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What is the true remission in rheumatoid arthritis?

Research Project

Project/Area Number 22790937
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field 膠原病・アレルギー・感染症内科学
Research InstitutionNagasaki University

Principal Investigator

TAMAI Mami  長崎大学, 保健・医療推進センター, 助教 (60380862)

Co-Investigator(Renkei-kenkyūsha) KAWAKAMI Atsushi  長崎大学, 大学院・医歯薬学総合研究科, 教授 (90325639)
UETANI Masataka  長崎大学, 大学院・医歯薬学総合研究科, 教授 (40176582)
AOYAGI Kiyoshi  長崎大学, 大学院・医歯薬学総合研究科, 教授 (80295071)
ARIMA Kazuhiko  長崎大学, 大学院・医歯薬学総合研究科, 助教 (30423635)
YAMASAKI Satoshi  広島大学, 病院・リウマチ・膠原病科, 助教 (30367388)
KAWASHIRI Shin-ya  長崎大学, 医歯薬学総合研究科, 助教 (20457576)
Project Period (FY) 2010 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2011: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2010: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywordsリウマチ学 / 関節リウマチ / 真の寛解 / 疾患活動性 / 関節MRI骨髄浮腫
Research Abstract

To investigate the true remission in rheumatoid arthritis(RA), we studied very early RA with poor prognosis factors. Treatment with synthetic disease-modifying anti-rheumatic drugs reduced RA progression from undifferentiated arthritis. Significant improvement in MRI-proven bone edema may be associated with protection against structural damage(rs=0. 65, p<0. 05) and persistent remission during 12 months in very early RA patients managed using the tight control approach. The frequency of peripheral blood regulatory T cells in patients with RA negatively correlated with disease activity score, CRP and ESR. The regulatory T cell frequency of patients with RA in remission was similar to that of healthy controls.

Report

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

    (30 results)

All 2011 2010

All Journal Article (16 results) (of which Peer Reviewed: 13 results) Presentation (14 results)

  • [Journal Article] Magnetic resonance imaging(MRI) detection of synovitis and bone lesions of the wrists and finger joints in early-stage rheumatoid arthritis : comparison of the accuracy of plain MRI-based findings and gadolinium-diethylenetriamine pentaacetic acid(Gd-DTPA)2011

    • Author(s)
      Tamai M, Kawakami A, Uetani M, Fukushima A, Arima K, Fujikawa K, Iwamoto N, Aramaki T, Kamachi M, Nakamura H, Ida H, Origuchi T, Aoyagi K, Eguchi K.
    • Journal Title

      Mod Rheumatol

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Magnetic resonance imaging of wrist and finger joints distinguishes secondary Sjogren' s syndrome with rheumatoid arthritis from primary Sjogren' s syndrome with articular manifestations2011

    • Author(s)
      Iwamoto N, Kawakami A, Tamai M, Arima K, Nakamura H, Kawashiri SY, Kita J, Okada A, Koga T, Kamachi M, Yamasaki S, Ichinose K, Ida H, Origuchi T, Uetani M, Eguchi K.
    • Journal Title

      Clin Exp Rheumatol

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Treatment discontinuation in patients with very early rheumatoid arthritis in sustained simplified disease activity index remission after synthetic disease-modifying anti-rheumatic drug administration2011

    • Author(s)
      Kita J, Tamai M(筆頭共著者), Arima K, Nakashima Y, Suzuki T, Kawashiri SY, Iwamoto N, Okada A, Koga T, Yamasaki S, Nakamura H, Origuchi T, Ida H, Aoyagi K, Uetani M, Eguchi K, Kawakami A.
    • Journal Title

      Mod Rheumatol

    • NAID

      10030782090

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Delayed treatment with tumor necrosis factor inhibitors in incomplete responders to synthetic disease-modifying anti-rheumatic drugs shows an excellent effect in patients with very early rheumatoid arthritis with poor prognosis factors2011

    • Author(s)
      Kita J, Tamai M(筆頭共著者), Arima K, Nakashima Y, Suzuki T, Kawashiri SY, Okada A, Koga T, Yamasaki S, Nakamura H, Origuchi T, Aramaki T, Nakashima M, Fujikawa K, Tsukada T, Ida H, Aoyagi K, Uetani M, Eguchi K, Kawakami A.
    • Journal Title

      Mod Rheumatol

    • NAID

      10030614950

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] CD4+ CD25(high) CD127(low/-) Treg cell frequency from peripheral blood correlates with disease activity in patients with rheumatoid arthritis2011

    • Author(s)
      Kawashiri SY, Kawakami A, Okada A, Koga T, Tamai M, Yamasaki S, Nakamura H, Origuchi T, Ida H, Eguchi K.
    • Journal Title

      J Rheumatol

      Volume: 38(12) Pages: 2517-21

    • NAID

      120006985184

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] The power Doppler ultrasonography score from 24 synovial sites or 6 simplified synovial sites, including the metacarpophalangeal joints, reflects the clinical disease activity and level of serum biomarkers in patients with rheumatoid arthritis2011

    • Author(s)
      Kawashiri SY, Kawakami A, Iwamoto N, Fujikawa K, Satoh K, Tamai M, Nakamura H, Okada A, Koga T, Yamasaki S, Ida H, Origuchi T, Eguchi K.
    • Journal Title

      Rheumatology(Oxford)

      Volume: 50(5) Pages: 962-5

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Contribution of an adenine to guanine single nucleotide polymorphism of the matrix metalloproteinase-13(MMP-13)-77promoter region to the production of anticyclic citrullinated peptide antibodies in patients with HLA-DRB1* shared epitope-negative rheumatoi2011

    • Author(s)
      Iwamoto N, Kawakami A, Arima K, Tamai M, Nakamura H, Kawashiri SY, Kita J, Okada A, Koga T, Kamachi M, Yamasaki S, Ichinose K, Ida H, Origuchi T, Eguchi K.
    • Journal Title

      Mod Rheumatol

      Volume: 21(3) Pages: 240-3

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Magnetic resonance imaging (MRI) detection of synovitis and bone lesions of the wrists and finger joints in early-stage rheumatoid arthritis : comparison of the accuracy of plain MRI-based findings and gadolinium-diethylenetriamine pentaaceticacid (Gd-DTPA)-enhanced MRI-based findings2011

    • Author(s)
      Tamai M, Kawakami A, Uetani M, Fukushima A, Arima K, Fujikawa K, Iwamoto N, Aramaki T, Kamachi M, Nakamura H, Ida H, Origuchi T, Aoyagi K, Eguchi K
    • Journal Title

      Mod Rheumatol

      Volume: (E-pub) Issue: 5 Pages: 654-658

    • DOI

      10.1007/s10165-011-0575-8

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Treatment discontinuation in patients with very early rheumatoid arthritis in sustained simplified disease activity index remission after synthetic disease-modifying anti-rheumatic drug administration2011

    • Author(s)
      Kita J, Tamai M(筆頭共著者), ArimaK, Nakashima Y, Suzuki T, Kawashiri SY, Iwamoto N, Okada A, Koga T, Yamasaki S, Nakamura H, Origuchi T, Ida H, Aoyagi K, Uetani M, Eguchi K, Kawakami A
    • Journal Title

      Mod Rheumatol

      Volume: (E-pub) Issue: 3 Pages: 346-352

    • DOI

      10.1007/s10165-011-0522-8

    • NAID

      10030782090

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Delayed treatment with tumor necrosis factor inhibitors in incomplete responders to synthetic disease-modifying anti-rheumatic drags shows an excellent effect in patients with very early rheumatoid arthritis with poor prognosis factors2011

    • Author(s)
      Kita J, Tamai M(筆頭共著者), ArimaK, Nakashima Y, Suzuki T, Kawashiri SY, Okada A, Koga T, Yamasaki S, Nakamura H, Origuchi T, Aramaki T, Nakashima M, Fujikawa K, Tsukada T, Ida H, Aoyagi K, Uetani M, Eguchi K, Kawakami A
    • Journal Title

      Mod Rheumatol

      Volume: (E-pub) Issue: 2 Pages: 195-201

    • DOI

      10.1007/s10165-011-0511-y

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparative study of the detection of joint injury in early-stage rheumatoid arthritis by MRI of wrist and finger joints and physical examination. 2010 Nov 15.2011

    • Author(s)
      Tamai M, Kawakami A, Iwamoto N, Kawashiri S, Fujikawa K, Aramaki T, Kita J, Okada A, Koga T, Kamachi M, Yamasaki S, Ichinose K, Ida H, Origuchi T, Eguchi K.
    • Journal Title

      Arthritis Care Res (Hoboken)

      Volume: 63(Epub ahead of print) Pages: 436-9

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparative study of the detection of joint injury in early-stage rheumatoid arthritis by MRI of wrist and finger joints and physical examination2010

    • Author(s)
      Tamai M, Kawakami A, Iwamoto N, Kawashiri SY, Fujikawa K, Aramaki T, Kita J, Okada A, Koga T, Arima K, Kamachi M, Yamasaki S, Nakamura H, Ida H, Origuchi T, Takao S, Aoyagi K, Uetani M, Eguchi K.
    • Journal Title

      Arthritis Care Res(Hoboken)

      Volume: 63 Pages: 436-9

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Contribution of anti-CCP antibodies, proximal interphalangeal joint involvement, HLA-DRB1 shared epitope, and PADI4 as risk factors for the development of rheumatoid arthritis in palindromic rheumatism.2010

    • Author(s)
      Tamai M, Kawakami A, Iwamoto N, Arima K, Aoyagi K, Eguchi K.
    • Journal Title

      Scand J Rheumatol

      Volume: 39 Pages: 287-91

    • NAID

      120006984220

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 関節リウマチ:治癒を目指す最新治療コンセンサス2010

    • Author(s)
      玉井慎美、川上純
    • Journal Title

      医学のあゆみ(医歯薬出版)

      Volume: 234 Pages: 9-13

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 関節リウマチの予後不良因子とその対策2010

    • Author(s)
      玉井慎美、川上純
    • Journal Title

      Medical Practice(文光堂)

      Volume: 27 Pages: 2045-8

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 抗CCP抗体測定キット(ARCHITECT Anti-CCP)の臨床的評価2010

    • Author(s)
      玉井慎美、川上純、江口勝美
    • Journal Title

      医学と薬学

      Volume: 64 Pages: 779-83

    • Related Report
      2010 Annual Research Report
  • [Presentation] Evaluation of the patients with early arthritis by 2010 RA criteria in conjunction with MRI of wrists and finger joints2011

    • Author(s)
      Tamai M, Arima K, Uetani M, Iwamoto N, Kita J, Okada A, Koga T, Kawashiri SY, Ichinose K, Yamasaki S, Nakamura H, Ida H, Origuchi T, Aoyagi K, Eguchi K, Kawakami A
    • Organizer
      アメリカリウマチ学会2011
    • Place of Presentation
      McCormick Place Convention Center(シカゴ、イリノイ州、アメリカ合衆国)(ポスター)
    • Year and Date
      2011-11-06
    • Related Report
      2011 Annual Research Report
  • [Presentation] 抗CCP抗体価とMRI骨髄浮腫:RAにおける関節破壊2011

    • Author(s)
      玉井慎美、有馬和彦、上谷雅孝、岩本直樹、岡田覚丈、喜多潤子、古賀智裕、川尻真也、一瀬邦弘、山崎聡士、中村英樹、折口智樹、井田弘明、青柳潔、江口勝美、川上純
    • Organizer
      第39回日本臨床免疫学会
    • Place of Presentation
      京王プラザホテル(東京)
    • Year and Date
      2011-09-15
    • Related Report
      2011 Annual Research Report
  • [Presentation] Evaluation of the patients with early arthritis by 2010 ACR/EULAR criteria in conjunction with MRI of wrists and finger joints2011

    • Author(s)
      Tamai M, Arima K, Iwamoto N, Okada A, Kita J, Koga T, Kawashiri SY, Yamasaki S, Nakamura H, Origuchi T, Uetani M, Aoyagi K, Eguchi K, Kawakami A
    • Organizer
      ヨーロッパリウマチ学会2011
    • Place of Presentation
      ExCeL London(ロンドン、イギリス)(口演)
    • Year and Date
      2011-05-25
    • Related Report
      2011 Annual Research Report
  • [Presentation] Evaluation of the patients with early arthritis by 2010 RA criteria in conjunction with MRI of wrists and finger joints2011

    • Author(s)
      Tamai M, Arima K, Uetani M, Iwamoto N, Kita J, Okada A, Koga T, Kawashiri SY, Ichinose K, Yamasaki S, Nakamura H, Ida H, Origuchi T, Aoyagi K, Eguchi K, Kawakami A.
    • Organizer
      (ポスター)アメリカリウマチ学会
    • Place of Presentation
      Chicago, USA
    • Related Report
      2011 Final Research Report
  • [Presentation] Evaluation of the patients with early arthritis by 2010 ACR/ EULAR criteria in conjunction with MRI of wrists and finger joints2011

    • Author(s)
      Tamai M, Arima K, Iwamoto N, Okada A, Kita J, Koga T, Kawashiri SY, Yamasaki S, Nakamura H, Origuchi T, Uetani M, Aoyagi K, Eguchi K, Kawakami A.
    • Organizer
      ヨーロッパリウマチ学会
    • Place of Presentation
      London, UK
    • Related Report
      2011 Final Research Report
  • [Presentation] 長崎大学早期関節炎コホートによる2010年ACR/ EULAR RA分類基準の検証2011

    • Author(s)
      玉井慎美、喜多潤子、上谷雅孝、有馬和彦、中島好一、鈴木貴久、岡田覚丈、川尻真也、一瀬邦弘、山崎聡士、中村英樹、折口智樹、青柳潔、江口勝美、川上純
    • Organizer
      第26回日本臨床リウマチ学会
    • Place of Presentation
      横浜市
    • Related Report
      2011 Final Research Report
  • [Presentation] 抗CCP抗体価とMRI骨髄浮腫: RAにおける関節破壊(ワークショップ)2011

    • Author(s)
      玉井慎美、有馬和彦、上谷雅孝、岩本直樹、岡田覚丈、喜多潤子、古賀智裕、川尻真也、一瀬邦弘、山崎聡士、中村英樹、折口智樹、井田弘明、青柳潔、江口勝美、川上純
    • Organizer
      第39回日本臨床免疫学会
    • Place of Presentation
      東京都
    • Related Report
      2011 Final Research Report
  • [Presentation] 2010RA分類基準とNagasaki scoreを用いた早期関節炎の評価(ワークショップ)2011

    • Author(s)
      玉井慎美、川尻真也、岩本直樹、有馬和彦、喜多潤子、岡田覚丈、古賀智裕、中島好一、鈴木貴久、山崎聡士、中村英樹、折口智樹、青柳潔、上谷雅孝、江口勝美、川上純
    • Organizer
      第55回日本リウマチ学会総会・学術集会
    • Place of Presentation
      神戸市
    • Related Report
      2011 Final Research Report
  • [Presentation] 早期関節リウマチの経過における手指関節MRI骨髄浮腫と抗CCP抗体価変動の検討(一般口演)2010

    • Author(s)
      玉井慎美
    • Organizer
      第25回日本臨床リウマチ学会
    • Place of Presentation
      東京ステーションコンファレンス
    • Year and Date
      2010-11-27
    • Related Report
      2010 Annual Research Report
  • [Presentation] 2009年ACR/EULAR criteria : UA 129症例を用いた検証(ポスター)2010

    • Author(s)
      玉井慎美
    • Organizer
      第107回日本内科学会総会
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2010-04-10
    • Related Report
      2010 Annual Research Report
  • [Presentation] 早期関節リウマチの経過における手指関節MRI骨髄浮腫と抗CCP抗体価変動の検討2010

    • Author(s)
      玉井慎美、川上純、上谷雅孝、有馬和彦、岩本直樹、藤川敬太、中村英樹、井田弘明、折口智樹、青柳潔、江口勝美
    • Organizer
      第25回日本臨床リウマチ学会
    • Place of Presentation
      東京都
    • Related Report
      2011 Final Research Report
  • [Presentation] 自己抗体と手指関節非造影MRIを用いるNagasaki scoreの評価(ポスター)2010

    • Author(s)
      玉井慎美、川上純、上谷雅孝、有馬和彦、岩本直樹、藤川敬太、中村英樹、井田弘明、折口智樹、青柳潔、江口勝美
    • Organizer
      第54回日本リウマチ学会総会・学術集会
    • Place of Presentation
      東京都
    • Related Report
      2011 Final Research Report
  • [Presentation] RA診断・新診断基準診断未確定関節炎コホートを用いたACR2009新基準の評価(ポスター)2010

    • Author(s)
      玉井慎美、川上純、岩本直樹、藤川敬太, 有馬和彦、中村英樹、折口智樹、井田弘明、青柳潔、上谷雅孝、江口勝美
    • Organizer
      第54回日本リウマチ学会総会・学術集会
    • Place of Presentation
      東京都
    • Related Report
      2011 Final Research Report
  • [Presentation] 関節リウマチの早期診断ACR2009新基準、Nagasaki score、Leiden scoreの比較(ポスター)2010

    • Author(s)
      玉井慎美、川上純、喜多潤子、岩本直樹、川尻真也, 有馬和彦、藤川敬太、上谷雅孝、青柳潔、江口勝美
    • Organizer
      第107回日本内科学会
    • Place of Presentation
      東京都
    • Related Report
      2011 Final Research Report

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Published: 2010-08-23   Modified: 2016-04-21  

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