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Analysis of clinical-immunological feature of ataxic form of Hashimoto's encephalopathy

Research Project

Project/Area Number 24790877
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Neurology
Research InstitutionUniversity of Fukui

Principal Investigator

MATSUNAGA AKIKO  福井大学, 医学部, 助教 (40401971)

Project Period (FY) 2012-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords橋本脳症 / 小脳失調 / プロテオミクス / パッチクランプ法 / 自己免疫脳症 / 橋本病 / 自己免疫性脳症 / 免疫組織蛍光染色
Research Abstract

We investigated 13 patients with ataxic Hashimoto's encephalopathy (HE). This study revealed that insidious adult-onset and truncal ataxia are common in ataxic HE. The ataxic HE mimics spinocerebellar degeneration (SCD), but nystagmus and cerebellar atrophy are uncommon. All patients had good responsiveness to immunotherapy. The patients with the anti-NAE Abs were showed a tendency better responsiveness to immunotherapy toward than those without the anti-NAE Abs.
We tested the effects of cerebrospinal fluid (CSF) from HE patients on cerebellar synaptic transmission in rat cerebellar slices. The CSF from a HE patient with anti-NAE antibodies induced presynaptic impairment, suggesting impaired release of glutamate. Moreover, we analyzed the effects of sera obtained from two ataxic HE patients with anti-NAE in a human brain microvascular endothelial cell line using 2D-DIGE method. One proteome spot was significantly increased when these sera were applied to the cell line.

Report

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

    (27 results)

All 2014 2013 2012

All Journal Article (12 results) (of which Peer Reviewed: 6 results) Presentation (13 results) Book (2 results)

  • [Journal Article] Pathophysiological Decrease in the Regional Cerebral Blood Flow in Hashimoto’s Encephalopathy: A Multiple-Case SPECT Study.2014

    • Author(s)
      Tomoko Muramatsu, Masamichi Ikawa, Makoto Yoneda, Katsuya Sugimoto, Akiko Matsunaga, Osamu Yamamura., Tadanori Hamano, Hidehiko Okazawa, Yasunari Nakamoto
    • Journal Title

      Eur Neurol

      Volume: 72 Issue: 1-2 Pages: 13-19

    • DOI

      10.1159/000358220

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 橋本脳症~神経難病の鑑別疾患として~2014

    • Author(s)
      松永晶子,米田誠
    • Journal Title

      難病と在宅ケア

      Volume: 19(12) Pages: 40-43

    • Related Report
      2013 Final Research Report
  • [Journal Article] Hashimoto's encephalopathy as a treatable adult-onset cerebellar ataxia mimicking spinocerebellar degeneration2013

    • Author(s)
      Matsunaga A, Ikawa M, Fujii A, Nakamoto Y, Kuriyama M, Yoneda M
    • Journal Title

      Eur. Neurol

      Volume: 69 Issue: 1 Pages: 14-20

    • DOI

      10.1159/000342217

    • Related Report
      2013 Final Research Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Hashimoto's encephalopathy with hippocampus involvement detected on continuous arterial spin labeling2013

    • Author(s)
      Ishitobi M, Yoneda M, Ikawa M, Matsunaga A, Ueno K, Kimura H, Wada Y
    • Journal Title

      Psychiatry Clin Neurosci.

      Volume: 67(2) Pages: 128-9

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Periodic synchronous dischargeを呈しCreutzfeldt-Jakob病との鑑別を要した橋本脳症の1例2013

    • Author(s)
      村松倫子,濱野忠則,白藤法道,松永晶子,井川正道,米田誠
    • Journal Title

      臨床神経学

      Volume: 53(9) Pages: 716-720

    • NAID

      130004505551

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 抗NAE(NH2-terminalof α-enolase)抗体と進行性小脳失調2013

    • Author(s)
      松永晶子,米田誠
    • Journal Title

      神経内科

      Volume: 79(3) Pages: 334-340

    • Related Report
      2013 Final Research Report
  • [Journal Article] 橋本脳症のバイオマーカーと治療2013

    • Author(s)
      岸谷融,松永晶子,米田誠
    • Journal Title

      日本臨床

      Volume: 71(5) Pages: 893-897

    • Related Report
      2013 Final Research Report
  • [Journal Article] 抗NAE(NH2-terminal of α-enolase)抗体と進行性小脳失調(解説/特集)2013

    • Author(s)
      松永晶子,米田誠
    • Journal Title

      神経内科

      Volume: 79 Pages: 334-340

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 橋本脳症のバイオマーカーと治療2013

    • Author(s)
      岸谷融,松永晶子,米田誠
    • Journal Title

      日本臨床

      Volume: 71 Pages: 893-897

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Periodic synchronous dischageを呈しCreutzfeldt-Jakob病との鑑別を要した橋本脳症の1例2013

    • Author(s)
      村松倫子,濱野忠則,白藤法道,松永晶子,井川正道,米田誠
    • Journal Title

      臨床神経学

      Volume: 53 Pages: 716-720

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Hashimoto’s encephalopathy with hippocampus involvement detected on continuous arterial spin labeling2013

    • Author(s)
      Ishitobi M, Yoneda M, Ikawa M, Matsunaga A, Ueno K, Kimura H, Wada Y
    • Journal Title

      Psychiatry Clin Neurosci

      Volume: 67 Issue: 2 Pages: 128-129

    • DOI

      10.1111/pcn.12019

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 橋本脳症 ―神経難病の鑑別疾患としてー2013

    • Author(s)
      松永晶子,米田誠
    • Journal Title

      難病と在宅ケア

      Volume: 未定

    • Related Report
      2012 Research-status Report
  • [Presentation] Clinical and immunological features of Hashimoto's encephalopathy presenting with limbic symptoms2014

    • Author(s)
      Matsunaga A, Kishitani T, Muramatsu T, Kame T, Ikawa M, Yamamura O, Hamano T, Nakamoto Y, Yoneda M
    • Organizer
      第66回アメリカ神経学会
    • Place of Presentation
      (ポスター)
    • Related Report
      2013 Final Research Report
  • [Presentation] Clinical and immunological features of Hashimoto’s encephalopathy presenting with limbic symptoms2014

    • Author(s)
      Akiko Matsunaga, Toru Kishitani, Tomoko Muramatsu, Tomomi Kame, Masamichi Ikawa, Osamu Yamamura, Tadanori Hamano, Yasunari Nakamoto, Makoto Yoneda
    • Organizer
      The 66th Annual Meeting of American Academy of Neurology (AAN)
    • Place of Presentation
      フィラデルフィア(米国)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 抗NAE抗体陽性辺縁系脳炎型橋本脳症の特徴2013

    • Author(s)
      岸谷融,松永晶子,村松倫子,井川正道,山村修,濱野忠則,米田誠
    • Organizer
      日本神経免疫学会総会
    • Related Report
      2013 Final Research Report
  • [Presentation] Hashimoto's encephalopathy associated with anti-NAE autoantibodies -analysis of the factors influencing on the responsiveness to immunotherapy2013

    • Author(s)
      Matsunaga A, Ikawa M, Kishitani T,Muramatsu T, Yoneda M
    • Organizer
      第54回日本神経学会総会
    • Place of Presentation
      (口演)
    • Related Report
      2013 Final Research Report
  • [Presentation] Hashimoto's encephalopathy associated with anti-NAE autoantibodies : analysis of 101 patients2013

    • Author(s)
      Matsunaga A, Kishitani K, Muramatsu T, Kame T, Ikawa M, Nakamoto Y,Yoneda M
    • Organizer
      第65回アメリカ神経学会
    • Place of Presentation
      (口演)
    • Related Report
      2013 Final Research Report
  • [Presentation] Hashimoto's encephalopathy as a treatable adult-onset cerebellar ataxia mimicking spinocerebellar degeneration2013

    • Author(s)
      Kishitani T, Matsunaga A, Muramatsu T,Kame T, Ikawa M, Nakamoto Y, Yoneda M
    • Organizer
      第65回アメリカ神経学会
    • Place of Presentation
      (ポスター)
    • Related Report
      2013 Final Research Report
  • [Presentation] 抗NAE抗体陽性橋本脳症-免疫療法の有効例と難治例との臨床的特徴の比較-2013

    • Author(s)
      松永晶子,井川正道,岸谷融,村松倫子,米田誠
    • Organizer
      日本神経学会総会
    • Place of Presentation
      東京、国際フォーラム
    • Related Report
      2013 Annual Research Report
  • [Presentation] 抗NAE抗体陽性辺縁系脳炎型橋本脳症の臨床的特徴2013

    • Author(s)
      岸谷融,松永晶子,井川正道,山村修,濱野忠則,米田誠
    • Organizer
      日本神経免疫学会学術集会
    • Place of Presentation
      山口、海峡メッセ下関
    • Related Report
      2013 Annual Research Report
  • [Presentation] Hashimoto's encephalopathy as a treatable adult-onset cerebellar ataxia mimicking spinocerebellar degeneration.2013

    • Author(s)
      Kishitani T, Matsunaga A, Muramatsu T, Kame T, Ikawa M, Nakamoto Y, Yoneda M
    • Organizer
      The 65th Annual Meeting of American Academy of Neurology (AAN)
    • Place of Presentation
      サンディエゴ(米国)
    • Related Report
      2012 Research-status Report
  • [Presentation] Hashimoto's encephalopathy associated with anti-NAE autoantibodies: analysis of 101 patients2013

    • Author(s)
      Matsunaga A, Kishitani T, Muramatsu T, Kame T, Ikawa M, Nakamoto Y, Yoneda M
    • Organizer
      The 65th Annual Meeting of American Academy of Neurology (AAN)
    • Place of Presentation
      サンディエゴ(米国)
    • Related Report
      2012 Research-status Report
  • [Presentation] 部分てんかんと健忘を主症状とした辺縁系脳炎型橋本脳症の1例2012

    • Author(s)
      岸谷融,松永晶子,石飛信,浅野みずき,井川正道,山村修,濱野忠則,木村浩彦,和田有司,米田誠
    • Organizer
      日本神経治療学会
    • Place of Presentation
      (口演)
    • Related Report
      2013 Final Research Report
  • [Presentation] 橋本脳症における精神症状の特徴と脳血流SPECT所見の解析2012

    • Author(s)
      岸谷融,松永晶子,村松倫子,井川正道,米田誠
    • Organizer
      第24回日本神経免疫学会学術集会
    • Place of Presentation
      (口演)
    • Related Report
      2013 Final Research Report
  • [Presentation] 抗NAE抗体1100件の解析からみた橋本脳症の臨床免疫学的特徴2012

    • Author(s)
      松永晶子,井川正道,岸谷融,村松倫子,米田誠
    • Organizer
      第53回日本神経学会総会
    • Place of Presentation
      (口演)
    • Related Report
      2013 Final Research Report
  • [Book] 自己免疫性小脳失調、Annual Review神経 2013巻2013

    • Author(s)
      松永晶子,米田誠
    • Total Pages
      278
    • Publisher
      中外医学社
    • Related Report
      2013 Final Research Report
  • [Book] Annual Review 2013 神経2013

    • Author(s)
      松永晶子,米田 誠
    • Total Pages
      278
    • Publisher
      中外医学社
    • Related Report
      2012 Research-status Report

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

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