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Basic research for novel approaches to liver diseases, derived from studies on ductular reaction and SOX9 in biliary atresia

Research Project

Project/Area Number 16K11349
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatric surgery
Research InstitutionKumamoto University

Principal Investigator

Inomata Yukihiro  熊本大学, 医学部附属病院, 非常勤診療医師 (50193628)

Co-Investigator(Kenkyū-buntansha) 磯野 香織  熊本大学, 医学部附属病院, 非常勤診療医師 (10756258)
本田 正樹  熊本大学, 医学部附属病院, 病院教員 (80573609)
吉井 大貴  熊本大学, 医学部附属病院, 非常勤診療医師 (00792582)
Research Collaborator Shimata Keita  
Kadohisa Masashi  
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: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
KeywordsSOX9 / 細胆管反応 / 胆道閉鎖症 / 慢性肝疾患 / TROP2 / 胆汁うっ滞 / 葛西手術 / SOX9遺伝子 / 実験的肝障害 / SOX9ノックアウトマウス / Sox9遺伝子 / 肝障害
Outline of Final Research Achievements

Ductular reaction (DR) has been thought that it has crucial roles in liver regeneration and the etiology of liver fibrosis, however, the exact mechanism of DR is still unknown. We hypothesized on the basis of our previous studies that SOX9 may be an important factor in the development of DR. Then, we analyzed the association between DR and SOX9 by experimental liver injury using SOX9 knockout mice and immunohistological staining using human and mouse liver specimens. In mouse experiments, we found that the development of DR was more inhibited especially in cholestatic injury of SOX9 KO mouse than the wild type mouse, and the development of fibrosis was also inhibited. In human specimens with DR, SOX9 localization of liver specimens with primary biliary cholangitis was different from liver specimens with other liver diseases. Some kind of mechanisms of injured nuclear localization of SOX9 might result in the difference of pathological conditions between liver diseases.

Academic Significance and Societal Importance of the Research Achievements

本研究により、SOX9が、マウスでみられるDRの進展だけでなく、それに付随して見られる肝線維化の進展にも重要である可能性があることが分かった。これは、細胆管反応を伴う様々な慢性肝疾患において、病態の進行を抑制する目的として、SOX9をターゲットとした治療の足がかりとなる結果と考える。また、未だ病因が不明確な肝疾患が多い中、SOX9の局在が特徴的な肝疾患では、SOX9発現のさらなる解析によって、病因の特定につながる可能性もあると考える。

Report

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

    (34 results)

All 2019 2018 2017 2016 Other

All Journal Article (24 results) (of which Peer Reviewed: 16 results,  Open Access: 5 results) Presentation (8 results) Book (1 results) Remarks (1 results)

  • [Journal Article] Hydrogen-rich solution attenuates cold ischemia-reperfusion injury in rat liver transplantation.2019

    • Author(s)
      Uto K, Sakamoto S, Que W, Shimata K, Hashimoto S, Sakisaka M, Narita Y, Yoshii D, Zhong L, Komohara Y, Li XK, Inomata Y, Hibi T
    • Journal Title

      BMC Gastroenterol

      Volume: 19 Issue: 1 Pages: 25-25

    • DOI

      10.1186/s12876-019-0939-7

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intravital imaging of neutrophil recruitment in intestinal ischemia-reperfusion injury2018

    • Author(s)
      Hashimoto Shintaro、Honda Masaki、Takeichi Takayuki、Sakisaka Masataka、Narita Yasuko、Yoshii Daiki、Uto Keiichi、Sakamoto Seisuke、Inomata Yukihiro
    • Journal Title

      Biochemical and Biophysical Research Communications

      Volume: 495 Issue: 3 Pages: 2296-2302

    • DOI

      10.1016/j.bbrc.2017.12.140

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Six National University Consortium in Liver Transplant Professionals Training (SNUC-LT) Program in Japan2018

    • Author(s)
      Takagi K.、Miura K.、Nakanuma S.、Sakamoto S.、Yamamoto H.、Yagi T.、Eguchi S.、Ohta T.、Wakai T.、Ohtsuka M.、Uemoto S.、Kasahara M.、Inomata Y.
    • Journal Title

      Transplantation Proceedings

      Volume: 50 Issue: 1 Pages: 168-174

    • DOI

      10.1016/j.transproceed.2017.11.026

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Feasibility of Monotherapy by Rituximab Without Additional Desensitization in ABO-incompatible Living-Donor Liver Transplantation2018

    • Author(s)
      Yamamoto Hidekazu、Uchida Koshi、Kawabata Seiichi、Isono Kaori、Miura Kohei、Hayashida Shintaro、Oya Yuki、Sugawara Yasuhiko、Inomata Yukihiro
    • Journal Title

      Transplantation

      Volume: 102 Issue: 1 Pages: 97-104

    • DOI

      10.1097/tp.0000000000001956

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Duodenal Ulcer as a Postoperative Complication in the Donor in Living-Donor Liver Transplantation2018

    • Author(s)
      Kadohisa M.、Sugawara Y.、Shimata K.、Kawabata S.、Narita Y.、Uto K.、Yoshii D.、Hayashida S.、Oya Y.、Yamamoto H.、Yamamoto H.、Inomata Y.、Hibi T.
    • Journal Title

      Transplantation Proceedings

      Volume: 50 Issue: 4 Pages: 1129-1131

    • DOI

      10.1016/j.transproceed.2018.01.026

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Adult Living Donor Liver Transplantation for Patients With Portal Vein Thrombosis2018

    • Author(s)
      Miura Kohei、Sugawara Yasuhiko、Uchida Koushi、Kawabata Seiichi、Yoshii Daiki、Isono Kaori、Hayashida Shintaro、Ohya Yuki、Yamamoto Hidekazu、Kobayashi Takashi、Wakai Toshifumi、Inomata Yukihiro、Hibi Taizo
    • Journal Title

      Transplantation Direct

      Volume: 4 Issue: 5 Pages: e341-e341

    • DOI

      10.1097/txd.0000000000000780

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Long-term Outcomes of ABO-incompatible Pediatric Living Donor Liver Transplantation2018

    • Author(s)
      Honda Masaki、Sugawara Yasuhiko、Kadohisa Masashi、Shimata Keita、Sakisaka Masataka、Yoshii Daiki、Uto Keiichi、Hayashida Shintaro、Ohya Yuki、Yamamoto Hidekazu、Yamamoto Hirotoshi、Inomata Yukihiro、Hibi Taizo
    • Journal Title

      Transplantation

      Volume: 102 Issue: 10 Pages: 1702-1709

    • DOI

      10.1097/tp.0000000000002197

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 乳児生体肝移植後早期の門脈血栓症に対する門脈ステント留置2018

    • Author(s)
      大矢 雄希, 内田 皓士, 川端 誠一, 橋本 晋太朗, 三浦 宏平, 磯野 香織, 林田 信太郎, 山本 栄和, 菅原 寧彦, 猪股 裕紀洋
    • Journal Title

      日本小児外科学会雑誌

      Volume: 54 Pages: 59-63

    • NAID

      130006386774

    • Related Report
      2018 Annual Research Report 2017 Research-status Report
  • [Journal Article] 特集 肝移植手術に学ぶ ドミノ肝移植2017

    • Author(s)
      林田信太郎、宇戸啓一、橋本晋太郎、大矢雄希、菅原寧彦、猪股裕紀洋
    • Journal Title

      手術

      Volume: 71 Issue: 10 Pages: 1435-1442

    • DOI

      10.18888/op.0000000210

    • ISSN
      0037-4423
    • Year and Date
      2017-09-15
    • Related Report
      2017 Research-status Report
  • [Journal Article] Fatal graft-versus-host disease after living-donor liver transplantation from an HLA-DR-mismatched donor2017

    • Author(s)
      Shimata Keita、Sakamoto Rieko、Anan Tadashi、Uchida Koushi、Honda Masaki、Kouroki Masahiko、Urabe Tomonari、Hayashida Shintaro、Yamamoto Hidekazu、Sugawara Yasuhiko、Inomata Yukihiro
    • Journal Title

      Pediatric Transplantation

      Volume: 21 Issue: 7

    • DOI

      10.1111/petr.13039

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] The outcomes of pediatric liver retransplantation from a living donor: a 17-year single-center experience2017

    • Author(s)
      Miura Kohei、Sakamoto Seisuke、Shimata Keita、Honda Masaki、Kobayashi Takashi、Wakai Toshifumi、Sugawara Yasuhiko、Inomata Yukihiro
    • Journal Title

      Surgery Today

      Volume: 47 Issue: 11 Pages: 1405-1414

    • DOI

      10.1007/s00595-017-1533-7

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Outcomes of treatment with daclatasvir and asunaprevir for recurrent hepatitis C after liver transplantation2017

    • Author(s)
      Honda M, Sugawara Y, Watanabe T, Tateyama M, Tanaka M, Uchida K, Kawabata S, Yoshii D, Miura K, Isono K, Hayashida S, Ohya Y, Yamamoto H, Sasaki Y, Inomata Y
    • Journal Title

      Hepatology Research

      Volume: - Issue: 11 Pages: 1147-1154

    • DOI

      10.1111/hepr.12853

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 小児肝悪性腫瘍に対する肝移植の役割と課題2017

    • Author(s)
      猪股裕紀洋
    • Journal Title

      The Japanese Journal of Pediatric Hematology / Oncology

      Volume: 54 Issue: 3 Pages: 219-223

    • DOI

      10.11412/jspho.54.219

    • NAID

      130006247866

    • ISSN
      2187-011X, 2189-5384
    • Related Report
      2017 Research-status Report
  • [Journal Article] 炎症性疾患 肝移植2017

    • Author(s)
      菅原寧彦、猪股裕紀洋
    • Journal Title

      診断と治療

      Volume: 105 Pages: 242-246

    • Related Report
      2017 Research-status Report
  • [Journal Article] 肝移植症例登録報告2017

    • Author(s)
      猪股裕紀洋、江口晋、 梅下浩司、大段秀樹、上本伸二
    • Journal Title

      移植

      Volume: 52 Pages: 134-147

    • NAID

      10030209389

    • Related Report
      2017 Research-status Report
  • [Journal Article] 胆道閉鎖症診療ガイドライン2017

    • Author(s)
      安藤久實、 猪股裕紀洋、岩中督、黒田達夫、仁尾正記、松井陽、吉田雅博、佐々木英之
    • Journal Title

      小児外科

      Volume: 49 Pages: 783-786

    • Related Report
      2017 Research-status Report
  • [Journal Article] 急性肝不全に対する肝移植の適応2017

    • Author(s)
      菅原寧彦、猪股裕紀洋
    • Journal Title

      ICUとCCU

      Volume: 41 Pages: 617-622

    • Related Report
      2017 Research-status Report
  • [Journal Article] Ledipasvir and sofosbuvir for recurrent hepatitis C after liver transplantation2016

    • Author(s)
      Yuki Oya、Yasuhiko Sugawara、Takehisa Watanabe、Yoko Yoshimaru、Masaki Honda、Shintaro Hashimoto、Daiki Yoshii、Kaori Isono、Shintaro Hayashida、Hidekazu Yamamoto、Motohiko Tanaka、Yutaka Sasaki、Yukihiro Inomata
    • Journal Title

      BioScience Trends

      Volume: 10 Issue: 6 Pages: 496-499

    • DOI

      10.5582/bst.2016.01223

    • NAID

      130005295919

    • ISSN
      1881-7815, 1881-7823
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] SOX9-positive hepatocytes mediate the progression of ductular reaction in biliary atresia2016

    • Author(s)
      Daiki Yoshii, Yuji Yokouchi, Hiroko Suda, Yukihiro Inomata
    • Journal Title

      International Journal of Clinical and Experimental Pathology

      Volume: 9 Pages: 5077-5086

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 劇症肝不全を呈し生体肝移植で救命しえた新生児ヘモクロマトーシス2016

    • Author(s)
      大坪 善数, 坂本 理恵子, 神戸 太郎, 角 至一郎, 河崎 達弥, 猪股 裕紀洋, 三渕 浩
    • Journal Title

      日本小児科学会雑誌

      Volume: 120 Pages: 876-881

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 肝移植症例登録報告2016

    • Author(s)
      猪股 裕紀洋, 梅下 浩司, 上本 伸二
    • Journal Title

      移植

      Volume: 51 Pages: 145-159

    • NAID

      10030209389

    • Related Report
      2016 Research-status Report
  • [Journal Article] Antibody-mediated rejection after ABO-incompatible pediatric living donor liver transplantation for propionic acidemia: A case report.2016

    • Author(s)
      Honda M, Sakamoto S, Sakamoto R, Matsumoto S, Irie T, Uchida K, Shimata K, Kawabata S, Isono K, Hayashida S, Yamamoto H, Endo F, Inomata Y.
    • Journal Title

      Pediatric Transplantation

      Volume: 20 Issue: 6 Pages: 840-845

    • DOI

      10.1111/petr.12722

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Liver transplantation for a patient with Turner syndrome presenting severe portal hypertension: a case report and literature review.2016

    • Author(s)
      Kawabata S, Sakamoto S, Honda M, Hayashida S, Yamamoto H, Mikami Y, Inomata Y.
    • Journal Title

      Surgical case reports

      Volume: 2 Issue: 1 Pages: 68-68

    • DOI

      10.1186/s40792-016-0194-x

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Improvement in the prognosis and development of patients with methylmalonic acidemia after living donor liver transplant.2016

    • Author(s)
      Sakamoto R, Nakamura K, Kido J, Matsumoto S, Mitsubuchi H, Inomata Y, Endo F.
    • Journal Title

      Pediatric Transplantation

      Volume: 20 Issue: 8 Pages: 1081-1086

    • DOI

      10.1111/petr.12804

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] Ki67 (MIB-1) indexによる胆道閉鎖症の葛西手術後の予後予測2018

    • Author(s)
      吉井大貴, 猪股 裕紀洋, 嶋田 圭太, 平尾 洸樹, 入江 友章, 伊吹 省, 門久 政司, 川端 誠一, 成田 泰子, 本田 正樹, 林田 信太郎, 大矢 雄希, 山本 栄和, 山本 裕俊, 菅原 寧彦, 菰原 義弘, 日比 泰造
    • Organizer
      第45回日本胆道閉鎖症研究会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 総排泄腔外反 当院で経験した総排泄腔外反症術後の泌尿生殖器における問題点2018

    • Author(s)
      本田正樹, 平尾 洸樹, 林田 信太郎, 大矢 雄希, 猪股 裕紀洋, 山本 裕俊
    • Organizer
      第34回日本小児外科学会秋季シンポジウム
    • Related Report
      2018 Annual Research Report
  • [Presentation] 小児移植後長期経過例の諸問題 小児肝移植症例における長期経過後の再移植症例の検討2018

    • Author(s)
      林田 信太郎, 平尾 洸樹, 入江 友章, 門久 政司, 川端 誠一, 嶋田 圭太, 成田 泰子, 本田 正樹, 大矢 雄希, 山本 栄和, 山本 裕俊, 菅原 寧彦, 日比 泰造, 猪股 裕紀洋
    • Organizer
      第54回日本移植学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] マウス肝切除モデルを用いた肝再生におけるmicroRNA221の役割の検討2018

    • Author(s)
      大矢 雄希, 津川 大介, 増崎 亮太, 平尾 洸樹, 入江 友章, 嶋田 圭太, 成田 泰子, 磯野 香織, 本田 正樹, 林田 信太郎, 山本 栄和, 山本 裕俊, 菅原 寧彦, 日比 泰造, 猪股 裕紀洋, Karp Seth
    • Organizer
      第54回日本移植学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 低出生体重で出生した胆道閉鎖症児に対する治療戦略2017

    • Author(s)
      林田信太郎、内田 皓士、川端 誠一、吉井 大貴、三浦 宏平、磯野 香織、大矢 雄希、山本 栄和、菅原 寧彦、猪股 裕紀洋
    • Organizer
      第117回日本外科学会定期学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 当院における胆道閉鎖症に対する生体肝移植術の成績 -移植時年齢の影響について-2016

    • Author(s)
      橋本晋太朗,本田正樹,内田皓士,嶋田圭太,吉井大貴,磯野香織,林田信太郎,大矢雄希,山本栄和,阪本靖介,猪股裕紀洋
    • Organizer
      第53回日本小児外科学会学術集会
    • Place of Presentation
      福岡
    • Year and Date
      2016-05-24
    • Related Report
      2016 Research-status Report
  • [Presentation] Current status of primary liver transplantation for biliary atresia in Japan2016

    • Author(s)
      Keiichi Uto, Shintaro Hashimoto, Masataka Sakisaka, Daiki Yoshii, Yasuko Narita, Koushi Uchida, Seiichi Kawabata, Keita Shimata, Kaori Isono, Masaki Honda, Shintaro Hayashida, Yuki Oya, Hidekazu Yamamoto, Seisuke Sakamoto, Yukihiro Inomata
    • Organizer
      49th Annual Meeting of the Pacific Association of Pediatric Surgeons
    • Place of Presentation
      Koloa, Hawaii
    • Year and Date
      2016-04-27
    • Related Report
      2016 Research-status Report
  • [Presentation] 葛西術後胆道閉鎖症患者の予後および自己肝生存期間についての検討2016

    • Author(s)
      吉井大貴、内田皓士、川端誠一、三浦宏平、磯野香織、本田正樹、林田信太郎、大矢雄希、山本栄和、菅原寧彦、猪股裕紀洋
    • Organizer
      第116回日本外科学会定期学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report
  • [Book] スタンダード小児がん手術 (p40-46)大出血や周辺」臓器損傷の緊急対応-2017

    • Author(s)
      猪股裕紀洋、林田信太郎 (田口智章、黒田達夫編集)
    • Total Pages
      313
    • Publisher
      MEDICAL VIEW
    • Related Report
      2017 Research-status Report
  • [Remarks] 胆道閉鎖症におけるSOX9

    • URL

      http://www2.kuh.kumamoto-u.ac.jp/ishoku/research/index.html

    • Related Report
      2018 Annual Research Report 2017 Research-status Report 2016 Research-status Report

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

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