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Department of Internal Medicine Division of Rheumatology

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Department of Internal Medicine Division of Rheumatology

Akio Yamada, Professor Daitaro Kurosaka, Associate Professor Isamu Kingetsu, Assistant Professor

General Summary

An internist must aim to practice patient-oriented medicine that is well grounded in medi- cal science. Therefore, our department encourages its staff members to do basic and clinical research. Major fields of research are clinical and experimental immunology.

Research Activities

Clinical and experimental studies of autoimmune disease were performed.

1. Analysis of the relationship of neovascularization in autoimmune animal models Several studies have found that neovascularization inhibitors inhibit the development of arthritis in animal models of rheumatoid arthritis. We evaluated the effects of the neo- vascularization inhibitor endostatin in murine models of collagen-induced arthritis and bleomycin-induced pulmonary fibrosis.

Furthermore, we are investigating whether there was any relation between Bombina var- iegata peptide 8 and angiogenesis in autoimmune arthritis.

2. Evaluation and analysis of synovial blood flow signals on power Doppler ultrasonog- raphy in patients with rheumatoid arthritis

To assess synovial neovascularization in patients with rheumatoid arthritis, we have eval- uated the synovial blood flow signals in patient’s joints by means of power Doppler ultra- sonography and analyzed the correlation with serum levels of neovascularization-related factors (e.g., vascular endothelial growth factor) and disease activity.

3. Histopathological comparison between dermatomyositis and polymyositis

We have obtained specimens of muscle, fascia, and skin through “en-bloc biopsy” from patients with dermatomyositis or polymyositis under the guidance of magnetic resonance imaging. We then histopathologically investigated the severity of inflammation around the muscle, fascia, and subcutaneous tissue to determine differences between dermatomy- ositis and polymyositis.

4. Clinical studies aimed at standardizing immunosuppressant therapy for autoimmune diseases

Many immunosuppressant drugs have been used to treat severe autoimmune disease, such

as amyopathic dermatomyositis with interstitial pneumonia, but the efficiency of and

treatment strategies for these drugs have not been clarified. Clinical trials can help

establish treatment strategies for severe autoimmune disease. Clinical studies aimed at

standardizing immunosuppressant therapy for autoimmune diseases were performed.

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Publications

Kurosaka D, Hirai K, Nishioka M, Miyamoto Y, Yoshida K, Noda K, Ukichi T, Yanagimachi M, Furuya K, Takahashi E, Kingetsu I, Fukuda K, Yamada A. Clinical significance of serum levels of vascular endothelial growth factor, angiopoietin- 1, and angiopoietin- 2 in patients with rheumatoid arthritis. J Rheumatol 2010; 37: 1121

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8.

Yoshida K, Kurosaka D, Joh K, Matsushima S,

Takahashi E, Hirai K, Noda K, Ukichi T, Furuya K, Yanagimachi M, Kingetsu I, Fukuda K, Yamada A. Fasciitis as a common lesion of der- matomyositis, demonstrated early after disease onset by en bloc biopsy combined with magnetic resonance imaging. Arthritis Rheum 2010; 62:

3751

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9.

参照

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