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Elucidation of the impact that the oral environment in patients with hepatitis gives to progression of liver disease and an effect of antiviral therapy

Research Project

Project/Area Number 25463274
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Social dentistry
Research InstitutionSaga University (2015)
Kurume University (2013-2014)

Principal Investigator

Nagao Yumiko  佐賀大学, 医学部, 教授 (90227992)

Co-Investigator(Kenkyū-buntansha) SATA Michio  久留米大学, 先端癌治療研究センター, 教授 (10162398)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsC型肝炎ウイルス / 肝外病変 / 口腔粘膜疾患 / 扁平苔癬 / C型肝炎ウイルス / 歯周病 / カンジダ症 / Porphyromonas gingivalis / インターフェロン / 肝硬変 / 肝癌 / 口腔粘膜 / 歯周病菌
Outline of Final Research Achievements

HCV causes extrahepatic manifestations. We investigated relationship between oral environment and liver disease. The patients with HCV-infected liver diseases treated with IFN therapy examined for Candida infection, oral lesions, salivary flow, and serological assays. We also evaluated the association between periodontitis and liver diseases in patients with HCV and/or HBV infection. Salivary flow decreased in all subjects throughout the course of IFN treatment and returned after the end of treatment. According to multivariate analysis, one factor, the presence of oral mucosal lesions, was associated with the detection of Candida. According to multivariate analysis, five factors were associated with periodontal disease as platelet count below 80000, brushing teeth only once a day, current IFN treatment, aged 65 years or older and obesity. Not only the disease of the oral mucosa but also periodontal disease may be involved in pathologic condition of a liver disease.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (33 results)

All 2016 2015 2014 2013 Other

All Journal Article (18 results) (of which Peer Reviewed: 9 results,  Open Access: 5 results,  Acknowledgement Compliant: 4 results) Presentation (10 results) (of which Invited: 1 results) Book (1 results) Remarks (4 results)

  • [Journal Article] Increased awareness of the possibility of HBV reactivation through use of patient HBV caution cards2016

    • Author(s)
      Nagao Y, Kawahigashi Y, Kimura K, Sata M.
    • Journal Title

      Med Sci Technol

      Volume: 57 Pages: 68-73

    • DOI

      10.12659/mst.898606

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Effect of patient education seminars on awareness and behavior of individuals with viral liver disease2015

    • Author(s)
      Nagao Y, Kawahigashi Y, Sata M, Nobayashi H.
    • Journal Title

      Med Sci Technol

      Volume: 56 Pages: 120-126

    • DOI

      10.12659/mst.896508

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Effects of branched-chain amino acids and zinc-enriched nutrients on prognosticators in HCV-infected patients: a multicenter randomized controlled trial.2015

    • Author(s)
      Kawaguchi T, Nagao Y, Abe K, Imazeki F, Honda K, Yamasaki K, Miyanishi K, Taniguchi E, Kakuma T, Kato J, Seike M, Yokosuka O, Ohira H, Sata M.
    • Journal Title

      Mol Med Rep

      Volume: 11 Issue: 3 Pages: 2159-2166

    • DOI

      10.3892/mmr.2014.2943

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] C型肝炎患者における合併症・併存疾患と薬物治療のポイント. 口腔疾患×C型肝炎2015

    • Author(s)
      長尾由実子
    • Journal Title

      薬局

      Volume: 66 Pages: 56-59

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Association of periodontal diseases and liver fibrosis in patients with HCV and/or HBV infection2014

    • Author(s)
      Nagao Y, Kawahigashi Y, Sata M.
    • Journal Title

      Hepat Mon

      Volume: 14 Issue: 12

    • DOI

      10.5812/hepatmon.23264

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Disappearance of oral lichen planus after liver transplantation for primary biliary cirrhosis and immunosuppressive therapy in a 63-year-old Japanese woman2014

    • Author(s)
      Nagao Y, Sata M.
    • Journal Title

      Hepat Mon

      Volume: 14 Issue: 3

    • DOI

      10.5812/hepatmon.16310

    • Related Report
      2014 Research-status Report 2013 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] C型肝炎のすべて 第5章 C型肝炎の肝外病変 ① C型肝炎と粘膜病変2014

    • Author(s)
      長尾由実子、佐田通夫
    • Journal Title

      臨牀消化器内科

      Volume: 29 Pages: 263-267

    • Related Report
      2014 Research-status Report
  • [Journal Article] ウイルス肝炎・肝癌の病態と治療. HCVのインスリン抵抗性と動脈硬化へのParadoxicalな影響~HCV高淫浸地区疫学研究~2014

    • Author(s)
      佐田通夫, 川口 巧, 佐田通夫, 川口 巧, 宮島一郎, 深水亜子, 長尾由実子, 足達 寿, 佐々木 敏, 今泉 勉
    • Journal Title

      第29回 犬山シンポジウム記録集

      Volume: 29 Pages: 143-149

    • Related Report
      2014 Research-status Report 2013 Research-status Report
  • [Journal Article] 歯科領域における肝炎ウイルス感染症の現状2014

    • Author(s)
      長尾由実子, 佐田通夫
    • Journal Title

      歯界展望

      Volume: 124 Pages: 584-590

    • Related Report
      2014 Research-status Report 2013 Research-status Report
  • [Journal Article] 久留米大学医学部 大学と保健所、市町・事業所、医療機関が一体となり実現させた「10年先行く」肝がん対策-エビデンスにもとづく市民啓発と専門職育成を柱に着実に実践-2014

    • Author(s)
      佐田通夫, 長尾由実子
    • Journal Title

      病院新時代

      Volume: 68 Pages: 7-11

    • Related Report
      2014 Research-status Report 2013 Research-status Report
  • [Journal Article] 第5章 C型肝炎の肝外病変 ① C型肝炎と粘膜病変2014

    • Author(s)
      長尾由実子、佐田通夫
    • Journal Title

      臨牀消化器内科

      Volume: 29

    • Related Report
      2013 Research-status Report
  • [Journal Article] Oral verrucous carcinoma arising fromlichen planus and esophageal squamous cell carcinoma in a patient with hepatitis C virus-related liver cirrhosis-hyperinsulinemia and malignant transformation: A case report.2013

    • Author(s)
      Nagao Y, Sata M.
    • Journal Title

      Biom Rep

      Volume: 1 Issue: 1 Pages: 53-56

    • DOI

      10.3892/br.2012.14

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of a late evening snack of amazake in patients with liver cirrhosis: a pilot study2013

    • Author(s)
      Nagao Y, Sata M.
    • Journal Title

      J Nutr Food Sci

      Volume: 3 Issue: 05 Pages: 223-223

    • DOI

      10.4172/2155-9600.1000223

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Independent factors associated with altered plasma active ghrelin levels in HCV-infected patients2013

    • Author(s)
      Kawaguchi T, Nagao Y, Sata M.
    • Journal Title

      Liver Int

      Volume: 33 Issue: 10 Pages: 1510-1516

    • DOI

      10.1111/liv.12235

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Chronic HCV infection was associated with severe insulin resistance and mild atherosclerosis: a population-based study in an HCV hyperendemic area.2013

    • Author(s)
      Miyajima I, Kawaguchi T, Fukami A, Nagao Y, Adachi H, Sasaki S, Imaizumi T, Sata M.
    • Journal Title

      J Gastroenterol

      Volume: 48 Issue: 1 Pages: 93-100

    • DOI

      10.1007/s00535-012-0610-3

    • NAID

      10031145530

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 肝硬変における栄養療法up-date2013

    • Author(s)
      長尾由実子, 斎藤貴史, 川口 巧, 佐田通夫
    • Journal Title

      Prog Med

      Volume: 33 Pages: 922-927

    • Related Report
      2013 Research-status Report
  • [Journal Article] 感染症症候群(第2判)-症候群から感染性単一疾患までを含めて- 上 病原体別感染症編 IV. ウイルス感染症 肝炎ウイルス感染症 A型肝炎ウイルス(A型肝炎)2013

    • Author(s)
      長尾由実子, 川口 巧, 佐田通夫
    • Journal Title

      日本臨牀 新領域別症候群シリーズ

      Volume: 24 Pages: 524-529

    • Related Report
      2013 Research-status Report
  • [Journal Article] 市民公開講座 1日分の献立を考えるアプリ「肝臓いきいきおいしいごはん」2013

    • Author(s)
      長尾由実子, 佐田通夫
    • Journal Title

      FMC NEWS

      Volume: 6 Pages: 1-2

    • Related Report
      2013 Research-status Report
  • [Presentation] 患者携帯カードの使用によるHBV再活性化予防に対する取り組み2016

    • Author(s)
      長尾由実子, 佐田通夫
    • Organizer
      第102回 日本消化器病学会総会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2016-04-21
    • Related Report
      2015 Annual Research Report
  • [Presentation] 肝疾患を有する患者ならびに住民への医療情報教育による意識と行動調査- 10年間の消化器病教室から2016

    • Author(s)
      長尾由実子, 佐田通夫
    • Organizer
      第102回 日本消化器病学会総会
    • Place of Presentation
      京王プラザホテル(東京都新宿区)
    • Year and Date
      2016-04-21
    • Related Report
      2015 Annual Research Report
  • [Presentation] 歯周病は、ウイルス性肝疾患の病態進展に関与するか?2016

    • Author(s)
      長尾由実子
    • Organizer
      第70回 NPO法人日本口腔科学会学術集会
    • Place of Presentation
      福岡国際会議場(福岡市)
    • Year and Date
      2016-04-15
    • Related Report
      2015 Annual Research Report
  • [Presentation] 口腔からみた肝の病態解析2015

    • Author(s)
      長尾由実子, 佐田通夫
    • Organizer
      第106回 日本消化器病学会九州支部例会・第100回日本消化器内視鏡学会
    • Place of Presentation
      福岡国際会議場(福岡市)
    • Year and Date
      2015-12-04
    • Related Report
      2015 Annual Research Report
  • [Presentation] 歯科医療従事者としてC型・B型肝疾患をどう捉えるか?-口腔領域の病態と対策-2015

    • Author(s)
      長尾由実子
    • Organizer
      第12回 日本口腔ケア学会総会・学術大会
    • Place of Presentation
      海峡メッセ下関(山口県下関市)
    • Year and Date
      2015-06-27
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 甘酒摂取が、肝硬変患者のQOL改善に及ぼす影響: Pilot study2014

    • Author(s)
      長尾由実子, 佐田通夫
    • Organizer
      第100回日本消化器病学会総会
    • Place of Presentation
      東京
    • Year and Date
      2014-04-23 – 2014-04-26
    • Related Report
      2014 Research-status Report 2013 Research-status Report
  • [Presentation] C型慢性肝疾患患者における活性化グレリンの変化および代謝異常との関連2013

    • Author(s)
      川口 巧, 長尾由実子, 佐田通夫
    • Organizer
      第50回 日本臨床分子医学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 口腔扁平苔癬患者におけるQOL向上をめざした口腔ケア用ジェルの効果2013

    • Author(s)
      長尾由実子, 佐田通夫
    • Organizer
      第10回 日本口腔ケア学会総会・学術大会
    • Place of Presentation
      福岡市
    • Related Report
      2013 Research-status Report
  • [Presentation] 高齢者・肝機能低下例に対するC型肝炎治療の適応と限界 分岐鎖アミノ酸亜鉛含有栄養補助食品の摂取によるインターフェロン治療への影響と効果2013

    • Author(s)
      長尾由実子, 川口 巧, 佐田通夫
    • Organizer
      JDDW 2013 Tokyo
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] C型慢性肝疾患患者における口腔カンジダ症と粘膜疾患-IFN治療前・中・後の比較2013

    • Author(s)
      長尾由実子, 佐田通夫
    • Organizer
      第58回公益社団法人 日本口腔外科学会総会・学術大会
    • Place of Presentation
      福岡市
    • Related Report
      2013 Research-status Report
  • [Book] コホート研究からみたウイルス性肝炎の解明2013

    • Author(s)
      長尾由実子
    • Total Pages
      176
    • Publisher
      メディカルレビュー社
    • Related Report
      2013 Research-status Report
  • [Remarks] 佐賀大学医学部臓器相関情報講座ホームページ

    • URL

      http://zoukisoukan.med.saga-u.ac.jp

    • Related Report
      2015 Annual Research Report
  • [Remarks] 久留米大学医学部消化器疾患情報講座ホームページ

    • URL

      http://www.med.kurume-u.ac.jp/med/joho/

    • Related Report
      2015 Annual Research Report
  • [Remarks] 久留米大学医学部消化器疾患情報講座

    • URL

      http://www.med.kurume-u.ac.jp/med/joho/

    • Related Report
      2014 Research-status Report
  • [Remarks] 久留米大学医学部消化器疾患情報講座

    • URL

      http://www.med.kurume-u.ac.jp/med/joho

    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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