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Elucidation and novel therapies development for granuloma formation in chronic granulomatous disease

Research Project

Project/Area Number 17K10104
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Shigemura Tomonari  信州大学, 学術研究院医学系(医学部附属病院), 講師 (70623916)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords慢性肉芽腫症 / 活性酸素 / 肉芽腫 / 腸炎 / 獲得免疫 / PPARγ / 殺菌蛋白 / 保因者 / 好中球 / 先天性免疫不全症 / 炎症
Outline of Final Research Achievements

Chronic granulomatosis disease (CGD) is accompanied by granulomas and enteritis as well as susceptibility to infections due to reduction of reactive oxygen species (ROS) from phagocytes. We hypothesized that phagocytes without ROS production would cause abnormal immunity and compared the differences in inflammation-related expression in phagocytes caused by ROS production. However, no clear difference was found in this study. In the study of rare disorder caused impaired maturation of neutrophil, which is a type of phagocytes, clones with impaired maturation did not affect normal neutrophil differentiation. On the other hand, the research of particular kind of enteritis disease revealed the involvement of acquired immune abnormality in enteritis associated with granulomas. These findings suggest that abnormalities in acquired immunity caused by ROS may be involved in the pathology of CGD.

Academic Significance and Societal Importance of the Research Achievements

慢性肉芽腫症(CGD)は食細胞の機能異常のため易感染性を示すことから、CGDでみられる肉芽腫や肉芽腫を伴う腸炎の病態にも食細胞が強く関わっているとされてきた。今回の研究からCGDの肉芽腫形成に、食細胞以外の獲得免疫の異常が関与することが示唆された。そのことは肉芽腫を基本病態とするクローン病、サルコイドーシス、肉芽腫性血管炎、また単一遺伝子疾患である若年性サルコイドーシスなどに対しても重要な知見であり、それらの肉芽腫疾患に対しても大きな福音と成り得る。

Report

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

    (10 results)

All 2021 2020 2019 2018 2017

All Journal Article (7 results) (of which Peer Reviewed: 5 results) Presentation (3 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Early-onset inflammatory bowel disease caused by mutations in the X-linked gene IL2RG Journal of Investigational Allergology and Clinical Immunology2021

    • Author(s)
      Akio Ogawa, Tatsuo Watanabe, Takenori Natsume, Eri Okura, Shoji Saito, Sawako Kato, Yoshiko Nakayama, Satomi Furukawa, Tomomi Yamaguchi, Tomoki Kosho, Takeshi Uehara, Norimoto Kobayashi, Kazunaga Agematsu, Yozo Nakazawa, Tomonari Shigemura
    • Journal Title

      Journal of Investigational Allergology and Clinical Immunology

      Volume: 31 Issue: 1 Pages: 69-71

    • DOI

      10.18176/jiaci.0523

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparative analysis of graft-versus-host disease prophylaxis with tacrolimus in combination with methylprednisolone or methotrexate after umbilical cord blood transplantation2020

    • Author(s)
      Shigemura T, Sakashita K, Okura E, Morita D, Komori K, Kurata T, Hirabayashi K, Saito S, Tanaka M, Yanagisawa R, Nakazawa Y. Comparative analysis of graft-versus-host disease prophylaxis with tacrolimus in combination with methylprednisolone or methotrexate after umbilical cord blood transplantation
    • Journal Title

      Int J Hematol

      Volume: 111 Issue: 5 Pages: 702-710

    • DOI

      10.1007/s12185-020-02826-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 原発性免疫不全症候群の遺伝カウンセリング2019

    • Author(s)
      重村倫成
    • Journal Title

      小児科

      Volume: 60 Pages: 1268-1272

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Mosaicism of an ELANE Mutation in an Asymptomatic Mother.2019

    • Author(s)
      Shigemura T, Kobayashi N, Agematsu K, Ohara O, Nakazawa Y.
    • Journal Title

      J Clin Immunol.

      Volume: 39(1) Issue: 1 Pages: 106-111

    • DOI

      10.1007/s10875-018-0580-1

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bacteremia due to Moraxella osloensis : a case report and literature review2018

    • Author(s)
      Maruyama Yuta、Shigemura Tomonari、Aoyama Koki、Nagano Noriyuki、Nakazawa Yozo
    • Journal Title

      The Brazilian Journal of Infectious Diseases

      Volume: 22 Issue: 1 Pages: 60-62

    • DOI

      10.1016/j.bjid.2017.10.008

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Acute Myeloid Leukemia in a Patient With X-linked Severe Combined Immunodeficiency2017

    • Author(s)
      Shigemura Tomonari、Motobayashi Mitsuo、Matsuda Kazuyuki、Shimodaira Takahiro、Kurata Takashi、Kobayashi Norimoto、Agematsu Kazunaga、Nakazawa Yozo
    • Journal Title

      Journal of Pediatric Hematology/Oncology

      Volume: 39 Issue: 8 Pages: e470-e472

    • DOI

      10.1097/mph.0000000000000892

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 好中球機能異常症2017

    • Author(s)
      丸山悠太, 重村倫成
    • Journal Title

      小児科診療

      Volume: 80 Pages: 1211-1216

    • Related Report
      2017 Research-status Report
  • [Presentation] Early-onset inflammatory bowel disease in a patient with X-linked severe combined immunodeficiency2019

    • Author(s)
      Tomonari Shigemura, Akio Ogawa, Tatsuo Watanabe, Takenori Natsume, Eri Okura, Shoji Saito, Sawako Kato, Yoshiko Nakayama, Satomi Furukawa, Tomomi Yamaguchi, Tomoki Kosho, Takeshi Uehara, Norimoto Kobayashi, Kazunaga Agematsu, Yozo Nakazawa
    • Organizer
      The European Society for Immunodeficiencies (ESID 2019)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 重症先天性好中球減少症責任遺伝子ELANE変異を認めた無症候性母親の解析2018

    • Author(s)
      重村倫成、小林法元、上松一永、中沢洋三、小原収
    • Organizer
      第1回日本免疫不全・自己炎症学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Mosaic ELANE mutation causing severe congenital neutropenia in an asymptomatic mother2017

    • Author(s)
      Tomonari Shigemura, Norimoto Kobayashi, Kazunaga Agematsu, Yozo Nakazawa
    • Organizer
      The 18th Meeting of the European Society for Immunodeficiencies (ESID 2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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

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