Pretreatment Method for Fluorescent Image Diagnosis
20210247277 · 2021-08-12
Inventors
Cpc classification
G01N21/6428
PHYSICS
G01N33/5306
PHYSICS
International classification
Abstract
The purpose of the present invention is to provide a method for allowing a target cell to emit light, in which the target cell is present inside of a cell mass and is aimed to emit light by a fluorescent probe. The present invention provides a method for allowing the target cell to emit fluorescence comprising removing calcium ions from within the cell mass or a tissue containing the target cell and contacting the cell mass or the tissue with the fluorescent probe which emits fluorescence when contacted with or taken up into the target cell, thereby allowing the target cell present inside of the cell mass or the tissue to emit light, and thus can be used in a detection of the target cell in a sample, such as a clinical sample, in which the target cell may not be present on the surface of the sample.
Claims
1. A method for emitting fluorescence from a target cell, comprising: removing calcium ions from within a cell mass or a tissue containing the target cell; contacting the cell mass or the tissue with a fluorescent probe, wherein the fluorescent probe emits fluorescence when contacted with or taken up into the target cell; and enabling the cell mass or the tissue from which the calcium ion was removed and which was contacted with the fluorescent probe to emit fluorescence, wherein the fluorescent probe can distinguish the target cell from non-target cells, and is a fluorescent probe that emits fluorescence when reacted with an enzyme, iron ions, copper ions, zinc ions, nitrogen monoxide, or one of reactive oxygen species contained in the target cell; a fluorescent probe that emits fluorescence depending on physical properties such as pH of the target cell; or a fluorescent probe that emits fluorescence due to low oxygen concentration of the target cell.
2. The method of claim 1, wherein the enabling enables the inside of the target cell mass, or a target cell present inside of the cell mass or the tissue to emit fluorescence.
3. A method for determining a region of presence of a target cell, comprising: removing calcium ions from within a cell mass or a tissue which is expected to contain the target cell; contacting the cell mass or the tissue with a fluorescent probe, wherein the fluorescent probe emits fluorescence when contacted with or taken up into the target cell; and determining a region where fluorescence emission from the fluorescent probe is observed, as the region of presence of the target cell.
4. (canceled)
5. (canceled)
6. The method of claim 1, wherein the enzyme is glycosidase, protease, or peptidase.
7. The method of claim 6, wherein the enzyme is an enzyme present on cell membrane surface.
8. (canceled)
9. The method of claim 1, wherein the removing calcium ions is performed by impregnating a cell mass or a tissue containing the target cell with a buffer solution containing a metal ion chelating agent or a buffer solution containing no calcium.
10. The method of claim 9, wherein the impregnation is performed for 30 seconds to 30 minutes.
11. A method for emitting fluorescence from a target cell, comprising: removing calcium ions from within a cell mass or a tissue containing the target cell; and contacting the cell mass or the tissue with a fluorescent probe, wherein the fluorescent probe emits fluorescence when contacted with or taken up into the target cell, wherein the target cell is a cancer cell or a tumor cell.
12. The method of claim 11, wherein the cancer is solid cancer.
13. The method of claim 3, wherein enabling enables a target cell to emit fluorescence of intensity that can distinguish the target cell from non-target cells.
14. The method of claim 1, wherein the fluorescent probe is gGlu-HMRG, Leu-HMRG, EP-HMRG or FeRhoNox-1.
15. The method of claim 1, which is performed ex vivo.
16. A method for emitting fluorescence from a target cell, comprising: removing calcium ions from within a cell mass or a tissue containing the target cell; and contacting the cell mass or the tissue with a fluorescent probe, wherein the fluorescent probe emits fluorescence when contacted with or taken up into the target cell, which is performed for an in vivo target cell.
17. A method for discriminating a cancer cell or a tumor cell from non-cancer cells or non-tumor cells, comprising enabling the cancer cell or the tumor cell to emit fluorescence by the method of claim 11, and determining a cell emitting fluorescence as the cancer cell or the tumor cell and determining cells emitting no fluorescence as non-cancer cells or non-tumor cells, thereby discriminating the cancer cell or the tumor cell from non-cancer cells or non-tumor cells.
18. A method for diagnosing cancer or tumor, comprising: removing calcium ions from within a cell mass sample or a tissue sample obtained from a subject; contacting the sample with a fluorescent probe, wherein the fluorescent probe emits fluorescence when contacted with or taken up into a cancer cell or a tumor cell; and diagnosing the subject as having cancer or tumor when a cell emitting fluorescence is present in the sample.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
[0039] In one aspect, the present invention relates to a method for emitting fluorescence from a target cell, comprising:
[0040] removing a calcium ion from within a cell mass or a tissue containing the target cell; and
[0041] contacting the cell mass or the tissue with a fluorescent probe which emits fluorescence when contacted with or taken up into the target cell. Preferably, the present invention is directed to a method for emitting fluorescence from the inside of the target cell mass, or a method for allowing a target cell present inside of a cell mass or a tissue to emit fluorescence, comprising the afore-mentioned steps.
[0042] In another aspect, the present invention relates to a method for determining a region where the target cells reside, comprising:
[0043] removing a calcium ion from within a cell mass or a tissue which is expected to contain the target cells;
[0044] contacting the cell mass or the tissue expected to contain the target cells with a fluorescent probe that emits fluorescence when contacted with or taken up into the target cell; and
[0045] determining a region where fluorescence emission from the fluorescent probe is observed, as the region where the target cells reside.
[0046] In still another aspect, the present invention relates to a method for determining the presence or absence of target cells, comprising:
[0047] removing a calcium ion from within a test cell mass or tissue;
[0048] contacting the test cell mass or tissue with a fluorescent probe that emits fluorescence when contacted with or taken up into the target cell; and
[0049] determining that the target cell is present when the fluorescence emission from the fluorescent probe is observed.
[0050] In the present invention, the “target cell” means a cell that emits light by contacting with or taking up the employed fluorescent probe. Thus, a target cell and an employed fluorescent probe can be appropriately selected according to a purpose. For example, when the fluorescent probe is gGlu-HMRG, the target cells are cancer cells, particularly, solid cancer cells. Examples of the “cancer” herein can include, but are not limited to, lung cancer, non-small cell lung cancer, small-cell lung cancer, non-Hodgkin's lymphoma, adrenal cortex cancer, AIDS-related cancer, AIDS-related lymphoma, childhood cerebellar astrocytoma, childhood cerebral astrocytoma, basal cell cancer, skin cancer (non-melanoma), biliary tract cancer, extrahepatic bile duct cancer, intrahepatic bile duct cancer, bladder cancer, cancer of bone or joint, osteosarcoma and malignant fibrohistiocytic tumor, brain cancer, brain tumor, brain stem glioma, cerebellar astrocytoma, glioma, cerebral astrocytoma/malignant glioma, ependymoma, medulloblastoma, supratentorial primitive neuroectodermal tumor, visual pathway and hypothalamic glioma, head and neck cancer, metastatic squamous neck cancer, bronchial adenoma/carcinoid, carcinoid tumor, nervous system lymphoma, cancer of the central nervous system, central nervous system lymphoma, neuroblastoma, childhood cancer, Sezary syndrome, extracranial germ cell tumor, extragonadal germ cell tumor, extrahepatic bile duct cancer, cancer of eye, intraocular melanoma, retinoblastoma, salivary adenocarcinoma, oral cancer, oral cavity cancer, oropharyngeal cancer, oral cancer, cancer of tongue, esophageal cancer, stomach cancer, gastrointestinal carcinoid tumor, gastrointestinal stromal tumor (GIST), small intestine cancer, colon cancer, colorectal cancer, rectal cancer, anorectal cancer, anus cancer, germ cell tumor, hepatocellular (liver) carcinoma, Hodgkin's lymphoma, voice box cancer, pharynx cancer, hypopharynx cancer, nasopharynx cancer, cancer of the sinus and the nasal passage, throat cancer, pancreatic islet cell tumor (endocrine pancreas), pancreatic cancer, parathyroid cancer, liver cancer, gallbladder cancer, appendix cancer, kidney cancer, urethral cancer, transitional cell cancer of the renal pelvis and ureter and other urinary organ cancers, squamous cell carcinoma, penis cancer, testis cancer, thymoma, thymoma and thymic cancer, thyroid gland cancer, prostate cancer, ovary cancer, epithelial ovarian cancer, ovarian low malignant potential tumor, ovarian germ cell tumor, gestational trophoblastic tumor, breast cancer, uterine cancer, uterine sarcoma, uterine cervical cancer, endometrium cancer, uterine body cancer, vaginal cancer, vulva cancer, Wilms' tumor, skin cancer (non-melanoma), skin cancer (melanoma), pheochromocytoma, Merkel cell skin cancer, mesothelioma, malignant mesothelioma, multiple endocrine neoplasia syndrome, myelodysplastic syndrome, myelodysplastic/myeloproliferative disease, pineoblastoma and pituitary gland tumor, plasmacytoma, pleuropulmonary blastoma, retinoblastoma, rhabdomyosarcoma, sarcoma, Ewing tumor, soft tissue sarcoma, soft tissue sarcoma, mycosis fungoides, and Kaposi sarcoma.
[0051] The “cell mass” herein means a massive form of an accumulated plurality of homologous or heterologous cells, and includes a tissue. The “tissue” herein means a biological structure of accumulated and three-dimensionally arranged homologous or heterologous cells. For example, tissue includes an epithelial tissue, a connective tissue, a muscle tissue, and a nerve tissue. The “cell mass or tissue containing the target cell” may contain cells or tissues other than the target cell as long as the cell mass or the tissue contains the target cell. The “cell mass or tissue expected to contain the target cell” is not necessarily required to contain the target cell, but can be a cell mass or a tissue that has possibility to contain the target cell, and may contain cells or tissues other than the target cell. The “target cell mass” means a cell mass composed mainly of the target cell.
[0052] The target cell emits the fluorescence by contacting with the fluorescent probe at a surface or taking up the fluorescent probe into the cell, and generating a fluorescent dye according to an environment of the surface or the inside the cell. The environment where the fluorescent probe generates the fluorescent dye may be, for example, a low-oxygen or acidic/alkaline environment, or may be an environment where a particular substance is present. In other words, the “fluorescent probe which emits fluorescence when contacted with or taken up into the target cell” is a fluorescent probe that emits fluorescence when reacted with a substance contained in the target cell, or emitting fluorescence due to low oxygen, acidic, or alkaline environment of the target cell or peripheral thereof. In this context, the acidic or the alkaline means low or high pH for a living body. For example, the acidic environment can be pH 6 or lower, and the alkaline environment can be pH 8 or higher.
[0053] Examples of the particular substance can include enzymes, ions, nitrogen monoxide, and reactive oxygen species. The enzyme is not particularly limited as long as it is a protein capable of catalyzing particular reaction. Examples thereof can include glycosidase, protease, and peptidase (γ-glutamyl transpeptidase, etc.). The enzyme may be present on cell membrane surface or intracellularly. Examples of the ion herein can include calcium ions and metal ions (e.g., iron ions, copper ions, and zinc ions). Examples of the active oxygen species can include hypochlorous acid, hydrogen peroxide, active oxygen, peroxy nitrite and hydroxy radicals.
[0054] The fluorescent probe may be, for example, a substance that is hydrophilized not to be taken up into a cell. Specific examples of the fluorescent probe can include gGlu-HMRG, Leu-HMRG, EP-HMRG and FeRhoNox-1. Alternatively, the fluorescent probe may be in a DDS form which is, for example, embedded in a vehicle such as a liposome.
[0055] The method to remove calcium ion is not particularly limited as long as the method can remove the calcium ion from within a cell mass or a tissue. For example, calcium ion can be removed by impregnating the cell mass or the tissue containing the target cell in a buffer containing a metal ion chelating agent or a buffer solution containing no calcium. As the metal ion chelating agent, a divalent metal ion chelating agent such as ethylenediaminetetraacetic acid (EDTA), glycol ether diamine tetraacetic acid (EGTA), or citric acid can be used. Examples of the buffer solution include phosphate-buffered saline (PBS), phosphate buffer solutions, sodium citrate buffer solutions, citrate-phosphate buffer solutions, Tris-hydrochloride buffer solutions (Tris-HCl), MES, PIPES, HEPES, ADA, ACES, MOPSO, BES, MOPS, TES, DIPSO, TAPSO, POPSO, HEPPSO, EPPS, bicine, TAPS, and tricine. For example, the impregnation can be performed for 30 seconds to 1 hour, 30 seconds to 30 minutes, 1 to 20 minutes, 3 to 10 minutes, 5 to 15 minutes, or 10 to 20 minutes. The impregnation can be performed at pH 7 to 8. The calcium ion does not need to be removed 100%, and is enough removed when cell-cell adhesion is loosen to allow the fluorescent probe to reach a site of interest in the cell mass or the tissue. Particularly, when the fluorescent probe generates a fluorescent substance by reaction with a substance on cell surface, the removal of the calcium ion is desirably performed under conditions that do not wash out the substance contained in the surface of the cell mass or the tissue and the fluorescent substance formed through the reaction.
[0056] The contact of the fluorescent probe with the cell mass or the tissue may be performed by impregnating the cell mass or the tissue with a liquid containing the fluorescent probe, or may be performed by dropping or spraying a liquid containing the fluorescent probe to the cell mass or the tissue or a site comprising the cell mass or the tissue. The liquid containing the fluorescent probe is preferably a buffer solution, more preferably a buffer solution capable of removing calcium ions from the cell mass or the tissue. For example, the fluorescent probe may be used as a form contained in a buffer containing a chelating agent or PBS containing no calcium.
[0057] The fluorescence emission from the target cell can be measured and observed by appropriately detecting light emission at a wavelength according to the employed fluorescent probe using an apparatus and a method well known to those skilled in the art. Preferably, the fluorescence emission from the target cell have intensity that can distinguish the target cell from non-target cells. Further, the fluorescence emission from the target cell may have intensity that can visually distinguish the target cell from non-target cells.
[0058] The method of the present invention is particularly useful in the case where a tumor cell or a cancer cell is present inside of a cell mass and thus can not be detected by only contacting with a fluorescent probe. By using the method of the present invention, the tumor cell or the cancer cell which is present inside of a cell mass can emit light, and thereby the presence of tumor or cancer present inside of a cell mass or a tissue can be detected more reliably.
[0059] Accordingly, in one aspect, the target cell is a cancer cell or a tumor cell. The present invention relates to a method for discriminating a cancer cell or a tumor cell from non-cancer cells or non-tumor cells, comprising allowing the cancer cell or the tumor cell to emit fluorescence by the aforementioned method, and determining a cell emitting fluorescence as the cancer cell or the tumor cell and determining cells emitting no fluorescence as non-cancer cells or non-tumor cells, thereby discriminating the cancer cell or the tumor cell from non-cancer cells or non-tumor cells. Such discrimination of a cancer cell or a tumor cell from non-cancer cells or non-tumor cells enables reliable removal of cancer cells or tumor cells during surgery, for example, and can enhance the diagnostic accuracy of cancer or tumor diagnosis.
[0060] In another aspect, the present invention relates to a method for diagnosing or monitoring cancer or tumor in a subject, or a method for providing information therefor, comprising removing calcium ions from within a cell mass sample or a tissue sample obtained from the subject; contacting the sample with a fluorescent probe that emits fluorescence when contacted with or taken up into a cancer cell or a tumor cell; and when a cell emitting fluorescence is present in the sample, diagnosing the subject as having the cancer or the tumor or judging the cancer or the tumor existing in the subject (or judging the subject being poor progress or poor prognosis), or providing information thereof. In this method, examples of the fluorescent probe that emits fluorescence by contacting with a cancer cell or a tumor cell or takin up into a cancer cell or a tumor cell include gGlu-HMRG. The “monitoring method” herein includes the monitoring of the presence or absence of cancer or tumor in a patient who may have cancer or tumor, and the monitoring whether a progress after operation or treatment of a cancer or tumor patient is good or poor, or whether a prognosis of a cancer or tumor patient is good or poor.
[0061] The method of the present invention can be performed in vitro, ex vivo, and in vivo. For example, in determining a region where cancer cells are present during cancer surgery, the method of the present invention is performed for an in vivo target cell. In such a case, the method of the present invention may further comprise removing the cells determined as the cancer cells or the tumor cells by the method.
[0062] Hereinafter, the present invention will be described more specifically with reference to Examples. However, the present invention is not limited by these Examples. All literatures cited herein are incorporated herein by reference in their entirety.
EXAMPLES
(Example 1) Clinical Specimen
[0063] Lymph nodes including sentinel lymph node excised for the purpose of pathological diagnosis during breast cancer surgery were divided and transported from the operating room to an inspection room in a state wrapped in gauze wetted with PBS. A reagent and PBS (140 mM NaCl, 2.7 mM KCl, 10 mM PO.sub.4.sup.3−, pH=7.4) at room temperature were used. A PBS impregnated sample was impregnated with a container where PBS was placed, and continuously impregnated for 1 minute, 5 minutes, 10 minutes, or an appropriate course of time from 1 minute to 30 minutes. A PBS non-impregnated sample was stored in state wrapped in gauze wetted with PBS to prevent drying out, instead of being impregnated with PBS, and used in fluorescence measurement. The lymph nodes were carefully taken out with tweezers and put on a Petri dish, and visible images of autofluorescence were taken in a fluorescence measuring machine. 50 μM gGlu-HMRG dissolved in PBS was added to the Petri dish where the lymph nodes were placed, until the lymph nodes completely soaked therein. The fluorescence measurement was continued. The pathological diagnosis of the specimens used in this test was also conducted and checked against final results about whether cancer metastasized to each lymph node.
[0064] Increase in fluorescence intensity in the lymph nodes 10 minutes after the start of measurement is shown in
(Example 2) Change in Fluorescence Intensity of gGlu-HMRG in Spheroid Formed from Cancer-Derived Cultured Cell
[0065] HeLa cells were inoculated at 10.sup.5 cells/well and cultured for 4 to 6 days. The obtained spheroid was put on a glass bottom dish and cultured for about 3 hours. Then, the culture solution was removed, and the spheroid was impregnated with PBS(−) for 10 minutes. A control was washed with HBSS without being impregnated with PBS(−). A 1 μM solution of gGlu-HMRG dissolved in PBS(−) or HBSS was added to the spheroid impregnated with PBS(−) or the control spheroid. Each spheroid immediately (0 minutes), 10 minutes, 20 minutes, 30 minutes, and 60 minutes after addition of the gGlu-HMRG solution was photographed under a fluorescence microscope (Leica DMI 6000 CS, lens: 10×, filter Leica L5, excitation wavelength: 460 to 500 nm, fluorescence wavelength: 512 to 542 nm). Transmitted light images of the spheroid were taken 10 minutes after impregnated with PBS(−).
[0066] The results of fluorescence observation are shown in
(Example 3) Quantification of Degrees of gGlu-HMRG Reaction and Penetration Using Cancer-Derived Cultured Cell Spheroid
[0067] HeLa cells (human uterine cervical cancer cell line) or A549 cells (human alveolar basal epithelial adenocarcinoma cell line) were inoculated at 1×10.sup.4 cells to Nunclon Sphera and cultured for 7 to 14 days. Each obtained spheroid was allowed to adhere to a poly-L-lysine-coated glass bottom dish over approximately 24 hours. The medium was replaced with a buffer, and the spheroid was incubated at room temperature for 10 minutes (impregnation, rinse). The buffer in the dish was replaced with each buffer containing gGlu-HMRG dissolved to attain a final concentration of 0.1 μM (A549 cells) or 1 μM (HeLa cells), followed by observation under a fluorescence microscope (Leica DMI 6000 CS, lens: 10×, filter Leica L5, ex. 460 to 500 nm, em. 512 to 542 nm). An area (ROI) having the distance from surface shown in
[0068] The buffers used and their composition are as follows.
PBS(−): 140 mM NaCl, 2.7 mM KCl, 10 mM PO.sub.4.sup.3− (pH=7.4)
PBS(+): PBS(−) described above as well as 0.90 mM CaCl.sub.2, 0.33 mM MgCl.sub.2 (pH=7.4)
PBS−Ca: PBS(−) described above as well as 0.90 mM CaCl.sub.2 (pH=7.4)
PBS−Mg: PBS(−) described above as well as 0.33 mM MgCl.sub.2 (pH=7.4)
PBS−EDTA: PBS(−) described above as well as 0.2 mM EDTA (pH=7.4)
Saline: 154 mM NaCl
HBSS(+): HBSS-Hank's Balanced Salt Solution (Thermo Fisher Scientific Inc, #14025076)
[0069] The results about PBS(−) and HBSS(+) obtained using HeLa cells are shown in
[0070] The results about PBS(−), PBS(+), PBS−Ca, and PBS−Mg obtained using A549 cells are shown in
[0071] The results about addition of gGlu-HMRG dissolved in PBS(−), PBS(+), saline, saline+PBS(−), obtained using A549 cells are shown in
(Example 4) Evaluation of Influence of Chelating Agent on Degrees of gGlu-HMRG Reaction and Penetration Using Cancer-Derived Cultured Cell Spheroid
[0072] To evaluate the influence of divalent ion (calcium, etc.)-dependent adhesion, fluorescence was observed under the same conditions as in Example 3 except that the following buffers were used.
(1) No pretreatment (no rinse) and impregnation with a solution of gGlu-HMRG dissolved in PBS(−)
(2) Pretreatment by Impregnating with PBS(−)
(3) Pretreatment by Impregnating with PBS(+)
(4) Pretreatment by impregnating with PBS(−)+0.2 mM EDTA
[0073] The results obtained using HeLa cells are shown in
[0074] The results obtained using A549 cells are shown in
(Example 5) Influence of Pretreatment when Different Fluorescent Probe is Used
[0075] Fluorescence was measured by the same method as in Example 3 except that a 5 μM FeRhoNox-1 probe was used instead of gGlu-HMRG as the fluorescent probe. The cells used were only A549 cells.
[0076] The results are shown in
[0077] Thus, impregnation with PBS(−) in advance accelerated the increase of fluorescence from gGlu-HMRG in the central portion of a spheroid. This effect was rarely seen in a solution containing calcium, such as PBS(+) or PBS−Ca.sup.2+. This effect was rather more potentiated by active removal of calcium ions with PBS−EDTA. The cell images suggest that impregnation in PBS(−) inhibits calcium-dependent adhesion and creates a gap between cells, through which a reagent easily penetrates. Similarly, no clear effect was seen in saline containing no calcium. This phenomenon was observed not only in HeLa cells but also in A549 cells and is considered to be independent on a particular cell type. Also, this phenomenon was observed not only in gGlu-HMRG but also in FeRhoNox-1, indicating applicability when a feature of cells is to be detected with a functional fluorescent probe.
(Example 6) Influence of pH: Influence of Pretreatment when Different Fluorescent Probe is Used
[0078] Cells cultured on glass surface were reacted with gGlu-HMRG, and fluorescence intensity was compared. HeLa cells were inoculated at the same density to chambers of a 4-chamber glass bottom dish. The cells were cultured in DMEM+8% FBS, P.S. under conditions of 37° C. and 5% CO.sub.2 for approximately 8 hours. The cells were rinsed three times with PBS(−) adjusted to pH 6.5, 7.3, or 7.8, which was then replaced with each solution supplemented with 2 μM gGlu-HMRG. The cells were stained at 37° C. under 5% CO.sub.2 for 20 minutes and observed under a fluorescence microscope under the same conditions as above without the solution replaced. 100 ms exposure, gain 5 Int 5, ND1. Fluorescence intensity from 5 cells in fluorescence images, and background fluorescence intensity were measured with reference to superimposed images with DIC, and the mean and standard deviation were plotted. The fluorescence intensity of gGlu-HMRG and the fluorescence intensity of HMRG (fluorescent substance after reaction with GGT) were measured at each pH.
[0079] Fluorescence intensity had pH dependency, and lower pH decreased a signal and increased a background (not shown). The pH of 7.3 or higher increased signal intensity. The fluorescence intensity of gGlu-HMRG and the fluorescence intensity of HMRG (fluorescent substance after reaction with GGT) were measured at each pH. As a result, the fluorescence intensity was decreased with the elevation of pH, indicating that a pH condition of 6 to 8 is preferred with pH 6 to 7.5 more preferred (not shown). These results indicated that pH influences the measurement of fluorescence intensity.