Elucidation of the Mechanism of Heart Failure Induced by Immune Checkpoint Inhibitors
Project/Area Number |
19K17574
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Research Category |
Grant-in-Aid for Early-Career Scientists
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Allocation Type | Multi-year Fund |
Review Section |
Basic Section 53020:Cardiology-related
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Research Institution | Fukushima Medical University |
Principal Investigator |
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Project Period (FY) |
2019-04-01 – 2022-03-31
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Project Status |
Completed (Fiscal Year 2021)
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Budget Amount *help |
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2021: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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Keywords | 腫瘍循環器 / 免疫チェックポイント阻害剤 / 免疫関連有害事象 / 心血管イベント / 心不全 |
Outline of Research at the Start |
免疫チェックポイント阻害剤の治療が開始されたがん患者において、免疫関連有害事象irAEsとしての心血管合併症の頻度や重症度を前向きに観察・解析する。単に免疫チェックポイント阻害剤の副作用としてのirAEsではなく、心肥大、慢性心不全や心筋梗塞後といった心血管合併症を有するヒト臨床像に合わせて、マウスモデルを用いてT細胞と心臓リモデリングの観点からも検討する。
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Outline of Final Research Achievements |
In this study, we prospectively observed and analyzed the frequency and severity of cardiovascular complications as immune-related adverse events in cancer patients initiated on immune checkpoint inhibitor therapy to search for new biomarkers that reflect cardiomyocyte damage. The usefulness of biomarkers, including cell-free DNA, was suggested and should continue to be investigated. In addition, a mouse heart failure model was generated according to the human clinical picture with cardiovascular complications, and in mice mutant for immune-related protein A, an increase in αSMA-positive activated fibroblasts and CD68-positive macrophages were observed, suggesting an association with immune inflammatory cells, and further analysis is needed.
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Academic Significance and Societal Importance of the Research Achievements |
近年、がん治療において分子標的薬が広く臨床応用され予後改善に寄与する一方で、治療を受ける患者の高齢化も進み、免疫関連有害事象の報告も増加し、その病態と発生機序の解明が課題となっている。本研究により、免疫関連有害事象の詳細が明らかになるとともに、心不全における新規バイオバーカーの探索からその臨床応用の可能性が示唆された。また、特定の分子が心臓における免疫反応の増悪に関与していることが示唆され、本研究成果からがん治療における最善の医療への貢献が期待されるとともに、新たな心不全へのメカニズムの解明に発展することが期待される。
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Report
(4 results)
Research Products
(54 results)
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[Journal Article] Atrial fibrillation is associated with impaired exercise capacity and adverse prognosis in patients with heart failure with mid-range ejection fraction.2020
Author(s)
Sato Y, Yoshihisa A, Kimishima Y, Yokokawa T, Abe S, Shimizu T, Misaka T, Yamada S, Sato T, Kaneshiro T, Oikawa M, Kobayashi A, Yamaki T, Kunii H, Takeishi Y.
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Journal Title
European Journal of Preventive Cardiology
Volume: 27
Issue: 19
Pages: 2322-2325
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Prognostic factors in heart failure patients with cardiac cachexia2020
Author(s)
Sato Y, Yoshihisa A, Kimishima Y, Yokokawa T, Abe S, Shimizu T, Misaka T, Yamada S, Sato T, Kaneshiro T, Oikawa M, Kobayashi A, Yamaki T, Kunii H, Takeishi Y
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Journal Title
Journal of Geriatric Cardiology
Volume: 17
Pages: 26-34
Related Report
Peer Reviewed / Open Access
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[Journal Article] Short-term outcome of percutaneous coronary intervention with directional coronary atherectomy followed by drug-coated balloon: a preliminary report.2019
Author(s)
Sato A, Kijima M, Ichimura S, Yaegashi D, Anzai F, Shimizu T, Matsui Y, Kaneko H, Sakamoto K, Seino Y, Maruyama Y, Takeishi Y
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Journal Title
Cardiovasc Intervent Ther
Volume: 34
Issue: 2
Pages: 149-154
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Presentation] Impact of bleeding event for new cancer diagnosis in patients with coronary artery disease who underwent percutaneous coronary intervention.2021
Author(s)
Sakuma Y, Shimizu T, Kurosawa Y, Ohara H, Sugawara Y, Watanabe K, Muto Y, Kimishima Y, Misaka T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y.
Organizer
American Heart Association Scientific Sessions 2021
Related Report
Int'l Joint Research
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[Presentation] The prognostic impact of d-dimer on long-term mortality in patients with coronary artery disease after percutaneous coronary intervention2021
Author(s)
Kurosawa Y, Shimizu T, Muto Y, Kimishima Y, Misaka T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y.
Organizer
American Heart Association Scientific Sessions 2021
Related Report
Int'l Joint Research
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[Presentation] 動脈の高度石灰化を伴う急性冠症候群をきたした偽性偽性副甲状腺機能低下症の一例2021
Author(s)
遠藤圭一郎, 清水竹史, 武藤雄紀, 君島勇輔, 阿部諭史, 及川雅啓, 小林 淳, 八巻尚洋, 國井浩行, 中里和彦, 石田隆史, 竹石恭知
Organizer
第69回 日本心臓病学会学術集会
Related Report
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[Presentation] 冠動脈バイパス術後の右冠動脈入口部の慢性完全閉塞に対し、両方向性アプローチにより経皮的冠動脈形成術に成功した一例2021
Author(s)
清水竹史, 遠藤圭一郎, 安藤卓也, 武藤雄紀, 佐藤彰彦, 阿部諭史, 及川雅啓, 小林 淳, 八巻尚洋, 中里和彦, 石田隆史, 竹石恭知
Organizer
第50回 日本心血管インターベンション治療学会 東北地方会
Related Report
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[Presentation] Impact of body mass index on long-term bleeding events in patients who underwent percutaneous coronary intervention2021
Author(s)
Ando T, Shimizu T, Kurosawa Y, Akama J, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
第85回 日本循環器学会学術集会
Related Report
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[Presentation] Impact of the academic research consortium high bleeding risk criteria on dual antiplatelet therapy regimen after percutaneous coronary intervention2021
Author(s)
Kurosawa Y, Shimizu T, Akama J, Ando T, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
第85回 日本循環器学会学術集会
Related Report
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[Presentation] Prognostic value of the PARIS bleeding risk score for all-cause and cardiac mortalities after percutaneous coronary intervention2021
Author(s)
Akama J, Shimizu T, Ando T, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
第85回 日本循環器学会学術集会
Related Report
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[Presentation] Prognostic value of the PARIS thrombotic risk score for all-cause and cardiac mortalities after percutaneous coronary intervention2021
Author(s)
Akama J, Shimizu T, Ando T, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
第85回 日本循環器学会学術集会
Related Report
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[Presentation] The prognostic impact of D-dimer on long-term mortality in patients underwent percutaneous coronary intervention2021
Author(s)
Kurosawa Y, Shimizu T, Akama J, Ando T, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
第85回 日本循環器学会学術集会
Related Report
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[Presentation] 狭小弁輪で左室流出路の石灰化がありデバイス選択に苦慮したTAVI の一例2021
Author(s)
武藤雄紀, 國井浩行, 谷 哲矢, 菅原由紀子, 赤間 浄, 安齋文弥, 清水竹史, 及川雅啓, 小林 淳, 中里和彦, 石田隆史, 竹石恭知, 藤宮 剛, 高瀬信弥, 横山 斉
Organizer
第49回 日本心血管インターベンション治療学会 東北地方会
Related Report
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[Presentation] 高度石灰化病変に対するPCI中にガイドエクステンション断裂を来した1例2021
Author(s)
遠藤圭一郎, 國井浩行, 佐藤勇太朗, 谷 哲矢, 武藤雄紀, 清水竹史, 及川雅啓, 八巻尚洋, 中里和彦, 石田隆史, 竹石恭知
Organizer
第49回 日本心血管インターベンション治療学会 東北地方会
Related Report
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[Presentation] 経皮的冠動脈形成術を施行した患者の出血イベントに対する血清アルブミン値の影響についての検討2021
Author(s)
黒沢雄太, 清水竹史, 安藤卓也, 赤間 浄, 安齋文弥, 武藤雄紀, 君島勇輔, 喜古崇豊, 義久精臣, 八巻尚洋, 國井浩行, 中里和彦, 石田隆史, 竹石恭知
Organizer
第171回 日本循環器学会東北地方会
Related Report
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[Presentation] 糸球体腎炎を併発したBartnella henselae による血液培養陰性の感染性心内膜炎の一例2021
Author(s)
武藤雄紀, 小林 淳, 清水竹史, 五十嵐崇, 及川雅啓, 義久精臣, 八巻尚洋, 國井浩行, 中里和彦, 石田隆史, 横山 斉, 竹石恭知
Organizer
第171回 日本循環器学会東北地方会
Related Report
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[Presentation] Validation of paris risk score to predict long-term bleeding events after percutaneous coronary intervention in Japanese population2020
Author(s)
Shimizu T, Ando T, Akama J, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
American Heart Association Scientific Session 2020
Related Report
Int'l Joint Research
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[Presentation] Prognostic value of the patterns of non-adherence to anti-platelet regimen in stented patients (PARIS) bleeding risk score for long term all-cause and cardiac mortalities after percutaneous coronary intervention2020
Author(s)
Akama J, Shimizu T, Ando T, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
American Heart Association Scientific Session 2020
Related Report
Int'l Joint Research
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[Presentation] The clinical value of serum albumin in predicting long-term bleeding events in patients who underwent percutaneous coronary intervention2020
Author(s)
Ando T, Shimizu T, Akama J, Anzai F, Muto Y, Kimishima Y, Kiko T, Yoshihisa A, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
American Heart Association Scientific Session 2020
Related Report
Int'l Joint Research
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[Presentation] Residual Gensini score is associated with long-term cardiac mortality in patients with heart failure after percutaneous coronary intervention2020
Author(s)
君島勇輔, 義久精臣, 横川哲朗, 喜古崇豊, 清水竹史, 三阪智史, 八巻尚洋, 國井浩行, 中里和彦, 石田隆史, 竹石恭知
Organizer
第24回 日本心不全学会学術集会
Related Report
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[Presentation] Atrial fibrillation is associated with impaired exercise capacity and adverse prognosis in heart failure patients with mid-range ejection fraction2020
Author(s)
Sato Y, Yoshihisa A, Kimishima Y, Yokokawa T, Abe S, Shimizu T, Misaka T, Yamada S, Sato T, Kaneshiro T, Oikawa M, Kobayashi A, Yamaki T, Kunii H, Takeishi Y
Organizer
第84回 日本循環器学会学術集会
Related Report
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[Presentation] 大動脈四尖弁に経カテーテル大動脈弁留置術を施行した一例2020
Author(s)
磯松大介, 及川雅啓, 國井浩行, 武藤雄紀, 菅野優紀, 清水竹史, 小林 淳, 高瀬信弥, 中里和彦, 竹石恭知
Organizer
第47回 日本心血管インターベンション治療学会 東北地方会 (2020.2.1, いわき)
Related Report
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[Presentation] LMT分岐部を責任病変とした若年不安定狭心症症例に対しDCA+DCBでPCIを施行した一例2020
Author(s)
佐久間真悠, 國井浩行, 磯松大介, 和田健斗, 清水竹史, 及川雅啓, 八巻尚洋, 中里和彦, 石田隆史, 竹石恭知
Organizer
第47回 日本心血管インターベンション治療学会 東北地方会 (2020.2.1, いわき)
Related Report
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[Presentation] 8ヶ月間のスタチン療法後に、DCAを施行した一例2020
Author(s)
片平正隆, 八巻尚洋, 大河内諭, 八重樫大輝, 清水竹史, 佐藤崇匡, 國井浩行, 中里和彦, 石田隆史, 竹石恭知
Organizer
第52回 Cardiovascular Intervention Conference (CIC) (2020.2.22, 郡山)
Related Report
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[Presentation] Residual gensini score is associated with long term cardiac mortality in patients with ischemic heart failure2019
Author(s)
Yokokawa T, Yoshihisa A, Ando T, Kiko T, Shimizu T, Yamaki T, Kunii H, Nakazato K, Ishida T, Takeishi Y
Organizer
Scientific Sessions of American Heart Association 2019 (2019.11.16-11.18, Philadelphia, USA)
Related Report
Int'l Joint Research
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[Presentation] Impact of geriatric nutrition risk index on long-term prognosis in patients with acute myocardial infarction2019
Author(s)
Ando T, Nakazato K, Kiko T, Shimizu T, Yoshihisa A, Yamaki T, Kunii H, Ishida T, Takeishi Y
Organizer
Scientific Sessions of American Heart Association 2019 (2019.11.16-11.18, Philadelphia, USA)
Related Report
Int'l Joint Research
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[Presentation] Impact of PRECISE-DAPT score on long-term prognosis in patients with acute myocardial infarction2019
Author(s)
Ando T, Nakazato K, Kiko T, Shimizu T, Yoshihisa A, Yamaki T, Kunii H, Ishida T, Takeishi Y
Organizer
Scientific Sessions of American Heart Association 2019 (2019.11.16-11.18, Philadelphia, USA)
Related Report
Int'l Joint Research
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[Presentation] Impact of prognostic nutritional index on patients with acute myocardial infarction2019
Author(s)
Ando T, Nakazato K, Kiko T, Shimizu T, Yoshihisa A, Yamaki T, Kunii H, Ishida T, Takeishi Y
Organizer
Scientific Sessions of American Heart Association 2019 (2019.11.16-11.18, Philadelphia, USA)
Related Report
Int'l Joint Research
-
-
[Presentation] 大動脈四尖弁に経カテーテル大動脈弁留置術を施行した一例2019
Author(s)
磯松大介, 及川雅啓, 武藤雄紀, 菅野優紀, 清水竹史, 小林 淳, 國井浩行, 高瀬信弥, 中里和彦, 石田隆史, 竹石恭知
Organizer
第169回 日本循環器学会東北地方会 (2019.12.7, 仙台)
Related Report
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[Presentation] Two cases of coronary ostial stenosis after aortic valve replacement2019
Author(s)
Ando T, Yamaki T, Kiko T, Shimizu T, Kunii H, Nakazato K, Komatsu N, Takeda H, Yokoyama H, Takeishi Y
Organizer
Complex Cardiovascular Therapeutics (CCT) 2019 (2019.10.24-10.26, 神戸)
Related Report
Int'l Joint Research