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2013 Fiscal Year Final Research Report

An immunological study of pthogenesis in autoimmune pancreatitis

Research Project

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Project/Area Number 23591017
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionKansai Medical University

Principal Investigator

OKAZAKI Kazuichi  関西医科大学, 医学部, 教授 (70145126)

Co-Investigator(Kenkyū-buntansha) NISHIO Akiyoshi  関西医科大学, 医学部, 准教授 (50362463)
UCHIDA Kazushige  関西医科大学, 医学部, 講師 (40411516)
Project Period (FY) 2011 – 2013
KeywordsIgG4関連疾患 / 自己免疫性膵炎 / IgG4 / 制御性T細胞 / 制御性B細胞 / 自然免疫
Research Abstract

(1)In pancreas cancer and obstructive pancreatitis type 1 AIP, infiltration of memory regulatory T cells (Tregs) and IgG4-positive cells were positively correlated, which suggested that increased memory-Tregs may be an inhibitory immune response against inflammation, although decreased naïve Tregs may be pathogenic. (2) We identified two subtypes of regulatory B cells (Bregs), CD19+CD24highCD38high Bregs and CD19+CD24highCD27+ Bregs in type 1 AIP. The increased CD19+CD24highCD38high Bregs may suppress the disease activity of type 1 AIP, whereas the decreased CD19+CD24highCD27+ Bregs might be involved in the development of type 1 AIP. (3) In animal models, activation of TLR3 (polyinosinic:polycytidylic acid) can induce immune-mediated cholangitis, pancreatitis and sialadenitis similar to human autoimmune pancreatitis.

  • Research Products

    (32 results)

All 2014 2013 2012 2011

All Journal Article (16 results) Presentation (14 results) Book (2 results)

  • [Journal Article] The role of CD19(+)CD24(high)CD38(high) and CD19(+)CD24(high)CD27(+) regulatory B cells in patients with type 1 autoimmune pancreatitis2014

    • Author(s)
      Sumimoto K, Uchida K, Kusuda T, Mitsuyama T, Sakaguchi Y, Fukui T, Matsushita M, Takaoka M, Nishio A, Okazaki K
    • Journal Title

      Pancreatology

      Volume: 14(3) Pages: 193-200

    • DOI

      10.1016/j.pan.2014.02.004

  • [Journal Article] Diagnosis and classification of autoimmune pancreatitis2014

    • Author(s)
      Okazaki K, Tomiyama T, Mitsuyama T, Sumimoto K, Uchida K
    • Journal Title

      Autoimmun Rev

      Volume: 13(4-5) Pages: 451-458

    • DOI

      10.1016/j.autrev.2014.01.010

  • [Journal Article] Autoimmune pancreatitis : pathogenesis, latest developments and clinical guidance2014

    • Author(s)
      Okazaki K, Uchida K, Sumimoto K, Mitsuyama T, Ikeura T, Takaoka M
    • Journal Title

      Ther Adv Chronic Dis

      Volume: 5(3) (Review) Pages: 104-111

    • DOI

      10.1177/2040622314527120

  • [Journal Article] IgG4 Cholangiopathy - current concept, diagnosis and pathogenesis2014

    • Author(s)
      Okazaki K, Uchida K, Koyabu M, Miyoshi H, Ikeura T, Takaoka M
    • Journal Title

      J Hepatol

      Volume: ( S0168-8278(14)00272-4 )

    • DOI

      10.1016/j.jhep.2014.04.016

  • [Journal Article] Current concept, diagnosis and pathogenesis of autoimmune pancreatitis as IgG4-related disease2014

    • Author(s)
      Okazaki K
    • Journal Title

      Minerva Med

      Volume: 105(2) Pages: 109-19

  • [Journal Article] Abnormal immunity in IgG4-related autoimmune pancreatitis2014

    • Author(s)
      Okazaki K, Sumimoto K, Mitsuyama T, Uchida K
    • Journal Title

      Nihon Rinsho Meneki Gakkai Kaishi

      Volume: 37(1) Pages: 11-8

  • [Journal Article] Possible Involvement of Foxp3(+) Regulatory T Cells in the Development of Immune-Mediated Pancreatitis in MRL/Mp Mice Treated with Polyinosinic : Polycytidylic Acid2013

    • Author(s)
      Koyabu M, Uchida K, Sakaguchi Y, Fukata N, Kusuda T, Miyoshi H, Yoshida K, Sumimoto K, Mitsuyama T, Fukui T, Nishio A, Okazaki K
    • Journal Title

      Int J Rheumatol

      Volume: 2013 (367325)

    • DOI

      10.1155/2013/367325

  • [Journal Article] A proposal of a diagnostic algorithm with validation of International Consensus Diagnostic Criteria for autoimmune pancreatitis in a Japanese cohort2013

    • Author(s)
      Sumimoto K, Uchida K, Mitsuyama T, Fukui Y, Kusuda T, Miyoshi H, Tomiyama T, Fukata N, Koyabu M, Sakaguchi Y, Ikeura T, Shimatani M, Fukui T, Matsushita M, Takaoka M, Nishio A, Okazaki K
    • Journal Title

      Pancreatology

      Volume: 13(3) Pages: 230-7

    • DOI

      10.1016/j.pan.2013.02.010

  • [Journal Article] Current concept and diagnosis of IgG4-related disease in the hepato-bilio-pancreatic system2013

    • Author(s)
      Okazaki K, Uchida K, Ikeura T, Takaoka M
    • Journal Title

      J Gastroenterol

      Volume: 48(3) Pages: 303-14

    • DOI

      10.1007/s00535-012-0744-3

  • [Journal Article] The similarity of Type 1 autoimmune pancreatitis to pancreatic ductal adenocarcinoma with significant IgG4-positive plasma cell infiltration2013

    • Author(s)
      Fukui Y, Uchida K, Sumimoto K, Kusuda T, Miyoshi H, Koyabu M, Ikeura T, Sakaguchi Y, Shimatani M, Fukui T, Matsushita M, Takaoka M, Nishio A, Shikata N, Sakaida N, Uemura Y, Satoi S, Kwon AH, Okazaki K
    • Journal Title

      J Gastroenterol

      Volume: 48(6) Pages: 751-61

    • DOI

      10.1007/s00535-012-0677-x

  • [Journal Article] Regulatory T cells in type 1 autoimmune pancreatitis2012

    • Author(s)
      Uchida K, Kusuda T, Koyabu M, Miyoshi H, Fukata N, Sumimoto K, Fukui Y, Sakaguchi Y, Ikeura T, Shimatani M, Fukui T, Matsushita M, Takaoka M, Nishio A, Okazaki K
    • Journal Title

      Int J Rheumatol

      Volume: 2012 (795026)

  • [Journal Article] Autoimmune pancreatitis with histologically proven lymphoplasmacytic sclerosing pancreatitis with granulocytic epithelial lesions2012

    • Author(s)
      Ikeura T, Takaoka M, Uchida K, Shimatani M, Miyoshi H, Kusuda T, Kurishima A, Fukui Y, Sumimoto K, Satoi S, Ohe C, Uemura Y, Kwon AH, Okazaki K
    • Journal Title

      Intern Med

      Volume: 51(7) Pages: 733-7

  • [Journal Article] Comprehensive diagnostic criteria for IgG4-related disease (IgG4-RD), 20112012

    • Author(s)
      Umehara H, Okazaki K, Masaki Y, Kawano M, Yamamoto M, Saeki T, Matsui S, Yoshino T, Nakamura S, Kawa S, Hamano H, Kamisawa T, Shimosegawa T, Shimatsu A, Nakamura S, Ito T, Notohara K, Sumida T, Tanaka Y, Mimori T, Chiba T, Mishima M, Hibi T, Tsubouchi H, Inui K, Ohara H
    • Journal Title

      Mod Rheumatol

      Volume: 22(1) Pages: 21-30

  • [Journal Article] Comparative Study on Experimental Autoimmune Pancreatitis and Its Extrapancreatic Involvement in Mice2012

    • Author(s)
      Yamashina M, Nishio A, Nakayama S, Okazaki T, Uchida K, Fukui T, Okazaki K
    • Journal Title

      Pancreas

      Volume: 41(8) Pages: 1255-62

  • [Journal Article] Prevalence of IgG4-Related Disease in Japan Based on Nationwide Survey in 20092012

    • Author(s)
      Uchida K, Masamune A, Shimosegawa T, Okazaki K
    • Journal Title

      Int J Rheumatol

      Volume: 2012 (358371)

  • [Journal Article] Involvement of inducible costimulator- and interleukin 10-positive regulatory T cells in the development of igg4-related autoimmune pancreatitis2011

    • Author(s)
      Kusuda T, Uchida K, Miyoshi H, Koyabu M, Satoi S, Takaoka M, Shikata N, Uemura Y, Okazaki K
    • Journal Title

      Pancreas

      Volume: 40(7) Pages: 1120-30

  • [Presentation] IgG4関連胆膵疾患におけるICOS陽性制御性T細胞によるIgG4産生機序に関する検討2012

    • Author(s)
      内田一茂、岡崎和一
    • Organizer
      第40回日本臨床免疫学会
    • Place of Presentation
      東京
    • Year and Date
      20120927-29
  • [Presentation] IgG4関連肝胆膵疾患における制御性T細胞に関する検討2012

    • Author(s)
      内田一茂、西尾彰功、岡崎和一
    • Organizer
      第49回日本消化器免疫学会
    • Place of Presentation
      鹿児島
    • Year and Date
      20120705-06
  • [Presentation] 自験例よりみた自己免疫性膵炎の長期予後2012

    • Author(s)
      内田一茂、池浦司、岡崎和一
    • Organizer
      第39回日本膵臓学会大会
    • Place of Presentation
      山形
    • Year and Date
      20120628-29
  • [Presentation] 自己免疫性膵炎マウスにおける膵外病変の検討2012

    • Author(s)
      山科雅央、西尾彰功、岡崎敬、中山新士、福井寿朗、内田一茂、岡崎和一
    • Organizer
      第39回日本膵臓学会大会
    • Place of Presentation
      山形
    • Year and Date
      20120628-29
  • [Presentation] 当科における自己免疫性膵炎の診断能に関する検討2012

    • Author(s)
      住本貴美, 内田一茂, 福井由理, 三好秀明, 坂口雄沢, 池浦司, 島谷昌明, 高岡亮, 岡崎和一
    • Organizer
      第39回日本膵臓学会大会
    • Place of Presentation
      山形
    • Year and Date
      20120628-29
  • [Presentation] Recent Advances in Autoimmune Pancreatitis2012

    • Author(s)
      Kazushige Uchida, Kazuichi Okazaki
    • Organizer
      第98回日本消化器病学会総会
    • Place of Presentation
      東京
    • Year and Date
      20120419-21
  • [Presentation] 疼痛症状のある慢性膵炎患者に対する_成分栄養剤(エレンタール®)の有用性2012

    • Author(s)
      池浦司, 高岡亮, 内田一茂, 島谷昌明, 三好秀明, 楠田武生, 岡崎和一
    • Organizer
      第98回日本消化器病学会総会
    • Place of Presentation
      東京
    • Year and Date
      20120419-21
  • [Presentation] 自己免疫性膵炎におけるステロイドパルス療法の有用性2012

    • Author(s)
      富山尚、内田一茂、岡崎和一
    • Organizer
      第98回日本消化器病学会総会
    • Place of Presentation
      東京
    • Year and Date
      20120419-21
  • [Presentation] IgG4関連胆・膵病変におけるIgG4産生機序と制御性T細胞の意義2012

    • Author(s)
      内田一茂,楠田武生,小藪雅紀,三好秀明,住本貴美,福井由理,池浦司,島谷昌明,高岡亮,岡崎和一
    • Organizer
      第109回日本内科学会講演会
    • Place of Presentation
      京都
    • Year and Date
      20120412-15
  • [Presentation] IgG4関連疾患における性差について2012

    • Author(s)
      内田一茂、岡崎和一、正宗淳、下瀬川徹
    • Organizer
      第8回消化器病における性差医学・医療研究会
    • Place of Presentation
      京都
    • Year and Date
      2012-08-04
  • [Presentation] 1型自己免疫性膵炎(type 1 AIP)に対する初期治療としてのステロイドパルス療法の検討2012

    • Author(s)
      富山尚、内田一茂、岡崎和一
    • Organizer
      第29回日本胆膵病態・生理研究会
    • Place of Presentation
      京都
    • Year and Date
      2012-06-23
  • [Presentation] IgG4関連疾患としての自己免疫性膵炎(AIP type 1;LPSP)と好中球病変(AIP type 2;IDCP)における免疫学的相違に関する検討2012

    • Author(s)
      楠田武生、内田一茂、岡崎和一
    • Organizer
      第29回日本胆膵病態・生理研究会
    • Place of Presentation
      京都
    • Year and Date
      2012-06-23
  • [Presentation] 自己免疫性膵炎発症マウスにおける膵外病変の検討2012

    • Author(s)
      山科雅央、西尾彰功、岡崎敬、中山新士、福井寿朗、内田一茂、岡崎和一
    • Organizer
      第29回日本胆膵病態・生理研究会
    • Place of Presentation
      京都
    • Year and Date
      2012-06-23
  • [Presentation] Comparison of International Consensus Diagnostic Criteria and Major Diagnostic Criteria for Autoimmune Pancreatitis2012

    • Author(s)
      Sumimoto , Uchida K, Fukui K, Kusuda , Hideaki Miyoshi, Norimasa Fukata, Masanori Koyabu, Yutaku Sakaguchi, Tsukasa Ikeura, Masaaki Shimatani, Toshiro Fukui, Mitsunobu Matsushita, Makoto Takaoka, Akiyoshi Nishio, Okazaki K
    • Organizer
      DDW2012
    • Place of Presentation
      San Diego, California, USA
    • Year and Date
      2012-05-20
  • [Book] Japanese Experience Chap 22. IV. World-wide experience with AIP and IgG4-related sclerosing cholangitis. Eds. Levy MJ, Chari ST. Autoimmune (IgG4-related) pancreatitis and cholangitis2013

    • Author(s)
      Okazaki K, Uchida K
    • Total Pages
      237-248
    • Publisher
      Springer (NY)
  • [Book] Autoimmune pancreatitis. Chap 10. Part II. Radiology. Eds Umehara H, Okazaki K, Stone J, Kawa S, Kawano M. IgG4-related disease2012

    • Author(s)
      Okazaki K
    • Total Pages
      61-68
    • Publisher
      Springer (Tokyo)

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Published: 2015-07-16  

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