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Cardiac complication of myositis associated with anti-mitochondrial antibodies

Research Project

Project/Area Number 25860731
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Neurology
Research InstitutionOkinaka Memorial Institute for Medical Research

Principal Investigator

MAEDA MEIKO  公益財団法人冲中記念成人病研究所, その他部局等, 研究員 (20646799)

Research Collaborator Shimizu Jun  東京大学, 附属病院神経内科, 准教授
Uesaka Yoshikazu  国家公務員共済組合連合会, 虎の門病院神経内科, 部長
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywords筋炎 / 自己抗体 / 心臓合併症 / 呼吸筋合併症 / 抗ミトコンドリア抗体 / 不整脈 / 原発性胆汁性肝硬変
Outline of Final Research Achievements

Eighteen AMA-positive myositis patients with cardiac complications (11 females and 7 males) were identified. The ages at onset of symptom ranged from 36 to 70 years (mean, 50.1 ± 9.0 years). Duration between the onsets of symptom to end of follow-up (disease courses) ranged 1.5 to 18.0 years (mean, 9.0 ± 5.2 years). All patients were associated with arrhythmia and had decreased EF ranging 9 to 71 % (mean, 40.2 ± 17.2 %). Ten patients required intervention therapy (catheter ablation, n=7; defibrillator, n=3; pacemaker, n=2; mitral valve surgery, n=1). Four patients died in the follow-up period including two patients who died suddenly. Histopathological analysis revealed that the biopsied specimen of all the patients fulfilled the criteria of non-specific myositis.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (14 results)

All 2016 2015 2014 2013 Other

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 1 results) Presentation (7 results) (of which Invited: 1 results) Book (4 results) Remarks (1 results)

  • [Journal Article] Sporadic late-onset nemaline myopathy as a rare cause of slowly progressive muscle weakness with young adult onset2015

    • Author(s)
      Maeda MH, Ohta H, Izutsu K, Shimizu J, Uesaka Y
    • Journal Title

      Muscle Nerve

      Volume: 00 Issue: 5 Pages: 00-00

    • DOI

      10.1002/mus.24509

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Anti-mitochondrial antibody: Potential marker of myositis with chronic clinical course, muscle atrophy, cardiac involvement and granulomatous inflammation in muscle biopsy2013

    • Author(s)
      Meiko Hashimoto Maeda and Jun Shimizu
    • Journal Title

      Clinical and Experimental Neuroimmunology

      Volume: 4 Issue: 1 Pages: 18-18

    • DOI

      10.1111/cen3.12026

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 免疫介在性と考えられた血液内科疾患移植後末梢神経障害の生検例に関する検討2015

    • Author(s)
      前田 明子、神崎 真実、上坂 義和、谷口 修一、清水 潤
    • Organizer
      第27回神経免疫学会学術集会
    • Place of Presentation
      岐阜
    • Year and Date
      2015-09-15
    • Related Report
      2015 Research-status Report
  • [Presentation] Serum cytokine analysis in idiopathic inflammatory myopathies diagnosed on the basis of pathological findings2014

    • Author(s)
      Meiko Hashimoto Maeda Yoshikazu Uesaka, Shoji Tsuji, Jun Shimizu
    • Organizer
      American Academy of Neurology annual meeting
    • Place of Presentation
      Philadelphia
    • Year and Date
      2014-04-26 – 2014-05-03
    • Related Report
      2014 Research-status Report
  • [Presentation] Serum cytokine analysis in idiopathic inflammatory myopathies diagnosed on the basis of pathological findings2014

    • Author(s)
      Meiko Hashimoto Maeda, Yoshikazu Uesaka, Shoji Tsuji, Jun Shimizu
    • Organizer
      66th American Academy of Neurology annual meeting
    • Place of Presentation
      Philadelphia
    • Related Report
      2013 Research-status Report
  • [Presentation] 病理所見で分類した筋炎グループにおける血清液性因子に関する検討2014

    • Author(s)
      前田明子, 肥田あゆみ, 清水 潤
    • Organizer
      平成25年度 免疫神経疾患に関する調査研究班 班会議
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 抗ミトコンドリア抗体陽性/原発性胆汁性肝硬変合併筋炎での心臓合併症に関する検討2013

    • Author(s)
      前田明子, 肥田あゆみ, 上坂義和, 清水 潤
    • Organizer
      第54回日本神経学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 多発筋炎の診断基準、希少筋炎の病理に関して2013

    • Author(s)
      前田 明子
    • Organizer
      第一回姫路免疫性神経疾患研究会
    • Place of Presentation
      姫路
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 抗ミトコンドリア抗体陽性筋炎症例の心合併症の特徴に関する検討2013

    • Author(s)
      前田明子, 肥田あゆみ, 上坂義和, 清水 潤
    • Organizer
      第25回日本神経免疫学会学術集会
    • Place of Presentation
      下関
    • Related Report
      2013 Research-status Report
  • [Book] 第4版 EBMに基づく脳神経疾患の基本治療指針2016

    • Author(s)
      前田 明子
    • Total Pages
      807
    • Publisher
      メジカルビュー
    • Related Report
      2015 Research-status Report
  • [Book] 脳卒中症候学 症例編  診療の深みを理解する2016

    • Author(s)
      前田 明子、武田 克彦
    • Publisher
      西村書店
    • Related Report
      2015 Research-status Report
  • [Book] 最新医学社別冊 新しい診断と治療のABC81 多発性筋炎・皮膚筋炎2014

    • Author(s)
      前田明子,清水潤
    • Total Pages
      15
    • Publisher
      最新医学社
    • Related Report
      2013 Research-status Report
  • [Book] 神経内科2013

    • Author(s)
      前田明子,清水潤
    • Total Pages
      9
    • Publisher
      科学評論社
    • Related Report
      2013 Research-status Report
  • [Remarks] 公益財団法人冲中記念成人病研究所 今月の研究者 前田明子

    • URL

      http://okiken.tokyo/scientist/index.php?id=11

    • Related Report
      2016 Annual Research Report

URL: 

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

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