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2007 Fiscal Year Final Research Report Summary

Elucidation of the mechanisms of giant platelet production in MYH9 disorders

Research Project

Project/Area Number 18591094
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Hematology
Research InstitutionClinical research Center, Nagoya National Hospital.

Principal Investigator

KUNISHIMA Shinji  Clinical research Center, Nagoya National Hospital., National Hospital Organization Nagoya Medical Center, Clinical Research Center, Chief (60373495)

Project Period (FY) 2006 – 2007
KeywordsMay-Hegglin anomaly / MYH9 disorders / NMMHC-IIA / Congenital thrombocytopenias
Research Abstract

MYH9 disorders such as May-Hegglin anomaly are characterized by macrothrombocytopenia and cytoplasmic granulocyte inclusion bodies that result from mutations in MYH9, the gene for nonmuscle myosin heavy chain-IIA(NMMHC-IIA). We examined the expression of mutant NMMHC-IIA polypeptide in peripheral blood cells from patients with MYH9 5770delG and 5818delG mutations. A specific antibody to mutant NMMHC-IIA(NT629) was raised against the abnormal carboxyl-terminal residues generated by 5818delG. NT629 reacted to recombinant 5818delG NMMHC-IIA but not to wild-type NMMHC-IIA, and did not recognize any cellular components of normal peripheral blood cells. Immunofluorescence and immunoblotting revealed that mutant NMMHC-IIA was present and sequestrated only in inclusion bodies within neutrophils, diffusely distributed throughout lymphocyte cytoplasm, sparsely localized on a diffuse cytoplasmic background in monocytes, and uniformly distributed at diminished levels only in large platelets. Mutant NMMHC-IIA did not translocate to lamellipodia in surface activated platelets. Wild-type NMMHC-IIA was homogeneously distributed among megakaryocytes derived from the peripheral blood CD34+ cells of patients, but coarse mutant NMMHC-IIA was heterogeneously scattered without abnormal aggregates in the cytoplasm. We show the differential expression of mutant NMMHC-IIA and postulatethat cell-specific regulation mechanisms function in MYH9 disorders.

  • Research Products

    (65 results)

All 2008 2007 2006 Other

All Journal Article (29 results) (of which Peer Reviewed: 12 results) Presentation (35 results) Remarks (1 results)

  • [Journal Article] Haematological characteristics of MYH9 disorders due to MYH9 R702 mutations.2007

    • Author(s)
      Kunishima S
    • Journal Title

      Eur J Haematol 78

      Pages: 220-6

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] First Turkish case of Bernard-Soulier syndrome associated with GPIX N45S.2007

    • Author(s)
      Dagistan N
    • Journal Title

      Acta Haematol 118

      Pages: 146-8

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] GPIIIa遺伝子のスプライシング異常によりGPIIa/IIIaを欠如した血小板無力症2007

    • Author(s)
      柏木隆宏
    • Journal Title

      日本検査血液学会誌 8

      Pages: 179-185

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] 特集 止血系検査のEBM.血小板機能異常症の診断.2007

    • Author(s)
      國島伸治
    • Journal Title

      Medical Technology 35

      Pages: 168-73

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Haematological charactenstics of MYH9 disorders due to MYH9 R702 mutations.2007

    • Author(s)
      Kunishima S
    • Journal Title

      Eur H Haematol 78

      Pages: 220-6

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] A case of Glanzmann's thrombasthenia with a lack of GP IIB/IIIa is caused by aberrant splicing of GPIIIa.2007

    • Author(s)
      Kashiwagi T
    • Journal Title

      J Jap Soc Lab Hematol 8

      Pages: 179-185

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] EBM of hemostatic examination. Diagnosis of platelet function disorders.2007

    • Author(s)
      Kunishima S
    • Journal Title

      Medical Technology 35

      Pages: 168-73

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Congenital macrothrombocytopenias.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Blood Rev 20

      Pages: 111-21

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Further characterization of anti-platelet monoclonal antibody HPL5 as anti-glycoprotein V antibody.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Acta Haematol 115

      Pages: 128-30

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Novel heterozygous missense mutation in the second leucine rich repeat of GPIbα affects GPIb/IX/V expression and results in macrothrombocytopenia in a patient initially misdiagnosed with idiopathic thrombocytopenic purpura.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Eur J Haematol 76

      Pages: 348-55

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Bernard-Soulier syndrome due to GPIX W127X mutation in Japan is frequently misdiagnosed as idiopathic thrombocytopenic purpura.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Int J Hematol 83

      Pages: 366-7

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Identification of a novel MYH9 mutation in a patient with May-Hegglin anomaly.2006

    • Author(s)
      Otsubo K
    • Journal Title

      Pediatr Blood Cancer 47

      Pages: 968-9

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Molecular genetic analysis of a variant Bernard-Soulier syndrome due to compound heterozygosity for two novel glycoprotein Ibβ mutations.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Eur J Haematol 77

      Pages: 501-12

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] 先天性巨大血小板症の遺伝子診断.2006

    • Author(s)
      國島伸治
    • Journal Title

      日小血会誌 20

      Pages: 95-7

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Gray platelet症候群.2006

    • Author(s)
      國島伸治
    • Journal Title

      血液フロンティア 16

      Pages: 106-12

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 遺伝子欠損マウスを用いたMay-Hegglin巨大血小板症の解析.2006

    • Author(s)
      松下 正
    • Journal Title

      血栓と循環 14

      Pages: 86-93

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Novel heterozygous missense mutation in the second leucine rich repeat of GPIbα affects GPIb/IX/V expression and results in macrothrombocytopenia in a patient initially misdiagnosed with idiopathic thrombocytopenic purpura.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Eur H Haematol 76

      Pages: 348-55

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Bernard-Soulier syndrome due to GPIX W127X mutation in Japan is frequently misdiagnosed as idiopathic thrombocytopenic purpura.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Int J Haematol 83

      Pages: 366-7

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Molecular genetic analysis of a valiant Bernard-Soulier syndrome due to compound heterozygosity for two novel glycoprotein Ibβ mutations.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Eur H Haematol 77

      Pages: 501-12

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Genetic diagnosis of congenital macrothrothrombocytopenias.2006

    • Author(s)
      Kunishima S
    • Journal Title

      Jap J Pedoatr Hematol 20

      Pages: 95-7

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Gray platelet syndrome2006

    • Author(s)
      Kunishima S
    • Journal Title

      Ketsueki Frontier 16

      Pages: 106-12

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Analysis of May-Hegglin macrothrombocytopenia using gene-targeting mice.2006

    • Author(s)
      Matsusita T
    • Journal Title

      Thromb Circ 14

      Pages: 86-93

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Historical Hematology:May-Hegglin anomaly.

    • Author(s)
      Saito H
    • Journal Title

      Am J Hematol (印刷中)

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Differential expression of wild-type and mutant NMMHC-IIA polypeptides in blood cells suggests cell-specific regulation mechanisms in MYH9 disorders.

    • Author(s)
      Kunishima S
    • Journal Title

      Blood (印刷中)

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Characterization of a patient with atypical amegakaryocytic thrombocytopenia.

    • Author(s)
      Kanaji S
    • Journal Title

      Eur J Haematol (印刷中)

    • Description
      「研究成果報告書概要(和文)」より
    • Peer Reviewed
  • [Journal Article] Historical Hematology : May-Hegglin anomaly.

    • Author(s)
      Saito H
    • Journal Title

      Am J Hematol (in press)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Differential expression of wild-type and mutant NMMHC-IIA polypeptides in blood cells suggests cell-specific regulation mechanisms in MYH9 disorders.

    • Author(s)
      Kunishima S
    • Journal Title

      Blood (in press)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Characterization of a patient with atypical amegakaryocytic thrombocytopenia.

    • Author(s)
      Kanaji S
    • Journal Title

      Eur J Haematol (in press)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Genetic abnormalities of inherited thrombocytopemas.

    • Author(s)
      Kunishima S
    • Journal Title

      Annual Review 2006 hematology

      Pages: 205-212

    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 先天性巨大血小板症の鑑別診断(特別講演)2008

    • Author(s)
      國島伸治
    • Organizer
      第46回東海小児血液懇話会
    • Place of Presentation
      名古屋
    • Year and Date
      2008-02-12
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Differential diagnosis of congenital macrothrombocytopenias.2008

    • Author(s)
      Kunishima S
    • Organizer
      43th Tokai Gathering for Pediatric Hematology
    • Place of Presentation
      Nagoya
    • Year and Date
      2008-02-12
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 先天性巨大血小板症の臨床、診断、病態(特別講演)2008

    • Author(s)
      國島伸治
    • Organizer
      第14回関西血栓フォーラム
    • Place of Presentation
      大阪
    • Year and Date
      2008-01-19
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Congenital Macrothiombocytopenias, clinics, diagnosis, and pathology.2008

    • Author(s)
      Kunishima S
    • Organizer
      14th Kansai Thrombisis Forum
    • Place of Presentation
      Osaka
    • Year and Date
      2008-01-19
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] MYH9遺伝子異常を認め、顆粒球と近位尿細管上皮の細胞質にNMMHCA 斑状集積を認めたEpstein 症候群の1例2007

    • Author(s)
      今野武津子
    • Organizer
      第49回日本小児血液学会総会
    • Place of Presentation
      仙台
    • Year and Date
      20071214-15
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] 巨大血小板性血小板減少症の2家系の検討2007

    • Author(s)
      大野敏行
    • Organizer
      第49回日本小児血液学会総会
    • Place of Presentation
      仙台
    • Year and Date
      20071214-15
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] A case of Epstein syndrome with a MYH9 mutation associated with NMMHCA accumulation in grannlocytes and proximal uriniferous tubule.2007

    • Author(s)
      Konno M
    • Organizer
      49th meeting of Japanese Society for Pediatric Hematology
    • Place of Presentation
      Sendai
    • Year and Date
      20071214-15
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Two families with macrothrombocytopenia.2007

    • Author(s)
      Ohno T
    • Organizer
      49th meeting of Japanese Society for Pediatric Hematology
    • Place of Presentation
      Sendai
    • Year and Date
      20071214-15
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] MYH9異常症における異常ミオシンの細胞別発現2007

    • Author(s)
      國島伸治
    • Organizer
      第30回日本血栓止血学会学術集会
    • Place of Presentation
      志摩
    • Year and Date
      20071115-17
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] b1-tubulin異常による先天性巨大血小板症2007

    • Author(s)
      國島伸治
    • Organizer
      第69回日本血液学会総会・第49回日本臨床血液学会総会
    • Place of Presentation
      横浜
    • Year and Date
      20071011-13
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Congenital macrothrombocytopenia due to a β1-tubulin mutation.2007

    • Author(s)
      Kunishima S
    • Organizer
      69th Annual meeting of Japanese Society of Hematology. 49th annual meeting of Japanese Society of Clinical Hematology
    • Place of Presentation
      Yokohama
    • Year and Date
      20071011-13
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Utility of immunofluorescence analysis of neutrophil nonmuscle myosin heavy chain-IIa in the differential diagnosis of macrothrombocytopenias.2007

    • Author(s)
      Kunishima S
    • Organizer
      11th Congress of the International Society of Hematology, Asian-Pacific Division
    • Place of Presentation
      Beijing,China
    • Year and Date
      20070921-24
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Utility of immunofluorescence analysis of neutrophil nonmuscle myosin heavy chain-IIa in the differential diagnosis of macrothrombocytopenias.2007

    • Author(s)
      Kunishima S
    • Organizer
      11th Congress of the International Society of Hemotology, Asian-Pacific Division
    • Place of Presentation
      Beijing, China
    • Year and Date
      20070921-24
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 先天性巨大血小板症の診断の進歩(ワークショップ)2007

    • Author(s)
      國島伸治
    • Organizer
      第8回日本検査血液学会学術集会
    • Place of Presentation
      福井
    • Year and Date
      20070721-22
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Progress of genetic diagnosis of congenital macrothrombocytopenias.2007

    • Author(s)
      Kunishima S
    • Organizer
      8th Congress of Japanese Society for Laboratory Hematology
    • Place of Presentation
      Fukui
    • Year and Date
      20070721-22
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Differential detection of wild-type and mutant MYH9 mRNA and NMMHC-IIA polypeptide reveals dominant negative effect in granulocytes and happloinsufficiency in platelets in patients with MYH9 disorders2007

    • Author(s)
      Kunishima S
    • Organizer
      XXIst Congress of the International Society on Thrombosis and Haemostasis,
    • Place of Presentation
      Geneva,Switzerland
    • Year and Date
      20070706-12
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Differential detection of wild-type and mutant MYH9mRNA and NMMHC-IIA polypeptide reveals dominant negative effect in granulocytes and happloinsufficiency in platelets in patients with MYH9 disorders.2007

    • Author(s)
      Kunishima S
    • Organizer
      XXIst Congress of the International Society on Thrombosis and Haemostasis
    • Place of Presentation
      Switzerland
    • Year and Date
      20070706-12
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 先天性心疾患、奇形症候群を合併したMay-Hegglin 異常の一例2007

    • Author(s)
      鈴木知子
    • Organizer
      第56回日本医学検査学会
    • Place of Presentation
      宮崎
    • Year and Date
      20070518-19
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] A case of May-Hegglin anomaly complicated with congenital heart disease.2007

    • Author(s)
      Suzuki T
    • Organizer
      56th meeting of Japanese Association of Medical Technologists
    • Place of Presentation
      Miyazaki
    • Year and Date
      20070518-19
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Lipomenigomyeloceleおよび自閉症を合併したMay-Hegglin異常症の1例2006

    • Author(s)
      東川正宗
    • Organizer
      第48回日本小児血液学会総会
    • Place of Presentation
      大阪
    • Year and Date
      20061125-26
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] A case of May-Hegglin anomaly with Lipomenigomyelocele, and autism.2006

    • Author(s)
      Higasigawa M
    • Organizer
      48th meeting of Japanese Society for Pediatric Hematology
    • Place of Presentation
      Osaka
    • Year and Date
      20061125-26
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] MYH9遺伝子R702変異によるMYH9異常症の特徴2006

    • Author(s)
      國島伸治
    • Organizer
      第68回日本血液学会総会・第48回日本臨床血液学会総会
    • Place of Presentation
      福岡
    • Year and Date
      20061006-08
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Charactristics of MYH9 disorders due to MYH9 R702 mutations.2006

    • Author(s)
      Kunishima S
    • Organizer
      68th Annual meeting of Japanese Society of Hematology. 48th annual meeting of Japanese Society of Clinical Hematology
    • Place of Presentation
      Fukuoka
    • Year and Date
      20061006-08
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Bernard-Soulier症候群および保因者の血小板サイズに関する研究2006

    • Author(s)
      國島伸治
    • Organizer
      第7回日本検査血液学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      20060722-23
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] 血小板無力症例における遺伝子異常解析2006

    • Author(s)
      柏木隆宏
    • Organizer
      第7回日本検査血液学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      20060722-23
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Platelet size of Bernard-soulier syndrome and its carriers.2006

    • Author(s)
      Kunishima S
    • Organizer
      7th Congress of Japanese Society for Laboratory Hematology
    • Place of Presentation
      Tokyo
    • Year and Date
      20060722-23
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Genetic analysis of Glanzmann's thrombasthenia.2006

    • Author(s)
      Kashiwagi T
    • Organizer
      7th Congress of Japanese Society for Laboratory Hematology
    • Place of Presentation
      Tokyo
    • Year and Date
      20060722-23
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Utility of immunofluorescence analysis of neutrophil nonmuscle myosin heavy chain-IIA in the differential diagnosis of congenital macrothrombocytopenias.2006

    • Author(s)
      Kunishima S
    • Organizer
      XIXth International Symposium on Technological Innovations in Laboratory Hematology, ISLH2006 Amsterdam,
    • Place of Presentation
      Amsterdam,the Netherlands
    • Year and Date
      20060425-28
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Utility of immunofluorescence analysis of neutrophil nonmuscle myosin heavy chain-IIA in the differential diagnosis of congenital macrothrombocytopenias.2006

    • Author(s)
      Kunishima S
    • Organizer
      XIXth International Symposium on Technological Innovations in Laboratory Hematology, ISLH2006 Amsterdam
    • Place of Presentation
      Amsterdam, the netherlands
    • Year and Date
      20060425-28
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 遺伝性血小板減少症の遺伝子異常2006

    • Author(s)
      國島伸治
    • Organizer
      Annual Review 2006 血液(高久史麿, 溝口秀昭, 坂田洋一, 金倉譲、小島勢二編集)
    • Place of Presentation
      205-212
    • Year and Date
      20060000
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] MYH9遺伝子R702変異によるMYH9異常症の特徴2006

    • Author(s)
      國島伸治
    • Organizer
      第59回東海血栓症セミナー
    • Place of Presentation
      名古屋
    • Year and Date
      2006-10-21
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] Charactristics of MYH9 disorders due to MYH9 R702 mutations.2006

    • Author(s)
      Kunishima S
    • Organizer
      59th Tokai Thrombosis Seminor
    • Place of Presentation
      Nagoya
    • Year and Date
      2006-10-21
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] 先天性心疾患,奇形症候群を合併したMYH9異常症の男児例2006

    • Author(s)
      工藤雅庸
    • Organizer
      第143回日本小児科学会青森地方会
    • Place of Presentation
      弘前
    • Year and Date
      2006-08-26
    • Description
      「研究成果報告書概要(和文)」より
  • [Presentation] A boy with MYH9 disorers complilated with congenital heart disease.2006

    • Author(s)
      Kudoh H
    • Organizer
      143rd Annual meeting of Japanese Pediatric Society Aomori District
    • Place of Presentation
      Hirosaki
    • Year and Date
      2006-08-26
    • Description
      「研究成果報告書概要(欧文)」より
  • [Presentation] Differential expression of abnormal myosin in MYH9 disorders.

    • Author(s)
      Kunishima S
    • Organizer
      30th Annual meetind of Japanese Society on Thrombosis and Hemostatis.
    • Description
      「研究成果報告書概要(欧文)」より
  • [Remarks] 「研究成果報告書概要(和文)」より

    • URL

      http://www.nnh.go.jp/

URL: 

Published: 2010-02-04  

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