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Pathological investigation of iron regulatory protein in the progression of hepatobiliary malignancy

Research Project

Project/Area Number 15K08347
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Human pathology
Research InstitutionSaga University

Principal Investigator

Aishima Shinichi  佐賀大学, 医学部, 教授 (70346774)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords肝細胞癌 / 鉄代謝 / トランスフェリン受容体 / 活性酸素 / 発がん / 肝細胞がん / 酸化ストレスう / Hepcidin
Outline of Final Research Achievements

Hepatocellular carcinoma (HCC) is the second leading cause of cancer mortality worldwide. An excess of iron in liver tissue causes oxidative stress, leading to hepatocellular carcinogenesis. Iron metabolism, which is regulated by a complex mechanism, is important for cancer cell survival. The aim of this study is to clarify the role of iron regulatory protein in the progression of HCC and in patient outcome. High expression of TFR1 in HCC was associated with liver cirrhosis (p<0.0001), higher alpha-fetoprotein (AFP) (p<0.0001), smaller tumor size (p=0.0022), poor histological differentiation (p<0.0001) and morphological features (p<0.0001). Multivariate analysis for both overall survival and recurrence-free survival indicated that high TFR1 expression was a significant prognostic factor for poor outcome. TFR1 overexpression suggests a higher risk of recurrence and death in HCC patients following liver resection.

Academic Significance and Societal Importance of the Research Achievements

肝細胞癌(HCC)は有効な治療法の確立が望まれている腫瘍である。肝臓は鉄の貯蔵を担う臓器であり、鉄の蓄積は酸化ストレスを介した肝発がんを促進するする。鉄の代謝にかかわる遺伝子は多数あり複雑なメカニズムによって鉄代謝は制御され、がん細胞においても鉄の代謝は細胞の生存にとって極めて重要である。今回、鉄代謝の重要なたんぱく質であるトランスフェリン受容体1(TFR1)の高い発現がHCCの腫瘍形成や脱分化に関連し、生存にもかかわることが明らかになった。TFR1の発現はほかの悪性腫瘍でも高い発現が確認されており、がんの治療も期待されているたんぱく質である。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (3 results)

All 2019 2018 Other

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (1 results) Remarks (1 results)

  • [Journal Article] Transferrin receptor 1 overexpression is associated with tumor dedifferentiation and acts as a potential prognostic indicator of hepatocellular carcinoma.2019

    • Author(s)
      Adachi Makiko, Kai Keita, Yamaji Koutaro, Ide Takao, Noshiro Hirokazu, Kawaguchi Atsushi, Aishima Shinichi
    • Journal Title

      Histopathology

      Volume: 印刷中 Issue: 1 Pages: 63-73

    • DOI

      10.1111/his.13847

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Presentation] Transferrin receptor 1 overexpression is associated with tumor dedifferentiation and acts as a potential prognostic indicator of hepatocellular carcinoma.2018

    • Author(s)
      Adachi Makiko, Kai Keita, Yamaji Koutaro, Ide Takao, Noshiro Hirokazu, Kawaguchi Atsushi, Aishima Shinichi
    • Organizer
      日本消化器癌発生学会
    • Related Report
      2018 Annual Research Report
  • [Remarks] 佐賀大学病因病態科学

    • URL

      http://shindanbyouri.med.saga-u.ac.jp/

    • Related Report
      2018 Annual Research Report

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Published: 2015-04-16   Modified: 2020-03-30  

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