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Investigation of pathophysiology of L-asparaginase allergy and development of novel diagnostic and therapeutic methods

Research Project

Project/Area Number 17K15762
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Applied pharmacology
Research InstitutionShujitsu University

Principal Investigator

Nogami-Hara Ai  就実大学, 薬学部, 助教 (30614953)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
KeywordsL-アスパラギナーゼ / L-asparaginase / 薬物アレルギー / アレルギー / 小児白血病 / 急性リンパ性白血病 / オマリズマブ / 中和抗体 / L-asparaginese / モデル動物
Outline of Final Research Achievements

L-Asparaginase (L-ASP) is a key drug in the treatment of childhood acute lymphoblastic leukemia. L-ASP often causes hypersensitivity reactions. However, the characteristics of L-ASP-induced hypersensitivity are not well documented so far. Also, there is neither suitable treatment for L-ASP allergy nor adequate experimental model of L-ASP allergy.
In this study, we used RBL-2H3 mast cells to establish in vitro model of L-ASP allergy. Furthermore, we evaluated the effect of anti-IgE antibody (Ab) on L-ASP allergy in vitro.
When RBL-2H3 cells were sensitized by L-ASP-sensitized mouse serum in vitro, L-ASP induced degranulation from the cells. Anti-IgE Ab effectively inhibited the allergic activation of RBL-2H3 cells. From the present results, it became clear that anti-IgE Ab is a useful drug for the treatment of L-ASP allergy. Using cell lines expressing human FcεRI, it can be possible to diagnose L-ASP allergy in human and efficacy of anti-IgE Ab in vitro.

Academic Significance and Societal Importance of the Research Achievements

小児の病死の死因1位はがんであり、その中でも小児急性リンパ性白血病(ALL)は最も多く占める。L-アスパラギナーゼ(L-ASP)は、小児ALLの標準治療であるため、本研究によりL-ASPアレルギーの病態解明や治療薬の開発が進むことで、L-ASPアレルギーの克服が可能となり、多数の小児がん患者を救うことが期待出来る。さらに、本研究で得られた知見をもとに、他の薬物アレルギーの克服にも役立てることが出来る。

Report

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

    (15 results)

All 2020 2019 2018 2017

All Journal Article (4 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results) Presentation (11 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] L-アスパラギナーゼアレルギーの病態解明と臨床応用を志向した新規in vitro検査法の開発2019

    • Author(s)
      原(野上)愛、嶋田明、見尾光庸
    • Journal Title

      アレルギーの臨床

      Volume: 39 (5) Pages: 49-52

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Extract of Yokukansan improves anxiety-like behavior and increases serum brain-derived neurotrophic factor in rats with cerebral ischemia combined with amyloid-β42 peptide.2019

    • Author(s)
      Nogami-Hara A, Kubota K, Takasaki K, Watanabe T, Egashira N, Iba H, Fujikawa R, Katsurabayashi S, Hatip FB, Name Date Signature, Hatip-Al-Khatib I, Iwasaki K.
    • Journal Title

      J Tradit Chin Med

      Volume: 39 (1) Pages: 50-58

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] The Japanese Angelica acutiloba root and yokukansan increase hippocampal acetylcholine level, prevent apoptosis and improve memory in a rat model of repeated cerebral ischemia.2018

    • Author(s)
      Nogami-Hara A, Nagao M, Takasaki K, Egashira N, Fujikawa R, Kubota K, Watanabe T, Katsurabayashi S, Hatip FB, Hatip-Al-Khatib I, Iwasaki K.
    • Journal Title

      J Ethnopharmacol.

      Volume: 214 Pages: 190-196

    • DOI

      10.1016/j.jep.2017.12.025

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] L-Asparaginase-induced allergy in mice in vivo sensitization and in vitro activation of RBL-2H3 cells2017

    • Author(s)
      Mio Mitsunobu,Nogami-Hara Ai,Yabuki Kazue,Suwaki Kawori,Handa Ai, Mitsuhata Chie, Kajiyama Koji and Shimada Akira
    • Journal Title

      Inflammation Research

      Volume: 66

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] L-アスパラギナーゼアレルギーに対するシクロホスファミド併用の影響と抗IgE抗体の効果2020

    • Author(s)
      原(野上)愛,堀優太,須々木健太郎,光畑知恵,梶山光司、嶋田明,見尾光庸
    • Organizer
      第22回日本ヒスタミン学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] マウスと培養肥満細胞を用いたL-アスパラギナーゼ誘発アレルギーの評価2019

    • Author(s)
      原(野上)愛,半田 愛,光畑知恵,梶山光司,神田翔磨,須々木健太郎,嶋田 明,見尾光庸
    • Organizer
      第58回日本アレルギー学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] L-アスパラギナーゼアレルギーに対するシクロホスファミド併用の影響と抗IgE抗体の効果2019

    • Author(s)
      原(野上)愛,堀 優太,須々木 健太郎,光畑 知恵,梶山 光司,嶋田 明,見尾 光庸
    • Organizer
      第135回日本薬理学会近畿部会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Influence of cyclophosphamide on L-Asparaginase-induced allergy in mice and RBL-2H3 cells.2019

    • Author(s)
      Nogami-Hara A, Hori Y, Mitsuhata C, Kajiyama K, Susuki K, Shimada A, Mio M
    • Organizer
      第61回日本小児血液・がん学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] L-アスパラギナーゼ誘発アレルギーの併用薬によるリスク管理2019

    • Author(s)
      原(野上)愛
    • Organizer
      第24回公益財団法人がんの子どもを守る会公開シンポジウム
    • Related Report
      2019 Annual Research Report
  • [Presentation] Allergic activation of RBL-2H3 mast cells with L-Asparaginase and its inhibition by anti-IgE antibody2019

    • Author(s)
      Ai Nogami-Hara, Ai Handa, Chie Mitsuhata, Koji Kajiyama, Shoma Kanda, Kentaro Susuki, Akira Shimada, Mitsunobu Mio
    • Organizer
      第92回日本薬理学会年会
    • Related Report
      2018 Research-status Report
  • [Presentation] L-asparaginase-induced allergy in mice: in vivo sensitization and in vitro activation of RBL-2H3 cells L-Asparaginase-induced allergy in mice: effects of concomitant drugs and anti-IgE antibody2017

    • Author(s)
      Mio Mitsunobu,Nogami-Hara Ai,Yabuki Kazue,Suwaki Kawori,Handa Ai, Mitsuhata Chie, Kajiyama Koji and Shimada Akira
    • Organizer
      The First Joint Meeting of the EuropeanHistamine Research Society and JapaneseHistamine Research Society
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Allergic activation of RBL-2H3 mast cells with L-Asparaginase and its inhibition by anti-IgE antibody2017

    • Author(s)
      Nogami-Hara Ai, Mio Mitsunobu and Shimada Akira
    • Organizer
      第76回日本癌学会学術総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Allergic activation of RBL-2H3 mast cells with L-Asparaginase and its inhibition by anti-IgE antibody2017

    • Author(s)
      Nogami-Hara Ai, Handa Ai, Mitsuhata Chie, Kajiyama Koji, Kanda Shoma, Susuki Kentaro, Shimada Akira and Mio Mitsunobu
    • Organizer
      第59回日本小児血液・がん学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 抗てんかん薬使用による葉酸・カルニチン低下に対する指導内容適正化の検討2017

    • Author(s)
      吉井圭佑、 原(野上) 愛、梶 俊策、見尾 光庸、杉山 哲大
    • Organizer
      第27回日本医療薬学会年会
    • Related Report
      2017 Research-status Report
  • [Presentation] L-アスパラギナーゼアレルギーによる RBL-2H3 肥満細胞活性化と抗 IgE 抗体の抑制作用2017

    • Author(s)
      見尾光庸、原(野上)愛、半田 愛、光畑知恵、梶山光司、 神田翔磨、須々木健太郎、嶋田 明
    • Organizer
      第21回日本ヒスタミン学会
    • Related Report
      2017 Research-status Report

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

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