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Establishment of whole exome sequencing for the diagnosis of atypical hemolytic uremic syndrome

Research Project

Project/Area Number 15K09246
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionThe University of Tokyo

Principal Investigator

Kato Hideki  東京大学, 医学部附属病院, 講師 (90625237)

Co-Investigator(Kenkyū-buntansha) 南学 正臣  東京大学, 医学部附属病院, 教授 (90311620)
和田 健彦  東海大学, 医学部, 准教授 (90447409)
吉田 瑶子  東京大学, 医学部附属病院, 特任研究員 (90649443)
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: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords血栓性微小血管障害症 / 非典型溶血性尿毒症症候群 / 腎臓内科 / 小児科学 / 補体 / バイオインフォマティクス / 次世代シークエンサー
Outline of Final Research Achievements

Atypical hemolytic uremic syndrome (aHUS) is a disease that develops by complement-related genetic or acquired factors. We collected 118 clinically-diagnosed aHUS patients by the end of 2016 and reported the clinical features of aHUS patients in Japan. Many candidate genes are reported in this disease, and novel genes are also being reported. In this study, we established an analysis method by using whole exome sequencing. We also established a method for analyzing the copy number of genes by the MLPA method and found a novel rearrangement in the CFH and CFHR gene regions.
Based on the results of this research, we established an exome analysis capable of detecting known gene variants, verifying new gene variants, and exploring for new gene mutations, and contributed greatly in this disease.

Report

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

    (29 results)

All 2018 2017 2016 2015 Other

All Journal Article (12 results) (of which Int'l Joint Research: 8 results,  Peer Reviewed: 9 results,  Open Access: 8 results,  Acknowledgement Compliant: 2 results) Presentation (12 results) (of which Int'l Joint Research: 2 results,  Invited: 7 results) Book (3 results) Remarks (2 results)

  • [Journal Article] Controversies of the classification of TMA and the terminology of aHUS.2018

    • Author(s)
      Kato H, Nangaku M, Okada H, Kagami S.
    • Journal Title

      Clin Exp Nephrol.

      Volume: 22 Issue: 4 Pages: 979-980

    • DOI

      10.1007/s10157-017-1524-4

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Clinical characteristics and genetic backgrounds of Japanese patients with atypical hemolytic uremic syndrome2018

    • Author(s)
      Fujisawa Madoka、Kato Hideki、Yoshida Yoko、Usui Tomoko、Takata Munenori、Fujimoto Mika、Wada Hideo、Uchida Yumiko、Kokame Koichi、Matsumoto Masanori、Fujimura Yoshihiro、Miyata Toshiyuki、Nangaku Masaomi
    • Journal Title

      Clinical and Experimental Nephrology

      Volume: 印刷中 Issue: 5 Pages: 1088-1099

    • DOI

      10.1007/s10157-018-1549-3

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Atypical Hemolytic Uremic Syndrome2017

    • Author(s)
      Yoshida Y, Kato H and Nangaku M.
    • Journal Title

      Renal Replacement Therapy.

      Volume: 3 Issue: 1 Pages: 1-10

    • DOI

      10.1186/s41100-016-0088-1

    • NAID

      40021361310

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Positron emission tomography in the diagnosis of cyst infections.2017

    • Author(s)
      Hasegawa S, Kato H, Hamasaki Y, Koiwa T, Nangaku M.
    • Journal Title

      Kidney Int.

      Volume: 91 Issue: 3 Pages: 759-759

    • DOI

      10.1016/j.kint.2016.10.025

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Joint Committee for the Revision of Clinical Guides of Atypical Hemolytic Uremic Syndrome in Japan.. Clinical guides for atypical hemolytic uremic syndrome in Japan.2016

    • Author(s)
      Kato H, Nangaku M, Hataya H, Sawai T, Ashida A, Fujimaru R, Hidaka Y, Kaname S, Maruyama S, Yasuda T, Yoshida Y, Ito S, Hattori M, Miyakawa Y, Fujimura Y, Okada H, Kagami S
    • Journal Title

      Pediatr Int.

      Volume: 58 Issue: 7 Pages: 549-55

    • DOI

      10.1111/ped.13044

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Joint Committee for the Revision of Clinical Guides of Atypical Hemolytic Uremic Syndrome in Japan.. Clinical guides for atypical hemolytic uremic syndrome in Japan2016

    • Author(s)
      Kato H, Nangaku M, Hataya H, Sawai T, Ashida A, Fujimaru R, Hidaka Y, Kaname S, Maruyama S, Yasuda T, Yoshida Y, Ito S, Hattori M, Miyakawa Y, Fujimura Y, Okada H, Kagami S
    • Journal Title

      Clin Exp Nephrol.

      Volume: 20 Issue: 4 Pages: 536-43

    • DOI

      10.1007/s10157-016-1276-6

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Complete remission of thrombotic microangiopathy after treatment with eculizumab in a patient with non-Shiga toxin-associated bacterial enteritis: A case report.2016

    • Author(s)
      Omura T, Watanabe E, Otsuka Y, Yoshida Y, Kato H, Nangaku M, Miyata T, Oda S.
    • Journal Title

      Medicine

      Volume: 95 Issue: 27 Pages: e4104-e4104

    • DOI

      10.1097/md.0000000000004104

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] No association between dysplasminogenemia with p.Ala620Thr mutation and atypical hemolytic uremic syndrome2016

    • Author(s)
      Miyata T, Uchida Y, Yoshida Y, Kato H, Matsumoto M, Kokame K, Fujimura Y, Nangaku M
    • Journal Title

      Int J Hematol

      Volume: 104 Issue: 2 Pages: 223-227

    • DOI

      10.1007/s12185-016-2021-3

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] 非典型溶血性尿毒症症候群(aHUS)診療ガイド20152016

    • Author(s)
      香美祥二、岡田浩一、南学正臣、要伸也、丸山彰一、安田隆、加藤秀樹、吉田瑶子、服部元史、芦田明、幡谷浩史、日高義彦、澤井俊宏、伊藤秀一、藤丸季可、藤村吉博、宮川義隆
    • Journal Title

      日本腎臓学会誌

      Volume: 58 Pages: 62-75

    • NAID

      40020813177

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 非典型溶血性尿毒症症候群と遺伝子異常2016

    • Author(s)
      加藤 秀樹、吉田 瑶子、藤澤 まどか、南学 正臣
    • Journal Title

      医学のあゆみ

      Volume: 256 Pages: 1293-1294

    • Related Report
      2015 Research-status Report
  • [Journal Article] 非典型溶血性尿毒症症候群2016

    • Author(s)
      藤澤 まどか、吉田 瑤子、加藤 秀樹、南学 正臣
    • Journal Title

      臨床免疫・アレルギー科

      Volume: 65 Pages: 87-93

    • NAID

      40020720016

    • Related Report
      2015 Research-status Report
  • [Journal Article] TMA HUSとatypical HUS2015

    • Author(s)
      南学 正臣、吉田 瑤子、加藤 秀樹
    • Journal Title

      日本内科学会雑誌

      Volume: 104 Pages: 1959-1963

    • Related Report
      2015 Research-status Report
  • [Presentation] aHUSとC3腎症の検査と診断2017

    • Author(s)
      加藤秀樹, 南学正臣
    • Organizer
      第47回日本腎臓学会東部学術大会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 補体系腎疾患における診断プロセスと最終診断2017

    • Author(s)
      加藤秀樹, 南学正臣.
    • Organizer
      第60回日本腎臓学会学術総会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 非典型溶血性尿毒症症候群(aHUS)診療ガイド2015.2017

    • Author(s)
      加藤秀樹, 吉田瑶子, 藤澤まどか,菅原有佳, 南学正臣
    • Organizer
      第47回日本腎臓学会西部学術大会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 「非典型溶血性尿毒症症候群診療ガイド 2015」の解説と今後の課題2017

    • Author(s)
      加藤秀樹、吉田瑶子、藤澤まどか、菅原有佳、宮田敏行、南学正臣
    • Organizer
      第11回日本血栓止血学会学術標準化委員会シンポジウム
    • Place of Presentation
      野村コンファランスプラザ日本橋
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 非典型溶血性尿毒症症候群患者におけるプラスミノーゲン A620T変異2016

    • Author(s)
      宮田敏行、内田裕美子、藤村吉博、吉田瑤子、加藤秀樹、南学正臣
    • Organizer
      第38回血栓止血学会
    • Place of Presentation
      奈良春日野国際フォーラム(奈良県橿原市)
    • Year and Date
      2016-06-16
    • Related Report
      2015 Research-status Report
  • [Presentation] Characterization of the patients with atypical hemolytic uremic syndrome by combination of hemolytic assay and gene analysis in Japan2016

    • Author(s)
      Yoko Yoshida, Hideki Kato, Madoka Fujisawa, Yuuka Sugahara, Yumiko Uchida, Masanori Matsumoto, Yoshihiro Fujimura, Toshiyuki Miyata, Nangaku Masaomi
    • Organizer
      26th INTERNATIONAL COMPLEMENT WORKSHOP
    • Place of Presentation
      金沢
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Analysis of genetic background and evaluation with hemolysis assay in patients with atypical hemolytic uremic syndrome in Japan2016

    • Author(s)
      Masaomi Nangaku, Hideki Kato, Yoko Yoshida, Madoka Fujisawa, Yuka Sugawara, Toshiyuki Miyata, Yumiko Uchida, Masanori Matsumoto, Yoshihiro Fujimura
    • Organizer
      Asian Pacific Congress of Nephrology (APCN)
    • Place of Presentation
      Perth
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 当施設における非典型溶血性尿毒症症候群(aHUS)の解析2016

    • Author(s)
      藤澤 まどか、加藤 秀樹、吉田 瑤子、碓井 知子、内田 裕美子、宮田 敏行、南学 正臣
    • Organizer
      第59回日本腎臓学会学術総会
    • Place of Presentation
      パシフィコ横浜
    • Related Report
      2016 Research-status Report
  • [Presentation] 非典型溶血性尿毒症症候群(aHUS)の現状と今後2016

    • Author(s)
      加藤 秀樹, 吉田 瑶子, 藤澤 まどか, 菅原 有佳, 南学 正臣
    • Organizer
      第46回日本腎臓学会東部学術大会
    • Place of Presentation
      京王プラザホテル、東京
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] atypical HUSの診断と治療のupdate2016

    • Author(s)
      加藤秀樹、吉田瑶子、藤澤まどか、菅原有佳、南学正臣
    • Organizer
      第37回日本アフェレシス学会学術大会
    • Place of Presentation
      パシフィコ横浜
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 非典型溶血性尿毒症症候群(aHUS)の病態、診断、治療2015

    • Author(s)
      加藤秀樹
    • Organizer
      日本小児血液・がん学会
    • Place of Presentation
      甲府富士屋ホテル(山梨県甲府市)
    • Year and Date
      2015-11-27
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 日本人の非典型溶血性尿毒症症候群患者41人の遺伝子解析2015

    • Author(s)
      宮田敏行、内田裕美子、吉田瑶子、池島裕子、Fan Xinping、芦田明、和田英夫、大塚泰史、 中村健治、石川智朗、八田和大、服部元史、久野正貴、才田謙、西尾健治、瀧本智仁、 幡谷浩史、大原敦子、川村尚久、波多江健、松本雅則、加藤秀樹、南学正臣、藤村吉博
    • Organizer
      日本補体学会学術集会
    • Place of Presentation
      名古屋大学医学部附属病院(愛知県名古屋市)
    • Year and Date
      2015-08-21
    • Related Report
      2015 Research-status Report
  • [Book] 血栓性微小血管症(TMA)診断・治療実践マニュアル2016

    • Author(s)
      藤澤まどか、加藤秀樹
    • Total Pages
      138
    • Publisher
      医薬ジャーナル社
    • Related Report
      2016 Research-status Report
  • [Book] 腎臓内科 レジデントマニュアル2015

    • Author(s)
      加藤 秀樹、南学 正臣
    • Total Pages
      720
    • Publisher
      診断と治療社
    • Related Report
      2015 Research-status Report
  • [Book] 内科疾患の診断基準・病型分類・重症度2015

    • Author(s)
      吉田 瑶子、加藤 秀樹、南学 正臣
    • Total Pages
      1388
    • Publisher
      南江堂
    • Related Report
      2015 Research-status Report
  • [Remarks] 非典型溶血性尿毒症症候群(aHUS)診断のための検査

    • URL

      http://www.todai-jinnai.com/iryou/ahus

    • Related Report
      2016 Research-status Report
  • [Remarks] 難病センター「非典型溶血性尿毒症症候群」

    • URL

      http://www.nanbyou.or.jp/entry/3847

    • Related Report
      2015 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2021-01-27  

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