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Development of therapeutic drug monitoring for anti-MRSA agents based on qualitative changes in albumin

Research Project

Project/Area Number 17K15512
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Medical pharmacy
Research InstitutionOita University

Principal Investigator

Tanaka Ryota  大分大学, 医学部, 准教授 (30781736)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywordsアルブミン / ダプトマイシン / タンパク結合 / 質的変動 / 翻訳後修飾 / タンパク結合率 / 抗MRSA薬 / 薬学
Outline of Final Research Achievements

The purpose of this study is to clarify the association with a protein binding rate of daptomycin or teicoplanin and qualitative changes of albumin in diabetes or chronic kidney disease, which have an increased prevalence as the population ages. We tried to develop measurement method of total and free daptomycin concentration and calculate the in vitro protein binding rate in assumed disease state of diabetes and chronic kidney disease. The wide range and high throughput method of total and free concentration for daptomycin using ultra-performance liquid chromatography coupled to tandem mass spectrometry was successfully developed. Furthermore, the examination of protein binding in the assumed disease state of diabetes and chronic kidney disease suggested that qualitative changes of albumin in these diseases did not affect the protein binding rate of daptomycin.

Academic Significance and Societal Importance of the Research Achievements

本研究で確立したダプトマイシン(DAP)の測定法は総濃度、遊離型濃度ともに過去の報告と比較して検量線範囲が広く、低用量単回投与時のトラフ値も高用量繰り返し投与時の最高血中濃度も測定可能になった。これにより遊離型濃度を指標としたDAPによるTDMが可能となった。また、DAPは臨床で認められる濃度において、タンパク結合率に飽和現象を認めないこと、酸化修飾体や糖化修飾体の増加による構造変化の影響を受けないことが確認された。そのため、糖尿病や慢性腎臓病時にダプトマイシンの遊離型濃度は変動しない可能性が示唆され、アルブミンの質的変動を考慮した投与設計をする必要はないことが明らかとなった。

Report

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

    (8 results)

All 2019 2018

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (7 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Development and validation of sensitive and selective quantification of total and free daptomycin in human plasma using ultra-performance liquid chromatography coupled to tandem mass spectrometry.2019

    • Author(s)
      Tanaka R, Suzuki Y, Goto K, Yasuda N, Koga H, Kai S, Ohchi Y, Sato Y, Kitano T, Itoh H.
    • Journal Title

      J Pharm Biomed Anal

      Volume: 165 Pages: 56-64

    • DOI

      10.1016/j.jpba.2018.11.047

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 末期腎不全患者における移植後アルブミン翻訳後修飾体の変動評価2019

    • Author(s)
      田中遼大, 今福匡司, 鈴木陽介, 秦聡孝, 佐藤雄己, 異島優, 渡邊博志, 三股浩光, 丸山徹, 伊東弘樹
    • Organizer
      第4回日本臨床薬理学会九州沖縄地方会
    • Related Report
      2019 Annual Research Report
  • [Presentation] UPLC-MS/MSを用いた集中治療部使用広域抗菌・抗真菌薬の同時測定法の確立2019

    • Author(s)
      甲斐真己都,田中遼大,鈴木陽介,後藤孝治,大地嘉史,古賀寛教,安田則久,佐藤雄己,北野敬明,伊東弘樹
    • Organizer
      第36回日本TDM学会・学術大会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Simultaneous quantification of plasma levels of 12 antimicrobial agents used in intensive care unit using UPLC-MS/MS method.2019

    • Author(s)
      Kai M, Tanaka R, Suzuki Y, Goto K, Ohchi Y, Koga H, Yasuda N, Sato Y, Kitano T, Itoh H.
    • Organizer
      The 17th International Congress of Therapeutic Drug Monitoring & Clinical Toxicology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] UPLC-MS/MSを用いた総・遊離型ダプトマイシンの高感度同時定量法の開発2018

    • Author(s)
      田中遼大,鈴木陽介,後藤孝治,大地嘉文,甲斐真也,安部隆国,古賀寛教,安田則久,佐藤雄己,北野敬明,伊東弘樹
    • Organizer
      第35回日本TDM学会・学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] Impact of kidney transplantation on redox state of albumin in patients with end-stage renal disease2018

    • Author(s)
      Ryota Tanaka, Tadashi Imafuku, Yosuke Suzuki, Fuminori Sato, Yuhki Sato, Yu Ishima, Hiroshi Watanabe, Hiromitsu Mimata, Toru Maruyama, Hiroki Itoh
    • Organizer
      第12回次世代を担う若手医療薬科学シンポジウム
    • Related Report
      2018 Research-status Report
  • [Presentation] ダプトマイシンの遊離型分率に与えるアルブミンの質的変動の影響評価2018

    • Author(s)
      刀祢一星,田中遼大,鈴木陽介,佐藤雄己,伊東 弘樹
    • Organizer
      第66回日本化学療法学会西日本支部総会
    • Related Report
      2018 Research-status Report
  • [Presentation] UPLC-MS/MSを用いた総・遊離型ダプトマイシンの高感度同時定量法の確立2018

    • Author(s)
      田中 遼大
    • Organizer
      第35回日本TDM学会・学術大会
    • Related Report
      2017 Research-status Report

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

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