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Elucidation of renoprotective effects of an SGLT2 inhibitor through analysis of renal energy metabolism by an imaging mass spectrometry

Research Project

Project/Area Number 17K09710
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionKeio University

Principal Investigator

HAGIWARA Aika  慶應義塾大学, 医学部(信濃町), 共同研究員 (00627052)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
KeywordsSGLT2阻害薬 / アデニル酸代謝 / 腎保護効果 / 腎臓学 / マスイメージング / 代謝変容
Outline of Final Research Achievements

Metabolome analysis revealed a decrease in ATP level in the kidneys of tofogliflozin-treated mice and an increase in ATP degradation products, including adenosine. Direct injection of adenosine in the renal artery induced activation of HSL in the white and brown adipose tissues. These results indicate that the renal afferent nerves mediate the lipolytic effect of an SGLT2 inhibitor in obese mice. The alterations to the renal energy metabolism can play significant roles in the lipolysis through the renal afferent nerves and body weight reduction by tofogliflozin. An xanthine oxidase inhibitor, febuxostat, which blocks the degradation pathway of adenine nucleotides, promoted ATP recovery and exerted renoprotective effects in the postischemic kidney.
These findings suggest a novel therapeutic approach for the chronic kidney disease through modification of renal metabolism.

Academic Significance and Societal Importance of the Research Achievements

今回、申請者らは世界で初めて腎マスイメージングによるエネルギー代謝産物の可視化に成功し、その手法を用いてSGLT2阻害薬の腎保護効果を代謝変容の是正に着想した点に学術的意義があると考える。また、今回検討したアデニル酸代謝、またそれら経路の代謝酵素を標的とした腎保護戦略は、全ての腎不全において最終共通経路である慢性腎虚血に対して有効となる可能性が考えられ、成因が多岐にわたる腎不全において非常に広い患者層での臨床応用が期待され、その社会的意義は大きいと思われる。

Report

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

    (10 results)

All 2019 2018 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (9 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results)

  • [Journal Article] Xanthine oxidase inhibitor ameliorates postischemic renal injury in mice by promoting resynthesis of adenine nucleotides.2019

    • Author(s)
      Fujii K, Kubo A, Miyashita K, Sato M, Hagiwara A, Inoue H, Ryuzaki M, Tamaki M, Hishiki T, Hayakawa N, Kabe Y, Itoh H, Suematsu M.
    • Journal Title

      JCI insight

      Volume: 4 Issue: 22 Pages: 124816-124816

    • DOI

      10.1172/jci.insight.124816

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 急性虚血性腎障害におけるフェブキスソタットによるATPブーストを介した腎保護メカニズムのマスイメージングを用いた可視化解析2018

    • Author(s)
      藤井健太郎, 宮下和季, 久保亜紀子, 佐藤正明, 萩原あいか, 井上博之, 竜崎正毅, 末松誠, 伊藤裕
    • Organizer
      日本高血圧学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] A semi-quantitative mass imaging technique revealed region-specific alteration of adenylates in the murine kidney after transient ischemia and reno-protective effect of febuxostat by ameliorating ATP levels in the cortex.2018

    • Author(s)
      藤井健太郎, 宮下和季, 久保亜紀子, 佐藤正明, 萩原あいか, 井上博之, 竜崎正毅, 末松誠, 伊藤裕
    • Organizer
      日本腎臓学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] キサンチンオキシダーゼ阻害による虚血腎保護メカニズムのマスイメージングを用いた可視化解析2018

    • Author(s)
      藤井健太郎, 宮下和季, 久保亜紀子, 佐藤正明, 萩原あいか, 井上博之, 竜崎正毅, 末松誠, 伊藤裕
    • Organizer
      日本内分泌学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Renoprotective effect of adenosine by vasodilatation via A2B receptor activation.2018

    • Author(s)
      K. Fujii, K. Miyashita, A. Kubo, M. Sato, A. Hagiwara, H. Inoue, M. Suematsu, H. Itoh
    • Organizer
      ISN FRONTIERS MEETINGS 22 Feb 2018, Tokyo, Japan
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] ADENOSINE A2 RECEPTORS ARE INDISPENSABLE FOR THE MAINTANANCE OF RENAL BLOOD FLOW UNDER ACUTE ISCHEMIA.2017

    • Author(s)
      K. Fujii, K. Miyashita, A. Kubo, M. Sato, A. Hagiwara, H. Inoue, M. Suematsu, H. Itoh
    • Organizer
      54th ERA-EDTA congress, 3 June 2017, Madrid, Spain.
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 腎皮髄境界アデノシンによる虚血腎保護効果の検討2017

    • Author(s)
      藤井 健太郎, 宮下 和季, 久保 亜紀子, 佐藤 正明, 萩原 あいか, 井上 博之, 竜崎 正毅, 末松 誠, 伊藤 裕
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 抗糖尿病治療薬の心血管・臓器保護効果を考える SGLT2阻害薬による腎アデノシン代謝制御の抗肥満作用2017

    • Author(s)
      萩原 あいか, 宮下 和季, 井上 博之, 藤井 健太郎, 宇都 飛鳥, 遠藤 翔, 竜崎 正毅, 伊藤 裕
    • Organizer
      第40回日本高血圧学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] Novel treatment of chronic kidney disease through regulation of adenylate metabolism2017

    • Author(s)
      宮下 和季, 藤井 健太郎, 伊藤 裕
    • Organizer
      Premium Hypertension Conference 2017
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] SGLT2阻害薬による体重減少における腎アデノシンの意義2017

    • Author(s)
      萩原 あいか, 宮下 和季, 佐藤 正明, 井上 博之, 藤井 健太郎, 伊藤 裕
    • Organizer
      第60回日本腎臓学会学術総会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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