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Development of new techniques for diagnosis and treatment endocrine tumors of the pancreas.

Research Project

Project/Area Number 02454315
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Digestive surgery
Research InstitutionKYOTO UNIVERSITY

Principal Investigator

IMAMURA Masayuki  Kyoto UNV, Medicine, Professor, 医学部, 教授 (00108995)

Co-Investigator(Kenkyū-buntansha) TAKAHASHI Kiyoyuki  KYOTO UNV, Faculty of Medical Technology, 医療短期大学部, 教授 (70026847)
Project Period (FY) 1990 – 1992
Project Status Completed (Fiscal Year 1992)
Budget Amount *help
¥5,600,000 (Direct Cost: ¥5,600,000)
Fiscal Year 1992: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1991: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 1990: ¥3,400,000 (Direct Cost: ¥3,400,000)
Keywordsendocrine tumors of the pancreas / insulinoma / gastrinoma / secretin / interferon alpha / cytochalasin B or D / pancreatic cancer / hepatoma / グルカゴノーマ / 選択的動脈内カルシウム注入法 / Ca^<++> / 局在診断法 / ガストリノ-マ / 選択的動脈内セクレチン注入法(SASI) / インスリノ-マ / 十二指腸ガストリノ-マ / サイトカラシンB・D / 肝細胞癌 / 選択的動脈内薬剤注入法 / Ca^<++>イオン
Research Abstract

1. Selective arterial secretin injection test developed by our group has been used internationally. We applied this principle to the patients with insulinomas; that is, we localized insulinomas by injecting calcium solution into the arteries around the pancreas to find the feeding arteies of insulinomas. This trial was successful in three patinets with insulinomas.
2. We examined and found that secretin stimulated gastrinomas and normal G cells to release gastrin. But insulinoma cells did not release insulin stimulated by secretin, while normal B cells released insulin promptly. Glucagonomas also did not release glucagon stimulated by secretin, although pancreatic normal A cells released glucagon. This response of these tumors to secretin are important for differential diagnosis of these tumors from hyperfunctioning state of normal endocrine cells. Secretin injection test was revealed to be useful for differential diagnosis in four patients with these tumors.
3. Immunohistological analysis of constitutive cells of microgastrinomas of the duodenum and pancreatigastrinomas suggested that original cells which develop to the duodenal gastrinomas are different from the cells which develop to the pancreatic gastrinomas.
4. We stimulated cell-lines of hepatoma, pancreatic cancer and pancreatic B cells by various secretago , such as calcium solution, cytochalasin B or D, and interferon alpha. Cytochalasin B or D and interferon alpha were slightly effective for release of alpha feto protein and CA19-9 from the cell-lens of hepatome and the pancreatic cancer. These might be useful localization of microtumors of these cancers.

Report

(4 results)
  • 1992 Annual Research Report   Final Research Report Summary
  • 1991 Annual Research Report
  • 1990 Annual Research Report
  • Research Products

    (27 results)

All Other

All Publications (27 results)

  • [Publications] M,Imamura,ら: "Unresponsiveness of insulinoma cells to secretin-significarsie of secretinlest in patients with insnlinoma" Pancreas. 5(4). 467-473 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] M,Imamura,ら: "Use of seleotive arterial secretin injection test to guide surgery in psteints with Zollinger-Ellison syndrome." World Journerl of Surgery. (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] M,Imamura,ら: "Clinicopalhological characleristics of duoderral gastrinomas" Aorld Journal of Surgery. 16(4). 703-710 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 今村 正之,ら: "多発性ガストリノーマ根治的切除のための新しい診断法の開発とその成績" 日本消化器外科学会雑誌. 23(4). 1011-1013 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 今村 正之,ら: "Zollinger-Ellison症候群に対するミクロガストリノーマ根治的切除術" 手術. (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Seino,ら: "Abuormorl fcililrtive gluiose transporter geue expureion in human islcts tumors the causr of increccsed reusstiuity of inoululiuona to pucore?" Journal of Cliuical Endocrinology & Mltalobiam. 76(2). 75-78 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 今村 正之,ら: "膵内分泌腫瘍in「消化管疾患最新の治療1991-1992」" 南江堂, (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] 今村 正之,ら: "「内分泌外科標準手術アトラス」ガストリノーマ他" インターメルク, 256 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] M.Imamura et al.: "Unresponsiveness of insulinoma cells to secretin." Pancreas. 5(4). 467-473 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] M.Imamura et al.: "Use of selective arterial secretin injection test to guide surgery in patients with Zollinger-Ellison syndrome" World Journal of Surgery. (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] M.Imamura et al.: "Clinicopathological characteristics of duodenal gastrinomas." World Journal of Surgery. 16(4). 703-710 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] H.Hattori et al.: "Gastrin release from antral G cells stimulated with secretin" American Journal of Gastroenterology. 87(2). 195-200 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] Y.Seino et al.: "Abnormal facilitative glucose transporter gene expression in human islet cell tumors." Journal of Clinical Endocrinology and Metabolism. 76(1). 75-78 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1992 Final Research Report Summary
  • [Publications] M.IMAMURA ら: "Clinicopathological characteristics of Duodenal gastrinomas" World Journal of Surgery. 16. 703-710 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Y.Hattori ら: "Gastrin release from normal antral G cells stimulated by secretin" American Journal of Gastroenterology. 87. 195-200 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] Y.Seino ら: "Abnormal facilitative glucose transporter gene expression in human is let all tumors" Journal of Clinical Endocrinology and Metabolism. 76. 75-78 (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] 今村正之 ら: "多発性ガストリノーマ根治術のための新しい診断法SASIテストの成績と評価" 医学のあゆみ. 160. 992-992 (1992)

    • Related Report
      1992 Annual Research Report
  • [Publications] 今村正之 ら: "Zollinger-Ellison症候群に対するミクロガストリノーマ根治的切除術" 手術. (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] 上田幹子ら: "選択的動脈内セクレチン注入法にて局在診断しえた十二指腸ガストリノーマの根治的切除例" 日本消化器外科学会雑誌. (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] 今村正之 ら: "超音波消化器学 膵臓ラ島腫瘍" 南江堂, (1993)

    • Related Report
      1992 Annual Research Report
  • [Publications] Masayuki Imamura: "Unresponsiveness of insulinoma cells to secretinー Significance of secretin test in patients with insulinomaー" Pancreas. 5. 467-473 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] Masayuki Imamura: "The use of selective arterial seoretin in jection test to guide surgery in patients with ZollingerーEllison syndrome" World Journal of Surgery. (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] 服部 泰章: "根治的ガストリノ-マ切除術のためのセクレチン静注試験ーガストリマ迅速測定法ー" 日本消化器外科学会雑誌. 23. 1094-1101 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村 正之: "診断の進め方と治療方針ーガストリノ-マー" 臨床医. 16. 54-59 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村 正之: "膵内分泌腫瘍の画像診断の現況ー血管造影と経皮経肝門脈採血法" 腹部画像診断. 10. 865-871 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 阿曽 佳郎ら編集,今村 正之: "内分泌外科標準手術書「IV膵内分泌腫瘍」" インタ-メルク社, (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] 岡 博ら編集,今村 正之: "消化器疾患最新の治療'91〜'92「膵内分泌腫瘍」" 南江堂, (1991)

    • Related Report
      1990 Annual Research Report

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Published: 1990-04-01   Modified: 2016-04-21  

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