磁気パルスで免疫細胞を再プログラムし、乳がんを攻撃することに成功 (NUS scientists harness magnetic pulses to reprogram immune cells to fight breast cancer)

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2026-09-14 シンガポール国立大学(NUS)

シンガポール国立大学(NUS)の研究チームは、パルス電磁場(PEMF)によって腫瘍関連マクロファージ(TAM)を再プログラムし、乳がんを攻撃させる非侵襲的治療法を開発した。TAMは通常、がん細胞に取り込まれてM2型の状態となり、腫瘍の増殖や転移を助けるが、短時間の低強度磁気パルスを照射すると、細胞膜のTRPC1チャネルが活性化され、TAMが抗腫瘍性のM1型へ転換することを確認した。前臨床モデルでは、4回の30分間のPEMF照射だけで、試験したモデルの75%で腫瘍が完全に消失したという。化学療法薬を使わずに作用する点も特徴である。さらに、使用したPEMF装置は第1相臨床試験を完了しており、今後、第2相試験で有効性を検証する予定。将来的には乳がん以外の固形がんへの応用や、化学療法との併用も検討されている。

磁気パルスで免疫細胞を再プログラムし、乳がんを攻撃することに成功 (NUS scientists harness magnetic pulses to reprogram immune cells to fight breast cancer)
The NUS team used the PEMF device (right) to completely eliminate breast cancer tumours in 75 per cent of tested preclinical models after only four 30-minute sessions. Since chemotherapy is not used, its associated side effects are avoided.

<関連情報>

マクロファージの磁気再プログラミングは、TRPC1-STING炎症経路を介して乳がん細胞の貪食を促進する Magnetic Reprogramming of Macrophages Stimulates Phagocytosis of Breast Cancer Cells via a TRPC1-STING Inflammatory Axis

Viresh Krishnan Sukumar, Yee Kit Tai, Jan Nikolas Iversen, Olivia Yeo, Anisha Praiselin Paul, Kwan Yu Wu, Lina Hsiu Kim Lim, Alfredo Franco-Obregón
Smart Medicine  Published: 04 June 2026
DOI:https://doi.org/10.1002/smmd.70038

ABSTRACT

The reprogramming of tumor-associated macrophages (TAMs) from a pro-tumoral M2 to an anti-tumoral M1 phenotype is an attractive therapeutic strategy whose clinical translation is undermined by the systemic toxicity of currently available pharmacological approaches. Here, we demonstrate that non-invasive and localizable pulsed electromagnetic fields (PEMFs) induce macrophage reprogramming downstream of transient receptor potential canonical 1 (TRPC1) channel activation. Brief (10 min) PEMF exposure polarized macrophages toward an M1 phenotype by activating Stimulator of Interferon Genes (STING)-dependent NF-κB inflammatory pathways that were abolished by TRPC1 knockdown or inhibition. PEMF exposure directly enhanced the immunogenicity of breast cancer cells and modified macrophage-cancer crosstalk to promote M1 macrophage polarization and the attraction of STING-activated macrophages to the cancer cells. In co-cultures, PEMF exposure stimulated macrophage-mediated phagocytosis of cancer cells in a STING- and TRPC1-dependent manner. In spheroids, PEMFs induced the reprogramming of TAMs to an M1 status and selectively enhanced infiltration of M1 macrophages, resulting in STING-mediated phagocytosis of cancer cells. In mice, 2 weeks of twice-weekly PEMF exposure resorbed engrafted tumors and selectively eliminated cancer cells within tumors while promoting immune cell recruitment. PEMFs offer a non-invasive manner to locally reprogram TAMs within the tumor microenvironment to preferentially eliminate cancer cells.

Highlights

  • PEMFs reprogram macrophages toward the M1 state.
  • PEMFs activate the STING pathway in a TRPC1-dependent manner.
  • PEMFs enhance cancer immunogenicity.
  • PEMFs modulate macrophage-cancer cell paracrine crosstalk.
  • PEMFs enhance anti-cancer immunity by promoting macrophage-mediated cancer-specific phagocytosis in vitro, ex vivo and in vivo.
医療・健康
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