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Examination of the treatment of myasthenia gravis with anti-MuSK antibodies using an experimental autoimmune animal model

Research Project

Project/Area Number 25860734
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Neurology
Research InstitutionTokyo Metropolitan Geriatric Hospital and Institute of Gerontology

Principal Investigator

Mori Shuuichi  地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究員 (30508677)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords重症筋無力症 / 神経筋シナプス / MuSK
Outline of Final Research Achievements

Some patients with myasthenia gravis (MG) caused by antibodies against muscle-specific kinase (MuSK; MuSK-MG) apparently do not respond to immunosuppressive therapy and rapidly progress to life-threatening muscle atrophy. In addition, long-term administration of corticosteroids, which are first-line treatment of MG, is frequently responsible for severe adverse effect. Therefore, new effective and safe immunosuppressive drugs are urgently required.
Here, we demonstrated that administration of rapamycin is able to act as a highly immunosuppressive drug in animal model of MuSK-MG and consequently improves clinical characteristics by maintaining NMJ structures and function. Moreover, our data strengthen the case for using rapamycin as a treatment of human MuSK-MG, although further large clinical trails are required to determine the exact use of rapamycin as a sole therapeutic or as an adjunctive treatment to other immunosuppressive drugs.

Report

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

    (24 results)

All 2016 2015 2014 2013 Other

All Journal Article (11 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (12 results) (of which Invited: 1 results) Remarks (1 results)

  • [Journal Article] サルコペニアの基礎2015

    • Author(s)
      重本 和宏, 森 秀一
    • Journal Title

      日本医師会雑誌

      Volume: 144

    • Related Report
      2015 Annual Research Report
  • [Journal Article] 重症筋無力症の動物モデル2015

    • Author(s)
      重本 和宏, 高嶋 留美, 本橋 紀夫, 森 秀一
    • Journal Title

      日本臨床

      Volume: 73 Pages: 97-104

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Metabolic plasticity in sarcopenia2015

    • Author(s)
      Shigemoto K, Motohashi N, Mori S
    • Journal Title

      The Journal of Physical Fitness and Sports Medicine

      Volume: 4 Issue: 5 Pages: 347-350

    • DOI

      10.7600/jpfsm.4.347

    • NAID

      130005113194

    • ISSN
      2186-8123, 2186-8131
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] サルコペニアに関する筋肉基礎科学2015

    • Author(s)
      重本和宏, 森秀一, 高嶋留美, 本橋紀夫
    • Journal Title

      整形・災害外科

      Volume: 58 Pages: 145-153

    • Related Report
      2014 Research-status Report
  • [Journal Article] 運動能力と遺伝子-チャンピオン遺伝子2015

    • Author(s)
      森秀一
    • Journal Title

      臨床整形外科

      Volume: 50 Pages: 252-254

    • Related Report
      2014 Research-status Report
  • [Journal Article] 動物モデルによる重症筋無力症の病態機序の解明2014

    • Author(s)
      森秀一, 高嶋留美, 小西哲郎, 重本和宏
    • Journal Title

      神経内科

      Volume: 80 Pages: 475-483

    • Related Report
      2014 Research-status Report
  • [Journal Article] The important role of the neuromuscular junction in maintaining muscle mass and strength2014

    • Author(s)
      Mori S, Koshi K and Shigemoto K
    • Journal Title

      The Journal of Physical Fitness and Sports Medicine

      Volume: 3 Issue: 1 Pages: 111-114

    • DOI

      10.7600/jpfsm.3.111

    • NAID

      130003397895

    • ISSN
      2186-8123, 2186-8131
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] サルコペニア発症における神経系の関与2014

    • Author(s)
      重本和宏, 森秀一
    • Journal Title

      医学のあゆみ

      Volume: 248 Pages: 691-695

    • Related Report
      2013 Research-status Report
  • [Journal Article] Mechanisms associated with the pathogenicity of antibodies against muscle-specific kinase in myasthenia gravis.2013

    • Author(s)
      Mori S, Shigemoto K.
    • Journal Title

      Autoimmun Rev

      Volume: (in press) Issue: 9 Pages: 912-7

    • DOI

      10.1016/j.autrev.2013.03.005

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] サルコペニアの病因と疾患メカニズム2013

    • Author(s)
      重本和宏, 越勝男, 森秀一
    • Journal Title

      アンチエイジング医学

      Volume: 9 Pages: 536-540

    • Related Report
      2013 Research-status Report
  • [Journal Article] 筋肉と神経のシナプスの老化 (サルコペニア) の基礎研究2013

    • Author(s)
      重本和宏, 森秀一, 福永大地, 宮崎剛
    • Journal Title

      日本老年医学会雑誌

      Volume: 50 Pages: 349-351

    • NAID

      10031203248

    • Related Report
      2013 Research-status Report
  • [Presentation] 実験モデルでの治療開発の検討2016

    • Author(s)
      森 秀一
    • Organizer
      Novartis Neuro Science Forum 2016
    • Place of Presentation
      グランドプリンスホテル新高輪 (東京都・港区)
    • Year and Date
      2016-01-28
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 筋量・筋力の維持における神経筋シナプスの役割の解明2015

    • Author(s)
      森 秀一, 本橋 紀夫, 高嶋 留美, 重本 和宏
    • Organizer
      第2回日本サルコペニア・フレイル研究会研究発表会
    • Place of Presentation
      東京大学伊藤国際学術研究センター (東京都・文京区)
    • Year and Date
      2015-10-04
    • Related Report
      2015 Annual Research Report
  • [Presentation] 抗Lrp4抗体陽性重症筋無力症の自己免疫動物モデルの作成2015

    • Author(s)
      森 秀一, 本橋 紀夫, 高嶋 留美, 重本 和宏
    • Organizer
      第1回日本筋学会学術集会
    • Place of Presentation
      国立精神・神経医療研究センター (東京都・小平市)
    • Year and Date
      2015-08-08
    • Related Report
      2015 Annual Research Report
  • [Presentation] Lrp4は神経筋シナプスの維持に重要である~神経筋シナプスの病態モデルの作成~2015

    • Author(s)
      森 秀一, 本橋 紀夫, 高嶋 留美, 重本 和宏
    • Organizer
      第38回日本基礎老化学会大会
    • Place of Presentation
      パシフィコ横浜 (神奈川県・横浜市)
    • Year and Date
      2015-06-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] Therapeutic effect of rapamycin in experimental model of MuSK-MG.2015

    • Author(s)
      Mori S, Motohashi N, Takashima R, Shigemoto K
    • Organizer
      第56回日本神経学会学術大会
    • Place of Presentation
      新潟コンベンションセンター (新潟県・新潟市)
    • Year and Date
      2015-05-20
    • Related Report
      2015 Annual Research Report
  • [Presentation] Generation of experimental model of myasthenia gravis with antibodies against LRP4.2014

    • Author(s)
      Mori S, Takashima R, Shigemoto K
    • Organizer
      Society for Neuroscience 2014
    • Place of Presentation
      Washington D.C.
    • Year and Date
      2014-11-15 – 2014-11-19
    • Related Report
      2014 Research-status Report
  • [Presentation] LRP4は神経筋シナプスの維持に重要である2014

    • Author(s)
      森秀一, 重本和宏
    • Organizer
      第69回日本体力医学会大会
    • Place of Presentation
      長崎
    • Year and Date
      2014-09-19 – 2014-09-21
    • Related Report
      2014 Research-status Report
  • [Presentation] 抗LRP4抗体による重症筋無力症の動物モデル作成と病態機序の解明2014

    • Author(s)
      森秀一, 越勝男, 村瀬尚哉, 重本和宏
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡
    • Year and Date
      2014-05-20 – 2014-05-24
    • Related Report
      2014 Research-status Report
  • [Presentation] 抗MuSK抗体陽性重症筋無力症の発症に関与する分子機序の解明2013

    • Author(s)
      森秀一, 久保幸穂, 重本和宏
    • Organizer
      第54回日本神経学会学術大会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] A murine model of myasthenia gravis with MuSK antibodies; effect of genetic background.2013

    • Author(s)
      Mori S, Kubo S, Akiyoshi T, Yamada S, Miyazaki T, Hotta H, Desaki J, Kishi M, Konishi T, Maruyama N and Shigemoto K
    • Organizer
      Myasthenia 2013
    • Place of Presentation
      Paris
    • Related Report
      2013 Research-status Report
  • [Presentation] Ubiquitin-proteasome pathway plays essential roles in maintenance of neuromuscular junctions.2013

    • Author(s)
      Mori S, Yamada S, Kubo S, Miyazaki T and Shigemoto K
    • Organizer
      第35回内藤コンファレンス
    • Place of Presentation
      札幌
    • Related Report
      2013 Research-status Report
  • [Presentation] Elucidation of pathogenic mechanism of myasthenia gravis with MuSK antibodies using a novel murine model.2013

    • Author(s)
      Mori S, Kubo S, Kishi M, Konishi T and Shigemoto K
    • Organizer
      15th International congress of immunology
    • Place of Presentation
      Milan
    • Related Report
      2013 Research-status Report
  • [Remarks] サルコペニアの予防・治療の鍵は神経筋シナプスにあり!

    • URL

      http://www.tmghig.jp/J_TMIG/topics/topics_201509.html

    • Related Report
      2015 Annual Research Report

URL: 

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

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