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Metabolomic studues on hypolactatemia and hypoketonema in hemodoalysis patients and on personalized medicine

Research Project

Project/Area Number 15K15326
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Kidney internal medicine
Research InstitutionTohoku University

Principal Investigator

Sato Hiroshi  東北大学, 薬学研究科, 教授 (60215829)

Co-Investigator(Kenkyū-buntansha) 藤原 正子  東北大学, 薬学研究科, 准教授 (10466534)
Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords代謝応答 / 乳酸 / ケトン体 / メタボロミクス / 糖尿病 / ビオチン
Outline of Final Research Achievements

Metabolic responses during hemodialysis (HD) have studied by metabolomics of blood. Low molecules (lactate, pyruvate, alanine, 3-hydroxybutyrate (3-HB), and etc.) were measured by 1H NMR spectroscopy of dialysate, IRI (blood insulin) was quantified by the CLIA method. Plasma biotin and its metabolites were totally measured by the ELISA method. We developed a new selective method for determination of plasma biotin using UHPLC-MS/MS.
We found the group of patients in hemodialysis who had very low values of plasma lactate, pyruvate and alanine, with high values of plasma 3-HB. We have named these conditions as hypolactatemia and hyperketonemia, which often appeared in HD patients with diabetic mellitus. These metabolic profiling in the patients had correlation with plasma insulin removal during hemodialysis session. Biotin metabolites were revealed to accumulate in plasma of HD patients with cramp complications.

Report

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

    (22 results)

All 2017 2016 2015

All Journal Article (6 results) (of which Peer Reviewed: 4 results,  Acknowledgement Compliant: 1 results,  Open Access: 1 results) Presentation (16 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] A simple and rapid ultra-high-performance liquid chromatography-tandem mass spectrometry method to determine plasma biotin in hemodialysis patients2016

    • Author(s)
      Shigeaki Yagia , Manabu Nishizawa , Itiro Ando , Shiro Oguma ,Emiko Satob, Yutaka Imai and Masako Fujiwara
    • Journal Title

      Biolmed. Chromatog

      Volume: 30 Pages: 1285-1290

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] RECENT HAEMODIALYSIS INDUCES FASTING STATE DURING HAEMODIALYSIS IN PATIENTS WITH DIABETES MELLITUS2016

    • Author(s)
      Masako Fujiwara, Itiro Ando, Hiroshi Sato, Keisuke Sato and Yutaka Im
    • Journal Title

      Nephrol. Dial. Transplant.

      Volume: 31 (suppl 1) Issue: suppl_1 Pages: i559-i559

    • DOI

      10.1093/ndt/gfw199.05

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Plasma Levels of Biotin Metabolites Are Elevated in Hemodialysis Patients with Cramps2016

    • Author(s)
      Masako Fujiwara, Itiro Ando, Shigeaki Yagi, Manabu Nishizawa, Shiro Oguma, Keisuke Satoh, Hiroshi Sato and Yutaka Imai
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 239 Issue: 4 Pages: 263-267

    • DOI

      10.1620/tjem.239.263

    • NAID

      130005253184

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 高効率透析下における糖尿病患者の代謝変動---NMRメタボロミクス法による観察2016

    • Author(s)
      安藤一郎、藤原正子、佐藤 博, 佐藤慶祐,
    • Journal Title

      第44回宮城県腎不全研究会会誌

      Volume: 44 Pages: 111-111

    • Related Report
      2016 Annual Research Report
  • [Journal Article] HD中の補液の効果 ~ NMRメタボロミクスによる観察~2016

    • Author(s)
      藤原正子、安藤一郎、今井 潤、石田亜希、大槻 剛、阿部未奈、宍戸 洋
    • Journal Title

      第44回宮城県腎不全研究会会誌

      Volume: 44 Pages: 113-113

    • Related Report
      2016 Annual Research Report
  • [Journal Article] A simple and rapid ultra-high-performance liquid chromatography-tandem mass spectrometry method to determine plasma biotin in hemodialysis patients.2016

    • Author(s)
      Yagi, S., Nishizawa, M., Ando, I., Oguma, S., Sato, E., Imai, Y. & Fujiwara, M.
    • Journal Title

      Biomedical Chromatography

      Volume: in press Issue: 8 Pages: 1285-1290

    • DOI

      10.1002/bmc.3680

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 再吸収補完型透析の開発による糖尿病性透析患者の合併症克服 ~NMRメタボロミクスを用いて~2017

    • Author(s)
      戸恒和人、藤原正子, 安藤一郎、宍戸洋、根本直
    • Organizer
      第16回産総研・産技連LS-BT合同研究発表会
    • Place of Presentation
      つくば 産業技術総合研究所
    • Year and Date
      2017-01-31
    • Related Report
      2016 Annual Research Report
  • [Presentation] オンラインHDFとHDの代謝物動態比較~NMRメタボローム解析を用いて~2016

    • Author(s)
      藤原正子、安藤一郎、佐藤博, 石田亜希、大槻剛、阿部未奈、宍戸洋
    • Organizer
      第 45回宮城県腎不全研究会
    • Place of Presentation
      仙台 東北文化学園大学
    • Year and Date
      2016-11-20
    • Related Report
      2016 Annual Research Report
  • [Presentation] HDにおけるIDPN(経静脈栄養輸液)下の代謝物動態~NMRメタボローム解析を用いて~2016

    • Author(s)
      安藤一郎、藤原正子、佐藤博, 石田亜希、大槻剛、阿部未奈、宍戸洋
    • Organizer
      第 45回宮城県腎不全研究会
    • Place of Presentation
      仙台 東北文化学園大学
    • Year and Date
      2016-11-20
    • Related Report
      2016 Annual Research Report
  • [Presentation] 透析中の代謝物動態観察によるHDとHDFの比較の試み― NMRメタボローム法を用いて2016

    • Author(s)
      藤原正子、安藤一郎、佐藤博、石田亜希、大槻剛、阿部未奈、宍戸洋
    • Organizer
      HDF研究会
    • Place of Presentation
      甲府 富士屋ホテル
    • Year and Date
      2016-10-21
    • Related Report
      2016 Annual Research Report
  • [Presentation] 1H NMR metabolomics of plasma and dialysate from hemodialysis patients--diagnosis of patients with diabetic mellitus2016

    • Author(s)
      Masako FUJIWARA, Itiro ANDO, Keisuke SATO, Yutaka IMAI, Hiroshi SATO
    • Organizer
      ICMRBS(生体系NMR国際会議)
    • Place of Presentation
      京都国際会議場
    • Year and Date
      2016-08-23
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 糖尿病患者に対する血液透析中インスリン治療の効果~代謝物動態観察~2016

    • Author(s)
      藤原正子、安藤一郎、佐藤博、石田亜希、大槻剛、阿部未奈、宍戸洋
    • Organizer
      第61回日本透析医学会総会
    • Place of Presentation
      大阪 リーガロイヤルホテル
    • Year and Date
      2016-06-12
    • Related Report
      2016 Annual Research Report
  • [Presentation] 高効率血液透析下における糖尿病患者の低乳酸・高ケトン体症~NMR法による観察~2016

    • Author(s)
      安藤一郎 、藤原正子、佐藤博、佐藤慶祐
    • Organizer
      第61回日本透析医学会総会
    • Place of Presentation
      大阪 リーガロイヤルホテル
    • Year and Date
      2016-06-11
    • Related Report
      2016 Annual Research Report
  • [Presentation] RECENT HAEMODIALYSIS INDUCES FASTING STATE DURING HAEMODIALYSIS IN PATIENTS WITH DIABETES MELLITUS2016

    • Author(s)
      Masako Fujiwara, Itiro Ando, Keisuke Sato, Hiroshi Sato, Yutaka Imai
    • Organizer
      ERA-EDTA (欧州腎臓透析移植学会)
    • Place of Presentation
      Austria, Vienna
    • Year and Date
      2016-05-23
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 糖尿病性腎症の三次予防と個別医療のためのNMRメタボロミクス2016

    • Author(s)
      藤原正子、安藤一郎、佐藤博、佐藤慶祐、根本直
    • Organizer
      第15回 産総研・産技連LS-BT合同研究発表会
    • Place of Presentation
      つくば産総研
    • Year and Date
      2016-02-03
    • Related Report
      2015 Research-status Report
  • [Presentation] 高効率透析下における糖尿病患者の代謝変動 ---NMRメタボロミクス法による観察2015

    • Author(s)
      安藤一郎、藤原正子、佐藤博、佐藤慶祐
    • Organizer
      第44回宮城県腎不全研究会
    • Place of Presentation
      フォレスト仙台
    • Year and Date
      2015-12-03
    • Related Report
      2015 Research-status Report
  • [Presentation] HD中の補液の効果~ NMRメタボロミクスによる観察2015

    • Author(s)
      藤原正子 、安藤一郎 、今井 潤,石田亜希、大槻 剛、阿部未奈、宍戸 洋
    • Organizer
      第44回宮城県腎不全研究会
    • Place of Presentation
      フォレスト仙台
    • Year and Date
      2015-12-03
    • Related Report
      2015 Research-status Report
  • [Presentation] 透析患者における難分解性ビタミン代謝物蓄積; LC/MS/MSによるビオチン定量2015

    • Author(s)
      藤原正子、安藤一郎、八木成明、西澤学、小熊司郎、佐藤慶祐、今井潤
    • Organizer
      第9回メタボロームシンポジウム
    • Place of Presentation
      国立遺伝研究所
    • Year and Date
      2015-10-01
    • Related Report
      2015 Research-status Report
  • [Presentation] 慢性腎臓病の個別化医療を目指したNMR-メタボリック・プロファイリング ~10年の歩みとこれから~2015

    • Author(s)
      藤原正子
    • Organizer
      JASIS2015カンフェレンス
    • Place of Presentation
      幕張メッセ国際会議場101
    • Year and Date
      2015-09-02
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 透析患者血漿中ビオチン濃度測定 その1-透析性痙攣との関係2015

    • Author(s)
      安藤一郎、八木成明、西澤学、小熊司郎、佐藤博、今井潤、藤原正子
    • Organizer
      第28回バイオメディカル分析化学シンポジウム
    • Place of Presentation
      長崎大学
    • Year and Date
      2015-08-21
    • Related Report
      2015 Research-status Report
  • [Presentation] 透析患者血漿中ビオチン濃度測定:その2 ―LC/MS/MSによる測定法の開発2015

    • Author(s)
      八木成明、西澤学、安藤一郎、小熊司郎、佐藤博 今井潤、藤原正子
    • Organizer
      第28回バイオメディカル分析化学シンポジウム
    • Place of Presentation
      長崎大学
    • Year and Date
      2015-08-21
    • Related Report
      2015 Research-status Report
  • [Presentation] 透析中の血中インスリンおよびCペプチド値の測定2015

    • Author(s)
      藤原正子、安藤一郎、竹内和久、佐藤慶祐、佐藤博、今井潤
    • Organizer
      第60会日本透析医学会
    • Place of Presentation
      パシフィコ横浜
    • Year and Date
      2015-06-26
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2018-03-22  

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