肺がん細胞の“助け合い”が治療効果を減弱させる新メカニズム~細胞間ネットワークによる防御と、その弱点を突く併用療法の可能性~

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2025-07-18 東京科学大学

東京科学大学と熊本大学の研究チームは、肺がん細胞が“助け合い”によって治療抵抗性を獲得する新たな仕組みを発見しました。YAP/TAZという分子の活性が異なる細胞同士が共存し、YAP/TAZ活性が低い細胞が抗酸化物質BH4を生成・分泌して、周囲の細胞をフェロトーシス(鉄依存性細胞死)から守ることが明らかになりました。この抗酸化物質の合成にはGCH1という酵素が関与しています。研究では、GCH1阻害剤とフェロトーシス誘導剤を併用することで、肺がんモデルマウスの腫瘍増殖を大きく抑制できることを確認。がん細胞間の協調的防御機構という新概念を提示し、次世代の個別化がん治療への応用が期待されます。

肺がん細胞の“助け合い”が治療効果を減弱させる新メカニズム~細胞間ネットワークによる防御と、その弱点を突く併用療法の可能性~図. 肺がん細胞の“助け合い”メカニズムによる治療抵抗性の獲得と併用療法による克服

<関連情報>

ヒッポ経路はビオプテリン代謝を制御し、肺がんにおけるフェロプトーシスから隣接細胞を保護する Hippo pathway controls biopterin metabolism to shield adjacent cells from ferroptosis in lung cancer

Hao Li, Yohei Kanamori, Akihiro Nita, Ayato Maeda, Tianli Zhang, Kenta Kikuchi, Hiroyuki Yamada, Touya Toyomoto, Mohamed Fathi Saleh, Mayumi Niimura, Hironori Hinokuma, Mayuko Shimoda, Koei Ikeda, Makoto Suzuki, Yoshihiro Komohara, Daisuke Kurotaki, Tomohiro Sawa, and Toshiro Moroishi
EMBO reports  Published:6 July 2025
DOI:https://doi.org/10.1038/s44319-025-00515-4

Abstract

Recent advances in single-cell technologies have uncovered significant cellular diversity in tumors, influencing cancer progression and treatment outcomes. The Hippo pathway controls cell proliferation through its downstream effectors: yes-associated protein (YAP) and transcriptional co-activator with PDZ-binding motif (TAZ). Our analysis of human lung adenocarcinoma and murine models revealed that cancer cells display heterogeneous YAP/TAZ activation levels within tumors. Murine lung cancer cells with high YAP/TAZ activity grow rapidly but are sensitive to ferroptosis, a cell death induced by lipid peroxidation. In contrast, cells with low YAP/TAZ activity grow slowly but resist ferroptosis. Moreover, they protect neighbouring cells from ferroptosis, creating a protective microenvironment that enhances the tumor’s resistance to ferroptosis. Mechanistically, inhibiting YAP/TAZ upregulates GTP cyclohydrolase 1 (GCH1), an enzyme critical for the biosynthesis of tetrahydrobiopterin (BH4), which functions as a secretory antioxidant to prevent lipid peroxidation. Pharmacological inhibition of GCH1 sensitizes lung cancer cells to ferroptosis inducers, suggesting a potential therapeutic approach. Our data highlights the non-cell-autonomous roles of the Hippo pathway in creating a ferroptosis-resistant tumor microenvironment.

Synopsis

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Heterogeneous Hippo pathway (YAP/TAZ) activation in lung adenocarcinoma drives tumor progression by enabling ferroptosis resistance via non-cell-autonomous mechanisms. YAP/TAZ-low cells upregulate GCH1, increasing BH4 secretion, which protects neighboring YAP/TAZ-high cells from ferroptosis.

•YAP/TAZ activity is heterogeneous in lung adenocarcinoma and correlates with poor prognosis.

•YAP/TAZ-low cells evade ferroptosis and protect nearby YAP/TAZ-high cells through BH4 secretion driven by GCH1 upregulation.

•GCH1 inhibition sensitizes tumors to ferroptosis inducers, reducing tumor growth and improving survival in a mouse model.

医療・健康
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