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The mechanism of Inner ear dysfunction in ANCA-associated vasculitis

Research Project

Project/Area Number 15K10759
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionJichi Medical University

Principal Investigator

YOSHIDA Naohiro  自治医科大学, 医学部, 教授 (90291260)

Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
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: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords中耳炎 / 抗好中球細胞質抗体 / ANCA関連血管炎 / 難治性中耳炎 / MPO-ANCA / 感音難聴
Outline of Final Research Achievements

ANCA(Antineutrophil cytoplasmic antibody) associated vasculitis is defined as a minor arterial vasculitis caused by the ANCA. Most of the intractable otitis media had not been explained by the known etiology may be this ANCA associated vasculits(OMAAV). This research, aimed to clarify the mechanism of inner ear damage of OMAAV by using the model mice. Propylthiouracil (PTU)is an antithyroid drug for the treatment of hyperthyroidism, and about 30% of the patients received PTU produce MPO positive ANCA associated vasculitis(AAV). The histological findings of MPO-ANCA positive AAV model mice induced by PTU did not show the remarkable vasculitis in the inner ear.

Academic Significance and Societal Importance of the Research Achievements

ANCA関連血管炎性中耳炎の聴力障害には、蝸牛神経、血管条、中耳の血管炎に伴う血流障害、肉芽増生、炎症が原因となっていると考えられる。作成を試みたANCA関連血管炎モデルマウスでは形態学、生化学的には、内耳に有意な変化は見られなかった。一方で多くのバイオマーカ-の発現が観察された。マウスの種類によりANCA発現の変化もあること、ANCA関連血管炎が全身疾患でありながら症状の好発する部位、臓器に差があること、なかでも耳症状が初発しやすいことから、外耳、中耳および蝸牛神経周囲血管における血管炎、好中球細胞外トラップ(NETs)の発現のさらなる検討が必要である。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (14 results)

All 2019 2018 2017 2016 2015

All Journal Article (8 results) (of which Peer Reviewed: 4 results,  Open Access: 2 results) Presentation (5 results) (of which Int'l Joint Research: 4 results,  Invited: 2 results) Book (1 results)

  • [Journal Article] 小型血管炎-ANCA関連血管炎性中耳炎-治療2018

    • Author(s)
      吉田尚弘
    • Journal Title

      日本臨床

      Volume: 1146 Pages: 308-312

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Proposal of a Treatment Strategy for Eosinophilic Otitis Media Based on Middle Ear Condition2018

    • Author(s)
      Esu Y, Iino Y , Masuda M, Kanazawa H, Yoshida N
    • Journal Title

      Otology & Neurotology

      Volume: 39 Issue: 8 Pages: 671-678

    • DOI

      10.1097/mao.0000000000001912

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 好酸球性中耳炎と好酸球性多発血管炎性肉芽腫(EGPA)2017

    • Author(s)
      吉田 尚弘
    • Journal Title

      アレルギーの臨床

      Volume: 37 Pages: 42-45

    • Related Report
      2017 Research-status Report
  • [Journal Article] Clinical Characteristics of Chronic Perforated Otitis Media in Different Age Groups.2017

    • Author(s)
      Hasegawa M, Shinnabe A, Kanazawa H, Iino Y, Yoshida N.
    • Journal Title

      J Int Adv Otol.

      Volume: 13(2) Pages: 176-180

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical features and treatment outcomes of otitis media with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (OMAAV): A retrospective analysis of 235 patients from a nationwide survey in Japan.2017

    • Author(s)
      Harabuchi Y*, Kishibe K*, Tateyama K*, Morita Y*, Yoshida N*, Kunimoto Y5, Matsui T, Sakaguchi H, Okada M, Watanabe T, Inagaki A, Kobayashi S, Iino Y, Murakami S, Takahashi H, Tono T
    • Journal Title

      Modern Rheumatology

      Volume: 27 Pages: 87-94

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 難治性中耳炎2017

    • Author(s)
      吉田尚弘
    • Journal Title

      ENTONI

      Volume: 205 Pages: 12-18

    • Related Report
      2016 Research-status Report
  • [Journal Article] ANCA関連血管炎性中耳炎診断基準2015とその解説2016

    • Author(s)
      吉田尚弘 原渕保明 岸部幹 立山香織 森田由香 坂口博史 長谷川賢作 國本泰臣 松井隆道 岡田昌浩 渡邊毅 稲垣彰 村上信五 高橋晴雄 東野哲也 小林茂人 飯野ゆき子
    • Journal Title

      日本耳科学会誌

      Volume: 26 Pages: 37-39

    • Related Report
      2015 Research-status Report
  • [Journal Article] New Insights into Eosinophilic Otitis Media2015

    • Author(s)
      Kanazawa H, Yoshida N, Iino Y
    • Journal Title

      Curr Allergy Asthma Rep

      Volume: 15 Issue: 12 Pages: 76-80

    • DOI

      10.1007/s11882-015-0577-2

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] The onset and treatment of otitis meia associated with eosinophilic granulomatous polyangiitis(EGPA)2019

    • Author(s)
      Yoshida N, Iino Y,Hasegawa M
    • Organizer
      19th International Vasculitis and ANCA Workshop
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] EGPAの臨床像と取り扱い2018

    • Author(s)
      吉田尚弘
    • Organizer
      第57回日本鼻科学会総会・学術講演会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Audiological Findings and Outcome after Immunosupperessive Therapy in Otitis Media with ANCA-associated Vasculitis(OMAAV)2017

    • Author(s)
      Yoshida N, Kishibe K, Morita Y, Tateyama K, Iino Y, Harabuchi Y
    • Organizer
      International Vasculitis and ANCA Workshop
    • Place of Presentation
      東京
    • Year and Date
      2017-03-25
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Otitis media with ANCA associated vasculitis2015

    • Author(s)
      Naorhiro Yoshida
    • Organizer
      30th Politzer Society Meeting
    • Place of Presentation
      Niigata, JPN
    • Year and Date
      2015-06-30
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Otitis media with ANCA associated vasculitis:Audiological findings and outcome2015

    • Author(s)
      Naohiro Yoshida
    • Organizer
      18th International symposium on recent advances in otitis media
    • Place of Presentation
      National Harbor,USA
    • Year and Date
      2015-06-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Book] わかりやすいANCA関連血管炎性中耳炎(OMAAV)-早期診断と治療-2018

    • Author(s)
      吉田尚弘
    • Publisher
      全日本病院出版会
    • Related Report
      2018 Annual Research Report

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Published: 2015-04-16   Modified: 2020-03-30  

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