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Development of novel therapeutic strategy against CNS leukemia

Research Project

Project/Area Number 17K16251
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Pediatrics
Research InstitutionKyoto University

Principal Investigator

Kato Itaru  京都大学, 医学研究科, 助教 (10610454)

Project Period (FY) 2017-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords中枢神経白血病 / 低酸素領域 / CART細胞療法 / VEGFA / 低酸素 / bevacizumab / CART療法 / 白血病 / 中枢神経浸潤 / 微小環境 / 代謝
Outline of Final Research Achievements

The central nervous system (CNS) is a key site of extramedullary disease in acute lymphoblastic leukemia (ALL). In this study, we investigated the detailed phenotypic, genetic, and transcriptional biology of leukemic cells reside in the CNS. With primary human B-ALL cells and xenograft recipients of primary samples, we demonstrate that leukemic cells that have infiltrated the CNS show features of adaptation to hypoxia and molecular targeted therapy specifically reduces the burden of CNS disease in a xenograft model. Furthermore, we demonstrated a possible novel therapeutic approach against CNS leukemia with CART cells.

Academic Significance and Societal Importance of the Research Achievements

臨床でその治療戦略に難渋することが多く、特に小児患者においては治癒したとしても長期合併症を負った場合には著しいQOLの低下を来すことのある中枢神経浸潤白血病に対して、免疫不全マウスでの細胞増殖の長所を生かして多角的解析を行うことが出来た。明らかにした中枢神経浸潤白血病の特徴を標的とした分子標的による合併症の軽減が期待される新規治療戦略や、がん免疫療法を発展的に使用した治療コンセプトを、マウスを用いた前臨床試験として提示すことが出来た。

Report

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

    (37 results)

All 2021 2020 2019 2018 2017 Other

All Journal Article (14 results) (of which Int'l Joint Research: 11 results,  Peer Reviewed: 13 results,  Open Access: 10 results) Presentation (19 results) (of which Int'l Joint Research: 3 results,  Invited: 7 results) Book (3 results) Remarks (1 results)

  • [Journal Article] Inotuzumab ozogamicin following allogeneic hematopoietic stem cell transplantation successfully rescued relapse of CD19‐negative acute lymphoblastic leukemia after CAR‐T cell therapy2021

    • Author(s)
      Kamitori Tatsuya、Umeda Katsutsugu、Akazawa Ryo、Iwai Atsushi、Obu Satoshi、Isobe Kiyotaka、Saida Satoshi、Kato Itaru、Hiramatsu Hidefumi、Taga Takashi、Adachi Souichi、Takita Junko
    • Journal Title

      Pediatric Blood & Cancer

      Volume: 68 Issue: 5

    • DOI

      10.1002/pbc.28980

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Inotuzumabozogamicin is an effective treatment for CD22‐positive acute undifferentiated leukemia: A case report2021

    • Author(s)
      Akazawa Ryo、Kato Itaru、Kubota Hirohito、Isobe Kiyotaka、Masuno Hiroaki、Mikami Masamitsu、Shiota Mitsutaka、Kouzuki Kagehiro、Kawabata Naoko、Tanaka Kuniaki、Saida Satoshi、Umeda Katsutsugu、Hiramatsu Hidefumi、Adachi Souichi、Takita Junko
    • Journal Title

      Pediatric Blood & Cancer

      Volume: 68 Issue: 5

    • DOI

      10.1002/pbc.28976

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] PDXモデルによる中枢神経浸潤急性リンパ性白血病の解析と細胞療法の可能性2020

    • Author(s)
      加藤 格
    • Journal Title

      日本小児血液・がん学会雑誌

      Volume: 57 Pages: 71-79

    • NAID

      130007896204

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pluripotent stem cell model of Shwachman?Diamond syndrome reveals apoptotic predisposition of hemoangiogenic progenitors2020

    • Author(s)
      Hamabata Takayuki、Umeda Katsutsugu、Kouzuki Kagehiro、Tanaka Takayuki、Daifu Tomoo、Nodomi Seishiro、Saida Satoshi、Kato Itaru、et al
    • Journal Title

      Scientific Reports

      Volume: 10 Issue: 1 Pages: 14859-14859

    • DOI

      10.1038/s41598-020-71844-8

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Leukemic cells expressing NCOR1-LYN are sensitive to dasatinib in vivo in a patient-derived xenograft mouse model2020

    • Author(s)
      Tomii Toshihiro、Imamura Toshihiko、Tanaka Kuniaki、Kato Itaru、Mayumi Azusa、Soma Emi、Yano Mio、Sakamoto Kenichi、Mikami Takashi、Morita Makiko、Kiyokawa Nobutaka、Horibe Keizo、Adachi Souichi、Nakahata Tatsutoshi、Takita Junko、Hosoi Hajime
    • Journal Title

      Leukemia

      Volume: Online ahead of print Issue: 7 Pages: 2092-2096

    • DOI

      10.1038/s41375-020-01091-3

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Temozolomide and etoposide combination for the treatment of relapsed osteosarcoma2020

    • Author(s)
      Akazawa Ryo、Umeda Katsutsugu、Saida Satoshi、Kato Itaru、Hiramatsu Hidefumi、Sakamoto Akio、Arakawa Yoshiki、Sumiyoshi Shinji、Okamoto Takeshi、Moritake Hiroshi、Adachi Souichi、Takita Junko
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 50 Issue: 8 Pages: 948-952

    • DOI

      10.1093/jjco/hyaa070

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Effects of cryotherapy on high‐dose melphalan‐induced oral mucositis in pediatric patients undergoing autologous stem cell transplantation2020

    • Author(s)
      Kawaguchi Koji、Umeda Katsutsugu、Takachi Takayuki、Ogura Taemi、Horikoshi Yasuo、Saida Satoshi、Kato Itaru、Hiramatsu Hidefumi、Adachi Souichi、Takita Junko、Watanabe Kenichiro
    • Journal Title

      Pediatric Blood & Cancer

      Volume: 67 Issue: 9

    • DOI

      10.1002/pbc.28495

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Intracranial Growing Teratoma Syndrome With Intraventricular Lipid Accumulation2020

    • Author(s)
      Tasaka Keiji、Umeda Katsutsugu、Kamitori Tatsuya、Ogata Hideto、Mikami Takashi、Saida Satoshi、Kato Itaru、Hiramatsu Hidefumi、Arakawa Yoshiki、Uto Megumi、Mizowaki Takashi、Yoshizawa Akihiko、Adachi Souichi、Takita Junko
    • Journal Title

      Journal of Pediatric Hematology/Oncology

      Volume: 43 Issue: 4 Pages: e505-e507

    • DOI

      10.1097/mph.0000000000001905

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Continuous deep sedation at the end of life in children with cancer: experience at a single center in Japan2020

    • Author(s)
      Maeda Sayaka、Kato Itaru、Umeda Katsutsugu、Hiramatsu Hidefumi、Takita Junko、Adachi Souichi、Tsuneto Satoru
    • Journal Title

      Pediatric Hematology and Oncology

      Volume: 37 Issue: 5 Pages: 365-374

    • DOI

      10.1080/08880018.2020.1744781

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Direct Delivery of piggyBac CD19 CAR T Cells Has Potent Anti-tumor Activity against ALL Cells in CNS in a Xenograft Mouse Model2020

    • Author(s)
      Tanaka Kuniaki、Kato Itaru、Tanaka Miyuki、Morita Daisuke、Matsuda Kazuyuki、Takahashi Yoshiyuki、Nakahata Tatsutoshi、Umeda Katsutsugu、Hiramatsu Hidefumi、Adachi Souichi、Takita Junko、Nakazawa Yozo
    • Journal Title

      Molecular Therapy - Oncolytics

      Volume: 18 Pages: 37-46

    • DOI

      10.1016/j.omto.2020.05.013

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 小児がんにおける患者腫瘍組織移植モデル構築の今後の展開2020

    • Author(s)
      加藤 格
    • Journal Title

      小児科診療

      Volume: 83 Pages: 537-537

    • Related Report
      2020 Annual Research Report
  • [Journal Article] Hematological and oncological studies using patient-derived xenograft model2019

    • Author(s)
      加藤 格
    • Journal Title

      The Japanese Journal of Pediatric Hematology / Oncology

      Volume: 56 Issue: 5 Pages: 407-413

    • DOI

      10.11412/jspho.56.407

    • NAID

      130007795829

    • ISSN
      2187-011X, 2189-5384
    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hypoxic adaptation of leukemic cells infiltrating the CNS affords a therapeutic strategy targeting VEGFA2017

    • Author(s)
      Kato Itaru、Nishinaka Yoko、Nakamura Masahiro、et al.
    • Journal Title

      Blood

      Volume: 129 Issue: 23 Pages: 3126-3129

    • DOI

      10.1182/blood-2016-06-721712

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Flow Cytometric Detection of G0 in Live Cells by Hoechst 33342 and Pyronin Y Staining2017

    • Author(s)
      Eddaoudi Ayad、Canning Stephanie Louise、Kato Itaru
    • Journal Title

      Methods Mol Biol.

      Volume: 1686 Pages: 49-57

    • DOI

      10.1007/978-1-4939-7371-2_3

    • ISBN
      9781493973705, 9781493973712
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] Establishment of first nationwide patient-derived xenograft (PDX) biobank of pediatric ALL in Japan2020

    • Author(s)
      田中邦昭
    • Organizer
      第79回 日本癌学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Mass Cytometric analysis of immune microenvironment of pediatric leukemia in bone marrow2020

    • Author(s)
      三上貴司
    • Organizer
      第79回 日本癌学会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 次世代サイトメトリー mass cytometryを用いた白血病 免疫環境の解析2020

    • Author(s)
      加藤格
    • Organizer
      第30回日本サイトメトリー学会学術集会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Direct delivery of piggyBac CD19 CAR T cells has potent anti-leukemic activity against ALL cells in CNS in a xenograft mouse model2020

    • Author(s)
      田中邦昭
    • Organizer
      第3回国際がんシンポジウム
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 本邦初の全国小児白血病Patient-derived xenograft (PDX)バンクの樹立2019

    • Author(s)
      加藤 格
    • Organizer
      第122回日本小児科学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] CNS-ALLマウスモデルでのpiggyBac CD19 CAR-T細胞脳室内投与の安全性と有効性の検討2019

    • Author(s)
      田中邦昭
    • Organizer
      第122回日本小児科学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] CNS-ALL xenograft mouse モデルを用いたpiggyBac CD19 CAR-T細胞脳室内直接投与の安全性と有効性の検討2019

    • Author(s)
      田中邦昭
    • Organizer
      第11回日本血液疾患免疫療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] PDXモデルを用いた様々ながん種へのチャレンジ2019

    • Author(s)
      加藤 格
    • Organizer
      第7回浜松毒性フォーラム
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] PDXモデルによる中枢神経浸潤 急性リンパ性白血病の解析と細胞療法の可能性2019

    • Author(s)
      加藤 格
    • Organizer
      第61回日本小児血液・がん学会 学術集会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Analysis of CNS-ALL with Patient Derived Xenografts (PDX) Model2019

    • Author(s)
      Itaru Kato
    • Organizer
      29th Symposium of the international association for comparative Research on leukemia and related disease
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] CNS-ALLマウスモデルでのpiggyBac CD19 CAR-T細胞脳室内投与の安全性と有効性の検討2019

    • Author(s)
      田中邦昭
    • Organizer
      第122回日本小児科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] PiggyBac CD19 CAR T Cells Eradicate CNS Leukemia by Direct Delivery into Cerebral Ventricle of Xenograft Mice Model2018

    • Author(s)
      田中邦昭
    • Organizer
      第60回アメリカ血液学会
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 中枢神経浸潤白血病 異種移植マウスモデルにおけるpiggyBac CD19 CAR-T細胞の脳室内投与の安全性と有効性の検討2018

    • Author(s)
      田中邦昭
    • Organizer
      第60回日本小児血液がん学会
    • Related Report
      2018 Research-status Report
  • [Presentation] PDXモデルを用いた血液/腫瘍疾患の病態解析2018

    • Author(s)
      加藤 格
    • Organizer
      第60回日本小児血液がん学会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 中枢神経浸潤への挑戦2018

    • Author(s)
      加藤 格
    • Organizer
      信州CAR-T研究開発グループ ミニレクチャー
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 緒方瑛人2018

    • Author(s)
      緩和的全脳全脊髄照射が長期的有効性を示した難治性中枢神経浸潤 急性リンパ性白血病小児症例
    • Organizer
      第60回日本小児血液がん学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 中枢神経浸潤白血病の病態解析とVEGFAを標的とした治療モデル2017

    • Author(s)
      加藤 格
    • Organizer
      第79回日本血液学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 免疫不全マウスを用いた中枢神経白血病の病態解析2017

    • Author(s)
      加藤 格
    • Organizer
      第25 回腫瘍病理セミナー(AMED 次世代がん)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 免疫不全マウスを用いた 中枢神経白血病の病態解析2017

    • Author(s)
      加藤 格
    • Organizer
      第14回JCCG血液腫瘍分科会 研究会
    • Related Report
      2017 Research-status Report
  • [Book] 小児白血病・リンパ腫―Strategy & Practice2021

    • Author(s)
      滝田順子
    • Total Pages
      344
    • Publisher
      中山書店
    • ISBN
      9784521749211
    • Related Report
      2020 Annual Research Report
  • [Book] 今日の小児治療指針 第17版2020

    • Author(s)
      水口 雅
    • Total Pages
      980
    • Publisher
      医学書院
    • ISBN
      9784260039468
    • Related Report
      2020 Annual Research Report
  • [Book] Cellular Quiescence2017

    • Author(s)
      H. Daniel Lacorazza
    • Total Pages
      303
    • Publisher
      Springer Nature
    • ISBN
      9781493973705
    • Related Report
      2017 Research-status Report
  • [Remarks] 京都大学医学部附属病院小児科HP

    • URL

      https://www.kuhp.kyoto-u.ac.jp/~pediatrics/

    • Related Report
      2019 Research-status Report

URL: 

Published: 2017-04-28   Modified: 2022-01-27  

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