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A multicenter study on early diagnosis and prognostic prediction of acute encephalopathy in childhood

Research Project

Project/Area Number 21591389
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionUniversity of Occupational and Environmental Health, Japan

Principal Investigator

KUSUHARA Koichi  産業医科大学, 医学部, 教授 (20243941)

Co-Investigator(Kenkyū-buntansha) SHIMONO Masayuki  産業医科大学, 医学部, 准教授 (00248569)
HOSHINA Takayuki  九州大学, 大学病院, 助教 (30398078)
INOUE Hirosuke  九州大学, 大学病院, 医員 (90467902)
Co-Investigator(Renkei-kenkyūsha) YAMAGUCHI Seiji  島根大学, 医学部, 教授 (60144044)
YOSHIKAWA Tetsushi  藤田保健衛生大学, 医学部, 教授 (80288472)
ICHIYAMA Takashi  山口大学, 大学院・医学系研究科, 教授 (20263767)
SHIMAKAWA Shuichi  大阪医科大学, 大学病院, 助教 (40465620)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2011: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2010: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2009: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywords脳症 / 小児 / 診断 / 予後 / 多施設共同研究 / 急性脳症 / 小児期 / 早期診断 / 予後予測 / 脳炎 / 熱性けいれん / 異常行動 / 熱性けいんれん
Research Abstract

A multicenter study to evaluate urineβ2-microglobulin(BMG) levels at early phase of childhood encephalopathy and related disorders was performed. Among patients with encephalopathy(Group A), complex febrile convulsion(Group B) and abnormal behavior(Group C), mean BMG level was highest in Group A, followed by Group B. However, BMG levels were not significantly different among the 3 groups. Correlation between types of encephalopathy and urine BMG levels was not observed. Most of the patients showing extremely high level of urine BMG had fatal outcome or severe sequelae. Among the patients with encephalopathy, urine BMG levels were significantly higher in fatal cases and cases with severe sequelae, indicating that elevated urine BMG level at early phase was a poor prognostic factor.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (28 results)

All 2011 2010 2009

All Journal Article (22 results) (of which Peer Reviewed: 22 results) Presentation (4 results) Book (2 results)

  • [Journal Article] Systemic cytokine response in moribund mice of streptococcal toxic shock syndrome model2011

    • Author(s)
      Saito M, Kajiwara H, Iida K, Hoshina T, Kusuhara K, Hara T, Yoshida S
    • Journal Title

      Microb Pathog

      Volume: 50 Pages: 109-113

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical and host genetic characteristics of Mendelian susceptibility to mycobacterial diseases in Japan2011

    • Author(s)
      Hoshina T, Takada H, Sasaki-Mihara Y, Kusuhara K, Ohshima K, Okada S, Kobayashi M, Ohara O, Hara T
    • Journal Title

      J Clin Immunol

      Volume: 31 Pages: 309-314

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Nod1 ligands induce site-specific vascular inflammation2011

    • Author(s)
      Nishio H, Kanno S, Onoyama S, Ikeda K, Tanaka T, Kusuhara K, Fujimoto Y, Fukase K, Sueishi K, Hara T
    • Journal Title

      Arterioscler Thromb Vasc Biol

      Volume: 31 Pages: 1093-1099

    • NAID

      120005107977

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Serum and cerebrospinal fluid cytokine profile of patients with 2009 pandemic H1N1 influenza virus-associated encephalopathy2011

    • Author(s)
      Hasegawa S, Matsushige T, Inoue H, Shirabe K, Fukano R, Ichiyama T
    • Journal Title

      Cytokine

      Volume: 54 Pages: 167-172

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Interferon production by cells infected with subacute sclerosing panencephalitis(SSPE) virus or measles virus2011

    • Author(s)
      Hasegawa S, Mori N, Satomi M, Jiang DP, Hotta H, Matsushige T, Ichiyama T
    • Journal Title

      Cytokine

      Volume: 56 Pages: 676-679

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Different characteristics of human herpesvirus 6 encephalitis between primary infection and viral reactivation2011

    • Author(s)
      Kawamura Y, Sugata K, Ihira M, Mihara T, Mutoh T, Asano Y, Yoshikawa T
    • Journal Title

      J Clin Virol

      Volume: 51 Pages: 12-19

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Identificatio n of bacterial pathogens in pediatric community-acquired lower respiratory tract infection using a simplified procedure of sputum sampling and examination : comparison between hospitalized children with and without underlying diseases2010

    • Author(s)
      Hoshina T, Kusuhara K, Takimoto T, Saito M, Hara T
    • Journal Title

      Eur J Clin Microbiol Infect Dis

      Volume: 29 Pages: 519-525

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] PD1 as a common candidate susceptibility gene of subacute sclerosing panencephalitis2010

    • Author(s)
      Ishizaki Y, Yukaya N, Kusuhara K, Kira R, Torisu H, Ihara K, Sakai Y, Sanefuji M, Pipo-Deveza JR, Silao CL, Sanchez BC, Lukban MB, Salonga AM, Hara T
    • Journal Title

      Hum Genet

      Volume: 127 Pages: 411-419

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Unique activation status of peripheral blood mononuclear cells at acute phase of Kawasaki disease2010

    • Author(s)
      Ikeda K, Yamaguchi K, Tanaka T, Mizuno Y, Hijikata A, Ohara O, Takada H, Kusuhara K, Hara T
    • Journal Title

      Clin Exp Immunol

      Volume: 160 Pages: 446-455

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Toxic shock syndrome-like exanthematous disease in a 2-month-old infant2010

    • Author(s)
      Inoue H, Hoshina T, Kinjo T, Saito M, Kusuhara K, Hara T
    • Journal Title

      Pediatr Int

      Volume: 52

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Detection of DNA of six human herpesviruses in the cerebrospinal fluid of immunocompetent non-herpetic acute limbic encephalitis patients2010

    • Author(s)
      Yoshikawa T, Asano Y, Takahashi Y
    • Journal Title

      Microbiol Immunol

      Volume: 54 Pages: 471-474

    • NAID

      10029545410

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] PD1 as a common candidate susceptibility gene of subacute sclerosing panencephalitis.2010

    • Author(s)
      Ishizaki Y, Yukaya N, Kusuhara K, et al.
    • Journal Title

      Hum Genet

      Volume: 127 Pages: 411-419

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Identification of bacterial pathogens in pediatric community-acquired lower respiratory tract infection using a simplified procedure of sputum sampling and examination : comparison between hospitalized children with and without underlying diseases.2010

    • Author(s)
      Hoshina T, Kusuhara K, Takimoto T, et al.
    • Journal Title

      Eur J Clin Microbiol Infect Dis

      Volume: 29 Pages: 519-525

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Toxic shock syndrome-like exanthematous disease in a 2-month-old infant.2010

    • Author(s)
      Inoue H, Hoshina T, Kinjo T, et al.
    • Journal Title

      Pediatr Int

      Volume: 52

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Rhombencephalitis and Coxsackievirus A162009

    • Author(s)
      Goto K, Sanefuji M, Kusuhara K, Nishimura Y, Shimizu H, Kira R, Torisu H, Hara T
    • Journal Title

      Emerg Infect Dis

      Volume: 15 Pages: 1689-1691

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Disseminated Bacillus Calmette-Guerin lymphadenitis in a patient with gp91phox(-) chronic granulomatous disease 25 years after vaccination2009

    • Author(s)
      Kusuhara K, Ohga O, Hoshina T, Saito M, Sasaki Y, Ishimura M, Takada H, Fujita M, Hara T
    • Journal Title

      Eur J Pediatr

      Volume: 168 Pages: 745-744

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Cytomegalovirus-associated protein-losing enteropathy resulting from lymphangiectasia in an immunocompetent child2009

    • Author(s)
      Hoshina T, Kusuhara K, Saito M, Hara T, Mtsuura S, Yano T, Aoki T, Hara T
    • Journal Title

      Jpn J Infect Dis

      Volume: 62 Pages: 236-238

    • NAID

      40016584029

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Serum matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-1 levels in non-herpetic acute limbic encephalitis2009

    • Author(s)
      Ichiyama T, Takahashi Y, Matsushige T, Kajimoto M, Fukunaga S, Furukawa S
    • Journal Title

      J Neurol

      Volume: 256 Pages: 1846-1850

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Exanthem subitum-associated encephalitis : nationwide survey in Japan2009

    • Author(s)
      Yoshikawa T, Ohashi M, Miyake F, Fujita A, Usui C, Sugata K, Suga S, Hashimoto S, Asano Y
    • Journal Title

      Pediatr Neurol

      Volume: 41 Pages: 353-358

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Rhombencephalitis and coxsackievirus A16.2009

    • Author(s)
      Goto K, Sanefuji M, Kusuhara K, et al.
    • Journal Title

      Emerg Infect Dis 15

      Pages: 1689-1691

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Disseminated Bacillus Calmette-Guerin lymphadenitis in a patient with gp91phox- chronic granulomatous disease 25 years after vaccination.2009

    • Author(s)
      Kusuhara K, Ohga S, Hoshina T, et al.
    • Journal Title

      Eur J Pediatr 168

      Pages: 745-747

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cytomegalovirus-associated protein-losing enteropathy resulting from lymphangiectasia in an immunocompetent child.2009

    • Author(s)
      Hoshina T, Kusuhara K, Saito M, et al.
    • Journal Title

      Jpn J Infect Dis 62

      Pages: 236-238

    • NAID

      40016584029

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] ウイルス関連脳症の早期診断に関する多施設共同研究2011

    • Author(s)
      石井雅宏, 楠原浩一, 他
    • Organizer
      第16回日本神経感染症学会
    • Place of Presentation
      学術総合センター,東京
    • Year and Date
      2011-11-04
    • Related Report
      2011 Final Research Report
  • [Presentation] ウイルス関連脳症の早期診断に関する多施設共同研究2011

    • Author(s)
      石井雅宏、楠原浩一, ほか
    • Organizer
      第16回日本神経感染症学会
    • Place of Presentation
      学術総合センター(東京)
    • Year and Date
      2011-11-04
    • Related Report
      2011 Annual Research Report
  • [Presentation] ウイルス関連脳症の早期診断に関する多施設共同研究(第3報)2010

    • Author(s)
      鳥巣浩幸、楠原浩一、平林伸一, ほか
    • Organizer
      第15回日本神経感染症学会学術集会
    • Place of Presentation
      福島市(福島ビューホテル)
    • Year and Date
      2010-10-09
    • Related Report
      2010 Annual Research Report
  • [Presentation] ウイルス関連脳症の早期診断に関する多施設共同研究(第2報)2009

    • Author(s)
      鳥巣浩幸、楠原浩一、構藤健二郎, ほか
    • Organizer
      第14回日本神経感染症学会学術集会
    • Place of Presentation
      宇都宮市(栃木県総合文化センター)
    • Year and Date
      2009-10-17
    • Related Report
      2009 Annual Research Report
  • [Book] プリオン病と遅発性ウイルス感染症2010

    • Author(s)
      楠原浩一
    • Publisher
      金原出版
    • Related Report
      2011 Final Research Report
  • [Book] プリオン病と遅発性ウイルス感染症2010

    • Author(s)
      楠原浩一(分担)
    • Total Pages
      333
    • Publisher
      金原出版
    • Related Report
      2010 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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