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Analysis of the breakdown of the blood-ocular barrier due to HTLV-1 infection and development of the molecular targeted therapy for HTLV-1-associated ocular diseases

Research Project

Project/Area Number 17K11476
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Ophthalmology
Research InstitutionTokyo Medical and Dental University

Principal Investigator

Kamoi Koju  東京医科歯科大学, 大学院医歯学総合研究科, 講師 (40451942)

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: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywordsぶどう膜炎 / HTLV-1 / ATL / 眼浸潤 / 血液眼関門 / HTLV-1ぶどう膜炎 / 成人T細胞白血病 / 眼科学 / 眼微生物学・感染症学 / レトロウイルス
Outline of Final Research Achievements

This study identified the chemokines and cytokines that involved in the breakdown of the blood-ocular barrier in HTLV-1 uveitis and intraocular infiltration of ATL cell, and have clarified the mechanism of the onset of HTLV-1-related eye diseases. Glaucoma is one of the most frequent eye complications secondary to HTLV-1 uveitis, therefore, this study investigated the mechanism of the secondary glaucoma and identified the importance of HTLV-1 infected cell infiltration into the eye. This study also investigated the effect of a drug (anti-CCR4 antibody), which is considered to be a candidate for a molecular targeted drug for HTLV-1-related eye diseases, and clarified its effectiveness in treating HTLV-1-related eye diseases.

Academic Significance and Societal Importance of the Research Achievements

HTLV-1は今なお日本における重要な感染症で、現在世界的に注目されているレトロウイルスである。HTLV-1感染によって生じる眼疾患は視力障害をきたし、感染者の生活の質に多大な影響を与える。
本研究によって、HTLV-1関連眼疾患とそれに続発する眼疾患の発症メカニズムを明らかにし、また治療候補薬の有効性をを明らかにしたことで、HTLV-1感染症における眼科的アプローチの進歩につながる成果を得られたと考える。

Report

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

    (48 results)

All 2020 2019 2018 2017 Other

All Journal Article (19 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 15 results,  Open Access: 9 results) Presentation (24 results) (of which Int'l Joint Research: 2 results,  Invited: 12 results) Book (4 results) Remarks (1 results)

  • [Journal Article] HTLV-1 in Ophthalmology2020

    • Author(s)
      Kamoi Koju
    • Journal Title

      Frontiers in Microbiology

      Volume: 11 Pages: 388-388

    • DOI

      10.3389/fmicb.2020.00388

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Tackling HTLV-1 infection in ophthalmology: a nationwide survey of ophthalmic care in an endemic country, Japan2020

    • Author(s)
      Kamoi Koju、Okayama Akihiko、Izumo Shuji、Hamaguchi Isao、Uchimaru Kaoru、Tojo Arinobu、Watanabe Toshiki、Ohno-Matsui Kyoko
    • Journal Title

      British Journal of Ophthalmology

      Volume: - Issue: 12 Pages: 1647-1651

    • DOI

      10.1136/bjophthalmol-2019-315675

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Intraocular Infiltration2020

    • Author(s)
      Kamoi Koju、Ohno-Matsui Kyoko
    • Journal Title

      The American Journal of Tropical Medicine and Hygiene

      Volume: 102 Issue: 1 Pages: 7-8

    • DOI

      10.4269/ajtmh.19-0539

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] RIDGE-SHAPED MACULA IN YOUNG MYOPIC PATIENTS AND ITS DIFFERENTIATION FROM TYPICAL DOME-SHAPED MACULA IN ELDERLY MYOPIC PATIENTS2020

    • Author(s)
      Xu Xian、Fang Yuxin、Jonas Jost B.、Du Ran、Shinohara Kosei、Tanaka Noriko、Yokoi Tae、Onishi Yuka、Uramoto Kengo、Kamoi Koju、Yoshida Takeshi、Ohno-Matsui Kyoko
    • Journal Title

      Retina

      Volume: 40 Issue: 2 Pages: 1-1

    • DOI

      10.1097/iae.0000000000002395

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] CLINICAL FEATURES OF PATCHY CHORIORETINAL ATROPHY IN PATHOLOGIC MYOPIA2020

    • Author(s)
      Du Ran、Fang Yuxin、Jonas Jost B.、Yokoi Tae、Takahashi Hiroyuki、Uramoto Kengo、Kamoi Koju、Yoshida Takeshi、Ohno-Matsui Kyoko
    • Journal Title

      Retina

      Volume: 40 Issue: 5 Pages: 951-959

    • DOI

      10.1097/iae.0000000000002575

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Bilateral diffuse retinal pigment epithelium proliferation induced by choroidal inflammation2019

    • Author(s)
      Tanaka Miyuki、Kamoi Koju、Nagaoka Natsuko、Ishida Tomoka、Karube Hisako、Takase Hiroshi、Ohno-Matsui Kyoko
    • Journal Title

      Medicine

      Volume: 98 Issue: 47 Pages: e18152-e18152

    • DOI

      10.1097/md.0000000000018152

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Safety of Infliximab for the Eye Under Human T-Cell Leukemia Virus Type 1 Infectious Conditions in vitro2019

    • Author(s)
      Uchida Minami、Kamoi Koju、Ando Naoko、Wei Chenxi、Karube Hisako、Ohno-Matsui Kyoko
    • Journal Title

      Frontiers in Microbiology

      Volume: 10 Pages: 2148-2148

    • DOI

      10.3389/fmicb.2019.02148

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] HTLV-1と眼疾患2019

    • Author(s)
      鴨居 功樹
    • Journal Title

      細胞

      Volume: 50 Pages: 42-43

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Real-world evidence of treatment for relapse of noninfectious uveitis in tertiary centers in Japan2019

    • Author(s)
      Takeuchi Masaru、Kanda Takayuki、Kaburaki Toshikatsu、Tanaka Rie、Namba Kenichi、Kamoi Koju、Maruyama Kazuichi、Shibuya Etsuko、Mizuki Nobuhisa
    • Journal Title

      Medicine

      Volume: 98 Issue: 9 Pages: e14668-e14668

    • DOI

      10.1097/md.0000000000014668

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Cilioretinal Arteries and Cilioretinal Veins in Eyes with Pathologic Myopia2019

    • Author(s)
      Watanabe Takashi、Kasahara Kaori、Futagami Soh、Fang Yuxin、Du Ran、Moriyama Muka、Uramoto Kengo、Yokoi Tae、Onishi Yuka、Yoshida Takeshi、Kamoi Koju、Jonas Jost B.、Ohno-Matsui Kyoko
    • Journal Title

      Scientific Reports

      Volume: 9 Issue: 1 Pages: 110-112

    • DOI

      10.1038/s41598-019-38616-5

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] ぶどう膜炎診療のアップデート2019

    • Author(s)
      鴨居 功樹
    • Journal Title

      江東区医師会会報

      Volume: 42 Pages: 43-44

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Adult T-cell leukemia/lymphoma-related ocular manifestations: analysis of the first large-scale nationwide survey2019

    • Author(s)
      Kamoi K, Okayama A, Izumo S, Hamaguchi I, Uchimaru K, Tojo A,Ohno-Matsui K
    • Journal Title

      Front Microbiol

      Volume: 9 Pages: 3240-3240

    • DOI

      10.3389/fmicb.2018.03240

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] CORRELATIONS BETWEEN EXPERIMENTAL MYOPIA MODELS AND HUMAN PATHOLOGIC MYOPIA2019

    • Author(s)
      Vutipongsatorn Kritchai、Nagaoka Natsuko、Yokoi Tae、Yoshida Takeshi、Kamoi Koju、Horie Shintaro、Uramoto Kengo、Hirata Akira、Occelli Laurence M.、Petersen-Jones Simon M.、Montiani-Ferreira Fabiano、Cases Olivier、Kozyraki Renata、Jonas Jost B.、Ohno-Matsui Kyoko
    • Journal Title

      Retina

      Volume: 39 Issue: 4 Pages: 621-635

    • DOI

      10.1097/iae.0000000000002426

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] RIDGE-SHAPED MACULA PROGRESSING PARALLEL TO BRUCH MEMBRANE DEFECTS AND MACULAR SUPRACHOROIDAL CAVITATION2018

    • Author(s)
      Fang Yuxin、Du Ran、Jonas Jost B.、Watanabe Takashi、Uramoto Kengo、Yokoi Tae、Onishi Yuka、Yoshida Takeshi、Kamoi Koju、Ohno-Matsui Kyoko
    • Journal Title

      Retina

      Volume: 12 Issue: 3 Pages: 1-1

    • DOI

      10.1097/iae.0000000000002404

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Adalimumab in Active and Inactive, Non-Infectious Uveitis: Global Results from the VISUAL I and VISUAL II Trials2018

    • Author(s)
      Goto Hiroshi、Zako Masahiro、Namba Kenichi、Hashida Noriyasu、Kaburaki Toshikatsu、Miyazaki Masanori、Sonoda Koh-Hei、Abe Toshiaki、Mizuki Nobuhisa、Kamoi Koju et. al.
    • Journal Title

      Ocular Immunology and Inflammation

      Volume: 27 Issue: 1 Pages: 40-50

    • DOI

      10.1080/09273948.2018.1491605

    • NAID

      120006643596

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Adult T-cell leukemia cell-induced uveitis: rapid increase in adult T-cell leukemia cells disrupts the blood?ocular barrier2017

    • Author(s)
      Hirano Mitsuhito、Ohno Nobuhiro、Tanosaki Ryuji、Mochizuki Manabu、Ohno-Matsui Kyoko、Uchimaru Kaoru、Tojo Arinobu、Kamoi Koju
    • Journal Title

      International Journal of Hematology

      Volume: 106 Issue: 6 Pages: 842-846

    • DOI

      10.1007/s12185-017-2293-2

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Human T Cell Leukemia Virus Type 1 and Eye Diseases.2017

    • Author(s)
      Yukiko Terada, Koju Kamoi, Takashi Komizo, Kazunori Miyata, Manabu Mochizuki.
    • Journal Title

      J Ocul Pharmacol Ther.

      Volume: 33 Issue: 4 Pages: 216-223

    • DOI

      10.1089/jop.2016.0124

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] HTLV-1ぶどう膜炎2017

    • Author(s)
      望月 學, 鴨居 功樹, 寺田 裕紀子
    • Journal Title

      日本内科学会雑誌

      Volume: 106 Pages: 1410-1416

    • Related Report
      2017 Research-status Report
  • [Journal Article] アダリムマブ (ヒュミラ)2017

    • Author(s)
      鴨居 功樹, 高瀬 博.
    • Journal Title

      あたらしい眼科

      Volume: 34 Pages: 39-44

    • Related Report
      2017 Research-status Report
  • [Presentation] レミケードの長期成績2019

    • Author(s)
      鴨居 功樹
    • Organizer
      Infliximab Conference on Behcet Disease 2019
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] アダリムマブ治療が奏功しないぶどう膜炎の臨床像.2019

    • Author(s)
      堀口 乃恵、高瀬 博、岩崎 優子、宮永 将、宮内 真理、輕部 央子、堀江 真太郎、田中 美由紀、鴨居 功樹、大野 京子.
    • Organizer
      第73回 日本臨床眼科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 硝子体生検で風疹ウイルス抗体率陽性となったぶどう膜炎の臨床像2019

    • Author(s)
      井出 光直、高瀬 博、岩崎 優子、宮内 真理、堀口 乃恵、輕部 央子、宮永 将、池谷 頼子、田中美由紀、鴨居 功樹、大野 京子
    • Organizer
      第73回 日本臨床眼科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Young Investigator Award (YIA) presentation. 末梢血CD4+CADM1+細胞集団の割合とぶどう膜炎の重症度に関する検討.2019

    • Author(s)
      牧山 純也、鴨居 功樹、小林 誠一郎、渡辺 恵理、石垣 知寛、中島 誠、山岸 誠、中野 和民、東條 有伸、渡邉 俊樹、内丸 薫、大野 京子.
    • Organizer
      第6回 日本HTLV-1学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] TNFα阻害薬:アダリムマブがHTLV-1感染者の眼に及ぼす影響の検討.2019

    • Author(s)
      輕部 央子、鴨居 功樹、安藤 尚子、内田 南、大野 京子
    • Organizer
      第6回 日本HTLV-1学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] HTLV-1感染細胞の眼組織への影響の検討2019

    • Author(s)
      輕部央子、鴨居功樹、安藤尚子、魏辰茜、大野京子
    • Organizer
      第123回 日本眼科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Behcet病による難治性網膜ぶどう膜炎におけるInfliximab治療の長期成績2019

    • Author(s)
      堀口 乃恵、鴨居 功樹、堀江 真太郎、大野 京子
    • Organizer
      第123回 日本眼科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 非感染性ぶどう膜炎に対するアダリムマブの有効性の検討2019

    • Author(s)
      高瀬 博、堀口乃恵、岩崎優子、宮永 将、宮内真理、輕部央子、堀江真太郎、田中美由紀、鴨居功樹、森雅亮、大野京子
    • Organizer
      第123回 日本眼科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Effect of anti-TNF-α antibody on the ocular inflammation complicated by HTLV-1 infection2019

    • Author(s)
      Minami Uchida, Koju Kamoi, Naoko Ando, Chenxi Wei, Hisako Karube, Kyoko Ohno-Matsui.
    • Organizer
      第123回 日本眼科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] レトロウイルスによるぶどう膜炎:HTLV-1関連眼疾患2019

    • Author(s)
      鴨居 功樹
    • Organizer
      第20回 Tokyo Retina League, Keynote lecture
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] ぶどう膜炎を引き起こす新興・再興感染症2019

    • Author(s)
      鴨居 功樹
    • Organizer
      第5回TMDU眼科病診連携の会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] HTLV-1 related ocular diseases2018

    • Author(s)
      Koju Kamoi
    • Organizer
      Alice Springs Hospital Educational Lecture
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] ぶどう膜炎診療のアップデート2018

    • Author(s)
      鴨居 功樹.
    • Organizer
      第5回江東区医師会眼科医会学術講演会 特別講演
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 論文を書くということ2018

    • Author(s)
      鴨居 功樹
    • Organizer
      Ophthalmic Academy of Glaucoma
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] ぶどう膜炎の診断と治療の進歩.2018

    • Author(s)
      鴨居 功樹
    • Organizer
      第10回 TMDU眼科フォーラム 基調講演
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 中間部、後部または汎ぶどう膜炎に対するアダリムマブと免疫調節剤併用療法の検討.2018

    • Author(s)
      鴨居 功樹, Sergio Schwartzman, Irene Van der Horst-Bruinsma, Alfredo Adan, Hiroshi Goto, Martina Kron, Alexandra P. Song, Kevin Douglas, Sophia Pathai, C. Stephen Foster.
    • Organizer
      第122回日本眼科学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Ocular Involvement in Hematological Malignancies.2018

    • Author(s)
      Koju Kamoi.
    • Organizer
      The 33rd Asia-Pacific Academy of Ophthalmology (APAO). Symposium.
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Impact of Adalimumab on Immunosuppressant Use in Patients with Active and Inactive Non-Infectious Intermediate, Posterior, or Pan-Uveitis in the Ongoing Open Label Study: Visual-III.2017

    • Author(s)
      Sergio Schwartzman, Irene Van der Horst-Bruinsma, Alfredo Adan, Hiroshi Goto, Koju Kamoi, Martina Kron, Alexandra P. Song, Kevin Douglas, Sophia Pathai and C. Stephen Foster.
    • Organizer
      The American College of Rheumatology's Annual Meeting
    • Related Report
      2017 Research-status Report
  • [Presentation] 局所投与療法.2017

    • Author(s)
      鴨居 功樹.
    • Organizer
      第71回日本臨床眼科学会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] HTLV-1 関連眼疾患の基礎と臨床 ~HTLV-1 ぶどう膜炎と ATL 関連眼疾患~.2017

    • Author(s)
      鴨居 功樹.
    • Organizer
      長崎大学 大学院セミナー
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 非感染性ぶどう膜炎の鑑別診断.2017

    • Author(s)
      鴨居 功樹.
    • Organizer
      フォーサム大阪 2017
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 内因性ぶどう膜炎増悪時に対する局所および全身加療の実態調査.2017

    • Author(s)
      神田 貴之、安田 真実、竹内 大、蕪城 俊克、田中 純美、南場 研一、鴨居 功樹、水木 信久、澁谷 悦子、丸山 和一.
    • Organizer
      フォーサム大阪 2017
    • Related Report
      2017 Research-status Report
  • [Presentation] 診断技術の進歩.2017

    • Author(s)
      鴨居 功樹.
    • Organizer
      第121回日本眼科学会総会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 成人T細胞白血病の眼浸潤病変における抗CCR4抗体による眼局所療法の検討.2017

    • Author(s)
      鴨居 功樹、安藤 尚子、魏 辰茜、大野 京子.
    • Organizer
      第121回日本眼科学会総会
    • Related Report
      2017 Research-status Report
  • [Book] HTLV-1関連脊椎症(HAM)診療ガイドライン 20192019

    • Author(s)
      鴨居 功樹 (分担)
    • Total Pages
      214
    • Publisher
      南江堂
    • Related Report
      2019 Annual Research Report
  • [Book] HTLV-1 陽性関節リウマチ患者診療の手引(Q&A) 第2版2019

    • Author(s)
      鴨居 功樹 (分担)
    • Total Pages
      30
    • Publisher
      -
    • Related Report
      2019 Annual Research Report
  • [Book] Human T-Cell Leukemia Virus Type 1/ Emerging Infectious Uveitis2017

    • Author(s)
      Koju Kamoi, Manabu Mochizuki.
    • Total Pages
      203
    • Publisher
      Springer
    • Related Report
      2017 Research-status Report
  • [Book] サルコイドーシス/ 眼科画像パーフェクトアトラス2017

    • Author(s)
      鴨居 功樹
    • Total Pages
      382
    • Publisher
      文光堂
    • Related Report
      2017 Research-status Report
  • [Remarks] HTLV―1感染症、なお残る課題

    • URL

      http://htlv.umin.jp/images/20200129asahi.pdf

    • Related Report
      2019 Annual Research Report

URL: 

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

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