Analysis of pathophysiology in the setting of IBD
Project/Area Number |
20H03658
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Research Category |
Grant-in-Aid for Scientific Research (B)
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Allocation Type | Single-year Grants |
Section | 一般 |
Review Section |
Basic Section 53010:Gastroenterology-related
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Research Institution | Tokyo Medical and Dental University |
Principal Investigator |
NAGAISHI Takashi 東京医科歯科大学, 大学院医歯学総合研究科, 寄附講座准教授 (60447464)
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Co-Investigator(Kenkyū-buntansha) |
長堀 正和 東京医科歯科大学, 東京医科歯科大学病院, 准教授 (60420254)
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Project Period (FY) |
2020-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥17,680,000 (Direct Cost: ¥13,600,000、Indirect Cost: ¥4,080,000)
Fiscal Year 2022: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2021: ¥5,980,000 (Direct Cost: ¥4,600,000、Indirect Cost: ¥1,380,000)
Fiscal Year 2020: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
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Keywords | 免疫学 / 腸管免疫 / 消化器病学 / 炎症性腸疾患 |
Outline of Research at the Start |
我々はこれまでの研究結果をもとに、本研究計画ではIBDモデルの発症過程を詳細に解析する。本研究は「腸管粘膜の免疫恒常性はGALTにおける免疫寛容の誘導によって制御され、その異常がIBDの本態となる」という概念に着目しつつ、新規バイオセンサーおよび生体イメージング技術等、我々が独自に樹立している技術を融合し、得られる成果からはこれまで理解し得なかったGALTにおける新規免疫応答が見出される。またIBDの発症や永続性といった病態メカニズムの理解が可能となり、最終的にIBDの特異的病態に対する新規診断・治療法開発の基盤を創出するものと期待される。
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Outline of Final Research Achievements |
Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is characterized by unrestrained lymphocyte activation that results in the production of a variety of pro-inflammatory cytokines and other mediators. Understanding the mechanisms of lymphocyte activation is critical in the study of dysregulated mucosal inflammation such as IBD. In this regard, we have recently established an intravital imaging system to investigate several murine models of IBD, such as DSS colitis and oxazolone colitis. Associated with this, we were able to observe in vivo activities where functions of effecter lymphocytes can be activated in several IBD models. Defining the physiological mechanisms of unrestrained lymphocyte activation will lead to a greater understanding of how manipulation of effecter lymphocyte function may provide insights into novel treatment of IBD.
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Academic Significance and Societal Importance of the Research Achievements |
炎症性腸疾患(IBD)の新規治療法開発を困難にしている理由は、腸管の免疫調節機構が未だ不明確なことにある。本研究の意義は腸管の粘膜免疫応答に関する研究を独自に展開してきた申請者らが、ライブイメージング技術、FRET技術、および遺伝子導入系等といった、これまでの技術と知見を統合しつつ腸管特有の免疫調節機構を繙くことで、これまでベールに包まれていた「GALT内抗原提示細胞の新たな調節機構」の解明に向けた技術基盤を樹立するという免疫学的貢献ばかりでなく、IBDの発症時におけるその変調に対して極めて病態特異性の高い新規診断・治療法開発の理論基盤の創出に発展するものと期待できる。
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Report
(4 results)
Research Products
(59 results)
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[Journal Article] 今月の主題 炎症性腸疾患の粘膜治癒を再考する 主題 Crohn病における小腸粘膜治癒評価の意義-バルーン内視鏡の立場から2022
Author(s)
大塚 和朗, 竹中 健人, 齊藤 詠子, 日比谷 秀爾, 河本 亜美, 森川 亮, 藤井 俊光, 清水 寛路, 長堀 正和, 岡本 隆一
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Journal Title
胃と腸
Volume: 57
Issue: 2
Pages: 173-181
DOI
ISSN
0536-2180, 1882-1219
Year and Date
2022-02-25
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Author(s)
Tamura A, Ito G, Matsuda H, Nibe-Shirakihara Y, Hiraoka Y, Kitagawa S, Hiraguri Y, Nagata S, Aonuma E, Otsubo K, Nemoto Y, Nagaishi T, Watanabe M, Okamoto R, Oshima S.
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Journal Title
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Volume: 628
Pages: 147-154
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[Journal Article] Deep neural network for video colonoscopy of ulcerative colitis: a cross-sectional study2022
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Kento Takenaka, Toshimitsu Fujii, Ami Kawamoto, Kohei Suzuki, Hiromichi Shimizu, Chiaki Maeyashiki, Osamu Yamaji, Maiko Motobayashi, Akira Igarashi, Ryoichi Hanazawa, Shuji Hibiya, Masakazu Nagahori, Eiko Saito, Ryuichi Okamoto, Kazuo Ohtsuka, Mamoru Watanabe
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Journal Title
Lancet Gastroenterol Hepatol
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Issue: 3
Pages: 230-237
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[Journal Article] Mucosal healing of small intestinal stricture is associated with improved prognosis post-dilation in Crohn's disease2022
Author(s)
Shuji Hibiya, Kazuo Ohtsuka, Kento Takenaka, Ami Kawamoto, Yusuke Matsuyama, Yumi Udagawa, Maiko Motobayashi, Hiromichi Shimizu, Toshimitsu Fujii, Eiko Saito, Masakazu Nagahori, Ryuichi Okamoto, Mamoru Watanabe
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BMC Gastroenterol.
Volume: 22
Issue: 1
Pages: 218-218
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Shun Fujiwara, Ami Kawamoto, Maiko Motobayashi, Shuji Hibiya, Kento Takenaka, Hiromichi Shimizu, Eiko Saito, Toshimitsu Fujii, Masakazu Nagahori, Daisuke Kawata, Natsuka Umezawa, Tadashi Hosoya, Shinsuke Yasuda, Kazuo Ohtsuka, Ryuichi Okamoto
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DEN Open.
Volume: 3
Issue: 1
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[Journal Article] Serum Leucine-Rich α2 Glycoprotein: A Novel Biomarker for Transmural Inflammation in Crohn's Disease2022
Author(s)
Kento Takenaka, Yoshio Kitazume, Ami Kawamoto, Toshimitsu Fujii, Yumi Udagawa, Ryosuke Wanatabe, Hiromichi Shimizu, Shuji Hibiya, Masakazu Nagahori, Kazuo Ohtsuka, Hiroyuki Sato, Akihiro Hirakawa, Mamoru Watanabe, Ryuichi Okamoto
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Journal Title
Am J Gastroenterol.
Volume: -
Issue: 6
Pages: 1028-1035
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[Journal Article] Nickel particles are present in Crohn's disease tissue and exacerbate intestinal inflammation in IBD susceptible mice.2022
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Hiroki Matsuda, Yoichi Nibe-Shirakihara, Akiko Tamura, Emi Aonuma, Satoko Arakawa, Kana Otsubo, Yasuhiro Nemoto, Takashi Nagaishi, Kiichiro Tsuchiya, Shigeomi Shimizu, Averil Ma, Mamoru Watanabe, Motohiro Uo, Ryuichi Okamoto, Shigeru Oshima.
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Journal Title
Biochemical and Biophysical Research Communications.
Volume: 592
Pages: 74-80
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usuke Yasutomi, Asako Chiba, Keiichi Haga, Goh Murayama, Ayako Makiyama, Taiga Kuga, Mamoru Watanabe, Ryuichi Okamoto, Akihito Nagahara, Takashi Nagaishi, Saichiko Miyake.
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Volume: 27
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Journal Title
Journal of Gastroenterolog.
Volume: 56
Issue: 8
Pages: 732-745
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[Journal Article] Intravenous tacrolimus is a superior induction therapy for acute severe ulcerative colitis compared to oral tacrolimus2021
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Hiromichi Shimizu, Toshimitsu Fujii, Kenji Kinoshita, Ami Kawamoto, Shuji Hibiya, Kento Takenaka, Eiko Saito, Masakazu Nagahori, Kazuo Ohtsuka, Mamoru Watanabe, Ryuichi Okamoto
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Journal Title
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Volume: 21
Issue: 1
Pages: 494-494
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[Journal Article] Higher concentrations of cytokine blockers are needed to obtain small bowel mucosal healing during maintenance therapy in Crohn's disease2021
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Kento Takenaka, Ami Kawamoto, Shuji Hibiya, Kohei Suzuki, Toshimitsu Fujii, Maiko Motobayashi, Hiromichi Shimizu, Masakazu Nagahori, Eiko Saito, Ryuichi Okamoto, Mamoru Watanabe, Kazuo Ohtsuka
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Journal Title
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Volume: 54
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[Journal Article] Substantial Epstein-Barr virus reactivation in a case of severe refractory ulcerative colitis: a possible role in exacerbation2021
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Shu Kato, Hiromichi Shimizu, Shohei Tomii, Hitoshi Uchida, Ami Kawamoto, Shuji Hibiya, Maiko Motobayashi, Kento Takenaka, Toshimitsu Fujii, Eiko Saito, Masakazu Nagahori, Kazuo Ohtsuka, Mariko Negi, Takumi Akashi, Takatoshi Matsuyama, Yusuke Kinugasa & Mamoru Watanabe
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Katsuyoshi Ando,Kenji Watanabe, Sakiko Hiraoka, Taku Kobayashi,Masakazu Nagahori, Hiroki Ikeuchi, Shingo Kato, Motohiro Esaki, Makoto Naganuma, Satoshi Motoya,Masayuki Saruta, Hideo Suzuki, Hiroshi Nakase, Toshiaki Shimizu,Masahiro Iizuka, Mamoru Watanabe, YasuoSuzuki, and Tadakazu Hisamatsu
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Volume: 11
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[Journal Article] 5-aminosalicylate-intolerant patients are at increased risk of colectomy for ulcerative colitis2021
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[Presentation] Corticosteroid discontinuation and clinical outcomes in patients with moderately to severely active Crohn's disease treated with upadacitinib.2023
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[Presentation] Patients with moderate to severe Crohn’s Disease with and without prior biologic failure demonstrate improved endoscopic outcomes with risankizumab: Results from phase 3 induction and maintenance trials.2022
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[Presentation] 回腸に多発潰瘍を伴い診断に苦慮した腸管子宮内膜症の一例2021
Author(s)
五月女 浩子, 河本 亜美, 小金井 一隆, 冨井 翔平, 竹中 健人, 日比谷 秀爾, 清水 寛路, 伊藤 剛, 水谷 知裕, 油井 史郎, 根本 泰宏, 藤井 俊光, 齊藤 詠子, 永石 宇司, 長堀 正和, 大塚 和朗, 岡本 隆一
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[Presentation] 小腸難治性疾患の診断と治療の新知見 クローン病のバルーン内視鏡による小腸粘膜治癒評価2020
Author(s)
竹中 健人, 大塚 和朗, 鈴木 康平, 日比谷 秀爾, 河本 亜美, 清水 寛路, 本林 麻衣子, 福田 将義, 藤井 俊光, 齊藤 詠子, 長堀 正和, 土屋 輝一郎, 渡辺 守, 岡本 隆一
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第359回日本消化器病学会関東支部例会
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