COMPOSITION FOR TREATING CHRONIC PULMONARY DISEASE, COMPRISING EXOSOME DERIVED FROM THROMBIN-TREATED STEM CELL
20190153383 ยท 2019-05-23
Inventors
- Yun Sil Chang (Seoul, KR)
- Won Soon PARK (Seoul, KR)
- Dong Kyung SUNG (Seoul, KR)
- So Yoon Ahn (Seoul, KR)
Cpc classification
A61K45/06
HUMAN NECESSITIES
A61K9/00
HUMAN NECESSITIES
A61K35/51
HUMAN NECESSITIES
A61K9/0073
HUMAN NECESSITIES
A61K35/30
HUMAN NECESSITIES
A61K9/0019
HUMAN NECESSITIES
A61K38/1833
HUMAN NECESSITIES
A61K35/34
HUMAN NECESSITIES
C12N5/0605
CHEMISTRY; METALLURGY
A61K38/185
HUMAN NECESSITIES
A61K35/28
HUMAN NECESSITIES
A61K35/50
HUMAN NECESSITIES
International classification
A61K45/06
HUMAN NECESSITIES
A61K35/28
HUMAN NECESSITIES
Abstract
The present invention relates to a pharmaceutical composition for preventing or treating chronic pulmonary disease, a pharmaceutical formulation containing the same, and a method for preparing the same, the composition comprising as an active ingredient an exosome derived from thrombin-treated stem cells. The therapeutic agent is advantageous in that since the therapeutic agent is a cell-free preparation, the risk of carcinogenesis is low and there is no problem of transplant rejection reaction, and furthermore, there is no possibility of causing the occlusion of the microvascular system upon systemic administration, and since the therapeutic agent is a non-cell separating material, it is possible to develop a pharmaceutical agent as an off-the-shelf product, thereby reducing the manufacturing cost, and the therapeutic agent has an excellent therapeutic effect for chronic pulmonary disease with a low concentration of exosome by virtue of the thrombin treatment effect.
Claims
1. A method for treating a chronic pulmonary disease, comprising: administering to a subject in need thereof an effective amount of exosomes derived from thrombin-treated stem cells.
2. The method according to claim 1, wherein the stem cells are stem cells selected from the group consisting of mesenchymal stem cells, human tissue-derived mesenchymal stromal cells, human tissue-derived mesenchymal stem cells, multipotent stem cells, and amniotic epithelial cells.
3. The method according to claim 2, wherein the mesenchymal stem cells are derived from an umbilical cord, umbilical cord blood, bone marrow, fat, muscle, nerve, skin, an amniotic membrane, or a placenta.
4. The method according to claim 1, wherein the chronic pulmonary disease comprises bronchopulmonary dysplasia, chronic bronchitis, emphysema, cystic fibrosis, or peripheral small airway disease.
5. The method according to claim 4, wherein the chronic pulmonary disease is bronchopulmonary dysplasia.
6. The method according to claim 1, wherein the pharmaceutical composition is administered into an airway or a blood vessel of a subject.
7. The method according to claim 1, wherein the pharmaceutical composition further comprises an adjuvant component selected from the group consisting of a culture medium, a cytokine, a growth factor, and a gene.
8. The method according to claim 1, wherein the expression of a growth factor, an immune regulatory factor, an antioxidant factor, or a regenerative factor is increased in the exosomes.
9. The method according to claim 8, wherein the growth factor comprises brain-derived neurotropic factor (BDNF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), nerve growth factor (NGF), or vascular endothelial growth factor (VEGF).
10. A pharmaceutical formulation for treating a chronic pulmonary disease, the pharmaceutical formulation comprising exosomes derived from thrombin-treated stem cells.
11. The pharmaceutical formulation according to claim 10, wherein the pharmaceutical preparation is an injection preparation, an infusion preparation, or an aerosol preparation.
12. The pharmaceutical formulation according to claim 10, wherein the pharmaceutical preparation further comprises a pharmaceutically acceptable carrier.
13. A method of preparing the pharmaceutical formulation of claim 10, the method comprising: (a) culturing stem cells and treating the stem cells with thrombin; (b) isolating exosomes from a culture solution of process (a); and (c) preparing a formulation comprising the exosomes isolated from process (b) as an active ingredient.
14. The method according to claim 13, wherein the thrombin of process (a) is included in a medium at a concentration of 1 unit/ml to 1,000 units/ml.
15. The method according to claim 13, wherein centrifugation is performed on the exosomes of process (c).
16. The method according to claim 15, wherein the centrifugation is performed at 5,000g to 500,000g for 10 minutes to 5 hours.
17.-18. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0045] The present invention provides a pharmaceutical composition for preventing or treating a chronic pulmonary disease, which includes, as an active ingredient, exosomes derived from thrombin-treated stem cells.
[0046] The term stem cells as used herein refers to undifferentiated cells and cells having a self-replication ability and the ability to differentiate into two or more different types of cells. The stem cells of the present invention may be autologous or allogenic stem cells, and may be derived from any type of animal including humans and non-human mammals, and the stem cells may be derived from an adult or an embryo, but the present invention is not limited thereto.
[0047] The stem cells of the present invention include embryonic stem cells or adult stem cells, and are preferably adult stem cells. The adult stem cells may be mesenchymal stem cells, human tissue-derived mesenchymal stromal cells, human tissue-derived mesenchymal stem cells, multipotent stem cells, or amniotic epithelial cells, and are preferably mesenchymal stem cells, but the present invention is not limited thereto. The mesenchymal stem cells may be mesenchymal stem cells derived from an umbilical cord, umbilical cord blood, bone marrow, fat, muscle, nerve, skin, an amniotic membrane, and a placenta, but the present invention is not limited thereto.
[0048] The term umbilical cord blood as used herein refers to blood collected from the umbilical vein connecting the placenta to a fetus. Umbilical cord blood is a naturally occurring byproduct of birth and is more easily collected than general mesenchymal tissues such as bone marrow and the like requiring several surgeries, and the umbilical cord blood storage industry is more enabled than bone marrow transplantation, and thus the infrastructure thereof has already been established, and therefore, it is also easy to obtain a donor. In addition, umbilical cord blood-derived cells are cells in which the histocompatibility antigen HLA-DR (class II), which is the most important cause of rejection in tissue or organ transplantation, is not expressed, and thus immune responses such as rejection and the like, which have been problems of existing transplant operations, may not be caused or may be minimized, and accordingly, autologous umbilical cord blood or allogenic umbilical cord blood may be used.
[0049] The term exosomes as used herein refer to small vesicles (approximately 30 nm to 100 nm in diameter) having a membrane structure secreted from various cells, and vesicles released into the extracellular environment due to the occurrence of fusion of multivesicular bodies and a plasma membrane. The exosomes include naturally secreted exosomes, or artificially secreted exosomes.
[0050] The term chronic pulmonary disease as used herein refers to a respiratory disease occurring such that an abnormal inflammation response occurs in the lungs, which results in progressive airflow limitation, thus degrading pulmonary functions and causing dyspnea. For example, the chronic pulmonary disease may include bronchopulmonary dysplasia, chronic bronchitis, emphysema, cystic fibrosis, or peripheral small airway disease, but the present invention is not limited thereto. Preferably, the chronic pulmonary disease is bronchopulmonary dysplasia.
[0051] The expression prevention or treatment of a chronic pulmonary disease as used herein is intended to include relief and alleviation of a chronic pulmonary disease and improvement of symptoms, and include reducing the possibility of developing a chronic pulmonary disease.
[0052] In the present invention, the thrombin-treated stem cells may exhibit enhanced functionality and efficacy due to an increase in paracrine property, which is a major action mechanism of stem cells, without a change in cell stability such as cell viability, oxidative function, and the like, as compared to non-treated stem cells. In addition, due to treatment with thrombin, the therapeutic efficacy of stem cell-derived exosomes may be enhanced, and the amount of exosomes secreted may also be increased.
[0053] In this regard, a growth factor, an immune regulatory factor, an antioxidant factor, or a regenerative factor, which are paracrine factors, may be increased, and particularly, the growth factor refers to a proteinaceous physiologically active substance that promotes cell division, growth, and differentiation, and may include brain-derived neurotropic factor (BDNF), fibroblast growth factor (FGF), hepatocyte growth factor (HGF), nerve growth factor (NGF), or vascular endothelial growth factor (VEGF), and the like.
[0054] The pharmaceutical composition of the present invention may be administered to a subject via various routes without particular limitation, and may be administered, for example, orally or parenterally, but is preferably administered via the airway or into blood vessels.
[0055] The pharmaceutical composition of the present invention may further include, in addition to the exosomes derived from thrombin-treated stem cells, one or more adjuvant components having a therapeutic effect on a chronic pulmonary disease. For example, the pharmaceutical composition may further include one or more adjuvant components selected from the group consisting of a gene effective in the treatment of a chronic pulmonary disease (e.g., an anti-inflammatory cytokine gene, siRNA against inflammatory cytokines, or an antisense primer) or an expression vector including the same, a cytokine providing an autocrine or paracrine effect (e.g., (interleukin)-10), a growth factor (e.g., a keratinocyte growth factor), and a combination thereof.
[0056] A suitable dose of the pharmaceutical composition of the present invention varies according to conditions and body weight of subjects, the severity of disease, drug form, administration route, and administration period, and may be appropriately selected by those of ordinary skill in the art. The pharmaceutical composition may be administered in a single dose or multiple doses daily, but the present invention is not limited thereto.
[0057] The pharmaceutical composition of the present invention may be used alone for the treatment of a chronic pulmonary disease, or may be used in combination with surgery, radiotherapy, hormone treatment, chemotherapy, and methods using a biological response modifier.
[0058] The composition of the present invention may further include a suitable carrier commonly used in preparation of a pharmaceutical composition. For example, injection preparations may further include a preservative, an analgesic agent, a solubilizer, a stabilizer, or the like, and preparations for local administration may further include a base, an excipient, a lubricant, a preservative, or the like.
[0059] The composition of the present invention may be formulated into a preparation in a unit dosage form suitable for administration into the body of a subject according to a method commonly used in the pharmaceutical field, to be administered. A dosage form suitable for these purposes may be a preparation for parenteral administration, for example, an injection preparation such as an ampoule for injection, an infusion preparation such as an infusion bag, and an aerosol preparation such as an aerosol agent. The ampoule for injection may be formulated by mixing with an injection solution immediately before use, and for the injection solution, a saline solution, glucose, Ringer' solution, or the like may be used. In addition, the infusion bag may be made of polyvinyl chloride or polyethylene. In the present invention, administration refers to the provision of the composition of the present invention to a subject using an appropriate method.
[0060] A suitable dose of the pharmaceutical composition of the present invention varies according to conditions and body weight of subjects, the severity of disease, drug form, administration route, and administration period, and may be appropriately selected by those of ordinary skill in the art. The pharmaceutical composition may be administered in a single dose or multiple doses daily, but the present invention is not limited thereto.
[0061] The present invention also provides a method of preparing the above-described pharmaceutical composition, the method including: (a) culturing stem cells and then treating the stem cells with thrombin; (b) isolating exosomes from a culture solution of process (a); and (c) preparing a composition including the exosomes isolated in process (b) as an active ingredient.
[0062] In the present invention, the concentration of thrombin treated may be a concentration sufficient to enhance the efficacy of stem cells/exosomes and is not particularly limited, but thrombin may be included in a medium at a concentration of 1 unit/ml to 1,000 units/ml.
[0063] In the present invention, a method of isolating exosomes is not particularly limited, and for example, exosomes may be isolated from a culture solution using a method such as centrifugation, ultracentrifugation, filtration using a filter, gel filtration chromatography, free-flow electrophoresis, capillary electrophoresis, isolation using a polymer, or the like; or a combination thereof, and centrifugation or ultracentrifugation is preferably used. In this regard, centrifugation and ultracentrifugation may be performed at 4 C. and 5,000g to 500,000g for 10 minutes to 5 hours.
[0064] In the present invention, the medium used for culturing cells refers to a mixture for the growth and proliferation of cells such as stem cells or the like in vitro, including essential components needed for the growth and proliferation of cells, such as sugars, amino acids, various nutrient materials, serum, growth factors, minerals, and the like. The medium that may be used in the present invention includes a commercially prepared medium or an artificially synthesized medium, such as Dulbecco's Modified Eagle's Medium (DMEM), Minimal Essential Medium (MEM), Basal Medium Eagle (BME), RPMI1640, Dulbecco's Modified Eagle's Medium: Nutrient Mixture F-10 (DMEM/F-10), Dulbecco's Modified Eagle's Medium: Nutrient Mixture F-12 (DMEM/F-12), -Minimal essential Medium (a-MEM), Glasgow's Minimal Essential Medium (G-MEM), Isocove's Modified Dulbecco's Medium (IMDM), KnockOut DMEM, or the like, but the present invention is not limited thereto.
[0065] Hereinafter, examples will be provided to aid in understanding the present invention. However, the following examples are provided only to more easily understand the present invention and are not intended to limit the scope of the present invention.
EXAMPLES
Example 1: Induction of Exosome Secretion and Efficacy Enhancement of Stem Cells by Treatment with Thrombin
[0066] 1-1. Induction of Exosome Secretion by Thrombin
[0067] Human umbilical cord blood-derived mesenchymal stem cells (310.sup.5 cells) were dispensed into 60 mm culture dishes (Orange Scientific cat#4450200) and then cultured for 1 week. After confirming that the cells were saturated and proliferated on the culture dish, the media were replaced with serum-free MEM alpha media diluted with 50 units/ml of thrombin (REYON Pharmaceutical Co., Ltd), and cultured again for 6 hours.
[0068] At this time, to identify whether the secretion of exosomes was activated in mesenchymal stem cells by thrombin treatment, a process of secreting exosomes examined through a transmission electron microscopy (TEM) image. As a result, as illustrated in
[0069] Subsequently, the culture solution was divided into centrifugation tubes and centrifuged at 4 C. and 100,000 rpm for 30 minutes, and the supernatant was transferred to a new tube to remove cell debris. Again, the supernatant was ultra-centrifuged at 4 C. and 100,000 rpm for 2 hours, and then the supernatant was further removed to obtain exosomes (final concentration: 15 g/ml).
[0070] At this time, to verify whether the obtained product was exosomes, the expression of CD63 and CD9 (System Biosciences, Mountain View, Calif., USA), which are known exosome markers, was examined through western blotting. As a result, as illustrated in
[0071] 1-2. Exosome Efficacy Enhancement by Thrombin
[0072] It was examined whether the expression of a growth factor or an anti-inflammatory cytokine such as IL-6 was increased by thrombin treatment in the exosomes obtained according to Example 1-1.
[0073] Specifically, the exosomal membrane was lysed using a lysis buffer, and then proteins in the exosomes were isolated and the amounts of BDNF, FGF, HGF, NGF, VEGF, and IL-6 in the exosomes were measured using a Procarta immunoassay kit (Affymatrix, U.S.A.).
[0074] As a result, as illustrated in
[0075] These results indicate that thrombin treatment enhances cell regeneration, vascular regeneration, and anti-inflammatory effects of stem cell-derived exosomes.
Example 2: In Vitro Pulmonary Apoptosis Inhibitory Effect of Exosomes Derived from Thrombin-Treated Stem Cells
[0076] 2-1. Pulmonary Apoptosis Inhibitory Effect
[0077] A L2 cell line, which is a rat pulmonary epithelial cell line (rat pulmonary epithelial cells, Korean Cell Line Bank), was treated with H.sub.2O.sub.2 for 1 hour to induce an oxidative injury, thereby producing an in vitro hyperoxic lung disease model.
[0078] Subsequently, the in vitro model was treated with 10 g of the exosomes obtained in Example 1, i.e., exosomes obtained from thrombin-treated stem cells, and then the survival rate of lung cells was measured by an MTT assay.
[0079] As a result, as illustrated in
[0080] 2-2. Effect According to Concentration of Exosomes
[0081] It was examined whether the pulmonary apoptosis inhibitory effect of exosomes was exhibited in a concentration-dependent manner, using the in vitro hyperoxic lung disease model of Example 2-1.
[0082] Specifically, the in vitro model was treated with the exosomes obtained in Example 1, i.e., the exosomes obtained from thrombin-treated stem cells, at each of concentrations of 2.5 g, 5 g, 10 g, and 20 g, and then the survival rate of lung cells was measured through an MTT assay.
[0083] As a result, as illustrated in
Example 3: In Vivo Therapeutic Effect of Exosomes Derived from Thrombin-Treated Stem Cells
[0084] 3-1. Production of Bronchopulmonary Dysplasia Animal Model
[0085] All animal experiments were approved by the Research Animal Laboratory Committee of Samsung Biomedical Research Institute (Korea) and were carried out according to the institute's guidelines.
[0086] First, to produce a bronchopulmonary dysplasia animal model, pregnant Sprague-Dawley white mice (Daehan Biolink, Korea), the gestational period of which was accurately known, were purchased, and then raised in an experimental animal breeding facility. At this time, the mice were raised in an acrylic barrel (closed Plexiglas cage) having a size of 69.5 cm50.0 cm32.0 cm under 1 atm at sufficient humidity (40% to 60%) and temperature (23 C. to 26 C.).
[0087] Subsequently, newborn white mice born from the mother white mice by normal delivery were continuously administered a high concentration of oxygen immediately after birth (within 10 hours after birth) for 14 days in the cage such that an oxygen saturation of 85% to 90% or more was maintained. In addition, to prevent pulmonary edema due to oxygen toxicity of the mother white mice, the mother white mice were continuously raised for 14 days while transferred to indoor air or oxygen conditions for a 24-hour period.
[0088] 3-2. Verification of Therapeutic Effect after Exosome Administration
[0089] 20 g of the exosomes obtained using the method of Example 1, i.e., exosomes having enhanced efficacy by thrombin treatment, were suspended in a FBS free a-MEM, and 0.05 ml of the suspension was administered using a 26 gauge needle into the airway of each white mouse exposed to the high concentration of oxygen according to Example 3-1 on day 5 after birth.
[0090] Subsequently, on day 14 of the experiment, newborn white mice were anesthetized with pentobarbital via intraperitoneal injection, and then the limbs of each mouse were fixed and the thorax was incised to expose the heart and lung tissue. Some of these white mice were subjected to heart perfusion with an ice-cold PBS solution, the heart and lungs were extracted together, a tube was inserted into a bronchial tube and tightly fixed, and then a 4% formaldehyde fixing solution was added thereto to allow the bronchial tubes to be constantly inflated to 25 cm at a pressure of H.sub.2O, followed by fixation with the fixing solution overnight. Thereafter, each of the following experiments was performed.
[0091] Histological Observation: H&E Staining
[0092] The sections of the lung tissues fixed with 4% formaldehyde for 24 hours were embedded into paraffin, and then cut to a thickness of 4 m and subjected to hematoxylin/eosin staining to perform histological observation using an optical microscope, and therapeutic effects of stem cells and stem cell-derived exosomes on the lung tissues damaged by a high concentration of oxygen were compared with each other for evaluation.
[0093] As a result, as illustrated in
[0094] In addition, as a result of quantifying the degree of alveolar damage as a mean linear index, as illustrated in
[0095] Apoptosis Analysis: TUNEL Assay
[0096] A terminal deoxynucleotidyl-mediated dUTP nick-end labeling assay (TUNEL assay) is widely known as a staining method for measuring the degree of apoptosis. Since DNAs of dead cells have fragmented DNA fragments exposing the 3-OH DNA terminal differently from normal cells, according to the TUNEL assay, the 3-OH DNA terminal is labeled with fluorescein-12-dUTP (nucleotide) using an enzyme, i.e., terminal deoxynucleotidyl transferase (TdT) to distinguish dead cells from normal cells for measurement, and a greater number of TUNEL-positive stained cells indicates a greater number of dead cells.
[0097] Specifically, 5 m deparaffinized lung sections were prepared, and then analysis was performed using an in situ cell death detection kit (S7110 ApopTag, Chemicon, Temecula, Calif., USA) according to the manufacturer's protocols.
[0098] As a result, as illustrated in
[0099] Angiogenesis Assay: Von Willebrand Factor (vWf)
[0100] To verify whether exosomes derived from thrombin-treated stem cells of the present invention exhibit a therapeutic effect on bronchopulmonary dysplasia by inducing angiogenesis, the degree of angiogenesis was analyzed by observing the activity of von Willebrand factor (vWf), which is synthesized and secreted when mesenchymal cells differentiate into vascular endothelial cells.
[0101] Specifically, 5 m deparaffinized lung sections were prepared, and then to track vWf, immunofluorescence staining was performed using anti-vWF primary antibodies (endothelial cell markers, rabbit polyclonals, Dako, Glostrup, Denmark) and biotinylated secondary antibodies. Subsequently, the amounts of vWF present in the lung sections were evaluated by measuring the intensity of fluorescence of the immunofluorescence staining using Image J (National Institutes of Health, USA).
[0102] As a result, as illustrated in
[0103] The foregoing description of the present invention is provided for illustrative purposes, and it will be understood by those of ordinary skill in the art to which the present invention pertains that the invention may be easily modified in many different forms without departing from the spirit or essential characteristics of the present invention. It is therefore to be understood that the above-described embodiments are illustrative in all aspects and not restrictive.
INDUSTRIAL APPLICABILITY
[0104] When an exosome-based therapeutic agent of the present invention is used, problems such as transplant rejection, manufacturing costs, and the like of conventional stem cell therapeutic agents can be addressed and therapeutic efficacy can be significantly enhanced, and thus the exosome-based therapeutic agent may be usefully used for the treatment of various chronic pulmonary diseases including bronchopulmonary dysplasia (BPD).