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Prediction and prevention of postpartum autoimmune disease

Research Project

Project/Area Number 07457616
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Laboratory medicine
Research InstitutionOsaka University

Principal Investigator

AMINO Nobuyuki  Osaka University Medical School Department of Laboratory Medicine Professor, 医学部, 教授 (60028694)

Co-Investigator(Kenkyū-buntansha) KASHIWAI Taku  Osaka University Medical School Department of Laboratory Medicine Assistant Prof, 医学部, 助手 (00252685)
TAKANO Toru  Osaka University Medical School Department of Laboratory Medicine Assistant Prof, 医学部, 助手 (00263236)
TATSUMI Keita  Osaka University Medical School Department of Laboratory Medicine Assistant Prof, 医学部, 助手 (00222109)
TADA Hisato  Osaka University Medical School Department of Laboratory Medicine Lecturer, 医学部, 講師 (80263242)
HIDAKA Yoh  Osaka University Medical School Department of Laboratory Medicine Associate Prof, 医学部, 助教授 (30243231)
Project Period (FY) 1995 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 1996: ¥1,000,000 (Direct Cost: ¥1,000,000)
KeywordsAutoimmune disease / Graves'disease / Hashimoto's thyroiditis / Rheumatoid arthritis / Prediction of disease onset / Prevention of disease onset / Pregnancy and delivery / Hypothyroidism / 出産後発症 / 発病予防 / 慢性関節リュウマチ
Research Abstract

In order to predict postpartum onset of various autoimmune diseases, we measured autoantibodies in early pregnancy and followed antibody positive women after delivery and tried to prevent postpartum onset or aggravation of autoimmune diseases. Obtained conclusions are :
1) Measurement of serum antibodies in normal subjects could detect subclinical form of autoimmune diseases, at least thyroid disease and possibly rheumatoid arthritis.
2) Seven kinds of autoantibodies were measured and anti-thyroid microsomal antibody was found in 10.6% of women, suggesting that the high incidence of subclinical autoimmune diseases.
3) High tites (>20,000) of anti-thyroid microsomal antibody in early pregnancy was associated with postpartum onset of hypothyroidism, and destructive thyrotoxicosis was found before onset of hypothyroidism. Most hypothyroidism was transient but persistent one was found in one of 500 postpartum women.
4) Postpartum onset of Graves'disease could be predicted by measurement of microsomal antibody and then of thyroid stimulating antibody, and was found in one of 200 postpartum women.
5) For the prediction of postpartum onset of rheumatoid arthritis, measurement of rheumatoid factors were partly useful, but we need more specific antibodies to rheumatoid arthritis.
6) Small dose of steroid therapy started immediately after delivery for short duration was effective to prevent postpartum aggravation of autoimmune thyroid disease.
7) Postpartum onset of autoimmune disease was induced by immune rebound phenomenon after delivery.
Conclusion : Measurement of autoantibodies was useful to predict the onset of various autoimmune diseases after delivery and continuation of this study will enable to prevent postpartum onset of autoimmune disease.

Report

(3 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • Research Products

    (36 results)

All Other

All Publications (36 results)

  • [Publications] Tada H, Amino N et al.: "Pathogenicrole of aslalo-hCG In gestatlonal thyrotoxicosis." J Clin Endocrinol Metab. 80. 350-355 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Tamaki H, Amino N et al.: "Novel thyrotropin (TSH) TSH antibody complex in a healthy woman and her neonates." Thyeoid. 5. 299-303 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Hidaka Y, Amino N et al.: "Onset of Graves' thyrotoxicosis after an attack of allergic rhinitis" Thyroid. 6. 349-351 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Hidaka Y, Amino N et al.: "Changes in soluble CD4 and CD8 proteins in healthy pregnant and postpartum women." Am J Reprod Immunol. 36. 220-227 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N, Tada H et al.: "The spectrum of postoartum thyroid dysfunction:diagnosis,management,and long-term prognosis." Endocrine Practice. 2. 406-410 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N, Tada H et al.: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N, Tada H: "Endocrinology,3rd edition" W.B.Saunders Company,Philadelphia, 16 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N, Tada H: "Therapy in Endocrinology and Metabolism,6th edition" Mosby-Year Book,Inc.,Philadelphia, 4 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Tsuruta E,Tada H,Tamaki H,Kashiwai T,Asahi K,Takeoka K,Mitsuda N,Amino N: "Pathogenic role of asialo-hCG in gestational thyrotoxicosis" J Clin Endocrinol Metab. 80. 350-355 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Kashiwai T,Tada H,Asahi K,Hidaka Y,Tamaki H,Iwatani Y,Amino N: "Significance of thyroid stimulating antibody and long term follow up in patients with euthyroid Graves'disease." Endocrine Journal. 42. 405-412 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe K,Iwatani Y,Hidaka Y,Watanabe M,Amino N: "Long-term effects of thyroid hormone on lymphocyte subsets in spleens and thymuses of mice." Endocrine. 42. 661-668 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Umena S,Takano T,Iijima T,Hidaka Y,Yagoro A,Takai S,Amino N: "A case of repeated painless thyroiditis followed by Graves'Disease." Endocrine Journal. 42. 821-826 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Tamaki H,Takeoka K,Nishi I,Shindoh Y,Tsukada Y,Amino N: "Novel thyrotropin (TSH) -TSH antibody complex in a healthy woman and her neonates." Thyroid. 5. 299-303 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Hidaka Y,Masai T,Sumizaki H,Takeoka K,Tada H,Amino N: "Onset of Graves'thyrotoxicosis after an attack of allergic rhinitis." Thyroid. 6. 349-351 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M,Iwatani Y,Hidaka Y,Mitsuda N,Amino N: "Changes in soluble CD4 and CD8 Proteins in healthy pregnant and postpartum women." Am J Reprod Immunol. 36. 220-227 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "The spectrum of postpartum thyroid dysfunction : diagnosis, management, and long-term prognosis." Endocrine Practice. 2. 406-410 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)Amino N,Tada H:

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)Amino N,Tada H: w.B.Saunders Company, Philadelphia,

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)Amino N,Tada H: w.B.Saunders Company, Philadelphia, Autoimmune thyroid disease/Thyroiditis (Chapter 43), In : DeGroot LJ ed, Endocrinology, 3rd edition.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)Amino N,Tada H: w.B.Saunders Company, Philadelphia, Autoimmune thyroid disease/Thyroiditis (Chapter 43), In : DeGroot LJ ed, Endocrinology, 3rd edition. (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Amino N,Tada H,Hidaka Y: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)Amino N,Tada H: w.B.Saunders Company, Philadelphia, Autoimmune thyroid disease/Thyroiditis (Chapter 43), In : DeGroot LJ ed, Endocrinology, 3rd edition. (1995)726-741

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Tada H,Amino N et al.: "Pathogenic role of asialo-hCG in gestational thyrotoxicosis." J Clin Endocrinol Metab. 80. 350-355 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] Tamaki H,Amino N et al.: "Novel thyrotropin (TSH)-TSH antibody complex in a healthy woman and her neonates." Thyroid. 5. 299-303 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] Hidaka Y,Amino N et al.: "Onset of Graves'thyrotoxicosis after an attack of allergic rhinitis." Thyroid. 6. 349-351 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Hidaka Y,Amino N et al.: "Changes in soluble CD4 and CD8 proteins in healthy pregnant and postpartum women." Am J Reprod Immunol. 36. 220-227 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Amino N,Tada H et al.: "The spectrum of postoartum thyroid dysfunction : diagnosis,management,and long-term prognosis." Endocrine Practice. 2. 406-410 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Amino N,Tada H et al.: "Autoimmune thyroid disease and pregnancy." J Endocrinol Invest. 19. 59-70 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Amino N,Tada H: "Endocrinology,3rd edition" W.B.Saunders Company,Philadelphia, 16 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] Amino N,Tada H: "Therapy in Endocrinology and Metabolism,6th edition" Mosby-Year Book,Inc.,Philadelphia, 4 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] Amino N et al.: "Pathogenic role of asialo-hCG in gestational thyrotoxicosis." Journal of Clinical Endocrinology Metabolism. 80. 350-355 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Amino N et al.: "Significance of thyriod stimulating antibody and long term follow up in patients with euthyroid Graves′disease." Endocrine Journal. 42. 405-412 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Amino N et al.: "Euthyroid Graves′disease showing no thyroid abnormalities except positive thyroid stimulating antibody (TSAb): Two case reports." Journal of Internal Medicine. 238. 379-384 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Amino N et al.: "A case of repeated painless thyroiditis followed by Graves′ Disease." Endocrine Journal. 42. 821-826 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Amino N et al.: "Novel thyrotropin (TSH)-TSH antibody complex in a healthy woman and her neonates." Thyroid. 5. 299-303 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Amino N et al.: "Long-term effects of thyroid hormone on lymphocyte subsets in spleens and thymuses of mice." Endocrine Journal. 42. 661-668 (1995)

    • Related Report
      1995 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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