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The role of neurogenic airway inflammation on the remission of asthma during the adolescent period

Research Project

Project/Area Number 15K09698
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Tokuyama Kenichi  埼玉医科大学, 医学部, 教授 (30237078)

Co-Investigator(Renkei-kenkyūsha) UEDA Yutaka  埼玉医科大学, 医学部, 講師 (70438828)
MORITA Eiji  埼玉医科大学, 医学部, 助教 (50438834)
KOGA Takeshi  埼玉医科大学, 医学部, 助教 (80601731)
ITANO Atsushi  埼玉医科大学, 医学部, 助教 (60751542)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2015: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Keywords気管支喘息 / 寛解 / 思春期 / 気道炎症 / 神経原性炎症 / 呼気一酸化窒素 / フローボリューム曲線 / 気道可逆性 / リモデリング / 思春期喘息
Outline of Final Research Achievements

The purpose of this study was to evaluate the reversible airflow limitation, eosinophilic airway inflammation and neurogenic inflammation in adolescent asthmatics in remission. The results were compared with those in asthmatics with current medication. When comparing lung functions after bronchodilators, the percentage of subjects, whose % predicted values of FEV1.0 was still low, was significantly higher in subjects in remission, suggesting the presence of airway remodeling in these subjects. FENO, a marker of eosinophilic airway inflammation, was comparable between subjects in remission and with current medication. The measurement of plasma CGRP, a potent neuropeptide, was just started while we could not perform any statistical analysis during the study period.

Report

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

Research Products

(21 results)

All 2018 2016 2015

All Journal Article (5 results) (of which Peer Reviewed: 1 results) Presentation (12 results) (of which Int'l Joint Research: 4 results,  Invited: 2 results) Book (4 results)

  • [Journal Article] 小児気管支喘息の定義・病型分類および鑑別診断2016

    • Author(s)
      徳山研一
    • Journal Title

      日本臨床

      Volume: 74 Pages: 1735-40

    • Related Report
      2016 Research-status Report
  • [Journal Article] 小児期の喘息.(小川郁、片山一朗、山口正雄 編)アレルギー疾患のすべて.2016

    • Author(s)
      徳山研一
    • Journal Title

      日本医師会雑誌

      Volume: 145

    • Related Report
      2016 Research-status Report
  • [Journal Article] Usefulness of modified Pulmonary Index Score (mPIS) as a quantitative tool for the evaluation of severe acute exacerbation in asthmatic children2015

    • Author(s)
      1.Koga T, Tokuyama K, Itano A, Morita E, Ueda Y, Katsunuma T
    • Journal Title

      Allergol Int

      Volume: 64 Pages: 139-144

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 小児の咳嗽の鑑別.2015

    • Author(s)
      徳山研一、古賀健史
    • Journal Title

      耳鼻咽喉科・頭頸部外科

      Volume: 87 Pages: 776-781

    • Related Report
      2015 Research-status Report
  • [Journal Article] 全国のアレルギーサマーキャンプの現状2015

    • Author(s)
      古賀健史、徳山研一
    • Journal Title

      日本小児難治喘息・アレルギー疾患学会誌

      Volume: 13 Pages: 229-232

    • Related Report
      2015 Research-status Report
  • [Presentation] Characteristic features of airflow limitation and airway inflammation in stable school-aged asthmatics without requiring medication.2018

    • Author(s)
      Morita E, Tokuyama K, Ueda Y, Koga T, Ogawa S, Nishimura H.
    • Organizer
      AAAAI/ WAO joint Congress 2018 (Orlando, Fla, USA)
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] House-dust-mite stimulates eosinophil activation via PAR22016

    • Author(s)
      Yutaka Ueda、Takehito Kobayashi、Toru Noguchi、Kazuyuki Nakagome、Tomoyuki Soma、Kenichi Tokuyama、Makoto Nagata.
    • Organizer
      The 26th Congress of Interasthma Japan/North Asia
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2016-09-17
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Airflow limitation and airway inflammation of asthmatic adolescents in remission.2016

    • Author(s)
      Eiji Morita, Kenichi Tokuyama, Takeshi Koga, Atsushi Itano, Yutaka Ueda.
    • Organizer
      European Respiratory Society International Congress 2016
    • Place of Presentation
      London, UK
    • Year and Date
      2016-09-03
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Signaling via FceRI activates human dendritic cells to differentiate into DC1 cells via IL-122016

    • Author(s)
      板野篤志、川野雅章、徳山研一、永田 真、松下 祥
    • Organizer
      第65回日本アレルギー学会
    • Place of Presentation
      東京
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 家塵ダニはβ2インテグリンとPAR2を介して好酸球を活性化する2016

    • Author(s)
      植田穣、小林威仁、野口哲、中込一之、杣知行、徳山研一、永田真
    • Organizer
      第65回日本アレルギー学会
    • Place of Presentation
      東京
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 家喘息発作重症度評価におけるmodified Pulmonary Index Score(mPIS)の有用性について-2015年8-9月の入院例の検討-2016

    • Author(s)
      小川俊一、古賀健史、板野篤志、盛田英司、植田穣、徳山研一
    • Organizer
      第65回日本アレルギー学会
    • Place of Presentation
      東京
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 小児の喘息における難治性咳嗽2015

    • Author(s)
      徳山研一.
    • Organizer
      第25回国際喘息学会日本・北アジア部会
    • Place of Presentation
      ホテルニューグランド(神奈川県横浜市)
    • Year and Date
      2015-09-03
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 喘息の予防と治療 Ⅳ.将来への動向.4.寛解治癒の可能性2015

    • Author(s)
      徳山研一.
    • Organizer
      第35回六甲カンファレンス
    • Place of Presentation
      ウェスティン都ホテル(京都府京都市)
    • Year and Date
      2015-07-24
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 屋埃ダニは好酸球の接着と活性化を誘導する.2015

    • Author(s)
      植田穣、小林威仁、野口哲、中込一之、杣知行、徳山研一、永田眞
    • Organizer
      第64回日本アレルギー学会学術大会
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都港区)
    • Year and Date
      2015-05-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 埼玉県西北部の学童・生徒における口腔アレルギー症候群の実態調査2015

    • Author(s)
      古賀健史、板野篤志、盛田英司、植田穣、上條篤、徳山研一
    • Organizer
      第64回日本アレルギー学会学術大会
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都港区)
    • Year and Date
      2015-05-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 微量でアナフィラキシーショックの重症牛乳アレルギー児に対する吸息経口免疫療法の1例2015

    • Author(s)
      田中裕、小野佳代、益田大幸、栗原和幸、西本創、徳山研一.
    • Organizer
      第64回日本アレルギー学会学術大会
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都港区)
    • Year and Date
      2015-05-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 発作寛解状態にある喘息児の呼気中一酸化窒素(FeNO)値とその背景因子の検討.2015

    • Author(s)
      盛田英司、古賀健史、板野篤志、植田穣、西村秀子、徳山研一
    • Organizer
      第64回日本アレルギー学会学術大会
    • Place of Presentation
      グランドプリンスホテル新高輪(東京都港区)
    • Year and Date
      2015-05-26
    • Related Report
      2015 Research-status Report
  • [Book] 総合小児医療カンパニア.専門医が答えるアレルギー疾患Q & A2016

    • Author(s)
      徳山研一
    • Total Pages
      302
    • Publisher
      中山書店
    • Related Report
      2016 Research-status Report
  • [Book] 喘息の予防と治療:最新のアプローチ2016

    • Author(s)
      徳山研一
    • Total Pages
      104
    • Publisher
      ライフサイエンス出版
    • Related Report
      2016 Research-status Report
  • [Book] アレルギーマーチを断つ~ガイドライン準拠による拡大予防~2016

    • Author(s)
      徳山研一
    • Total Pages
      215
    • Publisher
      医薬ジャーナル社
    • Related Report
      2016 Research-status Report
  • [Book] よくわかる子どもの喘鳴診療ガイドー喘鳴を科学する-2015

    • Author(s)
      徳山研一(編著)
    • Total Pages
      182
    • Publisher
      診断と治療社
    • Related Report
      2015 Research-status Report

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

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