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Potential role of chemokine (C-C motif) ligand 18 in the development of obese asthma and Type 2 inflammation using epidemiological and experimental studies

Research Project

Project/Area Number 23K09664
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58020:Hygiene and public health-related: including laboratory approach
Research InstitutionHokkaido University

Principal Investigator

Goudarzi Houman  北海道大学, 医学研究院, 准教授 (40713607)

Project Period (FY) 2023-04-01 – 2026-03-31
Project Status Granted (Fiscal Year 2023)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2025: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2024: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2023: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsAsthma / Obesity / Birth cohort / adult asthma cohort / CCL18 / Immune pathways / Epidemiological studies / T2 biomarkers / Obese asthma phenotype / Cohort studies / T2 inflammation / Experimental studies
Outline of Research at the Start

For the first time, we will show the effects of human CCL18 in the development of obese asthma and enhancement of Th2 inflammation in the general population of children and adult asthmatic patients. Additionally, a detailed mechanism of CCL18 regulation and the role of CCL18 in eosinophilic airway inflammation in obese asthma phenotypes will be addressed for the first time in experimental studies. This project is a collaboration between clinicians and epidemiologists, providing this opportunity to improve children's health by translating the findings from bench to bedside.

Outline of Annual Research Achievements

1) Hokkaido birth cohort: An ongoing population-based cohort study that began in 2002 (n = 20,926). We have finished interviews and physical examinations of children aged 10 years (n=418) for allergic condition assessment. Parents completed the ISAAC questionnaires to assess wheeze, rhinitis, and eczema. Also, information on sociodemographic characteristics, anthropometric measures, doctor-diagnosis of asthma, and confounders from pregnancy to age 10 have been collected. We have collected biospecimens in children and measured T2 biomarkers in children, including blood eosinophils, and FeNO. We measured plasma CCL18 protein as a novel T2 biomarker at ten years of age by ELISA (R&D Systems). Because of the influence of the CCL18 genotype on CCL18 levels, we will determine CCL18 polymorphism using the TaqMan system. 2) Adult asthma cohort: We enrolled patients who were diagnosed with asthma by respiratory physicians in the Hokkaido University Hospital and 29 other affiliated hospitals and clinics. A total of 220 subjects (141 with severe asthma and 79 with mild-to-moderate asthma) underwent procedural evaluations at entry and followed each year for 6 years. We have evaluated all participants for clinical parameters, pulmonary function tests, FeNO, CT images, and biosamples. We have started data analysis to assess the effect of BMI and obesity with CCL18 in asthma patients. We found that there is a significant positive association between CCL18 and BMI in asthma patients. Also, CCL18 is associated with elevated blood eosinophils, sputum eosinophils, and FeNO as T2 biomarkers.

Current Status of Research Progress
Current Status of Research Progress

2: Research has progressed on the whole more than it was originally planned.

Reason

1) Hokkaido Birth Cohort: Recruitment of study participants at age 10 has been completed successfully. We collected baseline characteristics of parent-child pairs without issues. Information on the allergic conditions of the children, which is the main outcome of the current study using ISAAC, was gathered with minimal missing data. All survey information has been extracted, and data input into Excel files is complete. Double checks and data cleaning have also been performed. Notably, we collected biospecimens from over 95% of the children. Given the difficulty of obtaining such samples from the general population and the initial concerns about gaining consent from parents and children, this high acceptance rate is significant. T2 biomarkers in examined children were measured with almost no missing data (only 2% of the children had missing data). The determination of CCL18 genotyping and plasma CCL18 protein levels, which are key topics of the current study among children, has been successfully performed. 2) Adult Asthma: Recruitment of participants, sample collection, pulmonary function tests, and biomarker measurements were completed as planned at the start of the project. We have begun data analysis to assess the association of obesity indices with CCL18. The examination of the association between CCL18 and T2 biomarkers has been completed, yielding promising results.

Strategy for Future Research Activity

We will include experimental studies to find possible mechanism(s) of CCL18's role in the obese asthma phenotype. Our plans for the next fiscal year:
1) Hokkaido birth cohort: We will extract DNA from buffy coat samples of children at age 10 to determine genetic polymorphisms of CCL18, which could have a significant effect on circulatory CCL18 levels. We will assess such possible effects in this fiscal year. Also, we will start assessing the association of BMI and obesity with CCL18 in children. As the next step and to dig further to explore the mechanism of CCL18 in obese asthma, we will examine the association of CCL18 with T2 biomarkers in children. 2) Adult asthma cohort: According to our preliminary analysis, CCL18 is an important protein in the pathogenesis of obese asthma by enhancing T2 inflammation. We will look at the association of CCL18 with pulmonary function tests, risk of exacerbation and hospitalization with a prospective approach. We will replicate such data in an additional two cohorts in this fiscal year. As with the birth cohort, we will determine the genetic polymorphisms of CCL18 in adults as well. 3) Initiation of experimental studies: Because CCL18 is not expressed in rodents, in vivo studies are not possible for this project. We will clarify the possible upstream regulatory pathways of CCL18 using in vitro studies. We will treat THP1 cells enriched for macrophages as the main source of CCL18 in humans and treat the cells with several interleukins, adipokines, and mediators to find regulatory pathways of CCL18.

Report

(1 results)
  • 2023 Research-status Report
  • Research Products

    (16 results)

All 2024 2023 Other

All Int'l Joint Research (2 results) Journal Article (7 results) (of which Int'l Joint Research: 7 results,  Peer Reviewed: 7 results,  Open Access: 5 results) Presentation (5 results) (of which Int'l Joint Research: 5 results,  Invited: 1 results) Remarks (2 results)

  • [Int'l Joint Research] University of Arizona/Tucson/Prof. Monica Kraft(米国)

    • Related Report
      2023 Research-status Report
  • [Int'l Joint Research] Johns Hopkins University/Baltimore, MD, USA/Prof. Shau-ku Huang(米国)

    • Related Report
      2023 Research-status Report
  • [Journal Article] Applicable predictive factors extracted from peak flow trajectory for the prediction of asthma exacerbation2024

    • Author(s)
      Yang Yichi、Kimura Hirokazu、Goudarzi Houman、Ishikuro Akihiko、Ohtsuka Yoshihiro、Watanabe Kazuhiko
    • Journal Title

      Annals of Allergy, Asthma & Immunology

      Volume: 132 Issue: 4 Pages: 469-476

    • DOI

      10.1016/j.anai.2023.11.015

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Exposure to organophosphate flame retardants and plasticizers is positively associated with wheeze and FeNO and eosinophil levels among school-aged children: The Hokkaido study2023

    • Author(s)
      Zeng Yi、Goudarzi Houman、Ait Bamai Yu、Ketema Rahel Mesfin、Roggeman Maarten、den Ouden Fatima、Gys Celine、Miyashita Chihiro、Ito Sachiko、Konno Satoshi、Covaci Adrian、Kishi Reiko、Ikeda-Araki Atsuko
    • Journal Title

      Environment International

      Volume: 181 Pages: 108278-108278

    • DOI

      10.1016/j.envint.2023.108278

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Blood eosinophil count variability in chronic obstructive pulmonary disease and severe asthma2023

    • Author(s)
      Abe Yuki、Suzuki Masaru、Kimura Hirokazu、Shimizu Kaoruko、Takei Nozomu、Oguma Akira、Matsumoto-Sasaki Machiko、Goudarzi Houman、Makita Hironi、Nishimura Masaharu、Konno Satoshi
    • Journal Title

      Allergology International

      Volume: 72 Issue: 3 Pages: 402-410

    • DOI

      10.1016/j.alit.2022.11.012

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Association of serum CC16 levels with eosinophilic inflammation and respiratory dysfunction in severe asthma2023

    • Author(s)
      Goudarzi Houman、Kimura Hirokazu、Kimura Hiroki、Makita Hironi、Takimoto-Sato Michiko、Abe Yuki、Oguma Akira、Matsumoto Munehiro、Takei Nozomu、Matsumoto-Sasaki Machiko、Shimizu Kaoruko、Suzuki Masaru、Shijubo Noriharu、Huang Shau-ku、Hizawa Nobuyuki、Nishimura Masaharu、Konno Satoshi
    • Journal Title

      Respiratory Medicine

      Volume: 206 Pages: 107089-107089

    • DOI

      10.1016/j.rmed.2022.107089

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Differential role of mucus plugs in asthma: Effects of smoking and association with airway inflammation2023

    • Author(s)
      Oguma Akira、Shimizu Kaoruko、Kimura Hirokazu、Tanabe Naoya、Sato Susumu、Yokota Isao、Takimoto-Sato Michiko、Matsumoto-Sasaki Machiko、Abe Yuki、Takei Nozomu、Goudarzi Houman、Suzuki Masaru、Makita Hironi、Hirai Toyohiro、Nishimura Masaharu、Konno Satoshi
    • Journal Title

      Allergology International

      Volume: 72 Issue: 2 Pages: 262-270

    • DOI

      10.1016/j.alit.2022.10.007

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Potential determinants of T helper 2 markers and their distribution in school-aged children2023

    • Author(s)
      Goudarzi Houman、Ikeda-Araki Atsuko、Bamai Yu Ait、Ito Sachiko、Inao Tasuku、Yokota Isao、Miyashita Chihiro、Kishi Reiko、Konno Satoshi
    • Journal Title

      Allergology International

      Volume: 72 Issue: 1 Pages: 100-106

    • DOI

      10.1016/j.alit.2022.07.009

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Effects of obesity on CC16 and their potential role in overweight/obese asthma2023

    • Author(s)
      Goudarzi Houman、Kimura Hirokazu、Kimura Hiroki、Nakamura Akinobu、Hizawa Nobuyuki、Atsumi Tatsuya、Huang Shau-ku、Ito Yoichi M.、Nishimura Masaharu、Konno Satoshi
    • Journal Title

      Respiratory Research

      Volume: 23 Issue: 1 Pages: 174-174

    • DOI

      10.1186/s12931-022-02038-1

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Effects of obesity on CC16 and their potential role in obese asthma2023

    • Author(s)
      Houman Goudarzi, Hirokazu Kimura, Hironi Makita, Mune Matsumoto, Nozomu Takei, Kaoruko Shimizu, Taku Watanabe, Masaharu Nishimura, Satoshi Konno
    • Organizer
      Japan Society for Allergology 71st Annual Meeting, 2022 October 7-9, Tokyo Japan I received the best presentation award)
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Presentation] Career plans and academic performance of medical students before, during, and beyond COVID-19 pandemic: Time to recover?2023

    • Author(s)
      Houman Goudarzi, Masahiro Onozawa, Makoto Takahashi
    • Organizer
      The 54th Annual meeting of the Japan Society for Medical Education, 2022 August 5-6, Gunma, Japan
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Presentation] Mixture exposure to plastic-related short half-life chemicals and associations with childhood asthma and allergies: The Hokkaido Study2023

    • Author(s)
      Yu Ait Bamai, Celine Guys, Michiel Bastiaensen, Atsuko Ikeda-Araki, Rahel Mesfin Ketema, Houman Goudarzi, Chihito Miyashita, Satoshi Konno, Reiko Kishi
    • Organizer
      The 34th Annual ISEE conference, 2022 September 18-21, Athens, Greece
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Presentation] Association of circulatory CC16 with type 2 inflammation and pulmonary dysfunction: Potential role of CC16 in obese asthma.2023

    • Author(s)
      Satoshi Konno, Houman Goudarzi, Hirokazu Kimura, Masaru Suzuki, Kaoruko Shimizu, Hiroki Kimura, Noriharu Shijubo, Shau-ku Huang, Masaharu Nishimura.
    • Organizer
      65th Annual Meeting of Thomas L. Petty Aspen Lung Conference, June 6-9, 2023, Aspen, Colorado, USA.
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Organophosphate Flame Retardants Mixture Exposure associate with Increased Levels of Urinary Oxidative Stress Biomarkers among School Children:2023

    • Author(s)
      3.Yi Zeng, Atsuko Ikeda-Araki, Houman Goudarzi, Yu Ait Bamai, Rahel Mesfin Ketema, Maarten Roggeman, Fatima Den Ouden, Celine Gys, Chihiro Miyashita, Sachiko Ito, Satoshi Konno, Adrian Covaci, Reiko Kishi.
    • Organizer
      The Hokkaido Study. 35th Annual ISEE Conference in Kaohsiung, Taiwan, 17-21 September 2023
    • Related Report
      2023 Research-status Report
    • Int'l Joint Research
  • [Remarks] https://researchmap.jp/houman

    • Related Report
      2023 Research-status Report
  • [Remarks] https://www.cehs.hokudai.ac.jp/

    • Related Report
      2023 Research-status Report

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Published: 2023-04-13   Modified: 2024-12-25  

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