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がん免疫療法における免疫関連有害事象発症のメカニズム解明

研究課題

研究課題/領域番号 21K08152
研究種目

基盤研究(C)

配分区分基金
応募区分一般
審査区分 小区分53030:呼吸器内科学関連
研究機関名古屋大学

研究代表者

コーチン ビタリー  名古屋大学, 医学系研究科, 特任助教 (30648001)

研究期間 (年度) 2021-04-01 – 2025-03-31
研究課題ステータス 交付 (2023年度)
配分額 *注記
4,030千円 (直接経費: 3,100千円、間接経費: 930千円)
2023年度: 1,170千円 (直接経費: 900千円、間接経費: 270千円)
2022年度: 1,430千円 (直接経費: 1,100千円、間接経費: 330千円)
2021年度: 1,430千円 (直接経費: 1,100千円、間接経費: 330千円)
キーワードGPRC5A / irAEs / ICIs / autoimmune Ab / cytotoxic T cells / irAEs, / Autoimmune antibody / Cytotoxic T cells / Lung-related irAEs / Immune checkpoint
研究開始時の研究の概要

We are trying to elucidate the mechanisms that drive the immune-mediated recognition and killing of cancer cells as well as autoimmune damage to normal/healthy cells (immune-related adverse events, irAEs) by cytotoxic T lymphocytes activated upon immune checkpoint inhibitor (ICI) therapy. Understanding the mechanisms that underlie the development of the irAE-based autoimmune lung damage in ICI-treated patients will shed light on the ways to improve immunotherapy efficiency and for better managing of irAEs.

研究実績の概要

Immune Related Adverse Events (irAEs) restrain ICIs use. The irAEs are caused by ICI-induced autoimmunity against self-tissues by auto-antibody (Ab) or self-reacting T cells. We found GPRC5A-derived peptide epitope presented by HLA-A24 specifically in human lung cells and currently investigating whether autoreactive T cells and/or Ab to GPRC5A may be responsible for the inflammation and damage in lung tissue of patients who underwent treatment with ICIs.
We use HLA-A24-transgenic mice (A24-Tg) as a model. We have confirmed that lung tissue of the A24-Tg animals express HLA-A24 and can process and present GPRC5A-derived peptide epitope identical to the one in human cells.

現在までの達成度 (区分)
現在までの達成度 (区分)

3: やや遅れている

理由

The objective of the third year (2023-2024) was completed by numerous attempts to induce self-reacting CTLs using immunization of homozygous A24-Tg mice with mouse self-GPRC5A peptide. We used a number of protocols that varied in immunization intervals (ranging from 10 to 20 days), different combination of ICI antibody (and-PD-1 and/or anti-CTLA-4), and age of mice (young vs. old). We observed a tendency for a higher number of immune cell infiltrates (so called LNLS, lymph node-like structures) in the H/E-stained FFPE lung tissue specimens of mice immunized and treated with and-PD-1 and -CTLA-4 Ab. However, we couldn’t isolate self-reacting CTLs using these immunization schemes.

今後の研究の推進方策

It seems that congenic expression of GPRC5A in mice precludes induction of self-reacting CTLs as they are removed during negative selection process in thymus. We are currently developing GPRC5A knock-out (KO) / A24-Tg mice to address this issue by using CRISPR gene editing. Such GPRC5A-KO/A24-Tg mice should have intact precursor CD8+ CTLs directed against the GPRC5A epitope. Theoretically such CTLs could be easily induced upon immunization. Upon their induction, they can be expanded and adoptively transferred to A24-Tg mice with intact (wild type) GPRC5A gene, thus turning into self-reactive CTLs. We will investigate whether these CTLs would attack HLA-A24-expressing lung tissue causing inflammation and damage similar to irAEs in patients.

報告書

(3件)
  • 2023 実施状況報告書
  • 2022 実施状況報告書
  • 2021 実施状況報告書
  • 研究成果

    (2件)

すべて 2022 2021

すべて 雑誌論文 (2件) (うち国際共著 2件、 査読あり 2件、 オープンアクセス 2件)

  • [雑誌論文] PD-1 blockade therapy promotes infiltration of tumor-attacking exhausted T cell clonotypes2022

    • 著者名/発表者名
      Nagasaki Joji、Inozume Takashi、Yosuke Togashi et al.
    • 雑誌名

      Cell Reports

      巻: 38 号: 5 ページ: 110331-110331

    • DOI

      10.1016/j.celrep.2022.110331

    • NAID

      120007192058

    • 関連する報告書
      2022 実施状況報告書 2021 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [雑誌論文] CD8+ T?cell Immune Surveillance against a Tumor Antigen Encoded by the Oncogenic Long Noncoding RNA <i>PVT1</i>2021

    • 著者名/発表者名
      Kikuchi Yasuhiro、Tokita Serina、Hirama Tomomi、Kochin Vitaly、Nakatsugawa Munehide、Shinkawa Tomoyo、Hirohashi Yoshihiko、Tsukahara Tomohide、Hata Fumitake、Takemasa Ichiro、Sato Noriyuki、Kanaseki Takayuki、Torigoe Toshihiko
    • 雑誌名

      Cancer Immunology Research

      巻: 9 号: 11 ページ: 1342-1353

    • DOI

      10.1158/2326-6066.cir-20-0964

    • 関連する報告書
      2021 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著

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公開日: 2021-04-28   更新日: 2024-12-25  

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