乳がんの免疫療法で「トリプルネガティブ」型に対応(A breast cancer immunotherapy for ‘triple-negative’ patients)

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2025-10-21 カリフォルニア大学ロサンゼルス校(UCLA)

UCLAのLili Yang教授らは、三陰性乳がん(TNBC)に対し、既存免疫療法を上回る効果を示す汎用型CAR-NKT細胞療法を開発した。患者の免疫細胞を採取せず、提供血幹細胞から大量生産・保存可能な「オフ・ザ・シェルフ」型製剤で、1回投与あたり約5,000ドルと安価。CAR構造でメソセリンを標的化しつつ、自然殺傷受容体とT細胞受容体を併用し、腫瘍微小環境の免疫抑制細胞を排除する「三重攻撃」を実現。全ての患者検体で腫瘍細胞を殺傷した。さらに、メソセリンを高発現する卵巣・膵臓・肺がんへの応用も可能で、FDA治験申請準備中。成果は『Journal of Hematology & Oncology』に掲載された。

乳がんの免疫療法で「トリプルネガティブ」型に対応(A breast cancer immunotherapy for ‘triple-negative’ patients)
Lili Yang Lab/UCLA
Microscopy image showing blood stem cell-engineered CAR-NKT cells (blue) attacking a human solid tumor cell (magenta).

<関連情報>

強力な抗腫瘍活性を有する臍帯血CD34⁺ HSPC由来メソテリン特異的CAR-NKT細胞を用いたトリプルネガティブ乳がんの標的化 Targeting triple-negative breast cancer using cord-blood CD34⁺ HSPC-derived mesothelin-specific CAR-NKT cells with potent antitumor activity

Yan-Ruide Li,Xinyuan Shen,Yichen Zhu,Zhe Li,Ryan Hon,Yanxin Tian,Jie Huang,Annabel S. Zhao,Nathan Y. Ma,Catherine Zhang,David Lin,Karine Sargsyan,Yuan Yuan & Lili Yang
Journal of Hematology & Oncology  Published:13 October 2025
DOI:https://doi.org/10.1186/s13045-025-01736-9

Abstract

Background

Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer characterized by the lack of ER, PR, and HER2 expression. Its aggressive behavior, high degree of tumor heterogeneity, and immunosuppressive tumor microenvironment (TME) are associated with poor clinical outcomes, rapid disease progression, and limited therapeutic options. Although chimeric antigen receptor (CAR)-engineered T cell therapy has shown certain promise, its applicability in TNBC is hindered by antigen escape, TME-mediated suppression, and the logistical constraints of autologous cell production.

Methods

In this study, we employed hematopoietic stem and progenitor cell (HSPC) gene engineering and a feeder-free HSPC differentiation culture to generate allogeneic IL-15-enhanced, mesothelin-specific CAR-engineered invariant natural killer T (Allo15MCAR-NKT) cells.

Results

These cells demonstrated robust and multifaceted antitumor activity against TNBC, mediated by CAR- and NK receptor-dependent cytotoxicity, as well as selective targeting of CD1d+ TME immunosuppressive cells through their TCR. In both orthotopic and metastatic TNBC xenograft models, Allo15MCAR-NKT cells demonstrated potent antitumor activity, associated with robust effector and cytotoxic phenotypes, low exhaustion, and a favorable safety profile without inducing graft-versus-host disease.

Conclusions

Together, these results support Allo15MCAR-NKT cells as a next-generation, off-the-shelf immunotherapy with strong therapeutic potential for TNBC, particularly in the context of metastasis, immune evasion, and treatment resistance.

医療・健康
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