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A miRNA signature as a diagnostic biomarker for microvascular invasion in hepatocellular carcinoma

Research Project

Project/Area Number 21K15596
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 50020:Tumor diagnostics and therapeutics-related
Research InstitutionKumamoto University

Principal Investigator

Yamamura Kensuke  熊本大学, 大学院生命科学研究部(医), 特定研究員 (10816507)

Project Period (FY) 2021-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2022: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2021: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords肝細胞癌 / 微少脈管侵襲 / マイクロRNA / バイオマーカー / signature / micro RNA
Outline of Research at the Start

HCCの悪性度は、MVIの有無、低分化型、肉眼的分類などで評価されるが、それらを術前に予測するための有効な手段がない。このMVIはHCCにおいて重要な予後予測因子であり、MVIの診断は治療方針の構築に重要となるが、現在の画像診断モダリティーでは治療前の診断が困難である。
HCCの臨床検体を用いてmiRNA-Seq解析を行い、MVIを認めるHCC特異的に発現しているmicro RNA (miRNA)を同定する。バイオインフォマティクスを駆使し、候補となるmiRNAを絞り込み、miRNAシグニチャーを樹立する。さらに国際共同研究で集められた1000例に及ぶ大規模コホートで、シグニチャーの有用性を検証する。

Outline of Final Research Achievements

We initially identified a 16-gene expression signature from a total of 19245 genes, which showed significant predictive power for recurrence free survival (RFS) in non B non C HCC patients [HR: 5.02 (3.12 - 8.08), p<0.0001]. Subsequently, using clinical training cohort, we developed a reduced and optimized 4 gene signature composed of DKK1, CTSL2, MAMSTR and HLA-G, which demonstrated as a robust model in predicting RFS (HR, 3.05; 95%CI, 1.81 - 5.14; P<0.0001). The performance of the gene signature was validated in two independent clinical cohorts (HR, 3.39; 95% CI: 1.98 - 5.79, P<0.0001 and HR, 3.44; 95%CI: 1.95 - 6.06, P<0.0001). Furthermore, a nomogram comprising our four gene signature, tumor size, number of tumors, AFP, and DCP was generated to predict the 2-year recurrence free survival in the training cohort, and it performed well in the two independent validation cohorts (concordance index: 0.73 and 0.71, respectively).

Academic Significance and Societal Importance of the Research Achievements

システマティックかつ網羅的なバイオマーカーの探索及び検証を行うことで、NBNC-HCCの再発予測ノモグラムを樹立した。個々の患者の再発予測に有用な臨床ツールとなりうる。

Report

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

    (6 results)

All 2022 2021

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (3 results)

  • [Journal Article] Vater Papilla-preserving Strategy for Advanced Hepatocellular Carcinoma With Excessive Bile Duct Tumor Thrombus2022

    • Author(s)
      YAMAMURA KENSUKE、BEPPU TORU、INOUE KEIJIRO、MATSUMURA KAZUKI、ODA ERI、NAGAYAMA YASUNORI、MOTOHARA TOSHIHIKO、MIYAMOTO HIDEAKI、KOMOHARA YOSHIHIRO、OKABE HIROHISA、MIYATA TATSUNORI、ISIKO TAKATOSHI
    • Journal Title

      Anticancer Research

      Volume: 42 Issue: 11 Pages: 5663-5670

    • DOI

      10.21873/anticanres.16075

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Successful Treatment of Intrahepatic Cholangiocarcinoma With Liver/Lung Metastasis and Peritoneal Dissemination After Liver Resection2022

    • Author(s)
      MATSUMURA KAZUKI、YAMAMURA KENSUKE、ODA ERI、AKAHOSHI SHINICHI、ISHIKO TAKATOSHI、MIYATA TATSUNORI、MIYAMOTO HIDEAKI、MOTOHARA TOSHIHIKO、SASAO AKIRA、KOMOHARA YOSHIHIRO、KAWANO HIDECHIKA、BEPPU TORU
    • Journal Title

      Anticancer Research

      Volume: 42 Issue: 6 Pages: 3209-3215

    • DOI

      10.21873/anticanres.15811

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Conversion Surgery for Hepatocellular Carcinoma Following Molecular Therapy2021

    • Author(s)
      YAMAMURA KENSUKE、BEPPU TORU、MIYATA TATSUNORI、OKABE HIROHISA、NITTA HIDETOSHI、IMAI KATSUNORI、HAYASHI HIROMITSU、AKAHOSHI SHINICHI
    • Journal Title

      Anticancer Research

      Volume: 42 Issue: 1 Pages: 35-44

    • DOI

      10.21873/anticanres.15454

    • Related Report
      2022 Annual Research Report 2021 Research-status Report
    • Peer Reviewed
  • [Presentation] 肉眼的胆管腫瘍塞栓を伴う肝細胞癌に対する治療戦略2022

    • Author(s)
      山村謙介
    • Organizer
      日本消化器外科学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 肝切除後の門脈血栓発生のリスク因子解析および治療に関する前向き検討2022

    • Author(s)
      山村謙介
    • Organizer
      日本外科学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 肉眼的胆管腫瘍塞栓を伴う肝細胞癌に対する治療戦略2022

    • Author(s)
      山村謙介、別府 透、松村 和季、織田枝里、赤星慎一、林 洋光、今井克憲、馬場 秀夫
    • Organizer
      第77回日本消化器外科学会総会
    • Related Report
      2021 Research-status Report

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Published: 2021-04-28   Modified: 2024-01-30  

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