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A study of the molecular biology using Oncostatin M aimed for liver reproduction after the cirrhotic liver resection

Research Project

Project/Area Number 19591598
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionWakayama Medical University

Principal Investigator

UCHIYAMA Kazuhisa  Wakayama Medical University, 医学部, 准教授 (80232867)

Co-Investigator(Kenkyū-buntansha) YAMAUE Hiroki  和歌山県立医科大学, 医学部, 教授 (20191190)
IWAHASHI Makoto  和歌山県立医科大学, 医学部, 講師 (70244738)
Project Period (FY) 2007 – 2008
Project Status Completed (Fiscal Year 2008)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2008: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2007: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords肝硬変 / 肝切除 / 肝再生 / Oncostatin M / 分子生物学 / IL-6 / HGF / 抗アポトーシス / adenovirus vector / 線維化の改善 / dimethylnitrosamine(DMN)
Research Abstract

本研究では,adenovirus vectorを用いて,Oncostatin M(OSM)を発現する遺伝子を肝硬変ラットモデルを導入することにより,肝再生を促進するとともに,肝機能を改善るることを確認し,肝切除術の適応拡大に寄与することを目的とした.dimethylnitrosamine(DMN)を用いたラットによる肝硬変モデルを作成し,AdOSMウイルス液0.5m
1,PBS液0.5mLを門脈本幹に注入し,70%肝切除を施行した.その結果,LOSM導入により,現在までの報告のある急性肝障害に対する効果のみならず,肝硬変モデルにおいても肝機能や背景肝の線維化の改善が認められることを明らかにした.
2.肝硬変モデルに対する70%肝切除においても,OSM導入により肝機能,および背景肝の線維化の改善を初めて明らかにした.
3.OSMはHGFとのような発癌のリスクが史的されておらず,肝硬変合併症例に対する肝切除後の肝不全を抑制する可能性も示唆され,今後,硬変肝の肝切除への臨床症例への適応が着たいされた.

Report

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

    (31 results)

All 2009 2008 2007

All Journal Article (20 results) (of which Peer Reviewed: 20 results) Presentation (9 results) Book (2 results)

  • [Journal Article] Half clamping of the infrahepatic inferior vena cava reduces bleedingduring a hepatectomy by decreasing the central venous pressure.2009

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

      Langenbecks Arch Surg. 394

      Pages: 243-247

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Assessment of liver funciton for successful hepatectomy in patients with hepatocellular carcinoma with impaired hepatic function.2008

    • Author(s)
      Uhciyama K, Mori K, Tabuse K, Ueno M, Ozawa S, Nakase T, Kawai M, Tani M, Tanimura H, Yamaue H
    • Journal Title

      J Hepatobiliary Pancreal Surg. 15(6)

      Pages: 596-602

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] A collision tumor composed of cancers of the bile duct and ampulla of Vater-immunohistochemical analysis of a rare entity of double cancer.2008

    • Author(s)
      Hirono S, Tani M, Terasawa H, Kawai M, Ina S, Uchiyama K, Nakamura Y, Kakudo K, Yamaue H
    • Journal Title

      Hepatogastroenterology 55(84)

      Pages: 861-864

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Non hepatocytic malignant mixed tumor of the liver in adult : report of a long surviving case.2008

    • Author(s)
      Shono Y, Tsuji T, Horiuchi T, Nakai T, Uchiyama K, Nakatani Y, Kinoshita H, Tabuse K, Yamaue H
    • Journal Title

      Int Surg. 93(1)

      Pages: 55-8

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Laparoscopic splenectomy is a safe and effective procedure for patients with splenomegaly due to potal hypertension.2008

    • Author(s)
      Hama T, Takifuji K, Uchiyama K, Tani M, Kawai M, Yamaue H
    • Journal Title

      J Hepatobiliary Pancreat Surg 5(3)

      Pages: 304-309

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] CLIP Method (Preperative CT Image-assessed Ligation of Inferior Pancreaticoduodenal Artery) Reduces Intraoperative Bleeding during Pancreaticoduodenectomy2008

    • Author(s)
      Kawai M, Tani M, Ins S, Hirono S, Nishioka R, Miyazawa M, Uchiyama K, Shimamoto T, Yamaue H
    • Journal Title

      World Surg. 32(1)

      Pages: 82-87

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Assessment of liver function for successful hepatectomy in patients with hepatocellular carcinoma with impaired hepatic function.2008

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

      J Hepatobiliary Pancreat Surg. 15

      Pages: 596-602

    • NAID

      10023921239

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 肝内結石症に対する手術 遺残・再発結石予防のための治療法の選択2008

    • Author(s)
      内山和久, 他
    • Journal Title

      外科 70

      Pages: 950-954

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Successful interventional dilatation of a complicated stricture of the anastomotic colon : report of a case.2007

    • Author(s)
      Hirono S, Ueno M, Takifuji K, Onishi H, Tani M, Uchiyama K, Yamaue H
    • Journal Title

      Int Srug. 92(6)

      Pages: 311-313

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical significance of drainage tube insertion in laparoscopic cholecystectomy : a prospective randomized controlled trial.2007

    • Author(s)
      Uchiyama K, Tani M, Kawai M, Terasawa H, Hama T, Yamaue H
    • Journal Title

      J Hepatobiliary Pancreat Surg. 14(6)

      Pages: 551-556

    • NAID

      10019995078

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Prognostic factors for long-term survival in patients with locally invasive pancreatic cancer.2007

    • Author(s)
      Tani M, Kawai M, Terasawa H, Ina S, Hirono S, Shimamoto T, Miyazawa M, Uchiyama K, Yamaue H
    • Journal Title

      J Hepatobiliary Pancreat Surg 14(6)

      Pages: 545-550

    • NAID

      10019995047

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Pathogenesis of hepatolithiasis based on the analysis of components of intrahepatic stones.2007

    • Author(s)
      Uchiyama K, Kawai M, Tani M, Terasawa H, Tanimura H, Yamaue H
    • Journal Title

      Hepatogastroenterology 54

      Pages: 1798-1804

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Repeat reduction surgery after an initial hepatectomy for patients with colorectal cancer.2007

    • Author(s)
      Matsuda K, Hotta T, Uchiyama K, Tani M, Takifuji K, Yokoyama S, Higashiguchi T, Tominaga T, Oku Y, Nasu T, Yamaue H
    • Journal Title

      Oncol Rep. 18(1)

      Pages: 189-194

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Prevention of postoperative infections by administration of antimicrobial agents immediately before surgery for patients with gastrointestinal cancers.2007

    • Author(s)
      Uchiyama K, Takifuji K, Tani M, Ueno M, Kawai M, Ozawa S, Yamaue H
    • Journal Title

      Hepatogastroenterology 54

      Pages: 1487-1493

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Reducing residual and recurrent stones by hepatectomy for hepatolithiasis2007

    • Author(s)
      Uchiyama K, Kawai M, Ueno M, Ozawa S, Tani M, Yamaue H
    • Journal Title

      J Gastrointest Surg. 11

      Pages: 626-630

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Adenoviral vector expressing hepatocyte growth factor promotes liver regeneration by preoperative injection : the advantages of performing selective injectoin to hte remnant lobe2007

    • Author(s)
      Ueno M, Uchiyama K, Nakamori M, Ueda K, Iwahashi M, Ozawa S, Yamaue H
    • Journal Title

      Surgery 141(4)

      Pages: 511-519

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Effect of normothermic perfusoin using fructose-1,6-bisphosphate for maintenance of liver function during in situ extended hepatectomy by the total hepatic vascular exclusion technique.2007

    • Author(s)
      Uemura R, Uchiyama K, Ozawa S, Yamaue H.
    • Journal Title

      J Surg Res. 137

      Pages: 89-95

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Reducing residual and recurrent stones by hepatectomy for hepatolithiasis2007

    • Author(s)
      Uchiyama K, Yamaue H, et. al.
    • Journal Title

      J Gastrointest Surg 11(5)

      Pages: 626-630

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pathogenesis of hepatolithiasis based on the analysis of components of intrahepatic stones2007

    • Author(s)
      Uchiyama K, Yamaue H, et. al.
    • Journal Title

      Hepatogastroenterology 54(78)

      Pages: 1798-1804

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical significance of drainage tube insertion in laparoscopic cholecystectomy:a prospective randomized controlled2007

    • Author(s)
      Uchiyama K, Yamaue H, et. al.
    • Journal Title

      J Hepatobiliary Pancreat Surg 14(6)

      Pages: 551-556

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 出血量減少を目的とした肝切除時の工夫2008

    • Author(s)
      内山和久, 他
    • Organizer
      第71回日本臨床外科学会
    • Place of Presentation
      東京
    • Related Report
      2008 Final Research Report
  • [Presentation] 丹管結石症に対するEST後の長期成績2008

    • Author(s)
      内山和久, 他
    • Organizer
      第71回日本臨床外科学会
    • Place of Presentation
      東京
    • Related Report
      2008 Final Research Report
  • [Presentation] 肝切除ごにおける肝予備能判定式の確立とその評価について2008

    • Author(s)
      内山和久, 他
    • Organizer
      第63回日本消化器外科学会総会
    • Place of Presentation
      札幌
    • Related Report
      2008 Final Research Report
  • [Presentation] 切除時における出血量減少を目的とした肝下部下大静脈half clampとPringle法の併用効果.2008

    • Author(s)
      内山和久, 他
    • Organizer
      第63回日本消化器外科学会総会.
    • Place of Presentation
      札幌
    • Related Report
      2008 Annual Research Report
  • [Presentation] 3D画像ソフトを用いた術前肝切除シミュレーションの有用性2007

    • Author(s)
      内山和久, 他
    • Organizer
      第19回日本肝胆膵外科学会
    • Place of Presentation
      横浜
    • Related Report
      2008 Final Research Report
  • [Presentation] 術前抗菌薬投与のSSI予防効果について2007

    • Author(s)
      内山和久, 他
    • Organizer
      第70回日本臨床外科学会
    • Place of Presentation
      横浜
    • Related Report
      2008 Final Research Report
  • [Presentation] 肝がんの話2007

    • Author(s)
      内山和久
    • Organizer
      市民公開講座
    • Place of Presentation
      和歌山
    • Related Report
      2008 Final Research Report
  • [Presentation] 肝・胆道癌に対する拡散強調MRI診断の有用性(転移性肝癌を中心として)2007

    • Author(s)
      内山和久, 上野昌樹, 小澤悟, 中瀬隆之, 東郷直希, 川井学, 谷眞至, 山上裕機
    • Organizer
      第62回日本消化器外科学会総会
    • Place of Presentation
      東京
    • Related Report
      2008 Final Research Report
  • [Presentation] 肝・胆道癌に対する拡散強調MRI(DW-MRI)診断の有用性2007

    • Author(s)
      内山和久, 他
    • Organizer
      第107回日本外科学会総会
    • Place of Presentation
      大阪
    • Related Report
      2008 Final Research Report 2007 Annual Research Report
  • [Book] 最新の肝胆膵の3Dイメージ2008

    • Author(s)
      内山和久, 他
    • Total Pages
      7
    • Publisher
      3D CT画像による術前肝切除シミュレーションの有用性 CT volumetryを用いた術前肝機能評価.
    • Related Report
      2008 Annual Research Report
  • [Book] 消化器外科ナーシング「消化器外科のドレーン管理」2007

    • Author(s)
      山上 裕機, 内山 和久
    • Total Pages
      10
    • Publisher
      メディカ出版(大阪)
    • Related Report
      2007 Annual Research Report

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

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