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Establishment of new therapy for chronic liver diseases progression

Research Project

Project/Area Number 23590986
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionNara Medical University

Principal Investigator

YOSHIJI Hitoshi  奈良県立医科大学, 医学部, 准教授 (40336855)

Co-Investigator(Kenkyū-buntansha) NOGUCHI Ryuuichi  奈良県立医科大学, 医学部, 助教 (30423908)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords肝硬変 / 肝癌 / 血管新生 / 慢性肝疾患 / カクテル療法
Research Abstract

During the period of this grant, we revealed many new findings about the usefulness of the combined cocktail therapy of clinical available agents in patients with chronic liver diseases. Even at clinical comparable low doses of these agents, we observed significant inhibitory effects on the liver fibrosis development, hepatocarcinogenesis, and the growth of hepatocellular carcinoma (HCC). We mainly focused on renin-angiotensin system (RAS) in the chronic liver diseases, and found that angiotensin-II (AT-II), aldosterone (Ald), and renin play important roles in the respective processes. Several different combination cocktail treatments also exerted marked inhibitory effects even at clinically comparable low doses. Furthermore, not only in the animal studies, but also we revealed clinical usefulness with these agents.
Collectively, our studies with this grant could contribute to the improvement of prognosis in patients with chronic liver diseases.

Report

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

    (50 results)

All 2013 2012 2011

All Journal Article (23 results) (of which Peer Reviewed: 8 results) Presentation (25 results) Book (2 results)

  • [Journal Article] Cross talk between toll-like receptor-4 signaling and angiotensin-IIin liver fibrosis development in the rat model of non-alcoholic steatohepatitis2013

    • Author(s)
      Shirai Y, Yoshiji H, Noguchi R, Kaji K, Aihara Y, Douhara A, Moriya K, Namisaki T, Kawaratani H, Fukui H
    • Journal Title

      J Gastroenterol Hepatol

      Volume: 28(4) Pages: 723-30

    • Related Report
      2013 Final Research Report
  • [Journal Article] Simultaneous blockade of programmed death 1 and vascular endothelial growth factor receptor 2(VEGFR2) induces synergistic anti-tumour effect in vivo2013

    • Author(s)
      Yasuda S, Sho M, Yamato H, Yoshiji H, Wakatsuki K, Nishiwada S, Yagita H, Nakajima Y
    • Journal Title

      Clnical and Exprtimental Immunology

      Volume: 172 Pages: 500-506

    • Related Report
      2013 Final Research Report
  • [Journal Article] Direct renin inhibitor, aliskiren, attenuates the progression of non-alcoholic steatohepatitis in the rat model.2013

    • Author(s)
      Aihara Y, Yoshiji H et al
    • Journal Title

      Hepatol Res.

      Volume: 43 Issue: 11 Pages: 1241-1250

    • DOI

      10.1111/hepr.12081

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Branched-chain amino acids suppress the cumulative recurrence of hepatocellular carcinoma under conditions of insulin-resistance2013

    • Author(s)
      Yoshiji H, Noguchi R, Namisaki T, Moriya K, Kitade M, Aihara Y, Douhara A, Yamao J, Fujimoto M, Toyohara M, Mitoro A, Sawai M, Yoshida M, Morioka C, Uejima M, Uemura M, Fukui H
    • Journal Title

      Oncology Reports

      Volume: 30 Pages: 545-552

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Journal Article] Dual blockade of angiotensin-IIand aldosterone suppresses the progression of a non-diabetic rat model of steatohepatitis2013

    • Author(s)
      Noguchi R, Yoshiji H, Ikenaka Y, Kaji K, Aihara Y, Shirai Y, Namisaki T, Kitade M, Douhara A, Moriya K, Fukui H
    • Journal Title

      Hepatology Research

      Volume: 43(7) Pages: 765-774

    • Related Report
      2013 Final Research Report
  • [Journal Article] High hemoglobin level predicts non-alcoholic fatty liver disease in japanese women2013

    • Author(s)
      Akahane T, Fukui K, Shirai Y, Yoshiji H, Uemura M, Fukui H
    • Journal Title

      Journal of Gastroenterology and Hepatology Research

      Volume: 2(6 Pages: 623-627

    • Related Report
      2013 Final Research Report
  • [Journal Article] Dual blockade of angiotensin-IIand aldosterone suppresses the progression of a non-diabetic rat model of steatohepatitis2013

    • Author(s)
      Noguchi R, Yoshiji H et al
    • Journal Title

      Hepatology Research

      Volume: 43 Issue: 7 Pages: 765-774

    • DOI

      10.1111/hepr.12008

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dipeptidyl peptidase-4 inhibitor attenuates hepatic fibrosis via suppression of activated hepatic stellate cell in rats2013

    • Author(s)
      Kaji K, Yoshiji H et al
    • Journal Title

      J Gastroenterol.

      Volume: 49 Issue: 3 Pages: 481-491

    • DOI

      10.1007/s00535-013-0783-4

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Direct renin inhibitor, aliskiren, attenuates the progression of non-alcoholic steatohepatitis in the rat model.2013

    • Author(s)
      Aihara Y, Yoshiji H, et al.
    • Journal Title

      Hepatol Res.

      Volume: Jan 29

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Possible involvement of angiogenesis in chronic liver diseases : Interaction among renin-angiotensin-aldosterone system, Insulin resistance and oxidative stress2012

    • Author(s)
      Yoshiji H, Ikenaka Y, Noguchi R, Aihara Y, Shirai Y, Douhara A, Fukui H, Kaji K
    • Journal Title

      Current Medicinal Chemistry

      Volume: 19(12) Pages: 1889-1898

    • Related Report
      2013 Final Research Report
  • [Journal Article] Combination of branched-chain amino acid and angiotensin-converting enzyme inhibitor improves liver fibrosis progression in patients with cirrhosis2012

    • Author(s)
      Yoshiji H, Noguchi R, Ikenaka Y, Kaji K, Aihara Y, Douhara A, Yamao J, Toyohara M, Mitoro A, Sawai M, Yoshida M, Morioka C, Fujimoto M, Uemura M, Fukui H
    • Journal Title

      Molecular Medicine Reports

      Volume: 5 Pages: 539-544

    • Related Report
      2013 Final Research Report
  • [Journal Article] Combination of branched-chain amino acid and angiotensin-converting enzyme inhibitor improves liver fibrosis progression in patients with cirrhosis.2012

    • Author(s)
      Yoshiji H, et al.
    • Journal Title

      Molecular Medicine Reports

      Volume: 5 Pages: 539-544

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Dual blockade of angiotensin-II and aldosterone suppresses the progression of a non-diabetic rat model of steatohepatitis.2012

    • Author(s)
      Noguchi R, Yoshiji H, et al.
    • Journal Title

      Hepatol Res.

      Volume: Nov 20

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Combination of branched-chain amino acid and angiotensin-converting enzyme inhibitor improves liver fibrosis progression in patients with cirrhosis.2012

    • Author(s)
      Yoshiji H, et al
    • Journal Title

      Mol Med Report

      Volume: 5 Pages: 539-544

    • DOI

      10.3892/mmr.2011.676

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Impact of Renin-angiotensin system in hepatocellular carcinoma2011

    • Author(s)
      Yoshiji H, Noguchi R, Ikenaka Y, Kaji K, Aihara Y, Fukui H
    • Journal Title

      Current Cancer Drug Targets

      Volume: 11(4) Pages: 431-441

    • Related Report
      2013 Final Research Report
  • [Journal Article] Cocktail therapy with a combination of interferon, ribavirin and angiotensin-IItype 1 receptor blocker attenuates murine liver fibrosis development2011

    • Author(s)
      Yoshiji H, Noguchi R, Ikenaka Y, Kaji K, Aihara Y, Shirai Y, Yoshiji H, Yanase K, Fukui H
    • Journal Title

      International Journal of Molecular Medicine

      Volume: 28 Pages: 81-88

    • Related Report
      2013 Final Research Report
  • [Journal Article] Combination treatment of angiotensinIItypeIreceptor blocker and new oral iron chelator attenuates progression of nonalcoholic steatohepatitis in rats2011

    • Author(s)
      Kaji K, Yoshiji H, Kitade M, Ikenaka Y, Noguchi R, Shirai Y, Aihara Y, Namisaki T, Yoshii J, Yanase K, Tsujimoto T, Kawaratani H, Fukui H
    • Journal Title

      Am J Physiol Gastrointest Liver Physiol

      Volume: 300 Pages: 1094-1104

    • Related Report
      2013 Final Research Report
  • [Journal Article] Therapeutic effects of cytokine modulator Y-40138 in the rat alcoholic liver disease model2011

    • Author(s)
      Kawaratani H, Tsujimoto T, Kitazawa T, Yoshiji H, Uemura M, Fukui H
    • Journal Title

      Journal of Gastroenterology and Hepatology

      Volume: 26 Pages: 775-783

    • Related Report
      2013 Final Research Report
  • [Journal Article] Rapid detection of spotaneous bacterial peritonitis by granulocyte elastase latex immunoassay and reagent strip2011

    • Author(s)
      Yamazaki M, Sano R, Kuramoto C, Yoshiji H, Uemura M, Fukui H, Kamiya M, Okamoto Y
    • Journal Title

      Rinsho Byori

      Volume: 59(6) Pages: 549-558

    • Related Report
      2013 Final Research Report
  • [Journal Article] Combination of branched-chain amino acids and angiotensin-converting enzyme inhibitor suppresses the cumulative recurrence of hepatocellular carcinoma : A randomized control trial2011

    • Author(s)
      Yoshiji H, Noguchi R, Ikenaka Y, Kaji K, Aihara Y, Shirai Y, Yoshiji H, Yanase K, Fukui H
    • Journal Title

      Oncology Reports

      Volume: 26 Pages: 1547-1553

    • Related Report
      2013 Final Research Report
  • [Journal Article] Soluble VEGF receptor-2 may be a predictive marker of anti-angiogenic therapy with clinically available safe agents2011

    • Author(s)
      Yoshiji H, Noguchi R, Ikenaka Y, Kaji K, Shirai Y, Aihara Y, Yamao J, Toyohara M, Mitoro A, Sawai M, Yoshida M, Morioka C, Fujimoto M, Uemura M, Kawaratani H, Tsujimoto T, Fukui H
    • Journal Title

      Oncology Letters

      Volume: 2 Pages: 69-73

    • Related Report
      2013 Final Research Report
  • [Journal Article] Cocktail therapy with a combination of interferon, ribavirin and angiotensin-II type 1 receptor blocker attenuates murine liver fibrosis development.2011

    • Author(s)
      Yoshiji H, et al
    • Journal Title

      Int J Mol Med

      Volume: 28 Pages: 81-88

    • DOI

      10.3892/ijmm.2011.658

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Combination of branched-chain amino acids and angiotensin-converting enzyme inhibitor suppresses the cumulative recurrence of hepatocellular carcinoma: a randomized control trial.2011

    • Author(s)
      Yoshiji H, et al
    • Journal Title

      Oncol Rep

      Volume: 26 Pages: 1547-1553

    • DOI

      10.3892/or.2011.1433

    • Related Report
      2011 Research-status Report
  • [Presentation] Distinct role of EGFR and Met on adult hepatic progenitor cell differentiation in mice2013

    • Author(s)
      Kitade M, Yoshiji H, Snorri Thorgeirsson, Fukui H
    • Organizer
      Annual Meeting of the Japanese Society for the Research of Hepatic Cells
    • Place of Presentation
      Osaka
    • Year and Date
      2013-09-26
    • Related Report
      2013 Final Research Report
  • [Presentation] Beneficial effects of combined treatment with ursodoxycholic acid (UDCA) and Angiotensin-IItype1 receptor blocker(ARB) on liver fibrosis development in the rat model of nonalcoholic steatohepatitis2013

    • Author(s)
      Namisaki T, Yoshiji H, Noguchi R, Moriya K, Kitade M, Aihara Y, Douhara A, Kawaratani H, Nishimura N, Fukui H
    • Organizer
      Annual Meeting of the Japanese Society for the Research of Hepatic Cells
    • Place of Presentation
      Osaka
    • Year and Date
      2013-09-26
    • Related Report
      2013 Final Research Report
  • [Presentation] Combination of angiotensin-converting enzyme inhibitor and selective aldosterone blocker, suppresses the liver fibrosis carcinogenesis of nonalcoholic steatohepatitis in the rat2013

    • Author(s)
      Noguchi R, Yoshiji H, Namisaki T, Moriya K, Kitade M, Aihara Y, Douhara A, Kawaratani H, Nishimura N, Fukui H
    • Organizer
      International Society for Hepatic Sinusoidal Research
    • Place of Presentation
      Osaka
    • Year and Date
      2013-09-24
    • Related Report
      2013 Final Research Report
  • [Presentation] Combined treatment of sorafenib and angiotensin-IIreceptor blocker attenuates preneoplastic lesion development of non-alcoholic steatohepatitis in rats2013

    • Author(s)
      Yoshiji H, Noguchi,R, Namisaki T. Moriya K, Kitade M, Aihara Y, Douhara A, Kawaratani H, Nishimura N, Fukui H
    • Organizer
      International Society for Hepatic Sinusoidal Research
    • Place of Presentation
      Osaka
    • Year and Date
      2013-09-24
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
  • [Presentation] Inhibition of endotoxin cascade with antibiotics attenuates the liver fibrosis development in rat model of nonalcoholic steatohepatitis2013

    • Author(s)
      Douhara A, Moriya K, Yoshiji H, Noguchi R, Namisaki T, Kitade M, Aihara Y, Kawaratani H, Nishimura N, Fukui H
    • Organizer
      International Society for Hepatic Sinusoidal Research
    • Place of Presentation
      Osaka
    • Year and Date
      2013-09-24
    • Related Report
      2013 Final Research Report
  • [Presentation] VEGF-targeted cancer therapy : Friends of Foes2013

    • Author(s)
      Yoshiji H
    • Organizer
      National Cancer Institute Special Seminar 2013
    • Place of Presentation
      Washington, DC.
    • Year and Date
      2013-04-10
    • Related Report
      2013 Final Research Report
  • [Presentation] Response-guided anti-angiogenic therapy for hepatocellular carcinoma recurrence with clinically available safety agent2013

    • Author(s)
      Yoshiji H, Noguchi R, Kaji K, Aihara Y, Namisaki T, Moriya K, Douhara A, Kitade M, Fukui H
    • Organizer
      AACR Annual Meeting 2013
    • Place of Presentation
      Washington, DC.
    • Year and Date
      2013-04-10
    • Related Report
      2013 Final Research Report
  • [Presentation] Direct renin inhibitor attenuates rat hepatocarcinogenesisi via anti-angiogenic activity2013

    • Author(s)
      Aihara Y, Yoshiji H, Noguchi R, Kaji K, Namisaki T, Moriya K, Kitade M, Fukui H
    • Organizer
      AACR Annual Meeting 2013
    • Place of Presentation
      Washington, DC.
    • Year and Date
      2013-04-10
    • Related Report
      2013 Final Research Report
  • [Presentation] Response-guided anti-angiogenic therapy for hepatocellular carcinoma recurrence with clinically available safety agent2013

    • Author(s)
      Yoshiji H et al
    • Organizer
      AACR Annual Meeting 2013
    • Place of Presentation
      Washington, DC, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] インターフェロン,リバビリン,Angiotensin-II受容体阻害薬(ARB)の3剤併用による肝線維化抑制効果:抗血管新生作用との関連2013

    • Author(s)
      吉治仁志他
    • Organizer
      日本消化器病学会総会
    • Place of Presentation
      鹿児島
    • Related Report
      2013 Annual Research Report
  • [Presentation] NASH肝発癌に対するソラフェニブとangiotensin-II受容体阻害薬(ARB)の併用効果2013

    • Author(s)
      吉治仁志他
    • Organizer
      日本肝臓学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
  • [Presentation] Chemoprevention of HCV-associated HCC by BCAA and ACE-inhibitor2012

    • Author(s)
      Yoshiji H
    • Organizer
      JSH Single Topic Conference
    • Place of Presentation
      Tokyo
    • Year and Date
      2012-11-22
    • Related Report
      2013 Final Research Report
  • [Presentation] Douhara A, Aihara Y, Yamao J, Mitoro A, Fukui H. Efficacy of combination therapy with peg-interferon alpha and ribavirin in elderly chronic hepatitis C2012

    • Author(s)
      Moriya K, Yoshiji H, Noguchi R, Namisaki T, Kaji K
    • Organizer
      JSH Single Topic Conference
    • Place of Presentation
      Tokyo
    • Year and Date
      2012-11-21
    • Related Report
      2013 Final Research Report
  • [Presentation] Crosstalk between glucose intolerance and liver fibrosis development in patients with chronic hepatitis C2012

    • Author(s)
      Aihara Y, Yoshiji H, Noguchi R, Namisaki T, Moriya K, Kaji K, Douhara A, Fukui H
    • Organizer
      JSH Single Topic Conference
    • Place of Presentation
      Tokyo
    • Year and Date
      2012-11-21
    • Related Report
      2013 Final Research Report
  • [Presentation] Effect of sorafenib on HCV-related hepatocellular carcinoma (HCC)2012

    • Author(s)
      Douhara A, Moriya K, Yoshiji H, Noguchi R, Namisaki T, Kaji K, Aihara Y, Yamao J, Mitoro A, Fukui H
    • Organizer
      JSH Single Topic Conference
    • Place of Presentation
      Tokyo
    • Year and Date
      2012-11-21
    • Related Report
      2013 Final Research Report
  • [Presentation] Sorafenibとangiotensin-II受容体阻害薬 (ARB)併用による肝発癌抑制2012

    • Author(s)
      吉治仁志
    • Organizer
      日本肝臓学会
    • Place of Presentation
      神戸国際会議場
    • Related Report
      2012 Research-status Report
  • [Presentation] Inhibitory effect of selective aldosterone blocker on hepatocellular carcinoma development via angiogenesis suppression2011

    • Author(s)
      Kaji K, Yoshiji H, Ikenaka Y, Noguchi R, Fukui H
    • Organizer
      ILCA
    • Place of Presentation
      Hong-Kong
    • Year and Date
      2011-09-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Combination of branched-amino acids and angiotensin-converting enzyme inhibitor attenuates the insulin resistance -based hepatocarcinogenesis via angiogenesis suppression2011

    • Author(s)
      Aihara Y, Yoshiji H, Ikenaka Y, Noguchi R, Kaji K, Fukui H
    • Organizer
      ILCA
    • Place of Presentation
      Hong-Kong
    • Year and Date
      2011-09-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Soluble VEGF receptor-2 may be a predictive marker of anti-angiogenic chemopreventive therapy with clinically available safe agents2011

    • Author(s)
      Yoshiji H, Ikenaka Y, Noguchi R, Kaji K, Aihara Y, Fukui H
    • Organizer
      ILCA
    • Place of Presentation
      Hong-Kong
    • Year and Date
      2011-09-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Clinically available selective aldosterone blocker attenuates hepatocarcinogenesis via angiogenesis inhibition in rats2011

    • Author(s)
      Noguchi R, Yoshiji H, Ikenaka Y, Aihara Y, Fukui H
    • Organizer
      ILCA
    • Place of Presentation
      Hong-Kong
    • Year and Date
      2011-09-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Combination of branched-amino acids and angiotensin-converting enzyme inhibitor attenuates the insulin resintance-based hepatocarcinogenesis via angiogenesis suppression2011

    • Author(s)
      Aihara Y, Yoshiji H, Ikenaka Y, Noguchi R, Kaji K, Fukui H
    • Organizer
      ASIA-PACIFIC PRIMARY LIVER CANCER EXPERT MEETING
    • Place of Presentation
      Osaka
    • Year and Date
      2011-07-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Inhibitory effect of selective aldosterone blocker on hepatocellular carcinoma development via angiogenesis suppression2011

    • Author(s)
      Kaji K, Yoshiji H, Ikenaka Y, Noguchi R, Aihara Y, Fukui H
    • Organizer
      ASIA-PACIFIC PRIMARY LIVER CANCER EXPERT MEETING
    • Place of Presentation
      Osaka
    • Year and Date
      2011-07-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Clinically available selective aldosterone blocker attenuates hepatocarcinogenesis via angiogenesis inhibition in rats2011

    • Author(s)
      Noguchi R, Yoshiji H, Ikenaka Y, Kaji K, Shirai Y, Fukui H
    • Organizer
      ASIA-PACIFIC PRIMARY LIVER CANCER EXPERT MEETING
    • Place of Presentation
      Osaka
    • Year and Date
      2011-07-03
    • Related Report
      2013 Final Research Report
  • [Presentation] Combination of branched-chain amino acid and angiotensin-converting enzyme inhibitor suppresses the cumulative recurrence of hepatocellular carcinoma under the condition of insulin resistance2011

    • Author(s)
      Yoshiji H, Ikenaka Y, Noguchi R, Kaji K, Aihara Y, Fukui H
    • Organizer
      ASIA-PACIFIC PRIMARY LIVER CANCER EXPERT MEETING
    • Place of Presentation
      Osaka
    • Year and Date
      2011-07-03
    • Related Report
      2013 Final Research Report
  • [Presentation] 肝線維化に対する血管新生因子VEGFおよびインスリンをターゲットとした分子標的治療2011

    • Author(s)
      吉治仁志
    • Organizer
      日本肝臓学会
    • Place of Presentation
      福岡国際センター
    • Related Report
      2011 Research-status Report
  • [Book] 肝硬変合併症の治療 耐糖能異常の病態と治療2013

    • Author(s)
      吉治仁志他
    • Total Pages
      3
    • Publisher
      医学書院
    • Related Report
      2013 Annual Research Report
  • [Book] 医学のあゆみ2013

    • Author(s)
      吉治仁志他
    • Total Pages
      6
    • Publisher
      医歯薬出版株式会社
    • Related Report
      2013 Annual Research Report

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

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