Patent Application
20230183645
The present invention relates to a method for producing antigen-specific regenerated T cells by introducing a T cell receptor obtained from T cell population having reactivity to a tumor-related antigen to iPS cells derived from non-T non-B cells, monocytes, or T cells, regenerated T cells produced by the method, a preventive or therapeutic agent for cancer comprising the regenerated T cells as an active ingredient, a pharmaceutical composition comprising the regenerated T cells, and a method for preventing or treating cancer using the pharmaceutical composition.
T cells play a central role in immune response to foreign pathogens such as bacteria or viruses or abnormal cells such as cancer cells. Therefore, decrease in the function of T cells is considered to contribute to pathogen infection and onset of cancer. T cell replacement therapy or regenerative therapy to a patient with a disease caused by decrease in the function of T cells can be an extremely effective means for amelioration of conditions and treatment of the disease in the patient.
In research using humans and mice, it is known that in the case of performing T cell replacement therapy for infectious diseases or cancer, high therapeutic effects can be achieved by using the T cells that specifically recognize antigens possessed by foreign pathogens such as bacteria or viruses or abnormal cells such as cancer cells. On the other hand, difficulty in securing sufficient amount of T cells, and exhaustion of T cells such as decrease in proliferation ability in T cells and decrease in immune response to antigens such as target cells have become obstacles in T cell replacement therapy.
In order to overcome the above obstacles in T cell replacement therapy, a T cell replacement therapy has been proposed, wherein pluripotent stem cells (iPS cells) are established from antigen-specific T cells, proliferated, and then the regenerated T cells differentiated into T cells are used. Since the T cell receptors (TCRs) for recognizing target antigens are formed by gene reconstitution of genome, the TCR genes of the T cells before the initialization are preserved in the iPS cells in which the T cells have been initialized. Therefore, by using the T cells specific to a target antigen as a raw material for producing iPS cells, it is possible to produce regenerated T cells which exhibit the same antigen specificity as the original T cells (patent document 1 and non-patent document 1).
Strict antigen specificity is necessary for safe and efficient T cell replacement therapy. However, it is reported that the frequency of appearance of the T cells having the same gene reconstitution pattern as the original T cell is not necessarily high in the regenerated T cells obtained via the iPS cells from the T cells as described above (patent document 2). In addition, it is also reported that CD8αβ regenerated T cells obtained via iPS cells from human T cells lost their antigen specificity by additional reconstitution of the TCR α chain gene in the CD8/CD4 double-positive stage (non-patent document 2).
1. WO2011/096482 (a pamphlet)
2. WO2013/176197 (a pamphlet)
1. Nishimura T, et al. Generation of rejuvenated antigen-specific T cells by reprogramming to pluripotency and redifferentiation. Cell Stem Cell. 2013; 12:114-126.
2. Minagawa A, et al. Enhancing T cell receptor stability in rejuvenated iPSC-derived T cells improves their use in cancer immunotherapy. Cell Stem Cell. 2018; 23: 850-858.
In cancer treatment using regenerated T cells produced via iPS cells (iPS-T cells), it is important to use iPS-T cells that specifically recognize target antigens present in tumor cells or tumor tissues in order to ensure safety and effectiveness of iPS-T cell replacement therapy in cancer treatment. In addition, when an onset or a recurrence of cancer is detected, it is important to promptly start iPS-T cell replacement therapy in order to improve treatment outcomes.
An object of the present invention is to provide a method for rapidly producing iPS-T cells into which an antigen-specific TCR has been introduced, and iPS-T cells produced according to the method. Furthermore, another object of the present invention is to provide iPS-T cells produced according to the method, a preventive or therapeutic agent for cancer comprising the iPS-T cells as an active ingredient, a pharmaceutical composition comprising the iPS-T cells, and a method for preventing or treating cancer using the pharmaceutical composition.
It has been found in recent studies that even for one antigen epitope, a plurality of T cell clones (5 to 10 clones) recognizes an antigen by using different TCR, respectively. At present, it is extremely difficult to maintain all antigen-specific T cell clones during the process of obtaining iPS-T cells from cells obtained from patients. Also, the possibility that clones differentiated to iPS-T cells are the T cell clones having an optimal TCR to damage the target are affected by individual difference of a subject from whom the cells for producing iPS-T cells are collected or production batch of iPS-T cells.
In addition, a long period of time is required currently for producing iPS-T cells using iPS cell clones derived from cells obtained from a patient. In order to promptly provide iPS-T cell replacement therapy to patients in need thereof, shortening the production period is a major issue.
The following has been found by the present inventors. Different TCR pools with antigen specificity can be obtained from T cell populations that are reactive to tumor-related antigens. By introducing TCRs into iPS cells established from non-T non-B cells or monocytes or iPS cells established from T cells, iPS-T cells can be produced. By selecting iPS cell clones with good differentiation efficiency into T cells in advance, the quality of regenerated T cells can be homogenized, and production period can be shortened. At the same time, by adjusting the timing of acquisition of the TCR pool and establishment of iPS cells, the iPS-T cells can be produced rapidly. The TCR pool and the non-T non-B cells, monocytes, or T cells may originate from the same individual or from separate individuals. Consequently, the present invention was completed.
That is, the objects of the present invention are achieved by following inventions.
T cells, which are obtained in step (3) and into which the cDNAs have been introduced, into mature T cells and proliferating the mature T cells.
T cells, which are obtained in step (3) and into which the cDNAs have been introduced, into mature T cells and proliferating the mature T cells.
In the method of the present invention for producing regenerated T cells via iPS cells (iPS-T cells), peripheral blood mononuclear cells or T cells collected from a subject eligible for cancer treatment, from which T cells and B cells have been removed (non-T non-B cells or monocytes) are initialized, and iPS cells are obtained. Then, iPS cell clones demonstrating good differentiation efficiency into T cells are selected in advance. Therefore, it is possible to ensure enough amount of iPS-T cells necessary for treatment in accordance with the timing required for the treatment. In addition, in the method of the present invention, in order to introduce TCR into iPS cell clones derived from non-T non-B cells or monocytes or T cells; hematopoietic stem cells differentiated from the iPS cell clones; immature T cells differentiated from the hematopoietic stem cells, or mature T cells differentiated from the immature T cells, in case of expanded culture of these cells after their differentiation into iPS-T cells, reconstitution of TCR gene is less likely to occur, and the antigen specificity of the introduced TCR is maintained. Furthermore, it is possible to produce iPS-T cells with few exhaustions caused by expanded culture. Moreover, in the production of iPS-T cells, since iPS cell clones demonstrating good differentiation efficiency into T cells are selected and used, it is possible to minimize the effects of variations in yield and degree of differentiation between the production batches of iPS-T cells and individual differences of subjects from whom cells are collected on the quality of obtained iPS-T cells, etc. Besides, it becomes possible to efficiently produce the T cells having TCRs that recognize antigens and efficiently damage targets.
According to the method of the present invention, since the cDNAs that code for TCR are prepared from individual cells in T cell population having genetic diversity, a cDNA group having various antigen specificity can be prepared. In addition, since the preparation and preservation of the iPS cell clones derived from non-T non-B cells or monocytes or T cells are carried out prior to or in parallel with the preparation of cDNAs that code for antigen-specific TCRs, iPS-T cells can be produced in a short period of time as compared with the case using a method wherein these are carried out sequentially. Therefore, in cancer treatment to which an iPS-T cell replacement therapy is applied, it becomes possible to quickly prepare iPS-T cells specific to an expressed antigen in cases of antigen change of tumor, resistance to treatment, or recurrence of cancer in a targeted patient of cancer treatment.
According to the method of the present invention, a subject from whom the T cells used for preparing cDNAs that code for TCRs are collected may be the same individual as or different individual from a subject who is a targeted patient of cancer treatment by iPS-T cell replacement therapy. Therefore, it becomes possible to prepare TCR pools corresponding to various antigens, and select the TCRs having optimal antigen specificity for individual cancer patient.
[T Cells]
In the present invention, the “T cells” obtained from a subject is the cells expressing antigen receptors called T cell receptors (TCRs) on cell surface. The TCRs include heterodimers consisting of α and β chains and heterodimers consisting of γ and δ chains. T cells having TCR consisting of α and β chains are called αβ-type T cells, and T cells having TCR consisting of γ and δ chains are called γδ-type T cells. In one aspect of the present invention, the T cells of the present invention are preferably CD3/αβ-type T cells, but may be CD3/γδ-type T cells. The TCRs of the T cells in the present invention are transfected.
In the present invention, the “T cell population” refers to the cells as described above that are generally diverse in the gene sequences of antigen-recognizing T cell receptors (TCRs). Therefore, T cells collected from a living body are T cell populations having specificity to various antigens. The T cells existing in vivo have TCR gene sequences that differ from individual T cells due to occurrence of random recombination of TCR genes when T precursor cells develop and differentiate in the thymus, and can cause an immune response to any antigen. The TCRs of individual T cells are determined by sequence of an antigen or peptide that is specifically recognized. However, by considering the T cells as a group, it can be understood that the T cell population targets various antigens for immunization. Therefore, T cell populations collected from a living body are those having genetic diversity in this sense.
In the present invention, a “tumor-related antigen” is an antigen that is expressed in a tumor-specific or non-specific manner, and is an antigen derived from a protein overexpressed in tumor cells and a mutant thereof, an antigen derived from a tumor virus, a certain type of differentiated antigen, or a new tumor-related antigen (neoantigens) due to a gene mutation, and a splice abnormality, etc. In the present specification, a tumor-related antigen may be described as a tumor antigen. In case of a protein antigen, a fragmented peptide (a peptide fragment) is possible. Examples of the antigens that are expressed in a tumor-specific or non-specific manner include, but are not limited thereto, WT1, GPC3, XAGE1, MUC1, MUC5AC, MUC6, EGFRvIII, HER-2/neu, MAGE A3, MAGE A1, telomerase, PRAME, SSX2/4, PSCA, CTLA-4, gp100, GD2, GD3, fucosyl GM1, GM3, sLe (a), glycolipid F77, mesothelin, PD-L1, trp1, trp2, CD19, CD20, CD22, ROR1, CD33, c-Met, p53, p53 mutant, NY-ESO-1, PSMA, ETV6-AML, CEA, PSA, AFP, hTERT, EpCAM, ALK, androgen receptor, EphA2, CYP1B1, OY-TES-1, MAD-CT-2, MelanA/MART1, survivin, Ras, Ras mutant, ERG, bcr-abl, XBP1, and the like. Examples of the virus antigens include, but are not limited thereto, inactivated viruses such as inactivated HBV and HPV, and proteins derived from various viruses such as EBV LMP1, EBV LMP2, EBNA (EBV nuclear antigen), HPV E1, HPV E2, HPV E6, HPV E7, HBV HBs, HTLV-1 Tax, and HBZ (HTLV-1 bZIP Factor), etc.
In one aspect of the present invention, the tumor-related antigen can be selected from the group consisting of GPC3, WT1, XAGE1, LMP2, NY-ESO-1, EB virus antigen, neoantigen, and peptide fragments thereof.
In one aspect of the present invention, the tumor-related antigen is EYILSLEEL which is an HLA-A24-binding GPC3 peptide, FVGEFFTDV which is an HLA-A 2-binding GPC3 peptide, or a mixture thereof. In the present invention, amino acids are represented by conventional one-letter abbreviations.
In the present invention, “having reactivity to a tumor-related antigen” means that T cells react via TCR by specific binding/conjugation to epitope peptides derived from tumor-related antigens presented to major histocompatibility complex (MHC) class I or class II on antigen presenting cells, and refers to that the T cells do not react by binding/conjugation to other epitope peptides described above. Examples of the reactions via TCR of the T cells by binding/conjugation to epitope peptides derived from tumor-related antigens presented to MHC class I or class II include cytotoxicity, production of IFN-γ and granzyme, expression of T cell activation marker, and activation of transcription factors such as NF-AT.
In the present invention, T cells are collected from a subject who is a cancer patient or a non-cancer patient. The subject from whom T cells are collected may be a cancer patient administered, currently being administered, or scheduled to be administered later with a cancer vaccine, and may be a non-cancer patient not administered with a cancer vaccine. One or more types of cancer vaccines may be administered. The cancer vaccine is a composition comprising a vaccine antigen which is a cancer or tumor-specific protein or peptide and derived from a cancer or the tumor-related antigen, for inducing cancer or tumor-specific immune response. Typically, a cancer vaccine comprises an adjuvant for enhancing the specific immune response induced by a vaccine antigen. T cells are preferably αβ T cells. Preferable collection source of T cells is, but not limited thereto, peripheral blood because of its low invasiveness. Examples of other preferable collection sources include all collection sources in the body, such as cancer tissue or tumor tissue, lymph node or other tissue or organ, or blood, umbilical cord blood, lymph fluid, interstitial fluid (inter-tissue liquid, inter-cell liquid and interstitial fluid), body cavity fluid (ascitic fluid, pleural fluid, pericardial fluid, cerebrospinal fluid, synovial fluid, and aqueous humor). In one aspect of the present invention, preferable T cells are those derived from tumor tissue. T cells derived from tumor tissue are usually tumor infiltration T cells.
In the case where the subject is a cancer patient, the cancer of the cancer patient is selected from ovarian cancer, hepatoblastoma, hepatoma, gastric cancer, esophageal cancer, pancreatic cancer, renal cell carcinoma, breast cancer, malignant melanoma, non-small cell lung cancer, uterine cervical cancer, glioblastoma, prostate cancer, neuroblastoma, chronic lymphocytic leukemia, papillary thyroid carcinoma, colon cancer, or B cell non-Hodgkin's lymphoma. The cancer is preferably hepatoma or hepatoblastoma.
[iPS Cell Clones]
In the present invention, iPS cells are preferably prepared by initializing non-T non-B cells, monocytes, or T cells, but are not limited thereto. The “non-T non-B cells” mean mononuclear cells that are classified neither as T cells nor as B cells. In the present invention, non-T non-B cells or monocytes can be prepared by collecting peripheral blood mononuclear cells from a subject and then removing the T cells and B cells contained in the mononuclear cells. Peripheral blood mononuclear cells can be isolated from human whole blood by a mononuclear cell separation solution. Lymphoprep® can be exemplified as a mononuclear cell separation solution. In order to remove B cells and T cells from mononuclear cells, magnetic beads such as flow cytometry or MACS® beads may be used by utilizing antibodies against CD19, CD20, CD22 which are surface antigens of B cells, or B cell receptors, and CD3, CD4 or CD8 which are surface antigens of T cells. T cells can be isolated from human whole blood by a mononuclear cell separation solution. Lymphoprep® can be exemplified as a mononuclear cell separation solution. Purification of T cells can be performed by utilizing CD3, CD4 or CD8 which are surface antigens of T cells, or T cell receptors. For example, magnetic beads such as flow cytometry or MACS® beads may be used.
Methods for producing iPS cells are known in the art. In the present invention, iPS cells can be preferably induced by introducing cell reprogramming factors into non-T non-B cells, monocytes, or T cells. Examples of the cell reprogramming factors include genes such as Oct3/4, Sox2, Sox1, Sox3, Sox15, Sox17, klf4, klf2, c-Myc, N-Myc, L-Myc, Nanog, Lin28, Fbx15, ERas, ECAT15-2, Tc11, β-catenin, Lin28b, Sall1, Sall4, Esrrb, Nr5a2, Tbx3, and Glis1, etc., or gene products. These cell reprogramming factors may be used alone or in combination. From the viewpoint of efficiently establishing iPS cells, among these cell reprogramming factors, it is preferable to introduce Oct3/4, Sox2, Klf4, and c-Myc (so-called Yamanaka's four factors) into the non-T non-B cells, monocytes, or T cells.
Methods for introducing cell reprogramming factors into the non-T non-B cells, monocytes, or T cells are not particularly limited, and those known in the art can be employed. For example, in a case of introducing a gene that codes for the cell reprogramming factor into the non-T non-B cells or monocytes, a gene that codes for the cell reprogramming factor (e.g., cDNA) can be inserted into an expression vector comprising a promoter functioning in non-T non-B cells, monocytes, or T cells, and the expression vector can be introduced into non-T non-B cells, monocytes, or T cells by infection or methods of lipofection, liposome and calcium phosphate coprecipitation, DEAE dextran, microinjection, or electroporation. In the case where the cell reprogramming factor is in the form of a protein and the protein is introduced into the non-T non-B cells, monocytes, or T cells, a method using a protein introduction reagent, a method using protein introduction domain fusion protein, electroporation method, and microinjection method can be exemplified. In the case where the cell reprogramming factor is in the form of a messenger RNA (mRNA) and the mRNA is introduced into the non-T non-B cells or monocytes, a method using an mRNA introduction reagent and a method of addition to a culture medium can be exemplified.
Examples of expression vectors used for transfection by infection include virus vectors such as lentivirus, retrovirus, adenovirus, adeno-associated virus, herpes virus, and Sendai virus and animal cell expression plasmids. However, from the viewpoints of less possibility of insertional mutagenesis, high transfection efficiency, and large number of copies of transfected genes, Sendai virus is preferably used to introduce a gene that codes for the cell reprogramming factor into the non-T non-B cells, monocytes, or T cells.
Examples of the promoters used in the expression vector for transfecting a gene that codes for the cell reprogramming factor into a non-T non-B cells, monocytes, or T cells include SRα promoter, SV40 promoter, LTR promoter, CMV promoter, RSV promoter, HSV-TK promoter, ubiquitin promoter, and the like. These promoters may be capable of controlling the expression of a gene inserted downstream of the promoter depending on the presence or absence of a drug such as tetracycline. The expression vector may comprise enhancer, poly A addition signal, selection marker gene (e.g., neomycin resistance gene), SV40 replication origin, and the like, in addition to promoter.
A culture medium used for culturing iPS cells obtained by reprogramming non-T non-B cells, monocytes, or T cells is not particularly limited. It can be prepared by using a culture medium for culturing animal cells as a basal culture medium, and adding thereto cytokines for maintaining undifferentiation potential of iPS cells. Examples of basal culture media include Iscove's Modified Dulbecco's Medium (IMDM), Medium 199, Eagle's Minimum Essential Medium (EMEM), αMEM medium, Dulbecco's modified Eagle's Medium (DMEM), Ham's F12 medium, RPMI 1640 medium, Fischer's Neurobasal Medium (Life Technologies), StemFit® AK03N (Ajinomoto Healthy Supply), and a mixed medium thereof. A culture medium may be added with serum or may be serum-free. bFGF may be exemplified as a preferable cytokine, and the concentration thereof in a culture medium is, for example, 1 to 100 μg/mL (preferably 50 μg/mL).
In one aspect of the present invention, the method for culturing iPS cells may be adhesion culture or suspension culture, preferably adhesion culture. Examples of the methods for isolating iPS cells include physical methods using a cell scraper or the like, and methods using a dissociation solution with protease activity, or collagenase activity, or protease activity and collagenase activity (e.g., Accutase® and Accumax®, etc.).
In one aspect of the present invention, iPS cells are preferably subcultured in another incubator when they reach a cell density of 1×103 to 1×104 cells/cm2, 1×104 to 1×105 cells/cm2, or 1×105 to 1×106 cells/cm2. The passage number may be any number as long as a required amount of iPS cells can be obtained, preferably 1 to 5 or 5 to 10.
The iPS cells produced consist of a large number of iPS cell clones. As will be described later, in order to select the iPS cell clones that demonstrate high differentiation efficiency into T cells, it is preferable to clone iPS cells by a colony pickup method. The colony pick-up method is not particularly limited. A method using Pipetman under a microscope, limiting dilution analysis, and a method using a fully automatic colony picker are used. The iPS cell clones obtained may be cultured expansively to construct a master cell bank. The “master cell bank” composed of the iPS cell clones is a single pool of single iPS cell clone that is dispensed and accumulated in an independent cell storage container. In the master cell bank, it is preferable to cryopreserve the iPS cell clones. Methods for cell cryopreservation are well known to those skilled in the art. For example, the cultured iPS cell clones can be harvested and washed with a buffer solution or a culture medium, enriched by centrifugation or the like after the cell number is counted, suspended in a medium for cryopreservation (e.g., a culture medium containing 10% DMSO), and then cryopreserved at a low temperature. The master cell bank of the present invention can be preserved in any facility or storage capable of cryopreservation. In case of cryopreservation, the storage temperature is not particularly limited as long as it is suitable for the preservation of cells. Examples thereof include −20° C., −80° C., and −120° C. to −196° C., preferably −150° C. or lower.
“Differentiation efficiency” refers to the abundance ratio of hematopoietic stem cells, immature T cells and mature T cells, respectively in all viable cells in each differentiation stage from iPS cells into hematopoietic stem cells, from hematopoietic stem cells into immature T cells, and from immature T cells into mature T cells. The identification of differentiated cells in each differentiation stage can be performed by FACS analysis of surface markers. The differentiation efficiency into hematopoietic stem cells is indicated as the ratio of CD34/CD43 double-positive cells in all viable cells. The differentiation efficiency into immature T cells is indicated as the ratio of CD4/CD8 double-positive cells or that of CD5 positive cells in all viable cells. In addition, the differentiation efficiency into mature T cells is indicated as the ratio of the cells wherein CD8 α chain, CD8 β chain, TCR α chain, and TCR β chain are all positive in all viable cells.
“Differentiation efficiency is high.” or “Differentiation efficiency is good/excellent.” refer to that the ratio of CD34/CD43 double-positive cells, which are hematopoietic stem cells, is 5 to 15% or more in the differentiation from iPS cells into hematopoietic stem cells, the ratio of CD4/CD8 double-positive cells or that of CD5 positive cells, which are immature T cells, is 10% or more or 50% or more, respectively in the differentiation from hematopoietic stem cells into immature T cells, and the ratio of the cells wherein CD8 α chain, CD8 β chain, TCR α chain and TCR β chain are all positive is 50% or more in the differentiation from immature T cells into mature T cells.
The regenerated T cells of the present invention are preferably produced by firstly differentiating the iPS cell clones into hematopoietic stem cells, then differentiating the hematopoietic stem cells into immature T cells, and finally differentiating immature T cells into mature T cells that are CD8 single-positive T cells.
In the present invention, “hematopoietic stem cells” are cells capable of differentiating into hematopoietic cells such as lymphocytes, eosinophils, neutrophils, basophils, erythrocytes, and megakaryocytes, etc. Hematopoietic stem cells and hematopoietic progenitor cells (HPC) are not distinguished from each other, and are referred to the same cells, unless otherwise specified. Hematopoietic stem cells/progenitor cells are recognized by that, for example, the surface antigens CD34 and CD43 are double-positive.
In the present invention, “immature T cells” refer to the T cells at each stage from T cells in which both TCR α and β chains are not expressed, through CD4/CD8 double-positive cells to CD8 single-positive cells, which express both TCR α and β chains. Immature T cells are preferably CD8 α chain/β chain double-positive.
In the present invention, “mature T cells” refer to the T cells that express TCR α and β chains and has progressed through CD4/CD8 double-positive cells to CD8 single-positive cells. Mature T cells are preferably CD8 α chain/β chain double-positive.
[Culture of Hematopoietic Stem Cells and Immature T Cells]
Hematopoietic stem cells are preferably produced by culturing iPS cells in a culture medium added with vitamin C. Here, “vitamin C” refers to L-ascorbic acid and a derivative thereof A “derivative of L-ascorbic acid” means one that is converted into vitamin C by an enzymatic reaction in vivo. Examples of derivatives of L-ascorbic acid include vitamin C phosphate, ascorbyl glucoside, ethyl ascorbic acid, vitamin C esters, ascorbyl tetrahexyldecanoate, ascorbyl stearate, and ascorbic acid-2-phosphate-6-palmitate. A preferable derivative of L-ascorbic acid is vitamin C phosphate, and examples thereof include phosphoric acid-L-ascorbates such as phosphoric acid-sodium L-ascorbate or phosphoric acid-magnesium L-ascorbate. Vitamin C is contained in a culture medium at a concentration of 5 to 500 μg/mL, for example.
A culture medium used for producing hematopoietic stem cells is not particularly limited. It can be prepared by using a culture medium for culturing animal cells as a basal culture medium, and adding vitamin C, etc. thereto. Examples of basal culture media include Iscove's Modified Dulbecco's Medium (IMDM), Medium 199, Eagle's Minimum Essential Medium (EMEM), αMEM medium, Dulbecco's modified Eagle's Medium (DMEM), Ham's F12 medium. RPMI 1640 medium, Fischer's medium, Neurobasal Medium (Life Technologies), StemPro34 (Life Technologies), and a mixed medium thereof. A culture medium may contain serum or may be serum-free. If necessary, a basal medium may contain one or more substances selected from, for example, albumin, insulin, transferrin, selenium, fatty acids, trace elements, 2-mercaptoethanol, thioglycerol, monothioglycerol, lipids, amino acids, L-glutamine, non-essential amino acids, vitamins, growth factors, low-molecular-weight compounds, antibiotics, antioxidants, pyruvic acid, buffers, inorganic salts, cytokines, and the like.
A cytokine selected from the group consisting of BMP4 (bone morphogenetic protein 4), VEGF (vascular endothelial growth factor), bFGF (basic fibroblast growth factor), SCF (stem cell factor), TPO (thrombopoietin), and FLT3L (Flt3 ligand) may be further added to a culture medium used for producing hematopoietic stem cells. The concentrations thereof are, for example, 1 to 100 ng/mL for BMP4, 1 to 100 ng/mL for VEGF, 1 to 100 ng/mL for bFGF, and 10 to 100 ng/mL for SCF, 1 to 100 ng/mL for TPO, and 1 to100 ng/mL for FLT3L.
A TGF β inhibitor may be added to a culture medium of hematopoietic stern cells. A “TGF β inhibitor” is a low-molecular inhibitor interfering with signaling of TGF β family. Examples thereof include SB431542 and SB202190 (R. K. Lindemann et al., Mol. Cancer 2: 20 (2003)), SB505124 (GlaxoSmithKline), NPC30345, SD093, SD908, and SD208 (Scios), as well as LY2109761, LY364947, and LY580276 (Lilly Research Laboratories). The concentration thereof in a culture medium is preferably 0.5 to 100 μM.
iPS cells may be co-cultured with feeder cells such as C3H10T1/2 (Takayama N., et al. J Exp Med. 2817-2830, 2010), or heterologous stromal cells (Niwa A et al. J Cell Physiol. 2009 November; 221 (2): 367-77), and the like.
The method for culturing iPS cells in the production of hematopoietic stem cells may be adhesion culture or suspension culture. However, suspension culture is preferable. For example, iPS cells can be subjected to suspension culture after releasing colonies cultured to 80% confluency in a dish used and dissociating them into individual cells. Examples of the methods for isolating iPS cells include physical methods using a cell scraper or the like, and methods using a dissociation solution with protease activity and collagenase activity (e.g., Accutase® and Accumax®, etc.), or a dissociation solution with collagenase activity.
Suspension culture is a way of culturing cells wherein the cells do not adhere to a culture vessel. Suspension culture can be performed by using a culture vessel which is not artificially treated (e.g., coating with an extracellular matrix, etc.) for improving adhesion with cells, or a culture vessel which is artificially treated to suppress adhesion (e.g., coating with polyhydroxyethyl methacrylate (poly-HEMA) or nonionic surfactant polyol (Pluronic F-127, etc.). However, it is not particularly limited. During a suspension culture, it is preferable to form and culture embryoid bodies (EB). When suspension-culturing embryoid bodies to obtain hematopoietic stem cells, it is preferable to dissociate them into individual cells and then perform the adhesion culture.
Hematopoietic stem cells can also be prepared from cystoid-like structures (also referred to as iPS-sac) obtained by culturing iPS cells. Here, the “cystoid-like structure” is an iPS cell-derived three-dimensional bursal structure (with internal space), formed of groups of endothelial cells and the like, and containing hematopoietic stem cells inside.
The temperature condition during culture for producing hematopoietic stern cells from iPS cells is not particularly limited, but for example about 37° C. to about 42° C., and preferably about 37° C. to about 39° C. In addition, the culture period can be appropriately determined by a person skilled in the art while monitoring the number of hematopoietic stem cells and the like. The number of culturing days is not particularly limited as long as hematopoietic stem cells can be obtained, but is, for example, at least 6 days or more, 7 days or more, 8 days or more, 9 days or more, 10 days or more, 11 days or more, 12 days or more, 13 days or more, or 14 days or more, and preferably 14 days. A long culture period does not cause any problem in the production of hematopoietic stem cells. Besides, a low-oxygen condition is also possible. In one aspect of the present invention, examples of oxygen concentration as low-oxygen conditions include 15%, 10%, 9%, 8%, 7%, 6%, 5%, or less.
“CD4/CD8 double-positive T cells” are the cells among T cells wherein the surface antigens CD4 and CD8 are both positive (CD8+ CD4+). Since the T cells can be recognized by the fact that surface antigens CD3 and CD45 are positive, CD4/CD8 double-positive T cells can be identified as the cells wherein CD4, CD8, CD3, and CD45 are positive. CD4/CD8 double-positive T cells can be differentiated into CD4 single-positive cells or CD8 single-positive cells by induction.
CD4/CD8 double-positive T cells can be produced by a method comprising a step for culturing hematopoietic stem cells in a culture medium added with p38 inhibitor and/or SDF-1.
A “p38 inhibitor” is defined as a substance that inhibits the function of p38 protein (p38MAP kinase). Examples of p38 inhibitors include, but are not limited thereto, a chemical inhibitor of p38, a dominant negative mutant of p38, or a nucleic acid that codes for the same.
Examples of chemical inhibitors of p38 include, but are not limited thereto, SB 203580 (4-(4-fluorophenyl)-2-(4-methylsulfonylphenyl)-5-(4-pyridyl)-1H-imidazole) and derivatives thereof, SB202190 (4-(4-fluorophenyl)-2-(4-hydroxyphenyl)-5-(4-pyridyl)-1H-imidazole) and derivatives thereof, SB239063 (trans-4-[4-(4-fluorophenyl)-5-(2-methoxy-4-pyrimidinyl)-1H-imidazole-1-yl] cyclohexanol) and derivatives thereof, SB220025 and derivatives thereof, PD169316, RPR200765A, AMG-548, BIRB-796, SC10-469, SC10-323, VX-702, or FR167653. These compounds are commercially available. For example, SB203580, SB202190, SC239063, SB220025, and PD169316 are available from Calbiochem, and SC10-469 and SC10-323 are available from Scios etc. A p38 inhibitor is added to a culture medium in a range of, for example, about 1 μM to about 50 μM.
Examples of dominant negative mutants of p38 include p38T180A in which threonine at position 180 located in the DNA binding region of p38 is point-mutated to alanine, p38Y180F in which tyrosine at position 182 of p38 in human and mouse is point-mutated to phenylalanine, and the like.
SDF-1 (stromal cell-derived factor 1) is not only SDF-1α or its mature form, but also isoforms such as SDF-1β, SDF-1γ, SDF-1δ, SDF-1εs, or SDF-1φ, or mature forms thereof, or a mixture thereof at any proportion. Preferably, SDF-1α is used. SDF-1 may also be referred to as CXCL-12 or PBSF.
SDF-1 may be substituted, deleted and/or added with one or several amino acids in its amino acid sequence as long as having the activity as the chemokine. Similarly, sugar chains may be substituted, deleted and/or added. An amino acid mutation is acceptable if at least four cysteine residues (Cys30, Cys32, Cys55, and Cys71 in case of human SDF-1α) are retained in SDF-1, and it has the identity of 90% or more to the amino acid sequence of natural form. SDF-1 may be that of a mammal such as a human, a non-human mammal such as monkey, sheep, bovine, horse, pig, dog, cat, rabbit, rat, or mouse, etc. For example, the protein registered in GenBank with registration number of NP_954637 can be used as human SDF-1α, and the protein registered in GenBank with registration number of NP_000600 can be used as human SDF-1β.
As SDF-1, those which are commercially available may be used. Those which are purified from natural products may be used. Alternatively, those which are produced by peptide synthesis or genetic engineering techniques may also be used. SDF-1 is added to a culture medium in a range of, for example, about 10 ng/mL to about 100 ng/mL.
A culture medium used for producing CD4/CD8 double-positive T cells is not particularly limited. It can be prepared by using a culture medium for culturing animal cells as a basal culture medium, and adding p38 inhibitor and/or SDF-1, and furtherly vitamin C. The types of vitamin C used in the production of CD4/CD8 double-positive T cells are, for example, as described above, and the concentration thereof is, for example, 5 to 200 μg/mL. Examples of basal culture media include Iscove's Modified Dulbecco's Medium (IMDM), Medium 199, Eagle's Minimum Essential Medium (EMEM), αMEM medium, Dulbecco's modified Eagle's Medium (DMEM), Ham's F12 medium, RPMI 1640 medium, Fischer's Neurobasal Medium (Life Technologies), and a mixed medium thereof. A culture medium may be added with serum or may be serum-free. If necessary, a basal medium may contain, one or more substances selected from, for example, albumin, insulin, transferrin, selenium, fatty acids, trace elements, 2-mercaptoethanol, thioglycerol, lipids, amino acids, L-glutamine, non-essential amino acids, vitamins, growth factors, low-molecular-weight compounds, antibiotics, antioxidants, pyruvic acid, buffers, inorganic salts, cytokines, and the like.
A cytokine selected from the group consisting of SCF, TPO (thrombopoietin), FLT3 L, and IL-7 may be further added to a culture medium used for producing CD4/CD8 double-positive T cells. The concentrations thereof are, for example, 10 to 100 ng/mL for SCF, 10 to 200 ng/mL for TPO, 1 to 100 ng/mL for FLT3L, and 1 to 100 ng/mL for IL-7.
Hematopoietic stem cells may be cultured by adhesion culture or suspension culture. However, adhesion culture is preferable. In the case of adhesion culture, a culture vessel may be coated and used. Examples of coating agents include Matrigel (Niwa A, et al. PLos One. 6 (7): e22261, 2011), collagen, gelatin, laminin, heparan sulfate proteoglycan, retronectin, Fc-DLL4 or entactin, and combinations thereof.
The condition of culture temperature for culturing hematopoietic stem cells to produce CD4/CD8 double-positive T cells is not particularly limited, but preferably about 37° C. to about 42° C., and more preferably about 37° C. to about 39° C. In addition, the culture period can be appropriately determined by a person skilled in the art while monitoring the number of CD4/CD8 double-positive T cells or the like. The number of culturing days is not particularly limited as long as CD4/CD8 double-positive T cells can be obtained, but is, for example, at least 10 days or more, 12 days or more, 14 days or more, 16 days or more, 18 days or more, 20 days or more, 22 days or more, or 23 days or more, and preferably 23 days.
The resulting CD4/CD8 double-positive T cells may be isolated and used, or used as a cell population containing other cell species. In the case of isolation, methods well known to those skilled in the art can be used. For example, a method of labeling with antibodies against CD4, CD8, CD3 and/or CD45, and isolating using a flow cytometer, or a purification method using an affinity column in which a desired antigen is immobilized can be exemplified.
“CD8 single-positive T cells”, that is, mature T cells are the cells among T cells wherein the surface antigen CD8 is positive (CD8+ CD4−), and are also referred to as cytotoxic T cells. Since the T cells can be recognized by the fact that surface antigens CD3 and CD45 are positive, CD8 single-positive T cells can be identified as the cells wherein CD8, CD3 and CD45 are positive while CD4 is negative.
CD8 single-positive T cells can be produced by a method comprising a step for culturing CD4/CD8 double-positive T cells in a culture medium added with a corticosteroid.
The corticosteroid is preferably a glucocorticoid or a derivative thereof, and examples thereof include cortisone acetate, hydrocortisone, fludrocortisone acetate, prednisolone, triamcinolone, methylprednisolone, dexamethasone, betamethasone, or beclomethasone dipropionate. Preferably, the corticosteroid is dexamethasone. The concentration thereof in a culture medium is, for example, 1 to 100 nM.
A culture medium used for producing CD8 single-positive T cells is not particularly limited. It can be prepared by using the culture medium for culturing animal cells as a basal culture medium, and adding a corticosteroid thereto. Examples of basal culture media include Iscove's Modified Dulbecco's Medium (IMDM), Medium 199, Eagle's Minimum Essential Medium (EMEM), αMEM medium, Dulbecco's modified Eagle's Medium (DMEM), Ham's F12 medium, RPMI 1640 medium, Fischer's Neurobasal Medium (Life Technologies), and a mixed culture medium thereof A culture medium may be added with serum or may be serum-free. If necessary, a basal medium may contain one or more substances selected from, for example, albumin, insulin, transferrin, selenium, fatty acids, trace elements, 2-mercaptoethanol, thioglycerol, monothioglycerol, lipids, amino acids, L-glutamine, non-essential amino acids, vitamins, growth factors, low-molecular-weight compounds, antibiotics, antioxidants, pyruvic acid, buffers, inorganic salts, cytokines, and the like.
The culture medium used in the production of CD8 single-positive T cells preferably further contains anti-CD3 antibody, vitamin C, or cytokine. Examples of the cytokine include IL-2, IL-7, IL-15, IL-21, and the like.
The anti-CD3 antibody is not particularly limited as long as it is an antibody that specifically recognizes CD3. Examples thereof include antibodies produced from OKT 3 clones. The concentration of the anti-CD3 antibody in a culture medium is, for example, 10 to 1000 ng/mL.
The vitamin C used in the production of CD8 single-positive T cells is, for example, those described above, and can be used in the same conditions as described above.
The concentration of cytokines in a culture medium used in the production of CD8 single-positive T cells is, for example, 10 to 1000 U/mL for IL-2, and 1 to 100 ng/mL for IL-7.
The temperature condition during the culture of CD4/CD8 double-positive T cells for producing CD8 single-positive T cells is not particularly limited, but for example, preferably about 37° C. to about 42° C., and more preferably about 37° C. to about 38° C. In addition, the culture period can be appropriately determined by a person skilled in the art while monitoring the number of CD8 single-positive T cells and the like. The number of culturing days is not particularly limited as long as CD8 single-positive T cells can be obtained, but is, for example, at least 1 day or more, 2 days or more, 3 days or more, 4 days or more, or 5 days or more, and preferably 3 days.
[Preparation of cDNAs that Code for TCR]
In the present invention, the preparation of cDNAs that code for TCR α chain and β chain respectively is preferably performed from individual cells. T cells collected from a subject are T cell populations generally with genetic diversity. However, an antigen or peptide sequence recognized by TCR of individual cells is determined, and antigen specificity of individual cells is different. In order to select the TCR that is optimal for each tumor-related antigen, that is, the TCR that has high reactivity to each tumor-related antigens, it is preferable to prepare cDNAs from individual cells.
T cells obtained from a subject are preferably cultured and proliferated together with target tumor-related antigens. Individual cells may be isolated by a cell sorter or the like using an activation marker from T cell population that responds to a tumor-related antigen used. The activation marker is preferably a cell surface CD137. Examples of known methods for isolating human T cells include flow cytometry using an antibody against T cell surface markers such as CD3 and CD137 and a cell sorter. Gene cloning can be performed from the obtained single T cells using PCR method, and cDNAs that code for TCR α chain and β chain respectively can be amplified.
[Isolation of TCR Gene by Single Cell PCR]
In order to obtain individual cells, individual cell sorting by a cell sorter can be performed by binding CD8-positive T cells specific to tumor antigens obtained from peripheral blood or the like to MHC Dextramer® that forms a complex with the antigen peptide. The MHC dextramer is a compound composed of a dextran polymer skeleton in which MHC and fluorescent dye molecules are bound. MHC tetramer may be used in place of MHC dextramer. The MHC tetramer is a tetramer of a complex of an antigen peptide and an MHC molecule with biotin and avidin. In another aspect, tumor antigen-specific CD8-positive T cells obtained from peripheral blood or the like are cultured and proliferated in the presence of the antigen, and CD3/CD137 double-positive cells can then be sorted for individual cells by a cell sorter. In another aspect, from CD3/CD137 double-positive cells, a cell population that binds to MHC dextramer complexed with the antigenic peptide can be sorted for individual cells by a cell sorter. RNA can be extracted from the individual cells obtained, and the TCR gene pair (TCR α chain gene and TCR β chain gene) can be isolated by a PCR method using the cDNAs obtained by reverse transcription. Sequence analysis of the isolated TCR gene pair can be performed, and the type of tumor antigen-reactive T cells (TCR repertoire) and its appearance frequency can be analyzed.
[Construction of Vectors]
The PCR fragment amplified using the cDNA of isolated TCR as a template can be incorporated into a viral vector or a non-viral vector (transposon vector) using, for example, Gibson Assembly System. Specifically, a gene in which the isolated TCR α chain gene and TCR β chain gene are linked via the T2A sequence is linked downstream of the ubiquitin promoter. Further downstream thereof, EGFR (EGFRt, truncated EGFR) excluding the ligand-binding site and intracellular domain for the IRES (internal ribosome entry site) sequence or a marker gene such as CD19 lacking an intracellular domain are linked. The construct is incorporated into a viral vector or a non-viral vector. As the vector, a viral vector and a non-viral vector can be used. However, a non-viral vector is preferable. As the non-viral vector, among transposon vectors, a piggyBac® vector is preferable. Compared to conventional viral vector method, the transposon method is an inexpensive and safe transfection method of next generation.
[Introduction of TCR cDNAs into Cells]
As a method of introducing a cDNA pair that codes for a TCR α chain and a β chain respectively to iPS cell clones derived from non-T non-B cells or monocytes or T cells; hematopoietic stem cells differentiated from the iPS cell clones; immature T cells differentiated from the hematopoietic stem cells, or mature T cells differentiated from the immature T cells, either a method using a viral vector or a non-viral vector, or a replacement of TCR using genome editing technique can be adopted. Examples of the viral vectors include viral vectors such as lentivirus, retrovirus, adenovirus, adeno-associated virus, herpes virus and Sendai virus, etc. and animal cell-expressing plasmid. However, retrovirus or lentivirus are preferable. When a retroviral or a lentiviral infection is carried out, a spin infection method or the like is preferably used. When a non-viral vector is used, a transposon method is preferable. For the replacement of TCR using genome editing technique, CRISPR/Cas9 method, CRISPR/MAD method, and CRISPR/CAS3 method may be used. Examples of transfection methods of non-viral vector or transfection methods of guide RNA and donor DNA for genome editing include lipofection method, liposome method, calcium phosphate coprecipitation method, DEAE dextran method, microinjection method, and electroporation method. PCR products can be directly introduced into cells without using a vector. An electroporation method is preferably used for introducing transposon vectors or PCR products into cells. As a electroporation apparatus, the transfection device of ExPERT® system (MaxCyte) is preferable.
Examples of the promoter used in the expression vector for introducing the cDNA pair into the cells include EF1α promoter, SRa promoter, SV40 promoter, LTR promoter, CMV promoter, RSV promoter, HSV-TK promoter, ubiquitin promoter, and the like. These promoters may be capable of controlling the expression of genes inserted downstream of the promoter depending on the presence or absence of a drug such as tetracycline. An expression vector can comprise enhancer, poly A addition signal, selection marker gene (e.g., neomycin resistance gene), SV40 replication origin, and the like, in addition to the promoter.
By culturing the iPS cell clones into which the cDNA pair is introduced; hematopoietic stem cells differentiated from the iPS cell clones; immature T cells differentiated from the hematopoietic stem cells, or mature T cells differentiated from the immature T cells, under the culture conditions such as the above-described culture medium, culture medium composition, culture temperature, etc., the regenerated T cells expressing the TCR consisting of the α chain and the β chain that respectively code for the cDNA pair can be obtained. In this culture, the proliferation of the cells is preferably carried out in the presence of feeder cells and PHA (phytohemagglutinin), in the presence of a RetroNectin® and anti-CD3 antibody, or in the presence of anti-CD3 antibody and anti-CD28 antibody. The feeder cells are preferably autologous or cross peripheral blood mononuclear cells. The “autologous” means that the subjects from whom peripheral blood mononuclear cells and the iPS cell clones derive are the same. The “cross” means that the subjects from whom peripheral blood mononuclear cells and the iPS cell clones derive are different.
Whether or not the target TCR is expressed can be confirmed, for example, based on the repertoire analysis of TCR β gene, using a TCRV β analysis kit (BECKMAN COULTER, catalog number IM-3497). Since a marker gene such as EGFRt (truncated EGFR) and CD19t (truncated CD19) is incorporated into the vector, expression of the TCR α chain and the β chain can be speculated by analyzing the expression of the marker gene.
The iPS cell clones, the hematopoietic stem cells, the immature T cells, or the mature T cells may construct a master cell bank after expanded culture. Here, the “master cell bank” referred to here is a collection of the iPS cell clones, the hematopoietic stem cells, the immature T cells, or the mature T cells, which are dispensed into independent cell storage containers for each single pool of single clones. In general, it is preferable to proliferate the cells within a range in which the properties of the cells do not change, and dispense the cells into a plurality of cell preservation containers. The cells preserved in a master cell bank serve as starting materials for producing regenerated T cells by transfecting TCR genes or CAR genes. For each production of the regenerated T cells, a cell storage container containing the required number of the cells can be taken from the master cell bank. Therefore, the regenerated T cells of the present invention can be repeatedly supplied with the same quality.
In the master cell bank, it is preferable to cryopreserve the cells dispensed into a cell storage container. Methods for cell cryopreservation are well known to those skilled in the art. For example, a single clone of cells after expanded culture can be harvested and washed with a buffer solution or a culture medium, enriched by centrifugation or the like after the cell number is counted, suspended in a medium for cryopreservation (e.g., a culture medium containing 10% DMSO), and then cryopreserved at a low temperature. For example, a master cell bank can be constructed by accumulating 200 to 1000 cell storage containers each containing 1×106 to 1×107 cells. The master cell bank of the present invention can be preserved in any facility or storage capable of cryopreservation. In case of cryopreservation, the storage temperature is not particularly limited as long as it is suitable for the preservation of cells. Examples thereof include −20° C., −80° C., and −120° C. to −196° C., preferably −150° C. or lower.
[Production of Regenerated T Cells from iPS Cells]
It is said that there are 5 to 10 TCR pairs corresponding to tumor-related antigens per epitope. Each TCR pair is predicted to have different sensitivity to point mutant of tumor-related antigens. Therefore, for example, even when a mutant of point mutation occurs in a tumor-related antigen, there is a high possibility that a TCR capable of recognizing the epitope is present, and regenerated T cells specific to the antigen can be quickly prepared for the mutant of point mutant. In addition, even when the tumor-related antigen has completely changed as a result of the mutation, even when a resistance occurs in cancer treatment with T cell replacement therapy, patient's reactivity to multiple tumor antigens can be analyzed, and production of TCRs that respond to these tumor-associated antigens can be started from already obtained iPS cells that have a high ability to differentiate into T cells or differentiated cells derived from the iPS cells. Therefore, regenerated T cells can be produced quickly.
[T Cells as TCR Acquisition Source]
T cells which are acquisition source of TCR pairs corresponding to tumor-related antigens are preferably collected from peripheral blood. In a case where it is necessary to previously administer a tumor-related antigen to a subject, in order to cause tumor-related antigen-specific T cells to appear in the peripheral blood, it is preferable to collect T cells from peripheral blood after the administration of the tumor-related antigen to the subject. As a tumor-related antigen like this, GPC3 can be exemplified. On the other hand, when a tumor-related antigen is not administered, and tumor-specific T cells are present in peripheral blood, T cells specific to tumor-related antigen may be isolated from peripheral blood using, for example, an MI-IC dextramer, without performing the administration of a tumor-related antigen. Examples of such tumor-related antigens include WT1, NYESO-1, EBV antigen, and the like.
As described above, the T cells collected from peripheral blood of a subject either after administration of a tumor-related antigen or without the administration of a tumor-related antigen are preferably stimulated by the tumor-related antigen in a test tube, and then isolated using an activation marker after amplifying the cell population which is responsive to tumor. In the case where the frequency of appearance of T cells specific to a tumor-related antigen is extremely high in the peripheral blood, stimulation by the tumor-related antigen in a test tube may not be performed.
When the subject from whom T cells for obtaining TCR pairs are collected, and the subject who is treated for cancer with a replacement therapy using regenerated T cells are separate individuals, it is not necessary to collect antigen-specific T cells from the targeted subject of treatment. Therefore, since the T cells for obtaining TCR pairs can be collected in advance at any time separately from the treatment time of a replacement therapy using regeneration T cells, the replacement therapy using regeneration T cells can be started quickly.
[Pharmaceutical Compositions]
The pharmaceutical compositions containing the regenerated T cells of the present invention can be used to treat a targeted subject of cancer treatment. The pharmaceutical compositions of the present invention can be produced by a method commonly used in the field of formulation technology, such as the methods described in the Japanese Pharmacopoeia. The pharmaceutical compositions of the present invention may contain pharmaceutically acceptable additives. Examples of the additives include a cell culture medium, physiological saline, a suitable buffer (e.g., phosphate buffer), and the like.
The pharmaceutical compositions of the present invention can be produced by suspending regenerated T cells in physiological saline or a suitable buffer (e.g., phosphate buffer). In order to exhibit a desired therapeutic effect, one dose preferably contains, for example, 1×107 or more cells. More preferably, the content of the cells is 1×108 or more, and more preferably 1×109 or more. The content of the cells can be appropriately adjusted in consideration of sex, age, body weight of the subject, state of affected part and the cells, and the like. For protecting the cells, the pharmaceutical compositions of the present invention may contain dimethyl sulfoxide (DMSO) and serum albumin etc., beside regenerated T cells. In addition, for preventing bacteria from being mixed, they may contain vitamins, cytokines, and the like in order to promote activation and differentiation of antibiotics etc. and cells. Furthermore, the pharmaceutical compositions of the present invention may contain other pharmaceutically acceptable ingredients (for example, a carrier, an excipient, a disintegrant, a buffer, an emulsifier, a suspension, an analgesic agent, a stabilizer, a preservative, an antiseptic agent, physiological saline, or the like).
The pharmaceutical compositions containing the regenerated T cells of the present invention as an active ingredient can be cryopreserved. In case of cryopreservation, the storage temperature is not particularly limited as long as it is suitable for the preservation of cells. Examples thereof include −20° C., −80° C., and −120 to −196° C., preferably −150° C. or lower. In case of cryopreservation, the cells are preferably preserved in an appropriate container such as a vial and a bag for cryopreservation. Procedures for minimizing the risk of cell damage during freezing and thawing of regenerated T cells are well known to those skilled in the art.
In the cryopreservation of the regenerated T cells of the present invention, the T cells are harvested from a culture medium, washed with a buffer solution or a culture medium, enriched by centrifugation or the like after the cell number is counted, suspended in a medium for cryopreservation (e.g., a culture medium containing 10% DMSO), and then cryopreserved at a low temperature. Regenerated T cells may be preserved clone by clone or as a mixture of clones. The pharmaceutical compositions containing the regenerated T cells of the present invention may contain, for example, 5×104 to 9×1010 regenerated T cells per container such as a vial and a bag for cryopreservation. However, it can be changed in accordance with type of the target cancer, subject, administration route, and the like.
Examples of the administration route of the pharmaceutical compositions containing the regenerated T cells of the present invention includes infusion, intratumoral injection, arterial injection, portal vein injection, intraperitoneal administration, and the like. However, the administration route is not limited thereto as long as the regenerated T cells, which are the active ingredients in the pharmaceutical compositions of the present invention, are delivered to an affected part. As a schedule of administration, both single administration and multiple administration are possible. Regarding the period of a multiple administration, for example, a method of repeating administration once every 2 to 4 weeks or a method of repeating administration once every six months to a year can be adopted. In the preparation of a schedule of administration, sex, age, body weight, conditions, and the like of a targeted patient can be considered.
In the case where the pharmaceutical compositions containing the regenerated T cells of the present invention are used for the prevention or treatment of cancer in a cancer patient, when the TCR on the regenerated T cells is cross, a pharmaceutical composition containing the regenerated T cells introduced with the TCR that do not exhibit alloreaction to the normal cells of cancer patients is used in order to avoid in vivo alloreaction in cancer patients.
The pharmaceutical compositions of the present invention are used for prevention or treatment of cancer. Examples of the cancer include ovarian cancer, hepatoblastoma, hepatoma, gastric cancer, esophageal cancer, pancreatic cancer, renal cell carcinoma, breast cancer, malignant melanoma, non-small cell lung cancer, uterine cervical cancer, glioblastoma, prostate cancer, neuroblastoma, chronic lymphocytic leukemia, papillary thyroid carcinoma, colon cancer, and B-cell non-Hodgkin's lymphoma.
When a pharmaceutical composition containing the regenerated T cells of the present invention and a cancer vaccine are used in combination for prevention or treatment of cancer, the administration time of the pharmaceutical composition of the present invention and a cancer vaccine is not limited, and administration of the pharmaceutical composition of the present invention and a cancer vaccine may be administered to a targeted subject simultaneously or at a time difference. The pharmaceutical composition of the present invention and a cancer vaccine may be formulated separately, and may be a compounding agent in which both are mixed. The dosage of the pharmaceutical composition of the present invention and a cancer vaccine may be in accordance with the dose used clinically, and can be appropriately selected depending on the disease, subject, administration route, combination with drugs, and the like.
The dosage form of the pharmaceutical composition of the present invention and a cancer vaccine is not particularly limited, as long as both are finally administered. Examples of such dosage forms include (1) separate administration of the pharmaceutical composition of the present invention and a cancer vaccine by a same administration route with a time lag, (2) simultaneous administration of the pharmaceutical composition of the present invention and a cancer vaccine by different administration routes, (3) separate administration of the pharmaceutical composition of the present invention and a cancer vaccine with a time lag by different administration routes, and the like.
By combining the pharmaceutical composition of the present invention with a cancer vaccine, the following excellent effects can be achieved.
In one aspect of the present invention, a TCR can be prepared prior to T cell replacement therapy by isolating cytotoxic T cells against GPC3 from peripheral blood of a liver blastoma patient administered with a cancer peptide vaccine (e.g., a cancer vaccine containing GPC3). In addition, the TCR prepared in advance from another subject who is a different individual from the patient as a target of T cell replacement therapy can be taken as the TCR introduced when producing a plurality of autologous regenerated T cells from non-T non-B cells or monocytes of the patients. The obtained regenerated T cells maintain antigen specificity to GPC3 and have antigen-specific cytotoxic activity against cancer (tumors) cells expressing GPC3 in a plurality of the patients. Thus, a pharmaceutical composition containing regenerated T cells which is effective for cancer can be obtained by the method of the present invention and the regenerated T cells produced according to the method of the present invention.
The present invention will be described below according to examples. However, the present invention is not limited to the following examples.
[Production of Regenerated T Cells from iPS Cells in which Non-T Non-B Cells or Monocytes of Peripheral Blood have been Initialized]
Separately, iPS cells were produced from the non-T non-B cells or monocytes of peripheral blood of the patient (
In the method of the present invention, since the step for producing iPS cells (
The above will be described in more detail. The isolation of TCR genes that are specific to tumor antigen X and verification of antigen-specific reactivity were performed as below (see the upper diagram of
The production of TCR transfected iPS cells and regenerated T cells was carried out as below (see the lower diagram of
The phenotype of the regenerated T cells induced from iPS cells as described above (tumor antigen-specific CD8-positive cytotoxic T cells) was analyzed. The results of the analysis of the regenerated T cells according to the antigen marker on cell surface with a flow cytometer are shown in
Results of analyzing telomere, a cell aging marker, (an indicator of rejuvenation) regarding the regenerated T cells via the iPS cells of the present invention are shown in
The regenerated T cells via iPS cells of the present invention were stained with anti-TIGIT antibody and anti-PD-1 antibody for the expression of PD-1, which was one of the cell exhaustion markers associated with immune checkpoints, and TIGIT molecule, and analyzed with a flow cytometer. For comparison, the tumor antigen-specific T cells before regeneration were also analyzed. The results are shown in
Cytokine-producing ability, which is an important indicator of cytotoxicity, was analyzed. Cytotoxic T cells in peripheral blood mononuclear cells (CD8 α chain/β chain double-positive cells) collected from healthy subjects and the regenerated T cells of the present invention were stimulated with PMA (phorbol 12-myristate 13-acetate) and ionomycin, and the amount of IL-2 and IFN-γ produced was compared. The results are shown in
The antigen-specific cytotoxic activity of the regenerated T cells of the present invention was assessed. HLA-A24-expressing cell lines (target cells) were cultured in the presence or absence of an antigen X peptide, and the cells which express or do not express antigen X peptide were prepared respectively. The regenerated T cells of the present invention and the target cells were co-cultured, and the cytotoxic activity of the regenerated T cells against the target cells was determined. The ratio of the cell count between the regenerated T cells and the target cells during the co-culture was set at 20:1, 10:1, and 5:1. The results are shown in
[Preparation of cDNAs which Code for TCR]
HLA-A24-binding GPC3 peptide (EYILSLEEL, SEQ ID NO: 1) and HLA-A2-binding GPC3 peptide (FVGEFFTDV, SEQ ID NO: 2) were dissolved, and mixed with incomplete Freund's adjuvant (Montanide ISA-51, Seppic, France), an immune adjuvant, at 1:1 (v/v). The mixture was injected subcutaneously to a patient with hepatoma or hepatoblastoma in which HLA-type matched, respectively. GPC3 peptide was administered at a frequency of once a week or less for 5 or more times. Peripheral blood mononuclear cells were isolated by using Lymphoprep®, a separation solution for mononuclear cells, from the peripheral blood collected from a patient in which immunity by GPC3 peptide was completed. The obtained peripheral blood mononuclear cells were cultured for about 12 days with a culture medium containing an HLA-binding GPC3 peptide wherein HLA-type matched. The cells activated by the GPC3 peptide were fractionated as a CD3/CD137 double positive cell population using a cell sorter (MACSQuant Tyto® cell sorter, Miltenyi Biotec).
As described above, the GPC3-responsive T cells that were activated by the GPC3 peptide and proliferated were stained with antibodies against CD3, a T cell marker, and CD137, a T cell activation marker, fractionated using a cell sorter, and used as single cells. RNA was extracted from the obtained single cells, and the cDNAs of TCR α chain and TCR β chain were isolated and amplified using RT-PCR method. cDNA pairs of TCR α chain and TCR β chain were obtained from a plurality of single cells of GPC3-responsive T cells. The gene sequences of the obtained TCR α chain and β chain were determined, and TCR repertoire was analyzed.
[Preparation of iPS Cell Clones]
Mononuclear cells were isolated from peripheral blood collected from patients with hepatoma or hepatoblastoma before or after the administration of GPC3 peptide using Lymphoprep®, a separation solution for mononuclear cells. From the obtained mononuclear cells, CD19/CD20 positive B cells and CD3/CD4/CD8 positive T cells were removed using FACS or MACS beads to obtain non-T non-B cells or monocytes. The obtained non-T non-B cells or monocytes population were infected with Sendai virus (CytoTune® 2.0) loaded with Yamanaka's four factors (Oct3/4, Sox2, Klf4, and c-Myc) and Sendai virus that had coded for SV40Tag, at an MOI (multiplicity of infection) of 5 to 20. Note that the SV40 may be omitted.
The obtained iPS cells consist of a number of iPS cell clones. For this reason, colonies were picked up and cloned. All cloned iPS cells were cryopreserved. Cloned iPS cells were cultured in a differentiation medium for about 10 days to induce hematopoietic stern cells, and CD34/CD43 double-positive hematopoietic stem cells were isolated. The isolated hematopoietic stem cells were cultured for about 21 days on a plate coated with FcDLL4, a fusion protein of DLL4 protein and Fc region of immunoglobulin, and differentiation induction into T cells was performed.
The frequency of obtaining immature cytotoxic T cells after the culture for 21 days was verified by the CD8 α chain/β chain double-positive rate, and the clones with the highest appearance frequency of the CD8 α chain/β chain double-positive cells was selected. In order to rapidly perform the T cell replacement therapy, it is preferable to complete the preparation of iPS cell clones before the completion of immunization of cancer patients (subjects) with GPC3 peptide.
A master cell bank was constructed by expanded culture of several iPS cell clones with good differentiation efficiency into T cells in an iPS cell maintenance medium for two weeks, then dispensing them into a cell storage container, followed by cryopreservation.
[Transfection of TCR Genes to iPS Cell Clones]
To the iPS cell clones which was obtained in Example 3 and derived from non-T non-B cells or monocytes with good differentiation efficiency into T cells, a piggyBac vector having the genes that code for TCR α and β chains in which GPC3 antigen specificity had been confirmed was introduced using electroporation method. Then, the iPS cells expressing the target TCR α chain and β chain were isolated by a cell sorter using the expression of CD19, a marker molecule, as an indicator. The isolated iPS cells were cultured for about 10 days in a differentiation medium and CD34/CD43 double-positive hematopoietic stem cells were induced and isolated by a cell sorter. The isolated blood stem cells were cultured for about 21 days on a plate coated with FcDLL4, and differentiation induction into T cells was performed.
The CD8 α-chain/β-chain double-positive immature T cells obtained after the culture for 21 days were isolated and purified using a cell sorter. Then, the immature T cells were co-cultured in the presence of PHA (phytohemagglutinin) and peripheral blood mononuclear cells as feeder cells, in the presence of RetroNectin® and anti-CD3 antibodies, or in the presence of anti-CD3 antibodies and anti-CD28 antibodies to induce mature cytotoxic T cells. These stimuli were carried out once or more. The performance of the obtained T cells was confirmed by the cytotoxic activity of the GPC3-specific target cells, IFN-γ production, and antigen binding ability.
[Transfection of TCR Genes to Mature T Cells Differentiated from iPS Cell Clones]
To mature T cells differentiated from the iPS cell clones which were obtained in Example 3 and derived from non-T non-B cells or monocytes with good differentiation efficiency into T cells via hematopoietic stem cells and immature T cells, genes (cDNAs) that coded for a GPC3 antigen-specific TCR α chain and β chain were transfected using a piggyBac system in the same manner as in Example 4.
The results of analyzing the phenotype of the mature T cells derived from the transfected iPS cells with a flow cytometer are shown in
In the iPS cell-derived mature T cells represented by “No EP”, only CD3, a T cell marker, was detected. That is, the cells used for transfection were confirmed to be T cells.
In the iPS cell-derived mature T cells represented by “EGFP”, expression of CD3 genes and EGFP genes was detected. That is, it can be seen that the transfection manipulation had been appropriately performed.
In the iPS cell-derived mature T cells represented by “Empty-CD19”, the expression of CD3 gene and intracellular defective human CD19 gene, which is a tracer gene incorporated into piggyBac vector was detected. That is, it can be seen that the transfection manipulation had been appropriately performed.
In the iPS cell-derived mature T cells represented by “TCR-CD19”, in addition to expression of CD3 gene and intracellular defective human CD19 gene, which is a tracer gene incorporated into piggyBac vector, the binding to GPC3 peptide/HLA complex (GPC3-Dex) recognized by GPC3 antigen-specific TCR α chain and β chain was detected. That is, it has been shown that by transfecting a GPC3 antigen-specific TCR α chain and β chain gene into iPS cell-derived mature T cells using a piggyBac system, a GPC3 antigen-specific TCR α chain and β chain expressed on the cells function as molecules that recognize a GPC3 peptide/HLA complex (GPC3-Dex). Therefore, it has been shown that by using novel tumor-related antigens (neoantigens) and TCR α chain/β chain genes which are specific to other tumor-related antigens as TCR α chain/β chain genes to be transfected into iPS cell-derived mature T cells, iPS cell-derived mature T cells that recognize these antigens can be produced.
[Production of Regenerated T Cells from iPS Cells in Which Peripheral Blood T Cells have Been Initialized]
For the transfection of TCR genes or CAR genes, viral vectors used in the production of T cells for conventional replacement therapy or regenerative therapy with T cells may be used. By using iPS-T cells as a starting material, it becomes possible to produce desired T cells as an active ingredient of preventive or therapeutic agent for cancer in a short period of time. In addition, it is also easy to introduce the TCR that recognizes neoantigens, and it is also possible to produce iPS-T cells while maintaining multi-clone properties by transfecting a plurality of TCR genes that recognize different neoantigens.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2020-156848 | Sep 2020 | JP | national |
| 2021-070531 | Apr 2021 | JP | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/JP2021/034333 | 9/17/2021 | WO |
