抗体薬物複合体(ADC)によるHIV感染症への新たな治療アプローチ~CD4ミミックと中和抗体を融合した侵入阻害型ADCの創製~

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2026-02-03 東京科学大学

東京科学大学(Science Tokyo)と熊本大学、鹿児島大学、ペプチド研究所の研究チームは、HIV侵入を標的とする新規抗体薬物複合体(ADC)を開発し、『ChemMedChem』に発表した。IgG抗体Fc領域を部位特異的に修飾するtCAP法により、CD4ミミックを抗HIV中和抗体に高効率で結合。CD4ミミックがgp120とCD4の結合を阻害しつつ構造変化を誘導し、V3ループを認識する中和抗体の作用を増強する相乗効果を実証した。単独または併用投与より高い抗HIV活性を示し、既存低分子薬とは異なる侵入阻害機序を有する。HIV感染症・エイズの寛解を目指す新規治療候補として期待される。

抗体薬物複合体(ADC)によるHIV感染症への新たな治療アプローチ~CD4ミミックと中和抗体を融合した侵入阻害型ADCの創製~
図1. HIVの細胞への侵入機構を標的としたCD4ミミックおよび中和抗体による感染阻害戦略。

<関連情報>

部位特異的修飾法によって合成されたCD4ミミック中和抗体複合体はHIV-1侵入阻害剤として有効である CD4 Mimic-Neutralizing Antibody Conjugates Synthesized by Site-Specific Modification Methods as HIV-1 Entry Inhibitors

Kohei Tsuji, Yutaro Miura, Takeo Kuwata, Riku Matsuzaki, Takuya Kobayakawa, Kaho Matsumoto, Yuji Ito, Taku Yoshiya, Shuzo Matsushita, Hirokazu Tamamura
ChemMedChem  Published: 12 February 2026
DOI:https://doi.org/10.1002/cmdc.202500820

Abstract

Antibody-drug conjugates (ADCs) that equip multiple cytotoxic drugs on an antibody have been developed, particularly in cancer chemotherapy. In the treatment of viral infectious diseases, there are dominantly fewer examples of ADCs. Recently, we developed double-warhead ADCs targeting the entry of human immunodeficiency virus type 1 (HIV-1) into host cells. One is a small molecule CD4 mimic, which is a competitive inhibitor against the interaction between a viral envelop protein, gp120, and a primary receptor, CD4, and the other is neutralizing antibodies, which recognize the regions of gp120, exposed by its conformational change after the interaction between gp120 and CD4. The conformational changes are also triggered by the binding of gp120 and a CD4 mimic, and therefore, the ADCs show positive effects on anti-HIV-1 activity compared to the combinational use of CD4 mimics with neutralizing antibodies. Herein, we synthesized novel ADCs containing a CD4 mimic and a neutralizing antibody, KD-247, using tCAP chemistry, which is based on a site-specific modification method for IgG antibodies, and evaluated their anti-HIV-1 and antibody-dependent cellular cytotoxicity (ADCC) activities. As a result, the KD-247-adopted ADCs demonstrated enhanced anti-HIV-1 activities, whereas all of the ADCs reduced their ADCC activities.

医療・健康
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