Cardiomyocyte heterogeneity in heart failure
Project/Area Number |
17H01560
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Research Category |
Grant-in-Aid for Scientific Research (A)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Cardiovascular medicine
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Research Institution | The University of Tokyo |
Principal Investigator |
Komuro Issei 東京大学, 医学部附属病院, 教授 (30260483)
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Co-Investigator(Kenkyū-buntansha) |
野村 征太郎 東京大学, 医学部附属病院, 特任助教 (10722118)
波多野 将 東京大学, 医学部附属病院, 特任准教授 (20456130)
東口 治弘 東京大学, 医学部附属病院, 特任准教授 (40436358)
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Project Period (FY) |
2017-04-01 – 2020-03-31
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Project Status |
Completed (Fiscal Year 2019)
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Budget Amount *help |
¥42,900,000 (Direct Cost: ¥33,000,000、Indirect Cost: ¥9,900,000)
Fiscal Year 2019: ¥11,570,000 (Direct Cost: ¥8,900,000、Indirect Cost: ¥2,670,000)
Fiscal Year 2018: ¥14,820,000 (Direct Cost: ¥11,400,000、Indirect Cost: ¥3,420,000)
Fiscal Year 2017: ¥16,510,000 (Direct Cost: ¥12,700,000、Indirect Cost: ¥3,810,000)
|
Keywords | 心不全 / シングルセル解析 / 不均一性 / シングルセル生物学 / 心筋細胞不均一性 / シングルセルRNA-seq解析 / 時空間的遺伝子発現 / シングルセルRNA-seq / イメージング / バイオインフォマティクス / 精密医療 / 心筋細胞 / 遺伝子発現 / イメージング解析 / 分子心臓病学 / 循環器内科学 |
Outline of Final Research Achievements |
Heart failure is caused by dysregulation of mechanical stress response, but the molecular mechanisms underlying cardiomyocyte heterogeneity remain elusive. By integrating single-cell RNA-seq, single-molecule RNA in situ hybridization, genetic perturbation, and molecular pathology, we analyzed molecular heterogeneities in cardiomyocytes from mouse pressure-overload-induced heart failure model and human patients with heart failure. We found that hypertrophied cardiomyocytes, induced by pressure overload, are divided into adaptive and failing cardiomyocytes and that failing cardiomyocytes, which express fetal-type myosin, emerge specifically in the middle layer of the heart. We also demonstrated that DNA damage and p53 signaling are critical for the induction of failing cardiomyocytes and that the content of DNA damage in cardiomyocytes determines the response to medical treatment in patients with heart failure. These findings provide a basis for cardiovascular precision medicine.
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Academic Significance and Societal Importance of the Research Achievements |
本研究により、心臓細胞のシングルセルレベルの遺伝子発現を空間情報と連結して解析する手法が開発され、心筋細胞のDNA損傷・p53シグナルの病的意義を解明するという学術的に大きな成果が得られた。また、メカニカルストレスの結果として心筋細胞に生じる心筋DNA損傷を定量評価することで、心不全患者の「治療応答性の事前予測」を可能にするという社会的にも待望されてきた心不全層別化手法を確立した。本手法は、臨床現場にて日常的に診断目的で採取する心臓生検組織の検体を有効利用するため患者への追加侵襲が存在しないという大きな利点を有しており、精密医療を心不全臨床において実践する上での基盤的技術となると考えられる。
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Report
(4 results)
Research Products
(64 results)
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[Journal Article] Serum uric acid level and subclinical left ventricular dysfunction: a community-based cohort study.2020
Author(s)
Nakanishi K, Daimon M, Yoshida Y, Ishiwata J, Sawada N, Hirokawa M, Kaneko H, Nakao T, Mizuno Y, Morita H, Di Tullio MR, Homma S, Komuro I.
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Journal Title
ESC Heart Fail.
Volume: -
Issue: 3
Pages: 1031-1038
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Overview of the 83<sup>rd</sup> Annual Scientific Meeting of the Japanese Circulation Society ― Renaissance of Cardiology for the Creation of Future Medicine ―2019
Author(s)
Akazawa H, Toko H, Harada M, Ueda K, Kodera S, Kiyosue A, Fujiu K, Hatano M, Daimon M, Ando J, Takimoto E, Morita H, Komuro I
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Journal Title
Circulation Journal
Volume: 83
Issue: 9
Pages: 1829-1835
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2019-08-23
Related Report
Peer Reviewed / Open Access
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[Journal Article] Hospitalization Costs for Patients With Acute Congestive Heart Failure in Japan2019
Author(s)
Kanaoka K, Okayama S, Nakai M, Sumita Y, Nishimura K, Kawakami R, Okura H, Miyamoto Y, Yasuda S, Tsutsui H, Komuro I, Ogawa H, Saito Y.
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Journal Title
Circulation Journal
Volume: 83
Issue: 5
Pages: 1025-1031
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2019-04-25
Related Report
Peer Reviewed / Open Access
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[Journal Article] Quantification of DNA Damage in Heart Tissue as a Novel Prediction Tool for Therapeutic Prognosis of Patients With Dilated Cardiomyopathy.2019
Author(s)
Ko T, Fujita K, Nomura S, Uemura Y, Yamada S, Tobita T, Katoh M, Satoh M, Ito M, Domoto Y, Hosoya Y, Amiya E, Hatano M, Morita H, Fukayama M, Aburatani H, Komuro I.
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Journal Title
JACC Basic Transl Sci.
Volume: 4
Issue: 6
Pages: 670-680
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Influence of visceral adiposity accumulation on adverse left and right ventricular mechanics in the community.2019
Author(s)
Sawada N, Nakanishi K, Daimon M, Yoshida Y, Ishiwata J, Hirokawa M, Nakao T, Morita H, Di Tullio MR, Homma S, Komuro I.
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Journal Title
Eur J Prev Cardiol.
Volume: -
Issue: 18
Pages: 2006-2015
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Alteration of Cardiac Performance and Serum B-Type Natriuretic Peptide Level in Healthy Aging2019
Author(s)
Yoshida Y, Nakanishi K (corresponding), Daimon M, Ishiwata J, Sawada N, Hirokawa M, Kaneko H, Nakao T, Mizuno Y, Morita H, Di Tullio MR, Homma S, Komuro I
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Journal Title
Journal of the American College of Cardiology
Volume: 74
Issue: 14
Pages: 1789-1800
DOI
NAID
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Number of Cardiologists per Cardiovascular Beds and In-Hospital Mortality for Acute Heart Failure: A Nationwide Study in Japan.2019
Author(s)
Kanaoka K, Okayama S, Nakai M, Sumita Y, Onoue K, Soeda T, Nishimura K, Kawakami R, Okura H, Miyamoto Y, Yasuda S, Tsutsui H, Komuro I, Ogawa H, Saito Y.
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Journal Title
J Am Heart Assoc.
Volume: 8
Issue: 18
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Significant impact of left ventricular assist device models on the value of flow-mediated dilation: effects of LVAD on endothelial function2019
Author(s)
Watanabe A, Amiya E, Hatano M, Watanabe M, Ozeki A, Nitta D, Maki H, Hosoya Y, Tsuji M, Bujo C, Saito A, Endo M, Kagami Y, Nemoto M, Nawata K, Kinoshita O, Kimura M, Ono M, Komuro I.
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Journal Title
Heart Vessels
Volume: 20
Issue: 2
Pages: 207-213
DOI
Related Report
Peer Reviewed
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[Journal Article] Macrophage hypoxia signaling regulates cardiac fibrosis via Oncostatin M.2019
Author(s)
Abe H, Takeda N, Isagawa T, Semba H, Nishimura S, Morioka MS, Nakagama Y, Sato T, Soma K, Koyama K, Wake M, Katoh M, Asagiri M, Neugent ML, Kim JW, Stockmann C, Yonezawa T, Inuzuka R, Hirota Y, Maemura K, Yamashita T, Otsu K, Manabe I, Nagai R, Komuro I.
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Journal Title
Nature Communications
Volume: 10
Issue: 1
Pages: 2824-2833
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Left Main Coronary Artery Obstruction by Huge Noncoronary Cusp Calcification After Transcatheter Aortic Valve Replacement.2019
Author(s)
Kiriyama H, Kaneko H, Itoh H, Uehara M, Kodera S, Kiyosue A, Yamauchi H, Daimon M, Ando J, Morita H, Ono M, Komuro I.
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Journal Title
JACC Cardiovasc Interv.
Volume: 12
Issue: 13
Pages: 1285-1287
DOI
Related Report
Peer Reviewed
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[Journal Article] The potential of cardiac rehabilitation as a method of suppressing abdominal aortic aneurysm expansion: a pilot study.2019
Author(s)
Nakayama A1, Amiya E2, Morita H2, Hyodo K2, Takayama N2, Konishi Y2, Taya M2, Fujiwara T, Hosoya Y2, Hoshina K3, Komuro I2.
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Journal Title
Heart Vessels.
Volume: 34
Issue: 12
Pages: 2031-2039
DOI
Related Report
Peer Reviewed
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[Journal Article] Emergency percutaneous coronary intervention for left main trunk thrombus following orthotopic heart transplantation.2019
Author(s)
Tsuji M, Nitta D, Minatsuki S, Maki H, Hosoya Y, Amiya E, Hatano M, Takimoto E, Kinoshita O, Nawata K, Ono M, Komuro I.
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Journal Title
ESC Heart Fail.
Volume: 6
Issue: 3
Pages: 575-578
DOI
Related Report
Peer Reviewed
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[Journal Article] Mutant KCNJ3 and KCNJ5 potassium channels as novel molecular targets in bradyarrhythmias and atrial fibrillation.2019
Author(s)
Yamada N, Asano Y, Fujita M, Yamazaki S, Inanobe A, Matsuura N, Kobayashi H, Ohno S, Ebana Y, Tsukamoto O, Ishino S, Takuwa A, Kioka H, Yamashita T, Hashimoto N, Zankov DP, Shimizu A, Asakura M, Asanuma H, Kato H, Nishida Y, Miyashita Y, Shinomiya H, Naiki N, Hayashi K, Makiyama T, Ogita H, et al.
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Journal Title
Circulation
Volume: In press
Issue: 18
Pages: 2157-2169
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Cardiomyocyte gene programs encoding morphological and functional signatures in cardiac hypertrophy and failure.2018
Author(s)
Nomura S, Satoh M, Fujita T, Higo T, Sumida T, Ko T, Yamaguchi T, Tobita T, Naito AT, Ito M, Fujita K, Harada M, Toko H, Kobayashi Y, Ito K, Takimoto E, Akazawa H, Morita H, Aburatani H, Komuro I.
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Journal Title
Nat Commun.
Volume: 9
Issue: 1
Pages: 4435-4435
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Genetic basis of cardiomyopathy and the genotypes involved in prognosis and left ventricular reverse remodeling2018
Author(s)
Tobita T, Nomura S, Fujita T, Morita H, Asano Y, Onoue K, Ito M, Imai Y, Suzuki A, Ko T, Satoh M, Fujita K, Naito AT, Furutani Y, Toko H, Harada M, Amiya E, Hatano M, Takimoto E, Shiga T, Nakanishi T, Sakata Y, Ono M, Saito Y, Takashima S, Hagiwara N, Aburatani H, Komuro I.
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Journal Title
Sci Rep
Volume: 8
Issue: 1
Pages: 20114-20119
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Dysbiosis and compositional alterations with aging in the gut microbiota of patients with heart failure.2017
Author(s)
Kamo T, Akazawa H, Suda W, Saga-Kamo A, Shimizu Y, Yagi H, Liu Q, Nomura S, Naito AT, Takeda N, Harada M, Toko H, Kumagai H, Ikeda Y, Takimoto E, Suzuki JI, Honda K, Morita H, Hattori M, Komuro I.
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Journal Title
PLoS One.
Volume: 12
Issue: 3
Pages: 0174099-0174099
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] A heart-brain-kidney network controls adaptation to cardiac stress through tissue macrophage activation and cellular communication2017
Author(s)
Fujiu K, Shibata M, Nakayama Y, Ogata F, Matsumoto S, Noshita K, Iwami S, Nakae S, Komuro I, Nagai R, Manabe I
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Journal Title
Nature Medicine
Volume: 印刷中
Issue: 5
Pages: 611-622
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
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[Journal Article] DNA single-strand break-induced DNA damage response causes heart failure.2017
Author(s)
Higo T, Naito AT, Sumida T, Shibamoto M, Okada K, Nomura S, Nakagawa A, Yamaguchi T, Sakai T, Hashimoto A, Kuramoto Y, Ito M, Hikoso S, Akazawa H, Lee JK, Shiojima I, McKinnon PJ, Sakata Y, Komuro I.
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Journal Title
Nature Communications
Volume: 8
Issue: 1
Pages: 15104-15104
DOI
Related Report
Peer Reviewed / Open Access
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