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Development of frailty-preventing Kampo and personalization

Research Project

Project/Area Number 16K15407
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field General internal medicine(including psychosomatic medicine)
Research InstitutionThe University of Tokyo

Principal Investigator

AKISHITA MASAHIRO  東京大学, 医学部附属病院, 教授 (00261975)

Co-Investigator(Kenkyū-buntansha) 孫 輔卿  東京大学, 高齢社会総合研究機構, 特任助教 (20625256)
矢可部 満隆  東京大学, 医学部附属病院, 助教 (10747265)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords気虚 / Ginsenoside Rb1 / アンドロゲン受容体 / 血管石灰化 / フレイル / Paeoniflorin / エストロゲン受容体 / 虚証 / Ginsenoseide Rb1 / 性ホルモン / ブレンド効果
Outline of Final Research Achievements

Improvement of frailty using herbs has been considered the fundamental therapy of Chinese medicine. However, the underlying mechanisms are poorly understood. The objective of this research is unraveling mechanisms of the components of herbs such as Ginseng and Peony in frailty-related organs including vessel. Using a calcification model of vascular smooth muscle cells, we found both Ginsenoside Rb1 (Rb1), one of major components of Ginseng and Paeoniflorin, one of major components of Peony, inhibited calcification and their inhibitions were attributed to androgenic and estrogenic actions, respectively. Further, when we tested carcinogenic actions of Rb1 and Paeoniflorin like sex hormone, we could not find their proliferative capacities in LNCaP (a human prostate cancer cell line) and MCF-7 (a human metastatic mammary carcinoma cell line). Our finding provides a novel pharmacological strategy preventing frailty, especially in vessel by combination of Rb1 and Paeoniflorin.

Academic Significance and Societal Importance of the Research Achievements

本研究では「補気」および「補血」作用がある生薬成分Ginsenoside Rb1 (Rb1)および Paeoniflorinの血管病態に対する作用機序を明らかにした。本研究を参考に他の効果をもつ生薬においても作用機序と臓器特異性の分類が可能となる。すべての生薬を有効主成分レベルで分類できれば、調剤方法や技術の検討も必要ではあるが、より適切なpersonalized漢方薬開発への期待が高まる。高齢者にとって、様々な効果をもつ生薬構成成分を効果的に使用することにより、虚弱の改善のみならず、気力やQOL向上にもつながり、社会的フレイルの予防にもつながると考えられる。

Report

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

    (49 results)

All 2019 2018 2017 2016

All Journal Article (12 results) (of which Peer Reviewed: 6 results,  Open Access: 4 results) Presentation (37 results) (of which Int'l Joint Research: 15 results,  Invited: 7 results)

  • [Journal Article] Establishment of Novel Murine Model showing Vascular Inflammation-derived Cognitive Dysfunction.2019

    • Author(s)
      Hashizume T, Son BK, Taniguchi S, Ito K, Noda Y, Endo T, Nanao-Hamai M, Ogawa S, Akishita M.
    • Journal Title

      Sci Rep.

      Volume: 9 Issue: 1 Pages: 4023-4034

    • DOI

      10.1038/s41598-019-40726-z

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Sex difference in the association of androgens with aortic calcification.2018

    • Author(s)
      Hashizume T, Son BK, Kojima T, Nanao-Hamai M, Asari Y, Umeda-Kameyama Y, Ogawa S, Akishita M.
    • Journal Title

      Geriatr Gerontol Int.

      Volume: 18 Issue: 7 Pages: 1137-1138

    • DOI

      10.1111/ggi.13306

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Identifying drug substances of screening tool for older persons’ appropriate prescriptions for Japanese2018

    • Author(s)
      Nomura Kaori、Kojima Taro、Ishii Shinya、Yonekawa Takuto、Akishita Masahiro、Akazawa Manabu
    • Journal Title

      BMC Geriatrics

      Volume: 18 Issue: 1 Pages: 154-154

    • DOI

      10.1186/s12877-018-0835-y

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prescription of potentially inappropriate medications to older adults. A nationwide survey at dispensing pharmacies in Japan2018

    • Author(s)
      Suzuki Y, Sakakibara M, Shiraishi N, Hirose T, Akishita M, Kuzuya M.
    • Journal Title

      Arch Gerontol Geriatr.

      Volume: 77 Pages: 8-12

    • DOI

      10.1016/j.archger.2017.12.010

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Inhibition of interleukin-6 decreases atrogene expression and ameliorates tail suspension-induced skeletal muscle atrophy2018

    • Author(s)
      Yakabe M, Ogawa S, Ota H, Iijima K, Eto M, Ouchi Y, Akishita M
    • Journal Title

      PLoS One

      Volume: 13 Issue: 1 Pages: e0191318-e0191318

    • DOI

      10.1371/journal.pone.0191318

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Transgenic Mice Overexpressing Vitamin D Receptor (VDR) Show Anti-Inflammatory Effects in Lung Tissues.2017

    • Author(s)
      Ishii M, Yamaguchi Y, Isumi K, Ogawa S, Akishita M.
    • Journal Title

      Inflammation

      Volume: 40 Issue: 6 Pages: 2012-2019

    • DOI

      10.1007/s10753-017-0641-2

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] In Vitro and In Vivo Anticancer Activity of Human β-Defensin-3 and Its Mouse Homolog2016

    • Author(s)
      Hanaoka Y, Yamaguchi Y, Yamamoto H, Ishii M, Nagase T, Kurihara H, Akishita M, Ouchi Y
    • Journal Title

      Anticancer Res

      Volume: 36 Pages: 5999-6004

    • Related Report
      2016 Research-status Report
  • [Journal Article] Protective effects of estrogen against vascular calcification via estrogen receptor α-dependent growth arrest-specific gene 6 transactivation2016

    • Author(s)
      Nanao-Hamai M, Son BK, Hashizume T, Ogawa S, Akishita M
    • Journal Title

      Biochem Biophys Res Commun

      Volume: 480 Pages: 429-435

    • Related Report
      2016 Research-status Report
  • [Journal Article] The Association between Sarcopenic Obesity and Depressive Symptoms in Older Japanese Adults2016

    • Author(s)
      Ishii S, Chang C, Tanaka T, Kuroda A, Tsuji T, Akishita M, Iijima K
    • Journal Title

      PLoS One

      Volume: 11

    • Related Report
      2016 Research-status Report
  • [Journal Article] Rigid Cooperation of Per1 and Per2 proteins2016

    • Author(s)
      Tamiya H, Ogawa S, Ouchi Y, Akishita M
    • Journal Title

      Sci Rep

      Volume: 6 Pages: 32769-32769

    • Related Report
      2016 Research-status Report
  • [Journal Article] Effect of Rehabilitation on Recovery of Sympathetic Nervous Activity Measured According to Heart Rate Variability in Frail Elderly Adults2016

    • Author(s)
      Shibasaki K, Yamada S, Ouchi Y, Akishita M, Ogawa S
    • Journal Title

      J Am Geriatr Soc

      Volume: 64

    • Related Report
      2016 Research-status Report
  • [Journal Article] Sleep Apnea and Circadian Extracellular Fluid Change as an Independent Factor for Nocturnal Polyuria2016

    • Author(s)
      Niimi A, Suzuki M, Yamaguchi Y, Ishii M, Fujimura T, Nakagawa T, Fukuhara H, Kume H, Igawa Y, Akishita M, Homma Y
    • Journal Title

      J Urol

      Volume: 196 Pages: 1183-1189

    • Related Report
      2016 Research-status Report
  • [Presentation] New prespectives:Japan's policies on long-term care for the aged:past,present and future(Keynote Speech)2019

    • Author(s)
      Akishita M
    • Organizer
      International Symposium on Geriatric Care
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Principles of drug therapy in the elderly (Joint Session)2019

    • Author(s)
      Akishita M
    • Organizer
      Asia Pacific Congress on Cardiovascular Disease Prevention
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Low-intensity exercise suppresses myostatin pathway through androgen receptor in muscle cells2019

    • Author(s)
      Son BK, Eto M, Ishida Y, Oura M, Akishita M
    • Organizer
      International Conference on Sarcopenia & Frailty Research
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] テストステロンは炎症抑制作用を介して大動脈瘤の形成を抑制する (最優秀演題賞)2019

    • Author(s)
      孫輔卿, 小川純人, 秋下雅弘
    • Organizer
      第12回日本性差医学・医療学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 雄マウスでの低強度運動は筋内のテストステロン分泌を亢進し、筋分解を抑制する2019

    • Author(s)
      孫輔卿, 江頭正人, 大浦美弥, 秋下雅弘
    • Organizer
      第12回日本性差医学・医療学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Guidelines and health care system for polypharmacy in Japan (Lecture)2018

    • Author(s)
      Akishita M
    • Organizer
      Taiwan-Japan Conference for Geriatric Medicine
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 女性の動脈硬化性疾患予防のための管理方針(学会指定プログラム)2018

    • Author(s)
      秋下雅弘
    • Organizer
      日本女性医学学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 脳心血管病と性差:高齢者における脳心血管病のリスクと治療における性差.(Cutting-Edge Symposium)2018

    • Author(s)
      秋下雅弘
    • Organizer
      日本動脈硬化学会総会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] フレイル・サルコペニアと慢性疾患管理(招請講演)2018

    • Author(s)
      秋下雅弘
    • Organizer
      日本消化器病学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] サルコペニアの科学と臨床:高齢者薬物療法とサルコペニア(シンポジウム)2018

    • Author(s)
      秋下雅弘
    • Organizer
      日本内科学会総会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Testosterone inhibits aortic aneurysm formation through suppression of inflammation2018

    • Author(s)
      Son BK, Ogawa S, Akishita M
    • Organizer
      the Gerontological Society of America
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Sex difference in the association of androgens with aortic calcification2018

    • Author(s)
      Hashizume T, Son BK, Kojima T, Nanao-Hamai M, Asari Y, Umeda-Kameyama Y, Ogawa S, Akishita M
    • Organizer
      XIX ISA world congress of society
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 加齢に伴う血管炎症の認知機能への影響 ―大動脈瘤マウスモデルを用いた検討―2018

    • Author(s)
      橋詰剛、孫輔卿、濵井道子、小川純人、秋下雅弘
    • Organizer
      第50回日本動脈硬化学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] テストステロンの炎症抑制作用を介した大動脈瘤形成の抑制効果2018

    • Author(s)
      孫輔卿、小川純人、秋下雅弘
    • Organizer
      第50回日本動脈硬化学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] (特別講演)超高齢社会と生活習慣病2017

    • Author(s)
      秋下雅弘
    • Organizer
      日本成人病(生活習慣病)学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2017-01-15
    • Related Report
      2016 Research-status Report
  • [Presentation] 循環器系の加齢とフレイル(教育講演)2017

    • Author(s)
      秋下雅弘
    • Organizer
      日本心臓病学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] Sex, Aging and Cognitive Decline (Plenary lecture)2017

    • Author(s)
      Akishita M
    • Organizer
      8th Congress of the International Society for Gender Medicine
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 動脈硬化性疾患と性ホルモン(教育講演)2017

    • Author(s)
      秋下雅弘
    • Organizer
      日本動脈硬化学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] フレイルやポリファーマシー、高齢者の定義見直し等について(特別講演)2017

    • Author(s)
      秋下雅弘
    • Organizer
      日本老年脳神経外科学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 大動脈瘤形成に対するテストステロンの抑制作用と炎症の制御  -精巣摘出マウスを用いた検討-2017

    • Author(s)
      孫 輔卿、小川 純人、秋下 雅弘
    • Organizer
      第8回テストステロン研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] Preventive effects of testosterone/androgen receptor against the formation of abdominal aortic aneurysm in mice2017

    • Author(s)
      Son BK, Ogawa S, Akishita M
    • Organizer
      8th Congress of the International Society for Gender Medicine
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Estrogen inhibits vascular smooth muscle cells calcification through estrogen receptor alpha-dependent Gas6 transactivation2017

    • Author(s)
      Nanao-Hamai M, Son BK, Hashizume T, Ogawa S, Akishita M
    • Organizer
      8th Congress of the International Society for Gender Medicine
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Preventive effects of testosterone on development of abdominal aortic aneurysm2017

    • Author(s)
      Son BK, Ogawa S, Akishita M
    • Organizer
      21st International Association of Gerontology and Geriatrics (IAGG) World Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 低テストステロンによる大動脈瘤形成と炎症の関与 -精巣摘出マウスを用いた検討2017

    • Author(s)
      孫 輔卿、小川 純人、秋下 雅弘
    • Organizer
      第49回日本動脈硬化学会
    • Related Report
      2017 Research-status Report
  • [Presentation] テストステロン低下による大動脈瘤形成の促進と炎症の関与 -精巣摘出マウスを用いた検討-2017

    • Author(s)
      孫 輔卿、小川 純人、秋下 雅弘
    • Organizer
      第59回日本老年学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Ginsenoside Rb1の血管石灰化抑制作用  -選択的アンドロゲン受容体モジュレーター(SARM)としての可能性-2017

    • Author(s)
      孫 輔卿、小川 純人、秋下 雅弘
    • Organizer
      第59回日本老年学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Ginsenoside Rb1 Inhibited Vascular Smooth Muscle Cells Calcification through Androgen Receptor2017

    • Author(s)
      Nanao-Hamai M, Son BK, Hashizume T, Ogawa S, Akishita M
    • Organizer
      21st International Association of Gerontology and Geriatrics (IAGG) World Congress
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 大動脈瘤による認知機能低下への影響 ―炎症制御破綻を介した作用―2017

    • Author(s)
      橋詰剛、孫輔卿、濵井道子、小川純人、秋下雅弘
    • Organizer
      第8回日本脳血管・認知症学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 大動脈瘤の認知機能低下への影響 ―大動脈瘤マウスモデルを用いた検討―2017

    • Author(s)
      橋詰剛、孫輔卿、濵井道子、小川純人、秋下雅弘
    • Organizer
      第49回日本動脈硬化学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Characteristics of age-related skeletal muscle decline and cognitive impairment in mouse: Influence of vascular inflammation2017

    • Author(s)
      Hashizume T, Son BK, Nanao-Hamai M, Ogawa S, Akishita M
    • Organizer
      International conference on frail & sarcopenia research (ICFSR)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 芍薬のPaeoniflorinは血管石灰化を抑制する2017

    • Author(s)
      浅利雄介、七尾道子、孫輔卿、橋詰剛、小川純人、秋下雅弘
    • Organizer
      第49回日本動脈硬化学会
    • Related Report
      2017 Research-status Report
  • [Presentation] In vitroにおける補中益気湯の抗炎症効果、サルコペニア抑制効果の可能性の検討2017

    • Author(s)
      矢可部満隆、小川純人、秋下雅弘
    • Organizer
      第59回日本老年学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Ginsenoside Rb1は血管平滑筋細胞の石灰化をアンドロゲン受容体を介して抑制する2016

    • Author(s)
      七尾道子
    • Organizer
      日本動脈硬化学会
    • Place of Presentation
      東京
    • Year and Date
      2016-07-14
    • Related Report
      2016 Research-status Report
  • [Presentation] Ginsenoside Rb1 inhibit inorganic phosphate-induced vascular smooth muscle cells calcification via androgen receptor2016

    • Author(s)
      Michiko Nanao
    • Organizer
      Asian-Pacific Society of Atherosclerosis and Vascular Disease
    • Place of Presentation
      東京
    • Year and Date
      2016-07-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] (Lecture)Role of sex hormones in cardiovascular disease: implication for drug development2016

    • Author(s)
      Akishita M
    • Organizer
      International and Interdisciplinary Symposium 2016 “Towards a New Era of Cardiovascular Research” (ISC2016)
    • Place of Presentation
      東京
    • Year and Date
      2016-07-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Inhibitory effects of Ginsenoside Rb1 on vascular calcification through androgen receptor2016

    • Author(s)
      Michiko Nanao
    • Organizer
      International and Interdisciplinary Symposium
    • Place of Presentation
      東京
    • Year and Date
      2016-07-11
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] (講演)バランスの良い老化とは2016

    • Author(s)
      秋下雅弘
    • Organizer
      日本女性薬剤師会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2016-06-19
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2020-03-30  

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