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The characteristic changes of Kupffer cells and hepatic stellate cells after menopause increase the risk of NASH and liver cancer.

Research Project

Project/Area Number 18H03172
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 59040:Nutrition science and health science-related
Research InstitutionUniversity of Tsukuba

Principal Investigator

Suzuyki Hideo  筑波大学, 医学医療系, 准教授 (00400672)

Co-Investigator(Kenkyū-buntansha) 柳川 徹  筑波大学, 医学医療系, 教授 (10312852)
磯辺 智範  筑波大学, 医学医療系, 教授 (70383643)
蕨 栄治  筑波大学, 医学医療系, 講師 (70396612)
岡田 浩介  筑波大学, 附属病院, 病院講師 (80757526)
正田 純一  筑波大学, 医学医療系, 教授 (90241827)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,160,000 (Direct Cost: ¥13,200,000、Indirect Cost: ¥3,960,000)
Fiscal Year 2020: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2018: ¥7,410,000 (Direct Cost: ¥5,700,000、Indirect Cost: ¥1,710,000)
KeywordsNASH / 性差 / estradiol / LPS / p62 / Nrf2 / 遺伝子改変マウス / 女性ホルモン / 脂肪性肝炎 / 閉経 / Kupffer細胞 / エストロゲン / サルコペニア / Kupffer細胞機能 / サルコペニア肥満 / 非アルコール性脂肪性肝炎 / 肝癌 / 肝星細胞
Outline of Final Research Achievements

Gender and menopause influence the severity and development of nonalcoholic steatohepatitis (NASH). Male p62 and Nrf2 double-knockout (DKO) mice exhibit NASH caused by overload of lipopolysaccharide (LPS) into the liver, and potentiation of the inflammatory response in Kupffer cells. Phenotypic changes of NASH in DKO mice were compared in terms of gender differences. Compared with DKO male mice, DKO female mice exhibited later onset of NASH with milder severity of hepatic inflammation and fibrosis. Serum estradiol was higher in female than male mice, and decreasing until 50 weeks of age. Fecal and serum LPS were lower in female mice than male mice, and inflammatory signaling in the liver was attenuated in female. The composition of intestinal microbiota in female mice was different from male mice. Gender differences were observed for the development of NASH in DKO mice. Low-grade inflammatory hit in the liver under high estradiol may be attributable to the milder NASH in female mice.

Academic Significance and Societal Importance of the Research Achievements

非アルコール性脂肪性肝炎(NASH)は,単純性脂肪肝から発生し,肝硬変,肝癌へ進行する致死的疾患にも関わらず,その発症機序は未解明であり,確立された薬物治療も存在しない.加えて,NASHの進展および重症度は性差や閉経により影響されることが疫学調査で明らかとなってきた.そのメカニズムとして性ホルモンの関与が強く疑われるが,その詳細の解明は臨床研究では限界がある.本研究は,ヒトNASH病態に類似する新規モデルマウスであるDKOマウスを用いて,NASH病態の性差がestradiolによる腸内細菌叢におけるLPS産生や肝炎症シグナルへの修飾に起因することを実験的に明らかにした点で意義が大きい.

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (43 results)

All 2021 2020 2019 2018

All Journal Article (17 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 17 results,  Open Access: 12 results) Presentation (19 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results) Book (7 results)

  • [Journal Article] Prevention of non-alcoholic steatohepatitis by long-term exercise via the induction of phenotypic changes in Kupffer cells of hyperphagic obese mice2021

    • Author(s)
      Miura I, Komine S, Okada K, Wada S, Warabi E, Uchida F, Oh S, Suzuki H, Mizokami Y, Shoda J
    • Journal Title

      Physiol Reps

      Volume: 未定

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of Exercise on the Oral Microbiota and Saliva of Patients with Non-Alcoholic Fatty Liver Disease2021

    • Author(s)
      Uchida F, Oh S, Shida T, Suzuki H, Yamagata K, Mizokami Y, Bukawa H, Tanaka K, Shoda J
    • Journal Title

      Int J Environ Res Public Health

      Volume: 18 Issue: 7 Pages: 3470-3470

    • DOI

      10.3390/ijerph18073470

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Prediction of true Helicobacter pylori-uninfected status using a combination of age, serum antibody and pepsinogen: Logistic regression analysis2021

    • Author(s)
      Takayama T, Suzuki H, Okada K, Yamada T, Maruo K, Saito Y, Mizokami Y
    • Journal Title

      PLoS One

      Volume: 18 Issue: 10 Pages: 3470-3470

    • DOI

      10.1371/journal.pone.0240040

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical and anthropometric characteristics of non‐obese non‐alcoholic fatty liver disease subjects in Japan2020

    • Author(s)
      Shida Takashi、Oshida Natsumi、Suzuki Hideo、Okada Kosuke、Watahiki Takahisa、Oh Sechang、Kim Taeho、Isobe Tomonori、Okamoto Yoshikazu、Ariizumi Shun‐ichi、Yamamoto Masakazu、Shoda Junichi
    • Journal Title

      Hepatology Research

      Volume: 50 Issue: 9 Pages: 1032-1046

    • DOI

      10.1111/hepr.13543

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Gender difference in development of steatohepatitis in <i>p62/Sqstm1 and Nrf2</i> double-knockout mice2020

    • Author(s)
      Watahiki T, Okada K, Warabi E, Nagaoka T, Suzuki H, Ishige K, Yanagawa T, Takahashi S, Mizokami Y, Tokushige K, Ariizumi SI, Yamamoto M, Shoda J
    • Journal Title

      Experimental Animals

      Volume: 69 Issue: 4 Pages: 395-406

    • DOI

      10.1538/expanim.20-0028

    • NAID

      130007938666

    • ISSN
      0007-5124, 1341-1357, 1881-7122
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Indigo naturalis is effective even in treatment-refractory patients with ulcerative colitis: a post hoc analysis from the INDIGO study.2020

    • Author(s)
      Naganuma M, Sugimoto S, Fukuda T, Mitsuyama K, Kobayashi T, Yoshimura N, Ohi H, Tanaka S, Andoh A, Ohmiya N, Saigusa K, Yamamoto T, Morohoshi Y, Ichikawa H, Matsuoka K, Hisamatsu T, Watanabe K, Mizuno S, Abe T, Suzuki Y, Kanai T; INDIGO Study Group.
    • Journal Title

      J Gastroenterol.

      Volume: 55 Issue: 2 Pages: 169-180

    • DOI

      10.1007/s00535-019-01625-2

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Peptide TNIIIA2 Derived from Tenascin-C Contributes to Malignant Progression in Colitis-Associated Colorectal Cancer via β1-Integrin Activation in Fibroblasts.2019

    • Author(s)
      M.Fujita, Y. Ito-Fujita, T. Iyoda, M. Sasada, Y. Okada, K. Ishibashi, T. Osawa, H. Kodama, F. Fukai, H. Suzuki
    • Journal Title

      Int. J. Mol. Sci

      Volume: 20 Issue: 11 Pages: 2752-2752

    • DOI

      10.3390/ijms20112752

    • NAID

      120007133421

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The preventive effect of Qing Dai on bisphosphonate-induced gastric cellular injuries2019

    • Author(s)
      Yasuda Go、Ito Hiromu、Kurokawa Hiromi、Terasaki Masahiko、Suzuki Hideo、Mizokami Yuji、Matsui Hirofumi
    • Journal Title

      Journal of Clinical Biochemistry and Nutrition

      Volume: 64 Issue: 1 Pages: 45-51

    • DOI

      10.3164/jcbn.17-108

    • NAID

      130007542313

    • ISSN
      0912-0009, 1880-5086
    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Progressive reduction in skeletal muscle mass to visceral fat area ratio is associated with a worsening of the hepatic conditions of non-alcoholic fatty liver disease2019

    • Author(s)
      Shida T, Oshida N, Oh S, Okada K, Shoda J
    • Journal Title

      Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy

      Volume: 12 Pages: 495-503

    • DOI

      10.2147/dmso.s185705

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Urinary Levels of Titin-N Fragment, a Skeletal Muscle Damage Marker, are Increased in Subjects with Nonalcoholic Fatty Liver Disease2019

    • Author(s)
      Oshida Natsumi、Shida Takashi、Oh Sechang、Kim Taeho、Isobe Tomonori、Okamoto Yoshikazu、Kamimaki Takashi、Okada Kosuke、Suzuki Hideo、Ariizumi Shun-ichi、Yamamoto Masakazu、Shoda Junichi
    • Journal Title

      Scientific Reports

      Volume: 9 Issue: 1 Pages: 19498-19498

    • DOI

      10.1038/s41598-019-56121-7

    • NAID

      120007132916

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Progressive reduction in skeletal muscle mass to visceral fat area ratio is associated with a worsening of the hepatic conditions of non-alcoholic fatty liver disease.2019

    • Author(s)
      Shida T, Oshida N, Oh S, Okada K, Shoda J
    • Journal Title

      Diabetes Metab Syndr Obes

      Volume: 12 Pages: 495-503

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Whole body vibration for patients with nonalcoholic fatty liver disease: a 6-month prospective study.2019

    • Author(s)
      Oh S, Oshida N, Someya N, Maruyama T, Isobe T, Okamoto Y, Kim T, Shoda J
    • Journal Title

      Physiol Reps

      Volume: 2

    • NAID

      120007133370

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Molecular targeting of HER2-overexpressing biliary tract cancer cells with trastuzumab emtansine, an antibody-cytotoxic drug conjugate.2019

    • Author(s)
      Yamashita-Kashima Y, Yoshimura Y, Fujimura T, Shu S, Yanagisawa M, Yorozu K, Furugaki K, Higuchi R, Shoda J, Harada N
    • Journal Title

      Cancer Chemo Pharmacol

      Volume: 83 Pages: 659-670

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Induction systemic therapy followed by surgery for stages II-III non-small cell lung cancer: steady efforts.2018

    • Author(s)
      Sekine I, Aida Y, Suzuki H
    • Journal Title

      J Thorac Dis

      Volume: 10

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Long-Term Maintenance Effect of Qing Dai for Ulcerative Colitis.2018

    • Author(s)
      Suzuki H, Mizokami Y, Gosho M, Kaneko T, Matsui H, Yanaka A
    • Journal Title

      J Altern Complement Med

      Volume: 24 Pages: 1130-1130

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Deletion of both p62 and Nrf2 spontaneously leads to development of nonalcoholic steatohepatitis.2018

    • Author(s)
      Akiyama K, Warabi E, Okada K, Shoda J
    • Journal Title

      Experimental Animals

      Volume: 67 Pages: 201-18

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Skeletal muscle mass to visceral fat area ratio is an important determinant affecting pathophysiology of NAFLD.2018

    • Author(s)
      Shida T, Akiyama K, Oh S, Sawai A, Isobe T, Okamoto Y, Ishige K, Mizokami Y, Yamagata K, Onizawa K, Tanaka H, Iijima H, Shoda J
    • Journal Title

      J Gastroenterol

      Volume: 53 Pages: 535-47

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 脂肪酸代謝制御因子p62はマウス脂肪性肝炎を防御する - 組織細胞特異的p62遺伝子レスキューマウスの解析より2020

    • Author(s)
      岡田浩介,綿引隆久,正田純一
    • Organizer
      JDDW2020
    • Related Report
      2020 Annual Research Report
  • [Presentation] レドックスナノ粒子(RNP)はp62:Nrf2遺伝子二重欠失マウス脂肪性肝炎における線維化を抑止する2020

    • Author(s)
      綿引隆久,岡田浩介,正田純一
    • Organizer
      JDDW2020
    • Related Report
      2020 Annual Research Report
  • [Presentation] p62は肝臓-脂肪組織の連関による脂肪酸代謝の制御を介してマウス脂肪性肝炎を防御する2020

    • Author(s)
      岡田浩介, 綿引隆久,正田純一
    • Organizer
      第56回肝臓学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] NAFLDにおける筋損傷マーカーTitin-N fragmentの尿中測定とその臨床的意義2020

    • Author(s)
      押田夏海、岡田浩介、鈴木英雄、正田純一
    • Organizer
      第56回日本肝臓学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Clinical and Anthropometric Characteristics of Non-obese NAFLD Patients in Japan2020

    • Author(s)
      Takashi Shida, Natsumi Oshida, Hideo Suzuki
    • Organizer
      JDDW 2020
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 当院における若年性胃がんの特徴2019

    • Author(s)
      鈴木英雄、圷大輔、山田武史、森脇俊和、奈良坂俊明、松井裕史、溝上裕士
    • Organizer
      第105回日本消化器病学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 人間ドックにおけるピロリ菌血清抗体検査と便中抗原検査併用の有用性についての検証2019

    • Author(s)
      髙山敬子, 岡田浩介, 鈴木英雄, 溝上裕士
    • Organizer
      第58回日本消化器がん検診学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 当院人間ドックにおけるヘリコバクター・ピロリ感染診断と除菌療法2019

    • Author(s)
      鈴木英雄, 岡田浩介, 奈良坂俊明, 溝上裕士,齋藤洋子,谷中昭典
    • Organizer
      第25回日本ヘリコバクター学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 脂肪酸代謝に着目したマウス脂肪性肝炎におけるp62の役割2019

    • Author(s)
      岡田浩介, 石毛和紀,蕨 栄治,正田純一
    • Organizer
      第105回消化器病学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 非アルコール性脂肪性肝疾患(NAFLD)の非肥満症例における臨床病態の検討2019

    • Author(s)
      志田隆史,岡田浩介,鈴木英雄,正田純一
    • Organizer
      JDDW 2019
    • Related Report
      2019 Annual Research Report
  • [Presentation] 青黛によるbisphosphonate起因性消化管傷害抑制効果2018

    • Author(s)
      鈴木英雄、松井裕史、谷中昭典
    • Organizer
      第46回日本潰瘍学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 慢性肝疾患における筋損傷マーカーTitin N-fragmentの尿中測定とその臨床的意義2018

    • Author(s)
      押田夏海、小峰昇一、岡田浩介、鈴木英雄、正田純一
    • Organizer
      第42回日本肝臓学会東部会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 人間ドックでピロリ菌血中抗体検査に便中抗原検査を追加する意義2018

    • Author(s)
      鈴木英雄、齋藤洋子、溝上裕士、谷中昭典
    • Organizer
      第56回日本消化器がん検診学会大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 潰瘍性大腸炎に対する青黛治療著効例の特徴とステロイド減量効果2018

    • Author(s)
      鈴木英雄、奈良坂俊明、松井裕史、溝上裕士、谷中昭典
    • Organizer
      第60回日本消化器病学会大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 便中抗原と内視鏡所見をスタンダードとした血中抗体ラテックス法の評価2018

    • Author(s)
      鈴木 英雄、齋藤 洋子、奈良坂 俊明、溝上 裕士、谷中 昭典
    • Organizer
      第24回日本ヘリコバクター学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 双方向性を重視した胃粘膜画像診断の学習2018

    • Author(s)
      鈴木英雄、青木利佳、吉村理江、齋藤洋子、中島滋美
    • Organizer
      第57回日本消化器がん検診学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 胆嚢癌のリスクファクターは何か?2018

    • Author(s)
      正田純一
    • Organizer
      第54回日本胆道学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 慢性肝疾患における筋損傷マーカーTitin N-fragmentの尿中測定とその臨床的意義.2018

    • Author(s)
      押田夏海,志田隆史,小峰昇一,岡田浩介,鈴木英雄,正田純一
    • Organizer
      第42回肝臓学会東部会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 骨格筋減少と内臓脂肪増加の体組成異常は非アルコール性脂肪性肝疾患(NAFLD)を悪化進展させる.2018

    • Author(s)
      岡田浩介,志田隆史,正田純一
    • Organizer
      第54回肝臓学会総会
    • Related Report
      2018 Annual Research Report
  • [Book] Common Diseaseの病態生理と薬物療法2019

    • Author(s)
      寺田弘、金保安則、原晃 監修、牧野公子、宮城島利一、高乗仁、江口至洋、磯濱洋一郎共編、青沼和隆、檜澤伸之、兵頭一之介、奈良坂俊明、鈴木英雄、山縣邦弘、千葉繁、川上康、坂根正孝、住田孝之、西山博之、松村明ほか著
    • Total Pages
      709
    • Publisher
      オーム社
    • Related Report
      2018 Annual Research Report
  • [Book] 胆と膵2019

    • Author(s)
      正田純一
    • Total Pages
      83
    • Publisher
      医学図書出版
    • Related Report
      2018 Annual Research Report
  • [Book] X線と内視鏡の比較で学ぶ H.pylori胃炎診断 新時代の胃がん検診を目指して2018

    • Author(s)
      中島滋美、寺尾秀一、山道信毅、安保智典、伊藤高広、伊藤慎芳、入口陽介、小林正夫、齋藤洋子、笹島雅彦、安田貢、宮原広典、吉村理江、青木利佳、赤羽たけみ、八坂弘樹、蔵原晃一、平田敬、間部克裕、鈴木英雄ほか
    • Total Pages
      158
    • Publisher
      文光堂
    • Related Report
      2018 Annual Research Report
  • [Book] 日常診療に活かす 診療ガイドライン UP-To DATE 2018-20192018

    • Author(s)
      門脇孝、小室一成、宮地良樹、三鴨廣繁、一ノ瀬正和、樋口和秀、持田智、小松則夫、亀井聡、山崎正志、三森経世、山本哲也、岡本美孝、大家基嗣、木村正、岡明、溝上裕士、鈴木英雄、奈良坂俊明、金子剛ほか
    • Total Pages
      1037
    • Publisher
      メディカルレビュー社
    • Related Report
      2018 Annual Research Report
  • [Book] 消化器疾患診断・治療指針2018

    • Author(s)
      正田純一
    • Total Pages
      455
    • Publisher
      中山書店
    • Related Report
      2018 Annual Research Report
  • [Book] 膵・胆道疾患診療の最前線2018

    • Author(s)
      正田純一
    • Total Pages
      335
    • Publisher
      中山書店
    • Related Report
      2018 Annual Research Report
  • [Book] 胆と膵2018

    • Author(s)
      正田純一
    • Total Pages
      89
    • Publisher
      医学図書出版
    • Related Report
      2018 Annual Research Report

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Published: 2018-04-23   Modified: 2022-01-27  

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