Alteration of tumor immunity and anti-cancer drug / hormone sensitivity in endometrial cancer with frequent MMR mechanism abnormality
Project/Area Number |
25462612
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Obstetrics and gynecology
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Research Institution | Keio University |
Principal Investigator |
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Research Collaborator |
YAMAGAMI Wataru
NODA Tomomi
SAKAI Kensuke
MAKABE Takesi
NINOMIYA Tomomi
HIRASAWA Akira
KATAOKA Fumio
NOMURA Hiroyuki
BANNO Kouji
AOKI Daisuke
|
Project Period (FY) |
2013-04-01 – 2016-03-31
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Project Status |
Completed (Fiscal Year 2015)
|
Budget Amount *help |
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
|
Keywords | 子宮内膜癌 / 腫瘍免疫 / 黄体ホルモン療法 / 化学療法 / MMR / ホルモン感受性 |
Outline of Final Research Achievements |
The MSI-positive tumors showed significantly higher grades and larger numbers of TILs than MSI-negative tumors. The COX-2-high group showed fewer TILs than COX-2-low group. Multivariate analysis identified a low number of TILs, positive lymph node involvement, and high tumor malignancy grade as factors independently associated with poor prognosis. The number of TILs, which was increased by MSI and decreased by COX-2 expression, was associated with a poorer prognosis in patients with endometrial cancer. We also propose that COX-2 may block MSI-activated TILs in the tumor microenvironment. Regarding fertility-preserving hormonal therapy, we performed hormonal therapy for 214 young patients with atypical endometrial hyperplasia or endometrioid adenocarcinoma G1. We succeeded in 83 pregnancies in 62 patients and showed 7.5% as the frequency of double cancer, and also revealed the safety and effectiveness of repeated MPA therapy after recurrence with the low incidence of double cancer.
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Report
(3 results)
Research Products
(64 results)
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[Journal Article] Retrospective Analysis on the Feasibility and Efficacy of Docetaxel-Cisplatin Therapy for Recurrent Endometrial Cancer.2016
Author(s)
Ninomiya T, Yamagami W, Susumu N, Makabe T, Sakai K, Wada M, Takigawa A, Chiyoda T, Nomura H, Kataoka F, Hirasawa A, Banno K, Aoki D.
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Journal Title
Anticancer Res.
Volume: 36
Pages: 1751-1758
Related Report
Peer Reviewed
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[Journal Article] Prognostic factors in patients with uterine carcinosarcoma: a multi-institutional retrospective study from the Japanese Gynecologic Oncology Group.2016
Author(s)
Harano K, Hirakawa A, Yunokawa M, Nakamura T, Satoh T, Nishikawa T, Aoki D, Ito K, Ito K, Nakanishi T, Susumu N, Takehara K, Watanabe Y, Watari H, Saito T.
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Journal Title
Int J Clin Oncol.
Volume: 21
Issue: 1
Pages: 168-176
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Optimal cytoreductive surgery in patients with advanced uterine carcinosarcoma: A multi-institutional retrospective study from the Japanese gynecologic oncology group.2016
Author(s)
Harano K, Hirakawa A, Yunokawa M, Nakamura T, Satoh T, Nishikawa T, Aoki D, Ito K, Ito K, Nakanishi T, Susumu N, Takehara K, Watanabe Y, Watari H, Saito T
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Journal Title
Gynecol Oncol.
Volume: 22
Related Report
Peer Reviewed
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[Journal Article] Factors affecting pregnancy outcomes in young women treated with fertility-preserving therapy for well-differentiated endometrial cancer or atypical endometrial hyperplasia.2016
Author(s)
Inoue O, Hamatani T, Susumu N, Yamagami W, Ogawa S, Takemoto T, Hirasawa A, Banno K, Kuji N, Tanaka M, Aoki D.
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Journal Title
Reprod Biol Endocrinol
Volume: 14(1)
Issue: 1
Pages: 2-2
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Anisakiasis mimics cancer recurrence: two cases of extragastrointestinal anisakiasis suspected to be recurrence of gynecological cancer on PET-CT and molecular biological investigation.2016
Author(s)
Nogami Y, Fujii-Nishimura Y, Banno K, Suzuki A, Susumu N, Hibi T, Murakami K, Yamada T, Sugiyama H, Morishima Y, Aoki D.
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Journal Title
BMC Med Imaging.
Volume: 16
Issue: 1
Pages: 31-41
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Clinicopathologic analysis with immunohistochemistry for DNA mismatch repair protein expression in synchronous primary endometrial and ovarian cancers.2015
Author(s)
Kobayashi Y, Nakamura K, Nomura H, Banno K, Irie H, Adachi M, Iida M, Umene K, Nogami Y, Masuda K, Kisu I, Ueki A, Yamagami W, Kataoka F, Hirasawa A, Tominaga E, Susumu N, Aoki D.
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Journal Title
International Journal of Gynecological Cancer
Volume: 25(3)
Issue: 3
Pages: 440-446
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Osteoporosis is less frequent in endometrial cancer survivors with hypertriglyceridemia.2015
Author(s)
Hirasawa A, Makita K, Akahane T, Yamagami W, Makabe T, Yokota M, Horiba Y, Ogawa M, Yanamoto S, Deshimaru R, Tominaga E, Banno K, Susumu N, Aoki D
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Journal Title
Jpn J Clin Oncol
Volume: 45(1)
Issue: 1
Pages: 127-31
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Effectiveness of third-line chemotherapy in recurrent ovarian cancer patients.2015
Author(s)
Yoshihama T, Chiyoda T, Kataoka F, Nomura H, Iguchi Y, Hashimoto S, Yamagami W, Tominaga E, Susumu N, Tsuda H, Aoki D.
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Journal Title
Eur J Gynaecol Oncol.
Volume: 36
Pages: 424-427
Related Report
Peer Reviewed
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[Journal Article] Polymorphisms of estrogen metabolism-related genes ESR1, UGT2B17, and UGT1A1 are not associated with osteoporosis in artificial menopausal Japanese women.2015
Author(s)
Yokota M, Hirasawa A, Makita K, Akahane T, Sakai K, Makabe T, Horiba Y, Yamagami W, Ogawa M, Iwata T, Yanamoto S, Deshimaru R, Banno K, Susumu N, Aoki D.
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Journal Title
Menopause Review
Volume: 14(3)
Pages: 161-167
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Current status of molecular-targeted drugs for endometrial cancer (Review).2014
Author(s)
Nogami Y, Banno K, Kisu I, Yanokura M, Umene K, Masuda K, Kobayashi Y, Yamagami W, Nomura H, Tominaga E, Susumu N, Aoki D
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Journal Title
Mol Clin Oncol.
Volume: 1
Pages: 799-804
Related Report
Peer Reviewed
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[Presentation] 子宮体部漿液性腺癌の早期診断に子宮内膜細胞診が有用であった2例の検討2015
Author(s)
坂井健良, 進 伸幸, 山上 亘, 真壁 健, 二宮委美, 南木佳子, 岩佐尚美, 中平直希, 野村弘行, 片岡史夫, 平沢 晃, 田中京子, 阪埜浩司, 青木大輔
Organizer
第54回 日本臨床細胞学会秋季大会
Place of Presentation
名古屋国際会議場(愛知県名古屋市)
Year and Date
2015-11-21
Related Report
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[Presentation] 本格的な施行開始後3年目を迎えた子宮体癌術後患者の卵巣欠落症状に対するエストロゲン療法(ET)の現状2015
Author(s)
牧田和也, 横田めぐみ, 堀場裕子, 山上 亘, 平沢 晃, 小川真里子, 弟子丸亮太, 柳本茂久, 阪埜浩司, 進 伸幸, 高松 潔, 青木大輔
Organizer
第30回 日本女性医学学会
Place of Presentation
メルパルク名古屋(愛知県名古屋市)
Year and Date
2015-11-07
Related Report
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[Presentation] Investigation of double cancer arising in young patients with endometrial cancer who receive fertility-preserving hormonal therapy using medroxyprogesterone acetate.2015
Author(s)
Susumu N, Yamagami W, Sakai K, Makabe T, Ninomiya T, Wada M, Ichikawa Y, Nomura H, Hirasaawa A, Kataoka F, Hirasawa A, Tominaga E, Suzuki A, Banno K, Aoki D.
Organizer
19th International Meeting of The European Society of Gynaecological Oncology (ESGO).
Place of Presentation
ニース(フランス)
Year and Date
2015-10-24
Related Report
Int'l Joint Research
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[Presentation] The relationship between the RI account of sentinel lymph nodes and lymph node metastasis in endometrial cancer.2015
Author(s)
Sakai K, Yamagami W, Susumu N, Makabe T, Ninomiya T, Nakadaira N, Iwasa N, Wada M, Nomura H, Kataoka F, Tanaka K, Banno K, Aoki D.
Organizer
19th International Meeting of The European Society of Gynaecological Oncology (ESGO)
Place of Presentation
ニース(フランス)
Year and Date
2015-10-24
Related Report
Int'l Joint Research
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[Presentation] Evaluation of pre- or intra-operative diagnostic method for uterine carcinosarcoma.2015
Author(s)
Makabe T, Yamagami W, Susumu N, Sakai K, Yoshihama T, Iwasa N, Nakadaira N, Ninomiya T, Wada M, Takigawa A, Nomura H, Kataoka F, Hirasawa A, Banno K, Aoki D.
Organizer
19th International Meeting of The European Society of Gynaecological Oncology (ESGO)
Place of Presentation
ニース(フランス)
Year and Date
2015-10-24
Related Report
Int'l Joint Research
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[Presentation] Ⅰ期、Ⅱ期の子宮体部類内膜腺がんにおける再発リスク因子の検討2015
Author(s)
小塙理人, 山上 亘, 二宮委美, 坂井健良, 真壁 健, 野村弘行, 片岡史夫, 平沢 晃, 阪埜浩司, 進 伸幸, 田中 守, 青木大輔
Organizer
第130回 関東連合産科婦人科学会
Place of Presentation
幕張メッセ国際会議場(千葉県千葉市)
Year and Date
2015-10-24
Related Report
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[Presentation] 慶應義塾大学医学部産婦人科におけるバイオバンク2015
Author(s)
赤羽智子, 平沢 晃, 増田健太, 野田朋美, 西尾 浩, 仲村 勝, 山上 亘, 森定 徹, 野村弘行, 片岡史夫, 岩田 卓, 田中京子, 冨永英一郎, 鈴木 淳, 阪埜浩司, 牧田和也, 進 伸幸, 青木大輔
Organizer
第60回 日本人類遺伝学会
Place of Presentation
京王プラザホテル(東京都新宿区)
Year and Date
2015-10-14
Related Report
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[Presentation] Usefulness of intra-operative touch imprinting cytology of sentinel lymph nodes in endometrial cancer for improving intra-operative diagnostic accuracy.2015
Author(s)
Susumu N, Yamagami W, Kataoka F, Makabe T, Sakai K, Ninomiya T, Takigawa A, Nomura H, Hirasaawa A, Banno K, Nakahara T, Kameyama K, Aoki D.
Organizer
39th European Congress of Cytology.
Place of Presentation
ミラノ(イタリア)
Year and Date
2015-09-20
Related Report
Int'l Joint Research
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[Presentation] 当院における子宮体癌術後再発低リスク群における再発症例の検討2015
Author(s)
坂井健良, 山上 亘, 進 伸幸, 真壁 健, 二宮委美, 岩佐尚美, 中平直希, 野村弘行, 片岡史夫, 平沢 晃, 冨永英一郎, 阪埜浩司, 青木大輔
Organizer
第57回 日本婦人科腫瘍学会
Place of Presentation
アイーナいわて県民情報交流センター・マリオス盛岡地域交流センター(岩手県盛岡市)
Year and Date
2015-08-07
Related Report
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[Presentation] 子宮癌肉腫症例における子宮内膜細胞診の検討2015
Author(s)
真壁 健, 山上 亘, 坂井健良, 二宮委美, 和田美智子, 野村弘行, 片岡史夫, 阪埜浩まる司, 進 伸幸, 青木大輔
Organizer
第56回日本臨床細胞学会総会(春期大会)
Place of Presentation
くにびきメッセ・松江テレサ(島根県松江市)
Year and Date
2015-06-12
Related Report
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[Presentation] Clinicopathological features of endometrial cancer after tamoxifen as postoperative adjuvant therapy for breast cancer.2015
Author(s)
Adachi M, Banno K, Yanokura M, Irie H, Iida M, Nakamura K, Umene K, Nogami Y, Masuda K, Ueki A, Kisu I, Yamagami W, Tominaga E, Susumu N, Aoki D
Organizer
24th Asian & Oceanic Congress of Obstetrics & Gynaecology (AOCOG 2015)
Place of Presentation
サラワク(マレーシア)
Year and Date
2015-06-03
Related Report
Int'l Joint Research
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[Presentation] Is repeated fertility-preserving hormonal therapy using medroxyprogesterone acetate acceplable for young patients with recurrent endomatrisl cancer or atypical hyperplasia?2015
Author(s)
Sakai K, Susumu N, Makabe T, Ninomiya T, Yamagami W, Ichikawa Y, Nomura H, Kataoka F, Hirasawa A, Banno K, Tanaka M, Aoki D
Organizer
第67回 日本産科婦人科学会
Place of Presentation
パシフィコ横浜(神奈川県横浜市)
Year and Date
2015-04-09
Related Report
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[Presentation] A retrospective analysis of docetaxel-cisplatin chemotherapy (DP chemotherapy) for recurrent endometrial cancer2013
Author(s)
Wataru Yamagami, Nobuyuki Susumu, Tomomi Ninomiya, Michiko Kuwahata, Aya Takigawa, Hiroyuki Nomura, Fumio Kataoka, Eiichiro Tominaga, Kouji Banno, Daisuke Aoki
Organizer
18th International Meeting of the European Society of Gynaecological Oncology (ESGO)
Place of Presentation
Liverpool, UK
Related Report
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[Presentation] Usefulness of transcervical tumor resection in diagnosing myometrial invasion for young patients with endometrial cancer who received fertility-preserving progesterone therapy2013
Author(s)
Nobuyuki Susumu, Wataru Yamagami, Tomomi Ninomiya, Michiko Kuwahata, Aya Takigawa, Hiroyuki Nomura, Fumio Kataoka, Eiichiro Tominaga, Atsushi Suzuki, Koji Banno, Daisuke Aoki
Organizer
3rd Biennial Meeting of Asian Society of Gynecologic Oncology (ASGO)
Place of Presentation
Kyoto, Japan
Related Report
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