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Genetic and Clinical analyses in patients with sitosterolemia

Research Project

Project/Area Number 17K10053
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionNagasaki University

Principal Investigator

Dateki Sumito  長崎大学, 医歯薬学総合研究科(医学系), 准教授 (70462801)

Project Period (FY) 2017-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords高コレステロール血症 / 高シトステロール血症 / 黄色腫
Outline of Final Research Achievements

Sitosterolemia is caused by biallelic mutations in the ABCG5 or the ABCG8 genes. We revealed the clinical spectrum, the genotype-phenotype correlations, and the genetic background in patient with monoallelic and biallelic ABCG5 or ABCG8 gene variants in the Japanese population. Clinical analyses in the patients and the family members revealed that there were broad clinical spectrum from severe lethal atherosclerosis to mild phenotype with just hypercholesterolemia and no genotype-phenotype correlations even in patients with same mutations. Plasma cholesterol concentrations were extremely high in infant even in heterozygous carrier, whereas breast-fed infants with sitosterolemia did not increase concentration of plasma sitosterols. Further studies will be needed to clarify the appropriate therapies for the disease and adverse impacts of the heterozygous carriers for atherosclerotic disease .

Academic Significance and Societal Importance of the Research Achievements

シトステロール血症の臨床像と遺伝型-表現型の関連性を明らかにすることで、より効率的な診断システムの確率と早期診断、医療介入が可能となる。シトステロール血症と家族性高コレステロール血症では、治療・医学的管理方法が異なる。シトステロール血症では、高コレステロール血症に対して一般的に使用されるスタチン系製剤の効果がない。また、家族性高コレステロール血症で推奨される植物脂質の摂取は悪影響を与える。本研究の成果は、シトステロール血症に対する適切な治療管理を可能にし、本症における動脈硬化、若年性心筋梗塞の予防に貢献すると期待される。

Report

(6 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (4 results)

All 2019 2018 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results)

  • [Journal Article] A case of sitosterolemia due to compound heterozygous mutations in <i>ABCG5</i>: clinical features and treatment outcomes obtained with colestimide and ezetimibe2017

    • Author(s)
      Ono S, Matsuda J, Saito A, Yamamoto Y, Fujimoto W, Shimizu H, Dateki S, Ouchi K.
    • Journal Title

      Clinical Pediatric Endocrinology

      Volume: 26 Issue: 1 Pages: 17-23

    • DOI

      10.1297/cpe.26.17

    • NAID

      130005308194

    • ISSN
      0918-5739, 1347-7358
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 早期にエゼチミブを導入した小児シトステロール血症2例の臨床経過2019

    • Author(s)
      我有茉希、清水日智、伊達木澄人
    • Organizer
      第92回日本内分泌学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 早期にエゼチミブを導入した小児シトステロール血症2例の臨床経過2019

    • Author(s)
      我有茉希、清水日智、伊達木澄人
    • Organizer
      第122回日本小児科学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 早期にエゼチミブを導入した小児シトステロール血症2例の臨床経過2018

    • Author(s)
      我有茉希、清水日智、伊達木澄人
    • Organizer
      第52回日本小児内分泌学会学術集会
    • Related Report
      2018 Research-status Report

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Published: 2017-04-28   Modified: 2023-01-30  

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