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Functional mechanism of IVIG and cyclosporin A therapy for IVIG-resistant Kawasaki disease

Research Project

Project/Area Number 26860821
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Pediatrics
Research InstitutionWakayama Medical University

Principal Investigator

Kakimoto Nobuyuki  和歌山県立医科大学, 医学部, 助教 (90614412)

Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords川崎病 / シクロスポリンA / 細胞内シグナル伝達
Outline of Final Research Achievements

Peripheral blood samples were obtained just before and after the initial course of IVIG, additional IVIG, and CsA therapy for patients with Kawasaki disease. To evaluate the NFAT pathway and activation of the JAK-STAT pathway, we examined the gene expression of cytokines and intracellular signal transducers using real-time RT-PCR and pSTAT3 and pSTAT5 using flow cytometry. In the CsA group, expression of mRNAs for NFATc1 and c2 was significantly increased, whereas the mean fluorescence intensity (MFI) of pSTAT3 was decreased after CsA treatment. In the group responsive to initial IVIG, the MFI of pSTAT3 was decreased, and that of pSTAT5 was increased, after IVIG. In patients with refractory KD, CsA exerts effects on the activity of the JAK-STAT pathways and NFAT pathway.

Report

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

    (8 results)

All 2015 2014

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (6 results)

  • [Journal Article] Epidemiologic Features and Prognostic Factors of Coronary Artery Lesions Associated With Kawasaki Disease Based on a 13-Year Cohort of Consecutive Cases Identified by Complete Enumeration Surveys in Wakayama, Japan2014

    • Author(s)
      Kitano N, Suzuki H, Takeuchi T, Suenaga T, Kakimoto N, Shibuta S, Yoshikawa N, Takeshita T
    • Journal Title

      Journal of Epidemiology

      Volume: 24 Issue: 5 Pages: 427-434

    • DOI

      10.2188/jea.JE20140018

    • NAID

      130004449421

    • ISSN
      0917-5040, 1349-9092
    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Evaluation of coronary arterial lesions due to Kawasaki disease using optical coherence tomography2014

    • Author(s)
      Kakimoto N, Suzuki H, Kubo T, Suenaga T, Takeuchi T, Shibuta S, Ino Y, Akasaka T, Yoshikawa N
    • Journal Title

      Can J Cardiol

      Volume: 956 Issue: 8 Pages: 956.e7-956.e9

    • DOI

      10.1016/j.cjca.2014.04.028

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 両側巨大冠動脈瘤を合併した症例に対する 血行再建を考慮する上で教訓となった1女児例2015

    • Author(s)
      垣本信幸、末永智浩、渋田昌一、武内崇、鈴木啓之
    • Organizer
      第35回日本川崎病学会総会・学術集会
    • Place of Presentation
      鹿児島
    • Year and Date
      2015-10-09
    • Related Report
      2015 Research-status Report
  • [Presentation] 川崎病急性期のPresepsin値の検討(第2報)2015

    • Author(s)
      垣本信幸、末永智浩、渋田昌一、武内崇、鈴木啓之
    • Organizer
      第35回日本川崎病学会総会・学術集会
    • Place of Presentation
      鹿児島
    • Year and Date
      2015-10-09
    • Related Report
      2015 Research-status Report
  • [Presentation] 光干渉断層法(OCT)で明らかになった 遠隔期川崎病冠動脈病変の特徴 ~内膜肥厚、中膜断裂は瘤病変のみならず、退縮部位にも存在する~2015

    • Author(s)
      垣本信幸、鈴木啓之、久保隆史、末永智浩、武内崇、渋田昌一、猪野靖、赤坂隆史、吉川徳茂
    • Organizer
      第51回日本小児循環器学会総会・学術集会
    • Place of Presentation
      東京
    • Year and Date
      2015-07-17
    • Related Report
      2015 Research-status Report
  • [Presentation] Functional mechanism of cyclosporin A therapy for immunoglobulin-resistant Kawasaki disease2015

    • Author(s)
      Kakimoto N, Suzuki H, Suenaga T, Takeuchi T, Shibuta S, Abe J, Yoshikawa N
    • Organizer
      11th International Kawasaki Disease Symposium
    • Place of Presentation
      Hawaii, USA
    • Year and Date
      2015-02-03
    • Related Report
      2014 Research-status Report
  • [Presentation] 川崎病急性期における Presepsin (sCD14-ST)値の検 討2014

    • Author(s)
      垣本 信幸, 末 永 智浩, 武内  崇, 鈴木 啓 之, 吉川 徳茂, 渋田昌一
    • Organizer
      第34回日本川崎病学会・学術集会
    • Place of Presentation
      東京
    • Year and Date
      2014-10-31
    • Related Report
      2014 Research-status Report
  • [Presentation] 治療抵抗性川崎病に対するシクロスポリンAの作用メ カニズムの検討2014

    • Author(s)
      垣本 信幸, 鈴 木 啓之, 末永 智浩, 武内 崇, 渋田 昌一, 阿 部 淳, 吉川 徳 茂
    • Organizer
      第50回日本小児循環器学会総会・学術集会
    • Place of Presentation
      岡山
    • Year and Date
      2014-07-05
    • Related Report
      2014 Research-status Report

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

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