腸内細菌叢の網羅的解析による肝細胞癌での抗PD-1抗体の治療効果予測因子の探索
Project/Area Number |
19K07788
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 50020:Tumor diagnostics and therapeutics-related
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Research Institution | Kurume University |
Principal Investigator |
鳥村 拓司 久留米大学, 付置研究所, 客員教授 (60197986)
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Co-Investigator(Kenkyū-buntansha) |
光山 慶一 久留米大学, 医学部, 教授 (20200066)
岩本 英希 久留米大学, 医学部, 助教 (40529541)
古賀 浩徳 久留米大学, 医学部, 教授 (90268855)
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Project Period (FY) |
2019-04-01 – 2024-03-31
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Project Status |
Completed (Fiscal Year 2023)
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Budget Amount *help |
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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Keywords | 腸内細菌叢 / 免疫チェックポイント阻害剤 / 腫瘍免疫 / 肝細胞癌 / 抗腫瘍効果 / 血管新生抑制 / 血管新生阻害剤 / リンパ球 / ケモカイン / サイトカイン / Germ free |
Outline of Research at the Start |
ヒト肝細胞癌症例における腸内細菌叢と誘導されるサイトカイン、ケモカインの解析により、肝細胞癌に対する抗PD-1抗体の治療効果予測因子が同定する。さらに、Germ free マウスを用いたマウス肝癌細胞接種モデルおよびマウス発がんモデル(コリン欠乏アミノ酸食投与モデル、nSREBP-1cとCyclin D1ダブルトランスジェニックマウスモデル)を用いた検討にて、腸内細菌叢の腫瘍免疫に及ぼす影響を明らかにする。
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Outline of Annual Research Achievements |
基礎研究では、Hep55-1c.マウス肝癌細胞株を同系統のマウスに接種したモデルを用いた。治療開始24日目の腫瘍体積を各群間で比較した(n=5~6)。腫瘍体積は対照群で 1.562±0.28 cm3、抗PD-L1抗体+抗VEGD抗体群で 0.606±0.09 cm3、シンバイオティックス群(乳酸菌シロタ株 LcS及びビフィズス菌BY株 BbrY懸濁液)で1.173±0.35 cm3、 シンバイオティックス+抗PD-L1抗体+抗VEGF抗体群で0.339±0.14 cm3であり抗PD-L1抗体+抗VEGF抗体群で腫瘍体積が有意に低値を示した。シンバイオティクス摂取でもバイオティックス+抗PD-L1抗体+抗VEGF抗体群で腫瘍体積が有意に低値を示した。対照群とシンバイオティックス群及び抗PD-L1抗体+抗VEGF抗体群とシンバイオティックス+抗PD-L1抗体+抗VEGF抗体群では、シンバイオティックス群で腫瘍は縮小したが有意差はなかった。肝重量は各群間で有意差はなかった。腸内細菌叢はβ多様性の比較で違いが認められ、シンバイオティクスの摂取によって菌叢構成が変動したと考えられた。抗PD-L1抗体+抗VEGF抗体群で差はなかった。 臨床研究では、登録34例の平均生存期間は、13.7ヶ月であった。制御群(CR+PR;n=23)、非制御群(SD+PD;n=8)間での菌叢比較では多様性に差がなかった。菌の占有率ではAkkermansiaceae, Coriobacteriaceaeが制御群で多い傾向があり、AcidominococcaceaeとMonoglobaceaeは有意に多かった。Erysipelatoclostridiaeは非制御群で有意に多かった。Akkermansiaceaeが多い症例では優位に無増悪生存期間と全生存期間が延長していた。治療期間中に菌多様性の変化はなかった。
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Report
(5 results)
Research Products
(51 results)
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[Journal Article] Tumor-derived insulin-like growth factor-binding protein-1 contributes to resistance of hepatocellular carcinoma to tyrosine kinase inhibitors. Cancer Communications.2023
Author(s)
Suzuki H, Iwamoto H, Seki T, Nakamura T, Masuda A, Sakaue T, Tanaka T, Imamura Y, Niizeki T, Nakano M, Shimose S, Shirono T, Noda Y, Kamachi N, Sakai M, Morita K, Nakayama M, Yoshizumi T, Kuromatsu R, Yano H, Cao Y, Koga H, Torimura T.
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Volume: 53
Issue: 2
Pages: 104-115
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Volume: 24
Issue: 18
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[Journal Article] Anti-PD-L1 antibodies promote cellular proliferation by activating the PD-L1-AXL signal relay in liver cancer cells2023
Author(s)
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Journal Title
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Volume: 8
Issue: 3
Pages: 984-997
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[Journal Article] Kurume Med J.2023
Author(s)
Goto Y, Niizeki T, Fukutomi S, Shirono T, Shimose S, Iwamoto H, Kojima S, Kanno H, Uchino Y, Sasaki S, Shirahama N, Muroya D, Nomura Y, Akashi M, Nakayama G, Hirakawa Y, Sato T, Yoshitomi M, Sakai H, Hisaka T, Kakuma T, Koga H, Torimura T, Akagi Y, Okuda K.
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Journal Title
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Volume: 68
Pages: 239-245
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Author(s)
Iwamoto H, Niizeki T, Nagamatsu H, Ueshima K, Tani J, Kuzuya T, Kasai K, Kooka Y, Hiraoka A, Sugimoto R, Yonezawa T, Tanaka S, Deguchi A, Shimose S, Shirono T, Sakai M, Suzuki H, Moriyama E, Koga H, Torimura T, Kawaguchi T, New Fp Study Group, Kurume Liver Cancer Study Group of Japan.
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Journal Title
Cancers.
Volume: 14
Issue: 19
Pages: 4873-4873
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[Journal Article] Durable complete response is achieved by balloon-occluded transcatheter arterial chemoembolization for hepatocellular carcinoma.2022
Author(s)
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Journal Title
Hepatology Communications.
Volume: 6
Issue: 9
Pages: 2594-2604
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[Journal Article] Deterioration of liver function and aging disturb sequential systemic therapy for unresectable hepatocellular carcinoma.2022
Author(s)
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Journal Title
Scientific Reports.
Volume: 12
Issue: 1
Pages: 17018-17018
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[Journal Article] "First-line sorafenib sequential therapy and liver disease etiology for unresectable hepatocellular carcinoma using inverse probability weighting: A multicenter retrospective study "2021
Author(s)
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[Journal Article] Alternating Lenvatinib and Trans-Arterial Therapy Prolongs Overall Survival in Patients with Inter-Mediate Stage HepatoCellular Carcinoma: A Propensity Score Matching Study2021
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[Journal Article] Survival Benefit of Hepatic Arterial Infusion Chemotherapy over Sorafenib in the Treatment of Locally Progressed Hepatocellular Carcinoma2021
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[Journal Article] Initial Experience of Atezolizumab Plus Bevacizumab for Unresectable Hepatocellular Carcinoma in Real-World Clinical Practice2021
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Issue: 17
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[Journal Article] Controlling Nutritional Status (CONUT) Score Is Associated With Overall Survival in Patients With Unresectable Hepatocellular Carcinoma Treated With Lenvatinib: A Multicenter Cohort Study2020
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[Presentation] Circulating IGFBP-1 provides molecular targeted agent-resistance in hepatocellular carcinoma2021
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Suzuki H, Iwamoto H, Nakamura T, Masuda A, Sakaue T, Tanaka T, Niizeki T, Okamura S, Shimose S, Shirono T, Noda Y, Kamachi N, Kuromatsu R, Koga H, Torimura T
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[Presentation] "INITIAL EXPERIENCE OF ATEZOLIZUMAB PLUS BEVACIZUMAB FOR UNRESECTABLE HEPATOCELLULAR CARCINOMA IN REAL-WORLD CLINICAL PRACTICE"2021
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[Book] 肝癌診療マニュアル2020
Author(s)
鳥村拓司、長谷川潔、泉並木、工藤正俊
Total Pages
278
Publisher
医学書院
ISBN
9784260040815
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