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A Novel Nucleic Acid Medicine Approach to Overcome Platinum Resistance in Ovarian Cancer by Inhibiting Annexin A4

Research Project

Project/Area Number 18K09288
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 56040:Obstetrics and gynecology-related
Research InstitutionUniversity of Occupational and Environmental Health, Japan

Principal Investigator

Yoshino Kiyoshi  産業医科大学, 医学部, 教授 (90362730)

Co-Investigator(Kenkyū-buntansha) 上田 豊  大阪大学, 医学系研究科, 講師 (10346215)
小林 栄仁  大阪大学, 医学系研究科, 助教 (50614773)
松崎 慎哉  大阪大学, 医学部附属病院, 助教 (00467565)
中川 慧  大阪大学, 医学系研究科, 助教 (30650593)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords卵巣がん / プラチナ耐性 / 核酸医薬 / 明細胞癌 / 卵巣癌 / プラチナ感受性 / アネキシン / アネキシンA4
Outline of Final Research Achievements

Platinum agents are widely used as chemotherapy for ovarian cancer. Therefore, platinum resistance is a major problem. We found that elevated expression levels of annexin A4 (ANXA4) in clear cell carcinoma of the ovary (CCC) was associated with platinum chemoresistance by promoting platinum efflux. Based on these results, we designed an oligonucleotide and try to suppress the expression of ANXA4 using it. We created two candidates antisense oligos (ASOs) with high knockdown efficiency (knockdown rates: 96.9% and 94.5%). The ANXA4 ASO-transfected cells showed increased sensitivity to the platinum drugs, cisplatin or carboplatin (42.5% and 55.2%, respectively) and increased intracellular accumulation of platinum drugs (34.0% and 48.4%, respectively). In experiments using model mice, the combination of ANXA4 ASO and cisplatin enhanced the anti-tumor effect. These results suggest that ANXA4 ASO may be a potential therapeutic option for ovarian clear cell carcinoma.

Academic Significance and Societal Importance of the Research Achievements

抗がん剤が効かないタイプの卵巣癌に対して、アネキシンA4蛋白を抑制する核酸と抗がん剤の併用が実験のなかでは腫瘍縮小効果を示した。さらに研究を進めることによって将来新たな治療薬の候補となる可能性があり、難治性と考えられている卵巣がん患者さんの予後改善に貢献することが期待される。

Report

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

    (4 results)

All 2019 2018

All Presentation (4 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] CTOS法による卵巣がんの化学療法感受性予測と新規治療法の探索2019

    • Author(s)
      伊東 優,遠藤 洋子,近藤純平, 松崎 慎哉,小林 栄仁, 木村 敏啓,上田 豊,上浦 祥司,吉野 潔,木村 正,井上 正宏
    • Organizer
      第18回日本婦人科がん分子標的研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] Development of ex vivo chemosensitivity assay using patient-derived spheroids of ovarian cancer2019

    • Author(s)
      Yu Ito, Satoshi Nakagawa, Kosuke Hiramatsu, Shinya Matsuzaki, Eiji Kobayashi, Toshihiro Kimura, Yutaka Ueda, Kiyoshi Yoshino, Shoji Kamiura, Tadashi Kimura, Masahiro Inoue
    • Organizer
      第71回日本産科婦人科学会学術講演会
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Targeting Annexin A4 with antisense oligonucleotides improves platinum resistance of ovarian cancer2019

    • Author(s)
      Nakagawa, S.
    • Organizer
      AACR Annual Meeting2019
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Antisense oligo nucleotide of Annexin A4 improves platinum resistance in ovarian clear cell carcinoma2018

    • Author(s)
      Kakubari, R. Nakagawa, S. Kobayashi, E. Matsuzaki, S. Ueda, Y. Yoshino, K. Kimura, T.
    • Organizer
      第70回日本産科婦人科学会学術講演会
    • Related Report
      2018 Research-status Report

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

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