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Mechanism of emergence of hepatitis C virus with resistance-associated substitution after liver transplantation

Research Project

Project/Area Number 17K09420
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionKobe University (2019)
Kyoto University (2017-2018)

Principal Investigator

Ueda Yoshihide  神戸大学, 医学研究科, 特命教授 (90378662)

Project Period (FY) 2017-04-01 – 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 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
KeywordsC型肝炎 / 肝移植 / direct acting antiviral / 耐性変異 / インターフェロンフリー治療
Outline of Final Research Achievements

Efficacy and safety of 12-week-regimen of sofosbuvir and ledipasvir, and 8- or 12-week regimen of glecaprevir and pibrentasvir were efficacious and safe in patients with recurrent hepatitis C after liver transplantation in our institution and in Japanese multicenter analysis. Diversity of HCV RNA in post-liver transplant and non-liver transplant patients were analyzed by using third-generation sequencing technique. We revealed that multi-drug resistant HCV clones at treatment failure originated from a subpopulation of pre-existing HCV with resistance-associated substitution, and those HCV were selected for and became dominant with the acquisition of multiple resistance-associated substitutions.

Academic Significance and Societal Importance of the Research Achievements

C型肝炎ウイルス(HCV)による肝硬変・肝癌症例に対して肝移植が行われた場合には、ほぼ全例で移植後にC型肝炎が再発すること、再発後の進行が速いこと、抗HCV治療の効果が低く副作用が多いことから、肝移植後の長期生存率が低いことが明らかになっていた。本研究では、新しい抗HCV治療が肝移植後C型肝炎に対しても効果的で安全であることを明らかにした。さらに、治療不成功の原因となる薬剤耐性ウイルス出現の機序を、新しい遺伝子解析技術を用いて明らかにした。今後、肝移植後の生存率の向上が期待できる。

Report

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

    (24 results)

All 2020 2019 2018 2017

All Journal Article (13 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 8 results,  Open Access: 2 results) Presentation (10 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results) Book (1 results)

  • [Journal Article] Single-molecular real-time deep sequencing reveals the dynamics of multidrug resistant haplotypes and structural variations in the hepatitis C virus genome.2020

    • Author(s)
      Yamashita T, Takeda H, Takai A, Arasawa S, Nakamura F, Mashimo Y, Hozan M, Ohtsuru S, Seno H,Ueda Y, Sekine A
    • Journal Title

      Sci. Rep,

      Volume: 10 Issue: 1 Pages: 2651-2651

    • DOI

      10.1038/s41598-020-59397-2

    • NAID

      120006844879

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 肝移植前後のウイルス肝炎対策2020

    • Author(s)
      上田 佳秀
    • Journal Title

      日本医師会雑誌

      Volume: 148 Pages: 2178-2178

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 肝移植患者と抗ウイルス療法(HBV, HCV)2020

    • Author(s)
      上田 佳秀、安冨 栄一郎、畑澤 友里、林 宏樹、塩見 優紀、矢野 嘉彦
    • Journal Title

      月刊「消化器・肝臓内科」

      Volume: 7 Pages: 281-288

    • Related Report
      2019 Annual Research Report
  • [Journal Article] New sequencing technology, third-generation Nanopore sequencing, for hepatitis C virus research.2019

    • Author(s)
      Ueda Y
    • Journal Title

      Hepatol Res.

      Volume: 49 Issue: 9 Pages: 961-963

    • DOI

      10.1111/hepr.13383

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Exploring the hepatitis C virus genome using single molecule real-time sequencing.2019

    • Author(s)
      Takeda H, Yamashita T, Ueda Y, Sekine A
    • Journal Title

      World J Gastroenterol

      Volume: 25 Issue: 32 Pages: 4661-4672

    • DOI

      10.3748/wjg.v25.i32.4661

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Special Populationに対するDAA治療 肝移植後症例に対する治療成績2019

    • Author(s)
      上田 佳秀、恵荘 裕嗣、高井 淳、高橋 健、妹尾 浩
    • Journal Title

      肝胆膵

      Volume: 78 Pages: 569-574

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 肝移植例での治療2019

    • Author(s)
      上田 佳秀、恵荘 裕嗣、高井 淳、高橋 健、妹尾 浩
    • Journal Title

      月刊「消化器・肝臓内科」

      Volume: 5 Pages: 633-637

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Efficacy and safety of glecaprevir and pibrentasvir treatment for 8 or 12 weeks in patients with recurrent hepatitis C after liver transplantation: A Japanese multicenter experience.2019

    • Author(s)
      Ueda Y, Kobayashi T, Ikegami T, Miuma S, Mizuno S, Akamatsu N, Tkaki A, Ishigami M, Takatsuki M, Sugawara Y, Maehara Y, Uemoto S, Seno H.
    • Journal Title

      J Gastroenterol.

      Volume: 印刷中 Issue: 7 Pages: 660-666

    • DOI

      10.1007/s00535-019-01561-1

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] 特集:C型肝炎の新たな壁を越える次世代DAA治療. 肝移植後症例に対する治療成績2018

    • Author(s)
      上田佳秀
    • Journal Title

      肝胆膵

      Volume: 76 Pages: 255-260

    • Related Report
      2018 Research-status Report
  • [Journal Article] Impact of Donor Age on Recipient Survival in Adult-to-adult Living-donor Liver Transplantation.2017

    • Author(s)
      Kubota T, Hata K, Sozu T, Ueda Y, Hirao H, Okamura Y, Tamaki I, Yoshikawa J, Kusakabe J, Uemoto S, et al.
    • Journal Title

      Annals of Surgery

      Volume: In Press Issue: 6 Pages: 1126-1133

    • DOI

      10.1097/sla.0000000000002194

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Treatment with sofosbuvir and ledipasvir without ribavirin for 12?weeks is highly effective for recurrent hepatitis C virus genotype 1b infection after living donor liver transplantation: a Japanese multicenter experience2017

    • Author(s)
      Ueda Yoshihide、Ikegami Toru、Akamatsu Nobuhisa、Soyama Akihiko、Shinoda Masahiro、Goto Ryoichi、Okajima Hideaki、Yoshizumi Tomoharu、Taketomi Akinobu、Kitagawa Yuko、Eguchi Susumu、Kokudo Norihiro、Uemoto Shinji、Maehara Yoshihiko
    • Journal Title

      Journal of Gastroenterology

      Volume: 52 Issue: 8 Pages: 986-991

    • DOI

      10.1007/s00535-017-1310-9

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Asunaprevir and daclatasvir for recurrent hepatitis C after liver transplantation: A Japanese multicenter experience2017

    • Author(s)
      Ikegami Toru、Ueda Yoshihide、Akamatsu Nobuhisa、Ishiyama Kohei、Goto Ryoichi、Soyama Akihiko、Kuramitsu Kaori、Honda Masaki、Shinoda Masahiro、Yoshizumi Tomoharu、Okajima Hideaki、Kitagawa Yuko、Inomata Yukihiro、Ku Yonson、Eguchi Susumu、Taketomi Akinobu、Ohdan Hideki、Kokudo Norihiro、Shimada Mitsuo、et al.
    • Journal Title

      Clinical Transplantation

      Volume: 31 Issue: 11

    • DOI

      10.1111/ctr.13109

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hepatitis C Treatment with Sofosbuvir and Ledipasvir Accompanied by Immediate Improvement in Hemoglobin A1c2017

    • Author(s)
      Ikeda Atsuyuki、Ikeda Kaori、Takai Atsushi、Takahashi Ken、Ueda Yoshihide、Marusawa Hiroyuki、Seno Horoshi、Inagaki Nobuya、Kokuryu Hiroyuki
    • Journal Title

      Digestion

      Volume: 96 Issue: 4 Pages: 228-230

    • DOI

      10.1159/000484237

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Anti-HCV Therapy after Liver Transplantation2019

    • Author(s)
      Yoshihide Ueda
    • Organizer
      APASL Single Topic Conference, Immunology and Genetics
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 免疫抑制状態における肝炎の安全性について2019

    • Author(s)
      上田 佳秀
    • Organizer
      日本消化器病学会東北支部 第207例会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 肝移植後C型肝炎に対する抗ウイルス治療の効果と安全性2019

    • Author(s)
      上田 佳秀、海道 利実、八木 真太郎、秦 浩一郎、穴澤 貴行、伊藤孝司、山敷 宣代、恵荘 裕嗣、高井 淳、高橋 健、羽賀 博典、妹尾 浩、上本 伸二
    • Organizer
      第37回日本肝移植学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] C型肝炎の最新知識 ~ウイルス発見から29年の医学の進歩~2018

    • Author(s)
      上田佳秀
    • Organizer
      第27回日本組織適合性学会大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 第三世代シーケンサーを用いた肝移植後C型肝炎ウイルスの耐性獲得機序の検討2018

    • Author(s)
      中村文保、上田佳秀、丸澤宏之
    • Organizer
      JDDW2018
    • Related Report
      2018 Research-status Report
  • [Presentation] Single molecule real-time sequencing unveils the evolution of multi-drug resistant hepatitis C virus clones during direct-acting antiviral therapy2018

    • Author(s)
      竹田治彦, 上田佳秀, 高井淳, 大鶴繁, 関根章博, 丸澤宏之,妹尾浩
    • Organizer
      UEG Week 2018
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 臓器移植における肝炎ウイルスUpdate2018

    • Author(s)
      上田佳秀
    • Organizer
      第54回日本移植学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Treatment with sofosbuvir and ledipasvir without ribavirin for 12 weeks is highly effective for recurrent hepatitis C after living donor liver transplantation: a Japanese multicenter experience.2017

    • Author(s)
      Yoshihide Ueda, Toru Ikegami, Nobuhisa Akamatsu, Akihiko Soyama, Masahiro Shinoda, Ryoichi Goto, Hideaki Okajima, Tomoharu Yoshizumi, Akinobu Taketomi, Yuko Kitagawa, Susumu Eguchi, Norihiro Kokudo, Shinji Uemoto, Yoshihiko Maehara.
    • Organizer
      EASL The Internationala liver congress 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 肝移植後C型肝炎に対するsofosbuvir-based therapyの効果と安全性2017

    • Author(s)
      上田 佳秀、丸澤 宏之、上本 伸二
    • Organizer
      第53回日本肝臓学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 肝移植後C型肝炎に対するインターフェロンフリー治療の現状と問題点2017

    • Author(s)
      上田 佳秀、海道 利実、岡島 英明、秦 浩一郎、八木 真太郎、穴澤 貴行、吉澤 淳、山敷 宣代、羽賀 博典、丸澤 宏之、妹尾 浩、上本 伸二
    • Organizer
      第53回日本移植学会総会
    • Related Report
      2017 Research-status Report
  • [Book] 成人臓器移植予防接種ガイドライン 2018年版2018

    • Author(s)
      江川 裕人, 佐藤 滋, 後藤 憲彦, 伊藤 健太, 上田 佳秀, 亀井 宏一, 長浜 正彦
    • Total Pages
      89
    • Publisher
      株式会社メディカルレビュー社
    • ISBN
      9784779221514
    • Related Report
      2018 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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