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Mechanism for the delayed elimination of SN-38 in cancer patients with severe renal failure and optimal treatment strategy

Research Project

Project/Area Number 23590198
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical pharmacy
Research InstitutionShowa University (2013)
Saitama Medical University (2011-2012)

Principal Investigator

FUJITA Ken-ichi  昭和大学, 腫瘍分子生物学研究所, 准教授 (60281820)

Co-Investigator(Renkei-kenkyūsha) SASAKI Yasutsuna  昭和大学, 医学部, 教授 (20235279)
OKAZAKI Yasushi  埼玉医科大学, 医学部, 教授 (80280733)
KATO Yukio  金沢大学, 薬学系, 教授 (30251440)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2013: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2011: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
KeywordsSN-38 / 排泄遅延 / 腎機能低下 / 尿毒素 / OATP1B1 / 発現低下 / 肝消失型抗がん薬 / 蛋白結合 / 肝消失型 / 排出遅延 / 腎機能 / 尿毒症物質 / 腎不全 / イリノテカン / 体内動態 / トランスポーター / UGT1A1
Research Abstract

We have shown for the first time that uremic toxins such as CMPF inhibit SN-38 uptake in human hepatocytes at clinically relevant concentrations. OATP1B1 is a major contributor to the saturable uptake of SN-38 in human hepatocytes. The gene expression of SLCO1B1 was down-regulated by uremic plasma. The inhibition by uremic toxins of OATP1B1-mediated SN-38 uptake and the down-regulated SLCO1B1 gene expressions may be part of the mechanisms causing the delay of SN-38 elimination observed in patients with severe renal dysfunction.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (27 results)

All 2014 2013 2012

All Journal Article (7 results) (of which Peer Reviewed: 3 results) Presentation (20 results) (of which Invited: 3 results)

  • [Journal Article] Direct inhibition and down-regulation by uremic plasma components of hepatic uptake transporter for SN-38, an active metabolite of irinotecan, in humans2014

    • Author(s)
      Fujita K, Sasaki Y, Kato Y(他9名)
    • Journal Title

      Pharm Res

      Volume: 31 Issue: 1 Pages: 204-15

    • DOI

      10.1007/s11095-013-1153-x

    • NAID

      120005385991

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 腎機能障害患者における肝消失型抗がん薬の特異な体内動態について2014

    • Author(s)
      藤田健一
    • Journal Title

      ファルマシア「最前線」

      Volume: 50 Pages: 300-304

    • NAID

      130005154888

    • URL

      http://farumashia.pharm.or.jp/mokuji/mokuji.html

    • Related Report
      2013 Final Research Report
  • [Journal Article] Optimization of cancer chemotherapy on the basis of pharmacokinetics and pharmacodynamics : from patients enrolled in clinical trials to those in the 'real world'2014

    • Author(s)
      Fujita K, Sasaki Y
    • Journal Title

      Drug Metab Pharmacokinet

      Volume: 29 Pages: 20-8

    • NAID

      130004463350

    • URL

      https://www.jstage.jst.go.jp/browse/dmpk/29/0/_contents

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 腎機能障害患者における肝消失型抗がん薬の特異な体内動態について2014

    • Author(s)
      藤田健一
    • Journal Title

      ファルマシア

      Volume: 50 Pages: 300-304

    • NAID

      130005154888

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Optimization of cancer chemotherapy on the basis of pharmacokinetics and pharmacodynamics: from patients enrolled in ‘clinical trials’ to those in the ‘real world’2014

    • Author(s)
      Ken-ichi Fujita, Yasutsuna Sasaki
    • Journal Title

      Drug Metabolism and Pharmacokinetics

      Volume: 29 Pages: 20-28

    • NAID

      130004463350

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 腎機能障害がん患者におけるイリノテカン塩酸塩の特異な体内動態2013

    • Author(s)
      藤田健一
    • Journal Title

      シスプラチンによる腎機能障害のメカニズム月刊薬事

      Volume: 55 Pages: 49-54

    • URL

      http://www.jiho.co.jp/tabid/162/Default.aspx

    • Related Report
      2013 Final Research Report
  • [Journal Article] 腎機能障害がん患者における塩酸イリノテカンの特異な体内動態,シスプラチンによる腎機能障害のメカニズム2013

    • Author(s)
      藤田健一
    • Journal Title

      月刊薬事(The Pharmaceuticals Monthly)

      Volume: 55 Pages: 49-54

    • Related Report
      2013 Annual Research Report
  • [Presentation] 透析を実施中のがん患者におけるイリノテカン塩酸塩の至適投与に向けた臨床・基礎研究2014

    • Author(s)
      藤田健一
    • Organizer
      第47回制癌剤適応研究会
    • Place of Presentation
      名古屋 (シンポジウム)
    • Year and Date
      2014-03-07
    • Related Report
      2013 Final Research Report
  • [Presentation] 透析を実施中のがん患者における塩酸イリノテカンの至適投与に向けた臨床・基礎研究2014

    • Author(s)
      藤田健一
    • Organizer
      第47回制癌剤適応研究会
    • Place of Presentation
      名古屋
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] OATP1B1-mediated hepatic uptake of SN-38, an active metabolite of irinotecan, and its inhibition by uremic toxins in humans2013

    • Author(s)
      Fujita K, Sugiura T, Okumura H, Umeda S, Nakamichi N, Sasaki Y, Kato Y
    • Organizer
      114^<th> American Society for Clinical Pharmacology and Therapeutics annual meeting
    • Place of Presentation
      Indianapolis
    • Related Report
      2013 Final Research Report
  • [Presentation] Down-regulation by uremic plasma components of hepatic uptake transporter for SN-38 in humans2013

    • Author(s)
      Fujita K, Nakamichi N, Sunakawa Y, Shimada K, Kawara K, Sasaki Y, Kato Y
    • Organizer
      72^<nd> Japan Cancer Association meeting
    • Place of Presentation
      Yokohama
    • Related Report
      2013 Final Research Report
  • [Presentation] Direct Inhibition and Down-regulation by Uremic Plasma Components of Hepatic Uptake Transporter for SN-38, an Active Metabolite of Irinotecan, in Humans2013

    • Author(s)
      Okumura H, Fujita K, Masuo Y, Sugiura T, Nakamichi N, Watanabe Y, Suzuki H, Sunakawa Y, Shimada K, Kawara K, Sasaki Y, Kato Y
    • Organizer
      28^<th> Japanese Society for the Study of Xenobiotics annual meeting
    • Place of Presentation
      Tokyo
    • Related Report
      2013 Final Research Report
  • [Presentation] 透析を施行中のがん患者におけるイリノテカン塩酸塩の至適投与に向けた臨床・基礎研究2013

    • Author(s)
      藤田健一
    • Organizer
      第34回日本臨床薬理学会
    • Place of Presentation
      東京 (シンポジウム)
    • Related Report
      2013 Final Research Report
  • [Presentation] Down-regulation by uremic plasma components of hepatic uptake transporter for SN-38 in humans2013

    • Author(s)
      Ken-ichi Fujita, Noritaka Nakamichi, Yu Sunakawa, Ken Shimada, Kaori Kawara, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      72nd Japan Cancer Association meeting
    • Place of Presentation
      Yokohama
    • Related Report
      2013 Annual Research Report
  • [Presentation] Direct Inhibition and Down-regulation by Uremic Plasma Components of Hepatic Uptake Transporter for SN-38, an Active Metabolite of Irinotecan, in Humans2013

    • Author(s)
      Hidenori Okumura, Ken-ichi Fujita, Yusuke Masuo, Tomoko Sugiura, Noritaka Nakamichi, Yusuke Watanabe, Hiromichi Suzuki, Yu Sunakawa, Ken Shimada, Kaori Kawara, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      28th Japanese Society for the Study of Xenobiotics annual meeting
    • Place of Presentation
      Tokyo
    • Related Report
      2013 Annual Research Report
  • [Presentation] 透析を施行中のがん患者における塩酸イリノテカンの至適投与に向けた臨床・基礎研究2013

    • Author(s)
      藤田健一
    • Organizer
      第34回日本臨床薬理学会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] OATP1B1-mediated hepatic uptake of SN-38, an active metabolite of irinotecan, and its inhibition by uremic toxins in humans2013

    • Author(s)
      Ken-ichi Fujita, Tomoko Sugiura, Hidenori Okumura, Saki Umeda, Noritaka Nakamichi, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      114th American Society for Clinical Pharmacology and Therapeutics annual meeting
    • Place of Presentation
      Indianapolis, USA
    • Related Report
      2012 Research-status Report
  • [Presentation] Partial inhibition by uremic toxins of hepatic uptake of an active metabolites SN-38 of irinotecan in humans2012

    • Author(s)
      Fujita K, Sugiura T, Nakamichi N, Akiyama Y, Sasaki Y, Kato Y
    • Organizer
      71^<st> Japan Cancer Association meeting
    • Place of Presentation
      Sapporo
    • Related Report
      2013 Final Research Report
  • [Presentation] Characterization of hepatic uptake mechanism for SN-38, an active metabolite of the anticancer agent irinotecan in humans2012

    • Author(s)
      Fujita K, Sugiura T, Umeda S, Okumura H, Nakamichi N, Sasaki Y, Kato Y
    • Organizer
      The 18^<th> International Society for the Study of Xenobiotics North American Regional meeting
    • Place of Presentation
      Dallas
    • Related Report
      2013 Final Research Report
  • [Presentation] Involvement of OATP and inhibition by uremic toxins in hepatic uptake of an anticancer agent SN-38 in humans2012

    • Author(s)
      Sugiura T, Fujita K, Okumura H, Umeda S, Nakamichi N, Sasaki Y, Kato Y
    • Organizer
      27^<th> Japanese Society for the Study of Xenobiotics annual meeting
    • Place of Presentation
      Tokyo
    • Related Report
      2013 Final Research Report
  • [Presentation] Partial inhibition by uremic toxins of hepatic uptake of an active metabolite SN-38 of irinotecan in humans2012

    • Author(s)
      Fujita K, Sugiura T, Umeda S, Okumura H, Nakamichi N, Sasaki Y, Kato Y
    • Organizer
      33^<rd> Annual meeting of the Japanese Society of Clinical Pharmacology and Therapeutics
    • Place of Presentation
      Naha
    • Related Report
      2013 Final Research Report
  • [Presentation] 透析を要するほど腎機能の低下したがん患者におけるイリノテカンの至適投与に向けた臨床研究2012

    • Author(s)
      藤田健一
    • Organizer
      第33回日本臨床薬理学会
    • Place of Presentation
      那覇(シンポジウム)
    • Related Report
      2013 Final Research Report
  • [Presentation] Partial inhibition by uremic toxins of hepatic uptake of an active metabolites SN-38 of irinotecan in humans2012

    • Author(s)
      Ken-ichi Fujita, Tomoko Sugiura, Noritaka Nakamichi, Yuko Akiyama, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      71st Japan Cancer Association meeting
    • Place of Presentation
      Sapporo
    • Related Report
      2012 Research-status Report
  • [Presentation] Characterization of hepatic uptake mechanism for SN-38, an active metabolite of the anticancer agent irinotecan in humans2012

    • Author(s)
      Ken-ichi Fujita, Tomoko Sugiura, Saki Umeda, Hidenori Okumura, Noritaka Nakamichi, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      The 18th International Society for the Study of Xenobiotics North American Regional meeting
    • Place of Presentation
      Dallas, USA
    • Related Report
      2012 Research-status Report
  • [Presentation] Involvement of OATP and inhibition by uremic toxins in hepatic uptake of an anticancer agent SN-38 in humans2012

    • Author(s)
      Tomoko Sugiura, Ken-ichi Fujita, Hidenori Okumura, Saki Umeda, Noritaka Nakamichi, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      27th Japanese Society for the Study of Xenobiotics annual meeting
    • Place of Presentation
      Tokyo
    • Related Report
      2012 Research-status Report
  • [Presentation] Partial inhibition by uremic toxins of hepatic uptake of an active metabolite SN-38 of irinotecan in humans2012

    • Author(s)
      Ken-ichi Fujita, Tomoko Sugiura, Saki Umeda, Hidenori Okumura, Noritaka Nakamichi, Yasutsuna Sasaki, Yukio Kato
    • Organizer
      33rd Annual meeting of the Japanese Society of Clinical Pharmacology and Therapeutics
    • Place of Presentation
      Naha
    • Related Report
      2012 Research-status Report
  • [Presentation] 透析を要するほど腎機能の低下したがん患者におけるイリノテカンの至適投与に向けた臨床研究2012

    • Author(s)
      藤田健一
    • Organizer
      第33回日本臨床薬理学会学術総会
    • Place of Presentation
      那覇
    • Related Report
      2012 Research-status Report
    • Invited

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Published: 2011-08-05   Modified: 2019-07-29  

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