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clinical exmination on eosinophilic inflammation caused by NSAIDs and PGE2 / EP3 gene polymorphism.

Research Project

Project/Area Number 18K15957
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 53030:Respiratory medicine-related
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

Kaneko Yoshiko  京都府立医科大学, 医学(系)研究科(研究院), 助教 (30768825)

Project Period (FY) 2018-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
KeywordsStevens-Johnson症候群 / 閉塞性細気管支炎 / 好酸球性炎症 / PTGER遺伝子多型 / Steven-Jhonson症候群 / 早期増悪型 / 慢性期進行型 / PGE2/EP3受容体 / アスピリン喘息 / 遺伝子多型
Outline of Final Research Achievements

We confirmed that bronchiolitis obliterans, which is one of the respiratory complications secondary to SJS / TEN, has various clinical features such as acute onset, subacute progression, and chronic progression over 10 years. We showed that a quantitative analysis of a chest CT scan matched the increase in total lung volume with airway remodeling and hyperinflation changes. In the PTGER polymorphism rs 7543182, the aspirin asthma population was associated with T allele, which was positively correlated with EP3 protein expression. The result was the opposite of SJS / TEN ocular sequelae.

Academic Significance and Societal Importance of the Research Achievements

アスピリン喘息ではEP3蛋白発現において正の相関が示唆され、EP3発現の豊富な血小板を介した炎症経路や気道粘膜におけるPGE2-EP3を介した気道炎症制御機構など本疾患の病態の理解を支持する結果を認めた。本研究により、SJS/TEN呼吸器合併症、特に閉塞性細気管支炎の多彩な臨床像が明らかになり、胸部CT定量的解析により気道病変の詳細な画像的検討を行った。日本アレルギー学会・日本呼吸器学会等の基盤学会における本研究の学会発表及び誌上報告により、診療及び研究両面での診療科横断的な協力基盤(皮膚科・眼科・内科)が構築された。

Report

(3 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report

Research Products

(8 results)

All 2020 2019 Other

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (4 results) Remarks (1 results)

  • [Journal Article] Respiratory complications of Stevens-Johnson syndrome (SJS): 3 cases of SJS-induced obstructive bronchiolitis2020

    • Author(s)
      Kaneko Yoshiko、Seko Yurie、Sotozono Chie、Ueta Mayumi、Sato Satoshi、Shimamoto Takayuki、Iwasaku Masahiro、Yamada Tadaaki、Uchino Junji、Hizawa Nobuyuki、Takayama Koichi
    • Journal Title

      Allergol. Int.

      Volume: 14 Issue: 3 Pages: 465-467

    • DOI

      10.1016/j.alit.2020.01.003

    • NAID

      130007877681

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] genotype as a risk factor for early-onset adult asthma is linked to total serum IgE levels but not to atopy2020

    • Author(s)
      Haruna Kitazawa, Hironori Masukoa Jun Kanazawaa,Rie Shigemasa, Kentaro Hyodoa, Hideyasu Yamada, Yohei Yatagai, Yoshiko Kaneko, Hiroaki Iijima, Takashi Naito, Takefumi Saito, Emiko Noguchi, Satoshi Konno, Tomomitsu Hirota, Mayumi Tamari, Tohru Sakamoto, Nobuyuki Hizawa
    • Journal Title

      Allergology International

      Volume: -

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A cis-eQTL allele regulating reduced expression of CHI3L1 is associated with late-onset adult asthma in Japanese cohorts.2019

    • Author(s)
      Kanazawa J, Kitazawa H, Masuko H, Yatagai Y, Sakamoto T, Kaneko Y, Iijima H, Naito T, Saito T, Noguchi E, Konno S, Nishimura M, Hirota T, Tamari M, Hizawa N
    • Journal Title

      BMC Medical Genetics

      Volume: 20 Pages: 58-58

    • DOI

      10.1186/s12881-019-0786-y

    • NAID

      120007127949

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 当院で経験したStevens-Johnson症候群(SJS)呼吸器合併症3症例から学ぶこと2019

    • Author(s)
      金子美子 髙山浩一
    • Organizer
      第59回日本呼吸器学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 当院で経験したStevens-Johnson症候群(SJS)呼吸器合併症3症例から学ぶこと2019

    • Author(s)
      瀬古友利恵 金子美子 髙山浩一
    • Organizer
      第68回日本アレルギー学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] SJS後BOSにおける胸部CT画像の定量評価に関する検討2019

    • Author(s)
      望月芙美 飯島弘晃 金子美子 髙山浩一 室繁郎 檜澤伸之
    • Organizer
      第68回日本アレルギー学会学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Stevens-Johnson症候群(SJS)呼吸器合併症の知られざる実態と当院で経験した重症閉塞性細気管支炎3症例から学ぶべきこと2019

    • Author(s)
      金子美子
    • Organizer
      第59回日本呼吸器学会学術講演会
    • Related Report
      2018 Research-status Report
  • [Remarks] 京都府立医科大学大学院医学研究科呼吸器内科学ホームページ 研究・業績

    • URL

      http://kokyu-kpum.com/study/

    • Related Report
      2019 Annual Research Report 2018 Research-status Report

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Published: 2018-04-23   Modified: 2021-02-19  

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