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Basic research of ketogenic diet therapy with inhibitor of aminno acid metabolism for glioblastoma

Research Project

Project/Area Number 20K09369
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 56010:Neurosurgery-related
Research InstitutionKobe University

Principal Investigator

Sasayama Takashi  神戸大学, 医学研究科, 教授 (10379399)

Co-Investigator(Kenkyū-buntansha) 田中 宏知  神戸大学, 医学研究科, 医学研究員 (10569239)
西原 賢在  神戸大学, 医学研究科, 医学研究員 (20452493)
田中 一寛  神戸大学, 医学研究科, 講師 (70467661)
篠原 正和  神戸大学, 医学研究科, 准教授 (80437483)
Project Period (FY) 2020-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2022: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2021: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2020: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsketogenic diet / glioblastoma / amino acid metabolism / glioma / glutaminase inhibitor / glutaminase inhibior / metabolism
Outline of Research at the Start

膠芽腫細胞脳移植マウスにケトン食およびグルタミン酸代謝阻害剤を投与して、普通食と比較して腫瘍および正常脳での代謝状態の相違を明らかにする。また、膠芽腫細胞脳移植マウスにケトン食およびグルタミン酸代謝阻害剤を投与して、普通食と比較して遺伝子発現の変化を明らかにする。さらに、膠芽腫細胞脳移植マウスにケトン食およびグルタミン酸代謝阻害剤を投与して、普通食と比較して腫瘍増大速度、生存期間など抗腫瘍効果の有無を明らかにする。

Outline of Final Research Achievements

1) Administration of a GLS inhibitor to glioma cells decreased cell viability. A GLS inhibitor was administered to mice with brain transplantation of glioma cells, and metabolome analysis of the tumors revealed that amino acid levels such as asparagine, glutamine, lysine, ornithine, serine, and tyrosine decreased. Administration of a GLS inhibitor to brain-transplanted mice prolonged minimal survival, but not significantly. In addition, when combined with an angiogenesis inhibitor, it showed a tendency to prolong, but not significantly.
2) Combining a ketogenic diet with an angiogenesis inhibitor significantly prolonged the survival period of glioma cell brain-transplanted mice. Based on the above, the ketogenic diet was thought to be useful in combination with the treatment of glioma.

Academic Significance and Societal Importance of the Research Achievements

膠芽腫は脳腫瘍の中で最も悪性の腫瘍で、生存期間中央値は2年未満であり、癌腫の中でも最も悪性の腫瘍である。従って、有用な治療法の確立が切望されている。脳は血液脳関門があり、薬剤の有効な到達が難しい臓器であるが、ケトン食療法による代謝変化を腫瘍にもたらすことは可能である。今回の研究ではGLS阻害剤の効果およびケトン食療法と抗癌剤との併用による効果を検証した。GLs阻害剤やケトン食療法では劇的な代謝変化が腫瘍細胞にもたらされることが明らかとなった。ケトン食との併用でより効果のある治療法を確立することは臨床的に非常に意義のあるものと思われる。

Report

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

    (24 results)

All 2023 2022 2021 2020

All Journal Article (15 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 15 results,  Open Access: 10 results) Presentation (9 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] 2-Hydroxyglutarate magnetic resonance spectroscopy in adult brainstem glioma.2023

    • Author(s)
      Iwahashi H, Nagashima H, Tanaka K, Uno T, Hashiguchi M, Maeyama M, Somiya Y, Komatsu M, Hirose T, Itoh T, Sasaki R, Sasayama T.
    • Journal Title

      J Neurosurg

      Volume: 1 Issue: 2 Pages: 1-1

    • DOI

      10.3171/2022.12.jns221954

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of carotid revascularization on cognitive function and brain functional connectivity in carotid stenosis patients with cognitive impairment: a pilot study2023

    • Author(s)
      Kohta Masaaki、Oshiro Yoshitetsu、Yamaguchi Yoji、Ikeuchi Yusuke、Fujita Atsushi、Hosoda Kohkichi、Tanaka Kazuhiro、Mizobuchi Satoshi、Kohmura Eiji、Sasayama Takashi
    • Journal Title

      Journal of Neurosurgery

      Volume: 10 Issue: 4 Pages: 1-8

    • DOI

      10.3171/2023.1.jns222804

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Randomized phase III study of high-dose methotrexate and whole-brain radiotherapy with/without temozolomide for newly diagnosed primary CNS lymphoma: JCOG1114C2022

    • Author(s)
      Mishima Kazuhiko、Nishikawa Ryo、Narita Yoshitaka、Mizusawa Junki...Kinoshita Manabu ...et al
    • Journal Title

      Neuro-Oncology

      Volume: 25 Issue: 4 Pages: 687-698

    • DOI

      10.1093/neuonc/noac246

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Presence of a fundal fluid cap on preoperative magnetic resonance imaging may predict long-term facial nerve function after resection of vestibular schwannoma via the retrosigmoid approach2022

    • Author(s)
      Fujita Yuichi、Uozumi Yoichi、Sasayama Takashi、Kohmura Eiji
    • Journal Title

      Journal of Neurosurgery

      Volume: 138 Issue: 4 Pages: 1-9

    • DOI

      10.3171/2022.8.jns221516

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Glutamic Acid and Total Creatine as Predictive Markers for Epilepsy in Glioblastoma by Using Magnetic Resonance Spectroscopy Before Surgery2022

    • Author(s)
      Hashiguchi Mitsuru、Tanaka Kazuhiro、Nagashima Hiroaki、Fujita Yuichi、Tanaka Hirotomo、Kohta Masaaki、Nakai Tomoaki、Uozumi Yoichi、Maeyama Masahiro、Somiya Yuichiro、Kohmura Eiji、Sasayama Takashi
    • Journal Title

      World Neurosurgery

      Volume: 160 Pages: 501-501

    • DOI

      10.1016/j.wneu.2022.01.056

    • Related Report
      2022 Annual Research Report 2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Metabolic changes and anti-tumor effects of a ketogenic diet combined with anti-angiogenic therapy in a glioblastoma mouse model2021

    • Author(s)
      Maeyama Masahiro、Tanaka Kazuhiro、Nishihara Masamitsu、Irino Yasuhiro、Shinohara Masakazu、Nagashima Hiroaki、Tanaka Hirotomo、Nakamizo Satoshi、Hashiguchi Mitsuru、Fujita Yuichi、Kohta Masaaki、Kohmura Eiji、Sasayama Takashi
    • Journal Title

      Scientific Reports

      Volume: 11 Issue: 1 Pages: 79-79

    • DOI

      10.1038/s41598-020-79465-x

    • NAID

      120007026367

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Bone-destructive osseous arteriovenous fistula at the jugular bulb mimicking a glomus jugular tumor2021

    • Author(s)
      Yamashita S.、Fujita A.、Kohta M.、Sasayama T.、Kohmura E.
    • Journal Title

      Neurochirurgie

      Volume: 21 Issue: 5 Pages: 206-206

    • DOI

      10.1016/j.neuchi.2021.09.003

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Newly Identified Hemodynamic Parameter to Predict Thin-Walled Regions of Unruptured Cerebral Aneurysms Using Computational Fluid Dynamics Analysis2021

    • Author(s)
      Kimura Hidehito、Osaki Susumu、Hayashi Kosuke、Taniguchi Masaaki、Fujita Yuichi、Seta Takeshi、Tomiyama Akio、Sasayama Takashi、Kohmura Eiji
    • Journal Title

      World Neurosurgery

      Volume: 152 Pages: e377-e386

    • DOI

      10.1016/j.wneu.2021.05.107

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Journal Article] Lactate Reprograms Energy and Lipid Metabolism in Glucose-Deprived Oxidative Glioma Stem Cells2021

    • Author(s)
      Minami Noriaki、Tanaka Kazuhiro、Sasayama Takashi、Kohmura Eiji、Saya Hideyuki、Sampetrean Oltea
    • Journal Title

      Metabolites

      Volume: 11 Issue: 5 Pages: 325-325

    • DOI

      10.3390/metabo11050325

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Glioma cells require one-carbon metabolism to survive glutamine starvation.2021

    • Author(s)
      Tanaka K*, Sasayama T, Nagashima H, Irino Y, Takahashi M, Izumi Y, Uno T, Satoh N, Kitta A, Kyotani K, Fujita Y, Hashiguchi M, Nakai T, Kohta M, Uozumi Y, Shinohara M, Hosoda K, Bamba T, Kohmura E.
    • Journal Title

      Acta Neuropathol. Commun.

      Volume: 9 Issue: 1 Pages: 16-16

    • DOI

      10.1186/s40478-020-01114-1

    • NAID

      120006956370

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Geranylgeranylacetone attenuates cerebral ischemia-reperfusion injury in rats through the augmentation of HSP 27 phosphorylation: a preliminary study2021

    • Author(s)
      Matsuo, Kazuya and Hosoda, Kohkichi and Tanaka, Jun and Yamamoto, Yusuke and Imahori, Taichiro and Nakai, Tomoaki and Irino, Yasuhiro and Shinohara, Masakazu and Sasayama, Takashi and Kohmura, Eiji
    • Journal Title

      BMC Neuroscience

      Volume: 22 Issue: 1 Pages: 9-19

    • DOI

      10.1186/s12868-021-00614-7

    • NAID

      120006975748

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Iatrogenic intracranial vessel dissection during mechanical thrombectomy rescued by emergent stenting: 2 case reports2021

    • Author(s)
      Nakahara Masahiro、Imahori Taichiro、Tanaka Kazuhiro、Okamura Yusuke、Arai Atsushi、Yamashita Shunsuke、Iwahashi Hirofumi、Mori Tatsuya、Sasayama Takashi、Kohmura Eiji
    • Journal Title

      Radiology Case Reports

      Volume: 16 Issue: 4 Pages: 835-842

    • DOI

      10.1016/j.radcr.2021.01.040

    • NAID

      120007126719

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Refractory communicating hydrocephalus after radiation for small vestibular schwannoma with asymptomatic ventriculomegaly: A case report2020

    • Author(s)
      Nakahara Masahiro、Imahori Taichiro、Sasayama Takashi、Nakai Tomoaki、Taniguchi Masaaki、Komatsu Masato、Kanzawa Maki、Kohmura Eiji
    • Journal Title

      Radiology Case Reports

      Volume: 15 Issue: 7 Pages: 1023-1028

    • DOI

      10.1016/j.radcr.2020.04.063

    • NAID

      120007173461

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Multi-marker algorithms based on CXCL13, IL-10, sIL-2 receptor, and β2-microglobulin in cerebrospinal fluid to diagnose CNS lymphoma.2020

    • Author(s)
      Maeyama M, Sasayama T, Tanaka K, Nakamizo S, Tanaka H, Nishihara M, Fujita Y, Sekiguchi K, Kohta M, Mizukawa K, Hirose T, Itoh T, Kohmura E.
    • Journal Title

      Cancer Med

      Volume: 9 Issue: 12 Pages: 3048-3048

    • DOI

      10.1002/cam4.3048

    • NAID

      120006863597

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intraoperative 3-T Magnetic Resonance Spectroscopy for Detection of Proliferative Remnants of Glioma.2020

    • Author(s)
      Fujita Y, Kohta M, Sasayama T, Tanaka K, Hashiguchi M, Nagashima H, Kyotani K, Nakai T, Ito T, Kohmura E.
    • Journal Title

      World Neurosurg

      Volume: 137 Pages: 149-157

    • DOI

      10.1016/j.wneu.2020.01.217

    • NAID

      120006993645

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Comparative study of inflammatory markers in the cerebrospinal fluid of patients with glioma and central nervous system malignant lymphoma2022

    • Author(s)
      Takashi Sasayama 1), Kazuhiro Tanaka 1), Hiroaki Nagashima 1), Yuichi Fujita 1), Hirofumi Iwahashi 1) Masato Komatsu 2), Yoshinori Kodama 2), Tomoo Ito 2), Takanori Hirose
    • Organizer
      Sciety for Neurooncology
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 悪性グリオーマに対するケトン食と抗血管新生阻害薬を併用した集学的治療の基礎および臨床研究2022

    • Author(s)
      篠山 隆司1, 田中 一寛1, 前山 昌博2, 長嶋 宏明1, 藤田 祐一1, 岩橋 洋文1, 橋口 充3, 西原 賢在
    • Organizer
      日本脳神経外科学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] グリオーマおよび中枢神経悪性リンパ腫患者の髄液中炎症性マーカーの比較検討2022

    • Author(s)
      篠山隆司1)、田中一寛1)、長嶋宏明1)、藤田祐一1)、岩橋洋文1) 小松正人2)、児玉良典2)、伊藤智雄2)、廣瀬隆則
    • Organizer
      日本脳腫瘍病理学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 中枢神経原発悪性リンパ腫に対する診断・治療update2022

    • Author(s)
      篠山隆司
    • Organizer
      日本脳神経外科コングレス
    • Related Report
      2022 Annual Research Report
    • Invited
  • [Presentation] グリオブラストーマに対するケトン食の臨床試験ー 神戸大学での取り組み ー2021

    • Author(s)
      篠山隆司
    • Organizer
      第3回癌ケトン食研究会 学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 膠芽腫関連てんかんの治療の現状と課題2020

    • Author(s)
      篠山隆司、田中一寛、橋口充、藤田祐一、田中宏知、西原賢在、谷口理章
    • Organizer
      第79回日本脳神経外科学会学術総会
    • Related Report
      2020 Research-status Report
  • [Presentation] Current status of photodynamic therapy (PDT) for malignant brain tumors2020

    • Author(s)
      Takashi Sasayama, Kazuhiro Tanaka, Yuichi Fujita, Mitsuru Hashiguchi, Junichi Sakata, Masaaki Kohta, Masaaki Taniguchi
    • Organizer
      第58回日本癌治療学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 当院での悪性脳腫瘍に対する術中MRIの現状と有用性の検証2020

    • Author(s)
      篠山隆司、田中一寛、甲田将章、中井友昭、魚住洋一、藤田祐一、谷口理章、甲村英二
    • Organizer
      日本脳腫瘍の外科学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 初発中枢神経悪性リンパ腫(PCNSL)に対するR-MPV療法の安全性と有用性について2020

    • Author(s)
      篠山隆司、田中一寛、藤田祐一、橋口充、前山昌博
    • Organizer
      日本脳腫瘍学会
    • Related Report
      2020 Research-status Report

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Published: 2020-04-28   Modified: 2024-01-30  

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