Factors relating distribution and pathophysiology of eosinophilic gastrointestinal diseases
Project/Area Number |
18K07939
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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 53010:Gastroenterology-related
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Research Institution | Shimane University |
Principal Investigator |
Ishimura Norihisa 島根大学, 学術研究院医学・看護学系, 准教授 (40346383)
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Project Period (FY) |
2018-04-01 – 2021-03-31
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Project Status |
Completed (Fiscal Year 2020)
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Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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Keywords | 好酸球性消化管疾患 / 好酸球性食道炎 / 好酸球性胃腸炎 / 性差 |
Outline of Final Research Achievements |
Eosinophilic gastrointestinal diseases (EGID) are chronic Th2-type allergic diseases characterized by dense infiltration of eosinophils in the gastrointestinal tract and functional disorders originating from that location. EGID can be divided into eosinophilic esophagitis (EoE) and eosinophilic gastroenteritis (EGE) based on the involved gastrointestinal tract. However, male predominance in EoE remains to be elucidated. In this study, we evaluated the gene expression of EoE and EGE and showed that expression of CAPN14 related genes did not differ between male and female. While, gene expressions related to barrier function were changed after administration of dihydrotestosterone in squamous cell organoid culture system. In addition, we evaluated the microbiota in EoE and EGE using a 16S rRNA gene sequencing method. Bacterial composition was different between EoE and EGE, though no significant difference was seen between male and female in EGID.
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Academic Significance and Societal Importance of the Research Achievements |
近年、先進国を中心としてアレルギー疾患の増加が指摘されており、衛生環境の改善などの環境的要因が大きく影響していると考えられている。アレルギー疾患の中で明確な男女差があるのはEoEのみであるが、性差の原因は不明である。今回、男性ホルモンであるDHTが食道上皮のバリア機能に影響する可能性を初めて示した。この結果は、高齢者では発症の男女差がなくなる点とも一致している。また、EoEとEGEでは腸内細菌叢のパターンに違いが見られており、病変の分布との関連性を示唆する結果であった。今回の検討はEoEの病態形成機序や好酸球性炎症の罹患範囲に関わる要因を明らかにする上で意義のある結果と考えられる。
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Report
(4 results)
Research Products
(41 results)
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[Journal Article] Development of eosinophilic esophagitis following sublingual immunotherapy with cedar pollen extract: A case report2018
Author(s)
Kawashima K, Ishihara S, Masuhara M, Mikami H, Okimoto E, Oshima N, Ishimura N, Araki A, Maruyama R, Kinoshita Y
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Journal Title
Allergology International
Volume: 67
Issue: 4
Pages: 515-517
DOI
ISSN
1323-8930, 1440-1592
Related Report
Peer Reviewed / Open Access
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[Journal Article] Successful Food-Elimination Diet in an Adult with Eosinophilic Gastroenteritis2018
Author(s)
Okimoto E, Ishimura N, Okada M, Mikami H, Sonoyama H, Ishikawa N, Araki A, Oshima N, Hirai J, Ishihara S, Maruyama R, Kinoshita Y
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Journal Title
ACG Case Rep J
Volume: 5
Issue: 1
Pages: e38-e38
DOI
Related Report
Peer Reviewed / Open Access
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