大腸がんのAPCネオアンチゲンに対するがん免疫療法の開発 ~より多くの患者を迅速に治療可能な次世代免疫治療に期待~

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2025-05-15 医薬基盤・健康・栄養研究所

国立研究開発法人 医薬基盤・健康・栄養研究所(NIBN)は、公益財団法人がん研究会および東京科学大学との共同研究により、大腸がん患者の約3%に共通するAPC遺伝子のフレームシフト変異由来ネオアンチゲンを同定し、これを標的とした2種類の新たながん免疫療法を開発しました。一つは、APCネオアンチゲンを特異的に認識するT細胞受容体を導入した遺伝子改変T細胞療法で、がん細胞を正確に認識し、細胞傷害活性を示しました。もう一つは、APCネオアンチゲンとT細胞の両方に結合する二重特異性抗体を用いた療法で、T細胞をがん細胞に誘導し、強い細胞傷害活性を示しました。本研究は、個別化医療に加え、共通ネオアンチゲンを標的とする新たな免疫療法の可能性を示し、より多くの患者に迅速な治療を提供することが期待されます。研究成果は、2025年5月15日付で国際科学誌「Frontiers in Immunology」に掲載されました。

大腸がんのAPCネオアンチゲンに対するがん免疫療法の開発 ~より多くの患者を迅速に治療可能な次世代免疫治療に期待~

<関連情報>

APC遺伝子のフレームシフト変異に由来する共有ネオアンチゲンの同定 Identification of shared neoantigens derived from frameshift mutations in the APC gene

Peng Zhao,Clara Effenberger,Saki Matsumoto,Toshihiro Tanaka,Yusuke Nakamura,Kazuma Kiyotani
Frontiers in Immunology  Published:15 May 2025
DOI:https://doi.org/10.3389/fimmu.2025.1574955

Recent advances of cancer immunotherapy have identified neoantigens as essential targets for personalized treatments. However, since neoantigens are generally unique in individual cancers, neoantigen therapies that are more broadly applicable are eagerly awaited. Shared neoantigens, derived from recurrent mutations found across multiple patients, are considered to be a challenging, but promising approach. Here we analyzed shared frameshift neoantigens derived from frameshift indels in TCGA exome sequencing data and identified 760 possible recurrent frameshift mutation clusters (FSCs) that share frameshifted open reding frames and premature stop codons. Among them, we investigated FSCs in the APC gene (APC-F2-1472* and APC-F3-1512*) and identified HLA-A*24:02-restricted frameshift neoantigen peptides that elicited specific CD8+ T cell responses. Subsequently we identified their corresponding T cell receptor (TCR) sequences and generated genetically-engineered T cells expressing these APC frameshift neoantigen-specific TCRs. These engineered T cells specifically recognized target cells presenting these neoantigens and cytotoxic activity against them, supporting the therapeutic potential of targeting APC frameshift neoantigens in cancer immunotherapy. This study provides compelling evidence for the development of neoantigen-based therapies targeting common frameshift peptides, offering a promising approach for more effective, relatively broadly applicable immunotherapeutic strategies that could benefit a subset population of cancer patients.

 

APCの共有インデルに由来するネオアンチゲンを標的とする二重特異性抗体 Bispecific antibody targeting shared indel-derived neoantigen of APC

Clara Effenberger,Xiaojing Wu,Peng Zhao,Saki Matsumoto,Yusuke Nakamura,Kazuma Kiyotani
Frontiers in Immunology  Published:15 May 2025
DOI:https://doi.org/10.3389/fimmu.2025.1574958

T cells play a pivotal role in cancer immunotherapy by recognizing tumor-specific neoantigens presented on HLA molecules, which are specifically expressed on cancer cells. While neoantigens are generally unique to individual cancers, certain neoantigens, known as ‘shared neoantigens’ that are common in a subset of cancer patients, represent promising immunotherapeutic targets. We previously identified an immunogenic shared frameshift neoantigen, 1472SP2, derived from recurrent frameshift indel mutation cluster (APC-F2-1472*) in the APC gene and presented on HLA-A24:02. In this study, we attempted to identify an antibody targeting a complex formed by the APC 1472SP2 neoantigen and HLA-A24. Using the phage display library screening, we isolated single-chain variable fragments (scFvs) that specifically recognize the 1472SP2/HLA-A24 complex. We then designed a bispecific antibody (BsAb) that would connect T cells via an anti-CD3 scFv to the cancer-specific 1472SP2 presented on the HLA-A24 molecule. ELISA analysis revealed that BsAb specifically recognized both 1472SP2-HLA-A24 monomer and CD3 protein. When T cells were co-cultured with antigen-presenting cells expressing HLA-A24:02, IFN-γ release and cytotoxicity were observed only in the presence of 1472SP2-BsAb, indicating that the 1472SP2-BsAb effectively activated T cells to lyse target cells presenting this neoantigen. This approach implies an off-the-shelf, cancer selective approach to target cancers expressing shared neoantigens for patients who are difficult to treat with conventional therapies.

医療・健康
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