Analysis of the role of anti-citrullinated peptide antibody in RA pathogenesis to aim developing optimal treatment.
Project/Area Number |
18K08411
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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 54020:Connective tissue disease and allergy-related
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Research Institution | Nagasaki University |
Principal Investigator |
IWAMOTO Naoki 長崎大学, 医歯薬学総合研究科(医学系), 助教 (80437897)
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Co-Investigator(Kenkyū-buntansha) |
増山 律子 長崎大学, 医歯薬学総合研究科(歯学系), 准教授 (60297596)
玉井 慎美 長崎大学, 医歯薬学総合研究科(医学系), 准教授 (60380862)
一瀬 邦弘 長崎大学, 医歯薬学総合研究科(医学系), 講師 (60437895)
川上 純 長崎大学, 医歯薬学総合研究科(医学系), 教授 (90325639)
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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 |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2019: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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Keywords | 関節リウマチ / 抗CCP抗体 / 破骨細胞 / アバタセプト / ケモカイン / 単球 / M1単球 / 滑膜線維芽細胞 / 骨芽細胞 / 滑膜細胞 / M1・M2単球 |
Outline of Final Research Achievements |
There was no relation anti-citrullinated protein antibody (ACPA) induced osteoclastogensis with treatment of biologics DMARDs, positivity of ACPA and disease activity. However, the number of osteoclast using monocyte from the patients who showed higher level of C-reactive protein (CRP) in the blood was higher as compared with normal level of CRP. Abatacept (Orencia) showed inhibitory effect of not only normal osteoclastogenesis but also ACPA-induced osteoclastogenesis. Moreover, ACPA increased secretion of chemokine from fibroblast-like synovial cells of rheumatoid arthritis.
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Academic Significance and Societal Importance of the Research Achievements |
抗CCP抗体(ACPA)誘発性破骨細胞形成がCRP陽性患者において増強していることが明らかになった。一方、疾患活動性や治療薬は破骨細胞形成数と相関しなかった。すなわち、治療薬や疾患活動性に関わらず、ACPA陽性関節リウマチ(RA)患者はCRP陽性であると骨破壊が進行することが示唆され、RA治療でのCRP制御の重要性が改めて明らかとなった。また、ACPA陽性患者におけるオレンシアの有用性が破骨細胞形成の側面からも明らかとなった。 さらに、本研究で明らかとなったACPAによる滑膜細胞からのケモカイン産生増強能を鑑みると、ACPA陽性RA患者においては抗ケモカイン療法がより有効である可能性がある。
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Report
(4 results)
Research Products
(54 results)
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[Journal Article] Comparison of the quantitative measurement of 18F-FDG PET/CT and histopathological findings in IgG4-related disease.2021
Author(s)
Tsuji S, Iwamoto N, Horai Y, Fujikawa K, Fujita Y, Fukui S, Ideguchi R, Michitsuji T, Nishihata S, Okamoto M, Tsuji Y, Endo Y, Shimizu T, Sumiyoshi R, Koga T, Kawashiri SY, Igawa T, Ichinose K, Tamai M, Nakamura H, Origuchi T, Kudo T, Kawakami A.
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Journal Title
Clin Exp Rheumatol.
Volume: epub
Related Report
Peer Reviewed
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[Journal Article] Life prognosis and renal relapse after induction therapy in Japanese patients with proliferative and pure membranous lupus nephritis.2020
Author(s)
Okamoto M, Kitamura M, Sato S, Fujikawa K, Horai Y, Matsuoka N, Tsuboi M, Nonaka F, Shimizu T, Koga T, Kawashiri SY, Iwamoto N, Tamai M, Nakamura H, Origuchi T, Nishino T, Kawakami A, Ichinose K.
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Journal Title
Rheumatology (Oxford).
Volume: epub
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Peer Reviewed
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[Journal Article] Next-generation sequencing of the whole MEFV gene in Japanese patients with familial Mediterranean fever: a case-control association study.2020
Author(s)
Koga T, Sato S, Mishima H, Migita K, Endo Y, Umeda M, Sumiyoshi R, Nonaka F, Fukui S, Kawashiri SY, Iwamoto N, Ichinose K, Tamai M, Nakamura H, Origuchi T, Ueki Y, Masumoto J, Agematsu K, Yachie A, Yoshiura KI, Eguchi K, Kawakami A.
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Journal Title
Clin Exp Rheumatol.
Volume: 127
Pages: 35-41
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Peer Reviewed
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[Journal Article] Rheumatoid arthritis patients with low baseline Health Assessment Questionnaire scores have a risk of functional disability progression: a post hoc analysis of a nationwide longitudinal cohort in Japan.2020
Author(s)
Sumiyoshi R, Hidaka T, Koga T, Okada A, Fukuda T, Ishii T, Ueki Y, Kodera T, Nakashima M, Takahashi Y, Honda S, Horai Y, Watanabe R, Okuno H, Aramaki T, Izumiyama T, Takai O, Miyashita T, Kawashiri SY, Iwamoto N,
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Journal Title
Clin Exp Rheumatol.
Volume: 38
Pages: 1096-1101
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Peer Reviewed
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[Journal Article] Differences in musculoskeletal ultrasound findings between RS3PE syndrome and elderly-onset rheumatoid arthritis.2020
Author(s)
Kawashiri SY, Suzuki T, Okada A, Tsuji S, Takatani A, Shimizu T, Koga T, Iwamoto N, Ichinose K, Nakamura H, Origuchi T, Kawakami A.
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Journal Title
Clin Rheumatol.
Volume: -
Issue: 6
Pages: 1981-1988
DOI
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Peer Reviewed
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[Journal Article] Phase 1 clinical study of cell therapy with effective-mononuclear cells (E-MNC) for radiogenic xerostomia (first-in-human study) (FIH study on E-MNC therapy for radiogenic xerostomia)2020
Author(s)
Sumita Y, Iwamoto N, Seki M, Yoshida T, Honma R, Iwatake M, Ohba S, Takashi I, Hotokezaka Y, Harada H, Kuroshima S, Nagai K, Asahara T, Atsushi Kawakam I, Asahina I
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Journal Title
Medicine (Baltimore)
Volume: 99
Issue: 26
Pages: e20788-e20788
DOI
NAID
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Peer Reviewed / Open Access
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[Journal Article] Reactive arthritis induced by active extra-articular tuberculosis2019
Author(s)
Endo Yushiro、Kawashiri Shin-ya、Koga Tomohiro、Okamoto Momoko、Tsuji Sosuke、Takatani Ayuko、Shimizu Toshimasa、Sumiyoshi Remi、Igawa Takashi、Iwamoto Naoki、Ichinose Kunihiro、Tamai Mami、Nakamura Hideki、Origuchi Tomoki、Kawakami Atsushi
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Journal Title
Medicine
Volume: 98
Issue: 49
Pages: e18008-e18008
DOI
NAID
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Peer Reviewed / Open Access
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[Journal Article] Chlamydia-induced reactive arthritis diagnosed during gout flares2019
Author(s)
Sumiyoshi Remi、Koga Tomohiro、Tsuji Sosuke、Endo Yushiro、Takatani Ayuko、Shimizu Toshimasa、Igawa Takashi、Umeda Masataka、Fukui Shoichi、Nishino Ayako、Kawashiri Shin-ya、Iwamoto Naoki、Ichinose Kunihiro、Tamai Mami、Nakamura Hideki、Origuchi Tomoki、Kawakami Atsushi
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Journal Title
Medicine
Volume: 98
Issue: 40
Pages: e17233-e17233
DOI
NAID
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Peer Reviewed / Open Access
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[Journal Article] Novel multiple heterozygous NUDT15 variants cause an azathioprine-induced severe leukopenia in a patient with systemic lupus erythematosus.2019
Author(s)
Otsuka M, Koga T, Sumiyoshi R, Furukawa K, Okamoto M, Endo Y, Tsuji S, Takatani A, Shimizu T, Igawa T, Kawashiri SY, Iwamoto N, Ichinose K, Tamai M, Nakamura H, Origuchi T, Kawakami A.
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Journal Title
Clin Immunol.
Volume: 200
Pages: 64-65
DOI
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Peer Reviewed
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[Journal Article] Promotion of Calcium/Calmodulin-Dependent Protein Kinase 4 by GLUT1-Dependent Glycolysis in Systemic Lupus Erythematosus.2019
Author(s)
Koga T, Sato T, Furukawa K, Morimoto S, Endo Y, Umeda M, Sumiyoshi R, Fukui S, Kawashiri SY, Iwamoto N, Ichinose K, Tamai M, Origuchi T, Nakamura H, Kawakami A.
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Journal Title
Arthritis Rheumatol.
Volume: 71
Issue: 5
Pages: 766-772
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[Journal Article] Podocyte foot process width is a prediction marker for complete renal response at 6 and 12 months after induction therapy in lupus nephritis.2018
Author(s)
Ichinose K, Kitamura M, Sato S, Fujikawa K, Horai Y, Matsuoka N, Tsuboi M, Nonaka F, Shimizu T, Fukui S, Umeda M, Koga T, Kawashiri SY, Iwamoto N, Igawa T, Tamai M, Nakamura H, Origuchi T, Nishino T, Kawakami A.
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Journal Title
Clin Immunol.
Volume: 197
Pages: 161-168
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Peer Reviewed / Open Access
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[Journal Article] Frequency of Hospitalized Infections Is Reduced in Rheumatoid Arthritis Patients Who Received Biological and Targeted Synthetic Disease-Modifying Antirheumatic Drugs after 2010.2018
Author(s)
Ichinose K, Shimizu T, Umeda M, Fukui S, Nishino A, Koga T, Kawashiri SY, Iwamoto N, Tamai M, Nakamura H, Sato S, Origuchi T, Kawakami A.
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Journal Title
J Immunol Res.
Volume: -
Pages: 6259010-6259010
DOI
NAID
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Peer Reviewed / Open Access
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