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Can fingolimod be treatment strategy for myasthenia gravis ?

Research Project

Project/Area Number 25870477
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Neurology
Applied pharmacology
Research InstitutionThe University of Tokushima

Principal Investigator

MATSUI Naoko  徳島大学, 大学病院, 診療支援医師 (10547954)

Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords重症筋無力症 / Finglimod / 胸腺 / recent thymic emigrant / fingolimod / Fingolimod
Outline of Final Research Achievements

We aimed to examine the effect of fingolimod on recent thymic emigrant (RTE). Peripheral blood mononuclear cells were obtained from 4 healthy subjects and 10 patients with multiple sclerosis (MS). Blood sampling for the patients with MS was performed before and after the administration of fingolimod (in 1, 6, and 12 months). CD3+CD4+ T, naive T (CD45RA+, CD45RO-), and memory T cells (CD45RA-, CD45RO+) were identified by FACS. We also analyzed naive T’s expression of CD31, a surrogate marker of RTE. The frequency of memory T cells was relatively increased, but that of RTE was decreased in MS. Effect of fingolimod on RTE continued over one year. Fingolimod act as a potent antagonist at sphingosine 1-phosphate receptor type 1 (S1P1) on lymphocytic emigration from secondary lymphoid organs as well as thymus. In myasthenia gravis (MG), removal of thymus results in RTEs. We speculate that fingolimod have a possibility of the pharmacological effect similar to thymectomy.

Report

(3 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (22 results)

All 2014 2013

All Journal Article (8 results) (of which Peer Reviewed: 8 results,  Open Access: 3 results) Presentation (8 results) (of which Invited: 1 results) Book (6 results)

  • [Journal Article] Increased number of Hassall's corpuscles in myasthenia gravis patients with thymic hyperplasia2014

    • Author(s)
      Matsui N, Ohigashi I, Tanaka K, Nagayama Y, Kondo K, Kitagawa T, Yamashita S, Nomura Y, Takahama Y, Kaji R.
    • Journal Title

      J Neuroimmunol

      Volume: 269 Issue: 1-2 Pages: 56-61

    • DOI

      10.1016/j.jneuroim.2014.01.011

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Are multifocal motor neuropathy patients underdiagnosed? An epidemiological survey in Japan.2014

    • Author(s)
      Miyashiro A, Matsui N, Shimatani Y, Nodera H, Izumi Y, Kuwabara S, Baba M, Komori T, Sonoo M, Mezaki T, Kawamata J, Hitomi T, Imai T, Kohara N, Arimura K, Hashimoto S, Arisawa K, Kusunoki S, Kaji R
    • Journal Title

      Muscle Nerve

      Volume: 49 Pages: 357-361

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Increased proinflammatory cytokines in sera of patients with multifocal motor neuropathy.2014

    • Author(s)
      T. Furukawa, Noriko Matsui, K. Fujita, Ai Miyashiro, H. Nodera, Y. Izumi, Fumitaka Shimizu, K. Miyamoto, Y. Takahashi, Takashi Kanda, Susumu Kusunoki, Ryuji Kaji
    • Journal Title

      J Neurol Sci

      Volume: 346 Issue: 1-2 Pages: 75-79

    • DOI

      10.1016/j.jns.2014.07.059

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Are multifocal motor neuropathy patients underdiagnosed? An epidemiological survey in Japan2014

    • Author(s)
      Miyashiro A, Matsui N Shimatani Y, Nodera H, Izumi Y, Kuwabara S, Imai T, Baba M, Komori T, Sonoo M, Mezaki T, Kawamata J, Hitomi T, Kohara N, Arimura K, Hashimoto S, Arisawa K, Kusunoki S, Kaji R
    • Journal Title

      Muscle Nerve

      Volume: 49 Pages: 357-361

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Diagnostic spectrum of multifocal motor neuropathy2013

    • Author(s)
      Matsui N, Miyashiro A, Shimatani Y, Nodera H, Izumi Y, Kuwabara S, Baba M, Komori T, Sonoo M, Mezaki T, Kawamata J, Hitomi T, Imai T, Kohara N, Arimura K, Arisawa K, Kusunoki S, Kaji R.
    • Journal Title

      Clinical and Experimental Neuroimmunology

      Volume: 4 Pages: 210-215

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] FK506 attenuates thymic output in patients with myasthenia gravis.2013

    • Author(s)
      Mitsui T, Kuroda Y, Ueno S, Matsui N, Kaji R.
    • Journal Title

      Arch Med Sci

      Volume: 9 Pages: 1090-1096

    • DOI

      10.5114/aoms.2013.39797

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Successful treatment of stiff person syndrome with sequential use of tacrolimus2013

    • Author(s)
      Nakane S, Fujita K, Shibuta Y, Matsui N, Harada M, Urushihara R, Nishida Y, Izumi Y, Kaji R.
    • Journal Title

      J Neurol Neurosurg Psychiatry

      Volume: 84 Issue: 10 Pages: 1177-1180

    • DOI

      10.1136/jnnp-2013-305425

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sera from patients with multifocal motor neuropathy disrupt the blood-nerve barrier.2013

    • Author(s)
      Shimizu F, Omoto M, Sano Y, Mastui N, Miyashiro A, Tasaki A, Maeda T, Koga M, Kaji R, Kanda T.
    • Journal Title

      J Neurol Neurosurg Psychiatry

      Volume: 7 Issue: 5 Pages: 526-537

    • DOI

      10.1136/jnnp-2013-305405

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 当初ALSを疑われた高齢発症抗MuSK抗体陽性MGの一例2014

    • Author(s)
      武藤 浩平, 酒井 和香, 松井 尚子, 沖 良祐, 宮本 亮介, 梶 誠兒, 武内 俊明, 丸山 恵子, 大崎 裕亮, 山本 伸昭, 宮城 愛, 野寺 裕之, 樋口 理, 和泉 唯信, 梶 龍兒
    • Organizer
      第97回日本神経学会 中国・四国地方会
    • Place of Presentation
      広島国際会議場(広島県広島市)
    • Year and Date
      2014-12-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] 重症筋無力症患者の過形成胸腺ではハッサル小体が増加している2014

    • Author(s)
      松井尚子、古川貴大、梶龍兒
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      福岡国際会議場(福岡県博多市)
    • Year and Date
      2014-05-22
    • Related Report
      2014 Annual Research Report
  • [Presentation] Increased number of Hassall’s corpuscles in myasthenia gravis patients with thymic hyperplasia2014

    • Author(s)
      Matsui N, Kaji R
    • Organizer
      The 66th American Academy of Neurology Annual Meeting
    • Place of Presentation
      Pennsylvania Convention Center, Philadelphia, PA, USA
    • Year and Date
      2014-04-26 – 2014-05-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] 重症筋無力症の過形成胸腺ではハッサル小体が増加している2014

    • Author(s)
      松井尚子、中川靖士、近藤和也、梶龍兒、高浜洋介
    • Organizer
      第33回日本胸腺研究会
    • Place of Presentation
      東京大学 伊藤国際学術研究センター(東京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] Fingolimodは重症筋無力症の治療となりうるか?2013

    • Author(s)
      松井尚子、古川貴大、宮崎由道、寺澤由佳、和泉唯信 、西田善彦、梶龍兒
    • Organizer
      第54回日本神経学会学術大会
    • Place of Presentation
      東京国際フォーラム(東京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] Increased Hassall’s corpuscles in myasthenia gravis patients carrying thymic hyperplasia2013

    • Author(s)
      Naoko Matsui, Izumi Ohigashi, Yousuke Takahama, Ryuji Kaji
    • Organizer
      Myasthenia 2013
    • Place of Presentation
      Pasteur Institute (Paris)
    • Related Report
      2013 Research-status Report
  • [Presentation] stiff-person, Isaacs症候群のアフェレシス(シンポジウム:難治性神経筋疾患におけるアフェレシス療法)2013

    • Author(s)
      松井尚子
    • Organizer
      第34回日本アフェレシス学会学術大会
    • Place of Presentation
      軽井沢プリンスホテル(長野県)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Fingolimodはrecent thymic emigrantへの影響2013

    • Author(s)
      松井尚子、古川貴大、藤田浩司、宮崎由道、佐藤健太、和泉唯信、西田善彦、梶龍兒
    • Organizer
      第25回日本神経免疫学会学術集会
    • Place of Presentation
      海峡メッセ下関(山口県)
    • Related Report
      2013 Research-status Report
  • [Book] 歯科展望別冊・歯科医師のための医学ハンドブック2014

    • Author(s)
      松井尚子
    • Total Pages
      113
    • Publisher
      医歯薬出版株式会社
    • Related Report
      2014 Annual Research Report
  • [Book] 今日の治療指針 2014年度版2014

    • Author(s)
      松井尚子
    • Total Pages
      2
    • Publisher
      医学書院
    • Related Report
      2013 Research-status Report
  • [Book] Clinical Neuroscience GBSとCIDP-診療New Standards2014

    • Author(s)
      松井尚子、古川貴大、梶龍兒
    • Total Pages
      3
    • Publisher
      中外医学社
    • Related Report
      2013 Research-status Report
  • [Book] 別冊 日本臨床 領域別症候群27 神経症候群(第2版)2014

    • Author(s)
      古川貴大、松井尚子、梶龍兒
    • Total Pages
      3
    • Publisher
      日本臨床社
    • Related Report
      2013 Research-status Report
  • [Book] 特集:免疫性神経疾患2013

    • Author(s)
      松井尚子、宮城愛、梶龍兒
    • Total Pages
      4
    • Publisher
      日本臨床
    • Related Report
      2013 Research-status Report
  • [Book] 特集:末梢神経診療update2013

    • Author(s)
      松井尚子、梶龍兒
    • Total Pages
      4
    • Publisher
      BRAIN MEDICAL
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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