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Hepatic artery embolization and hypoxia: roles in the tumor recurrence and application for new treatment strategy

Research Project

Project/Area Number 16K10370
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionHyogo Medical University

Principal Investigator

TAKAKI Haruyuki  兵庫医科大学, 医学部, 講師 (30378377)

Co-Investigator(Kenkyū-buntansha) 中正 恵二  兵庫医科大学, 医学部, 教授 (00217712)
廣田 省三  兵庫医科大学, 医学部, 名誉教授 (20181216)
山門 亨一郎  兵庫医科大学, 医学部, 教授 (20263022)
善本 知広  兵庫医科大学, 医学部, 教授 (60241171)
平田 豊  兵庫医科大学, 医学部, 講師 (10441247)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords肝動脈塞栓術 / 低酸素誘導因子 / 免疫チェックポイント / 肝細胞癌 / HIF-1 / PD-L1 / 低酸素応答 / 免疫寛容 / 動脈塞栓術 / CCL17 / CCL28 / ラット肝細胞癌モデル / 放射線 / インターベンショナルラジオジー
Outline of Final Research Achievements

Hepatic artery embolization (HAE) is a useful therapeutic option in the management of hepatocellular carcinoma (HCC) and other hypervascular liver tumors. However, little is known about the effects of HAE on the immune system.
Through the in vivo and in vitro experiments in this study, several novel findings about HAE and immune system were demonstrated. First, results of our in vivo study showed that HAE enhanced the expression of PD-L1 in the rat orthotopic hepatoma model. Moreover, the expressions of PD-L1 and HIF-1a were positively correlated. Second, our in vitro cell culture study showed that hypoxic stress increases the expression of PD-L1, and those expressions were suppressed by HIF-1a inhibitors such as Rapamaycin and Bortezomib.
Results of those experiments suggests that HAE enhance the expression of PD-L1 by HIF-1 dependent manner. These finding will be useful for the development of new therapeutic approaches such as HAE plus anti-PD-L1 antibody.

Academic Significance and Societal Importance of the Research Achievements

肝動脈塞栓術は、肝細胞癌や多血性肝転移に対する有効な治療だが、依然、再発が多いことが欠点である。本研究の結果、肝動脈塞栓術後の再発機序として、塞栓術後の低酸素刺激によりHIF-1依存性にPD-L1の発現が増加し、がん免疫逃避機構を助長させる可能性が示唆された。よって、動脈塞栓術と抗PD-L1抗体の併用などによる治療効果の改善が期待でき、新たな治療戦略開発への橋渡しとなる研究成果が得られた。

Report

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

    (19 results)

All 2019 2018 2017

All Journal Article (3 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results) Presentation (16 results) (of which Int'l Joint Research: 11 results,  Invited: 11 results)

  • [Journal Article] Multicenter Phase II Clinical Trial of Sorafenib Combined with Transarterial Chemoembolization for Advanced Stage Hepatocellular Carcinomas (Barcelona Clinic Liver Cancer Stage C): STAB Study2018

    • Author(s)
      Sato Yozo、Nishiofuku Hideyuki、Yasumoto Taku、Nakatsuka Atsuhiro、Matsuo Kunihiro、Kodama Yoshihisa、Okubo Hironao、Abo Daisuke、Takaki Haruyuki、Inaba Yoshitaka、Yamakado Koichiro
    • Journal Title

      Journal of Vascular and Interventional Radiology

      Volume: 29 Issue: 8 Pages: 1061-1067

    • DOI

      10.1016/j.jvir.2018.03.020

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Can the combination of ablation and immunomodulation become the breakthrough of cancer treatment?2018

    • Author(s)
      Takaki H, Cornelis FH.
    • Journal Title

      Diagn Interv Imaging.

      Volume: 99 Issue: 3 Pages: 121-122

    • DOI

      10.1016/j.diii.2018.02.002

    • Related Report
      2018 Annual Research Report 2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Thermal ablation and immunomodulation: From preclinical experiments to clinical trials.2017

    • Author(s)
      Takaki H, Cornelis F, Kako Y, Kobayashi K, Kamikonya N, Yamakado K.
    • Journal Title

      Diagn Interv Imaging.

      Volume: 98 Pages: 651-659

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] Hepatic Artery Embolization and Immunemodulation; from Japanese Laboratory2019

    • Author(s)
      Haruyuki Takaki
    • Organizer
      SIR 2019
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Cryoablation2019

    • Author(s)
      Haruyuki Takaki
    • Organizer
      11th International Symposium on Focal Therapy and Imaging in Prostate and Kidney Cancer
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Ablation and Immunemodulation: current status and future perspective2019

    • Author(s)
      Haruyuki Takaki
    • Organizer
      APSCVIR 2019
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Ablation and Immunemodulation2018

    • Author(s)
      Haruyuki Takaki
    • Organizer
      JSIR&ISIR 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Cost Effectiveness of Trans-arterial Therapy for Advanced HCC2018

    • Author(s)
      Haruyuki Takaki
    • Organizer
      APASL-STC 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Combining immunotherapy with ablative modalities2018

    • Author(s)
      Haruyuki Takaki
    • Organizer
      ACTA 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Hypoxic stress induces the overexpression of programmed death ligand 1 and chemokine ligand 17 on rat hepatoma cell lines.2018

    • Author(s)
      Haruyuki Takaki
    • Organizer
      SIR 2018
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 低酸素刺激が免疫抑制因子発現に与える影響について:ラット肝細胞癌株による検討.2018

    • Author(s)
      高木治行
    • Organizer
      第63回中部・第64回関西IVR合同地方会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 低酸素刺激がサイトカイン産生に与える影響:ラット肝細胞癌株による検討2018

    • Author(s)
      上嶋英介
    • Organizer
      第63回中部・第64回関西IVR合同地方会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Hypoxic stress induces the overexpression of programmed death ligand 1 and chemokine ligand 17 on rat hepatoma cell lines.2018

    • Author(s)
      Haruyuki Takaki
    • Organizer
      Society of Interventional Radiology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Ablation and Immunemodulation2017

    • Author(s)
      Haruyuki Takaki
    • Organizer
      Asian Congress on Tumor Ablation
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Ablation and Immunemodulation2017

    • Author(s)
      Haruyuki Takaki
    • Organizer
      Journies Francophones de Radiologie
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Changes in Peripheral Blood T-cell Balance after Ablation Therapy2017

    • Author(s)
      Haruyuki Takaki
    • Organizer
      Society of Gastrointestinal Intervention
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] アブレーションと腫瘍免疫2017

    • Author(s)
      高木治行
    • Organizer
      第18回 RFA凍結療法研究会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] IVRと基礎研究2017

    • Author(s)
      高木治行
    • Organizer
      第31回ミッドウインターセミナー
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 進行肝がんに対する、IVRの役割2017

    • Author(s)
      高木 治行
    • Organizer
      第21回 北海道肝癌治療研究会
    • Place of Presentation
      ホテルニューオータニイン札幌(北海道・札幌市)
    • Related Report
      2016 Research-status Report
    • Invited

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Published: 2016-04-21   Modified: 2020-03-30  

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