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Analysis of chemo-resistant mechanism through DCK promotor demethylation and establishment of its prevention

Research Project

Project/Area Number 17K10117
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionKagoshima University

Principal Investigator

Okamoto Yasuhiro  鹿児島大学, 医歯学域医学系, 准教授 (30398002)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywordsネララビン / 耐性 / 急性リンパ性白血病 / T細胞 / 白血病 / 急性リンパ芽球性白血病 / アポトーシス / DCK / プロモーター / 脱メチル化
Outline of Final Research Achievements

CCRF-CEM cells were incubated with nelarabine by the limiting dilution method and two nelarabine-resistant clones were established. The resistant clones had higher IC50 (55 and 78 times higher) than the parent clone in the MTT assay. The expressions of ENT1, DCK, and DGuoK mRNAs associated with nelarabine metabolism were significantly down-regulated in resistant clones; demethylation of the promoter region of DCK was not involved. The resistant clones showed increased expression of p-Akt, suggesting increased expression of the PI3K/AKT pathway. In addition, p-ERK hyperactivation was observed after 72 hours of nelarabine treatment. Overactivation of the MEK/ERK pathway specific to the nelarabine metabolic pathway was thought to be the cause of resistance.

Academic Significance and Societal Importance of the Research Achievements

本研究は、ネララビンの薬剤耐性獲得の機序を明らかにした。つまりネララビン投与によって、ネララビン代謝に関連する遺伝子の発現が変化し、代謝経路に特異的なMEK/ERK経路の過剰活性化によってアポトーシスが起らなくなっていた。このような変化は、ネララビンとの共培養で、短時間に、しかも高頻度に起こっていた。難治性のT 細胞性腫瘍のほとんどがいずれネララビン耐性を獲得するが、本研究の成果によって、実際の患者におけるネララビン投与において、どのようなdose scheduleで行えば耐性化をより予防できるかがわかり、重要な知見である。

Report

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

    (17 results)

All 2020 2019 2018 2017

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

  • [Journal Article] Hematopoietic stem cell transplantation for pediatric acute myeloid leukemia patients with KMT2A rearrangement; A nationwide retrospective analysis in Japan2019

    • Author(s)
      Miyamura Takako、Kudo Kazuko、Tabuchi Ken、Ishida Hiroyuki、Tomizawa Daisuke、Adachi Souichi、Goto Hiroaki、Yoshida Nao、Inoue Masami、Koh Katsuyoshi、Sasahara Yoji、Fujita Naoto、Kakuda Harumi、Noguchi Maiko、Hiwatari Mitsuteru、Hashii Yoshiko、Kato Koji、Atsuta Yoshiko、Okamoto Yasuhiro
    • Journal Title

      Leukemia Research

      Volume: 87 Pages: 106263-106263

    • DOI

      10.1016/j.leukres.2019.106263

    • URL

      https://localhost/en/publications/e4b097a6-04ad-4772-9736-526c0d470032

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Nationwide survey of pediatric hypodiploid acute lymphoblastic leukemia in Japan2019

    • Author(s)
      Ishimaru Sae、Okamoto Yasuhiro、Imai Chihaya、Sakaguchi Hirotoshi、Taki Tomohiko、Hasegawa Daisuke、Cho Yuko、Kakuda Harumi、Sano Hideki、Manabe Atsushi、Imamura Toshihiko、Kato Motohiro、Arakawa Yuki、Shimonodan Hidemi、Sato Atsushi、Suenobu Souichi、et al.
    • Journal Title

      Pediatrics International

      Volume: 61 Issue: 11 Pages: 1103-1108

    • DOI

      10.1111/ped.14006

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Influence of GST polymorphisms on busulfan pharmacokinetics in Japanese children.2019

    • Author(s)
      Nishikawa T, Yamaguchi H, Ikawa K, Nakayama K, Higashi E, Miyahara E, Abematsu T, Nakagawa S, Kodama Y, Tanabe T, Shigemi A, Shinkoda Y, Okamoto Y, Takeda Y, Kawano Y.
    • Journal Title

      Pediatr Int.

      Volume: - Issue: 6 Pages: 558-565

    • DOI

      10.1111/ped.13859

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Hematopoietic stem-cell transplantation in children with refractory acute myeloid leukemia2019

    • Author(s)
      Okamoto Yasuhiro、Kudo Kazuko、Tabuchi Ken、Tomizawa Daisuke、Taga Takashi、Goto Hiroaki、Yabe Hiromasa、Nakazawa Yozo、Koh Katsuyoshi、Ikegame Kazuhiro、Yoshida Nao、Uchida Naoyuki、Watanabe Kenichiro、Koga Yuuki、Inoue Masami、Kato Koji、Atsuta Yoshiko、Ishida Hiroyuki
    • Journal Title

      Bone Marrow Transplantation

      Volume: 54 Issue: 9 Pages: 1489-1498

    • DOI

      10.1038/s41409-019-0461-0

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Slowly progressive acute lymphoblastic leukemia after stem cell transplantation2019

    • Author(s)
      Seki Yuko、Okamoto Yasuhiro、Kodama Yuichi、Nishikawa Takuro、Kawano Yoshifumi
    • Journal Title

      Pediatrics International

      Volume: 61 Issue: 8 Pages: 831-832

    • DOI

      10.1111/ped.13932

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Risk Factors and the Prevention of Weight Gain During Induction Chemotherapy in Children With Acute Lymphoblastic Leukemia2018

    • Author(s)
      Seki Yuko、Okamoto Yasuhiro、Kodama Yuichi、Nishikawa Takuro、Tanabe Takayuki、Nakagawa Shunsuke、Mizota Michiyo、Kawano Yoshifumi
    • Journal Title

      Journal of Pediatric Hematology and Oncology

      Volume: 0 Issue: 6 Pages: 1-1

    • DOI

      10.1097/mph.0000000000001098

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Epstein-Barr Virus (EBV)-induced B-cell Lymphoproliferative Disorder Mimicking the Recurrence of EBV-associated Hemophagocytic Lymphohistiocytosis2018

    • Author(s)
      Yatsushiro Yuki、Nishikawa Takuro、Saito Aki、Nakazawa Yozo、Imadome Ken-Ichi、Nakagawa Shunsuke、Kodama Yuichi、Okamoto Yasuhiro、Kanegane Hirokazu、Kawano Yoshifumi
    • Journal Title

      Journal of Pediatric Hematology and Oncology

      Volume: 0 Issue: 1 Pages: 1-1

    • DOI

      10.1097/mph.0000000000001075

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Role of metabolites of cyclophosphamide in cardiotoxicity.2017

    • Author(s)
      Kurauchi K, Nishikawa T, Miyahara E, Okamoto Y, Kawano Y.
    • Journal Title

      BMC Res Notes.

      Volume: 14 Issue: 1 Pages: 406-406

    • DOI

      10.1186/s13104-017-2726-2

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Thiamylal Plus Pentazocine Shows Similar Efficacy as Ketamine Plus Midazolam for Painful Procedures in Children With Leukemia2017

    • Author(s)
      Nakagawa Shunsuke、Okamoto Yasuhiro、Kodama Yuichi、Nishikawa Takuro、Tanabe Takayuki、Kawano Yoshifumi
    • Journal Title

      Journal of Pediatric Hematology and Oncology

      Volume: 40 Issue: 4 Pages: 1-1

    • DOI

      10.1097/mph.0000000000001053

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Persistent positive metaiodobenzylguanidine scans after autologous peripheral blood stem cell transplantation may indicate maturation of stage 4 neuroblastoma.2017

    • Author(s)
      Okamoto Y, Kodama Y, Nishikawa T, Rindiarti A, Tanabe T, Nakagawa S, Yoshioka T, Takumi K, Kaji T, Kawano Y.
    • Journal Title

      Pediatr Hematol Oncol.

      Volume: 34 Issue: 3 Pages: 157-164

    • DOI

      10.1080/08880018.2017.1348414

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of vitamin K2 on osteoporosis in adults with cerebral palsy2017

    • Author(s)
      Kodama Yuichi、Okamoto Yasuhiro、Kubota Tomohiro、Hiroyama Yoshifumi、Fukami Hiroshi、Matsushita Kensuke、Kawano Yoshifumi
    • Journal Title

      Brain and Development

      Volume: 39 Issue: 10 Pages: 846-850

    • DOI

      10.1016/j.braindev.2017.05.012

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Decrease of Cardiac Base Rotation in 2D Speckle Tracking Indicates Drug-induced Cardiomyopathy After Chemotherapy in Children With Cancer2017

    • Author(s)
      Yanagimoto K, Okamoto Y, Kodama Y, Nishikawa T, Tanabe T, Kawano Y
    • Journal Title

      Journal of Pediatric Hematology and Oncology

      Volume: 39 Pages: 10-14

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] A surviving 24-month-old patient with neonatal-onset carnitine palmitoyltransferase II deficiency2017

    • Author(s)
      Ikeda Naohiro、Maruyama Shinsuke、Nakano Kanna、Imakiire Ryo、Ninomiya Yumiko、Seki Shunji、Yanagimoto Kosuke、Kakihana Yasuyuki、Hara Keiichi、Tajima Go、Okamoto Yasuhiro、Kawano Yoshifumi
    • Journal Title

      Molecular Genetics and Metabolism Reports

      Volume: 11 Pages: 69-71

    • DOI

      10.1016/j.ymgmr.2017.04.010

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] ネララビン耐性急性リンパ性白血病における代謝関連遺伝子の抑制とアポトーシス阻害2019

    • Author(s)
      120)Almitra Rindiarti,岡本康裕,中川俊輔,棈松貴成,廣瀬淳子,児玉祐一,西川拓朗,河野嘉文
    • Organizer
      第81回日本血液学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Update from the Japan Pediatric Leukaemia/Lymphoma Study Group (JPLSG)2017

    • Author(s)
      Okamoto Y
    • Organizer
      St Jude-VIVA Forum
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] ダウン症に合併した急性リンパ性白血病2017

    • Author(s)
      岡本康裕
    • Organizer
      第59回日本小児血液・がん学会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Book] Pediatric Acute Lymphoblastic Leukemia2020

    • Author(s)
      Yasuhiro Okamoto
    • Total Pages
      175
    • Publisher
      Springer
    • ISBN
      9789811505485
    • Related Report
      2019 Annual Research Report

URL: 

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

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