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1997 Fiscal Year Final Research Report Summary

Pathogenesis and long-team prognosis of childhood onset insulin-dependent diabetes mellitus (IDDM)

Research Project

Project/Area Number 07457182
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionKitasato University

Principal Investigator

MATSUURA Nobuo  Kitasato Univ.School of Medicine, Professor, 医学部・小児科, 教授 (50002332)

Co-Investigator(Kenkyū-buntansha) KAZAHARI Mayum  Kitasato Univ.School of Medicine, Research Associate, 医学部, 助手 (60224383)
YOKOTA Yukifumi  Kitasato Univ.School of Medicine, Assistant Professor, 医学部, 講師 (40158366)
Project Period (FY) 1995 – 1997
KeywordsHLA antigen genes / DR beta genes / Mitochondrial genes / GAD antigen / DT diaphorase / Cox B virus / Autoantigens / ICA512
Research Abstract

1.Detection of Coxsackie B virus RNA in serum from children at the onset of IDDM
To elucidate the environmental factors of childhood IDDM,children at onset of IDDM were investigated by detection of specific Cox B sequences in serum using a transcription and a nested polymerase chain reaction (nested RT-PCR). We studied 59 cases of children with IDDM at onset, however we can't detected none of the cases until now. We are continuing to try to isolate Cox B specific virus RNA.
2.HLA-DR,DQ beta genes and DQ alpha genes analysis
We analyzed HLA antigen genes in 104 patients with IDDM and 97 controls. We found significantly decreased frequency in DRB1 150X (D), and increased in 0405 (S), 0901 (V). Moreover, 0802(D) was significantly in IDDM.DQA1 (R), DQB1 (D), DRB1 (nD) homozygotes was found most susceptibility genotype (RR=2.87) in Japanese IDDM patients.
3.Mitochondrial (Mt) gene mutations associated with Japanese childhood IDDM pat ients. : We found none of the patients had 3243 (A-G) mutations, however, 2 and 5 of the 155 IDDM patients had 3316 and 3394 mutations.
4.Long-term complications of IDDM patients and interational collaboration studies : We collaborated in DERI,DIAMOND and Hvidore study groups.

  • Research Products

    (23 results)

All Other

All Publications (23 results)

  • [Publications] Matsuura N, et al.: "Molecular Epidemiology of IDDM in the Western Pacific rim region." Diab Res Clin Pract. 34. 117-123 (1996)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Mortensen HB, et al.: "Comparison of metabolic control in a cross-sectional study of 2.873 children and adolescents with IDDM from 18 countries." Diabetes Care. 20. 714-720 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Matsushima M, et al.: "Geografhic variation in mortality among individuals with youth-onset diabetes mellitus across the world." Diabetologia. 40. 212-216 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Mortensen HB, et al.: "International Perspectives in Childhood and Adolescent Diabetes:A Review." J Pediatr Endocrinol Metab. 10. 261-264 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 雨宮 伸 他: "他施設間のグリコヘモグロビン測定標準化の検討-その成果と問題点-。" 糖尿病. 40. 219-229 (1997)

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      「研究成果報告書概要(和文)」より
  • [Publications] 松浦 信夫: "小児糖尿病の治療" 日本臨床. 725. 538-543 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 松浦 信夫: "小児糖尿病の取り扱い。糖尿病臨床ノートV" 現代医療社, 15 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 松浦 信夫: "小児糖尿病(NIDDMとIDDM)。糖尿病-専門医にきく最新の臨床-。" 中外医学社, 3 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] DERI Mortality Study Group (Kitagawa T,Tajima N,Matsuura N,Toyota T,Ikeda Y,Hibi T,Miki E,Maruyama H,Kawamura N,Isshiki G,Takeda A,Kida K,Khono Y,Mimura G,Matsushima M,Aono M,Aono M,Maruyama M,Shimizu K,Nishimura R): "International analysis of insulin-dependent dibetes mellitus mortality : a preventable mortality perspective" The Diabetes Epidemiology Research International (DERI) study. Am J Epiewmiol. 142(6). 612-618 (1995)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Matsushuma M,Tajima N,LaPorte RE,Orchard TJ,Tull ES,Gower LE,T Kitagawa for Diabetes Epidemiology Research International (DERI) U.S.-Japan Mortality Study Group (Kitagawa T,Tajima N,Matsuura N,Toyota T,Ikeda Y,Hibi T,Miki E,Maruyama H,Kawamura N,Isshiki G,Takeda A,Kida K,Khono Y,Mimura G,Matsushima M,Aono M,Aono M,Maruyama M,Shimizu K,Nishimura R): "Markedly increased renal disease mortality and incidence of renal replacement therapy among IDDM patients in Japan in contrast to Allegheny County, Pennsylvania, USA." Diabetologia. 38(2). 236-243 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Uchigata Y,Mizota S Yanagisawa K,Nakagawa Y,Ikegami H,Yamada H,Miura J,Ogihara T,Matsuura N,Omori Y: "Large-scale study of an A-to-G transition at position 3243 of the mitochondrial gene and IDDM in Japanese patients." Diabetologia. 39. 245-246 (1996)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Mizota M,Uchigata Y,Moriyama S,Tokunaga K,Matsuura N,Miura J,Juji T,Omori Y: "Age-dependent association of HLA-A24 in Japanese IDDM patients." Diabetologia. 39. 371-372 (1996)

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      「研究成果報告書概要(欧文)」より
  • [Publications] Dorman JS,McCarthy B,McCanlies E,Kramer MK,Vergona RJ,Stone R,Kocova M Trucco M and the WHO DiaMond Molecular Epidemiology Sub-Project Group: "Molecular IDDM epidemiology" International atudies. Diab Res Clin Pract. 34 (suppl). s107-s116 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Matsushima M,Shimizu K,Maruyama M,Nisimura R,LaPorte RE,Tajima N,for Diabetes Epidemiology Research International (DERI) U.S.-JApan Mortality Study Group (Kitagawa T,Tajima N,Matsuura N,Toyota T,Ikeda Y,Hibi T,Miki E,Maruyama H,Kawamura N,Isshiki G,Takeda A,Kida K,Khono Y,Mimura G,Matsushima M,Aono M,Aono M,Maruyama M,Shimizu K,Noshimura R: "Socioeconomic and behavioral risk factors for mortality of individuals with IDDM in Japan : population-based case-control study." Diabetologia. 39. 710-716 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Nishimura B,Matsushima M,Tajima N,Agata T,Shimizu H,LaPorte RE,The Diabetes Epidemiology Research International Study Grou (Kitagawa T,Tajima N,Matsuura N,Toyota T,Ikeda Y,Hibi T,Miki E,Maruyama H,Kawamura N,Isshiki G,Takeda A,Kida K,Khono Y,Mimura G,Matsushima M,AOno M,Aono M,Maruyama M,Shimizu K,Nishimura R,Asao K): "A major improvement in the prognosis of individuals with IDDM in the past 30 years in Japan." Diabetes Care. 19(7). 758-760 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Matsuura N,Ko KW,Park YS,Elliott R,and the WHO DiaMond Molecular Epidemiology Sub-Project Group: "Molecular Epidemiology of IDDM in the Westen Pacific rim region." Diab Res Clin Pract. 34 (suppl). s117-s123 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Mortensen HB,Hougaard P: "for The Hvidore Study Group on Childhood Diabetes and adolescent with insulin-dependent diabetes from 18 countries." Diabetes Care. 20(5). 714-720 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Matsushima M,LaPorte RE,Maruyama M,Shimizu K,Nishimura R for the DERI Mortality Study Group (Kitagawa T,Tajima N,Matsuura N,Toyota T,Ikeda Y,Hibi T,Miki E,Maruyama H,Kawamura N,Isshiki G,Takeda A,Kida K,Khono Y,Mimura G,Matsushima M,Aono M,Aono M,Maruyama M,Shimizu K,Nishimura R,Asao K): "Geographic variation in mortality among individuals with youth-onset diabetes mellitus across the world." Diabetologia. 40(2). 212-216 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Mortensen HB,Hougaad P: "for the Hvidore Study Group on Childhood Diabetes." J Pediatr Endocrinol Metab. 10(3). 261-264 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Matsuura N,Fukuba K,Okuno A,Harada S,Fukushima N,Koike A,Ito Y,Hotsubo T: "The descriptive epidemiology of type 1 (insulin-dependent) diabetes mellitus in Hokkaido Japan : Childhood IDDM Hokkaido Registry." Diabetes Care.(submitted).

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  • [Publications] Matsuura N,Suzuki S,Yokota Y,Kazahari K,Kazahari M,Toyota T,Hirai M,Okuno A,Harada S,Fukushima N,KoIke A,Ito Y,Hotsubo T: "Mitochondrial gene mutations associated with childhood diabetes mellitus in Japanese." J Pediatr Endocrinol Metab. (submitted).

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  • [Publications] Danne T,Mortensen HB,Aanstoot HJ,Holl RW,Hougaard P,Robertson KJ,Atchison JA,Chiarelli F,Daneman D,Dinesen B,Dorchy H,Garandeau P,Greene S,Hoey H,Kaprio EA,Kocova M,Martul P,Matsuura N,Schoenle EJ,Soevik O,Swift P,Tsou RM,Vanelli M,Aman J: "for the Hvidore Stu dy Group on Childhood Diabetes : Center Differences in glycemic control in a cross-sectional study of children and adolescents with insulin-dependent diabetes from 18 countries." Diabetologia. (submitted).

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      「研究成果報告書概要(欧文)」より
  • [Publications] Mortensen HB,Robertson KJ,Aanstoot HJ,Danne T,Holl RW,Hougaard P,Atchison JA,Chiarelli F,Daneman D,Dinesen B,Dorchy H,Garandeau P,Greene S,Hoey H,Kaprio EA,Kocova M,Martul P,Matsuura N,Schoenle EJ,Soevik O,Swift P,Tsou RM,Vanelli M,Aman J: "for the Hvidore Study Group on Childhood Diabetes : Insulin management and metabolic control of insulin-dependent diabetes in childhood and adolescence in 18 countries." Diabetic Medicine. (submitted).

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Published: 1999-03-16  

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