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Establishment of experimental and clinical evidences for tonsillectomy as a treatment of tonsillar focal diseases

Research Project

Project/Area Number 26462593
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionAsahikawa Medical College

Principal Investigator

Takahara mIKI  旭川医科大学, 医学部, 講師 (50322904)

Co-Investigator(Kenkyū-buntansha) 大高 隆輝  旭川医科大学, 大学病院, 医員 (00447103)
上田 征吾  旭川医科大学, 医学部, 助教 (90447102)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
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: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords扁桃病巣疾患 / IgA腎症 / 掌蹠膿疱症 / 胸肋鎖骨過形成症 / APRIL / CXCR3 / CX3CR1 / CPG-ODN / ケモカイン
Outline of Final Research Achievements

IgA nephropathy (IgAN), pustulosis palmaris et plantaris(PPP), and sternocostoclavicular hyperostosis (SCCH) are famous for typical tonsillar focal diseases, and tonsillectomy has been reported to be effective for improvement of the diseases. Unfortunately, this fact was not widely known. We try to establish experimental and clinical evidences for tonsillectomy as a treatment of tonsillar focal diseases in order to enlighten other doctors on the effectiveness and clarify a factor which predict the effectiveness.
In this serious of studies, we showed the effectiveness of tonsillectomy for PPP skin lesions by objective evaluation. Moreover, we found that APRIL (a proliferation-inducing ligand) was involved in hyper-production of IgA from the tonsils of IgAN patients, and that chemokine receptor CXCR3 and CX3CR1 on tonsillar T-cells was related to homing of T-cells to the lesions of glomerulus. We will continue to study in order to show more evidences.

Report

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

    (16 results)

All 2016 2015 2014 Other

All Journal Article (5 results) (of which Open Access: 1 results,  Peer Reviewed: 3 results) Presentation (5 results) (of which Invited: 2 results) Book (3 results) Remarks (3 results)

  • [Journal Article] A disease newly clarified as a tonsil-related disorder: SAPHO Syndrome2016

    • Author(s)
      高原 幹
    • Journal Title

      Stomato-pharyngology

      Volume: 29 Issue: 1 Pages: 111-114

    • DOI

      10.14821/stomatopharyngology.29.111

    • NAID

      130005158615

    • ISSN
      0917-5105, 1884-4316
    • Related Report
      2016 Annual Research Report
    • Open Access
  • [Journal Article] 扁桃病巣感染症の発症機序 耳鼻咽喉科と慢性炎症2016

    • Author(s)
      高原 幹
    • Journal Title

      別冊Bio Clinica

      Volume: 5 Pages: 82-87

    • Related Report
      2016 Annual Research Report
  • [Journal Article] IgA腎症の病態における扁桃T細胞の役割2014

    • Author(s)
      高原 幹
    • Journal Title

      口腔・咽頭科

      Volume: 27 Pages: 25-28

    • NAID

      130005438071

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 【こんなときどうする】 口腔咽頭喉頭科学・気管食道科学領域 腎症患者の扁桃摘出術の依頼を受けた2014

    • Author(s)
      高原 幹
    • Journal Title

      JOHNS

      Volume: 30 Pages: 1286-1288

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 重症急性咽頭・扁桃炎におけるレボフロキサシン(500mg)1日1回投与の有用性2014

    • Author(s)
      高原 幹、國部 勇、林 達哉、原渕 保明
    • Journal Title

      日本耳鼻咽喉科感染症・エアロゾル学会会誌

      Volume: 2 Pages: 90-93

    • NAID

      130007930899

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] IgA腎症扁桃におけるCX3CR1の検討2016

    • Author(s)
      高原 幹
    • Organizer
      日本腎臓学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2016-06-17
    • Related Report
      2016 Annual Research Report
  • [Presentation] 扁桃との関連が明らかになった新たな疾患 2)SAPHO症候群2015

    • Author(s)
      高原幹
    • Organizer
      日本口腔・咽頭科学会総会ならびに学術講演会
    • Place of Presentation
      大阪
    • Year and Date
      2015-09-10
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] IgA腎症におけるロ蓋扁桃からのIgA産生2015

    • Author(s)
      高原幹
    • Organizer
      SCIENCE in Shinaga
    • Place of Presentation
      東京
    • Year and Date
      2015-04-18
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] IgA腎症扁桃におけるCXCR3の検討2015

    • Author(s)
      高原幹、大高隆輝、駒林優樹、上田征吾、原渕保明
    • Organizer
      日本耳鼻咽喉科免疫アレルギー学会
    • Place of Presentation
      東京
    • Year and Date
      2015-02-26 – 2015-02-28
    • Related Report
      2014 Research-status Report
  • [Presentation] IgA腎症扁桃におけるCXCR3の検討2014

    • Author(s)
      高原幹、大高隆輝、原渕保明
    • Organizer
      日本腎臓学会学術総会
    • Place of Presentation
      東京
    • Year and Date
      2014-07-04 – 2014-07-06
    • Related Report
      2014 Research-status Report
  • [Book] 扁桃病巣感染症 口腔咽頭の臨床第3版2015

    • Author(s)
      高原幹
    • Total Pages
      220
    • Publisher
      医学書院
    • Related Report
      2015 Research-status Report
  • [Book] 扁桃病巣疾患に関する科学的エビデンスは? EBM 耳鼻咽喉科・頭頸部外科の治療2015

    • Author(s)
      高原幹
    • Total Pages
      688
    • Publisher
      中外医学社
    • Related Report
      2015 Research-status Report
  • [Book] 今さら聞けない 小児のみみ・はな・のど診療Q&A Ⅱ巻2015

    • Author(s)
      高原 幹、林 達哉
    • Total Pages
      252
    • Publisher
      全日本病院出版会
    • Related Report
      2014 Research-status Report
  • [Remarks] 旭川医科大学 耳鼻咽喉科・頭頸部外科 研究概要

    • URL

      http://www.asahikawa-med.ac.jp/dept/mc/oto/contents/study.html

    • Related Report
      2016 Annual Research Report
  • [Remarks] 旭川医科大学 耳鼻咽喉科・頭頸部外科 ホームページ 研究概要

    • URL

      http://www.asahikawa-med.ac.jp/dept/mc/oto/contents/study.html

    • Related Report
      2015 Research-status Report
  • [Remarks] 旭川医科大学耳鼻咽喉科・頭頸部外科学教室ホームページ

    • URL

      http://www.asahikawa-med.ac.jp/dept/mc/oto/

    • Related Report
      2014 Research-status Report

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

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