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Clarification of genetic and pathogenic mechanism of insulin receptor abnormality

Research Project

Project/Area Number 15K19602
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Pediatrics
Research InstitutionTokyo Medical and Dental University

Principal Investigator

TAKASAWA Kei  東京医科歯科大学, 大学院医歯学総合研究科, 助教 (50749463)

Research Collaborator TSUJI Atsumi (HOSOKAWA Atsumi)  
KASHIMADA Kenichi  
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywordsインスリン受容体 / 糖尿病 / インスリン抵抗性 / インスリン受容体異常症 / 妖精症 / A型インスリン抵抗症 / SGA / A型インスリン抵抗症
Outline of Final Research Achievements

We reported seven Japanese cases with clinically diagnosed insulin receptor (INSR) abnormality including one case with Leprechaunism and six peripubertal cases with clinically diagnosed type A IR. In five of seven cases, five INSR mutations including three novel mutations; S98R, G1146R, R1201P, and two previously reported mutations; R1158W, R1201W, were identified. We also demonstrated that reduced mRNA expression of INSR should be considered as a possible cause of insulin resistance. By a group comparative study between INSR mutation-positive and mutation-negative cases, we indicated common clinical features of type A insulin resistance with the INSR mutations which were family history of diabetes mellitus and absence of fatty liver. Furthermore, being small for gestational age is another clinical feature of type A insulin resistance with the INSR mutation.

Report

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

    (6 results)

All 2017 2016 2015

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (5 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Molecular mechanisms of insulin resistance in 2 cases of primary insulin receptor defect-associated diseases.2017

    • Author(s)
      Tsuji-Hosokawa, A., Takasawa, K., Nomura, R., Miyakawa, Y., Numakura, C., Hijikata, A., Shirai, T., Ogawa, Y., Kashimada, K. & Morio, T.
    • Journal Title

      Pediatr Diabetes

      Volume: Feb 9 Issue: 8 Pages: 917-924

    • DOI

      10.1111/pedi.12508

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] インスリン受容体異常症の病態解明: 自験例2例の分子内分泌学的検討2017

    • Author(s)
      辻敦美, 高澤啓, 野村莉紗, 宮川雄一, 沼倉周彦, 土方敦司, 白井剛, 小川佳宏, 鹿島田健一, 森尾友宏
    • Organizer
      第90回日本内分泌学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] インスリン受容体異常症の病態解明:自験例2例の分子内分泌学的検討2017

    • Author(s)
      高澤啓,辻敦美,野村莉紗,宮川雄一,沼倉周彦,鹿島田健一,森尾友宏
    • Organizer
      第120回日本小児科学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Molecular mechanisms of insulin resistance in two cases of primary insulin receptor defect-associated diseases2016

    • Author(s)
      Atsumi Tsuji, Kei Takasawa, et al
    • Organizer
      APPES-JSPE2016 (Joint session)
    • Place of Presentation
      東京国際フォーラム
    • Year and Date
      2016-11-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] インスリン受容体異常症の病態解明2016

    • Author(s)
      高澤啓, 辻敦美, 沼倉周彦, 鹿島田健一.
    • Organizer
      第20回小児分子内分泌研究会
    • Place of Presentation
      大沼国際セミナーハウス
    • Year and Date
      2016-07-03
    • Related Report
      2016 Research-status Report
  • [Presentation] IGF1製剤が有効であった妖精症の1例2015

    • Author(s)
      高澤啓, 酢谷明人, 前澤身江子, 石黒利佳, 箕面崎至宏, 鹿島田健一
    • Organizer
      第88回日本内分泌学会学術総会
    • Place of Presentation
      ホテルニューオータニ東京(東京・千代田区)
    • Year and Date
      2015-04-23
    • Related Report
      2015 Research-status Report

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

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