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New gene therapy of Smad7 for hepatocellular carcinoma with liver cirrhosis

Research Project

Project/Area Number 19790949
Research Category

Grant-in-Aid for Young Scientists (B)

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

Principal Investigator

OZAWA Satoru  Wakayama Medical University, 医学部, 助教 (40433354)

Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥1,670,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥270,000)
Fiscal Year 2009: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2008: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2007: ¥500,000 (Direct Cost: ¥500,000)
Keywords肝切除術 / 肝硬変 / 肝再生 / アデノウイルスベクター / TGF-β / Smad7 / 肝切除 / Smad 7
Research Abstract

In a cirrhotic liver, the regenerative ability and specific functions are impaires ; a hepatic resection increases the possibility of postoperative liver failure. A truncated type II transforming growth factor-β receptor (TβTR), which specifically inhibits TGF-β signaling as a dominant-negative receptor, appears to prevent the progression of liver fibrosis. We demonstrated the therapeutic efficacy of adenovirus-mediated TβTR gene transducation after partial hepatectomy for liver cirrhosis. Rats were treated with dimethylnitrosamine for 3 weeks, and they all had severe cirrhosis. After the 10% partial hepatectomy in rats of this model, we injected PBS, AdLacZ, and Ad TβTR, into the portal vein, which was followed by an additionl 2-week dimethylnitrosamine treatment. On histologic examination, fibrotic tissue had decreased in the livers of the Ad TβTR -treated rats compared with rats that were treated by PBS and AdLacZ. Ad TβTR treatment improved the survival rate after a partial hepatectomy. Our results suggest that the TβTR gene therapy may increase the possibility of hepatectomy in a cirrhotic liver by improving fibrosis, hepatic function, and hepatocyte regeneration.

Report

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

    (11 results)

All 2009 2008 2007

All Journal Article (7 results) (of which Peer Reviewed: 7 results) Presentation (4 results)

  • [Journal Article] Xanthogranulomatous cholecystitis : the use of preoperative CT findings to differentiate it from gallbladder carcinoma2009

    • Author(s)
      Uchiyama K, et a
    • Journal Title

      J Hepatobiliary Pancreat Surg 16

      Pages: 333-338

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A New Prediction Model of Postoperative Complications after Major Hepatectomy for Hepatocellular Carcinoma2009

    • Author(s)
      Ueno M, et a
    • Journal Title

      Dig Surg 26

      Pages: 392-399

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Half clamping of the infrahepatic inferior vena cava reduces bleeding during a hepatectomy by decreasing the central venos pressure2009

    • 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 function for successful hepatectomy in patients with hepatocellular carcinoma with impaired hepatic function2008

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

      J Hepatobillary Pancreat Surg 15

      Pages: 596-602

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

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

      Surgery 141

      Pages: 511-519

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reducing residual and recurrent stones by hepatectomy for hepatolithiasis2007

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

      I Gastrointest Surg 11

      Pages: 626-630

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of normothermic Perfusion using fructose-1,6-bisphosphate for maintenance of liver function during in situ extended hepatectomy by the total hepatic vascular exclusion technique2007

    • Author(s)
      Uemura R
    • Journal Title

      J Surg Res 137

      Pages: 89-95

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] 肝予備能不良肝細胞癌に対する腹腔鏡補助下肝切除術の有用性2009

    • Author(s)
      小澤悟
    • Organizer
      第64回日本消化器外科学会
    • Place of Presentation
      大阪
    • Year and Date
      2009-07-17
    • Related Report
      2009 Annual Research Report
  • [Presentation] 肝細胞癌に対する拡大切除における術前門脈塞栓術の肝再生効果の検討2008

    • Author(s)
      小澤悟
    • Organizer
      第63回日本消化器外科学会
    • Place of Presentation
      札幌
    • Year and Date
      2008-07-18
    • Related Report
      2008 Annual Research Report
  • [Presentation] 肝切除術の適応拡大を目的とした遺伝子治療の基礎的研究2007

    • Author(s)
      小澤悟
    • Organizer
      第69回日本臨床外科学会
    • Place of Presentation
      横浜
    • Year and Date
      2007-11-30
    • Related Report
      2009 Final Research Report
  • [Presentation] 肝切除術の適応拡大を目的とした遺伝子治療の基礎的研究2007

    • Author(s)
      小澤 悟
    • Organizer
      第69回 日本臨床外科学会
    • Place of Presentation
      横浜
    • Year and Date
      2007-11-30
    • Related Report
      2007 Annual Research Report

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

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