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Functional analysis and development of novel treatment targeting for Nrf2 in hapatobiliary pancreatic cancer

Research Project

Project/Area Number 18K16370
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 55020:Digestive surgery-related
Research InstitutionKumamoto University

Principal Investigator

Kitano Yuki  熊本大学, 病院, 非常勤診療医師 (40814760)

Project Period (FY) 2018-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2018: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywordsがん代謝 / 腫瘍免疫 / 免疫チェックポイント / バイオマーカー / 肝胆膵領域癌 / Nrf2 / PD-L1 / CD8+ T細胞 / 膵癌 / CD8 T細胞
Outline of Final Research Achievements

In this study, we analyzed the effect of Nrf2 on the progression of hepatobiliary-pancreatic cancer through tumor immunity. In vitro experiments using pancreatic cancer cell lines showed that Nrf2 could affect tumor growth. We found that there was a correlation between Nrf2 and PD-L1 expression in pancreatic cancer from the TCGA database. Immunohistochemistry using resected pancreatic cancer showed a poor prognosis in the PD-L1 high expression group and the CD8 low expression group. In cholangiocarcinoma, although there was no correlation between Nrf2 and PD-L1 expression, there was a negative correlation between Nrf2 and CD8 expression. Immunohistochemistry using resected cholangiocarcinoma showed a poor prognosis in the PD-L1 high expression group and CD8 low expression group.
We might show that Nrf2 promotes tumor progression in association with tumor immunity in hepato-biliary-pancreatic cancer and causes poor patient prognosis.

Academic Significance and Societal Importance of the Research Achievements

肝胆膵領域癌は有効な抗癌剤や分子標的治療薬が限られており、その予後は未だに不良である。基礎研究及び臨床研究により分子標的治療薬に代表される革新的な治療法を開発することが喫緊の課題である。“がん代謝”は、がん細胞の発育・進展において非常に重要な役割を担っており、近年がん研究において注目されている。Nrf2はがん代謝の主要な制御遺伝子であると報告され、さらに腫瘍免疫と複雑に関連していると言われている。本研究により、肝胆膵領域癌においてNrf2が腫瘍免疫と関連して腫瘍進展を促し、患者予後に与える影響について検討した。

Report

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

    (21 results)

All 2019 2018 2017

All Journal Article (21 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 20 results,  Open Access: 9 results)

  • [Journal Article] Conophylline suppresses pancreatic cancer desmoplasia and cancer-promoting cytokines produced by cancer-associated fibroblasts2019

    • Author(s)
      N. Ishii, K. Araki, T. Yokobori, K. Hagiwara, G. Dolgormaa, T. Yamanaka, T. Handa, M. Tsukagoshi, T. Igarashi, A. Watanabe, N. Kubo, N. Harimoto, A. Masamune, K. Umezawa, H. Kuwano, K. Shirabe
    • Journal Title

      Cancer Science

      Volume: 10 Issue: 1 Pages: 334-434

    • DOI

      10.1111/cas.13874

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical Significance of PD-L1 Expression in Both Cancer and Stroma Cells of Cholangiocarcinoma Patients2019

    • Author(s)
      Kitano Yuki、Yamashita Yo-ichi、Nakao Yosuke、Itoyama Rumi、Yusa Toshihiko、Umezaki Naoki、Tsukamoto Masayo、Yamao Takanobu、Miyata Tatsunori、Nakagawa Shigeki、Okabe Hirohisa、Imai Katsunori、Chikamoto Akira、Ishiko Takatoshi、Baba Hideo
    • Journal Title

      Annals of Surgical Oncology

      Volume: 27 Issue: 2 Pages: 599-607

    • DOI

      10.1245/s10434-019-07701-4

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A case of acute perforated cholecystitis with intracystic tumor thrombus of hepatocellular carcinoma.2019

    • Author(s)
      Nakao Y, Okabe H, Yamashita Y, Itoyama R, Yusa T, Kitano Y, Arima K, Miyata T, Nakagawa S, Imai K, Chikamoto A, Baba H
    • Journal Title

      Int Canc Conf J

      Volume: 8(1) Pages: 43-45

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical role of fludeoxyglucose (18F) positron emission tomography/computed tomography ((18)F-FDG PET/CT) in patients with pancreatic neuroendocrine tumors.2019

    • Author(s)
      Matsumoto T, Okabe H, Yamashita Y, Yusa T, Itoyama R, Nakao Y, Yamao T, Umzaki N, Tsukamoto M, Kitano Y, Miyata T, Arima K, Nitta H, Hayashi H, Imai K, Chikamoto A, Baba H
    • Journal Title

      Surg Today

      Volume: 49(1) Issue: 1 Pages: 21-26

    • DOI

      10.1007/s00595-018-1703-2

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical significance of preoperative hepatocellular carcinoma with high lens culinaris agglutinin-reactive fraction of alpha-fetoprotein, but low alpha-fetoprotein.2019

    • Author(s)
      Yamao T, Yamashita Y, Imai K, Umezaki N, Tsukamoto M, Kitano Y, Arima K, Miyata T, Nakagawa S, Okabe H, Hayashi H, Chikamoto A, Ishiko T, Baba H
    • Journal Title

      Anticancer Res

      Volume: 39(2) Issue: 2 Pages: 883-889

    • DOI

      10.21873/anticanres.13189

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of surgery for recurrent cholangiocarcinoma: A single center experience and brief literature review2019

    • Author(s)
      Kitano Yuki、Yamashita Yo-ichi、Nakagawa Shigeki、Okabe Hirohisa、Imai Katsunori、Chikamoto Akira、Baba Hideo
    • Journal Title

      The American Journal of Surgery

      Volume: 219 Issue: 1 Pages: 175-180

    • DOI

      10.1016/j.amjsurg.2019.02.015

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Multidisciplinary approach of liver metastases from colorectal cancer.2019

    • Author(s)
      Adam R, Kitano Y
    • Journal Title

      Ann Gastroenterol Surg

      Volume: 3 Issue: 1 Pages: 50-56

    • DOI

      10.1002/ags3.12227

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Nrf2 promotes oesophageal cancer cell proliferation via metabolic reprogramming and detoxification of reactive oxygen species.2018

    • Author(s)
      Kitano Y, Baba Y, Nakagawa S, Miyake K, Iwatsuki M, Ishimoto T, Yamashita YI, Yoshida N, Watanabe M, Nakao M, Baba H.
    • Journal Title

      J Pathol.

      Volume: 244(3) Issue: 3 Pages: 346-357

    • DOI

      10.1002/path.5021

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Tumor-infiltrating inflammatory and immune cells in patients with extrahepatic cholangiocarcinoma.2018

    • Author(s)
      Kitano Y, Okabe H, Yamashita YI, Nakagawa S, Saito Y, Umezaki N, Tsukamoto M, Yamao T, Yamamura K, Arima K, Kaida T, Miyata T, Mima K, Imai K, Hashimoto D, Komohara Y, Chikamoto A, Ishiko T, Baba H
    • Journal Title

      Br J Cancer

      Volume: 118(2) Issue: 2 Pages: 171-180

    • DOI

      10.1038/bjc.2017.401

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prognostic value of LINE-1 methylation level in 321 patients with primary liver cancer including hepatocellular carcinoma and intrahepatic cholangiocarcinoma.2018

    • Author(s)
      Miyata T, Yamashita Y, Baba Y, Harada K, Yamao T, Umezaki N, Tsukamoto M, Kitano Y, Yamamura K, Arima K, Nakagawa S, Okabe H, Imai K, Hashimoto D, Chikamoto A, Shimokawa M, Baba H
    • Journal Title

      Oncotarget

      Volume: 9 Issue: 29 Pages: 20795-20806

    • DOI

      10.18632/oncotarget.25124

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Controlling Nutritional Status (CONUT) score is a prognostic marker for gastric cancer patients after curative resection. Gastric Cancer.2018

    • Author(s)
      Kuroda D, Sawayama H, Kurashige J, Iwatsuki M, Eto T, Tokunaga R, Kitano Y, Yamamura K, Ouchi M, Nakamura K, Baba Y, Sakamoto Y, Yamashita Y, Yoshida N, Chikamoto A, Baba H
    • Journal Title

      Gastric Cancer.

      Volume: 21(2) Issue: 2 Pages: 204-212

    • DOI

      10.1007/s10120-017-0744-3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Enhancer of zeste homolog 2 (EZH2) regulates tumor angiogenesis and predicts recurrence and prognosis of intrahepatic cholangiocarcinoma2018

    • Author(s)
      Nakagawa Shigeki、Okabe Hirohisa、Ouchi Mayuko、Tokunaga Ryuma、Umezaki Naoki、Higashi Takaaki、Kaida Takatoshi、Arima Kota、Kitano Yuki、Kuroki Hideyuki、Mima Kosuke、Nitta Hidetoshi、Imai Katsunori、Hashimoto Daisuke、Yamashita Yo-ichi、Chikamoto Akira、Baba Hideo
    • Journal Title

      HPB

      Volume: 20 Issue: 10 Pages: 939-948

    • DOI

      10.1016/j.hpb.2018.03.018

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Number of acinar cells at the pancreatic stump predicts pancreatic fistula after pancreaticoduodenectomy.2018

    • Author(s)
      Umezaki N, Hashimoto D, Nakagawa S, Kitano Y, Yamamura K, Chikamoto A, Matsumura F, Baba H
    • Journal Title

      Surg Today

      Volume: 48(8) Issue: 8 Pages: 790-795

    • DOI

      10.1007/s00595-018-1656-5

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hepatic resection followed by hepatic arterial infusion chemotherapy for hepatocellular carcinoma with intrahepatic dissemination.2018

    • Author(s)
      Kuramoto K, Beppu T, Nitta H, Imai K, Masuda T, Miyata T, Koga Y, Kitano Y, Kaida T, Nakagawa S, Okabe H, Hayashi H, Hashimoto D, Yamashita Y, Chikamoto A, Kikuchi K, Baba H
    • Journal Title

      Anticancer Res

      Volume: 38(1) Pages: 525-531

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Predicting Poorly Differentiated Hepatocellular Carcinoma that Meets the Milan Criteria2018

    • Author(s)
      KOGA YUKI、BEPPU TORU、MIYATA TATSUNORI、KITANO YUKI、TSUJI AKIRA、NAKAGAWA SHIGEKI、ARIMA KOTA、KURAMOTO KUNITAKA、OKABE HIROHISA、IMAI KATSUNORI、HAYASHI HIROMITSU、NITTA HIDETOSHI、YAMASHITA YO-ICHI、CHIKAMOTO AKIRA、ISHIKO TAKATOSHI、BABA HIDEO
    • Journal Title

      Anticancer Research

      Volume: 38 Issue: 7 Pages: 4093-4099

    • DOI

      10.21873/anticanres.12699

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] A case of 15-year recurrence-free survival after microwave coagulation therapy for liver metastasis from gastric cancer.2018

    • Author(s)
      Kinoshita K, Beppu T, Miyata T, Kuramoto K, Yoshida Y, Umesaki N, Kitano Y, Nakagawa S, Okabe H, Nitta H, Imai K, Hayashi H, Yamashita Y, Komori H, Horino K, Misumi A, Baba H
    • Journal Title

      Anticancer Res

      Volume: 38(3) Pages: 1595-1598

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Multiple primary cancers in patients with pancreatic cancer.2018

    • Author(s)
      Yamamura K, Hashimoto D, Kitano Y, Kuroda D, Eto T, Arima K, Kaida T, Miyata T, Nakagawa S, Imai K, Yamashita Y, Chikamoto A, Matsumura F, Baba H
    • Journal Title

      Am Surg

      Volume: 84(12)

    • Related Report
      2018 Research-status Report
  • [Journal Article] Microvascular invasion of single small hepatocellular carcinoma ?3 cm: Predictors and optimal treatments2018

    • Author(s)
      Yamashita Yo-ichi、Imai Katsunori、Yusa Toshihiko、Nakao Yosuke、Kitano Yuki、Nakagawa Shigeki、Okabe Hirohisa、Chikamoto Akira、Ishiko Takatoshi、Yoshizumi Tomoharu、Aishima Shinichi、Maehara Yoshihiko、Baba Hideo
    • Journal Title

      Annals of Gastroenterological Surgery

      Volume: 2 Issue: 3 Pages: 197-203

    • DOI

      10.1002/ags3.12057

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Cystic gastric metastasis from pancreatic cancer.2018

    • Author(s)
      Umezaki N, Hashimoto D, Nakagawa S, Yamao T, Tsukamoto M, Kitano Y, Arima K, Yamamura K, Miyata T, Okabe H, Chikamoto A, Matsumura F, Baba H
    • Journal Title

      Surg Case Rep

      Volume: 4(1) Issue: 1 Pages: 31-31

    • DOI

      10.1186/s40792-018-0443-2

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Complete remission of advanced hepatocellular carcinoma following transient chemoembolization and portal vein ligation.2018

    • Author(s)
      Koga Y, Beppu T, Imai K, Kuramoto K, Miyata T, Kitano Y, Nakagawa S, Okabe H, Okabe K, Yamashita Y, Chikamoto A, Baba H
    • Journal Title

      Surg Case Rep

      Volume: 4(1) Issue: 1 Pages: 102-102

    • DOI

      10.1186/s40792-018-0510-8

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical usefulness of postoperative C-reactive protein/albumin ratio in pancreatic ductal adenocarcinoma.2017

    • Author(s)
      Arima K, Yamashita YI, Hashimoto D, Nakagawa S, Umezaki N, Yamao T, Tsukamoto M, Kitano Y, Yamamura K, Miyata T, Okabe H, Ishimoto T, Imai K, Chikamoto A, Baba H.
    • Journal Title

      Am J Surg.

      Volume: Aug 26 Issue: 1 Pages: 111-115

    • DOI

      10.1016/j.amjsurg.2017.08.016

    • Related Report
      2018 Research-status Report
    • Peer Reviewed

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

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