Identification of metastasis-associated genes based on methylome and chromosome analyses and it's clinical application
Project/Area Number |
16K09382
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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 |
Gastroenterology
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Research Institution | Kindai University |
Principal Investigator |
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Research Collaborator |
KUDO Masatoshi
KAIDO Toshimi
TANAKA Shinji
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Project Period (FY) |
2016-04-01 – 2019-03-31
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Project Status |
Completed (Fiscal Year 2018)
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Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
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Keywords | 肝細胞癌 / 転移 / ゲノム / エピゲノム / クロモゾーム / 化学療法 / 遺伝子変異 / メチローム / 分子分類 / 転移再発 / 分子スコア / アジュバント療法 / 遺伝子 |
Outline of Final Research Achievements |
We clarify molecular features of aggressive HCC, and establish a molecular scoring system that predicts metastasis after curative treatment. In total, 125 HCCs were examined for genome methylome and chromosomal analyses; molecular subclasses and risk score were determined. Next, HCC patients who underwent liver transplantation were analyzed for molecular risk score and metastatic recurrence; survival analyses were validated using a dataset of 376 HCC cases from the Cancer Genome Atlas (TCGA). Molecular risks, that consisted with presence of TP53 mutation, high FAL, global hypomethylation, and absence of CTNNB1 mutation were noted to predict shorter recurrence-free survival in both liver transplantation cohort (p = 0.0090 by log-rank test). and TCGA cohort (p = 0.0076). We concluded that molecular score could predict metastatic recurrence after curative treatments, and could be a marker for considering systemic therapy for HCC patients.
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Academic Significance and Societal Importance of the Research Achievements |
近年、肝癌の薬物療法は急速に発展し、肝動脈塞栓術(TACE)の奏効率に近づいている。一方、TACEは肝機能を悪化させるため、TACE後の転移再発のリスクの高い群では薬物療法を先行させるべきとの考えが広がっている。しかし、現在、TACE後の転移再発を予測することは困難である。さらに、肝切除においても、転移再発のリスクの高い群ではアジュバント、ネオアジュバントとしての薬物療法の適応を考慮すべきである。本研究成果は、肝癌転移再発の高リスク群を同定する分子スコアの開発であり、肝癌のマネージメントにおける意義は大きい。
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Report
(4 results)
Research Products
(68 results)
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[Journal Article] Risk factors for local recurrence and appropriate surveillance interval after endoscopic resection.2019
Author(s)
Komeda Y, Watanabe T, Sakurai T, Kono M, Okamoto K, Nagai T, Takenaka M, Hagiwara S, Matsui S, Nishida N, Tsuji N, Kashida H, Kudo M.
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Journal Title
World J Gastroenterol
Volume: 25
Pages: 1502-1512
Related Report
Peer Reviewed / Open Access
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[Journal Article] Sustained antiviral effects and clearance of hepatitis surface antigen after combination therapy with entecavir and pegylated interferon in chronic hepatitis B.2018
Author(s)
Hagiwara S, Nishida N, Watanabe T, Ida H, Sakurai T, Ueshima K, Takita M, Komeda Y, Nishijima N, Osaki Y, Kudo M.
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Journal Title
Antivir Ther.
Volume: 23
Issue: 6
Pages: 513-521
DOI
Related Report
Peer Reviewed
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[Journal Article] Value of additional endoscopic ultrasonography for surveillance after surgical removal of intraductal papillary mucinous neoplasms.2018
Author(s)
Kamata K, Takenaka M, Minaga K, Omoto S, Miyata T, Yamao K, Imai H, Nakai A, Tanaka H, Chiba Y, Watanabe T, Sakurai T, Nishida N, Chikugo T, Matsumoto I, Takeyama Y, Kitano M, Kudo M.
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Journal Title
Dig Endosc
Volume: 印刷中
Issue: 5
Pages: 659-666
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] Cystic duct antegrade stenting for cholangitis after the long-term deployment of lumen-apposing metal stents for calculous cholecystitis.2018
Author(s)
Kamata K, Takenaka M, Minaga K, Nakai A, Omoto S, Miyata T, Yamao K, Imai H, Sakurai T, Watanabe T, Nishida N, Kudo M.
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Journal Title
Endosc Ultrasound
Volume: 7
Issue: 8
Pages: 349-350
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Molecular Scoring of Hepatocellular Carcinoma for Predicting Metastatic Recurrence and Requirements of Systemic Chemotherapy.2018
Author(s)
Nishida N, Nishimura T, Kaido T, Minaga K, Yamao K, Kamata K, Takenaka M, Ida H, Hagiwara S, Minami Y, Sakurai T, Watanabe T, Kudo M.
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Journal Title
Cancers (Basel)
Volume: 29
Issue: 10
Pages: 10-10
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Gankyrin Contributes to Tumorigenesis and Chemoresistance in Sporadic Colorectal Cancer.2018
Author(s)
Sakurai T, Komeda Y, Nagai T, Kamata K, Minaga K, Yamao K, Takenaka M, Hagiwara S, Watanabe T, Nishida N, Kashida H, Nakagawa K, Kudo M.
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Journal Title
Digestion.
Volume: 4
Issue: 3
Pages: 1-9
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] 1.2.Impact of Tight Junction Protein ZO-1 and TWIST Expression on Postoperative Survival of Patients with Hepatocellular Carcinoma.2016
Author(s)
Nagai T, Arao T, Nishio K, Matsumoto K, Hagiwara S, Sakurai T, Minami Y, Ida H, Ueshima K, Nishida N, Sakai K, Saijo N, Kudo K, Kaneda H, Tamura D, Aomatsu K, Kimura H, Fujita Y, Haji S, Kudo M.
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Journal Title
Dig Dis.
Volume: 34
Issue: 6
Pages: 702-707
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] US-US Fusion Imaging in Radiofrequency Ablation for Liver Metastases.2016
Author(s)
Minami Y, Minami T, Chishina H, Kono M, Arizumi T, Takita M, Yada N, Hagiwara S, Ida H, Ueshima K, Nishida N, Kudo M.
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Journal Title
Dig Dis
Volume: 34
Issue: 6
Pages: 687-691
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Validation of Kinki Criteria, a Modified Substaging System, in Patients with Intermediate Stage Hepatocellular Carcinoma.2016
Author(s)
Arizumi T, Ueshima K, Iwanishi M, Minami T, Chishina H, Kono M, Takita M, Kitai S, Inoue T, Yada N, Hagiwara S, Minami Y, Ida H, Sakurai T, Kitano M, Nishida N, Kudo M
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Journal Title
Dig Dis
Volume: 34
Issue: 6
Pages: 671-678
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Clinical Factors Predicting the Effect of Tolvaptan for Refractory Ascites in Patients with Decompensated Liver Cirrhosis.2016
Author(s)
Chishina H, Hagiwara S, Nishida N, Ueshima K, Sakurai T, Ida H, Minami Y, Takita M, Kono M, Minami T, Iwanishi M, Umehara Y, Watanabe T, Komeda Y, Arizumi T, Kudo M.
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Journal Title
Dig Dis
Volume: 34
Issue: 6
Pages: 659-664
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Monoethanolamine Oleate Sclerotherapy for Polycystic Liver Disease.2016
Author(s)
Takita M, Iwanishi M, Minami T, Kono M, Chishina H, Arizumi T, Yada N, Hagiwara S, Minami Y, Ida H, Ueshima K, Naoshi N, Kudo M.
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Journal Title
Dig Dis.
Volume: 34
Issue: 6
Pages: 654-658
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Safety, Tolerability, and Efficacy of Sofosbuvir Plus Ribavirin in Elderly Patients Infected with Hepatitis C Virus Genotype 2.2016
Author(s)
Nishida N, Kono M, Minami T, Chishina H, Arizumi T, Takita M, Yada N, Ida H, Hagiwara S, Minami Y, Ueshima K, Sakurai T, Kudo M.
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Journal Title
Dig Dis
Volume: 34
Issue: 6
Pages: 632-639
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Outcome of Asunaprevir/Daclatasvir Combination Therapy for Chronic Liver Disease Type C.2016
Author(s)
Hagiwara S, Nishida N, Watanabe T, Sakurai T, Ida H, Minami Y, Takita M, Minami T, Iwanishi M, Chishina H, Ueshima K, Komeda Y, Arizumi T, Kudo M.
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Journal Title
Dig Dis
Volume: 34
Issue: 6
Pages: 620-626
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Evaluation of anti-migration properties of biliary covered self-expandable metal stents.2016
Author(s)
Minaga K, Kitano M, Imai H, Harwani Y, Yamao K, Kamata K, Miyata T, Omoto S, Kadosaka K, Sakurai T, Nishida N, Kudo M.
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Journal Title
World J Gastroenterol
Volume: 22
Issue: 30
Pages: 6917-24
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Survival Benefit of Locoregional Treatment for Hepatocellular Carcinoma with Advanced Liver Cirrhosis.2016
Author(s)
Kitai S, Kudo M, Nishida N, Izumi N, Sakamoto M, Matsuyama Y, Ichida T, Nakashima O, Matsui O, Ku Y, Kokudo N, Makuuchi M; Liver Cancer Study Group of Japan.
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Journal Title
Liver Cancer
Volume: 5
Issue: 3
Pages: 175-89
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Predictors of pain response in patients undergoing endoscopic ultrasound-guided neurolysis for abdominal pain caused by pancreatic cancer.2016
Author(s)
Minaga K, Kitano M, Sakamoto H, Miyata T, Imai H, Yamao K, Kamata K, Omoto S, Kadosaka K, Sakurai T, Nishida N, Chiba Y, Kudo M.
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Journal Title
Therap Adv Gastroenterol.
Volume: 9
Pages: 483-94
Related Report
Peer Reviewed / Open Access
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[Presentation] Studies on AFP, ALT Abnormalities and Hepatocarcinogenesis after SVR in Chronic Hepatitis C Patients Treated with Direct Acting Antivirals2018
Author(s)
Kono M, Nishida N, Ida H, Minami T, Chishina H, Takita M, Hagiwara S, Minami Y, Ueshima K, Kudo M
Organizer
APASL single topic conference on HCC 「hepatitis C」
Related Report
Int'l Joint Research
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[Book] 肝胆膵2018
Author(s)
西田直生志、工藤正俊
Total Pages
7
Publisher
アークメディア
Related Report
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