L-15:Regulation of Fibrocytes by Clock Gene Inhibitors and Their Application to Cancer Therapy

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<L-15>:Life Science, Pharmaceutical Sciences sdgs-03
 

Regulation of Fibrocytes by Clock Gene Inhibitors and Their Application to Cancer Therapy
― Toward the Development of Novel Treatments to Overcome Resistance to Immunotherapy ―

Atsushi Mitsuhashi Designated Associate Professor
Department of Respiratory Medicine and Rheumatology, Graduate School of Biomedical Sciences
Yasuhiko Nishioka Professor
Department of Respiratory Medicine and Rheumatology, Graduate School of Biomedical Sciences
Keywords Clock genes, fibrocytes, cancer immunotherapy, biomarkers
Laboratory URL http://www.sannai.umin.jp/
Research Overview
● Tumor Stroma Contributes to the Efficacy of Immunotherapy
Fibrocytes are hematopoietic-derived cells capable of producing collagen and are known to play important roles in organ fibrosis; however, their functions in cancer remain largely unclear. Immune-based therapies, such as immune checkpoint inhibitors, currently represent a central strategy in cancer treatment. Nevertheless, tumor stroma—particularly cancer-associated fibroblasts—can inhibit immune cell infiltration, leading to immune exclusion and therapeutic resistance.
In this study, we focused on the role of fibrocytes in regulating the tumor stroma and their contribution to immune exclusion.

● Technical Challenge:Elucidation of the Mechanisms Regulating Fibrocyte Differentiation
Fibrocytes have long been considered difficult to isolate from tissues; however, by identifying specific surface markers, we independently established a method to isolate fibrocytes from tumors and demonstrated their differentiation into fibroblasts. Furthermore, we identified clock gene pathways—known regulators of circadian rhythms—as key mechanisms for controlling fibrocyte differentiation.
Although pharmacological inhibitors targeting clock gene function have already been developed, their application in cancer immunotherapy has not been explored. This study aims to leverage clock gene inhibition as a novel strategy to overcome immune exclusion.
 
Potential Applications and Commercialization Prospects
● Inhibition of Fibrocyte Differentiation by Circadian Rhythm–Extending Agents to Overcome Immunotherapy Resistance
The technique for isolating fibrocytes from tumors enables the investigation of mechanisms regulating their differentiation into fibroblasts, as well as the screening of compounds that affect this process. As a representative example, we confirmed that the existing clock gene inhibitor KL001 suppresses fibrocyte differentiation and exerts antitumor effects while overcoming immune exclusion in mouse models. By combining agents that suppress fibrocyte differentiation—particularly clock gene inhibitors—with immunotherapy, this approach offers a strategy for developing novel cancer treatments capable of overcoming therapeutic resistance.
 

L-15-1.Isolation of fibrocytes from tumors
Figure 1. Isolation of fibrocytes from tumors
⟨ Mouse Tumor-Infiltrating Blood Cells: Single-Cell RNA Sequencing ⟩
Successful identification and isolation of tumor-infiltrating fibrocytes
Reference : Mitsuhashi A. et al., Cell Reports, 2023

L-15-2.Overcoming immune exclusion by clock gene inhibition
Figure 2. Overcoming immune exclusion by clock gene inhibition
線維細胞 : Fibrocyte / 時計遺伝子阻害薬 : Clock gene inhibitor
がん関連線維芽細胞 : Cancer-associated fibroblasts (CAFs) / 腫瘍組織 : Tumor tissue
免疫チェックポイント阻害薬 : Immune checkpoint inhibitor / CD8 T細胞 : CD8 T cells 
Patents ● Japanese Patent Publication No. 2025-158434
"Composition Containing a Circadian Rhythm–Extending Agent and Its Use"
Publications ● Mitsuhashi A, Koyama K, Ogino H, Afroj T, Nguyen NT, Yoneda H, Otsuka K, Sugimoto M, Kondoh O, Nokihara H, Hanibuchi M, Takizawa H, Shinohara T, Nishioka Y. Identification of fibrocyte cluster in tumors reveals the role in antitumor immunity by PD-L1 blockade. Cell Rep 42(3):112162, 2023. doi: 10.1016/j.celrep.2023.112162.
● Mitsuhashi A, Koyama K, Ogino H, Matsuo R, Nguyen NT, Yabuki Y, Ozaki R, Tsukazaki Y, Morita Y, Yoshida A, Murakami K, Sato S, Kawano H, Nokihara H, Inagaki Y, Shinohara T, Hanibuchi M, Takizawa H, Nishioka Y. Clock pathway inhibitor overcomes tumor immune-exclusion via regulation of fibrocyte differentiation. NPJ Precis Oncol 9(1):274, 2025.

Last updated date:October 15, 2026

 

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