Investigation of molecular mechanism and therapeutic target of Chronic Mucocutaneous Candidiasis
Project/Area Number |
16H05355
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Research Category |
Grant-in-Aid for Scientific Research (B)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Pediatrics
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Research Institution | Hiroshima University |
Principal Investigator |
OKADA SATOSHI 広島大学, 医系科学研究科(医), 講師 (80457241)
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Co-Investigator(Kenkyū-buntansha) |
津村 弥来 広島大学, 医歯薬保健学研究科(医), 研究員 (80646274)
山本 卓 広島大学, 理学研究科, 教授 (90244102)
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Research Collaborator |
OHARA osamu
ASANO takaki
NISHIMURA shiho
SAITO satoshi
SAKATA sonoko
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Project Period (FY) |
2016-04-01 – 2019-03-31
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Project Status |
Completed (Fiscal Year 2018)
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Budget Amount *help |
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2018: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2017: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2016: ¥6,500,000 (Direct Cost: ¥5,000,000、Indirect Cost: ¥1,500,000)
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Keywords | 慢性皮膚粘膜カンジダ症 / STAT1機能獲得型変異 / IL17RA / 造血細胞移植 / 疾患モデルマウス / STAT1 / 機能獲得型変異 / 原発性免疫不全症 / IL-17 / RORC / CMC / カンジダ / 全エクソーム解析 |
Outline of Final Research Achievements |
We systematically investigated patients with gain-of-function (GOF) mutation in STAT1 that explain more than half of the patients with chronic mucocutaneous candidiasis (CMCD). We conducted questionnaire based international survey of patients with STAT1-GOF mutations and revealed that the patients show broad infectious and non-infectious manifestations. We next investigated patients with severe clinical manifestation who were treated with haematopoietic stem cell transplantation (HSCT). This study revealed that HSCT can be a curable treatment, but it has a significant risk of death. We also established reference database which can predict functional significance of uncharacterized amino acid substitution in STAT1. Simultaneously, we generated disease model mouse by generating R274Q STAT1-GOF mutation knock in mouse. As for the CMCD patients without STAT1 mutation, we identified patients with IL17RA deficiency and characterized clinical manifestation of this disorder.
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Academic Significance and Societal Importance of the Research Achievements |
研究成果のうち学術的に意義深い点は以下の3点と考えられる。本研究により、1) STAT1遺伝子に認めたアミノ酸置換の病的意義が容易となった点、2) 本症の病態解明・治療法の開発に役立つ疾患モデルマウスを確立できた点、3) IL17RA異常症という疾患概念を確立できた点。 また本研究で、STAT1-GOF変異を持つ患者の臨床症状を明らかとするとともに、本症患者に対する造血幹細胞移植の有用性・問題点を解明することができた。この2点は、STAT1-GOF変異を持つ患者の診療に直結する成果であり、非常に大きな社会的意義を持つと考えらえる。
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Report
(4 results)
Research Products
(66 results)
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[Journal Article] Gain-of-function IKBKB mutation causes human combined immune deficiency2018
Author(s)
Cardinez C, Miraghazadeh B, Tanita K, da Silva E, Hoshino A, Okada S, Chand R, Asano T, Tsumura M, Yoshida K, Ohnishi H, Kato Z, Yamazaki M, Okuno Y, Miyano S, Kojima S, Ogawa S, Andrews TD, Field MA, Burgio G,et al.
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Journal Title
J Exp Med
Volume: 215
Issue: 11
Pages: 2715-2724
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Phenotype, penetrance, and treatment of 133 cytotoxic T-lymphocyte antigen 4-insufficient subjects2018
Author(s)
Schwab C, Gabrysch A, Olbrich P, Patiño V, Warnatz K, Wolff D, Hoshino A, Kobayashi M, Imai K, Takagi M, Dybedal I, Haddock JA, Sansom DM, Lucena JM, Seidl M, Schmitt-Graeff A, Reiser V, Emmerich F, Frede N, Bulashevska A, et al.
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Journal Title
J Allergy Clin Immunol
Volume: 142
Issue: 6
Pages: 1932-1946
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Hematopoietic stem cell transplantation in patients with gain-of-function signal transducer and activator of transcription 1 mutations2018
Author(s)
Leiding JW, Okada S, Hagin D, Abinun M, Shcherbina A, Balashov DN, Kim VHD, Ovadia A, Guthery SL, Pulsipher M, Lilic D, Devlin LA, Christie S, Depner M, Fuchs S, van Royen-Kerkhof A, et al.
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Journal Title
J Allergy Clin Immunol.
Volume: 141
Issue: 2
Pages: 704-717
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Inborn Errors of RNA Lariat Metabolism in Humans with Brainstem Viral Infection2018
Author(s)
Zhang SY, Clark NE, Freije CA, Pauwels E, Taggart AJ, Okada S, Mandel H, Garcia P, Ciancanelli MJ, Biran A, Lafaille FG, Tsumura M, et al.
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Journal Title
Cell
Volume: 172
Issue: 5
Pages: 952-965.e18
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Flow cytometry-based diagnosis of primary immunodeficiency diseases2018
Author(s)
Kanegane H, Hoshino A, Okano T, Yasumi T, Wada T, Takada H, Okada S, Yamashita M, Yeh TW, Nishikomori R, Takagi M, Imai K, Ochs HD, Morio T.
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Journal Title
Allergology International
Volume: 67
Issue: 1
Pages: 43-54
DOI
NAID
ISSN
1323-8930, 1440-1592
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Abnormal hematopoiesis and autoimmunity in human subjects with germline IKZF1 mutations.2017
Author(s)
Hoshino A, Okada S, Yoshida K, Nishida N, Okuno Y, Ueno H, Yamashita M, Okano T, Tsumura M, Nishimura S, Sakata S, Kobayashi M, Nakamura H, Kamizono J, Mitsui-Sekinaka K, Ichimura T, Ohga S, Nakazawa Y, Takagi M, Imai K, Shiraishi Y, Chiba K, Tanaka H, Miyano S, Ogawa S, Kojima S, Nonoyama S, Morio T, Kanegane H.
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Journal Title
J Allergy Clin Immunol.
Volume: -
Issue: 1
Pages: 390-400
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Newborn screening for carnitine palmitoyltransferase II deficiency using (C16 + C18:1)/C2: Evaluation of additional indices for adequate sensitivity and lower false-positivity2017
Author(s)
Tajima G, Hara K, Tsumura M, Kagawa R, Okada S, Sakura N, Maruyama S, Noguchi A, Awaya T, Ishige N, Musha I, Ajihara S, Ohtake A, Naito E, Hamada Y, Kono T, Asada T, Sasaio H, Fukaoo T, Fujikip R, Ohara O, Bo R, Yamada K, Kobayashi H, Hasegawa Y, Yamaguchi S, Takayanagis M, Hata I, Shigematsu Y, Kobayashi M
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Journal Title
Molecular Genetics and Metabolism
Volume: 122
Issue: 3
Pages: 67-75
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Alanine-scanning mutagenesis of human signal transducer and activator of transcription 1 to estimate loss- or gain-of-function variants2016
Author(s)
Kagawa R, Fujiki R, Tsumura M, Sakata S, Nishimura S,Itan Y, Kong XF, Kato Z, Ohnishi H, Hirata O, Saito S, Ikeda M,Baghdadi JE, Bousfiha A, Fujiwara K, Oleastro M, Yancoski J,Perez L, Danielian S, Ailal F, Takada H, Hara T, Anne Puel A, Boisson-Dupuis S, Bustamante J, Casanova JL, Ohara O, Okada S, Masao Kobayashi M.
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Journal Title
J Allergy Clin Immunol.
Volume: -
Issue: 1
Pages: 232-241
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Genetic, immunological, and clinical features of patients with bacterial and fungal infections due to inherited IL-17RA deficiency.2016
Author(s)
Levy R, Okada S, Beziat V, Moriya K, Liu C, Chai LY, Migaud M, Hauck F, Al Ali A, Cyrus C, Vatte C, Patiroglu T, Unal E, Ferneiny M, Hyakuna N, Nepesov S, Oleastro M, Ikinciogullari A, Dogu F, Asano T, et al.
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Journal Title
Proc Natl Acad Sci USA
Volume: 113
Issue: 51
DOI
Related Report
Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] Unique and shared signaling pathways cooperate to regulate the differentiation of human CD4+ T cells into distinct effector subsets2016
Author(s)
Ma CS, Wong N, Rao G, Nguyen A, Avery DT, Payne K, Torpy J, O'Young P, Deenick E, Bustamante J, Puel A, Okada S, Kobayashi M, Martinez-Barricarte R, Elliott M, Sebnem Kilic S, El Baghdadi J, Minegishi Y, Bousfiha A, Robertson N, et al.
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Journal Title
J Exp Med.
Volume: 213
Issue: 8
Pages: 1589-608
DOI
NAID
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Heterozygous STAT1 gain-of-function mutations underlie an unexpectedly broad clinical phenotype: an international survey of 276 patients from 169 kindreds2016
Author(s)
Toubiana J, Okada S, Hiller J, Oleastro M, Lagos Gomez M, Aldave Becerra JC, Ouachee-Chardin M, Fouyssac F, Girisha KM, Etzioni A, Van Montfrans J, Camcioglu Y, Kerns LA, Belohradsky B, Blanche S, Bousfiha A, Rodriguez-Gallego C, Meyts I, Kisand K, Reichenbach J, et al.
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Journal Title
Blood
Volume: 127
Issue: 25
Pages: 3154-64
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Presentation] Alanine-scanning mutagenesis of human STAT1 to estimate the loss- or gain-of-function nature of variants2016
Author(s)
Satoshi Okada, Ryoji Fujiki, Reiko Kagawa, Miyuki Tsumura, Xiaofei Kong, Sonoko Sakata, Shiho Nishimura, Zenichiro Kato, Hidenori Ohnishi, Yuval Itan, Stephanie Boisson-Dupuis, Jacinta Bustamante, Jean-Laurent Casanova, Osamu Ohara, and Masao Kobayashi
Organizer
17th Biennial Meeting of the European Society for immunodeficiencies
Place of Presentation
Barcelona (Spain)
Year and Date
2016-09-21
Related Report
Int'l Joint Research
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