化学療法をよりスマートにする「ステルス戦略」(Stealth tactic makes chemotherapy smarter)

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2026-09-23 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、がん細胞が化学療法薬を排出する仕組みを逆手に取り、薬剤耐性を持つがん細胞を選択的に攻撃する新しい化学療法戦略を開発した。研究では、がん細胞が薬物を排出するために利用する「排出ポンプ」に着目し、通常は治療効果を低下させるこの機構を、逆に薬剤送達の手掛かりとして利用する。特定の化合物を組み合わせることで、耐性細胞内に薬剤を蓄積させ、正常細胞への影響を抑えながらがん細胞を死滅させる可能性を示した。これは、単純に薬剤の投与量を増やすのではなく、がん細胞自身の薬剤排出能力を利用して治療選択性を高める「ステルス型」アプローチである。研究は、既存の化学療法に対する耐性を克服する新たな治療設計につながる可能性を示している。

<関連情報>

プローブからプロドラッグへ:免疫プロテアソーム活性を疾患選択的治療のトリガーとして利用する From probe to prodrug: immunoproteasome activity as a trigger for disease-selective therapeutics

Cody A. Loy, Yijun Gu, Samuel C. Kim, Mariam V. Mohagheghi, Noah B. Trask, Marina Suarez-Pizarro, Lisa E. Wagar, Claudia A. Benavente & Darci J. Trader
Signal Transduction and Targeted Therapy  Published:12 August 2026
DOI:https://doi.org/10.1038/s41392-026-02835-w

化学療法をよりスマートにする「ステルス戦略」(Stealth tactic makes chemotherapy smarter)

Abstract

Developing novel strategies that can exploit a cell’s endogenous machinery to selectively release toxic compounds in diseased cells, while leaving healthy cells unaffected, is a challenging task to accomplish. An established approach involves antigen recognition on tumor cells, enabling targeted delivery of prodrugs in which a cytotoxic compound is appended to an antibody by a cleavable linker. However, this strategy depends on the presence of highly expressed surface markers for which antibodies can be developed, limiting its applicability to cancers that display these markers. A new approach that could rely on disease-specific expression of an intracellular enzyme, which can be more broadly targeted, could expand the therapeutic potential of prodrugs clinically. Here, we demonstrate that the immunoproteasome, an isoform of the standard proteasome that is upregulated under conditions of inflammation, has the potential to be harnessed as a prodrug release enzyme. We conjugate the highly toxic and widely used therapeutic cargo MMAE onto an immunoproteasome-selective peptide and demonstrate its selective release in cancerous cells at low nM to pM concentrations, while healthy cells remain viable. We also establish the first translational validation that using immunoproteasome prodrugs in vivo leads to a significant reduction in tumor volume without significant toxicities in small cell lung cancer. We anticipate this approach to be broadly applicable, as the immunoproteasome is upregulated in a variety of cancers and does not require antibody recognition to be effective.

医療・健康
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