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Elucidation of the molecular pathogenesis of pulmonary hypertension via inflammatory cytokines

Research Project

Project/Area Number 16H05298
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Cardiovascular medicine
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

NAKAOKA YOSHIKAZU  国立研究開発法人国立循環器病研究センター, 研究所, 部長 (90393214)

Research Collaborator SHIRAI MIKIYASU  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥17,290,000 (Direct Cost: ¥13,300,000、Indirect Cost: ¥3,990,000)
Fiscal Year 2018: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥5,850,000 (Direct Cost: ¥4,500,000、Indirect Cost: ¥1,350,000)
Fiscal Year 2016: ¥6,500,000 (Direct Cost: ¥5,000,000、Indirect Cost: ¥1,500,000)
Keywords肺高血圧症 / 肺動脈性肺高血圧症(PAH) / 炎症 / 炎症性サイトカイン / インターロイキン6 / インターロイキン21 / 血管リモデリング / 肺動脈性肺高血圧症 / サイトカイン / IL-6 / IL-21 / エンドセリン受容体拮抗薬 / 血管保護 / interleukin-6 / interleukin-21 / 叢状病変
Outline of Final Research Achievements

Pulmonary arterial hypertension (PAH) is a severe disease which causes stenosis and occlusion in the pulmonary small arteries and arterioles, leading to elevation of pulmonary arterial pressure due to unknown etiology. Since PAH patients might eventually result in right heart failure and death without adequate treatment, PAH is designated as an intractable disease by MHLW.We need to develop a novel therapeutic strategy for PAH which is distinct from the anti-PAH vaso-dilating agents. We identified IL-21 as a downstream target of IL-6 responsible for promoting the pathogenesis of HPH(PNAS.112: E2677, 2015).In this study, we tried to validate the effect of either IL-6 blockade or IL-21 blockade on the pathogenesis of PAH in a more severe animal model, namely the Sugen5416(Su)/Hypoxia/Normoxia (Su/Hx) rat model. We found that both IL-6 knockout and IL-21 receptor knockout rats showed significant resistance to severe PAH compared with conrol wild-type rats.

Academic Significance and Societal Importance of the Research Achievements

これまでの遺伝子改変動物での肺高血圧症の病態研究は、低酸素誘発性肺高血圧症モデルマウスの系で遺伝子欠損マウスを用いて主に行われてきた。本研究ではCRISPR/Cas9システムを用いて、炎症性サイトカインのIL-6やIL-21受容体をノックアウトして、現在の最も重症な肺高血圧症モデルであるSugen5416/低酸素重症肺高血圧症モデルラットの系で、IL-6欠損、IL-21受容体欠損の効果を検討した。その結果、炎症性サイトカインの阻害によって肺高血圧症の重症化は顕著に抑制されて、炎症性サイトカイン阻害は新しい肺高血圧症に対する治療法の開発に繋がると期待されて、臨床的意義は大きいと考えられる。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (54 results)

All 2019 2018 2017 2016 Other

All Journal Article (25 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 9 results,  Open Access: 5 results,  Acknowledgement Compliant: 3 results) Presentation (22 results) (of which Int'l Joint Research: 6 results,  Invited: 15 results) Book (5 results) Remarks (2 results)

  • [Journal Article] Beta Cell-Derived Angiopoietin-1 Regulates Insulin Secretion and Glucose Homeostasis by Stabilizing Islet Microenvironment.2019

    • Author(s)
      1.Park HS, Kim HZ, Park JS, Lee J, Lee SP, Kim H, Ahn CW, Nakaoka Y, Koh GY, Kang S.
    • Journal Title

      Diabetes

      Volume: 68(4) Issue: 4 Pages: 774-786

    • DOI

      10.2337/db18-0864

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 高安動脈炎と巨細胞性動脈炎2019

    • Author(s)
      中岡良和
    • Journal Title

      日本臨牀

      Volume: 77(3) Pages: 522-530

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 心筋―内皮細胞間クロストークによる心臓の発生・恒常性維持の制御機構-Neuregulin-1/ErbBシグナルを中心に.2019

    • Author(s)
      中岡良和
    • Journal Title

      実験医学

      Volume: 37(5) Pages: 751-758

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Genetic determinants and an epistasis of LILRA3 and HLA-B*52 in Takayasu arteritis.2018

    • Author(s)
      Terao C, Yoshifuji H, Matsumura T, Naruse TK, Ishii T, Nakaoka Y, Kirino Y, Matsuo K, Origuchi T, Shimizu M, Maejima Y, Amiya E, Tamura N, Kawaguchi T, Takahashi M, Setoh K, Ohmura K, Watanabe R, Horita T, Atsumi T, Matsukura M, Miyata T, et al.
    • Journal Title

      Proc Natl Acad Sci U S A

      Volume: 115 Issue: 51 Pages: 13045-13050

    • DOI

      10.1073/pnas.1808850115

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Myocardial Angiopoietin-1 Controls Atrial Chamber Morphogenesis by Spatiotemporal Degradation of Cardiac Jelly2018

    • Author(s)
      Kim Kyun Hoo、Nakaoka Yoshikazu、Augustin Hellmut G.、Koh Gou Young
    • Journal Title

      Cell Reports

      Volume: 23 Issue: 8 Pages: 2455-2466

    • DOI

      10.1016/j.celrep.2018.04.080

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 高安動脈炎の治療(TAKT試験結果を含めて)2018

    • Author(s)
      中岡良和
    • Journal Title

      日本臨牀  76(Suppl 6),112-119, 2018

      Volume: 76(Suppl 6) Pages: 112-119

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 心不全の分子機序、炎症、サイトカイン.2018

    • Author(s)
      中岡良和
    • Journal Title

      日本臨牀

      Volume: 76(Suppl 9) Pages: 162-168

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Response to: 'Efficacy and safety of tocilizumab in patients with refractory Takayasu arteritis' by Lee and Song.2018

    • Author(s)
      Nakaoka Y.
    • Journal Title

      Ann Rheum Dis.

      Volume: in press Issue: 1 Pages: e10-e10

    • DOI

      10.1136/annrheumdis-2017-212871

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Efficacy and safety of tocilizumab in patients with refractory Takayasu arteritis: results from a randomised, double-blind, placebo-controlled, phase 3 trial in Japan (the TAKT study).2018

    • Author(s)
      2.Nakaoka Y, Isobe M, Takei S, Tanaka Y, Ishii T, Yokota S, Nomura A, Yoshida S, Nishimoto N.
    • Journal Title

      Ann Rheum Dis.

      Volume: 77 Issue: 3 Pages: 348-354

    • DOI

      10.1136/annrheumdis-2017-211878

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 肺高血圧症と炎症.2018

    • Author(s)
      中岡良和
    • Journal Title

      別冊BIO Clinica. 慢性炎症と疾患「心臓と血管の慢性炎症」

      Volume: 7(1) Pages: 49-53

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 大型血管炎の治療ガイドライン(高安動脈炎・巨細胞性動脈炎).2018

    • Author(s)
      中岡良和
    • Journal Title

      炎症と免疫

      Volume: 26(1) Pages: 25-32

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 高安動脈炎.2017

    • Author(s)
      中岡良和
    • Journal Title

      日本医師会雑誌. 生涯教育シリーズ(92) 脳血管障害診療のエッセンス.

      Volume: S146(1)

    • Related Report
      2017 Annual Research Report
  • [Journal Article] An EP4 Receptor Agonist Inhibits Cardiac Fibrosis Through Activation of PKA Signaling in Hypertrophied Heart2017

    • Author(s)
      Wang Q,Oka T,Yamagami K,Lee JK,Akazawa H,Naito AT,Yasui T,Ishizu T,Nakaoka Y,Sakata Y,Komuro I.
    • Journal Title

      International Heart Journal

      Volume: 58 Issue: 1 Pages: 107-114

    • DOI

      10.1536/ihj.16-200

    • NAID

      130005330538

    • ISSN
      1349-2365, 1349-3299
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Molecular Characterization of Striated Muscle-specific Gab1Isoform as aCritical Signal Transducer for Neuregulin-1/ErbB Signaling in Cardiomyocytes.2016

    • Author(s)
      Yasui T,Masaki T,Arita Y,Ishibashi T,Inagaki T,Okazawa M,Oka T,Shioyama W,Yamauchi-Takihara K,Komuro I,Sakata Y,Nakaoka Y.
    • Journal Title

      PlosOne

      Volume: 11 Issue: 11 Pages: e0166710-e0166710

    • DOI

      10.1371/journal.pone.0166710

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Amelioration of sepsis by TIE2 activation-induced vascular protection.2016

    • Author(s)
      Han S,Lee SJ,Kim KE,Lee HS,Oh N,Park I,Ko E,Oh SJ,Kim HC,Kim SKim SH,Kim C,Nakaoka Y,He Y,Augustin HG,Hu J,Song PH,Kim YI,Kim P,Kim I,Koh GY.
    • Journal Title

      Science Translation Medicine

      Volume: 8 Issue: 335 Pages: 335-355

    • DOI

      10.1126/scitranslmed.aad9260

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Gab1 adaptor protein acts as a gatekeeper to balance hepatocyte death and proliferation during acetaminophen-induced liver injury in mice.2016

    • Author(s)
      Furuta K, Yoshida Y, Ogura S, Kurahashi T, Kizu T, Maeda S, Egawa M, Chatani N, Nishida K, Nakaoka Y, Kiso S, Kamada Y, Takehara T.
    • Journal Title

      Hepatology

      Volume: 63 Issue: 4 Pages: 1340-1355

    • DOI

      10.1002/hep.28410

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 大型血管炎に対する薬物療法2016

    • Author(s)
      中岡良和
    • Journal Title

      医学のあゆみ

      Volume: 259 Pages: 1336-1342

    • Related Report
      2016 Annual Research Report
  • [Journal Article] IL-6抗体医薬による大型血管炎の治療2016

    • Author(s)
      中岡良和
    • Journal Title

      循環器内科

      Volume: 80 Pages: 296-303

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 大型血管炎に対する抗Interleukin-6受容体抗体療法2016

    • Author(s)
      中岡良和
    • Journal Title

      最新医学

      Volume: 71 Pages: 2334-2343

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 炎症性シグナルによる肺高血圧症の病態制御と治療2016

    • Author(s)
      中岡良和
    • Journal Title

      血管医学

      Volume: 17 Pages: 249-255

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 高安動脈炎・耳鼻咽喉科・頭頸部外科2016

    • Author(s)
      中岡良和
    • Journal Title

      耳鼻咽喉科処方マニュアル

      Volume: 88 Pages: 187-189

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 高安動脈炎に対するIL-6阻害療法2016

    • Author(s)
      中岡良和
    • Journal Title

      医学のあゆみ

      Volume: 257 Pages: 319-321

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Interleukin-6による肺高血圧症の病態形成機構2016

    • Author(s)
      中岡良和
    • Journal Title

      医学のあゆみ

      Volume: 257 Pages: 248-249

    • Related Report
      2016 Annual Research Report
  • [Journal Article] 冠動脈と冠静脈の形成機序の違い2016

    • Author(s)
      中岡良和,有田陽
    • Journal Title

      日本臨床

      Volume: 74 Pages: 67-73

    • Related Report
      2016 Annual Research Report
  • [Journal Article] ErbB/HERシグナルの分子標的薬による心毒性2016

    • Author(s)
      中岡良和
    • Journal Title

      CARDIAC PRACTICE

      Volume: 27 Pages: 91-98

    • Related Report
      2016 Annual Research Report
  • [Presentation] 大型血管炎(高安動脈炎・巨細胞性動脈炎)に対する生物学的製剤治療の新展開2019

    • Author(s)
      中岡良和
    • Organizer
      第49回日本心臓血管外科学会学術総会(岡山)特別企画04「大型血管炎治療の最前線」
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 炎症性サイトカインの肺高血圧症病態での役割.2019

    • Author(s)
      中岡良和
    • Organizer
      第92回日本薬理学会(大阪)シンポジウム23.
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Novel Treatment Strategy for Large Vessel Vasculitis Using Anti-Interleukin-6 Receptor Antibody.2019

    • Author(s)
      Nakaoka Y.
    • Organizer
      第83回日本循環器学会(横浜)シンポジウム3.Diagnosis and Management of Large Vessel Vasculitis
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 大型血管炎に対する生物学的製剤治療.2018

    • Author(s)
      中岡良和
    • Organizer
      第62回日本リウマチ学会総会・学術集会 特別シンポジウム4
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 肺高血圧も来す高安動脈炎Up to date.2018

    • Author(s)
      中岡良和
    • Organizer
      第3回日本肺高血圧・肺循環学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Interleukin-6 Blockade Therapy for Pulmonary Arterial Hypertension and Large Vessel Vasculitis.2018

    • Author(s)
      Nakaoka Y.
    • Organizer
      第2回日本循環器学会基礎研究フォーラム(奈良)
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Interleukin-6/Interleukin-21 Signaling Axis in the Pathogenesis of Pulmonary Arterial Hypertension.2018

    • Author(s)
      中岡良和
    • Organizer
      第22回日本心不全学会(東京)
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Novel Treatment for Large Vessel Vasculitis Targeting Inflammatory Cytokine Signaling.2018

    • Author(s)
      中岡良和
    • Organizer
      第82回日本循環器学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Update on Large Vessel Vasculitis~Pathogenesis, Diagnosis and Treatment~2017

    • Author(s)
      Yoshikazu Nakaoka
    • Organizer
      The 18th International Vasculitis and ANCA Workshop (Vasculitis 2017)
    • Place of Presentation
      東京大学伊藤国際ホール(メインホール)
    • Year and Date
      2017-03-26
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] ステロイド治療抵抗性大型血管炎の治療2017

    • Author(s)
      中岡良和
    • Organizer
      第32回日本臨床リウマチ学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 高安動脈炎と巨細胞性動脈炎の病態と治療2017

    • Author(s)
      中岡良和
    • Organizer
      第22回日本血管病理研究会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Long-Term Efficacy and Safety of Tocilizumab in Patients with Refractory Takayasu Arteritis Treated Continuously Over 52 Weeks: Results from Phase 3, Randomized, Double-Blind, Placebo-Controlled Trial and Open-Label Extension in Japan.2017

    • Author(s)
      Nakaoka Y, Isobe M, Takei S, Tanaka Y, Ishii T, Yokota S, Nishimoto N.
    • Organizer
      American College of Rheumatology 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Inflammatory Cytokines in the Pathogenesis of Pulmonary Arterial Hypertension2017

    • Author(s)
      Nakaoka Y.
    • Organizer
      The 15th Japan-Korea Joint Symposium on Vascular Biology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 炎症性シグナルによる肺高血圧症の病態形成機構2017

    • Author(s)
      中岡良和
    • Organizer
      第2回日本肺高血圧・肺循環学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 炎症性サイトカインのInterleukin-6を標的としたPAH治療の可能性2017

    • Author(s)
      中岡良和、大郷剛.
    • Organizer
      第2回日本肺高血圧・肺循環学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 大型血管炎の診療ガイドライン2017

    • Author(s)
      中岡良和
    • Organizer
      第61回日本リウマチ学会総会・学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Interleukin-6/interleukin-21-signalingaxis plays a critical role in the pathogenesis of pulmonary arterial hypertension.2016

    • Author(s)
      中岡良和
    • Organizer
      第24回日本血管生物医学会総会シンポジウム
    • Place of Presentation
      長崎ブリックホール
    • Year and Date
      2016-12-10
    • Related Report
      2016 Annual Research Report
  • [Presentation] Critical roles of interleukin-6/interleukin-21-signaling axis in the pathogenesis of pulmonary arterial hypertension.2016

    • Author(s)
      中岡良和
    • Organizer
      第39回日本分子生物学会年会シンポジウム
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2016-11-30
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 2016 Oral presentation;Efficacy and Safety of Tocilizumab in patients with refractory Takayasu Arteritis:Results from randomized double-blind placebo-controlled trial in Japan.2016

    • Author(s)
      Nakaoka Y.
    • Organizer
      American College of Rheumatology (ACR)
    • Place of Presentation
      ワシントンDC (米国)
    • Year and Date
      2016-11-13
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 炎症性シグナルに焦点を当てた肺高血圧の病態形成機構2016

    • Author(s)
      中岡良和
    • Organizer
      第1回日本肺高血圧・肺循環器学会総会・学術集会シンポジウム
    • Place of Presentation
      京王プラザホテル
    • Year and Date
      2016-10-02
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 炎症性サイトカインによる肺高血圧症の病態形成機構2016

    • Author(s)
      中岡良和
    • Organizer
      第2回J-ISP(日本薬物療法学会)学術集会
    • Place of Presentation
      阿波観光ホテル
    • Year and Date
      2016-06-26
    • Related Report
      2016 Annual Research Report
  • [Presentation] 大型血管炎の診療ガイドライン2016

    • Author(s)
      中岡良和
    • Organizer
      第60回リウマチ学会総会・学術集会シンポジyム
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2016-04-21
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Book] 免疫・炎症病態×治療研究Update  Physician Scientistが拓く世界2019

    • Author(s)
      中岡良和(熊ノ郷淳編集)
    • Total Pages
      8
    • Publisher
      南山堂
    • ISBN
      9784525167813
    • Related Report
      2018 Annual Research Report
  • [Book] Cutting Edge of Molecular Cardiology 新しい臨床を開拓するための分子循環器病学2019

    • Author(s)
      中岡良和(小室一成編集)
    • Total Pages
      7
    • Publisher
      南山堂
    • ISBN
      9784525249410
    • Related Report
      2018 Annual Research Report
  • [Book] 臨床脈管学(日本脈管学会編集)2017

    • Author(s)
      中岡良和
    • Total Pages
      5
    • Publisher
      日本医学出版
    • Related Report
      2017 Annual Research Report
  • [Book] Annual Review 2016 循環器2016

    • Author(s)
      中岡良和
    • Total Pages
      8
    • Publisher
      中外医学社
    • Related Report
      2016 Annual Research Report
  • [Book] 循環器病研究の進歩 2016年第37巻第1号2016

    • Author(s)
      中岡良和
    • Total Pages
      7
    • Publisher
      協和企画
    • Related Report
      2016 Annual Research Report
  • [Remarks] 国立循環器病研究センター研究所血管生理学部

    • URL

      http://www.ncvc.go.jp/res/divisions/vascular_physiology/

    • Related Report
      2018 Annual Research Report 2017 Annual Research Report
  • [Remarks] 国立循環器病研究センター研究所血管生理学部

    • URL

      http://www.ncvc.go.jp/res/divisions/vascular_physiology/index.html

    • Related Report
      2016 Annual Research Report

URL: 

Published: 2016-04-21   Modified: 2020-03-30  

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