幹細胞由来療法が治療抵抗性肝がんに対して有望であることを示す(Stem Cell-Derived Therapy Shows Promise Against Treatment-Resistant Liver Cancer)

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2024-07-09 カリフォルニア大学サンディエゴ校(UCSD)

カリフォルニア大学サンディエゴ校の研究者たちは、肝細胞癌(HCC)の治療に新しい幹細胞由来の療法が効果的であることを発見しました。研究では、自然キラー(NK)細胞を遺伝子改変し、免疫抑制タンパク質TGF-βの受容体を無効化しました。これにより、改変されたNK細胞は従来のNK細胞やCAR T細胞よりも効果的にHCCと戦い、マウスでの実験で抗腫瘍効果と生存率の大幅な向上が見られました。この研究成果は、今後の臨床試験や他の難治性腫瘍治療に応用されることが期待されています。

<関連情報>

ヒトiPS細胞由来NK細胞による肝細胞癌の効果的な殺傷にはTGF-βシグナル伝達経路の破壊が必要である Disruption of TGF-β signaling pathway is required to mediate effective killing of hepatocellular carcinoma by human iPSC-derived NK cells

Jaya Lakshmi Thangaraj,Michael Coffey,Edith Lopez,Dan S. Kaufman
Cell Stem Cell  Published:July 09, 2024
DOI:https://doi.org/10.1016/j.stem.2024.06.009

Highlights

  • TGF-β inhibition is required for effective NK cell activity against HCC
  • TGF-β inhibition is essential even when cells express CARs against HCC antigens
  • TGFBR2-KO and TGFBR2-DN iPSC-NK cells are phenotypically and functionally similar
  • TGFBR2-KO and TGFBR2-DN iPSC-NK cells remain functional in the presence of TGF-β

Summary

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer. Transforming growth factor beta (TGF-β) is highly expressed in the liver tumor microenvironment and is known to inhibit immune cell activity. Here, we used human induced pluripotent stem cells (iPSCs) to produce natural killer (NK) cells engineered to mediate improved anti-HCC activity. Specifically, we produced iPSC-NK cells with either knockout TGF-β receptor 2 (TGFBR2-KO) or expression of a dominant negative (DN) form of the TGF-β receptor 2 (TGFBR2-DN) combined with chimeric antigen receptors (CARs) that target either GPC3 or AFP. The TGFBR2-KO and TGFBR2-DN iPSC-NK cells are resistant to TGF-β inhibition and improved anti-HCC activity. However, expression of anti-HCC CARs on iPSC-NK cells did not lead to effective anti-HCC activity unless there was also inhibition of TGF-β activity. Our findings demonstrate that TGF-β signaling blockade is required for effective NK cell function against HCC and potentially other malignancies that express high levels of TGF-β.

Graphical abstract

幹細胞由来療法が治療抵抗性肝がんに対して有望であることを示す(Stem Cell-Derived Therapy Shows Promise Against Treatment-Resistant Liver Cancer)

医療・健康
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