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Investigation for preventive method of cyclophosphamide induced cardiomyopathy from the viewpoint of aldehyde metabolism

Research Project

Project/Area Number 16K10034
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Nishikawa Takuro  鹿児島大学, 医歯学域附属病院, 講師 (90535725)

Co-Investigator(Kenkyū-buntansha) 河野 嘉文  鹿児島大学, 医歯学域医学系, 教授 (20260680)
岡本 康裕  鹿児島大学, 医歯学域医学系, 准教授 (30398002)
児玉 祐一  鹿児島大学, 医歯学域附属病院, 講師 (20535695)
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: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywordscyclophosphamide / cardiotoxicity / aldehyde metabolism / acrolein / Cyclophosphamide / aldehyde dehydrogenase / 心筋障害 / シクロフォスファミド / 抗がん剤 / アルデヒド / アクロレイン / 造血細胞移植 / アルデヒド代謝
Outline of Final Research Achievements

In our previous in vitro study, we reported that acrolein is implicated in an onset of cardiotoxicity after exposure to cyclophosphamide (CY). Aldehyde dehydrogenase 1 (ALDH1) decrease the production of acrolein from CY whereas increase the induction of inactive metabolite o-carboxyethyl phosphoramide mustard (CEPM). Therefore, ALDH1 plays a crucial role in CY-induced cardiotoxicity. To reveal the role of ALDH1 in CY metabolism, we assessed whether knockdown (KD) of Aldh1a1 gene expression sensitizes mice to CY. Aldh1a1 KD-mice exhibit lower concentration of CEPM in their plasma compared to the control group. Furthermore, knockdown of Aldh1a1 gene expression resulted in marked cardiomyopathy. It suggested that even in in vivo experiments, acrolein is responsible for CY-induced cardiotoxicity.

Academic Significance and Societal Importance of the Research Achievements

Cyclophosphamide (CY)大量投与で生じる急性心筋障害はその数%が致死的であり、臨床上大きな問題である。そして、その発症機序は未だ不明でありその予防法も確立されていない。今回、in vivoの系でもacroleinがCY心筋障害の主因である可能性が示唆されたことで、acrolein除去薬の投与やacrolein産生を抑える薬剤投与などで予防につながる可能性がみいだせた。

Report

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

    (15 results)

All 2019 2017 2016

All Journal Article (10 results) (of which Peer Reviewed: 10 results,  Open Access: 2 results) Presentation (5 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Influence of GST polymorphisms on busulfan pharmacokinetics in Japanese children.2019

    • Author(s)
      Nishikawa T, Yamaguchi H, Ikawa K, Nakayama K, Higashi E, Miyahara E, Abematsu T, Nakagawa S, Kodama Y, Tanabe T, Shigemi A, Shinkoda Y, Okamoto Y, Takeda Y, Kawano Y.
    • Journal Title

      Pediatr Int.

      Volume: - Issue: 6 Pages: 558-565

    • DOI

      10.1111/ped.13859

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Giant radiation-induced cavernous haemangioma before reduced-intensity bone marrow transplantation for acute lymphoblastic leukaemia.2019

    • Author(s)
      Saito A, Nishikawa T, Oyoshi T, Nakagawa S, Kodama Y, Yamada A, Kinoshita M, Okamoto Y, Arita K, Moritake H, Kawano Y.
    • Journal Title

      Bone Marrow Transplant.

      Volume: 54 Issue: 2 Pages: 312-315

    • DOI

      10.1038/s41409-018-0272-8

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Role of metabolites of cyclophosphamide in cardiotoxicity.2017

    • Author(s)
      Kurauchi K, Nishikawa T, Miyahara E, Okamoto Y, Kawano Y.
    • Journal Title

      BMC Res Notes.

      Volume: 14 Issue: 1 Pages: 406-406

    • DOI

      10.1186/s13104-017-2726-2

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Maternal T and B cell engraftment in two cases of X-linked severe combined immunodeficiency with IgG1 gammopathy.2017

    • Author(s)
      Okano T, Nishikawa T, Watanabe E, Watanabe T, Takashima T, Yeh TW, Yamashita M, Tanaka-Kubota M, Miyamoto S, Mitsuiki N, Takagi M, Kawano Y, Mochizuki Y, Imai K, Kanegane H, Morio T.
    • Journal Title

      Clin Immunol.

      Volume: 183 Pages: 112-120

    • DOI

      10.1016/j.clim.2017.08.003

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Persistent positive metaiodobenzylguanidine scans after autologous peripheral blood stem cell transplantation may indicate maturation of stage 4 neuroblastoma.2017

    • Author(s)
      Okamoto Y, Kodama Y, Nishikawa T, Rindiarti A, Tanabe T, Nakagawa S, Yoshioka T, Takumi K, Kaji T, Kawano Y.
    • Journal Title

      Pediatr Hematol Oncol.

      Volume: 34 Issue: 3 Pages: 157-164

    • DOI

      10.1080/08880018.2017.1348414

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Gene expression ratio as a predictive determinant of nelarabine chemosensitivity in T-lymphoblastic leukemia/lymphoma.2017

    • Author(s)
      Sripornsawan P, Okamoto Y, Nishikawa T, Kodama Y, Yamaki Y, Kurauchi K, Tanabe T, Nakagawa S, Shinkoda Y, Imuta N, Kawano Y.
    • Journal Title

      Pediatr Blood Cancer.

      Volume: 64 Issue: 2 Pages: 250-253

    • DOI

      10.1002/pbc.26214

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Decrease of Cardiac Base Rotation in 2D Speckle Tracking Indicates Drug-induced Cardiomyopathy After Chemotherapy in Children With Cancer.2017

    • Author(s)
      Yanagimoto K, Okamoto Y, Kodama Y, Nishikawa T, Tanabe T, Kawano Y.
    • Journal Title

      J Pediatr Hematol Oncol.

      Volume: 39 Issue: 1 Pages: 10-14

    • DOI

      10.1097/mph.0000000000000683

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] DIC Complicating APL Successfully Treated With Recombinant Thrombomodulin Alfa.2016

    • Author(s)
      Saito A, Okamoto Y, Seki Y, Matsunaga M, Nakagawa S, Kodama Y, Nishikawa T, Tanabe T, Kawano Y.
    • Journal Title

      J Pediatr Hematol Oncol.

      Volume: 38 Issue: 6 Pages: e189-e190

    • DOI

      10.1097/mph.0000000000000585

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Conservative treatment of massive hemothorax in a girl with neuroblastoma.2016

    • Author(s)
      Shiokawa N, Okamoto Y, Kodama Y, Nishikawa T, Tanabe T, Mukai M, Yoshioka T, Kawano Y.
    • Journal Title

      Pediatr Int.

      Volume: 58 Issue: 10 Pages: 1090-1092

    • DOI

      10.1111/ped.13094

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Central nervous system EBV lymphoproliferative disorder in a patient with rhabdomyosarcoma.2016

    • Author(s)
      Nakashima K, Kodama Y, Nishikawa T, Nishimura M, Ito N, Fukano R, Nomura Y, Ueba T, Inoue T, Oshima K, Okamura J, Inagaki J.
    • Journal Title

      Pediatr Int.

      Volume: 58 Issue: 5 Pages: 388-390

    • DOI

      10.1111/ped.12812

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] 移植後シクロフォスファミドを用いた小児HLA半合致末梢血細胞移植におけるシクロフォスファミド薬物動態解析2017

    • Author(s)
      西川拓朗,猪川和朗,棈松貴成,中川俊輔,倉内宏一郎,児玉祐一,田邊貴幸,新小田雄一,岡本 康裕,河野嘉文.
    • Organizer
      第39回日本造血細胞移植学会総会
    • Place of Presentation
      くにびきメッセ・島根県民会館(島根県松江市)
    • Year and Date
      2017-03-02
    • Related Report
      2016 Research-status Report
  • [Presentation] Pharmacokinetics of cyclophosphamide and its metabolites in Pediatric Hematopoietic Stem Cell Transplant Recipients: A comparative study of two conditioning regimens, and one posttransplantation regimen2017

    • Author(s)
      Nishikawa T, Ikawa K, Miyahara E, Abematsu T, Nakagawa S, Kurauchi K, Kodama Y, Tanabe T, Shinkoda Y, Kawano Y
    • Organizer
      2017 BMT Tandem Meetings
    • Place of Presentation
      Orlando, Florida
    • Year and Date
      2017-02-22
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Pharmacokinetics of cyclophosphamide and its metabolites in Pediatric Hematopoietic Stem Cell Transplant Recipients: A comparative study of two conditioning regimens, and one posttransplantation regimen.2017

    • Author(s)
      Nishikawa T, Ikawa K, Miyahara E, Abematsu T, Nakagawa S, Kurauchi K, Kodama Y, Tanabe T, Shinkoda Y, Okamoto Y, Kawano Y.
    • Organizer
      IATDMCT(International association of TDM and Clinical Toxicology)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] マウスにおける大量シクロホスファミドの薬物動態及び毒性の評価.2017

    • Author(s)
      宮原恵弥子,西川拓朗,猪川和朗,牛飼美晴,川口博明,岡本康裕,森川則文,堀内正久,河野嘉文.
    • Organizer
      第79回日本血液学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Pharmacokinetics of cyclophosphamide and its metabolites in HSCT recipients.2016

    • Author(s)
      Nishikawa T, Ikawa K, Miyahara E, Abematsu T, Nakagawa S, Kurauchi K, Kodama Y, Tanabe T, Shinkoda Y, Okamoto Y, Morikawa N, Kawano Y.
    • Organizer
      第78回日本血液学会学術集会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2016-10-13
    • Related Report
      2016 Research-status Report

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

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