小児肝がん(肝芽腫)の新たな分子機構を解明~ヒトiPS細胞由来モデルを用いて、肝芽腫の新規治療標的PAGE4を同定~

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2026-01-14 北海道大学

北海道大学大学院医学研究院の谷口浩二教授らの研究グループは、ヒトiPS細胞由来肝芽細胞を用いた新規肝芽腫モデルを構築し、小児肝がん(肝芽腫)の進展に関与する新規分子PAGE4を同定した。肝芽腫はβ-catenin変異が高頻度に見られる一方、遺伝子変異数が少なく発症機構が不明であった。本研究では、iPS由来肝芽細胞にβ-cateninとYAPを同時に活性化させることで、ヒト肝芽腫の発生過程を再現するモデルを確立した。網羅的解析の結果、PAGE4が両シグナルの協調作用により強く誘導され、腫瘍細胞の増殖促進とアポトーシス抑制に寄与することが判明した。PAGE4は正常成人組織でほとんど発現しないため、新たな治療標的や免疫療法抗原としての応用が期待される。本成果は Biochemical and Biophysical Research Communications に掲載された。

小児肝がん(肝芽腫)の新たな分子機構を解明~ヒトiPS細胞由来モデルを用いて、肝芽腫の新規治療標的PAGE4を同定~
ヒトiPS細胞由来肝芽細胞にβ-catenin及びYAPを活性化することで肝芽腫様細胞を誘導し、網羅的解析により同定されたPAGE4が肝芽腫の増殖と生存を促進することを示した。

<関連情報>

ヒトiPS細胞由来肝芽腫モデルを用いて同定されたPAGE4は肝芽腫の進展を促進する PAGE4, upregulated in a novel iPSC-derived hepatoblastoma model, promotes hepatoblastoma progression

Issei Kawakita, Shohei Honda, Yuta Yamada, Shugo Tanaka, Yuko Katayama, Takeshi Shionoiri, Asuka Ishii, Hiroyuki Kurosu, Kazuya Hamada, Kentaro Kumagai, Kensuke Nakazono, Rino Saito, Chihiro Terasaka, Ryo Takahashi, Insu Kawahara, Momoko Ara, Sari Iwasaki, Satoshi Tanaka, Atsushi Niida, Eiso Hiyama…Koji Taniguchi
Biochemical and Biophysical Research Communications  Available online: 16 October 2025
DOI:https://doi.org/10.1016/j.bbrc.2025.152824

Highlights

  • A novel hepatoblastoma model was established by introducing active CTNNB1 and YAP into iPSC-derived hepatoblasts.
  • RNA-seq identified PAGE4 as a candidate gene involved in hepatoblastoma development, and its expression was further confirmed in hepatoblastoma patient samples.
  • PAGE4 enhanced proliferation and survival of hepatoblastoma cell lines.
  • PAGE4, a cancer/testis antigen with strictly tumor-specific expression, represents a highly attractive and clinically actionable immunotherapeutic target for hepatoblastoma.

Abstract

Hepatoblastoma is a primary malignant liver tumor in children, thought to arise from abnormal liver development during the fetal period. Approximately 90 % of cases harbor activating mutations in CTNNB1, which encodes β-catenin, while other genetic mutations are rare. Recent studies have shown that CTNNB1 mutations are frequently accompanied by increased expression of the transcriptional coactivator YAP, which promotes cell proliferation and suppresses apoptosis. Based on these findings, we established a hepatoblastoma model by introducing constitutively active forms of CTNNB1 and YAP into human induced pluripotent stem cell (iPSC)-derived hepatoblasts. Cells transduced with both genes showed distinct morphological changes and upregulation of CTNNB1, YAP, and their downstream target genes. RNA-seq followed by Gene Set Enrichment Analysis (GSEA) revealed that the gene expression profile of these cells closely matches that of hepatoblastoma patients. Utilizing this model, we identified Prostate-Associated Gene 4 (PAGE4) as a novel candidate gene involved in hepatoblastoma progression. Furthermore, immunohistochemistry of hepatoblastoma specimens confirmed that PAGE4 is indeed expressed at higher levels compared to normal liver tissue. Functional analysis in hepatoblastoma cell lines demonstrated that PAGE4 plays a role in promoting cell proliferation and resistance to apoptosis. Since PAGE4 is a known cancer/testis antigen with tumor-specific expression, our findings highlight it as a novel and promising therapeutic target for hepatoblastoma, particularly in the context of cancer immunotherapy.

医療・健康
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