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Molecular mechanism and clinical trial center for the drug-induced QT prolongation syndrome

Research Project

Project/Area Number 16390222
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionNagoya University

Principal Investigator

KAMIYA Kaichiro  Nagoya University, Research Institute of Environmental Medicine, Professor, 環境医学研究所, 教授 (50194973)

Co-Investigator(Kenkyū-buntansha) HONJO Haruo  Nagoya University, Research Institute of Environmental Medicine, Associate Professor, 環境医学研究所, 助教授 (70262912)
SHIMIZU Atsuya  Nagoya University, Research Institute of Environmental Medicine, Assistant Professor, 環境医学研究所, 助手 (50345914)
Project Period (FY) 2004 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥14,400,000 (Direct Cost: ¥14,400,000)
Fiscal Year 2005: ¥3,800,000 (Direct Cost: ¥3,800,000)
Fiscal Year 2004: ¥10,600,000 (Direct Cost: ¥10,600,000)
KeywordsLong QT syndrome / ICH guideline / Arrhythmia / Drug induced
Research Abstract

It is well known that administration of common drugs unexpectedly induce QT prolongation in ECG and lethal arrhythmias. This drug-induced delay in ventricular repolarization (QT prolongation) attracts global attention because of the death caused by common drugs. It is an urgent need to clarify the mechanism of this drug-induced QT prolongation to prevent iatrogenic accidents. In this study, we try to clarify the mechanisms of drug-induced QT prolongation. In addition, clinical trial center was founded to construct drug data base for safety. During two years of the project, we could get novel findings and start clinical trial center successfully.
(1)Molecular analysis of drug-induced long QT syndrome : Binding sites were determined in structurally diverse drugs such as bepridil, nifekalant, amiodarone, dronedarone and so on. Affinity of drug binding to channel was revealed not to correlate with drug trapping within the channel cavity. These data were published in Mol Phrmacol 2006. And also drug action to IKs channel was demonstrated to be modulated by expression of KCNE1, be-ta subunit.
(2)Clinical trial center : System of precise analysis of QT interval compatible with ICH guideline E14 was developed with the collaboration of Department of Bioinformatics of our research institute. Technical support was delivered to clinical trial center founded in 2006.

Report

(3 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • Research Products

    (20 results)

All 2006 2005 2004

All Journal Article (14 results) Book (6 results)

  • [Journal Article] Differential roles of S6 domain hinges in the gating of KCNQ potassium channels.2006

    • Author(s)
      Seebohm G, et al.
    • Journal Title

      Biophysical Journal 90

      Pages: 2235-2244

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Molecular Determinants of hERG Channel Block.2006

    • Author(s)
      Kamiya K, et al.
    • Journal Title

      Molecular Pharmacology (in press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Differential roles of S6 domain hinges in the gating of KCNQ potassium channels.2006

    • Author(s)
      SEEBOHM Guiscard, et al.
    • Journal Title

      Biophysical Journal 90

      Pages: 2235-2244

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Molecular Determinants of hERG Channel Block.2006

    • Author(s)
      KAMIYA Kaichiro, et al.
    • Journal Title

      Molecular Pharmacology (in press)

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Combined effects of nifekalant and lidocaine on the spiral-type re-entry in a perfused 2-dimensional layer of rabbit ventricular myocardium.2005

    • Author(s)
      Amino M, et al.
    • Journal Title

      Circulation Journal 69

      Pages: 576-584

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Physicochemical basis for binding and voltage-dependent block of hERG channels by structurally diverse drugs.2005

    • Author(s)
      Sanguinetti MC, et al.
    • Journal Title

      Novartis Foundation Symposium 266

      Pages: 159-166

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Combined effects of nifekalant and lidocaine on the spiral-type re-entry in a perfused 2-dimensional layer of rabbit ventricular myocardium.2005

    • Author(s)
      AMINO Mari, et al.
    • Journal Title

      Circulation Journal 69

      Pages: 576-584

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Pathophysiological significance of T-type Ca^<2+> channels : expression of T-type Ca^<2+> channels in fetal and diseased heart.2005

    • Author(s)
      YASUI Kenji, et al.
    • Journal Title

      Journal of Pharmacological Sciences 99

      Pages: 205-210

    • Related Report
      2005 Annual Research Report
  • [Journal Article] Sinoatrial node dysfunction and early unexpected death of mice with a defect of klotho gene expression.2004

    • Author(s)
      Takeshita K, et al.
    • Journal Title

      Circulation 109

      Pages: 1776-1782

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Cav3.2 subunit underlies the functional T-type Ca^<2+> channel in murine hearts during the embryonic period.2004

    • Author(s)
      Niwa N, et al.
    • Journal Title

      American Journal of Physiology-Heart and Circulatory Physiology 286

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Identification of the amino acid residues of the platelet glycoprotein Ib (GPIb) essential for the von willebrand factor binding by clustered charged-to-alanine scanning mutagenesis.2004

    • Author(s)
      SHIMIZU Atsuya et al.
    • Journal Title

      Journal of Biological Chemistry 279

      Pages: 16285-16294

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Sinoatrial node dysfunction and eary unexpected death of mice with a defect of klotho gene expression.2004

    • Author(s)
      TAKESHITA Kyosuke, FUJIMORI Toshihiko, KUROTAKI Yoko, HONJO Haruo et al.
    • Journal Title

      Circulation 109

      Pages: 1776-1782

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Cav3.2 subunit underlies the functional T-type Ca2^+ channel in murine hearts during the embryonic period.2004

    • Author(s)
      NIWA Noriko, YASUI Kenji, OPTH OF Tobias, TAKEMURA Haruki, SHIMIZU Atsuya, HORIBA Mitsuru, LEE Jong-Kook, HONJO Haruo, KAMIYA Kaichiro, KODAMA Itsuo
    • Journal Title

      American Journal of Physiology-Heart and Circulatory Physiology 286

      Pages: 2257-2263

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 第III群抗不整脈の構造と機能について-ニフェカラントとソタロールの比較-2004

    • Author(s)
      神谷 香一郎
    • Journal Title

      心電図(Japanese Journal of Electrocardiology) 24

      Pages: 49-57

    • Related Report
      2004 Annual Research Report
  • [Book] 薬剤誘発性QT延長症候群の分子機序について:特集「不整脈における分子機構」2005

    • Author(s)
      神谷 香一郎
    • Total Pages
      8
    • Publisher
      最新医学社
    • Related Report
      2005 Annual Research Report
  • [Book] 薬剤性QT延長症候群の分子機序について2005

    • Author(s)
      神谷 香一郎
    • Total Pages
      2
    • Publisher
      医薬ジャーナル社
    • Related Report
      2005 Annual Research Report
  • [Book] 不整脈の病態生理 : 講義録 循環器学2004

    • Author(s)
      神谷香一郎
    • Total Pages
      6
    • Publisher
      メジカルビュー社
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] Pathophysiology of Arrhythmias Lecture Note "Cardiology"2004

    • Author(s)
      Kamiya K.
    • Total Pages
      6
    • Publisher
      Medical View Co.Ltd.
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Book] 不整脈の病態生理(小室一成(編))2004

    • Author(s)
      神谷 香一郎
    • Total Pages
      6
    • Publisher
      メジカルビュー社
    • Related Report
      2004 Annual Research Report
  • [Book] Heart View2004

    • Author(s)
      神谷 香一郎
    • Total Pages
      5
    • Related Report
      2004 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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