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Pathophysiological analysis of familial glucocorticoid resistance

Research Project

Project/Area Number 60480271
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field 内分泌・代謝学
Research InstitutionOsaka University

Principal Investigator

MORIWAKI Kaname (1986)  Osaka University Medical School, Associate Professor, 医学部, 助教授 (90028548)

伊藤 芳晴 (1985)  大阪大学, 医学部, 助手

Co-Investigator(Kenkyū-buntansha) KANAYAMA Yoshio  Osaka University Medical School, Assistant, 医学部, 助手 (30158852)
MASHITA Kazuhiko  Osaka University, College of Bio-Medical Technology Associate Professor, 医療技術短期大学部, 助教授 (90135682)
Project Period (FY) 1985 – 1986
Project Status Completed (Fiscal Year 1986)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥5,200,000)
Fiscal Year 1986: ¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1985: ¥3,000,000 (Direct Cost: ¥3,000,000)
KeywordsGlucocorticoid receptors / Familial Cortisol Resistance / Cortisol / Cushing's syndrome
Research Abstract

We found 2 patients in the same family, a mother and the son, with persistent hypercortisolemia without any signs and symptoms of Cushing's syndrome. In order to clarify the causes for this abnormality, we performed the following studies in these two patients.
1. A detailed clinical endocrine studies revealed that the patients showed persistant hypersecretion of cortisol and that their pituitary-adrenal axis were resistant to suppression by dexamethasone.
2. Glucocorticoid receptors in the patients' peripheral mononuclear cells had decreased numbers but normal apparant dissociation constant.
3. The patient's fibroblasts cultured and maintained under the same conditions as normal cells had also decreased glucocorticoid receptors.
4. The cultured fibroblasts were resistant to suppression of their growth by dexamethasone.
These finding led us to conclude that the family belonged to a new type of familial cortisol resistance and this abnormality is genetically determined.
Further studies concerning the abnormality in the patient's gene sequences of glucocorticoid receptors are indicated.

Report

(1 results)
  • 1986 Final Research Report Summary
  • Research Products

    (13 results)

All Other

All Publications (13 results)

  • [Publications] S.Iida: J.Clin.Endocrinol.Metabol.60. 967-971 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] K.Moriwaki: Jap.J.Med.24. 398 (1985)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] M.Gomi: N.Engl.J.Med.314. 1194 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] K.Moriwaki: Jap.J.Med.25. 367 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] M.Gomi: Horm.Metabol.Res.(1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 五味正裕: 内分泌学の進歩. 3. 134-139 (1986)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] 清水直容: "Annual Review 内分泌代謝 1987" 中外医学社, 325 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] S. Iida: "Primary Cortisol Resistance Accompanied by a Reduction in Glucocorticoid Receptors in Two Members of The Same Family" J. Clin. Endocrinol. Metabol.60. 967-971 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] K. Moriwaki: "Primary Cortisol Resistance Due to a Decrease in Glucocorticoid Receptors" Jap. J. Med.24. 398 (1985)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] M. Gomi: "Decreased Glucocorticoid Receptors in Cultured Skin Fibroblasts From a Patient with Primary Cortisol Resistance" N. Engl. J. Med.314. 1194 (1986)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] K. Moriwaki: "Glucocorticoid Receptor Status in Fibroblasts Obtained From a Patient With a New Type of Familial Cortisol Resistance" Jap. J. Med.25. 367 (1986)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] M. Gomi: "In Vitro Studies of Fibroblasts Obtained From a Patient With a New Type of Cortisol Resistance" Hormone Metabol. Res.in press (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary
  • [Publications] N. Shimizu: Chugai Igaku-sha. Annual Review in Endocrinology and Metabolism, 325 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1986 Final Research Report Summary

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Published: 1987-03-31   Modified: 2016-04-21  

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