Patent Description:
Immunization is a generic term for cellular and humoral biological reactions in which a living organism performs to discriminate self and non-self in the body and exclude non-self. The immune system is a very important physiological mechanism in life activities. Cells of the immune system are involved in the activation and suppression of the immune system, by secreting proteins called cytokines or exerting cytotoxic functions.

The immune system is deeply involved in the rejection of allogenic cells that can influence the success or failure of transplantation therapy. In recent years, the usefulness of immunotherapy for treating diseases in humans by using the immune system has been demonstrated, and the importance of grasping the state of the immune system is increasing.

As a method for analyzing the state of the immune system, an analysis method based on cytokine secretion is known. In this analysis method, it is necessary to culture cells after immune stimulation of the cells of the immune system, and it takes a lot of time (tens of hours) and labor from after the immune stimulation to the detection of cytokine.

In recent years, when an immune cell and a target cell are brought into contact with each other, a structure formed on the immune cell on the contact surface has attracted attention. This structure is called an immune synapse because it is functionally and morphologically similar to the synaptic structure formed by a nerve cell. Immune synapse is suggested to be involved in the amplification of immunostimulatory signals, and it is known that the ability to form an immune synapse correlates with the ability to secrete cytokines (<NPL>). It is also known that the immune synapse formation occurs in a shorter time (tens of minutes) than cytokine secretion (<NPL>).

As a method for measuring an immune synapse, for example, a method of stimulating immune cells using an immunostimulator on a glass substrate, and measuring an immune synapse in T cells with a total internal reflection fluorescence microscope while maintaining the contact surface with the glass substrate is known (<NPL>). Further, a method for measuring an immune synapse in T cells by imaging flow cytometry while maintaining the contact surface formed with target cells is known (<NPL>). In <NPL>, detection of immune synapse is performed using costimulatory molecule CD28 as an index, and in <NPL>, detection of immune synapse is performed using CD3 as an index. In both <NPL> and <NPL>, immune cells are observed while maintaining the contact surface with the object.

<CIT> relates to a method for stimulating T cell without using a peptide/MHC tetramer. The step of supplying an antigen peptide to a T cell having a T cell receptor (TCR) that can recognize the antigen peptide on cell surface to form a complex of a major histocompatibility complex (MHC) molecule on the cell surface of the T cell and the antigen peptide is used, and the T cell is stimulated through recognition by TCR of the antigen peptide as the MHC molecule-antigen peptide complex on the cell surface of the same T cell. Such a stimulating and activating method would be applicable to not only T cells, but also various cells. An antigen-specific T cell can be identified without establishing any antigen-specific T cell strain, and without using such a reagent as MHC/peptide tetramer. That is, a cancer-specific T cell can be efficiently and conveniently identified.

<CIT> relates to a cell analyzer capable of measuring cells which are approximately <NUM> to <NUM> in size with high precision via flow cytometry. The cell analyzer comprises: a flow cell in which a measurement sample including a measurement target cell flows; a light source part for irradiating a light on the measurement sample flowing in the flow cell; an optical system for forming a beam spot on the measurement sample flowing in the flowcell, the beam spot having a diameter of <NUM>-<NUM> in a flow direction of the measurement sample and a diameter of <NUM>-<NUM> in a direction perpendicular to the flow direction of the measurement sample; and a light receiving part for receiving a light from the measurement sample.

<CIT> relates to a flow cytometer comprising a sample nozzle, a flow cell with a first flow pass arranged downstream from the sample nozzle, a sample nozzle receiver with a second flow pass, with a sample nozzle arranged within the second flow pass, a measurement sample supplier, and a sheath fluid supplier. At least a part of the sample nozzle receiver comprises a tapered part for narrowing the second flow pass in the direction toward the first flow pass and the tapered part has a first tapered part with an aspect ratio that is larger than <NUM> in the transverse section of the flow pass interesting to the flow direction of the measurement sample, and the end on the downstream side of the sample nozzle is arranged at the first tapered part of the tapered part.

<NPL>, relates to the measurement of interaction forces between T cells and APCs employing atomic force microscopy (AFM), For these investigations, specific T cells were selected that recognize an antigenic peptide presented by MHC-class II molecules on APCs. Dynamic analysis of T-cell/APC interaction by AFM revealed that in the presence of antigen interaction forces increased from <NUM> to <NUM> nN at early time-points to a maximum of ~<NUM> nN after <NUM> and decreased again after <NUM>. These data correlate with the kinetics of synapse formation that also reached a maximum after <NUM>, as determined by high-throughput multispectral imaging flow cytometry. Because the integrin lymphocyte function antigen-<NUM> (LFA-<NUM>) and its counterpart intercellular adhesion molecule-<NUM> (ICAM- <NUM>) are prominent members of a mature IS, the effect of a small molecular inhibitor for LFA-<NUM>, BIRT377, was investigated. BIRT377 almost completely abolish the interaction forces, emphasizing the importance of LFA-<NUM>/CAM-<NUM> -interactions for firm T-cell/APC adhesion. In conclusion, using biophysical measurements, this document provides precise values for the interaction forces between T cells and APCs and demonstrates that these forces develop over time and are highest when synapse formation is maximal.

<NPL>, relates to a workflow to analyze the immune synapse of primary human PMN and T-cells using multispectral imaging flow cytometry (InFlow microscopy) and super-resolution microscopy. For that purpose, CD3 and CD66b were used as the lineage markers for T-cells and PMN, respectively. Thereafter, various "masks" were applied and discussed for identification of T-cell PMN interactions. Using this approach, a small fraction of transdifferentiated PMN (CD66b*CD86high) formed stable PMN/T-cell conjugates. While both CD3 and CD66b accumulation in the immune synapse was dependent on the maturation state of the PMN, only CD3 accumulation was greatly enhanced by the presence of superantigen. The actin cytoskeleton was weakly rearranged at the PMN side on the immune synapse upon contact with a T-cell in the presence of superantigen. A more detailed analysis using super-resolution microscopy (structured-illumination microscopy, SIM) confirmed this finding. Together, an InFlow microscopy based approach is presented for the large scale analysis of PMN/T-cell interactions and - combined with SIM - a possibility for an in-depth analysis of protein translocation at the site of interactions.

<NPL>), relates to Amnis ImageStreamX Mk II imaging flow cytometer which afforded accurate analysis of calibration beads ranging from <NUM> to <NUM>; and microparticles, which could be observed and quantified in whole blood, platelet-rich and platelet-free plasma and in leukocyte supernatants. Another advantage was the minimal sample preparation and volume required. Use of this high throughput analyzer allowed simultaneous phenotypic definition of the parent cells and offspring microparticles along with real time microparticle generation kinetics. With the current paucity of reliable techniques for the analysis of microparticles, it is proposed that the ImageStreamX could be used effectively to advance this scientific field.

It is very important to grasp the state of the immune system, that is, to quickly and easily grasp the response of cells of the immune system to various immune stimuli, in providing treatment of various immune systems.

Conventionally, in order to analyze the response of cells of the immune system to immune stimulation, an analysis method using cytokine secretion as an index has been used. However, with this analysis method, after immune stimulation, immune cells must be cultured until cytokine is secreted, which is complicated and time consuming.

When a total internal reflection fluorescence microscope was used to measure the response of cells of the immune system to various immune stimuli, the number of cells that could be measured was small, and it took time and labor to measure, so it could not be easily measured, and was not suitable for an automated device.

Therefore, there has been a demand in the art for quickly and easily grasping the response of cells of the immune system to various immune stimuli.

In order to solve the above problems, the present inventors focused on an immune synapse that was suggested to change in a shorter time as compared with cytokine secretion and be involved in amplification of immunostimulatory signals. However, since the immune synapse is a loose bond formed in the immune cell on the surface connected with the target cell (<NPL>), there was a concern that dissociation occurred before measurement and during measurement. In fact, an immune synapse has not been used as an index of the response of immune cells to immune stimulation so far, in the state where the contact surface between the target cell and the immune cell was eliminated.

The present inventors have conducted extensive studies focusing on various factors known to be involved in immune synapse formation, for a method for quickly detecting the response of immune cells to immune stimulation. As a result, the present inventors have found that the ability to form an immune synapse in an immune cell can be determined even when the contact surface between the immune cell and the object has been eliminated when a surface antigen such as costimulatory molecule is used as index among various factors, thereby completing the present invention.

The present invention is defined in the appended independent claim.

According to the present invention, it is possible to analyze the response of immune cells to various immune stimuli based on the ability to form an immune synapse.

One aspect relates to a method for measuring an immunostimulatory response of an immune cell. This is aspect is not encompassed by the wording of the claims but is considered as useful for understanding the invention. In this aspect, steps (i) and (ii) include forming a contact surface between a measurement target immune cell and a substance different from the measurement target immune cell, in the presence of an immunostimulator. In this aspect, following a step (i) of bringing the measurement target immune cell into contact with the immunostimulator, a step (ii) of forming a contact surface with the substance on the measurement target immune cell may be performed. Alternatively, when the immunostimulator is present on the surface of the substance, the step (i) and the step (ii) may be performed at the same time. Even in this case, strictly speaking, the step (ii) is performed after the step (i). By performing the steps (i) and (ii), an immune synapse is formed on the contact surface of the activated immune cell.

In step (iii), in order to detect the formed immune synapse, a capturing body that binds to a surface antigen on the contact surface and is capable of generating an optical signal (hereinafter simply referred to as "capturing body") is brought into contact with the immune cell on which the contact surface is formed. It is preferable that the capturing body binds to a molecule constituting the immune synapse, among the surface antigens on the contact surface. By performing the step (iii), a complex of a molecule constituting the immune synapse and a capturing body is formed in the immune cell.

Next, in step (iv), the optical signal from the capturing body contained in the complex on the immune cell is detected. Means for detecting the optical signal is not particularly limited, but a means that can be analyzed for individual cells is preferable. Examples of such means for detecting the optical signal include a flow cytometer, an imaging cytometer, and the like. In a preferred aspect the step (iv) detects the optical signal generated from the capturing body bound to the surface antigen of the immune cell, using a flow cytometer or an imaging cytometer.

In step (v) described later, an immunostimulatory response is determined with respect to the immune cell from which the contact surface has been eliminated. Therefore, before the detection of the optical signal in the step (vi), an operation to eliminate the contact surface described later is performed to the immune cell. In the case where the step (iv) is performed using a flow cytometer or an imaging cytometer, using a substance of a non-biological material described later (for example, a container, a multi-well plate, a slide or the like) as the substance different from the immune cell, the method of this aspect includes a step of eliminating the contact surface. If necessary, the immune cell may be fixed by a conventional method after elimination of the contact surface. By fixation, the localization of surface antigens can be maintained in the immune cell from which the contact surface has been eliminated. For fixation of the cells, it is preferable to use a fixing solution containing paraformaldehyde, lower alcohol and the like.

In a further aspect which is not encompassed by the wording of the claims but is considered as useful for understanding the invention, whether or not the immune cell is an immune cell from which the contact surface has been eliminated may be determined, based on the detected optical signal. Thereby, an optical signal derived from the immune cell from which the contact surface has been eliminated can be extracted, and used for determination in the step (v). For example, in the case of using an allogenic cell as a substance different from the immune cell, in the measurement with a flow cytometer, a difference occurs in the optical signal with respect to the cell size (for example, the intensity of forward scattered light or pulse width), between the immune cell from which the contact surface has been eliminated and the immune cell whose contact with the allogenic cell is maintained. In the measurement with an imaging cytometer, it is possible to distinguish between the immune cells from which the contact surface has been eliminated and the immune cells whose contact with the allogenic cell is maintained, based on the images of the imaged cells.

For illustrative purposes, reference is made to <FIG> which schematically shows steps (i) to (iii) according to the invention. <FIG> shows an example using an immunostimulatory antibody described later as an immunostimulator and using a plate as a substance different from an immune cell. The plate corresponds to, for example, a bottom surface of a container used for cell culture, a bottom surface of a well of a multi-well plate, a surface of a slide used for microscopic observation, or the like. In <FIG>, an immune cell is brought into contact with immunostimulatory antibodies in the step (i). In this example, the immunostimulatory antibody is an antibody that binds to a costimulatory molecule that is a kind of the surface antigen of the immune cell. Following the step (i), in the step (ii), the immune cell in a state in contact with the immunostimulatory antibodies is brought into contact with the plate to form a contact surface between the immune cell and the plate. In the step (iii), secondary antibodies against the immunostimulatory antibodies used in the step (i) are used to detect a costimulatory molecule in the immune cell. The secondary antibodies are labeled with a substance capable of generating an optical signal. The contact surface has been eliminated in the step (iii). <FIG> is an illustration of the steps (i) to (iii).

In the step (v), whether or not the immune cell from which the contact surface has been eliminated have an immunostimulatory response is determined, based on the optical signal detected in the step (iv). In this aspect in the step (v), a value reflecting a distribution of surface antigens in the immune cell is measured, based on the detected optical signal, and the measured value is compared with a threshold value, whereby whether or not the immune cell has an immunostimulatory response may be determined. Here, when the capturing body contains a fluorescent substance, examples of the value reflecting the distribution of surface antigens include a pulse width, a pulse height and a pulse area of the fluorescence signal from the capturing body bound to the surface antigen, and the like.

When the capturing body contains a fluorescent substance, in the step (v), a fluorescence image may be acquired based on the fluorescence signal detected in the step (iv), and a determination may be made based on the fluorescence image. That is, in the fluorescence image, the area showing fluorescence signals that reflects the distribution of surface antigens is measured, and the measured value is compared with the threshold value, thereby determining whether or not the immune cell has an immunostimulatory response. As used herein, the term "area showing fluorescence signals" means the number of pixels showing a luminance value exceeding a predetermined threshold value in the fluorescence image. In this aspect, while it is not limited, when the area is smaller than the threshold value, the immune cell may be determined to have the immunostimulatory response.

In a further aspect, the step (v) may further include measuring at least one selected from the group comprising the total fluorescence signal intensity in the area, the size of the immune cell and its aspect ratio, and comparing the measured value with the threshold value. As used herein, the term "total fluorescence signal intensity" in the area or of the cell means the integrated value of the luminance value of each pixel in the area showing a luminance value exceeding the predetermined threshold value in the fluorescence image. The region of a cell membrane showing a luminance value lower than the predetermined threshold value in a transmitted light image is detected, and as used herein, the term "cell size" means the number of pixels of the image reflecting the cell surrounded by the detected cell membrane. As used herein, the cell "aspect ratio" refers to the ratio of the length to the width (the number of pixels) of the image reflecting the cell particles in the transmitted light image.

In a further aspect, the determination on whether or not the immune cell has an immunostimulatory response based on the detected optical signal includes measuring at least one selected from the pulse width of the fluorescence signal, the pulse width of the scattered light signal, the value reflecting the fluorescence signal region per cell, and the value reflecting the cell size, and comparing the measured value with the threshold value, thereby determining whether the immune cell has the immunostimulatory response.

As used herein, the term "immune synapse" means a molecular complex that is a part responsible for immune cell activation, which is formed on the immune cell on the contact surface between the immune cell and the target cell. The molecular complex is known to be formed by gathering a receptor (for example, a T cell receptor (TCR) or NK cell receptor), a cofactor of the receptor (for example, CD3), various costimulatory molecules (for example, CD28), an adhesion molecule (for example, integrin) and a signal molecule.

As used herein, the term "contact surface" means a region where a measurement target immune cell is in contact with a substance different from the measurement target immune cell. Here, the contact between the measurement target immune cell and the substance different from the measurement target immune cell also includes an indirect contact through an interaction between molecules present on the surface of the measurement target immune cell and molecules present on the surface of the substance different from the measurement target immune cell. As described above, in the method of this aspect, an immune synapse is formed on the contact surface. Accordingly, it can also be said that the contact surface on the immune cell is a region where an immune synapse is formed. The contact surface may be, but is not limited to, formed by a spontaneous contact of the measurement target immune cell with the substance different therefrom. Alternatively, the contact surface may be formed by bringing the measurement target immune cell into contact with the substance different from the measurement target immune cell.

As used herein, the term "measurement target immune cell" means a cell type that is responsible for a mechanism for discriminating between self and non-self and excluding non-self. The measurement target immune cell may be, but is not limited to, a T cell, a natural killer (NK) cell and a mixture thereof. The antigen-presenting cell is not included in the measurement target immune cell as referred herein, and is included in the "substance different from the measurement target immune cell" described later.

As used herein, the term "substance different from the measurement target immune cell" refers to a substance capable of providing a contact surface to the immune cell when brought into contact with the immune cell. The substance different from the measurement target immune cell may be a non-biological material or a biological material. A substance that is a non-biological material may be, but is not limited to, a container, a multi-well plate, a slide, a bead, or the like. A substance that is a biological material may be, but is not limited to, an allogenic cell, an antigen-presenting cell, a cancer cell, or the like. The allogenic cell, antigen-presenting cell and cancer cell may be an established cell line. In addition, the allogenic cell and cancer cell may be in the form of a tissue containing them. The "allogenic cell" is a non-self cell and may be a T cell, a natural killer (NK) cell and a mixture thereof.

In this aspect, a method of bringing a measurement target immune cell into contact with a substance different from the measurement target immune cell is not particularly limited. For example, measurement target immune cells may be brought into contact by placing them in a container or a well of a multi-well plate together with a medium for precipitation. In this case, the container or the multi-well plate containing the measurement target immune cells may be centrifuged. Alternatively, the immune cells may be placed on a slide and brought into contact. In a further aspect, when a substance different from the measurement target immune cell is in the form of particles such as beads, allogenic cells, antigen-presenting cells or cancer cells, it may be brought into contact by adding the substance to the measurement target immune cells. The contact surface can be formed by maintaining a state in which the measurement target immune cell is in contact with the substance different from the measurement target immune cell. The time for maintaining the contact state is, for example, <NUM> minutes or more and <NUM> minutes or less, preferably <NUM> minutes or more and <NUM> minutes or less, more preferably <NUM> minutes or more and <NUM> minutes or less, and particularly preferably <NUM> minutes.

As used herein, the term "surface antigen" is a protein, a sugar chain, a lipid and a combination thereof present on a cell membrane. The type of the surface antigen is not particularly limited as long as a capture substance capable of binding to the surface antigen is present, or such capture substance can be produced. Preferred surface antigens are molecules that constitute an immune synapse in an immune cell. Examples of such molecules include TCRα/β, CD3, CD28, CD40L (CD40 ligand), OX40, CTLA4 (cytolytic T lymphocyte associated antigen-<NUM>), PD-<NUM> (programmed cell death-<NUM>) and ICOS (inducible costimulatory molecule), and the like. The costimulatory molecule described later is also a kind of the surface antigen of the immune cell.

In this aspect, the measurement target immune cell is at least one selected from a T cell and an NK cell. In a further aspect, the measurement target immune cell is a T cell or an NK cell. In a preferred aspect, the measurement target immune cell is a T cell.

The T cell may be, but is not limited to, an effector T cell such as a helper T cell (also referred to as "CD4+ T cell"), a suppressor T cell, a regulatory T cell, a cytotoxic T lymphocyte (CTL, also referred to as "CD8+ T cell"), a naive T cell, and a genetically modified cell. The effector T cell may be, but is not limited to, a cell activated in vivo and in vitro. These T cells may be used singly or as a T cell subpopulation containing two or more kinds.

In this aspect, the measurement target immune cell may be prepared from a biological sample. For example, the immune cell may be isolated from blood (for example, peripheral blood and umbilical cord blood) or bone marrow fluid, by a known cell separation method. Examples of such cell separation method include a method of fractionating a desired cell from a biological sample containing cells, based on cell size, aggregation degree and/or specific gravity. For example, the cells can be fractionated based on cell size or aggregation degree, using a commercially available cell sorter. In addition, the cells can be fractionated based on the specific gravity of cells, by specific gravity gradient centrifugation. In this aspect, the cells isolated from the biological sample may be cultured and proliferated according to a conventional method. In a further aspect, the immune cells may be used in the form of a biological sample, such as blood (for example, peripheral blood and umbilical cord blood) or bone marrow fluid. The biological sample may be, but is not limited to, a sample obtained from mammals, for example, human and non-human mammals (for example, companion animals such as dogs and cats, domestic animals such as horses and cows).

In a further aspect, the measurement target immune cells may be present in a sample. Thus, this aspect provides a method for performing the method of the present disclosure on a sample containing the measurement target immune cells. More specifically, this aspect provides a method for measuring an immunological response of a sample containing an immune cell, including (i) bringing an immune cell in the sample into contact with an immunostimulator, (ii) forming a contact surface with a substance different from the immune cell on the immune cell in the sample, (iii) bringing the immune cell in the sample into contact with a capturing body that binds to a surface antigen on the contact surface and is capable of generating an optical signal, (iv) detecting the optical signal generated from the capturing body, and (v) determining whether or not the immune cell from which the contact surface in the sample has been eliminated has an immunostimulatory response, based on the detected optical signal. The sample containing the immune cell may be the biological sample described above.

In this aspect, in the step (v), a value reflecting a distribution of surface antigens to which the capturing body is bound in the immune cell is measured, based on the optical signal detected in the step (iv), and the measured value is compared with a threshold value, whereby whether or not the immune cell has an immunostimulatory response may be determined. When the capturing body contains a fluorescent substance, in the step (v), a fluorescence image may be acquired based on the fluorescence signal detected in the step (iv), and a determination may be made based on the fluorescence image. In the fluorescence image, the area showing fluorescence signals that reflects the distribution of surface antigens is measured, and based on the area, for example, the proportion of cells having an immunostimulatory response in the sample may be calculated. Then, the determination may be made by comparing the proportion with the proportion of immune cells having an immunostimulatory response standardized for a sample derived from a healthy subject. For example, when the proportion of the sample is higher than the standardized proportion, the sample may be determined to have a high immunological response or have an immunological response.

In the present specification, the "immune stimulation" on the immune cell includes bringing the immune cell into contact with an immunostimulator and forming a contact surface with a substance different from the immune cell. In this aspect, the immune stimulation may be performed by bringing the immune cell into contact solely with the immunostimulator. In a further aspect, the immune stimulation may be performed by bringing the immune cell into contact with the immunostimulator present on the substance. In this case, the immune cell comes into contact with the immunostimulator, as well as comes into contact with the substance.

As used herein, the term "immunostimulator" means a substance capable of acting on the immune cell to induce activation of the immune cell. Activation of the immune cell means, for example, proliferation of the immune cell, its enhanced motility or cytokine secretion. The immunostimulator may be, but is not limited to, immunostimulatory antibodies, immunostimulatory peptides, major histocompatibility molecules (MHC molecules), as well as various immunostimulators present on allogenic cells, antigen-presenting cells, and cancer cells. The immunostimulators may be used singly or in combination of two or more, or may be used in the form of an immunostimulator alone or in a complex with other substance or a substance. The immunostimulator may be, for example, in the form of a complex of an MHC molecule and an antigenic peptide, in the form fixed on a non-biological material such as a bead or a container, or in the form presented on an antigen-presenting cell.

In this aspect, the immunostimulator is at least one selected from immunostimulatory antibodies, immunostimulatory peptides, MHC molecules, and complexes of an MHC molecule and an antigenic peptide. In a further aspect, the immunostimulator may be an immunostimulatory antibody, an immunostimulatory peptide, an MHC molecule, or a complex of an MHC molecule and an antigenic peptide. In a specific aspect, the immunostimulator is an immunostimulatory antibody.

As used herein, the term "immunostimulatory antibody" means an antibody capable of specifically stimulating an immune cell to induce activation of the immune cell. The immunostimulatory antibody may be, but is not limited to, an anti-TCR α/β antibody, an anti-CD3 antibody, an anti-CD40L antibody, an anti-OX40 antibody, an anti-CD2 antibody, an anti-CD28 antibody, an anti-CD137 antibody, an anti-CTLA4 antibody, an anti-PD-<NUM> antibody, an anti-ICOS antibody, and an anti-integrin antibody (an anti-CD2 antibody). These immunostimulatory antibodies may be used singly or in combination of two or more. The immunostimulatory antibodies may be used an antibody alone or in a state immobilized on other substance, for example, a non-biological material such as a bead, a multi-well plate, a slide or a container.

In one aspect, the immunostimulatory antibody is at least one selected from anti-TCR α/β antibodies, anti-CD3 antibodies, anti-CD40L antibodies, anti-OX40 antibodies, anti-CD2 antibodies, anti-CD28 antibodies, anti-CD137 antibodies, anti-CTLA4 antibodies, anti-PD-<NUM> antibodies, anti-ICOS antibodies and anti-integrin antibodies (anti-CD2 antibodies). In a further aspect, the immunostimulatory antibody is at least one selected from anti-CD3 antibodies and anti-CD28 antibodies. In a specific aspect, the immunostimulatory antibody is an anti-CD3 antibody or an anti-CD28 antibody.

The antibody may be either a monoclonal antibody or a polyclonal antibody unless otherwise specified. In addition, the antibody may be an antibody fragment, a single chain antibody or a derivative thereof.

As used herein, the term "immunostimulatory peptide" means a peptide capable of stimulating an immune cell to induce activation of the immune cell. The immunostimulatory peptide is, for example, an antigenic peptide (such as an antigenic peptide of Mycobacterium tuberculosis).

In this aspect, the immunostimulatory peptide is an antigenic peptide. The antigenic peptides may be used singly or in combination of two or more. In a specific aspect, the antigenic peptide may be used in the form of a complex with an MHC molecule presented on the MHC molecule.

As used herein, the term "major histocompatibility molecule (MHC molecule)" means a molecule that is responsible for alloantigenicity that causes the strongest rejection in allotransplantation of organs, tissues and cells. An HLA molecule in human and an H-<NUM> molecule in mouse correspond to the MHC molecule. The MHC molecules include class I molecules and class II molecules. The MHC class I molecule is expressed on almost all nucleated cells, forms a complex with the peptide produced in the cell and presents it to the receptor of CTL (CD8-positive T cell). The MHC class II molecule is expressed only on so-called antigen-presenting cells such as macrophages and B cells, and presents peptides derived from foreign antigens to the receptor of helper T cell (CD4-positive T cell).

In this aspect, when the immunostimulator is an MHC molecule or a complex of an MHC molecule and an antigenic peptide, the MHC molecule may be either an MHC class I molecule or an MHC class II molecule. The MHC molecule or the complex of an MHC molecule and an antigenic peptide may be used in the form present on a cell membrane of an antigen-presenting cell, a cancer cell or the like.

As used herein, the phrase "capturing body that binds to a surface antigen and is capable of generating an optical signal" includes a substance that binds to a surface antigen of the immune cell and a substance capable of generating an optical signal. Examples of the substance that binds to a surface antigen include, but are not limited to, antibodies, antibody fragments, single chain antibodies, aptamers and the like that bind to a surface antigen of the immune cell. In this aspect, the capturing body contains a substance capable of generating an optical signal, and an antibody, an antibody fragment, a single chain antibody or an aptamer that binds to a surface antigen.

The substance that binds to a surface antigen may directly bind to a surface antigen or indirectly bind to a surface antigen. As used herein, the phrase "indirectly binds to a surface antigen" means binding to a surface antigen via one or a plurality of molecules. The substance that indirectly binds to a surface antigen binds to, but is not limited to, other substance bound to a surface antigen. That is, the substance that indirectly binds to a surface antigen indirectly binds to the surface antigen via the other substance.

Examples of the substance capable of generating an optical signal include, but are not limited to, fluorescent substances. As the fluorescent substance, a known fluorescent dye, a fluorescent protein or the like can be used without particular limitation. The substance capable of generating an optical signal may be, but is not limited to, chemically bound to the capturing body that binds to a surface antigen. Examples of such capturing body include fluorescently labeled antibodies that directly bind to the surface antigen (see capturing bodies in <FIG>).

In this aspect, the capturing body that binds to the surface antigen and is capable of generating an optical signal includes a substance that directly binds to the surface antigen and a substance capable of generating an optical signal. In this aspect, the capturing body may be, but is not limited to, an antibody, an antibody fragment, a single chain antibody or an aptamer that directly binds to a surface antigen, to which a substance capable of generating an optical signal is bound.

Alternatively, the capturing body may include a substance that indirectly binds to a surface antigen and a substance capable of generating an optical signal. In this aspect, the capturing body is an antibody, an antibody fragment, a single chain antibody or an aptamer that binds to other substance bound to a surface antigen, to which a substance capable of generating an optical signal is bound. For example, but not by way of limitation, an antibody that specifically binds to a surface antigen is bound to the surface antigen as a primary antibody, and then an antibody that specifically binds to the primary antibody is bound thereto as a secondary antibody. The substance capable of generating an optical signal is bound to the secondary antibody. In this example, the secondary antibody becomes a capturing body that binds to a surface antigen and is capable of generating an optical signal (see the capturing body in <FIG>). Also, the primary antibody may be an immunostimulatory antibody.

The surface antigen to which the capturing body binds may be a costimulatory molecule of the immune cell. As used herein, the term "costimulatory molecule" means a substance present in a T cell that can provide the T cell with an antigen-specific signal via a T cell receptor (TCR) upon immune cell activation, as well as an auxiliary signal for activating the T cell. As used herein, when the "costimulatory molecule" is present in an NK cell, it comprises a substance that can provide the NK cell with a ligand-specific signal of the target cell via an activating receptor of NK cell, as well as an auxiliary signal for activating NK cell. The costimulatory molecule may be, but is not limited to, CD28, OX40, CD40L, CTLA4, PD-<NUM> or ICOS.

In this aspect, the substance different from the immune cell is at least one selected from biological materials, for example, allogenic cells, antigen-presenting cells, and cancer cells. In a further aspect, the substance different from the immune cell is an allogenic cell, an antigen-presenting cell, or a cancer cell. In a specific aspect, the substance different from the immune cell is an allogenic cell. In a specific aspect, the substance different from the immune cell is an antigen-presenting cell. In a specific aspect, the substance different from the immune cell is a cancer cell.

When a cell except immune cell such as an allogenic cell, an antigen-presenting cell and a cancer cell is used as the substance different from the immune cell, the immunostimulator in the step (i) is various immunostimulators such as MHC molecules and the like present on the cell. For example, when the substance different from the immune cell is an allogenic cell, the immunostimulator includes, but is not limited to, at least an MHC molecule. When the substance different from the immune cell is an antigen-presenting cell, the immunostimulator includes, but is not limited to, at least a complex of an MHC class II molecule and an antigenic peptide. When the substance different from the immune cell is a cancer cell, the immunostimulator includes, but is not limited to, at least a complex of an MHC class I molecule and a cancer antigenic peptide.

The step (i) includes bringing an immune cell into contact with at least one type of a substance different from the immune cell selected from an allogenic cell, an antigen-presenting cell, and a cancer cell, thereby bringing the immune cell into contact with the immunostimulator on the substance. The step (ii) includes maintaining the contact state between the immune cell and the substance contacted in the step (i), thereby forming a contact surface with the substance on the immune cell.

In this aspect, the substance different from the immune cell is preferably a non-biological material, for example, an instrument usually used in the field of life science. Such instrument includes containers, multi-well plates, slides, or beads, and the like. Examples of the container include dishes, bottles, tubes and the like. According to this aspect, since the substance is a non-biological material, it has industrial advantages such as easiness of handling and capable of being stored for a long period, as compared with the case of using a biological material as the substance. In a specific aspect, the container, multi-well plate, slide or bead that is the substance contains an immunostimulator on its surface. For example, when the immunostimulator is an immunostimulatory antibody, the antibody may be immobilized on the surface of a container, multi-well plate, slide or bead. Alternatively, the container, multi-well plate, slide or bead that is the substance does not contain an immunostimulator on its surface.

In this aspect, after bringing the immunostimulator with the immune cell in the step (i), the substance different from the immune cell in the step (ii) may contain a further immunostimulator on its surface. In this aspect, for the purpose of additional immune stimulation, a substance having an immunostimulator of the same or different kind as the immunostimulator in the step (i) on its surface may be used in the step (ii). For example, in the step (i), an antibody against a costimulatory molecule is used as an immunostimulator, and in the step (ii), a multi-well plate in which an anti-CD3 antibody is immobilized on the surface of the well can be used as a substance different from the immune cell. Alternatively, the substance in the step (ii) may not contain a further immunostimulator on its surface.

In this aspect, when an immunostimulatory antibody is used as the immunostimulator in the step (i), this immunostimulator may be used in common as the capturing body in the step (iii). In this aspect, the immunostimulator may be, for example, a complex of an anti-CD28 antibody, an anti-CD3 antibody, an anti-CD40L antibody, an anti-OX40 antibody, an anti-CTLA4 antibody, an anti-PD-<NUM> antibody, an anti-ICOS antibody, an antibody fragment thereof, a single chain antibody, and a combination of one or more thereof, which is labeled with a substance capable of generating an optical signal. By using such labeled immunostimulatory antibody, immune stimulation to the immune cell in the step (i) and capture of the surface antigen of the immune cell in the step (iii) can be performed at the same time.

Accordingly, a further aspect, which is not encompassed by the wording of the claims but is considered as useful for understanding the invention, is a method for measuring an immunostimulatory response of an immune cell, including (i) bringing an immune cell into contact with an immunostimulator, (ii) forming a contact surface with a substance different from the measurement target immune cell on the immune cell, (iv) detecting the optical signal generated from the capturing body, and (v) determining whether or not the immune cell has an immunostimulatory response, based on the detected optical signal, the immunostimulator being an immunostimulatory antibody labeled with a substance capable of generating an optical signal. According to this aspect, the number of reagents and the number of steps can be reduced because the immunostimulator also serves as a capturing body that binds to the surface antigen in the immune cell and is capable of generating the optical signal. Therefore, this aspect has advantages in cost and labor.

In this aspect, the immunostimulator in the step (i) may be present on the substance different from the immune cell in the step (ii). In this aspect, the immunostimulator is preferably a molecule such as an immunostimulatory antibody, an immunostimulatory peptide or an MHC molecule, or a complex of an MHC molecule and an antigenic peptide. The immunostimulator may be, but is not limited to, immobilized on a container, a multi-well plate, a slide or a bead. For example, when the immunostimulator is an immunostimulatory antibody or an immunostimulatory peptide, the mode of immobilization is not particularly limited, and, for example, may be physical adsorption. Alternatively, when the immunostimulator is modified with biotin, and avidin (or streptavidin) is fixed to the surface of the substance different from the immune cell, the immunostimulator can be immobilized to the substance via bonding between biotin and avidin (or streptavidin). Also, when the immunostimulator is an MHC molecule of an allogenic cell, antigen-presenting cell, cancer cell or the like, or a complex of an MHC molecule and an antigenic peptide, the cell may be adhered to or deposited on a container, a multi-well plate, a slide or a bead. In this aspect, the immunostimulator on the substance can be brought into contact with an immune cell to induce activation of the immune cell. According to this aspect, the step (i) includes bringing an immune cell into contact with the substance on which the immunostimulator is immobilized on the surface, thereby bringing the immune cell into contact with the immunostimulator on the substance. The step (ii) can form a contact surface with the substance on the immune cell by maintaining the contact state between the immune cell and the substance contacted in the step (i).

Accordingly, a further aspect, which is not encompassed by the wording of the claims but is considered as useful for understanding the invention provides a method for measuring an immunostimulatory response of an immune cell, including (i) bringing an immune cell into contact with an immunostimulator on a substance different from the immune cell on the immune cell, (ii) forming a contact surface with the substance on the immune cell, (iii) bringing the immune cell into contact with a capturing body that binds to a surface antigen and is capable of generating an optical signal, (iv) detecting the optical signal generated from the capturing body, and (v) determining whether or not the immune cell from which the contact surface has been eliminated has an immune response, based on the detected optical signal. According to this aspect, the step (i) and the step (ii) can be performed substantially simultaneously by merely bringing an immune cell into contact with a substance on which the immunostimulator is immobilized on the surface. Therefore, this aspect has an advantage that the number of steps can be reduced.

<FIG> is a diagram schematically showing the steps (i) to (iii) of the above aspect. In <FIG>, the immunostimulator is an immunostimulatory antibody, and the substance different from the immune cell is a plate, and it is shown that the immunostimulatory antibodies are immobilized on the plate. As shown in <FIG>, an immune cell is brought into contact with a plate immobilized with immunostimulatory antibodies, whereby immune stimulation by the antibodies (step (i)) and contact surface formation (step (ii)) can be performed substantially simultaneously. Then, in the step (iii), capturing bodies that directly bind to surface antigens and are capable of generating an optical signal are bound to immune synapses on the immune cell. While the contact surface has been eliminated in the step (iii), the immune cell and the capturing bodies may be brought into contact with each other in a state where the contact surface is maintained. <FIG> is an illustration of the steps (i) to (iii) according to one aspect, and the present disclosure is not limited thereto.

In a further aspect, the immunostimulator may be, but is not limited to, immobilized on beads. For example, stimulation of immune cells and isolation of immune cells can be performed simultaneously by using beads immobilized with immunostimulatory antibodies. In the case where immune cells are contained in a biological sample, when the above beads are added to the sample, the immune cells in the sample are captured by the beads by immunostimulatory antibodies. Then, the biological sample containing the beads is centrifuged, whereby immune cells can be separated from the sample. When the beads are magnetic beads, biological samples containing beads may be magnetically separated. At this time, the separated immune cells are immunostimulated by an immunostimulatory antibody on the beads. In this aspect, the contact surface between the immune cells and the beads may be eliminated before and during measurement.

<FIG> is a diagram schematically showing the steps (i) to (iii) of the above aspect. In <FIG>, the immunostimulator is an immunostimulatory antibody, and the substance different from the immune cell is a bead, and it is shown that the immunostimulatory antibodies are immobilized on the bead. As shown in <FIG>, an immune cell is brought into contact with beads immobilized with immunostimulatory antibodies, whereby immune stimulation by the antibodies (step (i)) and contact surface formation (step (ii)) can be performed substantially simultaneously. Then, in the step (iii), capturing bodies that directly bind to surface antigens and are capable of generating an optical signal are bound to immune synapses on the immune cell. While the contact surface has not been eliminated in the step (iii), but the immune cell from which the contact surface has been eliminated may be brought into contact with the capturing bodies. <FIG> is an illustration of the steps (i) to (iii) according to one aspect, and the present disclosure is not limited thereto.

As used herein, the term "immune cell from which the contact surface has been eliminated" means immune cell in which the contact region formed between the immune cell and the substance different from the immune cell has disappeared. That is, it means that the immune cell is separated from the substance different from the immune cell. The method for eliminating the contact surface may be, but is not limited to, a physical treatment such as pipetting, tapping, stirring, shaking or ultrasonication to a container containing the immune cells and a culture solution and the like, a chemical treatment using a chemical such as a surfactant, and a biochemical treatment using a biochemical product such as an enzyme.

In a preferred aspect, the contact surface is eliminated by a physical treatment such as pipetting, tapping, stirring, shaking or ultrasonication. In a specific aspect, the method is pipetting. In this aspect, when the contact surface is eliminated, in the step (iv), the optical signal generated from the capturing body may be detected using a flow cytometer.

As used herein, the term "flow cytometer" means a measuring device for measuring the size of individual cells in the cell population and a distribution of the expression level of membrane proteins, by irradiating cells in a water stream with excitation light and measuring fluorescence or scattered light emitted from the individual cells. In general, the flow cytometer has the advantages of objectively measuring a large number of cells (tens of thousands of cells/sec at maximum) in a short time, quantitatively measuring with high sensitivity, acquiring multiple parameters at the same time, and the like, as compared with general fluorescence microscope observation. As used herein, a flow cytometer has a flow channel system allowing measurement of cells in a state where cells are aligned in a liquid so that the cells can be individually measured. Such flow channel system may be realized by a part based on fluid dynamics called a flow cell. In general, the flow cell is realized by hydrodynamic focusing utilizing a sheath flow of a sheath liquid so as to enclose a sample flow, but is not limited thereto. For example, the flow cell may be realized by microcapillary or acoustic focusing.

In the present disclosure, a commercially available flow cytometer can be used without particular limitation. As used herein, the flow cytometer includes a so-called "imaging flow cytometer" that includes an imaging unit using a camera and is capable of acquiring images of cells flowing in the liquid. As described later in Embodiment <NUM>, according to the imaging flow cytometer, multiple parameters including cell size and aspect ratio can be obtained based on the image of the imaged cell. As used herein, the flow cytometer includes both an imaging flow cytometer and a non-imaging flow cytometer. In a preferred aspect, the flow cytometer is an imaging flow cytometer. In the present disclosure, a commercially available flow cytometer can be used without particular limitation.

In this aspect, in the step (iv), when the substance different from the immune cell is at least one selected from an allogenic cell, an antigen-presenting cell and a cancer cell, or in the case of a bead, a complex of the immune cell, the substance different from the immune cell and the capturing body may be measured with a flow cytometer or an imaging cytometer to acquire the optical signal generated from the capturing body in the complex. Alternatively, when the substance different from the immune cell is a container, a multi-well plate or a slide, the contact surface between the immune cell and the substance different from the immune cell is eliminated, and a complex of the immune cell and the capturing body may be measured with a flow cytometer or an imaging cytometer to acquire the optical signal generated from the capturing body in the complex.

As used herein, the term "imaging cytometer" means a statistically highly accurate cell measuring device that can acquire fluorescence images, scattered light, and transmitted light images of a large number (several thousands to several millions) of individual cells in a short time (several seconds to several minutes) and quantitatively measure them. It is a measuring device that can extract information for each cell, by cell image processing. In the present disclosure, a commercially available imaging cytometer can be used without particular limitation.

In a further aspect, which is not encompassed by the wording of the claims but is considered as useful for understanding the invention, a method for evaluating the activation state of the immune system in a subject is provided. This aspect includes performing the above-described present disclosure on a biological sample containing immune cells obtained from the subject. More specifically, the evaluation method of this aspect includes (i) bringing an immune cell in a biological sample into contact with an immunostimulator, (ii) forming a contact surface with a substance different from the immune cell on the immune cell in the biological sample, (iii) bringing the immune cell in the biological sample into contact with a capturing body that binds to a surface antigen in the immune cell and is capable of generating an optical signal, (iv) detecting the optical signal generated from the capturing body, and (v) determining whether or not the sample has an immunostimulatory response, based on the detected optical signal.

In the evaluation method of this aspect, the capturing body contains a fluorescent substance, and in the step (v), a fluorescence image may be acquired based on the fluorescence signal detected in the step (iv), and a determination may be made based on the fluorescence image. In the fluorescence image, the area showing fluorescence signals that reflects the distribution of surface antigens is measured, and based on the area, for example, the proportion of immune cells having an immunostimulatory response in the biological sample may be calculated. Then, the determination may be made by comparing the proportion with the proportion of immune cells having an immunostimulatory response standardized for a biological sample derived from a healthy subject. In this aspect, for example, when the proportion of the sample is higher than the standardized proportion, the sample may be determined to have a high immunological response or have an immunological response. Alternatively, in this evaluation method, the proportion of immune cells having an immunostimulatory response in a biological sample containing immune cells obtained from a subject may be compared with the proportion for a previous biological sample derived from the same subject. For example, when the proportion of the sample is higher than the previous proportion, the subject may be determined to have an improved immunological response or have an immunological response.

Other aspect, which is not encompassed by the wording of the claims but is considered as useful for understanding the invention, relates to a method for measuring an immunostimulatory response of an immune cell, using a capturing body that binds to a costimulatory molecule in the immune cell and is capable of generating an optical signal.

In the method of this aspect, it is the same as that described in the method of the above-described aspect, except for using the capturing body that binds to a costimulatory molecule in the immune cell and is capable of generating an optical signal, as the capturing body. Examples of the costimulatory molecule to which the capturing body binds include CD28, OX40, CD40L, CTLA4, PD-<NUM> and ICOS.

Other aspect, which is not encompassed by the wording of the claims but is considered as useful for understanding the invention, relates to a cell analyzer for analyzing the activation state of immune cells. Embodiments according to this aspect will be described with reference to the accompanying drawings. The following descriptions are all illustrative and not restrictive, and do not limit the invention defined in the appended claims in any way.

Embodiment <NUM> of the cell analyzer is not encompassed by the wording of the claims but is considered as useful for understanding the invention. Referring to <FIG>, a cell analyzer <NUM> includes a measuring device <NUM> and an information processing apparatus <NUM>. The measuring device <NUM> optically measures a sample containing a complex of a capturing body that binds to a surface antigen of an immune cell and is capable of generating an optical signal, and the immune cell, by a flow cytometer. The information processing apparatus <NUM> analyzes the measurement result by the measuring device <NUM> and displays the analysis result on a display unit <NUM>.

Referring to <FIG>, the measuring device <NUM> has an introduction unit <NUM>, an imaging unit <NUM>, a signal processing unit <NUM>, a CPU <NUM>, a communication interface <NUM>, and a memory <NUM>. The signal processing unit <NUM> has an analog signal processing unit <NUM>, an A/D converter <NUM>, a digital signal processing unit <NUM>, and a memory <NUM>.

In this embodiment, the introduction unit <NUM> includes a container and a pump (not shown). The sample in the container is supplied to a flow cell 203c (see <FIG>) of the imaging unit <NUM> together with a sheath liquid by a pump. The introduction unit <NUM> supplies the sample to the imaging unit <NUM> in accordance with the instructions from the CPU <NUM>. In Embodiment <NUM>, a complex obtained by giving immune stimulation including a contact with an anti-CD28 antibody to clonal T cells derived from human peripheral blood, then immobilizing the cells, and secondarily staining the cells using a phycoerythrin (PE)-labeled anti-mouse IgG antibody bound to the anti-CD28 antibody is used as a measurement sample.

The imaging unit <NUM> irradiates the sample supplied from the introduction unit <NUM> with a laser beam, images the complex, and outputs image information of the generated transmitted light image and fluorescence image as an electric signal to the analog signal processing unit <NUM>. The analog signal processing unit <NUM> amplifies the electric signal outputted from the imaging unit <NUM> in accordance with the instructions from the CPU <NUM>, and outputs it to the A/D converter <NUM>.

The A/D converter <NUM> converts the electric signal amplified by the analog signal processing unit <NUM> into a digital signal and outputs it to the digital signal processing unit <NUM>. In accordance with the instructions from the CPU <NUM>, the digital signal processing unit <NUM> performs predetermined signal processing on the digital signal outputted from the A/D converter <NUM>, and measurement data is generated. The generated measurement data is stored in the memory <NUM>.

The measurement data stored in the memory <NUM> includes transmitted light images and fluorescence images based on transmitted light and fluorescence generated when the complex passed through the flow cell 203c.

The CPU <NUM> outputs the measurement data stored in the memory <NUM> to the communication interface <NUM>. The CPU <NUM> receives a control signal from the information processing apparatus <NUM> via the communication interface <NUM> and controls each unit of the measuring device <NUM> according to the control signal.

The communication interface <NUM> transmits the measurement data outputted from the CPU <NUM> to the information processing apparatus <NUM>, and receives the control signal outputted from the information processing apparatus <NUM>. The memory <NUM> is used as a work area of the CPU <NUM>.

Referring to <FIG>, the imaging unit <NUM> includes light sources 203a and 203b, a flow cell 203c, condenser lenses 203d and 203e, an objective lens 203f, an optical unit <NUM>, a condenser lens <NUM>, and a camera 203i.

In this aspect, the light source 203a is a semiconductor laser light source. The light irradiated from the light source 203a is a laser beam of wavelength λ1. The condenser lens 203d collects the light irradiated from the light source 203a and guides it to the sample in the flow cell 203c. The light of wavelength λ1 irradiated from the light source 203a is irradiated onto the sample passing through the inside of the flow cell 203c, whereby transmitted light of wavelength λ1 is generated from the immune cell.

The light source 203b is a semiconductor laser light source. The light irradiated from the light source 203b is a laser beam of wavelength λ2. In this aspect, wavelength λ2 is about <NUM>. The condenser lens 203e collects the light irradiated from the light source 203b and guides it to the sample in the flow cell 203c. The light of wavelength λ2 irradiated from the light source 203b is irradiated onto the sample passing through the inside of the flow cell 203c, whereby fluorescence of wavelength λ3 is generated from PE.

The objective lens 203f collects the transmitted light of wavelength λ1 and the fluorescence of wavelength λ3. The optical unit <NUM> has a configuration in which two dichroic mirrors are combined. The two dichroic mirrors of the optical unit <NUM> reflect the transmitted light of wavelength λ1 and the fluorescence of wavelength λ3 at mutually different angles and are separated on the light receiving surface 203ia (see <FIG>) of the camera 203i described later. The condenser lens <NUM> collects the transmitted light of wavelength λ1 and the fluorescence of wavelength λ3. The camera 203i receives the transmitted light of wavelength λ1 and the fluorescence of wavelength λ3 and outputs image information of the sample in the flow cell 203c as an electric signal to the analog signal processing unit <NUM>. The camera 203i may be a TDI (Time Delay Integration) camera. With a TDI camera, image information with higher accuracy can be acquired.

As shown in <FIG>, the camera 203i receives the transmitted light of wavelength λ1 and the fluorescence of wavelength λ3 in the light receiving regions 203ib and 203ic on the light receiving surface 203ia, respectively. The light receiving surface 203ia is a light receiving surface of an image pickup element such as a CMOS image sensor disposed in the camera 203i. The positions of the lights irradiated on the light receiving surface 203ia move within the light receiving regions 203ib and 203ic, respectively, as the sample moves in accordance with the movement of the flow cell 203c, as indicated by the arrows. As described above, since the two lights are separated on the light receiving surface 203ia by the optical unit <NUM>, the CPU <NUM> can extract signals corresponding to each light from the image signal outputted by the camera 203i.

Referring to <FIG>, the information processing apparatus <NUM> includes a main body <NUM>, an input unit <NUM>, and a display unit <NUM>. The main body <NUM> has a CPU <NUM>, a ROM <NUM>, a RAM <NUM>, a hard disk <NUM>, a reading device <NUM>, an input/output interface <NUM>, an image output interface <NUM>, and a communication interface <NUM>.

The CPU <NUM> executes a computer program stored in the ROM <NUM> and a computer program loaded in the RAM <NUM>. The RAM <NUM> is used for reading the computer program recorded in the ROM <NUM> and the hard disk <NUM>. The RAM <NUM> is also used as a work area of the CPU <NUM> when executing these computer programs.

In the hard disk <NUM>, various computer programs to be executed by the CPU <NUM>, such as operating systems and application programs, and data used for executing the computer programs is stored. Also, the measurement data received from the measuring device <NUM> is stored in the hard disk <NUM>.

The hard disk <NUM> stores a program for measuring parameters for analysis including the number of immune cells contained in the sample, the cell size, the aspect ratio, the area showing fluorescence signals, the total fluorescence signal intensity in the area and the like, based on the measurement data, to analyze the sample, and a display program for displaying the analysis result on the display unit <NUM>. By storing these programs, analysis processing and display processing described later are performed. That is, the CPU <NUM> is provided with a function of executing the processing of <FIG> described later by the programs.

The reading device <NUM> includes a CD drive, a DVD drive, and the like. The reading device <NUM> can read computer programs and data recorded on a recording medium such as a CD or a DVD.

The input unit <NUM> including a mouse, a keyboard and the like is connected to the input/output interface <NUM>, and the user inputs an instruction to the information processing apparatus <NUM>, using the input unit <NUM>. The image output interface <NUM> is connected to the display unit <NUM> including a display and the like, and outputs a video signal corresponding to the image data to the display unit <NUM>. The display unit <NUM> displays an image based on the inputted video signal.

The information processing apparatus <NUM> can receive the measurement data transmitted from the measuring device <NUM> through the communication interface <NUM>. The received measurement data is stored in the hard disk <NUM>.

<FIG> is a flowchart showing the control of the CPU <NUM> of the measuring device <NUM> and the CPU <NUM> of the information processing apparatus <NUM>. <FIG> is a flowchart showing control processing by the CPU <NUM> of the measuring device <NUM>, and <FIG> is a flowchart showing control processing by the CPU <NUM> of the information processing apparatus <NUM>.

Regarding the control processing of the CPU <NUM> of the information processing apparatus <NUM>, refer to <FIG>. When a measurement start instruction is given from the user via the input unit <NUM> (step S11: YES), the CPU <NUM> transmits a measurement start signal to the measuring device <NUM> (step S12). Subsequently, the CPU <NUM> determines whether the measurement data has been received (step S13). When the measurement data has not been received (step S13: NO), the processing is on standby.

Regarding the control processing of the CPU <NUM> of the measuring device <NUM>, refer to <FIG>. Upon receiving a measurement start signal from the information processing apparatus <NUM> (step S21: YES), the CPU <NUM> performs a measurement of the sample (step S22). In the measurement processing (step S22), a measurement sample including a complex of the capturing body and the immune cell is supplied together with a sheath liquid from the introduction unit <NUM> to the flow cell 203c, and a sample flow of the measurement sample enclosed in the sheath liquid is formed in the flow cell 203c. Laser beams from the light sources 203a, 203b are irradiated onto the formed sample flow, and a beam spot is formed on the flow cell 203c. When the immune cell passes through the beam spot, transmitted light and fluorescence are generated. The generated transmitted light and fluorescence are imaged by the camera 203i, respectively, and converted into electric signals.

These electric signals are converted into digital signals by the A/D converter <NUM>, and subjected to signal processing by the digital signal processing unit <NUM>. Thereby, measurement data including a transmitted light image and a fluorescence image is obtained for each complex that has passed through the flow cell 203c. The measurement data is stored in the memory <NUM>. Upon completion of the measurement of the sample, the CPU <NUM> transmits the measurement data generated by the measurement processing to the information processing apparatus <NUM> (step S23), and ends the processing.

Again, refer to <FIG>. Upon receiving the measurement data from the measuring device <NUM> (step S13: YES), the CPU <NUM> of the information processing apparatus <NUM> stores the measurement data in the hard disk <NUM>, and the CPU <NUM> performs analysis processing based on the measurement data (step S14). Subsequently, the CPU <NUM> displays the analysis result acquired in S14 on the display unit <NUM> (step S15). Thereafter, the processing ends.

With reference to <FIG>, an example of the analysis processing (step S14 in <FIG>) performed by the CPU <NUM> of the information processing apparatus <NUM> based on the measurement data will be further described. <FIG> show transmitted light images, fluorescence images (CD28) and superimposed images thereof, among the measurement data obtained by measuring the immune cells. As shown by the fluorescence image in <FIG>, when immune stimulation is not given, costimulatory molecules CD28 tend to be uniformly distributed on the cell membrane of the immune cell. As shown by the fluorescence image in <FIG>, when immune stimulation is given, costimulatory molecules CD28 tends to localize in a part of the cell membrane of the immune cell. Although not intending to be bound by theory, it is considered that the cell membrane part where the costimulatory molecules are localized is a contact surface between the immune cell and a substance different from the immune cell, formed on the immune cell. That is, it is considered that the part where the costimulatory molecules are localized indicates an immune synapse formed between this cell and a substance different therefrom.

The CPU <NUM> measures parameters for analysis based on the transmitted light images and fluorescence images of all the cells imaged in step S22 of <FIG> (step S14 in <FIG>). Parameters for analysis include, but are not limited to, cell size (the number of pixels), cell aspect ratio, area (the number of pixels) showing the fluorescence signals in the cell, total fluorescence signal intensity (total fluorescence signal intensity of the cell) within the area, and a ratio thereof. <FIG> is a schematic diagram of measurement processing of the transmitted light image and fluorescence image (step S14 in <FIG>) shown in <FIG> by the CPU <NUM> of the information processing apparatus <NUM>. The resulting measurement data is stored in the hard disk <NUM>. The meanings of each term of the cell size, aspect ratio, area showing fluorescence signals, and total fluorescence signal intensity are as described above.

<FIG> is a flowchart showing the analysis processing in step S15 of the CPU <NUM> of the information processing apparatus <NUM>. The CPU <NUM> generates a two-dimensional histogram (2D scattergram) in which the parameters for analysis measured in step S14 are assigned to the X axis and the Y axis, respectively, and the CPU <NUM> extracts and analyzes the measurement data of the cells corresponding to the dots present within the predetermined range.

In this aspect, the CPU <NUM> firstly generates a 2D scattergram in which the cell size is assigned to the X axis and the cell aspect ratio is assigned to the Y axis (<FIG>), and the CPU <NUM> extracts the measurement data of the cells in the predetermined range (R1) (step S51). The range (R1) is gated in a predetermined range reflecting the size of the cell alone in the cell size (X axis), and the range (R1) is gated in a predetermined range reflecting that the cell is present alone in the aspect ratio (Y axis). Thereby, the data derived from substances such as cell pieces smaller than a cell and from cell aggregates larger than a cell alone is excluded.

Each one of the dots displayed on the 2D scattergram indicates the measurement value of individual cell. The CPU <NUM> extracts the measurement data of the cell indicating the measurement value in the region displayed as R1 in the image. In this aspect, the measurement data of individual cells measured in step S22 of <FIG> is linked to the dot displayed on the 2D scattergram. When the user designates a dot displayed on the 2D scattergram, the CPU <NUM> reads from the hard disk <NUM> the measurement data (transmitted light image and/or fluorescence image) of the cell corresponding to the dot, and the CPU <NUM> displays it on the display unit <NUM>.

With respect to the measurement data of the cell extracted in step S51, the CPU <NUM> generates a 2D scattergram in which the total fluorescence signal intensity of the cell is assigned to the X axis and the sharpness of the fluorescence image (sharpness of the image) is assigned to the Y axis (<FIG>), and the CPU <NUM> further extracts the measurement data of the cells in the predetermined range (R2) (step S52). The range (R2) is gated in a range reflecting the expression level of a predetermined amount of costimulatory molecules CD28 on the total fluorescence signal intensity (X axis) of the cell, and the range (R2) is gated in a range reflecting the sharpness of the predetermined image in sharpness (Y axis). As a result, data of cells expressing a predetermined amount of costimulatory molecules CD28 is extracted, and data of cells not expressing a predetermined amount of costimulatory molecules CD28 is excluded.

Subsequently, with respect to the measurement data of the cell extracted in step S52, the CPU <NUM> generates a 2D scattergram in which the area showing fluorescence signals assigned to the X axis and the size of the cell assigned to the Y axis (<FIG>), and the CPU <NUM> counts the number of dots in the predetermined range (R4) (step S53). The range (R4) is gated in a predetermined range reflecting the localization of costimulatory molecules CD28 in the area (X axis) showing fluorescence signals, and the range (R4) is gated in a predetermined range reflecting the size of the cell alone in the cell size (Y axis). By counting the number of dots in the range (R4), the number of immune cells having a response to immune stimulation is counted. In this aspect, cells corresponding to the dots in the range (R4) tend to have immune synapses formed, and the cells are determined to have a response to the immune stimulation in this aspect.

The CPU <NUM> further counts the number of dots shown in entire <FIG> (corresponding to the number of dots in the range (R2) in <FIG>), and the CPU <NUM> calculates the ratio of the number of dots in the range (R4) to the number of dots in the range (R2) ([the number of dots in the range (R4)]/[the number of dots in the range (R2)]) (step S54). Thereby, the proportion of immune cells having an immunostimulatory response, among individual immune cells expressing a predetermined amount of costimulatory molecules CD28 is calculated.

The analysis results on the number of dots and the ratio within each range obtained by the above analysis processing are displayed on the display unit <NUM>.

The analysis results may be further analyzed, for example, by comparing with the proportion of immune cells having an immunostimulatory response standardized for a biological sample derived from a healthy subject. In this further analysis, for example, when the proportion of the sample is higher than the standardized proportion, the sample can be determined to have a high immunological response. Alternatively, the analysis results may be further analyzed by comparing with the proportion of immune cells having an immunostimulatory response for a previous biological sample derived from the same subject. In this further analysis, for example, when the proportion of the sample is higher than the previous proportion, the subject may be determined to have an improved immunological response.

Thus, in one aspect, there is provided a cell analyzer including an introduction unit for introducing a complex of an immune cell and a capturing body that binds to a surface antigen of the immune cell and is capable of generating an optical signal, an imaging unit for imaging the complex supplied from the introduction unit, and an analyzing unit for determining whether or not the immune cell has an immunostimulatory response, based on the image captured by the imaging unit. In a specific aspect, the analyzing unit acquires a value reflecting a distribution of surface antigens, based on the image, and compares the acquired value with a threshold value, thereby determining whether or not the immune cell has an immunostimulatory response. In other aspect, there is provided a cell analyzer in which the capturing body includes a fluorescent substance, the image includes a fluorescence image, the value reflecting the distribution of surface antigens includes an area showing fluorescence signals that reflects the distribution of surface antigens based on the fluorescence image, and when the area is smaller than the threshold value, the immune cell is determined to have the immunostimulatory response. In other aspect, there is provided a cell analyzer in which the image includes a transmitted light image, and the analyzing unit acquires a value reflecting the size of the immune cell based on the transmitted light image and determines whether or not the immune cell has an immunostimulatory response, based on the value reflecting the size of the immune cell and the value reflecting the distribution of surface antigens.

The analysis processing described above is merely an example of analysis processing based on measurement data, and different analysis processing can be used.

Embodiment <NUM> of the cell analyzer is not encompassed by the wording of the claims but is considered as useful for understanding the invention. In place of the step S53 of the analysis processing of Embodiment <NUM>, with respect to the measurement data extracted in step S52, the CPU <NUM> may generate a 2D scattergram in which the total fluorescence signal intensity of the cell is assigned to the X axis and the area showing fluorescence signals is assigned to the Y axis (<FIG>), and the CPU <NUM> may count the number of measurement data in the predetermined range (R3). The range (R3) is gated in a range reflecting a predetermined expression level of costimulatory molecules CD28 per cell in the total fluorescence signal intensity (X axis) of the cell, and the range (R3) is gated in a predetermined range reflecting the localization of costimulatory molecule CD28 in the area (Y axis) showing fluorescence signals. By counting the measurement data in the range (R3), the number of immune cells responsive to immune stimulation is counted. In this embodiment, cells corresponding to the dots in the range (R3) tend to have immune synapses formed, and the cells are determined to have a response to the immune stimulation in this embodiment.

In this embodiment, in place of step S54, the CPU <NUM> may further count the number of dots shown in entire <FIG> (corresponding to the number of dots in the range (R2) in <FIG>), and the CPU <NUM> may calculate the ratio of the number of dots in the range (R3) to the number of dots in the range (R2) ([the number of dots in the range (R3)]/[the number of dots in the range (R2)]). Thereby, the proportion of immune cells having an immunostimulatory response, among individual immune cells expressing a predetermined amount of costimulatory molecules CD28 is calculated.

Embodiment <NUM> of the cell analyzer is not encompassed by the wording of the claims but is considered as useful for understanding the invention. In place of the step S53 of the analysis processing of Embodiment <NUM>, with respect to the measurement data of the cell extracted in step S52, the CPU <NUM> may generate a histogram in which the class value for the area showing fluorescence signals is assigned to the X axis and the frequency is assigned to the Y axis, and the CPU <NUM> may display it on the display unit <NUM>. The CPU <NUM> may further calculate the average value, the median value, and the most frequent value of the area showing fluorescence signals of the measurement data extracted in step S52 from this histogram, in place of step S54. The resulting mean value, median value and most frequent value may be further analyzed by comparing with standardized mean value, median value and most frequent value of the area showing fluorescence signals in immune cells, obtained from a biological sample derived from a healthy subject. In this further analysis, for example, when a class value (area showing fluorescence signals) indicating the most frequent value of the sample is smaller than a class value (area showing fluorescence signals) indicating the standardized most frequent value, this suggests that the costimulatory molecule CD28 is localized, and consequently the sample may be determined to have a high response to immune stimulation.

As shown in Embodiment <NUM>, it is possible to analyze the immunological response of immune cells even without creating a 2D scattergram in the analysis of measurement data. However, as described in Embodiment <NUM>, the measurement data of individual immune cell can be linked to the dot shown in the 2D scattergram, and for example, the measurement data including a transmitted light image and a fluorescence image of the immune cell can be displayed by designating each dot. Therefore, the analysis by the 2D scattergram is a preferable analysis processing method in that detailed analysis based on the image can be additionally performed on individual cell.

Embodiment <NUM> of the cell analyzer is not encompassed by the wording of the claims but is considered as useful for understanding the invention. In the above analysis processing, the analysis based on the imaged image data is exemplified, but the immunostimulatory response of immune cells can also be analyzed from measurement data other than the imaged image data. For example, in the measuring device <NUM> (<FIG>) in Embodiment <NUM>, the dichroic mirrors 203j and <NUM>, a forward scattered light receiving section <NUM> and a fluorescence receiving section <NUM> are used, in place of the optical unit <NUM> and the camera <NUM>. The light of wavelength λ1 irradiated from the light source 203a is irradiated onto the sample passing through the inside of the flow cell 203c, whereby forward scattered light of wavelength λ1 is generated from the immune cell. The light of wavelength λ2 irradiated from the light source 203b is irradiated onto the sample passing through the inside of the flow cell 203c, whereby fluorescence of wavelength λ3 is generated from PE. The sample in Embodiment <NUM> is the complex used in Embodiment <NUM>. The forward scattered light of wavelength λ1 is reflected by the dichroic mirror 203j and received by the forward scattered light receiving section <NUM>. The fluorescence of wavelength λ3 passes through the dichroic mirror 203j, is reflected by the dichroic mirror <NUM> and is received by the fluorescence receiving section <NUM>. The forward scattered light receiving section <NUM> and the fluorescence receiving section <NUM> are photomultipliers. In this example, the optical signal obtained in step S22 of <FIG> is a forward scattered light signal and fluorescence signal, and in step S14 of <FIG>, "pulse width (w)", "pulse area (A)" and "pulse height (H)" are obtained as parameters for analysis. These parameters for analysis will be described with reference to <FIG>.

<FIG> are schematic diagrams, by way of example, showing fluorescence signals detected while the cells in which costimulatory molecules CD28 are uniformly distributed on the cell membrane (<FIG>) and the cell in which costimulatory molecules CD28 are localized on the cell membrane (<FIG>) pass through the region detecting fluorescence signal (not shown) in the direction of the arrows (<FIG>), respectively.

As used herein, in the pulse of the fluorescence intensity as shown in <FIG>, the time when the fluorescence signal is obtained beyond the baseline as a threshold value is referred to as "pulse width (w)", and the fluorescence intensity in the case of showing the pulse peak in the fluorescence intensity is referred to as "pulse height (H)". "Pulse area (A)" refers to the area between the baseline and the fluorescence signal intensity curve.

In this example, the same amount of costimulatory molecules CD28 is expressed on the cell membrane in the cells of <FIG> and the cells of <FIG>, and the pulsed area (A) of <FIG> are equal. The pulse width (w) and pulse height (H) are different according to the distribution pattern of costimulatory molecules. The pulse width (w) is narrowed when the costimulatory molecules are localized on the cell membrane (<FIG>) as compared with the case where the costimulatory molecules are uniformly distributed on the cell membrane (<FIG>), whereas the pulse height (H) increases (<FIG>).

<FIG> are schematic diagrams in the case of preparing 2D scattergrams by measuring a plurality of immune cells in this aspect. <FIG> is a 2D scattergram in which the pulse height (H) is assigned to the X axis and the pulse width (w) is assigned to the Y axis, and <FIG> is a 2D scattergram in which the pulse height (H) is assigned to the X axis and the pulse area (A) is assigned to the Y axis.

As described above, when the costimulatory molecules are uniformly distributed on the cell membrane (<FIG>), the pulse width (w) shows a tendency to spread and the pulse height (H) shows a tendency to be lower (<FIG>), as compared with the case where the costimulatory molecules are localized on the cell membrane (<FIG>). Therefore, in the 2D scattergram shown in <FIG>, the data in the region surrounded by a dashed circle tend to show data reflecting the cells in which costimulatory molecules are uniformly distributed on the cell membrane, whereas the data in the region surrounded by a solid line square tend to show data reflecting the cells in which costimulatory molecules are localized on the cell membrane. In the 2D scattergrams shown in <FIG>, the data in the region surrounded by a dashed square tend to show data reflecting the cells in which costimulatory molecules are uniformly distributed on the cell membrane, whereas the data in the region surrounded by a solid line square tend to show data reflecting the cells in which costimulatory molecules are localized on the cell membrane.

Thus, in one aspect, there is provided a cell analyzer including an introduction unit for introducing a complex of an immune cell and a capturing body that binds to a surface antigen of the immune cell and is capable of generating an optical signal, a detection unit for irradiating the complex supplied from the introduction unit with light and detecting the generated optical signal from the complex, and an analyzing unit for determining whether or not the immune cell has an immunostimulatory response, based on the detected optical signal. In a specific aspect, there is provided a cell analyzer in which the capturing body includes a fluorescent substance, the detection unit detects a fluorescence signal generated from the complex, and the analyzing unit acquires a value reflecting the distribution of surface antigens, based on the fluorescence signal, and compares the acquired value with a threshold value, thereby determining whether or not the immune cell has an immunostimulatory response, and the value reflecting the distribution of surface antigens includes at least one of a pulse width, a pulse height and a pulse area of the fluorescence signal from the complex.

As shown in Examples, the cell in which the surface antigen to which the capturing body is bound or the costimulatory molecules are localized on the cell membrane is determined to be an immune cell exhibiting an immunological response. Thus, in <FIG>, the cells that show data in the region surrounded by a solid line square can be determined to be cells exhibiting an immunological response. As exemplified in this aspect, it is understood that an immune cell having the immunostimulatory response can be measured not only by analysis processing based on imaged image data but also by the above-described analysis processing.

The parameters for analysis and the analysis processing shown here are merely examples, and different parameters for analysis may be measured from the measurement data, or different analysis processing may be performed on the measured parameters for analysis. For example, the pulse area may be an approximate value as long as it reflects the area under the time curve of the pulse, and is not limited to the time integral value. The pulse area may be the product of the pulse width and the height of the peak, or may be the area of a triangle obtained from the pulse width and the height of the peak. In addition, in the mode of measuring the time integral value, the base may not be the baseline and can be set appropriately. For example, a value exceeding a predetermined threshold value from the baseline may be used as the base.

Hereinafter, specific examples will be described, which show preferred aspects and do not limit the invention defined in the appended claims in any way. Equivalents that are easily recognized from the specific aspects, materials, compositions and methods described herein, or changes, alterations or modifications are intended to be within the scope of the present disclosure.

<NUM> × <NUM><NUM> CD4 positive cells (Stemcell Technologies: ST-<NUM>) and CD8 positive cells (Funakoshi: <NUM>-<NUM>, COSMO BIO: PB08C-<NUM>) were seeded in Yssel's medium (Gemini Bio-Products: <NUM>) added with <NUM>µg/mL LEAF (trademark) Purified anti-human CD3 Antibody (Biolegend: <NUM>), <NUM> ng/mL of Recombinant human IL-<NUM> (rhIL-<NUM>) (R&D systems: <NUM>-IL-<NUM>), <NUM>µg/mL of Phytohemagglutinin-L (PHA) (SIGMA: L4144-<NUM>) and <NUM>% human serum (SIGMA: H4522-<NUM>), and co-cultured with <NUM> × <NUM><NUM> peripheral blood mononuclear cells and <NUM> × <NUM><NUM> JY cells for <NUM> days. Fourteen days later, T cells were seeded in <NUM>-well plates so as to be <NUM>, <NUM> and <NUM> cells/well by limiting dilution, and cultured until colonies with <NUM> × <NUM><NUM> peripheral blood mononuclear cells were formed. The T cells were recovered from the colonized wells to obtain clonal T cells. Hereinafter, the obtained T cells are also referred to as "prepared clonal T cells".

<NUM>µl of a solution (<NUM>/ml) of anti-CD3 antibody (BioLegend #<NUM> Clone: UCHT1) was added to <NUM>-well plate per well to immobilize the anti-CD3 antibody on the well surface. Hereinafter, the resulting plate is also referred to as "anti-CD3 antibody immobilized plate".

The prepared clonal T cells were added to the anti-CD3 antibody-immobilized plate to give about <NUM> × <NUM><NUM> cells per well. Then, anti-CD28 antibody (BioLegend #<NUM> Clone: CD28. <NUM>) was added to the cells in the well so as to have a final concentration of <NUM>/ml. The plate was centrifuged (<NUM>, <NUM> seconds) and then incubated at <NUM> for <NUM> minutes. The prepared clonal T cells were recovered from the well surface by pipetting. The recovered T cells were immobilized using a fixing solution containing <NUM>% paraformaldehyde (PFA). The immobilized T cells were immunostained using PE-labeled anti-mouse IgG antibody (BioLegend #<NUM>). The stained T cells (<NUM> × <NUM><NUM> cells/<NUM>µl) were measured using Imaging FCM (ImageStreamX Mark II Imaging Flow Cytometer: Amnis).

For comparison, the cases where cells were not immunostimulated by contact with antibodies that bind to T cell surface antigens (anti-CD28 antibody and anti-CD3 antibody) and contact with different substances (wells of plate) were also examined. The clonal T cells prepared in the above (<NUM>) were fixed using the fixing solution described above without performing the above-described immune stimulation, and then stained using an anti-CD28 antibody. The fixed T cells were secondarily stained using PE-labeled anti-mouse IgG antibody, and measured.

When the immune stimulation was not given to the T cells, CD28 was uniformly distributed on the cell membrane in the T cells (see <FIG>). When the immune stimulation was not given and then the contact surface between the T cell and the well was eliminated, CD28 showed localization on the cell membrane of T cells (see <FIG>). As described above, even when the immune stimulation was given and then the contact surface between the T cell and the well was eliminated, immune synapse could be detected by using the costimulatory molecule CD28 as an index.

Multiple parameter analysis of the measurement data (<FIG>) of the sample containing T cells without immune stimulation and the measurement data (<FIG>) of the sample containing T cells with immune stimulation obtained by measurement using Imaging FCM was performed.

Detailed measurement processing and analysis processing were shown in Embodiment <NUM>. Briefly, images were analyzed based on the transmitted light image and the fluorescence image (CD28) measured using Imaging FCM (<FIG>), and the cell size (the number of pixels), the cell aspect ratio, the area (the number of pixels) showing the fluorescence signals in the cell and the total fluorescence signal intensity (total fluorescence signal intensity of the cell) within the area were measured. First, a 2D scattergram in which the cell size was assigned to the X axis and the cell aspect ratio was assigned to the Y axis was generated, and the measurement data of the cells corresponding to dots in the predetermined range (R1) was extracted (step S51 in <FIG>). Next, for the measurement data in the range (R1), the measurement data corresponding to dots in which the total fluorescence signal intensity of the cell is in the predetermined range (R2) was further extracted (step S52 in <FIG>). For the measurement data in the range (R2), the numbers of dots in the regions displayed as R4 (<FIG>) were counted, respectively (step S53 in <FIG>). Also, the numbers of dots on the scattergrams of <FIG> (the number of dots in the range (R2)) were counted. Then, the ratios of the number of dots in the range (R4) to the number of dots in the range (R2) were calculated by the following equation (<NUM>) (step S54 in <FIG>). The results are summarized in Table <NUM> below.

According to the examples of the present specification, it was found that when immune synapse that can be formed when immune stimulation including contact with immunostimulators and contact surface formation with a different substance are given to immune cells is detected using a costimulatory molecule as an index, information on immunological response of the immune cells is accurately obtained, even when the contact surface is not maintained. This was a surprising result, given that the immune synapse is a loose bond formed in the immune cell on the surface connected with the target cell.

Thus, an immunostimulatory response of immune cells can be measured on the basis of immune synapses, so that it is understood that the activation state of immune cells can be measured more quickly and easily than the conventional method for analyzing the response of immune cells based on cytokine production.

In the examples of the present specification, the immunostimulatory response of immune cells can be measured using an imaging flow cytometer could be measured, it was demonstrated that a large number of cells can be measured, and statistically highly accurate measurement of immunological response is possible. In the above example, the immunostimulatory response of immune cells was measured using an imaging flow cytometer, but it is understood that it can be also measured by an imaging cytometer capable of measuring a large number of cells, similarly to the measuring device used in the examples. Further, as described in Embodiment <NUM>, it is understood that the immunostimulatory response of a large number of immune cells can be also measured by a non-imaging flow cytometer, similarly to the measuring device used in the examples. Thus, it is understood that, since the activation state of immune cells can be quickly and easily measured in a large number of cells according to the invention of the present application, it is useful for statistically highly accurate evaluation of drug efficacy.

In the above example, since an imaging flow cytometer is used, image data of individual cells can be linked to each measurement data in the analysis of measurement data of each cell. Therefore, based on the measurement data, a predetermined analysis processing is performed to select cells, based on the measurement data, then the image data of the cells is further combined, whereby the immunostimulatory response can be evaluated. For example, about <NUM>% of the cells in the range (R4) were present in the samples with immune stimulation in the analysis processing for selecting cells with a high tendency to form an immune synapse in the above example (Table <NUM>). In <FIG>, the image data of the cells is displayed by designating the dots corresponding to cells in the range (R4), and the image data is evaluated together, whereby the response of immune cells to immune stimulation can be further evaluated. As with the imaging flow cytometer, it is understood that this further evaluation can be evaluated also by an imaging cytometer for imaging images of cells.

According to the measuring method and the cell analyzer, it is effective so as to quickly and easily evaluate, for example, the activation state of immune cells in the body of a subject related to cancer immunity, autoimmune disease or the like in the case of using an immunostimulatory antibody as the immunostimulator, the activation state of immune cells in the body of a subject related to infectious disease, allergic disease or the like in the case of using a specific antigenic peptide, and in addition, immunological response of a subject for transplantation therapy and regenerative therapy in the case of using an allogenic cell or allogenic MHC. As described above, it is understood that imaging flow cytometer and imaging cytometer that can further utilize the image data of individual cells for the analysis processing have further advantages.

In the same manner as in Example <NUM>, the anti-CD3 antibody was immobilized on each well of the plate to prepare an anti-CD3 antibody-immobilized plate. Also, in the same manner as in Example <NUM>, clonal T cells were prepared from human peripheral blood. The clonal T cells were added to the anti-CD3 antibody-immobilized plate to give about <NUM> × <NUM><NUM> cells per well. Then, anti-CD28 antibody (BioLegend #<NUM> Clone: CD28. <NUM>) was added to the cells in the well so as to have a final concentration of <NUM>/ml, and incubated at <NUM> for <NUM> hours. Thereafter, Brefeldin A was added to each well so as to have a final concentration of <NUM>µg/ml, and incubated for <NUM> hours. Then, the plate was allowed to stand on ice, and the cells in each well were recovered. The recovered T cells were fixed with a fixing solution containing <NUM>% PFA and then subjected to a membrane permeation treatment with a PBS solution containing <NUM>% saponin and <NUM>% BSA. The treated cells were immunostained using Alexa Fluor (registered trademark) <NUM> labeled anti-IFN-y antibody (BioLegend #<NUM> Clone: <NUM>. The stained T cells were measured with a flow cytometer (BD biosciences: Accuri (trademark)). The measurement data was analyzed by a conventional method to acquire the proportion of IFN-y positive cells in the measured T cells.

T cells seeded from the same well as the T cells used in (<NUM>) above were used to measure the cells that formed immune synapse using CD28 as an index. The measurement data was analyzed to acquire the proportion of cells that formed immune synapse in the measured T cells. Measurement and data analysis were performed in the same manner as in Example <NUM>.

Data were plotted with the vertical axis as a proportion (%) of IFN-y positive cells and the horizontal axis as a proportion (%) of immune synapse-forming cells. The resulting graph is shown in <FIG>. As can be seen from <FIG>, a correlation was observed between immune synapse formation and INF-y production in immune-stimulated clonal T cells (R<NUM> = <NUM>). Accordingly, it was shown that immune cells activated by immune stimulation can be detected by detecting immune synapse in the immune cell from which the contact surface has been eliminated, similarly to the conventional method based on cytokine production.

In the same manner as in Example <NUM>, the anti-CD3 antibody was immobilized on each well of the plate to prepare an anti-CD3 antibody-immobilized plate. Also, in the same manner as in Example <NUM>, clonal T cells were prepared from human peripheral blood. The prepared clonal T cells were added to the anti-CD3 antibody-immobilized plate to give about <NUM> × <NUM><NUM> cells per well. Then, anti-CD28 antibody (BioLegend #<NUM> Clone: CD28. <NUM>) and PE labeled anti-CD40L antibody (BD biosciences #<NUM> Clone: <NUM>-<NUM>) were added to the cells in the wells so as to have a final concentration of <NUM>/ml and <NUM>/ml, respectively. The plate was centrifuged (<NUM>, <NUM> seconds) and incubated at <NUM> for <NUM> minutes. After the supernatant in the wells was removed, the prepared clonal T cells were dispersed by pipetting and recovered from the well surface. The recovered T cells were immobilized using a fixing solution containing <NUM>% PFA. The immobilized T cells were immunostained using APC-labeled anti-CD3 antibody (BioLegend #<NUM> Clone: UCHT1). The T cells were immunostimulated with PE-labeled anti-CD40L antibody, thus were in an immunostained state also with the anti-CD40L antibody. The stained T cells (<NUM> × <NUM><NUM> cells/<NUM>µl) were measured using Imaging FCM (ImageStreamX Mark II Imaging Flow Cytometer: Amnis).

For comparison, the case where cells were not immunostimulated by contact with anti-CD40L antibody, anti-CD28 antibody and anti-CD3 antibody and contact with wells of plate was also examined. The clonal T cells prepared in the above (<NUM>) were fixed using the fixing solution described above on the ice, without performing the above-described immune stimulation. The fixed T cells were immunostained using APC-labeled anti-CD3 antibody and PE-labeled anti-CD40L antibody, and measured using Imaging FCM.

When the immune stimulation was not given to the prepared clonal T cells, both CD3 and CD40L were uniformly distributed on the cell membrane in the T cells (see <FIG>, <FIG>, and <FIG>). When the immune stimulation was given and then the contact surface between the T cell and the well was eliminated, both CD3 and CD40L showed localization on the cell membrane of T cells (see <FIG>, <FIG>, <FIG>). As described above, even when the immune stimulation was given and then the contact surface between the T cell and the well was eliminated, immune synapse could be detected by using CD3 or CD40L that is a surface antigen of the T cell as an index.

Multiple parameter analysis of the measurement data (<FIG>) of the sample containing T cells without immune stimulation and the measurement data (<FIG>) of the sample containing T cells with immune stimulation obtained by measurement using Imaging FCM was performed. An example of measurement processing and analysis processing in Embodiment <NUM> is shown in <FIG>. Briefly, images were analyzed based on the transmitted light images and the fluorescence images (CD3 and CD40L) measured using Imaging FCM, and the cell size (the number of pixels), the cell aspect ratio, the area (the number of pixels) showing the fluorescence signals in the cell and the total fluorescence signal intensity (total fluorescence signal intensity of the cell) within the area were measured. First, a 2D scattergram (see <FIG>) in which the cell size was assigned to the X axis and the cell aspect ratio was assigned to the Y axis was generated, and the measurement data of the cells corresponding to dots in the predetermined range (Cells) was extracted. Next, for the measurement data in the range (Cells), the measurement data corresponding to dots in which the total fluorescence signal intensity of the cell is in the predetermined range (Tcells) was further extracted (see <FIG>). For the measurement data in the range (Tcells), the numbers of dots in the regions displayed as IS_CD3 and IS_CD40L (see <FIG>, and <FIG>) were counted, respectively. Also, the numbers of dots on the scattergrams of <FIG>, <FIG> (the number of dots in the range (Tcells)) were counted. Then, the ratios of the number of dots in the range (IS_CD3 or IS_CD40L) to the number of dots in the range (Tcells) were calculated by the following equation (<NUM>). The results are shown in Tables <NUM> and <NUM> below. IS is an abbreviation for Immune Synapse.

As shown in Tables <NUM> and <NUM>, it was shown that the proportion of T cells that formed immune synapse is clearly higher in the T cells stimulated with immunostimulatory antibodies than in the case of not immunostimulating the T cells. Accordingly, it was shown that the response of immune cells to immune stimulation by immunostimulatory antibodies can be measured, by detection of immune synapse using CD3 or CD40L as an index.

Retinal pigment epithelial cells (RPE cells) prepared from iPS cells derived from a predetermined donor (allogenic iPS cells) were used as the allogenic cells. RPE cells were provided by HEALIOS K. RPE cells were seeded in <NUM>-well plate to give about <NUM> × <NUM><NUM> cells per well and incubated at <NUM>, <NUM>% CO<NUM> for <NUM> days. Thereby, a plate having RPE cells adhered to the bottom surface of the well was obtained. Clonal T cells were prepared in the following method. <NUM> × <NUM><NUM> CD4 positive cells (Stemcell Technologies: ST-<NUM>) and CD8 positive cells (Funakoshi: <NUM>-<NUM>, COSMO BIO: PB08C-<NUM>) were seeded in Yssel's medium (Gemini Bio-Products: <NUM>) added with <NUM>µg/mL LEAF (trademark) Purified anti-human CD3 Antibody (Biolegend: <NUM>), <NUM> ng/mL of Recombinant human IL-<NUM> (rhIL-<NUM>) (R&D systems: <NUM>-IL-<NUM>), <NUM>µg/mL of Phytohemagglutinin-L (PHA) (SIGMA: L4144-<NUM>) and <NUM>% human serum (SIGMA: H4522-<NUM>), and co-cultured with <NUM> × <NUM><NUM> RPE cells for <NUM> days.

Fourteen days later, T cells were seeded in <NUM>-well plates so as to be <NUM>, <NUM> and <NUM> cells/well by limiting dilution, and cultured until colonies with <NUM> × <NUM><NUM> RPE cells were formed. The T cells were recovered from the colonized wells to obtain clonal T cells.

The prepared clonal T cells were added to a plate seeded with RPE cells to give about <NUM> × <NUM><NUM> cells per well. The plate was centrifuged (<NUM>, <NUM> seconds) and incubated at <NUM> for <NUM> minutes. After the supernatant in the wells was removed, the prepared clonal T cells were dispersed by pipetting and recovered from the well surface. The recovered T cells were immobilized using a fixing solution containing <NUM>% PFA. The immobilized T cells were immunostained using APC-labeled anti-CD3 antibody (BioLegend #<NUM> Clone: UCHT1), anti-CD28 antibody (BioLegend #<NUM> Clone: CD28. <NUM>), PE labeled anti-CD40L antibody (BD biosciences #<NUM> Clone: <NUM>-<NUM>) or PE labeled anti-OX40 antibody (BioLegend #<NUM> Clone: Ber-ACT35). The T cells immunostained with anti-CD28 antibody were further immunostained using PE-labeled anti-mouse IgG antibody (BioLegend #<NUM>). The stained T cells (<NUM> × <NUM><NUM> cells/<NUM>µl) were measured using Imaging FCM (ImageStreamX Mark II Imaging Flow Cytometer: Amnis).

For comparison, the cases where cells were not immunostimulated by contact with allogenic cells were also examined. The clonal T cells prepared in the above (<NUM>) were fixed using the fixing solution described above on the ice, without contacting with allogenic cells. The fixed T cells were immunostained using APC-labeled anti-CD3 antibody, anti-CD28 antibody, PE-labeled anti-CD40L antibody or PE-labeled anti-OX40 antibody, and measured using Imaging FCM.

When the immune stimulation by contact with allogenic cell was not given to the prepared clonal T cells, any of CD3, CD28, CD40L and OX40 were uniformly distributed on the cell membrane in the T cells (see <FIG>, <FIG>, <FIG>, <FIG>, and <FIG>). When the immune stimulation was given and then the contact surface between the T cell and allogenic cell was eliminated, CD3, CD28, CD40L and OX40 showed localization on the cell membrane of T cells (see <FIG>, <FIG>, <FIG>, <FIG>, and <FIG>). As described above, even when the immune stimulation by contact with allogenic cell was given and then the contact surface between the T cell and the allogenic cell was eliminated, immune synapse could be detected by using CD3, CD28, CD40L or OX40 that is a surface antigen of the T cell as an index.

Multiple parameter analysis of the measurement data (<FIG>) of the sample containing T cells without immune stimulation and the measurement data (<FIG>) of the sample containing T cells with immune stimulation obtained by measurement using Imaging FCM was performed. The measurement processing and analysis processing are the same as in Example <NUM>. Briefly, images were analyzed based on the transmitted light image and the fluorescence image (CD3, CD28, CD40L or OX40) measured using Imaging FCM, and the cell size (the number of pixels), the cell aspect ratio, the area (the number of pixels) showing the fluorescence signals in the cell and the total fluorescence signal intensity (total fluorescence signal intensity of the cell) within the area were measured. First, a 2D scattergram in which the cell size was assigned to the X axis and the cell aspect ratio was assigned to the Y axis was generated, and the measurement data of the cells corresponding to dots in the predetermined range (Cells) was extracted. Next, for the measurement data in the range (Cells), the measurement data corresponding to dots in which the total fluorescence signal intensity of the cell is in the predetermined range (Tcells) was further extracted. For the measurement data in the range (Tcells), the numbers of dots in the regions displayed as IS_CD3, IS_CD28, IS_CD40L and IS_OX40 (see <FIG>, <FIG>, <FIG> and <FIG>) were counted, respectively. Also, the number of dots on each scattergram (the number of dots in the range (Tcells)) was counted. Then, the ratios of the number of dots in the ranges (IS_CD3, IS_CD28, IS_CD40L and IS_OX40) to the number of dots in the range (Tcells) were calculated by the following equation (<NUM>). The results are shown in Tables <NUM> to <NUM> below.

Claim 1:
A method for labeling an immune cell, comprising:
bringing a measurement target immune cell into contact with an immunostimulator;
forming a contact surface with a substance different from the measurement target immune cell on the measurement target immune cell;
eliminating the contact surface; and
labeling the measurement target immune cell by bringing the measurement target immune cell into contact with a capturing body that binds to a surface antigen on the contact surface and is capable of generating an optical signal.