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Permanent cure strategy of inflammatory bowel diseases by inducing immunological reset

Research Project

Project/Area Number 21390233
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Gastroenterology
Research InstitutionKeio University

Principal Investigator

KANAI Takanori  慶應義塾大学, 医学部, 准教授 (40245478)

Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥18,200,000 (Direct Cost: ¥14,000,000、Indirect Cost: ¥4,200,000)
Fiscal Year 2011: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2010: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2009: ¥9,880,000 (Direct Cost: ¥7,600,000、Indirect Cost: ¥2,280,000)
Keywords炎症性腸疾患 / 新規治療法 / 免疫統御 / 腸内細菌 / メモリーT細胞 / プロバイオテ / 免疫学的加齢 / プロバイオティクス
Research Abstract

Despite the advent of an age when "malignant" leukemia is cured by bone marrow transplantation, "benign" inflammatory bowel diseases(IBD) are still intractable lifelong diseases. We showed that immune memory T cells that remember the disease are formed in IBD, and perceiving them as "benign T-cell leukemia"-like lifelong pathology that spreads throughout the body, We demonstrated that interleukin-7(IL-7) and commensal bacteria are essential as a survival factor for the maintenance and proliferation of colitogenic CD4^+memory T cells, in IBD. Although IL-17A is thought to be preferentially produced by T_h17 cells and to play a critical role in autoimmune disease development, it seems to inhibit development of T_h1 cells in some circumstances. Colitogenic T_h1 cells and T_h17 cells seem to interfere with each other in vivo under inflammatory conditions. At least in inflammatory conditions, colitogenic T_h1 cells and T_h17 cells are not independently generated ; rather the linear sequential developmental pathway from T_h17 to Th1 cells seems to dominate. Further study is needed to determine whether the classical T_h1 cells directly generated from naive T cells in an RORγt-independent manner are also involved in IBD pathogenesis. The pathway from T_h17/T_h1 cells to alternative T_h1 cells is suppressed by T_<reg> cells, resulting in the accumulation of T_h17 cells by T_<reg> cells.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (51 results)

All 2012 2011 2010 2009 Other

All Journal Article (32 results) (of which Peer Reviewed: 31 results) Presentation (15 results) Book (3 results) Remarks (1 results)

  • [Journal Article] CCR9+macrophages are required for acute liver inflammation in mouse models of hepatitis2012

    • Author(s)
      Nakamoto N, Kanai T, et al.
    • Journal Title

      Gastroenterology

      Volume: 142 Pages: 366-376

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] RORγt-dependent IL-17A-producing cells in the pathogenesis of intestinal inflammation2012

    • Author(s)
      Kanai T, et al.
    • Journal Title

      Mucosal Immunology

      Volume: (In press)

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] CCL2-Induced Migration and SOCS3-Mediated Activation of Macrophages Are Involved in Cerulein-Induced Pancreatitis in Mice2012

    • Author(s)
      Saeki K, Kanai T, et al.
    • Journal Title

      Gastroenterology

      Volume: 142 Pages: 1010-1020

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] ROR_Yt-dependent IL-17A-producing cells in the pathogenesis of intestinal inflammation2012

    • Author(s)
      Kanai T, et al., 他5名、1番目
    • Journal Title

      Mucosal Immunology

      Volume: (In press)

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] CCR9+ macrophages are required for acute liver inflammation in mouse models of hepatitis2012

    • Author(s)
      Nakamoto N, Kanai T, et al., 他8名、3番目
    • Journal Title

      Gastroenterology

      Volume: 142 Pages: 366-376

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Monocyte chemoattractant protein-1 contributes to gut homeostasis and intestinal inflammation by composition of IL-10-producing regulatory macrophage subset2011

    • Author(s)
      Takada Y, Kanai T, et al.
    • Journal Title

      J Immunol

      Volume: 184 Pages: 2671-2676

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Regulatory T cells suppress development of colitis, blocking differentiation of T-helper 17 into alternative T-helper 1 cells2011

    • Author(s)
      Sujino T, Kanai T, et al.
    • Journal Title

      Gastroenterology

      Volume: 141 Pages: 1014-1023

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Upregulated IL-7 receptor(alpha) expression on colitogenic memory CD4+T cells may participate in the development and persistence of chronic colitis2011

    • Author(s)
      Shinohara T, Kanai T, et al.
    • Journal Title

      J Immunol

      Volume: 186 Pages: 2623-2632

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Upregulated IL-7 receptor (alpha) expression on colitogenic memory CD4+ T cells may participate in the development and persistence of chronic colitis.2011

    • Author(s)
      Shinohara T, Nemoto Y, Kanai T, Kameyama K, Okamoto R, Tsuchiya K, Nakamura T, Totsuka T, Ikuta K, Watanabe M
    • Journal Title

      J Immunol

      Volume: 186 Pages: 2623-2632

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Imbalance of NKp44(+) NKp46(-) and NKp44(-) NKp46(+) natural killer cells in the intestinal mucosa of patients with Crohn's disease2010

    • Author(s)
      Takayama T, Kanai T, et al.
    • Journal Title

      Gastroenterology

      Volume: 139 Pages: 882-892

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] MyD88-dependent pathway accelerates the liver damage of Concanavalin A-induced hepatitis2010

    • Author(s)
      Ojiro K, Kanai T, et al.
    • Journal Title

      Biochem Biophys Res Commun

      Volume: 399 Pages: 744-749

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Competition between colitogenic Th1 and Th17 cells contributes to the amelioration of colitis2010

    • Author(s)
      Mikami Y, Kanai T, et al.
    • Journal Title

      Eur J Immunol

      Volume: 40 Pages: 2409-2422

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Competition between colitogenic Th1 and Th17 cells contributes to the amelioration of colitis.2010

    • Author(s)
      Mikami Y, Kanai T, Sujino T, Ono Y, Hayashi A, Okazawa A, Kamada N, Matsuoka K, Hisamatsu T, Okamoto S, Takaishi H, Inoue N, Ogata H, Hibi T.
    • Journal Title

      Eur J Immunol.

      Volume: 40 Pages: 2409-2422

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Imbalance of NKp44(+)NKp46(-) and NKp44(-)NKp46(+) natural killer cells in the intestinal mucosa of patients with Crohn's disease.2010

    • Author(s)
      Takayama T, Kamada N, Chinen H, Okamoto S, Kitazume MT, Chang J, Matuzaki Y, Suzuki S, Sugita A, Koganei K, Hisamatsu T, Kanai T, Hibi T.
    • Journal Title

      Gastroenterology

      Volume: 139 Pages: 882-892

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Monocyte chemoattractant protein-1 contributes to gut homeostasis and intestinal inflammation by composition of IL-10-producing regulatory macrophage subset.2010

    • Author(s)
      Takada Y, Hisamatsu T, Kamada N, Kitazume MT, Honda H, Oshima Y, Saito R, Takayama T, Kobayashi T, Chinen H, Mikami Y, Kanai T, Okamoto S, Hibi T.
    • Journal Title

      J Immunol.

      Volume: 184 Pages: 2671-2676

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] MyD88-dependent pathway accelerates the liver damage of Concanavalin A-induced hepatitis.2010

    • Author(s)
      Ojiro K, Ebinuma H, Nakamoto N, Wakabayashi K, Mikami Y, Ono Y, Po-Sung C, Usui S, Umeda R, Takaishi H, Yamagishi Y, Saito H, Kanai T, Hibi T.
    • Journal Title

      Biochem Biophys Res Commun.

      Volume: 399 Pages: 744-749

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Signaling pathway via TNFα/NFκB in intestinal epithelial cells may be directly involved in colitis-associated carcinogenesis2009

    • Author(s)
      Onizawa M, Kanai T, et al.
    • Journal Title

      Am J Physiol Gastrointest Liver Physiol

      Volume: 296 Pages: 850-859

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Requirement of Notch activation during regeneration of the intestinal epit helia2009

    • Author(s)
      Okamoto R, Kanai T, et al.
    • Journal Title

      Am J Physiol Gastrointest Liver Physiol

      Volume: 296 Pages: 23-25

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] IL-7 is essential for lymphopenia-driven turnover of colitogenic CD4+memory T cells in chronic colitis2009

    • Author(s)
      Tomita T, Kanai T, et al.
    • Journal Title

      Eur J Immunol

      Volume: 39 Pages: 2737-2747

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Persistent retention of colitogenic CD4+memory T cells causes inflammatory bowel diseases to become intaractable2009

    • Author(s)
      Kanai T, et al.
    • Journal Title

      Inflamm Bowel Dis

      Volume: 15 Pages: 926-934

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Long-lived colitogenic CD4+memory T cells residing outside the intestine participate in the perpetuation of chronic colitis2009

    • Author(s)
      Nemoto Y, Kanai T, et al.
    • Journal Title

      J Immunol

      Volume: 183 Pages: 5059-5068

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] RANK-RANKL signaling pathway is critically involved in the function 0f CD4+CD25+regulatory T cells in chronic colitis2009

    • Author(s)
      Totsuka T, Kanai T, et al.
    • Journal Title

      J Immunol

      Volume: 182 Pages: 6079-6087

    • Related Report
      2011 Final Research Report
  • [Journal Article] Homeostatic(IL-7) and effector(IL-17) cytokines as distinct but complementary target for an optimal therapeutic strategy in inflammatory bowel disease2009

    • Author(s)
      Kanai T, et al.
    • Journal Title

      Curr Opin Gastroenterol

      Volume: 22 Pages: 306-313

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Human CD14+macrophages in intestinal lamina propria exhibit potent a ntigen-presenting ability2009

    • Author(s)
      Kamada N, Kanai T, et al.
    • Journal Title

      J Immunol

      Volume: 183 Pages: 1724-1731

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Homeostatic(IL-7)and effector(IL-17)cytokines as distinct but complementary target for an optimal therapeutic strategy in inflammatory bowel disease2009

    • Author(s)
      Kanai T, Nemoto Y, Kamada N, Totsuka T, Hisamatsu T, Watanabe M, Hibi T.
    • Journal Title

      Curr Opin Gastroenterol. 22

      Pages: 306-313

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Human CD14+ macrophages in intestinal lamina propria exhibit potent antigen-presenting ability2009

    • Author(s)
      Kamada N, Hisamatsu T, Honda H, Kobayashi T, Chinen H, Kitazume MT, Takayama T, Okamoto S, Koganei K, Sugita A, Kanai T, Hibi T.
    • Journal Title

      J Immunol. 183

      Pages: 1724-1731

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Long-lived colitogenic CD4+ memory T cells residing outside the intestine participate in the perpetuation of chronic colitis2009

    • Author(s)
      Nemoto Y, Kanai T, Kameyama K, Shinohara T, Sakamoto N, Totsuka T, Okamoto R, Tsuchiya K, Nakamura T, Sudo T, Matsumoto S, Watanabe M.
    • Journal Title

      J Immunol. 183

      Pages: 5059-5068

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] RANK-RANKL signaling pathway is critically involved in the function of CD4+CD25+ regulatory T cells in chronic colitis2009

    • Author(s)
      Totsuka T, Kanai T, Nemoto Y, Tomita T, Okamoto R, Tsuchiya K, Nakamura T, Sakamoto N, Akiba H, Okumura K, Yagita H, Watanabe M.
    • Journal Title

      J Immunol. 182

      Pages: 6079-6087

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] IL-7 is essential for lymphopenia-driven turnover of colitogenic CD4+ memory T cells in chronic colitis2009

    • Author(s)
      Tomita T, Kanai T, Totsuka T, Nemoto Y, Okamoto R, Tsuchiya K, Sakamoto N, Ohteki T, Hibi T, Watanabe M.
    • Journal Title

      Eur J Immunol. 39

      Pages: 2737-2747

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Persistent retention of colitogenic CD4+ memory T cells causes inflammatory bowel diseases to become intractable2009

    • Author(s)
      Kanai T, Nemoto Y, Tomita T, Totsuka T, Watanabe M, Hibi T.
    • Journal Title

      Inflamm Bowel Dis. 15

      Pages: 926-934

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Signaling pathway via TNFα/NFκB in intestinal epithelial cells may be directly involved in colitis-associated carcinogenesis2009

    • Author(s)
      Onizawa M, Nagaishi T, Kanai T, Oshima S, Nemoto Y, Yoshioka A, Totsuka T, Okamoto R, Nakamura T, Sakamoto N, Tsuchiya K, Yagita H, Watanabe M.
    • Journal Title

      Am J Physiol Gastrointest Liver Physiol. 296

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Requirement of Notch activation during regeneration of the intestinal epithelia2009

    • Author(s)
      Okamoto R, Tsuchiya K, Nemoto Y, Akiyama J, Nakamura T, Kanai T, Watanabe M.
    • Journal Title

      Am J Physiol Gastrointest Liver Physiol. 296

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 免疫記憶と免疫加齢からみたIBD粘膜免疫の病態-小児IBDへのヒント2011

    • Author(s)
      金井隆典
    • Organizer
      第38回日本小児栄養消化器内科肝臓学会
    • Place of Presentation
      岩手県
    • Year and Date
      2011-10-08
    • Related Report
      2011 Final Research Report
  • [Presentation] 免疫記憶と免疫加齢からみた工BD粘膜免疫の病態-小児IBDへのヒント2011

    • Author(s)
      金井隆典
    • Organizer
      第38回日本小児栄養消化器内科肝臓学会
    • Place of Presentation
      岩手県(ホテル紫苑)
    • Year and Date
      2011-10-08
    • Related Report
      2011 Annual Research Report
  • [Presentation] 腸管慢性炎症性疾患におけるTreg、Th17、Th17/Th1、Th1細胞の産生誘導、競合性、可塑性に関する総括的検討2011

    • Author(s)
      金井隆典
    • Organizer
      第39回日本臨床免疫学会総会
    • Place of Presentation
      東京
    • Year and Date
      2011-09-16
    • Related Report
      2011 Final Research Report
  • [Presentation] 腸管慢性炎症性疾患におけるTreg、Th17、Th17/Th1、Th1細胞の産生誘導、競合性、可塑性に関する総括的検討2011

    • Author(s)
      金井隆典
    • Organizer
      第39回日本臨床免疫学会総会合同シンポジウム
    • Place of Presentation
      東京(京王プラザホテル)
    • Year and Date
      2011-09-16
    • Related Report
      2011 Annual Research Report
  • [Presentation] わが国の炎症性腸疾患の疫学、病因、病態の最新情報2011

    • Author(s)
      金井隆典
    • Organizer
      第140回日本医学会
    • Place of Presentation
      東京
    • Year and Date
      2011-06-09
    • Related Report
      2011 Final Research Report
  • [Presentation] わが国の炎症性腸疾患の疫学、病因、病態の最新情報2011

    • Author(s)
      金井隆典
    • Organizer
      第140回日本医学会シンポジウム
    • Place of Presentation
      東京(日本医師会館)
    • Year and Date
      2011-06-09
    • Related Report
      2011 Annual Research Report
  • [Presentation] 炎症性腸疾患における生物学的製剤による治療法の進歩Infliximab計画的維持投与クローン病症例からみた長期治療効果の検討2010

    • Author(s)
      金井隆典、松岡克義、岡本晋
    • Organizer
      日本消化器病学会
    • Place of Presentation
      東京
    • Year and Date
      2010-10-05
    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Presentation] Long-lived Colitogenic C04+Memory T Cells can be Maintained Outside the Intestine in the Absence of Commesal Bacteria2009

    • Author(s)
      根本泰宏、金井隆典、松本敏、渡辺守
    • Organizer
      Japan & US Collaboration Conference
    • Place of Presentation
      東京
    • Year and Date
      2009-11-20
    • Related Report
      2011 Final Research Report
  • [Presentation] Long-lived Colitogenic CD4+ Memory T Cells can be Maintained Out side the Intestine in the Absence of Commesal Bacteria2009

    • Author(s)
      根本泰宏, 金井隆典, 松本敏, 渡辺守
    • Organizer
      Japan & US Collaboration Conference in Gastroenterology
    • Place of Presentation
      東京
    • Year and Date
      2009-11-20
    • Related Report
      2009 Annual Research Report
  • [Presentation] 腸肉細菌から直接的自然免疲と抗原刺激を受ける炎症性腸挟患メモリ-C04+T細胞の維持機構2009

    • Author(s)
      根本泰宏、金井隆典、渡辺守
    • Organizer
      日本消化器病学会
    • Place of Presentation
      東京
    • Year and Date
      2009-10-15
    • Related Report
      2011 Final Research Report
  • [Presentation] 腸内細菌から直接的自然免疫と抗原刺激を受ける炎症性腸疾患メモリ―CD4+T細胞の維持機構2009

    • Author(s)
      根本泰宏, 金井隆典, 渡辺守
    • Organizer
      日本消化器病学会 パネルディスカッション
    • Place of Presentation
      東京
    • Year and Date
      2009-10-15
    • Related Report
      2009 Annual Research Report
  • [Presentation] 炎症性腸疾患治療標的としてのIL-7高産生細胞の同定2009

    • Author(s)
      根本泰宏、金井隆典、渡辺守
    • Organizer
      日本消化器免疲学会総会
    • Place of Presentation
      松山市
    • Year and Date
      2009-07-24
    • Related Report
      2011 Final Research Report
  • [Presentation] 炎症性腸疾患治療標的としてのIL-7高産生細胞の同定2009

    • Author(s)
      根本泰宏, 金井隆典, 渡辺守
    • Organizer
      日本消化器免疫学会総会 シンポジウム
    • Place of Presentation
      松山市
    • Year and Date
      2009-07-24
    • Related Report
      2009 Annual Research Report
  • [Presentation] Long-lived Colitogenic C04+Memory T Cells Residing Outside the Intestine Participate in the Perpetuation of Chronic Colitis2009

    • Author(s)
      根本泰宏、金井隆典、渡辺守
    • Organizer
      International Congress of Mucosal Immunology
    • Place of Presentation
      ボストン
    • Year and Date
      2009-07-07
    • Related Report
      2011 Final Research Report
  • [Presentation] Long-lived Colitogenic CD4+ Memory T Cells Residing Outside the Intestine Participate in the Perpetuation of Chronic Colitis2009

    • Author(s)
      根本泰宏, 金井隆典, 渡辺守
    • Organizer
      International Congress of Mucosal Immunology
    • Place of Presentation
      ボストン
    • Year and Date
      2009-07-07
    • Related Report
      2009 Annual Research Report
  • [Book] クローン病新しい診断と治療2011

    • Author(s)
      金井隆典, 他
    • Total Pages
      2018
    • Publisher
      診断と治療社
    • Related Report
      2011 Final Research Report
  • [Book] クローン病新しい診断と治療2011

    • Author(s)
      日比紀文監修, 金井隆典編集
    • Total Pages
      2018
    • Publisher
      診断と治療社
    • Related Report
      2011 Annual Research Report
  • [Book] 消化器BOOK炎症性腸疾患を日常診療で診る2011

    • Author(s)
      金井隆典(分筆)
    • Publisher
      羊土社
    • Related Report
      2010 Annual Research Report
  • [Remarks]

    • URL

      http://www.keio-med.jp/gastro/

    • Related Report
      2011 Final Research Report

URL: 

Published: 2009-04-01   Modified: 2016-04-21  

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