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Mechanism of L-asparaginase-induced pancreatitis and its prophylaxis using octreotide

Research Project

Project/Area Number 21791010
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Pediatrics
Research InstitutionJuntendo University

Principal Investigator

SUZUKI Mitsuyoshi  Juntendo University, 医学部, 助教 (90449059)

Project Period (FY) 2009 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2009: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords薬剤性膵炎 / 急性白血病 / L-asparaginase
Research Abstract

We demonstrated that in patients receiving ASNase therapy, the serum trypsin and pancreatic secretory trypsin inhibitor levels are usually elevated due to subclinical pancreatitis induced by the treatment. Futher, the mechanism of ASNase-induced pancreatic injury may involve an imbalance of the protease-antiprotease, such as, α1-antitrypsin, α2-macroglobulin. The present result also suggested that ASNase treatment with octreotide appears useful in prevent this complication in recovering patients.

Report

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

    (29 results)

All 2011 2010 2009 Other

All Journal Article (16 results) (of which Peer Reviewed: 5 results) Presentation (9 results) Book (3 results) Remarks (1 results)

  • [Journal Article] Acute pancreatitis in a 2-year-old girl on peritoneal dialysis and using icodextrin solution.2011

    • Author(s)
      Fujinaga S, Nishizaki N, Hirano D, Kanai H, Suzuki M, Ohtomo Y, Kaneko K, Shimizu T
    • Journal Title

      Clin Nephrol 75

      Pages: 89-90

    • Related Report
      2010 Final Research Report
  • [Journal Article] IGF-I, leptin and active ghrelin levels in very low birth weight infants during the first 8 weeks of life.2010

    • Author(s)
      Ohkawa N, Shoji H, Kitamura T, Suganuma H, Yoshikawa N, Suzuki M, Lee T, Hisata K, Shimizu T
    • Journal Title

      Acta Paediatr 99

      Pages: 37-41

    • Related Report
      2010 Final Research Report
  • [Journal Article] Phenotypic overlapping of trisomy 12p and Pallister-Killian syndrome.2010

    • Author(s)
      Inage E, Suzuki M, Minowa K, Akimoto N, Hisata Ken, Shoji H, Okumura A, Shimojima K, Shimizu T, Yamamoto T
    • Journal Title

      Eur J Med Genet 53

      Pages: 159-161

    • Related Report
      2010 Final Research Report
  • [Journal Article] Spontaneous shrinkage of a solid pseudopapillary tumor of the pancreas : CT2010

    • Author(s)
      Suzuki M, Shimizu T, Minowa K, Ikuse T, Baba Y, Ohtsuka Y.
    • Journal Title

      findings : Pediatr Int 52

      Pages: 335-336

    • Related Report
      2010 Final Research Report
  • [Journal Article] Laboratory evaluation of blood plasma separation device in children.2010

    • Author(s)
      Suzuki M, Minowa K, Tokita A, Fujimura J, Haruna H, Someya T, Shimizu T
    • Journal Title

      Pediatr Int 52

      Pages: 891-892

    • NAID

      10028184896

    • Related Report
      2010 Final Research Report
  • [Journal Article] 【必携小児の薬の使い方】疾患に対する薬剤の選び方・使い方と注意消化器疾患 急性膵炎2010

    • Author(s)
      鈴木光幸
    • Journal Title

      小児内科 42

      Pages: 484-487

    • Related Report
      2010 Final Research Report
  • [Journal Article] 【ここまでわかっている自己抗体と自己免疫疾患】自己免疫性膵炎2010

    • Author(s)
      鈴木光幸, 清水俊明
    • Journal Title

      小児科診療 73

      Pages: 2175-2180

    • Related Report
      2010 Final Research Report
  • [Journal Article] Spontaneous shrinkage of a solid pseudopapillary tumor of the pancreas : CT finding2010

    • Author(s)
      Suzuki M, Shimizu T, et al
    • Journal Title

      Pediatr Int

      Volume: 52 Pages: 335-336

    • NAID

      10028182342

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Laboratory evaluation of blood plasma separation device in children2010

    • Author(s)
      Suzuki M, Minowa K, et al
    • Journal Title

      Pediatr Int

      Volume: 52 Pages: 891-892

    • NAID

      10028184896

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Phenotypic overlapping of trisomy 12p and Pallister-Killian syndrome2010

    • Author(s)
      Inage E, Suzuki M, et al
    • Journal Title

      Eur J Med Genet

      Volume: 53 Pages: 159-161

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Peginterferon alpha-2b and ribavirin for the treatment of chronic hepatitis C in Japanese pediatric and young adult patients : a survey of the Japan Society of Pediatric Hepatology.2009

    • Author(s)
      Tajiri H, Inui A, Kiyohara Y, Suzuki M, Kagimoto S, Etani Y, Shimizu T, Fujisawa T
    • Journal Title

      Eur J Gastroenterol Hepatol 21

      Pages: 1256-1260

    • Related Report
      2010 Final Research Report
  • [Journal Article] Estimation of postoperative fat absorption using the ^<13>C mixedtriglyceride breath test in children with choledochal cyst.2009

    • Author(s)
      Suzuki M, Tanaka K, Ohtani K, Kitamura K, Kudo T, Shoji H, Suzuki R, Shimizu T
    • Journal Title

      Eur J Pediatr 168

      Pages: 35-38

    • Related Report
      2010 Final Research Report
  • [Journal Article] 尿中硫酸飽合型胆汁酸分析の実際-1,153例の解析結果から-2009

    • Author(s)
      鈴木光幸
    • Journal Title

      広島県小児科医会会報 47

      Pages: 25-26

    • Related Report
      2010 Final Research Report
  • [Journal Article] 小児期の急性膵炎2009

    • Author(s)
      清水俊明, 鈴木光幸
    • Journal Title

      小児科 50

      Pages: 1511-1520

    • Related Report
      2010 Final Research Report
  • [Journal Article] Estimation of postoperative fat absorption using the <13>^C mixed-triglyceride breath test in children with choledochal cyst.2009

    • Author(s)
      Suzuki M, Tanaka K, et al.
    • Journal Title

      Eur J Pediatr 168

      Pages: 35-38

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Peginterferon alpha-2b and ribavirin for the treatment of chronic hepatitis C in Japanese pediatric and young adult patients : a survey of the Japan Society of Pediatric Hepatology.2009

    • Author(s)
      Tajiri H, Suzuki M, et al.
    • Journal Title

      Eur J Gastroenterol Hepatol 21

      Pages: 1256-1260

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] Fontan術後遠隔期合併症によるうっ血性肝硬変の一剖検例2010

    • Author(s)
      鈴木光幸, 箕輪圭, 鳥羽山寿子, 古川岳史, 佐藤圭子, 秋元かつみ, 清水俊明
    • Organizer
      第43回武蔵野小児肝臓病懇話会
    • Year and Date
      2010-12-06
    • Related Report
      2010 Final Research Report
  • [Presentation] 家族歴のある非症候性胆管減少症の1男児例2010

    • Author(s)
      鈴木光幸, 箕輪圭, 清水俊明, 工藤豊一郎, 須磨崎亮
    • Organizer
      第42回武蔵野小児肝臓病懇話会
    • Year and Date
      2010-07-06
    • Related Report
      2010 Final Research Report
  • [Presentation] 小児の特発性膵炎症例に対するPRSS1およびSPINK1遺伝子解析2010

    • Author(s)
      鈴木光幸, 箕輪圭, 青柳陽, 藤井徹, 工藤孝広, 清水俊明
    • Organizer
      第37回日本小児栄養消化器肝臓病学会
    • Related Report
      2010 Final Research Report
  • [Presentation] 小児の特発性膵炎症例に対するPRSS1およびSPINK1遺伝子解析2010

    • Author(s)
      鈴木光幸, 箕輪圭, 他
    • Organizer
      第37回日本小児栄養消化器肝臓病学会
    • Place of Presentation
      サンポート高松
    • Related Report
      2010 Annual Research Report
  • [Presentation] 小児・若年成人におけるC型慢性肝炎に対するPEG-IFN/Ribavirin併用療法の治療成績2009

    • Author(s)
      鈴木光幸, 箕輪圭, 時田章史, 大塚宜一, 清水俊明
    • Organizer
      第112回日本小児科学会学術集会
    • Related Report
      2010 Final Research Report
  • [Presentation] Scoring System for the Severity of Acute Pancreatitis in Children2009

    • Author(s)
      Suzuki M, Minowa K, Baba Y, Aoyagi Y, Fujii T, Fujitake T, Kudo T, Ohtsuka Y, Shimizu T
    • Organizer
      11th Congress of the Asian Pan-Pacific Society of Pediatric Gastroenterology, Hepatology and Nutrition
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2010 Final Research Report
  • [Presentation] 小児領域における薬剤性膵炎の臨床的検討2009

    • Author(s)
      鈴木光幸, 箕輪圭, 青柳陽, 藤井徹, 藤武義人, 大塚宜一, 清水俊明
    • Organizer
      第36回小児栄養消化器肝臓病学会
    • Related Report
      2010 Final Research Report
  • [Presentation] Scoring System for the Severity of Acute Pancreatitis in Children2009

    • Author(s)
      Suzuki M, Minowa K, et al.
    • Organizer
      11^<th> Congress of the Asian Pan-Pacific Society of Pediatric Gastroenterology, Hepatology and Nutrition
    • Place of Presentation
      Seoul, Korea
    • Related Report
      2009 Annual Research Report
  • [Presentation] 小児領域における薬剤性膵炎の臨床的検討2009

    • Author(s)
      鈴木光幸,箕輪圭, 他
    • Organizer
      第36回小児栄養消化器肝臓病学会
    • Place of Presentation
      北海道大学
    • Related Report
      2009 Annual Research Report
  • [Book] 小児臨床栄養学 疾患別の栄養法 消化器疾患 急性膵炎・急性慢性(児玉浩子,清水俊明(編)) 東京2011

    • Author(s)
      鈴木光幸
    • Publisher
      (株)診断と治療社
    • Related Report
      2010 Final Research Report
  • [Book] 小児科臨床ピクシス【○!9】川崎病のすべて急性期の肝機能(石井正浩(編)) 東京2009

    • Author(s)
      鈴木光幸, 清水俊明
    • Publisher
      (株)中山書店
    • Related Report
      2010 Final Research Report
  • [Book] 小児科臨床ピクシス【○!8】小児プライマリケアクリニック内での感染予防(横田俊一郎(編)) 東京2009

    • Author(s)
      時田章史,鈴木光幸
    • Publisher
      (株)中山書店
    • Related Report
      2010 Final Research Report
  • [Remarks] ホームページ等 なし

    • Related Report
      2010 Final Research Report

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

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