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A new therapeutic approach for the inflammatory myopathy targeting macrophages

Research Project

Project/Area Number 17H06653
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field General internal medicine(including psychosomatic medicine)
Research InstitutionTokyo Medical and Dental University

Principal Investigator

UMEZAWA Natsuka  東京医科歯科大学, 医学部附属病院, 助教 (90801530)

Project Period (FY) 2017-08-25 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords多発性筋炎 / 皮膚筋炎 / マクロファージ / 骨格筋 / トランスレーショナルリサーチ / 免疫学 / 炎症性筋疾患
Outline of Final Research Achievements

We previously found that the macrophages in inflamed muscles from mice with experimental myositis exacerbated myositis through the production of IL-23. In this study, we focused on the precise role of macrophages in idiopathic inflammatory myopathies (IIMs) other than IL-23 production. The techniques to obtain the macrophages in the muscles from patients with IIMs were established for the first time in this study. However, the number of the obtained macrophages was insufficient to separate to subsets or to analyse the molecular expression. In the future experiments, we analysis the limited number of macrophages with single cell RNA-seq. In addition, we obtained mice with human diphtheria toxin receptor to deplete the macrophages. Induction of experimental myositis in the mice would help understanding on the roles of macrophages in IIM.

Academic Significance and Societal Importance of the Research Achievements

従来のT細胞を標的とした治療法に加え、本研究で目的とするマクロファージを標的とした治療を開発することで、治療抵抗性の患者や、副腎皮質ステロイドをはじめとした従来の治療に不耐用であった患者の治療に貢献できる。また、従来筋組織は固定標本の免疫組織学的染色にとどまったが、本研究で確立した手法を用いることにより、筋組織から生細胞を採取することで、生体内での機能をより反映した解析を行うことが可能となった。

Report

(3 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • Research Products

    (6 results)

All 2018 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (5 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Interleukin-23 as a therapeutic target for inflammatory myopathy.2018

    • Author(s)
      Umezawa N, Kawahata K, Mizoguchi F, Kimura N, Yoshihashi-Nakazato Y, Miyasaka N, Kohsaka H.
    • Journal Title

      SCIENTIFIC REPORTS

      Volume: 1 Issue: 1 Pages: 5498-5498

    • DOI

      10.1038/s41598-018-23539-4

    • Related Report
      2018 Annual Research Report 2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] 多発性筋炎/皮膚筋炎12例の前脛骨筋を 対象としたコンコトーム筋生検の有用性2018

    • Author(s)
      梅澤夏佳、木村直樹、吉橋洋子、上阪等
    • Organizer
      日本リウマチ学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 多発性筋炎・皮膚筋炎【膠原病における治療最前線】2018

    • Author(s)
      梅澤夏佳、上阪等
    • Organizer
      日本炎症再生・医学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Interleukin-23 as a therapeutic target for inflammatory myopathy2017

    • Author(s)
      Natsuka Umezawa, Kimito Kawahata,Naoki Kimura, Yoko Yoshihashi-Nakazato, Hitoshi Kohsaka
    • Organizer
      EAGOR
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 炎症性筋疾患モデルの病変局所で産生されるIL-23は治療標的として有用である2017

    • Author(s)
      梅澤夏佳、川畑仁人、木村直樹、吉橋洋子、上阪等
    • Organizer
      第61回日本リウマチ学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 筋傷害で誘導されるIL-23は炎症性筋疾患の治療標的として有用である2017

    • Author(s)
      梅澤夏佳、川畑仁人、木村直樹、吉橋洋子、上阪等
    • Organizer
      日本リウマチ学会ベーシックリサーチカンファレンス
    • Related Report
      2017 Annual Research Report

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Published: 2017-08-25   Modified: 2020-03-30  

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