Impact of gut mycobiome on acute graft-versus-host disease
Project/Area Number |
20K08748
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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 54010:Hematology and medical oncology-related
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Research Institution | The University of Tokyo |
Principal Investigator |
Konuma Takaaki 東京大学, 医科学研究所, 准教授 (00709553)
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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: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2021: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2020: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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Keywords | 造血細胞移植 / 移植片対宿主病 / 腸内真菌叢 / 腸内細菌叢 / 同酒造血細胞移植 / 常在真菌叢 / 急性移植片対宿主病 / 同種造血細胞移植 / 免疫再構築 |
Outline of Research at the Start |
同種造血細胞移植症例の糞便サンプルの腸内真菌叢を経時的に評価して、急性GVHDや免疫再構築と腸内真菌叢の変容の関連を明らかにする。同時に、急性GVHD発症例で認められる腸内真菌優占種により活性化する免疫細胞を同定することができれば、腸内真菌叢の制御による急性GVHDに対する予防及び治療への応用の足がかりになることが期待できる。
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Outline of Final Research Achievements |
We have obtained fecal samples from 93 allogeneic hematopoietic cell transplantation patients at our institution. We are currently analyzing the relationship between the intestinal fungal flora and the intestinal microbiota, each leukocyte subset in the peripheral blood, the administration of antibacterial and antifungal agents, and the relationship between acute graft-versus-host disease (GVHD) and bacteremia or fungemia and intestinal fungal flora. We also plan to analyze the effects of intestinal fungal flora and intestinal microbiota on subsequent immune reconstitution. In the future, they plan to evaluate the effects of antifungal drug administration and intestinal fungal flora on immunocompetent cells in a mouse model of GVHD to determine the possibility of preventing or treating GVHD.
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Academic Significance and Societal Importance of the Research Achievements |
真菌感染症の予防または治療を行う上で、移植片対宿主病(GVHD)や免疫再構築に影響しうる腸内真菌叢の変容を抑制するための、適切な抗真菌剤の使用方法の確立に向けた非常に特色のある研究である。また、GVHD治療において有望とされている糞便微生物移植においても、適切な真菌叢を明らかにすることに繋がるものと期待される。本研究の成果は、ダイナミックな腸内真菌叢の変動と免疫細胞のクロストークを理解するうえで、ヒト免疫学の観点からも重要な知見を得られることが期待され、免疫異常に起因する多くの疾患に対し、腸内真菌叢の変容が与える影響の解明にも応用可能であり、その足がかりになることが期待できる。
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Report
(4 results)
Research Products
(79 results)
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[Journal Article] Comparison of transplant outcomes between haploidentical transplantation and single cord blood transplantation in non‐remission acute myeloid leukaemia: A nationwide retrospective study2023
Author(s)
K Matsuda , T Konuma , K Fuse , M Masuko , K Kawamura , M Hirayama , N Uchida , K Ikegame , A Wake , T Eto , N Doki , S Miyakoshi , M Tanaka , S Takahashi , M Onizuka , K Kato , T Kimura , T Ichinohe , N Takayama , H Kobayashi , H Nakamae , Y Atsuta , J Kanda , M Yanada
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Journal Title
British Journal of Haematology
Volume: 201
Issue: 1
Pages: 106-113
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Intensified conditioning regimens improved disease‐free survival and engraftment after unrelated single‐unit cord blood transplantation but not after matched sibling or matched unrelated donor allogeneic hematopoietic cell transplantation2022
Author(s)
Konuma T, Kanda J, Uchida N, Nishijima A, Tanaka M, Ozawa Y, Sawa M, Onizuka M, Ota S, Maruyama Y, Kanda Y, Kawakita T, Ara T, Eto T, Nakamae H, Kimura T, Fukuda T, Atsuta Y; Donor/Source Working Group of theJapanese Society for Transplantation and Cellular Therapy.
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Journal Title
Hematological Oncology
Volume: 41
Issue: 1
Pages: 147-158
DOI
Related Report
Peer Reviewed
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[Journal Article] Salvage single-unit unrelated cord blood transplantation for graft failure following initial allogeneic transplantation in adult acute myeloid leukemia: trends in outcomes over the past 20 years2022
Author(s)
Konuma T, Harada K, Kondo T, Masuko M, Uchida N, Yano S, Kawakita T, Onizuka M, Ota S, Sakaida E, Miyakoshi S, Ozawa Y, Imamura Y, Kimura T, Kanda Y, Fukuda T, Atsuta Y, Yanada M; Adult Acute Myeloid Leukemia Working Group of the Japanese Society for Transplantation and Cellular Therapy.
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Journal Title
Bone Marrow Transplantation
Volume: 57
Issue: 12
Pages: 1848-1850
DOI
Related Report
Peer Reviewed
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[Journal Article] Favorable Outcome with Conditioning Regimen of Flu/Bu4/Mel in Acute Myeloid Leukemia Patients in Remission Undergoing Cord Blood Transplantation.2022
Author(s)
Mizuno S, Takami A, Kawamura K, Shimomura Y, Arai Y, Konuma T, Ozawa Y, Sawa M, Ota S, Takahashi S, Anzai N, Hiramoto N, Onizuka M, Nakamae H, Tanaka M, Murata M, Kimura T, Kanda J, Fukuda T, Atsuta Y, Yanada M.
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Journal Title
Transplant Cell Ther
Volume: 28
Issue: 11
Pages: 775.e1-775.e9
DOI
Related Report
Peer Reviewed
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[Journal Article] Improved trends in survival and engraftment after single cord blood transplantation for adult acute myeloid leukemia2022
Author(s)
Konuma T, Mizuno S, Kondo T, Arai Y, Uchida N, Takahashi S, Tanaka M, Kuriyama T, Miyakoshi S, Onizuka M, Ota S, Sugio Y, Kouzai Y, Kawakita T, Kobayashi H, Ozawa Y, Kimura T, Ichinohe T, Atsuta Y, Yanada M; Adult Acute Myeloid Leukemia Working Group of the Japanese Society for Transplantation and Cellular Therapy.
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Journal Title
Blood Cancer Journal
Volume: 12
Issue: 5
Pages: 81-81
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Allogeneic Hematopoietic Cell Transplantation from Alternative Donors in Acute Myelogenous Leukemia: A Comparative Analysis2021
Author(s)
Yanada M, Konuma T, Yamasaki S, Harada K, Iwasaki M, Kobayashi A, Nishijima A, Tanaka M, Uchida N, Nakamae H, Fukuda T, Onizuka M, Ozawa Y, Sawa M, Katayama Y, Yoshioka S, Kimura T, Ichinohe T, Atsuta Y, Kanda J, Yano S
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Journal Title
Transplant Cell Ther
Volume: 27
Issue: 12
Pages: 1005.e1-1005.e8
DOI
Related Report
Peer Reviewed
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[Journal Article] The differential effect of disease status at allogeneic hematopoietic cell transplantation on outcomes in acute myeloid and lymphoblastic leukemia2021
Author(s)
Yanada M, Konuma T, Yamasaki S, Mizuno S, Hirabayashi S, Nishiwaki S, Uchida N, Doki N, Tanaka M, Ozawa Y, Sawa M, Eto T, Kawakita T, Ota S, Fukuda T, Onizuka M, Kimura T, Atsuta Y, Kako S, Yano S
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Journal Title
Ann Hematol
Volume: 100
Issue: 12
Pages: 3017-3027
DOI
Related Report
Peer Reviewed
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[Journal Article] Prognostic value of measurable residual disease at allogeneic transplantation for adults with core binding factor acute myeloid leukemia in complete remission2021
Author(s)
Konuma T, Kondo T, Masuko M, Shimizu H, Shiratori S, Fukuda T, Kato J, Sawa M, Ozawa Y, Ota S, Uchida N, Kanda Y, Kako S, Fujisawa S, Fukushima K, Ichinohe T, Atsuta Y, Yanada M
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Journal Title
Bone Marrow Transplant
Volume: 56
Issue: 11
Pages: 2779-2787
DOI
Related Report
Peer Reviewed
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[Journal Article] Differential Effect of Graft-versus-Host Disease on Survival in Acute Leukemia according to Donor Type2021
Author(s)
Konuma T, Kanda J, Kuwatsuka Y, Yanada M, Kondo T, Hirabayashi S, Kako S, Akahoshi Y, Uchida N, Doki N, Ozawa Y, Tanaka M, Eto T, Sawa M, Yoshioka S, Kimura T, Kanda Y, Fukuda T, Atsuta Y, Kimura F
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Journal Title
Clin Cancer Res
Volume: 27
Issue: 17
Pages: 4825-4835
DOI
Related Report
Peer Reviewed
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[Journal Article] Allogeneic hematopoietic stem cell transplantation for myelodysplastic syndrome in adolescent and young adult patients2021
Author(s)
Shimomura Y, Hara M, Konuma T, Itonaga H, Doki N, Ozawa Y, Eto T, Uchida N, Aoki J, Kato J, Onishi Y, Takahashi S, Fukushima K, Nakamae H, Kawakita T, Tanaka J, Fukuda T, Atsuta Y, Ishikawa T, Ishiyama K
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Journal Title
Bone Marrow Transplant
Volume: 56
Issue: 10
Pages: 2510-2517
DOI
Related Report
Peer Reviewed
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[Journal Article] Pretransplantation Red Blood Cell and Platelet Transfusion Burden in De Novo Myelodysplastic Syndrome Undergoing Allogeneic Transplantation2021
Author(s)
Konuma T, Aoki J, Ozawa Y, Uchida N, Kobayashi T, Onizuka M, Katayama Y, Ohta T, Nakano N, Ota S, Onishi Y, Kobayashi H, Fukuda T, Kanda Y, Atsuta Y
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Journal Title
Transplant Cell Ther
Volume: 27
Issue: 8
Pages: 671-678
DOI
Related Report
Peer Reviewed
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[Journal Article] Single Cord Blood Transplantation Versus Unmanipulated Haploidentical Transplantation for Adults with Acute Myeloid Leukemia in Complete Remission.2021
Author(s)
Konuma T, Kanda J, Yamasaki S, Harada K, Shimomura Y, Terakura S, Mizuno S, Uchida N, Tanaka M, Doki N, Ozawa Y, Nakamae H, Sawa M, Matsuoka KI, Morishige S, Maruyama Y, Ikegame K, Kimura T, Kanda Y, Ichinohe T, Atsuta Y, Yanada M.
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Journal Title
Transplant Cell Ther.
Volume: 27(4)
Issue: 4
Pages: 334.e1-334.e11
DOI
Related Report
Peer Reviewed
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[Journal Article] Prognostic Impact of the Fractionation of Total Body Irradiation for Patients with Acute Myeloid Leukemia Undergoing Myeloablative Allogeneic Hematopoietic Cell Transplantation.2021
Author(s)
Ueda N, Konuma T, Aoki J, Takahashi S, Ozawa Y, Mori T, Ota S, Eto T, Takada S, Yoshioka S, Shiratori S, Kako S, Onizuka M, Fukuda T, Kanda Y, Atsuta Y, Yanada M.
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Journal Title
Transplant Cell Ther.
Volume: 27(2)
Issue: 2
Pages: 185.e1-185.e6
DOI
Related Report
Peer Reviewed
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[Journal Article] Predicting non-relapse mortality following allogeneic hematopoietic cell transplantation during first remission of acute myeloid leukemia.2021
Author(s)
Yanada M, Konuma T, Mizuno S, Saburi M, Shinohara A, Tanaka M, Marumo A, Sawa M, Uchida N, Ozawa Y, Onizuka M, Yoshioka S, Nakamae H, Kondo T, Kimura T, Kanda J, Fukuda T, Atsuta Y, Nakasone H, Yano S.
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Journal Title
Bone Marrow Transplant.
Volume: 56(2)
Issue: 2
Pages: 387-394
DOI
Related Report
Peer Reviewed
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[Journal Article] High Prevalence of Left Ventricular Non-Compaction and Its Effect on Chemotherapy-Related Cardiac Dysfunction in Patients With Hematological Diseases2020
Author(s)
Hirano M, Kimura K, Ishigaki T, Nojima M, Daimon M, Morita H, Takenaka K, Xu B, Sawada N, Hirokawa M, Komuro I, Morisaki T, Yotsuyanagi H, Kawamata T, Yokoyama K, Konuma T, Kato S, Yasui H, Nagamura-Inoue T, Uchimaru K, Takahashi S, Imai Y, Tojo A.
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Journal Title
Circulation Journal
Volume: 84
Issue: 11
Pages: 1957-1964
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2020-10-23
Related Report
Peer Reviewed / Open Access
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[Journal Article] Relapse of acute myeloid leukemia after allogeneic hematopoietic cell transplantation: clinical features and outcomes.2020
Author(s)
Yanada M, Konuma T, Yamasaki S, Kondo T, Fukuda T, Shingai N, Sawa M, Ozawa Y, Tanaka M, Uchida N, Nakamae H, Katayama Y, Matsuoka KI, Kimura T, Kanda Y, Ichinohe T, Atsuta Y, Yano S.
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Journal Title
Bone Marrow Transplant.
Volume: In press
Issue: 5
Pages: 1126-1133
DOI
Related Report
Peer Reviewed
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[Journal Article] Randomised controlled trial of conditioning regimen for cord blood transplantation for adult myeloid malignancies comparing high-dose cytarabine/cyclophosphamide/total body irradiation with versus without G-CSF priming: G-CONCORD study protocol.2020
Author(s)
Terakura S, Konuma T, Tanaka M, Ozawa Y, Onizuka M, Nanno S, Onishi Y, Aotsuka N, Kondo T, Kawakita T, Kato J, Kobayashi T, Nishida T, Yamaguchi T, Kuwatsuka Y, Takahashi S.
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Journal Title
BMJ Open.
Volume: 10(12)
Issue: 12
Pages: e040467-e040467
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Effects of Acute and Chronic Graft-versus-myelodysplastic Syndrome on Long-term Outcomes Following Allogeneic Hematopoietic Cell Transplantation.2020
Author(s)
Konuma T, Ishiyama K, Igarashi A, Uchida N, Ozawa Y, Fukuda T, Ueda Y, Matsuoka KI, Mori T, Katayama Y, Onizuka M, Ichinohe T, Atsuta Y
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Journal Title
Clin Cancer Res.
Volume: 26(24)
Issue: 24
Pages: 6483-6493
DOI
Related Report
Peer Reviewed
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[Journal Article] Impact of Intestinal Microbiota on Reconstitution of Circulating Monocyte, Dendritic Cell, and Natural Killer Cell Subsets in Adults Undergoing Single-Unit Cord Blood Transplantation.2020
Author(s)
Konuma T, Kohara C, Watanabe E, Takahashi S, Ozawa G, Inomata K, Suzuki K, Mizukami M, Nagai E, Okabe M, Isobe M, Kato S, Oiwa-Monna M, Takahashi S, Tojo A.
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Journal Title
Biol Blood Marrow Transplant.
Volume: 26(11)
Issue: 11
Pages: e292-e297
DOI
Related Report
Peer Reviewed
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[Journal Article] Updated Comparison of 7/8 HLA Allele-Matched Unrelated Bone Marrow Transplantation and Single-Unit Umbilical Cord Blood Transplantation as Alternative Donors in Adults with Acute Leukemia.2020
Author(s)
Miyao K, Terakura S, Kimura F, Konuma T, Miyamura K, Yanada M, Kako S, Morhishima S, Uchida N, Toya T, Ozawa Y, Fukuda T, Tanaka M, Sawa M, Takada S, Yoshida S, Kimura T, Ichinohe T, Atsuta Y, Kanda J
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Journal Title
Biol Blood Marrow Transplant.
Volume: 26(11)
Issue: 11
Pages: 2105-2114
DOI
Related Report
Peer Reviewed
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[Journal Article] Improvement of early mortality in single-unit cord blood transplantation for Japanese adults from 1998 to 2017.2020
Author(s)
Konuma T, Kanda J, Inamoto Y, Hayashi H, Kobayashi S, Uchida N, Sugio Y, Tanaka M, Kobayashi H, Kouzai Y, Takahashi S, Eto T, Mukae J, Matsuhashi Y, Fukuda T, Takanashi M, Kanda Y, Atsuta Y, Kimura F.
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Journal Title
Am J Hematol.
Volume: 95(4)
Issue: 4
Pages: 343-353
DOI
Related Report
Peer Reviewed
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[Journal Article] Candida colonization is associated with severe acute GVHD in adult patients undergoing single-unit cord blood transplantation.2020
Author(s)
Konuma T, Mizusawa M, Suzuki M, Kaito Y, Isobe M, Kato S, Shibata H, Takahashi O, Oiwa-Monna M, Takahashi S, Tojo A.
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Journal Title
Eur J Haematol.
Volume: 104(1)
Issue: 1
Pages: 74-76
DOI
Related Report
Peer Reviewed
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[Presentation] Cord blood transplantation for AML of the elderly: a retrospective study of adult AMLWG on JSHCT2020
Author(s)
Isobe M, Konuma T, Masuko M, Uchida N, Miyakoshi S, Sugio Y, Yoshida S, Tanaka M, Matsuhashi Y, Hattori N, Onizuka M, Aotsuka N, Kouzai Y, Wake A, Kimura T, Ichinohe T, Atsuta Y, Yanada M
Organizer
第82回日本血液学会学術集会
Related Report
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[Presentation] SINGLE CORD BLOOD TRANSPLANTATION FOR ACUTE MYELOID LEUKEMIA PATIENTS AGED 60 YEARS OR OLDER: A RETROSPECTIVE STUDY OF THE JAPAN SOCIETY FOR HEMATOPOIETIC CELL TRANSPLANTATION (JSHCT)2020
Author(s)
Isobe M, Konuma T, Masuko M, Uchida N, Miyakoshi S, Sugio Y, Yoshida S, Tanaka M, Matsuhashi Y, Hattori N, Onizuka M, Aotsuka N, Kouzai Y, Wake A, Kimura T, Ichinohe T, Atsuta Y, Yanada M
Organizer
25th Congress of the European Hematology Association
Related Report