ミトコンドリアDNA転写阻害による放射線増感効果の解明 ――ミトコンドリア呼吸抑制によるがん放射線治療効果の増強――

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2026-04-01 東京大学

東京大学の研究チームは、ミトコンドリアDNAの転写を担う酵素POLRMTの阻害剤が、がん細胞に対する放射線治療効果を高める「放射線増感作用」を示すことを解明した。微量の阻害剤IMT1を放射線と併用すると、放射線単独で起こるミトコンドリア呼吸の亢進が抑制され、がん細胞の生存率が有意に低下。一方で正常細胞には影響が少ないことも確認された。また、この効果は酸化的リン酸化に依存するがんで特に顕著であることが示された。本成果は、がんのエネルギー代謝特性に基づく新たな放射線治療戦略の開発に貢献する。

ミトコンドリアDNA転写阻害による放射線増感効果の解明 ――ミトコンドリア呼吸抑制によるがん放射線治療効果の増強――
ミトコンドリアRNAポリメラーゼ(POLRMT)阻害による放射線増感の概念図

<関連情報>

ミトコンドリアRNAポリメラーゼの阻害は、ミトコンドリア呼吸を阻害することにより、がん細胞の放射線感受性を高める Inhibition of mitochondrial RNA polymerase sensitizes cancer cells to radiation by inhibiting mitochondrial respiration

Sachiko Tsunoda ,Yukina Osawa ,Noriko Hosoya
Journal of Radiation Research  Published:01 April 2026
DOI:https://doi.org/10.1093/jrr/rrag021

Abstract

Radiotherapy is a cornerstone of cancer treatment, but its efficacy is limited by tumor radioresistance and toxicity to normal cells. Thus, radiosensitizing agents that selectively target cancer-specific pathways are needed. Mitochondria contain their own deoxyribonucleic acid (DNA) that encodes proteins essential for oxidative phosphorylation (OXPHOS), the primary energy source for cell growth and survival. Recently, IMT1, a specific inhibitor of mitochondrial transcription targeting mitochondrial RNA polymerase (POLRMT), was developed and shown to suppress tumor growth in several cancers overexpressing POLRMT. However, the effect of combining IMT1 with radiation remains uncharacterized. Here, we show that IMT1 enhances radiosensitivity in cancer cells by inhibiting mitochondrial respiration. We inhibited POLRMT by administrating sublethal dose of IMT1 in OXPHOS-dependent cancer cell lines HeLa, A549, MDA-MB-468, HCT116, A431 and AN3CA, and observed increased radiosensitivity. While radiation alone upregulated mitochondrial respiration, IMT1 abolished this capacity when combined with radiation, showing very low oxygen consumption rates in all respiratory states. IMT1 enhanced radiation-induced apoptosis, but did not affect DNA damage repair and cell cycle regulation. Supplementation with galactose rescued hyper-radiosensitivity induced by IMT1. These findings support the mechanistic link between impaired mitochondrial respiration and radiosensitization induced by POLRMT inhibition. The radiosensitizing effect of IMT1 was not observed in normal cell lines RPE1 and HME1 and the glycolysis-dominant cancer cell line HT1080, suggesting that OXPHOS-dominant cancers would profit most from POLRMT inhibition. Thus, this study presents a novel therapeutic strategy that may improve the efficacy of radiotherapy in OXPHOS-dependent cancer cells while minimizing damage to normal cells.

医療・健康
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