Updated on 2025/08/22

写真a

 
TAKANO Kenichi
 
Organization
School of Medicine Department of Otolaryngology Professor
Title
Professor
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Research Interests

  • 耳鼻咽喉科学

  • 細胞

Research Areas

  • Life Science / Otorhinolaryngology

Research History

  • - 札幌医科大学大学院にて研究開始

    2002

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Professional Memberships

Committee Memberships

  • 日本耳鼻咽喉科学会   会員  

       

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    日本耳鼻咽喉科学会

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  • 日本耳鼻咽喉科免疫アレルギー学会   会員  

       

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    Committee type:Academic society

    日本耳鼻咽喉科免疫アレルギー学会

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  • 日本耳科学会   会員  

       

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    Committee type:Academic society

    日本耳科学会

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  • 日本耳鼻咽喉科臨床学会   会員  

       

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    Committee type:Academic society

    日本耳鼻咽喉科臨床学会

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Papers

  • スパルフロキサシンによるRespiratory syncytial virus複製抑制機構の解明

    谷向 由佳, 小笠原 徳子, 山本 圭佑, 横田 伸一, 高野 賢一

    日本耳鼻咽喉科免疫アレルギー感染症学会抄録集   3回   172 - 172   2023.3

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    Language:Japanese   Publisher:日本耳鼻咽喉科免疫アレルギー感染症学会  

    Ichushi

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  • RSウイルスが結合する核内タンパク質の機能解明

    小笠原 徳子, 山本 圭佑, 工 由佳, 高野 賢一, 横田 伸一

    日本耳鼻咽喉科免疫アレルギー感染症学会抄録集   1回   138 - 138   2021.5

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    Language:Japanese   Publisher:日本耳鼻咽喉科免疫アレルギー感染症学会  

    Ichushi

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  • プラークアッセイ法を用いたRSウイルス感染力価定量

    工 由佳, 小笠原 徳子, 山本 圭佑, 高野 賢一, 横田 伸一

    日本耳鼻咽喉科免疫アレルギー感染症学会抄録集   1回   182 - 182   2021.5

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  • 当院で入院加療を受けたCOVID-19患者における嗅覚障害・味覚障害の疫学的検討

    山本 圭佑, 小笠原 徳子, 大國 毅, 高野 賢一

    日本耳鼻咽喉科学会会報   124 ( 4 )   558 - 558   2021.4

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  • 頭頸部がん組織におけるHLA提示ペプチドの網羅的解析

    黒瀬 誠, 亀倉 隆太, 小笠原 徳子, 高野 賢一

    耳鼻咽喉科免疫アレルギー   38 ( 4 )   170 - 170   2020.12

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  • 頭頸部がん組織におけるHLA提示ペプチドの網羅的解析

    黒瀬 誠, 亀倉 隆太, 小笠原 徳子, 高野 賢一

    耳鼻咽喉科免疫アレルギー   38 ( 4 )   170 - 170   2020.12

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  • マスク装用下・シールド設置による人工内耳装用者(児)の語音の聞き取りへの影響

    倉島 楓, 新谷 朋子, 才川 悦子, 小笠原 徳子, 海崎 文, 高野 賢一

    Audiology Japan   63 ( 5 )   428 - 428   2020.9

  • 宇都宮方式による補聴器トレーニングについて

    新谷 朋子, 縫 郁美, 吉田 瑞生, 小笠原 徳子, 高野 賢一

    Audiology Japan   63 ( 5 )   326 - 326   2020.9

  • TNF induces production of type 2 cytokines in human group 2 innate lymphoid cells. International journal

    Noriko Ogasawara, Julie A Poposki, Aiko I Klingler, Bruce K Tan, Kathryn E Hulse, Whitney W Stevens, Anju T Peters, Leslie C Grammer, Kevin C Welch, Stephanie S Smith, David B Conley, Ken-Ichi Takano, Tetsuo Himi, Robert C Kern, Robert P Schleimer, Atsushi Kato

    The Journal of allergy and clinical immunology   145 ( 1 )   437 - 440   2020.1

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    TNF receptor II is expressed on ILC2s and TNF is able to induce production of type 2 cytokines in human ILC2s. TNF may play a role in causing or amplifying type 2 immunity contributing to health and disease.

    DOI: 10.1016/j.jaci.2019.09.001

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  • Role of RANK-L as a potential inducer of ILC2-mediated type 2 inflammation in chronic rhinosinusitis with nasal polyps. International journal

    Noriko Ogasawara, Julie A Poposki, Aiko I Klingler, Bruce K Tan, Kathryn E Hulse, Whitney W Stevens, Anju T Peters, Leslie C Grammer, Kevin C Welch, Stephanie S Smith, David B Conley, Joseph R Raviv, Pejman Soroosh, Ken-Ichi Takano, Tetsuo Himi, Robert C Kern, Robert P Schleimer, Atsushi Kato

    Mucosal immunology   13 ( 1 )   86 - 95   2020.1

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    Chronic rhinosinusitis with nasal polyps (CRSwNP) is characterized by type 2 inflammation with accumulation of activated group 2 innate lymphoid cells (ILC2s) and elevation of thymic stromal lymphopoietin (TSLP). A member of the TNF superfamily (TNFSF), TNFSF15, is known to induce the production of type 2 cytokines in ILC2s. Although ILC2s have been implicated in CRSwNP, the presence and role of TNFSFs in ILC2-mediated type 2 inflammation in CRSwNP has not been elucidated. Here, we investigate the involvement of TNFSFs in ILC2-mediated type 2 inflammation in CRSwNP. We found that receptor activator of NF-κB (RANK) ligand (RANK-L (TNFSF11)) was significantly elevated in nasal polyps (NPs), and that the receptor of RANK-L, RANK, was expressed on ILC2s in human peripheral blood and NPs. An agonistic antibody against RANK induced production of type 2 cytokines in human ILC2s, and TSLP significantly enhanced this reaction. The membrane-bound RANK-L was detected mainly on CD45 + immune cells, including TH2 cells in NPs. The co-culture of NP-derived ILC2s and TH2 cells significantly enhanced production of type 2 cytokines, and anti-RANK-L monoclonal antibody suppressed this enhancement. In conclusion, RANK-L, together with TSLP, may play an inductive role in the ILC2-mediated type 2 inflammation in CRSwNP.

    DOI: 10.1038/s41385-019-0215-8

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  • 当院における遠隔マッピングの試み

    海崎 文, 木村 綾美, 小笠原 徳子, 才川 悦子, 新谷 朋子, 高野 賢一, 氷見 徹夫

    Audiology Japan   62 ( 5 )   504 - 504   2019.10

  • 当院における未就学児の片耳伝音難聴症例に対する軟骨伝導補聴器使用の経験

    木村 綾美, 海崎 文, 小笠原 徳子, 才川 悦子, 新谷 朋子, 高野 賢一, 氷見 徹夫

    Audiology Japan   62 ( 5 )   392 - 392   2019.10

  • 宇都宮方式を取り入れた補聴器外来の現況

    新谷 朋子, 縫 郁美, 小笠原 徳子, 吉田 瑞生, 高野 賢一

    Audiology Japan   62 ( 5 )   549 - 549   2019.10

  • ヒト鼻粘膜上皮細胞での上皮バリアおよび線毛形成の調節における転写因子p63の役割

    金子 躍人, 幸野 貴之, 角木 拓也, 高野 賢一, 小笠原 徳子, 宮田 遼, 大國 毅, 矢島 諒人, 垣内 晃人, 小島 隆, 氷見 徹夫

    日本耳鼻咽喉科学会会報   121 ( 4 )   567 - 567   2018.4

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  • Evaluation of consistency in quantification of gene copy number by real-time reverse transcription quantitative polymerase chain reaction and virus titer by plaque-forming assay for human respiratory syncytial virus. International journal

    Keisuke Yamamoto, Noriko Ogasawara, Soh Yamamoto, Kenichi Takano, Tsukasa Shiraishi, Toyotaka Sato, Hiroyuki Tsutsumi, Tetsuo Himi, Shin-Ichi Yokota

    Microbiology and immunology   62 ( 2 )   90 - 98   2018.2

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    The plaque-forming assay is the standard technique for determining viral titer, and a critical measurement for investigating viral replication. However, this assay is highly dependent on experimental technique and conditions. In the case of human respiratory syncytial virus (RSV) in particular, it can be difficult to objectively confirm the accuracy of plaque-forming assay because the plaques made by RSV are often small and unclear. In recent studies, RT-qPCR methods have emerged as a supportive procedure for assessment of viral titer, yielding highly sensitive and reproducible results. In this report, we compare the viral replication, as determined by plaque-forming assay, and the copy numbers of RSV genes NS1, NS2, N, and F, as determined by RT-qPCR. Two real-time PCR systems, SYBR Green and TaqMan probe, gave highly similar results for measurement of copy numbers of RSV N genes of virus subgroups A. We determined the RSV gene copy numbers in the culture cell supernatant and cell lysate measured at various multiplicities of infection. We found that copy number of the RSV N gene in the culture supernatant and cell lysate was highly correlated with plaque-forming units. In conclusion, RT-qPCR measurement of RSV gene copy number was highly dependent on viral titer, and the detailed comparison between each gene copy number and virus titer should be useful and supportive in confirming RSV plaque-forming assay and virus dynamics. The technique may also be used to estimate the amount of RSV present in clinical specimens.

    DOI: 10.1111/1348-0421.12563

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  • 【上咽頭疾患とその周辺】上咽頭の解剖・画像・検査 上咽頭の機能と生理

    黒瀬 誠, 小笠原 徳子, 高野 賢一, 小島 隆, 氷見 徹夫

    JOHNS   33 ( 11 )   1525 - 1529   2017.11

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    Language:Japanese   Publisher:(株)東京医学社  

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  • Regulation of claudin-4 via p63 in human epithelial cells. International journal

    Takashi Kojima, Takayuki Kohno, Terufumi Kubo, Yakuto Kaneko, Takuya Kakuki, Akito Kakiuchi, Makoto Kurose, Ken-Ichi Takano, Noriko Ogasawara, Kazufumi Obata, Kazuaki Nomura, Ryo Miyata, Takumi Konno, Shingo Ichimiya, Tetsuo Himi

    Annals of the New York Academy of Sciences   1405 ( 1 )   25 - 31   2017.10

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    P63 is a regulator of cell-cell junction complexes in the epidermis. Claudin-4 is regulated via various factors in normal epithelial cells and diseases. We found that claudin-4 was directly regulated via p63 (TAp63 and ΔNp63) in human keratinocytes and nasal epithelial cells. In the epidermis of atopic dermatitis (AD), which contains ΔNp63-deficient keratinocytes, high expression of claudin-4 was observed. In primary keratinocytes, downregulation of ΔNp63 by treatment with short interfering RNA (siRNA)-p63 induced claudin-4 expression. In nasal epithelial cells in the context of rhinitis or nasal polyps, upregulation of TAp63 and downregulation of claudin-4 were observed. In primary nasal epithelial cells transfected with the human telomerase reverse transcriptase gene, knockdown of p63 by siRNAs induced claudin-4 expression. Taken together, these findings indicate that p63 is a negative regulator of claudin-4 expression. Understanding the regulation of claudin-4 via p63 in human epithelial cells may be important for developing therapies for allergies and drug delivery systems.

    DOI: 10.1111/nyas.13456

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  • The role of transcriptional factor p63 in regulation of epithelial barrier and ciliogenesis of human nasal epithelial cells. International journal

    Yakuto Kaneko, Takayuki Kohno, Takuya Kakuki, Ken-Ichi Takano, Noriko Ogasawara, Ryo Miyata, Shin Kikuchi, Takumi Konno, Tsuyoshi Ohkuni, Ryoto Yajima, Akito Kakiuchi, Shin-Ichi Yokota, Tetsuo Himi, Takashi Kojima

    Scientific reports   7 ( 1 )   10935 - 10935   2017.9

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    Disruption of nasal epithelial tight junctions (TJs) and ciliary dysfunction are found in patients with chronic rhinosinusitis (CRS) and nasal polyps (NPs), along with an increase of p63-positive basal cells and histone deacetylase (HDAC) activity. To investigate these mechanisms, primary cultures of HNECs transfected with human telomerase reverse transcriptase (hTERT-HNECs) were transfected with siRNAs of TAp63 and ΔNp63, treated with the NF-kB inhibitor curucumin and inhibitors of HDACs, and infected with respiratory syncytial virus (RSV). In TERT-HNECs, knockdown of p63 by siRNAs of TAp63 and ΔNp63, induced claudin-1 and -4 with Sp1 activity and enhanced barrier and fence functions. The knockdown of p63 enhanced the number of microvilli with the presence of cilia-like structures. Treatment with curcumin and inhibitors of HDACs, or infection with RSV prevented expression of p63 with an increase of claudin-4 and the number of microvilli. The knockdown or downregulation of p63 inhibited phospho-p38MAPK, and the p38MAPK inhibitor downregulated p63 and upregulated the barrier function. Thus, epithelial barrier and ciliogenesis of nasal epithelium are regulated in a p63-negative manner in normal and upper airway diseases. Understanding of the regulation of p63/p38 MAPK/NF-κB may be important in the therapy for airway allergy and its drug delivery system.

    DOI: 10.1038/s41598-017-11481-w

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  • ウイルス感染症での鼻粘膜上皮における細気管支炎・喘鳴の発症予測因子としての鼻汁microRNAの可能性

    山本 圭佑, 小笠原 徳子, 大國 毅, 高野 賢一, 堤 裕幸, 氷見 徹夫

    日本鼻科学会会誌   56 ( 3 )   484 - 484   2017.9

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  • クラリスロマイシンは気道上皮細胞でRSウイルスによって誘導されるインターフェロンの産生をIRF-3を介して調整する

    山本 圭佑, 小笠原 徳子, 高野 賢一, 氷見 徹夫

    耳鼻咽喉科免疫アレルギー   35 ( 2 )   188 - 189   2017.8

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  • Chorda tympani nerve dysfunction associated with congenital microtia. International journal

    Kenichi Takano, Nozomi Takahashi, Noriko Ogasawara, Takatoshi Yotsuyanagi, Tetsuo Himi

    Acta oto-laryngologica   137 ( 7 )   686 - 689   2017.7

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    CONCLUSION: This is the first report to investigate the correlation between ear anomalies related to the development of specific ear structures and chorda tympani dysfunction (CTD) in congenital microtia. CTD is not always consistent with the severity of the ear anomaly or the presence of facial nerve paralysis (FNP). OBJECTIVES: To investigate the relationship between the severity of ear anomalies and CTD as well as FNP in congenital microtia. METHODS: A retrospective assessment was performed for all patients with microtia over the period 2010-2016. All ears were graded based on the severity of ear deformity using the Jahrsdoerfer system, based on findings on computed tomography of the temporal bone. Electrogustometry (EGM) was performed to evaluate CTD. RESULTS: The group included 110 male and 62 female patients. The right ear was the most commonly affected (right 106, left 47). Eighteen patients (10.5%) had abnormal EGM thresholds. The mean (± SD) Jahrsdoerfer scores in the without CTD and positive for CTD groups were 6.53 ± 0.32 and 7.06 ± 0.37, respectively. In terms of sub-total points, there was no significant correlation between anatomic structure and CTD. There was no significant correlation between CTD and the presence of FNP.

    DOI: 10.1080/00016489.2016.1278306

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  • クラリスロマイシンは気道上皮でRSVによって誘導されるインターフェロンIRF-3を介して調整する

    山本 圭佑, 小笠原 徳子, 高野 賢一, 宮田 遼, 角木 拓也, 亀倉 隆太, 氷見 徹夫

    日本耳鼻咽喉科学会会報   120 ( 4 )   601 - 601   2017.4

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  • 【臨床力UP! 耳鼻咽喉科検査マニュアル】細菌ウイルス検査 抗酸菌に関する検査

    小笠原 徳子, 品川 雅明, 高野 賢一, 坪松 ちえ子, 氷見 徹夫

    耳鼻咽喉科・頭頸部外科   89 ( 5 )   432 - 435   2017.4

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  • ヒト鼻粘膜上皮バリアにおける転写制御因子p63の役割

    金子 躍人, 角木 拓也, 高野 賢一, 小笠原 徳子, 横田 伸一, 氷見 徹夫, 幸野 貴之, 小島 隆

    日本病理学会会誌   106 ( 1 )   321 - 321   2017.3

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  • Mitochondrial proteins NIP-SNAP-1 and -2 are a target for the immunomodulatory activity of clarithromycin, which involves NF-κB-mediated cytokine production. International journal

    Soh Yamamoto, Noriko Ogasawara, Keisuke Yamamoto, Chika Uemura, Yoshiaki Takaya, Tsukasa Shiraishi, Toyotaka Sato, Shin Hashimoto, Hiroyuki Tsutsumi, Kenichi Takano, Tetsuo Himi, Shin-Ichi Yokota

    Biochemical and biophysical research communications   483 ( 3 )   911 - 916   2017.2

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    Macrolide antibiotics have immunomodulatory activities, including suppression of cytokine production, cell adhesion molecule expression, and mucin production. These immunomodulatory activities improve the symptoms of respiratory diseases associated with chronic inflammation. However, the underlying molecular mechanism(s) is not well understood yet. To address this, we prepared clarithromycin (CAM)-conjugated Sepharose and examined bound cellular proteins by proteome analysis. We identified mitochondrial proteins 4-nitrophenylphosphatase domain and non-neuronal synaptosomal associated protein 25-like protein homolog (NIP-SNAP)-1 and -2 and very long-chain acyl-CoA dehydrogenase (VLCAD) as CAM-binding proteins. Production of proinflammatory cytokines (IL-8 and IL-6) induced by lipopolysaccharides (LPSs) and Pam3-CSK4 in human epithelial cell lines BEAS-2B and T24 were suppressed by knockdown of NIP-SNAP-1 or -2, and partly by knockdown of VLCAD. Also, knockdown of NIP-SNAP-1 or -2 in various cell lines suppressed LPS-induced expression of IL-8 and IL-6 mRNA and NF-κB activity. Thus, CAM suppresses NF-κB-mediated proinflammatory cytokine production by interacting with mitochondrial proteins, NIP-SNAP-1 and -2.

    DOI: 10.1016/j.bbrc.2016.12.100

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  • HIV-associated cystic lesions of the parotid gland Reviewed

    Noriko Ogasawara, Ken-ichi Takano, Hajime Kobayashi, Keisuke Kikuchi, Hiroshi Matsumiya, Iwao Yoshioka, Tetsuo Himi

    AURIS NASUS LARYNX   44 ( 1 )   126 - 130   2017.2

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    DOI: 10.1016/j.anl.2016.05.011

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  • Lipid mediators foster the differentiation of T follicular helper cells. International journal

    Tomonori Nagaya, Koji Kawata, Ryuta Kamekura, Sumito Jitsukawa, Terufumi Kubo, Motonari Kamei, Noriko Ogasawara, Ken-Ichi Takano, Tetsuo Himi, Shingo Ichimiya

    Immunology letters   181   51 - 57   2017.1

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    Lipid mediators such as leukotrienes and lipoxines broadly regulate innate and acquired immunity, and their dysfunction causes various immune-mediated disorders. We previously reported a salient feature of arachidonate 5-lipoxyganase (Alox5), which is responsible for the production of such lipid mediators, in the regulation of high affinity antibodies in vivo. The aim of this study was to determine the functional significance of Alox5-related lipid mediators during the processes of acquired humoral responses. The results of in vitro experiments using lymphocytes in tonsils and blood specimens showed that lipoxin A4 (LXA4) and leukotriene B4 (LTB4) have the capacity to differentiate naïve CD4+ T cells into T follicular helper (Tfh) cells, which activate naïve B cells to form germinal centers. Such a function of LXA4 was further supported by results of in vitro studies using BML-111 and BOC-2, which are an agonist and an antagonist, respectively, of FPR2 of an LXA4-specific cell-surface receptor. The results suggest that such lipid mediators have a potential role in the development of lymphoid follicles through the regulation of Tfh cell differentiation.

    DOI: 10.1016/j.imlet.2016.11.006

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  • Outcomes of visually impaired patients who received cochlear implantations.

    Kenichi Takano, Aya Kaizaki, Etsuko Saikawa, Ayami Konno, Noriko Ogasawara, Tetsuo Himi

    Nihon Jibiinkoka Gakkai kaiho   119 ( 12 )   1551 - 2   2016.12

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  • The Association of External and Middle Ear Anomaly and Mandibular Morphology in Congenital Microtia Reviewed

    Kenichi Takano, Nozomi Takahashi, Noriko Ogasawara, Tetsuo Himi

    OTOLOGY & NEUROTOLOGY   37 ( 7 )   889 - 894   2016.8

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    DOI: 10.1097/MAO.0000000000001048

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  • Outcomes of visually impaired patients who received cochlear implantations. International journal

    Kenichi Takano, Aya Kaizaki, Etsuko Saikawa, Ayami Konnno, Noriko Ogasawara, Tetsuo Himi

    Auris, nasus, larynx   43 ( 3 )   242 - 6   2016.6

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    OBJECTIVE: Patients with multiple sensory deficits, including hearing loss and visual impairment, present a unique problem. We evaluated the clinical outcomes of cochlear implantation in patients with severe to profound sensorineural hearing loss and visual impairment. METHODS: We retrospectively reviewed eight patients with severe sensorineural hearing loss and visual impairment who underwent cochlear implantation at our institution between 1993 and 2014. The follow-up period was between 2 and 20 years. We evaluated the case histories, etiologies of hearing loss and visual impairment, pre- and postoperative pure-tone thresholds, speech perception rates after CI using the Japanese CD speech discrimination scoring system (CI-2004 test) for words and sentences, and pre- and postoperative communication means. Postoperative speech discrimination scores were compared between patients with and without visual impairment who underwent cochlear implantation. RESULTS: The outcomes of cochlear implantation were good in all patients, with seven showing the ability to hold a conversation with others. The average proportion of correct answers for words and sentences in the CI-2004 test was 72.3 ± 19.1% and 86.0 ± 16.1%, respectively, for the patients with visual impairment and 62.1 ± 21.7% and 78.5 ± 20.9%, respectively, for those without visual impairment (based on auditory senses only). There were no significant differences in results between the patients with and without visual impairment. CONCLUSIONS: Cochlear implantation is important for the rehabilitation of patients with severe auditory loss and visual impairment. Medical staff members require additional skills to perform auditory evaluations and rehabilitate patients with multiple sensory deficits.

    DOI: 10.1016/j.anl.2015.08.005

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  • ヒト鼻粘膜上皮バリアにおけるp63の役割

    小島 隆, 角木 拓也, 金子 躍人, 高野 賢一, 小笠原 徳子, 横田 伸一, 氷見 徹夫, 幸野 貴之

    日本細胞生物学会大会講演要旨集   68回   63 - 63   2016.5

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  • Relationship between otitis media and epithelial function in the lymphoepithelium of pediatric adenoids Reviewed

    Noriko Ogasawara, Keisuke Yamamoto, Kenichi Takano, Tetsuo Himi

    Advances in Oto-Rhino-Laryngology   77   33 - 39   2016

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    DOI: 10.1159/000441868

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  • Accessory parotid gland tumors: A series of 4 cases Reviewed

    Takuya Kakuki, Kenichi Takano, Makoto Kurose, Atsushi Kondo, Tsuyoshi Okuni, Noriko Ogasawara, Tetsuo Himi

    Ear, Nose and Throat Journal   95 ( 7 )   E35 - 8   2016

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  • Cochlear Implantation in Children with Cochlear Malformation. International journal

    Etsuko Saikawa, Kenichi Takano, Noriko Ogasawara, Chieko Tsubomatsu, Nozomi Takahashi, Hideaki Shirasaki, Tetsuo Himi

    Advances in oto-rhino-laryngology   77   7 - 11   2016

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    Cochlear implantation (CI) has proven to be an effective treatment for severe bilateral sensorineural hearing loss (SNHL). Inner ear malformation is a rare anomaly and occurs in approximately 20% of cases with congenital SNHL. In cases with cochlear malformation, CI can be successfully performed in nearly all patients, the exceptions being those with complete labyrinthine and cochlear aplasia. It is important to evaluate the severity of inner ear deformity and other associated anomalies during the preimplantation radiological assessment in order to identify any complication that may potentially occur during the surgery and subsequent patient management.

    DOI: 10.1159/000441859

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  • Clinical Review of Cochlear Implantation Performed at Sapporo Medical University Hospital. International journal

    Noriko Ogasawara, Kenichi Takano, Tomoko Shintani, Etsuko Saikawa, Nozomi Takahashi, Fumie Ito, Tetsuo Himi

    Advances in oto-rhino-laryngology   77   1 - 6   2016

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    More than 20 years have passed since cochlear implantation (CI) was first introduced in Japan. We began CI at the Sapporo Medical University Hospital in 1988; since then, up to the first half of 2015, we have performed CI on 280 ears. In patients aged less than and those aged over 18 years, 121 and 159 ears, respectively, have undergone surgery. This report presents typical cases of CI, such as an adult case, a bilateral case, a case where both hearing and vision were impaired, a pediatric case, a case with multiple handicaps, a case with a genetic mutation leading to severe hearing loss, and a complicated case. In addition, complications with CI cases experienced during extended follow-up periods are also summarized.

    DOI: 10.1159/000441858

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  • A novel nonsense mutation in the NOG gene causes familial NOG-related symphalangism spectrum disorder. International journal

    Kenichi Takano, Noriko Ogasawara, Tatsuo Matsunaga, Hideki Mutai, Akihiro Sakurai, Aki Ishikawa, Tetsuo Himi

    Human genome variation   3   16023 - 16023   2016

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    The human noggin (NOG) gene is responsible for a broad spectrum of clinical manifestations of NOG-related symphalangism spectrum disorder (NOG-SSD), which include proximal symphalangism, multiple synostoses, stapes ankylosis with broad thumbs (SABTT), tarsal-carpal coalition syndrome, and brachydactyly type B2. Some of these disorders exhibit phenotypes associated with congenital stapes ankylosis. In the present study, we describe a Japanese pedigree with dactylosymphysis and conductive hearing loss due to congenital stapes ankylosis. The range of motion in her elbow joint was also restricted. The family showed multiple clinical features and was diagnosed with SABTT. Sanger sequencing analysis of the NOG gene in the family members revealed a novel heterozygous nonsense mutation (c.397A>T; p.K133*). In the family, the prevalence of dactylosymphysis and hyperopia was 100% while that of stapes ankylosis was less than 100%. Stapes surgery using a CO2 laser led to a significant improvement of the conductive hearing loss. This novel mutation expands our understanding of NOG-SSD from clinical and genetic perspectives.

    DOI: 10.1038/hgv.2016.23

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  • 扁桃・アデノイドはなぜあるのか?鼻はなにをしているのか? 粘膜免疫・粘膜防御の最前線を探る

    氷見 徹夫, 高野 賢一, 山下 恵司, 小笠原 徳子, 山本 圭佑, 堤 裕幸, 小島 隆, 一宮 慎吾, 澤田 典均, 横田 伸一

    顎顔面口腔育成会誌   3 ( 1 )   3 - 6   2015.3

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    Ichushi

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  • 当科における人工内耳埋め込み術の術後合併症に関する検討

    小笠原 徳子, 才川 悦子, 高野 賢一, 新谷 朋子, 氷見 徹夫

    Otology Japan   25 ( 1 )   51 - 57   2015.2

  • Cochlear implantation in a patient with Paget's disease Reviewed

    Kenichi Takano, Etsuko Saikawa, Noriko Ogasawara, Tetsuo Himi

    AMERICAN JOURNAL OF OTOLARYNGOLOGY   35 ( 3 )   408 - 410   2014.5

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    DOI: 10.1016/j.amjoto.2014.02.011

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  • 核内受容体PPARγを介したヒト鼻粘膜上皮細胞、樹状細胞のタイト結合の調節機構 アレルギー性鼻炎の予防・治療のための基礎研究

    小笠原 徳子, 小島 隆, 郷 充, 亀倉 隆太, 高野 賢一, 大国 毅, 正木 智之, 澤田 典均, 氷見 徹夫

    耳鼻咽喉科免疫アレルギー   27 ( 2 )   82 - 83   2009.9

  • ヒト鼻粘膜の機能解析から見えてくること

    氷見 徹夫, 郷 充, 近藤 敦, 高野 賢一, 正木 智之, 小泉 純一, 亀倉 隆太, 大國 毅, 小笠原 徳子, 小島 隆, 澤田 典均

    耳鼻咽喉科展望   52 ( 補冊1 )   9 - 18   2009.8

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    Ichushi

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  • ヒト鼻粘膜上皮細胞と樹状細胞のタイト結合蛋白はthymic stromal lymphopoietin(TSLP)によって誘導される

    亀倉 隆太, 小島 隆, 小笠原 徳子, 大國 毅, 高野 賢一, 郷 充, 澤田 典均, 氷見 徹夫

    日本耳鼻咽喉科学会会報   112 ( 4 )   376 - 376   2009.4

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  • ヒト鼻粘膜上皮バリアにおけるPKCシグナルを介したタイト結合の調節機構

    小島 隆, 小泉 純一, 小笠原 徳子, 亀倉 隆太, 黒瀬 誠, 今野 信宏, 郷 充, 高野 賢一, 氷見 徹夫, 澤田 典均

    Inflammation and Regeneration   28 ( 4 )   354 - 354   2008.7

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    Ichushi

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MISC

  • がん細胞の上皮バリアおよび悪性化における糖代謝の役割

    金野 匠, 幸野 貴之, 及能 大輔, 嶋田 浩志, 郷久 晴朗, 角木 拓也, 金子 躍人, 高野 賢一, 齋藤 豪, 小島 隆

    日本細胞生物学会大会講演要旨集   69回   95 - 95   2017.5

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  • ウイルス性炎症における上気道粘膜の役割―鼻粘膜上皮機能解析から炎症制御戦略を探る― Invited

    氷見徹夫, 高野賢一, 大國毅, 小笠原徳子, 正木智之, 小幡和史, 堤裕幸, 小島隆, 澤田典均, 横田伸一

    日本耳鼻咽喉科感染症・エアロゾル学会会誌   2   1 - 5   2014

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  • ウイルス性上気道感染での免疫応答と鼻粘膜上皮の役割 Invited

    氷見徹夫, 高野賢一, 大國毅, 小笠原徳子, 正木智之, 小幡和史, 堤裕幸, 小島隆, 澤田典均, 横田伸一

    耳鼻咽喉科展望   56   162 - 177   2013

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    DOI: 10.11453/orltokyo.56.162

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  • 扁桃・アデノイドはなぜあるのか?鼻はなにをしているのか?―小児の粘膜免疫・粘膜防御最前線―

    氷見徹夫, 高野賢一, 山下恵司, 小笠原徳子, 正木智之, 小幡和史, 堤裕幸, 小島隆, 一宮慎吾, 澤田典均, 横田伸一

    小児耳鼻咽喉科   34   239 - 244   2013

  • Role of antigen-presenting pathways in human adenoid epithelium : mucosal immune system in human adenoid epithelium

    OGASAWARA Noriko, GO Mitsuru, TAKANO Ken-ichi, HIMI Tetsuo

    31 ( 3 )   244 - 247   2010.12

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  • 粘膜のバリアと抗原サンプリング‐鼻粘膜を介した新たな治療戦略にむけて‐

    郷充, 小島隆, 亀倉隆太, 小笠原徳子, 小泉純一, 黒瀬誠, 高野賢一, 澤田典均, 氷見徹夫

    耳鼻咽喉科展望   51   32 - 38   2008.8

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  • アレルギー性鼻炎における鼻粘膜上皮バリアと免疫調節機構

    氷見 徹夫, 郷 充, 高野 賢一, 黒瀬 誠, 小泉 純一, 亀倉 隆太, 小笠原 徳子, 小島 隆, 澤田 典均

    アレルギーの臨床   27 ( 13 )   1038 - 1043   2007.12

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    Ichushi

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  • Melanin pigmented oncocytic metaplasia of the nasopharynx

    K Takano, J Sato, H Shirasaki, N Yamazaki, K Hoki, T Himi

    AURIS NASUS LARYNX   31 ( 2 )   161 - 163   2004.6

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Research Projects

  • T 細胞疲弊を標的としたアレルギー性鼻炎の新規治療戦略

    Grant number:22K09670  2022.4 - 2026.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    山本 圭佑, 一宮 慎吾, 高野 賢一, 亀倉 隆太

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    Grant amount:\4160000 ( Direct Cost: \3200000 、 Indirect Cost:\960000 )

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  • p63陽性唾液腺癌の新規病態メカニズム解明と治療法の開発

    Grant number:22K09729  2022.4 - 2025.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    小幡 和史, 黒瀬 誠, 高野 賢一

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    Grant amount:\4160000 ( Direct Cost: \3200000 、 Indirect Cost:\960000 )

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  • 唾液腺免疫性疾患における腺機能障害に対する基礎的研究

    Grant number:21K09610  2021.4 - 2024.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    高野 賢一, 小島 隆, 一宮 慎吾, 亀倉 隆太

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    Grant amount:\4030000 ( Direct Cost: \3100000 、 Indirect Cost:\930000 )

    すでに確立しているヒト唾液腺腺管上皮細胞の培養系を用いて、タイト結合分子の中でも特にcutokinesisにおけるlipolysis-stimulated lipoprotein receptor (LSR)およびtricellulinに着目した。現在のところ、
    2細胞間タイト結合分子であるoccludin, claudin-7, zonula occludens-1 cingulinや極性に関与するPAR3が、cytokinesisにおいて発現増強し、上皮バリア機能も保たれ、LSRやtricellulin がアセチル化チューブリン陽性中央体やガンマチューブリン陽性中心体にHook2とともに認められた。Hook2をノックダウンすると上皮バリア機能低下や関連分子の発現が中心体から消失した。LSRの多様な機能が示唆されている。

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  • T 細胞老化に関連した慢性炎症性疾患の発症メカニズムの解明

    Grant number:21K09658  2021.4 - 2024.3

    日本学術振興会  科学研究費助成事業  基盤研究(C)

    亀倉 隆太, 一宮 慎吾, 高野 賢一

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    Grant amount:\4030000 ( Direct Cost: \3100000 、 Indirect Cost:\930000 )

    IgG4関連疾患(IgG4-RD)の病因としてIgG4産生に関わる適応免疫系の機能異常が存在すると考えられているが、未だ病態の全容解明には至っていない。IgG4-RDの病変部位には多数のCD4陽性T細胞の浸潤が認められ、また一方で難治性免疫関連疾患の病態背景にエフェクターヘルパーCD4陽性T細胞が関与することから、我々はCD4陽性T細胞サブセットの一つである末梢ヘルパーT(Tph)細胞に注目してIgG4-RDの病態解析を行っている。CXCR5などのケモカインレセプターの発現パターンからTph細胞は病変部位(リンパ濾胞外)で機能を発揮すると考えられており、特定のB細胞サブセットとの相互作用が推察される。今回我々はTph細胞の制御機構を明らかにするために、濾胞外B細胞(CD19+CD11c+CD21-)に着目して、IgG4-RDにおける濾胞外B細胞の機能的役割やTph細胞との相互作用について検討した。結果、IgG4-RD患者では健常者と比較して血液濾胞外B細胞の割合が増加していた。また血液Tph細胞の割合と濾胞外B細胞の割合との間に有意な正の相関関係を認めた。一方血液濾胞ヘルパーT(Tfh)細胞の割合と濾胞外B細胞の割合との間には相関関係を認めなかった。この結果から、Toll-like receptorを発現する濾胞外B細胞が抗原提示細胞としてTph細胞の分化・増殖に関与している一方で、Tph細胞が抗体産生などの濾胞外B細胞の機能を制御している可能性が考えられた。このTph細胞と濾胞外B細胞との関係は適応免疫と自然免疫のクロストークの一例といえる。Tph細胞はIgG4-RDにとどまらず、他の慢性炎症性疾患の病態形成に関与している可能性があることから、今後も検討を進めていきたい。

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  • The mechanisms of salivary gland fibrosis in IgG4-related disease

    Grant number:18K09324  2018.4 - 2021.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    Takano Kenichi

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    Grant amount:\4290000 ( Direct Cost: \3300000 、 Indirect Cost:\990000 )

    The aim of this study was to investigate the mechanisms driving fibrosis in the submandibular glands (SMG) of patients with IgG4-related disease (IgG4-RD). Our results suggest fibrosis in the SMG of affected patients is closely linked to the proliferation of fibroblasts following induction of IL-6 and WISP1 by inflammatory cytokines. The Th2 cytokines TSLP and IL-33 are also upregulated in affected SMG, and thus may cause chronic inflammation and IgG4 accumulation.

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  • Usefulness of disease-specific microRNA for respiratory syncytial virus induced lower respiratory tract inflammation

    Grant number:16K20266  2016.4 - 2018.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Young Scientists (B)

    Yamamoto Keisuke, HIMI Tetsuo, YOKOTA Shin-ichi, Takano Kenichi, KUROSE Makoto, KAMEKURA Ryuta, OHKUNI Tsuyoshi, OGASAWARA Noriko, YAMAMOTO Soh

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    Grant amount:\3900000 ( Direct Cost: \3000000 、 Indirect Cost:\900000 )

    (1)Clarithromycin (CAM) as a treatment of RSV infection and (2)disease-specific microRNA as an index of disease evaluation were examined.CAM treatment led to a significant reduction in RSV-mediated IL-8, CCL5, IFN-βand -λ production.Furthermore,IFN-β promoter activity (activated by poly I:C and RSV infection) was significantly reduced after treatment with CAM.CAM also inhibited IRF-3 dimerization and subsequent translocation to the nucleus.
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    RSV infection-specific secreted miRNAs were identified. Housekeeping gene of nasal secreted miRNA was identified.

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  • Analysis of humoral abnormality caused by functional imbalance of follicular helper T cells.

    Grant number:16K15723  2016.4 - 2018.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Challenging Exploratory Research

    Himi Tetsuo

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    Grant amount:\3510000 ( Direct Cost: \2700000 、 Indirect Cost:\810000 )

    To determine the pathophysiologic features of diseases regarding immunological dysregulation, we examined subsets of follicular helper T (Tfh) cells and regulatory B (Breg) cells in peripheral blood and affected lesion from allergic rhinitis (AR) and IgG4-RD patients. The results showed skewed polarization of Tfh cell subsets in both AR and IgG4-RD cases. Interestingly, the %Breg cells in total B cells were decreased in AR cases and, more extensively, in AR. Moreover, we found significant correlations of fractional exhaled nitric oxide and blood eosinophil levels with the index %Tfh2 cells per %Breg cells. Our findings indicate that relative decrease in Breg cells under the condition of Tfh2 cell skewing is a putative exaggerating factor of AR to bronchial asthma. Patients with IgG4-related dacryoadenitis and sialadenitis (IgG4-DS) showed increased infiltration of Tfh cells highly expressing PD-1 and ICOS in submandibular glands.

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  • Auxiliary diagnosis and molecular targeted therapy by tight junction related molecule JAM-A in head and neck cancer

    Grant number:15K10817  2015.4 - 2018.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    MAKOTO KUROSE

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    Grant amount:\4810000 ( Direct Cost: \3700000 、 Indirect Cost:\1110000 )

    In the present study, we investigated the possibility about auxiliary diagnosis and targeted therapy of squamous cell carcinomas in head and neck cancer by tight junction related molecule JAM-A. We found high expression of JAM-A at the protein and mRNA levels in head and neck squamous cell carcinoma (HNSCC) tissue. Soluble JAM-A in serum of HNSCC patients was high level compared to the normal. Overexpression of JAM-A in HNSCC cell line Detroit562 was in part regulated via p63/GATA-3. We used inhibitors of histone deacetylase (HDAC). By using HNSCC cell line Detroit562, treatment with a panHDAC inhibitor tricostatin A (TSA) or specific inhibitors of HDAC1 and HDAC6 prevented the invasion, migration and proliferation of cancer cells in vitro. Furthermore, they also inhibited expression of p63 and JAM-A in Detroit562 cells. Taken together, inhibitors of HDAC are available in possible about auxiliary diagnosis and molecular targeted therapy for HNSCC via p63/JAM-A.

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  • Investigation of the mechanism of fibrosis in IgG4-related disease

    Grant number:15K10818  2015.4 - 2018.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    Takano Kenichi

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    Grant amount:\4810000 ( Direct Cost: \3700000 、 Indirect Cost:\1110000 )

    In GeneChip analysis, mRNAs of IL-6, IL-18, TSLP and MMP1 were highly expressed in the fibroblasts from SMG tissue of patients with IgG4-RD than in normal. The expression and secretion of IL-6 was greatly higher in IgG4-RD SMG fibroblasts than in normal. The expression and the secretion of IL-6 was upregulated by treatment with IL-1β, TNFα or TNFα/TGF-β. NF-κB inhibitor curcumin prevented the secretion and the expression of IL-6 induced by IL-1β or TNFα/TGF-β in the IgG4-RD SMG fibrobasts. Wnt1-inducible signaling protein 1 (WISP1) was also increased in the IgG4-RD SMG fibroblasts than in the normal. Curcumin also prevented WISP1 expression induced by IL-1β or TNFα/TGF-β in the normal. Treatment with IL-6 or WISP1 increased G2/M phase of the SMG fibroblasts in the normal. Expression of TSLP and IL-33 was increased in the IgG4-RD SMG fibroblasts than in the normal.

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  • Analysis of anti-viral innate immunity and therapeutic strategies for upper respiratory disease.

    Grant number:26293370  2014.4 - 2018.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

    Himi Tetsuo

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    Grant amount:\16120000 ( Direct Cost: \12400000 、 Indirect Cost:\3720000 )

    We examined the effect of CAM on production of cytokines, CAM significantly suppressed RSV-induced production of IFN-λ1, λ2 and λ3. CAM dramatically suppressed RSV-induced promoter activity, which is an IRF3 biding element. RSV-induced phosphorylation of IRF-3 did not alter in the presence of CAM. CAM inhibits IRF3 dimerization and its subsequent nuclear translocation from cytosol upon stimulation with poly I:C or RSV.
    In conclusion, CAM suppresses the production of pro-inflammatory cytokines and IFNs induced by virus-related stimuli, such as RSV and poly I:C. CAM exerts these effects by inhibiting the dimerization and subsequent nuclear translocation of IRF3 in airway epithelial cells. NIP-SNAP and MuV-induced SGs partly suppressed viral-induced type Ⅲ IFN production and suppressed the production of pro-inflammatory cytokines.

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  • Research of the inhibitory factors by regulation of epithelial cell polarity and organogenesis signaling in pharyngeal cancer invasion/metastasis

    Grant number:26462613  2014.4 - 2017.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    KONDO ATSUSHI, KOJIMA TAKASHI

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    Grant amount:\4940000 ( Direct Cost: \3800000 、 Indirect Cost:\1140000 )

    The first, in pharyngeal squamous cell carcinomas (PSCC), a hippo pathway key molecule YAP which contributed to organogenesis signaling, was positive in the nuclei of all cancer cells. The changes in expression and localization of LSR (lipolysis-stimulated lipoprotein receptor) which was regulated by YAP were observed during the malignancy. In LSR-knockdown cancer cell line, upregulation of cell invasion and migration was observed. The next, epithelial cell polarity molecules PAR3 and the regulator ASPP2 (apoptosis stimulating proteins of p53-2) were upregulated in PSCC than dysplasia. Inhibitors of HDACs (histone deacetylases) which upregulated in PSCC, induced expression of PAR3 and ASPP2 and inhibited cancer cell invasion and migration. In conclusion, the regulation of epithelial cell polarity molecules LSR, PAR3 and ASPP2 and organogenesis signaling YAP may be an important to prevent invasion/metastasis of PSCC.

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  • Mechanisms of inflammsomes activation in human tonsil

    Grant number:25861575  2013.4 - 2015.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Young Scientists (B)

    TAKANO Kenichi

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    Grant amount:\4030000 ( Direct Cost: \3100000 、 Indirect Cost:\930000 )

    We found strong expression of NLRP3, ASC, IL-1β, IL-18, and Caspase-1 in human oropharyngeal SCC, while weak or no expression of these proteins in normal tonsil. We also found that the distribution of MIB-1 was not significantly different from inflammasome-associated proteins in oropharyngeal SCC, and that no correlation of the expression of inflammasome-associated proteins and HPV infection. These findings suggest that inflammasomes in oropharyngeal SCC have a key role through facilitating antitumor immunity, and the possibility of new roles for inflammasomes in oropharynx may exist.

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  • Interaction between mucosal epithelium and immune system in human nasal mucosa.

    Grant number:23390398  2011.4 - 2014.3

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

    HIMI Tetsuo, TAKANO Kenichi, OHKUNI Tsuyoshi, SEKI Nobuhiko, TSUTSUMI Hiroyuki, KOJIMA Takashi

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    Grant amount:\18850000 ( Direct Cost: \14500000 、 Indirect Cost:\4350000 )

    The mucosal barrier of the upper respiratory tract including the nasal cavity, which is the first site of exposure to inhaled antigens, plays an important role in host defense in terms of innate immunity and is regulated in large part by tight junctions of epithelial cells. Tight junction molecules are expressed in both M cells and dendritic cells as well as epithelial cells of upper airway. Various antigens are sampled, transported, and released to lymphocytes through the cells in nasal mucosa while they maintain the integrity of the barrier. Expression of tight junction molecules and the barrier function in normal human nasal epithelial cells are affected by various stimuli including growth factor, TLR ligand, and cytokine. In addition, epithelial-derived cytokines, enhances the barrier function together with an increase of tight junction molecules in HNECs. Furthermore, RSV infection in HNECs in vitro induces the barrier function together with proinflammatory cytokine release.

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  • Altered expression of tight junctions in nasopharyngeal and oropharyngeal carcinoma of EMT in EBV or HPV infection

    Grant number:21791628  2009 - 2010

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Young Scientists (B)

    TAKANO Kenichi, HIMI Tetsuo, SAWADA Norimasa

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    Grant amount:\4290000 ( Direct Cost: \3300000 、 Indirect Cost:\990000 )

    In human oropharyngeal squamous cell carcinoma, the expression of claudin-7 and tricellulin was weak or absent, whereas claudin-1 was observed strong expression. We observed that claudin-1 was stronger expression at the invasive front, this suggests the interaction between expression of tight junctions and EMT. There were not significant relationships between the tight junction expressions and HPV status.

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  • The role of dendritic cell-activating factor TSLP in allergic rhinitis

    Grant number:20791207  2008 - 2009

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Young Scientists (B)

    KAMEKURA Ryuta, HIMI Tetsuo, GO Mitsuru, TAKANO Kenichi, SAWADA Norimasa, KOJIMA Takashi

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    Grant amount:\4290000 ( Direct Cost: \3300000 、 Indirect Cost:\990000 )

    Thymic stromal lymphopoietin (TSLP) is an IL-7-like cytokine that triggers dendritic cell (DC)-mediated T helper 2-type inflammatory responses. TSLP is a master molecule for allergic inflammation such as that in asthma and atopic dermatitis. In the present study, we first found high expression of TSLP in the epithelium of allergic rhinitis with recruitment and infiltration of DCs. In human nasal epithelial cells in vitro TSLP was significantly induced by treatment with the proinflammatory cytokines and a Toll-like receptor ligand. Treatment with TSLP also enhanced the barrier function of tight junctions of human nasal epithelial cells in vitro and mouse DC line XS52 together with an increase of tight junction proteins.

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  • Analysis of relationship in immune barrier function between human nasal epithelial cell and dendritic cell.

    Grant number:19390436  2007 - 2009

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

    HIMI Tetsuo, KOJIMA Takashi, GO Mitsuru, ICHIMIYA Shingo, TAKANO Ken-ichi

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    Grant amount:\16120000 ( Direct Cost: \12400000 、 Indirect Cost:\3720000 )

    Analysis of a immune barrier function with primary culture system of human nasal mucosa epithelium is important to establish a methodology of inflammation control by trans-nasal administration. Tight junction is one of an important factor contributing to permeability of a material, and it is important to study a factor regulating this function. Furthermore, examination of immunocompetent cell about an antigen sampling such as dendritic cell contributes to establish the mechanism of immune therapy for allergic rhinitis or upper respiratory infection by trans-nasal administration.

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  • 難聴と細胞間接着分子

    2002

    保健医療分野における基礎研究推進事業 

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    Grant type:Competitive

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