WO2019045049A1 - Vecteur d'expression spécifique à une cellule de tubule rénal - Google Patents

Vecteur d'expression spécifique à une cellule de tubule rénal Download PDF

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WO2019045049A1
WO2019045049A1 PCT/JP2018/032360 JP2018032360W WO2019045049A1 WO 2019045049 A1 WO2019045049 A1 WO 2019045049A1 JP 2018032360 W JP2018032360 W JP 2018032360W WO 2019045049 A1 WO2019045049 A1 WO 2019045049A1
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vector
gene
egfp
promoter
renal
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PCT/JP2018/032360
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Japanese (ja)
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内田 俊也
秀美代 渡邉
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学校法人帝京大学
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K48/00Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/12Drugs for disorders of the urinary system of the kidneys
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N15/00Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
    • C12N15/09Recombinant DNA-technology
    • C12N15/63Introduction of foreign genetic material using vectors; Vectors; Use of hosts therefor; Regulation of expression
    • C12N15/79Vectors or expression systems specially adapted for eukaryotic hosts
    • C12N15/85Vectors or expression systems specially adapted for eukaryotic hosts for animal cells
    • C12N15/86Viral vectors

Definitions

  • the present invention relates to renal tubular cell-specific expression vectors.
  • Priority is claimed on Japanese Patent Application No. 2017-168924, filed September 1, 2017, the content of which is incorporated herein by reference.
  • Renal tubules are tissues from the glomeruli in the kidney to the collecting ducts. In the process of raw urine passing through the renal tubule, it is reabsorbed and secreted. In renal tubules, there are sites called proximal tubule, Henreloop, thick Henle hook, distal tubule, collecting duct, etc. sequentially from the glomerulus side, and the shape and function are different for each site ing.
  • Barter's syndrome for example, is a disease characterized by dysfunction of the thick Henle's foot, which mainly affects children.
  • the symptoms of Barter syndrome include hypokalemia, metabolic alkalosis, blood pressure reduction and the like.
  • One of the causes of Barter syndrome is known to be an increase in function of a calcium-sensing receptor (CaSR) gene mutation.
  • CaSR calcium-sensing receptor
  • hereditary tubular diseases including Barter's syndrome
  • fundamental gene therapy has not been performed, but only symptomatic treatment has been performed.
  • the QOL of patients is extremely low, and the effects on complications due to complications on the kidney and the whole body are great, and an immediate solution is required.
  • Non-Patent Document 1 describes that a promoter of a sodium-potassium 2-chloride cotransporter (Nkcc2) gene, which is specifically expressed in the thick Henle's leg of the renal tubule, is cloned and analyzed.
  • Nkcc2 sodium-potassium 2-chloride cotransporter
  • An object of the present invention is to provide a vector for expressing a gene specifically in renal tubular cells.
  • a vector for expressing the gene specific to renal tubular cells which comprises a viral vector having a renal tubular cell specific promoter and a desired gene linked downstream of the promoter.
  • the promoter is sodium-dependent phosphate transporter type 2a (NPT2a), sodium-potassium-2-chloride cotransporter (NKCC2), aquaporin 2 (AQP2), sodium-chloride cotransporter (NCC), epithelial sodium-channel (ENaC)
  • NTT2a sodium-dependent phosphate transporter type 2a
  • NKCC2 sodium-potassium-2-chloride cotransporter
  • AQP2 aquaporin 2
  • NCC sodium-chloride cotransporter
  • ENaC epithelial sodium-channel
  • [3] The vector according to [1] or [2], wherein the gene is a gene selected from the group consisting of NPT2a, NKCC2, AQP2, NCC, and ENaC.
  • [4] The vector according to any one of [1] to [3], which is administered by bolus injection into a renal artery of a kidney whose blood flow has been blocked.
  • [5] The vector according to any one of [1] to [4], which is for gene therapy of hereditary tubular disease.
  • FIG. (A) and (b) is a photograph which shows the result of the immunohistochemical analysis of the kidney of the rat which introduce
  • FIG. (C) and (d) are photographs showing the results of immunohistochemical analysis of rat kidneys into which the NKCC2 pvu-EGFP adenoviral vector has been introduced in Experimental Example 4.
  • (E) and (f) are photographs showing the results of immunohistochemical analysis of rat kidneys into which the NKCC2-EGFP adenoviral vector has been introduced in Experimental Example 4.
  • FIG. (A) to (d) are photographs showing the results of immunostaining of the kidneys of rats into which the NKCC2DI-EGFP adenoviral vector has been introduced in Experimental Example 4 and observation with a confocal laser microscope.
  • (A) and (b) is a photograph which shows the result of the immunohistochemical analysis of the kidney of the rat which introduce
  • FIG. (A) to (d) are photographs showing the results of immunostaining of the kidney of a rat into which the NPT2a-EGFP adenoviral vector has been introduced in Experimental Example 5 and observation with a confocal laser microscope.
  • FIG. (A) is a photograph showing the result of detecting the nucleus
  • (b) is a photograph showing the result of detecting the EGFP
  • (c) is a photograph showing the result of detecting the endogenous NHE3 protein
  • (d) is a photograph in which (a) to (c) are synthesized.
  • (A) and (b) is a photograph which shows the result of the immunohistochemical analysis of the kidney of the rat which introduce
  • FIG. (A) to (d) are photographs showing the results of immunostaining of rat kidneys into which the AQP2-EGFP adenoviral vector has been introduced in Experimental Example 6 and observation with a confocal laser microscope.
  • (A) is a photograph showing the result of detecting the nucleus
  • (b) is a photograph showing the result of detecting the EGFP
  • (c) is a photograph showing the result of detecting the endogenous AQP2 protein
  • (d) is a photograph in which (a) to (c) are synthesized.
  • the present invention specifically expresses renal tubule cells specifically comprising a viral vector having a renal tubular cell specific promoter and a desired gene linked downstream of the promoter.
  • a viral vector having a renal tubular cell specific promoter and a desired gene linked downstream of the promoter.
  • the inventors succeeded in expressing a desired gene in renal tubular cells specifically in vivo by using the vector of the present embodiment. This is the first example of successful expression of a desired gene specifically in renal tubular cells.
  • the vector of this embodiment can be suitably used for the purpose of expressing a desired gene specifically in renal tubular cells in humans or animals.
  • renal tubular cell specific promoters include promoters of genes such as NPT2a, NKCC2, AQP2, NCC, and ENaC.
  • NPT2a is a gene also called SLC34A1, which is a gene specifically expressed in the proximal tubule.
  • NKCC2 is a gene also called SLC12A1, which is a gene specifically expressed in thick Henle's hook.
  • AQP2 is a gene specifically expressed in the collecting duct or distal tubule.
  • the renal tubular cell-specific promoter is preferably a promoter derived from a target species into which the vector of the present embodiment is to be introduced. However, it is also possible to express the desired gene using promoters from different species.
  • the nucleotide sequence of the renal tubular cell-specific promoter is preferably long. Moreover, it is preferable to include a base as close as possible to the translation initiation codon (ATG) or to include a translation initiation codon.
  • the length of a renal tubular cell specific promoter may be, for example, 2 kbp or more, for example, 3 kbp or more, for example, 4 kbp or more, for example, 5 kbp or more, for example, 6 kbp It may be more than.
  • the desired gene includes a gene transcriptionally controlled by the renal tubular cell-specific promoter described above. Specifically, genes such as NPT2a, NKCC2, AQP2, NCC, ENaC, etc. may be used.
  • the desired gene is preferably a gene from a species to which the vector of the present embodiment is to be introduced.
  • the desired gene is preferably a gene having no mutation causing disease. This makes it possible to use the vector of the present embodiment for gene therapy of hereditary tubular disease. That is, the vector of the present embodiment may be for gene therapy of hereditary tubular disease.
  • the desired gene is preferably a gene transcriptionally regulated by the native renal tubular cell-specific promoter.
  • the combination of renal tubular cell specific promoter and desired gene may be different from the original combination.
  • the virus vector is not particularly limited as long as it is generally used for gene transfer, and examples thereof include adenovirus vector, adeno-associated virus vector, lentivirus vector, retrovirus vector and the like.
  • the viral vector may be commercially available.
  • adenoviral vectors can be suitably used as viral vectors. It is preferable to use a viral vector which can not self-replicate from the viewpoint of viral propagation.
  • adenoviral vectors which can not replicate autonomously include those in which the E1A and E3 regions have been artificially deleted, adenochimeric viruses, modified adenovirus vectors and the like.
  • packaging cells having the corresponding deleted region.
  • packaging cells include HEK293 cells having E1A and E3 regions.
  • the vector of this embodiment is administered by bolus injection into the renal artery of the kidney which has blocked the blood flow.
  • Bolus injection is rapid injection.
  • the bolus injection is not particularly limited as long as the pressure is such that the kidney tissue of the patient is not injured.
  • injection may be performed in about 2 to 3 minutes per 1 ml of virus vector solution.
  • the blocking of the blood flow can be done by clamping the blood vessel with a clip. After blocking the renal artery, a bolus injection of viral vector is performed. In addition, after blocking the renal artery, it is preferable to infuse isotonic fluid such as physiological saline and wash out the blood in the kidney to increase infection efficiency more preferably. Furthermore, after injecting the viral vector, the infection efficiency of the viral vector can be further improved by blocking the renal vein and maintaining it for several minutes. Here, as a time for blocking the renal vein, for example, about 5 to 10 minutes can be mentioned.
  • the vector of the present embodiment may be formulated in the form of a pharmaceutical composition comprising the above-described viral vector and a pharmaceutically acceptable solvent.
  • a pharmaceutically acceptable solvent those used for the production of general pharmaceutical compositions can be appropriately used.
  • the present invention comprises administering to a patient in need of treatment an effective amount of a viral vector having a renal tubular cell specific promoter and a desired gene linked downstream of said promoter.
  • a method of treating hereditary tubular disease comprises administering to a patient in need of treatment an effective amount of a viral vector having a renal tubular cell specific promoter and a desired gene linked downstream of said promoter.
  • the present invention provides a vector for the treatment of hereditary tubular disease, which comprises a renal tubular cell-specific promoter and a desired gene linked downstream of said promoter. provide.
  • the present invention is the use of a vector for producing a therapeutic agent for hereditary tubular disease, wherein the vector is linked to a renal tubular cell specific promoter and downstream of the promoter.
  • the use is provided, which is a viral vector having the desired gene.
  • the above promoter may be a promoter of a gene selected from the group consisting of NPT2a, NKCC2, AQP2, NCC and ENaC.
  • the above gene may be a gene selected from the group consisting of NPT2a, NKCC2, AQP2, NCC and ENaC.
  • these genes are preferably genes having no mutation causing disease.
  • the above-mentioned vector is administered by bolus injection into the renal artery of the kidney which has blocked the blood flow.
  • accession number ENSMUSG00000027202 was used as the nucleotide sequence data of the 5 'side of the Npt2a gene.
  • base sequence data of accession number ENSRNOG00000015262 was used as base sequence data of the 5 'side of Nkcc2 gene.
  • base sequence data of accession number ENSRNOG00000000297 was used as base sequence data of the 5 'side of Aqp2 gene.
  • Npt2a gene Rat genomic DNA was extracted from the blood of Wistar rats, and the promoter of the Npt2a gene was cloned by PCR. In order to make the promoter region to be cloned as long as possible, a region including a region as close as possible to the translation initiation codon was obtained. The cloned promoter was in the region from -3379 to +630. Here, -1 corresponds to the base immediately before the translation initiation codon (ATG) of the Npt2a gene, and so forth.
  • Nkcc2 gene ⁇ Each promoter described in Table 1 below was used.
  • pNKCC2DI promoter and pNKCC2pvu promoter were distributed by Dr. Peter Igarashi, University of Texas Southwest Medical Center.
  • the pNKCC2 promoter was prepared by PCR of rat genomic DNA.
  • Promoter of Aqp2 gene >> Rat genomic DNA was extracted from the blood of Wistar rats, and the promoter of the Aqp2 gene was cloned by PCR. The cloned promoter was in the region of -5338 to +930.
  • Each prepared adenovirus vector was used by selecting a single clone correctly.
  • the nucleotide sequence of each adenoviral vector was confirmed by restriction enzyme cleavage and sequence analysis of the nucleotide sequence.
  • Each adenovirus vector was used to infect HEK 293 cells, a cell line derived from human embryonic kidney cells, to prepare adenovirus.
  • the titer of the obtained adenovirus was 10 13 pfu / mL or more.
  • the blood flow was interrupted by clamping with a clip between the rat's abdominal aorta and the left renal artery. Subsequently, 1 mL of saline was infused over 2 minutes into the left renal artery. Thereby, the blood in the kidney was washed away. Subsequently, 1 mL of adenoviral vector solution was infused into the left renal artery over 2 minutes. Subsequently, the renal vein was clamped with a clip to block blood flow and maintained for 10 minutes. As a result, the adenoviral vector remained in the kidney and efficiently infected the kidney cells. After that, the clip was removed and blood flow was resumed.
  • Rat renal artery was infused slowly with 1 mL of adenovirus vector solution for 16 hours.
  • adenoviral vector solution 1 mL of adenoviral vector solution.
  • adenoviral vectors were expected to backflow to the ureter and infect kidney cells.
  • Rat kidneys were directly injected with 1 mL of adenovirus vector solution. The injections were divided into 10 parts and injected in all directions.
  • kidneys were removed from each rat and fixed with 4% paraformaldehyde for 2 days. Subsequently, each kidney sample was embedded in paraffin to prepare a sliced section.
  • each tissue section was stained with anti-EGFP antibody, anti-NKCC2 antibody, anti-AQP2 antibody, anti-sodium-hydrogen exchanger 3 (NHE3; SLC9A3P2) antibody.
  • the anti-NHE3 antibody was used instead of the anti-NPT2a antibody because the anti-NPT2a antibody was not available.
  • the region where EGFP was expressed was limited to the site where the adenoviral vector was injected.
  • the structure of the renal parenchyma was damaged by repeated puncture and fluid injection.
  • adenoviral vectors were administered by bolus administration to the renal arteries.
  • Example 4 (examination of NKCC2 promoter)
  • the inventors administered the three types of adenoviral vectors, NKCC2DI-EGFP, NKCC2pvu-EGFP and NKCC2-EGFP, prepared in Experimental Example 2 to rats by bolus administration to the renal artery. Subsequently, 4 days after administration of the adenoviral vector, kidneys were removed from each rat, and tissue sections were prepared in the same manner as in Experimental Example 3.
  • FIGS. 1 (a) and (b) are photographs showing the results of introducing the NKCC2DI-EGFP adenoviral vector.
  • FIG. 1 (a) is a photograph showing the results of staining with anti-EGFP antibody
  • FIG. 1 (b) is a staining of another tissue section adjacent to the tissue section of FIG. 1 (a) with anti-NKCC2 antibody
  • Each scale bar shows 1 cm.
  • FIG.1 (c) and (d) are photographs which show the result of introduce
  • Fig. 1 (c) is a photograph showing the results of staining with anti-EGFP antibody
  • Fig. 1 (d) is another tissue section adjacent to the tissue section of Fig. 1 (c) stained with anti-NKCC2 antibody
  • Each scale bar shows 1 cm.
  • FIG. 1 (e) and (f) is a photograph which shows the result of introduce
  • FIG. 1 (e) is a photograph showing the results of staining with anti-EGFP antibody
  • FIG. 1 (f) is a staining of another tissue section adjacent to the tissue section of FIG. 1 (e) with anti-NKCC2 antibody, It is a photograph which shows the result of having detected sexual NKCC2 protein. Each scale bar shows 1 cm.
  • EGFP was expressed in a broader region than the endogenous NKCC2 protein.
  • FIGS. 2 (a) to 2 (d) are photographs showing the results of observation of the same field of view with a confocal laser microscope.
  • FIG. 2 (a) is a photograph showing the result of detecting the nucleus
  • FIG. 2 (b) is a photograph showing the result of detecting the EGFP
  • FIG. 2 (c) is a result of detecting the endogenous NKCC2 protein
  • FIG. 2 (d) is a photograph showing a composite of FIGS. 2 (a) to 2 (c). Scale bars all show 50 ⁇ m.
  • Non-Patent Document 1 it is reported that the pNKCC2 pvu promoter showed the highest promoter activity and the pNKCC2 DI promoter showed the lowest promoter activity in in vitro studies using primary culture cells of renal tubules.
  • the promoter is preferably as long as possible.
  • FIGS. 3 (a) and 3 (b) are photographs showing the results of introducing the NPT2a-EGFP adenoviral vector.
  • FIG. 3 (a) is a photograph showing the results of staining with anti-EGFP antibody
  • FIG. 3 (b) is a staining of another tissue section adjacent to the tissue section of FIG. 3 (a) with anti-NHE3 antibody
  • anti-NHE3 antibody was used instead of anti-NPT2a antibody because anti-NPT2a antibody was not available.
  • Each scale bar shows 1 cm.
  • FIGS. 4 (a) to 4 (d) are photographs showing the results of observation of the same field of view with a confocal laser microscope.
  • FIG. 4 (a) is a photograph showing the result of detecting the nucleus
  • FIG. 4 (b) is a photograph showing the result of detecting the EGFP
  • FIG. 4 (c) is a result of detecting the endogenous NHE3 protein
  • FIG. 4 (d) is a photograph showing a composite of FIGS. 4 (a) to 4 (c).
  • NPT2a-EGFP adenoviral vector makes it possible to express EGFP with an expression pattern close to that of the endogenous NKCC2 protein.
  • EGFP can be expressed in the same cells as cells expressing endogenous NHE3 protein.
  • FIGS. 5 (a) and (b) are photographs showing the results of introducing the AQP2-EGFP adenoviral vector.
  • Fig. 5 (a) is a photograph showing the results of staining with anti-EGFP antibody
  • Fig. 5 (b) is another tissue section adjacent to the tissue section of Fig. 3 (a) stained with anti-AQP2 antibody
  • Each scale bar shows 1 cm.
  • FIGS. 6 (a) to 6 (d) are photographs showing the results of observation of the same field of view with a confocal laser microscope.
  • FIG. 6 (a) is a photograph showing the result of detecting the nucleus
  • FIG. 6 (b) is a photograph showing the result of detecting the EGFP
  • FIG. 6 (c) is a result of detecting the endogenous AQP2 protein
  • FIG. 6 (d) is a photograph showing a composite of FIGS. 6 (a) to 6 (c). Scale bars all show 50 ⁇ m.
  • AQP2-EGFP adenoviral vector can express EGFP with an expression pattern close to that of endogenous AQP2 protein.
  • EGFP can be expressed in the same cells as cells expressing endogenous AQP2 protein.

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Abstract

L'invention concerne un vecteur destiné à provoquer l'expression d'un gène souhaité lié en aval d'un promoteur spécifique à une cellule de tubule rénal spécifiquement dans des cellules de tubule rénal, le vecteur comprenant un vecteur viral présentant le promoteur spécifique à une cellule de tubule rénal et le gène souhaité.
PCT/JP2018/032360 2017-09-01 2018-08-31 Vecteur d'expression spécifique à une cellule de tubule rénal WO2019045049A1 (fr)

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