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Development of new diagnostic and therapeutic methods for MCT8 deficiency and large-scale analysis in a big city

Research Project

Project/Area Number 18K15691
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 52050:Embryonic medicine and pediatrics-related
Research InstitutionAichi Medical University

Principal Investigator

Iwayama Hideyuki  愛知医科大学, 医学部, 講師 (00757726)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Discontinued (Fiscal Year 2021)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2021: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
KeywordsMCT8異常症 / reverse T3 / 早期診断 / 遺伝子治療 / Crispr/Cas9 / 甲状腺ホルモン / 輸送膜蛋白
Outline of Final Research Achievements

MCT8 deficiency is an abnormality of MCT8, a cell membrane transport protein for thyroid hormones, and presents with the most severe brain disorder, in which the patient is unable to speak or walk. Currently, neither early diagnosis nor treatment has been established, and those based on molecular pathogenesis are needed. The results of the study showed that the rT3 was lower and the rT3/T3 ratio was higher in MCT8 deficient neonates than in normal neonates, without any overlap. In addition, we found that myelination defects occurred in the frontal lobes on brain MRI in MCT8 deficiency. We disseminated our research results by presenting these findings in various papers and at academic conferences. In conducting these studies, we had international collaborations with the University of Chicago, the University of Miami (USA), and the University of Amsterdam (Netherlands).

Academic Significance and Societal Importance of the Research Achievements

本研究で得られたMCT8異常症患児は正常新生児より、重なりを持たずにrT3は低値、rT3/T3比は高値だったという結果から、新生児スクリーニングを行いMCT8異常症患児を早期診断できる可能性が示された。2021年に甲状腺ホルモンアナログであるTriacがMCT8異常症に対し効果があると欧州から報告された。今後、Triacが治療法として確立した際には早期診断したMCT8異常症患児を治療することが可能となる。

Report

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

    (29 results)

All 2021 2020 2019 Other

All Int'l Joint Research (1 results) Journal Article (11 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 9 results,  Open Access: 7 results) Presentation (14 results) (of which Int'l Joint Research: 2 results,  Invited: 5 results) Book (3 results)

  • [Int'l Joint Research] シカゴ大学(米国)

    • Related Report
      2019 Research-status Report
  • [Journal Article] Regional Difference in Myelination in Monocarboxylate Transporter 8 Deficiency: Case Reports and Literature Review of Cases in Japan2021

    • Author(s)
      Iwayama Hideyuki、Tanaka Tatsushi、Aoyama Kohei、Moroto Masaharu、Adachi Shinsuke、Fujisawa Yasuko、Matsuura Hiroki、Takano Kyoko、Mizuno Haruo、Okumura Akihisa
    • Journal Title

      Frontiers in Neurology

      Volume: 12 Pages: 657820-657820

    • DOI

      10.3389/fneur.2021.657820

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Insulin-like growth factor-1 level is a poor diagnostic indicator of growth hormone deficiency2021

    • Author(s)
      Iwayama Hideyuki、Kitagawa Sachiko、Sada Jyun、Miyamoto Ryosuke、Hayakawa Tomohito、Kuroyanagi Yoshiyuki、Muto Taichiro、Kurahashi Hirokazu、Ohashi Wataru、Takagi Junko、Okumura Akihisa
    • Journal Title

      Scientific Reports

      Volume: 11 Issue: 1 Pages: 16159-16159

    • DOI

      10.1038/s41598-021-95632-0

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Measurement of Reverse Triiodothyronine Level and the Triiodothyronine to Reverse Triiodothyronine Ratio in Dried Blood Spot Samples at Birth May Facilitate Early Detection of Monocarboxylate Transporter 8 Deficiency2021

    • Author(s)
      Iwayama Hideyuki、Kakita Hiroki、Iwasa Masumi、Adachi Shinsuke、Takano Kyoko、Kikuchi Masahiro、Fujisawa Yasuko、Osaka Hitoshi、Yamada Yasumasa、Okumura Akihisa、Hirani Khemraj、Weiss Roy E.、Refetoff Samuel
    • Journal Title

      Thyroid

      Volume: 31 Issue: 9 Pages: 696-696

    • DOI

      10.1089/thy.2020.0696

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Administration of nusinersen via paramedian approach for spinal muscular atrophy2021

    • Author(s)
      Iwayama Hideyuki、Wakao Norimitsu、Kurahashi Hirokazu、Kubota Norika、Hattori Ayako、Kumagai Toshiyuki、Okumura Akihisa
    • Journal Title

      Brain and Development

      Volume: 43 Issue: 1 Pages: 121-126

    • DOI

      10.1016/j.braindev.2020.07.014

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Methylprednisolone-induced anaphylaxis diagnosed by intradermal skin test: a case report2021

    • Author(s)
      Amano Hitomi、Kitagawa Yoshiro、Hayakawa Tomohito、Muto Taichiro、Okumura Akihisa、Iwayama Hideyuki
    • Journal Title

      Allergy, Asthma & Clinical Immunology

      Volume: 17 Issue: 1 Pages: 70-70

    • DOI

      10.1186/s13223-021-00570-1

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] けいれん発作を契機に診断された偽性副甲状腺機能低下症の2例2020

    • Author(s)
      北川 幸子, 岩山 秀之, 増田 雄, 高木 潤子, 佐野 伸一朗, 奥村 彰久
    • Journal Title

      小児科臨床

      Volume: 73 Pages: 347-350

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] 小児のマイコプラズマ感染症の検査および治療に関する調査2019

    • Author(s)
      兒玉 俊介, 堀 壽成, 増田 雄, 沼本 真吾, 高須 倫彦, 早川 朋人, 宮本 亮佑, 宮田 憲二, 畔柳 佳幸, 武藤 太一朗, 岩山 秀之, 倉橋 宏和, 下村 保人, 永井 琢人, 奥田 真珠美, 縣 裕篤, 奥村 彰久
    • Journal Title

      小児科臨床

      Volume: 72 Pages: 1575-1580

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Serum carnitine levels of children with epilepsy: Related factors including valproate2019

    • Author(s)
      Okumura Akihisa、Kurahashi Hirokazu、Iwayama Hideyuki、Numoto Shingo
    • Journal Title

      Brain and Development

      Volume: 41 Issue: 6 Pages: 516-521

    • DOI

      10.1016/j.braindev.2019.02.010

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] White Blood Cell and Neutrophil Counts and Response to Intravenous Immunoglobulin in Kawasaki Disease2019

    • Author(s)
      Muto Taichiro、Masuda Yu、Numoto Shingo、Kodama Shunsuke、Yamakawa Kiyoshi、Takasu Michihiko、Hayakawa Tomohito、Miyata Kenji、Miyamoto Ryosuke、Akaihata Mitsuko、Iwayama Hideyuki、Kitagawa Yoshiro、Kurahashi Hirokazu、Shimomura Yasuto、Hori Toshinori、Okuda Masumi、Agata Hiroatsu、Okumura Akihisa
    • Journal Title

      Global Pediatric Health

      Volume: 6 Pages: 2333794-2333794

    • DOI

      10.1177/2333794x19884826

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] FreeStyleリブレを使用した6歳未満の小児3例2019

    • Author(s)
      宇野 英理子, 岩山 秀之, 深谷 さおり, 野々垣 知行, 市橋 加奈, 斎藤 寛子, 奥村 彰久
    • Journal Title

      糖尿病

      Volume: 62 Pages: 64-64

    • Related Report
      2019 Research-status Report
  • [Journal Article] MCT8異常症の新規診断法と治療法の開発および発達遅延児を対象とした大規模遺伝子解析2019

    • Author(s)
      岩山 秀之
    • Journal Title

      成長科学協会研究年報

      Volume: 42 Pages: 165-165

    • Related Report
      2019 Research-status Report
  • [Presentation] Reverse T3 Level and T3 to Reverse T3 Ratio in Dried Blood Spot Samples at Birth May Facilitate Early Diagnosis of MCT8 Deficiency2021

    • Author(s)
      Hideyuki Iwayama, Hiroki Kakita, Masumi Iwasa, Shinsuke Adachi, Kyoko Takano, Masahiro Kikuchi, Yasuko Fujisawa, Hitoshi Osaka, Yasumasa Yamada, Akihisa Okumura, and Samuel Refetoff
    • Organizer
      Annual meeting of Endocrine Society (USA)
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 脊髄性筋萎縮症~診断・治療・集学的アプローチの重要性~2020

    • Author(s)
      岩山 秀之
    • Organizer
      日本在宅医療連合学会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] The role of the multidisciplinary team for optimal patient care.2019

    • Author(s)
      Hideyuki Iwayama
    • Organizer
      15th Asian and Oceanian Congress of Child Neurology
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 小児甲状腺疾患をめぐる最近の進歩 rT3測定系を用いた中枢性甲状腺機能低下症とlow T3症候群の鑑別2019

    • Author(s)
      岩山 秀之, 奥村 彰久, 高木 潤子
    • Organizer
      第92回日本内分泌学会学術集会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 8年間でQOLが著明に低下した重症骨軟化症の一例2019

    • Author(s)
      平瀬 翔, 野村 由佳, 伊藤 竜男, 森田 博之, 高木 潤子, 岩山 秀之, 牛田 享宏, Daramjav Narantsatsral
    • Organizer
      第92回日本内分泌学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 低血糖が診断の契機となったIGF-1基準値内のAGHDの1例2019

    • Author(s)
      野村 由佳, 平瀬 翔, 伊藤 竜男, 森田 博之, 高木 潤子, 岩山 秀之, Darramjav Narantsatsral
    • Organizer
      第92回日本内分泌学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 複数の検査キットによる血漿および尿中arginine vasopressin濃度の比較2019

    • Author(s)
      岩山 秀之, 平瀬 翔, 野村 由佳, 伊藤 竜男, 森田 博之, 佐野 俊一, 大竹 千生, 奥村 彰久, 高木 順子
    • Organizer
      第92回日本内分泌学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 側彎を伴う脊髄性筋萎縮症成人患者における傍正中法によるヌシネルセン髄腔内投与.2019

    • Author(s)
      岩山 秀之, 若尾 典充, 沼本 真吾, 倉橋 宏和, 久保田 智香, 服部 文子, 熊谷 俊幸, 奥村 彰久
    • Organizer
      第61回日本小児神経学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 歯限局型低フォスファターゼ症に対しアスフォターゼアルファの酵素補充療法を行い、乳歯の動揺が改善した2歳女児例2019

    • Author(s)
      髙木みずき, 岩山秀之, 武藤太一朗, 高木潤子, 奥村彰久
    • Organizer
      第53回日本小児内分泌学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 多施設共同による偽性副甲状腺機能低下症1 型のintact PTH の管理値探索2019

    • Author(s)
      伊藤 順庸, 土岐 真, 犀川 太, 鹿島田 健一, 高澤 啓, 鈴木 滋, 長崎 啓祐, 岩山 秀之
    • Organizer
      第53回日本小児内分泌学会
    • Related Report
      2019 Research-status Report
  • [Presentation] LC-MS/MS のrT3、T3/rT3 比の小児基準範囲の決定と、Low T3 症候群と中枢性甲状腺機能低下症の鑑別での有用性2019

    • Author(s)
      岩山 秀之, 岩佐 圭美, 高木 潤子, 奥村 彰久
    • Organizer
      第53回日本小児内分泌学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 治療開始後6か月で指が動くようになったSMA1型の12歳女児2019

    • Author(s)
      岩山 秀之
    • Organizer
      小児SMAトータルケアを考える会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] 身長増加不良を契機に頭蓋咽頭腫が発見された9歳女児の1例2019

    • Author(s)
      河原幸平, 岩山秀之, 奥村彰久, 高木潤子
    • Organizer
      第68回成長ホルモン研究会
    • Related Report
      2019 Research-status Report
  • [Presentation] スピンラザで始まるMY DREAM2019

    • Author(s)
      岩山 秀之、本竹 翔
    • Organizer
      SMA Forum 2020 2020.2.15
    • Related Report
      2019 Research-status Report
    • Invited
  • [Book] MCT8異常症: In 遺伝性甲状腺疾患のすべて2021

    • Author(s)
      岩山 秀之, 諸戸 雅治, 足立 晋介, 奥村 彰久, 総編集 深田修司
    • Total Pages
      408
    • Publisher
      日本医事新報社
    • ISBN
      9784784959853
    • Related Report
      2020 Annual Research Report
  • [Book] 希望の薬「スピンラザ」 脊髄性筋萎縮症の新薬とその開発2020

    • Author(s)
      岩山 秀之
    • Total Pages
      208
    • Publisher
      幻冬舎
    • ISBN
      9784344927612
    • Related Report
      2020 Annual Research Report 2019 Research-status Report
  • [Book] 治療可能な遺伝性神経疾患 診断・治療の手引き2019

    • Author(s)
      岩山 秀之、奥村 彰久
    • Publisher
      診断と治療社
    • ISBN
      9784787823823
    • Related Report
      2019 Research-status Report

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

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