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Transplantation of small intestinal organoids onto the colon and its potential as a novel therapeutic approach for intestinal failure

Research Project

Project/Area Number 18H02867
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 55010:General surgery and pediatric surgery-related
Research InstitutionJuntendo University (2019-2020)
Tokyo Medical and Dental University (2018)

Principal Investigator

Tetsuya Nakamura  順天堂大学, 医学(系)研究科(研究院), 特任教授 (70265809)

Co-Investigator(Kenkyū-buntansha) 松本 有加  順天堂大学, 医学部, 助教 (50813672)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2020: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2019: ¥5,850,000 (Direct Cost: ¥4,500,000、Indirect Cost: ¥1,350,000)
Fiscal Year 2018: ¥6,500,000 (Direct Cost: ¥5,000,000、Indirect Cost: ¥1,500,000)
Keywords腸オルガノイド / 腸上皮幹細胞 / 腸管不全 / 再生医療 / オルガノイド移植 / 腸再生医療 / 小腸移植 / 細胞移植
Outline of Final Research Achievements

Extensive resection of the small intestine (SI) leads to severe short bowel syndrome (SBS). To explore a new approach for regenerative medicine for this condition, we have developed in this study a mouse model of local replacement of the colon epithelium with the SI one, by removing the colonic mucosa with chelating agents and subsequently transplanting SI organoids. We found that adult SI organoids regenerate new epithelia that morphologically preserve mature SI phenotypes even in the colonic environment after engraftment. Molecular as well as histological analyses confirmed the preservation of gene and protein expression patterns of SI epithelial cells in the ectopically grafted tissue. The results of our study suggest that the mesenchymal component of the remnant colon in SBS patients would provide a scaffold for the SI organoid transplantation, which may compensate for the loss of function of the SI in SBS patients.

Academic Significance and Societal Importance of the Research Achievements

広汎な小腸切除などで生じる腸管不全に対する新規治療開発が切望されてきた。本研究では、マウス大腸上皮を安全に剥離し、培養オルガノイド移植によりこれを小腸上皮に置換する技術を提示した。また、異所性に移植生着させた小腸上皮移植片は、小腸上皮固有の分子発現パターンを保持することも明らかになった。
本研究成果と今後のさらなる進展により、重篤なヒト腸管不全に対し、既存の大腸組織を足場として利用することにより、血流確保術を必要とせずに広大な小腸粘膜を創出する全く新しい腸再生医療技術を提供できる可能性がある。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (12 results)

All 2020 2019 2018

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 3 results) Presentation (7 results) (of which Invited: 2 results)

  • [Journal Article] Establishment of a system to evaluate the therapeutic effect and the dynamics of an investigational drug on ulcerative colitis using human colonic organoids.2019

    • Author(s)
      Nishimura R, Shirasaki T, Tsuchiya K, Miyake Y, Watanabe Y, Hibiya S, Watanabe S, Nakamura T, Watanabe M
    • Journal Title

      Journal of Gastroenterology

      Volume: 54 Pages: 608-620

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] TP53 mutation by CRISPR system enhances the malignant potential of colon cancer2019

    • Author(s)
      Watanabe S, Tsuchiya K, Nishimura R, Shirasaki T, Katsukura N, Hibiya S, Okamoto R, Nakamura T, Watanabe M
    • Journal Title

      Mol Cancer Res.

      Volume: 17 Issue: 7 Pages: 1459

    • DOI

      10.1158/1541-7786.mcr-18-1195

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Single cell analysis of Crohn’s disease patient-derived small intestinal organoids reveals disease activity-dependent modification of stem cell properties2018

    • Author(s)
      Suzuki Kohei、Murano Tatsuro、Shimizu Hiromichi、Ito Go、Nakata Toru、Fujii Satoru、Ishibashi Fumiaki、Kawamoto Ami、Anzai Sho、Kuno Reiko、Kuwabara Konomi、Takahashi Junichi、Tsuchiya Kiichiro、Nakamura Tetsuya、Ohtsuka Kazuo、Watanabe Mamoru、Okamoto Ryuichi
    • Journal Title

      Journal of Gastroenterology

      Volume: 印刷中 Issue: 9 Pages: 1035-1047

    • DOI

      10.1007/s00535-018-1437-3

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Recent progress in organoid culture to model intestinal epithelial barrier functions2018

    • Author(s)
      Nakamura Tetsuya
    • Journal Title

      International Immunology

      Volume: 31 Issue: 1 Pages: 13-21

    • DOI

      10.1093/intimm/dxy065

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ubiquitin D is Upregulated by Synergy of Notch Signalling and TNF-α in the Inflamed Intestinal Epithelia of IBD Patients2018

    • Author(s)
      Kawamoto Ami、Nagata Sayaka、Anzai Sho、Takahashi Junichi、Kawai Mao、Hama Minami、Nogawa Daichi、Yamamoto Kouhei、Kuno Reiko、Suzuki Kohei、Shimizu Hiromichi、Hiraguri Yui、Yui Shiro、Oshima Shigeru、Tsuchiya Kiichiro、Nakamura Tetsuya、Ohtsuka Kazuo、Kitagawa Masanobu、Okamoto Ryuichi、Watanabe Mamoru
    • Journal Title

      Journal of Crohn's and Colitis

      Volume: 13 Issue: 4 Pages: 495-509

    • DOI

      10.1093/ecco-jcc/jjy180

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Presentation] 小腸オルガノイド移植による大腸上皮置換技術を用いた小腸機能不全治療の開発2020

    • Author(s)
      松本有加、山高篤行、中村哲也
    • Organizer
      第57回日本小児外科学会学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 小腸再生を目指した小腸上皮オルガノイドのbiotubeへの接着の研究2020

    • Author(s)
      鈴木啓介、古村眞、古村浩子、鈴木完、藤代準、松本有加、中村哲也、中山泰秀
    • Organizer
      第120回日本外科学会定期学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 大腸への小腸上皮オルガノイド移植による腸管不全治療技術開発2020

    • Author(s)
      松本有加、野田幸子、渡辺守、服部信孝、山高篤行、中村哲也
    • Organizer
      第120回日本外科学会学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 小腸再生を目指した小腸上皮オルガノイドのbiotubeへの接着の研究2020

    • Author(s)
      鈴木啓介、古村眞、古村浩子、鈴木完、藤代準、松本有加、中村哲也、中山泰秀
    • Organizer
      第19回日本再生医療学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] オルガノイド移植による大腸上皮置換術の確立と移植上皮の網羅的遺伝子発現解析2020

    • Author(s)
      松本有加、平田潤、 東貴大、野田幸子、服部信孝、岡田随像、山高篤行、中村哲也
    • Organizer
      第19回日本再生医療学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] オルガノイド―小児外科分野における可能性―2020

    • Author(s)
      中村哲也
    • Organizer
      第57回日本小児外科学会学術集会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] オルガノイド移植による未来の腸再生医療2019

    • Author(s)
      中村哲也
    • Organizer
      第31回小腸移植研究会
    • Related Report
      2018 Annual Research Report
    • Invited

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Published: 2018-04-23   Modified: 2022-01-27  

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