Development of a new diagnostic method for pediatric HSPN using urinary biomarkers
Project/Area Number |
18K07799
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 52050:Embryonic medicine and pediatrics-related
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Research Institution | Wakayama Medical University |
Principal Investigator |
Shima Yuko 和歌山県立医科大学, 医学部, 講師 (60433364)
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Co-Investigator(Kenkyū-buntansha) |
吉川 徳茂 社会医療法人愛仁会高槻病院(臨床研究センター), 腎臓疾患研究室, 室長 (10158412)
中西 浩一 琉球大学, 医学(系)研究科(研究院), 教授 (50336880)
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Project Period (FY) |
2018-04-01 – 2022-03-31
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Project Status |
Completed (Fiscal Year 2021)
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Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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Keywords | 尿バイオマーカー / 紫斑病性腎炎 / IgA腎症 / KIM-1 / 疾患活動性 / 蛋白尿 / 非侵襲的診断 / 腎生検組織 / 紫斑病勢腎炎 / 腎生検 / 小児紫斑病性腎炎 |
Outline of Final Research Achievements |
HSPN is the most common pediatric secondary glomerulonephritis and has histological similarity with IgA nephropathy (IgAN). Histological severity in HSPN at the early stage of the disease correlates well with renal prognosis, and at present, renal biopsy is required for diagnosis and understanding of disease severity. Since renal biopsy is an invasive procedure, it would be very useful to make the diagnose and undertanding its severity using the non-invasive urine biomarker Although some pathological variables can be predicted by urinary biomarker measurements in this study(FABP1、LTP2, Thy1, and CUBN m-RNA expression level), it was not possible to distinguish IgAN from HSPN at this point. As we found a significant positive correlation between proteinuria and KIM-1 expression level, it seemes to be possible to follow up the disease activity using regular measurements of urine biomarkers.
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Academic Significance and Societal Importance of the Research Achievements |
IgAN、HSPNのようなメサンギウム増殖を示す腎炎では一部の腎由来の蛋白のm-RAN発現レベルの低下を認め、尿バイオマーカーから病理組織を推定できる可能性が示されたが、HSPNにおいて、現時点で尿バイオマーカーの測定は侵襲的検査である腎生検に匹敵する情報量(診断、病理学的重症度)を得ることができなかったが、定期的な測定により、臨床的重症度(蛋白尿)と相関することが分かったため、疾患活動性のモニタリングとして使用できる可能性が高いことが示唆された。 今後、更に様々疾患、バイオマーカーの選定により精度があがり、侵襲的な腎生検を行わずに診断できるようになる可能性も十分に残されていると考えられた。
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Report
(5 results)
Research Products
(98 results)
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[Journal Article] Clinical features of autosomal recessive polycystic kidney disease in the Japanese population and analysis of splicing in PKHD1 gene for determination of phenotypes2022
Author(s)
Ishiko S, Morisada N, Kondo A, Nagai S, Aoto Y, Okada E, Rossanti R, Sakakibara N, Nagano C, Horinouchi T, Yamamura T, Ninchoji T, Kaito H, Hamada R, Shima Y, Nakanishi K, Matsuo M, Iijima K, Nozu K.
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Journal Title
Clin Exp Nephrol .
Volume: 26
Issue: 2
Pages: 140-153
DOI
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[Journal Article] A case of membranous nephropathy secondary to asymptomatic Graves' disease2022
Author(s)
Moniwa N, Shioya Y, Gocho Y, Takahashi S, Tanaka M, Furuhashi M, Kuroda S, Hama T, Shima Y, Ogawa Y, Miura T.
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Journal Title
CEN Case Rep.
Volume: -
Issue: 3
Pages: 309-313
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[Journal Article] Use of renin-angiotensin system inhibitors as initial therapy in children with Henoch-Schonlein purpura nephritis of moderate severity2022
Author(s)
Nagai S, Horinouchi T, Ninchoji T, Kondo A, Aoto Y, Ishiko S, Sakakibara N, Nagano C, Yamamura T, Kaito H, Tanaka R, Shima Y, Fujimura J, Kamiyoshi N, Ishimori S, Nakanishi K, Yoshikawa N, Iijima K, Nozu K.
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Journal Title
Pediatr Nephrol.
Volume: -
Issue: 8
Pages: 1845-1853
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[Journal Article] Efficacy of combination therapy for childhood complicated focal IgA nephropathy2022
Author(s)
Aoto Y, Ninchoji T, Kaito H, Shima Y, Fujimura J, Kamiyoshi N, Ishimori S, Nakanishi K, Minamikawa S, Ishiko S, Sakakibara N, Nagano C, Horinouchi T, Yamamura T, Nagai S, Kondo A, Inaguma Y, Tanaka R, Yoshikawa N, Iijima K, Nozu K.
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Journal Title
Clin Exp Nephrol.
Volume: -
Issue: 6
Pages: 561-570
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[Journal Article] Comprehensive genetic analysis using next-generation sequencing for the diagnosis of nephronophthisis-related ciliopathies in the Japanese population2022
Author(s)
Sakakibara N, Nozu K, Yamamura T, Horinouchi T, Nagano C, Ye MJ, Ishiko S, Aoto Y, Rossanti R, Hamada R, Okamoto N, Shima Y, Nakanishi K, Matsuo M, Iijima K, Morisada N.
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Journal Title
J Hum Genet.
Volume: -
Issue: 7
Pages: 427-440
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[Journal Article] Clinicopathological significance of glomerular capillary IgA deposition in childhood IgA nephropathy2021
Author(s)
Shima Y, Nakanishi K, Mukaiyama H, Tanaka Y, Wada T, Tanaka R, Kaito H, Nozu K, Sako M, Iijima K, Yoshikawa N.
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Journal Title
Pediatric Nephrology
Volume: 36
Issue: 4
Pages: 899-908
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[Journal Article] Clinical and histological features in pediatric and adolescent/young adult patients with renal disease: a cross-sectional analysis of the Japan Renal Biopsy Registry (J-RBR)2021
Author(s)
Urushihara M, Sato H, Shimizu A, Sugiyama H, Yokoyama H, Hataya H, Matsuoka K, Okamoto T, Ogino D, Miura K, Hamada R, Hibino S, Shima Y, Yamamura T, Kitamoto K, Ishihara M, Konomoto T, Hattori M; the Committee for Renal Biopsy and Disease Registry of the Japanese Society of Nephrology.
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Journal Title
Clin Exp Nephrol.
Volume: 25
Issue: 9
Pages: 1018-1026
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[Journal Article] Examination of the predicted prevalence of Gitelman syndrome by ethnicity based on genome database2021
Author(s)
Kondo A, Nagano C, Ishiko S, Omori T, Aoto Y, Rossanti R, Sakakibara N, Horinouchi T, Yamamura T, Nagai S, Okada E, Shima Y, Nakanishi K, Ninchoji T, Kaito H, Takeda H, Nagase H, Morisada N, Iijima K, Nozu K.
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Journal Title
Sci Rep.
Volume: 11
Issue: 1
Pages: 16099-16099
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[Journal Article] Systematic Review of Genotype-Phenotype Correlations in Frasier Syndrome2021
Author(s)
Tsuji Y, Yamamura T, Nagano C, Horinouchi T, Sakakibara N, Ishiko S, Aoto Y, Rossanti R, Okada E, Tanaka E, Tsugawa K, Okamoto T, Sawai T, Araki Y, Shima Y, Nakanishi K, Nagase H, Matsuo M, Iijima K, Nozu K.
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Volume: 6
Issue: 10
Pages: 2585-2593
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[Journal Article] Defining renal remission in an international cohort of 248 children and adolescents with lupus nephritis2021
Author(s)
De Mutiis C, Wenderfer SE, Orjuela A, Bagga A, Basu B, Sar T, Aggarwal A, Jain A, Yap HK, Ito S, Ohnishi A, Iwata N, Kasapcopur O, Laurent A, Mastrangelo A, Ogura M, Shima Y, Rianthavorn P, Silva CA, Trindade V, Dormi A, Tullus K.
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Rheumatology (Oxford)
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Pages: 2563-2571
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[Journal Article] Last Nucleotide Substitutions of COL4A5 Exons Cause Aberrant Splicing2021
Author(s)
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Journal Title
Kidney Int Rep.
Volume: 7
Issue: 1
Pages: 108-116
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[Journal Article] Crescentic IgA nephropathy in children.2020
Author(s)
Shima Y, Nakanishi K, Hama T, Mukaiyama H, Sato M, Tanaka Y, Tanaka R, Kaito H, Nozu K, Sako M, Iijima K, Yoshikawa N.
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Journal Title
Pediatr Nephrol.
Volume: -
Issue: 6
Pages: 1005-1014
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[Journal Article] Comprehensive genetic diagnosis of Japanese patients with severe proteinuria.2020
Author(s)
Nagano C, Yamamura T, Horinouchi T, Aoto Y, Ishiko S, Sakakibara N, Shima Y, Nakanishi K, Nagase H, Iijima K, Nozu K.
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Journal Title
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Volume: 10(1)
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Pages: 428-437
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[Journal Article] Neonatal diabetes caused by the heterozygous Pro1198Leu mutation in the ABCC8 gene in a male infant: 6-year clinical course.2020
Author(s)
Uraki S, Furuta H, Miyawaki M, Matsutani N, Shima Y, Iwamoto M, Matsuno S, Morita S, Furuta M, Doi A, Iwakura H, Ariyasu H, Nishi M, Suzuki H, Akamizu T.
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Journal Title
J Diabetes Investig.
Volume: 11(2)
Issue: 2
Pages: 502-505
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[Journal Article] Determination of the pathogenicity of known COL4A5 intronic variants by in vitro splicing assay.2019
Author(s)
Horinouchi T, Nozu K, Yamamura T, Minamikawa S, Nagano C, Sakakibara N, Nakanishi K, Shima Y, Morisada N, Ishiko S, Aoto Y, Nagase H, Takeda H, Rossanti R, Kaito H, Matsuo M, Iijima K.
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Journal Title
Sci Rep.
Volume: 9(1)
Issue: 1
Pages: 12696-12696
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[Journal Article] Comparison between conventional and comprehensive sequencing approaches for genetic diagnosis of Alport syndrome.2019
Author(s)
Yamamura T, Nozu K, Minamikawa S, Horinouchi T, Sakakibara N, Nagano C, Aoto Y, Ishiko S, Nakanishi K, Shima Y, Nagase H, Rossanti R, Ye MJ, Nozu Y, Ishimori S, Morisada N, Kaito H, Iijima K.
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Journal Title
Mol Genet Genomic Med.
Volume: 7(9)
Issue: 9
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[Journal Article] Clinical spectrum of male patients with OFD1 mutations.2019
Author(s)
Sakakibara N, Morisada N, Nozu K, Nagatani K, Ohta T, Shimizu J, Wada T, Shima Y, Yamamura T, Minamikawa S, Fujimura J, Horinouchi T, Nagano C, Shono A, Ye MJ, Nozu Y, Nakanishi K, Iijima K.
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Journal Title
J Hum Genet.
Volume: 64
Issue: 1
Pages: 3-9
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[Journal Article] Lisinopril versus lisinopril and losartan for mild childhood IgA nephropathy: a randomized controlled trial (JSKDC01 study).2019
Author(s)
Shima Y, Nakanishi K, Sako M, Saito-Oba M, Hamasaki Y, Hataya H, Honda M, Kamei K, Ishikura K, Ito S, Kaito H, Tanaka R, Nozu K, Nakamura H, Ohashi Y, Iijima K, Yoshikawa N; Japanese Study Group of Kidney Disease in Children (JSKDC).
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Journal Title
Pediatr Nephrol.
Volume: 34
Issue: 5
Pages: 837-846
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[Journal Article] Clinical and Genetic Characteristics in Patients With Gitelman Syndrome.2018
Author(s)
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[Journal Article] Study protocol: high-dose mizoribine with prednisolone therapy in short-term relapsing steroid-sensitive nephrotic syndrome to prevent frequent relapse (JSKDC05 trial).2018
Author(s)
Hama T, Nakanishi K, Ishikura K, Ito S, Nakamura H, Sako M, Saito-Oba M, Nozu K, Shima Y, Iijima K, Yoshikawa N; Japanese Study Group of Kidney Disease in Children (JSKDC).
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Journal Title
BMC Nephrol.
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Pages: 223-223
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[Journal Article] Strong Association of the HLA-DR/DQ Locus with Childhood Steroid-Sensitive Nephrotic Syndrome in the Japanese Population.2018
Author(s)
Jia X, Horinouchi T, Hitomi Y, Shono A, Khor SS, Omae Y, Kojima K, Kawai Y, Nagasaki M, Kaku Y, Okamoto T, Ohwada Y, Ohta K, Okuda Y, Fujimaru R, Hatae K, Kumagai N, Sawanobori E, Nakazato H, Ohtsuka Y, Nakanishi K, Shima Y, Tanaka R, Ashida A, Kamei K, Ishikura K, Nozu K, Tokunaga K, Iijima K
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Journal Title
J Am Soc Nephrol.
Volume: 29
Issue: 8
Pages: 2189-2199
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[Journal Article] Combination therapy with or without warfarin and dipyridamole for severe childhood IgA nephropathy: an RCT.2018
Author(s)
Shima Y, Nakanishi K, Kaku Y, Ishikura K, Hataya H, Matsuyama T, Honda M, Sako M, Nozu K, Tanaka R, Iijima K, Yoshikawa N; Japanese Pediatric IgA Nephropathy Treatment Study Group.
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Journal Title
Pediatr Nephrol.
Volume: 33
Issue: 11
Pages: 2103-2112
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[Journal Article] Detection of Splicing Abnormalities and Genotype-Phenotype Correlation in X-linked Alport Syndrome.2018
Author(s)
Horinouchi T, Nozu K, Yamamura T, Minamikawa S, Omori T, Nakanishi K, Fujimura J, Ashida A, Kitamura M, Kawano M, Shimabukuro W, Kitabayashi C, Imafuku A, Tamagaki K, Kamei K, Okamoto K, Fujinaga S, Oka M, Igarashi T, Miyazono A, Sawanobori E, Fujimaru R, Nakanishi K, Shima Y et al
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J Am Soc Nephrol.
Volume: 29
Issue: 8
Pages: 2244-2254
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[Journal Article] Development of ultra-deep targeted RNA sequencing for analyzing X-chromosome inactivation in female Dent disease2018
Author(s)
Minamikawa S, Nozu K, Nozu Y, Yamamura T, Taniguchi-Ikeda M, Nakanishi K, Fujimura J, Horinouchi T, Shima Y, Nakanishi K, Hattori M, Kanda K, Tanaka R, Morisada N, Nagano C, Sakakibara N, Nagase H, Morioka I, Kaito H, Iijima K.
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Journal Title
Journal of Human Genetics
Volume: 63
Issue: 5
Pages: 589-595
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[Presentation] Efficacy of New Combination Therapy with Prednisolone, Mizoribine, and Lisinopril for Severe Childhood IgA Nephropathy.2021
Author(s)
Shima Y, Mukaiyama H, Tanaka Y, Wada T, Kaito H, R, Tanaka R, Nozu K, Iijima K, Yoshikawa N, Nakanishi K.
Organizer
The 54th Annual Meeting of the American Society of Nephrology
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[Presentation] The combination therapy for pathologically mild childhood IgA nephropathy.2021
Author(s)
Aoto Y, Iijima K, Nozu K, Kaito H, Inaguma Y, Yoshikawa N, Kondo A, Nagai S, Yamamura T, Horinouchi T, Nagano C, Sakakibara N, Ishiko S, Minamikawa S, Nakanishi K, Shima Y, Ishimori S, Kamiyoshi N, Fujimura J, Ninchoji T
Organizer
The 14th Asian Congress of Pediatric Nephrology
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[Presentation] Evaluation of synonymous variants of COL4A3 and COL4A4 in suspected autosomal Alport Syndrome patients using an in vitro splicing assay.2021
Author(s)
Rossanti R, Horinouchi T, Yamamura T, Nagano C, Sakakibara N, Ishiko S, Aoto Y, Kondo A, Nagai S, Okada E, Ishimori S, Nagase H, Matsui S, Tamagaki K, Ubara Y, Nagahama M, Shima Y, Nakanishi K, Matsuo M, Ninchoji T, Nozu K, Iijima K.
Organizer
The 14th Asian Congress of Pediatric Nephrology
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[Presentation] NPHS1 Variants Can Cause Persistent Asymptomatic Proteinuria: Genetic and Clinical Characteristics of Patients with NPHS1 Variants in Japan2020
Author(s)
Yamamura T,Horinouchi T, Ishiko S, Aoto Y, Sakakibara N, Nagano C, Ninchoji T, Shima Y, Nakanishi K, Nozu K, Iijima K
Organizer
The 53rd Annual Meeting of the American Society of Nephrology
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[Presentation] Glomerular Galactose-Deficient IgA1 Expression Analysis in Pediatric Patients with Glomerular Diseases2020
Author(s)
Ishiko S, Nozu K,Fujimaru R,Shima Y, Kaito H, Tanaka R, Ishimori S, Aoto Y, Sakakibara N, Nagano C, Horinouchi T, Yamamura T, Ninchoji T, Nakanishi K, Yoshikawa N, Iijima K
Organizer
The 53rd Annual Meeting of the American Society of Nephrology
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[Presentation] Galactose-deficient IgA1 expression analysis is a useful tool for the diagnosis of IgA nephropathy: Two pediatric cases with pathological diagnosis of IgA nephroapthy.2019
Author(s)
Ishiko S, Nozu K, Shima Y, Hara S, Aoto Y, Sakakibara N, Nagano C, Minamikawa S, Yamamura T, Yoshikawa N, Nakanishi K, Iijima K
Organizer
The 17th Japan-Korea-China Pediatric nephrology Seminar
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[Presentation] Factord related to proteinuria relapse in childhood IgA nephropathy.2019
Author(s)
Shima Y, Nakanishi K, Hama T, Tanaka Y, Wada T, Mukaiyama H, Sato M, Nozu K, Kaito H, Tanaka R, Suzuki H, Iijima K, Yoshikawa N
Organizer
18th Congress of International Pediateic Nephrology Association
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[Presentation] Two male relatives with OFD1 mutation.2019
Author(s)
Wada T, Shima Y, Hama T, Tanaka Y, Mukaiyama H, Sato M, Morisada N, Nozu K, Yoshikawa N, Iijima K, Nakanishi K, Suzuki H.
Organizer
18th Congress of International Pediateic Nephrology Association
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[Presentation] Treatment with ACE-I/ARBs in Childhood Mild IgA Nephropathy. Long-Term Treatment with ACE-I/ARBs in Childhood Mild IgA Nephropathy.2019
Author(s)
Shima Y, Nakanishi K, Hama T, Tanaka Y, Mukaiyama H, Sato M, Wada T, Nozu K, Iijima, K, Yoshikawa N.
Organizer
52nd Annual Meeting of the American Society of Nephrology,
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[Presentation] Clinicopathological significance in juvenile-onset silent lupus nephritis2018
Author(s)
Yuko Shima, Koichi Nakanishi, Taketsugu Hama, Masashi Sato, Yu Tanaka, Hironobu Mukaiyama, Hiroshi Kaito, Kandai Nozu, Ryojiro Tanaka, Hiroyuki Suzuki, Kazumoto Iijima, Norishige Yoshikawa
Organizer
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[Book] IgA腎症の臨床2018
Author(s)
編集: 湯村 和子
Total Pages
333
Publisher
東京医学社
ISBN
9784885632976
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