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Breakthrough in clinical application and optimization of ghrelin administration by clarifying the mechanism of alleviating surgical stress

Research Project

Project/Area Number 15H04930
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionOsaka University

Principal Investigator

Doki Yuichiro  大阪大学, 医学系研究科, 教授 (20291445)

Co-Investigator(Kenkyū-buntansha) 瀧口 修司  名古屋市立大学, 大学院医学研究科, 教授 (00301268)
宮崎 安弘  大阪大学, 医学系研究科, 助教 (00571390)
黒川 幸典  大阪大学, 医学系研究科, 助教 (10470197)
山崎 誠  大阪大学, 医学系研究科, 准教授 (50444518)
高橋 剛  大阪大学, 医学部附属病院, その他 (50452389)
柳本 喜智  地方独立行政法人大阪府立病院機構大阪国際がんセンター(研究所), その他部局等, 消化器外科医長 (70645085)
宮田 博志  地方独立行政法人大阪府立病院機構大阪国際がんセンター(研究所), その他部局等, 副部長 (80362713)
牧野 知紀  大阪大学, 医学部附属病院, その他 (80528620)
新野 直樹  大阪大学, 医学部附属病院, 医員 (10724122)
Co-Investigator(Renkei-kenkyūsha) KANGAWA Kenji  独立行政法人国立循環器病研究センター (00112417)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥16,770,000 (Direct Cost: ¥12,900,000、Indirect Cost: ¥3,870,000)
Fiscal Year 2017: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2015: ¥7,150,000 (Direct Cost: ¥5,500,000、Indirect Cost: ¥1,650,000)
Keywordsグレリン / 抗炎症 / 手術侵襲 / 高齢者 / 抗炎症効果
Outline of Final Research Achievements

Basic research revealed that DAMP model would befit the animal model for targeting the anti-inflammatory mechanism of ghrelin rather than the LPS model which showed remarkable high IL-6 concentration in blood. With regard to human researches, we started the two clinical randomized trial of continuous ghrelin administration. One is for patients with esophagectomy and the other is for geriatric patients with total gastrectomy. These trials could optimize the method of ghrelin administration for exerting the anti-inflammatory effect. The last achievement of this study was identifying the association between active ghrelin concentration and the value of choline-esterase, which corresponded to liver function and obesity.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (32 results)

All 2018 2017 2016 2015

All Journal Article (12 results) (of which Peer Reviewed: 9 results,  Open Access: 1 results) Presentation (18 results) (of which Invited: 1 results) Patent(Industrial Property Rights) (2 results) (of which Overseas: 2 results)

  • [Journal Article] Plasma ghrelin suppression as an early predictor for postoperative complications after pancreatoduodenectomy.2018

    • Author(s)
      Sasaki K, Asaoka T, Eguchi H, Fukuda Y, Iwagami Y, Yamada D, Miyazaki Y, Noda T, Takahashi T, Gotoh K, Kawamoto K, Kurokawa Y, Kobayashi S, Takiguchi S, Mori M, Doki Y.
    • Journal Title

      Pancreatology.

      Volume: 18 Issue: 1 Pages: 73-78

    • DOI

      10.1016/j.pan.2017.12.002

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 高齢者外科手術の成績向上を目指した合成グレリン製剤の有用性についての検討2017

    • Author(s)
      瀧口 修司, 山下 公太郎, 柳本 喜智, 宮崎 安弘, 土岐 祐一郎
    • Journal Title

      大和証券ヘルス財団研究業績集

      Volume: 40 Pages: 89-92

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 消化器がん特に上部消化管がん治療におけるグレリンの役割2017

    • Author(s)
      宮﨑安弘、瀧口修司、高橋剛、黒川幸典、田中晃司、牧野知紀、山崎誠、中島清一、森正樹、土岐祐一郎
    • Journal Title

      日本静脈経腸栄養学会雑誌

      Volume: 32 Pages: 811-816

    • NAID

      130007040811

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Improvement of cisplatin-related renal dysfunction by synthetic ghrelin: a prospective randomised phase II trial.2016

    • Author(s)
      Yanagimoto Y, Takiguchi S, Miyazaki Y, Makino T, Takahashi T, Kurokawa Y, Yamasaki M, Miyata H, Nakajima K, Hosoda H, Kangawa K, Mori M, Doki Y
    • Journal Title

      Br J Cancer

      Volume: 114 Issue: 12 Pages: 1318-1325

    • DOI

      10.1038/bjc.2016.160

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Plasma ghrelin levels as a predictor of adverse renal events due to cisplatin-based chemotherapy in patients with esophageal cancer.2016

    • Author(s)
      Yanagimoto Y, Takiguchi S, Miyazaki Y, Makino T, Takahashi T, Kurokawa Y, Yamasaki M, Miyata H, Nakajima K, Mori M, Doki Y
    • Journal Title

      Jpn J Clin Oncol.

      Volume: 46 Issue: 5 Pages: 421-426

    • DOI

      10.1093/jjco/hyw004

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of synthetic ghrelin administration for patients with severe body weight reduction more than 1 year after gastrectomy: a phase II clinical trial.2016

    • Author(s)
      Takiguchi S, Miyazaki Y, Takahashi T, Kurokawa Y, Yamasaki M, Nakajima K, Miyata H, Hosoda H, Kangawa K, Mori M, Doki Y.
    • Journal Title

      Surg Today

      Volume: 46 Issue: 3 Pages: 379-385

    • DOI

      10.1007/s00595-015-1187-2

    • Related Report
      2016 Annual Research Report 2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Plasma ghrelin levels as a predictor of adverse renal events due to cisplatin-based chemotherapy in patients with esophageal cancer.2016

    • Author(s)
      Yanagimoto Y et al
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: inpress

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical application of ghrelin in the field of surgery.2015

    • Author(s)
      Takiguchi S, Murakami K, Yanagimoto Y, Takata A, Miyazaki Y, Mori M, Doki Y.
    • Journal Title

      Surg Today.

      Volume: 45 Issue: 7 Pages: 801-807

    • DOI

      10.1007/s00595-014-1040-z

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical application of ghrelin in the field of surgery.2015

    • Author(s)
      Murakami K, Takiguchi S, Miyazaki Y, Kurokawa Y, Yamasaki M, Nagano H, Mori M, Doki Y
    • Journal Title

      J Surg Res.

      Volume: 199 Issue: 2 Pages: 450-457

    • DOI

      10.1016/j.jss.2015.06.032

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of ghrelin administration on the early postoperative inflammatory response after esophagectomy.2015

    • Author(s)
      Takata A, Takiguchi S, Murakami K, Miyazaki Y, Miyata H, Takahashi T, Kurokawa Y, Yamasaki M, Nakajima K, Mori M, Kangawa K, Doki Y.
    • Journal Title

      Surg Today.

      Volume: 45 Issue: 8 Pages: 1025-1031

    • DOI

      10.1007/s00595-014-1076-0

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Randomized Phase II Study of the Anti-inflammatory Effect of Ghrelin During the Postoperative Period of Esophagectomy.2015

    • Author(s)
      Takata A, Takiguchi S, Miyazaki Y, Miyata H, Takahashi T, Kurokawa Y, Yamasaki M, Nakajima K, Mori M, Kangawa K, Doki Y.
    • Journal Title

      Ann Surg

      Volume: 262 Issue: 2 Pages: 230-236

    • DOI

      10.1097/sla.0000000000000986

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 外科治療コーナー 肥満外科手術の術後管理2015

    • Author(s)
      宮崎 安弘, 瀧口 修司,土岐 祐一郎
    • Journal Title

      肥満症治療学展望

      Volume: 6 Pages: 4-4

    • Related Report
      2015 Annual Research Report
  • [Presentation] 膵頭十二指腸切除術の合併症予測における血漿中グレリン値の有用性2017

    • Author(s)
      佐々木一樹,土岐祐一郎ほか
    • Organizer
      日本消化器外科学会総会 72回
    • Related Report
      2017 Annual Research Report
  • [Presentation] 胸部食道癌手術周術期におけるグレリン投与による抗炎症効果が予後へ与える影響2017

    • Author(s)
      宮崎安弘,土岐祐一郎ほか
    • Organizer
      日本癌治療学会 55回
    • Related Report
      2017 Annual Research Report
  • [Presentation] 病的肥満症に対するLSG後リバウンド克服に向けて モデルマウスを用いたグレリン産生能変化の検討2017

    • Author(s)
      新野直樹,土岐祐一郎ほか
    • Organizer
      日本外科学会 117回
    • Related Report
      2017 Annual Research Report
  • [Presentation] 穹窿部およびスリーブ状胃切除後残胃におけるグレリン発現状況と体重減少および術後リバウンドの関連2017

    • Author(s)
      宮崎安弘,土岐祐一郎ほか
    • Organizer
      日本外科代謝栄養学会学術集会 第54回
    • Related Report
      2017 Annual Research Report
  • [Presentation] 食道癌周術期におけるグレリン抗炎症効果の予後への影響2017

    • Author(s)
      宮崎安弘,土岐祐一郎ほか
    • Organizer
      第24回外科侵襲とサイトカイン研究会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 膵切除例における周術期グレリン値の推移と臨床的意義2016

    • Author(s)
      佐々木一樹,土岐祐一郎ほか
    • Organizer
      日本消化器外科学会総会 71回
    • Place of Presentation
      徳島(あわぎんホール、アスティ徳島)
    • Year and Date
      2016-07-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] 胸部食道癌手術周術期におけるグレリン投与による抗炎症効果および予後への影響2016

    • Author(s)
      宮崎安弘,土岐祐一郎ほか
    • Organizer
      日本食道学会
    • Place of Presentation
      東京(ザ・プリンスパークタワー東京)
    • Year and Date
      2016-07-04
    • Related Report
      2016 Annual Research Report
  • [Presentation] グレリン投与による食道癌化学療法に伴う有害事象軽減を目的としたランダム化第2相試験2016

    • Author(s)
      柳本喜智,土岐祐一郎ほか
    • Organizer
      第116回日本外科学会定期学術集会
    • Place of Presentation
      大阪(大阪国際会議場、リーガロイヤルホテル大阪)
    • Year and Date
      2016-04-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] 上部消化管 食道癌DCF療法におけるグレリン値と腎障害の検討2016

    • Author(s)
      柳本喜智,土岐祐一郎ほか
    • Organizer
      日本外科学会定期学術集会
    • Place of Presentation
      大阪(大阪国際会議場、リーガロイヤルホテル大阪)
    • Year and Date
      2016-04-14
    • Related Report
      2016 Annual Research Report
  • [Presentation] 癌治療における六君子湯の役割~グレリンに対する作用から臨床への応用~ 消化器外科の立場から-胃切除後消化器関連合併症に対する六君子湯投与の影響-2016

    • Author(s)
      宮崎安弘, 新野直樹, 額原敦, 黒川幸典, 高橋剛, 山崎誠, 牧野知紀, 瀧口修司, 中島清一, 森正樹, 土岐祐一郎
    • Organizer
      第54回日本癌治療学会学術集会
    • Place of Presentation
      横浜(パシフィコ横浜)
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Clinical Significance of Ghrelin Expression in the Gastric Mucosa of Morbidly Obese Patients- Effect on outcome of laparoscopic sleeve gastrectomy2015

    • Author(s)
      Yasuhiro Miyazaki.
    • Organizer
      The 12th Asia-Pacific Congress of Endoscopic and Laparoscopic Surgery
    • Place of Presentation
      Daegu, Korea
    • Year and Date
      2015-09-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] Metabolic effect of laparoscopic sleeve gastrectomy: retrospective analysis in our institution2015

    • Author(s)
      Yasuhiro Miyazaki, et al.
    • Organizer
      第70回日本消化器外科学会
    • Place of Presentation
      浜松
    • Year and Date
      2015-07-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] 食道癌DCF療法におけるグレリン値と腎障害予測因子の検討2015

    • Author(s)
      柳本喜智
    • Organizer
      日本外科代謝栄養学会 第52回学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] 肝移植患者における活性型グレリンの検討2015

    • Author(s)
      村上剛平
    • Organizer
      日本外科代謝栄養学会 第52回学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-02
    • Related Report
      2015 Annual Research Report
  • [Presentation] Metabolic Surgeryの理論的根拠 術後ホルモンの動向(グレリン) 腹腔鏡下スリーブ状胃切除術における臨床的意義2015

    • Author(s)
      瀧口修司
    • Organizer
      第33回日本肥満症治療学会学術集会
    • Place of Presentation
      千葉
    • Year and Date
      2015-06-26
    • Related Report
      2015 Annual Research Report
  • [Presentation] 加圧トレーニングにおける成長ホルモンとグレリンの関係について2015

    • Author(s)
      新野直樹
    • Organizer
      第115回 日本外科学会定期学術集会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report
  • [Presentation] スリーブ状胃切除術成績とグレリン因子との臨床的相関2015

    • Author(s)
      宮崎安弘
    • Organizer
      第115回 日本外科学会定期学術集会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report
  • [Presentation] 食道癌DCF療法におけるグレリン値と腎障害の検討2015

    • Author(s)
      柳本喜智
    • Organizer
      第115回 日本外科学会定期学術集会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-04-16
    • Related Report
      2015 Annual Research Report
  • [Patent(Industrial Property Rights)] METHOD FOR PREVENTING OR REDUCING POSTOPERATIVE PULMONARY COMPLICATIONS2016

    • Inventor(s)
      Yuichiro Doki
    • Industrial Property Rights Holder
      Yuichiro Doki
    • Industrial Property Rights Type
      特許
    • Filing Date
      2016
    • Acquisition Date
      2017
    • Related Report
      2017 Annual Research Report
    • Overseas
  • [Patent(Industrial Property Rights)] METHOD FOR PREVENTING OR REDUCING POSTOPERATIVE PULMONARY COMPLICATIONS2016

    • Inventor(s)
      Yuichiro Doki
    • Industrial Property Rights Holder
      Yuichiro Doki
    • Industrial Property Rights Type
      特許
    • Filing Date
      2016-07-01
    • Related Report
      2016 Annual Research Report
    • Overseas

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Published: 2015-04-16   Modified: 2019-03-29  

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