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Pathogenesis of dialysis-related amyloidosis

Research Project

Project/Area Number 06404042
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Kidney internal medicine
Research InstitutionNAGOYA UNIVERSITY

Principal Investigator

MAEDA Kenji  Nagoya University School of Medicine, Professor, 医学部, 教授 (90023853)

Co-Investigator(Kenkyū-buntansha) MIYATA Toshio  Tokai University School of Medicine, Associate Professor, 総合医学研究所, 講師 (10222332)
Project Period (FY) 1994 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥30,500,000 (Direct Cost: ¥30,500,000)
Fiscal Year 1997: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 1996: ¥1,700,000 (Direct Cost: ¥1,700,000)
Fiscal Year 1995: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1994: ¥25,500,000 (Direct Cost: ¥25,500,000)
Keywordsdialysis-related amyloidosis / Advanced glycation end-products / beta2-microglobuli / uraemia / oxidative stress / 腎不全 / 酸化ストレス / Redox imbalance / AGEs / カルボキシメチルリジン / メイラード反応 / β2ミクログロブリン / AGEsレセプター / カルボキシルメチルリジン / Advanced Glycation End Products:AGEs / アマドリ構造 / 抗AGEs抗体
Research Abstract

beta2-Microglobulin is a major constituent of amyloid fibrils in dialysis-related amyloidosis (DRA), a serious complication leading to bone and joint destruction in long-term haemodialysis patients. However, the molecular pathogenesis of this complication remains unknown. Intact beta2-microglobulin seems an unlikely contributor to the pathogenesis, because no difference in the plasma levels of intact beta2-microglobulin has yet been found between haemodialysis patients with and without this complication. Some investigators have therefore focused on the modification of this molecule. Our studies have revealed a new modification of beta2-microglobulin in amyloid fibrils-the advanced glycation end-products (AGEs) formed by a non-enzymatic reaction between sugar aldose and protein. Our further study has suggested that the interaction of AGE-midified beta2-microglobulin in long-lived amyloid fibrils with monocytes/macrophages gives a plausible explanation for part of the mechanism of bone and joint destruction in DRA.
The cause of long-term complications of uraemia are yet to be fully elucidated. It has recently been demonstrated that renal failure is associated with a dramatic elevation of AGEs. A mild rise of AGEs is associated with normal ageing. In uremia, the rise of AGEs is even more marked than in diabetics and is associated with a variety of tissue disorders. AGE accumulation in uraemia does not result from hyperglycemia. Identification of its cause as well as of the involved precursors should contribute to the understanding of uraemic toxcity and open new therapeutic approaches. In course of our recent studies, we propose the hypothesis that AGE generation is enhanced an increased oxidative stress associated with uraemia. Under these conditions, a variety of compounds, both related and unrelated to glucose, may contribute to the advanced glycoxidation of proteins.

Report

(5 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • 1995 Annual Research Report
  • 1994 Annual Research Report
  • Research Products

    (40 results)

All Other

All Publications (40 results)

  • [Publications] Toshio Miyata: "Advanced glycation end products enhance osteoclast-induced resorption in cultured mouse unfractionated bone cells and in rats implanted with devitalized bone particles." Journal of American Society of Nephrology. 8. 260-270 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Oxidation conspires with glycation to create noxious advanced glycation end products in renal failure." Nephrology Dialysis and Transplantation. 12. 255-258 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Clearance of pentosidine,an advanced glycation end product,different modalities of renal replacement theraphy" Kidney Internatioal. 51. 880-887 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Katsunori Horie: "Immunohistochemical colocalization of glycoxidation products and lipid peroxidation products in Diabetic glomerular lesions" Journal of Clinical Investigation. 100. 2995-3004 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Identifiaction of pentosidine as a native structure for advanced glycation end products in β2-microglobulin-containing amyloid fibrils in patients with dialysis-related amyloidosis" Proceedings of the National Academy of Sciences in USA. 93. 2353-2358 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Monocyte/macrophage response to β2-microglobulin modified with advanced glycation end products." Kidney International. 49. 538-550 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Dialysis Amyloid(Oxford Clinical Nephrology Series)" Oxford University Press, 282 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kenji Maeda: "Dialysis-related Amyloidosis" Karger, 176 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Advanced glycation end products enhance osteoclast-induced resorption in cultured mouse unfractionated bone cells and in rats implanted with devitalized bone particles." J Am Soc Nephrol. 8. 260-270 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Oxidation conspires with glycation to create noxious advanced glycation end products in renal failure." Nephrol Dial Transplant. 12. 255-258 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Clearance of pentosidine, an advanced glycation end product, different modalities of renal replacement theraphy." Kidney Int. 51. 880-887 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Katsunori Horie: "Immunohistochemical colocalization of glycoxidation products and lipid peroxidation products in Diabetic glomerular lesions : implication for glycoxidative stress in the pathogenesis of diabetic nephropathy" J Clin Invest. 100. 2995-3004 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Identifiaction of pentosidine as a native structure for advanced glycation end products in beta_2-microglobulin-containing amyloid fibrils in patients with dialysis-related amyloidosis." Proc Natl Acad Sci USA. 93. 2353-2358 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Monocyte/macrophage response to beta2-microglobulin modified with advanced glycation end products." Kidney Int. 49. 538-550 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Accumulation of albumin-linked and free-form pentosidine in the circulation of uremic patients with end-stage renal failure : renal implications in the pathophysiology." J Am Soc Nephrol. 7. 1198-1206 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Pathophysiology of advanced glycation end-products in renal failure." Nephrol Dial Transplant. 11 (suppl 5). 27-30 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Pathogenesis of dialysis-related amyloidosis" Cuurent Opin Neph Hypert. 4. 493-497 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Yoshiyasu Iida: "beta2-microglobulin modified with advanced glycation end products induces interleukin-6 from human macrophages : role in the pathogenesis of hemodialysis-associated amyloidosis." Biochem Biophys Res Commun. 201. 1235-1241 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Glycation of human beta_2-microglobulin in patoents with hemodialysis-associaed amyloidosis : identification of the glycated sites." Biochemistry. 33. 12215-12221 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Toshio Miyata: "Advanced glycation end products enhance osteoclast-induced resorption in cultured mouse unfractionated bone cells and in rats implanted with devitalized bone particles." Journal of American Society of Nephrology. 8. 260-270 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshio Miyata: "Oxidation conspires with glycation to create noxious advanced glycation end products in renal failure." Nephrology Dialysis and Transplantation. 12. 255-258 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshio Miyata: "Clearance of pentosidine,an advanced glycation end product,different modalities of renal replacement theraphy" Kidney International. 51. 880-887 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Katsunori Horie: "Immunohistochemical colocalization of glycoxidation products and lipid peroxidation products in Diabetic glomerular lesions" Journal of Clinical Investigation. 100. 2995-3004 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshio Miyata: "Identifiaction of pentosidine as a native structure for advanced glycation end products in β2-microglobulin-containing amyloid fibrils in patients with dialysis-related amyloidosis" Proceedings of the National Academy of Sciences in USA. 93. 2353-2358 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshio Miyata: "Monocyte/macrophage response to β2-microglobulin modified with advanced glycation end products." Kidney International. 49. 538-550 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshio Miyata: "Dialysis Amyloid(Oxford Clinical Nephrology Series)" Oxford University Press, 282 (1995)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kenji Maeda: "Dialysis-related Amyloidosis" Karger, 176 (1995)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshio Miyata: "New aspects in the pathogenesis of dialysis-related amyloidosis : role of β2-microglobulin modified with advanced glycaiton end products in bone and joint destruction" Nephrology Dialysis Transplantation. 11(suppl 2). 140-143 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Toshio Miyata: "Accumulation of albumin-linked and free-form pentosidine in the circulation of uremic patients with end-stage renal failure : renal implications in the pathophysiology of pentosidine" Journal of the American society of Nephrology. 7(8). 1198-1206 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Toshio Miyata: "The receptor for advanced glycation end products(RAGE) is a central mediator of the interaction of AGE-β2microglibulin with human mononuclear phagocytes via an oxidant-sensitive pathway" Journal of the Clinical Investigation. 98(5). 1088-1094 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Toshio Miyata: "Clearance of pentosidine,an advanced glycation end products,by different modalities of renal replacement therpy" Kidey International. (印刷中).

    • Related Report
      1996 Annual Research Report
  • [Publications] Toshio Miyata: "Implication of an increased oxidative stress in the formation of advanced glycation end products in patients with end-stage renal failure" Kindney International. (印刷中).

    • Related Report
      1996 Annual Research Report
  • [Publications] Toshio Miyata: "Pathogeneis of dialysis-related amyloidosis." Current Opinion in Nephrology and Hypertension. 4. 493-497 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Toshio Miyata: "Monocyte/macrophage response to β2-microglobulin modified with advanced glycation end products." Kidney International. 49. 538-550 (1996)

    • Related Report
      1995 Annual Research Report
  • [Publications] Toshio Miyata: "Identification of pentosidine as a native structure for advanced glycation end products in β2-microglobulin forming amyloid fibrils in patients with dialysis-related amyloidosis." Proc Natl Acad Sci USA. (発表予定).

    • Related Report
      1995 Annual Research Report
  • [Publications] Toshio Miyata: "Pathophysiology of advanced glycation end products in renal failure." Nephrology Dialysis Transplantation. (発表予定).

    • Related Report
      1995 Annual Research Report
  • [Publications] Toshio Miyata: "Advanced glycation end products and β2-microglobulin-the story unfolds." Nephrology Dialysis Transplantition. (発表予定).

    • Related Report
      1995 Annual Research Report
  • [Publications] Toshio Miyata: "Possible involvement of advanced glycation end products in bone resorption." Nephrology Dialysis Transplantation. (発表予定).

    • Related Report
      1995 Annual Research Report
  • [Publications] 宮田敏男: "Glycation of human β2-microglobulin in patients withhemodialysis-associated amyloidosis:identification of the glycated sites" Biochemistry. 33. 12215-12221 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 飯田喜康: "β2-Microglobulin modified with advanced glycation end products induces interleukin-6 from human macrophages:role in the pathogenesis of hemodialysis-associated amyloidosis" Biochemical and Biophysical Research Communications. 201. 1235-1241 (1994)

    • Related Report
      1994 Annual Research Report

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Published: 1994-04-01   Modified: 2016-04-21  

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