CN117343191A - EGFRvIII CAR-T cell secreting PD1 and CTLA4 double-single-domain antibodies, and preparation method and application thereof - Google Patents
EGFRvIII CAR-T cell secreting PD1 and CTLA4 double-single-domain antibodies, and preparation method and application thereof Download PDFInfo
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Abstract
Description
技术领域Technical field
本发明属于肿瘤生物制品领域,涉及过继免疫治疗中的分泌PD1和CTLA4双单域抗体的EGFRvⅢCAR-T细胞(EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞)及其制备方法和应用。The invention belongs to the field of tumor biological products and relates to EGFRvⅢCAR-T cells (EGFRvⅢ/PD1/CTLA4 Nb CAR-T cells) secreting PD1 and CTLA4 dual single domain antibodies in adoptive immunotherapy and their preparation methods and applications.
背景技术Background technique
T细胞可以通过表达CAR靶向肿瘤细胞。嵌合抗原受体(Chimeric antigenreceptor,CAR)通过将可以特异性识别肿瘤抗原的单链抗体与可活化T细胞的受体胞内结构域“免疫受体酪氨酸活化基序”用人工方法融合成重组基因来制备。CAR-T细胞疗法是目前肿瘤免疫治疗的当下最热门最有研究价值的治疗方法。目前CAR-T治疗在血液肿瘤中取得了很好的进展,但是由于实体肿瘤微环境复杂,CAR-T对实体瘤的杀伤效果有限,因此需要探索新的方法来提高CAR-T治疗实体肿瘤的活性。T cells can target tumor cells by expressing CAR. Chimeric antigen receptor (CAR) artificially fuses a single-chain antibody that can specifically recognize tumor antigens with the receptor intracellular domain "immunoreceptor tyrosine activation motif" that can activate T cells. Prepared into recombinant genes. CAR-T cell therapy is currently the most popular and research-worthy treatment method in tumor immunotherapy. At present, CAR-T therapy has made good progress in hematological tumors. However, due to the complex microenvironment of solid tumors, the killing effect of CAR-T on solid tumors is limited. Therefore, new methods need to be explored to improve the effectiveness of CAR-T in the treatment of solid tumors. active.
CAR的基础设计中包括肿瘤相关抗原结合区、胞内信号区、跨膜区、胞外铰链区等。CAR-T目前已经发展到第四代,在血液肿瘤中取得了很好的进展,而对于实体瘤治疗,CAR-T细胞疗法的效果一直不佳,其中重要原因是肿瘤特异性T细胞难以突破肿瘤微环境的免疫抑制作用。除此之外目前大多数CAR识别抗原的部分是由单链抗体组成的,由于不同的单链抗体的VL和VH之间会出现错配,使得表达出来单链抗体亲和力下降,也是造成CAR-T治疗效果不佳的原因。因此需要探索新的方法来提高CAR-T治疗实体肿瘤的活性。The basic design of CAR includes tumor-associated antigen binding region, intracellular signaling region, transmembrane region, extracellular hinge region, etc. CAR-T has now developed into the fourth generation and has made good progress in blood tumors. However, for the treatment of solid tumors, CAR-T cell therapy has been ineffective. An important reason is that tumor-specific T cells are difficult to break through. Immunosuppressive effects of the tumor microenvironment. In addition, most of the antigen-recognizing parts of CAR are composed of single-chain antibodies. Due to mismatches between the VL and VH of different single-chain antibodies, the affinity of the expressed single-chain antibodies decreases, which also causes CAR- Reasons for the poor efficacy of T treatment. Therefore, new methods need to be explored to improve the activity of CAR-T in treating solid tumors.
发明内容Contents of the invention
本发明的目的是提供一种工程化基于单域抗体靶向EGFRvⅢ且分泌PD1单域抗体和CTLA4单域抗体的CAR-T细胞及其制备方法,另一个目的是提供工程化靶向EGFRvⅢ且分泌PD1单域抗体和CTLA4单域抗体的CAR-T细胞在制备用于治疗肿瘤制剂中的应用。The purpose of the present invention is to provide an engineered CAR-T cell based on a single domain antibody that targets EGFRvIII and secretes a PD1 single domain antibody and a CTLA4 single domain antibody and a preparation method thereof. Another purpose is to provide an engineered CAR-T cell that targets EGFRvIII and secretes Application of CAR-T cells with PD1 single domain antibody and CTLA4 single domain antibody in preparing preparations for treating tumors.
于是,本发明在第一方面提供了一种分泌PD1和CTLA4双单域抗体的EGFRvⅢCAR-T细胞,所述CAR-T细胞表达嵌合抗原受体,所述嵌合抗原受体包括胞外抗原识别区EGFRvⅢ单域抗体序列、铰链区CD8和跨膜区CD8串联序列、胞内共刺激域CD137序列、胞内信号转导域CD3ζ序列、PD1单域抗体序列和CTLA4单域抗体序列,并且能够将PD1单域抗体和CTLA4单域抗体到细胞外。Therefore, in the first aspect, the present invention provides an EGFRvIII CAR-T cell that secretes PD1 and CTLA4 dual single domain antibodies, the CAR-T cell expresses a chimeric antigen receptor, and the chimeric antigen receptor includes an extracellular antigen. Recognition region EGFRvⅢ single domain antibody sequence, hinge region CD8 and transmembrane region CD8 tandem sequence, intracellular costimulatory domain CD137 sequence, intracellular signal transduction domain CD3ζ sequence, PD1 single domain antibody sequence and CTLA4 single domain antibody sequence, and can Transfer PD1 single domain antibody and CTLA4 single domain antibody to the outside of the cell.
本发明在第二方面提供了一种制备本发明第一方面所述的CAR-T细胞的方法,所述方法包括以下步骤:In a second aspect, the present invention provides a method for preparing the CAR-T cells described in the first aspect of the present invention. The method includes the following steps:
(1)获取编码嵌合抗原受体的核苷酸序列;(1) Obtain the nucleotide sequence encoding the chimeric antigen receptor;
(2)将所述核苷酸序列克隆到慢病毒载体中并在大肠杆菌中表达,获得包括所述核苷酸序列的重组慢病毒载体;(2) Clone the nucleotide sequence into a lentiviral vector and express it in E. coli to obtain a recombinant lentiviral vector including the nucleotide sequence;
(3)使用所述重组慢病毒载体通过转染293T细胞来对慢病毒进行包装,获得包装慢病毒;(3) Use the recombinant lentiviral vector to package the lentivirus by transfecting 293T cells to obtain the packaged lentivirus;
(4)将所述包装慢病毒与T细胞共培养,获得表达所述嵌合抗原受体并能将PD1单域抗体分泌到细胞外的CAR-T细胞。(4) Co-culture the packaged lentivirus with T cells to obtain CAR-T cells that express the chimeric antigen receptor and can secrete the PD1 single domain antibody out of the cells.
本发明在第三方面提供了一种根据本发明第一方面所述的CAR-T细胞在制备治疗肿瘤制剂中的应用。In a third aspect, the present invention provides an application of the CAR-T cells according to the first aspect of the present invention in preparing a preparation for treating tumors.
优选的是,所述肿瘤为EGFRvⅢ阳性肿瘤。Preferably, the tumor is an EGFRvIII-positive tumor.
本发明在第四方面提供了一种药物组合物,所述药物组合物包含根据本发明第一方面所述的CAR-T细胞或根据本发明第二方面所述方法制备的CAR-T细胞和药学上可接受的载体。In a fourth aspect, the present invention provides a pharmaceutical composition comprising the CAR-T cells according to the first aspect of the present invention or the CAR-T cells prepared according to the method of the second aspect of the present invention and Pharmaceutically acceptable carrier.
本发明在第五方面提供了一种编码嵌合抗原受体的核苷酸序列,其中,所述核苷酸序列编码根据本发明第一方面所述的CAR-T细胞或根据本发明第二方面所述方法制备的CAR-T细胞表达的所述嵌合抗原受体。In a fifth aspect, the present invention provides a nucleotide sequence encoding a chimeric antigen receptor, wherein the nucleotide sequence encodes a CAR-T cell according to the first aspect of the present invention or a CAR-T cell according to the second aspect of the present invention. The chimeric antigen receptor expressed by the CAR-T cells prepared by the method described in this aspect.
本发明在第六方面提供了一种嵌合抗原受体,其中,所述嵌合抗原受体为根据本发明第一方面所述的CAR-T细胞或根据本发明第二方面所述方法制备的CAR-T细胞所表达的所述嵌合抗原受体。In a sixth aspect, the present invention provides a chimeric antigen receptor, wherein the chimeric antigen receptor is a CAR-T cell according to the first aspect of the present invention or prepared according to the method of the second aspect of the present invention. The chimeric antigen receptor expressed by CAR-T cells.
本发明人经过研究发现,在对EGFRvⅢ阳性肿瘤免疫治疗中,靶向EGFRvⅢ且分泌PD1单域抗体和CTLA4单域抗体的CAR-T细胞能够带来相对于现有技术而言具有显著优势的技术效果:增强特异性的靶向,即增强免疫细胞靶向识别肿瘤抗原,减少对正常组织的毒副作用;所述CAR-T细胞(有时称为EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞)所拥有的这些特性主要源于本发明所设计的嵌合抗原受体的功能结构,该结构包括抗原识别区域和细胞内激活区域,而细胞内激活区域能延长细胞在体内的存活时间;另外,本发明采用慢病毒感染进行制备CAR-T细胞,提供一种高效制备EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞的方法,该方法制备的CAR-T细胞能稳定表达嵌合抗原受体,具有较好的应用前景。The inventor has discovered through research that in the immunotherapy of EGFRvIII-positive tumors, CAR-T cells that target EGFRvIII and secrete PD1 single domain antibodies and CTLA4 single domain antibodies can bring significant advantages over existing technologies. Effect: Enhance specific targeting, that is, enhance the targeted recognition of tumor antigens by immune cells and reduce toxic side effects on normal tissues; the CAR-T cells (sometimes called EGFRvIII/PD1/CTLA4 Nb CAR-T cells) have These characteristics mainly originate from the functional structure of the chimeric antigen receptor designed in the present invention, which includes an antigen recognition region and an intracellular activation region, and the intracellular activation region can prolong the survival time of cells in the body; in addition, the present invention Lentivirus infection is used to prepare CAR-T cells, providing a method for efficiently preparing EGFRvIII/PD1/CTLA4 Nb CAR-T cells. The CAR-T cells prepared by this method can stably express chimeric antigen receptors and have good Application prospects.
附图说明Description of drawings
图1为本发明通过PCR法合成EGFRvⅢ/PD1/CTLA4单域抗体CAR基因序列的凝胶电泳图;Figure 1 is a gel electrophoresis diagram of the EGFRvIII/PD1/CTLA4 single domain antibody CAR gene sequence synthesized by the PCR method of the present invention;
图2为本发明实施例2中的重组慢病毒载体示意图;Figure 2 is a schematic diagram of the recombinant lentiviral vector in Example 2 of the present invention;
图3为本发明实施例2中的DH5α阳性克隆菌落PCR鉴定图;Figure 3 is a PCR identification chart of DH5α-positive clone colonies in Example 2 of the present invention;
图4显示本发明实施例3中的RT-PCR法鉴定EGFRvⅢ/PD1/CTLA4单域抗体CAR在细胞中的表达Figure 4 shows the RT-PCR method in Example 3 of the present invention to identify the expression of EGFRvIII/PD1/CTLA4 single domain antibody CAR in cells.
图5显示本发明实施例3中的重组慢病毒载体包装Figure 5 shows the recombinant lentiviral vector packaging in Example 3 of the present invention.
图6显示本发明实施例4中的T细胞慢病毒转染后表达荧光;Figure 6 shows that T cells in Example 4 of the present invention express fluorescence after lentiviral transfection;
图7显示本发明实施例4中的T细胞慢病毒转染后CAR上GFP的表达检测;Figure 7 shows the detection of GFP expression on CAR after lentiviral transfection of T cells in Example 4 of the present invention;
图8显示本发明实施例5中的EGFRvIII/PD-1/CTLA-4Nb CAR-T细胞与EGFRvIII阳性肿瘤细胞共孵育后T细胞表面活化分子CD25、CD69增高;Figure 8 shows that T cell surface activation molecules CD25 and CD69 increased after co-incubation of EGFRvIII/PD-1/CTLA-4Nb CAR-T cells and EGFRvIII-positive tumor cells in Example 5 of the present invention;
图9显示本发明实施例6中的EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与EGFRvⅢ阳性肿瘤细胞共孵育后T细胞增殖增高;Figure 9 shows that T cell proliferation increased after co-incubation of EGFRvIII/PD1/CTLA4 Nb CAR-T cells and EGFRvIII-positive tumor cells in Example 6 of the present invention;
图10显示本发明实例7中的EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与EGFRvⅢ阳性肿瘤细胞共孵育后CART细胞分泌细胞因子IFN-γ、TNF-α、IL-2水平增加;Figure 10 shows that after co-incubation of EGFRvIII/PD1/CTLA4 Nb CAR-T cells and EGFRvIII-positive tumor cells in Example 7 of the present invention, the levels of cytokines IFN-γ, TNF-α, and IL-2 secreted by CART cells increased;
图11显示本发明实施例8的EGFRvⅢ/PD1/CTLA4 Nb CAR-T特异性杀伤EGFRvⅢ阳性肿瘤细胞;Figure 11 shows that the EGFRvIII/PD1/CTLA4 Nb CAR-T in Example 8 of the present invention specifically kills EGFRvIII-positive tumor cells;
图12显示本发明实例9中的EGFRvⅢ/PD1/CTLA4 Nb CAR-T治疗荷EGFRvⅢ阳性的人肿瘤细胞小鼠后肿瘤的生长减缓;以及Figure 12 shows the tumor growth slowdown after the EGFRvIII/PD1/CTLA4 Nb CAR-T in Example 9 of the present invention treated mice bearing EGFRvIII-positive human tumor cells; and
图13显示本发明实例9中的EGFRvⅢ/PD1/CTLA4 Nb CAR-T治疗荷EGFRvⅢ阳性的人肿瘤细胞小鼠后小鼠生存时间延长。Figure 13 shows that the EGFRvIII/PD1/CTLA4 Nb CAR-T in Example 9 of the present invention prolongs the survival time of mice bearing EGFRvIII-positive human tumor cells.
具体实施方式Detailed ways
下面结合具体实施方式对本发明进行进一步的详细描述,给出的实施例仅为了阐明本发明,而不是为了限制本发明的范围。The present invention will be described in further detail below in conjunction with specific embodiments. The examples given are only for illustrating the present invention and are not intended to limit the scope of the present invention.
本发明在第一方面提供了一种工程化基于单域抗体靶向EGFRvⅢ且分泌PD1单域抗体和CTLA4单域抗体的CAR-T细胞。所述CAR-T细胞表达嵌合抗原受体,所述嵌合抗原受体包括胞外抗原识别区EGFRvⅢ单域抗体序列、铰链区CD8和跨膜区CD8串联序列、胞内共刺激域CD137序列、胞内信号转导域CD3ζ序列、PD1单域抗体序列和CTLA4单域抗体序列,并且能够将PD1单域抗体和CTLA4单域抗体到细胞外。In a first aspect, the present invention provides an engineered CAR-T cell based on a single domain antibody targeting EGFRvIII and secreting a PD1 single domain antibody and a CTLA4 single domain antibody. The CAR-T cell expresses a chimeric antigen receptor, which includes an extracellular antigen recognition region EGFRvIII single domain antibody sequence, a hinge region CD8 and a transmembrane region CD8 tandem sequence, and an intracellular costimulatory domain CD137 sequence. , intracellular signal transduction domain CD3ζ sequence, PD1 single domain antibody sequence and CTLA4 single domain antibody sequence, and can transport PD1 single domain antibody and CTLA4 single domain antibody to the outside of the cell.
优选的是,所述胞外抗原识别区EGFRvⅢ单域抗体序列由SEQ ID NO.4所示的核苷酸序列编码。Preferably, the extracellular antigen recognition region EGFRvIII single domain antibody sequence is encoded by the nucleotide sequence shown in SEQ ID NO.4.
另外可选或进一步优选的是,所述铰链区CD8和跨膜区CD8串联序列由SEQ IDNO.5所示的核苷酸序列编码。Alternatively or further preferably, the hinge region CD8 and transmembrane region CD8 tandem sequences are encoded by the nucleotide sequence shown in SEQ ID NO.5.
另外可选或进一步优选的是,所述胞内共刺激域CD137序列由SEQ ID NO.6所示的核苷酸序列编码。Alternatively or further preferably, the intracellular costimulatory domain CD137 sequence is encoded by the nucleotide sequence shown in SEQ ID NO.6.
另外可选或进一步优选的是,所述胞内信号转导域CD3ζ序列由SEQ ID NO.7所示的核苷酸序列编码。Alternatively or further preferably, the intracellular signal transduction domain CD3ζ sequence is encoded by the nucleotide sequence shown in SEQ ID NO.7.
另外可选或进一步优选的是,所述PD1单域抗体序列由SEQ ID NO.14所示的核苷酸序列编码。Alternatively or further preferably, the PD1 single domain antibody sequence is encoded by the nucleotide sequence shown in SEQ ID NO. 14.
另外可选或进一步优选的是,所述CTLA4单域抗体序列由SEQ ID NO.21所示的核苷酸序列编码。Alternatively or further preferably, the CTLA4 single domain antibody sequence is encoded by the nucleotide sequence shown in SEQ ID NO. 21.
在一些优选的实施方式中,所述嵌合抗原受体还包括至少一个信号肽序列、至少一个标签序列、至少一个柔性肽序列和/或至少一个自裂解多肽序列。In some preferred embodiments, the chimeric antigen receptor further includes at least one signal peptide sequence, at least one tag sequence, at least one flexible peptide sequence and/or at least one self-cleaving polypeptide sequence.
优选的是,所述至少一个信号肽序列可以包括三个信号肽序列,可以依次称为第一信号肽序列,第二信号肽序列和第三信号肽序列,它们可以依次由SEQ ID NO.1、11和18所示的核苷酸序列编码。Preferably, the at least one signal peptide sequence may include three signal peptide sequences, which may be sequentially referred to as a first signal peptide sequence, a second signal peptide sequence and a third signal peptide sequence, which may be sequentially represented by SEQ ID NO.1 , 11 and 18 encode the nucleotide sequences.
另外可选或进一步优选的是,所述至少一个标签序列可以是四个标签序列,例如可以由选自SEQ ID NO.2、9、13、16、19和23所示的核苷酸序列编码。具体地说,所述至少一个标签序列可以包括两个Flag标签序列(如可以为第一Flag标签序列和第二Flag标签序列),两个Myc标签序列(如可以为第一Myc标签序列和第二Myc标签序列)和两个His标签序列(如可以为第一His标签序列和第二His标签序列),以便后期进行检测或确认。所述第一Flag标签序列可以由SEQ ID NO.2所示的核苷酸序列编码;所述第二Flag标签序列可以由SEQ ID NO.9所示的核苷酸序列编码;所述第一Myc标签序列可以由SEQ ID NO.13所示的核苷酸序列编码;所述第二Myc标签序列可以由SEQ ID NO.16所示的核苷酸序列编码;所述第一His标签序列可以由SEQ ID NO.19所示的核苷酸序列编码;所述第二His标签序列可以由SEQ ID NO.23所示的核苷酸序列编码。Alternatively or further preferably, the at least one tag sequence may be four tag sequences, for example, may be encoded by a nucleotide sequence selected from the group consisting of SEQ ID NO. 2, 9, 13, 16, 19 and 23 . Specifically, the at least one tag sequence may include two Flag tag sequences (eg, a first Flag tag sequence and a second Flag tag sequence), two Myc tag sequences (eg, a first Myc tag sequence and a second Flag tag sequence). Two Myc tag sequences) and two His tag sequences (for example, it can be a first His tag sequence and a second His tag sequence) for later detection or confirmation. The first Flag tag sequence may be encoded by the nucleotide sequence shown in SEQ ID NO.2; the second Flag tag sequence may be encoded by the nucleotide sequence shown in SEQ ID NO.9; the first The Myc tag sequence can be encoded by the nucleotide sequence shown in SEQ ID NO.13; the second Myc tag sequence can be encoded by the nucleotide sequence shown in SEQ ID NO.16; the first His tag sequence can It is encoded by the nucleotide sequence shown in SEQ ID NO.19; the second His tag sequence may be encoded by the nucleotide sequence shown in SEQ ID NO.23.
另外可选或进一步优选的是,所述至少一个柔性肽序列由选自SEQ ID NO.3、8、12、15、20和22所示的核苷酸序列编码。例如,所述至少一个柔性肽序列可以根据需要包括6个柔性肽序列(例如由选自SEQ ID NO.3、8、12、15、20和22所示的核苷酸序列编码)。Alternatively or further preferably, the at least one flexible peptide sequence is encoded by a nucleotide sequence selected from the group consisting of SEQ ID NO. 3, 8, 12, 15, 20 and 22. For example, the at least one flexible peptide sequence may include 6 flexible peptide sequences as needed (for example, encoded by nucleotide sequences selected from the group consisting of SEQ ID NO. 3, 8, 12, 15, 20 and 22).
另外可选或进一步优选的是,所述至少一个自裂解多肽序列可以选自P2A编码序列或T2A编码序列编码。所述P2A编码序列可以如SEQ ID NO.10所示;和/或所述T2A编码序列可以如SEQ ID NO.17所示。Alternatively or further preferably, the at least one self-cleaving polypeptide sequence may be selected from a P2A coding sequence or a T2A coding sequence. The P2A coding sequence may be as shown in SEQ ID NO.10; and/or the T2A coding sequence may be as shown in SEQ ID NO.17.
在一些优选的实施方式中,所述嵌合抗原受体由SEQ ID NO.1至23依次串联形成的核苷酸序列编码。在一些最为优选的实施方式中,所述嵌合抗原受体由SEQ ID NO.24所示的核苷酸序列编码。In some preferred embodiments, the chimeric antigen receptor is encoded by the nucleotide sequence formed by SEQ ID NO. 1 to 23 in series. In some most preferred embodiments, the chimeric antigen receptor is encoded by the nucleotide sequence shown in SEQ ID NO. 24.
为方便参阅目的,上文提及的编号序列如下表所示:For ease of reference, the numbering sequence mentioned above is as shown in the table below:
在一些实施方式中,所述CAR-T细胞所表达的嵌合抗原受体(在包含相应序列的情况下)可以表示为flag-Nb(EGFRvⅢ)-2ndCART-P2A-Nb(PD1)-myc-T2A-6his-Nb(CTLA4),所述嵌合抗原受体由胞外抗原识别区EGFRvⅢ单域抗体、铰链区CD8、跨膜区CD8、胞内共刺激域CD137和胞内信号转导域串联构成,且能分泌PD1单域抗体和CTLA4单域抗体到细胞外。In some embodiments, the chimeric antigen receptor expressed by the CAR-T cell (in the case of containing the corresponding sequence) can be expressed as flag-Nb(EGFRvIII)-2ndCART-P2A-Nb(PD1)-myc- T2A-6his-Nb (CTLA4), the chimeric antigen receptor is composed of an extracellular antigen recognition region EGFRvIII single domain antibody, hinge region CD8, transmembrane region CD8, intracellular costimulatory domain CD137 and intracellular signal transduction domain in series and can secrete PD1 single domain antibodies and CTLA4 single domain antibodies outside the cells.
本发明的所述CAR-T细胞表达的嵌合抗原受体包含单域抗体。单域抗体(Nanobody,Nb)是目前最小的功能性抗原特异性结合天然片段,由约为120个氨基酸组成,长度4nm,直径2.5nm,相对于传统的单克隆抗体以及Fab片段(55×103)或者scFv(28×103),单域抗体的分子量更小,因此具有更强、更快的组织透过能力,能够到达实体瘤等致密组织发挥作用。除此之外单域抗体稳定性好,亲和力较高、免疫原性弱、易于进行基因改造,不会出现传统抗体容易产生错误配对以及需要优化重链和轻链连接序列问题等优点,在肿瘤免疫治疗等方面展现了广阔的应用前景。The chimeric antigen receptor expressed by the CAR-T cells of the present invention includes a single domain antibody. Single domain antibody (Nanobody, Nb) is currently the smallest functional antigen-specific binding natural fragment, consisting of approximately 120 amino acids, with a length of 4 nm and a diameter of 2.5 nm. Compared with traditional monoclonal antibodies and Fab fragments (55 × 10 3 ) or scFv (28×10 3 ), single domain antibodies have a smaller molecular weight, so they have stronger and faster tissue penetration capabilities and can reach dense tissues such as solid tumors to exert their effects. In addition, single-domain antibodies have the advantages of good stability, high affinity, weak immunogenicity, easy genetic modification, and do not suffer from the problems of mispairing that traditional antibodies are prone to and the need to optimize the heavy chain and light chain connection sequences, etc., in tumors. Immunotherapy and other aspects have shown broad application prospects.
本发明的所述CAR-T细胞表达的嵌合抗原受体包括皮生长因子受体III型突变体(epidermal growthfactor receper variant III,EGFRvⅢ)单域抗体。EGFRvⅢ是表皮生长因子受体突变体,是一种肿瘤特异性受体,仅在胶质母细胞瘤(glioblastoma,GBM)和其他肿瘤细胞表面表达,但在正常组织中不存在。在新诊断的GBM病例中EGFRvⅢ表达率约为30%,是治疗胶质母细胞瘤(GBM)的理想靶点。EGFRvⅢ在肿瘤中的表达往往与不良预后相关,靶向EGFRvⅢ的抗体药物对于抑制GBM的进展和侵袭具有很大的治疗价值。The chimeric antigen receptor expressed by the CAR-T cells of the present invention includes an epidermal growth factor receptor III mutant (epidermal growth factor receper variant III, EGFRvⅢ) single domain antibody. EGFRvIII is an epidermal growth factor receptor mutant, a tumor-specific receptor that is only expressed on the surface of glioblastoma (GBM) and other tumor cells, but does not exist in normal tissues. The expression rate of EGFRvIII in newly diagnosed GBM cases is about 30%, making it an ideal target for the treatment of glioblastoma (GBM). The expression of EGFRvIII in tumors is often associated with poor prognosis. Antibody drugs targeting EGFRvIII have great therapeutic value in inhibiting the progression and invasion of GBM.
免疫检查点是免疫系统中起抑制作用的调节分子,通常高表达于肿瘤细胞表面,通过与T细胞上相应受体/配体结合,抑制T细胞的功能,是造成肿瘤免疫逃逸的原因之一。免疫检查点抑制剂可以与免疫检查点分子特异性结合,使以T细胞为代表的免疫细胞重新恢复免疫功能。本发明的所述CAR-T细胞表达的嵌合抗原受体包括程序性死亡受体1(Programmed death-1,PD1或PD-1)单域抗体和细胞毒性T淋巴细胞相关抗原-4(CytotoxicT-lymphocyte-associated protein4,CTLA4或CTLA-4)单域抗体。PD1和CTLA4是T细胞活化的负调控蛋白,是两个具有代表性的免疫检查点,PD1和CTLA4的单克隆抗体药物能提高T细胞抗肿瘤效应,在临床应用取得了良好的效果。Immune checkpoints are regulatory molecules that play a suppressive role in the immune system. They are usually highly expressed on the surface of tumor cells. They inhibit the function of T cells by binding to corresponding receptors/ligands on T cells, which is one of the causes of tumor immune escape. . Immune checkpoint inhibitors can specifically bind to immune checkpoint molecules to restore immune function to immune cells represented by T cells. The chimeric antigen receptors expressed by the CAR-T cells of the present invention include programmed death-1 (Programmed death-1, PD1 or PD-1) single domain antibodies and cytotoxic T lymphocyte-associated antigen-4 (CytotoxicT -lymphocyte-associated protein 4, CTLA4 or CTLA-4) single domain antibody. PD1 and CTLA4 are negative regulatory proteins for T cell activation and are two representative immune checkpoints. Monoclonal antibody drugs for PD1 and CTLA4 can improve the anti-tumor effect of T cells and have achieved good results in clinical applications.
本研究将靶向EGFRvⅢ的CAR与分泌PD1和CTLA4单域抗体的功能整合到了一个CAR结构中,以实现CAR-T细胞更强的抗肿瘤功效。自表达PD1单域抗体和CTLA4单域抗体的CAR-T细胞是通过基因工程改造T淋巴细胞,使其在表达特定嵌合抗原受体T细胞在识别肿瘤细胞的同时,可以自分泌PD1单域抗体和CTLA4单域抗体。当CAR-T细胞接触肿瘤细胞时,CAR-T细胞被激活发挥杀伤肿瘤细胞的作用,同时自分泌的免疫检查点抑制剂(PD1单域抗体和CTLA4单域抗体)可削弱肿瘤细胞对CAR-T细胞的抑制作用,并能激发内源性肿瘤浸润T细胞,从而协同杀伤肿瘤,使抗肿瘤作用最大化。This study integrated the functions of a CAR targeting EGFRvIII and secreting PD1 and CTLA4 single domain antibodies into a CAR structure to achieve stronger anti-tumor efficacy of CAR-T cells. CAR-T cells that self-express PD1 single domain antibodies and CTLA4 single domain antibodies are T lymphocytes that are genetically engineered so that while expressing specific chimeric antigen receptor T cells, they can autosecret PD1 single domain while recognizing tumor cells. Antibodies and CTLA4 single domain antibodies. When CAR-T cells contact tumor cells, CAR-T cells are activated to kill tumor cells. At the same time, autocrine immune checkpoint inhibitors (PD1 single domain antibodies and CTLA4 single domain antibodies) can weaken the tumor cells' response to CAR-T cells. The inhibitory effect of T cells can also stimulate endogenous tumor-infiltrating T cells, thereby collaboratively killing tumors and maximizing the anti-tumor effect.
本发明在第二方面提供了一种制备本发明第一方面所述的CAR-T细胞的方法,所述方法包括以下步骤:In a second aspect, the present invention provides a method for preparing the CAR-T cells described in the first aspect of the present invention. The method includes the following steps:
(1)获取编码嵌合抗原受体的核苷酸序列;(1) Obtain the nucleotide sequence encoding the chimeric antigen receptor;
(2)将所述核苷酸序列克隆到慢病毒载体中并在大肠杆菌中表达,获得包括所述核苷酸序列的重组慢病毒载体;(2) Clone the nucleotide sequence into a lentiviral vector and express it in E. coli to obtain a recombinant lentiviral vector including the nucleotide sequence;
(3)使用所述重组慢病毒载体通过转染293T细胞来对慢病毒进行包装,获得包装慢病毒;(3) Use the recombinant lentiviral vector to package the lentivirus by transfecting 293T cells to obtain the packaged lentivirus;
(4)将所述包装慢病毒与T细胞共培养,获得表达所述嵌合抗原受体并能将PD1单域抗体分泌到细胞外的CAR-T细胞。(4) Co-culture the packaged lentivirus with T cells to obtain CAR-T cells that express the chimeric antigen receptor and can secrete the PD1 single domain antibody out of the cells.
在一些优选的实施方式中,所述T细胞由从外周血分离得到的单个核细胞培养获得;优选的是,所述T细胞采用含有人CD3、人CD28单克隆抗体和人IL-2细胞因子的T细胞培养基培养得到。In some preferred embodiments, the T cells are obtained by culturing mononuclear cells isolated from peripheral blood; preferably, the T cells are cultured using human CD3, human CD28 monoclonal antibodies and human IL-2 cytokines. cultured in T cell culture medium.
另优选的是,所述慢病毒载体为慢病毒载体GV538。It is also preferred that the lentiviral vector is lentiviral vector GV538.
在一些具体的实施方式中,所述方法可以包括以下步骤:设计CAR目的序列,通过PCR法获得例如flag-Nb(EGFRvⅢ)-2ndCART-P2A-Nb(PD1)-myc-T2A-6his-Nb(CTLA4)的CAR目的序列片段。将酶切后的慢病毒载体GV538与PCR法得到的CAR目的序列重组。将重组后的慢病毒载体转化至DH5α大肠杆菌中,并且筛选阳性克隆菌。阳性克隆菌测序验证是否成功构建含有EGFRvⅢ/PD1/CTLA4单域抗体CAR序列的慢病毒载体。将测序成功的重组阳性克隆菌株,提取质粒,转染293T细胞后通过RT-PCR鉴定EGFRvⅢ/PD1/CTLA4单域抗体CAR序列在细胞中的表达情况。验证重组慢病毒载体能正常表达后使用三质粒系统包装慢病毒,滴度检测。利用慢病毒感染技术构建CAR-T细胞,使T细胞表达该嵌合抗原受体。In some specific embodiments, the method may include the following steps: designing a CAR target sequence, and obtaining, for example, flag-Nb(EGFRvIII)-2ndCART-P2A-Nb(PD1)-myc-T2A-6his-Nb( CTLA4) CAR target sequence fragment. The digested lentiviral vector GV538 was recombined with the CAR target sequence obtained by PCR. The recombinant lentiviral vector was transformed into DH5α E. coli, and positive clones were screened. Positive clones were sequenced to verify whether the lentiviral vector containing the EGFRvIII/PD1/CTLA4 single domain antibody CAR sequence was successfully constructed. The recombinant positive clone strains that were successfully sequenced were extracted and plasmids were transfected into 293T cells and then RT-PCR was used to identify the expression of the EGFRvIII/PD1/CTLA4 single domain antibody CAR sequence in the cells. After verifying that the recombinant lentiviral vector can be expressed normally, a three-plasmid system is used to package the lentivirus and the titer is tested. Lentiviral infection technology is used to construct CAR-T cells, so that the T cells express the chimeric antigen receptor.
在另一些具体的实施方式中,所述方法可以包括以下步骤:In other specific embodiments, the method may include the following steps:
(1)含有目的CAR序列的重组慢病毒载体构建:PCR法获得例如flag-Nb(EGFRvⅢ)-2ndCART-P2A-Nb(PD1)-myc-T2A-6his-Nb(CTLA4)的CAR片段,并将合成的片段亚克隆至BamHI/NheI双酶切后的慢病毒载体GV538中,将重组后的慢病毒载体转化至DH5α大肠杆菌中,采用慢病毒载体上的引物和目的基因上的引物对氨苄抗生素筛选后的菌落进行PCR鉴定。将鉴定成功的菌液拿去测序。测序成功后使用Plasmid Mini Kit进行质粒抽提。(1) Construction of recombinant lentiviral vector containing the target CAR sequence: Obtain the CAR fragment such as flag-Nb(EGFRvIII)-2ndCART-P2A-Nb(PD1)-myc-T2A-6his-Nb(CTLA4) by PCR, and The synthesized fragment was subcloned into the BamHI/NheI double-digested lentiviral vector GV538, and the recombinant lentiviral vector was transformed into DH5α E. coli. The primers on the lentiviral vector and the primers on the target gene were used to pair ampicillin antibiotics. The screened colonies were identified by PCR. The successfully identified bacterial fluids were sequenced. After successful sequencing, plasmid extraction was performed using Plasmid Mini Kit.
(2)慢病毒包装:采用三质粒系统,将含有CAR序列的重组慢病毒载体通过两个辅助载体质粒(Helper 1.0和Helper 2.0)共转染293T细胞,48h后在荧光显微镜下观察细胞绿色荧光表达(GFP)。成功表达荧光,收集293T细胞上清,经过浓缩纯化,采用荧光稀释法测定病毒浓度,计数GFP阳性细胞个数,按照公式:病毒浓度=荧光细胞数/该孔病毒原液体积来计算病毒滴度。(2) Lentivirus packaging: Using a three-plasmid system, the recombinant lentiviral vector containing the CAR sequence is co-transfected into 293T cells through two helper vector plasmids (Helper 1.0 and Helper 2.0). After 48 hours, the green fluorescence of the cells is observed under a fluorescence microscope. Expression (GFP). After successfully expressing fluorescence, the 293T cell supernatant was collected, concentrated and purified, and the virus concentration was measured using the fluorescence dilution method. The number of GFP-positive cells was counted. The virus titer was calculated according to the formula: virus concentration = number of fluorescent cells/volume of virus stock solution in the well.
(3)T细胞制备:分离外周血的单个核细胞,进行培养获得T细胞。(3) T cell preparation: Isolate mononuclear cells from peripheral blood and culture them to obtain T cells.
(4)EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞制备:用含有人CD3单克隆抗体、人CD28单克隆抗体和人IL-2细胞因子的专用T细胞培养基培养T细胞24小时。次日,按照MOI 30将慢病毒液加入以上刺激后的T细胞中,37℃CO2培养箱培养。48h将CAR-T细胞置于普通显微镜下,观察CAR-T细胞的荧光表达(GFP)的情况。(4) Preparation of EGFRvIII/PD1/CTLA4 Nb CAR-T cells: Culture T cells for 24 hours in a special T cell culture medium containing human CD3 monoclonal antibody, human CD28 monoclonal antibody and human IL-2 cytokine. The next day, add the lentiviral solution to the stimulated T cells at MOI 30 and culture them in a 37°C CO 2 incubator. At 48 hours, place the CAR-T cells under a common microscope to observe the fluorescence expression (GFP) of the CAR-T cells.
优选的是,在所述步骤(4)中,待慢病毒转染后的T细胞的细胞量占培养瓶80-90%时将细胞收集换液,加入终浓度为100U/mL的IL-2的完全培养液进行扩增培养,采用流式细胞仪对感染的细胞进行鉴定。Preferably, in step (4), when the T cells after lentivirus transfection account for 80-90% of the culture flask, the cells are collected and the medium is changed, and IL-2 with a final concentration of 100 U/mL is added. The complete culture medium was used for amplification and culture, and the infected cells were identified using flow cytometry.
另外优选的是,所述CAR-T细胞是采用慢病毒方法进行制备。It is also preferred that the CAR-T cells are prepared using a lentiviral method.
本发明在第四方面提供了一种药物组合物,所述药物组合物包含根据本发明第一方面所述的CAR-T细胞或根据本发明第二方面所述方法制备的CAR-T细胞和药学上可接受的载体。In a fourth aspect, the present invention provides a pharmaceutical composition comprising the CAR-T cells according to the first aspect of the present invention or the CAR-T cells prepared according to the method of the second aspect of the present invention and Pharmaceutically acceptable carrier.
本发明在第五方面提供了一种编码嵌合抗原受体的核苷酸序列,其中,所述核苷酸序列编码根据本发明第一方面所述的CAR-T细胞或根据本发明第二方面所述方法制备的CAR-T细胞表达的所述嵌合抗原受体。In a fifth aspect, the present invention provides a nucleotide sequence encoding a chimeric antigen receptor, wherein the nucleotide sequence encodes a CAR-T cell according to the first aspect of the present invention or a CAR-T cell according to the second aspect of the present invention. The chimeric antigen receptor expressed by the CAR-T cells prepared by the method described in this aspect.
本发明在第六方面提供了一种嵌合抗原受体,其中,所述嵌合抗原受体为根据本发明第一方面所述的CAR-T细胞或根据本发明第二方面所述方法制备的CAR-T细胞所表达的所述嵌合抗原受体。In a sixth aspect, the present invention provides a chimeric antigen receptor, wherein the chimeric antigen receptor is a CAR-T cell according to the first aspect of the present invention or prepared according to the method of the second aspect of the present invention. The chimeric antigen receptor expressed by CAR-T cells.
实施例Example
下述实施例中的实验方法,如无特殊说明,均为常规方法。The experimental methods in the following examples are all conventional methods unless otherwise specified.
下述实施例中所用的材料、试剂等,如无特殊说明,均可从商业途径得到。Materials, reagents, etc. used in the following examples can all be obtained from commercial sources unless otherwise specified.
实施例1T细胞的制备与激活Example 1 Preparation and activation of T cells
(1)密度梯度离心法分离外周血T淋巴细胞(1) Isolation of peripheral blood T lymphocytes by density gradient centrifugation
用带有抗凝剂的采血管从健康志愿者中采取新鲜外周血,用37℃的PBS与外周血等体积混合,采用密度梯度离心法分离外周血T淋巴细胞,吸取4ml37℃无菌的淋巴细胞分离液到容积为15ml离心管中,取稀释后的外周血8ml沿离心管壁缓慢加到分离液面上。2000rpm离心20min,离心结束后可见管内分为四层,用巴氏管沿离心管边缘小心地吸取云雾状白膜层细胞(PBMC),收集细胞悬液到无菌的50ml离心管中,加入4倍体积的PBS,洗涤细胞2次。用完全的细胞培养基RIPM 1640重悬收集的PBMC细胞,转移到细胞培养皿中,在37℃细胞培养箱中培养2h,吸取细胞培养皿中悬浮的细胞到另外的培养皿中进行培养,悬浮的细胞为T淋巴细胞。T淋巴细胞用含有100U/ml的rhIL-2的完全的RIPM 1640培养基进行培养。Use blood collection tubes with anticoagulants to collect fresh peripheral blood from healthy volunteers, mix equal volumes of 37°C PBS and peripheral blood, use density gradient centrifugation to separate peripheral blood T lymphocytes, and draw 4 ml of 37°C sterile lymphocytes. Pour the cell separation liquid into a 15 ml centrifuge tube. Take 8 ml of diluted peripheral blood and slowly add it to the surface of the separation liquid along the wall of the centrifuge tube. Centrifuge at 2000rpm for 20 minutes. After centrifugation, the tube can be divided into four layers. Use a Pasteur tube to carefully absorb the cloudy buffy coat cells (PBMC) along the edge of the centrifuge tube. Collect the cell suspension into a sterile 50ml centrifuge tube. Add 4 Double the volume of PBS and wash the cells twice. Resuspend the collected PBMC cells in complete cell culture medium RIPM 1640, transfer to a cell culture dish, and culture in a 37°C cell culture incubator for 2 hours. Take the cells suspended in the cell culture dish to another culture dish for culture, and suspend them. The cells are T lymphocytes. T lymphocytes were cultured in complete RIPM 1640 medium containing 100 U/ml rhIL-2.
(2)T细胞的培养:用含有人CD3,人CD28单克隆抗体(购自ThermoFisher)和人IL-2细胞因子(购自PEPROTECH)的PRMI 1640(购自ThermoFisher)作为专用T细胞培养基,培养T细胞24小时。(2) Culture of T cells: Use PRMI 1640 (purchased from ThermoFisher) containing human CD3, human CD28 monoclonal antibody (purchased from ThermoFisher) and human IL-2 cytokine (purchased from PEPROTECH) as a special T cell culture medium. Culture T cells for 24 hours.
实施例2重组慢病毒载体的构建Example 2 Construction of recombinant lentiviral vector
采用PCR法扩增合成EGFRvⅢ/PD1/CTLA4单域抗体CAR基因序列(如SEQ ID NO.24所示,有时称为CAR目的序列),该序列的凝胶电泳图如图1所示。The EGFRvIII/PD1/CTLA4 single-domain antibody CAR gene sequence (shown in SEQ ID NO. 24, sometimes called the CAR target sequence) was amplified and synthesized by PCR. The gel electrophoresis pattern of this sequence is shown in Figure 1.
采用双酶切的方法对GV538载体进行酶切,将酶切后的慢病毒载体与扩增合成得到的EGFRvⅢ/PD1/CTLA4单域抗体CAR基因序列进行重组,得到重组慢病毒载体,如图2所示。将重组后的慢病毒载体转化至DH5α大肠杆菌中,采用慢病毒载体上的引物和目的基因上的引物对氨苄抗生素筛选后的菌落进行PCR鉴定,PCR产物电泳如图3所示,说明含有目的CAR序列的慢病毒重组载体质粒构建成功。阳性克隆菌测序,经过比对与目标序列完全一致。The GV538 vector was digested using a double enzyme digestion method, and the digested lentiviral vector was recombined with the amplified and synthesized EGFRvIII/PD1/CTLA4 single domain antibody CAR gene sequence to obtain a recombinant lentiviral vector, as shown in Figure 2 shown. The recombinant lentiviral vector was transformed into DH5α E. coli. The primers on the lentiviral vector and the primers on the target gene were used to conduct PCR identification of the colonies screened with ampicillin antibiotics. The PCR product electrophoresis was shown in Figure 3, indicating that it contained the target gene. The lentiviral recombinant vector plasmid of CAR sequence was successfully constructed. The positive clones were sequenced and compared with the target sequence.
实施例3慢病毒包装Example 3 Lentivirus packaging
将测序成功的重组阳性克隆菌使用Plasmid Mini Kit进行质粒提取,转染293T细胞。采用实时荧光定量核酸扩增检测仪(Real-time Quantitative PCR DetectingSystem)定量检查分析EGFRvⅢ/PD1/CTLA4单域抗体CAR基因序列在293T细胞中的表达,如图4所示,转染组中CAR基因序列的表达量是未转染组的7089707.881倍,表明EGFRvⅢ/PD1/CTLA4单域抗体CAR基因序列在细胞中正常表达。采用三质粒系统,将含有CAR序列的重组慢病毒载体通过两个辅助载体质粒(Helper 1.0和Helper 2.0)共转染293T细胞,48h后在荧光显微镜下观察细胞可见明显绿色荧光(GFP),收集293T细胞上清,经过浓缩纯化后,采用荧光稀释法测定病毒浓度,计数GFP阳性细胞个数,按照公式:病毒浓度=荧光细胞数/该孔病毒原液体积来计算病毒滴度,如图5所示.The successfully sequenced recombinant positive clones were extracted with plasmid using Plasmid Mini Kit and transfected into 293T cells. Real-time Quantitative PCR Detecting System was used to quantitatively examine and analyze the expression of the EGFRvIII/PD1/CTLA4 single domain antibody CAR gene sequence in 293T cells. As shown in Figure 4, the CAR gene in the transfected group The expression level of the sequence was 7089707.881 times that of the untransfected group, indicating that the EGFRvIII/PD1/CTLA4 single domain antibody CAR gene sequence was expressed normally in cells. Using a three-plasmid system, the recombinant lentiviral vector containing the CAR sequence was co-transfected into 293T cells through two helper vector plasmids (Helper 1.0 and Helper 2.0). After 48 hours, cells were observed under a fluorescence microscope to show obvious green fluorescence (GFP), and collected After the 293T cell supernatant is concentrated and purified, the virus concentration is measured using the fluorescence dilution method, and the number of GFP-positive cells is counted. The virus titer is calculated according to the formula: virus concentration = number of fluorescent cells/volume of the virus stock solution in the well, as shown in Figure 5 Show.
实施例4构建靶向EGFRvⅢ且分泌PD1单域抗体和CTLA4单域抗体的CAR-T细胞(EGFRvⅢ/PD1/CTLA4单域抗体CAR-T)Example 4 Construction of CAR-T cells targeting EGFRvIII and secreting PD1 single domain antibody and CTLA4 single domain antibody (EGFRvIII/PD1/CTLA4 single domain antibody CAR-T)
(1)慢病毒法感染T淋巴细胞:将T细胞铺入24孔板,每个孔调整细胞密度达到1×107个细胞,使用含有10%FBS、人CD3单克隆抗体、人CD28单克隆抗体人IL-2细胞因子专用培养基进行培养24小时,将慢病毒按照MOI 30加入以上刺激后的T细胞中,48h后用荧光显微镜观察到GFP的表达,如图6所示。(1) Lentiviral method to infect T lymphocytes: Plate T cells into a 24-well plate, adjust the cell density in each well to 1×10 7 cells, and use a method containing 10% FBS, human CD3 monoclonal antibody, and human CD28 monoclonal The antibody-human IL-2 cytokine-specific medium was cultured for 24 hours. The lentivirus was added to the T cells after stimulation at MOI 30. After 48 hours, the expression of GFP was observed with a fluorescence microscope, as shown in Figure 6.
(2)流式细胞术检测EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞中CAR的表达(2) Detection of CAR expression in EGFRvIII/PD1/CTLA4 Nb CAR-T cells by flow cytometry
分别收集1×106慢病毒转染后的EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞和未含胞外识别受体的CAR-T细胞(Mock)以及未转染T细胞,用PBS洗涤3次,用流式细胞仪同时检测各组CAR-T细胞表面GFP的表达,结果表明嵌合抗原受体在T细胞中表达,表达率均高于40%,如图7所示。Collect 1×10 6 lentivirus-transfected EGFRvⅢ/PD1/CTLA4 Nb CAR-T cells, CAR-T cells without extracellular recognition receptors (Mock) and untransfected T cells, and wash them three times with PBS. , using flow cytometry to simultaneously detect the expression of GFP on the surface of CAR-T cells in each group. The results showed that the chimeric antigen receptor was expressed in T cells, and the expression rate was higher than 40%, as shown in Figure 7.
实施例5EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与高表达EGFRvⅢ肿瘤细胞共培养后,T细胞表面活化分子CD25、CD69测定Example 5 After co-culture of EGFRvIII/PD1/CTLA4 Nb CAR-T cells and tumor cells with high expression of EGFRvIII, determination of T cell surface activation molecules CD25 and CD69
制备各组效应T细胞(Utd组、Mock组、EGFRvⅢ/CTLA4 Nb-CAR-T细胞组、EGFRvⅢ/PD1 Nb-CAR-T细胞组和EGFRvⅢ/PD1/CTLA4 Nb-CAR-T细胞组),在含有上述效应T细胞的各细胞培养孔中,均加入高表达EGFRvⅢ的U87肿瘤细胞,并在完全培养基中共培养。收集各组效应T细胞离心后弃上清,收集细胞沉淀用PBS重悬后再次离心收集细胞沉淀。各组加入PBS重悬细胞沉淀,加入荧光抗体CD25或CD69,均轻柔吹打混匀后避光孵育,然后加入PBS洗涤细胞。用PBS重悬细胞调整相应的细胞浓度,过滤网加入流式管,冰上避光,尽快上流式细胞仪检测。如图8所示,EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与EGFRvⅢ阳性肿瘤细胞共孵育后T细胞表面活化分子CD25、CD69增高,且活化程度高于其他各组,说明接触EGFRvⅢ阳性的肿瘤细胞后,EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞被更有效地激活。Prepare each group of effector T cells (Utd group, Mock group, EGFRvⅢ/CTLA4 Nb-CAR-T cell group, EGFRvⅢ/PD1 Nb-CAR-T cell group and EGFRvⅢ/PD1/CTLA4 Nb-CAR-T cell group). U87 tumor cells that highly express EGFRvIII were added to each cell culture well containing the above-mentioned effector T cells and co-cultured in complete culture medium. Collect effector T cells from each group and centrifuge, discard the supernatant, collect the cell pellet, resuspend it in PBS, and centrifuge again to collect the cell pellet. Add PBS to each group to resuspend the cell pellet, add fluorescent antibody CD25 or CD69, mix gently by pipetting, incubate in the dark, and then add PBS to wash the cells. Resuspend the cells in PBS to adjust the corresponding cell concentration, add the filter to the flow tube, keep on ice to protect from light, and put it on the flow cytometer for detection as soon as possible. As shown in Figure 8, after EGFRvⅢ/PD1/CTLA4 Nb CAR-T cells were co-incubated with EGFRvⅢ-positive tumor cells, the T cell surface activation molecules CD25 and CD69 increased, and the degree of activation was higher than that of other groups, indicating that they were exposed to EGFRvⅢ-positive tumor cells. Afterwards, EGFRvIII/PD1/CTLA4 Nb CAR-T cells were activated more effectively.
实施例6EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与高表达EGFRvⅢ肿瘤细胞共培养后,T细胞增殖能力的测定Example 6 Determination of T cell proliferation ability after co-culture of EGFRvⅢ/PD1/CTLA4 Nb CAR-T cells and high-expressing EGFRvⅢ tumor cells
用各组效应T细胞用eFluorTM 670染色。染色后的效应T细胞与高表达EGFRvⅢ的肿瘤细胞混合后在培养箱中培养5天。培养后,收集各组效应T细胞用PBS洗涤细胞,PBS重悬后通过流式细胞仪检测各组效应T细胞荧光衰减情况。荧光衰减越多(流式结果图左移)对应细胞增殖情况越好。如图9所示,EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与EGFRvⅢ阳性肿瘤细胞共培养后T细胞增殖水平显著显著高于其他的T细胞。Effector T cells from each group were stained with eFluor TM 670. The stained effector T cells were mixed with tumor cells that highly expressed EGFRvIII and cultured in an incubator for 5 days. After culture, the effector T cells of each group were collected and washed with PBS. After resuspending in PBS, the fluorescence attenuation of the effector T cells of each group was detected by flow cytometry. The greater the fluorescence attenuation (the flow cytometry result chart moves to the left), the better the cell proliferation is. As shown in Figure 9, the T cell proliferation level after co-culture of EGFRvIII/PD1/CTLA4 Nb CAR-T cells and EGFRvIII-positive tumor cells was significantly higher than that of other T cells.
实施例7EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与高表达EGFRvⅢ肿瘤细胞共培养后,T细胞分泌细胞因子水平测定Example 7 After co-culture of EGFRvⅢ/PD1/CTLA4 Nb CAR-T cells and high-expressing EGFRvⅢ tumor cells, the level of cytokines secreted by T cells was measured.
将各组效应T细胞与高表达EGFRvⅢ的U87肿瘤细胞混合,细胞放在培养箱中培养24h,培养完成后收集上清。用TNF-α、IFN-γ、IL-2酶联免疫吸附试剂盒测定上清液种细胞因子的水平。如图10所示EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞与EGFRvⅢ阳性肿瘤细胞共培养后CART细胞分泌细胞因子IFN-γ、TNF-α、IL-2水平显著增加,且高于其他各组。Effector T cells in each group were mixed with U87 tumor cells that highly expressed EGFRvIII, and the cells were cultured in an incubator for 24 hours. After the culture was completed, the supernatant was collected. The levels of cytokines in the supernatant were measured using TNF-α, IFN-γ, and IL-2 enzyme-linked immunosorbent assay kits. As shown in Figure 10, after EGFRvIII/PD1/CTLA4 Nb CAR-T cells were co-cultured with EGFRvIII-positive tumor cells, the levels of cytokines IFN-γ, TNF-α, and IL-2 secreted by CART cells increased significantly and were higher than those in other groups.
实施例8EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞对人肿瘤细胞杀伤作用的细胞毒性分析Example 8 Cytotoxicity analysis of the killing effect of EGFRvIII/PD1/CTLA4 Nb CAR-T cells on human tumor cells
用eFluor670染色高表达EGFRvⅢ的靶细胞,分别取实施例4中制备的EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞和实施例1中培养的T细胞,按效靶比(E:T)分别1:1、10:1和20:1,在24孔板中加入相应数量的效应T淋巴细胞和靶细胞,培养16小时后,收集上述细胞,加入100μl 1×buffer和AnnexinV和7-AAD染液各5μl,室温避光孵育15min。在高速离心机以2000rpm离心6min,去上清,加入400μl的PBS重悬细胞,AnnexinV+7-AAD+即为死亡细胞,流式细胞仪检测AnnexinV+7-AAD+细胞的比例,按公式计算CAR-T细胞对不同细胞的杀伤效率。杀伤率=100%×(实验孔凋亡率-自然释放孔凋亡率)/(100-自然释放孔凋亡率),自然释放孔为未加效应细胞的靶细胞。如图11所示,EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞对高表达EGFRvⅢ的肿瘤细胞具有特异性杀伤活性。The target cells that highly express EGFRvIII were stained with eFluor670. The EGFRvIII/PD1/CTLA4 Nb CAR-T cells prepared in Example 4 and the T cells cultured in Example 1 were taken respectively, and the effect-to-target ratio (E:T) was 1: 1. 10:1 and 20:1, add the corresponding number of effector T lymphocytes and target cells to the 24-well plate. After culturing for 16 hours, collect the above cells, add 100 μl of 1×buffer and AnnexinV and 7-AAD staining solutions. 5μl, incubate at room temperature in the dark for 15 minutes. Centrifuge at 2000 rpm for 6 minutes in a high-speed centrifuge, remove the supernatant, and add 400 μl of PBS to resuspend the cells. AnnexinV+7-AAD+ are dead cells. Flow cytometry detects the proportion of AnnexinV+7-AAD+ cells, and calculates CAR- according to the formula The killing efficiency of T cells against different cells. Killing rate = 100% × (apoptosis rate of experimental wells - apoptosis rate of natural release holes) / (100 - apoptosis rate of natural release holes). The natural release holes are target cells without effector cells. As shown in Figure 11, EGFRvIII/PD1/CTLA4 Nb CAR-T cells have specific killing activity against tumor cells that highly express EGFRvIII.
实施例9EGFRvⅢ/PD1/CTLA4 Nb CAR-T治疗荷EGFRvⅢ阳性的肿瘤细胞小鼠后肿瘤的生长曲线和小鼠生存曲线Example 9 Tumor growth curve and mouse survival curve after EGFRvIII/PD1/CTLA4 Nb CAR-T treatment of mice bearing EGFRvIII-positive tumor cells
收集处于对数生长期的EGFRvⅢ阳性的U87肿瘤细胞,接种于NOD/SCID鼠皮下。当小鼠皮下瘤体积约为(80-100)mm3时,小鼠随机分成6组,接受不同的治疗(PBS、Utd、Mock、EGFRvⅢ/CTLA4 Nb-CAR-T细胞、EGFRvⅢ/PD1Nb-CAR-T细胞和EGFRvⅢ/PD1/CTLA4 Nb-CAR-T细胞)。治疗共2次,间隔一周。从给药开始,每3天用游标卡尺测量小鼠的肿瘤体积。用同样的处理方式观察另一组小鼠的存活时间,用于分析各组的生存率。图12结果显示,EGFRvⅢ/PD1/CTLA4 Nb CAR-T细胞能使荷瘤鼠的肿瘤的生长显著减缓,小鼠生存时间显著延长。EGFRvIII-positive U87 tumor cells in the logarithmic growth phase were collected and inoculated subcutaneously in NOD/SCID mice. When the subcutaneous tumor volume in mice was approximately (80-100) mm3 , the mice were randomly divided into 6 groups and received different treatments (PBS, Utd, Mock, EGFRvIII/CTLA4 Nb-CAR-T cells, EGFRvIII/PD1Nb-CAR -T cells and EGFRvIII/PD1/CTLA4 Nb-CAR-T cells). A total of 2 treatments were given, one week apart. From the beginning of administration, the tumor volume of the mice was measured every 3 days with a vernier caliper. Use the same treatment method to observe the survival time of another group of mice to analyze the survival rate of each group. The results in Figure 12 show that EGFRvIII/PD1/CTLA4 Nb CAR-T cells can significantly slow down the tumor growth of tumor-bearing mice and significantly extend the survival time of mice.
最后应说明的是:以上实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that it can still be used Modifications are made to the technical solutions described in the foregoing embodiments, or equivalent substitutions are made to some of the technical features; however, these modifications or substitutions do not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions of the embodiments of the present invention.
SEQUENCE LISTINGSEQUENCE LISTING
<110> 广西医科大学<110> Guangxi Medical University
<120> 分泌PD1和CTLA4双单域抗体的EGFRvⅢ CAR-T细胞及其制备方法和应用<120> EGFRvⅢ CAR-T cells secreting PD1 and CTLA4 dual single domain antibodies and their preparation methods and applications
<130> GY22100451<130> GY22100451
<160> 24<160> 24
<170> PatentIn version 3.5<170> PatentIn version 3.5
<210> 1<210> 1
<211> 63<211> 63
<212> DNA<212> DNA
<213> xx<213>xx
<400> 1<400> 1
atggccttac cagtgaccgc cttgctcctg ccgctggcct tgctgctcca cgccgccagg 60atggccttac cagtgaccgc cttgctcctg ccgctggcct tgctgctcca cgccgccagg 60
ccg 63ccg 63
<210> 2<210> 2
<211> 24<211> 24
<212> DNA<212> DNA
<213> xx<213>xx
<400> 2<400> 2
gactacaagg atgacgatga caag 24gactacaagg atgacgatga caag 24
<210> 3<210> 3
<211> 15<211> 15
<212> DNA<212> DNA
<213> xx<213>xx
<400> 3<400> 3
ggaggtggag gatca 15ggaggtggag gatca 15
<210> 4<210> 4
<211> 363<211> 363
<212> DNA<212> DNA
<213> xx<213>xx
<400> 4<400> 4
caggtgcagc tgcaggagtc tgggggaggc tcggtgcagg ctggaggatc tctgagactc 60caggtgcagc tgcaggagtc tgggggaggc tcggtgcagg ctggaggatc tctgagactc 60
tcctgtgcag tctctggatt aacctacagt agcaggtgta cgggctggtt ccgccaggct 120tcctgtgcag tctctggatt aacctacagt agcaggtgta cgggctggtt ccgccaggct 120
ccagggaagg agcgcgaggg ggtcgcagct attcatactg gtggtggtat cacatactat 180ccagggaagg agcgcgaggg ggtcgcagct attcatactg gtggtggtat cacatactat 180
accgactccg tgaagggccg attcaccctc tcccaagaca acgccaagaa cacgctgtat 240accgactccg tgaagggccg attcaccctc tcccaagaca acgccaagaa cacgctgtat 240
ctgcaaatga acaatctgaa acctgaagac actggcatgt actactgtgc ggcaaatccc 300ctgcaaatga acaatctgaa acctgaagac actggcatgt actactgtgc ggcaaatccc 300
agtggttact gctcctcaaa ttttgcttac tggggccagg ggacccaggt caccgtctcc 360agtggttatact gctcctcaaa ttttgcttac tggggccagg ggacccaggt caccgtctcc 360
tca 363tca 363
<210> 5<210> 5
<211> 207<211> 207
<212> DNA<212> DNA
<213> xx<213>xx
<400> 5<400> 5
accacgacgc cagcgccgcg accaccaaca ccggcgccca ccatcgcgtc gcagcccctg 60accacgacgc cagcgccgcg accaccaaca ccggcgccca ccatcgcgtc gcagcccctg 60
tccctgcgcc cagaggcgtg ccggccagcg gcggggggcg cagtgcacac gagggggctg 120tccctgcgcc cagaggcgtg ccggccagcg gcggggggcg cagtgcacac gagggggctg 120
gacttcgcct gtgatatcta catctgggcg cccttggccg ggacttgtgg ggtccttctc 180gacttcgcct gtgatatcta catctgggcg cccttggccg ggacttgtgg ggtccttctc 180
ctgtcactgg ttatcaccct ttactgc 207ctgtcactgg ttatcaccct ttactgc 207
<210> 6<210> 6
<211> 126<211> 126
<212> DNA<212> DNA
<213> xx<213>xx
<400> 6<400> 6
aaacggggca gaaagaaact cctgtatata ttcaaacaac catttatgag accagtacaa 60aaacggggca gaaagaaact cctgtatata ttcaaacaac catttatgag accagtacaa 60
actactcaag aggaagatgg ctgtagctgc cgatttccag aagaagaaga aggaggatgt 120actactcaag aggaagatgg ctgtagctgc cgatttccag aagaagaaga aggaggatgt 120
gaactg 126gaactg 126
<210> 7<210> 7
<211> 336<211> 336
<212> DNA<212> DNA
<213> xx<213>xx
<400> 7<400> 7
agagtgaagt tcagcaggag cgcagacgcc cccgcgtaca agcagggcca gaaccagctc 60agagtgaagt tcagcaggag cgcagacgcc cccgcgtaca agcagggcca gaaccagctc 60
tataacgagc tcaatctagg acgaagagag gagtacgatg ttttggacaa gagacgtggc 120tataacgagc tcaatctagg acgaagagag gagtacgatg ttttggacaa gagacgtggc 120
cgggaccctg agatgggggg aaagccgaga aggaagaacc ctcaggaagg cctgtacaat 180cgggaccctg agatgggggg aaagccgaga aggaagaacc ctcaggaagg cctgtacaat 180
gaactgcaga aagataagat ggcggaggcc tacagtgaga ttgggatgaa aggcgagcgc 240gaactgcaga aagataagat ggcggaggcc tacagtgaga ttggggatgaa aggcgagcgc 240
cggaggggca aggggcacga tggcctttac cagggtctca gtacagccac caaggacacc 300cggaggggca aggggcacga tggcctttac cagggtctca gtacagccac caaggacacc 300
tacgacgccc ttcacatgca ggccctgccc cctcgc 336tacgacgccc ttcacatgca ggccctgccc cctcgc 336
<210> 8<210> 8
<211> 15<211> 15
<212> DNA<212> DNA
<213> xx<213>xx
<400> 8<400> 8
gggggtgggg gatcc 15gggggtgggg gatcc 15
<210> 9<210> 9
<211> 24<211> 24
<212> DNA<212> DNA
<213> xx<213>xx
<400> 9<400> 9
gactacaagg atgacgatga caag 24gactacaagg atgacgatga caag 24
<210> 10<210> 10
<211> 66<211> 66
<212> DNA<212> DNA
<213> xx<213>xx
<400> 10<400> 10
ggcagcggcg ccaccaactt cagcctgctg aagcaggccg gtgacgtgga ggagaatccc 60ggcagcggcg ccaccaactt cagcctgctg aagcaggccg gtgacgtgga ggagaatccc 60
ggccct 66ggccct 66
<210> 11<210> 11
<211> 63<211> 63
<212> DNA<212> DNA
<213> xx<213>xx
<400> 11<400> 11
atggccttac cagtgaccgc cttgctcctg ccgctggcct tgctgctcca cgccgccagg 60atggccttac cagtgaccgc cttgctcctg ccgctggcct tgctgctcca cgccgccagg 60
ccg 63ccg 63
<210> 12<210> 12
<211> 15<211> 15
<212> DNA<212> DNA
<213> xx<213>xx
<400> 12<400> 12
ggcggtggcg gatct 15ggcggtggcggatct 15
<210> 13<210> 13
<211> 30<211> 30
<212> DNA<212> DNA
<213> xx<213>xx
<400> 13<400> 13
gaacaaaaac tcatctcaga agaggatctg 30gaacaaaaac tcatctcaga agaggatctg 30
<210> 14<210> 14
<211> 378<211> 378
<212> DNA<212> DNA
<213> xx<213>xx
<400> 14<400> 14
caggtgcagc tgcaggagtc tggaggaggc tcggtgcagt ccggagggtc tctgagactc 60caggtgcagc tgcaggagtc tggaggaggc tcggtgcagt ccggagggtc tctgagactc 60
acctgtgcag cctctggata cacctacagt aactactaca tgggctggtt ccgccaggct 120acctgtgcag cctctggata cacctacagt aactactaca tgggctggtt ccgccaggct 120
ccaggaaagg agcgcgaggg ggtcgcaagt attgatactc ttggttatac aagatacgca 180ccaggaaagg agcgcgaggg ggtcgcaagt attgatactc ttggttatac aagatacgca 180
gactccgtga aggggcgatt caccatctcc cgtgacaacg ataagaacac gctgtatctg 240gactccgtga aggggcgatt caccatctcc cgtgacaacg ataagaacac gctgtatctg 240
caaatgagca gcctgcaacc ggaggacacg gccatgtatt actgtgcggc ccctcgttct 300caaatgagca gcctgcaacc ggaggacacg gccatgtatt actgtgcggc ccctcgttct 300
ccttactacc ggggtcagac gttctgggag ggggcgtata actactgggg ccaggggacc 360ccttactacc ggggtcagac gttctgggag ggggcgtata actactgggg ccaggggacc 360
caggtcaccg tctcctca 378caggtcaccg tctcctca 378
<210> 15<210> 15
<211> 15<211> 15
<212> DNA<212> DNA
<213> xx<213>xx
<400> 15<400> 15
ggaggtggag gatca 15ggaggtggag gatca 15
<210> 16<210> 16
<211> 30<211> 30
<212> DNA<212> DNA
<213> xx<213>xx
<400> 16<400> 16
gaacaaaaac tcatctcaga agaggatctg 30gaacaaaaac tcatctcaga agaggatctg 30
<210> 17<210> 17
<211> 63<211> 63
<212> DNA<212> DNA
<213> xx<213>xx
<400> 17<400> 17
ggcagcggcg agggcagagg aagtcttcta acatgcggtg acgtggagga gaatcccggc 60ggcagcggcg agggcagagg aagtcttcta acatgcggtg acgtggagga gaatcccggc 60
cct 63cct 63
<210> 18<210> 18
<211> 63<211> 63
<212> DNA<212> DNA
<213> xx<213>xx
<400> 18<400> 18
atggctctgc ccgtgaccgc tttgttgctg cccctggctt tgctgctcca cgccgccagg 60atggctctgc ccgtgaccgc tttgttgctg cccctggctt tgctgctcca cgccgccagg 60
ccc 63ccc 63
<210> 19<210> 19
<211> 18<211> 18
<212> DNA<212> DNA
<213> xx<213>xx
<400> 19<400> 19
catcatcatc atcatcat 18catcatcatc atcatcat 18
<210> 20<210> 20
<211> 15<211> 15
<212> DNA<212> DNA
<213> xx<213>xx
<400> 20<400> 20
gggggtgggg gatcc 15gggggtgggg gatcc 15
<210> 21<210> 21
<211> 351<211> 351
<212> DNA<212> DNA
<213> xx<213>xx
<400> 21<400> 21
caggtgcagc tgcaggagtc tgggggaggc tcggtgcagg ctggggggtc tctaagactc 60caggtgcagc tgcaggagtc tgggggaggc tcggtgcagg ctggggggtc tctaagactc 60
tcctgtacag cctctggatt cggtgttgat ggcactgaca tgggctggta ccgccaggct 120tcctgtacag cctctggatt cggtgttgat ggcactgaca tgggctggta ccgccaggct 120
ccagggaatg agtgcgagtt ggtctcaagt attagcagta ttggtattgg atactattca 180ccagggaatg agtgcgagtt ggtctcaagt attagcagta ttggtattgg atactattca 180
gagtccgtga agggccgatt caccatctcc cgagacaacg ccaagaacac ggtgtatctg 240gagtccgtga agggccgatt caccatctcc cgagacaacg ccaagaacac ggtgtatctg 240
caaatgaaca gcctgagacc tgacgacacg gccgtgtatt actgcggtag acgatggatt 300caaatgaaca gcctgagacc tgacgacacg gccgtgtatt actgcggtag acgatggatt 300
gggtaccgat gtggtaactg gggccggggg acccaggtca ccgtctcctc a 351gggtaccgat gtggtaactg gggccggggg acccaggtca ccgtctcctc a 351
<210> 22<210> 22
<211> 15<211> 15
<212> DNA<212> DNA
<213> xx<213>xx
<400> 22<400> 22
ggcggtggcg gatct 15ggcggtggcggatct 15
<210> 23<210> 23
<211> 18<211> 18
<212> DNA<212> DNA
<213> xx<213>xx
<400> 23<400> 23
catcatcatc atcatcat 18catcatcatc atcatcat 18
<210> 24<210> 24
<211> 2316<211> 2316
<212> DNA<212> DNA
<213> xx<213>xx
<400> 24<400> 24
atggccttac cagtgaccgc cttgctcctg ccgctggcct tgctgctcca cgccgccagg 60atggccttac cagtgaccgc cttgctcctg ccgctggcct tgctgctcca cgccgccagg 60
ccggactaca aggatgacga tgacaaggga ggtggaggat cacaggtgca gctgcaggag 120ccggactaca aggatgacga tgacaaggga ggtggaggat cacaggtgca gctgcaggag 120
tctgggggag gctcggtgca ggctggagga tctctgagac tctcctgtgc agtctctgga 180tctggggggag gctcggtgca ggctggagga tctctgagac tctcctgtgc agtctctgga 180
ttaacctaca gtagcaggtg tacgggctgg ttccgccagg ctccagggaa ggagcgcgag 240ttaacctaca gtagcaggtg tacgggctgg ttccgccagg ctccagggaa ggagcgcgag 240
ggggtcgcag ctattcatac tggtggtggt atcacatact ataccgactc cgtgaagggc 300ggggtcgcag ctattcatac tggtggtggt atcacatact ataccgactc cgtgaagggc 300
cgattcaccc tctcccaaga caacgccaag aacacgctgt atctgcaaat gaacaatctg 360cgattcaccc tctcccaaga caacgccaag aacacgctgt atctgcaaat gaacaatctg 360
aaacctgaag acactggcat gtactactgt gcggcaaatc ccagtggtta ctgctcctca 420aaacctgaag acactggcat gtactactgt gcggcaaatc ccagtggtta ctgctcctca 420
aattttgctt actggggcca ggggacccag gtcaccgtct cctcaaccac gacgccagcg 480aattttgctt actggggcca ggggacccag gtcaccgtct cctcaaccac gacgccagcg 480
ccgcgaccac caacaccggc gcccaccatc gcgtcgcagc ccctgtccct gcgcccagag 540ccgcgaccac caacaccggc gcccaccatc gcgtcgcagc ccctgtccct gcgcccagag 540
gcgtgccggc cagcggcggg gggcgcagtg cacacgaggg ggctggactt cgcctgtgat 600gcgtgccggc cagcggcggg gggcgcagtg cacacgaggg ggctggactt cgcctgtgat 600
atctacatct gggcgccctt ggccgggact tgtggggtcc ttctcctgtc actggttatc 660atctacatct gggcgccctt ggccgggact tgtggggtcc ttctcctgtc actggttatc 660
accctttact gcaaacgggg cagaaagaaa ctcctgtata tattcaaaca accatttatg 720accctttact gcaaacgggg cagaaagaaa ctcctgtata tattcaaaca accatttatg 720
agaccagtac aaactactca agaggaagat ggctgtagct gccgatttcc agaagaagaa 780agaccagtac aaactactca agaggaagat ggctgtagct gccgatttcc agaagaagaa 780
gaaggaggat gtgaactgag agtgaagttc agcaggagcg cagacgcccc cgcgtacaag 840gaaggaggat gtgaactgag agtgaagttc agcaggagcg cagacgcccc cgcgtacaag 840
cagggccaga accagctcta taacgagctc aatctaggac gaagagagga gtacgatgtt 900cagggccaga accagctcta taacgagctc aatctaggac gaagagagga gtacgatgtt 900
ttggacaaga gacgtggccg ggaccctgag atggggggaa agccgagaag gaagaaccct 960ttggacaaga gacgtggccg ggaccctgag atggggggaa agccgagaag gaagaaccct 960
caggaaggcc tgtacaatga actgcagaaa gataagatgg cggaggccta cagtgagatt 1020caggaaggcc tgtacaatga actgcagaaa gataagatgg cggaggccta cagtgagatt 1020
gggatgaaag gcgagcgccg gaggggcaag gggcacgatg gcctttacca gggtctcagt 1080gggatgaaag gcgagcgccg gaggggcaag gggcacgatg gcctttacca gggtctcagt 1080
acagccacca aggacaccta cgacgccctt cacatgcagg ccctgccccc tcgcgggggt 1140acagccacca aggacacccta cgacgccctt cacatgcagg ccctgcccccc tcgcgggggt 1140
gggggatccg actacaagga tgacgatgac aagggcagcg gcgccaccaa cttcagcctg 1200gggggatccg actacaagga tgacgatgac aagggcagcg gcgccaccaa cttcagcctg 1200
ctgaagcagg ccggtgacgt ggaggagaat cccggcccta tggccttacc agtgaccgcc 1260ctgaagcagg ccggtgacgt ggaggagaat cccggcccta tggccttacc agtgaccgcc 1260
ttgctcctgc cgctggcctt gctgctccac gccgccaggc cgggcggtgg cggatctgaa 1320ttgctcctgc cgctggcctt gctgctccac gccgccaggc cgggcggtgg cggatctgaa 1320
caaaaactca tctcagaaga ggatctgcag gtgcagctgc aggagtctgg aggaggctcg 1380caaaaactca tctcagaaga ggatctgcag gtgcagctgc aggagtctgg aggaggctcg 1380
gtgcagtccg gagggtctct gagactcacc tgtgcagcct ctggatacac ctacagtaac 1440gtgcagtccg gagggtctct gagactcacc tgtgcagcct ctggataacac ctacagtaac 1440
tactacatgg gctggttccg ccaggctcca ggaaaggagc gcgagggggt cgcaagtatt 1500tactacatgg gctggttccg ccaggctcca ggaaaggagc gcgaggggggt cgcaagtatt 1500
gatactcttg gttatacaag atacgcagac tccgtgaagg ggcgattcac catctcccgt 1560gatactcttg gttatacaag atacgcagac tccgtgaagg ggcgattcac catctcccgt 1560
gacaacgata agaacacgct gtatctgcaa atgagcagcc tgcaaccgga ggacacggcc 1620gacaacgata agaacacgct gtatctgcaa atgagcagcc tgcaaccgga ggacacggcc 1620
atgtattact gtgcggcccc tcgttctcct tactaccggg gtcagacgtt ctgggagggg 1680atgtattact gtgcggcccc tcgttctcct tactaccggg gtcagacgtt ctgggagggg 1680
gcgtataact actggggcca ggggacccag gtcaccgtct cctcaggagg tggaggatca 1740gcgtataact actggggcca ggggacccag gtcaccgtct cctcaggagg tggaggatca 1740
gaacaaaaac tcatctcaga agaggatctg ggcagcggcg agggcagagg aagtcttcta 1800gaacaaaaac tcatctcaga agaggatctg ggcagcggcg agggcagagg aagtcttcta 1800
acatgcggtg acgtggagga gaatcccggc cctatggctc tgcccgtgac cgctttgttg 1860acatgcggtg acgtggagga gaatcccggc cctatggctc tgcccgtgac cgctttgttg 1860
ctgcccctgg ctttgctgct ccacgccgcc aggccccatc atcatcatca tcatgggggt 1920ctgcccctgg ctttgctgct ccacgccgcc aggccccatc atcatcatca tcatgggggt 1920
gggggatccc aggtgcagct gcaggagtct gggggaggct cggtgcaggc tggggggtct 1980gggggatccc aggtgcagct gcaggagtct gggggaggct cggtgcaggc tggggggtct 1980
ctaagactct cctgtacagc ctctggattc ggtgttgatg gcactgacat gggctggtac 2040ctaagactct cctgtacagc ctctggattc ggtgttgatg gcactgacat gggctggtac 2040
cgccaggctc cagggaatga gtgcgagttg gtctcaagta ttagcagtat tggtattgga 2100cgccaggctc cagggaatga gtgcgagttg gtctcaagta ttagcagtat tggtattgga 2100
tactattcag agtccgtgaa gggccgattc accatctccc gagacaacgc caagaacacg 2160tactattcag agtccgtgaa gggccgattc accatctccc gagacaacgc caagaacacg 2160
gtgtatctgc aaatgaacag cctgagacct gacgacacgg ccgtgtatta ctgcggtaga 2220gtgtatctgc aaatgaacag cctgagacct gacgacacgg ccgtgtatta ctgcggtaga 2220
cgatggattg ggtaccgatg tggtaactgg ggccggggga cccaggtcac cgtctcctca 2280cgatggattg ggtaccgatg tggtaactgg ggccggggga cccaggtcac cgtctcctca 2280
ggcggtggcg gatctcatca tcatcatcat cattaa 2316ggcggtggcg gatctcatca tcatcatcat cattaa 2316
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