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Clarification of the mechanism to cause symptoms in patients with pancreaticobiliary maljunction

Research Project

Project/Area Number 17591860
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatric surgery
Research InstitutionNagoya University

Principal Investigator

KANEKO Kenitiro  Nagoya University, University Hospital, Assistant Professor, 医学部附属病院, 講師 (90335042)

Co-Investigator(Kenkyū-buntansha) ANDO Hisami  Nagoya University, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (60184321)
TAINAKA Takahisa  Nagoya University, University Hospital, Medical Staff, 医学部附属病院, 医員 (30378195)
Project Period (FY) 2005 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2006: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 2005: ¥1,500,000 (Direct Cost: ¥1,500,000)
KeywordsPancreaticobiliary maljunction / Choledochal cyst / Protein plug / Lithostathine / Proteome / Pediatric surgery / Pathophysiology / SDS-PAGE
Research Abstract

Symptoms of choledochal cysts are caused by protein plugs. We performed proteomic analysis of protein plugs to elucidate formation mechanism. Protein plugs were obtained from three pediatric patients. with choledochal cyst. Proteins were separated using sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Gel bands common to the samples were excised for mass spectrometry. Mass spectra were compared with the NCBI database for protein identification. Gel bands of protein plug samples were predominant at 14 kilodaltons, followed by 29 kilodaltons. Four other thin bands were common to the plug samples. Four bands (including 14 and 29 kilodaltons) were identified as lithostathine, and one band as serum albumin. Plugs consisted mostly of lithostathine, a protein secreted by pancreatic acinar cells into pancreatic juice. The mechanism involves trypsinogen and lithostathine regurgitating into the cyst through an aberrant union of pancreaticobiliary ducts. Activated trypsin cleaves soluble lithostathine into insoluble forms that aggregate to form plugs.

Report

(3 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • Research Products

    (11 results)

All 2007 2006 2005

All Journal Article (11 results)

  • [Journal Article] Intrahepatic cystic lesions after hepatic portoenterostomy for biliary atresia include two entities : bile lake and dilated bile ducts.2007

    • Author(s)
      T.Tainaka
    • Journal Title

      J Pediatr Gastroenterol Nutr 44

      Pages: 104-107

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Proteomic analysis of protein plugs : causative agent of symptoms in patients with choledochal cyst.2007

    • Author(s)
      K.Kaneko
    • Journal Title

      Dig Dis Sci (In press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Proteomic analysis of protein plugs : causative agent of symptoms in patients with choledochal cyst.2007

    • Author(s)
      K.Kaneko
    • Journal Title

      Dig Dis Sci (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Intrahepatic cystic lesions after hepatic portoenterostomy for biliary, atresia include two entities : bile lake and dilated bile ducts.2007

    • Author(s)
      T.Tainaka
    • Journal Title

      J Pediatr Gastroenterol Nutr 44

      Pages: 104-107

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Extrahepatic portal vein morphology in children with extrahepatic portal hypertension assessed by 3-dimensional computed tomographic portography : a new etiology of extrahepatic portal hypertension.2006

    • Author(s)
      T.Shinohara
    • Journal Title

      J Pediatr Surg 41

      Pages: 812-816

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Hepatolithiasis after hepatic portoenterostomy for biliary atresia.2006

    • Author(s)
      T.Tainaka
    • Journal Title

      J Pediatr Surg 41

      Pages: 808-811

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Endoscopic resection of intrahepatic septal stenosis : minimally invasive approach to manage hepatolithiasis after choledochal cyst excision.2006

    • Author(s)
      Y.Ono
    • Journal Title

      Pediatr Surg Int 22

      Pages: 939-941

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Living donor liver transplantation for congenital absence of the portal vein in a child with cardiac failure.2006

    • Author(s)
      W.Sumida
    • Journal Title

      J Pediatr Surg 41

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Annual Research Report 2006 Final Research Report Summary
  • [Journal Article] Hepatolithiasis after hepatic portoenterostomy for biliary atresia2006

    • Author(s)
      T.Tainaka
    • Journal Title

      J Pediatr Surg 41

      Pages: 808-811

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Bile infection contributes to intrahepatic calculi formation after excision of choledochal cyst.2005

    • Author(s)
      K.Kaneko
    • Journal Title

      Pediatr Surg Int 21

      Pages: 8-11

    • NAID

      10019041871

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Bile infection contributes to intrahepatic calculi formation after excision of choledochal cysts2005

    • Author(s)
      Kenitiro Kaneko
    • Journal Title

      Pediatric Surgery International 21

      Pages: 8-11

    • NAID

      10019041871

    • Related Report
      2005 Annual Research Report

URL: 

Published: 2005-04-01   Modified: 2016-04-21  

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