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Propranolol therapy for intractable hemangioma and lymphangioma

Research Project

Project/Area Number 25461587
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

OZEKI MICHIO  岐阜大学, 医学部附属病院, 助教 (60444303)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords小児腫瘍学 / 血管腫 / リンパ管腫 / 薬物療法 / 乳児血管腫 / プロプラノロール / VEGF / リンパ管疾患 / 血管奇形 / 新規治療
Outline of Final Research Achievements

Propranolol has recently been shown to be highly effective for infantile hemangiomas (IHs). However, the therapeutic mechanism of action of propranolol and the usefulness of measurement of vascular endothelial growth factor (VEGF) remains poorly understood. This study aimed to determine the efficacy of propranolol treatment on various features and to evaluate changes in plasma VEGF levels in patients with IH who underwent propranolol treatment.The study group consisted of 35 children with IH. Oral propranolol was administered at a dose of 2.0 mg/kg/day and was divided in three doses. Plasma VEGF concentrations were analyzed by enzyme-linked immunoabsorbent assay, and the values between the groups were compared. VEGF concentrations 4 weeks after treatment were significantly lower than those before treatment (p < 0.01). We conclude that measurement of VEGF may be a useful tool for predicting the course of hemangioma and monitoring the effectiveness of treatment.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (27 results)

All 2016 2015 2014 2013 Other

All Journal Article (10 results) (of which Peer Reviewed: 7 results,  Acknowledgement Compliant: 7 results,  Open Access: 1 results) Presentation (16 results) (of which Invited: 1 results) Remarks (1 results)

  • [Journal Article] Everolimus for primary intestinal lymphangiectasia with protein-losing enteropathy.2016

    • Author(s)
      Ozeki M, Hori T, Kanda K, Kawamoto N, Ibuka T, Miyazaki T, Fukao T.
    • Journal Title

      Pediatrics

      Volume: 137 Issue: 3 Pages: 1-5

    • DOI

      10.1542/peds.2015-2562

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Successful Everolimus Treatment of Kaposiform Hemangioendothelioma with Kasabach&#8211;Merritt Phenomenon: Clinical Efficacy and Adverse Effects of mTOR Inhibitor Therapy.2016

    • Author(s)
      Matsumoto H, Ozeki M, Hori T, Kanda K, Kawamoto N, Nagano A, Azuma E, Miyazaki T, Fukao T.
    • Journal Title

      J Pediatr Hemato Oncol

      Volume: Feb Pages: 22-22

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Propranolol treatment for infantile hemangioma: Effectiveness and effect on plasma vascular endothelial growth factor.2016

    • Author(s)
      Ozeki M, Nozawa A, Hori T, Kanda K, Kimura T, Kawamoto N, Fukao T
    • Journal Title

      Pediatric International

      Volume: Mar Issue: 11 Pages: 15-15

    • DOI

      10.1111/ped.12981

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Clinical Features and Prognosis of Generalized Lymphatic Anomaly, Kaposiform Lymphangiomatosis and Gorham&#8211;Stout Disease.2016

    • Author(s)
      Ozeki M, Fujino A, Matsuoka K, Nosaka S, Kuroda T, Fukao T.
    • Journal Title

      Pediatr Blood Cancer.

      Volume: 63 Issue: 5 Pages: 832-8

    • DOI

      10.1002/pbc.25914

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Gorham-Stout Disease of the Skull Base with Hearing Loss: Dramatic Recovery and Anti-Angiogenic Therapy. Pediatr Blood Cancer.2015

    • Author(s)
      Nozawa A, Ozeki M, Kuze B, Asano T, Matsuoka K, Fukao T.
    • Journal Title

      Pediatr Blood Cancer.

      Volume: 63 Issue: 5 Pages: 931-4

    • DOI

      10.1002/pbc.25886

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] リンパ管腫症・ゴーハム病.2015

    • Author(s)
      小関道夫,藤野明浩,松岡健太郎,野坂俊介,深尾敏幸
    • Journal Title

      日本臨床

      Volume: 73 Pages: 1777-88

    • NAID

      40020598227

    • Related Report
      2015 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] リンパ管腫症・ゴーハム病の診断と治療.2015

    • Author(s)
      小関道夫, 藤野明浩, 黒田達夫, 濱田健一郎, 中村直子, 高橋正貴, 松岡健太郎, 野坂俊介, 深尾敏幸.
    • Journal Title

      臨床整形外科

      Volume: 6 Pages: 531-9

    • NAID

      40020488113

    • Related Report
      2015 Annual Research Report
    • Acknowledgement Compliant
  • [Journal Article] Facial palsy as an unusual presenting symptom associated with acute myeloid leukemia.2014

    • Author(s)
      Kubota K, Ozeki M, Hori T, Kanda K, Funato M, Asano T, Fukao T, Kondo N.
    • Journal Title

      Pediatr Int.

      Volume: 56 Issue: 4 Pages: 37-40

    • DOI

      10.1111/ped.12384

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] リンパ管腫2014

    • Author(s)
      藤野明浩, 上野滋, 岩中督, 木下義晶, 小関道夫, 森川康英, 黒田達夫
    • Journal Title

      小児外科

      Volume: 46 Pages: 1181-1186

    • Related Report
      2014 Research-status Report
  • [Journal Article] Propranolol as an alternative treatment option for pediatric lymphatic malformation.2013

    • Author(s)
      Ozeki M, Kanda K, Kawamoto N, Ohnishi H, Fujino A, Hirayama M, Kato Z, Azuma E, Fukao T, Kondo N
    • Journal Title

      Tohoku J Exp Med

      Volume: 229 Pages: 61-66

    • NAID

      10031143088

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] Clinical efficacy of mammalian target of rapamycin inhibitor for kaposiform hemangioendothelioma with Kasabach-Merritt phenomenon.2015

    • Author(s)
      Ozeki M, Nozawa A, Hori T, Kanda K, Kawamoto N, Fukao T.
    • Organizer
      第57回小児血液がん学会
    • Place of Presentation
      甲府
    • Year and Date
      2015-11-27
    • Related Report
      2015 Annual Research Report
  • [Presentation] リンパ管腫(リンパ管奇形)とリンパ管腫症に対する新しい薬物療法(シンポジウム)2015

    • Author(s)
      小関道夫、野澤明史、神田香織、堀友博、川本典生、前川貴伸、藤野明浩、深尾敏幸
    • Organizer
      、第31回日本小児外科学会秋季シンポジウム
    • Place of Presentation
      熊本
    • Year and Date
      2015-10-31
    • Related Report
      2015 Annual Research Report
  • [Presentation] KMPを伴う血管性腫瘍に対するmTOR inhibitor療法の有効性と安全性2015

    • Author(s)
      小関道夫、神田香織、堀友博、川本典生、深尾敏幸
    • Organizer
      第12回日本血管腫血管奇形学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-17
    • Related Report
      2015 Annual Research Report
  • [Presentation] リンパ管腫症に対するエベロリムス療法2015

    • Author(s)
      小関道夫、神田香織、堀友博、川本典生、深尾敏幸
    • Organizer
      第118回日本小児科学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-18
    • Related Report
      2015 Annual Research Report
  • [Presentation] Nationwide Study of Lymphangiomatosis and Gorham-Stout disease in Japan.2014

    • Author(s)
      Michio Ozeki, Tomohiro Hori, Kaori Kanda, Eiko Matsui, Toshiyuki Fukao, Naomi Kondo, Kentaro Matsuoka, Shunsuke Nosaka, Akihiro Fujino, Tatsuo Kuroda,
    • Organizer
      第56回日本小児血液がん学会
    • Place of Presentation
      岡山
    • Year and Date
      2014-11-30
    • Related Report
      2014 Research-status Report
  • [Presentation] ンパ管腫症・ゴーハム病症例の全国調査報告2014

    • Author(s)
      小関道夫、堀友博、神田香織、加藤善一郎、深尾敏幸、松岡健太郎、野坂俊介、藤野明浩、黒田達夫
    • Organizer
      血管腫血管奇形研究会
    • Place of Presentation
      松本
    • Year and Date
      2014-07-20
    • Related Report
      2014 Research-status Report
  • [Presentation] リンパ管腫症・ゴーハム病症例の全国調査報告2014

    • Author(s)
      小関道夫、堀友博、神田香織、加藤善一郎、深尾敏幸、松岡健太郎、野坂俊介、藤野明浩、黒田達夫
    • Organizer
      第51回日本整形外科骨軟部腫瘍学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2014-07-18
    • Related Report
      2014 Research-status Report
  • [Presentation] 当科における乳児血管腫 に対するプロプラノロール療法の臨床的検討2014

    • Author(s)
      小関道夫、堀友博、神田香織、川本典生、加藤善一郎、深尾敏幸
    • Organizer
      第114回日本皮膚科学会
    • Place of Presentation
      京都
    • Year and Date
      2014-05-29
    • Related Report
      2014 Research-status Report
  • [Presentation] リンパ管腫症・ゴーハム病症例の全国調査報告2014

    • Author(s)
      小関道夫、堀友博、神田香織、加藤善一郎、深尾敏幸、松岡健太郎、野坂俊介、藤野明浩、黒田達夫
    • Organizer
      第51回日本小児外科学会学術集会
    • Place of Presentation
      大阪
    • Year and Date
      2014-05-10
    • Related Report
      2014 Research-status Report
  • [Presentation] リンパ管腫症・ゴーハム病症例の全国調査報告2014

    • Author(s)
      小関道夫、堀友博、神田香織、加藤善一郎、深尾敏幸、松岡健太郎、野坂俊介、藤野明浩、黒田達夫
    • Organizer
      第117回日本小児科学会学術集会
    • Place of Presentation
      愛知
    • Year and Date
      2014-04-13
    • Related Report
      2014 Research-status Report
  • [Presentation] Nationwide Study of Lymphangiomatosis and Gorham-Stout disease in Japan.2014

    • Author(s)
      Michio Ozeki, Tomohiro Hori, Kaori Kanda, Eiko Matsui, Toshiyuki Fukao, Naomi Kondo, Kentaro Matsuoka, Shunsuke Nosaka, Akihiro Fujino, Tatsuo Kuroda,
    • Organizer
      The 20th International Workshop of the International Society for the Study of Vascular Anomalies
    • Place of Presentation
      オーストラリア、メルボルン
    • Year and Date
      2014-04-02
    • Related Report
      2014 Research-status Report
  • [Presentation] Nationwide Study of Lymphangiomatosis and Gorham-Stout disease in Japan.2014

    • Author(s)
      Ozeki M, Hori T, Kanda K, Matsui E, Fukao T, Kondo N, Matsuoka K, Nosaka S, Fujino A, Kuroda T
    • Organizer
      The 20th International Workshop of the International Society for the Study of Vascular Anomalies
    • Place of Presentation
      メルボルン、オーストラリア
    • Related Report
      2013 Research-status Report
  • [Presentation] Propranolol for intractable lymphatic malformation (lymphangioma): a report of 4 cases.2013

    • Author(s)
      Fujino A, Ozeki M, Kanamori Y, Tanka H, Watanabe T, Takeda N, Yamada W, Takahashi M, Yamada K, Ishihama H
    • Organizer
      ISSVA 2012(International Society of Studying Vascular Anomaly, 国際血管奇形研究学会)
    • Place of Presentation
      マルメ、スウェーデン
    • Related Report
      2013 Research-status Report
  • [Presentation] 乳児血管腫に対するプロプラノロール療法とその応用

    • Author(s)
      小関道夫
    • Organizer
      中部形成外科学会(特別講演)
    • Place of Presentation
      岐阜
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 当科で経験したLymphangiomatosis/ Gorham-Stout diseaseの3例

    • Author(s)
      小関道夫、堀友博、神田香織、川本典生、森本将敬、折居建治、寺本貴英、松井永子、加藤善一郎、深尾敏幸
    • Organizer
      血管腫・血管奇形研究会
    • Place of Presentation
      岩手
    • Related Report
      2013 Research-status Report
  • [Presentation] 当科で経験したLymphangiomatosis/ Gorham-Stout diseaseの3例

    • Author(s)
      小関道夫、堀友博、神田香織、川本典生、加藤善一郎、深尾敏幸
    • Organizer
      日本小児血液がん学会
    • Place of Presentation
      福岡
    • Related Report
      2013 Research-status Report
  • [Remarks] 「リンパ管疾患情報ステーション」

    • URL

      http://lymphangioma.net

    • Related Report
      2013 Research-status Report

URL: 

Published: 2014-07-25   Modified: 2019-07-29  

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