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Repair method of steatotic grafts aiming to resolve the organ shortage

Research Project

Project/Area Number 25293272
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field General surgery
Research InstitutionHokkaido University

Principal Investigator

Tsuyoshi Shimamura  北海道大学, 大学病院, 准教授 (00333617)

Co-Investigator(Kenkyū-buntansha) Taketomi Akinobu  北海道大学, 大学院医学研究科, 教授 (70363364)
Fukai Moto  北海道大学, 大学院医学研究科, 特任助教 (60374344)
Kimura Taichi  北海道大学, 大学院医学研究科, 特任助教 (90435959)
Nishikawa Yuji  旭川医科大学, 医学部, 教授 (90208166)
Ohsawa Ikuro  地方独立行政法人東京都健康長寿医療センター, 東京都健康長寿医療センター研究所, 研究副部長 (30343586)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥18,330,000 (Direct Cost: ¥14,100,000、Indirect Cost: ¥4,230,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥11,440,000 (Direct Cost: ¥8,800,000、Indirect Cost: ¥2,640,000)
Keywords移植・再生医療 / 虚血再灌流 / 臓器保存 / 脂肪肝 / 肝臓
Outline of Final Research Achievements

We succeeded to obtain the "Proof of Concept" that combined therapy against the marginal grafts, including steatosis and DCD liver, could reduce ischemia and reperfusion injury. Using novel preservation solution, perfusate for machine perfusion, and hydrogen gas, graft weight gain and intrahepatic resistance during CS , HOPE and/or reperfusion were well controlled. Although bile production was not fully resucitated in DCD graft subjected to extended cold preservation, it would be resolved by perfusion from the artery. We believe that our method would become a choice to utilize the marginal grafts, and thereby resolving, at least to some extent, organshortage.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Annual Research Report
  • 2013 Annual Research Report
  • Research Products

    (32 results)

All 2016 2015 2014 2013 Other

All Journal Article (12 results) (of which Peer Reviewed: 8 results,  Acknowledgement Compliant: 1 results) Presentation (20 results) (of which Int'l Joint Research: 4 results,  Invited: 4 results)

  • [Journal Article] 北海道の地域連携からドナー獲得への取り組みは成功したのか.2016

    • Author(s)
      嶋村 剛、古川博之、藤堂 省
    • Journal Title

      肝胆膵

      Volume: 72 Pages: 453-461

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Hydrogen sulfide augments survival signals in warm ischemia and reperfusion of the mouse liver.2015

    • Author(s)
      Shimada S, Fukai M, Wakayama K, Ishikawa T, Kobayashi N, Kimura T, Yamashita K, Kamiyama T, Shimamura T, Taketomi A, Todo S
    • Journal Title

      Surg Today

      Volume: 45 Pages: 892-903

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Postoperative assessment of hepatic asialoglycoprotein receptor function with Tc-99m GSA: the safety margin of resection size in living donor liver transplantation.2015

    • Author(s)
      Kentaro Kobayashi, Naoya Hattori, Osamu Manabe, Kenji Hirata, Keiichi Magota, Tsuyoshi Shimamura, Nagara Tamaki
    • Journal Title

      Ann Transplant

      Volume: 20 Pages: 51-58

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Small-for-size syndrome in living-donor liver transplantation using a left lobe graft.2015

    • Author(s)
      Masahiko Taniguchi, Tsuyoshi Shimamura, Satoru Todo, Hiroyuki Furukawa
    • Journal Title

      Surgery Today

      Volume: 45 Pages: 663-671

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A Nationwide Survey of Hepatitis E Virus Infection and Chronic Hepatitis E in Liver Transplant Recipients in Japan.2015

    • Author(s)
      Yuki Inagaki, Yukio Oshiro, Tsuyoshi Shimamura, Nobuhiro Ohkohchi
    • Journal Title

      EBioMedicine

      Volume: 2 Pages: 1607-1612

    • NAID

      120005980821

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multicentre, randomised, placebo-controlled trial of extract of Japanese herbal medicine Daikenchuto to prevent bowel dysfunction after adult liver transplantation (DKB 14 Study).2015

    • Author(s)
      Kaido T, Shimamura T, Sugawara Y, Sadamori H, Shirabe K, Yamamoto M, Uemoto S
    • Journal Title

      BMJ Open

      Volume: 5

    • NAID

      120005820862

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 肝移植2015

    • Author(s)
      嶋村 剛、藤堂 省
    • Journal Title

      消化器外科

      Volume: 38 Pages: 921-930

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 臓器保存におけるオートファジーの病態と評価法2015

    • Author(s)
      深井原,島田慎吾, 若山顕治, 石川隆壽、嶋村剛, 山下健一郎, 武冨紹信.
    • Journal Title

      Organ Biology

      Volume: 22 Pages: 26-31

    • NAID

      130005142913

    • Related Report
      2015 Annual Research Report
  • [Journal Article] APRV in patients with atelectasis after liver transplantation.2014

    • Author(s)
      Nakahashi S, Furukawa H, Shimamura T, Todo S, Gando S.
    • Journal Title

      Anaesth Intensive Care

      Volume: 42(1) Pages: 138-40

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A technique for orthotopic liver transplantation in cynomolgus monkeys.2014

    • Author(s)
      Tetsu Oura, Kenichiro Yamashita, Tomomi Suzuki, Masaaki Watanabe, Gentaro Hirokata, Kenji Wakayama, Masahiko Taniguchi, Tsuyoshi Shimamura, Hiroyuki Furukawa and Satoru Todo.
    • Journal Title

      Transplantation

      Volume: 98(6)

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Establishment of educational program for multiorgan procurement from deseased donors.2014

    • Author(s)
      Taniguchi M, Furukawa H, Kawai T, Morikawa H, Morozumi K, Goto M, Kondo T, Aikawa A, Ito T, Takahara S, Nio M, Kokudo N, Uemoto S, Fukushima N, Yoshida K, Kenmochi T, Date H, Ono M, Eguchi S, Shimamura T, Mizuta K, Yoshizumi T, Ueno T.
    • Journal Title

      Transplant Proc.

      Volume: 46 Pages: 1071-3

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 臓器保存液の現状と今後~単純冷保存は役割を終えたのか?2013

    • Author(s)
      1) 深井原, 島田慎吾, 若山顕治, 嶋村剛, 山下健一郎, 藤堂省, 武冨紹信
    • Journal Title

      Organ Biology

      Volume: 20(2) Pages: 176-180

    • Related Report
      2013 Annual Research Report
  • [Presentation] 臓器移植の発展と解決すべき問題点:改正臓器移植法が肝移植に及ぼした影響と推進に向けた活動2015

    • Author(s)
      嶋村剛
    • Organizer
      第77回日本臨床外科学会総会
    • Place of Presentation
      福岡国際会議場(福岡県福岡市)
    • Year and Date
      2015-11-27
    • Related Report
      2015 Annual Research Report
  • [Presentation] 低温灌流時の酸化的リン酸化と細胞内シグナルの制御~尿細管上皮を用いた検討2015

    • Author(s)
      深井原、島田慎吾、若山顕治、石川隆壽、山下健一郎、嶋村剛、武冨紹信
    • Organizer
      第42回 日本臓器保存生物医学会学術集会
    • Place of Presentation
      いわて県民情報交流センター(岩手県盛岡市)
    • Year and Date
      2015-11-13
    • Related Report
      2015 Annual Research Report
  • [Presentation] Time course of autophagy and oxidative phosphorylation dering hypothermic oxygenated conditions and subsequent re-warming in human renal tubular cell line (HK2).2015

    • Author(s)
      Fukai M, Ishikawa T, Wakayama K, Shimada S, Fujiyoshi M, Kimura T, Yamashita K, Shimamura T, Taketomi A.
    • Organizer
      17th Congress of the European Society for Organ Transplantation (ESOT)
    • Place of Presentation
      SQUARE BRUSSELS MEETING CENTRE (Brussels Belgium)
    • Year and Date
      2015-09-13
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 肝細胞癌に対する肝移植 全国集計結果から見えてきたもの2015

    • Author(s)
      嶋村剛
    • Organizer
      第11回広島臓器移植セミナー
    • Place of Presentation
      広島大学病院(広島県広島市)
    • Year and Date
      2015-09-04
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Signal transduction during hypothermic oxygenated conditions in human renal tubular cells.2015

    • Author(s)
      Fukai M, Ishikawa T, Wakayama K, Shimada S, Kimura T, Yamashita K, Shimamura T, Taketomi A.
    • Organizer
      14th Congress of the Asian Society of Transplantation (CAST)
    • Place of Presentation
      Suntec Singapore Convention&Exhibition Centre (Suntec City Singapore)
    • Year and Date
      2015-08-23
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 膵島移植におけるプロテアソーム阻害による早期グラフト障害の抑制2015

    • Author(s)
      旭火華、吉田雅、腰塚靖之、渡辺正明、外丸詩野、江本慎、深井原、嶋村剛、武冨紹信、藤堂省、山下健一郎.
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-04-18
    • Related Report
      2015 Annual Research Report
  • [Presentation] 低温酸素化体外灌流における水素ガスの肝保護効果2015

    • Author(s)
      石川隆壽、深井原、島田慎吾、若山顕治、後藤了一、木村太一、大澤郁朗、山下健一郎、嶋村剛、武冨紹信
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] トリアゾロピリミジン化合物NK026680による抗原特異的制御性T細胞誘導効果2015

    • Author(s)
      後藤了一、柴崎晋、長津明久、小野仁、五十嵐瑠美、深井原、嶋村剛、雑賀寛、武冨紹信、藤堂省、山下健一郎
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] 改正臓器移植法が肝移植に及ぼした影響と推進に向けた現状での次善策、今後の改善策について2015

    • Author(s)
      嶋村剛
    • Organizer
      第115回日本外科学会定期学術集会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-04-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] 肝細胞癌に対する肝移植適応‐全国集計をもとに‐2014

    • Author(s)
      嶋村剛
    • Organizer
      第32回 日本肝移植研究会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2014-07-04
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 成人間生体肝移植における術後短期の予後予測2014

    • Author(s)
      嶋村剛
    • Organizer
      第26回 日本肝胆膵外科学会学術集会
    • Place of Presentation
      和歌山県民文化会館(和歌山県和歌山市)
    • Year and Date
      2014-06-13
    • Related Report
      2014 Annual Research Report
  • [Presentation] Successful Withdrawal of Immunosuppression by a Cell Therapy Using Donor Ag-pulsed Tregs in Living Donor Liver Transplantation: An Update on Clinical Trial.2014

    • Author(s)
      Kenichiro Yamashita, Masaki Zaitsu, Akihisa Nagatsu, Ryoichi Goto, Tetsu Oura, Masaaki Watanabe, Takeshi Aoyagi, Tomomi Suzuki, Tsuyoshi Shimamura, Toshiya Kamiyama, Norihiro Sato, Junichi Sugita, Kanako Hatanaka, Hisashi Bashuda, Ko Okumura, Satoru Todo.
    • Organizer
      The 2014 Joint International Congress of ILTS, ELITA & LICAGE
    • Place of Presentation
      Queen ElizabethⅡ Conference Centre(London, United Kingdom)
    • Year and Date
      2014-06-04
    • Related Report
      2014 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Preoperative Prediction of Short-Term Prognosis after Adult-to-Adult Living Donor Liver Transplantation: A Way to Zero-Mortality.2014

    • Author(s)
      Tsuyoshi Shimamura, Masato Fujiyoshi, Tomomi Suzuki, Kenichiro Yamashita, Takeshi Aoyagi, Ryoichi Goto, Toru Takahashi, Yasuyuki Koshizuka, Masahiko Taniguchi, Hiroyuki Furukawa, Satoru Todo.
    • Organizer
      The 2014 Joint International Congress of ILTS, ELITA & LICAGE
    • Place of Presentation
      Queen ElizabethⅡ Conference Centre(London, United Kingdom)
    • Year and Date
      2014-06-04
    • Related Report
      2014 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 移植医療の現状と臨床検査のかかわり2014

    • Author(s)
      嶋村剛
    • Organizer
      北海道シーメンスフォーラム2014
    • Place of Presentation
      ホテルポールスター札幌(北海道札幌市)
    • Year and Date
      2014-05-24
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Organ preservation and resuscitation -current progress in deuterium oxide (heavy water) and hydrogen gas as cytoprotectants

    • Author(s)
      Fukai M, Shimamura T, Todo S, Taketomi A
    • Organizer
      Congress of Asian Transplantation 2013
    • Place of Presentation
      国立京都国際会館(京都市)
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] Heavy Water and Hydrogen Gas Confer Protection Against Hepatic Cold Ischemia and Reperfusion Injury in Isolated Perfused Rat Liver

    • Author(s)
      Shimada S, Fukai M, Wakayama K, Yamashita K, Taniguchi M, Suzuki T, Shimamura T, Kamiyama T, Furukawa F, Todo S, Taketomi A.
    • Organizer
      American Transplant Congress 2013
    • Place of Presentation
      Washington State Convention & Trade Center(Seattle, USA)
    • Related Report
      2013 Annual Research Report
  • [Presentation] Heavy Water and Hydrogen Gas Ameliorates Cold Preservation and Reperfusion Injury in Rat Liver

    • Author(s)
      Shimada S, Fukai M, Wakayama K, Yamashita K, Taniguchi M, Suzuki T, Shimamura T, Kamiyama T, Furukawa F, Todo S, Taketomi A.
    • Organizer
      International Congress of European Society for Organ Transplantation
    • Place of Presentation
      Austria Center Vienna(Vienna, Austria)
    • Related Report
      2013 Annual Research Report
  • [Presentation] より良い臓器灌流のための臓器保存法と再灌流時治療:重水、水素の可能性

    • Author(s)
      深井原、島田慎吾、若山顕治、石川隆壽、山下健一郎、嶋村剛、武冨紹信
    • Organizer
      第40回日本臓器保存生物医学会学術集会
    • Place of Presentation
      東京医科大学病院臨床講堂(東京都)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 低温下でエネルギー産生を賦活化させる新しい方法~有効性と普遍性

    • Author(s)
      深井原, 若山顕治, 山下健一郎, 廣方玄太郎, 谷口雅彦, 古川博之, 島田慎吾, 小倉正臣, 鈴木友己, 嶋村剛, 尾崎倫孝, 神山俊哉, 藤堂省
    • 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(福岡市)
    • Related Report
      2013 Annual Research Report
  • [Presentation] ラット冷保存肝における再灌流時水素ガス投与の効果

    • Author(s)
      島田慎吾、深井原, 山下健一郎, 鈴木友己, 嶋村剛, 尾崎倫孝, 神山俊哉、藤堂省
    • 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(福岡市)
    • Related Report
      2013 Annual Research Report

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Published: 2013-05-21   Modified: 2019-07-29  

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