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Elucidation of the nature and development of therapeutic strategies for sporadic MSI-positive tumors across organs

Research Project

Project/Area Number 22K06936
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 49020:Human pathology-related
Research InstitutionChiba University

Principal Investigator

Matsusaka Keisuke  千葉大学, 大学院医学研究院, 准教授 (40610150)

Project Period (FY) 2022-04-01 – 2025-03-31
Project Status Completed (Fiscal Year 2024)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2024: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2023: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2022: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords胃癌 / TP53 / EBV / MSI / 早期細胞老化 / エピジェネティクス / マイクロサテライト不安定性 / EBV陽性胃癌 / DNAメチル化形質 / 大腸癌 / 子宮体癌 / エピゲノム異常
Outline of Research at the Start

孤発性MSI(microsatellite instability)陽性腫瘍は胃癌・大腸癌・子宮体癌に好発する。その分子基盤はDNAメチル化を介したMLH1の不活化に起因するミスマッチ修復機構の破綻により、ゲノム全域に機能喪失性の短縮型変異が蓄積することに特徴付けられるが、TP53は高頻度に変異を回避する。本研究ではMSI陽性腫瘍の本態解明と新規治療戦略の構築を目指し、以下の3点を目的とし研究を展開する。①MLH1不活化機構の解明、②野生型TP53にも関わらず発癌に至る機序の解明、③野生型TP53を利用した治療戦略の開発。

Outline of Final Research Achievements

Among gastric cancers, there exists a distinct subtype characterized by abnormally elevated DNA methylation. Notably, many cases within this subtype exhibit tumor development despite retaining a wild-type TP53 tumor suppressor gene. In this study, we identified that aberrant activation of MDM2, a key negative regulator of TP53, plays a significant role in suppressing TP53 function and thereby contributes to tumorigenesis without TP53 mutation. Moreover, we uncovered a novel mechanism by which cells can evade senescence independently of TP53. These findings shed new light on previously unexplained mechanisms of tumorigenesis and are expected to significantly contribute to the development of new therapeutic targets and the advancement of personalized medicine beyond a mutation-centric paradigm.

Academic Significance and Societal Importance of the Research Achievements

本研究では、がん抑制遺伝子TP53が正常に保たれているにもかかわらず胃癌が発生する特殊な仕組みを解明した。具体的には、TP53の働きを妨げるMDM2という分子の異常な活性化や、TP53に依存せずに早期細胞老化を回避する新たな経路が、がんの原因となっていることを見出した。これにより、TP53遺伝子の変異を伴わない発がん機構の存在を分子レベルで示した。これらの成果は、がんの本質的理解を一歩進めるとともに、従来の治療が効きにくい症例に対する新たな治療法の開発や、個別化医療の確立に資する知見となる。

Report

(4 results)
  • 2024 Annual Research Report   Final Research Report ( PDF )
  • 2023 Research-status Report
  • 2022 Research-status Report
  • Research Products

    (31 results)

All 2025 2024 2023 2022

All Journal Article (29 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 24 results,  Open Access: 7 results) Book (2 results)

  • [Journal Article] Efficacy of Magnifying Texture and Color Enhancement Imaging With Indigo Carmine as an Alternative to Crystal Violet for Colorectal Tumors2025

    • Author(s)
      Ishikawa Tsubasa、Okimoto Kenichiro、Matsumura Tomoaki、Akizue Naoki、Kurosugi Akane、Sonoda Michiko、Kaneko Tatsuya、Ohta Yuki、Taida Takashi、Matsusaka Keisuke、Kato Jun、Ikeda Jun‐ichiro、Kato Naoya
    • Journal Title

      Journal of Gastroenterology and Hepatology

      Volume: 40 Issue: 4 Pages: 866-872

    • DOI

      10.1111/jgh.16886

    • Related Report
      2024 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Usefulness of Novel Image-Enhanced Endoscopy for Predicting Maintenance of Clinical Remission in Ulcerative Colitis2025

    • Author(s)
      Mamiya Yukiyo、Taida Takashi、Kato Jun、Matsusaka Keisuke、Ikeda Jun-ichiro、Kato Naoya
    • Journal Title

      Digestive Diseases and Sciences

      Volume: 70 Issue: 3 Pages: 1167-1177

    • DOI

      10.1007/s10620-025-08849-8

    • Related Report
      2024 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A novel self-assembling peptide as new submucosal injection solution in endoscopic submucosal dissection2025

    • Author(s)
      Okimoto Kenichiro、Matsumura Tomoaki、Ishikawa Tsubasa、Mukai Shohei、Takahashi Satsuki、Horio Ryosuke、Goto Chihiro、Kurosugi Akane、Sonoda Michiko、Kaneko Tatsuya、Ohta Yuki、Taida Takashi、Matsusaka Keisuke、Kato Jun、Ikeda Jun-ichiro、Kato Naoya
    • Journal Title

      Surgical Endoscopy

      Volume: 39 Issue: 5 Pages: 2949-2957

    • DOI

      10.1007/s00464-025-11655-y

    • Related Report
      2024 Annual Research Report
  • [Journal Article] Rare Favorable Surgical Outcome Obtained in Löffler Endocarditis With Severe Mitral Valve Regurgitation2024

    • Author(s)
      Yoshida Kazuki、Sasaki Haruka、Takaoka Hiroyuki、Nishikawa Yusei、Aoki Shuhei、Suzuki Katsuya、Yashima Satomi、Suzuki-Eguchi Noriko、Kinoshita Makiko、Kanaeda Tomonori、Matsusaka Keisuke、Kohno Hiroki、Matsushita Kazuyuki、Kobayashi Yoshio
    • Journal Title

      Circulation Reports

      Volume: 6 Issue: 6 Pages: 230-231

    • DOI

      10.1253/circrep.CR-24-0031

    • ISSN
      2434-0790
    • Year and Date
      2024-06-10
    • Related Report
      2024 Annual Research Report
  • [Journal Article] Intensive triamcinolone acetonide injection regimen can highly prevent stricture after extensive esophageal endoscopic submucosal dissection2024

    • Author(s)
      Okimoto Kenichiro、Matsumura Tomoaki、Akizue Naoki、Takahashi Satsuki、Horio Ryosuke、Goto Chihiro、Kurosugi Akane、Sonoda Michiko、Kaneko Tatsuya、Ohta Yuki、Taida Takashi、Saito Keiko、Matsusaka Keisuke、et.al.
    • Journal Title

      Scandinavian Journal of Gastroenterology

      Volume: 59 Issue: 8 Pages: 996-1001

    • DOI

      10.1080/00365521.2024.2360557

    • Related Report
      2024 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gel immersion EMR for hemorrhagic gastric hyperplastic polyp2024

    • Author(s)
      Akizue Naoki、Okimoto Kenichiro、Matsumura Tomoaki、Matsusaka Keisuke、Kato Jun、Kato Naoya
    • Journal Title

      VideoGIE

      Volume: 9 Issue: 7 Pages: 324-325

    • DOI

      10.1016/j.vgie.2024.03.012

    • Related Report
      2024 Annual Research Report
  • [Journal Article] Successful closure of large mucosal defect with novel anchor-pronged clip after gastric endoscopic submucosal dissection2024

    • Author(s)
      Okimoto Kenichiro、Matsumura Tomoaki、Matsusaka Keisuke、Ohta Yuki、Taida Takashi、Kato Jun、Kato Naoya
    • Journal Title

      Endoscopy

      Volume: 56 Issue: S 01 Pages: E534-E535

    • DOI

      10.1055/a-2334-1103

    • Related Report
      2024 Annual Research Report
  • [Journal Article] Successful prevention of balloon dilatation after complete circumferential endoscopic submucosal dissection including long-segment Barrett’s esophagus2024

    • Author(s)
      Okimoto Kenichiro、Matsumura Tomoaki、Matsusaka Keisuke、Ohta Yuki、Taida Takashi、Kato Jun、Kato Naoya
    • Journal Title

      Endoscopy

      Volume: 56 Issue: S 01 Pages: E582-E583

    • DOI

      10.1055/a-2346-4577

    • Related Report
      2024 Annual Research Report
  • [Journal Article] Differences in mucosal permeability among patients with ulcerative colitis classified based on the colonic location and disease activity2024

    • Author(s)
      Shiratori Wataru, Ohta Yuki, Matsusaka Keisuke, Ohyama Yuhei, Mamiya Yukiyo, et al.
    • Journal Title

      Clinical and Translational Gastroenterology

      Volume: Online ahead of print. Issue: 5 Pages: e00692-e00692

    • DOI

      10.14309/ctg.0000000000000692

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Severe ulcerative colitis induced by COVID-19 vaccination2024

    • Author(s)
      Taida Takashi, Kato Jun, Ishikawa Kentaro, Akizue Naoki, Ohta Yuki, Okimoto Kenichiro, Saito Keiko, Matsusaka Keisuke, Matsumura Tomoaki, Kato Naoya
    • Journal Title

      Clinical Journal of Gastroenterology

      Volume: Online ahead of print. Issue: 3 Pages: 447-450

    • DOI

      10.1007/s12328-024-01926-x

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Utility of prophylactic clipping after colorectal cold snare polypectomy in patients on oral antithrombotic agents2024

    • Author(s)
      Akizue Naoki, Okimoto Kenichiro, Matsumura Tomoaki, Matsusaka Keisuke, Inaba Yosuke, Horio Ryosuke, Takahashi Satsuki, Goto Chihiro, Kurosugi Akane, Sonoda Michiko, Kaneko Tatsuya, Ohta Yuki, Taida Takashi, Kato Jun, Ikeda Jun-ichiro, Kato Naoya
    • Journal Title

      Gastrointestinal Endoscopy

      Volume: 99 Issue: 5 Pages: 826-829.e3

    • DOI

      10.1016/j.gie.2024.01.016

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Gel immersion endoscopic mucosal resection for pedunculated Brunner’s gland hyperplasia in the duodenal bulb near the pylorus2023

    • Author(s)
      Goto Chihiro, Okimoto Kenichiro, Matsumura Tomoaki, Akizue Naoki, Matsusaka Keisuke, Kato Jun, Kato Naoya
    • Journal Title

      Endoscopy

      Volume: 55 Issue: S 01 Pages: E985-E986

    • DOI

      10.1055/a-2139-4068

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Endoscopic submucosal dissection for early gastric cancer, using a disposable endoscope2023

    • Author(s)
      Okimoto Kenichiro, Matsumura Tomoaki, Fujie Mai, Akizue Naoki, Matsusaka Keisuke, Kato Jun, Kato Naoya
    • Journal Title

      Endoscopy

      Volume: 55 Issue: S 01 Pages: E881-E882

    • DOI

      10.1055/a-2109-0778

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Integrated environmental, lifestyle, and epigenetic risk prediction of primary gastric neoplasia using the longitudinally monitored cohorts2023

    • Author(s)
      Usui Genki, Matsusaka Keisuke, Huang Kie Kyon, Zhu Feng, Shinozaki Tomohiro, et al.
    • Journal Title

      eBioMedicine

      Volume: 98 Pages: 104844-104844

    • DOI

      10.1016/j.ebiom.2023.104844

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Outcomes for Underwater Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection of 21?30-mm Colorectal Polyps: A Feasible Study2023

    • Author(s)
      Okimoto Kenichiro, Matsumura Tomoaki, Matsusaka Keisuke, Inaba Yosuke, Ishikawa Tsubasa, Akizue Naoki, Kaneko Tatsuya, Ota Masayuki, Ohta Yuki, Taida Takashi, Saito Keiko, Ogasawara Sadahisa, Maruoka Daisuke, Kato Jun, Ikeda Jun-ichiro, Kato Naoya
    • Journal Title

      Digestive Diseases and Sciences

      Volume: 68 Issue: 10 Pages: 3963-3973

    • DOI

      10.1007/s10620-023-08093-y

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Tumor localization by Prostate Imaging and Reporting and Data System (PI-RADS) version 2.1 predicts prognosis of prostate cancer after radical prostatectomy2023

    • Author(s)
      Fujimoto Ayumi, Sakamoto Shinichi, Horikoshi Takuro, Zhao Xue, Yamada Yasutaka, Rii Junryo, Takeuchi Nobuyoshi, Imamura Yusuke, Sazuka Tomokazu, Matsusaka Keisuke, Ikeda Jun-ichiro, Ichikawa Tomohiko
    • Journal Title

      Scientific Reports

      Volume: 13 Issue: 1

    • DOI

      10.1038/s41598-023-36685-1

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical utility of artificial intelligence assistance in histopathologic review of lymph node metastasis for gastric adenocarcinoma2023

    • Author(s)
      Matsushima Jun, Sato Tamotsu, Yoshimura Yuichiro, Mizutani Hiroyuki, Koto Shinichiro, Matsusaka Keisuke, Ikeda Jun-ichiro, Sato Taiki, Fujii Akiko, Ono Yuko, Mitsui Takashi, Ban Shinichi, Matsubara Hisahiro, Hayashi Hideki
    • Journal Title

      International Journal of Clinical Oncology

      Volume: 28 Issue: 8 Pages: 1033-1042

    • DOI

      10.1007/s10147-023-02356-4

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association of frequent hypermethylation with high grade histological subtype in lung adenocarcinoma2023

    • Author(s)
      Ito Yuki、Usui Genki、Seki Motoaki、Fukuyo Masaki、Matsusaka Keisuke、Hoshii Takayuki、Sata Yuki、Morimoto Junichi、Hata Atsushi、Nakajima Takahiro、Rahmutulla Bahityar、Kaiho Taisuke、Inage Terunaga、Tanaka Kazuhisa、Sakairi Yuichi、Suzuki Hidemi、Yoshino Ichiro、Kaneda Atsushi
    • Journal Title

      Cancer Science

      Volume: Online Issue: 7 Pages: 3003-3013

    • DOI

      10.1111/cas.15817

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The neuroendocrine carcinoma component of gastric mixed adenoneuroendocrine carcinoma could develop with MLH1 deficiency independent of TP53 mutation2023

    • Author(s)
      Hashimoto R, Matsusaka K, Matsumura T, Hayano K, Kato N, Matsubara H, Ikeda JI.
    • Journal Title

      Pathol Int.

      Volume: - Issue: 6 Pages: 261-263

    • DOI

      10.1111/pin.13324

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] A case of metallosis mimicking cutaneous malignant melanoma following total elbow arthroplasty2023

    • Author(s)
      Arima Mio, Matsuzawa Takamitsu, Hashimoto Eiko, Ochiai Nobuyasu, Matsusaka Keisuke, Inozume Takashi
    • Journal Title

      JEADV Clinical Practice

      Volume: 2 Issue: 2 Pages: 343-346

    • DOI

      10.1002/jvc2.131

    • Related Report
      2023 Research-status Report
    • Peer Reviewed
  • [Journal Article] Anti-proliferating and apoptosis-inducing activity of chemical compound FTI-6D in association with p53 in human cancer cell lines2023

    • Author(s)
      Inoue Takato、Matsuda Kazuaki、Matsusaka Keisuke、Nakajima Masaya、Takeno Yukari、Miyazaki Toko、Shintaku Takahiko、Yoda Natsumi、Saito Takahiko、Ikeda Eriko、Mano Yasunobu、Shinohara Kenichi、Rahmutulla Bahityar、Fukuyo Masaki、Kita Kazuko、Nemoto Tetsuhiro、Kaneda Atsushi
    • Journal Title

      Chemico-Biological Interactions

      Volume: 369 Pages: 110257-110257

    • DOI

      10.1016/j.cbi.2022.110257

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Long-Term Course of Gastric Submucosal Tumors: Growth Speed and Size-Increasing Factors2023

    • Author(s)
      Shiratori Wataru、Matsumura Tomoaki、Okimoto Kenichiro、Akizue Naoki、Matsusaka Keisuke、・・Kato Jun、Ikeda Jun-ichiro、Kato Naoya
    • Journal Title

      Gastrointestinal Endoscopy

      Volume: - Issue: 6 Pages: 1052-1058.e2

    • DOI

      10.1016/j.gie.2023.01.020

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diagnostic Value of Adding Magnifying Chromoendoscopy to Magnifying Narrow-Band Imaging Endoscopy for Colorectal Polyps2023

    • Author(s)
      Matsumura Tomoaki、Ebigbo Alanna、・・Matsusaka Keisuke、Nagashima Kengo、Maehata Tadateru、Yahagi Naohisa、Messmann Helmut、Kato Naoya
    • Journal Title

      Clinical Gastroenterology and Hepatology

      Volume: - Issue: 10 Pages: 2551-2559.e2

    • DOI

      10.1016/j.cgh.2023.01.028

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Validity of pathological diagnosis for early colorectal cancer in genetic background2023

    • Author(s)
      Okimoto Kenichiro、Hirotsu Yosuke、Arai Makoto、Amemiya Kenji、Akizue Naoki、Ohta Yuki、Taida Takashi、Saito Keiko、Ohyama Hiroshi、Matsumura Tomoaki、Nishimura Motoi、Matsushita Kazuyuki、Matsusaka Keisuke、・・Kato Naoya、Omata Masao
    • Journal Title

      Cancer Medicine

      Volume: - Issue: 7 Pages: 8490-8498

    • DOI

      10.1002/cam4.5596

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Why is endosonography insufficient for residual diagnosis after neoadjuvant therapy for esophageal cancer? Solutions using muscle layer evaluation2022

    • Author(s)
      Yonemoto Shohei、Uesato Masaya、Nakano Akira、Murakami Kentaro、Toyozumi Takeshi、Maruyama Tetsuro、Suito Hiroshi、Tamachi Tomohide、Kato Manami、Kainuma Shunsuke、Matsusaka Keisuke、Matsubara Hisahiro
    • Journal Title

      World Journal of Gastrointestinal Endoscopy

      Volume: 14 Issue: 5 Pages: 320-334

    • DOI

      10.4253/wjge.v14.i5.320

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Association of tumors having <scp>Epstein?Barr</scp> virus in surrounding lymphocytes with poor prognosis2022

    • Author(s)
      Yogi Norikazu、Usui Genki、Matsusaka Keisuke、Fukuyo Masaki、Fujiki Ryoji、Seki Motoaki、Takano Shigetsugu、Abe Hiroyuki、Morikawa Teppei、Ushiku Tetsuo、Ohtsuka Masayuki、Kaneda Atsushi
    • Journal Title

      Cancer Medicine

      Volume: 12 Issue: 2 Pages: 1122-1136

    • DOI

      10.1002/cam4.4967

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Adenocarcinoma of the stomach and esophagogastric junction with low DNA methylation show poor prognoses2022

    • Author(s)
      Urabe Masayuki、Matsusaka Keisuke、Ushiku Tetsuo、Fukuyo Masaki、Rahmutulla Bahityar、Yamashita Hiroharu、Seto Yasuyuki、Fukayama Masashi、Kaneda Atsushi
    • Journal Title

      Gastric Cancer

      Volume: 26 Issue: 1 Pages: 95-107

    • DOI

      10.1007/s10120-022-01344-3

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Repression of DERL3 via DNA methylation by Epstein-Barr virus latent membrane protein 1 in nasopharyngeal carcinoma2022

    • Author(s)
      Kondo S, Okabe A, Nakagawa T, Matsusaka K, Fukuyo M, Rahmutulla B, Dochi H, Mizokami H, Kitagawa Y, Kurokawa T, Mima M, Endo K, Sugimoto H, Wakisaka N, Misawa K, Yoshizaki T, Kaneda A.
    • Journal Title

      Biochimica et Biophysica Acta - Molecular Basis of Disease

      Volume: 1869(2) Issue: 2 Pages: 166598-166598

    • DOI

      10.1016/j.bbadis.2022.166598

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term vonoprazan administration causes gastric fundic gland-type hyperplastic polyps and chronic bleeding2022

    • Author(s)
      Goto Chihiro、Okimoto Kenichiro、Matsusaka Keisuke、Matsumura Tomoaki、Akizue Naoki、Ohta Yuki、Taida Takashi、Saito Keiko、Kato Jun、Kato Naoya
    • Journal Title

      Clinical Journal of Gastroenterology

      Volume: 16 Issue: 2 Pages: 159-163

    • DOI

      10.1007/s12328-022-01751-0

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Book] 胃と腸 58(10)2023

    • Author(s)
      沖元 謙一郎, 松村 倫明, 松坂 恵介, 加藤 順, 加藤 直也
    • Total Pages
      238
    • Publisher
      医学書院
    • Related Report
      2023 Research-status Report
  • [Book] 消化管 (非腫瘍性疾患病理アトラス)2023

    • Author(s)
      九嶋亮治、八尾隆史、牛久哲男
    • Total Pages
      364
    • Publisher
      文光堂
    • Related Report
      2023 Research-status Report

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Published: 2022-04-19   Modified: 2026-01-16  

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