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Analysis of VH genes rearrangement and somatic hypermutation in autoimmune pancreatitis

Research Project

Project/Area Number 23591015
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionNagoya City University

Principal Investigator

NAKAZAWA takahiro  名古屋市立大学, 医学(系)研究科(研究院), 准教授 (70305522)

Co-Investigator(Kenkyū-buntansha) OHARA Hirotaka  名古屋市立大学, 大学院地域医療教育学, 教授 (80285212)
INAGAKI Hiroshi  名古屋市立大学, 大学院臨床病理病態学, 教授 (30232507)
HAYSHI Kaduki  名古屋市立大学, 大学院消化器・代謝内科学, 助教 (00405200)
NAITOH Itaru  名古屋市立大学, 大学院消化器・代謝内科学, 助教 (30527750)
Project Period (FY) 2011-04-28 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2011: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords自己免疫性膵炎 / IgG4 related disease / IgG4
Outline of Final Research Achievements

We analyzed the immunoglobulin V heavy chain (VH) gene rearrangement and somatic hypermutation of lymphoid cells infiltrating in AIP (n=3), using obstructive pancreatitis (n=3) as non-autoimmune control. DNA was extracted from the affected inflammatory lesions. After PCR amplification of rearranged VH genes, the clones were subcloned. 100 recombinant clones were randomly picked-up in each case and sequenced. Monoclonal VH rearrangement was not detected in any cases examined. As compared with obstructive pancreatitis, there was no VH family or VH fragment specific to AIP. However, rates of unmutated VH fragments in AIP (25%) were higher than that in obstructive pancreatitis (5.1%) (P=0.0039).
Conclusions: Some autoantibodies encoded by germline or less mutated VH genes may fail to be eliminated, and could play a role in the development of AIP.

Report

(5 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (24 results)

All 2014 2013 2012 2011 Other

All Journal Article (10 results) (of which Peer Reviewed: 10 results) Presentation (14 results) (of which Invited: 1 results)

  • [Journal Article] Inflammatory bowel disease of primary sclerosing cholangitis: A distinct entity?2014

    • Author(s)
      Takahiro Nakazawa, Itaru Naitoh, Kazuki Hayashi, Hitoshi Sano, Katsuyuki Miyabe, Shuya Shimizu, Takashi Joh
    • Journal Title

      World J Gastroenterol

      Volume: 28 Issue: 12 Pages: 3245-3254

    • DOI

      10.3748/wjg.v20.i12.3245

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diagnosis of IgG4-related sclerosing cholangitis (Review article2013

    • Author(s)
      Takahiro Nakazawa, Itaru Naitoh, Kazuki Hayashi, Katsuyuki Miyabe, Shuya Shimizu,, Takashi Joh
    • Journal Title

      World J Gastroenterol

      Volume: 21 Issue: 43 Pages: 7661-7670

    • DOI

      10.3748/wjg.v19.i43.7661

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Establishment of a Serum IgG4 Cut-off Value for the Differential Diagnosis of IgG4-related Sclerosing Cholangitis- A Japanese Cohort2013

    • Author(s)
      Hirotaka Ohara, Takahiro Nakazawa, Shigeyuki Kawa, Terumi Kamisawa, Tooru Shimosegawa, Kazushige Uchida, Kenji Hirano, Takayoshi Nishino, Hideaki Hamano, Atsushi Kanno, Kenji Notohara, Osamu Hasebe, Takashi Muraki, Etsuji Ishida, Itaru Naitoh, Kazuichi Okazaki.
    • Journal Title

      J Gastroenterol Hepatol.

      Volume: 28 Pages: 1247-51

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intraductal papillary mucinous neoplasm associated with autoimmune pancreatitis.2013

    • Author(s)
      Itaru Naitoh, Takahiro Nakazawa, Kenji Notohara, Katsuyuki Miyabe, Kazuki Hayashi, Shuya Shimizu, Michihiro Yoshida, Hiroaki Yamashita, Shuichiro Umemura, Hirotaka and Takashi Joh
    • Journal Title

      Pancreas

      Volume: 42 Pages: 1238-44

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Usefulness of Intraductal Ultrasonography in the Diagnosis of Cholangiocarcinoma and IgG4-Related Sclerosing Cholangitis.2012

    • Author(s)
      Takahiro Nakazawa
    • Journal Title

      Clinical endoscopy

      Volume: 43 Issue: 3 Pages: 331-336

    • DOI

      10.5946/ce.2012.45.3.331

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diagnostic criteria for IgG4-related sclerosing cholangitis based on cholangiographic classification2012

    • Author(s)
      Takahiro Nakazawa
    • Journal Title

      J Gastroenterol

      Volume: 47 Pages: 79-87

    • NAID

      10030295805

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical differences between mass-forming autoimmune pancreatitis and pancreatic cancer.2012

    • Author(s)
      Itaru Naitoh
    • Journal Title

      Scand J Gastroenterol

      Volume: 47 Pages: 607-613

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] A case of IgG4-related sclerosing cholangitis overlapping primary billiary cirrhosis2012

    • Author(s)
      Itaru Naitoh
    • Journal Title

      Intern Med

      Volume: in press

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Analysis of VHgene rearrangement and somatic hypermutation in type 1 autoimmune pancreatitis.2012

    • Author(s)
      Fumihiro Okumura
    • Journal Title

      Pathology International

      Volume: in press

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diagnostic procedures for IgG4-related sclerosing cholangitis2011

    • Author(s)
      Takahiro Nakazawa
    • Journal Title

      J Hepatobiliary Pancreat Sci

      Volume: 18 Pages: 127-136

    • NAID

      10029285929

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] ESTABLISHMENT OF A SERUM IGG4 CUT-OFF VALUE FOR THE DIFFERENTIAL DIAGNOSIS OF IGG4-RELATED SCLEROSING CHOLANGITIS2013

    • Author(s)
      T. Nakazawa, H. Ohara, S. Kawa, T. Kamisawa, T. Shimosegawa, K. Uchida, K. Hirano, T. Nishino, H. Hamano, A. Kanno, K. Notohara, O. Hasebe, T. Muraki, E. Ishida, I. Naitoh, K. Okazaki
    • Organizer
      EUGW 2013
    • Place of Presentation
      Berlin Germany The Internationales Congress Centrum Berlin
    • Related Report
      2013 Research-status Report
  • [Presentation] Endoscopic biliary intraductal ultrasonography and biopsy from bile duct and duodenal papilla in the diagnosis of IgG4-related sclerosing cholangitis

    • Author(s)
      T Nakazawa ,I. Naitoh, H.Ohara
    • Organizer
      第86回日本消化器内視鏡学会総会
    • Place of Presentation
      東京都港区 グランドプリンスホテル新高輪国際館パミール
    • Related Report
      2013 Research-status Report
  • [Presentation] IgG4関連硬化性胆管炎の診断と治療

    • Author(s)
      内藤 格、中沢貴宏、城 卓志
    • Organizer
      第55回日本消化器病学会大会
    • Place of Presentation
      東京都港区 グランドプリンスホテル新高輪
    • Related Report
      2013 Research-status Report
  • [Presentation] 自己免疫性膵炎診断における国際コンセンサス基準と改訂診断基準2011の現状と問題

    • Author(s)
      内藤 格、中沢貴宏、大原弘隆、林 香月、宮部勝之、清水周哉、近藤 啓、吉田道弘、山下宏章、梅村修一郎、堀 寧、城 卓志
    • Organizer
      第44回日本膵臓学会総会
    • Place of Presentation
      宮城県仙台市 仙台国際センター
    • Related Report
      2013 Research-status Report
  • [Presentation] IgG4関連硬化性胆管炎診断における肝生検の有用性 -肝生検所見と胆管像の比較を中心に-

    • Author(s)
      内藤 格、中沢貴宏、全 陽
    • Organizer
      第49回日本肝臓学会総会
    • Place of Presentation
      東京都新宿区 京王プラザホテル
    • Related Report
      2013 Research-status Report
  • [Presentation] Usefulness of ERCP in the diagnosis of IGG4-related sclerosing cholangitis

    • Author(s)
      Takahiro Nakazawa
    • Organizer
      International symposium on IgG4-related diseases & Associated condition,
    • Place of Presentation
      Honolulu Hawaii Sheraton Waikiki Hotel
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Comparison of the immunohistochemical staining methods for the diagnosis of lymphoplasmacytic sclerosing pancreatitis

    • Author(s)
      Katsuyuki Miyabe
    • Organizer
      101th United States and Canadian Academy of Pathology Annual Meeting
    • Place of Presentation
      Vancouver convention center (Vancouver)
    • Related Report
      2012 Research-status Report
  • [Presentation] Endoscopic biliary intraductal ultrasonography and biopsy from bile duct and duodenal papilla in the diagnosis of IgG4-related sclerosing cholangitis

    • Author(s)
      Itaru Naitoh
    • Organizer
      International Digestive Endoscopy Network 2012
    • Place of Presentation
      Hilton Hotel (Seoul)
    • Related Report
      2012 Research-status Report
  • [Presentation] MRCP can discriminate primary sclerosing cholangitis from immunoglobulin G4-related sclerosing cholangitis and cholangiocarcinoma

    • Author(s)
      Takahiro Nakazawa
    • Organizer
      EUGW 2012
    • Place of Presentation
      RAI (Amsterdam)
    • Related Report
      2012 Research-status Report
  • [Presentation] VALIDITY OF THE IMMUNOHISTOCHEMICAL STAINING METHODS FOR THE DIAGNOSIS OF LYMPHOPLASMACYTIC SCLEROSING PANCREATITIS

    • Author(s)
      Katsuyuki Miyabe
    • Organizer
      EUGW 2012
    • Place of Presentation
      RAI (Amsterdam)
    • Related Report
      2012 Research-status Report
  • [Presentation] (ワーク)腫瘤形成型自己免疫性膵炎と膵癌の鑑別診断

    • Author(s)
      内藤 格
    • Organizer
      第98回日本消化器病学会総会
    • Place of Presentation
      京王プラザ (東京)
    • Related Report
      2012 Research-status Report
  • [Presentation] シンポジウム 胆管像分類に基づいたIgG4関連硬化性胆管炎診断基準の提唱

    • Author(s)
      中沢貴宏
    • Organizer
      第48回日本胆道学会
    • Place of Presentation
      京王プラザ (東京)
    • Related Report
      2012 Research-status Report
  • [Presentation] IgG4関連硬化性胆管炎と原発性硬化性胆管炎の相違点

    • Author(s)
      内藤 格
    • Organizer
      第97回日本消化器病学会総会
    • Place of Presentation
      京王プラザホテル(東京)
    • Related Report
      2011 Research-status Report
  • [Presentation] IgG4関連全身性疾患の肝胆道病変ーIgG4関連硬化性胆管炎と原発性硬化性胆管炎の比較

    • Author(s)
      内藤 格
    • Organizer
      第53回日本消化器病学会大会
    • Place of Presentation
      福岡国際会議場(福岡)
    • Related Report
      2011 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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