This is the Department of Applied Pathology, Graduate School of Medicine, The University of Tokyo.
About Us
研究とスウェーデン
2022年3月の東京大学定年退職後も研究室を持たせていただけることとなった。長年携わったTGF-βシグナルの研究は十分に満喫したので、定年後は教室名を応用病理学とし、少し違ったテーマで研究を行おうと考えた。幸いに教室の研究員の田邉諒博士が脳腫瘍(神経膠芽腫)の治療標的となりそうなタンパク質を発見したので、これに対する抗体医薬を作り、臨床応用へ進めたいと考え研究を行っている。ただ、私自身は抗体医薬の開発はこれまで全く経験がない。脳には血液脳関門(BBB)があるので大きなタンパク質は治療薬として適さないのではと当初は考え、ラクダ科の動物アルパカが重鎖のみからなる分子量の小さな抗体を作るということを聞き、アルパカで抗体を作製した。しかしアルパカ由来の抗体は小さいのは長所だが、血中半減期が極めて短いという欠点があり、ヒト抗体のFc領域を付加して血中半減期の延長を図ることにした。
良い抗体ができたと思ったので製薬企業に相談して回ったのだが、20社以上のすべての企業から断わられる始末で、創薬の難しさを実感した。神経膠芽腫は日本では毎年二千人程度と患者数が少ないこと、抗体医薬はBBBが障壁になることなどが企業に断られた主な理由である。脳外科の専門家にヒアリングすると脳腫瘍ではBBBは破綻しているという意見も多いのだが、企業の方にはなかなか耳を貸してもらえない。最近話題のアルツハイマー病治療薬レカネマブはアミロイドβを標的とした抗体医薬である。アルツハイマー病にも抗体医薬が有効だと説明するのだが、反応は今ひとつである。臨床応用のためには自前でベンチャーを創ってはどうかと言われ模索したが、創薬ベンチャーはリスクが高いせいか、これもなかなか容易ではなかった。しかし根気強く相談して回っているうちに、私のかつての留学先のスウェーデンで興味をもってくれる人たちが見つかり、少しずつ展望が見えてきたところである。
(2024年新春 東京大学第3内科同窓会だよりへの寄稿より抜粋改変)

Research and Sweden
After my retirement from the University of Tokyo in March 2022, I was given the opportunity to maintain a laboratory. Having fully enjoyed many years of research on TGF‑β family signaling, I decided that after retirement I would rename the laboratory “Applied Pathology” and pursue research on somewhat different projects. Fortunately, Dr. Ryo Tanabe, a researcher in our laboratory, discovered a protein that could be a therapeutic target for brain tumors (Glioblastoma). We have been conducting research with the aim of developing an antibody drug against this target protein and advancing it toward clinical application. However, we had no prior experience in the development of antibody therapeutics. Initially, we thought large proteins might be unsuitable as therapeutic agents due to the blood-brain barrier (BBB). Then we learned that camelids like alpacas produce small antibodies composed only of heavy chains. We therefore generated antibodies by immunizing alpacas. Although alpaca-derived antibodies have the advantage of being small, they have the drawback of an extremely short half-life in the bloodstream. To address this issue, we decided to extend their half-life by adding the Fc region of human antibodies.
Believing that we had developed a promising antibody, we consulted with a number of pharmaceutical companies. However, we were ultimately turned down by more than twenty companies, which made us aware of the difficulty of drug discovery. The main reasons given were that glioblastoma has a relatively small number of patients—about two thousand per year in Japan—and that the BBB would likely pose an obstacle for antibody therapeutics. When we consulted neurosurgical specialists, they expressed the view that in brain tumors the BBB is already disrupted. Nevertheless, companies were reluctant to help us. The recently approved Alzheimer's drug Lecanemab is an antibody drug targeting amyloid‑β. We explain that antibody therapeutics can also be effective in Alzheimer’s disease, but the response has not been very enthusiastic. We were advised that we start our own startup company for clinical application, and we explored this possibility. However, perhaps due to the high risk of drug discovery ventures, this too proved difficult. Still, by persistently continuing to consult with people, we found interested parties in Sweden, where we had previously studied abroad, and little by little a clearer prospect for the future has begun to emerge.
