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Basic research and clinical approach of molecular therapy for liver cirrhosis and HCC

Research Project

Project/Area Number 14370395
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionHYOGO COLLEGE OF MEDICINE

Principal Investigator

FUJIMOTO Jiro  Hyogo College of Medicine, Faculty of Medicine, Professor, 医学部, 教授 (90199373)

Co-Investigator(Kenkyū-buntansha) TSUTSUI Hiroko  Hyogo College of Medicine, Faculty of Medicine, Associate Professor, 医学部, 助教授 (40236914)
NAKANISHI Kenji  Hyogo College of Medicine, Faculty of Medicine, Professor, 医学部, 教授 (60172350)
IIMURO Yuji  Hyogo College of Medicine, Faculty of Medicine, Associate Professor, 医学部, 助教授 (30252018)
HIRANO Tadamichi  Hyogo College of Medicine, Faculty of Medicine, Research Associate, 医学部, 助手 (90340968)
IWASAKI Tsuyoshi  Hyogo College of Medicine, Faculty of Medicine, Associate Professor, 医学部, 助教授 (10151721)
竹内 雅春  兵庫医科大学, 医学部, 助手 (00258162)
山中 潤一  兵庫医科大学, 医学部, 講師 (90289083)
植木 孝浩  兵庫医科大学, 医学部, 助手 (10309461)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥11,900,000 (Direct Cost: ¥11,900,000)
Fiscal Year 2003: ¥5,700,000 (Direct Cost: ¥5,700,000)
Fiscal Year 2002: ¥6,200,000 (Direct Cost: ¥6,200,000)
KeywordsLiver cirrhosis / Hepatoma / HGF / BMT / GVHG / Gene therapy / 肝再生
Research Abstract

Liver cirrhosis has been regarded to be irreversible end of fibrous scaring with no effective therapy up to now. We recently established a novel gene therapy approach for rat liver cirrhosis by HVJ-liposome mediated muscle-directed gene transfer of hepatocyte growth facor(HGF). We also reported novel gene therapy for hepatoma. In this study, we performed following several experiments to apply these molecular therapy for human liver cirrhosis and hepatoma : 1)analysis of detail mechanism of HGF mediated anti-fibrogenesis 2)bone marrow-derived cells participate in the remodeling process of liver fibrosis with HGF gene therapy 3)BMT mediated graft-versus-tumor effect against hepatoma.
As the result of these experiments, we got much novel findings. HGF mediated anti-fibrogenesis was thought to act the enhancement of MMP expression by HGF rather than the suppression of TGFβ1 by activation of HGF in Kuppfer cells. When HGF acts in NK cell in vitro, TGFβ1 was suppressed in mRNA and protein level. Bone marrow-derived cells appeared to participate in the remodeling process of liver fibrosis and HGF gene delivery accelerated this recruitment. As the most of bone marrow-derived cell were detected as endothelial cells, reconstruction of blood vessels seemed significantly important for recovery process of liver fibrosis. BMT with HGF therapy markedly inhibited growth of hepatoma. Moreover, HGF ameliorates GVHD effect that is main side effect of BMT.
These results suggested that these molecular therapy is capable for treatment of human liver cirrhosis and hepatoma.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (7 results)

All Other

All Publications (7 results)

  • [Publications] Iimuro, Y: "Delivery of matrix metalloproteinase-1 attenuates established liver fibrosis in the rat."Gastroenterology. 124. 445-458 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Iimuro, Y: "Strategy of gene therapy for liver cirrohosis and hepatocellular carcinoma."J.Hepatobiliary Pancreat.Surg. 10. 45-47 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 平野公通: "肝臓外科領域における遺伝子治療応用の展望"外科治療. 89. 343-344 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Fujimoto, J: "Extracellular Matrix and the Liver"Academic Press. 467 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Iimuro Y, Fujimoto J: "Strategy of gene therapy for liver cirrohosis and hepatocellular carcinoma."J.Hepatobiliary Pancreat.Surg. 10. 45-47 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Iimuro Y et al.: "Delivery of matrix metalloproteinase-1 attenuates established liver fibrosis in the rat."Gastroenterology. 124. 445-458 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Fujimoto J: "Possible gene therapy for liver cirrhosis. (Extracellular Matrix and the Liver)"Academic Press. 443-454

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary

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Published: 2002-04-01   Modified: 2016-04-21  

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