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Introduction of stage classification and personalized medicine for IgG4-related disease

Research Project

Project/Area Number 17K09980
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Collagenous pathology/Allergology
Research InstitutionThe University of Tokyo (2019)
Sapporo Medical University (2017-2018)

Principal Investigator

Yamamoto Motohisa  東京大学, 医科学研究所, 特任准教授 (80404599)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
KeywordsIgG4関連疾患 / IL-5 / サイトカイン / 生物学的製剤 / 低分子化合物 / 個別化医療 / 臨床病期 / 先制医療 / 病期分類
Outline of Final Research Achievements

Our research disclosed that the cytokine and chemokine environment in IgG4-related disease (IgG4-RD) changed according to the expansion of the lesions. It is suggested that there is clinical stage in IgG4-RD. The serum levels of interleukin (IL)-5 were gradually elevated with proceeding the stages. The expression of IL-5 mRNA in the submandibular glands showed also similar tendency. Regarding the biologic agents, the efficacy of both rituximab and abatacept can be expected if pre-treatment serum levels of IL-13 and IL-15 are high in the stages that the organ enlargement with elevated serum levels of IgG4. However, the efficacy of mepolizumab was limited.

Academic Significance and Societal Importance of the Research Achievements

今回の研究成果により、IgG4関連疾患の病態がサイトカインレベルで解明が進んだ。個人個人により、治療前のサイトカインレベルは多彩であることが判明した。この結果は、病変の分布から病期が存在する可能性が示唆された。また現在、使用できる可能性のある生物学的製剤の選択の判断につながる可能性がある。今後、治療前のサイトカインの状態と臨床アウトカム(治療反応性)が結びつくかどうか、さらに検討を行う必要があると考えられた。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (5 results)

All 2019 2018

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (3 results)

  • [Journal Article] Interleukin 5-producing ST2+ memory Th2 cells in IgG4-related dacryoadenitis and sialadenitis.2018

    • Author(s)
      Yamamoto M, Takano KI, Kamekura R, Aochi S, Suzuki C, Ichimiya S, Nakase H, Himi T, Takahashi H.
    • Journal Title

      Mod Rheumatol.

      Volume: Oct 25 Issue: 5 Pages: 1-5

    • DOI

      10.1080/14397595.2018.1526357

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Stage classification of IgG4-related dacryoadenitis and sialadenitis by the serum cytokine environment2018

    • Author(s)
      Motohisa Yamamoto, Kenichi Takano, Ryuta Kamekura, Chisako Suzuki, Shingo Ichimiya, Tetsuo Himi, Hiroshi Nakase & Hiroki Takahashi
    • Journal Title

      Modern Rheumatology

      Volume: 印刷中 Issue: 6 Pages: 1-5

    • DOI

      10.1080/14397595.2018.1436029

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed
  • [Presentation] クラスター解析によるIgG4関連疾患の治療反応性と治療前サイトカイン値との関連.2019

    • Author(s)
      山本元久,青地翠己,鈴木知佐子,中村聡子,本多佐保,村上理絵子,髙橋裕樹.
    • Organizer
      第63回日本リウマチ学会総会・学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 血清IL-5濃度はIgG4関連疾患の治療反応性を規定する.2019

    • Author(s)
      山本元久,青地翠己,鈴木知佐子,中村聡子,本多佐保,村上理絵子,髙橋裕樹.
    • Organizer
      第68回日本アレルギー学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] アレルギーの有無によるIgG4関連疾患の治療前サイトカイン値の検討.2019

    • Author(s)
      山本元久,松原絵里佳,上原昌弘,山崎広貴,吉川賢忠,青地翠己,鈴木知佐子,髙橋裕 樹,田中廣壽.
    • Organizer
      第47回日本臨床免疫学会総会
    • Related Report
      2019 Annual Research Report

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Published: 2017-04-28   Modified: 2021-02-19  

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