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Comprehensive Management of Hepatocellular Carcinoma Targeting Innate Immunological Escape of the Cancer

Research Project

Project/Area Number 19H03633
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 53010:Gastroenterology-related
Research InstitutionChiba University

Principal Investigator

Kato Naoya  千葉大学, 大学院医学研究院, 教授 (90313220)

Project Period (FY) 2019-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2021: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2020: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2019: ¥7,410,000 (Direct Cost: ¥5,700,000、Indirect Cost: ¥1,710,000)
Keywords肝癌 / 自然免疫 / 発癌抑止 / MICA / NK細胞 / PD-L1 / ADAM / 細胞傷害性T細胞 / 肝細胞癌
Outline of Research at the Start

肝癌は多中心性発癌を特徴とする。ウイルス性慢性肝炎の治療が確立し、肝発癌抑止は最重要アンメット・ニーズである。われわれはゲノムワイド関連解析により肝癌感受性遺伝子MICAを同定した。Kill meシグナルであるMICA発現肝細胞をNK細胞が排除することが肝発癌抑止に重要である。しかし、肝癌細胞はMICA切断酵素を発現し自然免疫機構から逃避しており、その機構を標的とした発癌抑止法の開発を目指す。

Outline of Final Research Achievements

MICA is expressed on the surface of hepatocellulara carcinoma (HCC) cells and is a target of NK cells, but HCC cells cleave MICA to evade NK cell attack. 1) We identified ADAM9/10/17 as MICA cleaving enzymes. 2) MICA expression was upregulated in HCC tissues, but MICA cleavage resulted in low NK cell invasion into the tissues. 3) Screening of ADAM9 inhibitors identified two leukotriene antagonists and an acyclic retinoid. 4) ADAM9 also cleaved membrane PD-L1 and evaded the acquired immunity mechanism. These findings suggest that ADAM9 inhibition may be useful for the treatment of HCC and prevention of hepatocarcinogenesis by stimulating innate and acquired immunity against HCC.

Academic Significance and Societal Importance of the Research Achievements

ほとんどのC型肝炎症例でウイルス排除が可能となったが発癌は十分に抑止できていない。C型肝癌に対する薬物療法は複合免疫療法が第一選択となったがその効果はいまだ満足するレベルに達していない。したがって、新たな発癌抑止法、肝癌治療法の開発が急務である。肝癌細胞に表出している自然および獲得免疫の標的となる分子であるMICA、PD-L1のADAM9/10/17による切断が肝癌細胞の免疫逃避機構の一翼を担っており、それらの切断阻害は自然免疫賦活による新たな発癌抑止法となる可能性、また、肝癌細胞に対する自然免疫賦活+獲得免疫賦活による新たな肝癌治療法となる可能性があると期待される。

Report

(4 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Annual Research Report
  • 2019 Annual Research Report

Research Products

(24 results)

All 2021 2020 2019 Other

All Int'l Joint Research (1 results) Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (20 results) (of which Int'l Joint Research: 6 results,  Invited: 2 results)

  • [Int'l Joint Research] Inst. for viral & liver diseases, Inserm(フランス)

    • Related Report
      2020 Annual Research Report
  • [Journal Article] Baseline soluble MICA levels act as a predictive biomarker for the efficacy of regorafenib treatment in colorectal cancer2021

    • Author(s)
      Arai J, Otoyama Y, Fujita KI, Goto K, Tojo M, Katagiri A, Nozawa H, Kubota Y, Takahashi T, Ishida H, Tsunoda T, Matsumoto N, Ogawa K, Nakagawa R, Muroyama R, Kato N, Yoshida H.
    • Journal Title

      BMC Cancer

      Volume: 22 Pages: 428-428

    • DOI

      10.1186/s12885-022-09512-5

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Retinoids decrease soluble MICA concentration by inhibiting the enzymatic activity of ADAM9 and ADAM102021

    • Author(s)
      Otoyama Y, Arai J, Goto K, Nozawa H, Nakagawa R, Muroyama R, Sugiura I, Nakajima Y, Kajiwara A, Tojo M, Ichikawa Y, Uozumi S, Shimozuma Y, Uchikoshi M, Sakaki M, Kato N, Yoshida H.
    • Journal Title

      Anticancer Res

      Volume: 41 Pages: 2307-2320

    • DOI

      10.21873/anticanres.15006

    • Related Report
      2021 Annual Research Report 2020 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Leukotriene receptor antagonists enhance HCC treatment efficacy by inhibiting ADAMs and suppressing MICA shedding2021

    • Author(s)
      Arai J, Goto K, Otoyama Y, Nakajima Y, Sugiura I, Kajiwara A, Tojo M, Ichikawa Y, Uozumi S, Shimozuma Y, Uchikoshi M, Sakaki M, Nozawa H, Nakagawa R, Muroyama R, Kato N, Yoshida H.
    • Journal Title

      Cancer Immunology, Immunotherapy

      Volume: 70 Pages: 203-213

    • DOI

      10.1007/s00262-020-02660-2

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Regorafenib and its metabolotes could Induce NK cell-mediated cytotoxixity in HCC by targeting ADAM92021

    • Author(s)
      Arai J, Otoyama Y, Goto K, Nakagawa R, Muroyama R, Ogawa K, Sugiura I, Nakajima Y, Kajiwara A, Ichikawa Y, Uozumi S, Shimozuma Y, Uchikoshi M, Sakaki M, Kato N, Yohida H
    • Organizer
      APASL oncology 2021
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Novel immuno-oncotherapy against HCC by targeting MICA2021

    • Author(s)
      Otoyama Y, Arai J, Goto K, Nakagawa R, Muroyama R, Sugiura I, Nakajima Y, Kajiwara A, Ichikawa Y, Uozumi S, Shimozuma Y, Uchikoshi M, Sakaki M, Kato N, Yoshida H
    • Organizer
      APASL oncology 2021
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Development of novel therapeutic agents for HCC by suppressing soluble MICA through ADAM9 inhibition2021

    • Author(s)
      Ogawa K, Nakagawa R, Ao J, Qiamg N, Ma Y, Zhang J, Iwanaga T, Sakuma T, Kanzaki H, Kobayashi K, Nakamura M, Kanogawa N, Kondo T, Ogasawara S, Muroyama R, Nakamoto S, Chiba T, Kanda T, Maruyama H, Kato N
    • Organizer
      APASL oncology 2021
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Screening of ADAM9 inhibitors for suppression of soluble MICA in hepatocellular carcinoma2021

    • Author(s)
      Ogawa K, Nakagawa R, Ishino T, Iwanaga T, Unozawa H, Fujiwara K, Nakagawa M, Sakuma T, Fujita N, Kanzaki H, Koroki K, Kobayashi K, Kiyono S, Nakamura M, Kanogawa N, Saito T, Kondo T, Ogasawara S, Muroyama R, Nakamoto S, Chiba T, Kato N
    • Organizer
      AASLD 2021
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 大腸癌に対するレゴラフェニブ治療においてMICAは加療効果予測のバイオマーカーになり得る2021

    • Author(s)
      荒井潤, 後藤覚, 音山裕美, 杉浦育也, 中島陽子, 梶原敦, 市川雪, 魚住祥二郎, 下間祐, 打越学, 坂木理, 中川良, 室山良介, 加藤直也, 吉田仁
    • Organizer
      JDDW 2021
    • Related Report
      2021 Annual Research Report
  • [Presentation] レチノイドによるがん微小環境を標的とした肝がん治療戦略2021

    • Author(s)
      音山裕美, 荒井潤, 後藤覚, 中島陽子, 杉浦育也, 梶原敦, 市川雪, 魚住祥二郎, 下間祐, 打越学, 坂木理, 中川良, 室山良介, 加藤直也, 吉田仁
    • Organizer
      JDDW 2021
    • Related Report
      2021 Annual Research Report
  • [Presentation] ロイコトリエン拮抗薬による膜型MICA発現増強を介した肝癌治療戦略2021

    • Author(s)
      荒井潤, 加藤直也, 吉田仁.
    • Organizer
      第107回日本消化器病学会総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 肝がんにおける免疫療法について2021

    • Author(s)
      加藤直也
    • Organizer
      第23回日本肝がん分子標的治療研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 肝癌のHot Topics2020

    • Author(s)
      加藤直也
    • Organizer
      第106回消化器病学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] C型肝炎の残された課題~急性肝不全を含めて~2020

    • Author(s)
      加藤直也
    • Organizer
      第46回日本急性肝不全研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Withコロナ時代に目指すべきC型肝硬変治療2020

    • Author(s)
      加藤直也
    • Organizer
      第56回日本肝臓学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 内科医が知っておくべき肝臓病の最新情報2020

    • Author(s)
      加藤直也
    • Organizer
      令和2年度千葉県内科医会
    • Related Report
      2020 Annual Research Report
  • [Presentation] C型肝炎のアンメット・メディカルニーズに挑む2020

    • Author(s)
      加藤直也
    • Organizer
      第28回日本消化器病関連学会週間(JDDW2020)
    • Related Report
      2020 Annual Research Report
  • [Presentation] パラダイムシフトを迎える肝癌薬物治療ースチバーガの治療意義ー2020

    • Author(s)
      加藤直也
    • Organizer
      第56回日本肝癌研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 生存期間延長を目指した進行肝癌治療戦略2020

    • Author(s)
      加藤直也
    • Organizer
      第22回日本肝がん分子標的治療研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] ロイコトリエン拮抗薬によるADAM9制御を介した肝癌自然免疫療法の開発2019

    • Author(s)
      荒井潤、吉田仁、加藤直也
    • Organizer
      第105回日本消化器病学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] B型肝炎と肝がん治療のアンメット・ニーズに挑む2019

    • Author(s)
      加藤直也
    • Organizer
      第55回日本肝臓学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 肝細胞癌に対する分子標的療法がGWAS感受性遺伝子MICAに与える影響の検討2019

    • Author(s)
      荒井潤、吉田仁、加藤直也
    • Organizer
      第55回日本肝臓学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] HCC:View in Host Genetics2019

    • Author(s)
      Naoya Kato
    • Organizer
      Achievement and New Challenge of LiverDiseases 2019 Kaohsiung Liver Forum
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] HCV-associated HCC-Basics and clinics2019

    • Author(s)
      Naoya Kato
    • Organizer
      HEPATITIS CLNICAL FPRUM
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited

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Published: 2019-04-18   Modified: 2023-01-30  

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