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Innovation with living donor liver transplantation by introducing MSCs for small-for-size graft

Research Project

Project/Area Number 24591878
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field General surgery
Research InstitutionKyoto University

Principal Investigator

OGAWA Kohei  京都大学, 医学(系)研究科(研究院), 助教 (10359789)

Co-Investigator(Kenkyū-buntansha) 上本 伸二  京都大学, 医学(系)研究科(研究院), 教授 (40252449)
寺谷 工  自治医科大学, 医学部, 講師 (70373404)
藤本 康弘  京都大学, 医学(系)研究科(研究院), 助教 (80335281)
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: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords間葉系幹細胞 / 肝移植 / 部分肝移植 / 肝再生 / 臓器保存 / 間葉系肝細胞
Outline of Final Research Achievements

We have shown that the "MSCs are effective for ameliorating liver ischemia-reperfusion injury after hepatectomy", "MSCs are effective in improving recipient survival after prolonged preservation of graft." Based on these data, we evaluated the effect of MSCs with prolonged preservation of partial graft mimicking clinical cadaveric split liver transplantation. However, we could not show the benefit in terms of recipient survival. As histology of the liver showed necrosis and AST and ALT are elevated with MSCs group, MSCs may have detrimental effect such as thrombus formation secondary to cell aggregation. Conditioned medium from MSC culture would be evaluated hereafter.

Report

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

    (17 results)

All 2015 2014 2013

All Journal Article (11 results) (of which Peer Reviewed: 6 results,  Open Access: 2 results,  Acknowledgement Compliant: 1 results) Presentation (6 results)

  • [Journal Article] 肝細胞癌に対する生体肝移植後長期経過後に単発性胸椎転移と診断し切除し得た1例2014

    • Author(s)
      佐藤 朝日, 海道 利実, 小川 晃平, 安近 健太郎, 増井 俊彦, 福光 剣, 北村 好史, 上本 伸二
    • Journal Title

      消化器外科

      Volume: 37 Pages: 1213-1217

    • Related Report
      2014 Annual Research Report
  • [Journal Article] HTLV-1抗体陽性レシピエントに対する肝移植成績2014

    • Author(s)
      小川 晃平
    • Journal Title

      今日の移植

      Volume: 27 Pages: 263-269

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 【膵炎大全~もう膵炎なんて怖くない~】 膵炎各論 肝移植と急性膵炎2014

    • Author(s)
      藤本 康弘, 高折 恭一, 桐野 泉, 小川 晃平, 波多野 悦朗, 岡島 英明, 海道 利実, 上本 伸二
    • Journal Title

      胆と膵

      Volume: 35 Pages: 1161-1164

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 【消化器外科における輸液・栄養管理】 サルコペニアと栄養管理2014

    • Author(s)
      海道 利実, 濱口 雄平, 奥村 晋也, 藤本 康弘, 佐藤 朝日, 小川 晃平, 森 章, 上本 伸二
    • Journal Title

      消化器外科

      Volume: 37 Pages: 1971-1979

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Impact of preoperative uncontrollable hepatic hydrothorax and massive ascites in adult liver transplantation.2014

    • Author(s)
      Endo K, Iida T, Yagi S, Yoshizawa A, Fujimoto Y, Ogawa K, Ogura Y, Mori A, Kaido T, Uemoto S.
    • Journal Title

      Surg Today.

      Volume: 44 Issue: 12 Pages: 2293-9

    • DOI

      10.1007/s00595-014-0839-y

    • NAID

      120005682547

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] How to successfully resect 70 % of the liver in pigs to model an extended hepatectomy with an insufficient remnant or liver transplantation with a small-for-size graft.2014

    • Author(s)
      Hori T, Yagi S, Okamua Y, Iida T, Ogawa K, Tanaka H, Kageyama S, Hirao H, Hata T, Kirino I, Nagai K, Kubora T, Jobara K, Endo K, Uemoto S.
    • Journal Title

      Surg Today.

      Volume: 44 Issue: 11 Pages: 2201-7

    • DOI

      10.1007/s00595-014-0862-z

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Assessment of four methodologies (microparticle enzyme immunoassay, chemiluminescent enzyme immunoassay, affinity column-mediated immunoassay, and flow injection assay-tandem mass spectrometry) for measuring tacrolimus blood concentration in Japanese liver transplant recipients.2014

    • Author(s)
      Hashi S, Masuda S, Kikuchi M, Uesugi M, Yano I, Omura T, Yonezawa A, Fujimoto Y, Ogawa K, Kaido T, Uemoto S, Matsubara K.
    • Journal Title

      Transplant Proc.

      Volume: 46 Issue: 3 Pages: 758-760

    • DOI

      10.1016/j.transproceed.2013.11.060

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Perioperative changes of procalcitonin levels in patients undergoing liver transplantation.2014

    • Author(s)
      Kaido T, Ogawa K, Fujimoto Y, Mori A, Hatano E, Okajima H, Uemoto S.
    • Journal Title

      Transpl Infect Dis.

      Volume: 16 Issue: 5 Pages: 790-6

    • DOI

      10.1111/tid.12282

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Early Coupled Upregulation of IL-12 Receptor Beta-1 in CD8+ Central Memory and Effector T Cells for Better Clinical Outcomes in Liver Transplant Recipients.2014

    • Author(s)
      Uemoto S, Ozawa K, Kaido T, Mori A, Fuimoto Y, Ogawa K.
    • Journal Title

      Clin Exp Immunol.

      Volume: epub Issue: 2 Pages: 373-384

    • DOI

      10.1111/cei.12588

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Evaluation of liver preservation solutions by using rats transgenic for luciferase2014

    • Author(s)
      Doi, J. Teratani, T. Kasahara, N. Kikuchi, T. Fujimoto, Y. Uemoto, S. Kobayashi, E.
    • Journal Title

      Transplant Proc

      Volume: 46 Issue: 1 Pages: 63-65

    • DOI

      10.1016/j.transproceed.2013.07.077

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Portocaval shunt for hepatocyte package: challenging application of small intestinal graft in animal models2013

    • Author(s)
      Iwasaki, J. Hata, T. Uemoto, S. Fujimoto, Y. Kanazawa, H. Teratani, T. Hishikawa, S. Kobayashi, E.
    • Journal Title

      Organogenesis

      Volume: 9 Issue: 4 Pages: 273-9

    • DOI

      10.4161/org.25968

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] ラット15%過小グラフト肝移植における門脈下大静脈シャントによる門脈圧制御の肝再 生促進効果2015

    • Author(s)
      政野裕紀, 趙向東, 藤本康弘, 寺谷工, 小林淳志, 奥村晋也, 濱口雄平, 土井淳司, 小 川晃平, 上本伸二
    • Organizer
      日本消化器外科学会
    • Place of Presentation
      浜松
    • Year and Date
      2015-07-23 – 2015-07-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] 肝移植モデルにおける幹細胞移植の導入 マージナルグラフトの克服に向けて2013

    • Author(s)
      藤本, 康弘 寺谷, 工 趙, 向東 土井, 淳司 政野, 裕紀 濱口, 雄平 吉村, 美緒 小川, 晃平 海道, 利実 小林, 英司 上本, 伸二
    • Organizer
      第113回日本外科学会定期学術集会
    • Place of Presentation
      福岡国際会議場(福岡)
    • Related Report
      2013 Research-status Report
  • [Presentation] ラット間葉系幹細胞を用いた小腸グラフトの虚血許容時間の延長に関する検討2013

    • Author(s)
      濱口, 雄平 藤本, 康弘 寺谷, 工 笠原, 尚哉 土井, 淳司 政野, 裕紀 吉村, 弥緒 小林, 英司 上本, 伸二
    • Organizer
      第113回日本外科学会定期学術集会
    • Place of Presentation
      福岡国際会議場(福岡)
    • Related Report
      2013 Research-status Report
  • [Presentation] 温阻血再灌流障害を伴う80%肝切除ラットに対する間葉系幹細胞移植の有用性2013

    • Author(s)
      政野, 裕紀 趙, 向東 藤本, 康弘 寺谷, 工 濱口, 雄平 吉村, 美緒 土井, 淳司 小川, 晃平 上本, 伸二
    • Organizer
      第49回日本移植学会総会
    • Place of Presentation
      国立京都国際会館(京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] 高齢者の肝切除の安全性向上に向けて:肝再生、肝障害に対するポリアミンのインパクト2013

    • Author(s)
      土井 淳司, 寺谷 工, 笠原 尚哉, 趙 向東, 政野裕紀, 濱口雄平、藤本 康弘, 上本 伸二, 小林 英司
    • Organizer
      第113回日本外科学会
    • Place of Presentation
      マリンメッセ福岡(福岡市)
    • Related Report
      2012 Research-status Report
  • [Presentation] 肝移植モデルにおける幹細胞移植の導入:マージナルグラフトの克服に向けて2013

    • Author(s)
      藤本 康弘, 寺谷 工、趙 向東, 土井 淳司, 政野裕紀、濱口雄平、吉村美緒、小川晃平、海道利実、小林英司、上本 伸二
    • Organizer
      第113回日本外科学会
    • Place of Presentation
      マリンメッセ福岡(福岡市)
    • Related Report
      2012 Research-status Report

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

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