がん治療の効果を高める人工フラッグ(Painting a Target on Cancer to Make Therapy More Effective)

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2025-05-27 ジョージア工科大学

ジョージア工科大学の生物医学エンジニアリングチームは、がん治療の新たなアプローチを開発しました。この手法では、腫瘍細胞に合成の「フラグ」を付加し、患者自身の免疫細胞(T細胞)を強化して、がん細胞を特異的に攻撃させます。この「二段階攻撃」により、脳、乳房、大腸など治療が難しいがんに対しても効果があり、健康な組織への影響を最小限に抑えつつ、がんの再発を防ぐことが示されました。さらに、この治療法は免疫系を訓練し、将来的な腫瘍の再発にも対応できる可能性があります。現在は前臨床段階ですが、安全性の高い既存技術を基盤としており、臨床応用への道が開かれています。

<関連情報>

合成抗原の脂質ナノ粒子送達によるCAR媒介細胞毒性への固形腫瘍の感作 Sensitizing solid tumors to CAR-mediated cytotoxicity by lipid nanoparticle delivery of synthetic antigens

Lena Gamboa,Ali H. Zamat,Chloé A. Thiveaud,Hee Jun Lee,Elif Kulaksizoglu,Zizhen Zha,Noah S. Campbell,Ching Shen Chan,Sydney Fábrega,S. Abbey Oliver,Fang-Yi Su,Hathaichanok Phuengkham,Daryll Vanover,Hannah E. Peck,Anirudh Sivakumar,Shreyas N. Dahotre,Adrian M. Harris,Philip J. Santangelo & Gabriel A. Kwong
Nature Cancer  Published:16 May 2025
DOI:https://doi.org/10.1038/s43018-025-00968-5

がん治療の効果を高める人工フラッグ(Painting a Target on Cancer to Make Therapy More Effective)

Abstract

Chimeric antigen receptor (CAR) T cell immunotherapy relies on CAR targeting of tumor-associated antigens; however, heterogenous antigen expression, interpatient variation and off-tumor expression by healthy cells remain barriers. Here we develop synthetic antigens to sensitize solid tumors for recognition and elimination by CAR T cells. Unlike tumor-associated antigens, we design synthetic antigens that are orthogonal to endogenous proteins to eliminate off-tumor targeting and that have a small genetic footprint to facilitate efficient tumor delivery to tumors by lipid nanoparticles. Using a camelid single-domain antibody (VHH) as a synthetic antigen, we show that adoptive transfer of anti-VHH CAR T cells to female mice bearing VHH-expressing tumors reduced tumor burden in multiple syngeneic and xenograft models of cancer, improved survival, induced epitope spread, protected against tumor rechallenge and mitigated antigen escape in heterogenous tumors. Our work supports the in situ delivery of synthetic antigens to treat antigen-low or antigen-negative tumors with CAR T cells.

医療・健康
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