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Establishment of a Predictive Index for Treatment Outcomes and Adverse Events Based on DNA Repair Capacity for Personalized Medicine for Rectal Cancer

Research Project

Project/Area Number 18K15551
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 52040:Radiological sciences-related
Research InstitutionHiroshima University

Principal Investigator

Imano Nobuki  広島大学, 医系科学研究科(医), 助教 (40815320)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2021: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords放射線治療 / 染色体異常 / DNA損傷 / γH2AX / PNA-FISH / 直腸癌 / 直腸癌個別化医療 / 術前化学放射線療法 / 治療効果予測 / 有害事象予測
Outline of Final Research Achievements

The purpose of this study was to evaluate radiosensitivity in patients receiving preoperative chemoradiation for rectal cancer and to develop an index to predict treatment outcomes and adverse events. We prospectively enrolled 28 patients with rectal cancer and evaluated the association between radiosensitivity and treatment outcomes and adverse events. Three of the 28 patients achieved pathologic complete response, and the γH2AX focus counts in peripheral blood lymphocytes tended to be high in these three patients after 45 Gy irradiation. In terms of adverse events, there was a significant correlation between the number of chromosome aberrations in the peripheral blood lymphocytes and the severity of adverse events. A new index for predicting treatment outcomes and adverse events based on radiosensitivity was established.

Translated with www.DeepL.com/Translator (free version)

Academic Significance and Societal Importance of the Research Achievements

本研究は化学放射線療法における急性期有害事象を個人の放射線感受性から予測する研究である。放射線感受性から放射線治療における有害事象を予測する試みは以前より行われてきたが、放射線感受性を測定するための解析が複雑で日常臨床に応用されていない。本研究では照射期間中の患者血液を採取することで、末梢血リンパ球中の染色体異常から放射線感受性の指標として、血液データから簡便に放射線感受性を測定する手法が開発した。そのため従来の報告と比較してより簡便に放射線感受性を予測することが可能となり、今後実臨床にも応用できる可能性があると考える。

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

    (11 results)

All 2022 2021 2020 2019

All Journal Article (2 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (9 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results)

  • [Journal Article] Efficacy and tolerability of preoperative chemoradiotherapy with S-1 alone for locally advanced rectal cancer2020

    • Author(s)
      Imano Nobuki、Murakami Yuji、Kubo Katsumaro、Kawahara Daisuke、Takeuchi Yuki、Nishibuchi Ikuno、Kimura Tomoki、Kochi Masatoshi、Takakura Yuji、Shimizu Wataru、Egi Hiroyuki、Uegami Shinnosuke、Ohge Hiroki、Takahashi Shinya、Ohdan Hideki、Nagata Yasushi
    • Journal Title

      Journal of Radiation Research

      Volume: 62 Issue: 2 Pages: 300-308

    • DOI

      10.1093/jrr/rraa117

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Evaluating Individual Radiosensitivity for the Prediction of Acute Toxicities of Chemoradiotherapy in Esophageal Cancer Patients2020

    • Author(s)
      Imano Nobuki、Nishibuchi Ikuno、Kawabata Emi、Kinugasa Yasuha、Shi Lin、Sakai Chiemi、Ishida Mari、Sakane Hiroaki、Akita Tomoyuki、Ishida Takafumi、Kimura Tomoki、Murakami Yuji、Tanaka Kimio、Horikoshi Yasunori、Sun Jiying、Nagata Yasushi、Tashiro Satoshi
    • Journal Title

      Radiation Research

      Volume: 195 Issue: 3 Pages: 244-252

    • DOI

      10.1667/rade-20-00234.1

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Evaluating individual radiosensitivity to predict acute toxicities caused by chemoradiotherapy in esophageal cancer patients2022

    • Author(s)
      Nobuki Imano, Yasuha Kinugasa, Emi Kawabata, Chiemi Sakai, Mari Ishida, Ikuno Nishibuchi, Yasushi Nagata, Satoshi Tashiro
    • Organizer
      放射線災害・医科学拠点 第6回国際シンポジウム
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 第10回放射線療法講演会2022

    • Author(s)
      今野伸樹
    • Organizer
      7大学連携個別化がん医療実践者養成プラン 第10回放射線療法講演会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 局所進行直腸癌に対するTS-1併用術前化学放射線療法の検討2021

    • Author(s)
      今野伸樹、村上祐司、三好章太、久保克麿、勝田剛、竹内有樹、西淵いくの、永田靖
    • Organizer
      第24回広島放射線治療研究会
    • Related Report
      2020 Research-status Report
  • [Presentation] Novel index to predict non-hematologic acute toxicities caused by chemoradiotherapy in esophageal cancer patients2020

    • Author(s)
      Nobuki Imano, Ikuno Nishibuchi, Yasuha Kinugasa, Lin Shi, Chiemi Sakai, Mari Ishida, Hiroaki Sakane, Yuji Murakami, Yasushi Nagata, Satoshi Tashiro
    • Organizer
      放射線災害・医科学拠点 第4回国際シンポジウム
    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Association between acute toxicities of chemoradiotherapy and chromosomal aberrations in peripheral blood lymphocytes in esophageal cancer patients.2020

    • Author(s)
      Nobuki Imano, Ikuno Nishibuchi, Emi Kawabata, Yasuha Kinugasa, Chiemi Sakai, Mari Ishida, Tomoyuki Akita, Tomoki Kimura, Yuji Murakami, Yasushi Nagata, and Satoshi Tashiro
    • Organizer
      American Society for Radiation Oncology 62nd annual meeting
    • Related Report
      2020 Research-status Report 2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Association of non-hematologic acute toxicities of chemoradiotherapy in esophageal cancer patients with DNA damage2020

    • Author(s)
      Nobuki Imano, Yasushi Nagata, Satoshi Tashiro
    • Organizer
      第79回日本癌学会学術総会
    • Related Report
      2020 Research-status Report
  • [Presentation] A novel index to predict non-hematologic acute toxicities caused by chemoradiotherapy in esophageal cancer patients2020

    • Author(s)
      Nobuki Imano, Ikuno Nishibuchi, Tsubasa Kameoka, Masanori Ochi, Yuki Takeuchi, Ippei Takahashi, Tomoki Kimura, Yuji Murakami, Satoshi Tashiro, Yasushi Nagata
    • Organizer
      第79回日本医学放射線学会総会
    • Related Report
      2020 Research-status Report
  • [Presentation] Analysis of Chromosomal aberrations and γH2AX foci in peripheral blood lymphocytes induced by chemoradiotherapy of patients with esophageal cancer.2019

    • Author(s)
      Nobuki Imano, Lin Shi, Ikuno Nishibuchi, Yoshinori Adachi, Yuki Takeuchi, Ippei Takahashi, Tomoki Kimura, Yuji Murakami, Kentaro Miki, Akito Saito, Satoshi Tashiro, Yasushi Nagata
    • Organizer
      American Society for Radiation Oncology 61st annual meeting
    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 食道癌化学放射線療法の有害事象予測指標としての末梢血リンパ球DNA損傷と染色体異常の検討2019

    • Author(s)
      今野伸樹、西淵いくの、亀岡翼、越智雅則、竹内有樹、高橋一平、木村智樹、村上祐司、時林、田代聡、永田靖
    • Organizer
      日本放射線腫瘍学会第32回学術大会
    • Related Report
      2019 Research-status Report

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

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