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Early diagnosis and novel treatment with low-dose IL-2 of humoral rejection in lung transplantation.

Research Project

Project/Area Number 15K10253
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory surgery
Research InstitutionKyoto University

Principal Investigator

Aoyama Akihiro  京都大学, 医学研究科, 講師 (60379047)

Co-Investigator(Kenkyū-buntansha) 陳 豊史  京都大学, 医学研究科, 講師 (00452334)
伊達 洋至  京都大学, 医学研究科, 教授 (60252962)
Research Collaborator Kawai Tatsuo  ハーバード大学, 医学部, 教授
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: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords肺移植 / 抗体 / 慢性拒絶反応 / 制御性T細胞 / 慢性拒絶 / 免疫抑制 / ラット
Outline of Final Research Achievements

Study 1: 193 lung transplantations (LuTx) was performed and 146 patients were alive s of March 2018. Anti-donor antibody was detected in peripheral blood in 20 cases. During the study period, nine patients developed obstructive bronchiolitis, and except one autopsy and one retransplantation, pulmonary biopsy was impossible due to poor status of the patients.
Study 2: Rat orthotopic LuTx model was established, which is closer to clinical lung transplant than tracheal transplantation. Using this model, administration of 14-day cyclosporine resulted in anti-donor antibody in lung tissue and histologically obstructive bronchiolitis. It was confirmed that antibody production in lung allograft was produced in rat lung transplantation model.

Report

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

    (11 results)

All 2017 2016 2015 Other

All Journal Article (7 results) (of which Peer Reviewed: 7 results,  Open Access: 6 results,  Acknowledgement Compliant: 6 results) Presentation (2 results) (of which Int'l Joint Research: 1 results) Remarks (2 results)

  • [Journal Article] Association of Local Intrapulmonary Production of Antibodies Specific to Donor Major Histocompatibility Complex Class I with the Progression of Chronic Rejection of Lung Allografts.2017

    • Author(s)
      Miyamoto E, Motoyama H, Sato M, Aoyama A, Menju T, Shikuma K, Sowa T, Yoshizawa A, Saito M, Takahagi A, Tanaka S, Takahashi M, Ohata K, Kondo T, Hijiya K, Chen-Yoshikawa TF, Date H.
    • Journal Title

      Transplantation

      Volume: 印刷中 Issue: 5 Pages: e156-e165

    • DOI

      10.1097/tp.0000000000001665

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Inhibition of Toll-like recetor 4 signaling ameliorates lung ischemia-reperfusion injury in acute hyperglycemic conditions.2016

    • Author(s)
      Takahashi M, Chen-Yoshikawa TF, Menju T, Ohata K, Kondo T, Motoyama H, Hijiya K, Aoyama A, Date H.
    • Journal Title

      J Heart Lung Transplant

      Volume: 35(6) Pages: 815-22

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Vascular endothelial-cadherin expression after reperfusion correlates with lung injury in rat lung transplantation.2016

    • Author(s)
      Tanaka S, Chen-Yoshikawa TF, Miyamoto E, Takahashi M, Ohata K, Kondo T, Hijiya K, Motoyama H, Aoyama A, Date H.
    • Journal Title

      Ann Thorac Surg

      Volume: 101(6) Pages: 2161-7

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Bronchodilator inhalation during ex vivo lung perfusion improves posttransplant graft function after warm ischemia.2016

    • Author(s)
      Hijiya K, Chen-Yoshikawa TF, Kondo T, Motoyama H, Ohsumi A, Nakajima D, Sakamoto J, Ohata K, Takahashi M, Tanaka S, Miyamoto E, Aoyama A, Date H.
    • Journal Title

      Ann Thorac Surg

      Volume: -

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Protective effect of inhaled Rho-kinase inhibitor on lung ischemia-reperfusion injury.2016

    • Author(s)
      Ohata K, Chen-Yoshikawa TF, Menju T, Miyamoto E, Tanaka S, Takahashi M, Motoyama H, Hijiya K, Aoyama A, Date H.
    • Journal Title

      Ann Thorac Surg

      Volume: -

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Right-to-left inverted living-donor lobar lung transplantation combined with sparing of native upper lobe.2016

    • Author(s)
      452.Goda Y, Motoyama H, Aoyama A, Hamaji M, Hijiya K, Chen-Yoshikawa TF, Date H.
    • Journal Title

      J Heart Lung Transplant

      Volume: -

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Unilateral chronic lung allograft dysfunction is a characteristic of bilateral living-donor lobar lung transplantation.2015

    • Author(s)
      41.Miyamoto E, Chen F, Aoyama A, Sato M, Yamada T, Date H.
    • Journal Title

      Eur J Cardiothorac Surg

      Volume: 48 Pages: 463-469

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] Airway-Centered Inflammation Induced by Lipopolysaccharide Leads to BOS-Like Phenotype of CLAD in Rat Lung Transplantation2017

    • Author(s)
      Akihiro TAKAHAGI
    • Organizer
      International Society for Heart and Lung Transplantation
    • Place of Presentation
      San Diego, CA, USA
    • Year and Date
      2017-04-05
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] ラット同所性肺移植モデルにおけるRestrictive Allograft Syndrome類似肺障害:移 植肺障害多様性の検討2016

    • Author(s)
      宮本 英、佐藤 雅昭、本山 秀樹、青山 晃博、齊藤 正男、高萩 亮宏、田中 里奈、高橋 守、 大畑 恵資、土屋 恭子、近藤 健、陳 豊史、伊達 洋至
    • Organizer
      第32回日本肺および心肺移植研究会
    • Place of Presentation
      日光、栃木
    • Year and Date
      2016-01-30
    • Related Report
      2015 Research-status Report
  • [Remarks] 京都大学呼吸器外科

    • URL

      https://www.thoracic-kyoto-u.gr.jp/

    • Related Report
      2017 Annual Research Report
  • [Remarks] 京都大学呼吸器外科

    • URL

      http://www.thoracic-kyoto-u.gr.jp

    • Related Report
      2016 Research-status Report

URL: 

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

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