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Produce of novel regimens that clarify coagulation inhibitory mechanisms for acquired coagulation disorders

Research Project

Project/Area Number 17K10127
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionTenri Health Care University (2018-2019)
Nara Medical University (2017)

Principal Investigator

Matsumoto Tomoko  天理医療大学, 医療学部, 助教 (80642678)

Co-Investigator(Kenkyū-buntansha) 野上 恵嗣  奈良県立医科大学, 医学部, 准教授 (50326328)
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: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords凝固波形解析 / 凝固異常症 / 凝固機能評価 / 凝固波形 / 凝固線溶波形 / 自動分析装置 / 凝固線溶波形解析 / 出血症状 / 後天性凝固異常症 / 蛋白質 / 血液学 / 血栓止血 / 凝固因子 / 評価方法
Outline of Final Research Achievements

We established an assay for assessing clot formation and fibrinolysis simultaneously using clot waveform analysis by the trigger of a mixture of aPTT reagent and an optimized concentration of tissue-type plasminogen activator (0.63 μg/ml) to examine the temporal reactions in a short monitoring time (<500 sec). We concluded that the clot-fibrinolysis waveform analysis technique could sensitively monitor both sides of fibrin clot formation and fibrinolysis, and could provide an easy-to-use assay to help clarify the underlying pathogenesis of bleeding disorders in routine clinical practice.

Academic Significance and Societal Importance of the Research Achievements

凝固異常症を診断できる臨床検査はマーカーの上昇として確立されているが、全凝固線溶機能評価ができ、かつ一般的な検査室で使用できる方法は少ない。我々のテーマは、従来の検査を分かりやすく、汎用性が高い方法で確立した。500秒で測定できると、今後、一般的な測定法として広まっていくと確認している。この方法の確立は凝固異常症の早期発見が可能になり、凝固異常症の早期発見や治療のモニタリングに有用であると期待できる。

Report

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

    (31 results)

All 2019 2018 2017

All Journal Article (14 results) (of which Peer Reviewed: 11 results,  Open Access: 11 results) Presentation (16 results) Book (1 results)

  • [Journal Article] A novel simultaneous clot-fibrinolysis waveform analysis for assessing fibrin formation and clot lysis in haemorrhagic disorders.2019

    • Author(s)
      Nogami K, Matsumoto T, Sasai K, Ogiwara K, Arai N, Shima M.
    • Journal Title

      Br J Haematol.

      Volume: 187 Issue: 4 Pages: 518-529

    • DOI

      10.1111/bjh.16111

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Dynamic evaluation of hemostasis in the acute phase of Kawasaki disease using comprehensive coagulation functional assays.2019

    • Author(s)
      Yoshizawa H, Nogami K, Matsumoto T, Tsujii N, Sakai T, Takase T, Tanaka I, Shima M.
    • Journal Title

      Thromb Res.

      Volume: 174 Pages: 76-83

    • DOI

      10.1016/j.thromres.2018.12.016

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 新しい凝固線溶波形解析を用いた出血性疾患の評価2019

    • Author(s)
      松本 智子
    • Journal Title

      臨床病理

      Volume: 67 Pages: 1029-1034

    • Related Report
      2019 Annual Research Report
    • Open Access
  • [Journal Article] 凝固波形解析の有用性2019

    • Author(s)
      松本 智子
    • Journal Title

      検査と技術

      Volume: 47 Pages: 1348-1352

    • Related Report
      2019 Annual Research Report
  • [Journal Article] 後天性凝固異常症の病態と凝固機能評価法2019

    • Author(s)
      松本 智子
    • Journal Title

      天理医療大学紀要

      Volume: 7 Pages: 22-30

    • NAID

      130007720955

    • Related Report
      2019 Annual Research Report
    • Open Access
  • [Journal Article] Orthotopic liver transplantation for haemophilia A may not always lead to a phenotypic cure of haemophilia A: A case report2018

    • Author(s)
      Suzuki Y, Kakisaka K, Matsumoto T, Nogami K, Katagiri H, Takahara T, Takikawa Y
    • Journal Title

      Haemophilia

      Volume: 24(6)

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Factor (F)VIII/VIIa enhances global haemostatic function in the co-presence of bypassing agents and FVIII among patients with haemophilia A with inhibitor2018

    • Author(s)
      Nogami K, Matsumoto T, Yada K, Ogiwara K, Furukawa S, Shida Y, Takeyama M, Shima M
    • Journal Title

      Br J Haematol

      Volume: ahead of printing Issue: 4 Pages: 528-536

    • DOI

      10.1111/bjh.15209

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Acquired hemophilia A associated with autoimmune pancreatitis with serum IgG4 elevation.2018

    • Author(s)
      Narazaki T, Haji S, Nakashima Y, Tsukamoto Y, Tsuda M, Takamatsu A, Ohno H, Matsushima T, Matsumoto T, Nogami K, Shima M, Shiratsuchi M, Ogawa Y
    • Journal Title

      Int J Hematol

      Volume: 108(3) Issue: 3 Pages: 335-338

    • DOI

      10.1007/s12185-018-2441-3

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] First report of real-time monitoring of coagulation function potential and IgG subtype of anti-FVIII autoantibodies in a child with acquired hemophilia A associated with streptococcal infection and amoxicillin2018

    • Author(s)
      Takeyama M, Nogami K, Kajimoto T, Ogiwara K, Matsumoto T, Shima M
    • Journal Title

      Int J Hematol

      Volume: 107(1) Issue: 1 Pages: 112-116

    • DOI

      10.1007/s12185-017-2273-6

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Routine measurements of factor VIII activity and inhibitor titer in the presence of emicizumab utilizing anti-idiotype monoclonal antibodies2018

    • Author(s)
      Nogami K, Soeda T, Matsumoto T, Kawabe Y, Kitazawa T, Shima M
    • Journal Title

      J Thromb Haemost

      Volume: 16(7) Issue: 7 Pages: 1383-1390

    • DOI

      10.1111/jth.14135

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Modified clot waveform analysis to measure plasma coagulation potential in the presence of the anti-factor IXa/factor X bispecific antibody, emicizumab2018

    • Author(s)
      Nogami K, Matsumoto T, Tabuchi Y, Soeda T, Arai N, Kitazawa T, Shima M
    • Journal Title

      Journal of Thrombosis and Haemostasis

      Volume: 未定 Issue: 6 Pages: 1078-1088

    • DOI

      10.1111/jth.14022

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Potentially life-threatening coagulopathy associated with simultaneous reduction in coagulation and fibrinolytic function in pediatric acute leukemia after hematopoietic stem-cell transplantation.2017

    • Author(s)
      Ishihara T, Nogami K , Matsumoto T, Nomura A, Takeshita Y, Ochi S, Shima M
    • Journal Title

      International Jurnal of Hematology

      Volume: 106(1) Issue: 1 Pages: 126-134

    • DOI

      10.1007/s12185-017-2213-5

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clot waveform analysis using CS-2000i distinguishes between very low and absent levels of factor VIII activity in patients with severe hemophilia A2017

    • Author(s)
      Tomoko Matsumoto, Keiji Nogami, Yuka Tabuchi, Koji Yada, Kenichi Ogiwara, Hiroshi Kurono, Nobuo Arai, Midori Shima
    • Journal Title

      Haemophilia

      Volume: 23(5) Issue: 5

    • DOI

      10.1111/hae.13266

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A combined approach using global coagulation assays quickly differentiates coagulation disorders with prolonged aPTT and low levels of FVIII activity.2017

    • Author(s)
      Tomoko Matsumoto, Keiji Nogami, Midori Shima
    • Journal Title

      International Jurnal of Hematology

      Volume: 105(2) Issue: 2 Pages: 174-183

    • DOI

      10.1007/s12185-016-2108-x

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 血友病治療の進歩と臨床検査2019

    • Author(s)
      松本 智子
    • Organizer
      第68回 日本医学検査学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 「止血異常における臨床検査の最前線」 出血性素因検査の最前線  病態を反映する凝固機能評価法 -検査室から臨床へ-2019

    • Author(s)
      松本 智子
    • Organizer
      第41回 日本血栓止血学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 凝固線溶波形解析におけるフィブリノゲンの関連性と抗凝固療法への有用性2019

    • Author(s)
      松本 智子、 下村 大樹、 河野 紋、 新井 信夫、 熊野 穣、 篠原 翔、 松尾 収二
    • Organizer
      第20回 日本検査血液学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 各種凝固療法下のモニターに有益な 凝固波形解析による平均加速度パラメーター2019

    • Author(s)
      河野 紋&sup1; 松本 智子 下村 大樹 新井 信夫 熊野 穣 篠原 翔 松尾 収二
    • Organizer
      第20回 日本検査血液学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 新しい凝固線溶波形解析を用いた 出血性疾患の評価2019

    • Author(s)
      松本 智子
    • Organizer
      第59回 日本臨床化学会年次学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 凝固・線溶波形を用いた病態解析-血友病Aにおける早期線溶-2019

    • Author(s)
      松本 智子、辻井 温、畑中 徳子、堀江 修、戸田 好信、熊野 穣、篠原 翔、新井 信夫、松尾 収二
    • Organizer
      第66回 日本臨床検査医学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Lupus anticoagulant hypoprothrombinemia syndrome (LAHPS)のフィブリン形成能低下とその脆弱性2018

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫
    • Organizer
      第 40 回 日本血栓止血学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 各種APTT試薬を用いた凝固線溶動態評価による新規凝固因子欠乏血漿の分類2018

    • Author(s)
      松本 智子、野上 恵嗣、辻本 藍子、笹井 香那、荻原 建一、竹中 亜利沙、新井 信夫、篠原 翔、田渕 有香、嶋 緑倫
    • Organizer
      第19回 日本検査血液学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 包括的ダイナミック解析による先天性血友病A患者の凝固線溶動態の特性2018

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫
    • Organizer
      第61回 日本臨床検査医学会近畿支部総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 新規APTT凝固波形パラメータによるAPTT延長検体判別の有用性2018

    • Author(s)
      杉本 夏菜、下村 大樹、松本 智子、嶋田 昌司、松尾 収二
    • Organizer
      第58回 日臨技近畿支部医学検査学会
    • Related Report
      2018 Research-status Report
  • [Presentation] A novel hemostatic monitoring with simultaneous clot-fibrinolysis waveform analysis for hemophilia A2018

    • Author(s)
      Aiko Tsujimoto, Keiji Nogami, Tomoko Matsumoto, Kenichi Ogiwara, Takehisa Kitazawa, Midori Shima
    • Organizer
      第80回 日本血液学会
    • Related Report
      2018 Research-status Report
  • [Presentation] A new classification of DIC based on the coagulation/fibrinolysis dynamics2018

    • Author(s)
      Tomoko Onishi, Keiji Nogami, Tomoko Matsumoto, Takashi Ishihara, Midori Shima
    • Organizer
      第80回 日本血液学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 包括的ダイナミック解析による血友病の凝固線溶動態の特性2017

    • Author(s)
      松本 智子, 野上 恵嗣, 笹井 香那, 荻原 建一, 竹中亜利沙, 嶋  緑倫
    • Organizer
      第39回 日本血栓止血学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 凝固波形解析によるFVIII補因子機能代替抗体emicizumabの包括的凝固機能モニタリング法の確立2017

    • Author(s)
      松本 智子, 野上 恵嗣, 田渕 有香, 添田 哲弘, 新井 信夫, 北沢 剛久, 高岡 秀成, 服部 有宏, 嶋  緑倫
    • Organizer
      第39回 日本血栓止血学会
    • Related Report
      2017 Research-status Report
  • [Presentation] リン脂質抗体陽性例の凝固波形解析を用いたフィブリン溶解反応における凝固線溶動態の特性2017

    • Author(s)
      松本 智子,, 野上 恵嗣, 笹井 香那, 荻原 建一, 矢田 弘史, 竹中亜利沙, 嶋  緑倫
    • Organizer
      第18回 日本検査血液学会
    • Related Report
      2017 Research-status Report
  • [Presentation] PT・aPTT混合試薬による凝固波形解析を用いた新たな凝固機能評価法の有用性2017

    • Author(s)
      吉本知史、松本智子、野上恵嗣、嶋緑倫
    • Organizer
      第60回 日本臨床検査医学会近畿支部総会
    • Related Report
      2017 Research-status Report
  • [Book] 臨床に直結する血栓止血学2018

    • Author(s)
      野上 恵嗣、松本 智子
    • Total Pages
      686
    • Publisher
      中外医学社
    • Related Report
      2018 Research-status Report

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

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