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research of ideal strategy for predictive factor related with genetic alteration resistance of cancer chemotherapy in metastatic advanced breast cancer

Research Project

Project/Area Number 16K10485
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field General surgery
Research InstitutionGunma Institute of Public Health and Environmental Sciences (2019)
Hyogo Medical University (2016-2018)

Principal Investigator

araki kazuhiro  群馬県衛生環境研究所, 研究企画係, 研究員 (80406470)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywordsリンパ球 / 悪性腫瘍 / 予測因子 / 宿主免疫 / 原発不明がん / 全エクソソームシーケンス / がん薬物療法 / 効果予測因子 / 遺伝子変異 / 腫瘍免疫 / 炎症性サイトカイン / HER2陽性乳癌 / 宿主全身状態 / 末梢血リンパ球 / サイトカイン / HER2 / Breast Cancer / Genomic alteration / Heterogeneity / 癌 / ゲノム / マイクロアレイ / 薬剤反応性 / トランスレーショナルリサーチ
Outline of Final Research Achievements

The aim of study was to determine whether peripheral blood-based parameter (PBBP) is significant for predictive efficacy in HER2-positive ABC treated with anti-HER2 antibodies. The 51 patients' data from clinical trials was included in this retrospective-prospective study. In consideration of PBBP, we evaluated PBBP including absolute lymphocyte count (ALC). The PFS of patients with ALC-High was significantly better than those of ALC-low. Furthermore, improved PFS was obtained in patients with ALC greater than 1500 cells/μL compared with less than 1000 cells/uL. Pre-treatment ALC-High was significantly correlated with favorable PFS of patients in HER2-positve ABC. Prolonged PFS might be obtained mediating through host systemic immunity in cancer treatment. These data obtained here suggest that a usefulness of ALC for selecting patients who might have clinical benefit for heavily treated HER2-positve ABC.

Academic Significance and Societal Importance of the Research Achievements

我々の研究成果よりがん薬物療法において、がん薬物療法の効果予測因子となりえる標的遺伝子の有用性はもちろんのことであるが、その効果を十分に発揮するためには宿主である患者自身の全身状態、つまりはリンパ球などの免疫システムも大切な要因であると思われた。がん治療においては手術、放射線治療、殺細胞性抗がん薬治療、がん免疫療法、標的治療、がんゲノム医療に加えて宿主の免疫システムの評価も含めた治療戦略も必要かもしれない。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (9 results)

All 2020 2019 2018 2017

All Journal Article (4 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Journal Article] The efficacy of sequential second-line endocrine therapies (ETs) in postmenopausal estrogen receptor-positive and HER2-negative metastatic breast cancer patients with lower sensitivity to initial ETs2020

    • Author(s)
      Iwamoto Takayuki、Fujisawa Tomomi、Shien Tadahiko、Araki Kazuhiro、Sakamaki Kentaro、Sangai Takafumi、Kikawa Yuichiro、Takao Shintaro、Nishimura Reiki、Takahashi Masato、Aihara Tomohiko、Mukai Hirofumi、Taira Naruto
    • Journal Title

      Breast Cancer

      Volume: - Issue: 5 Pages: 973-981

    • DOI

      10.1007/s12282-020-01095-y

    • NAID

      120007037397

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 進行乳がんに対するオラパリブ2019

    • Author(s)
      荒木 和浩, 三木 義男
    • Journal Title

      腫瘍内科

      Volume: 23 Pages: 410-419

    • NAID

      40021888705

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Predictive impact of absolute lymphocyte counts for progression-free survival in human epidermal growth factor receptor 2-positive advanced breast cancer treated with pertuzumab and trastuzumab plus eribulin or nab-paclitaxel2018

    • Author(s)
      Araki Kazuhiro、Ito Yoshinori、Fukada Ippei、Kobayashi Kokoro、Miyagawa Yoshimasa、Imamura Michiko、Kira Ayako、Takatsuka Yuichi、Egawa Chiyomi、Suwa Hirofumi、Ohno Shinji、Miyoshi Yasuo
    • Journal Title

      BMC Cancer

      Volume: 18 Issue: 1 Pages: 982-988

    • DOI

      10.1186/s12885-018-4888-2

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Abundant options to avoid toxicity and alternative strategies for human epidermal growth factor receptor 2-positive and hormone receptor-positive advanced breast cancer2018

    • Author(s)
      Araki Kazuhiro、Miyoshi Yasuo
    • Journal Title

      Translational Cancer Research

      Volume: 7 Issue: S4 Pages: S514-S518

    • DOI

      10.21037/tcr.2018.03.39

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 内分泌療法耐性ER陽性転移乳癌に対する二次内分泌療法のコホート研究 HORSE-BC-研究報告2019

    • Author(s)
      藤澤 知巳, 平 成人, 荒木 和浩, 岩本 高行, 木川 雄一郎, 坂巻 顕太郎, 相原 智彦, 高橋 將人, 向井 博文, 三階 貴史, 高尾 信太郎
    • Organizer
      日本乳癌学会総会, 27回
    • Related Report
      2019 Annual Research Report
  • [Presentation] 当院のレセプトデータを用いた悪性腫瘍症例の現状の検討2019

    • Author(s)
      荒木 和浩
    • Organizer
      日本内科学会 108
    • Related Report
      2019 Annual Research Report
  • [Presentation] 末梢血リンパ球数は抗HER2療法を行う際のHER2陽性進行乳癌の効果予測因子となりえるか2018

    • Author(s)
      荒木 和浩
    • Organizer
      第26回日本乳癌学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Predictive impact of absolute lymphocyte counts for progression-free survival in HER2-positive advanced breast cancer treated with pertuzumab and trastuzumab plus eribulin or nab-paclitaxel2017

    • Author(s)
      Araki, K. Ito, Y. Fukada, I. Kobayashi, K. Ohno, S. Miyagawa, Y. Imamura, M. Kira, A. Takatsuka, Y. Egawa, C. Suwa, H. Miyoshi, Y.
    • Organizer
      2017 San Antonio Breast Cancer Symposium
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 【逸脱症例から学ぶ がん薬物療法 標準治療の実践!】(第2章)がん合併症マネジメント 脊髄圧迫2019

    • Author(s)
      1.荒木 和浩
    • Total Pages
      200
    • Publisher
      じほう
    • Related Report
      2019 Annual Research Report

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Published: 2016-04-21   Modified: 2021-02-19  

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