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Identification of factors which induce radiation injury, and establishment of tailor-made irradiation based upon these factors.

Research Project

Project/Area Number 24592179
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cerebral neurosurgery
Research InstitutionChiba Cancer Center (Research Institute)

Principal Investigator

IUCHI TOSHIHIKO  千葉県がんセンター(研究所), 脳神経外科, 部長 (80370881)

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: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords脳腫瘍学 / 放射線脳壊死 / 神経膠芽腫 / テーラーメイド治療 / 放射線脳障害 / 分子 / 神経膠腫 / 放射線治療 / 脳白質障害 / 放射線壊死 / 遺伝子変異解析 / 遺伝子メチル化解析 / 遺伝子発現
Outline of Final Research Achievements

The change in copy number, but not mutation, of PDGFRA was associated with radiation necrosis. We could not find other molecules which showed significant correlation with radiation necrosis, from the analyses by array-CGH, cDNA array, and next generation sequencing. On the other hand, the methylation status of MGMT gene promoter was significant risk factor for radiation injury, and tumors with methylated MGMT gene promoter had higher risk for necrosis. Tailor-made setting of irradiation doses (high-dose for MGMT unmethylated cases, and moderate-dose for methylated ones) had revealed that decrease of irradiation dose had contributed to prevent radiation injury, while keeping the same survival benefit of irradiation. These findings indicated the feasibility of tailor-made setting of treatment doses based upon the methylation status of MGMT gene promoter.

Report

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

    (30 results)

All 2015 2014 2013 2012

All Journal Article (9 results) (of which Peer Reviewed: 9 results,  Acknowledgement Compliant: 1 results) Presentation (20 results) (of which Invited: 2 results) Book (1 results)

  • [Journal Article] Epilepsy in patients with gliomas: incidence and control of seizures.2015

    • Author(s)
      Iuchi T, Hasegawa Y, Kawasaki K, Sakaida T.
    • Journal Title

      J Clin Neurosci.

      Volume: 22 Issue: 1 Pages: 87-91

    • DOI

      10.1016/j.jocn.2014.05.036

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Frequency of brain metastases in non-small-cell lung cancer, and their association with epidermal growth factor receptor mutations.2015

    • Author(s)
      Iuchi T, Shingyoji M, Itakura M, Yokoi S, Moriya Y, Tamura H, Yoshida Y, Ashinuma H, Kawasaki K, Hasegawa Y, Sakaida T, Iizasa T.
    • Journal Title

      Int J Clin Oncol.

      Volume: 未定

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Levetiracetam versus phenytoin for seizure prophylaxis during and early after craniotomy for brain tumours: a phase II prospective, randomised study.2015

    • Author(s)
      Iuchi T, Kuwabara K, Matsumoto M, Kawasaki K, Hasegawa Y, Sakaida T.
    • Journal Title

      J Neurol Neurosurg Psychiatry.

      Volume: 未定 Issue: 10 Pages: 1158-1162

    • DOI

      10.1136/jnnp-2014-308584

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Phase II trial of hypofractionated high-dose intensity-modurated radiation therapy with concurrent and adjuvant temozolomide for newly diagnosed glioblastoma.2014

    • Author(s)
      T. Iuchi, K. Hatano, T. Kodama, T. Sakaida, S. Yokoi, K. Kawasakai, Y. Hasegawa, R. Hara.
    • Journal Title

      Int J Radiat Oncol Biol Phys.

      Volume: 88 Issue: 4 Pages: 793-800

    • DOI

      10.1016/j.ijrobp.2013.12.011

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 院内製剤レベチラセタム坐剤の製剤学的検討と臨床応用2014

    • Author(s)
      桑原清人, 浅子恵利, 石原優, 松本美奈子, 近藤芳弘, 井内俊彦
    • Journal Title

      医療薬学

      Volume: 40 Pages: 753-758

    • NAID

      130005128238

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Phase II trial of gefitinib alone without radiation therapy for Japanese patients with brain metastases from EGFR-mutant lung adenocarcinoma.2013

    • Author(s)
      T. Iuchi, M. Shingyoji, T. Sakaida, K Hatano, O. Nagano, M. Itakura, H. Kageyama, S. Yokoi, Y. Hasegawa, K. Kawasaki, T. Iizasa
    • Journal Title

      Lung Cancer.

      Volume: 82 Issue: 2 Pages: 282-287

    • DOI

      10.1016/j.lungcan.2013.08.016

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 強度変調放射線治療(Intensity-modulated radiation therapy: IMRT)2013

    • Author(s)
      井内俊彦
    • Journal Title

      Clinical Neurosicience

      Volume: 31 Pages: 1166-1168

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Temozolomide suppresses MYC via activation of TAp63 to inhibit progression of human glioblastoma.2013

    • Author(s)
      Yamaki T, Suenaga Y, Iuchi T, Alagu J, Takatori A, Itami M, Araki A, Ohira M, Inoue M, Kageyama H, Yokoi S, Saeki N, Nakagawara A.
    • Journal Title

      Sci Rep.

      Volume: 3 Issue: 1 Pages: 1160-1160

    • DOI

      10.1038/srep01160

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 悪性グリーマに対する高精度放射線治療2012

    • Author(s)
      井内俊彦 幡野和男
    • Journal Title

      脳神経外科ジャーナル

      Volume: 21 Pages: 207-215

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 悪性神経膠腫の分子生物学的特徴とその臨床応用:現状と今後の治療戦略2014

    • Author(s)
      井内俊彦 原竜介 幡野和男 伊丹真紀子 大平美紀 横井左奈 長谷川祐三 川﨑宏一郎 堺田司
    • Organizer
      日本放射線腫瘍学会学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-12-11 – 2014-12-13
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 神経膠芽腫のMGMTメチル化解析に於けるパイロシーケンシング法の意義2014

    • Author(s)
      井内俊彦 横井左奈 大平美紀 長谷川祐三 川崎宏一郎 堺田司
    • Organizer
      第32回日本脳腫瘍学会学術集会
    • Place of Presentation
      舞浜
    • Year and Date
      2014-11-30 – 2014-12-02
    • Related Report
      2014 Annual Research Report
  • [Presentation] 神経膠芽腫に対する寡分割大線量IMRT ~その効果と課題~2014

    • Author(s)
      井内 俊彦, 幡野 和男, 原 竜介, 長谷川 祐三, 川崎 宏一郎, 堺田 司
    • Organizer
      日本脳神経外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2014-10-09 – 2014-10-11
    • Related Report
      2014 Annual Research Report
  • [Presentation] Prognostic value of pyrosequencing of MGMT promoter methylation in patients with glioblastoma treated by temozolomide and hypofractionated high-dose IMRT.2014

    • Author(s)
      T. Iuchi, S. Yokoi, M. Ohira, R. Shimada, Y. Hasegawa, K. Kawasaki, T. Sakaida.
    • Organizer
      ESMO(European Society for Medical Oncology) Congress
    • Place of Presentation
      Madrid, Spain
    • Year and Date
      2014-09-26 – 2014-09-30
    • Related Report
      2014 Annual Research Report
  • [Presentation] Risk and Benefit of Irradiation for Subventricular Zone in the Treatment of Patients With Glioblastoma.2014

    • Author(s)
      T. Iuchi, K. Hatano, T. Kawachi, T. Kodama, T. Sakaida, K. Kawasaki, Y. Hasegawa, R. Hara.
    • Organizer
      ASTRO (American Society of Radiation Oncology) 56th. Annual Meeting
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2014-09-14 – 2014-09-17
    • Related Report
      2014 Annual Research Report
  • [Presentation] EGFR-TKI 時代における非小細胞肺癌脳転移治療~非照射TKI 単独治療の効果と安全性~2014

    • Author(s)
      井内俊彦, 新行内雅人, 板倉明司, 横井左奈, 守屋康充, 吉田泰司, 芦沼宏典, 松井由紀子, 田村創, 石橋文博, 長谷川祐三, 川﨑宏一郎, 堺田司, 飯笹俊彦
    • Organizer
      日本癌治療学会
    • Place of Presentation
      横浜
    • Year and Date
      2014-08-28 – 2014-08-30
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 神経膠芽腫に対する IMRT ~脳室下帯被曝のリスクと抗腫瘍効果~2014

    • Author(s)
      井内俊彦 原竜介 幡野和男 河内徹 小玉卓史 長谷川祐三 川﨑宏一郎 堺田司
    • Organizer
      第23回日本定位放射線治療学会
    • Place of Presentation
      大阪
    • Year and Date
      2014-06-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] BCNU wafer 留置後の悪性神経膠腫症例の画像的考察2014

    • Author(s)
      井内俊彦, 長谷川祐三, 伊丹真紀子, 川崎宏一郎, 堺田司.
    • Organizer
      日本脳腫瘍病理学会
    • Place of Presentation
      徳島
    • Year and Date
      2014-05-23 – 2014-05-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] Risk and Benefit of Irradiation for Subventricular Zone in the Treatment of Patients With Glioblastoma2014

    • Author(s)
      T. Iuchi, K. Hatano, T. Kawachi, T. Kodama, T. Sakaida, K. Kawasaki, Y. Hasegawa, R. Hara
    • Organizer
      ASTRO 56th Annual Meeting
    • Place of Presentation
      San Francisco, CA, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Gene expression signature of malignant astrocytomas and its association with MGMT promoter methylation status.2013

    • Author(s)
      Toshihiko Iuchi, Miki Ohira, Sana Yokoi, Hajime Kageyama, Yuzo Hasegawa, Koichiro Kawasaki, Tsukasa Sakaida, Akira Nakagawara.
    • Organizer
      AACR (American Association for Cancer Research) Annual Meeting 2013
    • Place of Presentation
      Wahington , DC , USA
    • Related Report
      2013 Research-status Report
  • [Presentation] Exome sequencing of intracranial germ cell tumors.2013

    • Author(s)
      Koichi Ichimura, Shintaro Fukushima, Yasushi Totoki, Toshihiko Iuchi et al., Exome sequencing of intracranial germ cell tumors.
    • Organizer
      3rd. International CNS Germ Cell Tumour Conference:
    • Place of Presentation
      Cambridge, UK
    • Related Report
      2013 Research-status Report
  • [Presentation] Methionine-uptake, delivered dose and control of the lesion in the treatment of malignant astrocytomas.2013

    • Author(s)
      T Iuchi, K Hatano, Y Uchino, T Kodama, N Toyama, T Kawachi, Y Hasegawa, K Kawasaki, T Sakaida.
    • Organizer
      2nd. ESTRO (European Society for Therapeutic Radiation Oncology) Forum
    • Place of Presentation
      Geneva, Switzerland
    • Related Report
      2013 Research-status Report
  • [Presentation] The influence of tumor-infiltrating lymphocytes on radiation necrosis in the patient with malignant astroycoma of the brain.2013

    • Author(s)
      H Hasegawa, T Iuchi, T Sugiyama, K Kawasaki, M Itami, K Hatano.
    • Organizer
      2nd. ESTRO (European Society for Therapeutic Radiation Oncology) Forum
    • Place of Presentation
      Geneva, Switzerland
    • Related Report
      2013 Research-status Report
  • [Presentation] Genomic analysis of intracranial germ cell tumors.2013

    • Author(s)
      Koichi Ichimura, Shintaro Fukushima, Yasushi Totoki, Toshihiko Iuchi et al.,
    • Organizer
      2013 Pediatric Neuro-Oncology Basic and Translational Research Conference
    • Place of Presentation
      Fort Lauderdale, Florida, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] The incidence and clinical feature of brain metastasis from non-small cell lung cancer, and their associations with EGFR mutation.2013

    • Author(s)
      T. Iuchi, M. Shingyoji, T. Sakaida, M. Itakura, H. Kageyama, S. Yokoi, Y. Hasegawa, K. Kawasaki, T. Iizasa.
    • Organizer
      17th. ECCO - 38th ESMO - 32nd ESTRO European Cancer Congress
    • Place of Presentation
      Amsterdam, Hollan
    • Related Report
      2013 Research-status Report
  • [Presentation] 遺伝子診断に基づいた神経膠腫の Multidisciplinary Treatment2013

    • Author(s)
      井内俊彦 幡野和男 橫井左奈 川﨑宏一郎 長谷川祐三 堺田司
    • Organizer
      日本脳神経外科学会第72回学術総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Research-status Report
  • [Presentation] 神経膠芽腫に対する寡分割大線量IMRT2013

    • Author(s)
      井内俊彦 幡野和男 原竜介 長谷川祐三 川崎宏一郎 堺田司
    • Organizer
      日本放射線腫瘍学会第26回学術大会
    • Place of Presentation
      青森
    • Related Report
      2013 Research-status Report
  • [Presentation] Hypo-fractionated IMRT with TMZ for GBMs. -Tailor-made setting of treatment doses owing to MGMT-methylation status-.2012

    • Author(s)
      T. Iuchi 他
    • Organizer
      ASTRO 53th. Annual Meeting
    • Place of Presentation
      Boston, MA, USA
    • Related Report
      2012 Research-status Report
  • [Presentation] 放射線壊死診断におけるメチオニンPETの意義2012

    • Author(s)
      井内俊彦 他
    • Organizer
      日本脳神経外科学会第71回学術総会
    • Place of Presentation
      大阪
    • Related Report
      2012 Research-status Report
  • [Presentation] 悪性星状細胞腫治療における宿主の免疫機構が放射線壊死の発生に与える影響の検討2012

    • Author(s)
      長谷川祐三、井内俊彦、他
    • Organizer
      日本脳神経外科学会第71回学術総会
    • Place of Presentation
      大阪
    • Related Report
      2012 Research-status Report
  • [Book] Intensity-Modulated Radiation Therapy. Clinical Evidence and Techniques2015

    • Author(s)
      Toshihiko Iuchi and Kazuo Hatano
    • Total Pages
      473
    • Publisher
      Springer
    • Related Report
      2014 Annual Research Report

URL: 

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

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