Elucidation of pathophysiology of fibrosis and sclerosis and establishment of treatment in IgG4-related disease using model mouse
Project/Area Number |
16K19597
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Research Category |
Grant-in-Aid for Young Scientists (B)
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Allocation Type | Multi-year Fund |
Research Field |
Collagenous pathology/Allergology
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Research Institution | Kanazawa University |
Principal Investigator |
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Project Period (FY) |
2016-04-01 – 2020-03-31
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Project Status |
Completed (Fiscal Year 2019)
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Budget Amount *help |
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
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Keywords | IgG4関連疾患 / 線維化 / モデルマウス / IgG4関連子癇 / 線維化・硬化 |
Outline of Final Research Achievements |
In this study, using human specimens from affected organs and LAT Y136F knock-in mouse as model mouse, we investigated pathophysiology of fibrosis and sclerosis in IgG4-related disease (IgG4-RD). We have clarified the differences of types of collagen according to the anatomical locations and increase of fibril-forming collagens (collagen I and III) in parallel with progression of fibrosis and sclerosis. We have also clarified that M2 macrophages, that are implicated in fibrosis in IgG4-RD, produce APRIL promoting activation, proliferation, and survival of B lymphocytes and plasma cells, and contribute to the formation of characteristic pathology. In LAT Y136F knock-in mouse, we have found an increase of fibrosis score as mouse got older and enhanced expression of APRIL in affected organs.
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Academic Significance and Societal Importance of the Research Achievements |
IgG4関連疾患は原因不明の全身性炎症性疾患であり、組織学的に特異な線維化・硬化を呈し、それに伴い長期的には不可逆的な機能障害を呈する。ヒトIgG4関連疾患組織検体において、同じ臓器内においても血管周囲や腎皮質などの解剖学的部位により線維化・硬化を形成するコラーゲンのタイプが異なること、また病態の進展により線維性コラーゲンが増加してくることから、病変、病期にあわせて線維化・硬化の治療標的が異なることが示唆された。また、モデルマウスであるLAT Y136変異マウスの病変局所において、線維化の進展、ヒトと共通するサイトカインの産生亢進が確認され、本マウスを用いた更なる検討の妥当性が示唆された。
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Report
(5 results)
Research Products
(56 results)
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[Journal Article] The 2019 American College of Rheumatology/European League Against Rheumatism Classification Criteria for IgG4-Related Disease.2020
Author(s)
Wallace ZS, Naden RP, Chari S, Choi H, Della-Torre E, Dicaire JF, Hart PA, Inoue D, Kawano M, Zen Y, Stone JH, et al.; American College of Rheumatology/European League Against Rheumatism IgG4-Related Disease Classification Criteria Working Group.
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Journal Title
Arthritis & Rheumatology
Volume: 72
Issue: 1
Pages: 7-19
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] The 2019 American College of Rheumatology/European League Against Rheumatism classification criteria for IgG4-related disease.2020
Author(s)
Wallace ZS, Naden RP, Chari S, Choi HK, Della-Torre E, Dicaire JF, Hart PA, Inoue D, Kawano M, Khosroshahi A, Lanzillotta M, Okazaki K, Perugino CA, Sharma A, Saeki T, Schleinitz N, Takahashi N, Umehara H, Zen Y, Stone JH; Members of the ACR/EULAR IgG4-RD Classification Criteria Working Group.
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Journal Title
Annals of the Rheumatic Diseases
Volume: 79
Issue: 1
Pages: 77-87
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Journal Article] Hypocomplementemia is related to elevated serum levels of IgG subclasses other than IgG4 in IgG4-related kidney disease.2020
Author(s)
Fujisawa Y, Mizushima I, Yamada K, Yamamoto M, Saeki T, Matsui S, Tsuge S, Hara S, Ito K, Fujii H, Takahashi H, Nomura H, Kawa S, Kawano M.
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Journal Title
Mod Rheumatol.
Volume: 13
Issue: 1
Pages: 1-8
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Diagnostic sensitivity of cutoff values of IgG4-positive plasma cell number and IgG4-positive/CD138-positive cell ratio in typical multiple lesions of patients with IgG4-related disease.2018
Author(s)
Mizushima I, Yamada K, Harada K, Matsui S, Saeki T, Kondo S, Takahira M, Waseda Y, Hamaguchi Y, Fujii H, Yamagishi M, Kawano M.
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Journal Title
Modern Rheumatology
Volume: 28(2)
Issue: 2
Pages: 293-299
DOI
Related Report
Peer Reviewed
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[Journal Article] New clues to the nature of immunoglobulin G4-related disease: a retrospective Japanese multicenter study of baseline clinical features of 334 cases.2017
Author(s)
Yamada K, Yamamoto M, Saeki T, Mizushima I, Matsui S, Fujisawa Y, Hara S, Takahashi H, Nomura H, Kawa S, Kawano M.
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Journal Title
Arthritis Res Ther
Volume: 19
Issue: 1
Pages: 262-271
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] A case developing minimal change disease during the course of IgG4-related disease.2017
Author(s)
Yamada K, Zoshima T, Ito K, Mizushima I, Hara S, Horita S, Nuka H, Hamano R, Fujii H, Yamagishi M, Kawano M.
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Journal Title
Modern Rheumatology
Volume: 27(4)
Issue: 4
Pages: 712-715
DOI
Related Report
Peer Reviewed
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[Journal Article] Factors related to renal cortical atrophy development after glucocorticoid therapy in IgG4-related kidney disease: a retrospective multicenter study.2016
Author(s)
Mizushima I, Yamamoto M, Inoue D, Nishi S, Taniguchi Y, Ubara Y, Matsui S, Yasuno T, Nakashima H, Takahashi H, Yamada K, Nomura H, Yamagishi M, Saito T, Kawano M.
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Journal Title
Arthritis Research & Therapy
Volume: 18(1)
Pages: 273-273
NAID
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Journal Article] A condition closely mimicking IgG4-related disease despite the absence of serum IgG4 elevation and IgG4-positive plasma cell infiltration.2014
Author(s)
Hara S, Kawano M, Mizushima I, Yamada K, Fujita K, Harada K, Matsumura M, Yamagishi M, Sato Y, Yamaguchi Y, Nakanuma Y, Nagata M.
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Journal Title
Mod Rheumatol
Volume: 0
Issue: 5
Pages: 0-0
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Presentation] 無治療のIgG4関連疾患患者における疾患増悪に関連する因子の検討2019
Author(s)
水島伊知郎, 小西正紘, 眞田創, 鈴木一如, 竹治明梨, 原怜史, 伊藤清亮, 川根隆志, 藤井博, 山田和徳, 川野充弘
Organizer
第63回日本リウマチ学会総会・学術集会
Related Report
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[Presentation] 腎盂尿管移行部腫瘤を契機として診断された画像異常所見を伴わないIgG4関連腎臓病の一例2019
Author(s)
宮永達人, 水島伊知郎, 小西正紘, 眞田創, 鈴木一如, 濱野良子, 北島進, 村本弘昭, 竹治明梨, 原怜史, 伊藤清亮, 川根隆志, 藤井博, 山田和徳, 川野充弘
Organizer
第63回日本リウマチ学会総会・学術集会
Related Report
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[Presentation] 大規模コホートデータを用いたIgG4関連疾患における低補体血症に関連する因子の検討2018
Author(s)
水島伊知郎, 山田和徳, 山本元久, 佐伯敬子, 松井祥子, 谷悠紀子, 原怜史, 伊藤清亮, 藤井博, 川茂幸, 川野充弘
Organizer
第62回日本リウマチ学会総会・学術集会
Related Report
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[Presentation] IgG4関連腎臓病の低補体血症に対するIgG4以外のIgGサブクラスの関与2018
Author(s)
水島伊知郎, 山田和徳, 山本元久, 佐伯敬子, 松井祥子, 谷悠紀子, 原怜史, 伊藤清亮, 藤井博, 川茂幸, 川野充弘
Organizer
第61回日本腎臓学会学術総会
Related Report
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[Presentation] Serum IgG4 levels at diagnosis can predict the outcomes of untreated patients with IgG4-related disease: a retrospective study2018
Author(s)
Ichiro Mizushima, Nobuhiro Suzuki, Misaki Yoshida, Akari Takeji, Takahiro Matsunaga, Takeshi Zoshima, Satoshi Hara, Kiyoaki Ito, Hiroshi Fujii, Kazunori Yamada, Mitsuhiro Kawano
Organizer
EULAR 2018
Related Report
Int'l Joint Research
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[Presentation] Factors related to renal cortical atrophy development after glucocorticoid therapy in IgG4-related kidney disease2017
Author(s)
Ichiro Mizushima, Motohisa Yamamoto, Dai Inoue, Shinichi Nishi, Yoshinori Taniguchi, Yoshifumi Ubara, Shoko Matsui, Tetsuhiko Yasuno, Hitoshi Nakashima, Hiroki Takahashi, Kazunori Yamada, Hideki Nomura, Masakazu Yamagishi, Takao Saito, and Mitsuhiro Kawano
Organizer
The 3rd International Symposium on IgG4- Related Disease
Place of Presentation
Hawaii, USA
Year and Date
2017-02-15
Related Report
Int'l Joint Research
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[Presentation] Clinical and Laboratory Features of IgG4-Related Retroperitoneal Fibrosis/Periarteritis in Japan: Retrospective Multicenter Study of 99 Cases2016
Author(s)
Ichiro Mizushima, Satomi Kasashima, Motohisa Yamamoto, Takako Saeki, Kazunori Yamada, Dai Inoue, Fuminori Kasashima, Yasushi Matsumoto, Eisuke Amiya, Kenji Notohara, Yasuharu Sato, Yoh Zen, Shigeyuki Kawa, Mitsuhiro Kawano, Nobukazu Ishizaka
Organizer
ACR 2016
Place of Presentation
Washington, DC, USA
Year and Date
2016-11-11
Related Report
Int'l Joint Research
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