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Regulation of renal renin-angiotensin system and renal gluconeogenesis as a diabetic therapy

Research Project

Project/Area Number 15K09285
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionDokkyo Medical University (2017)
The University of Tokyo (2015-2016)

Principal Investigator

Tojo Akihiro  獨協医科大学, 医学部, 准教授 (50292917)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords糖尿病 / 腎糖新生 / 尿細管 / アンジオテンシノーゲン / エンドサイトーシス / プロトンポンプ / アンモニア産生 / 糖新生 / レニン・アンジオテンシン
Outline of Final Research Achievements

The kidney plays an important role in gluconeogenesis, and in the starvation condition, amount of renal gluconeogenesis increases as same as that in the liver. H+-ATPase has important roles in the activation of cytoplasmic enzymes, endocytosis and membrane recycling of channels and receptors by acidification of vesicles. In renal gluconeogenesis, glutamine converted to alpha-ketoglutarate with 2 molecules of ammonium in mitochondria, then alpha-ketoglutarate was used for gluconeogenesis. Proteins related to ammoniagenesis and gluconeogenesis were increased in the kidney of diabetes, and bafilomycin treatment inhibited renal gluconeogenesis and lowered plasma glucose to the control levels. The regulation of renal gluconeogenesis by H+-ATPase inhibitor could be a new therapeutic target of diabetes mellitus.

Report

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

    (29 results)

All 2018 2017 2016 2015

All Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 10 results,  Open Access: 6 results,  Acknowledgement Compliant: 3 results) Presentation (19 results) (of which Int'l Joint Research: 1 results,  Invited: 2 results)

  • [Journal Article] H+-ATPase blockade reduced renal gluconeogenesis and plasma glucose in a diabetic rat model.2018

    • Author(s)
      Akihiro Tojo, Saaya Hatakeyama, Masaomi Nangaku, Toshihiko Ishimitsu.
    • Journal Title

      Med Mol Morphol.

      Volume: 51 Issue: 2 Pages: 89-95

    • DOI

      10.1007/s00795-017-0175-6

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Electron microscopy of urinary sediments in Fabry disease.2018

    • Author(s)
      Yoshiki Murayama, Mayu Uchida, Akihiro Tojo, Toshihiko Ishimitsu.
    • Journal Title

      Kidney Int

      Volume: in press

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Enhanced podocyte vesicle transport in the nephrotic rat.2017

    • Author(s)
      Akihiro Tojo, Saaya Hatakeyama, Satoshi Kinugasa, Satoru Fukuda, Toshio Sakai.
    • Journal Title

      Med Mol Morphol

      Volume: 50(2) Issue: 2 Pages: 86-93

    • DOI

      10.1007/s00795-016-0151-6

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Comparisons of increasing calcium channel blocker dose and adding thiazide diuretic in hypertensive patients given medium-dose angiotensin II receptor blocker and amlodipine.2017

    • Author(s)
      Takehiro Ohira, Toshihiko Ishimitsu, Akihisa Yabe, Masahito Furuichi, Yasuhiko Ueno, Shou Onoda, Akihiko Nagasa, Yoshiki Murayama, Hiroshi Satonaka, Akihiro Tojo.
    • Journal Title

      Dokkyo Journal of Medical Sciences

      Volume: 43(3) Pages: 209-216

    • NAID

      120006491200

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A local renal renin-angiotensin system activation via renal uptake of prorenin and angiotensinogen in diabetic rats.2016

    • Author(s)
      Tojo A, Kinugasa S, Fujita T, Wilcox CS.
    • Journal Title

      Diabetes Metab Syndr Obes

      Volume: 9 Pages: 1-10

    • DOI

      10.2147/dmso.s91245

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] The reduced expression of proximal tubular transporters in acquired Fanconi syndrome with κ light chain deposition.2016

    • Author(s)
      Tojo A, Asaba K, Kinugasa S, Ikeda Y, Shintani Y, Fukayama M, Nangaku M.
    • Journal Title

      Med Mol Morphol

      Volume: 49(1) Issue: 1 Pages: 48-52

    • DOI

      10.1007/s00795-015-0114-3

    • Related Report
      2016 Research-status Report 2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Urinary phagocytic macrophages in hemophagocytic lymphohistiocytosis.2016

    • Author(s)
      Oki R, Kono K, Kubo K, Tojo A, Yamamoto K.
    • Journal Title

      Kidney Int.

      Volume: 90 Issue: 4 Pages: 908-908

    • DOI

      10.1016/j.kint.2016.07.023

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Umbilical Cord Blood Transplantation-associated Nephrotic Syndrome Successfully Treated by Low-density Lipoprotein Apheresis2016

    • Author(s)
      Sugawara Y, Honda K, Katagiri D, Nakamura M, Kawakami K, Nasu R, Shintani Y, Tojo A, Kurokawa M, Fukayama M, Nangaku M.
    • Journal Title

      Internal Medicine

      Volume: 55 Issue: 19 Pages: 2831-2836

    • DOI

      10.2169/internalmedicine.55.7017

    • NAID

      130005605877

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Angiotensin receptor blocker telmisartan suppresses renal gluconeogenesis during starvation.2015

    • Author(s)
      Tojo A, Hatakeyama S, Kinugasa S, Nangaku M
    • Journal Title

      Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy

      Volume: 8 Pages: 103-113

    • DOI

      10.2147/dmso.s78771

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Phospholipase A2 receptor positive membranous nephropathy long after living donor kidney transplamtation between identical twins.2015

    • Author(s)
      Saito H, Hamasaki Y, Tojo A, Shintani Y, Shimizu A, Nangaku M.
    • Journal Title

      Nephrology

      Volume: 20(suppl. 2) Issue: S2 Pages: 101-104

    • DOI

      10.1111/nep.12458

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] H+-ATPase blockade reduced renal gluconeogenesis and plasma glucose in a diabetic rat model.2018

    • Author(s)
      Masahito Furuichi, Akihiro Tojo, Mayu Uchida, Jun Hirao, Akihiko Nagase, Sho Onoda, Takehiro Ohira, Yoshiki Murayama, Hirosshi Satonaka, Toshihiko Ishimitsu.
    • Organizer
      ISN Frontiers Meetings. Kidney Disease & Cardiovascular Disease.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 糖尿病ラットにおけるH+-ATPase阻害薬の腎糖新生抑制と血糖改善作用2017

    • Author(s)
      藤乗嗣泰、畠山沙亜耶、浅羽研介、南学正臣
    • Organizer
      第60回日本腎臓学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] バフィロマイシンB1は糖尿病のアンモニア産生・腎糖新生を抑制し血糖を改善する2017

    • Author(s)
      藤乘嗣泰、畠山沙亜耶、里中弘志、石光俊彦
    • Organizer
      第49回日本臨床分子形態学会総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 糖尿病における腎H+-ATPaseの役割の検討2016

    • Author(s)
      藤乗嗣泰、畠山沙亜耶、衣笠哲史、浅羽研介、南学正臣
    • Organizer
      第39回日本高血圧学会総会
    • Place of Presentation
      仙台国際センター
    • Year and Date
      2016-09-30
    • Related Report
      2016 Research-status Report
  • [Presentation] 糸球体足細胞の小胞輸送とアルブミン尿2016

    • Author(s)
      藤乘嗣泰、畠山沙亜耶、衣笠哲史、福田覚、酒井俊男
    • Organizer
      第48回日本臨床分子形態学会総会
    • Place of Presentation
      くまもと県民交流館パレア
    • Year and Date
      2016-09-23
    • Related Report
      2016 Research-status Report
  • [Presentation] 腎エンドサイトーシスによる蛋白尿とレニン-アンジオテンシン系活性化2016

    • Author(s)
      藤乘嗣泰
    • Organizer
      第9回東京腎炎セミナー
    • Place of Presentation
      四谷
    • Year and Date
      2016-09-06
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 微小変化型ネフローゼの足細胞の小胞輸送の3次元観察2016

    • Author(s)
      藤乗嗣泰、畠山沙亜耶、衣笠哲史、浅羽研介、福田覚、南学正臣
    • Organizer
      第59回日本腎臓学会学術総会
    • Place of Presentation
      パシフィッコ横浜
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report
  • [Presentation] 糖尿病性腎症に膜性増殖性糸球体腎炎様病変と糸球体内foam cell浸潤を認め、透析導入に至った一例2016

    • Author(s)
      内田 梨沙、本田 謙次郎、伊藤 麻里江、高瀬 暁、林 玲匡、新谷 裕加子、深山 正久、藤乗 嗣泰、南学 正臣
    • Organizer
      第61回日本透析医学会学術集会・総会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2016-06-09
    • Related Report
      2016 Research-status Report
  • [Presentation] 全身性紫斑を伴うステロイド抵抗性の急速進行性糸球体腎炎の一例2016

    • Author(s)
      香月沙耶加、前川洋、本田謙次郎、藤乘嗣秦、林玲匡、新谷裕加子、 南学正臣
    • Organizer
      第113回日本内科学会総会・講演会 医学生・研修医の日本内科学会ことはじめ 2016東京
    • Place of Presentation
      東京フォーラム
    • Year and Date
      2016-04-16
    • Related Report
      2016 Research-status Report
  • [Presentation] 非結核性抗酸菌症の増悪を契機に発症したIgA腎症の一例2016

    • Author(s)
      亀井亮佑,内田梨沙,中村元信,天野陽介,川上貴久,藤乘嗣泰,長瀬隆英,南学正臣
    • Organizer
      第113回日本内科学会総会・講演会 医学生・研修医の日本内科学会ことはじめ 2016東京
    • Place of Presentation
      東京フォーラム
    • Year and Date
      2016-04-16
    • Related Report
      2016 Research-status Report
  • [Presentation] H+-ATPase阻害薬の腎糖新生抑制による新たな糖尿病の治療2015

    • Author(s)
      藤乗嗣泰、畠山沙亜耶、衣笠哲史、浅羽研介、南学正臣
    • Organizer
      日本高血圧学会総会
    • Place of Presentation
      愛媛県県民文化会館(愛媛県松山市)
    • Year and Date
      2015-10-09
    • Related Report
      2015 Research-status Report
  • [Presentation] 経過から微小変化型ネフローゼ症候群と鑑別を要したヒトパルボウイルスB19感染後急性糸球体腎炎の一例2015

    • Author(s)
      鈴木淳司、中村元信、田中哲洋、藤乗嗣泰、林玲匡、新谷裕加子、南学正臣
    • Organizer
      日本腎臓学会東部学術大会
    • Place of Presentation
      東京ミッドタウンホール(東京都港区)
    • Year and Date
      2015-10-02
    • Related Report
      2015 Research-status Report
  • [Presentation] 臍帯血移植後に認めた巣状糸球体硬化症に対しLDLアフェレーシスが著効した一例.2015

    • Author(s)
      菅原有佳、亀井亮佑、本田謙次郎、伊藤麻里江、鈴木淳司、片桐大輔、林玲匡、新谷裕加子、中村元信、川上貴久、和田健彦、藤乗嗣泰、南学正臣
    • Organizer
      日本腎臓学会東部学術大会
    • Place of Presentation
      東京ミッドタウンホール(東京都港区)
    • Year and Date
      2015-10-02
    • Related Report
      2015 Research-status Report
  • [Presentation] PANネフローゼラットの糸球体足細胞の3次元観察2015

    • Author(s)
      藤乘嗣泰、福田覚、酒井俊男
    • Organizer
      日本臨床分子形態学会総会
    • Place of Presentation
      長崎大学ポンペ会館(長崎県長崎市)
    • Year and Date
      2015-09-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 電顕で糸球体foam cell内にミエリン様物質を認めたネフローゼ症候群の一例2015

    • Author(s)
      内田梨沙、本田謙次郎、伊藤麻里江、高瀬暁、宿谷賢一、福田覚、林玲匡、新谷裕加子、深山正久、藤乘嗣泰、南学正臣
    • Organizer
      日本臨床分子形態学会総会
    • Place of Presentation
      長崎大学ポンペ会館(長崎県長崎市)
    • Year and Date
      2015-09-18
    • Related Report
      2015 Research-status Report
  • [Presentation] 多発性嚢胞腎の末期腎不全患者が嚢胞感染を契機に可逆性後頭葉白質脳症(PRES)を来し、一時的に血液透析を要した1例2015

    • Author(s)
      藤澤 まどか、伊藤麻里江、櫻井仁子、加藤秀樹、田中哲洋、藤乘嗣泰、関常司、南学正臣
    • Organizer
      日本透析医学会学術集会・総会
    • Place of Presentation
      パシフィッコ横浜(神奈川県横浜市)
    • Year and Date
      2015-06-26
    • Related Report
      2015 Research-status Report
  • [Presentation] 尿細管障害の病態生理解析―形態と機能の相関2015

    • Author(s)
      藤乗嗣泰
    • Organizer
      日本腎臓学会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-06-05
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 腎生検による腎疾患頻度の30年間の経年変化と周期性2015

    • Author(s)
      藤乗嗣泰、浅羽研介、畠山沙亜耶、南学正臣
    • Organizer
      日本腎臓学会
    • Place of Presentation
      名古屋国際会議場(愛知県名古屋市)
    • Year and Date
      2015-06-05
    • Related Report
      2015 Research-status Report
  • [Presentation] 急な経過で微小変化型ネフローゼ症候群と鑑別を要したヒトパルボウイルスB19感染後急性糸球体腎炎の一例2015

    • Author(s)
      細谷仁美、鈴木淳司、中村元信、田中哲洋、藤乘嗣泰、南学正臣
    • Organizer
      日本内科学会総会・講演会
    • Place of Presentation
      みやこめっせ(京都府京都市)
    • Year and Date
      2015-04-11
    • Related Report
      2015 Research-status Report

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

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