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The study for etiology of lymphangiomatosis

Research Project

Project/Area Number 16K10023
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionGifu University

Principal Investigator

Michio Ozeki  岐阜大学, 医学部附属病院, 講師 (60444303)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords血管腫 / リンパ管腫 / リンパ管疾患 / 小児科 / 血管 / リンパ管 / リンパ管新生 / リンパ管腫症 / 新規治療薬 / 臨床
Outline of Final Research Achievements

Lymphatic anomalies (LAs), including generalized lymphatic anomaly and kaposiform lymphangiomatosis (KLA), are extremely rare diseases with severe symptoms and poor prognosis.It is described as an aggressive disease of the lymphatic system and has foci of “kaposiform” abnormal spindle lymphatic endothelial cells; however, the pathogenesis of the patients remains unknown.Recently, genetic research has attempted to elucidate the actual conditions and pathogenesis of vascular anomalies.We conducted the mutation analysis and experiment for elucidating the etiology of LAs.We performed multiple cytokine analysis and whole-exome sequencing of DNA samples from biopsy specimen. Our results provide the first evidence that 8 angiogenic factors are associated with KLA pathogenesis and NRAS oncogenic variant was identified in DNA samples from not only an affected lesion but also plasma and pleural effusion.

Academic Significance and Societal Importance of the Research Achievements

本研究では希少難治性疾患であるリンパ管腫症の病態解明のため、サイトカイン、および遺伝子解析を行った。こうした研究は過去にほとんど行われておらず、さらに重要な結果が出たため、国際誌に報告した。これらは病態解明から、さらに新たな治療法の開発にも繋がる可能性があり、社会的意義は高い。

Report

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

    (31 results)

All 2019 2018 2017 2016 2015

All Journal Article (16 results) (of which Peer Reviewed: 16 results,  Open Access: 5 results,  Acknowledgement Compliant: 4 results) Presentation (15 results) (of which Int'l Joint Research: 4 results,  Invited: 6 results)

  • [Journal Article] Fatal Progression of Gorham-Stout Disease with Skull Base Osteomyelitis and Lateral Medullary Syndrome2019

    • Author(s)
      11.Nozawa A, Ozeki M, Hori T, Kato H, Ohe N, Fukao T.
    • Journal Title

      Internal Medicine

      Volume: 58 Issue: 13 Pages: 1929-1933

    • DOI

      10.2169/internalmedicine.2118-18

    • NAID

      130007672112

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2019-07-01
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Generalized lymphatic anomaly and Gorham-Stout disease: overview and recent insights.2019

    • Author(s)
      Ozeki M, Fukao T
    • Journal Title

      Advance Wound Care.

      Volume: 1 Issue: 6 Pages: 230-245

    • DOI

      10.1089/wound.2018.0850

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy and safety of sirolimus treatment for intractable lymphatic anomalies: A study protocol for an open-label, single-arm, multicenter, prospective study (SILA).2019

    • Author(s)
      Ozeki M, Asada R, Saito AM, Hashimoto H, Fujimura T, Kuroda T, Ueno S, Watanabe S, Nosaka S, Miyasaka M, Umezawa A, Matsuoka K, Maekawa T, Yamada Y, Fujino A, Hirakawa S, Furukawa T, Tajiri T, Kinoshita Y, Souzaki R, Fukao T
    • Journal Title

      Regen Ther.

      Volume: 14 Pages: 84-91

    • DOI

      10.1016/j.reth.2018.12.001

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Efficacy of sirolimus in an infant with Kasabach-Merritt phenomenon.2018

    • Author(s)
      Kumagai C., Ozeki M., Nozawa A., Kakuda H., Fukao T.
    • Journal Title

      Pediatr Int.

      Volume: 60 Issue: 9 Pages: 887-889

    • DOI

      10.1111/ped.13630

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Heterozygous CFHR3-CFHR1 Gene Deletion in a Pediatric Patient With Transplant-associated Thrombotic Microangiopathy Who was Treated With Eculizumab.2017

    • Author(s)
      1.Nozawa A, Ozeki M, Hori T, Kawamoto N, Hirayama M, Azuma E, Fukao T.
    • Journal Title

      J Pediatr Hematol Oncol.

      Volume: 40 Issue: 8 Pages: e544-e546

    • DOI

      10.1097/mph.0000000000000986

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prepubertal onset of slipped capital femoral epiphysis associated with hypothyroidism: a case report and literature review.2017

    • Author(s)
      2.Kadowaki S, Hori T, Matsumoto H, Kanda K, Ozeki M, Shirakami Y, Kawamoto N, Ohnishi H, Fukao T.
    • Journal Title

      BMC Endocr Disord.

      Volume: 18 Issue: 1 Pages: 59-59

    • DOI

      10.1186/s12902-017-0210-6

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] MR imaging findings of vertebral involvement in Gorham-Stout disease, generalized lymphatic anomaly, and kaposiform lymphangiomatosis.2017

    • Author(s)
      Kato H, Ozeki M, Fukao T, Matsuo M.
    • Journal Title

      Jpn J Radiol.

      Volume: 35 Issue: 10 Pages: 606-612

    • DOI

      10.1007/s11604-017-0674-3

    • NAID

      50012797147

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Neonatal dysphonia caused by subglottic infantile hemangioma.2017

    • Author(s)
      Matsuzawa-Kinomura Y, Ozeki M, Otsuka H, Orii K, Fukao T.
    • Journal Title

      Pediatr Int.

      Volume: 59 Issue: 8 Pages: 935-936

    • DOI

      10.1111/ped.13308

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Everolimus for Treatment of Pseudomyogenic Hemangioendothelioma.2017

    • Author(s)
      Ozeki M, Nozawa A, Kanda K, Hori T, Nagano A, Shimada A, Miyazaki T, Fukao T.
    • Journal Title

      J Pediatr Hematol Oncol.

      Volume: 39 Issue: 6 Pages: 328-331

    • DOI

      10.1097/mph.0000000000000778

    • Related Report
      2017 Research-status Report 2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Germline IKAROS mutation associated with primary immunodeficiency that progressed to T-cell acute lymphoblastic leukemia.2017

    • Author(s)
      6.Yoshida N, Sakaguchi H, Muramatsu H, Okuno Y, Song C, Dovat S, Shimada A, Ozeki M, Ohnishi H, Teramoto T, Fukao T, Kondo N, Takahashi Y, Matsumoto K, Kato K, Kojima S.
    • Journal Title

      Leukemia.

      Volume: 31 Issue: 5 Pages: 1221-1223

    • DOI

      10.1038/leu.2017.25

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Craniofacial CT findings of Gorham-Stout disease and generalized lymphatic anomaly.2016

    • Author(s)
      Kato H, Ozeki M, Fukao T, Matsuo M.
    • Journal Title

      Neuroradiology

      Volume: 58 Issue: 8 Pages: 801-806

    • DOI

      10.1007/s00234-016-1691-0

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Propranolol treatment for infantile hemangioma: Effectiveness and effect on plasma vascular endothelial growth factor.2016

    • Author(s)
      Ozeki M, Nozawa A, Hori T, Kanda K, Kimura T, Kawamoto N, Fukao T
    • Journal Title

      Pediatric International

      Volume: Mar Issue: 11 Pages: 15-15

    • DOI

      10.1111/ped.12981

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Everolimus for primary intestinal lymphangiectasia with protein-losing enteropathy.2016

    • Author(s)
      Ozeki M, Hori T, Kanda K, Kawamoto N, Ibuka T, Miyazaki T, Fukao T.
    • Journal Title

      Pediatrics

      Volume: 137 Issue: 3 Pages: 1-5

    • DOI

      10.1542/peds.2015-2562

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Clinical Features and Prognosis of Generalized Lymphatic Anomaly, Kaposiform Lymphangiomatosis and Gorham–Stout Disease.2016

    • Author(s)
      Ozeki M, Fujino A, Matsuoka K, Nosaka S, Kuroda T, Fukao T.
    • Journal Title

      Pediatr Blood Cancer.

      Volume: 63 Issue: 5 Pages: 832-8

    • DOI

      10.1002/pbc.25914

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Successful Everolimus Treatment of Kaposiform Hemangioendothelioma With Kasabach-Merritt Phenomenon: Clinical Efficacy and Adverse Effects of mTOR Inhibitor Therapy.2016

    • Author(s)
      Matsumoto H, Ozeki M, Hori T, Kanda K, Kawamoto N, Nagano A, Azuma E, Miyazaki T, Fukao T.
    • Journal Title

      J Pediatr Hematol Oncol.

      Volume: 38 Issue: 8 Pages: 322-325

    • DOI

      10.1097/mph.0000000000000509

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Gorham-Stout Disease of the Skull Base with Hearing Loss: Dramatic Recovery and Anti-Angiogenic Therapy. Pediatr Blood Cancer.2015

    • Author(s)
      Nozawa A, Ozeki M, Kuze B, Asano T, Matsuoka K, Fukao T.
    • Journal Title

      Pediatr Blood Cancer.

      Volume: 63 Issue: 5 Pages: 931-4

    • DOI

      10.1002/pbc.25886

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 難治性リンパ管疾患に対するシロリムス療法の有用性.2018

    • Author(s)
      小関道夫, 野澤明史, 安江志保, 堀友博, 浅田隆太, 橋本大哉, 藤野明浩, 深尾敏幸
    • Organizer
      日本小児科学会学術集会(第121回)
    • Related Report
      2018 Annual Research Report
  • [Presentation] Sirolimus treatment improves the clinical symptoms and quality of life of the patients with intractable lymphatic malformations.2018

    • Author(s)
      Ozeki M, Nozawa A, Yasue S, Endo S, Asada H, Hashimoto H, Fukao T
    • Organizer
      The 22nd International Workshop of the International Society for the Study of Vascular Anomalies.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Differences in clinical findings and plasma cytokine profiles between generalized lymphatic anomaly and kaposiform lymphangiomatosis.2018

    • Author(s)
      Ozeki M, Nozawa A, Kawamoto N, Fujino A, Hirakawa S, Fukao T.
    • Organizer
      The 22nd International Workshop of the International Society for the Study of Vascular Anomalies.
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 小児科医が知っておきたい乳児血管腫の診断と治療 ~プロプラノロール療法の押さえておくべきポイント~2017

    • Author(s)
      小関道夫
    • Organizer
      日本小児科学会学術集会(第120回)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 難治性血管腫・リンパ管疾患に対するシロリムス療法について2017

    • Author(s)
      小関道夫
    • Organizer
      日本IVR学会(第15回)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 血管腫・血管奇形の薬物療法.2017

    • Author(s)
      小関道夫
    • Organizer
      日本血管腫血管奇形学会学術集会(第14回)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 脈管異常に合併する凝固異常について2017

    • Author(s)
      小関道夫
    • Organizer
      東海小児血液懇話会(第74回)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 難治性脈管異常に対する薬物療法2017

    • Author(s)
      小関道夫
    • Organizer
      東京小児がんグループ(TCCSG)セミナー
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Sirolimus treatment improves the clinical symptoms and quality of life of the patients with intractable lymphatic malformations2017

    • Author(s)
      Michio Ozeki, Akifumi Nozawa, Shiho Yasue, Saori Endo, Ryuta Asada, Hiroya Hashimoto, Toshiyuki Fukao
    • Organizer
      International Society for the Study of Vascular Anomalies
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Differences in clinical findings and plasma cytokine profiles between generalized lymphatic anomaly and kaposiform lymphangiomatosis2017

    • Author(s)
      Michio Ozeki, Akifumi Nozawa, Norio Kawamoto, Akihiro Fujino, Satoshi Hirakawa, Toshiyuki Fukao
    • Organizer
      International Society for the Study of Vascular Anomalies
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 複雑型脈管異常に対するmTOR阻害剤の有効性2016

    • Author(s)
      小関道夫
    • Organizer
      日本小児科学会
    • Place of Presentation
      札幌
    • Related Report
      2016 Research-status Report
  • [Presentation] Kaposiform lymphangiomatosisの臨床学的特徴と凝固異常について2016

    • Author(s)
      小関道夫
    • Organizer
      日本血管腫血管奇形講習会
    • Place of Presentation
      石垣
    • Related Report
      2016 Research-status Report
  • [Presentation] 血管腫・血管奇形の薬物療法2016

    • Author(s)
      小関道夫
    • Organizer
      日本血管腫血管奇形講習会
    • Place of Presentation
      石垣
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 複雑型脈管異常に対するmTOR阻害剤の有効性2016

    • Author(s)
      小関道夫
    • Organizer
      日本小児血液がん学会
    • Place of Presentation
      東京
    • Related Report
      2016 Research-status Report
  • [Presentation] 小児の骨軟部腫瘍の診断と治療 ~血管性腫瘍・血管奇形の最新情報~2016

    • Author(s)
      小関道夫
    • Organizer
      東海小児骨軟部腫瘍研究会
    • Place of Presentation
      名古屋
    • Related Report
      2016 Research-status Report

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

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