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Establishment of metabolomics nutrition of perioperative patients with hepatectomy

Research Project

Project/Area Number 16K12738
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Eating habits
Research InstitutionThe University of Tokushima

Principal Investigator

OKUMURA Hisami  徳島大学, 大学院医歯薬学研究部(医学系), 講師 (30322259)

Project Period (FY) 2016-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords食生活 / 臨床栄養 / 肝疾患 / メタボロミクス / 栄養学
Outline of Final Research Achievements

The nutritional metabolism greatly changes after the surgery, as compared prior to the surgery. Therefore, in order to evaluate the problem of metabolic disorder in the hepatic resection after the surgery, metabolome analysis in blood and urine was performed before and after hepatectomy. Furthermore, blood biochemical examination was also examined. In addition, resting energy expenditure (REE) and non-protein respiratory quotient (npRQ) were measured using an indirect calorimeter.
On day 14, postoperatively, there was no change in REE. However, npRQ was declining and starvation was observed in the early morning at fasting state. Valine and leucine also declined on the 14 postoperative day and did not recover. It was thought that administration of late evening snack including BCAA which improves postoperative fluctuation by indirect calorimeter and metabolome analysis is necessary.

Report

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

    (12 results)

All 2018 2017 2016

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (10 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Changes of liver metabolites following hepatectomy with ischemia reperfusion towards liver regeneration2018

    • Author(s)
      Y Saito, Y Morine, S Iwahashi, T Ikemoto, S Imura, H Yamanaka-Okumura, A Hirayama, T Soga, M Tomita, M Shimada
    • Journal Title

      Ann Gastroenterol Surg

      Volume: - Issue: 3 Pages: 1-8

    • DOI

      10.1002/ags3.12058

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Major liver resection reduces nonprotein respiratory quotient and increases nonesterified fatty acid at postoperative day 14 in patients with hepatocellular carcinoma2018

    • Author(s)
      Wada Shoko、Yamanaka-Okumura Hisami、Katayama Takafumi、Morine Yuji、Imura Satoru、Shimada Mitsuo
    • Journal Title

      Clinical Nutrition ESPEN

      Volume: 23 Pages: 194-199

    • DOI

      10.1016/j.clnesp.2017.10.001

    • NAID

      120006937626

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] 肝切除周術期の代謝物はどのように変化するのか? ーメタボローム解析を用いた網羅的な周術期の評価ー2018

    • Author(s)
      奥村仙示
    • Organizer
      第33日本静脈経腸栄養学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 肝硬変患者への夜食(LES)投与により翌朝空腹時のFisher比が改善した1症例2018

    • Author(s)
      牧宏樹、奥村仙示、片山貴文、細田昭仁、小澤優佳、倉田なおみ、雨宮史武
    • Organizer
      第33日本静脈経腸栄養学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Late evening snack with branched chain amino acids improves Fischer ratio at fasting, in the next morning2017

    • Author(s)
      H Maki, H Yamanaka-Okumura, T Katayama, A Hosoda, N Kurata, F Amemiya
    • Organizer
      39th European Congress for Nutrition and Metabolism
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 肝性脳症に対するアミノレバン点滴使用時の増悪因子に関する後方視野的検討2017

    • Author(s)
      牧宏樹、 奥村仙示、片山貴文、細田昭仁、倉田なおみ、雨宮史武
    • Organizer
      第24回山梨NST研究会
    • Related Report
      2017 Annual Research Report
  • [Presentation] メタボローム解析を用いた肝切除後代謝物解析と肝再生因子の解明2017

    • Author(s)
      齋藤 裕、奥村 仙示、森根 裕二、平山 明由、良元 俊昭、吉川 雅登、岩橋 衆一、池本 哲也、居村 暁、島田 光生
    • Organizer
      日本外科代謝栄養学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 患者組織と腫瘍切除前後の血清を用いたメタボローム解析による新規バイオマーカ探索2016

    • Author(s)
      木下翔平、多々納浩、梶浦大資、奥村仙示、奥村仙示、島田光生、森根裕二、平山明由、曽我朋義、冨田勝
    • Organizer
      分子細胞生物学会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2016-11-30
    • Related Report
      2016 Research-status Report
  • [Presentation] 肝細胞癌切除患者における周術期の血清及び尿のメタボローム解析2016

    • Author(s)
      梶浦大資、奥村仙示、平山明由、片山貴文、島田光生、冨田勝、曽我朋義
    • Organizer
      第10回メタボロームシンポジウム
    • Place of Presentation
      慶應義塾大学先端生命科学研究所(山形県・鶴岡市)
    • Year and Date
      2016-10-19
    • Related Report
      2016 Research-status Report
  • [Presentation] Effect of hepatectomy on energy metabolism in patients with liver cancer and cholangiocalcinoma by the difference of resection volume2016

    • Author(s)
      H Yamanaka-Okumura, S Wada, T Katayama, S Imura, Y Morine, M Shimada, T Eakeda
    • Organizer
      38th European Congress for Nutrition and Metabolism
    • Place of Presentation
      Copenhagen(Denmark)
    • Year and Date
      2016-09-18
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Retrospective examination for the exacerbation factors of patients with hepatic encephalopathy during intravenous administration of BCAA-rich solution2016

    • Author(s)
      H Maki, H Yamanaka-Okumura, T Katayama, A Hosoda, N Kurata, F Amemiya
    • Organizer
      Retrospective examination for the exacerbation factors of patients with hepatic encephalopathy during intravenous administration of BCAA-rich solution
    • Place of Presentation
      Copenhagen(Denmark)
    • Year and Date
      2016-09-18
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Metabolome analysis of perioperative serum and urine in hepatectomy patients with hepatocellular carcinoma2016

    • Author(s)
      H Yamanaka-Okumura, A Hirayama, D Kajiura, H Tatano, M Shimada, M Tomita, T Soga
    • Organizer
      11th Metabolomics Society Conference
    • Place of Presentation
      Dublin(Ireland)
    • Year and Date
      2016-07-28
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2019-03-29  

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