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Prospective cohort study to elucidate relationship between gut microbiome and frailty in elderly patients requiring nursing care

Research Project

Project/Area Number 18K17405
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 58030:Hygiene and public health-related: excluding laboratory approach
Research InstitutionKyushu University (2019-2020)
Fukuoka Dental College (2018)

Principal Investigator

Tanaka Shigeru  九州大学, 大学病院, 助教 (80596396)

Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000)
Fiscal Year 2019: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2018: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords腸内細菌 / 腎臓病 / 横断研究 / 炎症 / サルコペニア / フレイル / 高齢者 / 慢性腎臓病 / 要介護老人
Outline of Final Research Achievements

In this study, the purpose was changed to the analysis of gut microbiota in patients with chronic kidney disease (CKD) in the middle of the study period. Sixty-six renal biopsy subjects were enrolled during the study period, and the peak areas of the ten gut microbiota constituent populations were calculated by the T-RFLP method. Among patients with IgA nephropathy, there was an increase in Bifidobacterium and a decrease in Clostridim cluster XI, and those with membranous nephropathy, we found an increase in the order Lactobacillales and a decrease in Clostridum subcluster XIVa. Furthermore, analysis of 23 cases of IgA nephropathy revealed that Bacteroides was the predominant bacterial species in the group with segmental sclerosis, while other species were reduced.

Academic Significance and Societal Importance of the Research Achievements

本研究は横断的検討であり、クラスターでの優先菌種であった腸内細菌属と疾患活動性の間の因果関係については明らかにできていない。また、健常コントロールとの比較において腎疾患の発症に関与し得る腸内細菌属種を特定することが可能となると考えられる。今後、本集団の縦断的検討を加える事によって腎炎の予後と特定の腸内細菌叢の関連性が明らかにすることができれば、腸内細菌叢の分析が、非侵襲的かつ反復測定可能な病勢モニタリングやマススクリーニングによる潜在的腎炎の拾い上げなどにも役立つ可能性がある。

Report

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

    (7 results)

All 2021 2020 2018

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 1 results) Presentation (2 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] Impact of Multivascular Disease on Cardiovascular Mortality and Morbidity in Patients Receiving Hemodialysis: Ten-Year Outcomes of the Q-Cohort Study2021

    • Author(s)
      Tanaka Shigeru、Nakano Toshiaki、Hiyamuta Hiroto、Taniguchi Masatomo、Tokumoto Masanori、Masutani Kosuke、Ooboshi Hiroaki、Tsuruya Kazuhiko、Kitazono Takanari
    • Journal Title

      Journal of Atherosclerosis and Thrombosis

      Volume: 28 Issue: 4 Pages: 385-395

    • DOI

      10.5551/jat.54098

    • NAID

      130008014066

    • ISSN
      1340-3478, 1880-3873
    • Year and Date
      2021-04-01
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pre-dialysis Hyponatremia and Change in Serum Sodium Concentration During a Dialysis Session Are Significant Predictors of Mortality in Patients Undergoing Hemodialysis2021

    • Author(s)
      Fujisaki Kiichiro、Joki Nobuhiko、Tanaka Shigeru、Kanda Eiichiro、Hamano Takayuki、Masakane Ikuto、Tsuruya Kazuhiko
    • Journal Title

      Kidney International Reports

      Volume: 6 Issue: 2 Pages: 342-350

    • DOI

      10.1016/j.ekir.2020.11.009

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Association between Dialysis Dose and Risk of Cancer Death in Patients Undergoing Hemodialysis: The Q-Cohort Study2020

    • Author(s)
      Hara Masatoshi、Tanaka Shigeru、Taniguchi Masatomo、Fujisaki Kiichiro、Torisu Kumiko、Nakano Toshiaki、Tsuruya Kazuhiko、Kitazono Takanari
    • Journal Title

      Internal Medicine

      Volume: 59 Issue: 9 Pages: 1141-1148

    • DOI

      10.2169/internalmedicine.4027-19

    • NAID

      130007839435

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2020-05-01
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Estimated plasma osmolarity and risk of end-stage kidney disease in patients with IgA nephropathy2020

    • Author(s)
      Tanaka Shigeru、Nakano Toshiaki、Tokumoto Masanori、Masutani Kosuke、Tsuchimoto Akihiro、Ooboshi Hiroaki、Kitazono Takanari
    • Journal Title

      Clinical and Experimental Nephrology

      Volume: 24 Issue: 10 Pages: 910-918

    • DOI

      10.1007/s10157-020-01919-3

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association between urinary salt excretion and albuminuria in Japanese patients with chronic kidney disease: the Fukuoka kidney disease registry study2020

    • Author(s)
      Fukui Akiko、Nakayama Masaru、Tanaka Shigeru、Matsukuma Yuta、Yoshitomi Ryota、Nakano Toshiaki、Tsuruya Kazuhiko、Kitazono Takanari
    • Journal Title

      Clinical and Experimental Nephrology

      Volume: 25 Issue: 1 Pages: 9-18

    • DOI

      10.1007/s10157-020-01950-4

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Presentation] Clinical epidemiological cohort study to elucidate the pathophysiology of chronic kidney disease2020

    • Author(s)
      Tanaka S
    • Organizer
      第63回日本腎臓学会 CSA(Clinical Scientist Award)受賞講演
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Polyvascular Disease and Cardiovascular Riskin Hemodialysis Patients: Ten-Year Outcomes of The Q-Cohort Study2018

    • Author(s)
      Shigeru Tanaka, Toshiaki Nakano, Hiroto Hiyamyta, Masatomo Taniguchi, Masanori Tokumoto, Hiroaki Ooboshi, Kazuhiko Tsuruya, Takanari Kitazono
    • Organizer
      American Society of Nephrology, Kidney Week 2018(国際 学会)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research

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Published: 2018-04-23   Modified: 2022-01-27  

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