METHOD OF CULTURING CELL POPULATION AND USE THEREOF

20220056418 · 2022-02-24

Assignee

Inventors

Cpc classification

International classification

Abstract

Preparing a cell population rich in cells having a given phenotype depending on their use (e.g., type II collagen-positive nucleus pulposus cells) from a cell population containing Tie2-positive stem/progenitor cells (e.g., nucleus pulposus stem/progenitor cells). The present invention provides culture methods wherein a cell population containing Tie2-positive stem/progenitor cells is cultured (1) while present in a non-digested tissue, (2) in a culture medium containing at least one kind of Tie2 expression enhancer other than growth factors, (3) using cultureware with a culture surface having undergone cell attachment-increasing treatment, or (4) while suppressing formation of spheroid colonies in a culture medium containing an extracellular matrix-degrading agent.

Claims

1. A method of culturing a cell population containing stem cells and/or progenitor cells positive for expression of Tie2 (tyrosine kinase with Ig and EGF homology domain-2) (hereinafter referred to as “Tie2-positive stem/progenitor cells”), the method comprising: culturing the cell population containing Tie2-positive stem/progenitor cells while present in a non-digested tissue (hereinafter, the method is referred to as a “first culture method”).

2. The first culture method according to claim 1, wherein the Tie2-positive stem/progenitor cells are Tie2-positive stem/progenitor cells derived from a nucleus pulposus tissue of an intervertebral disc.

3. The first culture method according to claim 1, wherein the non-digested tissue is a nucleus pulposus tissue of an intervertebral disc.

4. The first culture method according to claim 1, wherein the non-digested tissue is a tissue obtained by thawing a cryopreserved tissue.

5. The first culture method according to claim 1, which is performed while the Tie2-positive stem/progenitor cells in the cell population are amplified.

6. A method of culturing a cell population containing Tie2-positive stem/progenitor cells, the method comprising: culturing the cell population containing Tie2-positive stem/progenitor cells in a culture medium containing at least one kind of Tie2 expression enhancer other than growth factors (hereinafter, the method is referred to as a “second culture method”).

7. The second culture method according to claim 6, wherein the Tie2 expression enhancer other than growth factors is an animal/plant-derived extract.

8. The second culture method according to claim 7, wherein the plant is a plant of the genus Cinnamomum.

9. The second culture method according to claim 6, which is performed while the Tie2-positive stem/progenitor cells in the cell population are amplified.

10. A method of culturing a cell population containing Tie2-positive stem/progenitor cells, the method comprising: culturing the cell population containing Tie2-positive stem/progenitor cells by using cultureware with a culture surface having undergone cell attachment-increasing treatment (hereinafter, the method is referred to as a “third culture method”).

11. The third culture method according to claim 10, wherein the Tie2-positive stem/progenitor cells have undergone Tie2 expression-enhancing treatment.

12. The third culture method according to claim 10, wherein the cell attachment-increasing treatment is treatment of applying a coating agent containing an extracellular matrix and/or a polyamino acid.

13. The third culture method according to claim 10, which is performed while the Tie2-positive stem/progenitor cells in the cell population are differentiated into target cells.

14. The third culture method according to claim 12, wherein the extracellular matrix and/or the polyamino acid is at least one or more kind selected from the group consisting of type IV collagen, fibronectin, and polylysine.

15. The third culture method according to claim 10, which is performed while the Tie2-positive stem/progenitor cells in the cell population are amplified.

16. The third culture method according to claim 12, wherein the extracellular matrix is gelatin.

17-36. (canceled)

Description

BRIEF DESCRIPTION OF DRAWINGS

[0149] FIG. 1 is diagrams schematically illustrating production and degradation of ECM and an interaction between cultured cells in each of regular two-dimensional culture (monolayer static culture), suspension culture using a conventional culture medium free of an extracellular matrix (ECM)-degrading agent, or suspension culture using a culture medium containing an ECM-degrading agent according to the fourth culture method of the invention, and photographs of respective cultured cells. A (Regular two-dimensional culture): when nucleus pulposus (nucleus pulposus) cells adhere via an adhesion molecule(s) to the culture surface of a culture flask, an ECM production stop signal is transduced. B (Suspension culture using, for instance, a low-adsorption flask, methylcellulose culture medium): because of no contact with the flask culture surface, no ECM production stop signal is transduced (x mark and the dotted arrow). C (Culture medium without an enzyme): the self-produced ECM exhibits an action equivalent to that of the culture surface (the arrows), and an ECM production stop signal is transduced into the cells. D (Culture medium with an enzyme): The self-produced ECM is degraded, and no ECM production stop signal is transduced into the cells (x mark and the dotted arrow), but accumulation of ECM in cells occurs.

[0150] FIG. 2 is a graph showing the results of the Tie2-positive rate in Test Example 1 (the amplification culture stage: the first culturing step).

[0151] FIG. 3 is a graph showing the results of Tie2 mean fluorescence intensity (MF I) in Test Example 1 (the amplification culture stage: the first culturing step).

[0152] FIG. 4 is a graph showing the results of the Tie2-positive rate in Test Example 2 (the amplification culture stage (two steps): the first-second culturing step +an additional step).

[0153] FIG. 5 is a graph showing the results of the number of Tie2-positive cells produced per g of a nucleus pulposus tissue in Test Example 2 (the amplification culture stage (two steps): the first-second culturing step +an additional step).

[0154] FIG. 6 is a graph showing the results of the type II collagen (Col2)-positive rate in Test Example 3 (the amplification culture stage (two steps): the first-second culturing step +an additional step −>the differentiation culture stage: the third culturing step).

[0155] FIG. 7 is a graph showing the results of the number of type II collagen (Col2)-positive cells produced per g of a nucleus pulposus tissue in Test Example 3 (the amplification culture stage (two steps): the first-second culturing step +an additional step −>the differentiation culture stage: the third culturing step).

[0156] FIG. 8 is a graph showing the results of the proteoglycan (PG)-positive rate in Test Example 4 (the amplification culture stage (two steps): the first-second culturing step +an additional step ->the differentiation culture stage: the third-fourth culturing step).

[0157] FIG. 9 is a graph showing the results of the type II collagen (Col2)-positive rate in Test Example 4 (the amplification culture stage (two steps): the first-second culturing step +an additional step −>the differentiation culture stage: the third-fourth culturing step).

[0158] FIG. 10 is graphs showing the results of the proteoglycans (PG)- or collagen II (Col2)-positive rate in Test Example 5 (the amplification culture stage (two steps): the first-second culturing step +an additional step −>the differentiation culture stage: the third-fourth culturing step; part 2). GEL: gelatin, Coll: type I collagen, Col4: type IV collagen, FN: fibronectin, PLL: poly-L-lysine (the same applies to FIG. 11).

[0159] FIG. 11 is graphs showing the results of the proteoglycans (PG)- or collagen II (Col2)-positive rate in Test Example 6 (the amplification culture stage (two steps): the first-second culturing step +an additional step −>the differentiation culture stage: the third-fourth culturing step; part 3).

[0160] FIG. 12 is an optical micrograph of a cell population in Test Example 5-12. FIG. 13 is a graph showing the results of the Tie2-positive rate in Test Example 7 (the differentiation culture stage: the third culturing step).

[0161] FIG. 14 is a graph showing the results of the total number of Tie2-positive cells in Test Example 7 (the differentiation culture stage: the third culturing step).

[0162] FIG. 15 is a graph showing the results of the Col2-positive rate in Test Example 7 (the differentiation culture stage: the third culturing step).

MODE FOR CARRYING OUT THE INVENTION

[0163] Terms

[0164] The term “stem cell(s)” refers to a cell(s) having self-renewal ability and differentiation potential (i.e., totipotent, pluripotent, multipotent, or unipotent cells). The term “progenitor cell(s)” refers to a cell(s) without self-renewal ability in a strict sense because all of the cells finally become terminally differentiated cells, but with some differentiation potential to differentiate into a predetermined cell(s) while relatively actively proliferating. (Identified) cells generally understood and called, by those skilled in the art, as “stem cells” or “progenitor cells” herein correspond to “stem cells” or “progenitor cells”.

[0165] As used herein, the wording “stem cells and/or progenitor cells” includes stem cells, progenitor cells, or both, and is sometimes referred to as “stem/progenitor cells”. In addition, as used herein, a cell population containing stem cells and/or progenitor cells may be referred to as a “stem/progenitor cell population”, and a cell population containing mature cells differentiated from the stem cells and/or progenitor cells (i.e., terminally differentiated cells) may be referred to as a “mature cell population”.

[0166] In general, the “stem cells” and the “progenitor cells” are distinguishable from other cells by whether the expression of one or two or more kinds of specific genes (marker genes or cell markers) is positive or negative. That is, the “stem cells” having self-renewal ability and/or differentiation potential as described above or the “progenitor cells” can also be defined as terms that refer to cells in which the expression of a specific marker gene is positive or negative, respectively.

[0167] Whether the expression of a marker gene (cell marker) is “positive” or “negative” can be determined by quantitatively or qualitatively measuring the expression level of mRNA transcribed from the gene (genome) or protein translated from the mRNA according to a common protocol. If the expression level is a certain level or higher (or higher than a certain level), the expression can be determined to be positive, and if the expression level is a certain level or lower (or lower than a certain level), the expression can be determined to be negative. The expression level of a protein can be measured quantitatively or qualitatively by an immunological assay (e.g., flow cytometry, immunostaining, or ELISA) using, for instance, an antibody or labeling agent specific to the protein. Note that the Tie2 protein is a protein expressed on the cell surface, and Col2 is a protein expressed inside a cell. Appropriate techniques (e.g., immunofluorescence staining) may be used to detect proteins present on the cell surface or inside a cell, respectively. The expression level of mRNA can be measured quantitatively or qualitatively by, for example, an assay (e.g., RT-PCR, a microarray, or a biochip) using a nucleic acid and a labeling agent or an amplification protocol (means) for nucleic acid specific (complementary) to the mRNA. The percentage (positive rate or negative rate) of cells positive or negative for expression of a given marker gene (cell marker) in a cell population can be calculated by counting the number of all cells in the cell population and the number of cells determined to be positive or negative by the above-described protocols, respectively, while using the above various techniques such as flow cytometry.

[0168] As used herein, the wording “stem cells and/or progenitor cells positive for expression of Tie2”, that is, “Tie2-positive stem/progenitor cells” refers to cells characteristic of stem cells and/or progenitor cells, in which expression of Tie2 (tyrosine kinase with Ig and EGF homology domain-2) known as one of the cell markers, for example, its expression as a protein measured by flow cytometry is determined to be positive. Representative Tie2-positive stem/progenitor cells in the invention are Tie2-positive stem/progenitor cells “derived from a nucleus pulposus tissue of an intervertebral disc”, that is, Tie2-positive stem/progenitor cells present in the nucleus pulposus of a intervertebral disc (harvested from the nucleus pulposus) or Tie2-positive stem/progenitor cells obtained by subculturing the Tie2-positive stem/progenitor cells, and are cells corresponding to “nucleus pulposus stem/progenitor cells” described below.

[0169] As used herein, the term “target cells” refers to cells obtained from Tie2-positive stem/progenitor cells by inducing differentiation in a given manner and having a functionality according to their use, more specifically, cells in which expression of a given gene (cell marker) is determined to be positive or negative for expression as a protein, for example, by flow cytometry. Typical target cells in the invention are among “nucleus pulposus cells” described below and positive for expression of genes of extracellular matrix (ECM) such as Col2 and aggrecan.

[0170] The “nucleus pulposus cells” in the invention refer to matured and terminally differentiated cells that account for majority of cells in a population in an intervertebral disc (nucleus pulposus), or cultured cells having an equivalent phenotype. Specifically, the nucleus pulposus cells can be defined as cells negative for Tie2 and GD2 as marker genes (in addition, usually positive for CD 24), and positive for at least type II collagen among extracellular matrix proteins (in addition, usually also positive for proteoglycan (aggrecan)). For example, cells determined to be negative for Tie2 and GD2 (and positive for CD 24) and positive for type II collagen (and also positive for aggrecan) as proteins (cell markers) by flow cytometry correspond to nucleus pulposus cells in the invention. For extracellular matrices such as type II collagen and aggrecan, the amount of each protein produced may be measured by flow cytometry, and the expression level of each mRNA may be measured by, for instance, real-time PCR.

[0171] As used herein, the term “nucleus pulposus stem/progenitor cells” collectively refers to progenitor cells (nucleus pulposus progenitor cells) having at least a potential to differentiate into nucleus pulposus cells and stem cells (nucleus pulposus stem cells) having self-renewal ability and a potential to differentiate into the progenitor cells, or cultured cells having an equivalent phenotype, which cells account for part of a cell population in a nucleus pulposus tissue of an intervertebral disc. The nucleus pulposus stem/progenitor cells may be specifically defined as cells that are positive for Tie2 and/or GD2 as marker genes. For example, cells determined to be either positive for Tie2 and negative for GD2, positive for Tie2 and positive for GD2, or negative for Tie2 and positive for GD2 as proteins (cell markers) by flow cytometry correspond to the nucleus pulposus stem/progenitor cells in the invention.

[0172] Note that, in Patent Document 2 described above, cells positive for Tie2 are classified into “disc nucleus pulposus stem cells” (among them, cells negative for GD2 are in a dormant state, and cells positive for GD2 are in an active state); cells negative for Tie2 and positive for GD2 are classified into “disc progenitor cells”; and cells negative for Tie2 and negative for GD2 are classified into “terminally differentiated mature disc nucleus pulposus cells”, based on the expression states of Tie2 and GD2 as cell markers of nucleus pulposus-derived cells (paragraphs [0024], [0025], and [0032]). In addition, in Patent Literature 2, cells appearing in the differentiation hierarchy of nucleus pulposus cells are grouped into: (i) cells that are Tie2.sup.+and GD2.sup.−(further, CD24.sup.−, CD44.sup.+/−, CD271.sup.+, Flt1); (ii) cells that are Tie2.sup.+and GD2.sup.+(further, CD24.sup.−, CD44.sup.+, CD271.sup.+, Fltr); (iii) cells that are Tie2.sup.−and GD2.sup.+(further, CD24.sup.−, CD44.sup.+, CD271.sup.+/−, Flt1.sup.+/−); (iv) cells that are Tie2.sup.−and GD2.sup.+(further, CD24.sup.+, CD44.sup.+, CD271.sup.−, Flt1.sup.−); or (v) cells that are Tie2.sup.−and GD2.sup.−(further, CD24.sup.+, CD44.sup.+, CD271.sup.−, Flt1.sup.−). The above groups (i) to (iii) are termed as “disc nucleus pulposus stem/progenitor cells” and the above groups (iii) to (v) are termed as “nucleus pulposus committed cells” (see FIG. 7-2). Although the terminology is different, the “disc nucleus pulposus stem cells” and the “disc nucleus pulposus progenitor cells” of Patent Document 2, that is, the cells of the above groups (i) to (iv) correspond to the “nucleus pulposus stem/progenitor cells” in the invention; and the “terminally differentiated mature disc nucleus pulposus cells” of Patent Document 2, that is, the cells of the above group (v) correspond to the “mature nucleus pulposus cells” in the invention. If necessary, the cells in the invention may be replaced by cells according to the definition described in Patent Document 2 (in particular, the definition of whether one or two or more kinds of cell markers, such as CD24, other than Tie2 and GD2 are positive or negative).

[0173] The “spheroid colony” herein refers to a spherical cell aggregate which contains stem cells and/or progenitor cells and further optionally contains cells differentiated therefrom. The “spheroid colony” is an object that may be generally referred to as, for instance, a “sphere” or “spheroid” by those skilled in the art, and the “discosphere” or “free floating circular-spherical structure” in Patent Document 2 described above is also an object corresponding to the “spheroid colony”.

[0174] As used herein, the wording “expression of Tie2 is enhanced” (enhanced expression of Tie2) means that the expression of Tie2 gene is enhanced in individual stem/progenitor cells, that is, the expression is augmented more than usual, and the expression level of mRNA or protein is increased. Even under regular conditions in which the expression of Tie2 gene almost disappears, the wording “expression of Tie2 is enhanced” corresponds to keeping a certain level of expression without loss of expression, that is, maintaining the expression of Tie2. In addition, as a result of such enhanced expression of Tie2 in individual stem/progenitor cells, an increase in the number of cells determined to have positive expression of Tie2 mRNA or protein in the cell population, that is, a higher percentage of Tie2-positive cells in the cell population than usual can also be understood as an indicator of “enhanced Tie2 expression”.

[0175] More specifically, for example, Tie2 protein on the cell surface is fluorescently labeled for a cell population that has previously undergone Tie2 expression-enhancing treatment (Tie2 expression-enhancing treatment group) or a cell population that has not undergone Tie2 expression-enhancing treatment (control group). When measured by flow cytometry, the percentage of cells determined to have a higher fluorescence intensity and more positive expression and/or a higher average fluorescence intensity per cell than a predetermined level may be higher in the Tie2 expression-enhancing treatment group than in the control group. In this case, it can be said that (Tie2-expressing cells contained in) the cell population of the Tie2 expression-enhancing treatment group has enhanced expression of Tie2 (in other words, the Tie2 expression-enhancing treatment plays a prescribed role). Further, under morphological observation, cells having enhanced expression of Tie2 are also distinguishable by having a spindle shape (the rest cells have a near-spherical shape).

[0176] An agent that exerts the effects of “enhancing Tie2 expression” as described above is herein referred to as a “Tie2 expression enhancer” in the invention. Note that some growth factors (e.g., FGF2) have a Tie2 expression-enhancing effect, and can be said to correspond to a kind of “Tie2 expression enhancer”. Accordingly, in the case of excluding such growth factors, the agent is called a “Tie2 expression enhancer other than growth factors”.

[0177] In the invention, performing the first culture method and/or the second culture method corresponds to subjecting a cell population containing Tie2-positive stem/progenitor cells to “Tie2 expression-enhancing treatment”.

[0178] Culture Methods

[0179] The first to fourth culture methods for a cell population containing Tie2-positive stem/progenitor cells according to the invention are as follows:

[0180] the first culture method: a method of culturing a cell population containing Tie2-positive stem/progenitor cells while present in a non-digested tissue;

[0181] the second culture method: a method of culturing a cell population containing Tie2-positive stem/progenitor cells in a culture medium containing at least one kind of Tie2 expression enhancer other than growth factors;

[0182] the third culture method: a method of culturing a cell population containing Tie2-positive stem/progenitor cells by using cultureware with a culture surface having undergone cell attachment-increasing treatment; and

[0183] the fourth culture method: a method of culturing a cell population containing Tie2-positive stem/progenitor cells while suppressing formation of spheroid colonies in a culture medium containing an extracellular matrix-degrading agent.

[0184] The first to fourth culture methods of the invention may be implemented singly, or may be implemented sequentially or simultaneously by combining a plurality of the culture methods. A plurality of culture methods selected from the first to fourth culture methods may be combined and performed simultaneously. This means that the selected culture methods are fused, that is, the culture method that meets all the technical matters involving the selected culture methods is carried out. For example, the first culture method and the second culture method may be combined (fused) and performed sequentially or simultaneously (a method in which these methods are fused may be referred to as the “first-second culture method”). The third culture method and the fourth culture method can be combined (fused) and performed sequentially or simultaneously (a method in which these methods are fused may be referred to as the “third-fourth culture method”).

[0185] The purpose of performing the first to fourth culture methods of the invention is not particularly limited. The first to fourth culture methods may each be performed in any of the amplification culture stage (or a stage corresponding thereto), the differentiation culture stage (or a stage corresponding thereto), or other stages in the invention.

[0186] Unless otherwise specified, the description about the first to fourth culture methods (and the first to fourth culturing steps of performing the first to fourth culture methods) may be read, if appropriate, as a description not only in a case where each method is carried out as a single method (step) but also in a case where each method is carried out as a method (step) fused to another method (step).

[0187] The Tie2-positive stem/progenitor cells contained in the cell population to which the fourth culture method of the invention is applied and the cells differentiated from the stem/progenitor cells may be cells that bind to each other via the extracellular matrix secreted extracellularly to form spheroid colonies (spheroids) in a regular culture medium free of any extracellular matrix-degrading agent. If the extracellular matrix-degrading agent is added to the culture medium in accordance with the invention, the type of the cells is not particularly limited as long as the cells exert the effects of inhibiting the formation of spheroid colonies (spheroids).

[0188] In a representative embodiment of the invention, the cells differentiated from the Tie2-positive stem/progenitor cells are cells that produce and secrete more extracellular matrix than typical cells, for instance, nucleus pulposus cells that are responsible for producing and secreting extracellular matrix in a disc nucleus pulposus tissue. Mature nucleus pulposus cells express at least type II collagen as an extracellular matrix, and also express an extracellular matrix such as proteoglycan (aggrecan). In a preferred embodiment of the invention, the Tie2-positive stem/progenitor cells are differentiated into cells expressing extracellular matrices such as type II collagen and proteoglycan (aggrecan), particularly functional nucleus pulposus cells having a superior expression level (production level) of not only mRNA but also protein of type II collagen.

[0189] Preparation Method (Culturing Step)

[0190] The method of preparing, from a cell population containing Tie2-positive stem/progenitor cells, a cell population containing target cells differentiated from the Tie2-positive stem/progenitor cells according to the invention comprises the following amplification culture stage and/or differentiation culture stage, preferably both the amplification culture stage and the differentiation culture stage (in the order of the first amplification culture stage and the next differentiation culture stage).

[0191] Amplification culture stage: a culturing step of enhancing expression of Tie2 in Tie2-positive stem/progenitor cells and amplifying the Tie2-positive stem/progenitor cells in a cell population; and

[0192] differentiation culture stage: a culturing step of inducing differentiation of the Tie2-positive stem/progenitor cells into target cells.

[0193] Step Involving Amplification Culture Stage

[0194] In a preferred embodiment of the invention, the first culture method and the second culture method are performed in a step at the amplification culture stage. Either one of the first culture method or the second culture method may be performed, or both of them may be performed. Both the first culture method and the second culture method may be implemented. In this case, at the amplification culture stage, the step of performing the first culture method (herein referred to as a “first culturing step”) and the step of performing the second culture method (herein referred to as a “second culturing step”) may be separate steps that are sequentially performed (the first culturing step is performed first, and the second culturing step is performed later). The two culture methods may be provided as a single step (herein referred to as the “first-second culturing step”) (in which the first and second culture methods are fused and performed). That is, the step may be a step of culturing a cell population containing Tie2-positive stem/progenitor cells while present in a non-digested tissue and in a Tie2 expression enhancer-containing culture medium.

[0195] The “step at the amplification culture stage” is mainly intended to amplify Tie2-positive stem/progenitor cells by culturing under prescribed conditions, and means a step in which the effects therefor are exerted (relatively stronger than other effects). That is, if the number and/or percentage of Tie2-positive stem/progenitor cells is higher in the post-culture cell population than in the pre-culture cell population, the culturing step can be said to be a “step at the amplification culture stage”. Here, it is permitted within the limit that the Tie2-positive stem/progenitor cells are differentiated into other cells (target cells).

[0196] The expression of Tie2 in individual Tie2-positive stem/progenitor cells (e.g., nucleus pulposus stem/progenitor cells) in the invention is enhanced (including a case where expression of Tie2 is kept). Also, the number and/or the percentage of Tie2-positive stem/progenitor cells contained in the cell population are increased. Such effects can be synergistically augmented. Thus, it is particularly preferable that the first-second culture method is implemented as a step at the amplification culture stage (i.e., the first-second culturing step is performed).

[0197] Step Involving Differentiation Culture Stage

[0198] In a preferred embodiment of the invention, the third culture method and the fourth culture method are performed in a step at the differentiation culture stage. Either one of the third culture method or the fourth culture method may be performed, or both of them may be performed. Here, both the third culture method and the fourth culture method may be performed. In this case, at the differentiation culture stage, the step of performing the third culture method (herein referred to as a “third culturing step”) and the step of performing the fourth culture method (herein referred to as a “fourth culturing step”) may be separate steps that are sequentially performed. The two culture methods may be provided as a single step (herein referred to as the “third-fourth culturing step”) (in which the third and fourth culture methods are fused and performed). That is, the step may be a step of culturing a cell population containing Tie2-positive stem/progenitor cells by using cultureware with a culture surface having undergone cell attachment-increasing treatment and by suppressing formation of spheroid colonies in a culture medium containing an extracellular matrix-degrading agent.

[0199] The “step at the differentiation culture stage” is mainly intended to differentiate Tie2-positive stem/progenitor cells into predetermined cells by culturing under prescribed conditions, and means a step in which the effects therefor are exerted (relatively stronger than other effects). That is, if the number and/or the percentage of the target cells are higher in the post-culture cell population than in the pre-culture cell population, the culturing step can be said to be a “step at the differentiation culture stage”.

[0200] Note that as described above, the step of temporarily treating, in a culture medium containing collagenase, spheroid colonies (spheroids, discospheres, floating spherical structures) described in Patent Document 1 to dissociate them fails to correspond to the fourth culture method of the invention as defined above or the fourth culturing step as a step at the differentiation culture stage. In addition, a method (step) of treating a cell population contained in a collected tissue with, for instance, collagenase for isolation or a method (step) of subjecting cells grown in typical two-dimensional culture to trypsin treatment to dissociate the cells from the culture surface for subculturing also fails to correspond to the fourth culture method of the invention as defined above or the fourth culturing step as a step at the differentiation culture stage.

[0201] Given functional cells (e.g., Col2-positive nucleus pulposus cells) differentiated from Tie2-positive stem/progenitor cells (e.g., nucleus pulposus stem/progenitor cells) contained in a cell population in the invention should have an increased number and/or percentage of the cells. On the other hand, it is possible to synergistically increase the effects of, for instance, keeping at a certain level the number and/or the percentage of the Tie2-positive stem/progenitor cells. In view of the above, it is particularly preferable that the third-fourth culture method is implemented as a step at the differentiation culture stage (i.e., the third-fourth culturing step is performed).

[0202] The amplification culture stage may further optionally include a step in addition to the first culturing step and/or the second culturing step, which step meets the purpose of the step of amplifying the Tie2-positive stem/progenitor cells. Examples of such a step include a step of culturing a cell population containing Tie2-positive stem/progenitor cells in a culture medium containing, as a Tie2 expression enhancer, only a growth factor having a Tie2 expression-enhancing effect (this step is herein referred to as an “additional amplification culturing step”). Examples of the growth factor having a Tie2 expression-enhancing effect in the additional amplification culturing step include FGF and/or EGF. The additional amplification culturing step is preferably performed after the first culturing step and/or the second culturing step, particularly the first culturing step or the first-second culturing step. Also, in the additional amplification culturing step, it is suitable that the first culture method is not performed, that is, the cell population containing Tie2-positive stem/progenitor cells is not in a state of being present in a non-digested tissue but in a state where the cells are separated by digestion treatment. In the “first culture method” performed in the first culturing step or the first-second culturing step in the invention, a cell population containing Tie2-positive stem/progenitor cells is cultured while present in a non-digested tissue. However, if the culture reaches a certain level, the presence in the tissue may affect the cells. Then, the Tie2-positive stem/progenitor cells are prevented from amplifying (even if the culture period is extended, the Tie2-positive stem/progenitor cells do not amplify). Thus, after the first culturing step or the first-second culturing step, the tissue is digested, the separated cell population is recovered, and the additional amplification step is performed. This enables the Tie2-positive stem/progenitor cells to be further amplified.

[0203] <Cell Population>

[0204] A cell population containing Tie2-positive stem/progenitor cells to be subjected to each culture method or each culturing step in the invention (herein generally referred to as a “pre-culture cell population”) includes Tie2-positive stem/progenitor cells and the other cells (e.g., cells differentiated from Tie2-positive stem/progenitor cells) basically at any ratio and/or numbers. Further, basically any ratio between the Tie2-positive stem cells and the Tie2-positive progenitor cells is also permitted. The composition of the pre-culture cell population can be adjusted, if appropriate, according to an embodiment of the invention while the effects in each culture method or each culturing step are considered.

[0205] The pre-culture cell population may be provided or prepared according to a conventional procedure except for the case of being subjected to the first culture method or the first culturing step. For instance, a cell population included in an in vivo collected disc nucleus pulposus tissue may be used as a pre-culture cell population. In this case, the nucleus pulposus tissue was first finely cut with an instrument such as scissors into pieces with a suitable size (e.g., mince with about several-mm cubes). Next, the resulting cells were treated with a protease such as collagenase, dispersed, and optionally filtered, centrifuged, washed, etc. These treatments enable a cell population included in the nucleus pulposus tissue to be isolated and recovered. The resulting cell population may be used as a pre-culture cell population other than those used in the first culture method or the first culturing step.

[0206] On the other hand, in the first culture method or the first culturing step in the invention, the above procedure was stopped at a step of finely cutting the nucleus pulposus tissue (the treatment with a protease is not performed). Then, a cell population while included in the finely cut nucleus pulposus tissue is utilized as a pre-culture cell population.

[0207] The cell population separated from the tissue or the cell population (a cell population-containing tissue) while included in the tissue prepared as described above may be cryopreserved according to a conventional procedure until being subjected to the next culture method or culturing step. The cryopreserved cell population or tissue may be thawed according to a conventional procedure when the next culture method or culturing step is started. During cryopreservation and thawing, treatments fit for the cell population or tissue may be combined. For example, a cryoprotectant (e.g., DMSO) may be added during cryopreservation, and in this case, the cryoprotectant may be removed under suitable conditions during thawing.

[0208] A cell population containing Tie2-positive stem/progenitor cells obtained by each culture method or each culturing step in the invention (herein generally referred to as a “post-culture cell population”) includes Tie2-positive stem/progenitor cells and the other cells (e.g., cells differentiated from Tie2-positive stem/progenitor cells) basically at any ratio and/or numbers. Further, basically any ratio between the Tie2-positive stem cells and the Tie2-positive progenitor cells is also permitted. The composition of the post-culture cell population can be adjusted, if appropriate, according to an embodiment of the invention while use of the cell population obtained by each culture method or each culturing step is considered.

[0209] The post-culture cell population may be recovered from the culture medium according to a routine procedure and subjected to the next culture method or culturing step, or subjected to another method or step such as preparation of a cell preparation.

[0210] A cell population containing Tie2-positive stem/progenitor cells during the process of each culture method or each culturing step in the invention (herein generally referred to as a “in-culture cell population”) includes Tie2-positive stem/progenitor cells and the other cells (e.g., cells differentiated from Tie2-positive stem/progenitor cells) basically at any ratio. Further, basically any ratio between the Tie2-positive stem cells and the Tie2-positive progenitor cells is also permitted. The composition of the in-culture cell population is a composition in the process of transition from the pre-culture cell population to the post-culture cell population. For example, the ratio of Tie2-positive stem/progenitor cells with respect to the in-culture cell population (herein referred to as the “Tie2-positive stem/progenitor cell rate”) is a number in the range (inclusive) between the Tie2-positive stem/progenitor cell rate in the pre-culture cell population and the Tie2-positive stem/progenitor cell rate in the post-culture cell population. However, the number is permitted to be temporarily out of the range. The composition of the in-culture cell population varies depending on an embodiment of the invention and depending on, for instance, the number of days and the number of passages in each culture method or each culturing step.

[0211] The “human or other animal” (donor) from which each cell population is derived can be selected in consideration of, for instance, use of the cell population finally obtained by the method of culturing Tie2-positive stem/progenitor cells according to the invention or use of the cell population obtained by each culture method or each culturing step included in the method. In an exemplary embodiment of the invention, it is possible to prepare a cell population for producing a cell preparation so as to prevent or treat, for instance, a given disease or symptom. In this case, the “human or other animal” is an organism of the same species as a subject (recipient) receiving the cell preparation, and is preferably a human.

[0212] Cell Population Involving Amplification Culture Stage

[0213] A cell population in the invention (herein generally referred to as a pre-amplification-culture cell population) is to be subjected to the first culture method and/or the second culture method or the first culturing step and/or the second culturing step at the amplification culture stage. The cell population is typically a cell population (primary culture cell population) contained in a tissue (intervertebral disc) collected from the body of a human or other animal or a cell population (subculture cell population) obtained by subculturing the primary culture cell population.

[0214] For instance, a cell population included in an intervertebral disc collected from a human may be used as a pre-amplification-culture cell population. In this case, preferred is a cell population included in an intervertebral disc collected from a human in teens or twenties, which intervertebral disc is likely to have, in general, an increased Tie2-positive stem/progenitor cell rate and superior niche. In addition, the pre-amplification-culture cell population is preferably a cell population having a Tie2-positive stem/progenitor cell rate as high as possible, for example, 30% or more, 40% or more, 50% or more, or 60% or more.

[0215] Note that in some embodiments, the pre-amplification-culture cell population is not necessarily a cell population contained in a tissue collected from the body of a human or other animal. For example, the cell population may be a cell population containing Tie2-positive stem/progenitor cells obtained by inducing differentiation of pluripotent or multipotent cells, such as iPS cells or ES cells, which have been produced using cells from a human or other animal.

[0216] In the invention, use of the cell population obtained by the first culture method and/or the second culture method or use of the cell population obtained by the first culturing step and/or the second culturing step at the amplification culture stage (herein generally referred to as a “post-amplification-culture cell population” is not particularly limited. The composition of the resulting cell population is adjustable, if appropriate, depending on use thereof.

[0217] In a typical embodiment of the invention, the post-amplification-culture cell population is used as a cell population to be subjected to the third culture method and/or the fourth culture method, or a cell population to be subjected to the third culturing step and/or the fourth culturing step at the differentiation culture stage. The post-amplification-culture cell population in such an embodiment (use) preferably has a ratio of Tie2-positive stem/progenitor cells and/or the number of the cells as high as possible. The ratio of Tie2-positive stem/progenitor cells in the post-amplification-culture cell population varies depending on, for instance, individual differences of the pre-amplification-culture cell population and the nucleus pulposus tissue from which the pre-amplification-culture cell population is derived. Thus, the ratio depends on the situation, but is, for example, 5% or more, preferably 7% or more, 9% or more, 11% or more, 13% or more, or 15% or more. The number of Tie2-positive stem/progenitor cells in the post-amplification-culture cell population varies depending on, for instance, individual differences of the pre-amplification-culture cell population and the nucleus pulposus tissue from which the pre-amplification-culture cell population is derived. Thus, the ratio depends on the situation, but The number of cells is, for example, 5 times or more, preferably 10 times or more, 15 times or more, 20 times or more, 25 times or more, or 30 times or more the number in the pre-amplification-culture cell population.

[0218] Cell Population Involving Differentiation Culture Stage

[0219] A cell population to be subjected to the third culture method and/or the fourth culture method or a cell population to be subjected to the third culturing step and/or the fourth culturing step at the differentiation culture stage in the invention (herein referred to as a “pre-differentiation-culture cell population”) is preferably a cell population obtained by enriching Tie2-positive stem/progenitor cells in advance. The Tie2-positive stem/progenitor cell rate in a pre-differentiation-culture-stage cell population varies depending on, for instance, individual differences of the pre-amplification-culture or post-amplification-culture cell population and/or the nucleus pulposus tissue from which the cell population is derived. Thus, the ratio depends on the situation, but is, for example, 5% or more, preferably 7% or more, 9% or more, 11% or more, 13% or more, or 15% or more.

[0220] In a typical embodiment of the invention, the pre-differentiation-culture cell population is a cell population (post-amplification-culture cell population) obtained through the amplification culture stage in the invention. For example, a cell population containing amplified Tie2-positive stem/progenitor cells is divided at a suitable cell count depending on an embodiment of the differentiation culture stage (e.g., the type and/or size of cultureware) to give a cell population of interest. The cell population obtained through the amplification culture stage in the invention comprises Tie2-positive stem/progenitor cells in the ratio and/or the cell count as described above. In addition, expression of Tie2 in the Tie2-positive stem/progenitor cells is enhanced (Tie2 expression is maintained). Thus, from the viewpoint of enhancing the effects at the differentiation culture stage, the above cell population is preferable as a pre-differentiation-culture cell population.

[0221] Note that in some embodiments, the pre-differentiation-culture cell population is not necessarily obtained through the amplification culture stage (the first culture step and/or the second culture step) in the invention. For example, the cell population may be a cell population included in a tissue collected from the body of a human or other animal or a cell population containing target cells obtained by inducing differentiation (via Tie2-positive stem/progenitor cells) of pluripotent or multipotent cells, such as iPS cells or ES cells, which have been produced using cells from a human or other animal.

[0222] In the invention, use of the cell population obtained by the third culture method and/or the fourth culture method or use of the cell population obtained by the third culturing step and/or the fourth culturing step at the differentiation culture stage (herein generally referred to as a “post-differentiation-culture cell population” is not particularly limited. The composition of the resulting cell population is adjustable, if appropriate, depending on use thereof. For example, a cell population used for producing a cell preparation for implantation contains as many target cells as possible (e.g., nucleus pulposus cells that produce type II collagen: Col2-positive cells) having functionality useful for exerting a therapeutic or prophylactic effect by implantation. At the same time, it is preferable that the cell population contains some Tie2-positive stem/progenitor cells (e.g., nucleus pulposus stem/progenitor cells) that remain capable of producing such target cells.

[0223] The ratio of Col2-positive (nucleus pulposus) cells in the post-differentiation-culture cell population varies depending on, for instance, individual differences of the pre-differentiation-culture cell population and the nucleus pulposus tissue from which the pre-differentiation-culture cell population is derived. Thus, the ratio depends on the situation, but is, for example, 5% or more, preferably 10% or more, 15% or more, 20% or more, 25% or more, or 30% or more.

[0224] The ratio of Tie2-positive (nucleus pulposus) stem/progenitor cells in the post-differentiation-culture cell population varies depending on, for instance, individual differences of the pre-differentiation-culture cell population and the nucleus pulposus tissue from which the pre-differentiation-culture cell population is derived. Thus, the ratio depends on the situation, but is, for example, 1% or more, preferably 2% or more, 4% or more, 6% or more, 8% or more, or 10% or more.

[0225] Note that in the differentiation culturing step, the number of cells contained in the cell population usually increases. The number of cells (e.g., each of Col2-positive cells or Tie2-positive stem/progenitor cells) in the post-differentiation-culture cell population varies depending on, for instance, individual differences of the pre-differentiation-culture cell population and/or the nucleus pulposus tissue from which the pre-differentiation-culture cell population is derived. Thus, the ratio depends on the situation, but The number of cells is, for example, 2 times or more, 5 times or more, 10 times or more, 20 times or more, 50 times or more, or 100 times or more the number in the pre-differentiation-culture cell population.

[0226] <Culture Medium>

[0227] The culture medium used in each culture method or each culturing step in the invention may be any culture medium as long as it is suitable for culturing Tie2-positive stem/progenitor cells and cells differentiated therefrom. A suitable basal culture medium and a suitable additive component(s) may be selected in consideration of the purpose of the culture method or the culturing step. The additive component(s) may be an additive component(s) suitable for amplification culture of Tie2-positive stem/progenitor cells if the culture method is carried out at the time of amplifying Tie2-positive stem/progenitor cells, that is, when the culturing step is at the amplification culture stage. The additive component(s) suitable for inducing differentiation from Tie2-positive stem/progenitor cells into target cells may be selected if the culture method is carried out at the time of inducing differentiation of Tie2-positive stem/progenitor cells, that is, when the culturing step is at the differentiation culture stage.

[0228] In the third culture method and the fourth culture method of the invention, or in the third culturing step and the fourth culturing step including the step of performing these methods, it is unnecessary to add, to the culture medium, a component (e.g., methylcellulose) that prevents Tie2-positive stem/progenitor cells and cells differentiated therefrom from attaching to the culture surface of cultureware. That is, the culture medium in the third culture method and the fourth culture method of the invention or in the third culturing step and the fourth culturing step including the step of performing these methods is usually free of any component (e.g., methylcellulose) for preventing cell adhesion to the culture surface of cultureware.

[0229] In a representative embodiment of the invention, nucleus pulposus stem/progenitor cells and nucleus pulposus cells differentiated therefrom may be cultured. In this case, the culture medium for each step at the amplification culture stage or the differentiation culture stage may be prepared, for example, by using appropriate amounts of the following basal culture medium, additive component(s), growth factor(s), and other component(s).

[0230] Examples of the basal culture medium include DMEM (Dulbecco's Modified Eagle Medium, without or with glucose), αMEM (α-modified Eagle's Minimum Essential Medium), Ham's F-10 medium, Ham's F-12 medium, or a mixture thereof.

[0231] Examples of the additive component(s) for amplification culture or differentiation culture include FBS (fetal bovine serum), BSA (bovine serum albumin), L-ascorbic acid (e.g., as L-ascorbic acid magnesium phosphate), selenious acid (e.g., as insulin-transferrin-sodium selenite (ITS: Insulin-Transferrin-Selenium)), and/or 2-mercaptoethanol. If necessary, antibiotics such as penicillin and streptomycin and other component(s) may be further added to the culture medium. Note that the culture medium for amplification culture does not necessarily contain L-ascorbic acid as an additional component.

[0232] Examples of the growth factor(s) include FGF (fibroblast growth factor), EGF (epidermal growth factor), and/or Ang-1 (Angiopoietin-1). In an embodiment of the invention, it is preferable to use at least FGF as the growth factor to be added to the culture medium, it is more preferable to use both FGF and EGF, and it is still more preferable to optionally use Ang-1 in addition to FGF and EGF.

[0233] Examples of the FGF that can be used include bFGF (basic fibroblast growth factor, sometimes also referred to as FGF-2). The concentration of FGF in the culture medium may be usually in the range of 1 to 50 ng/mL and preferably in the range of 5 to 15 ng/mL, for example, about 10 ng/mL.

[0234] Ang-1 is preferably added to a serum-free culture medium. Ang-1 is preferably solubilized in water (soluble Ang-1, recombinant Ang-1). The concentration of Ang-1 (preferably soluble Ang-1) in the culture medium may be usually in the range of 100 to 1000 ng/mL, for example, about 500 ng/mL.

[0235] Note that the above growth factors such as FGF, EGF, and Ang-1 are “growth factors having a Tie2 expression-enhancing effect”, and can also be interpreted to correspond to a “Tie2 expression enhancer” in a broad sense, but the way of handling these growth factors in the invention is separately described herein.

[0236] <Tie2 Expression Enhancer>

[0237] In the second culture method of the invention, at least one kind of “Tie2 expression enhancer” other than growth factors having a Tie2 expression-enhancing effect is added to the culture medium. In particular, when the second culture method is implemented in a step at the amplification culture stage, a Tie2 expression enhancer may be added. This addition exerts an effect of increasing the number of Tie2-positive stem/progenitor cells while the cells remain immature. Further, when a cell population obtained at the amplification culture stage is subjected to the differentiation culturing step, the addition can exert, for instance, an effect of improving a rate of increase in the number of cells in a cell population obtained after the differentiation culturing step and/or a ratio of Tie2-positive stem/progenitor cells and a ratio of functional target cells, and so on. Any one kind of the Tie2 expression enhancer may be used, or two or more kinds thereof may be used in combination. The enhancer may be added to the culture medium in an amount by which the Tie2 activity and effect as described above are elicited.

[0238] Examples of the “growth factor(s) having a Tie2 expression-enhancing effect” include Angiopoietin-1 (Ang-1) and/or FGF2 (bFGF). In the second culture method of the invention, at least one kind of “Tie2 expression enhancer” other than growth factors having a Tie2 expression-enhancing effect is added. However, a growth factor(s) having a Tie2 expression-enhancing effect may be optionally used in combination. In particular, the second culture method is implemented in a step at the amplification culture stage. In this case, a growth factor having a Tie2 expression-enhancing effect and another Tie2 expression enhancer, for example, an extract(s) derived from an animal(s) or plant(s) as described below, more preferably an extract(s) derived from a plant(s) may be used in combination. This can exert a synergistic effect. Note that examples of a step at the amplification culture stage include a step that requires use of at least a Tie2 expression enhancer other than growth factors (a growth factor(s) having a Tie2 expression-enhancing effect may be used in combination as an optional component(s)). In addition, it is also possible to perform a step in which only a growth factor(s) having a Tie2 expression-enhancing effect is substantially used as the Tie2 expression enhancer (a step substantially without any Tie2 expression enhancer other than growth factors).

[0239] The Tie2 expression enhancer that is other than growth factors and can be used is each animal/plant-derived extract known as a “Tie2 activator” in the art. Examples of such an animal/plant-derived extract(s) include an extract(s) from Elaeagnus umbellata, Lactuca indica, Tamarindus indica L., turmeric, yellow wood, Polygonatum rhizome, psyllium, Salsola komarovii, olive fruit, oysters, camomile, Chinese quince, trichosanthes seed, Morinda officinahs, chrysanthemum, Polygonatum odoratum, quillaja, ginkgo, Clerodendrum trichotomum, Chinese matrimony vine, Quercus acutissima, Alpinia speciosa, Panax ginseng, Quercus serrata, hawthorn, Pellionia minima, Psidium guajava, Siberian ginseng, star apple, star fruit, Gleditsia officinahs Hemsl., jujube, cinnamon, wild rocambole, lotus, Colocasia gigantea, Kalopanax pictus, long pepper, butcher bloom, mango ginger, Staphylea pinnata, Stauntonia hexaphylla, Hemerocalhs fulva var. kwanso, Myrica rubra, Japanese clethra, or rooibos (see Patent Documents 3 to 10). In addition, a component(s) contained in such an extract is, for example, a compound(s) such as ursolic acid, colosolic acid, 3-O-galloylprocyanidin B-1, linolenic acid, 13-hydroxy-9 Z,11E,15E-octadecatrienoic acid, procyanidin B-2, epicatechin-(4β-6)-epicatechin(4β-8)-epicatechin, procyanidin C-1, astragaloside VIII, soya saponin I, 3′-O-methyl gallocatechin, pipernonaline, syringaresinol, 2-methoxycinnamaldehyde, eleutheroside E, eleutheroside E1, sesamin, eudesmin, sylvatesmin, pinoresinol, yangambin, forsythinol, coumarin (see Patent Documents 6 and 12 to 14). They may be used as the Tie2 expression enhancer other than growth factors. For each extract or component, for instance, the usage at which the Tie2 expression-enhancing effect is recognized, the portion (material) of plant/animal and the extraction process suitable for preparation, and/or the procedure for purifying a specific component(s) may also be set based on methods conventionally known to those skilled in the art, if appropriate.

[0240] From an industrial point of view, it is advantageous to use, as the Tie2 expression enhancer in the second culturing step in the invention, one or two or more kinds selected from the above animal/plant extracts, more preferably one or two or more kinds selected from the above plant-derived extracts, which are less expensive than growth factors such as Ang-1 and FGF2, preferably have a better Tie2 expression-enhancing effect than those growth factors, and more preferably exhibit a synergistic effect when used in combination with those growth factors.

[0241] Extract Derived from Plant of Genus Cinnamomum

[0242] In a preferred embodiment of the invention, an extract derived from a plant of the genus Cinnamomum may be used as the Tie2 expression enhancer. The genus Cinnamomum includes 300 or more species such as Cinnamomumcassia Blume, C. camphora, C. daphnoides, C. doederleinii, C. japonicum, C. pseudo-pedunculatum, C. sieboldii, C. verum, or C. zeylanicum. For example, an extract of cinnamon branches, which are young branches of cinnamon or a bark of cinnamon, or a product manufactured and sold as cinnamon powder obtained by processing them into powder can be used as an extract derived from a plant of the genus Cinnamomum in the invention.

[0243] The extract derived from a plant of the genus Cinnamomum may be obtained by a conventional procedure, and can be prepared, for example, by immersing or heating, under reflux, a plant body (e.g., cinnamon powder) as a raw material at normal temperature or by heating together with an extraction solvent, and then recovering the supernatant, or by filtering a filtrate and optionally concentrating the filtrate. The extraction solvent used may be a solvent usually used for extraction. Examples include an aqueous solvent such as water, saline, phosphate buffer, or borate buffer. Alternatively, examples include an organic solvent such as an alcohol compound (e.g., ethanol, propylene glycol, 1,3-butylene glycol, glycerin), an aqueous alcohol compound, chloroform, dichloroethane, carbon tetrachloride, acetone, ethyl acetate, or hexane. They may be used singly or may be used in combination. Preferably, water is used as the solvent. The extract obtained by extraction with the above solvent may be used as it is in the form of an extraction liquid. However, from the viewpoint of convenience, the extract may be solidified (pulverized) by, for instance, drying or lyophilization, stored, optionally diluted or re-dissolved (re-dispersed) with a suitable solvent upon use, further optionally subjected to treatment such as filtration, and then used. The extract derived from a plant of the genus Cinnamomum may be an extract (purified product) obtained by removing impurities by, for instance, an adsorption process using an ion exchange resin (e.g., a porous polymer such as Amberlite XAD-2), if necessary.

[0244] The concentration of the extract derived from a plant of the genus Cinnamomum in the culture medium can be adjusted, if appropriate, depending on the properties of the extract to be used, and in consideration of, for instance, the degree of effects as a Tie2 expression enhancer. For example, an extract obtained by extracting 1 mg of cinnamon powder with 1 mL of water (distilled water) may be used as the extract derived from a plant of the genus Cinnamomum. In this case, the above extract may be added in an amount of about 1 to 50 v/v %, for example, about 20 v/v % based on the culture medium. Even if the embodiment of extraction and addition is changed, the active ingredient as the Tie2 expression enhancer may be made comparable to that in the embodiment of extraction and addition described above.

[0245] <Extracellular Matrix-Degrading Agent (ECM-Degrading Agent)>

[0246] In the fourth culture method of the invention, in order to differentiate Tie2-positive stem/progenitor cells while suppressing the formation of spheroid colonies, an “extracellular matrix-degrading agent (ECM-degrading agent)” is added to the culture medium.

[0247] In general, examples of the extracellular matrix (ECM) secreted from stem/progenitor cells or cells differentiated therefrom include collagen, proteoglycan, fibronectin, laminin, tenascin, entactin, elastin, fibrillin, or hyaluronic acid. Collagen includes type I, type II, type III, type IV, type IX (a2), or other types of collagen. Examples of proteoglycan include aggrecan, versican, perlecan (hereinabove, classification is based on the size of the core protein and the number of sugar chains), chondroitin sulfate proteoglycan, heparan sulfate proteoglycan, keratan sulfate proteoglycan, or dermatan sulfate proteoglycan (hereinabove, classification is based on glycosaminoglycan linked to the core protein).

[0248] Thus, it is possible to use, as the ECM-degrading agent in the invention, a substance (agent) having activity to degrade ECM as exemplified above and capable of inhibiting the formation of spheroid colonies in accordance with an embodiment of the fourth culture method, that is, in response to the ECM secreted from the cultured Tie2 stem/progenitor cells or cells differentiated therefrom. Any one kind of the ECM-degrading agent may be used, or two or more kinds thereof may be used in combination.

[0249] Examples of the typical ECM-degrading agent include proteases having activity to degrade a protein portion(s) constituting the ECM, such as collagenases, which are proteases having activity to degrade collagen. Examples of each collagenase include class I collagenase exhibiting high activity toward high-molecular-weight collagen or class II collagenase exhibiting high activity toward low-molecular-weight collagen fragments. Meanwhile, collagenases from vertebrates cleave collagen in the naturally occurring triple helix region (on a very limited site of a-chain). By contrast, collagenases derived from bacteria act on almost all types of collagen, and can cleave collagen at multiple sites in the triple helix region. The collagenase preparation obtained by concentrating the bacterial culture supernatant contains, in addition to collagenase (e.g., collagenase I, collagenase II), a protease (e.g., neutral protease, clostripain, trypsin, elastase, aminopeptidase) other than collagenase and/or a non-proteolytic enzyme. A preparation, from which a specific component(s) has been removed by, for instance, purification, may also be produced. In the invention, those that are suitable may be selected from, for instance, various known collagenases (preparations) or proteases, and may be used as an ECM-degrading agent.

[0250] In a representative embodiment of the fourth culture method of the invention, the Tie2-positive stem/progenitor cells are nucleus pulposus stem/progenitor cells, and the cells (target cells) generated by inducing differentiation from the Tie2-positive stem/progenitor cells are nucleus pulposus cells. The nucleus pulposus cells express, as ECM, type II collagen, for instance, type IX collagen, type XI collagen, and/or proteoglycan. Thus, as the ECM-degrading agent in this embodiment, one having activity to degrade ECM, for example, collagenase having activity to degrade, for instance, type II collagen (or a preparation containing the same) may be selected. Examples of the collagenase (preparation) include “Collagenase P” (derived from Clostridium histolyticum; Roche Inc.) or “Liberase” (a mixture of collagenases I and II and neutral protease; Roche Inc.).

[0251] Note that the representative ECM-degrading agent may be an enzyme (protein) such as a protease, which has specific activity to degrade proteins contained in ECM, but has low cytotoxicity. Here, it is possible to be able to use, as the ECM-degrading agent, a substance (e.g., a low-molecular-weight compound) other than enzymes (proteins), which substance has a certain level or more of activity to degrade ECM and a certain level or less of cytotoxicity.

[0252] The concentration of the ECM-degrading agent in the culture medium may be any concentration that can suppress the formation of spheroid colonies from the cell population containing Tie2 stem/progenitor cells. Depending on the type of ECM-degrading agent used, the fourth culture method may be carried out in a step at the differentiation culture stage (performed as the fourth culturing step). In this case, the concentration may be adjusted, if appropriate, in consideration of the rate of increase in the number of target cells and/or the action on the expression level or positive rate of a predetermined gene(s) (marker gene(s)), and others. For example, if the concentration of the ECM degradation agent is too high, the advantageous effects of the above action may not be sufficiently observed (conversely, may be disadvantageous). Thus, it is preferable to adjust the concentration within a prescribed range depending on the kind of the ECM-degrading agent.

[0253] In the method (third-fourth culture method) in which the third culture method and the fourth culture method are fused or the step (third-fourth culturing step) in which the third culturing step and the fourth culturing step are fused, the effects on the rate of increase in the number of target cells, the expression level or positive rate of a predetermined gene(s) (marker gene(s)), or others may vary depending on the combination of the type and concentration of the ECM-degrading agent in the culture medium and the kind of coating agent on the culture surface. Those skilled in the art can set each of the above conditions fit for putting into practice the invention through, for instance, a preliminary test while also considering the properties of the pre-differentiated cell population and other embodiments depending on from what viewpoint the effects are expected.

[0254] As described above, the concentration of the ECM-degrading agent in the culture medium is not generally determined, and may be adjusted within the range of, for example, 0.0025 to 5.0 wt %, 0.005 to 2.0 wt %, or 0.01 to 1.0 wt % depending on the combination with the kind of coating agent on the culture surface. In an embodiment of the invention, when “Collagenase P” is used as the ECM-degrading agent, its concentration in the culture medium is adjustable within the range of, for instance, 0.005 to 0.05 wt % or 0.0125 to 0.025 wt %, and is, for example, about 0.0125 wt %. In an embodiment of the invention, when “Liberase” is used as the ECM-degrading agent, its concentration in the culture medium is adjustable within the range of, for instance, 0.25% to 2.0 wt % or 0.5 to 1.0 wt %, and is, for example, about 1.0 wt %.

[0255] <Culture Period and Other Conditions>

[0256] Basically, the period and other conditions (e.g., pH, CO.sub.2 level, O.sub.2 level) of each culture method or each culturing step in the invention may be adjusted, if appropriate, so as to obtain a cell population having a desired cell composition (type and number/ratio) according to the purpose of (the culture stage including) the culturing step. The pH may be weakly alkaline (e.g., about 7.15). The CO.sub.2 level may be, for example, about 5%. The O.sub.2 level may be 5% or less (e.g., about 2%). During the period of each culture method or each culturing step (stage), the culture medium may be optionally changed, if appropriate, with a fresh one every predetermined days. Also, the culture medium may be modified or the atmosphere may be changed by adding a component or increasing or decreasing the concentration of the component or the pH after a predetermined number of days has passed.

[0257] The period of each of the first culturing step, the second culturing step, or the first-second culturing step in which these steps are fused at the amplification culture stage in the invention is usually about 1 to 3 weeks, for example, about 2 weeks. In addition, the periods of other steps that can be optionally included at the amplification culture stage in the invention are also similar. For example, the period of the culturing step using an FGF-containing culture medium is about one week. When the desired post-amplification-culture cell population is obtained, the amplification culture stage may be terminated. Note that culture (treatment) performed for a short period or a short time (e.g., 24 h or shorter) so that the aim of the amplification culture cannot be achieved fails to correspond to each step performed at the amplification culture stage in the invention.

[0258] The period of each of the third culturing step, the fourth culturing step, or the third-fourth culturing step in which the steps are fused at the differentiation culture stage in the invention is usually about 1 to 3 weeks, for example, about 1 to 2 weeks. In addition, the periods of other steps that can be optionally included at the amplification culture stage in the invention are also similar. For example, the period of the culturing step using an FGF-containing culture medium is about one week. Further, the periods of other steps that can be optionally included at the differentiation culture stage in the invention are also similar. When the desired post-differentiation-culture cell population is obtained, the differentiation culture stage may be terminated. Note that culture (treatment) performed for a short period or a short time (e.g., 24 h or shorter) so that the aim of the differentiation culture cannot be achieved fails to correspond to each step performed at the differentiation culture stage in the invention.

[0259] <Cultureware>

[0260] Basically, cultureware, a culturing device, and others used in each culture method or each culturing step in the invention may be selected, if appropriate, according to the purpose of (the culture stage including) the culture method or the culturing step so as to obtain a cell population having a desired cell composition (type and number/ratio).

[0261] The cultureware used may be cultureware having a common shape, such as a flask, a dish, a plate, or a bag, and may have a well(s) capable of accommodating cells. The cultureware used may be cultureware made of a common material such as glass, plastic, or resin. The surface (culture surface) of the cultureware may be untreated, or may undergo treatment related to cell attachment or other treatment(s). The size (area or volume) of cultureware and, if the cultureware includes wells, the size (aperture and depth) and number of the wells, for instance, may also be selected, if appropriate. If necessary, the cultureware may be shaken or rotated, and the cell population may be cultured while the culture medium is stirred.

[0262] In an embodiment of the third culture method (step) and the fourth culture method (step) of the invention, the cultureware and the culturing device may be set according to two-dimensional culture (plate culture). Further, the first culture method (step) of the invention can also be said to be three-dimensional culture from the viewpoint of culturing a cell population while present in a tissue. The cell population-containing tissue (small piece) is placed while suspended in the culture medium. The second culture method (step) of the invention may be an embodiment according to three-dimensional culture when implemented alone. However, the second culture method (step) may be fused to the first culture method (step) so that they are implemented as the first-second culture method (step). In this case, like in the above first culture method (step), the cell population-containing tissue is placed while suspended in the culture medium. In these methods (steps), it is possible to use cultureware having undergone cell attachment-increasing surface treatment as in the third culture method (step). However, there is no problem even if regular cultureware without surface treatment is used.

[0263] <Cell Attachment Treatment>

[0264] In the third culture method (step) of the invention, cultureware having undergone cell attachment-increasing surface treatment (herein sometimes referred to as “cell attachment treatment”) is used. Typical examples of the cell attachment treatment include treatment in which a coating agent containing an extracellular matrix (ECM) or other biological substance is applied to a culture surface. Examples of the cell attachment treatment also include plasma treatment to modify and make hydrophilic cultureware formed of a low-cell-attachment material, for example, strongly hydrophobic polystyrene.

[0265] Examples of the ECM contained in the coating agent for cell attachment treatment include various known ECMs such as collagen (e.g., type I, type II, type IV collagen) or gelatin as a heat-treated product thereof, chondroitin sulfate A, fibronectin, gelatin, laminin, thrombospondin, vitronectin, or proteoglycan (e.g., aggrecan, heparin sulfate proteoglycan). Examples of the biological molecule other than ECM include a polyamino acid such as polylysine (poly-L-lysine or poly-D-lysine). Examples of other coating agents for cell attachment treatment include polyglycolic acid, PLGA (a polylactic acid-glycolic acid copolymer), polyhydroxyalkanoic acid (PHA), poly-6-caprolactone, polyorthoester, polyacid anhydride, polyphosphazene, polydimethylsiloxane, polyurethane, polytetrafluoroethylene, polyethylene, polysulfone, poly-methyl methacrylate, poly-2 hydroxyethyl methacrylate, polyamide, polypropylene, polyvinyl chloride, polystyrene, polyvinylpyrrolidone, or polyornithine. The coating agent for cell attachment treatment may contain any one of the above-mentioned substances, or may contain two or more kinds thereof.

[0266] Here, in the third-fourth culture method (step), as described above, the effects (e.g., the rate of increase in the number of cells in the cell population, ratio of target cells) of the invention may vary depending on the combination of the kind of coating agent for cell attachment treatment and the type and concentration of the ECM-degrading agent added to the culture medium. A cause thereof may be probably because the ECM or other biological substances contained in the coating agent for cell attachment treatment may be affected by the degradation activity by the ECM-degrading agent added to the culture medium. However, an embodiment in which a coating agent for cell attachment treatment and an ECM-degrading agent, which agents may interact in such a manner, are used in combination is also acceptable as long as the effects of the invention are exerted at a certain degree (are not completely blocked). For example, collagenase (preparation) having activity to degrade type II collagen may be added at a predetermined concentration as an ECM-degrading agent to the culture medium. In this case, the coating agent for cell attachment treatment is unlikely to be affected by the type and concentration of the ECM-degrading agent. Alternatively, the coating agent may be used to induce differentiation into target cells (e.g., Col2-positive cells), so that the differentiation can be achieved at a certain level. Preferably, it is preferable to include polylysine (poly-L-lysine or poly-D-lysine) or fibronectin, which are not collagen, or type IV collagen.

[0267] The third culture method of the invention can also be carried out at the amplification culture stage. For example, the third culture method may be performed in the step (additional amplification culturing step) of culturing a cell population containing Tie2-positive stem/progenitor cells in a culture medium containing only a growth factor having a Tie2 expression-enhancing effect as a Tie2 expression enhancer described above in relation to the amplification culture stage. Preferable examples of the ECM contained in the coating agent for cell attachment treatment in such an embodiment include gelatin.

[0268] Composition for Cell Therapy

[0269] The composition for cell therapy according to the invention comprises a cell population obtained by the culture method or the preparation method of the invention as described above, and may optionally comprises another pharmaceutically acceptable component(s).

[0270] In a representative embodiment of the invention, the composition for cell therapy is a composition for cell therapy, comprising Col2-positive nucleus pulposus cells differentiated from nucleus pulposus stem/progenitor cells (preferably also comprising Tie2-positive stem/progenitor cells). Examples of an indication for which the composition for cell therapy in this embodiment is indicated, that is, a disease that can be prevented or treated by administering this composition include a disease manifested as a disorder or degeneration of an intervertebral disc (nucleus pulposus) or herniation. Specific examples thereof include discopathy of the lumbar or cervical spine, disc herniation, cervical spondylosis, radiculopathy, spondylolysis/spondylolisthesis, lumbar spinal stenosis, lumbar degenerative spondylolisthesis, or lumbar degenerative scoliosis.

[0271] The dosage form of the composition for cell therapy in the invention may be any form as long as the cell population can be transplanted or delivered to a target site (e.g., the nucleus pulposus of an intervertebral disc). Here, the dosage form may be, for example, an injection and preferably an injection for topical administration at or near an intervertebral disc (nucleus pulposus). Alternatively, the dosage form may be an injection for administration into a blood vessel, which makes targeting possible.

[0272] Examples of the pharmaceutically acceptable component(s) include water for injection or physiological saline used in the case of preparation as an injection, a culture liquid for the cell population, other suitable solvent/dispersion medium, and/or other additive(s).

[0273] The composition for cell therapy according to the invention may be administered in an amount effective in eliciting a desired therapeutic or prophylactic effect. While the ingredient(s) of the composition for cell therapy, the dosage form, the administration subject, the administration route, and other embodiments are considered, such an effective amount may be adjusted, if appropriate, by, for instance, the dose per administration, the number of administrations, and/or the dosing interval (the number of administrations within a certain period). Treatment using the composition for cell therapy according to the invention can be implemented on humans or non-human vertebrates.

[0274] Preservation Method

[0275] The method of preserving a cell population containing Tie2-positive stem/progenitor cells according to the invention is cryopreservation of the cell population containing Tie2-positive stem/progenitor cells while present in a non-digested tissue. This makes it possible to maintain a state in which Tie2 is activated and/or expressed or prevent a decrease in the number of Tie2-positive stem/progenitor cells in the cell population.

[0276] Substantially the same technical matters as those described above in relation to the first culture method is applicable to the technical matters involving the preservation method according to the invention. For example, a cryopreservation procedure and/or an optionally used cryoprotectant may be used for a non-digested tissue containing Tie2-positive stem/progenitor cells. Essentially and substantially the same one is applicable to a conventional cell population containing Tie2-positive stem/progenitor cells isolated from a tissue by digestion treatment.

EXAMPLES

[0277] A culture medium used for each step at an “amplification culture stage” in the Examples (as referred to as “culture medium for amplification culture stage” in the following Examples) was a culture medium prepared by mixing 60 mL of DMEM (no glucose, Wako) and 40 mL of MEMa (Nacalai Tesque) and by adding 20% of FBS immediately before use while an additional component(s) shown in each table in the Examples was further added (+) or not added (−).

[0278] A culture medium used for each step at a “differentiation culture stage” in the Examples (as referred to as “culture medium for differentiation culture stage” in the following Examples) was a culture medium prepared by mixing 60 mL of DMEM (no glucose, Wako) and 40 mL of F10 (Gibco), by adding 1 μL of 2-mercaptoethanol, 6 μL of selenious acid (0.01%), 1.5 mL of ascorbic acid (5 mg/mL), and 5 mL of 30% BSA, and by further adding 30% of FBS immediately before use while an additional component(s) designated in each table in the Examples was added (+) or not added (−).

Test Example 1

Amplification Culture Stage: the First Culturing Step (WTC Method)

[0279]

TABLE-US-00001 TABLE 1 Amplification culture stage (7 days) Test Additional component to Example prepare a culture medium Culture method 1-1 10 ng/mL bFGF WTC method 1-2 — WTC method 1-3 10 ng/mL bFGF Two-dimensional culture method 1-4 — Two-dimensional culture method

[0280] A nucleus pulposus tissue of an intervertebral disc excised from an affected part of each patient with disc herniation (a 32-year-old woman, a 28-year-old woman, or a 20-year-old man) was finely cut into a size of several-mm cubes using scissors and other instruments. Next, 0.1 to 0.5 g of the finely cut nucleus pulposus tissue containing the cell population was suspended in 3 mL of culture medium prepared such that the additional component designated in Table 1 was added to the culture medium for amplification culture stage. Thereafter, the mixture was dispensed into one well of a 6-well culture dish (the culture surface was untreated), and cultured for 7 days (by WTC method). As a control, the minced nucleus pulposus tissue was not cultured as it was, but digested with collagenase according to a conventional protocol. The resulting isolated cell population was collected. Then, the cell population was cultured while the rest conditions were substantially the same as in the WTC method.

[0281] After cultured, the cell population was collected, and the number of cells and the fluorescence intensity of cells positive for Tie2 expression on the cell surface were measured by flow cytometry (FCM). The ratio (Tie2-positive rate) of the number of the cells in the whole cell population and the mean fluorescence intensity (MFI) were then calculated. In the FCM procedure, a fluorescently labeled agent, which was a complex of an anti-human Tie2 antibody and a fluorescent die Allophicocyanin (Anti-Tie-2, Human, Mouse-Mono (87315); Allophicocyanin, Cat#: FAB 3131A; R&D Inc.), was used.

[0282] FIGS. 2 and 3 show the results. For example, Test Examples 1-1 and 1-3 are compared. Both the results indicate that Test Example 1-1 had significantly higher values (FIG. 2: p <0.05; FIG. 3: p <0.01; t-test was used for both).The WTC method was found to exert an effect of enhancing Tie2 expression.

Test Example 2

Amplification Culture Stage (Two Steps): the First-Second Culturing Step +an Additional Step

[0283]

TABLE-US-00002 TABLE 2 Amplification culture stage Step 2 (7 days) Test Step 1 (14 days) Additional Example Additional component Culture method component 2-1 10 ng/mL bFGF WTC method 10 ng/mL bFGF 2-2 Cinnamon extract WTC method 10 ng/mL bFGF

[0284] First, 1 mg of commercially available cinnamon powder was suspended in 1 mL of distilled water and extracted overnight at 37° C. The resulting extract (cinnamon extract) was used in this test.

[0285] Substantially the same culturing step as in [Test Example 1] (Test Examples 1-1 and 1-2) was repeated except that patients with disc herniation from whom a nucleus pulposus tissue of an intervertebral disc was collected were a 16-year-old woman, a 28-year-old woman, and a 38-year-old woman, a culture medium was prepared such that the additional component designated in Table 2 was added to the culture medium for amplification culture stage, and was used in the first step at the amplification culture stage, and the culture period was 14 days.

[0286] After the first culturing step, “Collagenase-P” (final concentration: 0.025%) manufactured by Roche was added to the culture medium to disperse the nucleus pulposus tissue. The cell population separated from the nucleus pulposus tissue was collected and suspended at a density of 1.0×10.sup.4/3 mL in 20% FBS-containing MEM α. Next, the mixture was dispensed into one well of a 6-well culture dish (the culture surface was untreated), and 10 ng/mL bFGF was then added. Subsequently, the cell population was further cultured for 7 days (the total of 21 days).

[0287] After cultured, the cell population was collected. The FCM procedure like in [Test Example 1] was used to measure each of the rate of cells positive for Tie2 expression on the cell surface or the number of cells derived from 1 g of the tissue. FIGS. 4 and 5 show the results.

Test Example 3

Amplification Culture Stage (Two Steps): the First-Second Culturing Step +An Additional Step −>Differentiation Culture Stage: The Third Culturing Step

[0288]

TABLE-US-00003 TABLE 3 Differentiation Amplification culture stage culture Step 1 (14 days) Step 2 (7 days) stage Test Additional Culture Additional (14 days) Example component method component Cultureware 3-1 Cinnamon WTC 10 ng/mL PLL coating extract method bFGF 3-2 Cinnamon WTC 10 ng/mL No coating extract method bFGF

[0289] Two steps at the amplification culture stage were performed for a total of 21 days by substantially the same procedure as in Test Example 2 except that disc herniation patients from whom a nucleus pulposus tissue of an intervertebral disc was collected were a 16-year-old women, a 30-year-old man, and a 30-year-old women. After cultured, the cell population was collected. In a step at the differentiation culture stage, a monolayer culture was performed for 14 days on a culture dish coated with poly-L-lysine (PLL) (Test 3-1) or a culture dish without PLL coating (Test Example 3-2).

[0290] After cultured, the cell population was collected. Next, the flow cytometry (FCM) was used to measure the number of cells positive for intracellular type II collagen (Col2). Then, the ratio (Col2-positive rate) of the number of the cells in the whole cell population was calculated. The cell population was treated beforehand with a membrane permeation treatment reagent “IntraPrep” (Beckman Coulter, Inc.) so that Col2 in the cells was able to be fluorescently labeled. In the protocol for fluorescently labeling Col2, a mouse anti-human Col2 antibody (Anti-hCL (II) (purified IgG), Cat#: F-57; KYOWA PHARMA CHEMICAL CO., LTD. (old First Fine Chemical, Inc.)) was used as a primary antibody. A complex of a goat anti-mouse IgG antibody and a fluorescent dye FITC (BD, Goat Anti-Mouse Ig FITC, Cat#: 349031) was used as a secondary antibody. FIG. 6 shows the results. In addition, it was assumed that all of 1 g of nucleus pulposus tissue-derived cells were cultured/amplified according to Test Example 2, and then cultured/differentiated according to Test Example 3. The number of Col2-positive cells in this case was calculated. FIG. 7 shows the results. When the third culturing step was applied (Test 3-1), the number of Col2-positive cells was about 3 times higher than in the case where the third culturing step was not applied (Test 3-2).

[0291] Note that the FCM procedure was used to measure the number of cells positive for expression of intracellular proteoglycan (PG). Then, the ratio (PG-positive rate) of the number of the cells in the whole cell population was calculated. In the protocol for fluorescently labeling PG, a mouse anti-human PG antibody (Anti-Cartilage Proteoglycan Antibody, adult, clone EFG-4, Cat#: MAB 2015; EMD Millipore) was used as a primary antibody. A complex of a goat anti-mouse IgG antibody and a fluorescent dye FITC (BD, Goat Anti-Mouse Ig FITC, Cat#: 349031) was used as a secondary antibody. As a result, regardless of the application of the third culturing step (PLL coating), the PG positive rate was close to 100% in both cases, and no significant difference was observed (not shown). Unlike the case of proteoglycan, in the case of functional nucleus pulposus cells expressing collagen type II, it was difficult to increase the number of cells in the final cell population by conventional methods. By contrast, this was made possible by a combination of the first-second culturing step and the third culturing step in the invention. This culture method was demonstrated to be superior.

Test Example 4

Amplification Culture Stage (Two Steps): the First-Second Culturing Step +An Additional Step −>Differentiation Culture Stage: the Third-Fourth Culturing Step

[0292]

TABLE-US-00004 TABLE 4 Differentiation Amplification culture stage culture stage Step 1 (14 days) Step 2 (7 days) (14 days) Test Additional Culture Additional Culture Additional Example component method component ware component 4-1 Cinnamon WTC 10 ng/mL PLL Collagenase-P extract method bFGF coating 0.0125% 4-2 Cinnamon WTC 10 ng/mL PLL Liberase extract method bFGF coating 0.5% 4-3 Cinnamon WTC 10 ng/mL PLL None extract method bFGF coating

[0293] Twos steps at the amplification culture stage were performed for a total of 21 days by substantially the same procedure as in Test Example 2. After cultured, the cell population was collected. In a step at the differentiation culture stage, the cell population was cultured for 14 days in a test tube coated with poly-L-lysine (PLL) while a culture medium used was a culture medium for differentiation culture stage, in which medium the additional component designated in Table 4 had been added.

[0294] After cultured, the cell population was collected. The PG-positive rate was then calculated in substantially the same manner as in [Test Example 3]. FIG. 8 shows the results. The PG-positive rate was significantly higher in the cases of adding any one of two different collagenases than in the case without adding any collagenase.

[0295] For each of Test Examples 4-1 to 4-3, 6 samples were further prepared (patients with disc herniation from whom a nucleus pulposus tissue of an intervertebral disc was collected were a 32-year-old woman, a 28-year-old woman, a 20-year-old man, a 16-year-old woman, a 28-year-old woman, and a 38-year-old woman). The Col2-positive rate was then calculated in substantially the same manner as in [Test Example 3]. FIG. 9 shows the results. There was a difference between samples (difference between individuals from whom a disc nucleus pulposus tissue was collected). The Col2-positive rate was found to be higher in 4 out of 6 samples, that is, in the cases of adding either one or both of the two different collagenases than in the case without adding any collagenase.

Test Example 5

Amplification Culture Stage (Two Steps): the First-Second Culturing Step +An Additional Step −>Differentiation Culture Stage: The Third-Fourth Culturing Step; Part 2

[0296]

TABLE-US-00005 TABLE 5 Differentiation Amplification culture stage culture stage Step 1 (14 days) Step 2 (7 days) (14 days) Test Additional Culture Additional Culture Additional Example component method component ware component 5-1 Cinnamon WTC 10 ng/mL bFGF No Collagenase-P extract method coating 0.025% 5-2 Cinnamon WTC 10 ng/mL bFGF GEL Collagenase-P extract method coating 0.025% 5-3 Cinnamon WTC 10 ng/mL bFGF Col1 Collagenase-P extract method coating 0.025% 5-4 Cinnamon WTC 10 ng/mL bFGF Col4 Collagenase-P extract method coating 0.025% 5-5 Cinnamon WTC 10 ng/mL bFGF FN Collagenase-P extract method coating 0.025% 5-6 Cinnamon WTC 10 ng/mL bFGF PLL Collagenase-P extract method coating 0.025% 5-7 Cinnamon WTC 10 ng/mL bFGF No Collagenase-P extract method coating 0.0125% 5-8 Cinnamon WTC 10 ng/mL bFGF GEL Collagenase-P extract method coating 0.0125% 5-9 Cinnamon WTC 10 ng/mL bFGF Col1 Collagenase-P extract method coating 0.0125% 5-10 Cinnamon WTC 10 ng/mL bFGF Col4 Collagenase-P extract method coating 0.0125% 5-11 Cinnamon WTC 10 ng/mL bFGF FN Collagenase-P extract method coating 0.0125% 5-12 Cinnamon WTC 10 ng/mL bFGF PLL Collagenase-P extract method coating 0.0125%

[0297] The steps at the amplification culture stage and the differentiation culture stage were performed in substantially the same manner as in Test Example 4 except that the coating agent for cultureware and/or the additional component (Collagenase P) added to the culture medium at the differentiation culture stage were changed as designated in Table 5. Then, the PG-positive rate and the Col2-positive rate were measured. FIG. 10 shows the results. For example, in the case of adding “Collagenase P” to the culture medium, it has been found that use of a coating agent containing Col4 (type IV collagen), FN (fibronectin), or PLL (poly-L-lysine) as a coating agent, particularly a coating agent containing PLL preferably increased the Col2 positive rate although depending on the concentration.

Test Example 6

Amplification Culture Stage (Two Steps): the First-Second Culturing Step +An Additional Step −>Differentiation Culture Stage: The Third-Fourth Culturing Step; Part 3

[0298]

TABLE-US-00006 TABLE 6 Differentiation Amplification culture stage culture stage Step 1 (14 days) Step 2 (7 days) (14 days) Test Additional Culture Additional Additional Example component method component Cultureware component 6-1 Cinnamon WTC 10 ng/mLbFGF No coating Liberase extract method 1.0% 6-2 Cinnamon WTC 10 ng/mL bFGF GEL coating Liberase extract method 1.0% 6-3 Cinnamon WTC 10 ng/mL bFGF Col1 coating Liberase extract method 1.0% 6-4 Cinnamon WTC 10 ng/mL bFGF Col4 coating Liberase extract method 1.0% 6-5 Cinnamon WTC 10 ng/mL bFGF FN coating Liberase extract method 1.0% 6-6 Cinnamon WTC 10 ng/mL bFGF PLL coating Liberase extract method 1.0% 6-7 Cinnamon WTC 10 ng/mL bFGF No coating Liberase extract method 0.5% 6-8 Cinnamon WTC 10 ng/mL bFGF GEL coating Liberase extract method 0.5% 6-9 Cinnamon WTC 10 ng/mL bFGF Col1 coating Liberase extract method 0.5% 6-10 Cinnamon WTC 10 ng/mL bFGF Col4 coating Liberase extract method 0.5% 6-11 Cinnamon WTC 10 ng/mL bFGF FN coating Liberase extract method 0.5% 6-12 Cinnamon WTC 10 ng/mL bFGF PLL coating Liberase extract method 0.5%

[0299] The steps at the amplification culture stage and the differentiation culture stage were performed in substantially the same manner as in Test Example 4 except that the coating agent for cultureware and/or the additional component (Liberase) added to the culture medium at the differentiation culture stage were changed as designated in Table 6. Then, the PG-positive rate and the Col2-positive rate were measured. FIG. 11 shows the results. For example, in the case of adding “Liberase” to the culture medium, it has been found that use of a coating agent containing Col4 (type IV collagen) or PLL (poly-L-lysine) as a coating agent preferably increased the Col2 positive rate although depending on the concentration.

Test Example 7

Differentiation Culture Stage: The Third Culturing Step

[0300]

TABLE-US-00007 TABLE 7 Amplification culture stage Differentiation Step 2 culture Step 1 (8-9 days) (6-8 days) stage Test Additional Culture Additional (6-7 days) Example component method component Cultureware 7-1 10 ng/mL Two-dimensional 10 ng/mL PLL coating bFGF culture method bFGF 7-2 10 ng/mL Two-dimensional 10 ng/mL No coating bFGF culture method bFGF

[0301] In this test, similar to the control of Test Example 1 (i.e., the first culture method of the invention: the WTC method was not applied), a cell population isolated from a nucleus pulposus tissue of each patient with disc herniation by digestion treatment using collagenase was used. This cell population was cultured in the 10 ng/mL bFGF-containing culture medium for amplification culture stage (the second culture method of the invention was not applied, and the cinnamon extract as in Test Example 2 was not added) for 8 to 9 days (during the first step) and 6 to 8 days (during the second step).

[0302] Subsequently, the cell population containing Ti2-positive stem/progenitor cells that were derived from the nucleus pulposus and amplified and cultured as described above (the first and/or second culture method(s) of the invention was not applied at the amplification culture stage) was subjected to a step based on the third culture method at the differentiation culture stage in the invention. In this step, as in, for instance, Example 3, monolayer culture was performed on a culture dish coated with poly-L-lysine for 6 to 7 days.

[0303] After cultured, the cell population was collected. The Tie2-positive rate and the total number of Tie2-positive cells were measured in substantially the same manner as in Test Examples 1 and 2. In addition, the Col2-positive rate was measured in substantially the same manner as in, for instance, Test Example 3. The results are shown in FIG. 13 (the Tie2-positive rate), FIG. 14 (the total number of Tie2-positive cells), and FIG. 15 (the Col2-positive rate). The third culture method of the invention has been found to exert an effect of increasing the Tie2-positive rate, the total number of Tie2-positive cells, and the Col2-positive rate even in an embodiment in which the third culture method is not used in combination with the first and/or second culture methods.