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Establishment of new treatment targeting lifestyle diseases and coagulation fibrinolytic system related to the development of NASH

Research Project

Project/Area Number 26461018
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionNara Medical University

Principal Investigator

Noguchi Ryuichi  奈良県立医科大学, 医学部附属病院, 研究員 (30423908)

Co-Investigator(Kenkyū-buntansha) 吉治 仁志  奈良県立医科大学, 医学部, 教授 (40336855)
Co-Investigator(Renkei-kenkyūsha) MATSUMOTO MASANORI  奈良県立医科大学, 医学部, 教授 (60316081)
NAMISAKI TADASHI  奈良県立医科大学, 医学部, 講師 (20526850)
MORIYA KEI  奈良県立医科大学, 医学部, 講師 (40526852)
KITADE MITSUTERU  奈良県立医科大学, 医学部, 助教 (40526795)
MASHITANI TSUYOSHI  奈良県立医科大学, 医学部, 助教 (20401929)
Research Collaborator NISHIMURA NORIHISA  
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
KeywordsNASH / 生活習慣病 / ARB / DPP-Ⅳ阻害剤 / SGLT-2阻害剤 / PAI-1阻害剤 / DPP4阻害剤 / PAI-1 / 肝線維化 / 非アルコール性脂肪肝炎 / DPPIV阻害剤 / DPPⅣ阻害剤 / 血管新生
Outline of Final Research Achievements

In the rat NASH model, ARB and DPP-IV inhibitor innhibited liver fibrosis along with suppression of activated hepatic stellate cells (Ac-HSCs) and TGF-β expression, and treatment with both drugs further suppressed significantly as compared with either single agent. SGLT-2 inhibitor, which is a drug for treating diabetes mellitus, indirectly suppressed liver fibrosis through the insulin resistance-improving effect. PAI-1 inhibitor markedly inhibited the development of liver fibrosis along with suppression of Ac-HSC. Our in vitro data showed that PAI-I inhibitor directly suppressed proliferation of Ac-HSCs, expression of TGF-β mRNA and α1 collagen mRNA. Furthermore, clinical studies suggested the possibility of DPP-IV inhibitor for treating fatty liver disease with type 2 diabetes.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (17 results)

All 2016 2015 2014 Other

All Journal Article (6 results) (of which Peer Reviewed: 6 results,  Open Access: 2 results) Presentation (7 results) Book (2 results) Remarks (2 results)

  • [Journal Article] DNA methylation of angiotensin II receptor gene in nonalcoholic steatohepatitis-related liver fibrosis.2016

    • Author(s)
      Asada K, Aihara Y, Takaya H, Noguchi R, Namisaki T, Moriya K, Uejima M, Kitade M, Mashitani T, Takeda K, Kawaratani H, Okura Y, Kaji K, Douhara A, Sawada Y, Nishimura N, Seki K, Mitoro A, Yamao J, Yoshiji H.
    • Journal Title

      World J Hepatol.

      Volume: 8 Issue: 28 Pages: 1194-1194

    • DOI

      10.4254/wjh.v8.i28.1194

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Combined treatment with dipeptidyl peptidase-4 inhibitor (sitagliptin) and angiotensin-II type 1 receptor blocker (losartan) suppresses progression in a non-diabetic rat model of steatohepatitis.2016

    • Author(s)
      Okura Y,Yoshiji H.
    • Journal Title

      Hepatol Res

      Volume: Dec28 Issue: 12 Pages: 1317-1328

    • DOI

      10.1111/hepr.12860

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Ipragliflozin, a sodium-glucose cotransporter 2 inhibitor, ameliorates the development of liver fibrosis in diabetic Otsuka Long-Evans Tokushima fatty rats.2016

    • Author(s)
      Nishimura N, Kitade M, Noguchi R, Namisaki T, Moriya K, Takeda K, Okura Y, Aihara Y, Douhara A, Kawaratani H, Asada K, Yoshiji H.
    • Journal Title

      J Gastroenterol.

      Volume: 未定

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Efficacy of alogliptin in preventing non-alcoholic fatty liver disease progression in patients with type 2 diabetes.2016

    • Author(s)
      Mashitani T, Noguchi R, Okura Y, Namisaki T, Mitoro A, Ishii H, Nakatani T, Kikuchi E, Moriyasu H, Matsumoto M, Sato S, An T, Morita H, Aizawa S, Tokuoka Y, Ishikawa M, Matsumura Y, Ohira H, Kogure A, Noguchi K, Yoshiji H.
    • Journal Title

      Biomed Rep.

      Volume: 4 Pages: 183-187

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Beneficial effects of combined ursodeoxycholic acid and angiotensin-II type 1 receptor blocker on hepatic fibrogenesis in a rat model of nonalcoholic steatohepatitis.2016

    • Author(s)
      Namisaki T, Noguchi R, Moriya K, Kitade M, Aihara Y, Douhara A, Nishimura N, Takeda K, Okura Y, Kawaratani H, Takaya H, Seki K, Yoshiji H.
    • Journal Title

      J Gastroenterol.

      Volume: 51 Pages: 162-172

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Reduction of endotoxin attenuates liver fibrosis through suppression of hepatic stellate cell activation and remission of intestinal permeability in a rat non-alcoholic steatohepatitis model.2015

    • Author(s)
      Douhara A, Moriya K, Yoshiji H, Noguchi R, Namisaki T, Kitade M, Kaji K, Aihara Y, Nishimura N, Takeda K, Okura Y, Kawaratani H, Fukui H.
    • Journal Title

      Mol Med Rep.

      Volume: 11 Pages: 1693-1700

    • NAID

      40020982272

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] ウイルス性肝炎における肝線維化診断バイオマーカーの確立2016

    • Author(s)
      野口 隆一
    • Organizer
      日本肝臓学会大会
    • Place of Presentation
      神戸コンベンションセンター
    • Year and Date
      2016-11-03
    • Related Report
      2016 Annual Research Report
  • [Presentation] SGLT2阻害薬は糖尿病発症ラット肝線維化モデルにおいて耐糖能異常改善を介した肝線維化抑制効果を有する2016

    • Author(s)
      西村 典久
    • Organizer
      日本門脈圧亢進症学会総会
    • Place of Presentation
      神戸国際会議場
    • Year and Date
      2016-09-10
    • Related Report
      2016 Annual Research Report
  • [Presentation] DPP4阻害薬及びアンギオテンシンII受容体拮抗薬併用による肝病態進展抑制効2016

    • Author(s)
      大倉康志、浪崎正、野口隆一、守屋圭、北出光輝、竹田幸祐、瓦谷英人、相原洋祐、西村典久、佐藤慎哉、澤田保彦、関建一郎、増谷剛、鍛冶孝佑、吉治仁志
    • Organizer
      第102回日本消化器病学会総会
    • Place of Presentation
      京王プラザホテル
    • Year and Date
      2016-04-22
    • Related Report
      2015 Research-status Report
  • [Presentation] 糖尿病発症ラットにおける非環式レチノイドとアンギオテンシンII受容体拮抗薬の併用による肝発癌抑制効果2015

    • Author(s)
      西村典久 、北出光輝、野口隆一、吉治仁志
    • Organizer
      第24回日本がん転移学会学術集会総会
    • Place of Presentation
      シティプラザ大阪
    • Year and Date
      2015-07-23
    • Related Report
      2015 Research-status Report
  • [Presentation] アンギオテンシンII・アルドステロンを標的とする肝癌治療:血管新生の観点から2015

    • Author(s)
      野口隆一、堂原彰敏 、西村典久 、吉治仁志
    • Organizer
      第24回日本がん転移学会学術集会総会
    • Place of Presentation
      シティプラザ大阪
    • Year and Date
      2015-07-23
    • Related Report
      2015 Research-status Report
  • [Presentation] 非アルコール性脂肪性肝疾患(NAFLD)合併2型糖尿病患者に対するDPP-IV阻害薬による肝線維化抑制の試み2015

    • Author(s)
      増谷剛、野口隆一、吉治仁志
    • Organizer
      第2回肝臓と糖尿病・代謝研究会
    • Place of Presentation
      シーモールパレス
    • Year and Date
      2015-05-23
    • Related Report
      2015 Research-status Report
  • [Presentation] インスリン抵抗性条件下における DPP4阻害薬とARB併用による新規肝線維化治療の試み2014

    • Author(s)
      野口隆一、吉治仁志、福井 博
    • Organizer
      第50回日本肝臓学会総会
    • Place of Presentation
      ホテルニューオータニ
    • Year and Date
      2014-05-29
    • Related Report
      2014 Research-status Report
  • [Book] The Liver Cancer Journal2016

    • Author(s)
      野口隆一
    • Publisher
      メディカルレビュー
    • Related Report
      2015 Research-status Report
  • [Book] Annual Review 2016 消化器2016

    • Author(s)
      野口隆一、吉治仁志
    • Total Pages
      7
    • Publisher
      中外医学
    • Related Report
      2015 Research-status Report
  • [Remarks] 奈良県立医科大学 内科学第三講座

    • URL

      http://www.naramed-u.ac.jp/~3int/index.html

    • Related Report
      2016 Annual Research Report
  • [Remarks] 奈良県立医科大学 内科学第三講座

    • URL

      http://www.naramed-u.ac.jp/~3int/

    • Related Report
      2015 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2018-03-22  

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