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Integrated analysis of intestinal (entero-endocrine) environment and endocrine factors in treatment-resistant diabetes and obesity

Research Project

Project/Area Number 16K09772
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Metabolomics
Research InstitutionThe Tazuke Kofukai

Principal Investigator

Hamasaki Akihiro  公益財団法人田附興風会, 医学研究所 第3研究部, 部長 (40456900)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords膵・腸管内分泌 / 神経内分泌 / インクレチン / インスリン・グルカゴン / 糖尿病 / 肥満症 / 治療抵抗性 / グルカゴン / 腸内環境 / 内分泌環境 / 腸管ホルモン / 腸内細菌叢 / 自然免疫
Outline of Final Research Achievements

Regarding to changes in endocrine function and metabolic status of diabetes and obesity, we evaluated metabolic indices and various loading tests during the clinical course. It was revealed that the secretory state of various endocrine hormones and the glucose metabolism state change their relationship with each other along with modification of the endocrine environment in treatment and improvement of glucose metabolism by therapeutic intervention. These findings suggested that there are relationships among the intestinal endocrine response, neuroendocrine environment and metabolic state in the pathophysiology of diabetes associated with obesity that tend to be treatment-resistant.

Academic Significance and Societal Importance of the Research Achievements

治療介入が必ずしも容易ではない肥満を伴う糖尿病における特徴的な内分泌状態が明らかとされることで、より有用な治療選択が可能となる。本研究から糖尿病治療薬剤が効果を発揮する背景にある内分泌状態の変化についての知見、肥満状態でなぜ糖尿病治療薬剤の効果が発揮しがたいか、その機序の解明につながる示唆を得ることができた。改善の難しい糖尿病の病態の背景をより明らかとした治療を進める一助とすることで、これまで増加の一途をたどってきた糖尿病合併症を抑制して、これからの我が国での限られた社会医療資源のより有効な活用につながることが期待される。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (30 results)

All 2020 2019 2018 2017 2016

All Journal Article (7 results) (of which Peer Reviewed: 7 results,  Open Access: 6 results) Presentation (23 results) (of which Int'l Joint Research: 10 results)

  • [Journal Article] Facilitating screening of Klinefelter syndrome among patients with diabetes.2020

    • Author(s)
      Seno Y, Iwasaki Y, Aizawa-Abe M, Iwasaki K, Yoshiji S, Honjo S, Hamasaki A
    • Journal Title

      Journal of Diabetes Investigation

      Volume: 11 Issue: 2 Pages: 506-507

    • DOI

      10.1111/jdi.13113

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Alu-Mediated MEN1 Gene Deletion and Loss of Heterozygosity in a Patient with Multiple Endocrine Neoplasia Type 12020

    • Author(s)
      Yoshiji S, Iwasaki Y, Iwasaki K, Honjo S, Hirano K, Ono K, Yamazaki Y, Sasano H, Hamasaki A
    • Journal Title

      Journal of the Endocrine Society

      Volume: 0 Issue: 8 Pages: 0-0

    • DOI

      10.1210/jendso/bvaa051

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Solid-phase extraction treatment is required for measurement of active glucagon-like peptide-1 by enzyme-linked immunosorbent assay kit affected by heterophilic antibodies.2019

    • Author(s)
      Hasegawa T, Komagata M, Hamasaki A, Harada N, Seino Y, Inagaki N
    • Journal Title

      Journal of Clinical Investigation

      Volume: 10 Issue: 2 Pages: 302-308

    • DOI

      10.1111/jdi.12896

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Enlarged adrenal glands: the long-term consequence of Cushing’s disease2019

    • Author(s)
      Iwasaki Y, Hamasaki A
    • Journal Title

      Endocrine

      Volume: 63 Issue: 3 Pages: 657-659

    • DOI

      10.1007/s12020-019-01844-w

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] “Switched” metabolic acidosis in mitochondrial diabetes mellitus2019

    • Author(s)
      Keidai Yamato、Iwasaki Yorihiro、Honjo Sachiko、Aizawa-Abe Megumi、Iwasaki Kanako、Hamasaki Akihiro
    • Journal Title

      Journal of Diabetes Investigation

      Volume: in press Issue: 4 Pages: 1116-1117

    • DOI

      10.1111/jdi.12992

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Medication Episode Construction Framework for Retrospective Database Analyses of Patients with Chronic Diseases2017

    • Author(s)
      Khotimah PH, Sugiyama Y, Yoshikawa M, Hamasaki A, Sugiyama O, Okamoto K, Kuroda T
    • Journal Title

      IEEE Journal of Biomedical and Health Informatics

      Volume: 2017 Issue: 6 Pages: 1-1

    • DOI

      10.1109/jbhi.2017.2786741

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Revealing oral medication patterns from reconstructed long-term medication history of type 2 diabetes.2016

    • Author(s)
      Khotimah PH, Sugiyama Y, Yoshikawa M, Hamasaki A, Okamoto K, Kuroda T.
    • Journal Title

      Conf Proc IEEE Eng Med Biol Soc.

      Volume: 2016 Pages: 5599-5603

    • DOI

      10.1109/embc.2016.7591996

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] Association of Plasma Polyunsaturated Fatty Acid Levels with Dyslipidemia among Patients with Diabetes.2019

    • Author(s)
      Seno Y, Iwasaki Y, Iwasaki K, Yoshiji S, Aizawa-Abe M, Honjo S, Hamadaki A
    • Organizer
      The 11th Scientific Meeting of the Asian Association for the Study of Diabetes
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Is Once-Weekly GLP-1 Receptor Agonist a Reasonable Option for Glucocorticoid-Induced Hyperglycemia? Twelve-Week Efficacy and Safety of Dulaglutide vs. Sitagliptin in Patients with Diabetes on Routine Glucocorticoid Treatment.2019

    • Author(s)
      Yoshiji S, Iwasaki Y, Iwasaki K, Aizawa-Abe M, Honjo S, Wada Y, Fujikawa J, Hamasaki A
    • Organizer
      American Diabetes Association 79th scentific sessions
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 先端巨大症症例におけるパシレオチド治療前後の耐糖能変化の検討2019

    • Author(s)
      阿部恵、吉治智志、瀬野陽平、岩崎順博、岩崎可南子、本庶祥子、濱崎暁洋
    • Organizer
      第92回日本内分泌学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] レトロトランスポゾンを介する新規のwhole gene deletionを同定したMEN1の1例2019

    • Author(s)
      吉治智志、岩崎順博、岩崎可南子、阿部恵、本庶祥子、濱崎暁洋
    • Organizer
      第92回日本内分泌学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 高齢2型糖尿病患者において普通体重はサルコペニアの危険因子である2019

    • Author(s)
      角田晃啓、本庶祥子、吉治智志、岩崎順博、岩崎可南子、阿部恵、濱崎暁洋
    • Organizer
      第62回日本糖尿病学会年次学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 糖尿病初回治療前に皮疹を認め、治癒とともに軽快した二症例2019

    • Author(s)
      周素蘇、岩崎順博、瀬野陽平、吉治智志、岩崎可南子、阿部恵、本庶祥子、濱崎暁洋
    • Organizer
      第62回日本糖尿病学会年次学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] リラグルチド1.5-1.8mg/日を導入した日本人2型糖尿病の2例2019

    • Author(s)
      木村貞仁、吉治智志、岩崎順博、本庶祥子、境内大和、瀬野陽平、岩崎可南子、濱崎暁洋
    • Organizer
      第54回日本糖尿病学会近畿地方会
    • Related Report
      2019 Annual Research Report
  • [Presentation] CGMを用いて周産期の血糖管理を行った糖原病Ia型合併妊娠の1例2019

    • Author(s)
      長谷部雅士、本庶祥子、吉治智志、瀬野陽平、境内大和、岩崎可南子、岩崎順博、濱崎暁洋
    • Organizer
      第29回臨床内分泌代謝 Update
    • Related Report
      2019 Annual Research Report
  • [Presentation] ステロイド投与中の血糖管理におけるGLP-1受容体作動薬とDPP-4阻害薬の有効性と安全性の検討2019

    • Author(s)
      吉治智志、岩崎順博、岩崎可南子、阿部恵、本庶祥子、和田良春、濱崎暁洋
    • Organizer
      第62回日本糖尿病学会年次学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] GLP-1 receptor agonists versus DPP-4 inhibitors as an add-on therapy to insulin for glucocorticoid-associated hyperglycemia in type 2 diabetes2018

    • Author(s)
      Yoshiji S, Iwasaki Y, Iwasaki K, Aizawa-Abe M, Honjo S, Wada Y, Fujikawa J, Hamasaki A
    • Organizer
      12th IDF-WPR CONGRESS | 10th AASD Scientific Meeting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] パシレオチドによる糖尿病悪化に対するGLP-1受容体作動薬の効果2018

    • Author(s)
      本庶祥子、阿部 恵、岩崎順博、岩崎可南子、綾野志保、池田弘毅、和田良春、濱崎暁洋
    • Organizer
      第91回日本内分泌学会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 2型糖尿病における薬物療法・製剤の進歩と内因性インスリン分泌能指標でみた治療選択2018

    • Author(s)
      濱崎暁洋、本庶祥子、阿部 恵、岩崎順博、岩崎可南子、綾野志保、和田良春、角田晃啓、池田弘毅
    • Organizer
      第61回日本糖尿病学会年次学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 非高齢男性糖尿病患者におけるKlinefelter症候群新規診断の重要性2018

    • Author(s)
      岩崎可南子、岩崎順博、阿部 恵、和田良春、本庶祥子、濱崎暁洋
    • Organizer
      第61回日本糖尿病学会年次学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 2型糖尿病患者の基礎代謝についての検討2017

    • Author(s)
      角田晃啓、本庶祥子、岡村絵美、阿部恵、濱崎暁洋
    • Organizer
      第20回日本病態栄養学会年次学術集会
    • Place of Presentation
      国立京都国際会館(京都市)
    • Year and Date
      2017-01-13
    • Related Report
      2016 Research-status Report
  • [Presentation] Inverse assiciation between fasting insulin levels and postprandial asprosin level chenges in type 2 diabetes patients2017

    • Author(s)
      Tokumoto S, Okamura E, Abe M, Honjo S, Hamasaki A
    • Organizer
      9th AASD Scientific Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Inverse Association between Fasting Insulin Levels and Postprandial Changes of Plasma Asprosin Concentration in Patients with Type 2 Diabetes2017

    • Author(s)
      Tokumoto S, Honjo S, Okamura E, Abe M, Wada Y, Hamasaki A
    • Organizer
      American Diabetes Association 77th scentific sessions
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Inverse assiciation between fasting insulin levels and postprandial changes of plasma asprosin concentration in patients with type 2 diabetes.2017

    • Author(s)
      Tokumoto S, Okamura E, Aizawa-Abe M, Honjo S, Hamasaki A
    • Organizer
      53th European association for the study of diabetes annual meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] サルコペニア合併の高齢糖尿病入院患者の臨床的特徴―病態と退院時治療の観点から―2017

    • Author(s)
      本庶祥子、角田晃啓、岡村絵美、阿部恵、池田弘毅、和田良春、岩崎順博、中村聡宏、濱崎暁洋
    • Organizer
      第60回日本糖尿病学会年次学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] GLP-1受容体作動薬による食後早期の血糖上昇抑制効果には食後グルカゴン上昇の抑制が大きく寄与する2017

    • Author(s)
      濱崎暁洋、徳本信介、岡村絵美、本庶祥子、阿部恵、河崎祐貴子、和田良春、池田弘毅
    • Organizer
      第60回日本糖尿病学会年次学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Identical hypoglyceamic effect of tenelipliptin with linagliptin in type 2 diabetes with chronic kidney disease.2016

    • Author(s)
      Wada Y, Hamamoto Y, Honjo S, Kawasaki Y, Okamura E, Fujikawa J, Hamasaki A
    • Organizer
      11th IDF-WPR CONGRESS | 8th AASD Scientific Meeting
    • Place of Presentation
      Taipei (Taiwan)
    • Year and Date
      2016-10-27
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Lomg-term effectiveness of sulfonylureas in type 2 diabetes.2016

    • Author(s)
      Hamasaki A, Sugiyama Y, Okamoto K, Khotimat PH, Sawano R, Yoshikawa M, Kuroda T, Inagaki N
    • Organizer
      11th IDF-WPR CONGRESS | 8th AASD Scientific Meeting
    • Place of Presentation
      Taipei (Taiwan)
    • Year and Date
      2016-10-27
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Revealing oral medication patterns from reconstructed long-term medication history of type 2 diabetes2016

    • Author(s)
      Kothimah PH, Sugiyama Y, Yoshokawa M, Hamasaki A, Okamoto K, Kuroda T
    • Organizer
      38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society
    • Place of Presentation
      Orlando (USA)
    • Year and Date
      2016-08-16
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Plasma serpinB1 levels are strongly correlated with circulating levels of ANGPTL8 in patients with type 2 diabetes2016

    • Author(s)
      Tokumoto S, Hamamoto Y, Yamaguchi E, Okamura E, Honjo S, Hamasaki A
    • Organizer
      American Diabetes Association 76th scentific sessions
    • Place of Presentation
      New Orleans (USA)
    • Year and Date
      2016-06-10
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2021-02-19  

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