がん細胞療法における「聖杯」課題を突破(Cracking a ‘holy grail’ challenge in cancer cell therapy)

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2026-02-25 イェール大学

Yale Universityの研究チームは、がん細胞療法における長年の課題克服に向けた新戦略を発表した。従来のCAR-T細胞療法は血液がんでは効果を示す一方、固形がんでは腫瘍微小環境の抑制作用により十分な効果を発揮しにくかった。研究では、免疫細胞の活性維持や腫瘍内での持続性を高める分子設計を導入し、前臨床モデルで抗腫瘍効果の向上を確認。細胞療法の適用範囲拡大と治療効果の持続化に道を開く成果であり、次世代がん免疫療法の発展に重要な知見を提供する。

<関連情報>

OR7A10 GPCRエンジニアリングが固形腫瘍に対するCAR-NK療法を促進 OR7A10 GPCR engineering boosts CAR-NK therapy against solid tumours

Luojia Yang,Paul A. Renauer,Kaiyuan Tang,Josh Saskin,Liqun Zhou,Charles Zou,Seok-Hoon Lee,Madison Fox,Samuel Johnson-Noya,Benedict Weiss,Stephanie Deng,Paris Fang,Binfan Chen,Giacomo Sferruzza,Saba Fooladi,Kai Zhao,Daniel Park,Feifei Zhang,Jiayi Tu,Jing Chen,Jennifer Moliterno,Murat Gunel,Lei Peng & Sidi Chen
Nature  Published:25 February 2026
DOI:https://doi.org/10.1038/s41586-026-10149-8

がん細胞療法における「聖杯」課題を突破(Cracking a ‘holy grail’ challenge in cancer cell therapy)

Abstract

Chimeric antigen receptor (CAR)-natural killer (NK) cell therapies hold promise for solid tumours but remain limited because of poor tumour infiltration, persistence and resistance in the tumour microenvironment1,2,3,4. Here, to identify gain-of-function targets that enhance CAR-NK cell efficacy, we performed an unbiased in vivo CRISPR activation screen followed by a barcoded targeted in vivo open reading frame screen in primary human CAR-NK cells. We identified and comprehensively validated OR7A10, a G protein-coupled receptor (GPCR), as the top candidate. Engineering CAR-NK cells with OR7A10 cDNA (a CRISPR-independent method with a simple manufacturing strategy) enhanced their proliferation, activation, degranulation, cytokine production, death ligand expression, chemokine receptor expression, cytotoxicity, persistence, metabolic fitness and tumour microenvironment resistance. Moreover, exhaustion in primary human NK cells derived from multiple peripheral blood and cord blood donors was reduced. OR7A10 gain-of-function CAR-NK cells displayed strong in vivo efficacy across multiple solid tumour models. For example, 100% complete response with long-term tumour control and survival benefit in an orthotopic breast cancer mouse model were achieved. These findings establish OR7A10-engineered CAR-NK cells as a highly potent and scalable off-the-shelf therapeutic for solid tumours.

医療・健康
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