新分子が子宮内膜症や慢性疾患に有望(Molecule shows promise for MASH, endometriosis, and other chronic diseases)

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2025-09-02 イェール大学

Yale大学の研究グループは、慢性炎症性疾患を進行させる病原性マクロファージを選択的に除去可能な新しい小分子「Bobcat339」を開発しました。慢性疾患の微小環境下で健全なマクロファージが変化し、炎症を引き起こす病的な形態に変わりますが、それらには特有の遺伝子TET3が過剰発現しています。Bobcat339はTET3タンパク質を分解するために設計され、この変化したマクロファージにのみ作用します。動物モデルにおいて、代謝関連脂肪肝炎(MASH)、非小細胞肺がん、子宮内膜症でBobcat339を投与すると、それぞれ肝臓障害や線維化の改善、腫瘍縮小、病変の縮小が確認され、副作用の兆候は現時点では見られません。現在、さらなる毒性試験が進行しており、将来的には臨床試験への移行が期待されています。

新分子が子宮内膜症や慢性疾患に有望(Molecule shows promise for MASH, endometriosis, and other chronic diseases)Bobcat339 targets disease-promoting macrophages and has therapeutic effects in models of liver disease, lung cancer, and endometriosis.

<関連情報>

TET3は病原性マクロファージの共通エピジェネティック免疫調節因子である TET3 is a common epigenetic immunomodulator of pathogenic macrophages

Beibei Liu, Yangyang Dai, Zixin Wang, Jiahui Song, Yushu Du, Haining Lv, Stefania Bellone, Yang-Hartwich Yang, Andrew Kennedy, Songying Zhang, Muthukumaran Venkatachalapathy, Yulia V. Surovtseva, Penghua Wang, Gordon G. Carmichael, Hugh S. Taylor, Xuchen Zhang, Da Li, and Yingqun Huang
The Journal of Clinical Investigation  Published: August 12, 2025
DOI:https://doi.org/10.1172/JCI194879

Abstract

Through a combination of single-cell/single-nucleus RNA-sequencing (sc/snRNA-seq) data analysis, immunohistochemistry, and primary macrophage studies, we have identified pathogenic macrophages characterized by TET3 overexpression (Toe-Macs) in three major human diseases associated with chronic inflammation: metabolic dysfunction-associated steatohepatitis (MASH), non-small cell lung cancer (NSCLC), and endometriosis. These macrophages are induced by common factors present in the disease microenvironment (DME). Crucially, the universal reliance on TET3 overexpression among these macrophages enables their selective elimination as a single population, irrespective of heterogeneity in other molecular markers. In mice, depleting these macrophages via myeloid-specific Tet3 knockout markedly mitigates disease progression and the therapeutic effects are recapitulated pharmacologically using a TET3-specific small molecule degrader. Through an unexpected mode of action, TET3 epigenetically regulates expression of multiple genes key to the generation and maintenance of an inflammatory/immunosuppressive DME. We propose that Toe-Macs are a unifying feature of pathogenic macrophages that could be therapeutically targeted to treat MASH, NSCLC, endometriosis, and potentially other chronic inflammatory diseases.

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