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The effect of duodenal-jejunal bypass on DM and NASH regarding gut immunosystem via FXR.

Research Project

Project/Area Number 16K19896
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field General surgery
Research InstitutionThe University of Tokushima

Principal Investigator

KASHIHARA Hideya  徳島大学, 病院, 特任助教 (10548738)

Project Period (FY) 2016-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
KeywordsMetabolic surgery / DJ / microbiota / gut inflammtion / DJB / FXR / 炎症性サイトカイン / microbiome / NASH / Proteobacteria / microbiora
Outline of Final Research Achievements

12 obese and diabetic rats were divided into three groups; DJB (D group, n=4), Sham (S group, n=4) and Liraglutide injection group (L group, n=4). In postoperative 8 weeks, Blood, gut, liver and stool were harvested.
Blood glucose in D and L group were lower than that in S group. D and L group improved insulin resistance. Furthermore, AST and hyaluronic acids in D group were significantly low and D group showed mild score in NASH grading/staging compared with other two groups. D group changed gut microbiota and increased the proportion of Proteobacteria. However, FXR expression in DJB group was not higher than other two group. Therefore, FXR did not affect improvement of DM and NASH in bypass surgery. In addition, D group showed decrease of IFNγ, IL1β and TNFα and strong expression of claudin-1. So, DJB might maintain the gut barrier function.DJB might improve insulin resistance by change of gut microbiota, suppression of gut inflammation and maintenance of gut barrier function.

Report

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

    (19 results)

All 2018 2017 2016

All Journal Article (10 results) (of which Peer Reviewed: 10 results) Presentation (9 results)

  • [Journal Article] Usefulness of the Transoral Anvil Delivery System for Esophagojejunostomy After Laparoscopic Total Gastrectomy2018

    • Author(s)
      Yoshikawa Kozo、Shimada Mitsuo、Higashijima Jun、Tokunaga Takuya、Nishi Masaaki、Takasu Chie、Kashihara Hideya、Ishikawa Daichi
    • Journal Title

      Surg Laparosc Endosc Percutan Tech.

      Volume: 28(2) Issue: 2 Pages: e40-e43

    • DOI

      10.1097/sle.0000000000000495

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Ki-67 and Survivin as Predictive Factors for Rectal Cancer Treated with Preoperative Chemoradiotherapy2018

    • Author(s)
      Yoshikawa K, Shimada M, Higashijima J, Nakao T, Nishi M, Takasu C, Kashihara H, Eto S, Bando Y.
    • Journal Title

      Anticancer Research

      Volume: 38(3) Issue: 3 Pages: 1735-1739

    • DOI

      10.21873/anticanres.12409

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Results of Hepatic Resection for Liver Metastasis of Gastric Cancer.2018

    • Author(s)
      Nishi M, Shimada M, Yoshikawa K, Higashijima J, Tokunaga T, Kashihara H, Takasu C, Ishikawa D, Wada Y, Eto S.
    • Journal Title

      J Med Invest.

      Volume: 65(1.2) Pages: 27-31

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Correlation Between Thrombospondin-1 Expression in Non-cancer Tissue and Gastric Carcinogenesis2017

    • Author(s)
      Kashihara H, Shimada M, Yoshikawa K, Higashijima J, Tokunaga T, Nishi M, Takasu C, Ishikawa D.
    • Journal Title

      Anticancer Research

      Volume: 37(7) Issue: 7 Pages: 3547-3552

    • DOI

      10.21873/anticanres.11724

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Risk factors for recurrence of gastric cancer after curative laparoscopic gastrectomy.2017

    • Author(s)
      Kashihara H, Shimada M, Yoshikawa K, Higashijima J, Tokunaga T, Nishi M, Takasu C.
    • Journal Title

      J Med Invest.

      Volume: 64(1.2) Pages: 79-84

    • NAID

      130005501978

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] High STAT4 Expression Indicates Better Disease-free Survival in Patients with Gastric Cancer2017

    • Author(s)
      Nishi M, Batsaikhan BE, Yoshikawa K, Higashijima J, Tokunaga T, Takasu C, Kashihara H, Ishikawa D, Shimada M
    • Journal Title

      Anticancer Research

      Volume: 37 Issue: 12 Pages: 6723-6729

    • DOI

      10.21873/anticanres.12131

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Duodenal-jejunal bypass changes the composition of the gut microbiota.2017

    • Author(s)
      Kashihara H, Shimada M, Yoshikawa K, Higashijima J, Nakao T, Nishi M, Takasu C.
    • Journal Title

      Surg Today.

      Volume: 47 Pages: 137-140

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Propensity score-matched study of laparoscopic and open surgery for colorectal cancer in rural hospitals.2016

    • Author(s)
      Nakao T, Shimada M, Yoshikawa K, Higashijima J, Tokunaga T, Nishi M, Takasu C, Kashihara H, Suzuka I, Nishizaki T, Okitsu H, Yagi T, Miyake H, Miura M, Fukuyama M, Wada D, Bando Y.
    • Journal Title

      Journal of Gastroentelorogy and Hepatology

      Volume: 31 Issue: 10 Pages: 1700-1704

    • DOI

      10.1111/jgh.13322

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Limited lymph node dissection in elderly patients with gastric cancer2016

    • Author(s)
      Yoshikawa K, Shimada M, Higashijima J, Nakao T, Nishi M, Kashihara H, Takasu C
    • Journal Title

      The Journal of Medical Investigation

      Volume: 63 Issue: 1.2 Pages: 91-95

    • DOI

      10.2152/jmi.63.91

    • NAID

      130005141046

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Combined liver mobilization and retraction: A novel technique to obtain the optimal surgical field during laparoscopic total gastrectomy.2016

    • Author(s)
      Yoshikawa K, Shimada M, Higashijima J, Nakao T, Nishi M, Takasu C, Kashihara H, Eto S.
    • Journal Title

      Asian J Endosc Surg.

      Volume: 印刷中 Issue: 2 Pages: 111-115

    • DOI

      10.1111/ases.12271

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 肥満手術のインスリン抵抗性・NASH改善効果におけるマイクロバイオームの重要性2018

    • Author(s)
      柏原秀也, 島田光生, 吉川幸造, 東島潤, 徳永卓哉, 西正暁, 髙須千絵, 石川大地, 和田佑馬
    • Organizer
      第104回日本消化器病学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 肥満患者に対する腹腔鏡下胃・大腸切除術における 術前減量プログラムの効果2018

    • Author(s)
      柏原秀也, 島田光生, 吉川幸造, 東島潤, 徳永卓哉, 西正暁, 髙須千絵, 石川大地
    • Organizer
      第118回日本外科学会定期学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Preoperative bariatric program for obese patients in laparoscopic gastrectomy2018

    • Author(s)
      柏原秀也, 島田光生, 吉川幸造, 東島潤, 徳永卓哉, 西正暁, 髙須千絵, 石川大地
    • Organizer
      第90回日本胃癌学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] ガーゼ剥離を用いた膨潤TAPP―再発症例より学ぶ至適剥離・メッシュ展開―2017

    • Author(s)
      柏原秀也, 島田光生, 吉川幸造, 東島潤, 徳永卓哉, 西正暁, 高須千絵, 石川大地
    • Organizer
      第30回日本内視鏡外科学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] ガーゼ剥離を用いた膨潤TAPP2017

    • Author(s)
      柏原秀也, 島田光生, 吉川幸造, 東島潤, 徳永卓哉, 西正暁, 高須千絵, 石川大地
    • Organizer
      第79回日本臨床外科学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 胃癌術後Roux en Y再建による早期耐糖能異常改善効果2016

    • Author(s)
      柏原秀也、島田光生、吉川幸造、東島 潤、徳永卓哉、西 正暁、高須千絵
    • Organizer
      第78回日本臨床外科学会総会
    • Place of Presentation
      グランドプリンスホテル新高輪 国際館パミール(東京都港区)
    • Year and Date
      2016-11-24
    • Related Report
      2016 Research-status Report
  • [Presentation] A possible effect of metabolic surgery on diabetes and NASH2016

    • Author(s)
      Hideya Kashihara, Mitsuo Shimada, Kozo Yoshikawa, Jun Higashijima, Toshihiro Nakao, Masaaki Nishi, Chie Takasu
    • Organizer
      第71回日本消化器外科学会総会
    • Place of Presentation
      アスティ徳島(徳島県徳島市)
    • Year and Date
      2016-07-16
    • Related Report
      2016 Research-status Report
  • [Presentation] NAFLD/NASHに対する治療オプションとしてのBariatric surgeryの可能性2016

    • Author(s)
      柏原秀也、島田光生、良元俊昭
    • Organizer
      第102回日本消化器病学会総会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2016-04-22
    • Related Report
      2016 Research-status Report
  • [Presentation] Roux en Y再建は術後早期より耐糖能異常を改善する2016

    • Author(s)
      柏原秀也、島田光生、吉川幸造、東島 潤、中尾寿宏、徳永卓哉、西 正暁、高須千絵
    • Organizer
      第116回日本外科学会学術集会
    • Place of Presentation
      大阪国際会議場(大阪府大阪市)
    • Year and Date
      2016-04-14
    • Related Report
      2016 Research-status Report

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

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