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Identification of mechanism of FVIII-regulated blood coagulation and development on novel therapeutic drugs for hemophilia A and thrombotic disease

Research Project

Project/Area Number 18K07885
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 52050:Embryonic medicine and pediatrics-related
Research InstitutionNara Medical University

Principal Investigator

NOGAMI KEIJI  奈良県立医科大学, 医学部, 教授 (50326328)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords第VIII因子 / トロンビン / 第VII因子 / 第IX因子 / 凝固 / 遺伝子組み換え / 機能獲得 / 活性化第IX因子 / 結合領域 / 機能獲得型蛋白 / 血液凝固 / 活性型第IX因子 / 組織因子 / 活性型第VII因子 / 結合部位 / 高機能獲得型蛋白 / 結合様式 / 機能獲得型 / 凝固因子
Outline of Final Research Achievements

1) We have identified novel thrombin-binding sites of factor VIII (FVIII), which is involved in both hemorrhage and hemostasis in blood coagulation, which regulates FVIII activation due to its cleavage. We successfully generated a gain-of-function FVIII protein with high activity, focused on one thrombin-interactive site responsible for cleavage at Arg372 in A1 of FVIII. 2) In the early phase of the coagulation process, we have clarified that FVIII-FVIIa/tissue factor (TF) mechanism activates the endogenous coagulation process as well simultaneously and in addition have identified the FVIIa/TF-binding region on FVIII. 3) Moreover, we have identified a novel FIXa-binding region on FVIIIa in the intrinsic FX complex on the phospholipid surfaces, and have generated a gain-of-function FVIII protein focused on the FVIIIa A3 domain-FIXa interaction.

Academic Significance and Societal Importance of the Research Achievements

血液凝固第VIII因子は出血と血栓の相反する病態に関わる重要な凝固因子であるため、今回の研究における第VIII因子に関連する機能構造および他の凝固因子との相互反応の解明が、凝固や血栓形成機序の解明と血友病A患者への新規第VIII因子治療製剤開発への応用、また第VIII因子の生体内機能を制御する抗血栓および抗凝固薬の開発に将来的に繋がり、止血血栓学の学問的発展および医療に貢献できると思われる。

Report

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

    (16 results)

All 2021 2020 2019 2018

All Journal Article (11 results) (of which Peer Reviewed: 11 results,  Open Access: 6 results) Presentation (5 results) (of which Int'l Joint Research: 2 results,  Invited: 3 results)

  • [Journal Article] The C-terminal acidic region in the A1 domain of factor VIII facilitates thrombin-catalyzed activation and cleavage at Arg 3722021

    • Author(s)
      Nakajima Y, Nogami K
    • Journal Title

      J Thromb Haemost.

      Volume: 19 Issue: 3 Pages: 677-688

    • DOI

      10.1111/jth.15201

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Acidic Region Residues 1680-1684 in the A3 Domain of Factor VIII Contain a Thrombin-Interactive Site Responsible for Proteolytic Cleavage at Arg16892021

    • Author(s)
      Nakajima Y, Minami H, Nogami K.
    • Journal Title

      Thromb Haemost.

      Volume: - Issue: 10 Pages: 1274-1288

    • DOI

      10.1055/s-0041-1723996

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] An anti-factor IXa/factor X bispecific antibody, emicizumab, improves ex vivo coagulant potentials in plasma from patients with acquired hemophilia A.2020

    • Author(s)
      Takeyama M, Nogami K, Matsumoto T, Noguchi-Sasaki M, Kitazawa T, Shima M.
    • Journal Title

      J Thromb Haemost.

      Volume: 18 Issue: 4 Pages: 825-833

    • DOI

      10.1111/jth.14746

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Potential role of activated factor VIII (FVIIIa) in FVIIa/tissue factor-dependent FXa generation in initiation phase of blood coagulation.2019

    • Author(s)
      Furukawa S, Nogami K, Ogiwara K, Shima M.
    • Journal Title

      Int J Hematol.

      Volume: 109 Issue: 4 Pages: 390-401

    • DOI

      10.1007/s12185-019-02611-3

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Emicizumab, the bispecific antibody to factors IX/IXa and X/Xa, potentiates coagulation function in factor XI-deficient plasma in vitro.2019

    • Author(s)
      Minami H, Nogami K, Yada K, Ogiwara K, Furukawa S, Soeda T, Kitazawa T, Shima M.
    • Journal Title

      J Thromb Haemost

      Volume: 17 Issue: 1 Pages: 126-137

    • DOI

      10.1111/jth.14334

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] A novel simultaneous clot-fibrinolysis waveform analysis for assessing fibrin formation and clot lysis in haemorrhagic disorders.2019

    • Author(s)
      Nogami K, Matsumoto T, Sasai K, Ogiwara K, Arai N, Shima M.
    • Journal Title

      Br J Haematol.

      Volume: 187 Issue: 4 Pages: 518-529

    • DOI

      10.1111/bjh.16111

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Contribution of Factor VIII A2 Domain Residues 400-409 to a Factor X-Interactive Site in the Factor Xase Complex.2018

    • Author(s)
      Takeyama M, Nogami K, Sasai K, Furukawa S, Shima M.
    • Journal Title

      Thrombosis and Haemostasis

      Volume: 118 Issue: 05 Pages: 830-841

    • DOI

      10.1055/s-0038-1637745

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Factor (F)VIII/VIIa enhances global haemostatic function in the co-presence of bypassing agents and FVIII among patients with haemophilia A with inhibitor2018

    • Author(s)
      Nogami K, Matsumoto T, Yada K, Ogiwara K, Furukawa S, Shida Y, Takeyama M, Shima M
    • Journal Title

      Br J Haematol

      Volume: ahead of printing Issue: 4 Pages: 528-536

    • DOI

      10.1111/bjh.15209

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Modified clot waveform analysis to measure plasma coagulation potential in the presence of the anti-factor IXa/factor X bispecific antibody, emicizumab2018

    • Author(s)
      Nogami K, Matsumoto T, Tabuchi Y, Soeda T, Arai N, Kitazawa T, Shima M
    • Journal Title

      Journal of Thrombosis and Haemostasis

      Volume: 未定 Issue: 6 Pages: 1078-1088

    • DOI

      10.1111/jth.14022

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Routine measurements of factor VIII activity and inhibitor titer in the presence of emicizumab utilizing anti-idiotype monoclonal antibodies2018

    • Author(s)
      Nogami K, Soeda T, Matsumoto T, Kawabe Y, Kitazawa T, Shima M
    • Journal Title

      J Thromb Haemost

      Volume: 16(7) Issue: 7 Pages: 1383-1390

    • DOI

      10.1111/jth.14135

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The factor VIII heavy chain improves emicizumab-tenase assembly to enhance the factor VIII-mimicking cofactor activity.2018

    • Author(s)
      Minami H, Nogami K, Soeda T, Kitazawa T, Hattori K, Shima M.
    • Journal Title

      Thrombosis Research

      Volume: 166 Pages: 77-79

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] Update on factor (F)VIII structure and function-related hemostatic coagulation and its regulatory mechanism(s)2020

    • Author(s)
      Nogami K
    • Organizer
      82th Annual Meeting of the Japanese Society of Hematology
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Residues 1680-1684 in the A3 Domain of Factor VIII Contain a Novel Thrombin-Interactive Site Responsible for Proteolytic Cleavage at Arg16892019

    • Author(s)
      Nakajima Y, Nogami K, Minami H, Sasai K, Shima M
    • Organizer
      the 61st ASH Annual meeting
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Current and Future Prospects on the Hemostatic Treatment for Hemophilia2018

    • Author(s)
      Keiji Nogami
    • Organizer
      Taiwan Society of Blood and Marrow Tranplantation Annual Meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] A bispecific antibody, Emicizumab (HEMLIBRA), mimicking factor VIII: A novel alternative therapy for patients with hemophilia A with inhibitor2018

    • Author(s)
      Keiji Nogami
    • Organizer
      80th Annual Meeting of the Japanese Society of Hematology
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] A novel mechanism of factor VIIa/Tissue Factor (TF)-catalyzed activation and inactivation of B-domain-deleted Factor VIII in the early initiation phases of coagulation2018

    • Author(s)
      Yuito Nakajima, Keiji Nogami, Koji Yada, Midori Shima
    • Organizer
      60th Annual Meeting of the American Society of Hematology
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2022-01-27  

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