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New molecular genetic examination of the mechanism of cyclosporin A in the initial treatment for kawasaki disease

Research Project

Project/Area Number 15K09696
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionWakayama Medical University

Principal Investigator

Takeuchi Takashi  和歌山県立医科大学, 医学部, 講師 (10246522)

Co-Investigator(Kenkyū-buntansha) 鈴木 啓之  和歌山県立医科大学, 医学部, 教授 (80196865)
末永 智浩  和歌山県立医科大学, 医学部, 助教 (70433365)
垣本 信幸  和歌山県立医科大学, 医学部, 助教 (90614412)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords川崎病 / シクロスポリンA / 細胞内シグナル伝達 / 炎症性サイトカイン
Outline of Final Research Achievements

We started a multicenter physician-led trial to compare the utility of IVIG plus cyclosporin A(CsA) combination therapy with the IVIG monotherapy as initial treatment in severe Kawasaki disease(KD). It is a purpose that this study elucidates mechanism of action of IVIG and CsA using a blood sample before and after the initial treatment with CsA for severe KD. Thirteen cases were enrolled in this trial in our hospital. We conducted RNA extraction and serum isolation from the blood sample of these patients and prepared for the measurement of the gene expression level. In total, we measured inflammatory cytokine (sIL-2R,IL2,4,6,10,TNF etc.) for 11 cases 29 points, including IVIG effective cases, resistant cases, IVIG+CsA effective cases, and resistant cases.

Report

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

    (9 results)

All 2018 2017 2016

All Journal Article (3 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (6 results) (of which Invited: 1 results)

  • [Journal Article] Nationwide Survey of Patients With Giant Coronary Aneurysm Secondary to Kawasaki Disease 1999–2010 in Japan2018

    • Author(s)
      Fukazawa R, Kobayashi T, Mikami M, Saji T, Hamaoka K, Kato H, Suzuki H, Tsuda E, Ayusawa M, Miura M, Ebata R, Kobayashi T, Yashiro M, Ogawa S.
    • Journal Title

      Circulation Journal

      Volume: 82 Issue: 1 Pages: 239-246

    • DOI

      10.1253/circj.CJ-17-0433

    • NAID

      130006281999

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Male-specific association of the FCGR2A His167Arg polymorphism with Kawasaki disease.2017

    • Author(s)
      Kwon YC, Kim JJ, Yun SW, Yu JJ, Yoon KL, Lee KY, Kil HR, Kim GB, Han MK, Song MS, Lee HD, Ha KS, Sohn S, Ebata R, Hamada H, Suzuki H, Ito K, Onouchi Y, Hong YM, Jang GY, Lee JK; Korean Kawasaki Disease Genetics Consortium.
    • Journal Title

      PLoS One

      Volume: 12 Issue: 9 Pages: e0184248-e0184248

    • DOI

      10.1371/journal.pone.0184248

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Variations in ORAI1 Gene Associated with Kawasaki Disease2016

    • Author(s)
      Onouchi Y, Fukazawa R, Yamamura K, Suzuki H, Kakimoto N, Suenaga T, Takeuchi T, Hamada H, Honda T, Yasukawa K, Terai M, Ebata R, Higashi K, Saji T, Kemmotsu Y, Takatsuki S, Ouchi K, Kishi F, Yoshikawa T, Nagai T
    • Journal Title

      PLoS One

      Volume: -

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] What role do the vasa vasorum play in the sequelae of coronary arterial lesions in Kawasaki disease?2018

    • Author(s)
      Nobuyuki Kakimoto, Takashi Takeuchi, Akira Taruya, Yasushi Ino, Atsushi Tanaka, Takashi Kubo, Tomohiro Suenaga, Shoichi Shibuta, Takashi Akasaka, Hiroyuki Suzuki
    • Organizer
      The 82nd Annual Scientific Meeting of the Japanese Circulation Society
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Ca2+/NFAT 経路関連3遺伝子多型から見た川崎病の急性期臨床像2017

    • Author(s)
      鈴木崇之、垣本信幸、尾内善広、立花伸也、竹腰信人、渋田昌一、末永智浩、武内 崇、鈴木啓之
    • Organizer
      第53回日本小児循環器学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 光緩衝断層法(OCT)を用いた川崎病遠隔期冠動脈病変におけるVasa Vasorumの検討2017

    • Author(s)
      垣本信幸、武内崇、樽谷玲、猪野靖、田中篤、久保隆史、末永智浩、立花伸也、渋田昌一、赤阪隆史、鈴木啓之
    • Organizer
      第53回日本小児循環器学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 川崎病冠動脈瘤に合併した新鮮瘤内血栓に対するtissue-type plasminogen activator(t-PA)による血栓溶解療法の有用性2017

    • Author(s)
      立花伸也、鈴木崇之、垣本信幸、末永智浩、武内崇、鈴木啓之、澁田昌一、竹腰信人
    • Organizer
      第37回日本川崎病学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 川崎病遠隔期冠動脈病変におけるVasa Vasorumの分析2017

    • Author(s)
      垣本信幸、武内 崇、樽谷 玲、猪野 靖、田中 篤、久保隆史、鈴木崇之、末永智浩、竹腰信人、立花伸也、渋田昌一、赤坂隆史、鈴木啓之
    • Organizer
      第37回日本川崎病学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 川崎病治療後における血清免疫グロブリン値の長期的推移2017

    • Author(s)
      末永智浩、鈴木啓之、鈴木崇之、垣本信幸、武内崇、渋田昌一、立花伸也、竹腰信人
    • Organizer
      第37回日本川崎病学術集会
    • Related Report
      2017 Annual Research Report

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

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