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Functional analysis of new therapeutic target factors for tumorigenesis and recurrence with liver fibrosis

Research Project

Project/Area Number 19K17485
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 53010:Gastroenterology-related
Research InstitutionKanazawa University

Principal Investigator

Okada Hikari  金沢大学, 医薬保健学総合研究科, 特任助教 (50788916)

Project Period (FY) 2019-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2019: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords肝発がん / 肝線維化 / PKM / NCID / Notch / PKM1 / PKM2 / Notch1 / Jagged1 / 腫瘍成長 / 発癌 / 再発
Outline of Research at the Start

肝硬変を背景とした肝細胞癌患者では根治的治療後でも肝細胞癌が高率に再発する。肝細
胞癌の再発抑制が治療上極めて重要な課題である。申請者は、PKM1が肝線維化病態進行に関与し、PKM2は肝細胞癌の腫瘍成長促進に働くと同時にPKLの機能が損失していることを発見した。本研究では、肝疾患病態進行におけるPKMの生理的役割・発現制御機構を解明し、肝線維化及び肝発がん時のPKLの機能損失を正常に回復させることが肝線維化及び肝発がんの新規治療標的になり得るかを動物モデル及び培養実験で検討する。

Outline of Final Research Achievements

The applicant confirmed from the expression analysis that the expression of both PKM1 and PKM2, which are PKM variants, increases with the progression of hepatic fibrosis and the malignancy of hepatocellular carcinoma. PKM1 enhanced hepatic fibrosis by transforming hepatic stellate cells into myofibroblasts. PKM2 was shown to form a complex with the intracellular domain NICD of Notch1 in liver cancer cells. And it was shown that this complex has a role of increasing the malignancy of hepatocellular carcinoma through CSL in the nucleus.  From these research results, it was clarified that a therapeutic strategy that inhibits the expression of both PKM1 and PKM2 is more effective than PKM2 alone for the pathological condition of liver carcinogenesis based on liver fibrosis.

Academic Significance and Societal Importance of the Research Achievements

肝硬変を背景とした肝細胞癌患者では、根治的治療後でも肝細胞癌が高率に再発し、再発率は年間約20-25%、5年では70%以上に上ることから肝細胞癌の再発抑制が治療上極めて重要な課題である。そのため、肝線維化・肝硬変による肝発がん機序を解明し、新規治療法につながる基礎研究が重要である。今回の研究成果から、肝線維化病態から肝発がん過程におけるPKM1とPKM2の発現制御機序の一端を解明することができ、肝線維化及び肝発がん・再発に対する新規治療標的の可能性を示せた。

Report

(3 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report

Research Products

(4 results)

All 2020

All Journal Article (2 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (2 results)

  • [Journal Article] Inactivation of Transcriptional Repressor Capicua Confers Sorafenib Resistance in Human Hepatocellular Carcinoma2020

    • Author(s)
      Hashiba Tomomi、Yamashita Taro、et al
    • Journal Title

      Cellular and Molecular Gastroenterology and Hepatology

      Volume: 20 Pages: 269-285

    • DOI

      10.1016/j.jcmgh.2020.02.009

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Fatty acid-driven modifications in T-cell profiles in non-alcoholic fatty liver disease patients.2020

    • Author(s)
      T Seike, E Mizukoshi, K Yamada, H Okada, M Kitahara, T Yamashita, K Arai, T Terashima, N Iida, K Fushimi, T Yamashita, Y Sakai, M Honda, K Harada, S Kaneko.
    • Journal Title

      Journal of Gastroenterology

      Volume: - Pages: 701-711

    • DOI

      10.1007/s00535-020-01679-7

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Stem cell/Immune exhausted subclassマウス肝がんの特性解析2020

    • Author(s)
      岡田光・山下太郎・金子周一
    • Organizer
      第23回日本肝がん分子標的治療研究会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Stem cell/Immune exhausted subclassマウス肝がんの特性解析2020

    • Author(s)
      岡田光・山下太郎・金子周一
    • Organizer
      第56回日本肝癌研究会
    • Related Report
      2020 Annual Research Report

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Published: 2019-04-18   Modified: 2022-01-27  

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