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Development of predictive assay for progression of slow-onset type 1 diabetes and its application to disease prevention

Research Project

Project/Area Number 18590994
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Metabolomics
Research InstitutionNagasaki University

Principal Investigator

KAWASAKI Eiji  Nagasaki University, Hospital of Medicine and Dentistry, Department of Metabolism/Diabetes and Clinical Nutrition, Associate Professor (70336171)

Co-Investigator(Kenkyū-buntansha) ABIRU Norio  Nagasaki University, Graduate School of Biomedical Sciences, Department of Endocrinology and Metabolism, Assistant Professor (00380981)
Project Period (FY) 2006 – 2007
Project Status Completed (Fiscal Year 2007)
Budget Amount *help
¥3,950,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2007: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2006: ¥2,000,000 (Direct Cost: ¥2,000,000)
KeywordsImmunology / Type 1 diabetes / Autoantibody / Antigen recognition / Prediction / Protein / Genetics
Research Abstract

Japanese type 1 diabetes (T1D) is a heterogeneous disease characterized by the different clinical features in terms of its mode of onset or age at disease onset. It is estimated that the prevalence of adult-onset T1D is similar to that of childhood-onset T1D, and that around two-thirds of adult-onset T1D are categorized in "slow-onset T1D". Although anti-glutamic acid decarboxylase 65 (GAD65) antibodies are good predictive marker for future insulin deficiency in slow-onset T1D, positive predictive value at 5 years is about 65% and one-thirds of GAD65 antibody-positive patients do not need insulin therapy for long period. Therefore, in order to develop the highly predictive marker for future insulin deficiency in slow-onset T1D we performed a fine epitope mapping of anti-AD65 antibodies using random phage display technology.
1. Preparation of human islet GAD random phage display library
In the first year we prepared a human islet GAD random phage display library, and screened this library with pooled sera from patients with slow-onset T1D and healthy control subjects. After amplifying the individual clone that reacted with sera from patients or controls, the PCR-direct sequence analysis was performed to determine the specific DNA sequence for GAD65 molecule.
2. Development of anti-GAD epitope-specific antibody measurement
With the results obtained in the first year, we tried to identify the specific epitopes associated with the progression to insulin deficiency in slow-onset T1D patients by sandwich ELISA method. There were many difficulties to identify the diabetes-specific epitopes for GAD antibodies using random phage display library system with ELISA because of the high Noise/Signal ratio.
We are trying to do the fine epitope mapping using other detection systems.

Report

(3 results)
  • 2007 Annual Research Report   Final Research Report Summary
  • 2006 Annual Research Report
  • Research Products

    (14 results)

All 2008 2007 2006

All Journal Article (8 results) (of which Peer Reviewed: 1 results) Presentation (6 results)

  • [Journal Article] Current aspects on the clinical immunology and genetics of autoimmune diabetes in Japan2007

    • Author(s)
      E. Kawasaki
    • Journal Title

      Diabetes Res Clin Pract 77S

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] 1型糖尿病の指標2007

    • Author(s)
      川崎 英二
    • Journal Title

      プラクティス 24

      Pages: 547-556

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Annual Research Report 2007 Final Research Report Summary
  • [Journal Article] Current aspects on the clinical immunology and genetics of auotoimmune diabetes in Japan2007

    • Author(s)
      E., Kawasaki
    • Journal Title

      Diabetes Res Clin Pract 77S

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Immunological markers for typel diabetes2007

    • Author(s)
      E., Kawasaki
    • Journal Title

      PRACTICE 24

      Pages: 547-556

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Current aspects on the clinical immunology and genetics of autoimmune diabetes in Japan.2007

    • Author(s)
      E.Kawasaki
    • Journal Title

      Diabetes Res Clin Pract 77S

    • Related Report
      2007 Annual Research Report
  • [Journal Article] Type 1 diabetes in Japan2006

    • Author(s)
      E. Kawasaki
    • Journal Title

      Diabetologia 49

      Pages: 828-836

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
    • Peer Reviewed
  • [Journal Article] Type 1 diabetes in Japan2006

    • Author(s)
      E., Kawasaki
    • Journal Title

      Diabetologia 49

      Pages: 828-836

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Journal Article] Type l diabetes in Japan2006

    • Author(s)
      E.Kawasaki
    • Journal Title

      Diabetologia 49

      Pages: 828-836

    • Related Report
      2006 Annual Research Report
  • [Presentation] 1型糖尿病の成因〜免疫機序2008

    • Author(s)
      川崎 英二
    • Organizer
      第42回糖尿病学の進歩
    • Place of Presentation
      高松市
    • Year and Date
      2008-02-15
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Etiology of type 1 diabetes-immunological mechanism2008

    • Author(s)
      E., Kawasaki
    • Organizer
      Advances in Diabetology 42th annual post graduate course
    • Place of Presentation
      Takamatsu
    • Year and Date
      2008-02-15
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 1型糖尿病の成因-免疫機序2008

    • Author(s)
      川崎 英二
    • Organizer
      第42回糖尿病学の進歩
    • Place of Presentation
      高松市
    • Year and Date
      2008-02-15
    • Related Report
      2007 Annual Research Report
  • [Presentation] 日本人における急性発症1型糖尿病の診断〜液性免疫から2007

    • Author(s)
      川崎 英二
    • Organizer
      第50回日本糖尿病学会年次学術集会
    • Place of Presentation
      仙台市
    • Year and Date
      2007-05-24
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] Diagnosis of acute-onset type 1 diabetes in Japan From the view point of humoral autoimmunity2007

    • Author(s)
      E., Kawasaki
    • Organizer
      50th Annual meeting of Japan Diabetes Society
    • Place of Presentation
      Sendai
    • Year and Date
      2007-05-24
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2007 Final Research Report Summary
  • [Presentation] 日本人における急性発症1型糖尿病の診断-液性免疫から2007

    • Author(s)
      川崎 英二
    • Organizer
      第50回日本糖尿病学会年次学術集会
    • Place of Presentation
      仙台市
    • Year and Date
      2007-05-24
    • Related Report
      2007 Annual Research Report

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Published: 2006-04-01   Modified: 2016-04-21  

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