腸内細菌は樹状細胞を介して腸から離れたがんの免疫環境に影響する免疫チェックポイント阻害薬の作用に関与する新たな腸内細菌を同定~英国科学雑誌「Nature」で発表~

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2025-07-15 国立がん研究センター,名古屋大学,京都大学,大阪大学,理化学研究所,産業技術総合研究所

国立がん研究センターなどの研究チームは、免疫チェックポイント阻害薬(ICI)の効果を高める新たな腸内細菌「YB328株」(ルミノコッカス科)を同定・培養し、その作用メカニズムを解明した。YB328は腸内で樹状細胞を活性化し、それががん組織へ移動、PD-1陽性CD8陽性T細胞の免疫応答を促進。さらにTLR経路によるCD103陽性樹状細胞の誘導が効果に必須であることが示された。YB328の保菌者は治療効果が高く、次世代免疫療法への応用が期待される。

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樹状細胞の移動を介した微生物叢主導型抗腫瘍免疫 Microbiota-driven antitumour immunity mediated by dendritic cell migration

Nina Yi-Tzu Lin,Shota Fukuoka,Shohei Koyama,Daisuke Motooka,Dieter M. Tourlousse,Yuko Shigeno,Yuki Matsumoto,Hiroyuki Yamano,Kazutoshi Murotomi,Hideyuki Tamaki,Takuma Irie,Eri Sugiyama,Shogo Kumagai,Kota Itahashi,Tokiyoshi Tanegashima,Kaori Fujimaki,Sachiko Ito,Mariko Shindo,Takahiro Tsuji,Hiroaki Wake,Keisuke Watanabe,Yuka Maeda,Tomohiro Enokida,Makoto Tahara,… Hiroyoshi Nishikawa
Nature  Published:14 July 2025
DOI:https://doi.org/10.1038/s41586-025-09249-8

Abstract

Gut microbiota influence the antitumour efficacy of immune checkpoint blockade1,2,3,4,5,6, but the mechanisms of action have not been fully elucidated. Here, we show that a new strain of the bacterial genus Hominenteromicrobium (designated YB328) isolated from the faeces of patients who responded to programmed cell death 1 (PD-1) blockade augmented antitumour responses in mice. YB328 activated tumour-specific CD8+ T cells through the stimulation of CD103+CD11b conventional dendritic cells (cDCs), which, following exposure in the gut, migrated to the tumour microenvironment. Mice showed improved antitumour efficacy of PD-1 blockade when treated with faecal transplants from non-responder patients supplemented with YB238. This result suggests that YB328 could function in a dominant manner. YB328-activated CD103+CD11b cDCs showed prolonged engagement with tumour-specific CD8+ T cells and promoted PD-1 expression in these cells. Moreover, YB238-augmented antitumour efficacy of PD-1 blockade treatment was observed in multiple mouse models of cancer. Patients with elevated YB328 abundance had increased infiltration of CD103+CD11b cDCs in tumours and had a favourable response to PD-1 blockade therapy in various cancer types. We propose that gut microbiota enhance antitumour immunity by accelerating the maturation and migration of CD103+CD11b cDCs to increase the number of CD8+ T cells that respond to diverse tumour antigens.

医療・健康
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