世界初!放射線治療の増強効果を持つ診断薬「酸化鉄ナノNI造影剤」を開発~がんの治療抵抗性領域を発見、難治がんである脳腫瘍モデルで実証~

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2025-04-03 京都府立医科大学​

京都府立医科大学などの研究チームは、がん治療における新たな診断薬「酸化鉄ナノNI造影剤」を開発しました。この造影剤は、治療抵抗性を示すがんの低酸素領域に高精度で集積し、MRIを用いてがん内部の構造を高解像度で可視化することが可能です。特に、悪性度の高い脳腫瘍である神経膠芽腫モデルでその有効性が実証されました。さらに、この造影剤は放射線治療の効果を増強することが示され、治療抵抗性を持つがんに対する新たな治療法として期待されています。今後、効果増強のメカニズム解明や分子構造の改良、安全性の検証を経て、臨床応用を目指す予定です。この研究成果は、『ACS Nano』誌に掲載されました。

<関連情報>

2-ニトロイミダゾール誘導体で修飾した超常磁性酸化鉄ナノ粒子は膠芽腫の低酸素領域を描出し放射線治療効果を向上させる 2-Nitroimidazole-Functionalized Superparamagnetic Iron Oxide Nanoparticles Detect Hypoxic Regions of Glioblastomas on MRI and Improve Radiotherapy Efficacy

Yuki Yoshino,Fumi Yoshino,Ichio Aoki,Yasuyuki Mori,Gen Suzuki,Shunichiro Tsuji,Tsukuru Amano,Akihiko Shiino,Tokuhiro Chano,Yoshio Furusho,Takashi Murakami,Hideya Yamazaki,and Kei Yamada
ACS nano  Published: March 26, 2025
DOI:https://doi.org/10.1021/acsnano.4c06753

Abstract

世界初!放射線治療の増強効果を持つ診断薬「酸化鉄ナノNI造影剤」を開発~がんの治療抵抗性領域を発見、難治がんである脳腫瘍モデルで実証~

The presence of hypoxic regions in tumors is associated with malignancy and is an important target for the high-precision diagnosis and treatment of tumors. Radioresistant hypoxic regions can be precisely identified and treated without the use of high doses of radiation if hypoxic region-specific contrast agents have a therapeutic effect. In this study, we synthesized a therapeutic-diagnostic complex agent (SPION-PG-NI) by combining polyglycerol-functionalized superparamagnetic iron oxide nanoparticles (SPION-PG, core diameter of 8.8 ± 1.9 nm) as an MRI contrast agent and 2-nitroimidazole (NI, a pimonidazole derivative) as a hypoxia-targeted ligand to visually evaluate hypoxic regions using MRI and improve radiotherapy efficacy at those sites. SPION-PG-NI showed a concentration-dependent contrast effect and had significantly higher accumulation in subcutaneous glioblastomas than the control agent, SPION-PG, 24 h after administration. Immunohistological evaluations showed that the SPION-PG-NI-accumulated regions corresponded well to hypoxic regions. SPION-PG-NI showed neither migration into the brain parenchyma nor neurotoxicity. Both SPION-PG and SPION-PG-NI decrease reactive oxygen species (ROS); however, they improve radiotherapy efficacy in hypoxic glioblastoma cells due to cytotoxicity. This effect of SPION-PG-NI was significantly higher than that of SPION-PG (p < 0.01). After 12 Gy irradiation, the mean normalized glioblastoma tumor volume on day 38 in the SPION-PG-NI group (288%) was significantly lower than that in the control group (882%) (p < 0.05). Collectively, these findings suggest the potential of SPION-PG-NI as a useful and safe tumor theranostic nanodevice for hypoxic imaging and improving radiotherapy efficacy.

医療・健康
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