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The relationship between hepatic failure following hepatectomy and induction of apoptosis and its therapeutic approach

Research Project

Project/Area Number 10671178
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionKYOTO UNIVERSITY

Principal Investigator

YAMAMOTO Naritaka  Kyoto University, Gastroenterological Surgery, Assistant Prof., 医学研究科, 助手 (30253298)

Co-Investigator(Kenkyū-buntansha) YAMAOKA Yoshio  Kyoto University, Gastroenterological Surgery, Professor, 医学研究科, 教授 (90089102)
SHIMAHARA Yasuyuki  Kyoto University, Gastroenterological Surgery, Associate Prof, 医学研究科, 助教授 (30196498)
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 1999: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1998: ¥3,500,000 (Direct Cost: ¥3,500,000)
Keywordshepatic failure / proliferative cholangitis / gene transfer / apoptosis / 肝切除術 / 肝機能評価 / サイトカイン / アポトーシス
Research Abstract

We previously reported that blood levels of proinflammatory cytokines and adhesion molecules reflect the severity of underlying liver damage and that they change in response to the surgical stress during a perioperative period of hepatic surgery. Moreover, those levels were found to be significantly related to the occurrence of postoperative organ failures and the prognosis of the patients. In addition, the mRNA of IL-6 was recognized in peripheral mononuclear cells (PMNC) two hours after the start of the operation and increased in accordance with intraoperative bleeding volume and the severity of underlying liver damage. It was more induced in the liver tissues than in PMNC.In contrast, mRNA of ICAM-1 was more induced in PMNC than in the liver tissues, supporting a previous result that ICAM-1 appeared to be mainly produced in PMNC.In 1999, we established a method for a gene transfer using adenoviral vector or HVJ-liposome in a rat proliferative cholangitis model in order to apply the gene transfer technique in a clinical situation. We found that nonphosphorylatable retinoblastoma gene and E2F decoy, using adenovirus and HVJ-liposome, respectively, successfully inhibit the progress of proliferative cholangitis in rats. We are presently investigating possible involvement of apoptosis in this mechanism.

Report

(3 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • Research Products

    (14 results)

All Other

All Publications (14 results)

  • [Publications] S.Satoh: "Clincopathologic evaluation of hepatocellular carcinoma with bile duct thrombi"Surgery. 127. 779-783 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] T.Shibata: "Choledochojejunostomy : Possible risk factor for septic complications after percutaneous hepatic tumor ablation"AJR. 174. 985-986 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] T.Uehara: "Gene transfer to the rat biliary tract with the HVJ-cationic liposome method"J Hepatol. 30(5). 836-842 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] R.Terao: "Suppression of proliferative cholangitis in a rat model with direct adenovirus-mediated retinoblastoma gene transfer to the biliary tract"Hepatology. 28(3). 605-612 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] S.Satoh: "Clinicopathologic evaluation of hepatocellular carcinoma with bile duct thrombi"Surgery. 127. 779-783 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] T.Shibata: "Choledochojejunostomy : Possible risk factor for septic complications after percutaneous hepatic tumor ablation"AJR. 174 (4). 985-986 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] T.Uehara: "Gene transfer to the rat biliary tract with the HVJ-cationic liposome method"J Hepatol. 30 (5). 836-842 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] R.Terao: "Suppression of proliferative cholangitis in a rat model with direct adenovirus-mediated retinoblastoma gene transfer to the biliary tract"Hepatology. 28 (3). 605-612 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] T.Uehara: "Gene transfer to the rat biliary tract with the HVJ-cationic liposome method"JHepatol. 30(5). 836-842 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] I,Ikai: "Surgical intervention for patients with stage IV-A hepatocellular carcinoma without lymph node metastasis proposal as a standard therapy"Ann Surg. 227(3). 433-439 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] R,Terao: "Suppression of proliferative cholangitis in a rat model with direct adenovirus-mediated retinoblastoma gene transfer to the biliary tract"Hepatology. 28(3). 605-612 (1998)

    • Related Report
      1999 Annual Research Report
  • [Publications] Y.Shimahara: "Nine-year survivor after resection of cholangiocellular carcinoma with tumor thrombi in the main portal trunk" J Gastroenterol. 33. 755-60 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] R.Terao: "Suppression of proliferative cholangitis in a rat model with direct adenovirus-mediated retinoblastoma gene transfer to the biliary tract" Hepatology. 28. 605-12 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Y.Yamamoto: "Implications of heat shock proteins during liver surgery and liver perfusion" Recent Results Cancer Res. 147. 157-72 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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