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Clinical features and pathogenesis of Guillain-Barre syndrome after Haemophilus influenzae infection

Research Project

Project/Area Number 15K08464
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Bacteriology (including mycology)
Research InstitutionYamaguchi University

Principal Investigator

KOGA Michiaki  山口大学, 医学部附属病院, 講師 (60383014)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywordsインフルエンザ桿菌 / ギラン・バレー症候群 / フィッシャー症候群 / 分子相同性 / ガングリオシド / カンピロバクター / リポオリゴ糖
Outline of Final Research Achievements

Fisher syndrome (FS) is a regional variant of Guillain-Barre syndrome, in which molecular mimicry between antecedent infectious agents and host tissue is a highly attractive explanation for the pathogenesis. Campylobacter jejuni is recognized as the agent that most frequently triggers FS and Haemophilus influenzae is as the second antecedent agent. The clinical, serological and cerebrospinal fluid data of patients with H. influenzae-associated FS were analyzed and compared to these of patients with C. jejuni-associated FS. Although there were some differences of clinical profiles between patients with H. influenzae- and C. jejuni-associated FS, autoantibody patterns (antigen specificities and IgG subclasses) and findings of cerebrospinal fluid were similar to the both groups. Concentration of serum membrane-attack complex did not differ between the groups. These findings suggest the common pathogenesis of H. influenzae-associated FS with C. jejuni-associated FS.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (44 results)

All 2018 2017 2016 2015

All Journal Article (27 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 10 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (10 results) (of which Int'l Joint Research: 1 results,  Invited: 2 results) Book (7 results)

  • [Journal Article] Fingolimod promotes blood-nerve barrier properties in vitro.2018

    • Author(s)
      Nishihara H, Maeda T, Sano Y, Ueno M, Okamoto N, Takeshita Y, Shimizu F, Koga M, Kanda T.
    • Journal Title

      Brain Behav

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Experimental approach in a research of Guillain-Barre syndrome: a range of pathogeneses mediated by molecular mimicry.2018

    • Author(s)
      Koga M.
    • Journal Title

      Clin Exp Neuroimmunol

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] シュワン細胞とその病変2018

    • Author(s)
      佐藤亮太 尾本雅俊 古賀道明 神田 隆
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 10-11

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 神経疾患治療ノート:ビッカースタッフ脳幹脳炎2018

    • Author(s)
      古賀道明
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 384-385

    • Related Report
      2017 Annual Research Report
  • [Journal Article] CIDPの自己抗体2018

    • Author(s)
      古賀道明
    • Journal Title

      Brain Nerve

      Volume: 70 Pages: 395-403

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 糖尿病性ニューロパチー2018

    • Author(s)
      太田怜子 古賀道明 神田 隆
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 453-455

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 抗MAG抗体陽性脱髄性ニューロパチー2018

    • Author(s)
      古賀道明
    • Journal Title

      Peripheral Nerve末梢神経

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Autopsy case of C12orf65 mutation in a patient with signs of mitochondrial dysfunction.2017

    • Author(s)
      Nishihara H, Omoto M, Takao M, Higuchi Y, Koga M, Kawai M, Kawano H, Ikeda E, Takashima H, Kanda T
    • Journal Title

      Neurol Genet

      Volume: 3 Issue: 4

    • DOI

      10.1212/nxg.0000000000000171

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Identification of galectin-3 as a possible antibody target for secondary progressive multiple sclerosis2017

    • Author(s)
      Nishihara, H. Shimizu, F. Kitagawa, T. Yamanaka, N. Akada, J. Kuramitsu, Y. Sano, Y. Takeshita, Y. Maeda, T. Abe, M. Koga, M. Nakamura, K. Kanda, T.
    • Journal Title

      Multiple Sclerosis Journal

      Volume: 3 Issue: 3 Pages: 382-394

    • DOI

      10.1177/1352458516655217

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] New immunoglobulin brand for Guillain-Barre syndrome.2017

    • Author(s)
      Koga M.
    • Journal Title

      Clin Exp Neuroimmunol

      Volume: 8 Pages: 181-182

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 慢性炎症性脱髄性多発根ニューロパチーを合併した, MME遺伝子変異による軸索型Charcot-Marie-Tooth病の59歳男性例2017

    • Author(s)
      藤澤美和子 佐野泰照 尾本雅俊 小笠原淳一 古賀道明 髙嶋 博 神田 隆
    • Journal Title

      臨床神経

      Volume: 57 Pages: 515-520

    • NAID

      130006108259

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Steroid-responsive demyelinating peripheral neuropathy associated with chronic lymphoproliferative disorders of natural killer cells2017

    • Author(s)
      佐野宏徳 前田敏彦 尾本雅俊 小笠原淳一 古賀道明 川井元晴 神田 隆
    • Journal Title

      Rinsho Shinkeigaku

      Volume: 57 Issue: 10 Pages: 573-578

    • DOI

      10.5692/clinicalneurol.cn-001064

    • NAID

      130006183831

    • ISSN
      0009-918X, 1882-0654
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 私の処方:ギラン・バレー症候群と副腎皮質ステロイド薬2017

    • Author(s)
      古賀道明
    • Journal Title

      Modern Physician

      Volume: 37 Pages: 387-387

    • Related Report
      2017 Annual Research Report
  • [Journal Article] ビッカースタッフ型脳幹脳炎:治療の考え方2017

    • Author(s)
      古賀道明
    • Journal Title

      日本アフェレシス学会雑誌

      Volume: 36 Pages: 37-40

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Guillain-Barre症候群における新しい原因感染症:ジカ熱とE型肝炎2017

    • Author(s)
      古賀道明
    • Journal Title

      Neuroinfection

      Volume: 22 Pages: 36-39

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Evidence-based Treatment for Vasculitic Neuropathies2016

    • Author(s)
      古賀道明
    • Journal Title

      BRAIN and NERVE

      Volume: 68 Issue: 3 Pages: 243-251

    • DOI

      10.11477/mf.1416200384

    • ISSN
      1344-8129, 1881-6096
    • Year and Date
      2016-03-01
    • Related Report
      2015 Research-status Report
  • [Journal Article] Bickerstaff型脳幹脳炎2016

    • Author(s)
      古賀道明
    • Journal Title

      Modern Physician

      Volume: 36 Pages: 696-698

    • Related Report
      2016 Research-status Report 2015 Research-status Report
  • [Journal Article] ギラン・バレー症候群の臨床的特徴:疫学・診断・病型など2016

    • Author(s)
      古賀道明
    • Journal Title

      週刊日本医事新報

      Volume: 4834 Pages: 28-34

    • Related Report
      2016 Research-status Report
  • [Journal Article] Clinical Phenotypes in Guillain-Barré Syndrome2015

    • Author(s)
      古賀道明
    • Journal Title

      BRAIN and NERVE

      Volume: 67 Issue: 11 Pages: 1313-1320

    • DOI

      10.11477/mf.1416200301

    • ISSN
      1344-8129, 1881-6096
    • Year and Date
      2015-11-01
    • Related Report
      2015 Research-status Report
  • [Journal Article] Antecedent Infections in Guillain-Barré Syndrome: Knowledge in Clinical Practice2015

    • Author(s)
      古賀道明
    • Journal Title

      BRAIN and NERVE

      Volume: 67 Issue: 7 Pages: 871-880

    • DOI

      10.11477/mf.1416200226

    • ISSN
      1344-8129, 1881-6096
    • Year and Date
      2015-07-01
    • Related Report
      2015 Research-status Report
  • [Journal Article] Complex of GM1- and GD1a-like lipo-oligosaccharide mimics GM1b, inducing anti-GM1b antibodies.2015

    • Author(s)
      Koga M, Gilbert M, Li J, Yuki N
    • Journal Title

      PLoS One

      Volume: 10 Issue: 4 Pages: e0124004-e0124004

    • DOI

      10.1371/journal.pone.0124004

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Ambiguous value of anti-ganglioside IgM autoantibodies in Guillain-Barre syndrome and its variants2015

    • Author(s)
      Koga M, Takahashi M, Yokoyama K, Kanda T
    • Journal Title

      Journal of Neurology

      Volume: 262 Issue: 8 Pages: 1954-1960

    • DOI

      10.1007/s00415-015-7806-4

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Glycoarray: a savior in an arduous sea?2015

    • Author(s)
      Koga M.
    • Journal Title

      Clinical and Experimental Neuroimmunology

      Volume: 6 Issue: 2 Pages: 114-115

    • DOI

      10.1111/cen3.12207

    • Related Report
      2015 Research-status Report
  • [Journal Article] Successful control of radicular pain in a pediatric Guillain-Barre syndrome.2015

    • Author(s)
      Kajimoto M, Koga M, Narumi H, Inoue H, Matsushige T, Ohga S.
    • Journal Title

      Brain & Development

      Volume: 37 Issue: 9 Pages: 897-900

    • DOI

      10.1016/j.braindev.2015.01.004

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Guillain-Barre症候群とFisher症候群に対する免疫治療2015

    • Author(s)
      古賀道明
    • Journal Title

      医学のあゆみ

      Volume: 255 Pages: 413-416

    • Related Report
      2015 Research-status Report
  • [Journal Article] ビッカースタッフ脳幹脳炎2015

    • Author(s)
      古賀道明
    • Journal Title

      日本臨床

      Volume: 73 (suppl 7) Pages: 638-642

    • Related Report
      2015 Research-status Report
  • [Journal Article] 自己免疫性自律神経節障害(autoimmune autonomic ganglionopathy: AAG)2015

    • Author(s)
      古賀道明
    • Journal Title

      日本臨床

      Volume: 73 (suppl 7) Pages: 458-462

    • Related Report
      2015 Research-status Report
  • [Presentation] Distal limb weakness phenotype of Guillain-Barre syndrome: A mild form of acute motor neuropathy after Campylobacter jejuni enteritis.2017

    • Author(s)
      Koga M, Fujikawa S, Honda M, Amano M, Ogasawara JI, Kawai M, Kanda T.
    • Organizer
      23rd World Congress of Neurology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 四肢遠位部限局型ギラン・バレー症候群の規定因子2017

    • Author(s)
      古賀道明 藤川 晋 本田真也 天野美和 小笠原淳一 川井元晴 神田 隆
    • Organizer
      第28回日本末梢神経学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] ギラン・バレー症候群における先行感染:その臨床的意義2016

    • Author(s)
      古賀道明
    • Organizer
      第21回日本神経感染症学会総会・学術集会
    • Place of Presentation
      金沢東急ホテル(石川県金沢市)
    • Year and Date
      2016-10-22
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 四肢遠位部限局型のギラン・バレー症候群2016

    • Author(s)
      古賀道明、藤川 晋、本田真也、天野美和、小笠原淳一、川井元晴、神田 隆
    • Organizer
      第27回日本末梢神経学会学術集会
    • Place of Presentation
      大阪国際会議場(大阪府大阪市)
    • Year and Date
      2016-08-27
    • Related Report
      2016 Research-status Report
  • [Presentation] この症例はギラン・バレー症候群?2016

    • Author(s)
      古賀道明
    • Organizer
      第57回日本神経学会学術集会
    • Place of Presentation
      神戸コンベンションセンター(兵庫県神戸市)
    • Year and Date
      2016-05-20
    • Related Report
      2016 Research-status Report
  • [Presentation] 四肢遠位部限局型のギラン・バレー症候群:新たな臨床亜型の提唱2016

    • Author(s)
      古賀道明、藤川 晋、本田真也、天野美和、小笠原淳一、川井元晴、神田 隆
    • Organizer
      第57回日本神経学会学術集会
    • Place of Presentation
      神戸コンベンションセンター(兵庫県神戸市)
    • Year and Date
      2016-05-18
    • Related Report
      2016 Research-status Report
  • [Presentation] ギラン・バレー症候群と自己抗体2016

    • Author(s)
      古賀道明
    • Organizer
      第57回日本神経学会学術集会
    • Place of Presentation
      神戸コンベンションセンター(兵庫県神戸市)
    • Year and Date
      2016-05-18
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 四肢遠位部限局型ギラン・バレー症候群は軽症のカンピロバクター腸炎後AMANである2015

    • Author(s)
      古賀道明、藤川 晋、本田真也、天野美和、小笠原淳一、川井元晴、神田 隆
    • Organizer
      第20回日本神経感染症学会総会・学術大会
    • Place of Presentation
      ホテルメルパルク長野(長野県長野市)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Research-status Report
  • [Presentation] 四肢遠位部限局型ギラン・バレー症候群は軽症のカンピロバクター腸炎後AMANである2015

    • Author(s)
      古賀道明、藤川 晋、本田真也、天野美和、小笠原淳一、川井元晴、神田 隆
    • Organizer
      第27回日本神経免疫学会学術大会
    • Place of Presentation
      長良川国際会議場(岐阜県岐阜市)
    • Year and Date
      2015-09-15
    • Related Report
      2015 Research-status Report
  • [Presentation] 先行感染によるフィッシャー症候群の病態・臨床像の多様性2015

    • Author(s)
      古賀道明、神田 隆
    • Organizer
      第56回日本神経学会学術集会
    • Place of Presentation
      朱鷺メッセ(新潟県新潟市)
    • Year and Date
      2015-05-20
    • Related Report
      2015 Research-status Report
  • [Book] 今日の治療指針 2018年版 私はこう治療している2018

    • Author(s)
      古賀道明
    • Total Pages
      2192
    • Publisher
      医学書院
    • ISBN
      9784260032346
    • Related Report
      2017 Annual Research Report
  • [Book] 神経内科Clinical Questions & Pearls: 末梢神経疾患2018

    • Author(s)
      太田怜子 古賀道明 神田 隆
    • Total Pages
      322
    • Publisher
      中外医学社
    • ISBN
      4498228987
    • Related Report
      2017 Annual Research Report
  • [Book] 今日の治療指針 2017年版 私はこう治療している2017

    • Author(s)
      古賀道明
    • Total Pages
      1999
    • Publisher
      医学書院
    • Related Report
      2016 Research-status Report
  • [Book] 今日の治療指針 2017年版 私はこう治療している2017

    • Author(s)
      古賀道明
    • Publisher
      医学書院
    • Related Report
      2015 Research-status Report
  • [Book] 膠原病・リウマチ・アレルギー研修ノート2016

    • Author(s)
      古賀道明
    • Total Pages
      608
    • Publisher
      診断と治療社
    • Related Report
      2016 Research-status Report 2015 Research-status Report
  • [Book] アクチュアル 脳・神経疾患の臨床 免疫性神経疾患 病態と治療のすべて2016

    • Author(s)
      古賀道明
    • Total Pages
      542
    • Publisher
      中山書店
    • Related Report
      2015 Research-status Report
  • [Book] 今日の治療指針 2016年版 私はこう治療している2016

    • Author(s)
      古賀道明
    • Total Pages
      2028
    • Publisher
      医学書院
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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