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Role of Host Immune System in Pharmacological Action of Anti-Malaria Drugs

Research Project

Project/Area Number 20H03478
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 49040:Parasitology-related
Research InstitutionGifu University

Principal Investigator

MAEKAWA Yoichi  岐阜大学, 大学院医学系研究科, 教授 (10294670)

Project Period (FY) 2020-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2023: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2022: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2021: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Keywordsマラリア / 薬剤耐性 / 宿主免疫機構 / 免疫グロブリン / クロロキン / アルテミシニン / 治療抵抗性 / 適応免疫系 / 抗体 / 薬物耐性 / 宿主防御機構 / B細胞 / 免疫機構 / 宿主適応免疫系 / Bリンパ球 / 赤内期感染
Outline of Research at the Start

マラリアは感染者数2億人、死亡者数40万人に上る非常な脅威を有する感染症であり、マラリア治療薬(抗マラリア薬)はマラリア制圧に向けた複雑なパズルを解く必須のピースである。これまで、抗マラリア薬の薬理作用は直接マラリア原虫を殺滅することであり、マラリア原虫の薬剤耐性は薬剤と原虫の2者での現象であると考えられてきた。しかし、私たちは抗マラリア薬の薬理作用発現には宿主因子が必須であるとの知見を得た。本研究ではこの知見に基づき、抗マラリア薬の生体内での作用機序における宿主免疫系の役割について検証するとともに、生体内での抗マラリア薬耐性原虫の出現機序とその薬剤耐性機構についても検証することを目的とする。

Outline of Final Research Achievements

Malaria is one of the three major infectious diseases caused by the infection with Plasmodium species. Malaria drugs (antimalarial drugs) are an essential component of malaria control, but the emergence of drug resistance is a significant challenge. Antimalarial drugs are believed to cure malaria by directly killing Plasmodium parasites even in vivo, but our studies have demonstrated that the host immune system is involved in the pharmacological action of antimalarial drugs in vivo. In particular, our findings indicated that host immunoglobulins play a pivotal role in the malaria-curing action of chloroquine, the most widely used antimalarial drug. Furthermore, our results suggested that immunoglobulin-producing B cells themselves have a negative impact on the mode of action of chloroquine in vivo.

Academic Significance and Societal Importance of the Research Achievements

私たちは本研究から、抗マラリア薬の生体内での薬理作用には宿主免疫機構が大きく関与しているとの知見を得た。この知見から、抗マラリア役にてマラリアを治療する際には患者の免疫機構が十分に維持されている必要があることが示唆された。一方、マラリア流行地では栄養不全や若年者など免疫機構が十分ではないものが感染する。このような患者では抗マラリア薬が十分にその効果を発揮せず、感染が遷延するのではないかと推察される。感染の遷延と抗マラリア薬の持続的使用によって薬剤耐性原虫の出現が危惧される。そのため、抗マラリア薬を使用する際にはこれまで以上に患者の免疫機構の状態に留意し、状態によって治療法を選択する必要がある。

Report

(5 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Annual Research Report
  • 2021 Annual Research Report
  • 2020 Annual Research Report
  • Research Products

    (16 results)

All 2023 2022 2021 2020

All Journal Article (7 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 7 results,  Open Access: 5 results) Presentation (8 results) Book (1 results)

  • [Journal Article] The neuroprotective effects of FG-4592, a hypoxia-inducible factor-prolyl hydroxylase inhibitor, against oxidative stress induced by alpha-synuclein in N2a cells.2023

    • Author(s)
      Fujimaki Ayaka、 Ohuchi Kazuki、 Takizawa Shinnosuke、 Murakmi Takanori、 Kurita Hisaka、 Hozumi Isao、 Wen Xiaopeng、 Kitamura Yoshihisa、 Wu Zhiliang、 Maekawa Yoichi、 Inden Masatoshi
    • Journal Title

      Scientific Reports

      Volume: 13 (1) Issue: 1 Pages: 15629-15629

    • DOI

      10.1038/s41598-023-42903-7

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Trichinella pseudospiralis-secreted 53 kDa protein ameliorates imiquimod-induced psoriasis by inhibiting the IL-23/IL-17 axis in mice.2022

    • Author(s)
      Khueangchiangkhwang S, Wu Z, Nagano I, Maekawa Y
    • Journal Title

      Biochem Biophys Rep

      Volume: 33 Pages: 101415-101415

    • DOI

      10.1016/j.bbrep.2022.101415

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] AFF3, a susceptibility factor for autoimmune diseases, is a molecular facilitator of immunoglobulin class switch recombination2022

    • Author(s)
      Tsukumo Shin-ichi、Subramani Poorani Ganesh、Seija Noe、Tabata Mizuho、Maekawa Yoichi、Mori Yuya、Ishifune Chieko、Itoh Yasushi、Ota Mineto、Fujio Keishi、Di Noia Javier M.、Yasutomo Koji
    • Journal Title

      Science Advances

      Volume: 8 Issue: 34 Pages: 1-15

    • DOI

      10.1126/sciadv.abq0008

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] TRAF6 signaling pathway in T cells regulates anti-tumor immunity through the activation of tumor specific Th9 cells and CTLs2022

    • Author(s)
      Dewayani Astri、Kamiyama Naganori、Sachi Nozomi、Ozaka Sotaro、Saechue Benjawan、Ariki Shimpei、Goto Mizuki、Chalalai Thanyakorn、Soga Yasuhiro、Fukuda Chiaki、Kagoshima Yomei、Maekawa Yoichi、Kobayashi Takashi
    • Journal Title

      Biochemical and Biophysical Research Communications

      Volume: 613 Pages: 26-33

    • DOI

      10.1016/j.bbrc.2022.04.125

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Glucose transporter Glut1 controls diffuse invasion phenotype with perineuronal satellitosis in diffuse glioma microenvironment.2020

    • Author(s)
      Miyai M, Kanayama T, Hyodo F, Kinoshita T, Ishihara T, Okada H, Suzuki H, Takashima S, Wu Z, Hatano Y, Egashira Y, Enomoto Y, Nakayama N, Soeda A, Yano H, Hirata A, Niwa M, Sugie S, Mori T, Maekawa Y, Iwama T, Matsuo M, Hara A, Tomita H
    • Journal Title

      Neurooncol Adv.

      Volume: 30 Issue: 1 Pages: 06198-06198

    • DOI

      10.1093/noajnl/vdaa150

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] How does spaceflight affect acquired immune system?2020

    • Author(s)
      T. Akiyama, K. Horie, E. Hinoi, M. Hiraiwa, A. Kato, Y. Maekawa, A. Takahashi, S. Furukawa
    • Journal Title

      NPJ Microgravity.

      Volume: 0 Issue: 1 Pages: 1-7

    • DOI

      10.1038/s41526-020-0104-1

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Neutrophil Elastase Inhibition Ameliorates Endotoxin-induced Myocardial Injury Accompanying Degradation of Cardiac Capillary Glycocalyx2020

    • Author(s)
      Fukuta T, Okada H, Takemura Gら
    • Journal Title

      Shock

      Volume: 54 Pages: 386-393

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Presentation] The role of antibodies against distinct developmental stage of Trichinella spiralis2023

    • Author(s)
      クエアンチアンクワン スコンティップ、呉 志良、前川 洋一
    • Organizer
      第93回日本寄生虫学会大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] The novel effect of antibodies on Trichinellosis2023

    • Author(s)
      Sukhonthip Khueangchiangkhwang, Zhiliang Wu, Yoichi Maekawa
    • Organizer
      第16回寄生虫感染免疫研究会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Early diagnosis of Trichinela infection by detecting microRNAs in extracellular vesicles secreted by Trichinella2023

    • Author(s)
      Sukhonthip Khueangchiangkhwang, Wu Zhiliang, MAEKAWA Yoichi
    • Organizer
      第92回日本寄生虫学会大会
    • Related Report
      2022 Annual Research Report
  • [Presentation] Modulation of host immune response by extracellular vesicles from parasitic nematode, Trichinella spiralis2022

    • Author(s)
      Sukhonthip Khueangchiangkhwang, Zhiliang Wu, Yoichi Maekawa
    • Organizer
      第14回 寄生虫感染免疫研究会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Role of extracellular vesicles from parasitic nematode, Trichinella spiralis2021

    • Author(s)
      Sukhonthip Khueangchiangkhwang, Zhiliang Wu, Yoichi Maekawa
    • Organizer
      第76回日本寄生虫学会西日本支部大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 免疫環境の変化に対する繊毛虫の対応2021

    • Author(s)
      呉志良、Sukhonthip Khueangchiangkhwang、前川洋一
    • Organizer
      第76回日本寄生虫学会西日本支部大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] AFF3 regulates class switch recombination by enhancing mutagenesis of switch region2021

    • Author(s)
      Shin-ichi Tsukumo, Yoichi Maekawa, Keishi Fujio, Koji Yasutomo
    • Organizer
      第50回日本免疫学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] T-lineage specific Arf-deficient mice are susceptible to Leishmania major infection2021

    • Author(s)
      Mami Sumiyoshi, Yui Kotani, Yoichi Maekawa, Satoshi Matsuda
    • Organizer
      第50回日本免疫学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Book] Trichinella and Trichinelllosis2021

    • Author(s)
      Wu Zhiliang, Nagano Isaoa, Khueangchiangkhwang Sukhonthipa, Maekawa Yoichi
    • Publisher
      Elsevier
    • ISBN
      9780128212097
    • Related Report
      2021 Annual Research Report

URL: 

Published: 2020-04-28   Modified: 2025-01-30  

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