簡単な血液検査でリンパ腫治療への反応を予測できる可能性(Simple Blood Tests May Predict Response to Lymphoma Treatment)

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2026-03-25 タフツ大学

Tufts Universityの研究によると、簡便な血液検査によってリンパ腫治療への反応を予測できる可能性が示された。研究では、患者の血中バイオマーカーを解析し、免疫療法などの治療効果との関連を評価。その結果、特定の血液指標が治療への反応性や予後と相関することが明らかとなった。これにより、治療前に効果を予測し、個々の患者に最適な治療法を選択する「個別化医療」の実現が期待される。また侵襲性の低い検査であるため、患者負担を軽減しつつ継続的なモニタリングも可能となる。本研究は、がん治療の精度向上に寄与する重要な成果である。

<関連情報>

犬のびまん性大細胞型B細胞リンパ腫における長期生存を予測する末梢血単核細胞の遺伝子発現シグネチャー Peripheral blood mononuclear cell gene expression signatures predict long-term survivorship in canine DLBCL

Kirthana Rao,Zechuan Rao,Angelina Huang,Scott Heston,Max Wang,Ümmügülsüm Yildiz-Altay,Fatima Qutab,Danny A. Kwong,Heather L. Gardner,Jillian M. Richmond & Cheryl A. London
Scientific Reports  Published:17 March 2026
DOI:https://doi.org/10.1038/s41598-026-44677-0

簡単な血液検査でリンパ腫治療への反応を予測できる可能性(Simple Blood Tests May Predict Response to Lymphoma Treatment)

Abstract

Pet dogs spontaneously develop a form of diffuse large B cell lymphoma (DLBCL) that recapitulates many of the features of double hit (MYC/BCL2) human DLBCL. We recently completed a clinical trial in dogs with DLBCL using a combination of canine anti-CD20 antibody and low dose doxorubicin followed by one of three small molecule immune-modulating agents (KPT-9274, TAK-981 or RV1001). Clinical outcomes and tumor specific biomarkers of response from these dogs have been previously reported. In this study, we used the NanoString Canine IO panel to assess dynamic changes in gene counts from peripheral blood mononuclear cells (PBMCs) collected longitudinally from these from dogs over the course of their treatment to identify immune correlates associated with early relapse versus long-term survivorship. Increases in interferon-stimulated gene (ISG) signatures and immune skewing genes [CCR9, CD209 (DC-SIGN), CMKLR and DDX58 (RIG-I)] were associated with shorter (< 400 day) survival times and early relapse. In contrast, CD1E and CCL14 were elevated post-immunotherapy in long-term (> 400 day) survivors, suggesting that these may be associated with protective immune signatures. Examining genes that were expressed in short- versus long-term survivors early on in the treatment regimen identified TBHD, NPNT and ISG20 as elevated in dogs with shorter survival times at day 7. To facilitate point-of-care PBMC gene expression testing that could be used to distinguish those dogs likely to require more intensive treatment regimens in advance of relapse, we developed qPCR assays for TBHD, NPNT and ISG20. Together these data provide proof of principle that biomarker interrogation in PBMCs can help predict early relapse and poor responders to inform clinical management of DLBCL.

医療・健康
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