TY - JOUR
T1 - The evolution of surgical treatment for gastrointestinal cancers
AU - Maehara, Yoshihiko
AU - Soejima, Yuji
AU - Yoshizumi, Tomoharu
AU - Kawahara, Naoyuki
AU - Oki, Eiji
AU - Saeki, Hiroshi
AU - Akahoshi, Tomohiko
AU - Ikegami, Toru
AU - Yamashita, Yo ichi
AU - Furuyama, Tadashi
AU - Sugimachi, Keishi
AU - Harada, Noboru
AU - Tagawa, Tetsuzo
AU - Harimoto, Norifumi
AU - Itoh, Shinji
AU - Sonoda, Hideto
AU - Ando, Koji
AU - Nakashima, Yuichiro
AU - Nagao, Yoshihiro
AU - Yamashita, Nami
AU - Kasagi, Yuta
AU - Yukaya, Takafumi
AU - Kurihara, Takeshi
AU - Tsutsumi, Ryosuke
AU - Takamori, Shinkichi
AU - Sasaki, Shun
AU - Ikeda, Tetsuo
AU - Yonemitsu, Yoshikazu
AU - Fukuhara, Takasuke
AU - Kitao, Hiroyuki
AU - Iimori, Makoto
AU - Kataoka, Yuki
AU - Wakasa, Takeshi
AU - Suzuki, Masami
AU - Teraishi, Koji
AU - Yoshida, Yasuto
AU - Mori, Masaki
N1 - Funding Information:
Twenty seven of our studies have been financially supported by these agencies. I received the grants as the representative of these studies. We would like to extend our sincere appreciation to the Ministry of Education, Culture, Sports, Science and Technology; the Ministry of Health, Labour and Welfare; and the Japan Agency for Medical Research and Development.
Publisher Copyright:
© 2019, Japan Society of Clinical Oncology.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Introduction: According to the latest Japanese nationwide estimates, over a million Japanese people are newly diagnosed with cancer each year. Since gastrointestinal cancers account for more than 40% of all cancer-related deaths, it is imperative to formulate effective strategies to control them. Materials and methods, and results: Basic drug discovery research Our research has revealed that the abnormal expression of regulators of chromosomal stability is a cause of cancers and identified an effective compound against cancers with chromosomal instability. We revealed the molecular mechanism of peritoneal dissemination of cancer cells via the CXCR4/CXCL12 axis to CAR-like cells and identified an MEK inhibitor effective against these tumors. Residual tumor cells after chemotherapy in colorectal cancer are LGR5-positive cancer stem cells and their ability to eliminate reactive oxygen species is elevated. The development of surgical procedures and devices In cases of gastric tube reconstruction for esophageal cancer, we determined the anastomotic line for evaluating the blood flow using ICG angiography and measuring the tissue O2 metabolism. We established a novel gastric reconstruction method (book-binding technique) for gastric cancer and a new rectal reconstruction method focusing on the intra-intestinal pressure resistance for rectal cancer. We established a novel tissue fusion method, which allows contact-free local heating and retains tissue viability with very little damage, and developed an understanding of the collagen-related processes that underpin laser-induced tissue fusion. Strategy to prevent carcinogenesis We succeeded in cleaving hepatitis B virus DNA integrated into the nucleus of hepatocytes using genome editing tools. The development of HCC from non-alcoholic steatohepatitis (NASH) may be prevented by metabolic surgery. Conclusion: We believe that these efforts will help to significantly improve the gastrointestinal cancer treatment and survival.
AB - Introduction: According to the latest Japanese nationwide estimates, over a million Japanese people are newly diagnosed with cancer each year. Since gastrointestinal cancers account for more than 40% of all cancer-related deaths, it is imperative to formulate effective strategies to control them. Materials and methods, and results: Basic drug discovery research Our research has revealed that the abnormal expression of regulators of chromosomal stability is a cause of cancers and identified an effective compound against cancers with chromosomal instability. We revealed the molecular mechanism of peritoneal dissemination of cancer cells via the CXCR4/CXCL12 axis to CAR-like cells and identified an MEK inhibitor effective against these tumors. Residual tumor cells after chemotherapy in colorectal cancer are LGR5-positive cancer stem cells and their ability to eliminate reactive oxygen species is elevated. The development of surgical procedures and devices In cases of gastric tube reconstruction for esophageal cancer, we determined the anastomotic line for evaluating the blood flow using ICG angiography and measuring the tissue O2 metabolism. We established a novel gastric reconstruction method (book-binding technique) for gastric cancer and a new rectal reconstruction method focusing on the intra-intestinal pressure resistance for rectal cancer. We established a novel tissue fusion method, which allows contact-free local heating and retains tissue viability with very little damage, and developed an understanding of the collagen-related processes that underpin laser-induced tissue fusion. Strategy to prevent carcinogenesis We succeeded in cleaving hepatitis B virus DNA integrated into the nucleus of hepatocytes using genome editing tools. The development of HCC from non-alcoholic steatohepatitis (NASH) may be prevented by metabolic surgery. Conclusion: We believe that these efforts will help to significantly improve the gastrointestinal cancer treatment and survival.
UR - http://www.scopus.com/inward/record.url?scp=85073183237&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85073183237&partnerID=8YFLogxK
U2 - 10.1007/s10147-019-01499-7
DO - 10.1007/s10147-019-01499-7
M3 - Article
C2 - 31522313
AN - SCOPUS:85073183237
SN - 1341-9625
VL - 24
SP - 1333
EP - 1349
JO - International Journal of Clinical Oncology
JF - International Journal of Clinical Oncology
IS - 11
ER -
