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Selection of biomarkers for the evaluation of therapeutic efficacy of severe cutaneous adverse drug reactions

Research Project

Project/Area Number 25461676
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Dermatology
Research InstitutionKyorin University

Principal Investigator

KANO Yoko  杏林大学, 医学部, 客員教授 (20142416)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
KeywordsStevens-Johnson症候群 / 中毒性表皮壊死症 / 薬剤性過敏症症候群
Outline of Final Research Achievements

There have been no biomarkers found which can predicting progression to severe cutaneous adverse drug reactions (SCARs). Therefore, there is an urgent need for reliable and standard laboratory tests for identifying patients at higher risk of developing SCARs. A variety of cytokines/chemokines in the serum in patients who presented with clinical symptoms suggestive of SCARs were retrospectively measured using multiplex biometric immunoassay. Our results showed that several biomarkers altered in combinations depending on the clinical type of SCARs such as Stevens-Johnson syndrome and toxic epidermal necrolysis, although each biomarker was not sufficiently sensitive or specific on its own.
The evaluation of these markers in combinations could increase the diagnostic and prognostic utility for the prediction of SCARs. Furthermore, the measurements of these selected markers at the initial stage could contribute to the appropriate selection of treatment modalities for SCARs.

Report

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

    (53 results)

All 2016 2015 2014 2013 Other

All Journal Article (20 results) (of which Peer Reviewed: 10 results,  Open Access: 11 results,  Acknowledgement Compliant: 9 results) Presentation (26 results) (of which Int'l Joint Research: 2 results) Book (6 results) Remarks (1 results)

  • [Journal Article] Synergistic effects of Mycoplasma pneumoniae infection and drug reaction on the development of atypical Stevens-Johnson syndrome in adults2016

    • Author(s)
      Kurata M, Kano Y, Sato Y, Hirahara K, Shiohara T
    • Journal Title

      Acta Dermato-Venereologica

      Volume: 96 Issue: 1 Pages: 111-113

    • DOI

      10.2340/00015555-2180

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Pompholyx as a clinical manifestation suggesting increased serum immunoglobulin G (IgG) levels in a patient with drug-induced hypersensitivity syndrome / drug reaction with eosinophilia and systemic symptoms (DiHS/DRESS)2016

    • Author(s)
      Kurata M, Horie C, Kano Y, Shiohara T
    • Journal Title

      British Journal of Dermatology

      Volume: 174 Issue: 3 Pages: 681-683

    • DOI

      10.1111/bjd.14200

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Severe agranulocytosis in two patients with drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms2016

    • Author(s)
      Kato M, Kano Y, Sato Y, Shiohara T
    • Journal Title

      Acta Dermato-Venereologica

      Volume: 印刷中 Pages: 0-0

    • DOI

      10.2340/00015555-2420

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Efficacy of additional i.v. immunoglobulin to steroid therapy in Stevens-Johnson syndrome and toxic epidermal necrolysis.2015

    • Author(s)
      Aihara M, Kano Y, Fujita H, Kambara T, Matsukura S, Katayama I, Azukizawa H, Miyachi Y, Endo Y, Asada H, Miyagawa F, Morita E, Kaneko S, Abe R, Ochiai T, Sueki H, Watanabe H, Nagao K, Aoyama Y, Sayama K, Hashimoto K, Shiohara T; SJS/TEN Study Group.
    • Journal Title

      J Dermatol

      Volume: 42 Issue: 8 Pages: 768-777

    • DOI

      10.1111/1346-8138.12925

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 皮膚 スティーブンス・ジョンソン症候群を中心に2015

    • Author(s)
      狩野葉子
    • Journal Title

      ファルマシア

      Volume: 51 Pages: 871-873

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Possible involvement of Mycoplasma fermentans in the development of acute genital ulcers (Lipschutz ulcers) in three young females2015

    • Author(s)
      Horie C, Kano Y, Mitomo T, Shiohara T
    • Journal Title

      JAMA Dermatology

      Volume: 151 Issue: 12 Pages: 1388-1389

    • DOI

      10.1001/jamadermatol.2015.2061

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 粘膜症状を強く認めたMycoplasma感染によるStevens-Johnson症候群の2例2015

    • Author(s)
      倉田麻衣子, 平原和久, 五味方樹, 狩野葉子, 塩原哲夫
    • Journal Title

      臨床皮膚科

      Volume: 69 Pages: 777-781

    • Related Report
      2015 Annual Research Report
    • Open Access
  • [Journal Article] 皮膚サルコイドーシスが疑われたchromomycosisの症例2015

    • Author(s)
      川野貴代, 福田知雄, 牛込悠紀子, 狩野葉子
    • Journal Title

      皮膚病診療

      Volume: 37 Pages: 1183-1186

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 造影MRIにて血行不全による足趾の骨髄炎と考えられた1例2015

    • Author(s)
      新田桐子, 狩野葉子, 塩原哲夫
    • Journal Title

      臨床皮膚科

      Volume: 69 Pages: 65-68

    • Related Report
      2014 Research-status Report
    • Open Access
  • [Journal Article] Sequelae in 145 patients with drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms: Survey conducted by the Asian Research Committee on Severe Cutaneous Adverse Reactions (ASCAR)2015

    • Author(s)
      Kano Y, Tohyama M, Aihara M, Matsukura S, Watanabe H, Sueki H, Iijima M, Morita E, Niihara H, Asada H, Kabashima K, Azukizawa H, Hashizume H, Nagao K, Takahashi H, Abe R, Sotozono C, Kurosawa M, Aoyama Y, Chu CY, Chung WH, Shiohara T
    • Journal Title

      Journal of Dermatology

      Volume: 42 Issue: 3 Pages: 276-282

    • DOI

      10.1111/1346-8138.12770

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 薬剤性過敏症症候群(DIHS)の治療と管理2014

    • Author(s)
      狩野葉子
    • Journal Title

      アレルギーの臨床

      Volume: 34 Pages: 92-95

    • Related Report
      2014 Research-status Report
    • Acknowledgement Compliant
  • [Journal Article] 重症薬疹の予後 重症薬疹の診断と治療 アップデート2014

    • Author(s)
      狩野葉子
    • Journal Title

      アレルギー・免疫

      Volume: 21 Pages: 1248-1254

    • Related Report
      2014 Research-status Report
    • Acknowledgement Compliant
  • [Journal Article] Elevated serum thymus and activation-regulated chemokine (TARC/CCL17) relates to reactivation of human herpesvirus 6 in drug reactions with eosinophilia and systemic symptoms (DRESS)/ drug-induced hypersensitivity syndrome (DIHS).2014

    • Author(s)
      Ogawa K, Morito H, Hasegawa A, Miyagawa F, Kobayashi N, Watanabe H, Sueki H, Tohyama M, Hashimoto K, Kano Y, Shiohara T, Ito K, Fujita H, Aihara M, Asada H
    • Journal Title

      Br J Dermatol

      Volume: - Issue: 2 Pages: 425-427

    • DOI

      10.1111/bjd.12948

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Regulatory T cells in severe drug eruptions2014

    • Author(s)
      Shiohara T, Takahashi R, Ushigome Y, Kano Y
    • Journal Title

      Current Immunology Reviews

      Volume: 10 Pages: 41-50

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] The dynamics of herpesvirus reactivations during and after severe drug eruptions: their relation to the clinical phenotype and therapeutic outcome.2014

    • Author(s)
      Ishida T, Kano Y, Mizukawa Y, Shiohara T.
    • Journal Title

      Allergy

      Volume: - Issue: 6 Pages: 798-805

    • DOI

      10.1111/all.12410

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 肺真菌症患者に生じた急性汎発性発疹性膿疱症(AGEP)の1例2014

    • Author(s)
      佐藤洋平, 平原和久, 狩野葉子, 塩原哲夫
    • Journal Title

      臨床皮膚科

      Volume: 68 Pages: 775-780

    • Related Report
      2014 Research-status Report
    • Open Access / Acknowledgement Compliant
  • [Journal Article] 薬剤性過敏症症候群の治療2013

    • Author(s)
      狩野葉子
    • Journal Title

      臨床免疫・アレルギー科

      Volume: 59 Pages: 471-476

    • Related Report
      2013 Research-status Report
  • [Journal Article] 見逃したくない皮膚症状 ~全身疾患を診断するための考え方 薬剤性過敏症症候群2013

    • Author(s)
      狩野葉子
    • Journal Title

      Modern Physician

      Volume: 33 Pages: 995-998

    • Related Report
      2013 Research-status Report
  • [Journal Article] Long-term outcome of patients with severe cutaneous adverse reactions2013

    • Author(s)
      Kano Y, Shiohara T
    • Journal Title

      Dermatologica Sinica

      Volume: 31 Issue: 4 Pages: 211-216

    • DOI

      10.1016/j.dsi.2013.09.004

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 重症薬疹, アレルギー疾患ガイドライン改訂について2013

    • Author(s)
      狩野葉子, 塩原哲夫
    • Journal Title

      アレルギー・免疫

      Volume: 21 Pages: 470-479

    • Related Report
      2013 Research-status Report
  • [Presentation] 薬疹 SJS/TENの臨床と治療2015

    • Author(s)
      狩野葉子
    • Organizer
      第45回日本皮膚アレルギー・接触皮皮膚炎学会総会学術大会
    • Place of Presentation
      島根県民会館(島根県松江市)
    • Year and Date
      2015-11-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] 粘膜疹を伴い単純ヘルペスウイルス(HSV)の再活性化を認めたアロプリノールによる薬剤過敏症症候群(DIHS)の1例2015

    • Author(s)
      倉田麻衣子, 狩野葉子, 塩原哲夫
    • Organizer
      第45回日本皮膚アレルギー・接触皮膚炎学会総会学術大会
    • Place of Presentation
      島根県民会館(島根県松江市)
    • Year and Date
      2015-11-20
    • Related Report
      2015 Annual Research Report
  • [Presentation] Life-threatening drug reactions. Drug-induced hypersensitivity syndrome (DIHS/DRESS)2015

    • Author(s)
      Kano Y
    • Organizer
      The 23rd World Congress of Dermatology
    • Place of Presentation
      Vancouver (Canada)
    • Year and Date
      2015-06-13
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Short- and long-term complications and sequelae in drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms.2015

    • Author(s)
      Kano Y, Ushigome Y, Sato Y, Horie C, Shiohara T
    • Organizer
      International Severe Cutaneous Adverse Drug Reaction. 9th Internationl Congress on Cutaneous Adverse Drug Reactions (iSCAR2015)
    • Place of Presentation
      Vancouver (Canada)
    • Year and Date
      2015-06-08
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 好酸球性多発血管炎性肉芽腫症―教室例の解析2015

    • Author(s)
      倉田麻衣子, 水川良子, 佐藤洋平, 狩野葉子, 塩原哲夫
    • Organizer
      第114回日本皮膚科学会総会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Annual Research Report
  • [Presentation] 薬剤性過敏症症候群(DIHS)の続発症について:予後調査結果を含めて2015

    • Author(s)
      狩野葉子
    • Organizer
      第114回日本皮膚科学会総会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2015-05-30
    • Related Report
      2015 Annual Research Report
  • [Presentation] Mycoplasma が関与したと考えられた急性陰門潰瘍2015

    • Author(s)
      三友貴代, 堀江千穂, 早川順, 水川良子, 狩野葉子, 塩原哲夫
    • Organizer
      第859回東京地方会(城西地区)
    • Place of Presentation
      興和ビル(東京都・中央区)
    • Year and Date
      2015-01-17
    • Related Report
      2014 Research-status Report
  • [Presentation] クリンダマイシンゲル外用後に広範囲に紅斑・膿疱が出現し、経皮感作が示唆された2例2014

    • Author(s)
      新田桐子, 牛込悠紀子, 早川順, 狩野葉子, 塩原哲夫
    • Organizer
      第438回日本皮膚科学会京滋地方会
    • Place of Presentation
      京都タワーホテル(京都市・下京区)
    • Year and Date
      2014-12-20
    • Related Report
      2014 Research-status Report
  • [Presentation] 免疫グロブリン上昇に伴い、汗疱を生じたテグレトールによる薬剤性過敏症症候群2014

    • Author(s)
      倉田麻衣子, 堀江千穂, 早川順, 狩野葉子, 塩原哲夫
    • Organizer
      第44回日本皮膚アレルギー・接触皮膚炎学会総会学術大会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Year and Date
      2014-11-21 – 2014-11-23
    • Related Report
      2014 Research-status Report
  • [Presentation] プレドニゾロン内服自己中断後に増悪したStevens-Johnson症候群(SJS)の1例2014

    • Author(s)
      佐藤洋平, 三友貴代, 狩野葉子, 塩原哲夫
    • Organizer
      第44回日本皮膚アレルギー・接触皮膚炎学会総会学術大会
    • Place of Presentation
      仙台国際センター(宮城県・仙台市)
    • Year and Date
      2014-11-21 – 2014-11-23
    • Related Report
      2014 Research-status Report
  • [Presentation] サイトメガロウイルス感染症を合併した水疱性類天疱瘡―教室例の検討2014

    • Author(s)
      成田陽子, 堀江千穂, 平原和久, 狩野葉子, 塩原哲夫
    • Organizer
      第854回東京地方会(城西地区)
    • Place of Presentation
      興和ビル(東京都・中央区)
    • Year and Date
      2014-06-21
    • Related Report
      2014 Research-status Report
  • [Presentation] Sequential herpesvirus reactivations similar to graft-versus-host disease (GVHD) in a patient with drug-induced hypersensitivity syndrome / drug reaction with eosinophilia and systemic symptoms (DIHS/DRESS)2014

    • Author(s)
      Kurata M, Sato Y, Hirahara K, Kano Y, Shiohara T
    • Organizer
      German-Japan-Society for Dermatology Post Congress Meeting
    • Place of Presentation
      Munich (Germany)
    • Year and Date
      2014-06-14 – 2014-06-16
    • Related Report
      2014 Research-status Report
  • [Presentation] Mycoplasma pneumoniae infection for the development of Stevens-Johnson syndrome2014

    • Author(s)
      Kano Y, Kurata M, Sato Y, Shiohara T
    • Organizer
      German-Japan-Society for Dermatology Post Congress Meeting
    • Place of Presentation
      Munich (Germany)
    • Year and Date
      2014-06-14 – 2014-06-16
    • Related Report
      2014 Research-status Report
  • [Presentation] 人工透析患者に生じた多発性固定薬疹の1例2014

    • Author(s)
      佐藤洋平, 堀江千穂, 平原和久, 水川良子, 狩野葉子, 塩原哲夫
    • Organizer
      第113回日本皮膚科学会総会
    • Place of Presentation
      国立京都国際会館(京都市・左京区)
    • Year and Date
      2014-05-30 – 2014-06-01
    • Related Report
      2014 Research-status Report
  • [Presentation] Immune reconstitution inflammatory syndrome observed in the setting of drug-induced hypersensitivity shndrome/ drug reaction with eosinophilia and systemic symptoms2014

    • Author(s)
      Kano Y, Ushigome U, Horie C, Mizukawa Y, Shiohara T
    • Organizer
      6th Drug Hypersensitivity Meeting 2014
    • Place of Presentation
      Bern (Switzerland)
    • Year and Date
      2014-04-12
    • Related Report
      2014 Research-status Report
  • [Presentation] Epidemiological and clinical characteristics of Stevens-Johnson syndrome and toxic epidermal necrolysis in Japan2013

    • Author(s)
      Kurosawa M, Kano Y, Shiohara T, Yokoyama K
    • Organizer
      8th International congress on cutaneous adverse drug reactions
    • Place of Presentation
      Taipei
    • Related Report
      2013 Research-status Report
  • [Presentation] 肺アスペルギルス症患者に生じた急性汎発性発疹性膿疱症(AGEP)

    • Author(s)
      佐藤洋平, 平原和久, 狩野葉子
    • Organizer
      日本皮膚科学会 第848回東京地方会(城西地区)
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] SJS/TENの治療経過中のサイトメガロウイルスの検討

    • Author(s)
      平原和久, 佐藤洋平, 堀江千穂, 五味方樹, 狩野葉子, 塩原哲夫
    • Organizer
      第112回日本皮膚科学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Research-status Report
  • [Presentation] 皮膚科医が造影MRIにより診断し得た骨髄炎

    • Author(s)
      新田桐子, 狩野葉子, 塩原哲夫
    • Organizer
      日本皮膚科学会 第849回東京地方会(合同臨床地方会)
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] DIHS/DRESS presenting a variety of symptoms caused by cytomegalovirus reactivation

    • Author(s)
      Horie C, Hirahara K, Kano Y, Shiohara T
    • Organizer
      Pre-meeting 8th international congress on cutaneous adverse drug reactions meeting
    • Place of Presentation
      Taipei
    • Related Report
      2013 Research-status Report
  • [Presentation] Therapeutic guidance of SCAR (SJS/TEN, DRESS/DIHS) from Japan

    • Author(s)
      Kano Y, Shiohara T
    • Organizer
      Pre-meeting 8th international congress on cutaneous adverse drug reactions meeting
    • Place of Presentation
      Taipei
    • Related Report
      2013 Research-status Report
  • [Presentation] Long-term outcome of patients with DIHS/DRESS in a single insititution

    • Author(s)
      Kano Y
    • Organizer
      8th International congress on cutaneous adverse drug reactions
    • Place of Presentation
      Taipei
    • Related Report
      2013 Research-status Report
  • [Presentation] 移植片対宿主病(GVHD)と同様の病態を考えた薬剤性過敏症症候群(DIHS)の1例

    • Author(s)
      堀江千穂, 平原和久, 狩野葉子, 塩原哲夫
    • Organizer
      第43回日本皮膚アレルギー・接触皮膚炎学会
    • Place of Presentation
      金沢市
    • Related Report
      2013 Research-status Report
  • [Presentation] 重症薬疹(DIHS/SJS/TEN)における治療経過中のサイトメガロウイルスの検討

    • Author(s)
      平原和久, 佐藤洋平, 倉田麻衣子, 堀江千穂, 五味方樹, 狩野葉子, 塩原哲夫
    • Organizer
      第43回日本皮膚アレルギー・接触皮膚炎学会
    • Place of Presentation
      金沢市
    • Related Report
      2013 Research-status Report
  • [Presentation] ラモトリギンによる薬疹―教室例の解析

    • Author(s)
      倉田麻衣子, 平原和久, 佐藤洋平, 堀江千穂, 狩野葉子, 塩原哲夫
    • Organizer
      第43回日本皮膚アレルギー・接触皮膚炎学会
    • Place of Presentation
      金沢市
    • Related Report
      2013 Research-status Report
  • [Presentation] 薬剤性過敏症症候群(DIHS)回復後に無痛性甲状腺炎を続発した1例

    • Author(s)
      佐藤洋平, 平原和久, 狩野葉子, 塩原哲夫
    • Organizer
      日本皮膚科学会 第852回東京地方会(城西地区)
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Book] 皮膚疾患最新の治療 2015-20162014

    • Author(s)
      狩野葉子
    • Total Pages
      1
    • Publisher
      南江堂
    • Related Report
      2014 Research-status Report
  • [Book] 日本皮膚科学会認定皮膚科専門医研修講習会テキスト 分子標的薬と皮膚障害2014

    • Author(s)
      狩野葉子
    • Total Pages
      5
    • Publisher
      日本皮膚科学会刊
    • Related Report
      2014 Research-status Report
  • [Book] 日本皮膚科学会認定皮膚科専門医研修講習会テキスト 重症薬疹の現状2014

    • Author(s)
      狩野葉子
    • Total Pages
      6
    • Publisher
      日本皮膚科学会刊
    • Related Report
      2014 Research-status Report
  • [Book] Human herpesviruses HHV-6A, HHV-6B, and HHV-7, Diagnosis and clinical management2014

    • Author(s)
      Descamps V, Tohyama M, Kano Y, Shiohara T
    • Total Pages
      21
    • Publisher
      Elsevier
    • Related Report
      2013 Research-status Report
  • [Book] 医師・薬剤師のための医薬品副作用ハンドブック2013

    • Author(s)
      狩野葉子
    • Total Pages
      7
    • Publisher
      日本臨床社
    • Related Report
      2013 Research-status Report
  • [Book] 皮膚科臨床アセット20 日常診療において忘れてはならない皮膚科症候群2013

    • Author(s)
      狩野葉子
    • Total Pages
      4
    • Publisher
      中山書店
    • Related Report
      2013 Research-status Report
  • [Remarks] 重症多形滲出性紅斑に関する調査研究

    • URL

      http://takeikouhan.jp/index.html

    • Related Report
      2013 Research-status Report

URL: 

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

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