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Analysis of the mechanisms underlying clonal hematopoiesis in patients with acquired aplastic anemia

Research Project

Project/Area Number 16H05335
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Hematology
Research InstitutionKanazawa University

Principal Investigator

Nakao Shinji  金沢大学, 医学系, 教授 (70217660)

Co-Investigator(Renkei-kenkyūsha) Yoshida Yoshinori  京都大学, iPS細胞研究所, 准教授 (20447965)
Kishi Hiroyuki  富山大学, 大学院医学薬学研究部, 教授 (60186210)
Hosomichi Kazuyoshi  金沢大学, 医学系, 准教授 (50420948)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2018: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥8,320,000 (Direct Cost: ¥6,400,000、Indirect Cost: ¥1,920,000)
Keywords再生不良性貧血 / クローン性造血 / HLA / 細胞傷害性T細胞 / 自己抗原 / HLAクラスIアレル欠失 / HLAクラスIアレル欠失血球 / CD109 / HLAクラスI欠失 / 6pLOH / ゲノム変異 / iPS細胞 / T細胞レセプター / 体細胞変異 / HLA欠失
Outline of Final Research Achievements

Acquired aplastic anemia (AA) is a kind of autoimmune disease that is induced by the cytotoxic T lymphocyte attack against hematopoietic stem progenitor cells (HSPCs) although its exact pathogenesis remains unclear. In some patients with AA, a limited number of HSPCs clonally proliferate and support hematopoiesis without showing a tendency toward the development of hematologic malignancies. We investigated the mechanisms underlying such clonal hematopoiesis in AA patients, and found that abnormal leukocytes that lack HLA class I alleles due to loss-of-function mutations in limited HLA class I genes such as B*40:02、A*02:06 and B*54:01 are often detectable. Of particular interest, 33% of the patients shared a common nonsense mutation across different HLA alleles, that also causes the loss of corresponding HLA alleles and is therefore thought to serves as a reliable marker of immune pathophysiology of AA.

Academic Significance and Societal Importance of the Research Achievements

再不貧では、第6染色体短腕のloss of heterozygosity (6pLOH)によってHLAクラスIアレルを欠失した白血球が検出されることが我々の研究によって分かっていたが、欠失するハプロタイプ中のどのHLAが自己抗原を提示しているかは不明であった。本研究により、再不貧はHLA-B*40:02、B*54:01などの限られたHLAアレルが造血幹細胞抗原をTリンパ球に提示することによって起こる自己免疫疾患であることが明らかになった。これらの特定のアレルを持つ例のTリンパ球を調べれば、自己抗原が明らかになる可能性が高い。また、HLAの共通変異の検出は免疫病態の証明に非常に有用である。

Report

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

    (11 results)

All 2019 2018 2017 2016

All Journal Article (7 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 7 results,  Open Access: 6 results,  Acknowledgement Compliant: 1 results) Presentation (4 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Escape hematopoiesis by HLA-B5401-lacking hematopoietic stem progenitor cells in men with acquired aplastic anemia.2019

    • Author(s)
      Mahmoud I. Elbadry、Mizumaki Hiroki、Hosokawa Kohei、J. Luis Espinoza、Nakagawa Noriharu、Chonabayashi Kazuhisa、Yoshida Yoshinori、Katagiri Takamasa、Hosomichi Kazuyoshi、Zaimoku Yoshitaka、Imi Tatsuya、Mai Anh Thi Nguyen、Fujii Youichi、Tajima Atsushi、Ogawa Seishi、Takenaka Katsuto、Akashi Koichi、Nakao Shinji
    • Journal Title

      Haematologica

      Volume: 印刷中 Issue: 10 Pages: 210856-210856

    • DOI

      10.3324/haematol.2018.210856

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Hematopoiesis by iPSC-derived hematopoietic stem cells of aplastic anemia that escape cytotoxic T-cell attack2018

    • Author(s)
      Espinoza J. Luis、Elbadry Mahmoud I.、Chonabayashi Kazuhisa、Yoshida Yoshinori、Katagiri Takamasa、Harada Kenichi、Nakagawa Noriharu、Zaimoku Yoshitaka、Imi Tatsuya、Hassanein Hassan A.、Khalifa A. Noreldin Amal、Takenaka Katsuto、Akashi Koichi、Hamana Hiroshi、Kishi Hiroyuki、Akatsuka Yoshiki、Nakao Shinji
    • Journal Title

      Blood Adv

      Volume: 2 Issue: 4 Pages: 390-400

    • DOI

      10.1182/bloodadvances.2017013342

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Immune-Mediated Hematopoietic Failure after Allogeneic Hematopoietic Stem Cell Transplantation: A Common Cause of Late Graft Failure in Patients with Complete Donor Chimerism2018

    • Author(s)
      Maruyama Kana、Aotsuka Nobuyuki、Kumano Yoshihisa、Sato Naoko、Kawashima Naomi、Onda Yoshiyuki、Maruyama Hiroyuki、Katagiri Takamasa、Zaimoku Yoshitaka、Nakagawa Noriharu、Hosomichi Kazuyoshi、Ogawa Seishi、Nakao Shinji
    • Journal Title

      Biol Blood Marrow Transplant

      Volume: 24 Issue: 1 Pages: 43-49

    • DOI

      10.1016/j.bbmt.2017.08.018

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Sustained clonal hematopoiesis by HLA-lacking hematopoietic stem cells without driver mutations in aplastic anemia.2018

    • Author(s)
      Imi T, Katagiri T, Hosomichi K, Zaimoku Y, Nguyen VH, Nakagawa N, Tajima A, Yoshizato T, Ogawa S, Nakao S
    • Journal Title

      Blood Adv

      Volume: in press

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Induced pluripotent stem cell technology: A window for studying the pathogenesis of acquired aplastic anemia and possible applications.2017

    • Author(s)
      Elbadry MI, Espinoza JL, Nakao S
    • Journal Title

      Exp Hematol

      Volume: 49 Pages: 9-18

    • DOI

      10.1016/j.exphem.2016.12.011

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Identification of an HLA class I allele closely involved in the auto-antigen presentation in acquired aplastic anemia2017

    • Author(s)
      Zaimoku Y, Takamatsu H, Hosomichi K, Ozawa T, Nakagawa N, Imi T, Maruyama H, Katagiri T, Kishi H, Tajima A, Muraguchi A, Kashiwase K, Nakao S
    • Journal Title

      Blood

      Volume: 印刷中 Issue: 21 Pages: 2908-2916

    • DOI

      10.1182/blood-2016-11-752378

    • Related Report
      2017 Annual Research Report 2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Are mild/moderate acquired idiopathic aplastic anaemia and low-risk myelodysplastic syndrome one or two diseases or both and how should it/they be treated?2016

    • Author(s)
      Nakao S, Gale RP.
    • Journal Title

      Leukemia

      Volume: 30 Issue: 11 Pages: 2127-2130

    • DOI

      10.1038/leu.2016.206

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Loss-of-Function Mutations in HLA-Class I Alleles in Acquire Aplastic Anemia: Evidence for the Involvement of Limited Class I Alleles in the Auto-Antigen Presentation of Aplastic Anemia2018

    • Author(s)
      Mizumaki H, Hosomich K, Tanabe M, Yoroidaka T, Imi T, Zaimoku Y, Hosokawa K, Katagiri T, Takamatsu H, Ozawa T, Azuma F, Kishi H, Tajima A, Nakao S
    • Organizer
      The 60st American Society of Hematology Annual Meeting and Exposition
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The Depletion of TGF-β Co-Receptor CD109 Induces Erythroid Differentiation of TF-1 Cells: A Model of Preferential Commitment of /Piga/-Mutated Hematopoietic Stem Cells in Immune-Mediated Bone Marrow Failure2018

    • Author(s)
      Tanabe M, Nakagawa N, Hosokawa K, Espinoza L, Maruyama K, Katagiri T, Yamazaki H, Nakao S
    • Organizer
      The 60st American Society of Hematology Annual Meeting and Exposition
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Identification of T Cell Receptors Specific to Antigens Presented By HLA-B5401 onIPS Cell-Derived Hematopoietic Stem Cells in a Patient with Acquired Aplastic Anemia Carrying B5401-Lacking Leukocytes2017

    • Author(s)
      Noriharu Nakagawa, Mahmoud I Elbadry, Yoshiki Akatsuka, Hiroshi Hamana, Kiyomi Shitaoka, Yoshinori Yoshida, Kazuhisa Chonabayashi, Tatsuya Imi, Yoshitaka Zaimoku, Katsuto Takenaka, Hiroshi Fujiwara, Hiroyuki Kishi, Shinji Nakao
    • Organizer
      59th American Society of Hematology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] PNH-phenotype cells and HLA class I allele-lacking leukocytes shared by family members who developed acquire aplastic anemia: Studies on six pairs of patients in different families2017

    • Author(s)
      Hiroki Mizumaki, Hirohito Yamazaki, Takeshi Yoroidaka, Tatsuya Imi, Kohei Hosokawa, Shinji Nakao
    • Organizer
      59th American Society of Hematology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research

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

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