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Preoperative assessment for malignant behavior of upper gastrointestinal tract

Research Project

Project/Area Number 05671076
Research Category

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

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

Principal Investigator

AIKOU Takashi  Kagoshima University Faculty of Medicine Professor, 医学部, 教授 (60117471)

Co-Investigator(Kenkyū-buntansha) BABA Masamichi  Kagoshima University University Hospital Assistant Professor, 医学部附属病院, 講師 (60198950)
TANABE Gen  Kagoshima University University Hospital Research Associate, 医学部附属病院, 助手 (60207157)
NATSUGOE Shoji  Kagoshima University University Hospital Research Associate, 医学部附属病院, 助手 (70237577)
Project Period (FY) 1993 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1995: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1994: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1993: ¥800,000 (Direct Cost: ¥800,000)
KeywordsCarcinoma of the upper gastrointestinal tract / Malignant behavior of the carcinoma / Metastasis / Cell adhesion molecle / Desmosome / デスモソーム / 接着因子 / 悪性度
Research Abstract

Desmosomes are intercellular junctions which play an important role in epithelial cell adhesion. We reported a decrease in number of desmosomes in esophageal cancer cells as shown by electron microscopic study. Desmoglein I (DGI) is a major component of the desmosomal membrane core that plays an important role in epitherial cell adhesion. Normal squamous epitherial cells strongly expressed DGI at their cell-cell boundaries. According to the intensity and pattern of DGI expression, the cancerous tissues were divided into three groups : DGI (++), DGI (+), and DGI (-). DGI (+) or DGI (-) tumors had lymph node metastases more frequently than DGI (++). A good inverse correlation between DGI expression and tumor invasion, lymph node metastasis, lymphatic invasion and vessel invasion was observed. DGI expression in metastatic lymph nodes was the same or of less intensity, than in the primary tumor. Therefore, reduction or loss of DGI expression may promote lymph node metastases. Thorombomodul … More in (TM) is thorombin receptor that identified originally on the endothelium and acts a natural anticoagulant. TM was immunohistochemically expressed in the squamous epithelium mainly at the intercellular bridges. The carcinoma tissues expressed TM mainly at the cell-cell boundaries and in the cytoplasm. When TM expression was compared between the primary and metastatic lesions, TM expression was far fewer in the metastatic lesions than in the primary tumors. The reduction of TM expression seems to play an important role in the metastatic process.
In the patinets with gastric carcinoma, a down-regulation of DGI expression and lymph node metastasis, lymphatic invasion and the number of lymph node metastasis. A close relationship between DGI expression and lymph node metastasis was found, compared with C-erbB2, p53, FH6 and PCNA.Furthermore, survival rate of patients with HLA-DR positive cells or with many S-100 protein positive dendritic cells was significantly better than that of the other patients.
These results may provide us with some important infomations for malignant behavior of the upper gastrointestinal tract. Less

Report

(4 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • 1993 Annual Research Report
  • Research Products

    (39 results)

All Other

All Publications (39 results)

  • [Publications] Shoji Natsugoe: "Expression of desmoglein I cell adhesion molecule in primary tumors and metastatic lynph nodes of esophageal cancer." International Journal of Oncology. 6. 345-348 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yoshihisa Tezuka: "Expression of Thrombomdulin in Esophageal squamoius cell carcinoma and Its Rehtionship to lynsh Nade Netastasis" Cancer Research. 55. 4196-4200 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 愛甲 孝: "癌転移の分子機序と転移の臨床予測診断法の進歩" 日本臨床. 53. 1571-1577 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Masamichi Baba: "Lymph nade metastasis and the recurrence of esophageal careincma with emphasis on lynphadenectyomy in the neak and superior mediastrobum." Surgery Today. 25. 125-130 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 愛甲 孝: "胃癌に対するリンパ節郭清の縮小化と拡大化の現況と今後の展望" 日本消化器外科学会雑誌. 27. 968-973 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Takashi Aikou: "A comparative study on fine structure of inflammatory and neoplastic dysplasia of the esophagus." Medical Electoron Migroscopy. 26. 89-97 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shoji Natsugoe: "International gastric cancer congress" M. Nishi, H.Sugano, T.Takahashi, 5 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Takashi Aikou: "Recent Advances in Management of Digestive" T.Takahashi, 3 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Takashi Aikou, Shoji Natsugoe, Mario Shimada, Hisaaki Shimazu: "A comparative study on fine structure of inflammatory neoplastic dysplasia of the esophagus." Med.Electron Microsc.26. 89-97 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Masamichi Baba, Takashi Aikou, Heiji Yoshinaka, Shoji Natsugoe, Toshitaka Fukumoto, Hisaaki Shimazu, Kouhei Akazawa: "Long-term results of subtotal esophagectomy with three-field lymphadenectomy for carcinoma of the esophagus." Annuls of Surgery. 219. 310-316 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shoji Natsugoe, Takashi Aikou, Mario Shimada, Toru Kumanohoso, Yoshihisa Tezuka, Mituhisa Sagara, , Heiji Yoshinaka, Masamichi Baba, Toshitaka Fukumoto: "Expression desmoglein I in squamous cell carcinoma of the esophagus." Journal of Surgical Oncology. 57. 105-110 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shoji Natsugoe, Takashi Aikou, Mario Shimada, Heiji Yoshinaka, Hisaaki Shimazu, Hirohumi Matsushita: "Occult lymph node metastasis in gastric cancer with submucosal invasion." Surgery Today. 24. 870-875 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Masamichi Baba, Shoji Natsugoe, Chikara Kusano, Kazusada Shirao, Shirao, Soji Sane, Toru Kumanohoso, Heiji Yoshinaka, Toshitaka Fukumoto, Takashi Aikou: "Lymph node metastasis and the recurrence of esophageal carcinoma with emphasis on lymphadenectomy in the neck and superior mediastinum." Surgery Today. 25. 125-130 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shoji Natsugoe, Mituhisa Sagara, Mario Shimada, Toru Kumanohoso, Shimada, Toru Kumanohoso, Kazunobu Tokuda, Daisuke Wakamatus, Yoshihisa Tezuka, Chikara Kusano, Heiji Yoshinaka, Masamichi Baba, Toshitaka Fukumoto, Takashi Aikou: "Expression of desmoglein I cell adhesion molecule in primary tumors and metastatic lymph nodes of esophageal cancer" International Journal of Oncology. 6. 345-348 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Yoshihisa Tezuka, Suguru Yonezawa, Ikuro Maruyama, Yoshihumi Matsushita, Takeshi Shimizu, Hiroya Obama, Mistuhisa Sagara, Kazusada Shirao, Chikara Kusano, Shoji Natsugoe, Heiji Yoshinaka, Masamichi, Baba, Toshitaka Fukumoto, Takashi Aikou, Eiichi Sato: "Expression of thorombomodulin in esophageal squamous cell carcinoma carcinoma and its relationship to lymph node metastasis" Cancer Research. 55. 4196-4200

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Shoji Natsugoe: "Expression of desmoglein I cell adhesion molecule in primary tumors and metastatic lymph nodes of esophageal cancer" International Journal of Oncology. 6. 345-348 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Yoshihisa Tezuka: "Expression of Thrombomodulin in Esophageal Squamous cell Carcinoma and Its Relationship to Lymph Node Metastasis" Cancer Research. 55. 4196-4200 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 愛甲孝: "癌転移の分子機序と転移の臨床予測診断法の進歩" 日本臨床. 53. 1571-1577 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Masamichi Baba: "Lymph node metastasis and the recurrence of esophageal Carcinoma with emphasis on lymphadenectomy in the neck and superior mediastinum" Surg Today. 25. 125-130 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 愛甲孝: "胃癌に対するリンパ節郭清の縮小化と拡大化の現況と今後の展望" 日本消化器外科学会雑誌. 27. 968-973 (1994)

    • Related Report
      1995 Annual Research Report
  • [Publications] Takashi Aikou: "A comparative study on fine structure of inflammatory and neoplastic dysplasia of the esophagus" Medical Electron Microscopy. 26. 89-97 (1993)

    • Related Report
      1995 Annual Research Report
  • [Publications] Shoji Natsugoe: "International gastric cancer congress" M.Nishi,H.Sugano,T.Takahashi, 5 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Takashi Aikou: "Recent Advances in Management of Digestive Cancers" T.Takahashi, 3 (1993)

    • Related Report
      1995 Annual Research Report
  • [Publications] Shoji Natsugoe: "Expression of desmoglein I cell adhesion molecule in primary tumors and metastatic lymph nodes of esophageal cancer" International Journal of Oncology. 6. 345-348 (1995)

    • Related Report
      1994 Annual Research Report
  • [Publications] 愛甲孝: "胃癌に対するリンパ節郭清の縮小化と拡大化の現況と今後の展望" 日本消化器外科学会雑誌. 27. 968-973 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Masamichi Baba: "Long-Term results of Subtotal esophagectomy with three-field lymphadenectomy for carcinoma of the thoracic esophagus" Annals of Surgery. 219. 310-316 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Shoji Natsugoe: "Expression of Desmoglein I in squamous cell carcinoma of the esophagus" Journal of Surgical Oncology. 57. 105-110 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Takashi Aikou: "A comparative study on fine structure of inflammatory and neoplastic dysplasia of the esophagus" Medical Electron Microscopy. 26. 89-97 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] Takashi Aikou: "A precancerous lesion of the esophagus.-Comparative studies on atypical epithelium and carcinoma in situ of the esophagus" Journal Clinical Electron Microscopy. 24. 414-415 (1992)

    • Related Report
      1994 Annual Research Report
  • [Publications] Takashi Aikou: "Recent Advances in Management of Digestive Cancers" Toshio Takahashi,Springer-Verlag Tokyo, 3 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] Takashi Aikou: "Recent Advances in Disease of the Esophagus" K.Nabeya,T.Hanaoka,H.Nogami(eds),Springer-Verlag Tokyo, 6 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] Takashi Aikou: "A Comparative Study on Fine Stricjure of Inflammatory and Neoplastic Dysplasia of the Esoplragus" Med.Electron Microsc.26. 1-9 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Takashi Aikou: "A Precancerous lesion of the esophagus-domparative studies on Atypical Eplcheliuiv and cartinoma in situ to the Escphagus" J.Clin.Eletron Microscopy. 24. 414-415 (1992)

    • Related Report
      1993 Annual Research Report
  • [Publications] Tkashi Aikou: "Significance of Lymph Nodal Metastasis in treatment of Esophagogastric Adeuocarcinoina" Lymphology. 25. 31-36 (1992)

    • Related Report
      1993 Annual Research Report
  • [Publications] 夏越,祥次: "食道浸潤胃癌の縦隔内進展と大動脈周囲リンパ節転移の術前診断の実態および手術方針" 手術. 46. 1117-1123 (1992)

    • Related Report
      1993 Annual Research Report
  • [Publications] 馬場,政道: "胸部食道癌の頸部・上縦隔リンパ節郭清-リンパ穴からみた合理的な郭清-" 手術. 46. 627-637 (1992)

    • Related Report
      1993 Annual Research Report
  • [Publications] 島田,麻里緒: "食道癌におけるデスモソームとリンパ節転移の関連性" 日本外科学会雑誌. 93. 1353- (1992)

    • Related Report
      1993 Annual Research Report
  • [Publications] Shoji Natsugoe: "Recent Advances in Disease of the Esophagus" K.Nabeya,T.Hanaoka,H.Nogami(Eds.)by Springer-Verlag Tokyo, 5 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] Aikou Takashi: "Recent Advances in Disease of the Esophagus" K.Nabeya,T.Hanaoka,H.Nogami(Eds.)by Springer-Verlag Tokyo, 6 (1993)

    • Related Report
      1993 Annual Research Report

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Published: 1993-04-01   Modified: 2016-04-21  

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