がん腫瘍を自己破壊し、薬剤耐性細胞を死滅させるよう再構築する(Re-engineering cancerous tumors to self-destruct and kill drug-resistant cells)

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2024-07-04 ペンシルベニア州立大学(PennState)

ペンシルバニア州立大学の研究者チームは、がんの進化を再プログラムして治療しやすくする方法を発見しました。彼らは、がん細胞を「トロイの木馬」に変え、自己破壊して隣接する薬剤耐性のがん細胞も殺す遺伝子回路を開発しました。この回路は、非小細胞肺がんのEGFR遺伝子変異を持つ細胞でテストされ、効果が証明されました。研究は人間の細胞株とマウスで行われ、広範な耐性に対抗することに成功しました。この技術は、がん治療の新たな可能性を開くと期待されています。

<関連情報>

選択遺伝子ドライブで腫瘍の進化をプログラムし、薬剤耐性と積極的に闘う Programming tumor evolution with selection gene drives to proactively combat drug resistance

Scott M. Leighow,Joshua A. Reynolds,Ivan Sokirniy,Shun Yao,Zeyu Yang,Haider Inam,Dominik Wodarz,Marco Archetti & Justin R. Pritchard
Nature Biotechnology  Published:04 July 2024
DOI:https://doi.org/10.1038/s41587-024-02271-7

extended data figure 1

Abstract

Most targeted anticancer therapies fail due to drug resistance evolution. Here we show that tumor evolution can be reproducibly redirected to engineer therapeutic opportunity, regardless of the exact ensemble of pre-existing genetic heterogeneity. We develop a selection gene drive system that is stably introduced into cancer cells and is composed of two genes, or switches, that couple an inducible fitness advantage with a shared fitness cost. Using stochastic models of evolutionary dynamics, we identify the design criteria for selection gene drives. We then build prototypes that harness the selective pressure of multiple approved tyrosine kinase inhibitors and employ therapeutic mechanisms as diverse as prodrug catalysis and immune activity induction. We show that selection gene drives can eradicate diverse forms of genetic resistance in vitro. Finally, we demonstrate that model-informed switch engagement effectively targets pre-existing resistance in mouse models of solid tumors. These results establish selection gene drives as a powerful framework for evolution-guided anticancer therapy.

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