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Efficacy of Bezafibrate for severe form of glutaric acidemia type 2

Research Project

Project/Area Number 26870379
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Embryonic/Neonatal medicine
Pediatrics
Research InstitutionShimane University

Principal Investigator

Yamada Kenji  島根大学, 医学部, 助教 (70624930)

Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2015: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsベザフィブラート / 脂肪酸代謝異常症 / グルタル酸血症2型 / in vitro probe assay
Outline of Final Research Achievements

Bezafibrate (BEZ) was reported as a drug for mild form of fatty acid oxidation disorders, but was considered not effective for severe (neonatal-onset) form. In this study, we investigated the efficacy of BEZ for fibroblasts derived from various form of glutaric acidemia type 2 (GA2) using in vitro probe (IVP) assay.
Low-dose BEZ was not effective for severest form of GA2 in which polycystic kidney, Potter's face, and severe cardiomyopathy was seen soon after birth. By contrast, low-dose BEZ was effective for neonatal-onset form without anomaly and cardiomyopathy. Moreover, good response to low-dose BEZ was observed in milder form which is onset after infancy. By the way, high-dose BEZ can not be evaluated using IVP assay due to precision of analysis
BEZ may be clinically effective even for neonatal-onset form of GA2 if the patient has no anomaly and cardiomyopathy.

Report

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

    (12 results)

All 2016 2015 2014

All Journal Article (6 results) (of which Peer Reviewed: 5 results,  Open Access: 3 results) Presentation (5 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Journal Article] Clinical, biochemical and molecular investigation of adult-onset glutaric acidemia type II: Characteristics in comparison with pediatric cases.2016

    • Author(s)
      Yamada K, Kobayashi H, Bo R, Takahashi T, Purevsuren J, Hasegawa Y, Taketani T, Fukuda S, Ohkubo T, Yokota T, Watanabe M, Tsunemi T, Mizusawa H, Takuma H, Shioya A, Ishii A, Tamaoka A, Shigematsu Y, Sugie H, Yamaguchi S.
    • Journal Title

      Brain Dev.

      Volume: 38 Issue: 3 Pages: 293-301

    • DOI

      10.1016/j.braindev.2015.08.011

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A fetus with mitochondrial trifunctional protein deficiency: Elevation of 3-OH-acylcarnitines in amniotic fluid functionally assured the genetic diagnosis2016

    • Author(s)
      Bo R, Hasegawa Y, Yamada K, Kobayashi H, Taketani T, Fukuda S, Yamaguchi S
    • Journal Title

      Molecular Genetics and Metabolism Reports

      Volume: 6 Pages: 1-4

    • DOI

      10.1016/j.ymgmr.2015.11.005

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Carnitine-acylcarnitine translocase deficiency: two neonatal cases with common splicing mutation and in vitro bezafibrate response2015

    • Author(s)
      Vatanavicharn N, Yamada K, Aoyama Y, Fukao T, Densupsoontorn N, Jirapinyoe P, Sathienkijkanchai A, Yamaguchi S, Wasant P
    • Journal Title

      Brain and Development

      Volume: - Issue: 7 Pages: 698-703

    • DOI

      10.1016/j.braindev.2014.10.005

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Metabolic disease in 10 patients with sudden unexpected death in infancy or acute life-threatening events2015

    • Author(s)
      Takahashi T, Yamada K, Kobayashi H, Hasegawa Y, Taketani T, Fukuda S, Yamaguchi S
    • Journal Title

      Pediatrics international

      Volume: 57 Issue: 3 Pages: 348-353

    • DOI

      10.1111/ped.12660

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Elevation of pivaloylcarnitine by sivelestat sodium in two children2015

    • Author(s)
      Yamada K, Kobayashi H, Bo R, Takahashi T, Hasegawa T, Nakamura M, Ishige N, Yamaguchi S
    • Journal Title

      Molecular Genetics and Metabolism

      Volume: 116 Issue: 3 Pages: 192-194

    • DOI

      10.1016/j.ymgme.2015.09.009

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] in vitro probe assayとイムノブロッティング2014

    • Author(s)
      山田健治
    • Journal Title

      小児内科

      Volume: 46 Pages: 510-514

    • Related Report
      2014 Research-status Report
  • [Presentation] VLCAD 欠損症合併妊娠の母児例2015

    • Author(s)
      山田健治, 坊 亮輔, 小林弘典, 長谷川有紀, 河上早苗, 渡邊あさみ, 松原圭一, 山口清次
    • Organizer
      第57回日本先天代謝異常学会
    • Place of Presentation
      大阪(大阪国際会議場)
    • Year and Date
      2015-11-12
    • Related Report
      2015 Annual Research Report
  • [Presentation] Serum C14:1/C12:1 ratio is a sensitive diagnostic marker for VLACD deficiency2015

    • Author(s)
      Yamada K, Bo R, Kobayashi H, Hasegawa Y, Yamaguci S
    • Organizer
      Society for the Study of Inborn Errors of Metabolism Annual Symposium
    • Place of Presentation
      France, Lyon
    • Year and Date
      2015-09-01
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] VLCAD欠損症の診断マーカーにおける血清C14:1/C12:1比の有用性2015

    • Author(s)
      山田健治, 坊亮輔, 小林弘典, 長谷川有紀, 山口清次
    • Organizer
      第42回日本マススクリーニング学会
    • Place of Presentation
      東京(大手町サンケイプラザ)
    • Year and Date
      2015-08-21
    • Related Report
      2015 Annual Research Report
  • [Presentation] Why does C14:1 increase in VLCAD deficiency?2014

    • Author(s)
      山田健治
    • Organizer
      日本先天代謝異常学会
    • Place of Presentation
      江陽グランドホテル(宮城県仙台市)
    • Year and Date
      2014-11-13 – 2014-11-15
    • Related Report
      2014 Research-status Report
  • [Presentation] L-カルニチン内服によるアシルカルニチンプロファイルの変化2014

    • Author(s)
      山田健治
    • Organizer
      日本マス・スクリーニング学会
    • Place of Presentation
      広島大学広仁会館
    • Year and Date
      2014-08-22 – 2014-08-23
    • Related Report
      2014 Research-status Report
  • [Book] 引いて調べる先天代謝異常症2014

    • Author(s)
      山田健治
    • Total Pages
      175
    • Publisher
      診断と治療社
    • Related Report
      2014 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2017-05-10  

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