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Investigation of biomarkers to select the optimal disease-modifying drugs for each individual patient with multiple sclerosis.

Research Project

Project/Area Number 16K21285
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Collagenous pathology/Allergology
Medical pharmacy
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

Fujii Chihiro  京都府立医科大学, 医学部附属病院, 研究員 (00516065)

Project Period (FY) 2016-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2016: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords多発性硬化症 / フィンゴリモド / T細胞 / バイオマーカー / CD56陽性T細胞 / fingolimod / 細胞障害性分子 / IFN‐γ / MBP反応性T細胞 / IFN-γ / 疾患修飾薬 / 免疫学
Outline of Final Research Achievements

We found that the frequency of CD56+ T cells in peripheral blood increased in fingolimod-treated patients with multiple sclerosis. These T cells expressed cytotoxic molecules and showed a Th1-like response. In addition, the CD56+ T cells produced IFN-γ in response to myelin basic protein. The elevated frequency of CD56+ T cells in fingolimod-treated patients was further increased at relapse. Relapse-experienced patients retained a higher frequency of CD56+ T cells even during remission compared to patients who did not have any relapse while on fingolimod treatment.
Our results showed that the T cell phenotypes were altered under fingolimod therapy,and raised a possibility that the frequency of CD56+ T cells is a useful biomarker for predicting and detecting relapses, although further confirmation is required.

Report

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

    (5 results)

All 2017 2016

All Presentation (5 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] Elevated frequency of CD56+ T cells in neuromyelitis optica spectrum disorder and multiple sclerosis with “Red flags”.2017

    • Author(s)
      Fujii C, Kondo T, Ochi H, Okada Y, Hashi Y, Matsumoto S, Takahashi R, Nakagawa M, Mizuno T.
    • Organizer
      The 23rd World Congress of Neurology (WCN) 2017. Kyoto, Japan
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Association of red flags with therapeutic reactivity in Multiple sclerosis.2017

    • Author(s)
      Ashida S, Hamatani M, Ochi H, Fujii C, Okada Y, Hashi Y, Kawamura K, Matsumoto S, Kusaka H, Takahashi R, Nakagawa M, Mizuno T, Kondo T.
    • Organizer
      The 23rd World Congress of Neurology (WCN) 2017. Kyoto, Japan
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 多発性硬化症におけるRed Flagsと治療反応性の検討2017

    • Author(s)
      芦田真士, 濱谷美緒, 藤井ちひろ, 岡田洋一郎, 端祐一郎, 松本禎之, 水野敏樹, 中川正法, 高橋良輔, 近藤誉之
    • Organizer
      第29回日本神経免疫学会 北海道
    • Related Report
      2017 Annual Research Report
  • [Presentation] CD56 positivity of T cells as a candidate of a predictive biomarker for relapse of multiple sclerosis under fingolimod therapy.2016

    • Author(s)
      Chihiro Fujii
    • Organizer
      32nd Congress of the European Committee for Treatment and Research in Multiple Sclerosis(ECTRIMS)
    • Place of Presentation
      London, UK
    • Year and Date
      2016-09-15
    • Related Report
      2016 Research-status Report
  • [Presentation] Fingolimod治療下多発性硬化症の再発例におけるCD56+T細胞の経時的変化.2016

    • Author(s)
      藤井 ちひろ
    • Organizer
      第57 回日本神経学会学術集会
    • Place of Presentation
      神戸コンベンションセンター
    • Year and Date
      2016-05-19
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2019-03-29  

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