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Pathological study of severe influenza

Research Project

Project/Area Number 26460447
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Human pathology
Research InstitutionNational Institute of Infectious Diseases

Principal Investigator

Nakajima Noriko  国立感染症研究所, 感染病理部, 室長 (60333358)

Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords重症インフルエンザ / インフルエンザ脳症 / ARDS / サイトカインストーム
Outline of Final Research Achievements

Although influenza is a self-limited disease, patients are complicated with acute respiratory distress syndrome (ARDS), encephalopathy, myocarditis symptoms and may die in some cases. Using pathological and molecular biological methods, we have examined autopsied tissues with influenza virus to find two pathological mechanisms of ARDS. One mechanism involves influenza virus clone that replicates well in alveolar epithelial cells. The patients develop viral pneumonia complicated with ARDS of pulmonary origin, which then leads to respiratory failure and the death of patients. The other mechanism involves infection-induced excessive immune responses. This then develops systemic inflammatory response syndrome (SIRS) concurrently with ARDS, and causes multiple organ failures. Furthermore, higher expression levels of inflammatory mediators were observed in brain tissues with influenza encephalopathy.

Report

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

    (16 results)

All 2017 2016 2015 2014 Other

All Int'l Joint Research (1 results) Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 5 results,  Open Access: 5 results,  Acknowledgement Compliant: 4 results) Presentation (10 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Int'l Joint Research] National Hospital of Pediatrics(ベトナム)

    • Related Report
      2015 Research-status Report
  • [Journal Article] Histopathological Findings of Lung with A/H1N1pdm09 Infection-Associated Acute Respiratory Distress Syndrome in the Post-Pandemic Season2017

    • Author(s)
      Hayashi K, Yoshida H, Sato Y, Tobiume M, Suzuki Y, Ariyoshi K, Hasegawa H, Nakajima N
    • Journal Title

      Japanese Journal of Infectious Diseases

      Volume: 70 Issue: 2 Pages: 197-200

    • DOI

      10.7883/yoken.JJID.2016.120

    • NAID

      130005475391

    • ISSN
      1344-6304, 1884-2836
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] The Microminipig as an Animal Model for Influenza A Virus Infection2016

    • Author(s)
      Iwatsuki-Horimoto K, Nakajima N, Shibata M, Takahashi K, Sato Y, Kiso M, Yamayoshi S, Ito M, Enya S, Otake M, Kangawa A, da Silva Lopes TJ, Ito H, Hasegawa H, Kawaoka Y.
    • Journal Title

      Journal of Virology

      Volume: 91 Issue: 2 Pages: 1-9

    • DOI

      10.1128/jvi.01716-16

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Histopathologic findings of lung with A/H1N1pdm09 infection-associated ARDS in the post-pandemic season2016

    • Author(s)
      Hayashi K,Yoshida H, Sato Y, Tobiume M, Suzuki Y, Ariyoshi K, Hasegawa H, Nakajima N
    • Journal Title

      Japanese Journal of Infectious Diseases

      Volume: in press

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Adenovirus type 7 pneumonia in children who died from measles-associated pneumonia, Hanoi, Vietnam, 20142016

    • Author(s)
      Hai le T, Thach HN, Tuan TA, Nam DH, Dien TM, Sato Y, Kumasaka T, Suzuki T, Hanaoka N, Fujimoto T, Katano H, Hasegawa H, Kawachi S, Nakajima N.
    • Journal Title

      Emerging Infectious Diseases

      Volume: 22 Issue: 4 Pages: 687

    • DOI

      10.3201/eid2204.151595

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Circulating avian influenza viruses closely related to the 1918 virus have pandemic potential.2014

    • Author(s)
      Watanabe T, Zhong G, Russell CA, Nakajima N, Hatta M, Hanson A, McBride R, Burke DF, Takahashi K, Fukuyama S, Tomita Y, Maher EA, Watanabe S, Imai M, Neumann G, Hasegawa H, Paulson JC, Smith DJ, Kawaoka Y
    • Journal Title

      Cell Host and Microbe

      Volume: 15 Issue: 6 Pages: 692-705

    • DOI

      10.1016/j.chom.2014.05.006

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Severe lung injury associated with A/H1N1 pdm09 infection in the post-pandemic season.2016

    • Author(s)
      Noriko Nakajima, Akihiko Hamamatsu, Kino Hayashi, Yuko Sato, Toshio Kumasaka, Minoru Tobiume, Hideki Hasegawa
    • Organizer
      第64回日本ウイルス学会学術集会
    • Place of Presentation
      札幌
    • Year and Date
      2016-10-23
    • Related Report
      2016 Annual Research Report
  • [Presentation] 近年のヒト分離H3N2インフルエンザウイルスに対するハムスターの感受性2016

    • Author(s)
      岩附 研子, 中島 典子, 長谷川 秀樹, 河岡 義裕
    • Organizer
      第159回日本獣医学会学術集会
    • Place of Presentation
      藤沢
    • Year and Date
      2016-09-06
    • Related Report
      2016 Annual Research Report
  • [Presentation] Post-mortem detection of adenovirus type 7 pneumonia in lungs of measles-associated pneumonia fatalities in a pediatric hospital, in Hanoi, Vietnam2016

    • Author(s)
      Noriko Nakajima
    • Organizer
      US/Japan Cooperative Medical Science Program, 49th Joint Working Conference on Viral Diseases
    • Place of Presentation
      Marriott North Bethesda, MD, USA
    • Year and Date
      2016-01-13
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Human Adenovirus Serptype-7-associated pneumonia in fatal cases of measles2015

    • Author(s)
      Noriko Nakajima, Hoang Ngoc Thach , Yuko Sato, Nozomu Hanaoka, Tsuguto Fujimoto, Tadaki Suzuki, Harutaka Katano, Le Thanh Hai、Hideki Hasegawa
    • Organizer
      第63回日本ウイルス学会学術集会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2015-11-22
    • Related Report
      2015 Research-status Report
  • [Presentation] Pathological and molecular biological study of measles-associated pneumonia during measles outbreak in Vietnam in 20142015

    • Author(s)
      Noriko Nakajima
    • Organizer
      Pediatric Conference 2015 of the National Hospital of Pediatrics
    • Place of Presentation
      ハノイ、ベトナム
    • Year and Date
      2015-11-17
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Virological and histological study of 19 fatal cases of measles-associated pneumonia2015

    • Author(s)
      Noriko Nakajima, Yuko Sato, Toshio Kumasaka, Tsuguto Fujimoto, Nozomu Hanaoka, Tadaki Suzuki, Hideki Hasegawa
    • Organizer
      第104回日本病理学会総会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2015-04-30
    • Related Report
      2015 Research-status Report
  • [Presentation] Modified In situ Hybridization AT-tailing to Visualize the Gene Expression in Formalin-Fixed and Paraffin-Embedded Tissues2015

    • Author(s)
      Noriko Nakajima, Yuko Sato, Osamu Kotani, Tadaki Suzuki, Toshiaki Kamei, Toru Takahashi, Tetsutaro Sata, Hideki Hasegawa
    • Organizer
      USCAP 104 th Annual Meeting   アメリカ・カナダ国際病理学会
    • Place of Presentation
      Boston (アメリカ合衆国)
    • Year and Date
      2015-03-21 – 2015-03-28
    • Related Report
      2014 Research-status Report
  • [Presentation] Correlations among Histopathological Characteristics, Viral distribution, and Cytokine/Chemokine Expression level within an Individual with A/H1N1pdm09 induced ARDS2015

    • Author(s)
      Kentaro Hayashi, Noriko Nakajima, Yuko Sato, Harutaka Katano, Noriyo Nagata, Tadaki Suzuki, Minoru Tobiume, Hiroshi Yoshida, Yoshio Suzuki, Toshio Kumasaka, Tetsutaro Sata, Kota Ariyoshi, Hideki Hasegawa
    • Organizer
      USCAP 104 th Annual Meeting   アメリカ・カナダ国際病理学会
    • Place of Presentation
      Boston (アメリカ合衆国)
    • Year and Date
      2015-03-21 – 2015-03-28
    • Related Report
      2014 Research-status Report
  • [Presentation] スペイン風邪ウイルスに類似の鳥インフルエンザウイルスのパンデミックポテンシャル2014

    • Author(s)
      渡辺登喜子 Gongxun Zhong Colin Russell 中島典子 八田正人 Anthony Handson 高橋健太 渡辺真治 今井正樹 長谷川秀樹 河岡義裕
    • Organizer
      第62回日本ウイルス学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2014-11-10 – 2014-11-12
    • Related Report
      2014 Research-status Report
  • [Presentation] ヒトから分離されたH7N9亜型鳥インフルエンザウイルス感染動物モデルの病理学的解析2014

    • Author(s)
      中島典子、渡辺登喜子、佐藤由子、高橋健太、鈴木忠樹、田代眞人、河岡義裕、長谷川秀樹
    • Organizer
      第103回日本病理学会総会
    • Place of Presentation
      広島
    • Year and Date
      2014-04-24 – 2014-04-26
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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