Project/Area Number |
17K09990
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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 |
Collagenous pathology/Allergology
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Research Institution | Nippon Medical School |
Principal Investigator |
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Co-Investigator(Kenkyū-buntansha) |
桐野 洋平 横浜市立大学, 医学部, 講師 (50468154)
黒沢 美智子 順天堂大学, 医学部, 准教授 (70245702)
水木 信久 横浜市立大学, 医学研究科, 教授 (90336579)
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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 |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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Keywords | ベーチェット病 / HLA / クラスター解析 / 腸管ベーチェット病 / クラスター分類 / 腸管型 / HLA-B51 / HLA-B26 / 腸管症状 / 遺伝素因 / 環境因子 / 年齢 / 性差 / フェノタイプ / ゲノタイプ |
Outline of Final Research Achievements |
We hypothesized that patients with Behcet’s disease (BD) are categorized into several clinical phenotypes based on clinical presentations. Cluster analysis in our cohort with 657 cases and 7399 registry forms of specific disease treatment, Ministry of Health, Labour, and Welfare, identified an intestinal variant cluster which was distinct from classical forms of BD having mucocutaneous, ocular, and neurological involvement. Patients in the intestinal cluster often more commonly required TNF inhibitors and more frequent hospitalization than other clusters. Presence of arthritis, absence of eye lesions, and negative for HLA-B51 were identified as predisposing factors to the cluster. Early clustering based on clinical presentations and genetic factors may contribute to personalized preemptive medicine.
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Academic Significance and Societal Importance of the Research Achievements |
ベーチェット病の臨床像は多様であり、病型、重症度に応じた治療対応が必要であり、国内外の診療ガイドラインにおいても個別化医療の重要性が強調されている。本研究の臨床亜群分類の試みは、今後、亜群ごとの臨床経過、予後、治療反応性を明らかにすることで将来的な個別化医療の礎となるものと期待される。また、HLA-B51の有無がそれぞれ眼病変、腸管病変と関連するなど、遺伝素因の関与について明らかにすることで、より早期の亜群分類が可能となり、個別化された先制医療にもつながるものと期待される。
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Report
(4 results)
Research Products
(65 results)
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[Journal Article] JCS 2017 Guideline on Management of Vasculitis Syndrome ― Digest Version ―2020
Author(s)
Isobe, M. Amano, K. Arimura, Y. Ishizu, A. Ito, S. Kaname, S. Takahashi, K. Tanemoto, K. Hasegawa, H. Harigai, M. Fujimoto, S. Miyazaki, T. et.al.
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Journal Title
Circulation Journal
Volume: 84
Issue: 2
Pages: 299-359
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2020-01-24
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] HLA-A26 is a risk factor for Behcet’s disease ocular lesions2020
Author(s)
Kato H, Takeuchi M, Horita N, Ishido T, Mizuki R, Kawagoe T, Shibuya E, Yuda K, Ishido M, Mizuki Y, Hayashi T, Meguro A, Kirino Y, Minegishi K, Nakano H, Yoshimi R, Kurosawa M, Fukumoto T, Takeno M, Hotta K, Kaneko T, Mizuki N
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Journal Title
Modern Rheumatology
Volume: 30
Issue: 1
Pages: 1-5
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Trial of Apremilast for Oral Ulcers in Behcet’s Syndrome2019
Author(s)
Hatemi Gulen、Mahr Alfred、Ishigatsubo Yoshiaki、Song Yeong-Wook、Takeno Mitsuhiro、Kim Doyoung、Meliko?lu Melike、Cheng Sue、McCue Shannon、Paris Maria、Chen Mindy、Yazici Yusuf
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Journal Title
New England Journal of Medicine
Volume: 381
Issue: 20
Pages: 1918-1928
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] The influence of HLA-B51 on clinical manifestations among Japanese patients with Beh?et’s disease: A nationwide survey2019
Author(s)
Mizuki Y, Horita N, Horie Y, Takeuchi M, Ishido T, Mizuki R, Kawagoe T, Shibuya E, Yuda K, Ishido M, Minegishi K, Yoshimi R, Kirino Y, Kato S, Arimoto J, Fukumoto T, Kurosawa M, Kitaichi N, Takeno M, Kaneko T, Mizuki N.
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Journal Title
Modern Rheumatology
Volume: 6
Issue: 4
Pages: 1-7
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Clinical features of early-stage possible Behcet's disease patients with a variant-type major organ involvement in Japan2019
Author(s)
Suzuki T, Horita N, Takeuchi M, Ishido T, Mizuki Y, Mizuki R, Kawagoe T, Shibuya E, Yuta K, Yamane T, Hayashi T, Meguro A, Ishido M, Minegishi K, Yoshimi R, Kirino Y, Kato S, Arimoto J, Fukumoto T, Ishigatsubo Y, Kurosawa M, Takeno M, Kaneko T, Mizuki N
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Journal Title
Mod Rheumatol
Volume: 30
Issue: 4
Pages: 1-7
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] The ocular involvement did not accompany with the genital ulcer or the gastrointestinal symptoms at the early stage of Behçet's disease2018
Author(s)
Suwa A, Horita N, Ishido T, Takeuchi M, Kawagoe T, Shibuya E, Yamane T, Hayashi T, Meguro A, Ishido M, Minegishi K, Yoshimi R, Kirino Y, Kato S, Arimoto J, Fukumoto T, Ishigatsubo Y, Kurosawa M, Kaneko T, Takeno M, Mizuki N
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Journal Title
Modern Rheumatology
Volume: 27
Issue: 2
Pages: 1-17
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Distinct clinical features between acute and chronic progressive parenchymal neuro-Behcet disease: meta-analysis.2017
Author(s)
Ishido M, Horita N, Takeuchi M, Shibuya E, Yamane T, Kawagoe T, Ishido T, Minegishi K, Yoshimi R, Kirino Y, Hirohata S, Ishigatsubo Y, Takeno M, Kaneko T, Mizuki N
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Journal Title
Sci Rep.
Volume: 7
Issue: 1
Pages: 10196-10196
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Clinical manifestations of Behcet 's disease depending on sex and age: results from Japanese nationwide registration2017
Author(s)
Ishido T, Horita N, Takeuchi M, Kawagoe T, Shibuya E, Yamane T, Hayashi T, Meguro A, Ishido M, Minegishi K, Yoshimi R, Kirino Y, Kato S, Arimoto J, Ishigatsubo Y, Takeno M, Kurosawa M, Kaneko T, Mizuki N.
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Journal Title
Rheumatology (Oxford).
Volume: 56
Pages: 1918-1927
Related Report
Peer Reviewed
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[Presentation] Improvements and Correlations in Oral Ulcers, Disease Activity, and Quality of Life in Behcet’s Syndrome: A Phase III Randomized, Double-Blind, Placebo-Controlled Study (RELIEF)2019
Author(s)
Hatemi G, Mahr A, Takeno M, Kim DY, Melikoglu M, Cheng S, McCue S, Paris M, Chen M, Yazici Y.
Organizer
American Academy of Dermatology Annual Meeting AAD (Wahsihngon DC)
Related Report
Int'l Joint Research
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[Presentation] Apremilast for Beh&cet’s Syndrome: Results from a Phase III, Randomized, Double-Blind, Placebo-Controlled Study in a Japanese Subgroup.2018
Author(s)
Takeno M , Tanaka Y, Knon H, Sugii M, Kishimoto M, Chen S, McCue S, Paris M, Dobasshi H.
Organizer
2018 ACR/ARHP Annual Meeting (Chicago)
Related Report
Int'l Joint Research
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[Presentation] Efficacy of Apremilast for Oral Ulcers Associated with Active Behcet’s Syndrome in a Phase III Study: A Prespecified Analysis By Baseline Patient Demographics and Disease Characteristics.2018
Author(s)
Hatemi G, Mahr A, Takeno M, Kim DY, Melikoglu M, Cheng S, McCue S, Paris M, Chen M, Yazici Y.
Organizer
2018 ACR/ARHP Annual Meeting (Chicago),
Related Report
Int'l Joint Research
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[Presentation] Apremilast for oral ulcers in Behcet’s Syndrome: a phase III randomized, double blind,placebo-controlled study (RELIEF)2018
Author(s)
Hatemi G, Mahr A, Takeno M , Kim DY, Melikoglu M, Cheng S, McCue S, Paris M, Chen M, Yazici Y.
Organizer
18th International Conference on Behcet’s Disease (Rotterdam, Netherland)
Related Report
Int'l Joint Research
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[Presentation] Apremilast for Behcet’s Syndrome: Results from a Phase III, Randomized, Double-Blind, Placebo-Controlled Study in a Japanese Subgroup.2018
Author(s)
Kono H, Dobasshi H, Tanaka Y, Sugii M, Kishimoto M, Chen S, McCue S, Paris M, Takeno M.
Organizer
18th International Conference on Behcet’s Disease (Rotterdam, Netherland)
Related Report
Int'l Joint Research
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[Presentation] Apremilast for Behcet’s Syndrome: A Phase III Randomized, Placebo-Controlled, Double-Blind Study (RELIEF).2018
Author(s)
Hatemi G, Mahr A, Takeno M, Kim DY, Melikoglu M, Cheng S, McCue S, Paris M, Yazici Y:
Organizer
Annual European Congress of Rheumatology EULAR 2018 (Amsterdam, Netherlands)
Related Report
Int'l Joint Research
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[Presentation] Apremilast for Behcet’s Syndrome: A Phase III Randomized, Placebo-Controlled, Double-Blind Study.2018
Author(s)
Hatemi G, Mahr A, Takeno M, Kim DY, Melikoglu M, Cheng S, McCue S, Paris M, Yazici Y
Organizer
American Academy of Dermatology Annual Meeting AAD 2018 (San Diego, CA)
Related Report
Int'l Joint Research
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