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The suppressant effect of everolimus against HCC after liver transplantation

Research Project

Project/Area Number 24791410
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Digestive surgery
Research InstitutionKyoto University

Principal Investigator

TAKASHI Ito  京都大学, 医学(系)研究科(研究院), 非常勤講師 (10378656)

Research Collaborator HAMAGUCHI Yuhei  
KAIDO Toshimi  
UEMOTO Shinji  
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords肝臓移植 / 肝臓癌 / エベロリムス / 肝移植 / 肝細胞癌 / mTOR阻害剤 / ラット肝癌モデル / 免疫抑制
Outline of Final Research Achievements

In this study, we analyzed the liver transplantation recipient of hepatocellular carcinoma (HCC). We performed 24 cases between April 2012 and March 2015. One case was died due to sepsis after transplantation. Four cases were beyond Milan criteria, and the remnant case was in Milan criteria. All patients were not occurred recurrence of HCC for 2years. Three cases was received Everolimus as immunosuppressant after liver transplantation. These cases have no recurrence of HCC, and was beyond Milan criteria. Tumor makers and immunosuppress cells such as CD4/8/25 cells was not significantly difference between evelorimus group and other groups.
We could establish the new HCC recurrence model in SD rats using N1S1 hepatoma cells by adding IR injury and partial hepatectomy in our basic study. This new model can be easily and universally developed, so it could be a good model to investigate the mechanisms of HCC recurrence and to evaluate the effects of new therapeutic agents for HCC.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (12 results)

All 2014 2013 2012

All Journal Article (4 results) (of which Peer Reviewed: 4 results) Presentation (8 results)

  • [Journal Article] Section 12. Living donor liver transplantation for patients with high model for end-stage liver disease scores and acute liver failure.2014

    • Author(s)
      Kaido T, Tomiyama K, Ogawa K, Fujimoto Y, Ito T, Mori A, Uemoto S.
    • Journal Title

      Transplantation

      Volume: 97 Issue: Supplement 8S Pages: S46-S47

    • DOI

      10.1097/01.tp.0000446276.59051.ae

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Section 7. A new therapeutic strategy on portal flow modulation that increases donor safety with good recipient outcomes.2014

    • Author(s)
      Kaido T, Ogawa K, Fujimoto Y, Ito T, Tomiyama K, Mori A, Ogura Y, Uemoto S.
    • Journal Title

      Transplantation

      Volume: 97 Issue: Supplement 8S Pages: S30-S32

    • DOI

      10.1097/01.tp.0000446271.28557.e8

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Chronic rejection associated with antiviral therapy for recurrent hepatitis C after living-donor liver transplantation2014

    • Author(s)
      Ueda Y, Kaido T, Ito T, Ogawa K, Yoshizawa A, Fujimoto Y, Mori A, Miyagawa-Hayashino A, Haga H, Marusawa H, Chiba T, Uemoto
    • Journal Title

      Transplantation

      Volume: 97 Issue: 3 Pages: 344-350

    • DOI

      10.1097/01.tp.0000435702.61642.0a

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Usefulness of the Kyoto criteria as expanded selection criteria for liver transplantation for hepatocellular carcinoma.2013

    • Author(s)
      Kaido T, Ogawa K, Mori A, Fujimoto Y, Ito T, Tomiyama K, Takada Y, Uemoto S.
    • Journal Title

      Surgery.

      Volume: 154(5) Issue: 5 Pages: 1053-1060

    • DOI

      10.1016/j.surg.2013.04.056

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 肝細胞癌に対する肝移植 バイオマーカーを組み入れた肝癌肝移植適応の有用性2013

    • Author(s)
      海道 利実, 小川 晃平, 森 章, 藤本 康弘, 伊藤 孝司, 冨山 浩司, 波多野 悦朗, 上本 伸二
    • Organizer
      第49回日本移植学会
    • Place of Presentation
      国際会議場(京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] 肝癌に対する各種治療の取り組み 肝癌に対する肝移植適応と長期成績2013

    • Author(s)
      海道 利実, 小川 晃平, 森 章, 藤本 康弘, 伊藤 孝司, 冨山 浩司, 波多野 悦朗, 上本 伸二
    • Organizer
      第75回日本臨床外科学会
    • Place of Presentation
      国際会議場(名古屋)
    • Related Report
      2013 Research-status Report
  • [Presentation] がんと臓器移植 生物学的悪性度を考慮した肝癌拡大移植適応の有用性2013

    • Author(s)
      海道 利実, 小川 晃平, 藤本 康弘, 伊藤 孝司, 冨山 浩司, 森 章, 波多野 悦朗, 上本 伸二
    • Organizer
      第51回日本癌治療学会
    • Place of Presentation
      国際会議場(京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] The efficacy and safety of split liver transplantation in Kyoto University Hospital2013

    • Author(s)
      Takashi Ito, Toshimi Kaido, Akira Mori, Kohei Ogawa, Yasuhiro Fujimoto, Atsushi Yosizawa, Koji Tomiyama, Shinji Uemoto.
    • Organizer
      ILTS 19th annual international congress
    • Place of Presentation
      Sydney Convention & Exhibition Centre (シドニー)
    • Related Report
      2013 Research-status Report
  • [Presentation] 再発予防の観点から見た肝細胞癌集学的治療における肝移植の意義2012

    • Author(s)
      海道利実
    • Organizer
      第98回日本消化器病学会
    • Place of Presentation
      京王プラザホテル(東京)
    • Related Report
      2012 Research-status Report
  • [Presentation] 肝癌治療における肝移植の意義2012

    • Author(s)
      海道利実
    • Organizer
      第24回日本肝胆膵外科学会学術集会
    • Place of Presentation
      大阪国際会議場(大阪)
    • Related Report
      2012 Research-status Report
  • [Presentation] 肝細胞癌に対する肝移植の現状と問題点2012

    • Author(s)
      海道利実
    • Organizer
      第48回日本肝癌研究会
    • Place of Presentation
      ANAクラウンプラザホテル金沢(金沢)
    • Related Report
      2012 Research-status Report
  • [Presentation] LDLT for HCC: Validation of our expanded criteria2012

    • Author(s)
      海道利実
    • Organizer
      10th IHPBA
    • Place of Presentation
      Palais des congres (パリ、フランス)
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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