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Investigation and clinical application of early critical factors in determining long-term prognosis (fibrosis) of kidney graft after transplantation

Research Project

Project/Area Number 24592452
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Urology
Research InstitutionSt. Marianna University School of Medicine

Principal Investigator

CHIKARAISHI Tatsuya  聖マリアンナ医科大学, 医学部, 教授 (80261303)

Co-Investigator(Renkei-kenkyūsha) SASAKI Hideo  聖マリアンナ医科大学, 医学部, 講師 (30386990)
NOZAWA Shiari  聖マリアンナ医科大学, 医学部, 講師 (40167573)
YOSHIIKE Miki  聖マリアンナ医科大学, 医学部, 研究技術員 (60398964)
Project Period (FY) 2012-04-01 – 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 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords腎移植 / マトリックスメタロプロテアーゼ (MMP)-9 / 尿細管上皮 / 腎線維化 / 上皮‐間葉移行 (EMT) / MMP / EMT
Outline of Final Research Achievements

Matrix metalloproteinase (MMP)-9 immunoexpression in proximal tubule epithelium (PTE) of human renal allografts was increased in biopsies when the PTE was damaged. This expression was consistently observed in vacuolized PTE, which implies the MMP-9 expression as a sensitive marker of acute calcineurin inhibitor toxicity. The levels of serum MMPs fluctuated with the allografts condition, and urine MMP-9 had a tendency to increase with inflammation. In mouse models induced renal damage, both increasing and decreasing MMP-9 expression were concurrently observed in renal tubules. Immunostaining using anti-MMP-9 antibodies with different epitopes showed that the latent pro-MMP-9 participated in the reversible pathogenesis of acute tubular injury; however, the active MMP-9 involved in the persistent irreversible expression in acute rejection that often causes interstitial fibrosis, suggesting the association of MMP-9 in inflammatory cell infiltration into PTE and in progression of fibrosis.

Report

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

    (3 results)

All 2013 Other

All Presentation (3 results)

  • [Presentation] Increase matrix metalloproteinase-9 immunoexpression in proximal tubular epithelium as an early sensitive marker for subclinical calcineurin inhibitor nephrotoxicity2013

    • Author(s)
      Kazuki Kitajima, Shiari Nozawa, Miki Yoshiike, Hideo Sasaki, Ryuto Nakazawa, Masayuki Takagi, Tatsuya Chikaraishi
    • Organizer
      American Urological Association 2013 anual meeting
    • Place of Presentation
      San Diego, USA
    • Related Report
      2013 Research-status Report
  • [Presentation] 移植腎尿細管上皮細胞におけるMMP-9の免疫組織学的検討ーCNI腎障害ー

    • Author(s)
      北島和樹、小池淳樹、野澤資亜利、吉池美紀、中澤龍斗、佐々木秀郎、力石辰也
    • Organizer
      第24回日本移植学会総会
    • Place of Presentation
      愛知県産業労働センター(愛知県)
    • Related Report
      2012 Research-status Report
  • [Presentation] 腎移植患者における血清中MMPとTIMPの変動の検討

    • Author(s)
      中澤龍斗、吉池美紀、野澤資亜利、北島和樹、佐々木秀郎、宮野佐哲、佐藤雄一、力石辰也、柴垣有吾、木村健二郎
    • Organizer
      第46回日本臨床腎移植学会
    • Place of Presentation
      東京ベイ舞浜ホテル(千葉県)
    • Related Report
      2012 Research-status Report

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

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