島津 和弘 (シマヅ カズヒロ)

SHIMAZU Kazuhiro

写真a

所属

附属病院  腫瘍内科 

ホームページ

http://www.med.akita-u.ac.jp/~medonco/applicate.html

研究キーワード 【 表示 / 非表示

  • 臨床腫瘍学

出身大学 【 表示 / 非表示

  • 2007年04月
    -
    2011年03月

    秋田大学   医学部   医学科   卒業

  • 2001年04月
    -
    2005年03月

    東京工業大学   理学部   生命科学科生命情報コース   卒業

出身大学院 【 表示 / 非表示

  • 2014年04月
    -
    2019年03月

    秋田大学  医学系研究科  医学専攻 腫瘍制御医学系 臨床腫瘍学講座  博士課程  修了

  • 2005年04月
    -
    2007年03月

    東京大学  新領域創成科学研究科  メディカルゲノム専攻  修士課程  修了

取得学位 【 表示 / 非表示

  • 秋田大学 -  医学博士

  • 東京大学 -  生命科学修士

職務経歴(学内) 【 表示 / 非表示

  • 2022年04月
    -
    継続中

    秋田大学   附属病院   腫瘍内科   特任助教  

  • 2019年04月
    -
    2022年03月

    秋田大学   医学部   寄附講座   寄附講座助教  

 

研究経歴 【 表示 / 非表示

  • FN1をターゲットにした腫瘍血管新生阻害活性

    (選択しない)  

    研究期間:

    2019年04月
    -
    継続中

    研究態様:個人研究

    研究課題概要

    癌細胞パネルを用いた化合物ライブラリーのスクリーニングから抗腫瘍活性が強化されたクルクミン類縁体を得た。200種類超える類縁体の中に、クルクミンを50倍以上凌駕する活性化合物(GO-Y030, 078)などが含まれていた。このうちGO-Y078には血管新生阻害活性が存在することを見出した(Anticancer Agents Med Chem. 2016)。そのメカニズムは血管内皮増殖因子(VEGF)を阻害するものではなかった。現在、VEGFを標的とした癌分子標的療法が一定の成功を収めている。しかし、耐性の問題や腫瘍血管新生のリダンダンシーの問題があり、十分な効果を上げているとは言い難い。クルクミン類縁体による血管新生阻害療法耐性打破の方法を解明し、臨床応用を目指す。

学位論文 【 表示 / 非表示

  • Curcumin analog, GO-Y078, overcomes resistance to tumor angiogenesis inhibitors.

    Shimazu K, Inoue M, Sugiyama S, Fukuda K, Yoshida T, Taguchi D, Uehara Y, Kuriyama S, Tanaka M, Miura M, Nanjyo H, Iwabuchi Y, Shibata H

    Cancer science  109 ( 10 ) 3285 - 3293   2019年03月

    単著

    DOI

研究等業績 【 表示 / 非表示

    ◆原著論文【 表示 / 非表示

  • Association between albumin–bilirubin grade and plasma trough concentrations of regorafenib and its metabolites M-2 and M-5 at steady-state in Japanese patients

    Fujita K.

    Investigational New Drugs ( Investigational New Drugs )  42 ( 3 ) 252 - 260   2024年06月

    研究論文(学術雑誌)  

    The aim of the present study was to determine whether the trough plasma concentrations (C0) of regorafenib and its metabolites, the N-oxide metabolite (M-2) and the desmethyl N-oxide metabolite (M-5), in 21 patients receiving regorafenib therapy were affected by albumin-bilirubin (ALBI) grade. Regorafenib was administered at dosages ranging from 40 to 160 mg once daily on a 3-week-on, 1-week-off cycle. C0 values of regorafenib and its major metabolites were measured by high-performance liquid chromatography on day 8 after treatment initiation. The C0 values of regorafenib and metabolites M-2 and M-5 were significantly lower in patients with ALBI grade 2 as compared with grade 1 (P = 0.023, 0.003 and 0.017, respectively). The total C0 of regorafenib and its metabolites was significantly higher in ALBI grade 1 patients relative to grade 2 (3.489 μg/mL vs. 1.48 μg/mL; P = 0.009). The median relative dose intensity (RDI) of patients categorized as ALBI grade 2 was significantly lower than that of grade 1 patients (21.9% vs. 62.9%; P = 0.006). In 15 colorectal cancer patients among the total 21 patients, patients with ALBI grade 2 (n = 9) had a significantly shorter median overall survival time than patients with grade 1 (n = 6; P = 0.013). Administering a low dose of regorafenib to patients with ALBI grade 2 reduces the RDI of regorafenib and lowers treatment efficacy, as an appropriate C0 of regorafenib is not maintained. Monitoring the C0 of regorafenib regularly is necessary to guide dose adjustment.

    DOI PubMed

  • Recent trends in bone metastasis treatments: A historical comparison using the new Katagiri score system.

    Kenji Matsuda, Kazuhiro Shimazu, Hanae Shinozaki, Koji Fukuda, Taichi Yoshida, Daiki Taguchi, Kyoko Nomura, Hiroyuki Shibata

    World journal of clinical cases   12 ( 15 ) 2499 - 2505   2024年05月

    研究論文(学術雑誌)  

    BACKGROUND: Bone metastasis has various negative impacts. Activities of daily living (ADL) and quality of life (QOL) can be significantly decreased, survival may be impacted, and medical expenses may increase. It is estimated that at least 5% cancer patients might be suffering from bone metastases. In 2016, we published the Comprehensive Guidelines for the Diagnosis and Treatment of Bone Metastasis. Since then, the therapeutic outcomes for patients have gradually improved. As life expectancy is a major determinant of surgical intervention, the strategy should be modified if the prolongation of survival is to be achieved. AIM: To monitor how bone metastasis treatment has changed before and after launch of our guidelines for bone metastasis. METHODS: For advanced cancer patients with bone metastasis who visited the Department of Clinical Oncology at Akita University hospital between 2012 and 2023, parameters including the site and number of bone metastases, laboratory data, and survival time, were extracted from electronic medical records and the Katagiri score was calculated. The association with survival was determined for each factor. RESULTS: Data from 136 patients were obtained. The 1-year survival rate for the poor prognosis group with a higher Katagiri score was 20.0% in this study, which was 6% and an apparent improvement from 2014 when the scoring system was developed. Other factors significantly affecting survival included five or more bone metastases than less (P = 0.0080), and treatment with chemotherapy (P < 0.001), bone modifying agents (P = 0.0175) and immune checkpoint inhibitors (P = 0.0128). In recent years, advances in various treatment methods have extended the survival period for patients with advanced cancer. It is necessary not only to simply extend survival time, but also to maintain ADL and improve QOL. CONCLUSION: Various therapeutic interventions including surgical approach for bone metastasis, which is a disorder of locomotor organs, are increasingly required. Guidelines and scoring system for prognosis need to be revised promptly.

    DOI PubMed

  • Therapeutic drug monitoring of regorafenib and its metabolite M5 can predict treatment efficacy and the occurrence of skin toxicities.

    Taguchi D, Inoue M, Fukuda K, Yoshida T, Shimazu K, Fujita K, Okuyama H, Matsuhashi N, Tsuji A, Yoshida K, Miura M, Shibata H

    International Journal of Clinical Oncology     2019年12月  [査読有り]

    研究論文(学術雑誌)   国内共著

    DOI

  • Curcumin analog, GO-Y078, overcomes resistance to tumor angiogenesis inhibitors.

    Shimazu K, Inoue M, Sugiyama S, Fukuda K, Yoshida T, Taguchi D, Uehara Y, Kuriyama S, Tanaka M, Miura M, Nanjyo H, Iwabuchi Y, Shibata H

    Cancer science   109 ( 10 ) 3285 - 3293   2018年08月  [査読有り]

    研究論文(学術雑誌)   国内共著

  • Guillain-Barré syndrome in a cancer patient treated with bevacizumab.

    Taguchi D, Kamada S, Yoshida T, Fukuda K, Shimazu K, Inoue M, Sugawara M, Nanjyo H, Iijima K, Shibata H

    International Cancer Conference Journal     2018年05月  [査読有り]

    研究論文(学術雑誌)   国内共著

    DOI

  • 全件表示 >>

    ◆総説・解説【 表示 / 非表示

  • 骨転移の治療と管理

    島津和弘、柴田浩行

    新薬と臨牀 ( 医薬情報研究所 )    2019年06月

    総説・解説(学術雑誌)   国内共著

  • ◆その他【 表示 / 非表示

  • Clinical response of pancreatic cancer bearing a germline BRCA2 p.I3169M fs<sup>∗</sup>48 variant for platinum-based drug and PARP inhibitor

    Akahira R.

    Japanese Journal of Clinical Oncology ( Japanese Journal of Clinical Oncology )  54 ( 2 ) 201 - 205   2024年02月

    DOI

  • Lymph-node metastasis from gastric adenocarcinoma in a patient bearing a germ line missense variant MSH2 c.1808A &gt; T (Asp603Val) responds to the immune checkpoint inhibitor pembrolizumab

    Kiyomiya M.

    Japanese Journal of Clinical Oncology ( Japanese Journal of Clinical Oncology )  53 ( 3 ) 270 - 274   2023年03月

    DOI

  • Pulmonary Artery Intimal Sarcoma in a Patient with Lynch Syndrome: Response to an Immune Checkpoint Inhibitor

    Mounai Y.

    Case Reports in Oncology ( Case Reports in Oncology )  16 ( 1 ) 21 - 29   2023年01月

    DOI

  • Sudden and severe cardiotoxicity induced with pembrolizumab, its clinical course, therapeutic intervention, and outcome.

    Tomohiro Matsumoto, Koji Fukuda, Taichi Yoshida, Kazuhiro Shimazu, Daiki Taguchi, Hanae Shinozaki, Katsuhito Seki, Takayuki Yamanaka, Mako Ootaka, Hiroshi Nanjyo, Hiroyuki Watanabe, Hiroyuki Shibata

    International cancer conference journal   11 ( 1 ) 81 - 86   2022年01月

    Immune checkpoint inhibitors (ICIs), including cytotoxic T-lymphocyte associated antigen-4 inhibitors, and inhibitors of programmed cell death 1 and its ligand, are widely used in the treatment of several malignant tumors. Immune-related adverse events occur in two-thirds of recipients. Among them, cardiotoxicities are very rare (about 1%), albeit fatal. Pembrolizumab-induced cardiotoxicity in a patient was successfully treated with high-dose corticosteroids, and his cardiac function was maintained by adrenergic drugs and intra-aortic balloon pumping in the intensive care unit for 1 week. Cardiotoxicity with ICIs is an oncologic emergency, and should be managed in a pluridisciplinary setting involving cardiologists.

    DOI PubMed

  • Two Cases of ALK-Altered Cancers of Unknown Primary Diagnosed by Immunohistochemistry

    Kato Y.

    Case Reports in Oncology ( Case Reports in Oncology )  15 ( 1 ) 21 - 26   2022年01月

    DOI

  • 全件表示 >>