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2018 Fiscal Year Annual Research Report

Next generation type composite antibody therapy for TTR amyloidosis

Research Project

Project/Area Number 15H04841
Research InstitutionKumamoto University

Principal Investigator

安東 由喜雄  熊本大学, 大学院生命科学研究部(医), 教授 (20253742)

Co-Investigator(Kenkyū-buntansha) 池田 徳典  熊本大学, 医学部附属病院, 病院教員 (00613530)
植田 光晴  熊本大学, 医学部附属病院, 講師 (60452885)
三隅 洋平  熊本大学, 大学院生命科学研究部(医), 助教 (80625781)
大林 光念  熊本大学, 大学院生命科学研究部(保), 教授 (90361899)
山下 太郎  熊本大学, 医学部附属病院, 特任教授 (90381003)
Project Period (FY) 2015-04-01 – 2019-03-31
Keywords神経科学 / 家族性アミロイドニューロパチ― / トランスサイレチン / 抗体治療 / 免疫療法 / ips細胞 / 神経分子病態学
Outline of Annual Research Achievements

本年度はまとめの年と位置づけ、家族性アミロイドポリニューロパチー (FAP)の複合的治療研究の集大成を行った。TTRの81-127のC末端のフラグメントが中性条件下でアミロイドを形成することが判明したので、ハイ・スループットのアッセー系を確立し、cell base assayなどを用い研究を推進した。解析の結果、TTR115-124、TTR89-97抗体が有効にTTR アミロイド形成を有効に押さえることが判明した。治療効果の向上を目指して、TTRがアミロイド形成する過程の各段階の分子を標的とし、抗体療法にiPS細胞由来マクロファージによる細胞療法を加えたin vitroでアミロイド消去能を検証したところ、その効果が増強した。「複合的な抗アミロイド免疫療法」が確立できつつあると考える。本プロジェクトは、アメリカのベンチャー企業、Prothena社との共同研究のもとPhase I studyに入っており、今後実用化に向けて本プロジェクトを推進する予定である。 TTR115-124、TTR89-97抗体のどちらに絞るかは今後更に検討する必要がある。

Research Progress Status

平成30年度が最終年度であるため、記入しない。

Strategy for Future Research Activity

平成30年度が最終年度であるため、記入しない。

  • Research Products

    (39 results)

All 2019 2018 Other

All Int'l Joint Research (1 results) Journal Article (32 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 31 results,  Open Access: 11 results) Presentation (6 results) (of which Invited: 4 results)

  • [Int'l Joint Research] Prothena Biosciences(米国)

    • Country Name
      U.S.A.
    • Counterpart Institution
      Prothena Biosciences
  • [Journal Article] Therapeutic Potential of Polyamidoamine Dendrimer for Amyloidogenic Transthyretin Amyloidosis2019

    • Author(s)
      Inoue M, Ueda M, Higashi T, Anno T, Fujisawa K, Motoyama K, Mizuguchi M, Ando Y, Jono H, Arima H.
    • Journal Title

      ACS Chemical Neuroscience

      Volume: 印刷中 Pages: 印刷中

    • DOI

      10.1021/acschemneuro.9b00059

    • Peer Reviewed
  • [Journal Article] Apolipoprotein E and clusterin inhibit the early phase of amyloid-β aggregation in an in vitro model of cerebral amyloid angiopathy2019

    • Author(s)
      Endo Y, Hasegawa K, Nomura R, Arishima H, Kikuta K, Yamashita T, Inoue Y, Ueda M, Ando Y, Wilson MR, Hamano T, Nakamoto Y, Naiki H.
    • Journal Title

      Acta Neuropathologica Communications

      Volume: 7 Pages: 12

    • DOI

      10.1186/s40478-019-0662-1

    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The Accumulation of Heparan Sulfate S-Domains in Kidney Transthyretin Deposits Accelerates Fibril Formation and Promotes Cytotoxicity2019

    • Author(s)
      Kameyama H, Uchimura K, Yamashita T, Kuwabara K, Mizuguchi M, Hung SC, Okuhira K, Masuda T, Kosugi T, Ohgita T, Saito H, Ando Y, Nishitsuji K.
    • Journal Title

      The American Journal of Pathology

      Volume: 189 Pages: 308~319

    • DOI

      10.1016/j.ajpath.2018.09.015

    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Transthyretin Stabilizer Is Associated With Expanding Apical Sparing Area and Improving Global Cardiac Function in a Patient With Wild-Type Cardiac Amyloidosis2019

    • Author(s)
      Kato T, Ikeda N, Maurer MS, Ando Y, Tanno K.
    • Journal Title

      Circulation Journal

      Volume: 83 Pages: 690~690

    • DOI

      10.1253/circj.CJ-18-0612

    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 【遺伝性心血管疾患のすべて】心筋疾患 心アミロイドーシス2019

    • Author(s)
      三隅洋平,安東由喜雄
    • Journal Title

      医学のあゆみ

      Volume: 268 Pages: 737-742

  • [Journal Article] siRNAを用いた核酸医薬品の開発状況2019

    • Author(s)
      三隅洋平, 安東由喜雄
    • Journal Title

      Medical Science Digest

      Volume: 45 Pages: 17-20

    • Peer Reviewed
  • [Journal Article] Extreme Adhesion Activity of Amyloid Fibrils Induces Subcutaneous Insulin Resistance2018

    • Author(s)
      Nakamura M, Misumi Y, Nomura T, Oka W, Isoguchi A, Kanenawa K, Masuda T, Inoue Y, Ando Y, Ueda M.
    • Journal Title

      Diabetes

      Volume: 68 Pages: 609~616

    • DOI

      10.2337/db18-0846

    • Peer Reviewed
  • [Journal Article] Non-Val30Met mutation, septal hypertrophy, and cardiac denervation in patients with mutant transthyretin amyloidosis2018

    • Author(s)
      Hirakawa K, Takashio S, Marume K, Yamamoto M, Hanatani S, Yamamoto E, Sakamoto K, Izumiya Y, Kaikita K, Oda S, Utsunomiya D, Shiraishi S, Ueda M, Yamashita T, Yamashita Y, Ando Y, Tsujita K.
    • Journal Title

      ESC Heart Failure

      Volume: 6 Pages: 122~130

    • DOI

      10.1002/ehf2.12361

    • Peer Reviewed / Open Access
  • [Journal Article] A novel age-related venous amyloidosis derived from EGF-containing fibulin-like extracellular matrix protein 12018

    • Author(s)
      Tasaki M, Ueda M, Hoshii Y, Mizukami M, Matsumoto S, Nakamura M, Yamashita T, Ueda A, Misumi Y, Masuda T, Inoue Y, Torikai T, Nomura T, Tsuda Y, Kanenawa K, Isoguchi A, Okada M, Matsui H, Obayashi K, Ando Y.
    • Journal Title

      The Journal of Pathology

      Volume: 247 Pages: 444~455

    • DOI

      10.1002/path.5203

    • Peer Reviewed
  • [Journal Article] Hereditary cardiac amyloidosis associated with Pro24Ser transthyretin mutation: a case report2018

    • Author(s)
      Yamamoto H, Hashimoto T, Kawamura S, Hiroe M, Yamashita T, Ando Y, Yokochi T.
    • Journal Title

      Journal of Medical Case Reports

      Volume: 12 Pages: 370

    • DOI

      10.1186/s13256-018-1931-5

    • Peer Reviewed / Open Access
  • [Journal Article] Development of transgenic Caenorhabditis elegans expressing human transthyretin as a model for drug screening2018

    • Author(s)
      Tsuda Y, Yamanaka K, Toyoshima R, Ueda M, Masuda T, Misumi Y, Ogura T, Ando Y.
    • Journal Title

      Scientific Reports

      Volume: 8 Pages: 17884

    • DOI

      10.1038/s41598-018-36357-5

    • Peer Reviewed / Open Access
  • [Journal Article] Origin of sporadic late-onset hereditary ATTR Val30Met amyloidosis in Japan2018

    • Author(s)
      Ueda M, Yamashita T, Misumi Y, Masuda T, Ando Y.
    • Journal Title

      Amyloid

      Volume: 25 Pages: 143~147

    • DOI

      10.1080/13506129.2018.1531842

    • Peer Reviewed
  • [Journal Article] Teaching NeuroImages: Morphology of lumbosacral dorsal root ganglia and plexus in hereditary transthyretin amyloidosis2018

    • Author(s)
      Masuda T, Ueda M, Kitajima M, Morita K, Misumi Y, Yamashita T, Obayashi K, Yamashita Y, Ando Y.
    • Journal Title

      Neurology

      Volume: 91 Pages: e1834~e1835

    • DOI

      10.1212/WNL.0000000000006474

    • Peer Reviewed / Open Access
  • [Journal Article] First Nationwide Survey of 199 Patients with Amyloid A Amyloidosis in Japan2018

    • Author(s)
      Okuda Y, Yamada T, Ueda M, Ando Y.
    • Journal Title

      Internal Medicine

      Volume: 57 Pages: 3351~3355

    • DOI

      10.2169/internalmedicine.1099-18

    • Peer Reviewed / Open Access
  • [Journal Article] Two cases of late onset familial amyloid polyneuropathy with a Glu61Lys transthyretin variant2018

    • Author(s)
      Nakano Y, Tadokoro K, Ohta Y, Sato K, Takemoto M, Hishikawa N, Yamashita T, Yamashita T, Ando Y, Abe K.
    • Journal Title

      Journal of the Neurological Sciences

      Volume: 390 Pages: 22~25

    • DOI

      10.1016/j.jns.2018.04.003

    • Peer Reviewed
  • [Journal Article] Unwanted road to anaemia in transthyretin familial amyloid polyneuropathy may continue irrespective of tafamidis treatment2018

    • Author(s)
      Ikeda T, Masuda T, Ueda M, Yamashita T, Misumi Y, Shinriki S, Ando Y.
    • Journal Title

      Annals of Clinical Biochemistry: International Journal of Laboratory Medicine

      Volume: 55 Pages: 571~575

    • DOI

      10.1177/0004563218754587

    • Peer Reviewed
  • [Journal Article] Late iodine enhancement and myocardial extracellular volume quantification in cardiac amyloidosis by using dual-energy cardiac computed tomography performed on a dual-layer spectral detector scanner2018

    • Author(s)
      Oda S, Nakaura T, Utsunomiya D, Hirakawa K, Takashio S, Izumiya Y, Tsujita K, Hata H, Ando Y, Yamashita Y.
    • Journal Title

      Amyloid

      Volume: 25 Pages: 137~138

    • DOI

      10.1080/13506129.2018.1424625

    • Peer Reviewed
  • [Journal Article] Utility of Single-Photon Emission Computed Tomography/Computed Tomography Fusion Imaging With <sup>99 m</sup>Tc-Pyrophosphate Scintigraphy in the Assessment of Cardiac Transthyretin Amyloidosis2018

    • Author(s)
      Tsuda N, Shiraishi S, Oda S, Ogasawara K, Sakamoto F, Tomiguchi S, Fujisue K, Takashio S, Izumiya Y, Tsujita K, Ando Y, Yamashita Y.
    • Journal Title

      Circulation Journal

      Volume: 82 Pages: 1970~1971

    • DOI

      10.1253/circj.CJ-17-1111

    • Peer Reviewed / Open Access
  • [Journal Article] Multicentre cross-sectional study for bone-articular lesions associated with dialysis related amyloidosis in Japan2018

    • Author(s)
      Nishi S, Hoshino J, Yamamoto S, Goto S, Fujii H, Ubara Y, Motomiya Y, Morita H, Takaichi K, Yamagata K, Shigematsu T, Ueda M, Ando Y.
    • Journal Title

      Nephrology

      Volume: 23 Pages: 640~645

    • DOI

      10.1111/nep.13077

    • Peer Reviewed
  • [Journal Article] Diagnostic utility of cardiac troponin T level in patients with cardiac amyloidosis2018

    • Author(s)
      Takashio S, Yamamuro M, Izumiya Y, Hirakawa K, Marume K, Yamamoto M, Ueda M, Yamashita T, Ishibashi-Ueda H, Yasuda S, Ogawa H, Ando Y, Anzai T, Tsujita K.
    • Journal Title

      ESC Heart Failure

      Volume: 5 Pages: 27~35

    • DOI

      10.1002/ehf2.12203

    • Peer Reviewed / Open Access
  • [Journal Article] Selection of DNA Aptamer That Blocks the Fibrillogenesis of a Proteolytic Amyloidogenic Fragment of β2m2018

    • Author(s)
      Fukasawa K, Higashimoto Y, Ando Y, Motomiya Y.
    • Journal Title

      Therapeutic Apheresis and Dialysis

      Volume: 22 Pages: 61~66

    • DOI

      10.1111/1744-9987.12591

    • Peer Reviewed
  • [Journal Article] In vitro and in vivo siRNA delivery to hepatocyte utilizing ternary complexation of lactosylated dendrimer/cyclodextrin conjugates, siRNA and low-molecular-weight sacran2018

    • Author(s)
      Hayashi Y, Higashi T, Motoyama K, Jono H, Ando Y, Arima H.
    • Journal Title

      International Journal of Biological Macromolecules

      Volume: 107 Pages: 1113~1121

    • DOI

      10.1016/j.ijbiomac.2017.09.085

    • Peer Reviewed
  • [Journal Article] First nationwide survey on systemic wild-type ATTR amyloidosis in Japan2018

    • Author(s)
      Sekijima Y, Yazaki M, Ueda M, Koike H, Yamada M, Ando Y.
    • Journal Title

      Amyloid

      Volume: 25 Pages: 8~10

    • DOI

      10.1080/13506129.2017.1409706

    • Peer Reviewed
  • [Journal Article] Genetic and clinical characteristics of hereditary transthyretin amyloidosis in endemic and non-endemic areas: experience from a single-referral center in Japan2018

    • Author(s)
      Yamashita T, Ueda M, Misumi Y, Masuda T, Nomura T, Tasaki M, Takamatsu K, Sasada K, Obayashi K, Matsui H, Ando Y.
    • Journal Title

      Journal of Neurology

      Volume: 265 Pages: 134~140

    • DOI

      10.1007/s00415-017-8640-7

    • Peer Reviewed / Open Access
  • [Journal Article] Nationwide Survey of 741 Patients with Systemic Amyloid Light-chain Amyloidosis in Japan2018

    • Author(s)
      Shimazaki C, Hata H, Iida S, Ueda M, Katoh N, Sekijima Y, Ikeda S, Yazaki M, Fukushima W, Ando Y.
    • Journal Title

      Internal Medicine

      Volume: 57 Pages: 181~187

    • DOI

      10.2169/internalmedicine.9206-17

    • Peer Reviewed / Open Access
  • [Journal Article] 手根管症候群に潜む疾患の鑑別と治療 TTR-FAP:トランスサイレチン型家族性アミロイドポリニューロパチー2018

    • Author(s)
      山下太郎, 植田光晴, 安東由喜雄
    • Journal Title

      末梢神経

      Volume: 29 Pages: 224-231

    • Peer Reviewed
  • [Journal Article] 神経アミロイドーシスのすべて 2017年診療ガイドライン2018

    • Author(s)
      増田曜章, 安東由喜雄
    • Journal Title

      神経治療学

      Volume: 35 Pages: 174-178

    • Peer Reviewed
  • [Journal Article] 家族性アミロイドポリニューロパチーと自律神経障害2018

    • Author(s)
      増田曜章, 安東由喜雄
    • Journal Title

      自律神経

      Volume: 55 Pages: 81-84

    • Peer Reviewed
  • [Journal Article] アミロイドーシスの最近の知見2018

    • Author(s)
      山下太郎, 安東由喜雄
    • Journal Title

      皮膚病診療

      Volume: 40 Pages: 1086-1092

    • Peer Reviewed
  • [Journal Article] 遺伝性ニューロパチー 家族性アミロイドポリニューロパチー2018

    • Author(s)
      植田光晴, 安東由喜雄
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 1075-1079

    • Peer Reviewed
  • [Journal Article] トランスサイレチンフラグメントのアミロイド形成および細胞毒性の解析2018

    • Author(s)
      植田光晴, 三隅洋平, 増田曜章, 津田幸元, 井上泰輝, 野村隼也, 山下太郎, 安東由喜雄
    • Journal Title

      末梢神経

      Volume: 29 Pages: 42-49

    • Peer Reviewed
  • [Journal Article] 主要疾患としびれ感、その対応 アミロイドニューロパチー2018

    • Author(s)
      三隅洋平, 安東由喜雄
    • Journal Title

      Clinical Neuroscience

      Volume: 36 Pages: 464-466

    • Peer Reviewed
  • [Presentation] 循環器症状を伴う末梢神経障害疾患 TTR-FAPを見逃さない2019

    • Author(s)
      安東由喜雄
    • Organizer
      第83回日本循環器学会学術集会ファイアサイドセミナー
    • Invited
  • [Presentation] アミロイドーシスのすべて-2017年診療ガイドライン2018

    • Author(s)
      安東由喜雄
    • Organizer
      日本神経学会
  • [Presentation] 治す神経難病の実践2018

    • Author(s)
      安東由喜雄
    • Organizer
      第45回メトロポリタンニューロサイエンスクラブ(MNC)
    • Invited
  • [Presentation] 治す神経難病の実践-アミロイドニューロパチー2018

    • Author(s)
      安東由喜雄
    • Organizer
      第4回Nagoya Neurology Forum
    • Invited
  • [Presentation] 見逃してはいけない日常診療に潜むアミロイーシス ~Red-flagによるTTR-FAP鑑別診断~2018

    • Author(s)
      安東由喜雄
    • Organizer
      第36回日本神経治療学会学術集会
    • Invited
  • [Presentation] アミロイドーシスが引き起こす様々なニューロパチーの最新の知見2018

    • Author(s)
      安東由喜雄
    • Organizer
      第224回日本神経学会九州地方会

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Published: 2019-12-27  

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