Immunomodulatory effects of biologics for asthma.
Project/Area Number |
20K08549
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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 53030:Respiratory medicine-related
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Research Institution | Juntendo University |
Principal Investigator |
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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 |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2022: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2021: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2020: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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Keywords | 気管支喘息 / 生物学的製剤 / 好酸球 / タイプ2炎症 / 免疫調節 / メポリズマブ / ベンラリズマブ / デュピルマブ / 免疫 |
Outline of Research at the Start |
喘息に対する生物学的製剤がもたらす治療効果や副作用に関してのデータはあるものの、生物学的製剤が生体内に及ぼす影響、とくに免疫に及ぼす変化はあきらかではない。本研究においては、生物学的製剤の投与前後の喘息患者の検体を用いて、末梢血単核球・白血球のフローサイトメトリーに加えシングルセルRNAシーケンスと皮脂RNAの解析を行い、各生物学的製剤が人体に及ぼす影響を明らかにし、喘息患者病態の解明、各生物学的製剤に対する新規バイオマーカーや喘息に対する新規治療標的分子による治療を開発する。
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Outline of Final Research Achievements |
In this study, the immunomodulatory effects of biologics for severe asthma patients in vivo were analyzed with a focus on peripheral blood lymphocyte fractions. The results of one year of treatment with each of mepolizumab, benralizumab, and dupilumab showed different behavior of peripheral blood lymphocytes in each. Each also showed differences in factors predicting the effectiveness of patients. Each formulation has different mechanisms - IL-5 inhibition, induction of apoptosis in eosinophils, and IL-4/IL-13 inhibition, respectively - and these differences may be reflected in their different in vivo effects. Clarification of these differences is expected to elucidate the mechanisms constituting asthma pathology and elucidate the functions of eosinophils and cytokines in the human organism.
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Academic Significance and Societal Importance of the Research Achievements |
メポリズマブとベンラリズマブは好酸球を標的とした製剤である。前者はタイプ2炎症マーカーが高く、非タイプ2炎症マーカーが低い症例でより有効であった可能性がある。一方、後者は非タイプ2炎症を司るTh17細胞が多い症例でより有効であった可能性が示唆された。Th17のTh2炎症への修飾はTh2炎症を増強し、ステロイド抵抗性を付与する可能性がある。生物学的製剤の適応のある喘息症例はステロイド抵抗性を有していることが多く、この結果は、生物学的製剤のステロイド抵抗性改善効果について解析を進める契機となった。ステロイド抵抗性喘息の克服はすなわち喘息の克服にほかならず、この目標に向けてさらなる研究を実施する。
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Report
(4 results)
Research Products
(52 results)
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[Presentation] The impact of one-year treatment with dupilumab in patients with severe asthma2022
Author(s)
Sumiko Abe, Norihiro Harada, Yuuki Sandhu, Hitoshi Sasano, Yuuki Tanabe, Sonoko Harada, Ai Goto, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Kato, Shoko Ueda, Tomohito Takeshige, Jun Ito, Ryo Atsuta, Kazuhisa Takahashi
Organizer
The 26th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Mucosal Associated Invariant T Cells May Have Any Protective Role against Type 2 Airway Inflammation in OVA-Induced Murine Asthma Model2022
Author(s)
Hitoshi Sasano, Norihiro Harada, Yuuki Sandhu, Yuki Tanabe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Sumiko Abe, Shoko Ueda, Ai Goto, Tomohito Takeshige, Kei Matsuno, Jun Ito, Tetsutaro Nagaoka, Ryo Atsuta, Asako Chiba, Hisaya Akiba, Sachiko Miyake, Kazuhisa Takahashi
Organizer
American Thoracic Society International Conference 2022
Related Report
Int'l Joint Research
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[Presentation] Role of MAP3K19 in allergic airway inflammation of asthma,2022
Author(s)
Yuuki Sandhu, Norihiro Harada, Sonoko. Harada, Hitoshi. Sasano, Tomohito Takeshige, Kei Matsuno, Ayako Ishimori, Yoko Katsura, Jun Ito, Hisaya Akiba, Kazuhisa Takahashi
Organizer
American Thoracic Society International Conference 2022
Related Report
Int'l Joint Research
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[Presentation] Novel predictive biomarkers for mepolizumab treatment in patients with severe asthma2021
Author(s)
Hitoshi Sasano, Norihiro Harada, Yuuki Sandhu, Yuki Tanabe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Sumiko Abe, Shoko Ueda, Tomohito Takeshige, Kei Matsuno, Jun Ito, Tetsutaro Nagaoka, Ryo Atsuta, Asako Chiba, Hisaya Akiba, Kenji Izuhara, Sachiko Miyake, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] A Study of lymphocyte fraction in bronchoalveolar lavage fluid in interstitial lung disease2021
Author(s)
Sonoko Harada, Norihiro Harada, Tomohito Takeshige, Hitoshi Sasano, Yuuki Sandhu, Yuki Tanabe, Kei Matsuno, Shun Shinomiya, Motoyasu Kato, Jun Ito, Kazuyuki Nakagome, Makoto Nagata, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Analysis of lymphocyte fractions in bronchoalveolar lavage fluid in chronic eosinophilic pneumonia2021
Author(s)
Sonoko Harada, Norihiro Harada, Tomohito Takeshige, Hitoshi Sasano, Yuuki Sandhu, Yuki Tanabe, Kei Matsuno, Shun Shinomiya, Motoyasu Kato, Jun Ito, Kazuyuki Nakagome, Makoto Nagata, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Japanese cedar pollen sublingual immunotherapy for asthma patients with Japanese cedar pollinosis provided stability of symptoms of asthma in the off-season2021
Author(s)
Shoko Ueda, Jun Ito, Yuuki Sandhu, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Kato, Sumiko Abe, Hitoshi Sasano, Yuki Tanabe, Tomohito Takeshig1, Sonoko Harada, Ryo Atsuta, Norihiro Harada, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Steroid-resistant airway inflammation in mice induced by chitin2021
Author(s)
Tomohito Takeshige, Norihiro Harada, Sonoko Harada, Ayako Ishimori, Yoko Katsura, Hitoshi Sasano, Yuuki Sandhu, Kei Matsuno, Fumihiko Makino, Jun Ito, Ryo Atsuta, Hisaya Akiba, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Effects of one-year of dupilumab treatment in patients with severe asthma2021
Author(s)
Sumiko Abe, Norihiro Harada, Yuuki Sandhu, Hitoshi Sasano, Yuuki Tanabe, Sonoko Harada, Ai Goto, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Kato, Shoko Ueda, Tomohito Takeshige, Jun Ito, Ryo Atsuta, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] The usefulness of CT images in evaluating the effects of bronchial thermoplasty in patients with severe asthma2021
Author(s)
Sumiko Abe, Mina Yasuda, Kazunori Tobino, Sonoko Harada, Hitoshi Sasano, Yuuki Sandhu, Tomohito Takeshige, Kei Matsuno, Tetsuhiko Asao, Takuto Sueyasu, Saori Nishizawa, Kohei Yoshimine, Yuki Ko, Yuki Yoshimatsu, Kosuke Tsuruno, Hiromi Ide, Haruhi Takagi, Tetsutaro Nagaoka, Norihiro Harada, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] A study of severe asthma patients who continued omalizumab treatment for more than 3 years2021
Author(s)
Ai Goto, Norihiro Harada, Yuuki Sandhu, Hitoshi Sasano, Yuki Tanabe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Kato, Sumiko Abe, Shoko Ueda, Tomohito Takeshige, Kei Matsuno, Jun Ito, Tetsutaro Nagaoka, Ryo Atsuta, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] One-year treatment with benralizumab in patients with severe asthma2021
Author(s)
Yuuki Sandhu, Norihiro Harada, Hitoshi Sasano, Sumiko Abe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Kato, Shoko Ueda, Yuki Tanabe, Tomohito Takeshige, Tetsutaro Nagaoka, Jun Ito, Ryo Atsuta, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] A study of severe asthma patients who continued mepolizumab treatment for more than 3 years2021
Author(s)
Takayasu Nishimaki, Norihiro Harada, Ai Goto, Yuuki Sandhu, Hitoshi Sasano, Yuki Tanabe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Yukari Kato, Sumiko Abe, Shoko Ueda, Tomohito Takeshige, Kei Matsuno, Jun Ito, Nagaoka Tetsutaro, Atsuta Ryo, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] The prevalence of Obstructive Sleep Apnea in Japanese patients with asthma2021
Author(s)
Mina Yasuda, Kazunori Tobino, Norihiro Harada, Ryunosuke Ooi, Takuto Sueyasu, Saori Nishizawa, Kohei Yoshimine, Yuki Ko, Yuki Yoshimatsu, Kosuke Tsuruno, Hiromi Ide, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] A novel mechanism for TWEAK induces the production of TSLP, RANTES, and TARC in BEAS-2B human bronchial epithelial cells during epithelial-mesenchymal transition2021
Author(s)
Kei Matsuno, Norihiro Harada, Tomohito Takeshige, Sonoko Harada, Ayako Ishimori, Yukinari Itoigawa, Yoko Katsura, Yuzo Kodama, Fumihiko Makino, Jun Ito, Ryo Atsuta, Hisaya Akiba, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Role of MAP3K19 in allergic airway inflammation of asthma2021
Author(s)
Yuuki Sandhu, Norihiro Harada, Sonoko Harada, Hitosh. Sasano, Tomohito Takeshige, Kei Matsuno, Ayako Ishimori, Yoko Katsura, Jun Ito, Hisaya Akiba, Kazuhisa Takahashi
Organizer
The 25th congress of the Asian Paciffic Society of Respirology
Related Report
Int'l Joint Research
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[Presentation] Clinical and immunological effect of mepolizumab treatment in patients with severe asthma2021
Author(s)
Hitoshi Sasano, Norihiro Harada, Yuuki Sandhu, Yuki Tanabe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Oyama, Sumiko Abe, Shoko Ueda, Tomohito Takeshige, Kei Matsuno, Jun Ito, Kazuhisa Takahashi
Organizer
American Thoracic Society International Conference 2021
Related Report
Int'l Joint Research
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[Presentation] Clinical and immunological effect of mepolizumab treatment in patients with severe asthma2020
Author(s)
Hitoshi Sasano, Norihiro Harada , Yuuki Sandhu, Yuki Tanabe, Sonoko Harada, Takayasu Watanabe, Yoshihiko Sato, Takayasu Nishimaki, Yukari Oyama, Sumiko Abe, Shoko Ueda, Tomohito Takeshige, Kei Matsuno, Jun Ito, Kazuhisa Takahashi
Organizer
American Thoracic Society International Conference 2021. Virtual Conference,
Related Report
Int'l Joint Research
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[Presentation] One Year Treatment With Benralizumab In Patients With Severe Asthma2020
Author(s)
Yuuki Sandhu, Norihiro Harada , Yuki Tanabe, Hitoshi Sasano, Sonoko Harada, Takayasu Watanabe, Takayasu Nishimaki, Yukari Oyama, Sumiko Abe, Shoko Ueda, Tomohito Takeshige, Kei Matsuno, Fumihiko Makino, Jun Ito, Ryo Atsuta, Kazuhisa Takahashi
Organizer
American Thoracic Society International Conference 2020. Virtual Conference
Related Report
Int'l Joint Research