after electrophoresis. These methods are all ordinary methods, and necessary reagent kits and devices are commercially available.
- probe primers required for these methods can be easily designed, and these examples are also specifically described in Examples below. Therefore, measurement of mRNA encoding Dlk protein can be easily performed by those skilled in the art.
- Probes and primers used for detecting and amplifying Dlk mRNA (or cDNA obtained by using mRNA as type II) have a sequence complementary to! Or any strand of Dlk mRNA or cDNA.
- the size of the probe or primer (the size of the region that hybridizes with Dlk mRNA or cDNA) is not particularly limited, but is 15 bases or more, preferably 20 bases or more, as in the conventional method. There is no particular limitation, but in the case of a primer, the length is usually 50 bases or less, preferably 40 bases or less. In the case of a probe, the total length is appropriate.
- a non-complementary sequence may be added to one end of the nucleic acid fragment as long as it contains the nucleic acid region hybridizing with the Dlk mRNA or cDNA region to be measured and can be used as a primer or probe. . Such a sequence can be used for binding to a tag or another nucleic acid in some cases.
- the present invention also provides nucleic acids for detecting liver cancer, such as these probes and primers, which hybridize with Dlk mRNA or cDNA.
- the cancer therapeutic agent of the present invention contains, as an active ingredient, an antibody that reacts with Dlk expressed on the surface of a cancer cell as an antigen-antibody.
- an antibody that reacts with Dlk as an antigen-antibody the above-mentioned anti-Dlk antibody, which expresses Dlk on the cell surface and exerts an anticancer effect on cancer cells, can be used.
- Monoclonal antibodies with high and uniform specificity are preferred.
- An anti-dlk monoclonal antibody that expresses Dlk on the cell surface and exerts an anticancer effect on cancer cells is screened by an MTT assay using a Dlk-expressing cell line, as specifically described in the Examples below. be able to.
- two of the three obtained anti-human Dlk monoclonal antibodies exerted an anticancer effect by MTT assay, so that screening by MTT assay reproducibly immobilized Dlk on the cell surface.
- An anti-dlk monoclonal antibody that exerts an anticancer effect on expressed cancer cells can be obtained.
- the antibody may be an antibody derived from an animal species different from the animal species to which the therapeutic agent is administered, but at least the constant region is a constant region (Fc) of an antibody of the same species as the animal species to be administered. Preferably it is.
- a chimeric antibody or a humanized antibody in which at least the constant region is a human-derived antibody can be preferably used.
- the antigenicity of the antibody can be reduced, and an antigen-antibody reaction occurs when the antibody is administered.
- ADCC activity is increased by making the constant part of the antibody human-derived.
- a humanized antibody is an antibody obtained by transplanting only the gene sequence of the antigen-binding site (CDR, complementarity determining region) of a mouse antibody into a human antibody gene, and has a smaller mouse-derived portion than a chimeric antibody. is there.
- CDR antigen-binding site
- Humanized antibodies and methods for preparing them are well known, and in recent years, many humanized antibodies are commercially available.
- an anti-Dlk antibody exerts an anticancer effect at least in the presence of complement. Because complement is contained in the patient's blood, the anti-Dlk antibody functions as a cancer treatment as it is.
- the ADCC activity of the anti-human Dlk monoclonal antibody against the human liver cancer cell line was not observed.This was considered to be due to the Fc cut of the antibody, and the CDC activity was observed. Therefore, if Fc is changed from human, ADCC will also be exerted.
- the anti-Dlk antibody can be used as it is, but by binding a toxin such as ricin or another anticancer agent to the antibody, so-called missile therapy is also possible.
- the cancer treated by the cancer therapeutic agent of the present invention is a cancer in which Dlk is expressed on the surface of cancer cells, such as hepatocellular carcinoma, cholangiocellular carcinoma, small cell lung cancer, and type 1 cancer.
- cancer cells such as hepatocellular carcinoma, cholangiocellular carcinoma, small cell lung cancer, and type 1 cancer.
- Neurofibromatosis can be mentioned.
- liver cancer such as hepatocellular carcinoma and cholangiocellular carcinoma is particularly preferred.
- the route of administration of the cancer therapeutic agent of the present invention is preferably parenteral administration, such as injection into the affected area, intravenous injection, intramuscular injection, and the like.
- the dose is appropriately selected depending on the condition of the patient, the degree of progression of the cancer, etc.
- the antibody amount is about 0.001 to 100 mg / kg body weight, preferably about 0.01 to 50 mg / kg, and more preferably about 0.01 to 50 mg / day. Preferably, it is about 0.1-5 mg.
- the preparation may be a solution obtained by simply dissolving the antibody in a physiological buffer, and is commonly used in the field of pharmaceutical preparations by adding one or more additives thereto. Well.
- PCR primers were designed based on the gene sequence information of human Dlk (Genbank accession No. U15979). The sequences of the prepared primers are as follows.
- a Flag tag is added to the C-terminus of human Dlk.
- Oligonucleotide encoding Flag tag sequence at Hindlll / Sall site of pbluescript II SK (+) vector (STRATAGENE) (Sequence: forward side
- the expression vector has Myc tag and His tag sequences attached to the C-terminal side, and human FA1 is expressed as a fusion protein with Myc tag and His tag.
- the human liver cancer-derived cell lines are JHH-6, HLF, JHH-5 and Huh-6, all of which were purchased from the Human Science Promotion Foundation.
- the primers used are as follows.
- RNA Fetal tissue total RNA (TAKARA) and total RNA extracted using Cellulase Trizol reagent (Futan Gene), 10 g each, were electrophoresed on formaldehyde denaturing gel. After transfer to a nylon membrane, hybridization was carried out using a DIG-labeled cDNA probe. Probe detection was performed by chemiluminescence using CDP-star as a substrate.
- the retroviral vector (pMIG-hdlk-Flag) incorporating the human dlk gene was packaged into BOSC23 cells (Pear, W.S. et al. (1993) Proc. Natl. Acad. Sci.
- the expression vector pcDNA-hdlk-Flag was introduced into HEK293 cells (obtained from the Institute for Molecular and Cellular Biology, The University of Tokyo), and selection was performed using the antibiotic G418 (geneticin, GIBCO BRL). Later, a human cell line HEK293 (hdlk) was established, which stably expressed human Dlk.
- Rats were immunized using the above two cell lines as antigens, and hybridoma clones producing anti-human Dlk monoclonal antibodies were prepared by a conventional method. These clones previously (7 days) 2,6, 10, 14-tetramethyl pentadecane 3xl0 to six administered intraperitoneally administered BALB / c nude mouse (the pristane), ascitic fluid is taken after 2 weeks did. Furthermore, anti-human Dlk monoclonal antibodies produced by each of the hybridoma clones were obtained by subjecting the ascites to force purilic acid precipitation and protein G column purification.
- the 7E2-C (hdlk) strain 96-well culture plate coated (Corning) gelatin were seeded with 7.5Xl0 3 cells / Ueru, and cultured for 2 days at 37 ° C. After washing with ice-cold PBS, the cells were fixed with 4% paraformaldehyde solution and treated with 0.2% Triton-X-100 (trade name) solution to prepare a plate for cell ELISA. Thereafter, ELISA was performed according to a standard method. Specifically, the ELISA was performed as follows. First, blocking with a 1% BSA-PBS solution was performed at room temperature for 2 hours.
- Paraffin sections of normal human tissues and liver cancer tissues (Bio Chain, Hepatocellular carcinoma; catalog No .: T2235149-4, lot No .: A607070, Cholangiocellular carcinoma; catalog No.:T2235149-2, lot No .: A603549) was subjected to deparaffinization treatment, followed by heat treatment in a 10 mM sodium citrate solution for 10 minutes, and used for staining with an anti-human Dlk monoclonal antibody. After a color reaction was performed using DAB (3,3′-diaminopenbenzidine) as a substrate, nuclear staining with hematoxylin was performed as a counterstain. More specifically, these operations were performed as follows.
- the sections fixed with 4% paraformaldehyde and embedded in paraffin were deparaffinized, and then heat-treated in a 10 mM sodium citrate solution for 10 minutes.
- the mixture was treated at room temperature for 20 minutes with a solution prepared by adding hydrogen peroxide to a final concentration of 0.3% in methanol to remove endogenous peroxidase activity. Washing twice with PBS at room temperature for 5 minutes was performed twice, blocking was performed for 30 minutes using a Block Ace reagent (Dainippon Pharmaceutical Co., Ltd.), and an operation of closing a nonspecific binding site in the tissue was performed.
- anti-human dlk monoclonal antibody clone 1C1 (final concentration 0.25 g / ml) diluted with Proc Ace reagent diluted in 1Z10 was reacted at room temperature for 1 hour, washed 5 times with PBS three times, and then washed with lZlO.
- a 100-fold dilution of the anti-HotG antibody against Piotin-dani was reacted with the diluted Block Ace reagent for 1 hour at room temperature.
- the ABC kit reagents were mixed as described to form an ABC complex, which was reacted at room temperature for 30 minutes.
- paraffin sections of human hepatocellular carcinoma (Cybrdi, Hepatocellular carcinoma; catalog No .: CS03-01, lot No .: CS03- 01-001-012 (23 patients, 63 sections), CS03-01-002 (63 The patient, 63 sections >> was deparaffinized, hydrophilized, and autoclaved (121 ° C, 5 minutes) with 10 mM citrate buffer (pH 6.0). The mixture was treated with a solution of hydrogen peroxide in water for 5 minutes at room temperature to remove endogenous peroxidase activity, and washed with PBS three times for 5 minutes each to give 1.5% goat serum PBS.
- the cells were blocked for 30 minutes with the solution, and then the anti-human dlk monoclonal antibody clonelCl (concentration: 0.25 g / ml) diluted with 1.5% goat serum PBS solution was added.
- the anti-human dlk monoclonal antibody clonelCl concentration: 0.25 g / ml
- the mixture was reacted at C ° C, washed three times for 5 minutes with PBS, and reacted with a biotinylated rat IgG antibody (Vector) diluted 100-fold with a 1.5% goat serum PBS solution at room temperature for 2 hours. Washing with PBS was performed three times for 5 minutes, and the ABC complex was reacted at room temperature for 30 minutes.
- Cells peeled from the culture dish by trypsinization prepared a cell suspension (cell density 5xl0 6 cells / ml). 0.5 ⁇ g of the anti-human Dlk monoclonal antibody and 100 ⁇ L of the cell suspension were reacted at 4 ° C. for 30 minutes. After washing with PBS, it was reacted with a biotinylated anti-HgG Vector O / zg) (4 ° C, 30 minutes) and washed again with PBS. After reacting with streptavidin-FITC (Pharmingen) or streptavidin-PE (Pharmingen) (0.5 ⁇ g) (4 ° C., 30 minutes), analysis was performed by FACSCalibur (BECTON DICKINSON).
- the human FA1 expression vector was introduced into 7E2-C cells, and the culture supernatant after 3 days, or hFAl purified from the culture supernatant using the His Trap HP Kit (Amersham Bioscience) (hFAl concentration: 30 ⁇ g / ml) was used as a detection sample.
- hFAl concentration: 30 ⁇ g / ml was used as a detection sample.
- a sandwich ELISA method using clone 31C4 as a capture antibody and clone 4C4 that had been biotinylated as a detection antibody was used.
- the detection antibody, Pyotin-Dani is performed using the ECL Protein Biotinylation Module (Amersham Bioscience).
- the sandwich ELISA was specifically performed as follows.
- the capture antibody clone31C4 was diluted to 10 ⁇ g / ml with PBS, and added to a 96-well plate at 100 ⁇ l / well. After standing at room temperature, the plate was washed three times with PBS, and blocked with a 2% skim milk-PBS solution (hereinafter referred to as 2% MPBS) at room temperature for 2 hours. Next, the culture supernatant containing hFAl or hFAl diluted to each concentration with 2% MPBS was added, and the mixture was allowed to stand at room temperature for 1 hour.
- 2% MPBS 2% skim milk-PBS solution
- clone 4C4 which was a biotinylated antibody for detection, was diluted to 1 ⁇ g / ml with 2% MPBS and added. After reacting at room temperature for 1 hour, the plate was washed three times with a 0.1% Tween20 (trade name) -PBS solution. Piotinylated anti-Lag HgG (Vector) diluted 100 times with 2% MPBS solution for use as secondary antibody did. After reacting at room temperature for 1 hour, the plate was washed three times with a 0.1% Tween 20-PBS solution.
- horseradish veroxidase streptavidin (manufactured by Vector) diluted 1000-fold with a 2% MPBS solution was reacted at room temperature for 1 hour, and washed three times with a 0.1% Tween20_PBS solution.
- the color reaction was performed by adding ⁇ (3,3 ′, 5,5′-tetramethylbenzidine: SIGMA) as a substrate solution, and the reaction was stopped by adding 1 M sulfuric acid. Absorbance was measured using Microplate reader Mode 50 (BIO-RAD).
- the fluorescence reaction was performed using QuantaBlu (trade name) Fluorogenic Peroxidase Substrates (manufactured by PIERCE) and fluoroscan ascent (Thermo
- the present inventors have previously shown that Dlk is highly expressed in embryonic hepatocytes in mice, but not expressed in adult hepatocytes, and that anti-mouse Dlk monoclonal antibody
- the present inventors first prepared an anti-human Dlk monoclonal antibody (Lag HgG). Two types of human Dlk-expressing cells were established as antigens, and rats were immunized using the cells as antigens. The hybridoma was prepared according to a standard method and then used as an antigen. Positive clones were selected by FACS analysis using 7E2-C (hdlk) strain and cell ELISA. Cloning was further performed to establish three stable clones (clone 1C1, 4C4 and 31C4). FACS analysis was performed using the culture supernatants of the clones finally established, and it was confirmed that monoclonal antibodies specifically reactive with human Dlk were produced in these culture supernatants. .
- human Dlk is absent in immature hepatocytes of the fetus, similar to the results in mice, but not in adult hepatocytes.
- the present inventors examined the possibility of expression of human Dlk in human liver cancer.
- four human liver cancer cell lines JHH-6, HLF, JHH-5, Huh-6) were examined by FACS analysis, immunostaining and RT-PCR.
- FACS analysis using the anti-human Dlk monoclonal antibody clone 4C4 showed no shift in the undifferentiated cell line 0HH-6, HLF).
- Huh-6) showed a shift indicating the expression of human Dlk (Fig. 2 ⁇ ).
- a stained image was confirmed in the differentiated cell line (Fig. 2 (1)).
- human Dlk may be expressed in liver cancer tissues. Therefore, the expression of human Dlk in human liver cancer tissues was examined by immunohistochemical staining using an anti-human Dlk monoclonal antibody clone 1C1. As a result, it became clear that hepatocellular carcinoma and cholangiocellular carcinoma tissues were strongly stained at the cancer site (Fig. 3). At this time, normal tissue adjacent to the cancer site was vigorously stained. This suggests that Dlk is expressed not only in embryonic hepatocytes but also in adult hepatocytes, suggesting that Dlk may be a tumor marker in liver cancer.
- Dlk positive rate in hepatocellular carcinoma was 82% (9/11), Grade I-II was 100% (3/3), Grade II was 61% (33/54), and Grade III was 40% (20Z50).
- Yes (Table 1), it was found that all hepatocellular carcinomas ranging from poorly differentiated to highly differentiated were Dlk-positive. However, Dlk expression is frequently observed in hepatocellular carcinomas with low grade I and II, and as described above, Dlk is a highly proliferative fetal hepatocyte.
- hepatocellular carcinoma Grade I This suggests that it may be a tumor marker for hepatocellular carcinoma.
- Fig. 6 shows examples of positive and negative histological images of hematoxylin and eosin (HE) staining and Dlk staining of each grade observed.
- HE hematoxylin and eosin
- Dlk has been shown to be truncated in its extracellular region to produce a soluble molecule known as FA1. Since the anti-human Dlk monoclonal antibody we created recognizes the extracellular region of Dlk, it was thought that this antibody could be used to recognize and detect human FA1. Therefore, an ELISA method was used to examine the culture supernatant in which human FA1 was transiently expressed in 7E2-C cells. As a result, it was confirmed that a signal was not detected in the culture supernatant into which the control vector was introduced, but a signal was detected in the culture supernatant containing human FA1 (FIG. 4). From the above, it was clarified that the anti-human Dlk monoclonal antibody we created can detect human FA1.
- a cell suspension of 7E2-C (hdlk) and HEK293 (hdlk) was mixed with an adjuvant (complete Freund's adjuvant: Wako Pure Chemical Industries, Ltd.) in a 1: 1 mixture.
- the emulsion was applied to both feet of 6-week-old Wistar rats. Immunization was performed by injecting 1 ⁇ 10 7 cells each. After two boosters, lymph nodes were collected from both feet, lymphocytes were prepared, and cell fusion was performed with the mouse myeloma cell line (P3X) by the polyethylene glycol method.
- the cells were cultured in a medium containing HAT (aminopterin, hypoxanthine, thymidine) in a 96-well flat bottom plate in a 5% C02 incubator. After culturing, the culture supernatant of the grown hybridoma was screened by FACS analysis using 7E2-C (hdlk) strain and Cell ELISA to select positive clones. This clone was further cloned to establish three types of hybridoma strains (clone 1C1, 4C4, 31C4). Each of these hybridoma strains was suspended in RPMI medium at a concentration of 1.5 ⁇ 10 7 cells / ml.
- Heparin was collected from healthy human venous blood, diluted 2-fold with PBS, layered on Lymphoprep (Daiichi Pure Chemicals), and centrifuged at 800 g for 20 minutes at 20 ° C. After centrifugation, the mononuclear cells in the intermediate layer fraction were collected, washed three times with PBS, and suspended in DMEM medium supplemented with 10% FCS, and used as effector cells.
- the venous blood of healthy subjects was collected without anticoagulant, transferred to a 15 ml tube, and left in an incubator at 37 ° C for 60 minutes. After left at room temperature for 60 minutes, the clot was peeled off from the tube wall and centrifuged at 2500 rpm for 15 minutes at 20 ° C. After centrifugation, the serum of the supernatant was recovered and used as complement serum. Serum in which complement was inactivated (inactivated) by heating at 56 ° C for 30 minutes was used as a control.
- Tetracolor one (Seikagaku Corporation) was added to the cells cultured in the 96-well plate according to the attached protocol, added to each culture well, and reacted in a 5% CO incubator for 3-4 hours.
- the absorbance at 490 nm (control wavelength: 655 nm) of the 96-well plate was measured using a microplate reader as it was.
- HEK293 and HEK293 (hdlk) cells were detached from plates by trypsinization, it was used as target cells were suspended in DMEM medium example mosquitoes ⁇ with 10% FCS at a concentration of lxl0 5 / ml.
- DMEM medium example mosquitoes ⁇ with 10% FCS at a concentration of lxl0 5 / ml.
- anti-human Dlk antibody 4C4, 31C4 Contact and rats HGG (respectively 0.2, 1.0, 5 g / ml ) were incubated for 30 minutes in the presence of.
- human serum used as complement was added to 25% of the culture solution, and the cells were cultured for 72 hours. After the culture, the absorbance was measured by the MTT method.
- the absorbance value indicating the number of viable cells in the CDC activity was calculated by subtracting the average value of the wells prepared as a control and supplemented with complement serum to the medium. The significance test was performed by Student's t test.
- Huh-7EGFP and Huh-7 (hdlk) cells were detached from the plate by trypsinization,
- HEK293 and HEK293 (hdlk) cells were detached from plates by trypsinization, in DMEM medium example mosquitoes ⁇ with 10% FCS suspended at a concentration of 2xl0 5 / ml, it was used as target cells.
- DMEM medium example mosquitoes ⁇ with 10% FCS suspended at a concentration of 2xl0 5 / ml, it was used as target cells.
- the effector cells can be added to the target cells at an effector: target ratio (20: 1, 10: 1, 5: 1) in addition to 5% CO ink.
- the cells were cultured in two incubators for 72 hours. After the culture, the absorbance was measured by the MTT method. The absorbance value indicating the number of viable cells in the ADCC activity was calculated by subtracting the average value of the wells of the medium prepared as a control only.
- the expression vector (pcDNA-hdlk-Flag) incorporating the full-length human Dlk cDNA described in “1.
- Genes were introduced into the derived cell line Huh-7 (obtained from the Institute for Molecular and Cellular Biology, The University of Tokyo), and after selection by G418 (geneticin, GIBCO BRL), two types of human Dlk were stably expressed.
- Huh-7 hDlk
- clone PC14, PC16 was established.
- an expression vector (PEGFP) incorporating full-length EGFP cDNA as a control cell was introduced into Huh_7 cells, and after selection with G418, a cell line Huh-7 EGFP stably expressing EGFP was established. .
- control cells were transplanted to the left subcutaneous and right subcutaneous backs of one nude mouse, and clone PC14 or PC16 cells were transplanted to the other in the same nude mouse.
- Tumor volume was measured using a vernier caliper according to a standard method.
- Tumor volume (mm 3 ) ⁇ / 6 X major axis X (minor axis) 2
- Dlk is expressed in human cancer cell lines and cancer tissues means that Dlk can be a tumor marker and can express anti-human Dlk monoclonal antibody Dlk to become a therapeutic antibody targeting cancer cells. It suggests. Therefore, the cytotoxicity of antibodies and complement, that is, CDC activity, was measured first (Fig. 8, Tables 3.1 and 3.2). Seed HEK293 or HEK293 (hdlk) cells as target cells in a 96-well plate, and add anti-human Dlk antibody (clone 4C4, 31C4 at 5 ⁇ g / ml). The cells were cultured with complement serum. After 3 days of culture, target cell damage was measured by MTT assay.
- HEK293 (hdlk) cells when Dlk antibody was added at 5 / zg / ml was higher than that of the system without antibody addition or control IgG antibody added to anti-human Dlk antibody (clone 4C4, 31C4 ) And complement serum, the absorbance decreased and the viable cell count decreased by 70-90%.
- the system containing 5 / zg / ml anti-human Dlk antibody (clone 31C4) was used as the system without antibody supplemented and the control antibody supplemented. There was no difference in absorbance and the number of viable cells was the same ( Figure 8A, Table 3.1).
- Dlk was expressed, none of the antibodies against HEK293 cells showed any cytotoxic activity.
- HEK293 (hdlk) cells Observation of HEK293 (hdlk) cells under a microscope revealed that the cell dysfunction was higher in a system in which control IgG antibody was added to complement serum and in a system in which anti-human Dlk antibody (clone 31C4) was added to inactivated complement serum. Although S colonies were formed and proliferated, morphology was observed.However, in the system in which complement serum was supplemented with anti-human Dlk antibody (Clone 31C4), most cells appeared to be scattered and dead. Was seen. On the other hand, in HEK293 cells that do not express Dlk, no damaged cells were confirmed even in a system supplemented with anti-human Dlk antibody and complement serum.
- HEK293 (hdlk) cells The CDC activity of HEK293 (hdlk) cells was examined (Fig. 8B, Table 3.2). When the CDC activity after 3 days of culture was measured by MTT assay, the viable cell number of HEK293 (hdlk) cells decreased depending on the concentration of anti-human Dlk antibody, indicating that 31C4 had a stronger activity than 4C4. confirmed. These results indicate that the prepared anti-human Dlk antibody has CDC activity against cells expressing the Dlk antigen.
- the ADCC activity of the prepared anti-human Dlk monoclonal antibody was measured using HEK293 (hdlk) expressing human Dlk as a target cell and healthy human peripheral blood mononuclear cells as effector cells.
- HEK293 or HEK293 (hdlk) cells were cultured with anti-human Dlk monoclonal antibodies (clone 1C1, 4C4, 31C4) and human peripheral blood mononuclear cells. The damage to the target cells of the wells was measured. At this time, the cells were cultured at an efetater: target ratio of 20: 1, 10: 1, and 5: 1, respectively. When the effector: target ratio is 10: 1, HEK293 (hdlk) cells show the same activity regardless of which anti-human Dlk antibody is added, as well as the system without the antibody or the control antibody. HEK293 cells had similar activity ( Figure 9, Table 4).
- Huh-7EGFP cells were obtained using Huh-7EGFP cells and Huh-7 (hdlk) cells (clone PC14, PC16).
- Complement cytotoxicity that is, CDC activity was measured (FIG. 11, Table 5).
- Cells were seeded on a 96-well plate, and cultured with anti-human Dlk antibody (clone 4C4, 31C4 added at 5 / zg / ml) and complement serum. After 3 days of culture, target cell damage was measured by MTT assay.
- the damage of Huh-7 (hdlk) cells when Dlk antibody was added was compared with that of control IgG antibody-added cells, and anti-human Dlk antibodies (clone 4C4, 31C4) and complement serum were added. Absorbance values were reduced in the cultivated system, and live cells were reduced by 24-94%. In contrast, against Huh-7EGFP cells that did not express Dlk, the outlying antibody showed no cytotoxic activity (FIG. 11A, Table 5
- Huh-7 (hdlk) cells when anti-human Dlk antibody (clone 4C4, 31C4) was added at 0.3, 1, 3, 5, 10 g / ml was examined (Fig. 11B, Table 5B).
- Huh-7 (hdlk) cells were killed in both clones 4C4 and 31C4 in a concentration-dependent manner.
- Anti-human Dlk monoclonal antibody kills human liver cancer cell line Huh-7 cells in a complement-dependent manner Showed activity. Since Dlk expression is observed in the cancerous part of human hepatoma cells, the prepared monoclonal antibody is effective as a therapeutic antibody that expresses Dlk and kills hepatoma cells. At this time, neither CDC activity nor ADCC activity of the anti-human Dlk monoclonal antibody clone 1C1 has been observed, but it is described in Example 1, ⁇ 2.Results (4) Expression of human Dlk in human liver cancer tissue ''.
- Dlk antigen is strongly recognized in human liver cancer-derived cell lines and liver cancer pathological sections.As described above, ADCC activity and CDC activity both depend on the constant region (Fc) of the antibody.
- Fc constant region
- an anti-dlk monoclonal antibody exhibiting an anticancer effect can be prepared.
- Huh-7EGFP cells and Huh-7 (hdlk) cells were prepared using the prepared anti-human Dlk monoclonal antibody according to the method described in “1. FACS analysis of PC 16) was performed. It was confirmed that human Dlk was not expressed at all in Huh-7EGFP cells, but was strongly expressed in Huh-7 (hdlk) cells (FIG. 10).
- the method for detecting liver cancer and the diagnostic agent for liver cancer of the present invention are useful for diagnosis of liver cancer.
- the therapeutic agent for cancer of the present invention is useful for treating cancer such as liver cancer.
Abstract
Description
Claims
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EP04819413A EP1702982B1 (en) | 2003-11-28 | 2004-11-25 | Method of detecting liver cancer, diagnostic for liver cancer and remedy for cancer |
AT04819413T ATE466937T1 (de) | 2003-11-28 | 2004-11-25 | Verfahren zum nachweis von leberkrebs, diagnostikum für leberkrebs sowie heilmittel gegen krebs |
US10/580,567 US20080112956A1 (en) | 2003-11-28 | 2004-11-25 | Method of Detecting Liver Cancer, Diagnostic for Liver Cancer and Remedy for Cancer |
CA2552553A CA2552553C (en) | 2003-11-28 | 2004-11-25 | Method of detecting liver cancer, diagnostic for liver cancer and remedy for cancer |
DE602004027085T DE602004027085D1 (de) | 2003-11-28 | 2004-11-25 | M für leberkrebs sowie heilmittel gegen krebs |
JP2005515795A JP4695982B2 (ja) | 2003-11-28 | 2004-11-25 | 肝癌の検出方法及び肝癌診断薬並びに癌治療薬 |
US12/480,465 US20100151503A1 (en) | 2003-11-28 | 2009-06-08 | Method of detecting liver cancer, diagnostic for liver cancer and remedy for cancer |
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Cited By (7)
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WO2008056833A1 (fr) | 2006-11-10 | 2008-05-15 | Livtech Inc. | Anticorps anti-humain spécifiques de dlk1 présentant une activité anti-tumorale in vivo |
WO2009116670A1 (ja) | 2008-03-17 | 2009-09-24 | 株式会社リブテック | in vivoで抗腫瘍活性を有する抗ヒトDlk-1抗体 |
WO2011145744A1 (ja) | 2010-05-17 | 2011-11-24 | 株式会社リブテック | in vivoで抗腫瘍活性を有する抗ヒトTROP-2抗体 |
WO2012138100A2 (ko) * | 2011-04-04 | 2012-10-11 | 한국생명공학연구원 | Dlk1 세포 외 수용성 도메인을 포함하는 액티빈 수용체 타입 2b 억제제 |
WO2013077458A1 (ja) | 2011-11-22 | 2013-05-30 | 株式会社リブテック | in vivoで抗腫瘍活性を有する抗ヒトTROP-2抗体 |
WO2014054820A1 (ja) | 2012-10-03 | 2014-04-10 | 株式会社リブテック | in vivoで抗腫瘍活性を有する抗ヒトDlk-1抗体 |
US9109189B2 (en) | 2010-07-29 | 2015-08-18 | The Procter & Gamble Company | Liquid detergent composition |
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KR100964193B1 (ko) * | 2009-04-17 | 2010-06-16 | 씨비에스바이오사이언스 주식회사 | 간암 예후 마커 |
WO2012138102A2 (ko) * | 2011-04-04 | 2012-10-11 | 한국생명공학연구원 | Dlk1 특이적 인간 항체 및 이를 포함하는 약학적 조성물 |
CN102778566B (zh) * | 2011-05-07 | 2016-01-13 | 上海市肿瘤研究所 | Dlk1在肝癌诊断及预后判断中的应用 |
KR102146726B1 (ko) | 2014-05-15 | 2020-08-21 | 에자이 알앤드디 매니지먼트 가부시키가이샤 | 플라디에놀리드 피리딘 화합물 및 사용 방법 |
BR112018009995A2 (pt) | 2015-11-18 | 2018-11-21 | Eisai R&D Man Co Ltd | forma cristalina, composição farmacêutica, método para tratamento de câncer, e, uso de uma forma cristalina |
CN110031629B (zh) * | 2018-01-11 | 2020-08-18 | 上海交通大学 | 检测人血清dlk1蛋白的elisa试剂盒及其用途 |
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KR20150060761A (ko) | 2012-10-03 | 2015-06-03 | 가부시키가이샤 리부텍쿠 | in vivo 에서 항종양 활성을 갖는 항인간 Dlk-1 항체 |
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CA2552553A1 (en) | 2005-06-09 |
ES2382987T3 (es) | 2012-06-15 |
ATE466937T1 (de) | 2010-05-15 |
CA2552553C (en) | 2015-01-06 |
EP2204448B1 (en) | 2012-02-22 |
EP1702982A4 (en) | 2007-04-25 |
EP1702982B1 (en) | 2010-05-05 |
EP1702982A1 (en) | 2006-09-20 |
JPWO2005052156A1 (ja) | 2007-12-06 |
DE602004027085D1 (de) | 2010-06-17 |
ATE546527T1 (de) | 2012-03-15 |
JP4695982B2 (ja) | 2011-06-08 |
ES2345493T3 (es) | 2010-09-24 |
US20080112956A1 (en) | 2008-05-15 |
EP2204448A1 (en) | 2010-07-07 |
US20100151503A1 (en) | 2010-06-17 |
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