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Mechanisms of fatal cardiotoxicity following high-dose cyclophosphamide therapy and a method for its prevention

Research Project

Project/Area Number 26870460
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Hygiene and public health
Pediatrics
Research InstitutionKagoshima University

Principal Investigator

Nishikawa Takuro  鹿児島大学, 医学部・歯学部附属病院, 助教 (90535725)

Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsシクロフォスファミド / 心筋障害 / 造血細胞移植 / 代謝 / 活性酸素 / 抗酸化剤 / アルデヒド脱水素酵素 / グルタチオン / acrolein / アポトーシス / アクロレイン
Outline of Final Research Achievements

We investigated the poorly understood cardiotoxic mechanisms of high-dose cyclophosphamide (CY). A rat cardiac myocardial cell line, H9c2, was exposed to CY metabolized by S9 fraction of rat liver homogenate mixed with co-factors (CYS9). CYS9 exhibited myocardial cytotoxicity when CY concentration was 250 μM or more. Inhibition of CYS9-induced cytotoxicity occurred with N-acetylcysteine (NAC). Pre-treatment with NAC, however, did not inhibit the metabolism of CY: compared to control samples, we observed no difference in 4-hydroxy-cyclophosphamide (HCY), a significant increase of o-carboxyethyl-phosphoramide (CEPM), and a significant decrease of acrolein. Furthermore, NAC pre-treatment did not affect intracellular amounts of ROS produced by CYS9. Since acrolein seems to be heavily implicated in the onset of cardiotoxicity, any competitive metabolic processing of CY that reduces its transformation to acrolein is likely to be an important mechanism for preventing cardiotoxicity.

Report

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

    (12 results)

All 2015 2014

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

  • [Journal Article] Mechanisms of Fatal Cardiotoxicity following High-Dose Cyclophosphamide Therapy and a Method for Its Prevention.2015

    • Author(s)
      Nishikawa T, Miyahara E, Kurauchi K, Watanabe E, Ikawa K, Asaba K, Tanabe T, Okamoto Y, Kawano Y.
    • Journal Title

      PLoS One

      Volume: 26;10(6) Issue: 6 Pages: e0131394-e0131394

    • DOI

      10.1371/journal.pone.0131394

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Trough level monitoring of intravenous busulfan to estimate the area under the plasma drug concentration-time curve in pediatric hematopoietic stem cell transplant recipients.2015

    • Author(s)
      Watanabe E, Nishikawa T, Ikawa K, Yamaguchi H, Abematsu T, Nakagawa S, Kurauchi K, Kodama Y, Tanabe T, Shinkoda Y, Matsumoto K, Okamoto Y, Takeda Y, Kawano Y.
    • Journal Title

      International Journal of Hematology

      Volume: 102 Issue: 5 Pages: 611-616

    • DOI

      10.1007/s12185-015-1853-6

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-Term Morbidity and Mortality in Children with Chronic Graft-versus-Host Disease Classified by National Institutes of Health Consensus Criteria after Allogeneic Hematopoietic Stem Cell Transplantation.2015

    • Author(s)
      Inagaki J, Moritake H, Nishikawa T, Hyakuna N, Okada M, Suenobu S, Nagai K, Honda Y, Shimomura M, Fukano R, Noguchi M, Kurauchi K, Tanioka S, Okamura J.
    • Journal Title

      Biol Blood Marrow Transplant.

      Volume: 21(11) Issue: 11 Pages: 1973-1980

    • DOI

      10.1016/j.bbmt.2015.07.025

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Acute encephalomyelitis complicated with severe neurological sequelae after intrathecal administration of methotrexate in a patient with acute lymphoblastic leukemia.2014

    • Author(s)
      Nishikawa T, Okamoto Y, Maruyama S, Tanabe T, Kurauchi K, Kodama Y, Nakagawa S, Shinkoda Y, Kawano Y.
    • Journal Title

      Rinsho Ketsueki.

      Volume: 55(11) Pages: 2306-2310

    • NAID

      130004705980

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Bone marrow transplant for a girl with bone marrow failure and cerebral palsy.2014

    • Author(s)
      Kodama Y, Okamoto Y, Shinkoda Y, Tanabe T, Nishikawa T, Yamaki Y, Kurauchi K, Kawano Y.
    • Journal Title

      Pediatr Int.

      Volume: 56(3) Issue: 3 Pages: 424-426

    • DOI

      10.1111/ped.12297

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of myeloperoxidase inhibition on gene expression profiles in HL-60 cells exposed to 1, 2, 4,-benzenetriol.2014

    • Author(s)
      Miyahara E, Nishikawa T, Takeuchi T, Yasuda K, Okamoto Y, Kawano Y, Horiuchi M.
    • Journal Title

      Toxicology

      Volume: 317 Pages: 50-57

    • DOI

      10.1016/j.tox.2014.01.007

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] 移植後シクロフォスファミドを用いたHLA半合致末梢血細胞移植とハプロDLIを施行した急性骨髄性白血病.2015

    • Author(s)
      引地美菜子,西川拓朗,中村達郎,棈松貴成,中川俊輔,児玉祐一,田邊貴幸,新小田雄一,岡本康裕,河野嘉文.
    • Organizer
      第57回日本小児血液・がん学会学術集会
    • Place of Presentation
      甲府富士屋ホテル(山梨県甲府市)
    • Year and Date
      2015-11-27
    • Related Report
      2015 Annual Research Report
  • [Presentation] High-dose cyclophosphamide induced cardiotoxicity: the roles of acrolein and ALDH1 activity.2015

    • Author(s)
      Nishikawa T, Miyahara E, Kurauchi K, Okamoto Y, Kawano Y.
    • Organizer
      第77回日本血液学会学術集会
    • Place of Presentation
      石川県立音楽堂(石川県金沢市)
    • Year and Date
      2015-10-16
    • Related Report
      2015 Annual Research Report
  • [Presentation] シクロフォスファミド大量療法施行患児における薬物動態-CY、CY代謝物濃度とCYP遺伝子多型および急性心筋障害発症との関係-2015

    • Author(s)
      西川拓朗,渡辺英里香,猪川和朗,宮原恵弥子,倉内宏一郎,棈松貴成,中川俊輔,児玉祐一,田邊貴幸,新小田雄一,松元一明,岡本康裕,森川則文,武田泰生,河野嘉文.
    • Organizer
      第32回日本TDM学会・学術大会
    • Place of Presentation
      キッセイ文化ホール(長野県松本市)
    • Year and Date
      2015-05-23
    • Related Report
      2015 Annual Research Report
  • [Presentation] シクロフォスファミド心筋障害のメカニズムとその予防法の探求.2015

    • Author(s)
      西川拓朗,宮原恵弥子,倉内宏一郎,岡本康裕,河野嘉文.
    • Organizer
      第85回日本衛生学会学術集会
    • Place of Presentation
      和歌山(和歌山県民文化会館、ホテルアバローム紀の国)
    • Year and Date
      2015-03-26 – 2015-03-28
    • Related Report
      2014 Research-status Report
  • [Presentation] シクロフォスファミド(CY)、CY代謝物濃度と大量CY投与後の急性心筋障害の検討.2015

    • Author(s)
      西川拓朗,渡辺英里香,岡本康裕,児玉祐一,田邊貴幸,中川俊輔,倉内宏一郎,棈松貴成,新小田雄一,武田泰生,河野嘉文.
    • Organizer
      第37回日本造血細胞移植学会総会
    • Place of Presentation
      神戸(神戸国際会議場、神戸ポートピアホテル)
    • Year and Date
      2015-03-05 – 2015-03-07
    • Related Report
      2014 Research-status Report
  • [Presentation] Mechanisms and prevention of fatal cardiotoxicity forrowing high-dose cyclophosphamide therapy.2014

    • Author(s)
      Nishikawa T, Miyahara E, Kurauchi K, Okamoto Y, Kawano Y.
    • Organizer
      第76回日本血液学会学術集会
    • Place of Presentation
      大阪(大阪国際会議場)
    • Year and Date
      2014-10-31 – 2014-11-02
    • Related Report
      2014 Research-status Report

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

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