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Imaging analysis of myelin pathologies in multiple sclerosis using q-Space Myelin Map method

Research Project

Project/Area Number 18K07508
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52020:Neurology-related
Research InstitutionKeio University

Principal Investigator

Nakahara Jin  慶應義塾大学, 医学部(信濃町), 教授 (60537950)

Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2022: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2021: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords多発性硬化症 / ミエリンマップ
Outline of Final Research Achievements

Multiple sclerosis (MS) is a demyelinating disease of the central nervous system, and the number of patients in Japan is on a rise. An inflammatory demyelination is the key pathology of MS, however, the ordinal MRI was only able to visualize a part of those lesions and hidden histological myelin pathologies had been reported in "normal-appearing" white matters (NAWM). In the present study, we utilized a novel MRI sequence called "Myelin Map" or q-Space Myelin Map (qMM), specific to myelin signals, to analyze myelin dynamics in NAWM. We found that qMM values were correlated with progression of, and physical and cognitive disabilities of MS.

Academic Significance and Societal Importance of the Research Achievements

多発性硬化症(MS)は中枢神経系の脱髄疾患である。MRIにより脱髄病変(T2病変)を検出することが、その診断と治療効果モニタリングにおいて中心的な役割を担っているが、他方で微細な髄鞘傷害は通常のMRIでは検出できない。我々の研究グループでは髄鞘特異的なMRI撮像法(q-Space Myelin Map(qMM)法)を開発し、MS患者の髄鞘動態の解析を行った。その結果、一見正常に見えるnormal-appearing white matters(NAWM)において髄鞘傷害が生じていることが確認され、神経学的障害することを確認し、qMMがMSの個別化医療に寄与する可能性が示唆された。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (53 results)

All 2023 2022 2021 2020 2019 2018 Other

All Int'l Joint Research (5 results) Journal Article (23 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (23 results) (of which Int'l Joint Research: 6 results,  Invited: 14 results) Book (1 results) Remarks (1 results)

  • [Int'l Joint Research] PUCRS(ブラジル)

    • Related Report
      2022 Annual Research Report
  • [Int'l Joint Research] PUCRS(ブラジル)

    • Related Report
      2021 Research-status Report
  • [Int'l Joint Research] PUCRS(ブラジル)

    • Related Report
      2020 Research-status Report
  • [Int'l Joint Research] PUCRS(ブラジル)

    • Related Report
      2019 Research-status Report
  • [Int'l Joint Research] PUCRS(ブラジル)

    • Related Report
      2018 Research-status Report
  • [Journal Article] Mechanisms of myelin repair, MRI techniques and therapeutic opportunities in multiple sclerosis2022

    • Author(s)
      Sommer Rafael Canani、Hata Junichi、Rimkus Carolina de Medeiros、Klein da Costa Bruna、Nakahara Jin、Sato Douglas Kazutoshi
    • Journal Title

      Multiple Sclerosis and Related Disorders

      Volume: 58 Pages: 103407-103407

    • DOI

      10.1016/j.msard.2021.103407

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 多発性硬化症の診断・治療の最前線2021

    • Author(s)
      中原仁
    • Journal Title

      日本医師会雑誌

      Volume: 150 Pages: 82-84

    • NAID

      40022528176

    • Related Report
      2021 Research-status Report
  • [Journal Article] 一次性進行型多発性硬化症2021

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      BRAIN and NERVE

      Volume: 73 Pages: 458-465

    • Related Report
      2021 Research-status Report
  • [Journal Article] 多発性硬化症2021

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      Clinical Neuroscience

      Volume: 39 Pages: 910-912

    • Related Report
      2021 Research-status Report
  • [Journal Article] 多発性硬化症の診断と治療2021

    • Author(s)
      中原仁
    • Journal Title

      日本内科学会雑誌

      Volume: 110 Pages: 2021-2027

    • Related Report
      2021 Research-status Report
  • [Journal Article] 多発性硬化症の生涯を見据えた治療戦略2021

    • Author(s)
      関口耕史、久冨木原健二、中原仁
    • Journal Title

      日本臨床

      Volume: 79 Pages: 1559-1566

    • Related Report
      2021 Research-status Report
  • [Journal Article] 多発性硬化症・視神経脊髄炎2020

    • Author(s)
      関口耕史, 久冨木原健二, 中原仁
    • Journal Title

      生体の科学

      Volume: 71 Pages: 400-401

    • Related Report
      2020 Research-status Report
  • [Journal Article] 免疫性神経疾患と幹細胞移植2020

    • Author(s)
      久冨木原健二, 中原仁
    • Journal Title

      日本臨床

      Volume: 78 Pages: 1837-1844

    • Related Report
      2020 Research-status Report
  • [Journal Article] 多発性硬化症の診断と治療2020

    • Author(s)
      中原仁
    • Journal Title

      クリニシアン

      Volume: 67 Pages: 26-30

    • Related Report
      2019 Research-status Report
  • [Journal Article] 多発性硬化症疾患修飾薬のいま2020

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      BRAIN and NERVE

      Volume: 72 Pages: 45-60

    • Related Report
      2019 Research-status Report
  • [Journal Article] 多発性硬化症の髄鞘再生療法 現状と課題2019

    • Author(s)
      中原仁
    • Journal Title

      神経治療学

      Volume: 36 Pages: 214-216

    • NAID

      130007751119

    • Related Report
      2019 Research-status Report
  • [Journal Article] qMM法による髄鞘特異的イメージング2019

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      実験医学

      Volume: 37 Pages: 2902-2910

    • Related Report
      2019 Research-status Report
  • [Journal Article] q-Space MRI 脱髄と髄鞘再生のイメージング2019

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      Clinical Neuroscience

      Volume: 37 Pages: 1398-1400

    • Related Report
      2019 Research-status Report
  • [Journal Article] Natalizumabとvedolizumab2019

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      日本血栓止血学会誌

      Volume: 30 Pages: 603-609

    • Related Report
      2019 Research-status Report
  • [Journal Article] 多発性硬化症治療薬の選択2019

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      脳神経内科

      Volume: 90 Pages: 432-440

    • Related Report
      2019 Research-status Report
  • [Journal Article] 多発性硬化症、視神経脊髄炎関連疾患および脊髄炎2018

    • Author(s)
      久冨木原健二、中原仁、鈴木則宏
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 444-447

    • Related Report
      2018 Research-status Report
  • [Journal Article] 多発性硬化症の診断 診断基準・画像所見と検査2018

    • Author(s)
      中原仁
    • Journal Title

      日本医事新報

      Volume: 4912 Pages: 35-40

    • Related Report
      2018 Research-status Report
  • [Journal Article] 多発性硬化症における最新の話題と治療戦略2018

    • Author(s)
      中原仁
    • Journal Title

      東京都医師会雑誌

      Volume: 71 Pages: 379-383

    • Related Report
      2018 Research-status Report
  • [Journal Article] 神経内科学 髄鞘の画像診断2018

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      医学のあゆみ

      Volume: 267 Pages: 238-239

    • Related Report
      2018 Research-status Report
  • [Journal Article] 総論 中枢神経系脱髄疾患の最近の動向 多発性硬化症2018

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 1270-1277

    • Related Report
      2018 Research-status Report
  • [Journal Article] 抗MOG抗体関連疾患 臨床像 脊髄炎2018

    • Author(s)
      久冨木原健二、中原仁
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 1349-1352

    • Related Report
      2018 Research-status Report
  • [Journal Article] ”視神経脊髄型多発性硬化症”を疑う病態から抗ミエリンオリゴデンドロサイト糖蛋白質抗体を検出した場合の臨床的検討2018

    • Author(s)
      北川賢、長田高志、金子仁彦、高橋利幸、鈴木則宏、中原仁
    • Journal Title

      臨床神経学

      Volume: 58 Pages: 737-744

    • NAID

      130007546347

    • Related Report
      2018 Research-status Report
  • [Journal Article] 多発性硬化症と視神経脊髄炎関連疾患の治療2018

    • Author(s)
      中原仁
    • Journal Title

      神経治療学

      Volume: 35 Pages: 214-218

    • NAID

      130007550097

    • Related Report
      2018 Research-status Report
  • [Presentation] Myelin density in normal-appearing white matter in measurements by q-space diffusional MRI correlates with clinical disability in multiple sclerosis.2023

    • Author(s)
      Motegi H, Kufukihara K, Sekiguchi K, Kitagawa S, Hata J, Fujiwara H, Jinzaki M, Okano H, Nakamura M, Nakahara J.
    • Organizer
      AAN 2023
    • Related Report
      2022 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 多発性硬化症の診断と治療2021

    • Author(s)
      中原仁
    • Organizer
      日本内科学会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] 身体障害と高次脳機能障害の進行を抑制する現行治療戦略2021

    • Author(s)
      中原仁
    • Organizer
      日本神経学会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] 神経内科におけるMOGADの臨床像2021

    • Author(s)
      中原仁
    • Organizer
      日本小児免疫性脳炎研究会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] 二次性進行型MSの病態と治療2021

    • Author(s)
      中原仁
    • Organizer
      日本神経治療学会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] 多発性硬化症の歴史と将来展望2021

    • Author(s)
      中原仁
    • Organizer
      日本薬剤疫学会
    • Related Report
      2021 Research-status Report
    • Invited
  • [Presentation] 多発性硬化症・視神経脊髄炎の診断と治療2021

    • Author(s)
      中原仁
    • Organizer
      日本内科学会
    • Related Report
      2021 Research-status Report
  • [Presentation] MS/NMOSDの新薬展望2020

    • Author(s)
      中原仁
    • Organizer
      日本神経学会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] q-Space Myelin Map法を用いたナタリズマブ投与下多発性硬化症の髄鞘動態解析2020

    • Author(s)
      関口耕史, 久冨木原健二, 浅倉颯人, 北川賢, 谷川万里子, 畑純一, 鈴木重明, 藤吉兼弘, 藤原広和, 陣崎雅弘, 中村雅也, 岡野栄之, 中原仁
    • Organizer
      日本神経免疫学会
    • Related Report
      2020 Research-status Report
  • [Presentation] フィンゴリモド関連PML2020

    • Author(s)
      中原仁
    • Organizer
      日本神経免疫学会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 多発性硬化症の治療の未来2020

    • Author(s)
      中原仁
    • Organizer
      日本神経免疫学会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 神経保護を重視したMS治療戦略2020

    • Author(s)
      中原仁
    • Organizer
      日本神経治療学会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] q-Space Myelin Map imaging for longitudinal analysis of remyelination in multiple sclerosis patients treated with dimethyl fumarate2020

    • Author(s)
      Kufukihara K, Kitagawa S, Sato Y, Tanikawa M, Hata J, Suzuki S, Nakamura M, Okano H, Nakahara J
    • Organizer
      MS Virtual 2020
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] フマル酸ジメチル投与下多発性硬化症患者における髄鞘再生の評価 q-Space Myelin Map法の応用2019

    • Author(s)
      久冨木原健二、谷川万里子、畑純一、鈴木重明、藤吉兼弘、藤原広和、陣崎雅弘、中村雅也、岡野栄之、中原仁
    • Organizer
      日本神経治療学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 治療合併症としての進行性白質脳症 リスク判定・診断・治療2019

    • Author(s)
      中原仁
    • Organizer
      日本神経治療学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 神経免疫学の潮流を探る 診断学から治療学・他領域連携へ2019

    • Author(s)
      中原仁
    • Organizer
      日本神経免疫学会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 神経免疫学のパラダイムシフト2019

    • Author(s)
      中原仁
    • Organizer
      日本医学会総会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Advanced MRI to evaluate remyelination in pediatric multiple sclerosis by q-Space Myelin Map-an exploratory study2019

    • Author(s)
      Sato DK, Sommer CR, da Costa BK, Becker J, Hata J, Nakahara J
    • Organizer
      ECTRIMS 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] q-Space Myelin Map imaging for longitudinal analysis of demyelination and remyelination in multiple sclerosis patients treated with glatiramer acetate2019

    • Author(s)
      Kufukihara K, Tanikawa M, Hata J, Suzuki S, Fujiyoshi K, Fujiwara H, Jinzaki M, Nakamura M, Okano H, Takahashi S, Nakahara J
    • Organizer
      PACTRIMS 2019
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 髄鞘再生療法開発の現況と課題2018

    • Author(s)
      中原仁
    • Organizer
      日本神経治療学会総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 多発性硬化症治療の"Net Clinical Benefit"ーPMLリスクを踏まえた病態修飾薬の選択ー2018

    • Author(s)
      中原仁
    • Organizer
      日本神経免疫学会学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] q-Space Myelin Map imaging for longitudinal analysis of demyelination and remyelination in multiple sclerosis patients treated with glatiramer acetate2018

    • Author(s)
      K. Kufukihara, M. Tanikawa, J. Hata, S. Suzuki, K. Fujiyoshi, H. Fujiwara, M. Jinzaki, M. Nakamura, H. Okano, S. Takahashi, J. Nakahara
    • Organizer
      Pan-Asian Committee for Treatment and Research in Multiple Sclerosis (PACTRIMS 2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] q-Space Myelin Map imaging for longitudinal analysis of demyelination and remyelination in multiple sclerosis patients treated with natalizumab2018

    • Author(s)
      K. Kufukihara, M. Tanikawa, J. Hata, S. Suzuki, K. Fujiyoshi, H. Fujiwara, M. Jinzaki, M. Nakamura, H. Okano, S. Takahashi, J. Nakahara
    • Organizer
      European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS 2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Book] Myelin-Basic and Clinical Advances2019

    • Author(s)
      Nakahara J (edited by Sango K et al)
    • Total Pages
      378
    • Publisher
      Springer
    • ISBN
      9789813296350
    • Related Report
      2019 Research-status Report
  • [Remarks] 慶應義塾大学医学部神経内科ー研究班の紹介ー中枢神経系脱髄疾患

    • URL

      https://www.neurology.med.keio.ac.jp/research/dep_sclerosis.html

    • Related Report
      2022 Annual Research Report 2021 Research-status Report 2020 Research-status Report

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Published: 2018-04-23   Modified: 2024-01-30  

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