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Demonstration of global coagulation assays and the suppression mechanism about acquired coagulation disorders

Research Project

Project/Area Number 25461605
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionNara Medical University

Principal Investigator

Matsumoto Tomoko  奈良県立医科大学, 医学部, 助教 (80642678)

Co-Investigator(Kenkyū-buntansha) NOGAMI Keiji  奈良県立医科大学, 医学部, 准教授 (50326328)
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: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords後天性凝固異常症 / 凝固因子 / インヒビター / 凝固機能評価 / 抑制メカニズム / 抗リン脂質抗体 / 活性化プロテインC / von willebrand factor / 活性化プロテインC抵抗性 / 第V因子
Outline of Final Research Achievements

Acquired coagulation factor inhibitors occur rarely, but may develop spontaneously haemorrhage symptoms as autoantibodies in previously normal individuals. However, the suppression mechanism is not clear. In the existence group, the decrease, no group of procoagulant activities elucidated activation protein C-resistant presence in the presence or absence of haemorrhage symptoms in acquired factor V inhibitor. Also, the coagulation function rating system to grasp clinical condition is essential. We established coagulation and fibrinolysis ability evaluation by Thrombin/Plasmin, quickly VWF measurement by the new diagnostic methods. A approach using clot waveform analysis provided useful means of differentiating coagulation defects in inhibitor patients with a prolonged aPTT.

Report

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

    (22 results)

All 2016 2015 2014 2013

All Journal Article (9 results) (of which Peer Reviewed: 6 results,  Open Access: 3 results,  Acknowledgement Compliant: 2 results) Presentation (11 results) (of which Int'l Joint Research: 1 results) Book (1 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] トロンビン生成試験(thrombin generation test)2016

    • Author(s)
      松本 智子、野上 恵嗣
    • Journal Title

      Thrombosis Medicine

      Volume: 6(1) Pages: 55-61

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Novel FV mutation (W1920R, FVNara) associated with serious deep vein thrombosis and more potent APC resistance relative to FVLeiden.2014

    • Author(s)
      Nogami K, Shinozawa K, Ogiwara K, Matsumoto T, Amano K, Fukutake K, Shima M.
    • Journal Title

      Blood

      Volume: 10; 123(15) Issue: 2 Pages: 2420-2428

    • DOI

      10.1007/s12185-014-1720-x

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Tissue factor pathway inhibitor in activated prothrombin complex concentrates (aPCC) moderates the effectiveness of therapy in some severe hemophilia A patients with inhibitor.2014

    • Author(s)
      Ogiwara K, Nogami K, Matsumoto T, Shima M.
    • Journal Title

      International Journal of Hematology

      Volume: 99 Issue: 5 Pages: 577-587

    • DOI

      10.1007/s12185-014-1572-4

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Coagulation function and mechanisms in various clinical phenotypes of patients with acquired factor V inhibitors.2014

    • Author(s)
      Matsumoto T, Nogami K, Shima M.
    • Journal Title

      Journal of Thrombosis and Haemostasis

      Volume: 12 Pages: 1503-1512

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 1.症例から学ぶ止血凝固検査2014

    • Author(s)
      松本 智子、野上 恵嗣
    • Journal Title

      日本検査血液学会雑誌

      Volume: 15(2) Pages: 233-239

    • Related Report
      2014 Research-status Report
  • [Journal Article] Optimal monitoring of bypass therapy in hemophilia A patients with inhibitors by the use of clot waveform analysis.2014

    • Author(s)
      Haku J, Nogami K, Matsumoto T, Ogiwara K, Shima M.
    • Journal Title

      Journal of Thrombosis and Haemostasis

      Volume: 12(3) Pages: 355-362

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Elevated plasma factor VIII enhances venous thrombus formation in rabbits: contribution of factor XI, von Willebrand factor and tissue factor.2013

    • Author(s)
      Sugita C, Yamashita A, Matsuura Y, Iwakiri T, Okuyama N, Matsuda S, Matsumoto T, Inoue O, Harada A, Kitazawa T, Hattori K, Shima M, Asada Y.
    • Journal Title

      Thrombosis and Haemostasis

      Volume: 110 Pages: 62-75

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Simultaneous measurement of thrombin and plasmin generation to assess the interplay between coagulation and fibrinolysis.2013

    • Author(s)
      Matsumoto T, Nogami K, Shima M.
    • Journal Title

      Thrombosis and Haemostasis

      Volume: 110 Pages: 761-768

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 新規凝固機能検査による評価;T-TAS®とトロンビン生成試験(TGT)の基本と臨床2013

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫。
    • Journal Title

      日本検査血液学会雑誌

      Volume: 第14巻 第3号 Pages: 365-372

    • Related Report
      2013 Research-status Report
  • [Presentation] Longitudinal profile of FVIII-specific IgG subclass during immune rolerance induction therapy2015

    • Author(s)
      Matsumoto T, Nogami K, Shima M
    • Organizer
      第77回日本血液学会学術集会
    • Place of Presentation
      石川県、金沢市
    • Year and Date
      2015-10-16
    • Related Report
      2015 Annual Research Report
  • [Presentation] 微量のTFを添加した改変APTTを用いた血友病Aインヒビターのバイパス止血モニタリング法の確立2015

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫
    • Organizer
      第16回 日本検査血液学会学術集会
    • Place of Presentation
      愛知県、名古屋市
    • Year and Date
      2015-07-11
    • Related Report
      2015 Annual Research Report
  • [Presentation] A novel diagnostic system of acquired coagulation factor inhibitors using comprehensive coagulation assays2015

    • Author(s)
      Matsumoto T, Nogami K, Shima M
    • Organizer
      XXV Congress of the International Society on Thrombosis and Haemostasis
    • Place of Presentation
      Canada, Toronto
    • Year and Date
      2015-06-20
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Distinction of APC reactivity for acquired coagulation inhibitor can predict the clinical phenotypes2014

    • Author(s)
      Tomoko M, Keiji N, Midori S
    • Organizer
      第76回 日本血液学会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2014-10-31 – 2014-11-02
    • Related Report
      2014 Research-status Report
  • [Presentation] 血友病Aと抗リン脂質抗体症候群の診断における凝固波形解析の有用性2014

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫
    • Organizer
      第15回 日本検査血液学会学術集会
    • Place of Presentation
      仙台国際センター(仙台市)
    • Year and Date
      2014-07-20 – 2014-07-21
    • Related Report
      2014 Research-status Report
  • [Presentation] 包括的な新規凝固線溶能の評価2014

    • Author(s)
      松本 智子、野上 恵嗣
    • Organizer
      第59回 日本臨床検査医学会近畿支部総会
    • Place of Presentation
      天理医療大学(天理市)
    • Year and Date
      2014-06-21
    • Related Report
      2014 Research-status Report
  • [Presentation] 凝固波形解析を用いた血液凝固過程における各凝固因子の役割2013

    • Author(s)
      松本 智子、野上 恵嗣、宮座 静香、矢田 弘史、荻原 建一、南 博明、古川 晶子、嶋 緑倫。
    • Organizer
      第35回 日本血栓止血学会学術集会
    • Place of Presentation
      山形国際ホテル(山形市)
    • Related Report
      2013 Research-status Report
  • [Presentation] 新規凝固機能検査による評価;T-TASとThrombin generation testの基本と臨床2013

    • Author(s)
      松本 智子、荻原 建一、野上 恵嗣、嶋 緑倫
    • Organizer
      第14回 日本検査血液学会
    • Place of Presentation
      京王プラザホテル(東京)
    • Related Report
      2013 Research-status Report
  • [Presentation] 自動凝固分析装置(CS-2000i)を用いた新規凝固波形解析の有用性2013

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫
    • Organizer
      第14回 日本検査血液学会
    • Place of Presentation
      京王プラザホテル(東京)
    • Related Report
      2013 Research-status Report
  • [Presentation] Usefulness of thrombin generation assay (TGA) for diagnosis of prolonged aPTT with positive LA.2013

    • Author(s)
      Matsumoto T, Nogami K, Shima M.
    • Organizer
      第75回 日本血液学会
    • Place of Presentation
      ロイトン札幌・さっぽろ芸文館・札幌市教育文化会館(札幌市)
    • Related Report
      2013 Research-status Report
  • [Presentation] Thrombin/Plasmin生成同時測定による新規包括的凝固線溶検査2013

    • Author(s)
      松本 智子、野上 恵嗣、嶋 緑倫
    • Organizer
      第60回 日本臨床検査医学会学術集会
    • Place of Presentation
      神戸国際会議場(神戸市)
    • Related Report
      2013 Research-status Report
  • [Book] 臨床に直結する血栓止血学-第VIII因子インヒビター、第IX因子インヒビター2013

    • Author(s)
      松本 智子、 野上 恵嗣
    • Total Pages
      2
    • Publisher
      中外医学社
    • Related Report
      2013 Research-status Report
  • [Patent(Industrial Property Rights)] 血液検体の凝固能の評価方法、並びにその方法に用いるための試薬、試薬キットおよび装置2015

    • Inventor(s)
      嶋緑倫、野上恵嗣、松本智子、北沢剛久、添田哲弘、池田有香
    • Industrial Property Rights Holder
      嶋緑倫、野上恵嗣、松本智子、北沢剛久、添田哲弘、池田有香
    • Industrial Property Rights Type
      特許
    • Filing Date
      2015-04-24
    • Acquisition Date
      2016-03-30
    • Related Report
      2015 Annual Research Report

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

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