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Elucidation of the molecular mechanism and clinical application of increased plasma level of BNP precursor in patients with heart failure

Research Project

Project/Area Number 15K09138
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionKyoto University

Principal Investigator

Nishikimi Toshio  京都大学, 医学研究科, 非常勤講師 (80291946)

Co-Investigator(Kenkyū-buntansha) 桑原 宏一郎  信州大学, 学術研究院医学系, 教授 (30402887)
中川 靖章  京都大学, 医学研究科, 助教 (70452357)
Co-Investigator(Renkei-kenkyūsha) Minamino Naoto  国立循環器病研究センター, オミックスセンター, センター長 (50124839)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords心不全 / BNP / poBNP / 前駆体 / O型糖鎖修飾 / プロセシング / 心筋細胞 / macro-proBNP / proBNP / 急性心不全 / microRNA-30 / GALNT
Outline of Final Research Achievements

We introduced human proBNP gene into rat cardiac myocytes and assessed the processing of proBNP by measuring proBNP and total BNP levels using our developed chemiluminescent immunoassay in the culture medium. We also produced proBNP mutant and assessed the effect of each glycosylation site on the proBNP processing. We found that Th71 and Th48 directly inhibit the processing of proBNP, and that other five glycosylation sites were indirectly associated with the inhibition of processing of proBNP. We also showed that the proBNP/total BNP ratio was higher and cGMP/total BNP ratio was lower in severe chronic heart failure compared with mild chronic heart failure. We experienced a case of heart failure whose BNP level was more than 35000pg/mL. We elucidated the mechanism of it and first reported it in the world as a case of macro-proBNP.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (30 results)

All 2018 2017 2016 2015 Other

All Journal Article (10 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 8 results,  Open Access: 3 results,  Acknowledgement Compliant: 2 results) Presentation (18 results) (of which Int'l Joint Research: 7 results,  Invited: 1 results) Book (1 results) Remarks (1 results)

  • [Journal Article] Adrenomedullin as a Biomarker2018

    • Author(s)
      Nishikimi T, Nakagawa Y
    • Journal Title

      Heart Fail Clin

      Volume: 14 Issue: 1 Pages: 49-55

    • DOI

      10.1016/j.hfc.2017.08.006

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Ratio of pro-B-type natriuretic peptide (BNP) to total BNP is decreased in mild, but not severe, acute decompensated heart failure patients: A novel compensatory mechanism for acute heart failure2018

    • Author(s)
      Takahama Hiroyuki、Takashio Seiji、Nishikimi Toshio、Hayashi Tomohiro、Nagai-Okatani Chiaki、Nakagawa Yasuaki、Amaki Makoto、Ohara Takahiro、Hasegawa Takuya、Sugano Yasuo、Kanzaki Hideaki、Yasuda Satoshi、Kangawa Kenji、Minamino Naoto、Anzai Toshihisa
    • Journal Title

      International Journal of Cardiology

      Volume: 258 Pages: 165-171

    • DOI

      10.1016/j.ijcard.2017.12.047

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Endothelium-derived C-type natriuretic peptide contributes to blood pressure regulation by maintaining endothelial integrity.2017

    • Author(s)
      Nakao K, Kuwahara K, Nishikimi T, Nakagawa Y, Kinoshita H, Minami T, Kuwabara Y, Yamada C, Yamada Y, Tokudome T, Nagai-Okatani C, Minamino N, Nakao YM, Yasuno S, Ueshima K, Sone M, Kimura T, Kangawa K, Nakao K
    • Journal Title

      Hypertension.

      Volume: 69 Issue: 2 Pages: 286-296

    • DOI

      10.1161/hypertensionaha.116.08219

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] MiR30-GALNT1/2 Axis-Mediated Glycosylation Contributes to the Increased Secretion of Inactive Human Prohormone for Brain Natriuretic Peptide (proBNP) From Failing Hearts.2017

    • Author(s)
      Nakagawa Y, Nishikimi T, Kuwahara K, Fujishima A, Oka S, Tsutamoto T, Kinoshita H, Nakao K, Cho K, Inazumi H, Okamoto H, Nishida M, Kato T, Fukushima H, Yamashita JK, Wijnen WJ, Creemers EE, Kangawa K, Minamino N, Nakao K, Kimura T.
    • Journal Title

      J Am Heart Assoc.

      Volume: 6 Issue: 2

    • DOI

      10.1161/jaha.116.003601

    • NAID

      120007100125

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Macro-pro-B-type natriuretic peptide (proBNP) and hidden macro-N-terminal proBNP:Case report.2017

    • Author(s)
      Nakagawa Y, Nishikimi T, Sakai H, Ohno S, Kinoshita H, Inazumi H, Moriuchi K, Kuwahara K, Horie M, Kimura T.
    • Journal Title

      Clinical Biochemistry

      Volume: 52 Pages: 148-152

    • DOI

      10.1016/j.clinbiochem.2017.10.019

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The renin-angiotensin system promotes arrhythmogenic substrates andalethal arrhythmias in mice with non-ischemic cardiomyopathy2016

    • Author(s)
      Yamada C, Kuwahara K, Yamazaki M, Nakagawa Y, Nishikimi T, Kinoshita H, Kuwabara Y, Minami T, Yamada Y, Shibata J, Nakao K, , Arai Y, Honjo H, Kamiya K, Nakao K, Kimura T
    • Journal Title

      Cardiovascular Research

      Volume: 109 Issue: 1 Pages: 162-173

    • DOI

      10.1093/cvr/cvv248

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 心不全における血中BNP分子型の多様性とその意義:proBNP, BNP[1-32]関連分子種,   nonglycosylated-NT-BNP,glycosylated-NT-BNPについて.2016

    • Author(s)
      錦見俊雄,中川靖章
    • Journal Title

      循環器内科

      Volume: 79 Pages: 510-516

    • Related Report
      2016 Research-status Report
  • [Journal Article] 分子標的薬と高血圧・循環器疾患2016

    • Author(s)
      錦見俊雄
    • Journal Title

      腎臓内科・泌尿器科

      Volume: 4 Pages: 82-89

    • Related Report
      2016 Research-status Report
  • [Journal Article] Longitudinal Changes in Late Systolic Cardiac Load and Serum NT-proBNP Levels in Healthy Middle-Aged Japanese Men.2015

    • Author(s)
      Tomiyama H, Nishikimi T, Matsumoto C, Kimura K, Odaira M, Shiina K, Yamashina A
    • Journal Title

      Am J Hypertens

      Volume: 28 Issue: 4 Pages: 452-458

    • DOI

      10.1093/ajh/hpu174

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pro-B-type natriuretic peptide is cleaved intracellularly: impact of distance between O-glycosylation and cleavage sites.2015

    • Author(s)
      Nishikimi T, Nakagawa Y, Minamino N, Ikeda M, Tabei K, Fujishima A, Takayama K, Akimoto K, Yamada C, Nakao K, Minami T, Kuwabara Y, Kinoshita H, Tsutamoto T, Ishimitsu T, Kangawa K, Kuwahara K, Nakao K
    • Journal Title

      Am J Physiol Regul Integr Comp Physiol.

      Volume: 309 Issue: 6 Pages: R639-R649

    • DOI

      10.1152/ajpregu.00074.2015

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] O-linked oligosaccharide atachment underestimates N-terminal proBNP(NT-proBNP) levels in heart failure (HF) and chronic renal failure (CRF) on hemodyalysis (HD)2017

    • Author(s)
      Toshio Nishikimi, Yasuaki Nakagawa, Koichiro Kuwahara, Hideyuki Kinoshita, Hideaki Inazumi, Kenji Moriuchi, Kazuwa Nakao, Takeshi Kimura
    • Organizer
      The81st Annual Scientific Meeting of the Japanese Circulation Sciety
    • Related Report
      2017 Annual Research Report
  • [Presentation] Adipocyte-derived adrenomedullin suppresses age-and obesity-related increase in blood pressure2017

    • Author(s)
      Kosai Cho, Takeya Minami, Koichiro Kuwahara, Toshio Nishikimi, Hideaki Inazumi, Kenji Moriuti, Kaoru Koike, Kenji Naoto Minamino, Kenji Kangawa Yasuaki Nakagawa, Hideyuki Kinoshita, Kazuwa Nakao, Takeshi Kimura
    • Organizer
      The81st Annual Scientific Meeting of the Japanese Circulation Sciety
    • Related Report
      2017 Annual Research Report
  • [Presentation] O-linked oligosaccharaide attachment underestimates N-treminal proBNP-76(NT-proBNP) levels in heart failure(HF) and chronic renal failure (CRF) on hemodialysis (HD)2017

    • Author(s)
      Nishikimi T, Nakagawa Y, Kinoshita H, Moriuchi K, Inazumi H, Kuwahara K, Nakao K, Kimura T.
    • Organizer
      ESC Congress 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Adipocyte-derived adrenomedullin suppresses age-and obesity-related increase in blood pressure2017

    • Author(s)
      Cho Kozai, Takeya Minami, Toshio Nishikimi, Yasuaki Nakagawa, Kazuwa Nakao, Koichiro Kuwahara, Kaoru Koike, Takeshi Kimura
    • Organizer
      ESC Congress 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Impact of continuous reduction in B-type natriuretic peptide bioactivity during hospitalization in patients with advanced heart failure2017

    • Author(s)
      Takahama H, Takashio S, Hayashi T, Okatani-Nagai C, Nishikimi T, Nakagawa Y, Amaki M, Ohara T, Hasegawa T, Sugano Y, Kanzaki H, Yaduda S, Kangawa K, Minamino N, Anzai T.
    • Organizer
      AHA Scientific Session 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Molar ratio of N-terminal fragment of pro-B-type natriuretic peptide(BNP) to proBNP predicts occurrence of acute kiney injury in patients with acute heart failure2017

    • Author(s)
      Takahama H, Takashio S, Hayashi T, Nishikimi T, Nakagawa Y, Amaki M, Hasegawa T, Sugano Y, Kanzaki H, Yaduda S, Kangawa K, Minamino N, Anzai T.
    • Organizer
      AHA Scientific Session 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] マクロproBNP血症の一例2017

    • Author(s)
      中川靖章、錦見俊雄、酒井宏、大野聖子、木下秀之、稲住英明、森内健史、柳澤洋、桑原宏一郎、堀江稔、木村剛
    • Organizer
      第21回心血管内分泌代謝学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 病的心筋におけるmiR30-GALNT経路による糖鎖修飾を介したproBNP分泌制御2016

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、木下秀之、稲住英明、森内健史、南野直人、中尾一和、木村剛
    • Organizer
      第20回日本心血管内分泌代謝学会総会(CVMW2016)
    • Place of Presentation
      東京
    • Year and Date
      2016-12-16
    • Related Report
      2016 Research-status Report
  • [Presentation] Secretion of proBNP is regulated by MiR30-GALNTs axis dependent O-linked glycosylation in the pathological myocardium.2016

    • Author(s)
      Yasuaki Nakagawa, Toshio Nishikimi, Koichiro Kuwahara, Hideyuki Kinoshita, Hideaki Inazumi, Kenji Moriuchi, Takao Kato, Naoto Minamino, Kazuwa Nakao, Takeshi Kimura
    • Organizer
      AHA Scientific Session 2016
    • Place of Presentation
      New Orleans, Louisiana, USA
    • Year and Date
      2016-11-13
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Endogenous plasma NT-BNP is glycosylated and undetectable with the current NT-BNP assay system2016

    • Author(s)
      Toshio Nishikimi, Yasuaki Nakagawa, Koichiro Kuwahara, Hideyuki Kinoshita, Chinatsu Yamada, Takeshi Kimura, Kazuwa Nakao
    • Organizer
      The 26th Scientific meeting of the International Society of Hypertension
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2016-09-24
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] miR30-GALNT経路によるO型糖鎖修飾調節を介した病的心からのproBNP分泌亢進機序2016

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、保野慎治、木下秀之、桒原佳宏、稲住英明、森内健史、上嶋健治、南野直人、中尾一和、木村剛
    • Organizer
      第2回 国際心血管薬物療法学会日本部会(J-ICPS)
    • Place of Presentation
      徳島
    • Year and Date
      2016-06-25
    • Related Report
      2016 Research-status Report
  • [Presentation] O型糖転移酵素GALNTのBNPプロセシング調節への関与2016

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、木下秀之、山田千夏、稲住英明、南野直人、中尾一和、木村剛
    • Organizer
      第89回 日本内分泌学会学術総会
    • Place of Presentation
      京都
    • Year and Date
      2016-04-21
    • Related Report
      2016 Research-status Report
  • [Presentation] miR30-GALNT経路によるO型糖鎖修飾を介したBNPプロセシング調節が病的心筋からのproBNP分泌亢進に寄与する2016

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、保野慎治、木下秀之、桒原佳宏、山田千夏、稲住英明、上嶋健治、南野直人、中尾一和、木村剛
    • Organizer
      第53回 日本臨床分子医学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2016-04-15
    • Related Report
      2016 Research-status Report
  • [Presentation] MiR30-GALNTs axis-mediated O-glycosylation plays an important role in the increased secretion of unprocessed pro-brain natriuretic peptide by failing heart2016

    • Author(s)
      Yasuaki Nakagawa, Toshio Nishikimi, Koichiro Kuwahara, Kazuwa Nakao and Takeshi Kimura
    • Organizer
      Keystone symposia
    • Place of Presentation
      Snowbird, Utah, USA
    • Year and Date
      2016-04-03
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] miR-30-GALNT1,2経路による糖鎖修飾調節が病的心筋からのproBNP分泌に関与する2016

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、木下秀之、稲住英明、森内健史、南野直人、中尾一和、木村剛
    • Organizer
      第26回 日本循環薬理学会
    • Place of Presentation
      松本
    • Related Report
      2016 Research-status Report
  • [Presentation] Secretion and metabolism of proBNP in patients with heart failure2015

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、木下秀之、山田千夏、南野直人、中尾一和、木村剛
    • Organizer
      第19回日本心血管内分泌代謝学会学術総会
    • Place of Presentation
      神戸国際会議場(兵庫県、神戸市)
    • Year and Date
      2015-12-10
    • Related Report
      2015 Research-status Report
  • [Presentation] O型糖鎖修飾を介したヒトBNPプロセシング調節に関与する糖転移酵素についての検討2015

    • Author(s)
      中川靖章、錦見俊雄、桑原宏一郎、木下秀之、山田千夏、南野直人、中尾一和、木村剛
    • Organizer
      第19回日本心血管内分泌代謝学会学術総会
    • Place of Presentation
      神戸国際会議場(兵庫県、神戸市)
    • Year and Date
      2015-12-10
    • Related Report
      2015 Research-status Report
  • [Presentation] BNP up to date2015

    • Author(s)
      錦見俊雄、中川靖章。桑原宏一郎
    • Organizer
      日本循環器学会総会
    • Place of Presentation
      大阪国際会議場(大阪府、大阪市)
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
    • Invited
  • [Book] Endocrinology of the Heart in Health and Disease. Chapter 2 Adrenomedullin.2016

    • Author(s)
      T. Nishikimi, K. Kuwahara, Y. Nakagawa, K Kangawa, and K. Nakao
    • Publisher
      Elsevier Scinence Imprint:Academic Press
    • Related Report
      2016 Research-status Report
  • [Remarks] 京都大学医学部付属病院循環器内科 基礎研究グループの活動 心血管内分泌代謝グループ

    • URL

      http://kyoto-u-cardio.jp/kisokenkyu/cat236/

    • Related Report
      2017 Annual Research Report 2016 Research-status Report 2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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