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Can anti-HLA antibody in sera of kidney transplant recipients be avoided by immunosuppressant control ?

Research Project

Project/Area Number 15K18915
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical pharmacy
Research InstitutionAkita University

Principal Investigator

Fujiyama Nobuhiro  秋田大学, 医学部, 助教 (90603275)

Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2016: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords腎移植 / 移植免疫 / ドナー特異的抗HLA抗体 / 免疫抑制剤 / 薬物治療モニタリング / 個別化医療 / 治療薬物モニタリング / 抗HLA抗体
Outline of Final Research Achievements

One of the major factors for the graft loss is antibody-mediated rejection caused by the production of donor-specific HLA antibody (DSA). In this study, we evaluated the influence of DSA in graft survival and the relation of clinical variants including immunosuppressant levels to the prediction of DSA production in post-renal transplantation. As a result, DSA production was observed in 15 patients including 7 preformed DSA, 6 de novo DSA and 1 both preformed+de novo DSA out of 180 patients. It was exhibited that all DSA are poor prognostic factors, and De novo DSA production was more likely to observed in patients who experienced the low serum Tac level (cut-off value: 3.2 ng/mL), and in patients who ceased MMF medication within one-year post-transplantation.

Report

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

    (17 results)

All 2017 2016 2015 Other

All Int'l Joint Research (1 results) Journal Article (1 results) Presentation (15 results) (of which Int'l Joint Research: 2 results)

  • [Int'l Joint Research] シンガポール国立大学(シンガポール)

    • Related Report
      2016 Annual Research Report
  • [Journal Article] HLAの読み方2015

    • Author(s)
      藤山信弘
    • Journal Title

      臨床泌尿器科

      Volume: 69 Pages: 1083-1092

    • Related Report
      2015 Research-status Report
  • [Presentation] 胎児及び授乳中新生児へのタクロリムス移行性2017

    • Author(s)
      藤山信弘、大西亨美、赤嶺由美子、新岡丈典、三浦昌朋、佐藤 朗、寺田幸弘、安達裕行、高橋 勉、齋藤 満、奥山 慎、佐藤 滋
    • Organizer
      第50回日本臨床腎移植学会
    • Place of Presentation
      神戸
    • Year and Date
      2017-02-15
    • Related Report
      2016 Annual Research Report
  • [Presentation] 腎移植後ドナー特異的抗HLA抗体産生に与える免疫抑制剤の影響2016

    • Author(s)
      藤山信弘、奥山 慎、齊藤 満、井上高光、沼倉一幸、山本竜平、新岡丈典、三浦昌朋、羽渕友則、佐藤 滋
    • Organizer
      第10回日本腎臓病薬物療法学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2016-11-19
    • Related Report
      2016 Annual Research Report
  • [Presentation] HLAアリルタイピングによる腎移植後BKウイルス腎症発症リスクの検討2016

    • Author(s)
      藤山信弘、齋藤 満、井上高光、沼倉一幸、山本竜平、奥山 慎、楠木靖史、小島裕人、田中秀則、佐治博夫、羽渕友則、佐藤 滋
    • Organizer
      第25回日本組織適合性学会大会
    • Place of Presentation
      札幌
    • Year and Date
      2016-10-22
    • Related Report
      2016 Annual Research Report
  • [Presentation] 進行性腎癌患者の遺伝子多型とアキシチニブ血中濃度および有害事象との関連解析2016

    • Author(s)
      五十嵐龍馬、井上高光、土谷順彦、藤山信弘、本間直子、成田伸太郎、齋藤 満、鶴田 大、 前野 淳、沼倉一幸、佐藤 滋、三浦昌朋、羽渕友則
    • Organizer
      第54回日本癌治療学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2016-10-20
    • Related Report
      2016 Annual Research Report
  • [Presentation] 秋田大学における免疫学的リスク別減感作療法2016

    • Author(s)
      藤山信弘、三浦アヤ子、水戸部陽子、奥山 慎、佐藤 滋、齋藤 満、山本竜平、沼倉一幸、 井上高光、羽渕友則、佐藤 滋
    • Organizer
      第19回東北移植研究会
    • Place of Presentation
      仙台
    • Year and Date
      2016-10-15
    • Related Report
      2016 Annual Research Report
  • [Presentation] 腎移植予後に与えるKIRリガンドミスマッチの影響2016

    • Author(s)
      藤山信弘、齋藤 満、井上高光、山本竜平、沼倉一幸、奥山 慎、楠木靖史、小島裕人、田中秀則、佐治博夫、羽渕友則、佐藤 滋
    • Organizer
      第52回日本移植学会総会
    • Place of Presentation
      東京
    • Year and Date
      2016-09-29
    • Related Report
      2016 Annual Research Report
  • [Presentation] 秋田大学における免疫学的リスク別プトロコルについて2016

    • Author(s)
      藤山信弘、三浦アヤ子、水戸部陽子、奥山 慎、佐藤 滋、齋藤 満、山本竜平、沼倉一幸、 井上高光、羽渕友則、佐藤 滋
    • Organizer
      第8回北東北腎移植勉強会
    • Place of Presentation
      盛岡
    • Year and Date
      2016-09-03
    • Related Report
      2016 Annual Research Report
  • [Presentation] Anti-HLA antibody productions at one-year after kidney transplantation and its influence2016

    • Author(s)
      Nobuhiro Fujiyama, Shin Okuyama, Mitsuru Saito, Takamitsu Inoue, Ryuhei Yamamoto, Yasushi Kusunoki, Hiroto Kojima, Hidenori Tanaka, Hiroo Saji, Tomonori Habuchi, Shigeru Sato
    • Organizer
      The Transplantation Science Symposium Asian Regional Meeting2016
    • Place of Presentation
      東京
    • Year and Date
      2016-04-08
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Anti-HLA antibody productions at one year after kidney transplantation and its influence2016

    • Author(s)
      Nobuhiro Fujiyama, Shin Okuyama, Mitsuru Saito, Takamitsu Inoue, Ryuhei Yamamoto, Yasushi Kusunoki, Hiroto Kojima, Hidenori Tanaka, Hiroo Saji, Tomonori Habuchi, Shigeru Sato
    • Organizer
      Transplantation Science Symposium Asian Regional Meeting 2016
    • Place of Presentation
      Tokyo
    • Year and Date
      2016-04-08
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 腎移植後1年の抗HLA抗体産生状況と移植腎予後への影響2016

    • Author(s)
      藤山信弘、奥山 慎、齊藤 満、井上高光、山本竜平、楠木靖史、小島裕人、田中秀則、佐治博夫、羽渕友則、佐藤 滋
    • Organizer
      第49回日本臨床腎移植学会
    • Place of Presentation
      姫路
    • Year and Date
      2016-03-23
    • Related Report
      2015 Research-status Report
  • [Presentation] 腎移植後1年の抗HLA抗体発現に対するタクロリムス血中濃度の影響2015

    • Author(s)
      藤山信弘,奥山 慎,齊藤 満,井上高光,加賀谷英彰,新岡丈典,三浦昌朋,羽渕友則,佐藤 滋
    • Organizer
      第25回医療薬学会年会
    • Place of Presentation
      横浜
    • Year and Date
      2015-11-21
    • Related Report
      2015 Research-status Report
  • [Presentation] 秋田県内腎臓内科医を対象としたCKD患者家族の病状理解度に関する調査2015

    • Author(s)
      藤山信弘、奥山慎、小松田敦、佐藤滋
    • Organizer
      第9回日本腎臓病薬物療法学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2015-10-23
    • Related Report
      2015 Research-status Report
  • [Presentation] あきたCKDシール事業に向けた秋田県薬剤師会の取り組み2015

    • Author(s)
      高橋寛、齋藤伸、八代佳子、後藤敏晴、斉藤拓哉、寺山雅子、藤山信弘
    • Organizer
      第9回日本腎臓病薬物療法学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      2015-10-23
    • Related Report
      2015 Research-status Report
  • [Presentation] 腎移植後1年のDSA発現とタクロリムス血中濃度2015

    • Author(s)
      藤山信弘,奥山 慎,齊藤 満,井上高光,新岡丈典,三浦昌朋,羽渕友則,佐藤 滋
    • Organizer
      第51回日本移植学会
    • Place of Presentation
      熊本
    • Year and Date
      2015-10-01
    • Related Report
      2015 Research-status Report
  • [Presentation] 腎移植後1年のDSA発現が与えるグラフト生着への影響とそのリスク因子の検討2015

    • Author(s)
      藤山信弘,奥山 慎,齊藤 満,井上高光,新岡丈典,三浦昌朋,羽渕友則,佐藤 滋
    • Organizer
      第24回日本組織適合性学会本会
    • Place of Presentation
      水戸
    • Year and Date
      2015-09-10
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2018-03-22  

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