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Elucidation of inflammatory mechanism and development of new treatment by immunological analysis of platelet-leukocyte contact

Research Project

Project/Area Number 18K08339
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 54010:Hematology and medical oncology-related
Research InstitutionKeio University

Principal Investigator

HIRAHASHI Junichi  慶應義塾大学, 医学部(信濃町), 講師 (70296573)

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: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords炎症 / 細胞外ヒストン / Immunothrombosis / 好中球 / 血小板 / Mac-1 / 糖尿病 / 血管障害 / 急性炎症 / DAMPs / ヒストン / CD11b / CyTOF / ラクトフェリン / 金属同位体標識 / リン酸化 / 血栓
Outline of Final Research Achievements

It is known that extracellular histones, which is one of the acute phase proteins in inflammation, causes aggravation of organ damage by attacking endothelial cells and forming a thrombus. We demonstrated that extracellular histones activate neutrophils and platelets via the adhesion factor Mac-1 and aggregate them, contributing to thromboinflammation. It was also found that this condition is exacerbated in diabetes, in which the sensitivity of neutrophils to extracellular histones is amplified and activated neutrophils mobilized to peripheral blood by histone stimulation are significantly increased. These results suggest that extracellular histones may contribute to the aggravation of acute organ damage by causing platelet-neutrophil aggregation using Mac-1 as a key mediator in acute inflammation. In conclusion, extracellular histones transmit signals through Mac-1-dependent pathway by directly stimulating both neutrophils and platelets and promote blood coagulation and thrombosis.

Academic Significance and Societal Importance of the Research Achievements

免疫学的機序による血栓形成メカニズムであるImmunothrombosisの制御異常により、敗血症やCOVID-19の重症化がもたらされる。Immunothrombosisのメディエータとして、傷害された細胞から放出される細胞外ヒストンは極めて重要な役割を果たす。我々は細胞外ヒストンが、接着因子Mac-1を介して好中球と血小板を凝集させて血管障害を起こすことを証明した。また、糖尿病において細胞外ヒストンに対する好中球の感受性が亢進してImmunothrombosisが増幅されて重症化することを証明し、Mac-1によるImmunothrombosisが治療の標的となる可能性を示した。

Report

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

    (17 results)

All 2021 2020 2019

All Journal Article (12 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 4 results,  Open Access: 2 results) Presentation (5 results) (of which Invited: 1 results)

  • [Journal Article] Usefulness of tissue inhibitor of metalloproteinase 1 as a predictor of sustained remission in patients with antineutrophil cytoplasmic antibody-associated vasculitis2021

    • Author(s)
      Ishizaki J, Takemori A, Horie K, Hiraoka D, Suemori K, Matsumoto T, Sada KE, Amano K, Harigai M, Arimura Y, Makino H, Takenaka K, Takemori N, Hasegawa H, and Hirahashi J as a collaborator..
    • Journal Title

      Arthritis Research & Therapy

      Volume: 23 Issue: 1 Pages: 91-91

    • DOI

      10.1186/s13075-021-02471-5

    • URL

      https://pure.teikyo.jp/en/publications/cfc44ab8-89d7-442e-b0d4-117e613ffe45

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Association between age at disease onset of anti-neutrophil cytoplasmic antibody?associated vasculitis and clinical presentation and short-term outcomes2020

    • Author(s)
      Monti S, Craven A, Klersy C, Montecucco C, Caporali R, Watts R, Merkel PA, Luqmani R and Hirahashi J as a collaborator.
    • Journal Title

      Rheumatology

      Volume: 60 Issue: 2 Pages: 617-628

    • DOI

      10.1093/rheumatology/keaa215

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Treatment-related damage in elderly-onset ANCA-associated vasculitis: safety outcome analysis of two nationwide prospective cohort studies2020

    • Author(s)
      Sada KE, Ohashi K, Asano Y, Hayashi K, Morishita M, Watanabe H, Matsumoto Y, Fujimoto S, Takasaki Y, Yamagata K, Banno S, Dobashi H, Amano K, Harigai M, Arimura Y, Makino H and Hirahashi J as a collaborator.
    • Journal Title

      Arthritis Research & Therapy

      Volume: 22 Issue: 1

    • DOI

      10.1186/s13075-020-02341-6

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Group A Streptococcus establishes pharynx infection by degrading the deoxyribonucleic acid of neutrophil extracellular traps2020

    • Author(s)
      Tanaka Mototsugu, Kinoshita-Daitoku Ryo, Kiga Kotaro, Sanada Takahito, Zhu Bo, Okano Tokuju, Aikawa Chihiro, Iida Tamako, Ogura Yoshitoshi, Hayashi Tetsuya, Okubo Koshu, Kurosawa Miho, Hirahashi Junichi, Suzuki Toshihiko, Nakagawa Ichiro, Nangaku Masaomi, Mimuro Hitomi
    • Journal Title

      Scientific Reports

      Volume: 10

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] 【腎疾患コンサルテーション】急性腎障害(AKI) 横紋筋融解症/クラッシュシンドロームへの対応 (解説/特集)2020

    • Author(s)
      平橋 淳一
    • Journal Title

      腎と透析

      Volume: 89巻4号 Pages: 546-549

    • Related Report
      2020 Research-status Report
  • [Journal Article] 疾患REVIEW 横紋筋融解症と急性腎障害(解説)2020

    • Author(s)
      平橋 淳一
    • Journal Title

      SRL宝函

      Volume: 41巻1号 Pages: 11-21

    • Related Report
      2020 Research-status Report
  • [Journal Article] 【腎臓と運動・スポーツ】運動後急性腎不全 横紋筋融解症による腎不全(解説/特集)2020

    • Author(s)
      大久保 光修、平橋 淳一
    • Journal Title

      腎と透析

      Volume: 88巻4号 Pages: 526-532

    • Related Report
      2020 Research-status Report
  • [Journal Article] NETsに対する治療戦略2019

    • Author(s)
      平橋 淳一
    • Journal Title

      Thrombosis Medicine

      Volume: 4 Pages: 325-332

    • Related Report
      2019 Research-status Report
  • [Journal Article] 圧挫症候群における腎障害のメカニズム2019

    • Author(s)
      大久保 光修、平橋 淳一
    • Journal Title

      腎臓内科・泌尿器科

      Volume: 10 Pages: 260-265

    • Related Report
      2019 Research-status Report
  • [Journal Article] 横紋筋融解症による急性腎障害発症の新たなメカニズム2019

    • Author(s)
      平橋 淳一
    • Journal Title

      医学のあゆみ

      Volume: 268 Pages: 587-588

    • Related Report
      2019 Research-status Report
  • [Journal Article] 急性腎障害におけるMETsの関与とその制御2019

    • Author(s)
      平橋 淳一
    • Journal Title

      炎症と免疫

      Volume: 27 Pages: 284-288

    • Related Report
      2019 Research-status Report
  • [Journal Article] 横紋筋融解症・腎臓専門医の視点より2019

    • Author(s)
      大久保光修、平橋 淳一
    • Journal Title

      腎と透析

      Volume: 86 Pages: 491-493

    • Related Report
      2019 Research-status Report
  • [Presentation] 災害大国日本における横紋筋融解症 AKI とラクトフェリン2021

    • Author(s)
      平橋 淳一
    • Organizer
      日本ラクトフェリン学会第9回学術集会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] 糖尿病では急性期傷害関連タンパクHistoneに対する白血球の炎症免疫応答が亢進している2019

    • Author(s)
      平橋 淳一、黒澤 美穂、大久保 光修
    • Organizer
      第62回日本腎臓学会学術総会
    • Related Report
      2019 Research-status Report
  • [Presentation] 糖尿病における心血管病への脆弱性を白血球の急性期タンパクヒストンへの反応性から解析する2019

    • Author(s)
      平橋 淳一
    • Organizer
      第10回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 炎症急性期タンパクHistoneに対する感受性とThromboinflammation2019

    • Author(s)
      平橋 淳一
    • Organizer
      第25回MPO研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] 糖尿病では急性期傷害関連タンパクHistoneに対する白血球の炎症免疫応答が亢進している2019

    • Author(s)
      平橋 淳一
    • Organizer
      第62回日本腎臓学会学術総会
    • Related Report
      2018 Research-status Report

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

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