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Hybrid transplantation technique using stem cells based on liver transplantation from small for size grafts

Research Project

Project/Area Number 26462034
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Digestive surgery
Research InstitutionTohoku University

Principal Investigator

Miyagi Shigehito  東北大学, 大学病院, 准教授 (00420042)

Co-Investigator(Kenkyū-buntansha) 川岸 直樹  東北大学, 大学病院, 准教授 (00333807)
後藤 昌史  東北大学, 医学系研究科, 教授 (50400453)
中西 渉  東北大学, 東北メディカル・メガバンク機構, 助教 (50636024)
中西 史  東北大学, 大学病院, 講師 (00547408)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords肝移植 / マージナルドナー / 幹細胞移植 / 細胞移植 / 臓器移植 / 過小グラフト / ハイブリッド移植 / 移植・再生医療 / 門脈圧 / 門脈下大静脈シャント / 多能性幹細胞 / 細胞移植ブースト
Outline of Final Research Achievements

We collected mesenchymal stem cells from pigs’ abdominal fat. We made the pig model of liver transplantation from small for size grafts (25%model = posterior section graft). Then, we performed hybrid transplantation based on the small for size liver grafts. Furthermore, we added the shunt from portal vein (PV) to inferior vena cava (IVC) on this small for size grafts to prevent hyper pressure of portal vein.
We divided these transplant pigs in two groups. On the non-shunt group; we transplanted this small for size grafts without PV-IVC shunt. On the shunt group; we transplanted this small for size grafts with PV-IVC shunt. As a result, survival rate and microcirculation were improved on the shunt group. But this experiment revealed that the cell boost hybrid transplantation was difficult in this model because the body condition was too bad. From these results, we made the rat transplant model that was treated with short oxygenated warm perfusion of Krebs-Henseleit buffer and PGE1.

Report

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

    (18 results)

All 2016 2015

All Journal Article (8 results) (of which Peer Reviewed: 8 results) Presentation (10 results) (of which Int'l Joint Research: 7 results,  Invited: 1 results)

  • [Journal Article] Relationship Between Bile Duct Reconstruction and Complications in Living Donor Liver Transplantation2016

    • Author(s)
      S. Miyagi, N. Kawagishi, T. Kashiwadate, A. Fujio, K. Tokodai, Y. Hara, C. Nakanishi, T. Kamei, N. Ohuchi, and S. Satomi.
    • Journal Title

      Transplantation Proceedings

      Volume: 48 Issue: 4 Pages: 1166-69

    • DOI

      10.1016/j.transproceed.2015.10.073

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Resveratrol Prevents Warm Ischemia-Reperfusion Injury in Liver Grafts From Non-Heart-Beating Donor Rats2016

    • Author(s)
      K. Shimizu, S. Miyagi, K. Miyazawa, M. Goto, et al.(total 9)
    • Journal Title

      Transplantation Proceedings

      Volume: 48 Issue: 4 Pages: 1221-25

    • DOI

      10.1016/j.transproceed.2015.11.031

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Short oxygenated warm perfusion with prostaglandin E1 administration before cold preservation as a novel resuscitation method for liver grafts from donors after cardiac death in a rat in vivo model.2016

    • Author(s)
      Maida K, Akamatsu Y, Hara Y, Tokodai K, Miyagi S, Kashiwadate T, Miyazawa K, Kawagishi N, and Ohuchi N
    • Journal Title

      Transplantation

      Volume: 100(5) Issue: 5 Pages: 1052-8

    • DOI

      10.1097/tp.0000000000001127

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The reconstruction of hepatic arteries using extra-anatomical free autografts in living donor liver transplantation2016

    • Author(s)
      Miyagi S, Shimizu K,Miyazawa K, Kakizaki Y, Fujio A, Hara Y, Nakanishi C, Goto H,Kamei T,Kawagishi N, Ohuchi N, and Satomi S.
    • Journal Title

      J Transplant Technol Res

      Volume: 7:2 Issue: 02 Pages: 157-157

    • DOI

      10.4172/2161-0991.1000157

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Poor long-term outcomes of adult liver transplantation involving elderly living donors2016

    • Author(s)
      Tokodai K*, Kawagishi N, Miyagi S, Nakanishi C, Hara Y, Fujio A, Kashiwadate T, Maida K, Goto H, Kamei T, and Ohuchi N
    • Journal Title

      Transplantation Proceedings

      Volume: 48(4) Issue: 4 Pages: 1130-3

    • DOI

      10.1016/j.transproceed.2016.01.016

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Soluble thrombomodulin ameliorates ischemia-reperfusion injury of liver grafts by modulating the proinflammatory role of high-mobility group box 1.2016

    • Author(s)
      Kashiwadate T, Miyagi S, Hara Y, Akamatsu Y, Sekiguchi S, Kawagishi N, Ohuchi N, Satomi S.
    • Journal Title

      Tohoku J Exp Med.

      Volume: 239(4) Issue: 4 Pages: 315-23

    • DOI

      10.1620/tjem.239.315

    • NAID

      130005169127

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Resveratrol prevents warm ischemia-reperfusion injury in liver grafts from non-heart-beating donor rats2016

    • Author(s)
      Kenji Shimizu, Shigehito Miyagi, Koji Miyazawa, Masafumi Goto, et al.
    • Journal Title

      Transplantation Proceedings

      Volume: in press

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] The relationship between bile duct reconstruction and complications in living donor liver transplantation2016

    • Author(s)
      Shigehito Miyagi, Noriaki Ohuchi, Susumu Satomi, et al.
    • Journal Title

      Transplantation Proceedings (in press)

      Volume: in press

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] 肝細胞移植におけるグラフト保存法の至適化2016

    • Author(s)
      福岡健吾1, 松村宗幸1, 宮城重人1,後藤昌史1,2 等
    • Organizer
      日本移植学会
    • Place of Presentation
      東京品川 グランドプリンス新高輪
    • Year and Date
      2016-09-29
    • Related Report
      2016 Annual Research Report
  • [Presentation] 動脈再建困難例に対する肝移植の工夫2016

    • Author(s)
      宮城重人、清水健司、宮澤恒持、米田海、戸子台和哲、原康之、中西史、川岸直樹、大内憲明、里見進
    • Organizer
      日本移植学会
    • Place of Presentation
      東京品川 グランドプリンス新高輪
    • Year and Date
      2016-09-29
    • Related Report
      2016 Annual Research Report
  • [Presentation] The effects of resveratrol on liver transplantation from non-heart-beating donors in pigs2016

    • Author(s)
      K. Shimizu, S. Miyagi
    • Organizer
      国際移植学会(WTC2016 in HongKong)
    • Place of Presentation
      HongKong, China
    • Year and Date
      2016-08-19
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Early term results of biliary reconstruction using microsurgical outer knotted suture technique in living donor liver transplantation2016

    • Author(s)
      S. Miyagi
    • Organizer
      国際移植学会(WTC2016 in HongKong)
    • Place of Presentation
      HongKong, China
    • Year and Date
      2016-08-19
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Ex Vivo Subnormothermic Oxygenated Liver Perfusion Just Before Liver Transplantation from Non-Heart-Beating Donors Might Improve Graft Viability, in Pig Model.2016

    • Author(s)
      Y. Kakizaki, S. Miyagi
    • Organizer
      国際移植学会(WTC2016 in HongKong)
    • Place of Presentation
      HongKong, China
    • Year and Date
      2016-08-19
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Optimization of procedures for short-time hepatocyte preservation prior to transplantation2016

    • Author(s)
      Kengo Fukuoka, Shigehito Miyagi, Masafumi Goto, et al.
    • Organizer
      国際移植学会2016
    • Place of Presentation
      香港、中華人民共和国
    • Year and Date
      2016-08-18
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] The effects of resveratrol on liver transplantation from non-heart-beating donors in pigs2016

    • Author(s)
      Kenji Shimizu,Shigehito Miyagi, Noriaki Ohuchi, Susumu Satom
    • Organizer
      国際移植学会2016
    • Place of Presentation
      香港、中華人民共和国
    • Year and Date
      2016-08-18
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 心停止ドナー肝移植の臨床応用に向けた 基礎的研究の歩み2015

    • Author(s)
      宮城重人、里見進
    • Organizer
      日本臓器保存生物医学会
    • Place of Presentation
      いわて県民情報交流センター(盛岡市)
    • Year and Date
      2015-11-13
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Non-anatomical reconstruction of hepatic artery using auto free graft in living donor liver transplantation2015

    • Author(s)
      Kenji Shimizu,Shigehito Miyagi, Noriaki Ohuchi, Susumu Satomi, et al.
    • Organizer
      アジア移植学会2015
    • Place of Presentation
      シンガポール、シンガポール
    • Year and Date
      2015-08-23
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] The relationship between bile duct reconstruction and complications in living donor liver transplantation2015

    • Author(s)
      Shigehito Miyagi, Noriaki Ohuchi, Susumu Satomi, et al.
    • Organizer
      アジア移植学会2015
    • Place of Presentation
      シンガポール、シンガポール
    • Year and Date
      2015-08-23
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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

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