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Investigation of pediatric mucosal immune system and pathogenesis of pediatric onset gastrointestinal diseases.

Research Project

Project/Area Number 24591585
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionJuntendo University

Principal Investigator

OHTSUKA Yoshikazu  順天堂大学, 医学部, 客員准教授 (90338335)

Co-Investigator(Kenkyū-buntansha) SHIMIZU Toshiaki  順天堂大学, 医学部, 教授 (30260889)
SUZUKI Ryuyo  順天堂大学, 医学部, 准教授 (70420859)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords食物アレルギー / 新生児・乳児消化管アレルギー / 炎症性腸疾患 / クローン病 / 潰瘍性大腸炎 / リンパ濾胞 / CXCL13 / 粘膜免疫 / 経口免疫寛容 / 消化管アレルギー / リンパ濾胞増殖症 / 好酸球性胃腸症 / 炎症性シグナル分子 / CXCR-3関連分子 / CCL11 / CXCL9
Outline of Final Research Achievements

To investigate the pathogenesis of pediatric onset gastrointestinal diseases, such as food protein-induced proctocolitis (FPIP), neonatal transient eosinophilic colitis (NTEC), Crohn’s disease (CD), and ulcerative colitis (UC), we examined the mucosal expression of inflammatory signals using microarray, RT-PCR, and immunohistochemical analysis. Enhanced expression of IL-6, CCL11, and CXCL13 was confirmed in both NTEC and FPIP. Mucosal infiltration of CD3- and IgA- but not IgE-positive cells was confirmed in both. Studies with CD and UC revealed that the expression of CXCL9, 10, 11 and MMP-1, -3, -7, -10 was significantly enhanced in active phase of pediatric CD and UC, respectively. Meanwhile, enhanced expression of CXCL13 was confirmed among these diseases suggested that IgA synthesis targeting multiple antigens is an important task for the mucosal immune systems during infancy since CXCL13 is a chemokine related to lymphoid follicle formation leading to IgA synthesis.

Report

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

    (18 results)

All 2014 2013 2012

All Journal Article (7 results) (of which Peer Reviewed: 6 results,  Open Access: 1 results) Presentation (10 results) (of which Invited: 3 results) Book (1 results)

  • [Journal Article] Outcome of infants presenting rectal bleeding: A retrospective study in a single institution.2014

    • Author(s)
      Mori M, Ohtsuka Y, Ishida A, Yamazaki S, Jimbo K, Inage E, Aoyagi Y, Kudo T, Suzuki R, Shimizu T.
    • Journal Title

      Pediatr Int.

      Volume: 56 Issue: 6 Pages: 884-890

    • DOI

      10.1111/ped.12366

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increased expression of CXCR3 axis components and matrix metalloproteinase in pediatric inflammatory bowel disease patients.2014

    • Author(s)
      Jimbo K, Ohtsuka Y, Kojima Y, Hosoi K, Ohbayashi N, Ikuse T, Aoyagi Y, Fujii T, Kudo T, Shimizu T.
    • Journal Title

      Pediatr Int.

      Volume: 56 Issue: 6 Pages: 873-883

    • DOI

      10.1111/ped.12362

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Analysis of inflammatory signals in Japanese children with Crohn's disease2013

    • Author(s)
      Fujitake Y, Ohtsuka Y, Ikuse T, Ohtani K, Aoyagi Y, Fujii T, Kudo T, Ishii M, Shimizu T.
    • Journal Title

      Pediatr Int

      Volume: 55 Issue: 6 Pages: 753-756

    • DOI

      10.1111/ped.12159

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Antigen-specific T-cell responses in patients with non-IgE-mediated gastrointestinal food allergy are predominantly skewed to T(H)2.2012

    • Author(s)
      Morita H, Nomura I, Orihara K, Yoshida K, Akasawa A, Tachimoto H, Ohtsuka Y, Namai Y, Futamura M, Shoda T, Matsuda A, Kamemura N, Kido H, Takahashi T, Ohya Y, Saito H, Matsumoto K.
    • Journal Title

      J Allergy Clin Immunol.

      Volume: 131 Issue: 2 Pages: 590-2

    • DOI

      10.1016/j.jaci.2012.09.005

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Microarray analysis of mucosal biopsies in neonates with rectal bleeding : Is it really an allergic disease?2012

    • Author(s)
      Ohtsuka Y, Jimbo K, Inage E, et al
    • Journal Title

      J Allergy Clin Immunol

      Volume: 129([Epub ahead of print]Feb 11) Issue: 6 Pages: 1676-1678

    • DOI

      10.1016/j.jaci.2012.01.042

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Microarray analysis of gastric mucosa among children with Helicobacter pylori infections.2012

    • Author(s)
      Ikuse T, Ohtsuka Y, Kudo T, Hosoi K, Obayashi N, Jimbo K, Aoyagi Y, Fujii T, Nagata S, Shimizu T.
    • Journal Title

      Pediatr Int

      Volume: 54 Issue: 3 Pages: 319-324

    • DOI

      10.1111/j.1442-200x.2012.03573.x

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] アレルギーに関する画像とその解説 食物アレルギーにみられる消化器症状、画像診断、内視鏡・病理所見.2012

    • Author(s)
      大塚宜一
    • Journal Title

      アレルギー・免疫

      Volume: 19 Pages: 460-464

    • Related Report
      2012 Research-status Report
  • [Presentation] 消化管から見た食物アレルギーについて2014

    • Author(s)
      大塚宜一
    • Organizer
      2014年度港区小児科医会
    • Place of Presentation
      芝パークホテル, 東京
    • Year and Date
      2014-08-07
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 小児期および成人期のHelicobacter pylori感染胃粘膜における免疫・癌関連分子の検討.2014

    • Author(s)
      大林奈穂,幾瀬圭,神保圭佑,藤井徹,工藤孝広,大塚宜一,清水俊明,浅岡大介,北條麻理子,永原章仁,渡辺純夫.
    • Organizer
      第20回日本ヘリコバクター学会
    • Place of Presentation
      サピアタワー, 東京.
    • Year and Date
      2014-06-28
    • Related Report
      2014 Annual Research Report
  • [Presentation] 消化管アレルギーと好酸球性胃腸炎2014

    • Author(s)
      大塚宜一
    • Organizer
      東京小児アレルギーフォーラム2014
    • Place of Presentation
      東京大学医学部附属病院 入院棟A 大会議室, 東京
    • Year and Date
      2014-06-21
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 新生児下部消化管出血の検討 FPIPとNTECの比較.2014

    • Author(s)
      森真理,大塚宜一,石田明日香,山崎晋,稲毛英介,馬場洋介,神保圭祐,青 陽,工藤孝広,清水俊明.
    • Organizer
      第26回日本アレルギー学会春季臨床大会
    • Place of Presentation
      国立京都国際会館, 京都.
    • Year and Date
      2014-05-09
    • Related Report
      2014 Annual Research Report
  • [Presentation] 小児期および成人期のHelicobacter Pylori感染胃粘膜における免疫・癌関連分子の検討.2014

    • Author(s)
      大林奈穂,幾瀬圭,神保圭佑,青柳陽,藤井徹,工藤孝広,大塚宜一,清水俊明.
    • Organizer
      第117回日本小児科学会学術集会総会
    • Place of Presentation
      名古屋国際会議場, 名古屋.
    • Year and Date
      2014-04-12
    • Related Report
      2014 Annual Research Report
  • [Presentation] 新生児一過性好酸球性腸炎と好酸球性食道炎の粘膜におけるEotaxinの検討2013

    • Author(s)
      神保圭佑, 細井賢二 大林奈穂 稲毛英介 森真理 山川陽子 青柳陽 藤井徹 大塚宜一 工藤孝広 清水俊明
    • Organizer
      日本小児アレルギー学会
    • Place of Presentation
      横浜
    • Related Report
      2013 Research-status Report
  • [Presentation] Increased expression of CXCR3 axis components and MMP families in pediatric patients with inflammatory bowel disease.2013

    • Author(s)
      Ohtsuka Y, Jimbo K, Aoyagi Y, Fujii T, Kudo T, Shimizu T.
    • Organizer
      Pediatric Academic Societies, Annual Meeting
    • Place of Presentation
      Washington D.C.,USA
    • Related Report
      2013 Research-status Report
  • [Presentation] A sudy of CXCR3 axis components and MMPs in pediatric inflammatry bowel disease in Japan.2013

    • Author(s)
      Jimbo K, Ohtsuka Y, Aoyagi Y, Fujii T, Kudo T, Shimizu T.
    • Organizer
      The 1st Annual Meeting of Asian Organization for Crohn's & Colitis
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2013 Research-status Report
  • [Presentation] 新生児乳児消化管アレルギー その粘膜病変について2012

    • Author(s)
      大塚宜一
    • Organizer
      第49回 日本小児アレルギー学会
    • Place of Presentation
      大阪
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 消化管アレルギーから見た小児の粘膜免疫2012

    • Author(s)
      大塚宜一
    • Organizer
      第39回 日本小児栄養消化器肝臓学会
    • Place of Presentation
      大阪
    • Related Report
      2012 Research-status Report
  • [Book] 小児・思春期のIBD診療マニュアル2013

    • Author(s)
      友政剛, 牛島高介, 大塚宜一, 内田恵一
    • Total Pages
      205
    • Publisher
      診断と治療社
    • Related Report
      2012 Research-status Report

URL: 

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

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