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Development of a diagnostic method for severe cutaneous adverse reactions by genom biomarkers and their pathophysiological relevanceic

Research Project

Project/Area Number 26293122
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Applied pharmacology
Research InstitutionNational Institute of Health Sciences

Principal Investigator

Saito Yoshiro  国立医薬品食品衛生研究所, 医薬安全科学部, 部長 (50215571)

Co-Investigator(Kenkyū-buntansha) 関根 章博  千葉大学, 予防医学センター, 教授 (30425631)
中村 亮介  国立医薬品食品衛生研究所, 医薬安全科学部, 室長 (50333357)
高橋 幸利  独立行政法人国立病院機構(静岡・てんかん神経医療センター臨床研究部), その他部局等, その他 (70262764)
相原 道子  横浜市立大学, 医学研究科, 教授 (90231753)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥16,510,000 (Direct Cost: ¥12,700,000、Indirect Cost: ¥3,810,000)
Fiscal Year 2016: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2015: ¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Fiscal Year 2014: ¥7,020,000 (Direct Cost: ¥5,400,000、Indirect Cost: ¥1,620,000)
Keywordsゲノム / バイオマーカー / 薬剤反応性 / トランスレーショナルリサーチ / 副作用
Outline of Final Research Achievements

Lamotrigine, a drug for epileptics and bipolar disorder, is known to frequently cause severe cutaneous adverse reactions such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrosis (TEN). We conducted HLA and genome-wide genetic polymorphism analysis of Japanese patients with SJS/TEN, and using the healthy adults' data as controls, we found plural significantly associated genetic polymorphisms even after correction of multiple comparison. The results should be validated using another set of patient/control samples. On the other hand, no significant HLA type has been found after the correction.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • Research Products

    (21 results)

All 2018 2017 2016 2015 2014

All Journal Article (7 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 7 results,  Open Access: 6 results,  Acknowledgement Compliant: 2 results) Presentation (14 results) (of which Int'l Joint Research: 4 results,  Invited: 10 results)

  • [Journal Article] Pharmacogenomic information in the Warning section of drug labels: A comparison between labels in the United States and those in five other countries/regions.2018

    • Author(s)
      Imatoh T, Sai K, Saito Y
    • Journal Title

      J Clin Pharm Ther.

      Volume: 43 Issue: 4 Pages: 493-499

    • DOI

      10.1111/jcpt.12691

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Plasma Lipid Profiling of Patients with Chronic Ocular Complications Caused by Stevens Johnson Syndrome/Toxic Epidermal Necrolysis2016

    • Author(s)
      Saito K, Ueta M, Maekawa K, Sotozono C, Kinoshita S, Saito Y
    • Journal Title

      PLoS One

      Volume: 11 Issue: 11 Pages: e0167402-e0167402

    • DOI

      10.1371/journal.pone.0167402

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Clinical pharmacogenetics implementation consortium (CPIC) guidelines for human leukocyte antigen B (HLA-B) genotype and allopurinol dosing: 2015 update.2016

    • Author(s)
      Saito Y, Stamp LK, Caudle KE, Hershfield M, McDonagh EM, Callagham JT, Tassaneeyakul W, Mushiroda T, Kamatani N, Goldspiel BR, Phillips EJ, Klein TE, Lee MTM
    • Journal Title

      Clin. Pharmacol. Ther.

      Volume: 99 Issue: 1 Pages: 36-37

    • DOI

      10.1002/cpt.161

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Predictive Genomic Markers for Severe Adverse Drug Reactions2015

    • Author(s)
      Saito Y, Kodama S, Sugiyama E, Nakamura R.
    • Journal Title

      YAKUGAKU ZASSHI

      Volume: 135 Issue: 4 Pages: 589-595

    • DOI

      10.1248/yakushi.14-00249-3

    • NAID

      130005060821

    • ISSN
      0031-6903, 1347-5231
    • Year and Date
      2015-04-01
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Development of a simple genotyping method for the HLA-A∗31:01-tagging SNP in Japanese2015

    • Author(s)
      Maekawa K, Nakamura R, Kaniwa N, Mizusawa S, Kitamoto A, Kitamoto T, Ukaji M, Matsuzawa Y, Sugiyama E, Uchida Y, Kurose K, Ueta M, Sotozono C, Ikeda H, Yagami A, Matsukura S, Kinoshita S, Muramatsu M, Ikezawa Z, Sekine A, Furuya H, Takahashi Y, Matsunaga K, Aihara M, Saito Y
    • Journal Title

      Pharmacogenomics.

      Volume: 16 Issue: 15 Pages: 1689

    • DOI

      10.2217/pgs.15.115

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Drugs causing severe ocular surface involvements in Japanese patients with StevenseJohnson syndrome/toxic epidermal necrolysis2015

    • Author(s)
      Kaniwa N, Ueta M, Nakamura R, Okamoto-Uchida Y, Sugiyama E, Maekawa K, Takahashi Y, Furuya H, Yagami A, Matsukura S, Ikezawa Z, Matsunaga K, Sotozono C, Aihara M, Kinoshita S, Saito Y.
    • Journal Title

      Allergology International

      Volume: 64 Issue: 4 Pages: 379-381

    • DOI

      10.1016/j.alit.2015.05.002

    • NAID

      130005290406

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Independent strong association of HLA-A*02:06 and HLA-B*44:03 with cold medicine-related Stevens-Johnson syndrome with severe mucosal involvement2014

    • Author(s)
      Ueta M, Kaniwa N, Sotozono C, Tokunaga K, Saito Y, Sawai H, Miyadera H, Sugiyama E, Maekawa K, Nakamura R, Nagato M, Aihara M, Matsunaga K, Takahashi Y, Furuya H, Muramatsu M, Ikezawa Z, Kinoshita S.
    • Journal Title

      Sci Rep.

      Volume: 4 Issue: 1 Pages: 4862-4862

    • DOI

      10.1038/srep04862

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Introduction to the skin as a target for immune-mediated drug hypersensitivity2017

    • Author(s)
      Yoshiro Saito
    • Organizer
      Society of Toxicology, 56th Annual Meeting and ToxExpo
    • Place of Presentation
      USA, Baltimore
    • Year and Date
      2017-03-15
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Genomic biomarkers and patients’ background information for onset of SJS/TEN2017

    • Author(s)
      Yoshiro Saito, Ryosuke Nakamura
    • Organizer
      2nd International Stevens-Johnson Syndrome Symposium
    • Place of Presentation
      Kyoto
    • Year and Date
      2017-01-22
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] オミックス解析による副作用バイオマーカー開発の進展2017

    • Author(s)
      斎藤嘉朗
    • Organizer
      第38回日本臨床薬理学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 副作用回避へのバイオマーカー情報の応用と課題2017

    • Author(s)
      斎藤嘉朗
    • Organizer
      第55回日本癌治療学会学術集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 医薬品適正使用のためのバイオマーカーおよび薬剤疫学的情報の活用2016

    • Author(s)
      斎藤嘉朗
    • Organizer
      第66回日本薬学会近畿支部大会
    • Place of Presentation
      大阪
    • Year and Date
      2016-10-15
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] バイオマーカー開発の現状と課題2016

    • Author(s)
      斎藤嘉朗
    • Organizer
      第6回レギュラトリーサイエンス学会学術大会
    • Place of Presentation
      東京
    • Year and Date
      2016-09-10
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Biomarker regulation and regulatory sciences in Japan2016

    • Author(s)
      Yoshiro Saito
    • Organizer
      11th International ISSX meeting
    • Place of Presentation
      韓国 釜山
    • Year and Date
      2016-06-14
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Genomic markers associated with Stevens-Johnson syndrome/epidermal necrolysis in Japan; A JSAR group study.2016

    • Author(s)
      Saito Y and Nakamura R
    • Organizer
      1st International Stevens-Johnson Syndrome Symposium
    • Place of Presentation
      京都
    • Year and Date
      2016-01-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 国内の動向:臨床試料を用いた安全性バイオマーカー探索と検証 ―セーフティートランスレーションにおける課題―.2015

    • Author(s)
      斎藤嘉朗, 前川京子, 齊藤公亮, 中村亮介, 熊谷雄治
    • Organizer
      第42回 日本毒性学会学術年会
    • Place of Presentation
      金沢
    • Year and Date
      2015-06-30
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 重症眼粘膜障害を伴うSJS/TENの発症と関連する被疑薬およびHLA型について.2015

    • Author(s)
      中村亮介, 鹿庭なほ子, 上田真由美, 岡本(内田)好海, 杉山永見子, 高橋幸利, 古谷博和, 矢上晶子, 松倉節子, 池澤善郎, 松永佳世子, 徳永勝士, 外園千恵, 相原道子, 木下茂, 斎藤嘉朗
    • Organizer
      第64回日本アレルギー学会学術大会
    • Place of Presentation
      東京
    • Year and Date
      2015-05-26
    • Related Report
      2015 Annual Research Report
  • [Presentation] 日本人におけるカルバマゼピン誘因性薬疹発症の危険因子HLA-A*31:01 のサロゲートマーカー多型を対象としたタイピング系の構築.2015

    • Author(s)
      前川京子, 水澤精穂, 北本綾, 北本卓也, 中村亮介, 杉山永見子, 上田真由美, 外園千恵, 池田浩子, 矢上晶子, 松倉節子, 木下茂, 村松正明, 古谷博和, 高橋幸利, 松永佳世子, 相原道子, 関根章博, 日本PGX データサイエンスコンソーシアム, 斎藤嘉朗
    • Organizer
      日本薬学会第135年会
    • Place of Presentation
      神戸市
    • Year and Date
      2015-03-26 – 2015-03-28
    • Related Report
      2014 Annual Research Report
  • [Presentation] ヒト試料を用いたバイオマーカー開発のためのレギュラトリーサイエンス.2014

    • Author(s)
      斎藤嘉朗,齊藤公亮,児玉進,熊谷雄治,前川京子
    • Organizer
      第35回日本臨床薬理学会学術総会
    • Place of Presentation
      愛媛県松山市
    • Year and Date
      2014-12-04 – 2014-12-06
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] HLA association with antipyretic analgesics-induced Stevens-Johnson syndrome / toxic epidermal necrolysis with severe ocular surface complications in Japanese patients.2014

    • Author(s)
      Nakamura R, Kaniwa N, Ueta M, Sotozono C, Sugiyama E, Maekawa K, Yagami A, Matsukura S, Ikezawa Z, Matsunaga K, Tokunaga K, Aihara M, Kinoshita S, Saito Y
    • Organizer
      EAACI Drug Hypersensitivity Meeting, DHM 2014
    • Place of Presentation
      Bern, Switzerland
    • Year and Date
      2014-04-09 – 2014-04-12
    • Related Report
      2014 Annual Research Report
  • [Presentation] Medication tendencies for inducing severe ocular surface symptoms in Japanese Stevens-Johnson syndrome / toxic epidermal necrolysis patients.2014

    • Author(s)
      Saito Y, Ueta M, Nakamura R, Sugiyama E, Maekawa K, Takahashi Y, Furuya H, Yagami A, Matsukura S, Ikezawa Z, Matsunaga K, Sotozono C, Aihara M, Kinoshita S, Kaniwa N
    • Organizer
      EAACI Drug Hypersensitivity Meeting, DHM 2014
    • Place of Presentation
      Bern, Switzerland
    • Year and Date
      2014-04-09 – 2014-04-12
    • Related Report
      2014 Annual Research Report

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Published: 2014-04-04   Modified: 2019-03-29  

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