指定難病ネフロン癆(ろう)の病態解明とiPS創薬による新規治療薬候補の発見~ヒト腎臓オルガノイドでHippoシグナル阻害剤の有効性を実証~

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2025-09-19 東京科学大学

東京科学大学の研究チームは、指定難病ネフロン癆(NPHP1欠損による遺伝性腎疾患)の病態をヒトiPS細胞由来の腎オルガノイドで再現し、治療薬候補を発見した。CRISPR/Cas9でNPHP1を欠損させたiPS細胞から腎オルガノイドを作製したところ、正常に比べ早期から線維化が進行しやすいことが明らかに。解析の結果、Hippoシグナル経路の異常活性化が線維化を促進していることが判明した。そこでHippoシグナル阻害剤を投与したところ、複数の薬剤で線維化が有意に抑制され、新規治療薬候補となりうることが示された。既に他疾患で臨床使用されている薬剤も含まれており、早期の臨床応用が期待される。成果は Stem Cell Research & Therapy に掲載。

指定難病ネフロン癆(ろう)の病態解明とiPS創薬による新規治療薬候補の発見~ヒト腎臓オルガノイドでHippoシグナル阻害剤の有効性を実証~図.NPHP1欠損によるネフロン癆を再現したヒトiPS細胞由来腎臓オルガノイドモデルと、Hippoシグナル阻害剤の効果

<関連情報>

iPS細胞を用いた創薬研究により、NPHP1欠損性ネフロノフティシスの線維化における治療標的としてHippoシグナル伝達経路を同定 iPSC-based drug discovery identified the Hippo signaling pathway as a therapeutic target in the fibrosis of NPHP1-deficient nephronophthisis

Takefumi Suzuki,Koichiro Susa,Hiroaki Kikuchi,Yuta Nakano,Tomoki Yanagi,Yu Hara,Tamami Fujiki,Fumiaki Ando,Shintaro Mandai,Yutaro Mori,Takayasu Mori,Hiroaki Iwasa,Yutaka Hata,Shinichi Uchida & Eisei Sohara
Stem Cell Research & Therapy  Published:19 September 2025
DOI:https://doi.org/10.1186/s13287-025-04567-0

Abstract

Background

Nephronophthisis (NPH) is an autosomal recessive kidney disease, and NPHP1 is the most frequently affected gene. Tubulointerstitial fibrosis is the major phenotype of NPHP1-deficient NPH. The pathophysiology of NPHP1-deficient NPH is unclear because models representing the disease pathophysiology are lacking. Herein, we aimed to create a novel pathological model of NPH using 3D kidney organoids derived from human-induced pluripotent stem cells (iPSCs) and elucidated the pathophysiology while searching for therapeutic candidates.

Methods

NPHP1-deficient kidney organoids were generated from iPSCs. Fibrosis was induced by treatment with IL-1β. The effects of the Hippo signaling pathway inhibitors as therapeutic candidates were assessed. Fibrotic status was evaluated using immunofluorescence and quantitative PCR.

Results

NPHP1-/- kidney organoids were generated from iPSCs. Fibrosis induction with IL-1β considerably increased the expression of fibronectin and transcription of fibrosis-related genes in NPHP1-/- organoids. Long-term culture of NPHP1-/- organoids induced substantial fibrogenesis compared with wild-type organoids. Co-immunoprecipitation analysis revealed the binding of NPHP1 to LATS1/2—the main constituents of the Hippo pathway. IL-1β administration increased the expression of the key Hippo pathway genes in NPHP1-/- organoids. By contrast, the Hippo pathway inhibitors ameliorated IL-1β-induced fibrogenesis in NPHP1-/- organoids. Because one of the inhibitors, verteporfin, is in clinical use, its practical availability is expected from a drug-repositioning perspective.

Conclusions

Hippo signaling pathway is involved in the fibrotic changes associated with NPHP1-deficient NPH and the Hippo pathway inhibitors could be therapeutic agents.

Clinical trial number

Not applicable.

医療・健康
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