Disclosure of Invention
In order to solve the above problems, the present invention provides the use of a specific inhibitor of NOX2 in the manufacture of a medicament for the treatment and/or prevention of retinal degeneration.
In one embodiment of the invention, the retinal degeneration is hereditary retinal degeneration.
In one embodiment of the invention, the specific inhibitor of NOX2 is one or more of gp91phox-tat (NOX2ds-tat), GSK-2795039(CAS 1415925-18-6) or VAs2870(CAS 722456-31-7).
In one embodiment of the invention, the NOX2 specific inhibitor is gp91phox-tat or GSK-2795039.
The present invention also provides a medicament for treating and/or preventing retinal degeneration, which comprises an active ingredient; the active component is a specific inhibitor of NOX 2.
In one embodiment of the invention, the NOX2 specific inhibitor is one or more of gp91phox-tat, GSK-2795039, or Vas 2870.
In one embodiment of the invention, the NOX2 specific inhibitor is gp91phox-tat or GSK-2795039.
In one embodiment of the present invention, the medicament further comprises a pharmaceutical carrier and/or a pharmaceutical excipient.
In one embodiment of the invention, the drug carrier comprises one or more of a microcapsule, a microsphere, a nanoparticle, or a liposome.
In one embodiment of the present invention, the pharmaceutical excipients comprise one or more of solvents, propellants, solubilizers, solubilizing agents, emulsifiers, colorants, adhesives, disintegrants, fillers, lubricants, wetting agents, tonicity adjusting agents, stabilizers, glidants, flavoring agents, preservatives, suspending agents, coating materials, fragrances, anti-adhesives, integration agents, penetration enhancers, pH adjusting agents, buffers, plasticizers, surfactants, foaming agents, antifoaming agents, thickening agents, encapsulation agents, humectants, absorbents, diluents, flocculants and deflocculants, filter aids, or release retardants.
In one embodiment of the present invention, the pharmaceutical formulation is powder, tablet, granule, capsule, solution, emulsion, suspension or injection.
The invention also provides application of the NOX2 gene as a therapeutic target of a medicament for treating and/or preventing retinal degeneration.
In one embodiment of the invention, the retinal degeneration is hereditary retinal degeneration.
The technical scheme of the invention has the following advantages:
the invention provides the use of a specific inhibitor of NOX2 in the manufacture of a medicament for the treatment and/or prevention of retinal degeneration; research shows that compared with an rd1 mouse which is an animal model of hereditary retinal degeneration, the loss of photoreceptor cells of the outer nuclear layer of the retina of an rd1 mouse model with NOX2 gene deficiency is obviously delayed, the activation of microglia is obviously inhibited, and the expression of NOX2 in the microglia is obviously reduced, and research shows that compared with an rd1 mouse model, the thickness of the outer nuclear layer of the retina of an rd1 mouse model injected with an in vivo NOX2 specific inhibitor is obviously increased, the activation of the microglia is obviously inhibited, and the expression of the NOX2 in the microglia is obviously reduced, and in addition, compared with apocynin, the action mechanism of the NOX2 specific inhibitor is more definite and the specificity is stronger, so the NOX2 specific inhibitor has a great application prospect in preparing medicines for treating and/or preventing retinal degeneration.
Detailed Description
The following examples are provided to further understand the present invention, not to limit the scope of the present invention, but to provide the best mode, not to limit the content and the protection scope of the present invention, and any product similar or similar to the present invention, which is obtained by combining the present invention with other prior art features, falls within the protection scope of the present invention.
The following examples do not show specific experimental procedures or conditions, and can be performed according to the procedures or conditions of the conventional experimental procedures described in the literature in the field. The reagents or instruments used are not indicated by manufacturers, and are all conventional reagent products which can be obtained commercially.
Experimental example 1: validation of NOX2 gene as therapeutic target for drugs for treating and/or preventing hereditary retinal degeneration
1.NOX2 knockout (NOX2KO) mice are crossed with rd1 mice to obtain F1 generation mice
Four male NOX2 gene knockout mice with the genotype gp91phox-/Y rd1W/W (namely B6.129S-Cybb knockout of NOX2 gene on X chromosome)tm1DinA/J mouse, purchased from Jackson laboratories, JAX coded 002365) was crossed with eight female rd1 mice (purchased from Beijing Wintorituximab laboratory technologies, Inc.) of genotype gp91phox +/+ rd1+/+ to give male-crossed F1 mice of genotype gp91phox +/Y rd1W/+ and female-crossed F1 mice of genotype gp91phox +/-rd1w +.
To verify the correctness of the genotype of the F1 generation mice, the genome of the F1 generation mice was PCR-amplified using the primers in Table 1, and the amplification products were analyzed by gel electrophoresis, the analysis results of which are shown in FIG. 2.
As shown in FIG. 2, the genotype of the male-crossed F1 mouse was Gp91phox +/Y rdW/+, and the genotype of the female-crossed F1 mouse was Gp91phox +/rdW +, and F1 mouse was successfully prepared.
Primer sequences of Table 1002365
Note: 002365 genotype judgment criteria:
mutant (homozygous) ═ 195bp
Heterozygate (hybrid) 195bp and 240bp
Wild type 240bp
2. Mating F1 mouse to obtain F2 mouse
Male-hybridizing F1-generation mice, which have a genotype of gp91phox +/Y rd1W/+ and female-hybridizing F1-generation mice, which have a genotype of gp91phox +/-rd1w +, were crossed to obtain F2-generation mice (48 mice in total, numbered #61 to #108, respectively).
In order to screen mice with correct genotypes, the genome of the F2 mouse was PCR-amplified using the primers in tables 1 and 2, and the amplification products were analyzed by gel electrophoresis, and the results are shown in FIGS. 3 to 4. And classifying the F2 mouse according to the genotypes of gp91phox and Pde6b, wherein the classification results are shown in tables 3-4.
According to the classification results, #67, #81, #85 with the genotype gp91phox-/Y rd1+/+ were selected as male-hybridizing F2-generation mice, and #76, #79, #102 with the genotype gp91phox +/-rd1+/+ were selected as female-hybridizing F2-generation mice.
Primer sequences of Pde6b in Table 2
Note: judgment standard of Pde6b genotype:
mutant (homozygous) ═ 500bp
Heterozygate (wild) 550bp and 400bp
Wild type 400bp
Classification of genotypes in Table 3002365
TABLE 4 Classification of the Pde6b genotypes
3. Mating F2 mouse to obtain F3 mouse
Male-crossed F2-generation mice with the genotype gp91phox-/Y rd1+/+ and female-crossed F2-generation mice with the genotype gp91phox +/-rd1+/+ were crossed to obtain F3-generation mice (18 mice in total, and the numbers are #126 to # 143).
In order to screen mice with the correct genotype, the genome of the F3 mouse was PCR-amplified using the primers shown in Table 1, and the amplification products were analyzed by gel electrophoresis, and the results of the analysis are shown in FIG. 5. The F3 mice were also classified according to the gp91phox genotype, and the classification results are shown in Table 5.
According to the classification results, #126, #138, #139 and #140 with the genotype gp91phox-/Y rd1+/+ were selected as male-hybrid F3-generation mice, and #129, #131, #132 and #142 with the genotype gp91phox +/-rd1+/+ were selected as female-hybrid F3-generation mice.
Male hybrid F2 generation mice and male hybrid F3 generation mice with the genotype of gp91phox-/Y rd1+/+ are double homozygous male NOX2 gene defect rd1 mouse models; the female hybrid F3 mouse with the genotype gp91phox-/-rd1+/+ is a double homozygous female NOX2 gene-deficient rd1 mouse model. The male NOX2 gene-deficient rd1 mouse model and the female NOX2 gene-deficient rd1 mouse model can be propagated by crossing.
Classification of genotypes in Table 5002365
| Genotype(s) | Number (#126 to #143) |
| Hybrid | # | 126#129#131#132#138#139#140#142 |
| Wild plant | #128#130#133#141#143 |
| Homozygous for | #127#134#135#136#137 |
4. Retinal histocytology characterization of rd1 mouse model with NOX2 gene deficiency
4.1 Experimental reagent and instrument
Hoechst33258 fluorescent dye (Sigma Alorich, usa); sakura frozen section embedding medium (McMormick, USA); TUNEL method apoptosis detection kit (NOREZHA, a national product); DAPI containing anti-quench block tablets (Sigma Alorich, usa); mouse anti-mouse gp91phoxMonoclonal antibodies (BD corporation, usa); rat anti-mouse CD11b antibody (burle, usa); FITC-labeled anti-rat IgG, TRITC-labeled anti-mouse fluorescent secondary antibody (Invitrogen, usa); model CM1850 quick-frozen sample preparation microtome, model DM4000B optical microscope, Confocal laser Confocal microscope (SPE), LAS X photographic system (Leica, Germany).
4.2 Experimental methods
4.2.1 retinal tissue sections
C57BL/6N mice (purchased from Beijing Wittingle laboratory animal technology, Inc.), NOX2 knockout mice and rd1 mice (day old 14d) are used as control group mice, and the RD1 mouse model (day old 14d) with NOX2 gene deficiency obtained in the step 3 is used as experimental group mice; killing each group of mice by excessive anesthesia of chloral hydrate, quickly removing eyeballs, quickly placing the mice into an OCT embedding medium, quickly quenching the mice in liquid nitrogen, and storing the mice in a refrigerator at minus 80 ℃ for later use; when in use, frozen sections of 7 mu m are made through the optic disc and the sawtooth edge, and 12 eyes are made on 6 mice in each group; the obtained mouse eyeball frozen section is naturally dried, fixed by 4% (w/v, g/100mL) paraformaldehyde at room temperature for 15min, rinsed 3 times by 0.1mol/L PBS buffer solution (pH7.4) for 5min each time, stained by hematoxylin for 20min, differentiated by 1% (v/v) hydrochloric acid ethanol for 20s, soaked in tap water for 20min, stained by eosin for 2min, dehydrated by gradient ethanol, transparent by xylene, sealed by neutral gum, observed under an optical microscope and photographed. 3 sections are selected from each eyeball, the retinas at the same position of the posterior pole part are selected from each section for photographing, and the cell layer number of each group of outer nuclear layers is compared. The results of the experiment are shown in FIG. 6.
4.2.2 retinal photoreceptor apoptosis assay
Adopting a TUNEL cell apoptosis in-situ detection kit, naturally drying the frozen section of the mouse eyeball obtained in the step 4.2.1, fixing the frozen section with 4% (w/v, g/100mL) of paraformaldehyde at room temperature for 15min, rinsing with 0.1mol/L of PBS buffer solution (pH7.4) for 3 times, 5min each time, digesting for 15min at 37 ℃ by protease K, washing TBS, dripping FITC fluorescent labeled detection solution, incubating for 2h in a wet box at 37 ℃ in the dark, washing the TBS, sealing by using a DAPI fluorescent quenching-preventing sealing agent, and observing and photographing by using a fluorescent microscope at a wavelength of 488 nm. Green fluorescence signal was TUNEL positive cells. The results of the experiment are shown in FIG. 7.
4.2.3、gp91phoxImmunofluorescent staining and co-localization with CD11b
gp91phoxIs the main subunit of NOX2, and the CD11b monoclonal antibody labels microglia. And the two immunofluorescent stains are co-located to observe the expression of the NOX2 in the microglia. Naturally airing the frozen section of the mouse eyeball obtained in the step 4.2.1, fixing the frozen section by cold acetone for 10min, rinsing the frozen section by 0.1mol/L PBS buffer solution (pH7.4) for 3 times, each time for 5min, sealing the normal sheep serum working solution, incubating the frozen section for 10min at room temperature (25 ℃), discarding serum, and not washing; incubation of two Primary antibodies (gp 91) from different speciesphoxMouse-derived, CD11 b-derived, rat-derived), incubation at 4 ℃After 30min of rewarming over night (16h), rinsing by 0.1mol/L PBS buffer (pH7.4), incubating corresponding FITC and TRITC (1: 600, v/v), incubating at room temperature (25 ℃) for 1h, rinsing by 0.1mol/L PBS buffer (pH7.4) for 3 times, 5min each time; the fluorescent quenching sealing piece containing DAPI fluorescence-resistant sealing piece agent is used for sealing pieces, FITC green fluorescence is observed under the wavelength of 488nm of a fluorescence microscope, TRITC red fluorescence is observed under the wavelength of 532nm, and photographing is carried out. The results of the experiment are shown in FIG. 8.
The experimental results of the above experiments were statistically analyzed using SPSS 20.0 statistical software. The data were normally distributed by Shapiro-Wilk test and expressed as mean + -SD. Differences in retinal outer nuclear layer thickness and percentage of TUNEL cells were compared between different groups using one-way variance (ANOVA) analysis, and LSD-t test was used for pairwise comparisons between groups. P <0.05 is statistically significant for the differences.
4.3, results of the experiment
As can be seen from FIG. 6, the retinas of the C57BL/6N mice and NOX2 gene-deficient mice are complete in structure, the cells of the inner and outer nuclear layers are regularly and densely arranged, and the average thicknesses of the outer nuclear layer are 54.44 +/-2.33 μm and 52.96 +/-1.31 μm respectively; the retina outer nuclear layer of an rd1 mouse of the same age is obviously thinned, the thickness of the outer nuclear layer is 21.45 +/-1.33 mu m, the number of cell nuclei is obviously reduced, the arrangement is sparse and disordered, and the shapes are different; compared with rd1 mice, the retina outer nuclear layer thickness of the Nox2 gene-deficient rd1 mice is obviously increased (36.18 +/-2.59 mu m, t is 8.770, p is 0.001), and the inner nuclear layer cells and the outer nuclear layer cells are regularly and densely arranged. This result indicates that NOX2 is significantly delayed by the loss of defective rd1 mouse photoreceptor cells.
As can be seen from FIG. 7, TUNEL positive cells were occasionally observed in the outer nuclear layer of retina of C57BL/6N mice and NOX2 gene-deficient mice (0.17. + -. 0.07% and 0.08. + -. 0.03%, respectively); compared with C57BL/6N mice and NOX2 gene-deficient mice, the number of TUNEL cells in the outer nuclear layer of rd1 mice is obviously increased (5.37 +/-0.75 percent) (t is 19.645, and P is less than 0.01); compared with rd1 mice, the thickness of the retina outer nuclear layer of the rd1 mice with NOX2 gene defect is increased, and the number of TUNEL cells is obviously reduced (1.5 +/-0.3%) (t is 8.42, and P is less than 0.01). This result further indicates that NOX2 is significantly delayed by the loss of defective rd1 mouse photoreceptor cells.
As can be seen from FIG. 8, in C57BL/6N miceGp91 is only occasionally seen in the inner retina (from the inner limiting membrane to the outer plexiform layer of the retina)phoxPositive cells and branched CD11b positive microglia; similar positions of the retina in NOX2 gene-deficient mice also show gp91phoxPositive cells and a small number of branched CD11b positive stained cells; in the above control mice, part of gp91phoxExpressed in CD11b microglia; rd1 mouse retina gp91 in comparison to the control mice described abovephoxThe expression quantity is obviously increased, the staining is aggravated, part of the microglia invades towards the outer nuclear layer, the quantity of CD11b positive microglia is obviously increased, the cell nucleus is enlarged, part of the microglia is in an amoeba shape, most of the microglia infiltrates towards the outer nuclear layer, the visual rod layer and the visual cone layer, and part of the microglia in the outer plexiform layer and the outer nuclear layer obviously express gp91phox(ii) a Compared with rd1 mice, the retina outer nuclear layer of the rd1 mice with NOX2 gene defect is obviously thickened, gp91phoxThe number of protein and CD11b positive cells was significantly reduced, with the outer nuclear layer evident. The results show that NOX2 is remarkably inhibited by the activation of the defective rd1 mouse microglia, and the expression of NOX2 in the microglia is remarkably reduced.
The results prove that the phenotype of the rd1 mouse with the defect of NOX2 is correct, the construction of the rd1 mouse with the defect of NOX2 is successful, and the activation of NOX2 in microglia is definitely verified to be a pathogenic mechanism of hereditary retinal degeneration, so that the method provides a basis for screening and researching drugs which have more definite action mechanisms, stronger specificity, and better market and clinical application prospects and are used for treating and/or preventing retinal degeneration, and has great application prospects.
Experimental example 2: validation of specific inhibitors of NOX2 as a medicament for the treatment and/or prevention of hereditary retinal degeneration
1. Experimental methods
1.1 retina tissue slice (VAS2870)
Rd1 mice (9 d day old) were injected intravitreally with a PI-100 microinjector with 0.5. mu.g of VAS2870 (purchased from Sigma under product number SML2967) dissolved in 1. mu.L of 10% (w/v, g/100mL) DMSO to give a final effective concentration in the vitreous cavity of 50. mu.g/mL, and the control group was injected with the same dose of 10% DMSO to the contralateral eye. On the 5 th day after injection (apoptosis peak period), an rd1 mouse is killed by excessive chloral hydrate anesthesia, the eyeball is rapidly removed, and the mouse is placed in an OCT embedding medium and rapidly placed in liquid nitrogen for quenching, and is stored in a refrigerator at minus 80 ℃ for standby; when in use, frozen sections of 7 mu m are made through the optic disc and the sawtooth edge, and 12 eyes are made on 6 mice in each group; the obtained mouse eyeball frozen section is naturally dried, fixed by 4% (w/v, g/100mL) paraformaldehyde at room temperature for 15min, rinsed 3 times by 0.1mol/L PBS buffer solution (pH7.4) for 5min each time, stained by hematoxylin for 20min, differentiated by 1% (v/v) hydrochloric acid ethanol for 20s, soaked in tap water for 20min, stained by eosin for 2min, dehydrated by gradient ethanol, transparent by xylene, sealed by neutral gum, observed under an optical microscope and photographed. Each eyeball selected 3 slices, each slice selected the retina at the same position of the posterior pole for photographing and comparing the thickness of the outer nuclear layer of each group. The experimental results are shown in FIGS. 9 to 10.
1.2 retinal tissue sections (gp91phox-tat, GSK-2795039)
18 rd1 mice (9 d of age) were randomly divided into three groups, namely a PBS control group, a gp91phox-tat test group and a GSK-2795039 test group. After completion of the grouping, 50. mu.g of gp91phox-tat (purchased from Sigma) dissolved in 50. mu.L of 0.1mol/L PBS buffer (pH7.4) was intraperitoneally injected into gp91phox-tat test group rd1 mice, 50. mu.g of GSK-2795039 (purchased from MCE) dissolved in 100. mu.L of 0.1mol/L PBS buffer (pH7.4) was intraperitoneally injected into GSK-2795039 test group mice, and an equivalent dose of 0.1mol/L PBS buffer (pH7.4) was intraperitoneally injected into PBS control group mice, and the injections were continued for 5 days. After 5 days of injection, the rd1 mouse is killed by excessive anesthesia of chloral hydrate, the eyeball is rapidly removed, and the OCT embedding medium is rapidly placed in liquid nitrogen for quenching and is stored in a refrigerator at minus 80 ℃ for standby; when in use, frozen sections of 7 mu m are made through the optic disc and the sawtooth edge, and 12 eyes are made on 6 mice in each group; the obtained mouse eyeball frozen section is naturally dried, fixed by 4% (w/v, g/100mL) paraformaldehyde at room temperature for 15min, rinsed 3 times by 0.1mol/L PBS buffer solution (pH7.4) for 5min each time, stained by hematoxylin for 20min, differentiated by 1% (v/v) hydrochloric acid ethanol for 20s, soaked in tap water for 20min, stained by eosin for 2min, dehydrated by gradient ethanol, transparent by xylene, sealed by neutral gum, observed under an optical microscope and photographed. Each eyeball selected 3 slices, each slice selected the retina at the same position of the posterior pole for photographing and comparing the thickness of the outer nuclear layer of each group. The experimental results are shown in FIGS. 11 to 13.
1.3、gp91phoxImmunofluorescent staining and co-localization with CD11b
gp91phoxIs the main subunit of NOX2, and the CD11b monoclonal antibody labels microglia. And the two immunofluorescent stains are co-located to observe the expression of the NOX2 in the microglia. Naturally airing the frozen section of the mouse eyeball obtained in the step 1.2, fixing the frozen section with cold acetone for 10min, rinsing the frozen section with 0.1mol/L PBS buffer solution (pH7.4) for 3 times, 5min each time, sealing the frozen section with normal sheep serum working solution, incubating the frozen section at room temperature (25 ℃) for 10min, removing serum, and not washing; incubation of two Primary antibodies (gp 91) from different speciesphoxMouse-derived, CD11 b-derived, rat-derived), incubated overnight (16h) at 4 ℃, rewarmed for 30min the next day, rinsed with 0.1mol/L PBS buffer (pH7.4), and incubated with FITC and TRITC corresponding thereto (1: 600, v/v), incubating for 1h at room temperature (25 ℃), and rinsing for 3 times, each time for 5min, with 0.1mol/L PBS buffer (pH 7.4); the fluorescent quenching sealing piece containing DAPI fluorescence-resistant sealing piece agent is used for sealing pieces, FITC green fluorescence is observed under the wavelength of 488nm of a fluorescence microscope, TRITC red fluorescence is observed under the wavelength of 532nm, and photographing is carried out. The experimental results are shown in FIGS. 14 to 16.
The experimental results of the above experiments were statistically analyzed using SPSS 20.0 statistical software. The data were normally distributed by Shapiro-Wilk test and expressed as mean + -SD. And comparing the difference of the thicknesses of the outer nuclear layers of the retinas of the mice at the same positions of the dosing group and the control group by using a t test. P <0.05 is statistically significant for the differences.
2. Results of the experiment
As shown in FIGS. 9-10, the vitreous chamber thickness of the VAS2870 outer nuclear layer (22.33. + -. 1.42) of the rd1 mouse was not significantly different from that of the DMSO-injected control eye (20.16. + -. 2.08) (P > 0.05).
From FIGS. 11-13, it can be seen that the intraperitoneal injection of gp91phox-tat and GSK2795039 significantly increased the thickness of the outer nuclear layer of rd1 mice (37.10. + -. 1.67 and 38.23. + -. 2.02, respectively, with P <0.05), compared to the control group (PBS injection) (23.08. + -. 1.23), i.e., photoreceptor cell loss was significantly delayed.
From FIGS. 14 to 16, it is clear that the activation of gp91phox-tat and GSK2795039 CD11b positive microglia cells injected intraperitoneally and the expression of gp91phox in the cells were significantly reduced compared to the control group (PBS).
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.
Sequence listing
<110> Beijing Hospital affiliated to capital medical university
Application of <120> NOX2 specific inhibitor in preparation of retinal degeneration medicine
<160> 6
<170> PatentIn version 3.3
<210> 1
<211> 23
<212> DNA
<213> Artificial sequence
<400> 1
aagagaaact cctctgctgt gaa 23
<210> 2
<211> 23
<212> DNA
<213> Artificial sequence
<400> 2
cgcactggaa cccctgagaa agg 23
<210> 3
<211> 26
<212> DNA
<213> Artificial sequence
<400> 3
gttctaattc catcagaagc ttatcg 26
<210> 4
<211> 28
<212> DNA
<213> Artificial sequence
<400> 4
gtaaacagca agaggcttta ttgggaac 28
<210> 5
<211> 28
<212> DNA
<213> Artificial sequence
<400> 5
tgacaattac tccttttccc tcagtctg 28
<210> 6
<211> 27
<212> DNA
<213> Artificial sequence
<400> 6
tacccaccct tcctaatttt tctcagc 27