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Epigenomic Analysis of Anorectal Malformations Using A Novel Histological Examination with Dynamic Three-Dimensional Reconstruction

Research Project

Project/Area Number 18K08560
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 55010:General surgery and pediatric surgery-related
Research InstitutionAsahikawa Medical College

Principal Investigator

MIYAGI HISAYUKI  旭川医科大学, 医学部, 講師 (50596442)

Co-Investigator(Kenkyū-buntansha) 本多 昌平  北海道大学, 大学病院, 講師 (90588089)
荒 桃子  北海道大学, 大学病院, 医員 (30741219)
池田 哲夫  福岡歯科大学, 口腔歯学部, 教授 (60585701)
高桑 恵美  北海道大学, 大学病院, 助教 (20646244)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords直腸肛門奇形 / 組織立体再構築 / メチル化 / エピゲノム解析
Outline of Final Research Achievements

In this study, we aimed to elucidate the molecular mechanisms underlying anorectal malformation (ARM) development in mice using a three-dimensional (3D) histopathological reconstruction method. ARM was induced in ICR mice by excess administration of retinoic acid (RA), and the presence of abnormalities, such as ARM and abnormal tail morphology, was examined in fetus. Using the same model, thin serial sections were processed, stained, and scanned to create a 3D histopathological reconstruction model of ARM for further examinations. We developed the ARM murine model and created its 3D reconstruction model. Using the 3D model, we identified the presence of rectourethral fistula. The model allowed us to observe microscopic changes by enlarging the reconstructed images.

Academic Significance and Societal Importance of the Research Achievements

小児外科領域の先天奇形においてARMは最も頻度の高い疾患のひとつである。また臨床的な面では、ARM患児の術後経過において排便障害、排尿障害や生殖器障害などQOLの観点から改善が期待できない症例もあり、直腸肛門領域の神経、筋肉および周辺の泌尿生殖器系、脊椎などについてより詳細な発生学的、解剖学的知識の解明が早急に望まれている。本研究にてARMマウスをコンピューター処理にて三次元的に拡大視して観察することが可能となった。消化管のみならず周囲の筋組織など臓器別の病理学的評価も可能となり、免疫組織化学的およびエピゲノム解析へのアプローチの展望がみえてきた。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (41 results)

All 2022 2021 2020 2019 2018

All Journal Article (18 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 15 results,  Open Access: 11 results) Presentation (23 results) (of which Int'l Joint Research: 8 results,  Invited: 1 results)

  • [Journal Article] Risk factors for recurrent gastroesophageal reflux disease after Thal fundoplication.2021

    • Author(s)
      Ishii D, Miyagi H, Hirasawa M.
    • Journal Title

      Pediatr Surg Int.

      Volume: 37 Issue: 12 Pages: 1731-1735

    • DOI

      10.1007/s00383-021-05001-1

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Preferential performance of Thal fundoplication for gastroesophageal reflux disease: a single institution experience.2021

    • Author(s)
      Ishii D, Miyamoto K, Hirasawa M, Miyagi H.
    • Journal Title

      Pediatr Surg Int.

      Volume: 37 Issue: 2 Pages: 191-196

    • DOI

      10.1007/s00383-020-04804-y

    • Related Report
      2021 Annual Research Report 2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Damage control surgery for grade IV blunt hepatic injury with multiple organ damage in a child: a case report.2021

    • Author(s)
      Soma J, Ishii D, Miyagi H, Ishii S, Motoki K, Kawabata H, Ishitoya S, Hagiwara M, Kokita N, Hirasawa M.
    • Journal Title

      Surg Case Rep.

      Volume: 20 Issue: 1 Pages: 269-269

    • DOI

      10.1186/s40792-021-01348-8

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Case of laparoscopic-assisted anorectoplasty performed with temporary umbilical loop colostomy for high anorectal malformation (rectovesical fistula): a three-stage minimally invasive surgery.2021

    • Author(s)
      Isa H, Miyagi H, Ishii D, Hirasawa M.
    • Journal Title

      BMJ Case Rep.

      Volume: 14 Issue: 2 Pages: e240389-e240389

    • DOI

      10.1136/bcr-2020-240389

    • Related Report
      2021 Annual Research Report 2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Advantage of Using 8K Ultra-High-Definition Television System for Kasai Portoenterostomy for Biliary Atresia.2021

    • Author(s)
      Miyagi H, Ishii D, Hirasawa M, Shonaka T, Sumi Y, Azuma N.
    • Journal Title

      European J Pediatr Surg Rep.

      Volume: 9 Issue: 01 Pages: e5-e8

    • DOI

      10.1055/s-0040-1721466

    • Related Report
      2021 Annual Research Report 2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 地域を守り、地域で生きる外科医たちの思い 外科統合と法人化のインパクト 地域における若手外科医のリクルートと育成のために2021

    • Author(s)
      古川 博之, 東 信良, 角 泰雄, 紙谷 寛之, 宮本 和俊, 北田 正博, 松野 直徒, 平田 哲, 横尾 英樹, 齋藤 幸裕, 古屋 敦宏, 長谷川 公治, 石川 成津矢, 今井 浩二, 平澤 雅敏, 庄中 達也, 宮城 久之, 内田 大貴
    • Journal Title

      日本外科学会雑誌

      Volume: 122 Pages: 211-213

    • Related Report
      2021 Annual Research Report
  • [Journal Article] 働き方改革、タスク・シフティング2021

    • Author(s)
      森井 真也子, 薄井 佳子, 小川 絵里, 黒部 仁, 清水 裕史, 菅沼 理江, 田中 奈々, 東間 未来, 宮城 久之, 済陽 寛子, 水野 大, 安藤 秀明, 浮山 越史
    • Journal Title

      小児外科

      Volume: 53 Pages: 18-21

    • Related Report
      2021 Annual Research Report
  • [Journal Article] GERDに対する前方部分ラッピングによる噴門形成術(Thal法)の短期成績の検討2021

    • Author(s)
      石井大介、宮城久之、石井聖也、元木恵太、平澤雅敏
    • Journal Title

      北海道外科雑誌

      Volume: 66 Pages: 101-106

    • NAID

      40022786119

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A MicroRNA Cluster in the <i>DLK1-DIO3</i> Imprinted Region on Chromosome 14q32.2 Is Dysregulated in Metastatic Hepatoblastomas.2020

    • Author(s)
      Honda S, Chatterjee A, Leichter AL, Miyagi H, Minato M, Fujiyoshi S, Ara M, Kitagawa N, Tanaka M, Tanaka Y, Shinkai M, Hatanaka KC, Taketomi A, Eccles MR.
    • Journal Title

      Front Oncol.

      Volume: 10 Pages: 513601-513601

    • DOI

      10.3389/fonc.2020.513601

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Spontaneous pneumothorax caused by an inflammatory myofibroblastic tumor-like lesion in a 14-year-old girl: a case report.2020

    • Author(s)
      Miyagi H, Ishii D, Hirasawa M, Yasuda S, Toriumi N, Sarashina T, Tanino M, Tanaka M, Tanaka Y, Miyamoto K.
    • Journal Title

      Surg Case Rep

      Volume: 6 Issue: 1 Pages: 109-109

    • DOI

      10.1186/s40792-020-00873-2

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 腹腔鏡下Duhamel変法(Hirschsprung病)2020

    • Author(s)
      平澤 雅敏, 宮本 和俊, 石井 大介, 宮城 久之
    • Journal Title

      小児外科

      Volume: 52 Pages: 143-147

    • Related Report
      2019 Research-status Report
  • [Journal Article] Congenital multiple colonic atresias with intestinal malrotation: a case report2020

    • Author(s)
      Ishii Daisuke、Miyagi Hisayuki、Hirasawa Masatoshi、Miyamoto Kazutoshi
    • Journal Title

      Surgical Case Reports

      Volume: 6 Issue: 1 Pages: 60-60

    • DOI

      10.1186/s40792-020-00822-z

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 小児鼠径ヘルニア根治術(Potts法)における予防的抗菌薬投与に関する検討2019

    • Author(s)
      石井 大介, 宮本 和俊, 平澤 雅敏, 宮城 久之
    • Journal Title

      北海道外科雑誌

      Volume: 64 Pages: 138-142

    • NAID

      40022153034

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] 術前鑑別診断に苦慮した胸腺原発血管脂肪腫の一例2019

    • Author(s)
      石井 大介,宮本 和俊,宮城 久之,平澤 雅敏,高林 江里子,櫻井 由香里,鳥海 尚久,更科 岳大
    • Journal Title

      日本小児放射線学会雑誌

      Volume: 35 Pages: 126-132

    • NAID

      130007749728

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] One-Stage Laparoscopic Surgery for Pulmonary Sequestration and Hiatal Hernia in a 2-Year-Old Girl.2018

    • Author(s)
      Miyagi H, Honda S, Hamada H, Minato M, Ara MW, Taketomi A.
    • Journal Title

      European Journal of Pediatric Surgery Reports

      Volume: 6 Issue: 01 Pages: 11-14

    • DOI

      10.1055/s-0037-1612611

    • NAID

      120006414004

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A staged operation for anopenile urethral fistula.2018

    • Author(s)
      Kawakita I, Honda S, Miyagi H, Minato M, Okumura K, Taketomi A.
    • Journal Title

      African Journal of Paediatric Surgery.

      Volume: 15 Issue: 1 Pages: 48-49

    • DOI

      10.4103/ajps.ajps_52_17

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Usefulness of Plain Computed Tomography with Swallowing of GastrografinTM for the Diagnosis of a Late-Onset Iatrogenic Diaphragmatic Hernia following Biopsy of a Diaphragmatic Tumor: Report of a Case.2018

    • Author(s)
      Asahi Y, Honda S, Okada T, Miyagi H, Kaneda M, Iguchi A, Kaga K, Taketomi A.
    • Journal Title

      Case Reports in Gastroenterology.

      Volume: 15 Issue: 2 Pages: 271-276

    • DOI

      10.1159/000489294

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 臍に作成する腸管ループストーマ2018

    • Author(s)
      平澤 雅敏, 宮本 和俊, 石井 大介, 宮城 久之
    • Journal Title

      小児外科

      Volume: 50 Pages: 893-896

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 3D histopathological reconstruction in an ARM murine model2022

    • Author(s)
      Miyagi H, Ikeda T, Honda S, Takakuwa E, Ara M, Ishii D, Ishii S, Motoki K, Hirasawa M
    • Organizer
      The 59th Annual Meeting of the Japanese Society of Pediatric Surgeons, Tokyo, 2022
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 日本最北端小児外科認定施設における小児外科医の役割2022

    • Author(s)
      宮城久之、石井大介、石井聖也、元木恵太、平澤雅敏
    • Organizer
      第122回日本外科学会定期学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Stephens’ operation as a technique for the repair of anorectal malformations: A thirty-years-single-center experience.2021

    • Author(s)
      Miyagi H, Ishii D, Ishii S, Motoki K, Hirasawa M
    • Organizer
      The 54th Pacific Association of Pediatric Surgeons (PAPS), Tainan, Taiwan, 2021.
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 直腸肛門奇形に対する臍部人工肛門閉鎖時の模擬便注入と肛門周囲のケアの有用;中間位鎖肛に対するStephens-Smith手術の成績2021

    • Author(s)
      宮城久之、石井大介、石井聖也、元木恵太、平澤雅敏
    • Organizer
      第83回日本臨床外科学会定期学術集会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 中間位・高位鎖肛に対する臍部人工肛門閉鎖時の模擬便注入と肛門周囲のケアの有用性2021

    • Author(s)
      宮城久之、石井大介、石井聖也、元木恵太、平澤雅敏
    • Organizer
      第77回直腸肛門奇形研究会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 肛門挙筋を切らないStephens-Smith手術の30年の経験2021

    • Author(s)
      宮城久之、石井大介、平澤雅敏
    • Organizer
      第58回日本小児外科学会定期学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] A Case of Inflammatory Myofibroblastic Tumor-like Tumor in a Girl Presenting with Pneumothorax.2020

    • Author(s)
      Miyagi H, Ishii D, Hirasawa M, Miyamoto K
    • Organizer
      The 53th Pacific Association of Pediatric Surgeons
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] 日本最北端小児外科施設におけるスマートフォンを用いた遠隔医療システムを活用した働き方改革への取り組み.2020

    • Author(s)
      宮城 久之, 石井 大介, 平澤 雅敏, 杉山 達俊, 宮本 和俊, 東 信良, 古川 博之
    • Organizer
      第120回日本外科学会定期学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 先天性胆道拡張症に対する人工腸弁付加Roux-Y 法を用いた再建術式と術後胆管炎の検討2020

    • Author(s)
      宮城久之、石井大介、平澤雅敏、宮本和俊
    • Organizer
      第57回日本小児外科学会学術学会
    • Related Report
      2020 Research-status Report
  • [Presentation] スマートフォン遠隔医療システムを用いた地域医療における小児がん患児に対する小児外科との連携2020

    • Author(s)
      宮城久之、石井大介、平澤雅敏、藤保洋明、松本尚也、鳥海尚久、更科岳大、石戸谷俊太、東 寛、東 信良
    • Organizer
      第62回日本小児血液・がん学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 中間位鎖肛に対するStephens-Smith手術2019

    • Author(s)
      2.宮城久之、石井大介、平澤雅敏、宮本和俊
    • Organizer
      第119回日本外科学会定期学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] Right Colon Patch (Kimura’s Procedure) is useful for Extensive Aganglionosis - from 25 years’ experience in our institution.2019

    • Author(s)
      Miyagi H, Miyamoto K, Hirasawa M, Okada T, Ishii D
    • Organizer
      The 52th Pacific Association of Pediatric Surgeons (PAPS)
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Is perineal lipoma the correct diagnosis? : Four cases of accessory labioscrotal fold.2019

    • Author(s)
      Miyagi H, Miyamoto K, Hirasawa M, Okada T, Ishii D
    • Organizer
      The 52th Pacific Association of Pediatric Surgeons (PAPS)
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Sacroperineal (Stephens) procedure for anorectal malformations.2019

    • Author(s)
      Miyagi H, Ishii D, Hirasawa M, Miyamoto K
    • Organizer
      The 56th Annual Meeting of the Japanese Society of Pediatric Surgeons: International Session
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 気胸を契機に発見されたImflammatory myofibroblastic tumor類似疾患の1例2019

    • Author(s)
      宮城久之、石井大介、平澤雅敏、安田俊輔、福井晨介、松本尚也、櫻井由香里、鳥海尚久、更科岳大、田中水緒、田中祐吉、谷野美智枝、東 寛、宮本和俊
    • Organizer
      第61回日本小児血液・がん学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 胎児期に尿管瘤が疑われた重複腸管の1例2019

    • Author(s)
      宮城久之、石井大介、平澤雅敏、高林江里子、長屋 建、武井英博、宮本和俊
    • Organizer
      第55回日本小児放射線学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 小児における会陰部腫瘤;Accessory Labioscrotal Foldの観点からの考察2019

    • Author(s)
      宮城久之、石井大介、平澤雅敏、永田真莉乃、谷野美智枝、宮本和俊
    • Organizer
      第76回直腸肛門奇形研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] 小児慢性便秘症、内痔核、小児外科手術後の便秘症に対するマクロゴール4000 (モビコールTM)の使用経験2019

    • Author(s)
      宮城久之、石井大介、平澤雅敏、日野岡蘭子、宮本和俊
    • Organizer
      第30回日本小児外科QOL研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] Comparison of surveillance cultures of the umbilical skin between patients who underwent laparoscopic percutaneous extraperitoneal closure (LPEC) and those receiving umbilical hernia (UH) repair2018

    • Author(s)
      Miyagi H, Honda S, Momoko W. Ara MW, Minato M, Kawakita I, Okumura K, Taketomi A
    • Organizer
      The 51th Pacific Association of Pediatric Surgeons
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Results of Kimura’s procedure (Right Colon Patch) for Extensive Aganglionosis2018

    • Author(s)
      Miyagi H, Miyamoto K, Hirasawa M, Ishii D
    • Organizer
      The 25th International Meeting of the Paediatric Colorectal Club
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 臍部監視培養からみたLPEC におけるSSI の検討2018

    • Author(s)
      宮城久之, 本多昌平, 荒 桃子, 岡田忠雄, 武冨紹信
    • Organizer
      第118回日本外科学会定期学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 臍部監視培養からみたLPECおよび臍ヘルニア根治術症例に対する比較検討2018

    • Author(s)
      宮城久之, 本多昌平, 荒 桃子, 湊 雅嗣, 河北一誠, 奥村一慶, 武冨紹信
    • Organizer
      第55回日本小児外科学会学術学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 先天性横隔膜ヘルニアに肺分画症および重複胃を合併した2例2018

    • Author(s)
      宮城 久之、平澤 雅敏、石井 大介、宮本 和俊
    • Organizer
      第38回日本小児内視鏡外科・手術手技研究会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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