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Effects of Vitamin K2 in Patients with Myelodysplastic Syndromes-From The Standing Point of Apoptosis Inducing Effects of Vitamin K2 on Leukemia Cells-

Research Project

Project/Area Number 11671017
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Hematology
Research InstitutionTokyo Medical University

Principal Investigator

MIYAZAWA Keisuke  Tokyo Medical University, Medicine, Assistant Professor, 医学部, 講師 (50209897)

Co-Investigator(Kenkyū-buntansha) GOTOH Akihiko  Tokyo Medical University, Medicinem assistant, 医学部, 助手 (00297293)
YAGUCHI Makoto  Tokyo Medical University, Medicinem assistant, 医学部, 助手 (50246310)
矢口 誠  東京医科大学, 医学部, 助手 (90276949)
Project Period (FY) 1999 – 2001
Project Status Completed (Fiscal Year 2001)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2001: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2000: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 1999: ¥1,300,000 (Direct Cost: ¥1,300,000)
Keywordsvitamin K2 / myelodysplastic syndromes / leukemia / apoptosis / differentiation / vitamin D3
Research Abstract

We have originally reported that vitamin K2 (VK2) induces apoptosis in primary cultured leukemia cells and leukemia cell lines. This apoptosis process was mediated through down-modulation of BCL-2 repression, up-modulation of BAX, depolarization of mitochondrial membrane potential, and activation of caspase-3. Enforced over expression of BCL-2 in H-60 cell (HL-60bcl-2) resulted in almost complete inhibition of apoptosis induction in response to VK2. However, monocytic differentiation via G0/G1 arrest was still observed in HL-60bcl-2 cells. This strongly suggests that VK2. Furthermore, we have reported that this monocytic differtntionan induction is synergistically enhanced by combined treatment with VK2 and vitamin D3 analog. Interestingly, apoptosis induction in response to VK2 was significantly suppressed along with enhanced moncytitc differentiation. In response to our in vitro observations, pilot studies of VK2 therapy in-patients with myelodysplastic syndromes (MDS) and post-MDS AML were performed in many institutions in Japan. These clinical trials demonstrate the therapeutic effects of VK2 for the patients with MDS. Further moleculer-based studies are still on going to explain the mechanisms of therapeutic effects of VK2 in MDS.

Report

(4 results)
  • 2001 Annual Research Report   Final Research Report Summary
  • 2000 Annual Research Report
  • 1999 Annual Research Report
  • Research Products

    (32 results)

All Other

All Publications (32 results)

  • [Publications] Miyazawa K: "Apoptosis/differentiation-inducing effects of vitamin K2 on HL-60 cells : dichotomous nature of vitamin K2 in leukemia cells"Leukemia. 15・7. 1111-1117 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Funato K: "Myelodysplastic syndrome accompanied by Addison's disease and multiple autoimmune phenomena : steroid therapy resolved cytopenias and all immune disorders"Intern Med.. 40・10. 1041-1044 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Ohyashiki K: "Re-evaluation of refractory anemia with excess blasts in transformation"Leuk Res.. 25・11. 933-939 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Shimamoto T: "Successful treatment with cyclosporin A for myelodysplastic syndrome with erythroid hypoplasia associated with T-cell receptor gene rearrangements"Br J Haematol.. 114・2. 358-361 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Miyazawa K: "Vitamin K2 therapy for myelodysplastic syndromes (MDS) and post-MDS acute myeloid leukemia : information through a questionnaire survey of multi-center pilot studies in Japan"Leukemia. 14・6. 1136-1137 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nishimaki J: "Vitamin K2 induces apoptosis of a novel cell line established from a patient with myclodysplastic syndrome in blastic transformation"Leukemia. 13・9. 1399-1405 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Miyazawa K, Yaguchi M, Funato K, Gotoh A, Kawanishi Y, Nishizawa Y, You A, Ohyashiki K.: "Apoptosis/ differentiation-inducing effects of vitamin K2 on HL-60 cells : dichotomous nature of vitamin K2 in leukemia cells"Leukemia. 15. 1111-1117 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Funato K, Kuriyama Y, Uchida Y, Suzuki A, Miyazawa K, Ohyashiki K.: "Myelodysplastic syndrome accompanied by Addison's disease and multiple autoimmune phenomena : steroid therapy resolved cytopenias and all immune disorders."Intem Med. 40. 1041-1044 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Ohyashiki K, Nishimaki J, Shoji N, Miyazawa K, Kimura Y, Ohyashiki JH.: "Re-evaluation of refractory anemia with ecxcess blasts in transformation."Leuk Res.. 25. 933-939 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Shimamoto T, Iguchi T, Ando K, Katagiri T, Tauchi T, Ito Y, Yaguchi M, Miyazawa K, Kimura Y, Masuda M, Mizoguchi H, Ohyashiki K.: "Successful treatment with cyclosporin A for myelodysplastic syndrome with erythroid hypoplasia associated with T-cell receptor gene rearrangements."Br J Haematol. 114. 258-261 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Iwase O, Iwama H, Okabe S, Ando K, Yaguchi M, Miyazawa K, Kimura Y, Kodama A, Fukutake K, Ohyashiki K: "Refractory anemia with ringed sideroblasts with a low IPSS score progressed rapidly with de novo appearance of multiple karyotypic abnormalities and into acute erythroleukemia (AML-M6A)."Leuk Res.. 24. 597-600 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Miyazawa K, Nishimaki J, Ohyashiki K, Enomoto S, Kuriya S, Fukuda R, Hotta T, Teramura M, Mizoguchi H, Uchiyama T, Omine M.: "Vitamin K2 therapy for myelodysplastic syndromes (MDS) and post-MDS acute myeloid leukemia : Information through a questionnaire survey of multi-center pilot studies in Japan."Leukemia.. 14. 1156-1157 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Otawa M, Kawanishi Y, Iwase O, Shoji N, Miyazawa K, Ohyashiki K.: "Comparative multi-color flow cytometric analysis of cell sruface antigens in bone marrow hematopoietic progenitors between refractory anemia and aplastic anemia."Leuk Res.. 24. 359-356 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Nishimaki J, Miyazawa K, Yaguchi M, Katagiri T, Kawanishi Y, Toyama K, Ohyashiki K, Hashimoto S, Nakaya K, Takiguchi T.: "Vitamin K2 induces apoptosis of a novel cell line established from a patient with myelodysplastic syndrome in blastic transformation."Leukemia. 13. 1399-1405 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2001 Final Research Report Summary
  • [Publications] Miyazawa K., Yaguchi M., Funato K., Gotoh A., Kawanishi Y., Ohyashiki K.: "Apoptosis/differentiation-inducing effects of vitamin K2 on HL-60 cells : dichotomous nature of vitamin K2 in leukemia cells"Leukemia. 15・7. 1111-1117 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Funato K., Kuriyama Y., Uchida Y., Suzuki A., Miyazawa K., Ohyashiki K.: "Myelodysplastic syndrome accompanied by Addison's disease and multiple autoimmune phenomena : steroid therapy resolved cytopenias and all immune disorders"Intern Med.. 40・10. 1041-1044 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Ohyashiki K., Nishimaki J., Shoji N., Miyazawa K., Kimura Y., Ohyashiki JH.: "Re-evaluation of refractory anemia with excess blasts in transformation"Leuk Res.. 25・11. 933-939 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Shimamoto T., Iguchi T., Ando K., Katagiri T., Miyazawa K., Kimura Y., Ohyashiki K.: "Successful treatment with cyclosporin A for myelodysplastic syndrome with erythroid hypoplasia associated with T-cell receptor gene rearrangements"Br J Haematol.. 114・2. 358-361 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Miyazawa K., Nishimaki J., Ohyashiki K., et al.: "Vitamin K2 therapy for myelodysplastic syndromes (MDS) and post-MDS acute myeloid leukemia : information through a questionnaire survey of multi-center pilot studies in Japan"Leukemia. 14・6. 1136-1137 (2000)

    • Related Report
      2001 Annual Research Report
  • [Publications] Nishimaki J., Miyazawa K., Yaguchi M., Katagiri T., Kawanishi Y., Toyama K.: "Vitamin K2 induces apoptosis of a novel cell line established from a patient with myelodysplastic syndrome in blastic transformation"Leukemia. 13・9. 1399-1405 (1999)

    • Related Report
      2001 Annual Research Report
  • [Publications] Miyazawa K et al.: "Vitamin K2 therapy for myelodysplastic syndromes (MDS) and post-MDS acute myeloid leukemia : Information through a questionnaire survey of multi-center pilot studies in Japan.."Leukemia. 14. 1156-1157 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Miyazawa K, et al.: "Megakaryocytic maturation in regulated by maintaining a balance against cytokine induced-cell proliferation : Steel factor retards thrombopoietin-induced megakaryocytic differentiation while synergistically stimulating mitogenesis."Hematology. 5. 233-246 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Miyazawa K, et al.: "Apoptosis/differentiation-inducing effect of vitamin K2 on HL-60 cells : dichotomous nature of vitamin K2 in leukemia cells."Leukemia. (in press).

    • Related Report
      2000 Annual Research Report
  • [Publications] Katagiri T,Miyazawa K, et al.: "Combination of granulocyte colony-stimulating factor and low-dose cytosine arabinoside further enhances myeloid differentiation in leukemia cells in vitro."Leukemia Lymphoma. 39. 173-184 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Iwase O,Iwama H,Okabe S,Ando K,Yaguchi M,Miyazawa K, et al.: "Refractory anemia with ringed sideroblasts with a low 1PSS score progressed rapidly with de novo appearance of multiple karyotypic abnormalities."Leukemia Res.. 24. 597-600 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Otawa K,Kawanishi Y,Shoji N,Miyazawa K,Ohyashiki K :: "Comparative multi-color analysis of cell surface antigens in bone marrow hematopoietic progenitors between refractory anemia and aplastic anemia."Leukemia Res.. 24. 359-366 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yaguch M., Miyazawa K, Otawa M, Ito Y, et al.: "Vitamin K_<2]> therapy for a patient with myelodysphastic synclrome"Leukemia. 13. 144-145 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Nishimaki J, Miyazaki K, Yaguchi M, Kawanishi Y, et al.: "Vitamin K_<2]> induces apoptosis of a movel cell line established from a patient with myelodysplastic syndrome"Leukamia. 13. 1399-1405 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Miyazawa K, Nishimaki J, Ohyashiki K, Enomoto S, et al.: "Vitamin K_<2]> therapy for myelodysplastic syndrome (MDS) and post-MDS AML; information through a questionnaire survey of multi-center pilot studies in Japan"Leukemia in press. 14. (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Katagiri T, Miyazawa K, Nishimaki J, Yaguchi M et al.: "Cambination of granulocyte colong-stimulating factor and low-dose cytosine arabinosida further enhance myeloid differentiation in leeckenia cells in vitro"Leukemia Lymphoma. (in press). (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Otawa K, Kawanishi Y, Shojin N, Miyazawa K, et al.: "Comparatine multi-color analysis of cell surface antigens in bone marrow hematopoietic progenitors between refractoryanemia and aplastic anemia"Leukemia Res.. (in press). (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] Gotoh A, Reid S, Miyazawa K, Broxmeyer HE: "SDF-1 suppresses cytokine-induced adhesion of human hematopoietic progenitor cells to immobilized firbronectin"Brit J Haematol. 106. 171-174 (1999)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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