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Development of new biomarkers for small intestinal malabsorption

Research Project

Project/Area Number 24614016
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Integrated Nutrition Science
Research InstitutionTokyo Medical University

Principal Investigator

IWAMOTO JUNICHI  東京医科大学, 医学部, 准教授 (10384950)

Co-Investigator(Kenkyū-buntansha) HONDA Akira  東京医科大学, 医学部, 教授 (10468639)
MIYAZAKI Teruo  東京医科大学, 医学部, 講師 (60532687)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2012: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywordsクローン病 / 小腸機能 / LC-MS/MS / CYP3A4 / 胆汁酸
Outline of Final Research Achievements

To explore new biomarkers for small intestinal malabsorption, we determined serum concentrations of cholesterol related compounds in patients with CD or ulcerative colitis (UC). The concentrations of 7α-hydroxy-4-cholesten-3-one (C4), a marker for bile acid synthesis, and lathosterol, a marker for cholesterol biosynthesis, were significantly elevated while the levels of fibroblast growth factor 19 (FGF19), a marker for intestinal bile acid flux, and 4β-hydroxycholesterol (4β-HC), a known marker for CYP3A4 activity, were reduced in CD patients compared with UC patients and controls. These changes were more evident in ileal-resected CD patients. In contrast, serum plant sterols, markers for intestinal cholesterol absorption, were not significantly changed in all CD patients. These results showed that serum C4, FGF19, lathosterol and 4β-HC were good biomarkers for ileal malabsorption, which can be used for differential diagnosis of ileal diseases from jejunal or colorectal diseases.

Report

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

    (5 results)

All 2014 2013 2012

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (3 results)

  • [Journal Article] Serum carnitine as an independent biomarker of malnutrition in patients with impaired oral intake2014

    • Author(s)
      Iwamoto J, Honda A, Miyamoto Y, Miyazaki T, Murakami M, Saito Y, Ikegami T, Miyamoto J, Matsuzaki Y
    • Journal Title

      Journal of Clinical Biochemistry and Nutrition

      Volume: 55 Issue: 3 Pages: 221-227

    • DOI

      10.3164/jcbn.14-77

    • NAID

      130004694549

    • ISSN
      0912-0009, 1880-5086
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Bile acid malabsorption deactivates pregnane X receptor in patients with Crohn's disease2013

    • Author(s)
      Iwamoto J, Saito Y, Honda A, et al
    • Journal Title

      Inflammatory bowel diseases

      Volume: 19 Issue: 6 Pages: 1278-1284

    • DOI

      10.1097/mib.0b013e318281f423

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 脂質,胆汁酸代謝からみたクローン病における脂肪肝合併メカニズムについての検討2014

    • Author(s)
      岩本淳一
    • Organizer
      日本消化器病学会
    • Place of Presentation
      神戸ポートピアホテル
    • Year and Date
      2014-10-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] 胆汁酸研究の最近の進歩 クローン病における核内レセプターPregnane X receptorの活性低下と胆汁酸吸収障害の影響2013

    • Author(s)
      岩本淳一、本多彰、宮崎照雄
    • Organizer
      肝臓学会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 炎症性腸疾患における血清ステロールの検討2012

    • Author(s)
      岩本淳一、本多彰、松崎靖司
    • Organizer
      日本消化器病学会
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report

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

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