Analysis of neural cell marker-expressing hematopoietic supporting cells in human bone marrow failure
Project/Area Number |
17K09898
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Hematology
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Research Institution | University of Tsukuba |
Principal Investigator |
Obara Naoshi 筑波大学, 医学医療系, 准教授 (70422178)
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Project Period (FY) |
2017-04-01 – 2020-03-31
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Project Status |
Completed (Fiscal Year 2019)
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Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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Keywords | 造血不全 / Nestin / 造血支持細胞 / GFAP / 骨髄異形成症候群 / 赤芽球島 / 造血微小環境 / 炎症性貧血 / IL-6 / マクロファージ / Notchシグナル / Rbpj / 分化障害 / 赤芽球 |
Outline of Final Research Achievements |
Various types of hematopoietic supporting cells have been reported. Recently, Nestin-expressing cells, which are neural stem-cell markers, and Schwann cells were identified in the bone marrow. We analyzed Nestin-expressing stromal cells (NESCs) and glial fibrillary acidic protein (GFAP)-expressing cells, which are Schwann cell markers, in myelodysplastic syndrome (MDS). We found a marked increase in the NESC levels in MDS with fibrosis (MDS-F) at a high frequency (9/19; 47.4%), but not in MDS without fibrosis (0/26; 0%). In eight of the nine (88.9%) MDS-F cases with elevated NESCs, a majority of NESCs also expressed GFAP, with an additional increase in GFAP single-positive cells. Furthermore, in seven of the nine cases, a prominent structure was observed characterized by neurofilament heavy chain staining surrounded by NESCs with GFAP expression. This structure may represent peripheral nerve axons surrounded by Schwann cells and could be associated with the pathophysiology of MDS-F.
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Academic Significance and Societal Importance of the Research Achievements |
骨髄異形成症候群(MDS)をはじめとした造血不全は最も治療困難な疾患の一つであり、輸血依存となることも多く、医療のみならず社会的・医療経済上も影響が大きい疾患である。メチル化阻害剤などが試みられているが、いまだ根治的治療については造血幹細胞移植以外ないのが現状であり、高齢者・ドナーのいない患者などでは治療に苦慮することも多い。 今回、我々は繊維化を伴うMDSについて、造血支持細胞の異常が関与していることを示した。また、マウスモデルにおいても造血支持細胞の異常によって赤血球造血が障害されることを示した。今後、新たな予後因子の決定・繊維化をターゲットにした新規治療法の開発などへの展開が期待できる。
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Report
(4 results)
Research Products
(44 results)
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[Journal Article] Hematologic recovery induced by eltrombopag in Japanese patients with aplastic anemia refractory or intolerant to immunosuppressive therapy.2019
Author(s)
Yamazaki H, Ohta K, Iida H, Imada K, Obara N, Tokumine Y, Tomiyama Y, Usuki K, Imajo K, Miyamura K, Sasaki O, Fanghong Z, Hattori T, Tajima T, Matsuda A, Nakao S.
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Journal Title
Int J Hematol
Volume: 110
Pages: 187-196
DOI
Related Report
Peer Reviewed
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[Journal Article] Fatal exacerbations of chronic active Epstein-Barr virus infection subsequent to cytotoxic chemotherapy2019
Author(s)
Suma S, Kurita N, Baba N, Ishitsuka K, Sukegawa S, Makishima K, Kiyoki Y, Maruyama Y, Kato T, Yokoyama Y, Sakata-Yanagimoto M, Obara N, Hasegawa Y, Chiba S
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Journal Title
Jpn. J. Clin. Hematol.
Volume: 60
Issue: 4
Pages: 286-290
DOI
NAID
ISSN
0485-1439, 1882-0824
Related Report
Peer Reviewed
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[Journal Article] Effects of eculizumab treatment on quality of life in patients with paroxysmal nocturnal hemoglobinuria in Japan2018
Author(s)
Y. Ueda, N. Obara, Y. Yonemura, H. Noji, M. Masuko, Y. Seki, K. Wada, T. Matsuda, H. Akiyama, T. Ikezoe, S. Chiba, Y. Kanda, T. Kawaguchi, T. Shichishima, H. Nakakuma, S. Okamoto, J. Nishimura, Y. Kanakura, H. Ninomiya
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Journal Title
International Journal of Hematology
Volume: epub
Pages: 1-10
DOI
Related Report
Peer Reviewed
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[Journal Article] A nationwide survey of hypoplastic myelodysplastic syndrome (a multicenter retrospective study)2017
Author(s)
Kobayashi T, Nannya Y, Ichikawa M, Oritani K, Kanakura Y, Tomita A, Kiyoi H, Kobune M, Kato J, Kawabata H, Shindo M, Torimoto Y, Yonemura Y, Tohyama K, et al
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Journal Title
Am J Hematol.
Volume: 92
Pages: 1324-1332
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] A phase I/II trial of intrabone marrow cord blood transplantation and comparison of the hematological recovery with the Japanese nationwide database2017
Author(s)
Kurita N, Gosho M, Yokoyama Y, Kato T, Obara N, Sakata-Yanagimoto M, Hasegawa Y, Uchida N, Takahashi S, Kouzai Y, Atsuta Y, Kurata M, Ichinohe T, Chiba S
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Journal Title
Bone marrow transplantation
Volume: 52
Pages: 574-579
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Presentation] The relationship between the pretreatment PNH clone size and clinical course in patients with bone marrow failure syndromes: Interim analysis of Japanese multicenter prospective study2019
Author(s)
asutaka Ueda、Kohei Hosokawa, Ken Ishiyama, Hiroyuki Takamori, Yuji Yonemura, Naoshi Obara, Hideyoshi Noji, Hiroshi Takahashi, Yukari Shirasugi, Takahisa Matsuda, Kiyoshi Ando, Tsutomu Shichishima, Takayuki Ikezoe, Shigeru Chiba, Haruhiko Ninomiya, Tatsuya Kawaguchi, Jun-ichi Nishimura, Yuzuru Kanakura, Shinji Nakao
Organizer
The 24th Congress of EHA
Related Report
Int'l Joint Research
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[Presentation] Targeting T-cell receptor signaling pathway by dasatinib in relapsed/refractory angioimmunoblastic T-cell lymphoma2019
Author(s)
usuke Kiyoki、Mamiko Sakata-Yanagimoto, Tran B. Nguyen, Manabu Fujisawa, Yasuhito Nanya, Kantaro Ishitsuka, Haruka Momose, Shinichiro Sukegawa, Atsushi Shinagawa, Takuya Suyama, Yuji Sato, Hidekazu Nishikii, Naoshi Obara et al.
Organizer
The 24th Congress of EHA
Related Report
Int'l Joint Research
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[Presentation] Targeted sequencing and IgH rearrangement status revealed branching evolution pattern of SMZL and DLBCL2019
Author(s)
Manabu Kusakabe、Mamiko Sakata-Yanagimoto, Yasuhito Suehara, Keiichiro Hattori, Toru Nanmoku, Tatsuhiro Sakamoto, Yasuhisa Yokoyama, Takayasu Kato, Naoki Kurita, Hidekazu Nishikii, Naoshi Obara, Masafumi Muratani, Yuichi Hasegawa, Shigeru Chiba
Organizer
The 10th JSH INTERNATIONAL SYMPOSIUM 2019 in Ise-Shima
Related Report
Int'l Joint Research
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[Presentation] "TP53 mutations found in the serum of malignant lymphoma patients at remission derive from clonal hematopoiesis rather than minimal residual disease. "2018
Author(s)
Yasuhito Suehara, Mamiko Sakata-Yanagimoto, Keiichiro Hattori, Taiki Sato, Masayuki Noguchi, Tatsuhiro Sakamoto, Manabu Kusakabe, Naoki Kurita, Takayasu Kato, Yasuhisa Yokoyama, Hidekazu Nishikii, Naoshi Obara, Yuichi Hasegawa, Shigeru Chiba
Organizer
2018 ASH Meeting on Lymphoma Biology
Related Report
Int'l Joint Research
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[Presentation] 原発性寒冷凝集素症の溶血発作に対してエクリズマズが著効した一例2018
Author(s)
槇島 健一, 小原 直, 石塚幹太郎, 助川慎一郎, 須摩桜子, 清木祐介, 馬場直子, 坂本竜弘, 日下部学, 加藤貴康, 錦井秀和, 栗田尚樹, 横山泰久, 坂田(柳元)麻実子, 長谷川雄一, 千葉 滋
Organizer
第80回日本血液学会学術集会
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[Presentation] エクリズマブ(ソリリス)製造販売後調査(発作性夜間ヘモグロビン尿症)に関する長期観察の中間報告2018
Author(s)
野地秀義, 植田康敬, 小原 直, 神田善伸, 岡本真一郎, 臼杵憲祐, 松田貴久, 秋山仁泉, 高橋正典, 米村雄士, 川口辰哉, 西村純一, 池添隆之, 千葉 滋, 金倉 譲, 二宮治彦
Organizer
第80回日本血液学会学術集会
Related Report