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Genetic events relevant to cancerous progression from gastric adenoma or neoplasia with low-grade atypia

Research Project

Project/Area Number 18K15229
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 50010:Tumor biology-related
Research InstitutionThe University of Tokyo (2019)
National Cancer Center Japan (2018)

Principal Investigator

ROKUTAN Hirofumi  東京大学, 医学部附属病院, 助教 (00782559)

Project Period (FY) 2018-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords胃腫瘍 / 胃腺腫 / 悪性化 / APC / ARID2 / 体細胞変異 / 初期変異 / ドライバー変異 / dysplasia / がんゲノム / シークエンス解析 / 悪性化機構
Outline of Final Research Achievements

Recently, we Japanese pathologists and gastroenterologists often encounter early gastric tumors with low-grade atypia, such as adenoma or dysplasia (intraepithelial neoplasia). This research project aimed to deepen the understanding of the molecular basis for occasional cancerous progression from such tumors. Targeted DNA sequencing revealed that initial and recurrent somatic mutations (APC and TP53) were related to, and deterministic of, the natural course of each tumor [Rokutan H et al., J Pathol 2019]. Combination of APC and ARID2 mutations was a feature of low-risk tumors. Also multi-region analyses were conducted.

Academic Significance and Societal Importance of the Research Achievements

胃の分化型上皮内腫瘍における初期変異が同定され、悪性度に関連するゲノム異常の理解が進んだ。また、悪性化しにくい変異の組み合わせも同定されたことから、個別化医療に役立つ可能性がある。更に、胃の腺腫と腺癌の診断基準が病理医間、あるいは日本と欧米で異なることが長年大きな問題となっているが、本研究結果はこの診断基準の標準化に向けても重要な知見となりうる。

Report

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

    (4 results)

All 2019 2018

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (3 results) (of which Invited: 1 results)

  • [Journal Article] Initial and crucial genetic events in intestinal-type gastric intramucosal neoplasia2019

    • Author(s)
      Rokutan Hirofumi、Abe Hiroyuki、Nakamura Hiromi、Ushiku Tetsuo、Arakawa Erika、Hosoda Fumie、Yachida Shinichi、Tsuji Yosuke、Fujishiro Mitsuhiro、Koike Kazuhiko、Totoki Yasushi、Fukayama Masashi、Shibata Tatsuhiro
    • Journal Title

      The Journal of Pathology

      Volume: 247 Issue: 4 Pages: 494-504

    • DOI

      10.1002/path.5208

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed
  • [Presentation] Deep sequencing uncovered initial and fate-determining mutations in well-differentiated neoplasias of the stomach2019

    • Author(s)
      Hirofumi Rokutan, Tetsuo Ushiku, Hiroyuki Abe, Hiromi Nakamura, Fumie Hosoda, Masashi Fukayama, Tatsuhiro Shibata
    • Organizer
      38th Sapporo International Cancer Symposium
    • Related Report
      2019 Annual Research Report
  • [Presentation] Initial mutations in well-differentiated intramucosal neoplasias of the stomach (分化型の胃粘膜内腫瘍における初期体細胞変異)2019

    • Author(s)
      六反啓文,阿部浩幸,中村浩実,牛久哲男,細田文恵,谷内田真一,辻陽介,藤城光弘,小池和彦,十時泰,深山正久,柴田龍弘
    • Organizer
      第78回日本癌学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 早期胃がんのゲノム解析2018

    • Author(s)
      六反啓文,阿部浩幸,中村浩実,牛久哲男,荒川えりか,細田文恵,谷内田真一,辻陽介,藤城光弘,小池和彦,十時泰,深山正久,柴田龍弘
    • Organizer
      第29回 日本消化器癌発生学会総会
    • Related Report
      2018 Research-status Report
    • Invited

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Published: 2018-04-23   Modified: 2021-02-19  

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