数学と医学を融合し、がん免疫療法の謎を解明(Math and medicine join forces to solve a cancer mystery)

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2026-08-20 カリフォルニア大学アーバイン校(UCI)

カリフォルニア大学アーバイン校(UCI)の研究チームは、数学的モデルと実験医学を組み合わせ、悪性黒色腫(メラノーマ)でPD-1阻害療法が効かない仕組みの解明に取り組んだ。研究者らは、腫瘍内部への制御性T細胞(Treg)の浸潤速度が、免疫療法への抵抗性を左右する重要な因子であることを数学モデルから特定した。さらに342匹の仮想マウスを用いたシミュレーションでこの要因を検証し、Tregの腫瘍への移動を阻害すると、実験マウスの生存期間がほぼ2倍になることを確認した。この研究は、従来の試行錯誤型の治療研究に比べ、数学モデルを使って治療標的候補を効率的に絞り込める可能性を示している。今後は、Tregを選択的に標的とする治療法の開発や、他の免疫療法抵抗性メカニズムの解析にも応用できると期待される。

<関連情報>

数理モデルとマウスモデルにより、制御性T細胞の流入がPD-1免疫療法に対する獲得抵抗性の重要な決定因子であることが明らかになった Mathematical and Mouse Models Identify Regulatory T Cell Influx as A Key Determinant of Acquired Resistance to PD-1 Immunotherapy

Rachel S. Sousa;Shannon N. Geels;Claire Murat;Alexander Moshensky;Mauro Di Pilato;S Armando Villalta;John S. Lowengrub;Francesco Marangoni
Cancer Research  Published:August 20 2026
DOI:https://doi.org/10.1158/0008-5472.CAN-25-5784

Abstract

The immune system can eradicate cancer, but various immunosuppressive mechanisms active within a tumor curb this beneficial response. However, unraveling the effects of multimodal interactions between tumor and immune cells and their contributions to tumor control using an experimental approach alone is time- and resource-intensive. To identify the critical immunological features associated with tumor control and escape, we built a mechanistic, structurally identifiable mathematical model of the interactions between CD8+ T cells, regulatory T cells (Tregs), dendritic cells, and tumor cells deeply rooted in current biological concepts. The model captured Treg accrual occurring after checkpoint blockade immunotherapy. After successfully fitting the mathematical model to experimental data from an immunogenic melanoma mouse model with acquired resistance to PD-1 immunotherapy and ensuring that the model was practically identifiable, hundreds of parameter sets were generated, each of which fit the data well and represented a unique ‘virtual mouse’ to capture variability across individuals. The model indicated that the initial tumor and immune conditions instruct cancer control or progression and that optimal initial ratios of immune cells exist that result in improved tumor control. The model further predicted that the Treg influx into the tumor is a key determinant of resistance to PD-1 immunotherapy. Experimental studies validated all these predictions from the model. Overall, this integrated approach of modeling and experimental validation identified crucial determinants of resistance to PD-1 immunotherapy and can be used to guide the development of more effective therapeutic strategies.

医療・健康
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