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Study on the pathogenesis of Barrett's esophagus based on stem cell biopsy

Research Project

Project/Area Number 19590723
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Gastroenterology
Research InstitutionShimane University

Principal Investigator

KINOSHITA Yoshikazu  Shimane University, 医学部, 教授 (30243306)

Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2009: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2008: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2007: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsバレット食道 / 胃食道逆流症 / 幹細胞 / 分化 / 腸上皮化生 / パレット食道 / バレット上皮 / 杯細胞 / 骨髄
Research Abstract

We have investigated the pathogenesis of Barrett's esophagus focusing on the cellular origin and abnormal differentiation of the original cells. Esophageal fibroblasts, when exposed to acidic gastric contents, secrete various growth factors and cytokines. Especially HB-EGF produced by these acid exposed fibroblasts induced abnormal differentiation of immature esophageal squamous cells to intestinal type columnar cells by inducing Cdx2 expression. Furthermore squamous epithelial cells exposed to bile acids started to differentiate to columnar epithelial cells by the mutual interaction of Cdx1 and Cdx2.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (55 results)

All 2010 2009 2008 2007 Other

All Journal Article (54 results) (of which Peer Reviewed: 49 results) Presentation (1 results)

  • [Journal Article] 前癌病変としてのBarrett食道.2010

    • Author(s)
      木下芳一、数森秀章、石村典久
    • Journal Title

      G.I. Reseach 18

      Pages: 45-52

    • Related Report
      2009 Final Research Report
  • [Journal Article] 前癌病変としてのBarrett食道2010

    • Author(s)
      木下芳一、数森秀章、石村典久
    • Journal Title

      G.I.Reseach 18

      Pages: 45-52

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Roles of caudal-related homeobox gene Cdx1 in oesophageal epithelial cells in Barrett's epithelium development.2009

    • Author(s)
      Kazumori H, Ishihara S, Kinoshita Y.
    • Journal Title

      Gut. 58(5)

      Pages: 620-628

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Architectural roles of multiple chromatin insulators at the human apolipoprotein gene cluster.2009

    • Author(s)
      Mishiro T, Ishihara K, Hino S, Tsutsumi S, Aburatani H, Shirahige K, Kinoshita Y, Nakao M.
    • Journal Title

      EMBO J. 28(9)

      Pages: 1234-1245

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Half-solidification of nutrient does not decrease gastro-esophageal reflux events in patients fed via percutaneous endoscopic gastrostomy.2009

    • Author(s)
      Adachi K, Furuta K, Morita T, Nakata S, Ohara S, Tanimura T, Koshino K, Miki M, Ishimura N, Inoue Y, Ryuko K, Umegae N, Ohhata S, Katoh S, Yamamoto K, Nariai Y, Hashimoto Y, Sumi A, Kawaguchi M, Kinoshita Y.
    • Journal Title

      Clin Nutr. 28

      Pages: 648-651

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Asymmetrical circumferential distribution of esophagogastric junctional lesions: anatomical and physiological considerations.2009

    • Author(s)
      Kinoshita Y, Furuta K, Adachi K, Amano Y.
    • Journal Title

      J Gastroenterol. 44

      Pages: 812-818

    • NAID

      10025176489

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Endoscopic definition of esophagogastric junction for diagnosis of Barrett's esophagus: importance of systematic education and training.2009

    • Author(s)
      Ishimura N, Amano Y, Kinoshita Y.
    • Journal Title

      Digestive Endoscopy 21

      Pages: 213-218

    • NAID

      10028186048

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] IGICS study group. A questionnaire-based survey of GERD and related diseases by physicians in East Asian countries in 2008.2009

    • Author(s)
      Fujiwara Y, Takahashi S, Arakawa T, Sollano JD, Zhu Q, Kachintorn U, Rani AA, Hahm KB, Joh T, Kinoshita Y, Matsumoto T, Naito Y, Takeuchi K, Terano A
    • Journal Title

      Digestion 80

      Pages: 119-128

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Barrett食道癌予防を目的とした本邦独自のサーベイランス法の確立およびPPI投与による発癌予防効果についての検討2009

    • Author(s)
      石村典久、天野祐二、木下芳一
    • Journal Title

      The GI Forefront 5

      Pages: 114-117

    • Related Report
      2009 Final Research Report
  • [Journal Article] Roles of caudal-related homeobox gene Cdx1 in2009

    • Author(s)
      Kazumori H, et al
    • Journal Title

      Gut. 58

      Pages: 620-628

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of the effects of omeprazole and famotidine2009

    • Author(s)
      Kusunoki H, et al
    • Journal Title

      J Gastroenterol 44

      Pages: 261-270

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Architectural roles of multiple chromatin insulators at the human2009

    • Author(s)
      Mishiro T, et al
    • Journal Title

      EMBO J. 28

      Pages: 1234-1245

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Half-solidification of nutrient does not decrease2009

    • Author(s)
      Adachi K, et al
    • Journal Title

      Clin Nutr. 28

      Pages: 648-651

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Asymmetrical circumferential distribution of esophagogastric junctional2009

    • Author(s)
      Kinoshita Y, et al
    • Journal Title

      J Gastroenterol. 44

      Pages: 812-818

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Endoscopic definition of esophagogastric junction for2009

    • Author(s)
      Ishimura N, et al
    • Journal Title

      Digestive Endoscopy. 21

      Pages: 213-218

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A questionnaire-based survey of GERD and2009

    • Author(s)
      Fujiwara Y, et al
    • Journal Title

      Digestion. 80

      Pages: 119-128

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Barrett食道癌予防を目的とした本邦独自のサーベイランス法の確立および2009

    • Author(s)
      石村典久、天野祐二、木下芳一
    • Journal Title

      The GI Forefront 5

      Pages: 114-117

    • Related Report
      2009 Annual Research Report
  • [Journal Article] REG1αprotein expression in Barrett's esophagus.2008

    • Author(s)
      Chinuki D, Amano Y, Ishihara S, Moriyama N, Ishimura N, Kazumori H, Kadowaki Y, Takasawa S, Okamoto H, Kinoshita Y.
    • Journal Title

      J. Gastroenterol Hepatol. 23

      Pages: 296-302

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Prolactin induces MFG-E8 production in macrophages via transcription factor C/EBPβ-dependent pathway.2008

    • Author(s)
      Aziz MM, Ihishra S, Rumi MAK, Mishima Y, Oshima N, Kadota C, Moriyama I, Yong-Yu Li, Farzana Binte Rahman, Otani A, Oka A, Ishimura N, Kadowaki Y, Amano Y, Kinoshita Y.
    • Journal Title

      Apoptosis. 13

      Pages: 609-620

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Barrett's esophagus in Japanese patients: its prevalence, form, and elongation.2008

    • Author(s)
      Okita K, Amano Y, Takahashi Y, Mishima Y, Moriyama N, Ishimura N, Ishihara S, Kinoshita Y.
    • Journal Title

      J Gastroenterol. 43(12)

      Pages: 928-934

    • NAID

      10023973547

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Esophageal epithelial surface in patients with gastroesophageal reflux disease: an electron microscopic study.2008

    • Author(s)
      Azumi T, Adachi K, Furuta K, Nakata S, Ohara S, Koshino K, Miki M, Morita T, Tanimura T, Ashizawa N, Kinoshita Y.
    • Journal Title

      World J Gastroenterol. 14(37)

      Pages: 5712-5716

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Causes and therapeutic approaches for PPI-resistant GERD in Asia.2008

    • Author(s)
      Kinoshita Y, Ishihara S.
    • Journal Title

      Therapeutic Advances in Gastroenterology. 1

      Pages: 191-199

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] What is the clinical significance of stromal angiogenesis in Barrett's esophagus?2008

    • Author(s)
      Moriyama N, Amano Y, Mishima Y, Okita K, Takahashi Y, Yuki T, Ishimura N, Ishihara S, Kinoshita Y.
    • Journal Title

      J Gastroenterol Hepatol. 23(Suppl2)

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] バレット食道および食道腺癌の診断2008

    • Author(s)
      天野祐二、木下芳一
    • Journal Title

      治療 90

      Pages: 1950-1955

    • Related Report
      2009 Final Research Report
  • [Journal Article] REGla protein expression in Barrett's esophagus2008

    • Author(s)
      Chinuki D, et al
    • Journal Title

      Journal of Gastroenterology and Hepatplogy 23

      Pages: 296-302

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cause of, and therapeutic approaches for, proton pump inhibitor-resistant eastroesophageal reflux disease in Asia2008

    • Author(s)
      Kinoshita Y, Ishihara S
    • Journal Title

      Therapeutic Advances in Gastroenterology 1

      Pages: 191-199

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] REG1 α protein expression in Barrett's esophagus2008

    • Author(s)
      Chinuki D, et. al.
    • Journal Title

      J. Gastroenterol Hepatol 23

      Pages: 296-302

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Complete response of a pancreatic adenosquamouse carcinoma to chemoradiotherapy2008

    • Author(s)
      Shibagaki K, et. al.
    • Journal Title

      Int J Clin Oncol 13

      Pages: 74-77

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Anti-tumor effects of cimetidine on hepatocellular carcinomas in diethylnitrosamine-treated rats2008

    • Author(s)
      Furuta K, et. al.
    • Journal Title

      Oncology Reports 19

      Pages: 361-368

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Abnormal liver function in Crohn's disease related to location of disease leasions2008

    • Author(s)
      Furuta K, et. al.
    • Journal Title

      Inflamm Bowel Dis 14

      Pages: 138-139

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Barrett Esophagus: Perspectivea on its diagnosis and management in Asian population2008

    • Author(s)
      Amano Y, et. al.
    • Journal Title

      Gastroenterology and Hepatology 4

      Pages: 45-53

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Barrett食道の発生機序における胆汁酸の役割2007

    • Author(s)
      数森秀章、木下芳一
    • Journal Title

      日本消化器病学会雑誌 104

      Pages: 10-16

    • NAID

      10018886762

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Validity of endoscopic classification for non-erosive reflux disease2007

    • Author(s)
      Joh T, et. al.
    • Journal Title

      J. Gastroenterol 42

      Pages: 444-449

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of proton pump inhibitor rabeprazole, on heartburn symptom resolution in patients with non-erosive and erosive gastro-oesophageal refluxdisease-a malticenter stady from Japan-2007

    • Author(s)
      Miwa H, et. al.
    • Journal Title

      Aliment Pharmacol Ther 26

      Pages: 69-77

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Generation of dyspeptic symptoms by direct acid infusion into the stomach of healthy Japanese subjects2007

    • Author(s)
      Miwa H, et. al.
    • Journal Title

      Aliment Pharmacol Ther 26

      Pages: 257-264

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Psychometric validationof the Japanese translation of the Quality of Life in Reflux and Dyspepsia questionnaire in patients with heartburn2007

    • Author(s)
      Hongo M, et. al.
    • Journal Title

      J. Gastroenterol 42

      Pages: 807-815

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] In vivo evidence for the role of RegIin gastric regeneration: transgenic overexpression of RegIaccelerates the healing of experimental gastric ulcers

    • Author(s)
      Fukuhara H, Kadowaki Y, Ose T, Aziz MM, Ishihara S, Takasawa S, Kinoshita Y.
    • Journal Title

      Lab Invest (in press)

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Fibroblast derived HB-EGF promotes Cdx2 expression in esophageal squamous cells.

    • Author(s)
      Rahman F, Kadowaki Y, Ishihara S, Tobita H, Imaoka H, Fukuhara H, Aziz M, Furuta K, Amano Y, Kinoshita Y.
    • Journal Title

      Lab Invest (in press)

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of crystal violet chromoendoscopy with mucosal pit pattern diagnosi for surveillance of Barrett's esophagus.

    • Author(s)
      Ishimura N, Amano Y, Yuki T, Takahashi Y, Kinoshita Y.
    • Journal Title

      Digestion (in press)

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of the effects of omeprazole and famotidine in treatment of upper abdominal symptoms in patients with reflux esophagitis.

    • Author(s)
      Kusunoki H, Kusaka M, Kido S, Yamauchi R, Fujimura Y, Watanabe Y, Kobori M, Miwa H, Tomita T, Kin Y, Hori K, Tano N, Sugimoto K, Nakamura Y, Fujimoto K, Oza N, Matsunobu A, Ono N, Fuyuno S, Kinoshita Y, Adachi K, Yuki M, Fujisawa T, Haruma K.
    • Journal Title

      J Gastroenterol. 44(4)

      Pages: 261-270

    • NAID

      10025174070

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] In vivo evidence for the role of Reg I in gastric regeneration

    • Author(s)
      Fukuhara H, et al
    • Journal Title

      Lab Invest (in press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Fibroblast derived HB-EGF promotes Cdx2 expression in esophageal

    • Author(s)
      Rahman F, et al
    • Journal Title

      Lab Invest (in press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effectiveness of crystal violet chromoendoscopy with mucosal pit

    • Author(s)
      Ishimura N, et al
    • Journal Title

      Digestion, (in press)

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Roles of caudal-related homeobox gene Cdxl in oesophageal epithelialcells in Barrett's epithelium development.

    • Author(s)
      Kazumori H, et al
    • Journal Title

      Gut (in press)

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Barrett's esophagus in Japanese patients : its prevalence, form and elongation.

    • Author(s)
      Okita K, et al
    • Journal Title

      Journal of Gastroenterology (in press)

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Five-year follow up study of patients with reflux symptoms and reflux esophagitis in annual medical check-up field

    • Author(s)
      Azumi T, a, et. al.
    • Journal Title

      Internal Medicine (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Helicobacter pylori infection does not accelerate the age-related progression of arteriosclerosis-a follow-up study for 4-year-period

    • Author(s)
      Honda C, et. al.
    • Journal Title

      J. Gastroenterol. Hepatol (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prognosis following endoscopic injection aclerotherapy for esophageal varicesin adults: 20-year follow up study

    • Author(s)
      Yuki M, et. al.
    • Journal Title

      Scand J. Gastroenterol (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Decoy oligodeoxynucleotide targeting activator protein-1(AP-1)attenuates intestinal inflammation in marine experimental colitis

    • Author(s)
      Moriyama I, et. al.
    • Journal Title

      Lab Invest (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] a Randomized double-blind, placebo-controlled clinical study of the histamine H2-receptor antagonist famotidine in Japanese patients with non-erosive reflux disease

    • Author(s)
      Hongo M, et. al.
    • Journal Title

      J. Gastroenterol. (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prolactin induces MFG-E8 production in macrophages via transcription factor C/EBP β-dependent pathway

    • Author(s)
      Md Monowar Aziz, et. al.
    • Journal Title

      Apoptosis (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dose magnifying endoscopy improve the diagnosis of erosive esophagitis?

    • Author(s)
      Amano Y, et. al.
    • Journal Title

      J. Gastroenterol Hepatol (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] It is possible to classify non erosive reflux disease(NERD)patients into endoscopically normal group and mininal change group by subjective symptoms and responsiveness to rabeprazole-repont from study with Japanese patients-

    • Author(s)
      Kusano M, et. al.
    • Journal Title

      Dig Dis Sci (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy of prokinetic agents in improving bowel preparation for colonoscopy

    • Author(s)
      Mishima Y, et. al.
    • Journal Title

      Digestion (in press)

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 線維芽細胞への酸曝露によるHB-EGFの産生誘導とバレット上皮発生への関与2010

    • Author(s)
      RAHMAN FARZANA BINTE, 他
    • Organizer
      第6回日本消化管学会総会
    • Place of Presentation
      福岡
    • Year and Date
      2010-02-20
    • Related Report
      2009 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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