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The role of EMAST-positive colorectal cancer cell in inflammatory bowel disease and finding the novel target factors.

Research Project

Project/Area Number 22K16509
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 55020:Digestive surgery-related
Research InstitutionOsaka University

Principal Investigator

Munakata Koji  大阪大学, 大学院医学系研究科, 招へい教員 (70621043)

Project Period (FY) 2022-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2023: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2022: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords炎症性腸疾患 / Colitic cancer / EMAST / Colitic cancer
Outline of Research at the Start

炎症性腸疾患(inflammatory bowel disease, IBD)は増加傾向であり、長期経過例におけるcolitic cancerは悪性度が高く、その発生機序の解明は治療戦略上、非常に重要である。
通常大腸癌における予後不良因子として知られる、マイクロサテライト不安定性の一つであるelevated microsatellite alterations at selected tetranucleotide repeats(EMAST)に着目し、EMAST陽性細胞における原因遺伝子を厳密に評価し、colitic cancerの発生機序解明と新たな治療戦略の創出を目指す。

Outline of Final Research Achievements

To create a new therapeutic approach for colitic cancer in the context of inflammatory bowel disease, we focused on elevated microsatellite alterations at selected tetranucleotide repeats (EMAST), a form of microsatellite instability. Since the reliability of the experimental system for detecting EMAST is the most important "foundation" of this study, we first confirmed the reliability of the experimental system using area of cancer and non-cancer. We confirmed that our detection system of EAST was function. Next, DNA was extracted from non-cancer cancer areas of colitis cancer cases. But it was difficult to stably detect EMAST using one. Because of our technical methods and of quality of DNA that were extracted from relatively recent cases.
So next approach might be that target gene candidates were selected using EMAST positive DNA from tissue of colitic cancer.

Academic Significance and Societal Importance of the Research Achievements

IBDに対する内科的治療の進歩によって長期経過例が多くなり、colitic cancerの発生頻度は病脳期間により高率となる。また通常の大腸癌と異なりcolitic cancerは発生経路が異なり悪性度が高いことが知られており、colitic cancerの発生経路の解明が期待されている。今回、DNAの不安定性を示すelevated microsatellite alterations at selected tetranucleotide repeats (EMAST)に着目し、全く新しいアプローチを行うことは、学術的意義はもちろん、成果が得られた際には社会的意義は非常に大きいと考えられた。

Report

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

    (4 results)

All 2024 2023

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 1 results)

  • [Journal Article] Impact of the endoscopic surgical skill qualification system on conversion to laparotomy after low anterior resection for rectal cancer in Japan (a secondary analysis of the EnSSURE study)2024

    • Author(s)
      Goto K, Watanabe J, Nagasaki T, Uemura M, Ozawa H, Kurose Y, Akagi T, Ichikawa N, Iijima H, Inomata M, Taketomi A, Naitoh T
    • Journal Title

      Surgical Endoscopy

      Volume: 38 Issue: 5 Pages: 2454

    • DOI

      10.1007/s00464-024-10740-y

    • URL

      https://localhost/en/publications/b0e7237a-4c63-489d-92f7-a0f1bf7e9f22

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Blood Perfusion Assessment by Indocyanine Green Fluorescence Imaging for Minimally Invasive Rectal Cancer Surgery (EssentiAL trial)2023

    • Author(s)
      Watanabe J、Takemasa I、Kotake M、Noura S、Kimura K、Suwa H、Tei M、Takano Y、Munakata K、Matoba S、Yamagishi S、Yasui M、Kato T、Ishibe A、Shiozawa M、Ishii Y、Yabuno T、Nitta T、Saito S、Saigusa Y、Watanabe M、for the EssentiAL Trial Group
    • Journal Title

      Annals of Surgery

      Volume: 278 Issue: 4 Pages: e688-e694

    • DOI

      10.1097/sla.0000000000005907

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Perioperative fluid management influences complication rates and length of hospital stay in the enhanced recovery after surgery (ERAS) protocol for patients with colorectal cancer2023

    • Author(s)
      Sato Hiromichi、Ota Hirofumi、Munakata Koji、Matsuura Yusuke、Fujii Makoto、Wada Noriko、Takiuchi Daisuke、Hama Naoki、Takachi Kou、Yukawa Masao
    • Journal Title

      Surgery Today

      Volume: 53 Issue: 2 Pages: 242-251

    • DOI

      10.1007/s00595-022-02568-7

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evaluation of the advantage of surgeons certified by the endoscopic surgical skill qualification system participating in laparoscopic low anterior rectal resection2023

    • Author(s)
      N Sawada, T Akagi, M Shimomura, Y Todate, K Nagakari, H Takeshita, S Maruyama, M Takata, N Ichikawa, K Hida, H Iijima, S Yamaguchi, A Taketomi, T Naitoh; EnSSURE Study Group Collaboratives in Japan Society of Laparoscopic Colorectal Surgery.
    • Journal Title

      Annals of Gastroenterological Surgery

      Volume: 8 Issue: 3 Pages: 464-470

    • DOI

      10.1002/ags3.12763

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed

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Published: 2022-04-19   Modified: 2025-01-30  

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