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Elucidation of interaction between lymphoma cells and tumor microenvironment involved in organ tropism and development of novel therapies

Research Project

Project/Area Number 17K09922
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Hematology
Research InstitutionNagoya University

Principal Investigator

KAZUYUKI SHIMADA  名古屋大学, 医学部附属病院, 講師 (50631503)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords悪性リンパ腫 / 微小環境 / 腫瘍関連線維芽細胞 / 臓器指向性 / エクソソーム / がん関連線維芽細胞 / 癌 / 腫瘍微小環境
Outline of Final Research Achievements

In this study, we elucidated that cancer associated fibroblasts (CAFs) derived from nodal lesion of malignant lymphoma enhanced glucose metabolism in lymphoma cells leading to those survival through the secretion of pyruvate and exosomes from CAFs. We also elucidated that emetine, approved as an emetic and anti-protozoal drug, demonstrated a therapeutic effect on intractable B-cell lymphoma cells through the inhibition of glucose metabolism. Moreover, we elucidated that exosomes were involved in a susceptibility to anti-pyrimidine drug through the modulation of its transporter. In terms of extranodal lesion of malignant lymphoma, we identified a gene that is specifically expressed in the central nervous system (CNS) lesions and demonstrated that the gene is involved in those formation.

Academic Significance and Societal Importance of the Research Achievements

悪性リンパ腫の節性病変におけるCAFについては、知見がそれほど集積しておらず、CAFより分泌されるピルビン酸およびエクソソームが、腫瘍細胞への生存に関与していることを明らかにしたことには学術的意義があると考えられる。さらに本研究では、エクソソームが、抗ピリミジン薬の膜輸送タンパクの発現変化を通して、その感受性に関与し、実際の臨床検体においても、膜輸送タンパク発現が抗ピリミジン薬の感受性予測因子となり得ることを示した。抗ピリミジン薬は、悪性リンパ腫診療における救援療法のキードラッグの一つであり、膜輸送タンパク発現を評価することにより、実際の診療における適切な治療選択に有用となる可能性がある。

Report

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

    (25 results)

All 2020 2019 2018 2017

All Journal Article (14 results) (of which Peer Reviewed: 14 results,  Open Access: 9 results) Presentation (11 results) (of which Int'l Joint Research: 5 results,  Invited: 1 results)

  • [Journal Article] Rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone combined with high-dose methotrexate plus intrathecal chemotherapy for newly diagnosed intravascular large B-cell lymphoma (PRIMEUR-IVL): a multicentre, single-arm, phase 2 trial2020

    • Author(s)
      Shimada K, Yamaguchi M, Atsuta Y, Kiyoi H, Suzuki R, Tokunaga T, Nakamura S, Kinoshita T
    • Journal Title

      The Lancet Oncology

      Volume: 21 Issue: 4 Pages: 593-602

    • DOI

      10.1016/s1470-2045(20)30059-0

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prognostic impact of PD-L1 expression in primary gastric and intestinal diffuse large B-cell lymphoma2020

    • Author(s)
      Eri Ishikawa, Masanao Nakamura, Kazuyuki Shimada, Tsutomu Tanaka, Akira Satou, Kei Kohno, Ayako Sakakibara, Kazuhiro Furukawa, Takeshi Yamamura, Ryoji Miyahara, Shigeo Nakamura, Seiichi Kato & Mitsuhiro Fujishiro
    • Journal Title

      J Gastroenterol

      Volume: 55 Issue: 1 Pages: 39-50

    • DOI

      10.1007/s00535-019-01616-3

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] EBV status has prognostic implication among young patients with angioimmunoblastic T‐cell lymphoma2019

    • Author(s)
      Eladl Ahmed E.、Shimada Kazuyuki、Suzuki Yuka、Takahara Taishi、Kato Seiichi、Kohno Kei、Elsayed Ahmed Ali、Wu Chun‐Chieh、Tokunaga Takashi、Kinoshita Tomohiro、Sakata‐Yanagimoto Mamiko、Nakamura Shigeo、Satou Akira
    • Journal Title

      Cancer Medicine

      Volume: 9 Issue: 2 Pages: 678-688

    • DOI

      10.1002/cam4.2742

    • NAID

      120007127703

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Methotrexate-associated lymphoproliferative disorders of T-cell phenotype: clinicopathological analysis of 28 cases2019

    • Author(s)
      Satou A, Tabata T, Miyoshi H, Kohno K, Suzuki Y, Yamashita D, Shimada K, Kawasaki T, Sato Y, Yoshino T, Ohshima K, Takahara T, Tsuzuki T, Nakamura S
    • Journal Title

      Mod Pathol

      Volume: in press Issue: 8 Pages: 1135-1146

    • DOI

      10.1038/s41379-019-0264-2

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Divergence and heterogeneity of neoplastic PD‐L1 expression: Two autopsy case reports of intravascular large B‐cell lymphoma2019

    • Author(s)
      Sakakibara Ayako、Inagaki Yuichiro、Imaoka Eiki、Sakai Yu、Ito Masafumi、Ishikawa Eri、Shimada Satoko、Shimada Kazuyuki、Suzuki Yuka、Nakamura Shigeo、Satou Akira、Kohno Kei
    • Journal Title

      Pathology International

      Volume: 69 Issue: 3 Pages: 148-154

    • DOI

      10.1111/pin.12757

    • NAID

      120006711437

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Immune evasion-related extranodal large B-cell lymphoma: A report of six patients with neoplastic PD-L1-positive extranodal diffuse large B-cell lymphoma2019

    • Author(s)
      Suzuki Yuka、Sakakibara Ayako、Shimada Kazuyuki、Shimada Satoko、Ishikawa Eri、Nakamura Shigeo、Kato Seiichi、Takahara Taishi、Asano Naoko、Satou Akira、Kohno Kei
    • Journal Title

      Pathology International

      Volume: 69 Issue: 1 Pages: 13-20

    • DOI

      10.1111/pin.12742

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pyruvate secreted from patient-derived cancer-associated fibroblasts supports survival of primary lymphoma cells.2019

    • Author(s)
      Sakamoto A, Kunou S, Shimada K, Tsunoda M, Aoki T, Iriyama C, Tomita A, Nakamura S, Hayakawa F, Kiyoi H.
    • Journal Title

      Cancer Sci

      Volume: 110 Issue: 1 Pages: 269-278

    • DOI

      10.1111/cas.13873

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinicopathological analysis of primary intestinal diffuse large B-cell lymphoma: Prognostic evaluation of CD5, PD-L1, and Epstein-Barr virus on tumor cells2018

    • Author(s)
      Ishikawa Eri、Kato Seiichi、Shimada Kazuyuki、Tanaka Tsutomu、Suzuki Yuka、Satou Akira、Kohno Kei、Sakakibara Ayako、Yamamura Takeshi、Nakamura Masanao、Miyahara Ryoji、Goto Hidemi、Nakamura Shigeo、Hirooka Yoshiki
    • Journal Title

      Cancer Medicine

      Volume: 7 Issue: 12 Pages: 6051-6063

    • DOI

      10.1002/cam4.1875

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Biology and management of primary effusion lymphoma.2018

    • Author(s)
      Shimada K, Hayakawa F, Kiyoi H
    • Journal Title

      Blood

      Volume: 132 Issue: 18 Pages: 1879-1888

    • DOI

      10.1182/blood-2018-03-791426

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] A prognostic model, including the EBV status of tumor cells, for?primary gastric diffuse large B-cell lymphoma in the rituximab era2018

    • Author(s)
      Ishikawa Eri、Tanaka Tsutomu、Shimada Kazuyuki、Kohno Kei、Satou Akira、Eladl Ahmed E.、Sakakibara Ayako、Furukawa Kazuhiro、Funasaka Kohei、Miyahara Ryoji、Nakamura Masanao、Goto Hidemi、Nakamura Shigeo、Kato Seiichi、Hirooka Yoshiki
    • Journal Title

      Cancer Medicine

      Volume: 7 Issue: 7 Pages: 3510-3520

    • DOI

      10.1002/cam4.1595

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Reappraisal of nodal Epstein-Barr Virus-negative cytotoxic T-cell lymphoma: Identification of indolent CD5+ diseases2018

    • Author(s)
      Yamashita Daisuke、Shimada Kazuyuki、Takata Katsuyoshi、Miyata-Takata Tomoko、Kohno Kei、Satou Akira、Sakakibara Ayako、Nakamura Shigeo、Asano Naoko、Kato Seiichi
    • Journal Title

      Cancer Science

      Volume: 109 Issue: 8 Pages: 2599-2610

    • DOI

      10.1111/cas.13652

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Autopsy case report of intravascular large B-cell lymphoma with neoplastic PD-L1 expression2018

    • Author(s)
      Sakakibara A, Inagaki Y, Imaoka E, Ishikawa E, Shimada S, Shimada K, Suzuki Y, Nakamura S, Satou A, Kohno K.
    • Journal Title

      Journal of Clinical and Experimental Hematopathology

      Volume: 58 Issue: 1 Pages: 32-35

    • DOI

      10.3960/jslrt.17037

    • NAID

      130006512990

    • ISSN
      1346-4280, 1880-9952
    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Altered EZH2 splicing and expression is associated with impaired histone H3 lysine 27 tri-Methylation in myelodysplastic syndrome2017

    • Author(s)
      Shirahata-Adachi Mizuho、Iriyama Chisako、Tomita Akihiro、Suzuki Yasuhiro、Shimada Kazuyuki、Kiyoi Hitoshi
    • Journal Title

      Leuk Res

      Volume: 63 Pages: 90-97

    • DOI

      10.1016/j.leukres.2017.10.015

    • NAID

      120006473525

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] YM155 induces apoptosis through proteasome-dependent degradation of MCL-1 in primary effusion lymphoma.2017

    • Author(s)
      Kojima Y, Hayakawa F, Morishita T, Sugimoto K, Minamikawa Y, Iwase M, Yamamoto H, Hirano D, Imoto N, Shimada K, Okada S, Kiyoi H
    • Journal Title

      Pharmacol Res.

      Volume: in press Pages: 242-251

    • DOI

      10.1016/j.phrs.2017.04.006

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Favorable outcomes of newly diagnosed intravascular large B-cell lymphoma patients treated with R-CHOP combined with high-dose methotrexate plus intrathecal chemotherapy: Results from a multicenter phase 2 trial (PRIMEUR-IVL)2019

    • Author(s)
      Shimada K, Yamaguchi M, Atsuta Y et al.
    • Organizer
      61st ASH Annual Meeting and Exposition
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] IVLBCL細胞の体外培養系の構築と新規治療薬探索の試み2019

    • Author(s)
      高井 美佳,島田 和之,林 一彦,和田 優子,小境 夕紀, 渡邉 隆司,鈴木 敬,吉田 憲司,大谷 直明,清井 仁
    • Organizer
      第81回日本血液学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Resistance of pyrimidine analogs in primary lymphoma cells is induced by exosomes from cancer associated fibroblasts2019

    • Author(s)
      久納俊祐、島田和之、疋田智也、坂本明彦、小根山千歳、清井仁
    • Organizer
      第78回日本癌学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Exosomes Derived from Cancer Associated Fibroblasts Elicit Drug Resistance of B-cell Lymphoma Cells through Modulation of Drug Transporter2019

    • Author(s)
      Shunsuke Kunou, Kazuyuki Shimada, Tomoya Hikita, Tomohiro Aoki, Akihiko Sakamoto, Fumihiko Hayakawa, Chitose Oneyama, Hitoshi Kiyoi
    • Organizer
      The 10th JSH International Symposium 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 腫瘍微小環境由来エクソソームによるリンパ腫細胞の生存および薬剤耐性化2018

    • Author(s)
      久納俊祐、島田和之、疋田智也、坂本明彦、小根山千歳、早川文彦、清井仁
    • Organizer
      第77回日本癌学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 腫瘍関連線維芽細胞より分泌されるエクソソームは抗アポトーシス作用を介してゲムシタビン耐性をもたらす2018

    • Author(s)
      久納俊祐、島田和之、疋田智也、青木智広、坂本明彦、加藤規利、早川文彦、小根山千歳、清井仁
    • Organizer
      第80回日本血液学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Exosomes Derived from Cancer Associated Fibroblasts Elicit Survival and Drug Resistance of Primary Lymphoma Cells2018

    • Author(s)
      Shunsuke Kunou, Kazuyuki Shimada, Tomoya Hikita, Tomohiro Aoki, Akihiko Sakamoto, Fumihiko Hayakawa, Chitose Oneyama and Hitoshi Kiyoi
    • Organizer
      60th ASH Annual Meeting and Exposition
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] びまん性大細胞型B細胞リンパ腫の分子病態と治療2017

    • Author(s)
      島田和之
    • Organizer
      第79回日本血液学会学術集会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Exosome secreted by CAFs as an important player in lymphoma microenvironment2017

    • Author(s)
      久納俊祐、島田和之、青木智広、坂本明彦、加藤規利、石川裕一、清井仁
    • Organizer
      第79回日本血液学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] A Novel Prognostic Model for Primary Gastric Diffuse Large B-Cell Lymphoma in the Rituximab Era, Integrating EBV Harboring on Tumor Cells2017

    • Author(s)
      Ishikawa E, Tanaka T, Shimada K, Goto H, Nakamura S, Kato S.
    • Organizer
      The 59th American Society of Hematology Annual Meeting and Exposition
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Detection of Recurrent Genetic Mutations in Intravascular Large B-Cell Lymphoma By Comprehensive Genetic Analyses Using Peripheral Blood Circulating Cell-Free DNA2017

    • Author(s)
      Tomita A, Shimada K, Yoshida K, Suzuki Y, Iriyama C, Sanada M, Yuge M, Takagi Y, Kusumoto S, Masaki Y, Ito T, Inagaki Y, Okamoto A, Shiraishi Y, Chiba K, Tanaka H, Miyano S, Ogawa S, Kiyoi H.
    • Organizer
      The 59th American Society of Hematology Annual Meeting and Exposition
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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

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