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Elucidation of novel disease formation mechanism in glycolipid metabolism disorder with congenital hypogonadotropic hypogonadism.

Research Project

Project/Area Number 15K09613
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionThe University of Tokyo

Principal Investigator

Sato Naoko  東京大学, 医学部附属病院, 登録研究員 (10383069)

Co-Investigator(Kenkyū-buntansha) 瀬尾 美鈴  京都産業大学, 総合生命科学部, 教授 (60211223)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords中枢性性腺機能低下症 / 糖脂質代謝異常 / 遺伝子解析
Outline of Final Research Achievements

FGF-FGFR1 genetic network (FFN)’s gene mutations account for 30% of the etiology of hypogonadotropic hypogonadism (HH). Recently, it was reported that HH with FGF ligand of FFN’s gene mutations was accompanied by glycolipid metabolism. Additionally, we identified a mutation of gene A in HH patients with diabetes mellitus. Thus, we performed a gene mutation analysis for the purpose of clarifying new disease establishment mechanism of HH and glycolipid metabolism in 50 HH and identified mutations in both gene A and KLB in HH with severe obesity and/or diabetes mellitus. The results suggest that both gene A and KLB play an essential role in glycolipid metabolism with reproduction.

Academic Significance and Societal Importance of the Research Achievements

本研究の研究により、糖・脂質代謝異常症を伴うHH の責任遺伝子が同定されたことにより、視床下部-下垂体-性腺軸において、糖・脂質代謝とGnRH 分泌調節機構に関与するメカニズムが解明される糸口となり、糖・脂質代謝異常症およびHH の新規疾患成立機序の発見に繋がると考えられる。さらに、社会的な意義として、HHと糖脂質代謝異常に関する遺伝子診断により、適切な時期に糖尿病、脂質異常症、肥満の治療が開始され、代謝疾患の悪化を防ぎ、患者のQOL を向上させることが可能となる。

Report

(2 results)
  • 2018 Final Research Report ( PDF )
  • 2015 Research-status Report
  • Research Products

    (3 results)

All 2015

All Journal Article (1 results) Presentation (2 results)

  • [Journal Article] Treatment situation of male hypogonadotropic hypogonadism in pediatrics and proposal of testosterone and gonadotropins replacement therapy protocols.2015

    • Author(s)
      Naoko Sato
    • Journal Title

      Clin Pediatr Endocrinol

      Volume: 24 Pages: 37-49

    • NAID

      130005069651

    • Related Report
      2015 Research-status Report
  • [Presentation] 先天性男性中枢性性腺機能低下症:rFSH先行療法の試み 東京2015 11月27日2015

    • Author(s)
      佐藤直子
    • Organizer
      第25回臨床内分泌update学会学術集会
    • Place of Presentation
      東京国際フォーラム (東京・千代田区)
    • Year and Date
      2015-11-27
    • Related Report
      2015 Research-status Report
  • [Presentation] FSH先行療法の治療経験:先天性男性中枢性性腺機能低下症の妊孕性獲得に対する新しい治療法の試み 船堀2015 10月8日2015

    • Author(s)
      佐藤直子
    • Organizer
      第49回小児内分泌学会学術集
    • Place of Presentation
      船堀タワーセンター(東京・江戸川区)
    • Year and Date
      2015-10-08
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2020-03-30  

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