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Innate immune regulation of hepatic metabolism and immuno-nutritional approach for nonalcoholic fatty liver disease

Research Project

Project/Area Number 24590996
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionJuntendo University

Principal Investigator

IKEJIMA Kenichi  順天堂大学, 医学(系)研究科(研究院), 准教授 (20317382)

Co-Investigator(Kenkyū-buntansha) YAMASHINA Shunhei  順天堂大学, 医学部, 准教授 (30338412)
KON Kazuyoshi  順天堂大学, 医学部, 准教授 (30398672)
Co-Investigator(Renkei-kenkyūsha) SUEMIZU Hiroshi  公益財団法人実験動物中央研究所, バイオメディカル研究部, 部長 (40332209)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords非アルコール性脂肪肝炎(NASH) / メタボリックシンドローム / 自然免疫 / NKT細胞 / 制御性T細胞 / 免疫栄養 / アミノ酸 / グリシン / 非アルコール性脂肪性肝疾患 / 非アルコール性脂肪肝炎 / Th2サイトカイン / 肝発癌 / Kupffer細胞
Outline of Final Research Achievements

In this study, we investigated the role of hepatic innate immune responses in the pathogenesis of metabolic syndrome-related nonalcoholic fatty liver disease (NAFLD), including nonalcoholic steatohepatitis (NASH). KK-Ay mice, which resemble phenotypes of human metabolic syndrome, showed functional abnormalities of natural killer T cells and regulatory T cells, which result in lower expression of Th2 cytokines, thereby causing phenotypic changes of hepatic macrophages. These alterations in the hepatic innate immune system not only aggravate steatohepatitis, but also play a pivotal role in the development of metabolic dysfunction. Further, we demonstrated that glycine, a non-essential amino acid, modulates hepatic innate immune responses, and ameliorates steatohepatitis in KK-Ay mice. These observations indicate that glycine is a potential immuno-nutrient for prevention and treatment of NASH.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (25 results)

All 2015 2014 2013 2012 2011 Other

All Journal Article (12 results) (of which Peer Reviewed: 9 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (12 results) (of which Invited: 3 results) Book (1 results)

  • [Journal Article] Evidence-based clinical practice guidelines for nonalcoholic fatty liver disease/nonalcoholic steatohepatitis.2015

    • Author(s)
      Watanabe S, Hashimoto E, Ikejima K, Uto H, Ono M, Sumida Y, Seike M,
    • Journal Title

      J Gastroenterol

      Volume: 50(4) Issue: 4 Pages: 364-377

    • DOI

      10.1007/s00535-015-1050-7

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Evidence-based clinical practice guidelines for nonalcoholic fatty liver disease/nonalcoholic steatohepatitis.2015

    • Author(s)
      Watanabe S, Hashimoto E, Ikejima K, Uto H, Ono M, Sumida Y, Seike M, Takei Y, Takehara T, Tokushige K, Nakajima A, Yoneda M, Saibara T, Shiota G, Sakaida I, Nakamuta M, Mizuta T, Tsubouchi H, Sugano K, Shimosegawa T.
    • Journal Title

      Hepatol Res.

      Volume: 45 Issue: 4 Pages: 363-377

    • DOI

      10.1111/hepr.12511

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Abnormality of autophagic function and cathepsin expression in the liver from patients with non-alcoholic fatty liver disease.2014

    • Author(s)
      Yuka Fukuo, Shunhei Yamashina, Hiroshi Sonoue, Atsushi Arakawa, Eisuke Nakadera, Tomonori Aoyama, Akira Uchiyama, Kazuyoshi Kon, Kenichi Ikejima, Sumio Watanabe
    • Journal Title

      Hepatology Research

      Volume: 未定 Issue: 9 Pages: 1026-1036

    • DOI

      10.1111/hepr.12282

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 特集・NAFLD/NASHと肝発癌-その実態と適切な診療に迫る-[NAFLD/NASHの病態と適切な診療を知る]NAFLD/NASHの成因と病態.2014

    • Author(s)
      森永真紀,今一義,池嶋健一,渡辺純夫.
    • Journal Title

      消化器の臨床

      Volume: 17 Pages: 19-24

    • Related Report
      2014 Annual Research Report
  • [Journal Article] NAFLDの診療・研究の進歩.2014

    • Author(s)
      池嶋健一,渡辺純夫.
    • Journal Title

      日本消化器病学会雑誌

      Volume: 111 Pages: 4-13

    • NAID

      130003383342

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Innate immune responses involving natural killer and natural killer T cells promote liver regeneration after partial hepatectomy in mice.2013

    • Author(s)
      Hosoya S.Ikejima K.Takeda K.Arai K.Ishikawa S.Yamagata H.Aoyama T.Kon K.Yamashina S.Kon K.Watanabe S.
    • Journal Title

      Am J Physiol Gastrointest Liver Physiol.

      Volume: 304 Issue: 3 Pages: G293-G299

    • DOI

      10.1152/ajpgi.00083.2012

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 特集:NASH-病態と治療,8.NAFLD/NASHの治療(3) 脂質代謝改善薬による治療.2013

    • Author(s)
      池嶋健一
    • Journal Title

      臨床消化器内科

      Volume: 28 Pages: 487-493

    • Related Report
      2013 Research-status Report
  • [Journal Article] 特集:生活習慣病とNKT細胞-病態モジュレーターの面から 非アルコール性脂肪肝炎の病態形成におけるNKT細胞の関与.2013

    • Author(s)
      池嶋健一,渡辺純夫.
    • Journal Title

      医学のあゆみ

      Volume: 246 Pages: 235-240

    • Related Report
      2013 Research-status Report
  • [Journal Article] Hyperresponsivity to low-dose endotoxin during progression to nonalcoholic steatohepatitis is regulated by leptin-mediated signaling2012

    • Author(s)
      Imajo K, Fujita K, Yoneda M, Nozaki Y, Ogawa Y, Shinohara Y, Kato S, Mawatari H, Shibata W, Kitani H, Ikejima K, Kirikoshi H, Nakajima N, Saito S, Maeyama S, Watanabe S, Wada K, Nakajima A
    • Journal Title

      Cell Metab

      Volume: 16(1) Issue: 1 Pages: 44-54

    • DOI

      10.1016/j.cmet.2012.05.012

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Supression of autophagy sensitizes Kupffer cells to endotoxin.2012

    • Author(s)
      Fukada H, Yamashina S, Izumi K, Komatsu M, Tanaka K, Ikejima K, Watanabe S.
    • Journal Title

      Hepatol. Res.

      Volume: 42 Issue: 11 Pages: 1112-1118

    • DOI

      10.1111/j.1872-034x.2012.01024.x

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Altered expression and function of hepatic natural killer T cells in obese and diabetic KK-A(y) mice.2012

    • Author(s)
      Yamagata H
    • Journal Title

      Hepatol Res

      Volume: 43 Issue: 3 Pages: 276-88

    • DOI

      10.1111/j.1872-034x.2012.01062.x

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Loss of autophagy promotes murine acetaminophen hepatotoxicity2011

    • Author(s)
      Igusa Y, Yamashina S, et al
    • Journal Title

      Journal of Gastroenterology

      Volume: 47 Issue: 4 Pages: 433-443

    • DOI

      10.1007/s00535-011-0500-0

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Dietary supplementation of glycine ameliorates diabetic steatohepatitis in KK-Ay mice through immune-metabolic regulation2014

    • Author(s)
      Ikejima K, Takashima S, Arai K, Kon K, Yamashina S, Watanabe S
    • Organizer
      Digestive Disease Week
    • Place of Presentation
      Chicago
    • Year and Date
      2014-05-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] メタボリックシンドロームモデルKK-Ayマウスにおけるアミノ酸による免疫調節2014

    • Author(s)
      池嶋健一,高嶋志在,渡辺純夫
    • Organizer
      第100回日本消化器病学会総会
    • Place of Presentation
      東京
    • Year and Date
      2014-04-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] Ursolic acid ameliorates murine cholangitis induced by double-stranded RNA2014

    • Author(s)
      Ikejima K, Arai K, Uchiyama A, Kon K, Yamashina S, Watanabe S.
    • Organizer
      European Association for the Study of the Liver
    • Place of Presentation
      London
    • Year and Date
      2014-04-11
    • Related Report
      2014 Annual Research Report
  • [Presentation] Ursolic acid minimizes cholestatic liver injury in common bile duct-ligated rats2013

    • Author(s)
      Ikejima K, Arai K, Kon K, Yamashina S, Watanabe S
    • Organizer
      European Association for the Study of the Liver
    • Place of Presentation
      Amsterdam
    • Related Report
      2013 Research-status Report
  • [Presentation] Glycine prevents maturity-onset obesity and metabolic steatohepatitis in diabetic KK-Ay mice through modulation of hepatic innate immunity2013

    • Author(s)
      Ikejima K, Takashima S, Arai K, Kon K, Yamashina S, Watanabe S
    • Organizer
      Digestive Diesase Week
    • Place of Presentation
      Orlando, FL, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Long term efficacy and safety of low-dose pioglitazone treatment for nonalcoholic fatty liver disease with insulin resistance2013

    • Author(s)
      Ikejima K, Fukuhara K, Yaginuma R, Kon K, Yamashina S, Suzuki S, Watanabe S
    • Organizer
      Asian Pacific Association for the Study of the Liver (APASL) Liver Week 2013
    • Place of Presentation
      Singapore
    • Related Report
      2013 Research-status Report
  • [Presentation] Hepatic regulatory T Cells contribute to the development of dietary steatohepatitis in mice.2013

    • Author(s)
      Yokokawa J, Ikejima K, Arai K, Kon K, Yamashina S, Watanabe S
    • Organizer
      American Association for the Study of Liver Diseases
    • Place of Presentation
      Washington DC, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Induction of apoptosis in hepatic stellate cells as a treatment strategy for hepatic fibrosis.

    • Author(s)
      Ikejima K, Wang X, Arai K, Kon K, Yamashina S, Watanabe S.
    • Organizer
      16th Congress of International Society for Biomedical Research on Alcoholism.
    • Place of Presentation
      Sapporo, Japan
    • Related Report
      2012 Research-status Report
  • [Presentation] Role of NK and NKT cells in the pathogenesis and carcinogenesis in steatohepatitis.

    • Author(s)
      Ikejima, K, Miyaji T, Hosoya S, Arai K, Kon K, Yamashina S, Watanabe S.
    • Organizer
      16th Congress of International Society for Biomedical Research on Alcoholism
    • Place of Presentation
      Sapporo, Japan
    • Related Report
      2012 Research-status Report
  • [Presentation] Pathophysiological role of adipocytokines in the digestive system.

    • Author(s)
      Ikejima K, Kon K, Yamashina S, Watanabe S.
    • Organizer
      The 3rd Asian-Pacific Topic Conference
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Mechanisms of fibrogenesis in NASH

    • Author(s)
      Ikejima K.
    • Organizer
      4th Kokata Liver Meeting
    • Place of Presentation
      Kolkata, India
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 脂肪性肝炎の共通病態基盤としての肝内自然免疫系の関与

    • Author(s)
      池嶋健一,今一義,山科俊平,渡辺純夫
    • Organizer
      第12回日本抗加齢医学会総会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
    • Invited
  • [Book] 今日の治療指針 2013年版2013

    • Author(s)
      池嶋健一
    • Publisher
      アルコール性肝障害
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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