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The effect of Immune checkpoints in myasthenia gravis and application of its to new therapeutic medications

Research Project

Project/Area Number 18K07494
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52020:Neurology-related
Research InstitutionIshikawa Prefectural Nursing University (2020-2021)
Kanazawa University (2018-2019)

Principal Investigator

Iwasa Kazuo  石川県立看護大学, 看護学部, 教授 (10345613)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords重症筋無力症 / 骨格筋 / 免疫チェックポイント分子 / PD-L1 / 可能性免疫チェックポイント分子 / 可溶性免疫チェックポイント分子 / 胸腺 / 血清
Outline of Final Research Achievements

We clarified that the muscle expression of PD-L1 was involved in the pathogenesis of myasthenia gravis (MG).
The association between PD-L1 expression and clinical parameter was analyzed in a generalized additive model. It showed that MG symptoms were more severe when PD-L1 expression was inadequate. Consequently, we concluded that PD-L1 expression of MG muscle may be important factor for the pathogenesis of MG. In addition, we focused on the concentration of soluble PD-L1 (sPD-L1) in serum of MG and indicated that MG symptoms may be improved in cases with higher sPD-L1 concentrations.
These results were suggested that PD-L1 may have the possibility of a new therapeutic agent in the future.

Academic Significance and Societal Importance of the Research Achievements

免疫チェックポイント分子(PD-L1)は免疫機能を調整する重要な因子であるが、重症筋無力症(MG)の病態における関与は明らかでなかった。
今回、MGの骨格筋におけるPD-L1の発現がMGの病態に関与するのみでなく、血液中の可溶化PD-L1も病態に関与することが明らかとなった。このことは、PD-L1を利用したMGの新たな治療薬の可能性が示されたと考えることができる。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (10 results)

All 2020 2019 2018 Other

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (5 results) (of which Int'l Joint Research: 1 results) Remarks (4 results)

  • [Journal Article] Programmed cell death ligand 1 expression is upregulated in the skeletal muscle of patients with myasthenia gravis.2018

    • Author(s)
      Iwasa K, Yoshikawa H, Furukawa Y, Yamada M
    • Journal Title

      J Neuroimmunology

      Volume: 325 Pages: 74-78

    • DOI

      10.1016/j.jneuroim.2018.09.012

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 重症筋無力症患者血清中における可溶性PD-L1濃度2020

    • Author(s)
      岩佐和夫、吉川弘明、山田正仁
    • Organizer
      第61回日本神経学会学術大会
    • Related Report
      2020 Research-status Report 2019 Research-status Report
  • [Presentation] 重症筋無力症の初期治療における症状改善度は可溶性PD-L1濃度と関連する2020

    • Author(s)
      岩佐和夫、吉川弘明、古川裕、山田正仁
    • Organizer
      第32回日本神経免疫学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] Upregulation of programmed cell death ligand 1 expression in the skeletal muscle of patients with myasthenia gravis2019

    • Author(s)
      Kazuo Iwasa, Hiroaki Yoshikawa, Yutaka Furukawa, Masahito Yamada
    • Organizer
      XXIV World Congress of Neurology (WCN 2019)
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 重症筋無力症骨格筋におけるProgrammed cell death ligand 1の発現について2018

    • Author(s)
      岩佐和夫、吉川弘明、古川裕、山田正仁
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 重症筋無力症骨格筋に発現したPD-L1 mRNAと臨床重症度との関連2018

    • Author(s)
      岩佐和夫、吉川弘明、古川裕、山田正仁
    • Organizer
      第30回日本神経免疫学会学術集会
    • Related Report
      2018 Research-status Report
  • [Remarks] Putting The Brakes On Myasthenia Gravis

    • URL

      https://www.asianscientist.com/2018/12/in-the-lab/immune-checkpoint-myasthenia-gravis/

    • Related Report
      2020 Research-status Report 2018 Research-status Report
  • [Remarks] Medical research news

    • URL

      https://medicalxpress.com/news/2018-11-immune-checkpoints-key-autoimmune-disease.html

    • Related Report
      2020 Research-status Report 2018 Research-status Report
  • [Remarks] Science News

    • URL

      https://www.sciencedaily.com/releases/2018/11/181130094325.htm

    • Related Report
      2020 Research-status Report 2018 Research-status Report
  • [Remarks] Latest Research News

    • URL

      https://www.kanazawa-u.ac.jp/latest-research/62719/

    • Related Report
      2020 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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