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Efficacy of C5a antagonist for human iPS-derived neural precursor cells transplanted into injured spinal cord

Research Project

Project/Area Number 17H04318
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Orthopaedic surgery
Research InstitutionKeio University

Principal Investigator

NAGOSHI Narihito  慶應義塾大学, 医学部(信濃町), 講師 (10383837)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥16,900,000 (Direct Cost: ¥13,000,000、Indirect Cost: ¥3,900,000)
Fiscal Year 2019: ¥7,930,000 (Direct Cost: ¥6,100,000、Indirect Cost: ¥1,830,000)
Fiscal Year 2018: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2017: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
KeywordsヒトiPS細胞 / 神経幹細胞 / 細胞移植治療 / 補体 / 神経炎症 / 脊髄損傷 / C5aアンタゴニスト / 細胞移植 / iPS細胞 / 生着率 / 機能回復 / 補体抑制剤 / 神経前駆細胞
Outline of Final Research Achievements

Because inflammatory reaction is intense at acute phase of spinal cord injury (SCI), cell transplantation therapy during this stage is not effective due to low survival rate of transplanted cells. In this study, by administrating complement receptor antagonist, transplanted human iPS cell-derived neural stem cells well survived and promoted motor functional recovery when grafted even at acute phase. The antagonist suppressed the expression of inflammatory cytokines, infiltration of inflammatory cells, and the apoptosis of neural cells in the spinal cord. This histological efficacy can contribute to making a favorable environment for the transplanted cells to survive. We believe that this study will lead to future clinical application as a treatment that enhances the effect of cell transplantation for SCI.

Academic Significance and Societal Importance of the Research Achievements

本研究では、脊髄損傷モデルに対してC5a受容体アンタゴニストを投与することにより、損傷急性期においても移植した神経幹細胞が生着し、運動機能が回復することを明らかにした。これまでの脊髄損傷における細胞移植治療は、炎症が収まる亜急性期での移植が有効とされているが、本研究により従来よりも早期の治療介入が可能になると考える。
C5aを阻害する薬剤は、臓器移植や神経変性疾患など臨床の現場で既に使用されている。本研究は、脊髄損傷に対する細胞移植の効果をより高める治療として、今後の臨床応用に繋がる研究成果と考える。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (15 results)

All 2020 2019

All Journal Article (5 results) (of which Peer Reviewed: 5 results) Presentation (10 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] A phase I/II study for intrathecal administration of recombinant human hepatocyte growth factor in patients with acute spinal cord injury: a double-blind, randomized clinical trial of safety and efficacy.2020

    • Author(s)
      Nagoshi N, Tsuji O, Kitamura K, Suda K, Maeda T, Yato Y, Abe T, Hayata D, Matsumoto M, Okano H, Nakamura M.
    • Journal Title

      Journal of Neurotrauma

      Volume: -

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] In vivo monitoring of remnant undifferentiated neural cells following human induced pluripotent stem cell‐derived neural stem/progenitor cells transplantation2020

    • Author(s)
      Tanimoto Yuji、Yamasaki Tomoteru、Nagoshi Narihito、Nishiyama Yuichiro、Nori Satoshi、Nishimura Soraya、Iida Tsuyoshi、Ozaki Masahiro、Tsuji Osahiko、Ji Bin、Aoki Ichio、Jinzaki Masahiro、Matsumoto Morio、Fujibayashi Yasuhisa、Zhang Ming‐Rong、Nakamura Masaya、Okano Hideyuki
    • Journal Title

      STEM CELLS Translational Medicine

      Volume: 9 Issue: 4 Pages: 465-477

    • DOI

      10.1002/sctm.19-0150

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cell therapy for spinal cord injury using induced pluripotent stem cells2019

    • Author(s)
      Nagoshi Narihito、Tsuji Osahiko、Nakamura Masaya、Okano Hideyuki
    • Journal Title

      Regenerative Therapy

      Volume: 11 Pages: 75-80

    • DOI

      10.1016/j.reth.2019.05.006

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gait ability required to achieve therapeutic effect in gait and balance function with the voluntary driven exoskeleton in patients with chronic spinal cord injury: a clinical study2019

    • Author(s)
      Okawara Hiroki、Sawada Tomonori、Matsubayashi Kohei、Sugai Keiko、Tsuji Osahiko、Nagoshi Narihito、Matsumoto Morio、Nakamura Masaya
    • Journal Title

      Spinal Cord

      Volume: - Issue: 5 Pages: 520-527

    • DOI

      10.1038/s41393-019-0403-0

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The adeno-associated virus rh 10 vector is an effective gene transfer system for chronic spinal cord injury2019

    • Author(s)
      Hoshino Y, Nishide K, Nagoshi N, Shibata S, Moritoki N, Kojima K, Tsuji O, Matsumoto M, Kohyama J, Nakamura M, Okano H
    • Journal Title

      Scientific Reports

      Volume: 9 Pages: 9844-9844

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Presentation] Regenerative medicine for spinal cord injury using iPS cells - from bench to bedside2019

    • Author(s)
      Nagoshi N
    • Organizer
      ASNTR Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 脊髄損傷に対する再生医療 -現状と今後の展望-2019

    • Author(s)
      名越慈人
    • Organizer
      第2回痛みを学ぶ会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] iPS細胞を用いた脊髄損傷に対する再生医療2019

    • Author(s)
      名越慈人
    • Organizer
      第37回日本神経治療学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 急性脊髄損傷患者に対する肝細胞増殖因子を用いた第Ⅰ/Ⅱ相試験2019

    • Author(s)
      名越慈人
    • Organizer
      第54回日本脊髄障害医学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 脊髄損傷モデル動物を用いた再生医療の確立 -基礎から臨床へ-2019

    • Author(s)
      名越慈人
    • Organizer
      第34回日本整形外科学会基礎学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] iPS細胞を用いた脊髄損傷に対する再生医療2019

    • Author(s)
      名越慈人
    • Organizer
      第56回日本リハビリテーション医学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] iPS細胞を用いた脊髄損傷に対する再生医療2019

    • Author(s)
      名越慈人
    • Organizer
      第56回日本関節鏡・膝・スポーツ整形外科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 急性期脊髄損傷に対するヒト神経幹細胞移植の検討-炎症抑制効果と細胞生着率の向上を目的としたC5a阻害剤の有用性2019

    • Author(s)
      柴田玲生,名越慈人,梶川慶太,鎌田泰裕,伊藤修平,松本守雄,岡野栄之,中村雅也
    • Organizer
      第38回日本運動器移植・再生医学研究会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 急性期脊髄損傷に対するヒト神経幹細胞移植の検討 炎症抑制効果と細胞生着率の 向上を目的とした C5a 阻害剤の有用性2019

    • Author(s)
      柴田玲生,名越慈人,伊藤修平,辻収彦,松本守雄,岡野栄之,中村雅也
    • Organizer
      第34回日本整形外科学会基礎学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 急性期脊髄損傷に対するヒト神経幹細胞移植の検討-炎症抑制効果と細胞生着率の向上を目的としたC5a阻害剤の有用性2019

    • Author(s)
      柴田玲生,名越慈人,伊藤修平,松本守雄,岡野栄之,中村雅也
    • Organizer
      第54回日本脊髄障害医学会
    • Related Report
      2019 Annual Research Report

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Published: 2017-04-28   Modified: 2021-02-19  

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