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Elucidation of the pathological mechanism and establishment of the novel individualized medicine by identification of responsible genes of the ischemia-related arrhythmia

Research Project

Project/Area Number 18K08029
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 53020:Cardiology-related
Research InstitutionNiigata University

Principal Investigator

Sato Akinori  新潟大学, 医歯学総合研究科, 客員研究員 (40600044)

Co-Investigator(Kenkyū-buntansha) 八木原 伸江  新潟大学, 医歯学総合病院, 特任助教 (70750347)
南野 徹  順天堂大学, 医学部, 教授 (90328063)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords虚血性心疾患 / 心室性不整脈 / 心室細動 / 遺伝子 / J波 / 虚血性不整脈 / 心筋梗塞 / 遺伝子変異 / 突然死
Outline of Final Research Achievements

We accumulated the genome of over 100 patients with ventricular arrhythmia, and searched the related genes, for the purpose of elucidating a genetic predisposition to ischemia-related arrhythmia. The genetic background was not found, but novel ventricular arrhythmia-associated mutations were detected and reported.
Also, clinical data analysis of the patients with ischemic arrhythmia revealed that residual myocardial ischemia was a risk of ventricular arrhythmia.
We reported that myocardial ischemia and conduction delay during coronary angiography were associated with the mechanism of the early repolarization phenomenon (J wave).

Academic Significance and Societal Importance of the Research Achievements

我々は、狭心症や心筋梗塞といった冠動脈病変が原因で生じる致死的心室性不整脈の発生機序を解明する研究を行った。心室性不整脈の患者の遺伝子を多数集積し、その遺伝子解析を行う中で新たな遺伝子異常の検出を検出し、臨床的な特徴とともに報告した。また、致死性不整脈患者群の臨床データの解析からも心室性不整脈の発症予測に対する新たな知見を得て報告した。これらのデータは、今後の臨床治療に生かされ、基礎研究の契機にもなると予想され、その社会的な意義も大きいと考えられる。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (17 results)

All 2022 2021 2020 2019 2018

All Journal Article (13 results) (of which Peer Reviewed: 13 results,  Open Access: 5 results) Presentation (4 results)

  • [Journal Article] Incidence and Implications of J waves Observed During Coronary Angiography.2022

    • Author(s)
      Sakaguchi Y, Sato T, Sato A, Fuse K, Aizawa Y, Okabe M, Aizawa Y.
    • Journal Title

      Am J Cardiol.

      Volume: 163 Pages: 32-37

    • DOI

      10.1016/j.amjcard.2021.09.035

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] J waves induced during coronary angiography in patients with vasospastic angina and its implication2021

    • Author(s)
      Hitoshi Kitazawa, Akinori Sato, Masaaki Okabe, Yoshifusa Aizawa
    • Journal Title

      Journal of Electrocardiology

      Volume: 64 Pages: 99-101

    • DOI

      10.1016/j.jelectrocard.2020.12.009

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Progressive increase in activation delay during premature stimulation is related to ventricular fibrillation in Brugada syndrome.2021

    • Author(s)
      Hasegawa Y, Izumi D, Ikami Y, Otsuki S, Yagihara N, Iijima K, Chinushi M, Minamino T.
    • Journal Title

      J Cardiovasc Electrophysiol.

      Volume: - Issue: 7 Pages: 1939-1946

    • DOI

      10.1111/jce.15065

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] J point elevation in high precordial leads associated with risk of ventricular fibrillation2020

    • Author(s)
      Hasegawa Y, Watanabe H, Ikami Y, Otsuki S, Iijima K, Yagihara N, Izumi D, Minamino T.
    • Journal Title

      Ann Noninvasive Electrocardiol.

      Volume: - Issue: 3

    • DOI

      10.1111/anec.12820

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Suppression of cardiac memory-related severe form of torsades de pointes by landiolol in a patient with congenital long QT syndrome type 2.2020

    • Author(s)
      Otsuki S, Izumi D, Hasegawa Y, Yagihara N, Iijima K, Minamino T.
    • Journal Title

      HeartRhythm Case Rep.

      Volume: 6 Issue: 7 Pages: 407-410

    • DOI

      10.1016/j.hrcr.2020.03.013

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Replacement of an Implantable Cardioverter-Defibrillator (ICD) with a New Standard Subcutaneous ICD System in a Patient with Jervell and Lange-Nielsen Syndrome2019

    • Author(s)
      Sato Akinori、Hasegawa Yuki、Haniu Hisanori、Shiraishi Shuichi、Yagihara Nobue、Iijima Kenichi、Izumi Daisuke、Minamino Tohru
    • Journal Title

      International Heart Journal

      Volume: 60 Issue: 5 Pages: 1206-1210

    • DOI

      10.1536/ihj.19-076

    • NAID

      130007719013

    • ISSN
      1349-2365, 1349-3299
    • Year and Date
      2019-09-27
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Steam Pop Detected by Intracardiac Echocardiography During Catheter Ablation of the Left Ventricular Papillary Muscle2019

    • Author(s)
      Sato Akinori、Yagihara Nobue、Hasegawa Yuki、Otuki Sou、Iijima Kenichi、Izumi Daisuke、Minamino Tohru
    • Journal Title

      International Heart Journal

      Volume: 60 Issue: 1 Pages: 199-203

    • DOI

      10.1536/ihj.18-136

    • NAID

      130007557181

    • ISSN
      1349-2365, 1349-3299
    • Year and Date
      2019-01-31
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Usefulness of the intravenous flecainide challenge test before oral flecainide treatment in a patient with Andersen-Tawil syndrome2019

    • Author(s)
      Sato Akinori、Takano Toshiki、Chinushi Masaomi、Minamino Tohru
    • Journal Title

      BMJ Case Reports

      Volume: 12 Issue: 7 Pages: e229628-e229628

    • DOI

      10.1136/bcr-2019-229628

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Early repolarization and risk of lone atrial fibrillation2019

    • Author(s)
      Hasegawa Yuki、Watanabe Hiroshi、Ikami Yasuhiro、Otsuki Sou、Iijima Kenichi、Yagihara Nobue、Sato Akinori、Izumi Daisuke、Minamino Tohru
    • Journal Title

      Journal of Cardiovascular Electrophysiology

      Volume: 30 Issue: 4 Pages: 565-568

    • DOI

      10.1111/jce.13848

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Early repolarization and risk of lone atrial fibrillation2019

    • Author(s)
      Hasegawa Y, Watanabe H, Ikami Y, Otsuki S, Iijima K, Yagihara N, Sato A, Izumi D, Minamino T.
    • Journal Title

      J Cardiovasc Electrophysiol

      Volume: 30 Pages: 565-568

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] A Steam Pop Detected by Intracardiac Echocardiography During Catheter Ablation of the Left Ventricular Papillary Muscle.2019

    • Author(s)
      Sato A, Yagihara N, Hasegawa Y, Otuki S, Iijima K, Izumi D, Minamino T.
    • Journal Title

      Int Heart J.

      Volume: 60 Pages: 199-203

    • NAID

      130007557181

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Clinical Predictors of Recurrent Ventricular Arrhythmias in Secondary Prevention Implantable Cardioverter Defibrillator Recipients With Coronary Artery Disease - Lower Left Ventricular Ejection Fraction and Incomplete Revascularization.2018

    • Author(s)
      Takano T, Tanaka K, Ozaki K, Sato A, Iijima K, Yanagawa T, Izumi D, Ozawa T, Fuse K, Sato M, Tanabe N, Minamino T.
    • Journal Title

      Circ J

      Volume: 82 Pages: 3037-3043

    • NAID

      130007521281

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ventricular Fibrillation Due to Early Repolarization Syndrome in the Wake of Hypothermia Due to Fulminant Acute Disseminated Encephalomyelitis.2018

    • Author(s)
      Yazaki K, Ajiro Y, Shimizu K, Mori F, Yagihara N, Sato A, Takahashi T, Iwade K.
    • Journal Title

      Circ J

      Volume: 82 Pages: 1478-1480

    • NAID

      130006726012

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 心外膜アブレーションによりCoved型心電図の改善が得られたが、ピルジカイニド負荷にて下壁誘導のJ波とST上昇が顕性化したBrugada症候群の一例2021

    • Author(s)
      佐藤光希、安藤涼太、北澤仁、斎藤広大、北村美樹後藤園香、太田雄輔、湯淺翔、那須野暁光、布施公一、藤田聡、池田佳生、高橋稔、相澤義房、岡部正明
    • Organizer
      日本不整脈心電学会 カテーテルアブレーション関連秋季大会
    • Related Report
      2021 Annual Research Report
  • [Presentation] CRTの左室先行ペーシングにより誘発されるIncessant VTに対し、左室内異常電位を同定しアブレーションに成功した一例2019

    • Author(s)
      佐藤光希、北澤仁、安藤涼太、後藤園香、太田雄輔、湯淺翔、越川智康、佐藤貴雄、那須野暁光、布施公一、藤田聡、池田佳生、高橋稔、相澤義房、岡部正明
    • Organizer
      カテーテルアブレーション関連秋季大会2019
    • Related Report
      2019 Research-status Report
  • [Presentation] A cardiac conduction disorder and a left ventricular structural abnormality in a patient with Brugada syndrome and the SCN5A mutation2019

    • Author(s)
      Yuki Hasegawa, Akinori Sato, Kenichi Iijima, Nobue Yagihara, Daisuke Izumi, and Tohru Minamino
    • Organizer
      第66回日本不整脈心電学会学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] Pilsicainide静注後に 右室流出路心内膜側で顕性化し た 異常遅延電位を 指標に カ テ ー テ ルア ブ レ ー ショ ン を行い,Coved型心電図が改善し たBrugada症候群の1例2018

    • Author(s)
      佐藤 光希1, 長谷川 祐紀1, 酒井 亮平1, 井神 康宏1, 八木原 伸江1, 飯嶋 賢一1, 和泉 大輔1, 池主 雅臣1, 南野 徹1
    • Organizer
      カテーテルアブレーション関連秋季大会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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