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The molecular level influence of tocilizumab administration in patients with systemic sclerosis

Research Project

Project/Area Number 24591444
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field 膠原病・アレルギー・感染症内科学
Research InstitutionOsaka University

Principal Investigator

SHIMA Yoshihito  大阪大学, 医学(系)研究科(研究院), 助教 (90362706)

Co-Investigator(Kenkyū-buntansha) TANAKA Toshio  大阪大学, 大学院医学系研究科抗体医薬臨床応用学, 寄附講座教授 (40273651)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2012: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords全身性強皮症 / サイトカイン / interleukin-6 / 抗IL-6受容体抗体 / tocilizumab / 生物学的製剤
Outline of Final Research Achievements

Interleukin-6 (IL-6) is thought to play a part of role in the pathogenesis of systemic sclerosis. To know the influence of anti-interleukin 6 receptor antibody tocilizumab (TCZ) which can inhibit the function of IL-6 to the patients with systemic sclerosis, we conduct a clinical trial using TCZ. We analyzed 23 kinds of cytokines, chemokines in the sera of the entry patients to know the effect of TCZ. The patients who showed decrease of skin score presented transiently augmentations of IL-6, IL-8, IL-1beta, and MIP-1alfa. They also presented decrease of IL-10、IL-12、and IL-9 parallel to decrease of their skin score. We have not found out the correlation between the IL-6 level before initiating TCZ and the changes of skin score. The decreasing cytokines may be noteworthy to make a new treatment strategy.

Report

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

    (11 results)

All 2015 2014 2013 2012 Other

All Journal Article (5 results) (of which Peer Reviewed: 5 results) Presentation (3 results) Book (3 results)

  • [Journal Article] Expansion of range of joint motion following treatment of systemic sclerosis with tocilizumab.2014

    • Author(s)
      Shima Y, Hosen N, Hirano T, Arimitsu J, Nishida S, Hagihara K, Narazaki M, Ogata A, Tanaka T, Kishimoto T, Kumanogoh A
    • Journal Title

      Modern Rheumatology

      Volume: 未定 Issue: 1 Pages: 134-137

    • DOI

      10.3109/14397595.2013.874749

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Tocilizumab for the Treatment of Patients With Refractory Takayasu Arteritis2013

    • Author(s)
      Nakaoka Y, Higuchi K, Arita Y, Otsuki M, Yamamoto K, Hashimoto-Kataoka T, Yasui T, Ikeoka K, Ohtani T, Sakata Y, Shima Y, Kumanogoh A, Yamauchi-Takihara K, Tanaka T, Kishimoto T, Komuro I
    • Journal Title

      International Heart Journal

      Volume: 54 Issue: 6 Pages: 405-411

    • DOI

      10.1536/ihj.54.405

    • NAID

      130003383361

    • ISSN
      1349-2365, 1349-3299
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Retention of tocilizumab and anti-tumour necrosis factor drugs in the treatment of rheumatoid arthritis.2013

    • Author(s)
      Hishitani Y, Ogata A, Shima Y, Hirano T, Ebina K, Kunugiza Y, Shi K, Narazaki M, Hagihara K, Tomita T, Yoshikawa H, Tanaka T, Kumanogoh A
    • Journal Title

      Scandinavian Journal of Rheumatology

      Volume: 42 Issue: 4 Pages: 253-259

    • DOI

      10.3109/03009742.2012.762037

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Expansion of range of joint motion following treatment of systemic sclerosis with tocilizumab.2013

    • Author(s)
      Shima Y, Hosen N, Hirano T, Arimitsu J, Nishida S, Hagihara K, Narazaki M, Ogata A, Tanaka T, Kishimoto T, Kumanogoh A
    • Journal Title

      Modern Rheumatology

      Volume: In press

    • DOI

      10.1007/s10165-013-0855-6

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Blockade of interleukin-6 receptor alleviates disease in mouse model of scleroderma2012

    • Author(s)
      Kitaba S, Murota H, Terao M, Azukizawa H, Terabe F, Shima Y, Fujimoto M, Tanaka T, Naka T, Kishimoto T, Katayama I
    • Journal Title

      Am J Pathol

      Volume: 180(1) Issue: 1 Pages: 165-176

    • DOI

      10.1016/j.ajpath.2011.09.013

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] ヒト型化抗IL-6受容体抗体(トシリズマブ)の全身性強皮症に対する影響を探索する無作為比較多施設試験2015

    • Author(s)
      嶋 良仁、桑名正隆、川口鎮司
    • Organizer
      第59回日本リウマチ学会学術集会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-04-23 – 2015-04-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] ヒト型化抗IL-6受容体抗体(tocilizumab)の全身性強皮症に対する影響を探索する無作為比較多施設試験2015

    • Author(s)
      嶋 良仁
    • Organizer
      第18回強皮症研究会議
    • Place of Presentation
      東京
    • Year and Date
      2015-01-17
    • Related Report
      2014 Annual Research Report
  • [Presentation] 全身性強皮症患者に対するヒト皮膚用Vesmeterによる評価

    • Author(s)
      嶋 良仁
    • Organizer
      第17回全身性強皮症研究会議
    • Place of Presentation
      大正製薬本社2号館
    • Related Report
      2013 Research-status Report
  • [Book] Systemic Sclerosis: Basic and Translational2015

    • Author(s)
      Takehara K, Kuwana M, Fujimoto M, Ihn H, Yamamoto T, Tuchiya N, Kawaguchi Y, Shima Y, Jinnin M, Motegi S, Matsushita T, Asano Y, Hasegawa M, Hamaguchi Y
    • Publisher
      Springer
    • Related Report
      2014 Annual Research Report
  • [Book] Novel Insights into Systemic Sclerosis ManagementNovel Insights into Systemic Sclerosis Management: Management: Therapeutic potentials of IL-6 inhibition for systemic sclerosis.2013

    • Author(s)
      Shima Y, Kuwana M
    • Total Pages
      10
    • Publisher
      Future Medicine
    • Related Report
      2013 Research-status Report
  • [Book] IL-6 Targeting Strategy for Various Immune-Mediated Diseases other than Rheumatoid Arthritis: An Update Review Chapter 2, "Interleukin-6: Genetics, Clinical Applications and Role in Disease2013

    • Author(s)
      Tanaka T, Ogata A, Shima Y, Narazaki M, Kumanogoh A, Kishimoto T
    • Total Pages
      49
    • Publisher
      Nova Science Publishers Inc.
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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