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2010 Fiscal Year Final Research Report

Molecular-targ eted therapy for refractory immune-mediated neuropat hies

Research Project

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Project/Area Number 21790839
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Neurology
Research InstitutionNagoya University

Principal Investigator

IIJIMA Masahiro  Nagoya University, 医学系研究科, COE特任助教 (40437041)

Project Period (FY) 2009 – 2010
Keywords免疫性ニューロパチー / 難治性ニューロパチー / rituximab / 新規治療薬 / 多巣性運動ニューロパチー / CIDP / 抗MAG抗体陽性IgM-MGUSニューロパチー
Research Abstract

In this study, we demonstrated the effect and safety of rituximab for various refractory immune-mediated neuropathies. Rituximab (375 mg/m^2 intravenously each week for 4 weeks) was administered in an openlabel design to one patient with multifocal motor neuropathy (MMN), one with chronic inflammatory demyelinating polyneuropathy (CIDP), one with neuropathy associated with Sjogren's syndrome (SN), and four with anti-MAG IgM-MGUS neuropathy (IgM-N). Reduction of total IVIg requirements of a patient with MMN, although the effect was only temporary, were suggested to be responded to rituximab. Improvement of clinical status in three patients with IgM-N suggeted that rituximab was well tolerated and is a promising new drug. No adverse events occurred in all patients.

  • Research Products

    (24 results)

All 2011 2010

All Journal Article (9 results) (of which Peer Reviewed: 7 results) Presentation (14 results) Book (1 results)

  • [Journal Article] 末梢神経障害CIDPの遺伝子多型と治療反応性2011

    • Author(s)
      飯島正博, 小池春樹, 祖父江元
    • Journal Title

      Annual Review神経

      Pages: 300-309

  • [Journal Article] Morphological progression of myelin abnormalities in IgM-monoclonal gammopathy of undetermined significance anti-myelin-associated glycoprotein neuropathy.2010

    • Author(s)
      Kawagashira Y, Koike H, Tomita M, Morozumi S, Iijima M, Nakamura T, Katsuno M, Tanaka F, Sobue G
    • Journal Title

      J Neuropathol Exp Neurol. 69

      Pages: 1143-1157

    • Peer Reviewed
  • [Journal Article] Systemic but asymptomatic transthyretin amyloidosis 8 years after domino liver transplantation.2010

    • Author(s)
      Koike H, Kiuchi T, Iijima M, Ueda M, Ando Y, Morozumi S, Tomita M, Kawagashira Y, Watanabe H, Katsuno M, Shimoyama Y, Okazaki Y, Kamei H, Sobue G
    • Journal Title

      J Neurol Neurosurg Psychiatry. (Epub ahead of print)

    • Peer Reviewed
  • [Journal Article] Clinicopathological features of acute autonomic and sensory neuropathy.2010

    • Author(s)
      Koike H, Atsuta N, Adachi H, Iijima M, Katsuno M, Yasuda T, Fukada Y, Yasui K, Nakashima K, Horiuchi M, Shiomi K, Fukui K, Takashima S, Morita Y, Kuniyoshi K, Hasegawa Y, Toribe Y, Kajiura M, Takeshita S, Mukai E, Sobue G
    • Journal Title

      Brain. 133

      Pages: 2881-2896

    • Peer Reviewed
  • [Journal Article] IgM MGUS anti-MAG neuropathy with predominant muscle weakness and extensive muscle atrophy.2010

    • Author(s)
      Kawagashira Y, Kondo N, Atsuta N, Iijima M, Koike H, Katsuno M, Tanaka F, Kusunoki S, Sobue G
    • Journal Title

      Muscle Nerve. 42

      Pages: 433-435

    • Peer Reviewed
  • [Journal Article] Differential response to intravenous immunoglobulin (IVIg) therapy among multifocal and polyneuropathy types of painful diabetic neuropathy.2010

    • Author(s)
      Kawagashira Y, Watanabe H, Morozumi S, Iijima M, Koike H, Hattori N, Sobue G
    • Journal Title

      J Clin Neurosci. 17

      Pages: 1003-1008

    • Peer Reviewed
  • [Journal Article] Slowly progressive autonomic neuropathy with antiganglionic acetylcholine receptor antibody.2010

    • Author(s)
      Koike H, Koyano S, Morozumi S, Kawagashira Y, Iijima M, Katsuno M, Hattori N, Vernino S, Sobue G
    • Journal Title

      J Neurol Neurosurg Psychiatry. 81

      Pages: 586-587

    • Peer Reviewed
  • [Journal Article] Pyramidal tract involvement in Guillain-Barre syndrome associated with anti-GM1 antibody.2010

    • Author(s)
      Tomita M, Watanabe H, Morozumi S, Kawagashira Y, Iijima M, Nakamura T, Katsuno M, Koike H, Hattori N, Hirayama M, Kusunoki S, Sobue G
    • Journal Title

      J Neurol Neurosurg Psychiatry. 81

      Pages: 583-585

    • Peer Reviewed
  • [Journal Article] 慢性炎症性脱髄性多発根ニューロパチー(CIDP)の多様性CIDPの臨床像と予後規定因子2010

    • Author(s)
      飯島正博, 小池春樹, 祖父江元
    • Journal Title

      神経内科 72

      Pages: 275-283

  • [Presentation] CIDPの生検末梢神経における遺伝子発現解析2010

    • Author(s)
      飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] 悪性リンパ腫に関連したニューロパチーの臨床病理学的特徴2010

    • Author(s)
      冨田稔, 飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] FAP患者からの生体ドミノ肝移植症例の剖検病理所見2010

    • Author(s)
      小池春樹、飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] 家族歴を認めないFAP ATTR Val30 Metの臨床病理の検討2010

    • Author(s)
      小池春樹, 飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] シェーグレン症候群に伴うニューロパチーAtaxic formとPainful formの病理学的特2010

    • Author(s)
      川頭祐一, 飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] Crow-Fukase症候群における臨床的特徴およびミエリン形態異常と脱髄の関係2010

    • Author(s)
      橋本里奈, 飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] Microscopic polyangiitisにおける末梢神経障害と血管炎の三次元的分布2010

    • Author(s)
      両角佐織, 飯島正博, 他
    • Organizer
      第21回日本末梢神経学会学術集会
    • Place of Presentation
      仙台
    • Year and Date
      20100903-20100904
  • [Presentation] Rituximabが著効したIgM M蛋白血症に伴う抗MAG抗体関連ニューロパチーの1例2010

    • Author(s)
      藤岡祐介, 飯島正博, 他
    • Organizer
      第28回日本神経治療学会
    • Place of Presentation
      横浜
    • Year and Date
      20100715-20100716
  • [Presentation] 特発性後天性全身無汗症の1例2010

    • Author(s)
      原敬史, 飯島正博, 他
    • Organizer
      第28回日本神経治療学会
    • Place of Presentation
      横浜
    • Year and Date
      20100715-20100716
  • [Presentation] CIDPにおける軸索関連分子TAG-1の治療反応性への関与2010

    • Author(s)
      飯島正博, 他
    • Organizer
      第51回日本神経学会総会
    • Place of Presentation
      東京
    • Year and Date
      20100520-20100522
  • [Presentation] 悪性リンパ腫に関連したニューロパチーの臨床病理学的特徴2010

    • Author(s)
      富田稔、飯島正博, 他
    • Organizer
      第51回日本神経学会総会
    • Place of Presentation
      東京
    • Year and Date
      20100520-20100522
  • [Presentation] 家族歴を認めないFAP ATTR Val30 Metの臨床病理の検討2010

    • Author(s)
      小池春樹、飯島正博, 他
    • Organizer
      第51回日本神経学会総会
    • Place of Presentation
      東京
    • Year and Date
      20100520-20100522
  • [Presentation] シェーグレン症候群に伴うニューロパチーAtaxic formとPainful formの病理学的特徴2010

    • Author(s)
      川頭祐一、飯島正博, 他
    • Organizer
      第51回日本神経学会総会
    • Place of Presentation
      東京
    • Year and Date
      20100520-20100522
  • [Presentation] Microscolic polyangiitis剖検例における末梢神経と一般臓器の血管炎の比較2010

    • Author(s)
      両角佐織、飯島正博, 他
    • Organizer
      第51回日本神経学会総会
    • Place of Presentation
      東京
    • Year and Date
      20100520-20100522
  • [Book] Clinical Neuroscience2010

    • Author(s)
      飯島正博
    • Total Pages
      130
    • Publisher
      中外医学社

URL: 

Published: 2012-02-13   Modified: 2016-04-21  

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