Development of renal protection-oriented immunosuppressive therapy after organ transplantation utilizing mTOR inhibitor
Project/Area Number |
18H02588
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Research Category |
Grant-in-Aid for Scientific Research (B)
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Allocation Type | Single-year Grants |
Section | 一般 |
Review Section |
Basic Section 47060:Clinical pharmacy-related
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Research Institution | Himeji Dokkyo University (2020-2021) International University of Health and Welfare (2019) Kyushu University (2018) |
Principal Investigator |
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Co-Investigator(Kenkyū-buntansha) |
吉住 朋晴 九州大学, 医学研究院, 准教授 (80363373)
岡部 安博 九州大学, 大学病院, 助教 (90444819)
田島 壮一郎 九州大学, 大学病院, 薬剤師 (10579460)
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Project Period (FY) |
2018-04-01 – 2021-03-31
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Project Status |
Completed (Fiscal Year 2021)
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Budget Amount *help |
¥17,290,000 (Direct Cost: ¥13,300,000、Indirect Cost: ¥3,990,000)
Fiscal Year 2020: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2019: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2018: ¥6,890,000 (Direct Cost: ¥5,300,000、Indirect Cost: ¥1,590,000)
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Keywords | 免疫抑制薬 / 副作用 / 有害反応 / 移植 / バイオマーカー / mTOR / カルシニューリン阻害薬 / 遺伝子多型 / 腎臓移植 / 肝臓移植 / 腎障害 / mTOR阻害薬 / 医療薬剤学 / 薬物動態学 / 移植免疫医学 / 免疫抑制役 |
Outline of Final Research Achievements |
Chronic allograft nephrotoxicity induced by calcineurin inhibitors has been also raised as a severe problem in the transplant patients receiving these drugs. The renal fibrosis model rats using the treatment of ischemia-reperfusion injury with daily administration of tacrolimus, coadministration of mTOR inhibitor everolimus suppressed the progression of interstitial fibrosis in comparison with the tacrolimus alone. In clinical cases, the pharmacokinetic monitoring of the sum of the trough concentrations of tasrolimus and everolimus seems to be easier than that of the conventional separate monitoring of tacrolimus and everolimus, respectively. These results suggest that the present pharmacokinetic monitoring such as sum of each trough measurement of tacrolimus and everolimus is useful in posttransplant immunosuppressive therapy obtaining the decreasing tacrolimus-induced CNI-induced renal interstitial fibrosis by the pharmacological effect of mTOR inhibitor after organ transplantation.
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Academic Significance and Societal Importance of the Research Achievements |
臓器移植後の免疫抑制療法において、カルシニューリン阻害薬(タクロリムス、シクロスポリン )は移植臓器の生着率を著しく向上させてきたが、組織の線維化という病理像を示す毒性を引き起こすことが問題とされてきた。今回、新しいクラスのmTOR阻害薬を併用することにより、タクロリムスの用量を抑制し、移植術後の腎毒性を軽減するための新たなモニタリング戦略を構築することができた。さらに、mTOR阻害薬の併用はタクロリムスによって引き起こされた組織の線維化領域の削減にも効果を示した。これらの結果は、臓器移植術を受けた患者の術後腎機能低下という合併症を回避し、QOL向上に役立つものと考える。
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Report
(4 results)
Research Products
(84 results)
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[Journal Article] Continuous monitoringof neutrophils to lymphocytes ratio for estimating the onset, severity, and subsequent prognosis of immune related adverse events2021
Author(s)
Ryosuke Matsukane, Hiroyuki Watanabe, Haruna Minami, Kojiro Hata, Kimitaka Suetsugu, Toshikazu Tsuji, Satohiro Masuda, Isamu Okamoto, Takashi Nakagawa, Takamichi Ito, Masatoshi Eto, Masaki Mori, Yoichi Nakanishi, Nobuaki Egashira
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Journal Title
Sci Rep
Volume: 11(1), 1324
Issue: 1
Pages: 1324-1324
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Personalized Therapy for Mycophenolate: Consensus Report by the International Association of Therapeutic Drug Monitoring and Clinical Toxicology2021
Author(s)
Bergan S, Brunet M, Hesselink DA, Masuda S, Millan O, Mizuno T, Moes DJAR, Oellerich M, Picard N, Salzmann L, Tönshoff B, van Schaik RHN, Vethe NT, Vinks AA, Wallemacq P, Åsberg A & Langman LJ, and 21 authors
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Journal Title
Therapeutic Drug Monitoring
Volume: 43
Issue: 2
Pages: 150-200
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Statin Intolerance Clinical Guide 20182020
Author(s)
Kajinami K, Tsukamoto K, Koba S, Inoue I, Yamakawa M, Suzuki S, Hamano T, Saito H, Saito Y, Masuda S, Nakayama T, Okamura T, Yamashita S, Kagawa T, Kaneyama J, Kuriyama A, Tanaka R, Hirata A: Statin Intolerance Clinical Guide Working Group
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Journal Title
Journal of Atherosclerosis and Thrombosis
Volume: 27
Issue: 4
Pages: 375-396
DOI
NAID
ISSN
1340-3478, 1880-3873
Year and Date
2020-04-01
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Increasing Diluent Volume Decreases Bendamustine-Induced Venous Irritation without Reducing the Therapeutic Efficacy2020
Author(s)
Ishida S, Morikawa H, Watanabe H, Sugio T, Mori Y, Tsuji T, Masuda S, Miyamoto T, Akashi K, Egashira N.
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Journal Title
Biological and Pharmaceutical Bulletin
Volume: 43
Issue: 3
Pages: 488-492
DOI
NAID
ISSN
0918-6158, 1347-5215
Year and Date
2020-03-01
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Therapeutic Drug Monitoring of Tacrolimus-Personalized Therapy2019
Author(s)
Brunet M, van Gelder T, Asberg A, Haufroid V, Hesselink DA, Langman L, Lemaitre F, Marquet P, Seger C, Shipkova M, Vinks A, Wallemacq P, Wieland E, Masuda S, Christians U & Bergan S
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Journal Title
Therapeutic Drug Monitoring
Volume: 41
Issue: 3
Pages: 261-307
DOI
Related Report
Peer Reviewed
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[Journal Article] Prophylactic Effect of Dexamethasone on Regorafenib-Related Fatigue and/or Malaise: A Randomized, Placebo-Controlled, Double-Blind Clinical Study in Patients with Unresectable Metastatic Colorectal Cancer (KSCC1402/HGCSG1402).2018
Author(s)
Tanioka H, Miyamoto Y, Tsuji A, Asayama M, Shiraishi T, Yuki S, Kotaka M, Makiyama A, Shimokawa M, Shimose T, Masuda S, Yamaguchi T, Komatsu Y, Saeki H, Emi Y, Baba H, Oki E, Maehara Y; Kyushu Study Group of Clinical Cancer (KSCC).
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Journal Title
Oncology.
Volume: 94(5)
Issue: 5
Pages: 289-296
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Pharmacokinetics and Pharmacodynamics of Once-Daily Tacrolimus Compared With Twice-Daily Tacrolimus in the Early Stage After Living Donor Liver Transplantation.2018
Author(s)
Iwasaki M, Yano I, Fukatsu S, Hashi S, Yamamoto Y, Sugimoto M, Fukudo M, Masuda S, Nakagawa S, Yonezawa A, Kaido T, Uemoto S, Matsubara K.
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Journal Title
Ther Drug Monit
Volume: 40
Issue: 6
Pages: 675-681
DOI
NAID
Related Report
Peer Reviewed
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[Journal Article] 院外処方せんに表示した臨床検査値に関する疑義照会内容の解析2018
Author(s)
佐野 梓, 末次 王卓, 秦 晃二郎, 柊迫 美咲, 片山 美幸, 田中 瑠美, 田島 壮一郎, グリム 理恵子, 辻 敏和, 渡邊 裕之, 金谷 朗子 & 増田 智先
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Journal Title
医療薬学
Volume: 44
Pages: 229-235
NAID
Related Report
Peer Reviewed
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