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Effect of SGLT2 inhibitor for hepatocellular carcinoma

Research Project

Project/Area Number 19K17446
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 53010:Gastroenterology-related
Research InstitutionKurume University

Principal Investigator

Nakano Dan  久留米大学, 医学部, 助教 (40723987)

Project Period (FY) 2019-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2021: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords肝細胞癌 / SGLT2 / SGLT2阻害剤 / 糖尿病薬 / 肝臓癌 / 脂肪酸代謝 / 電子伝達系 / プリン、ピリミジン経路 / ミトコンドリア / 肝癌
Outline of Research at the Start

SGLT2の膵癌や前立腺癌での発現に関連する既報はあるが、SGLT2と肝癌の関連については未だ報告されていない。また、SGLT2阻害剤ががん細胞の増殖抑制を起こす報告はあるが、肝癌をSGLT2阻害剤が増殖の抑制を起こす機序は未だ解明されていない。
がん細胞は共通したエネルギー代謝経路を持っている可能性があり、SGLTを解析する本研究は、今後、他のがん領域の研究にも波及効果を有する。

Outline of Final Research Achievements

The expression and mitochondrial localization of SGLT2 in hepatoma cell lines were revealed, and SGLT2 inhibitors suppressed the growth of hepatoma cell lines. The three main metabolic pathways that were found to be involved in this mechanism were 1) the electron transfer system, 2) the fatty acid metabolism pathway, and 3) the pyrin and pyrimidine pathway, which is a DNA synthesis pathway. The SGLT2 inhibitor also affected chemokines in hepatocellular carcinoma cell lines and was found to significantly reduce chemokines that affect hepatocellular carcinoma growth.
These findings suggest that SGLT2 inhibitors may have a growth inhibitory effect on hepatocellular carcinoma cells through both metabolic changes and microenvironmental changes caused by chemokine alterations.

Academic Significance and Societal Importance of the Research Achievements

肝臓癌は日本では死亡数第5位にあたる悪性腫瘍である。肝癌細胞におけるSGLTの発現およびSGLT2阻害による肝癌細胞増殖抑制およびその作用機序を解明したことで、新たな癌増殖抑制機序を発見した。また、SGLT2阻害により肝癌細胞の生存・増殖抑制効果が得られたことで、SGLT2阻害剤がすでに糖尿病薬として治療効果および安全性が確認されている薬剤であることから、直ちに臨床応用が可能な肝癌の新規治療戦略となりうる。

Report

(5 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (18 results)

All 2022 2021 2020 2019

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (16 results) (of which Int'l Joint Research: 3 results)

  • [Journal Article] Hepatic expression of sodium?glucose cotransporter 2 (SGLT2) in patients with chronic liver disease2022

    • Author(s)
      Nakano Dan、Akiba Jun、Tsutsumi Tsubasa、Kawaguchi Machiko、Yoshida Takafumi、Koga Hironori、Kawaguchi Takumi
    • Journal Title

      Medical Molecular Morphology

      Volume: 55 Issue: 4 Pages: 304-315

    • DOI

      10.1007/s00795-022-00334-9

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of SGLT2 inhibitor on tumor-releasing chemokines/cytokines in Hep3B and Huh7 cells2022

    • Author(s)
      Nakano D, Kawaguchi T, Tsutsumi T, Hayakawa M, Yoshio S, Koga H, Torimura T.
    • Journal Title

      JGH Open

      Volume: 17 Issue: 4 Pages: 270-273

    • DOI

      10.1002/jgh3.12730

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] 40)SGLT2阻害剤がNASHマウスモデルの肝癌の増殖に及ぼす影響:メタボロームとプロテオームを用いたMulti-omics 解析2022

    • Author(s)
      中野 暖
    • Organizer
      第58回日本肝臓学会総会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 42)SGLT2 Inhibitor Suppressed Proliferation of Hepatocellular Carcinoma via Regulation of Metabolic Reprogramming and Tumor-Releasing Chemokines/Cytokines: A Metabolomic and Proteomic Analysis2022

    • Author(s)
      Nakano Dan
    • Organizer
      APASL Oncology 2022
    • Related Report
      2022 Annual Research Report
  • [Presentation] SGLT2阻害剤がヒト肝癌細胞株の増殖と代謝におよぼす影響2022

    • Author(s)
      中野 暖
    • Organizer
      JDDW 2022
    • Related Report
      2022 Annual Research Report
  • [Presentation] 48)SGLT2 Inhibitor Suppressed Proliferation of Hepatocellular Carcinoma via Regulation of Metabolic Reprograming and Tumor-Releasing Chemokines/Cytokines: a Metabolomic and Proteomic Analysis2022

    • Author(s)
      Nakano Dan
    • Organizer
      The Liver Meeting Digital Experience 2022(The 73th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD)
    • Related Report
      2022 Annual Research Report
  • [Presentation] SGLT2 阻害剤が肝細胞癌の増殖に及ぼす影響:メタボロームとプロテオームを用いたMulti-omics 解析2021

    • Author(s)
      中野 暖
    • Organizer
      第57回日本肝臓学会総会
    • Related Report
      2021 Research-status Report
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響; Multi-omicsを用いた解析2021

    • Author(s)
      中野 暖
    • Organizer
      第53回日本臨床分子形態学会総会・学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] マイオカインdecorinが肝がん患者のサルコペニアと予後におよぼす影響2021

    • Author(s)
      中野 暖
    • Organizer
      29th JDDW(第25回日本肝臓学会大会・第63回日本消化器病学会大会・第19回日本消化器外科学会大会)
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] "SGLT2 INHIBITOR ALTERED METABOLIC REPROGRAMMING AND SUPPRESSED PROLIFERATION OF HEPATOCELLULAR CARCINOMA: A METABOLOMIC AND PROTEOMIC ANALYSIS"2021

    • Author(s)
      Nakano D
    • Organizer
      The Liver Meeting Digital Experience 2021(The 72th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD))
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] SGLT2阻害剤がNASH関連肝癌マウスモデルの腫瘍増殖と代謝に及ぼす影響2020

    • Author(s)
      中野 暖
    • Organizer
      日本消化器病学会総会
    • Related Report
      2020 Research-status Report
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響2020

    • Author(s)
      中野 暖
    • Organizer
      日本肝臓学会総会
    • Related Report
      2020 Research-status Report
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響2019

    • Author(s)
      中野 暖
    • Organizer
      日本消化器病学会
    • Related Report
      2019 Research-status Report
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響2019

    • Author(s)
      中野 暖
    • Organizer
      肝臓と糖尿病、代謝研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響2019

    • Author(s)
      中野 暖
    • Organizer
      日本臨床分子形態学会
    • Related Report
      2019 Research-status Report
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響2019

    • Author(s)
      中野 暖
    • Organizer
      九州メタボローム研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] SGLT2 inhibitor Altered Metabolic Reprograming and Suppressed Proliferatoin of Hepatocellular Carcinoma2019

    • Author(s)
      中野 暖
    • Organizer
      AASLD
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] SGLT2阻害剤が肝細胞癌の増殖と代謝に及ぼす影響2019

    • Author(s)
      中野 暖
    • Organizer
      JDDW2019
    • Related Report
      2019 Research-status Report

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Published: 2019-04-18   Modified: 2024-01-30  

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