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Establishment of diagnosis and treatment for graft fibrosis long after pediatric liver transplantation

Research Project

Project/Area Number 26870570
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Pediatric surgery
General surgery
Research InstitutionKeio University

Principal Investigator

Tomita Hirofumi  慶應義塾大学, 医学部(信濃町), 共同研究員 (50464954)

Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords小児肝移植 / 肝線維化 / 抗ドナー抗体 / 非侵襲的診断 / ARFI / 肝硬度 / 脾硬度 / 門脈圧亢進症
Outline of Final Research Achievements

Invasive examination such as liver biopsy and endoscopic examination is necessary for assessment of liver diseases. In the current study, we performed liver and spleen stiffness measurements using ultrasound apparatus for children with chronic liver disease including liver transplantation and we compared liver and spleen stiffness measurements with the results of liver biopsy and endoscopic examinations. As a result, we found that liver and spleen stiffness measurements were useful for predicting liver fibrosis on liver biopsy examinations and esophageal varices on endoscopic examinations.
In addition, it has been known that unexplained liver fibrosis occurs after pediatric liver transplantation. We conducted a study with the cooperation of the living donor and we could find that the anti-donor specific antibody is one of the causes of liver fibrosis after pediatric liver transplantation.

Report

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

    (7 results)

All 2017 2016 2015 2014

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 2 results) Presentation (5 results)

  • [Journal Article] Diagnosing native liver fibrosis and esophageal varices using liver and spleen stiffness measurements in biliary atresia: a pilot study2016

    • Author(s)
      Hirofumi Tomita, Kiyoshi Ohkuma, YoheiMasugi, Naoki Hosoe, Ken Hoshino, Yasushi Fuchimoto, Akihiro Fujino, Takahiro Shimizu, Mototoshi Kato, Takumi Fujimura, Hideo Ishihama, Nobuhiro Takahashi, Yutaka Tanami, Hirotoshi Ebinuma, Hidetsugu Saito, Michiie Sakamoto, Miwako Nakano, and Tatsuo Kuroda
    • Journal Title

      Pediatric Radiology

      Volume: 46 Issue: 10 Pages: 1409-1417

    • DOI

      10.1007/s00247-016-3637-4

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Spleen stiffness measurements by acoustic radiation force impulse imaging after living donor liver transplantation in children: a potential quantitative index for venous complications2015

    • Author(s)
      Hirofumi Tomita & Yasushi Fuchimoto & Kiyoshi Ohkuma & Ken Hoshino & Akihiro Fujino & Mototoshi Kato & Takumi Fujimura & Hideo Ishihama & Nobuhiro Takahashi & Yutaka Tanami & Seishi Nakatsuka & Hirotoshi Ebinuma & Hidetsugu Saito & Masahiro Shinoda & Yuko Kitagawa & Tatsuo Kuroda
    • Journal Title

      Pediatric Radiology

      Volume: 45(5) Issue: 5 Pages: 658-66

    • DOI

      10.1007/s00247-014-3215-6

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 小児生体部分肝移植後の抗ヒト白血球抗原ドナー特異的抗体と肝線維化の関連性2017

    • Author(s)
      富田紘史、清水隆弘、星野 健、山田洋平、渕本康史、下島直樹、石濱秀雄、高橋信博、阿部陽友、森禎三郎、篠田昌宏、尾原秀明、日比泰造、北川雄光、黒田達夫
    • Organizer
      第35回日本肝移植研究会
    • Place of Presentation
      大阪国際会議場(大阪府大阪市)
    • Year and Date
      2017-06-01
    • Related Report
      2016 Annual Research Report
  • [Presentation] 小児肝移植後におけるグラフト線維化・肝硬度の経時的評価 -3 年間での検討-2017

    • Author(s)
      森禎三郎、富田紘史、阿部陽友、清水隆弘、髙橋信博、石濱秀雄、山田洋平、下島直樹、渕本康史、星野健、黒田達夫
    • Organizer
      第54回日本小児外科学会学術集会
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2017-05-11
    • Related Report
      2016 Annual Research Report
  • [Presentation] 小児生体部分肝移植術後遠隔期における抗ドナー抗体とグラフト線維化の検討2016

    • Author(s)
      清水 隆弘、星野 健、山田 洋平、富田 紘史、亀山 香織、森 禎三郎、阿部 陽友、高橋 信博、石濱 秀雄、藤村 匠、日比 泰造、下島 直樹、藤野 明浩、篠田 昌宏、尾原 秀明、板野 理、北川 雄光、黒田 達夫
    • Organizer
      第53回日本小児外科学会
    • Place of Presentation
      ヒルトン福岡シーホーク(福岡県福岡市)
    • Year and Date
      2016-05-24
    • Related Report
      2015 Research-status Report
  • [Presentation] 胆道閉鎖症における肝・脾硬度測定による食道静脈瘤の予測診断能2014

    • Author(s)
      富田 紘史,星野 健,藤野 明浩,山田 洋平,加藤 源俊,藤村 匠,石濵 秀雄,清水 隆弘,高橋 信博,阿部 陽友,大熊 潔,細江 直樹,渕本 康史,中野 美和子,黒田 達夫
    • Organizer
      第41回日本胆道閉鎖症研究会
    • Place of Presentation
      熊本医師会館(熊本県熊本市)
    • Year and Date
      2014-11-15
    • Related Report
      2014 Research-status Report
  • [Presentation] 胆道閉鎖症術後における自己肝線維化・門脈圧亢進症の肝脾硬度測定による非侵襲的評価2014

    • Author(s)
      富田 紘史,星野 健,藤野 明浩,加藤 源俊,藤村 匠,石濵 秀雄,高橋 信博,黒田 達夫,大熊 潔,田波 穣,真杉 洋平,坂元 亨宇
    • Organizer
      第51回日本小児外科学会
    • Place of Presentation
      大阪国際会議場(大阪府大阪市)
    • Year and Date
      2014-05-09
    • Related Report
      2014 Research-status Report

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

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