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Genetic-environmental interaction for congenital cardiovascular disease

Research Project

Project/Area Number 19H03622
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 52050:Embryonic medicine and pediatrics-related
Research InstitutionKeio University

Principal Investigator

YAMAGISHI Hiroyuki  慶應義塾大学, 医学部(信濃町), 教授 (40255500)

Co-Investigator(Kenkyū-buntansha) 土橋 隆俊  慶應義塾大学, 医学部(信濃町), 客員講師 (10286528)
古道 一樹  慶應義塾大学, 医学部(信濃町), 講師 (10338105)
内田 敬子  慶應義塾大学, 保健管理センター(日吉), 准教授 (50286522)
湯浅 慎介  慶應義塾大学, 医学部(信濃町), 講師 (90398628)
Project Period (FY) 2019-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥17,420,000 (Direct Cost: ¥13,400,000、Indirect Cost: ¥4,020,000)
Fiscal Year 2021: ¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2020: ¥5,590,000 (Direct Cost: ¥4,300,000、Indirect Cost: ¥1,290,000)
Fiscal Year 2019: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Keywords多因子遺伝 / 総動脈幹症 / TBX1 / Tbx1 / 発生・分化 / 遺伝子 / 発現制御 / シグナル伝達 / 循環器・高血圧 / Tbx20 / 心臓神経堤細胞 / 二次心臓領域
Outline of Research at the Start

先天性複雑心疾患の発症に関与する心臓前駆細胞の発生に、複数の遺伝子および環境因子がどのように作用して、心疾患表現型に関与するのかを、モデルマウスおよびヒトiPS細胞を用いて検討し、多因子によって発症する先天性心疾患の発症分子機構を明らかにすると同時に、環境因子による治療・予防法の基礎を解明する。先天性複雑心疾患に対する新たな治療・予防戦
略の創造には、iPS細胞など幹細胞から分化した心臓前駆細胞を利用した再生医療が期待され、本研究課題の目的である個々の複雑心疾患の発症分子機序解明の蓄積は、オーダーメード医療のための基礎的知見として重要である。

Outline of Final Research Achievements

In a mouse model in which the expression of TBX1, the gene responsible for congenital heart disease associated with 22q11.2 deletion syndrome, was downregulated by genetic engineering technology, folic acid administration to pregnant mother mice successfully reduced the congenital heart disease phenotype in the fetuses, and a mechanism in which folic acid activates NOTCH signaling and rescues defects of development/differentiation in a cardiac progenitor cell lineage, namely cardiac neural crest, was suggested. In addition, crossbreeding experiments with transgenic mice revealed that TBX20, a member of the same gene family as TBX1, functions in cardiac development with genetic interaction and may be involved in cardiac looping and ventricular septum formation by regulating the expression of the downstream transcription factor PITX2.

Academic Significance and Societal Importance of the Research Achievements

本研究課題におけるTBX1とTBX20の遺伝的相補性が示された成果は、多因子遺伝と考えられる複雑先天性心疾患の発症分子機序解明のための一つの基礎的知見として重要である。また、ヒト染色体・遺伝子異常そのものを治療・修復する医療は困難だが、葉酸によるTbx1発現低下マウスの心疾患表現型の軽症化および心臓神経堤細胞の機能回復とその分子経路を示唆した本研究成果の学術的意義は高く、将来的にヒト22q11.2欠失症候群の心疾患を軽症化する治療・予防法につながる可能性を示すことから、数多くの心疾患への応用を含めて社会的意義は大きい。

Report

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

    (26 results)

All 2022 2021 2020 2019

All Journal Article (17 results) (of which Int'l Joint Research: 6 results,  Peer Reviewed: 11 results,  Open Access: 9 results) Presentation (7 results) (of which Invited: 7 results) Book (2 results)

  • [Journal Article] Synthetic electrocardiogram-gated cardiac computed tomography precisely depicted a coronary-to-pulmonary fistula in an early infant with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries.2022

    • Author(s)
      Sumitomo NF, Kodo K, Yamagishi H
    • Journal Title

      Eur Heart J Cardiovasc Imaging

      Volume: 23 Issue: 5 Pages: e236-e236

    • DOI

      10.1093/ehjci/jeab261

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical Developmental Cardiology for Understanding Etiology of Congenital Heart Disease.2022

    • Author(s)
      Yamagishi H
    • Journal Title

      J Clin Med

      Volume: 11 Issue: 9 Pages: 2381-2381

    • DOI

      10.3390/jcm11092381

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Echocardiographic Left Ventricular Z-Score Utility in Predicting Pulmonary-Systemic Flow Ratio in Children With Ventricular Septal Defect or Patent Ductus Arteriosus2021

    • Author(s)
      Sumitomo NF, Kodo K, Maeda J, Miura M, Yamagishi H
    • Journal Title

      Circulation Journal

      Volume: 86 Issue: 1 Pages: 128-135

    • DOI

      10.1253/circj.CJ-21-0559

    • NAID

      130008132622

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2021-12-24
    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Outcomes of idiopathic pulmonary arterial hypertension in Japanese children: a retrospective cohort study.2021

    • Author(s)
      Miyamoto K, Inai K, Kobayashi T,Maeda J,Takatsuki S,Nakayama T, Furutani Y, Yamagishi H, Nakanishi T
    • Journal Title

      Heart and Vessels

      Volume: 36 Issue: 9 Pages: 1392-1399

    • DOI

      10.1007/s00380-021-01806-1

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Successful resuscitation from SARS‐CoV‐2 infection in a child after Rastelli operation.2021

    • Author(s)
      Oyanagi T, Tomita K, Furuichi M, Shinjoh M, Yamagishi H
    • Journal Title

      Ped Int

      Volume: 63 Issue: 6 Pages: 730-732

    • DOI

      10.1111/ped.14479

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Genetic and Cellular Interaction During Cardiovascular Development Implicated in Congenital Heart Diseases2021

    • Author(s)
      Kodo Kazuki、Uchida Keiko、Yamagishi Hiroyuki
    • Journal Title

      Frontiers in Cardiovascular Medicine

      Volume: 8 Pages: 653244-653244

    • DOI

      10.3389/fcvm.2021.653244

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pregnancy and Delivery in Patients With Repaired Congenital Heart Disease ― A Retrospective Japanese Multicenter Study ―2020

    • Author(s)
      Takatsuki Shinichi、Furutani Yoshiyuki、Inai Kei、Kobayashi Tohru、Inuzuka Ryo、Uyeda Tomomi、Kamisago Mitsuhiro、Muneuchi Jun、Kaneko Masahide、Misaki Yasushi、Ono Hiroshi、Kato Hitoshi、Shimada Eriko、Shinohara Tokuko、Waki Kenji、Suda Kenji、Hayabuchi Yasunobu、 Ohki Hirotaka 、Hiroyuki Yamagishi 、et al.
    • Journal Title

      Circulation Journal

      Volume: 84 Issue: 12 Pages: 2270-2274

    • DOI

      10.1253/circj.CJ-19-1150

    • NAID

      130007942471

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2020-11-25
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical features of 22q11.2 deletion syndrome related to hearing and communication2020

    • Author(s)
      Suzuki Noriomi、Kanzaki Sho、Suzuki Takafumi、Ogawa Kaoru、Yamagishi Hiroyuki
    • Journal Title

      Acta Oto-Laryngologica

      Volume: 140 Issue: 9 Pages: 728-732

    • DOI

      10.1080/00016489.2020.1769862

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cardiac Neural Crest2020

    • Author(s)
      Yamagishi Hiroyuki
    • Journal Title

      Cold Spring Harbor Perspectives in Biology

      Volume: 13 Issue: 1 Pages: a036715-a036715

    • DOI

      10.1101/cshperspect.a036715

    • Related Report
      2020 Annual Research Report 2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Perspective for Part I2020

    • Author(s)
      Yamagishi Hiroyuki
    • Journal Title

      Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension

      Volume: - Pages: 3-5

    • DOI

      10.1007/978-981-15-1185-1_1

    • ISBN
      9789811511844, 9789811511851
    • Related Report
      2020 Annual Research Report
    • Open Access / Int'l Joint Research
  • [Journal Article] Roles of Tbx4 in the Lung Mesenchyme for Airway and Vascular Development2020

    • Author(s)
      Uchida Keiko、Yoshida Yu、Kodo Kazuki、Yamagishi Hiroyuki
    • Journal Title

      Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension

      Volume: - Pages: 79-81

    • DOI

      10.1007/978-981-15-1185-1_8

    • ISBN
      9789811511844, 9789811511851
    • Related Report
      2020 Annual Research Report
    • Open Access / Int'l Joint Research
  • [Journal Article] Ca2+ Signal Through Inositol Trisphosphate Receptors for Cardiovascular Development and Pathophysiology of Pulmonary Arterial Hypertension2020

    • Author(s)
      Shibata Akimichi、Uchida Keiko、Mikoshiba Katsuhiko、Yamagishi Hiroyuki
    • Journal Title

      Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension

      Volume: - Pages: 97-99

    • DOI

      10.1007/978-981-15-1185-1_13

    • ISBN
      9789811511844, 9789811511851
    • Related Report
      2020 Annual Research Report
    • Open Access / Int'l Joint Research
  • [Journal Article] Pulmonary Hypertension Associated with Postoperative Tetralogy of Fallot2020

    • Author(s)
      Yasuhara Jun、Yamagishi Hiroyuki
    • Journal Title

      Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension

      Volume: - Pages: 209-211

    • DOI

      10.1007/978-981-15-1185-1_29

    • ISBN
      9789811511844, 9789811511851
    • Related Report
      2020 Annual Research Report
    • Open Access / Int'l Joint Research
  • [Journal Article] Respiratory Syncytial Virus Infection in Infants with Heart and Lung Diseases2020

    • Author(s)
      Yamagishi Hiroyuki
    • Journal Title

      Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension

      Volume: - Pages: 215-220

    • DOI

      10.1007/978-981-15-1185-1_31

    • ISBN
      9789811511844, 9789811511851
    • Related Report
      2020 Annual Research Report
    • Open Access / Int'l Joint Research
  • [Journal Article] A Temporo-Spatial Regulation of Sema3c Is Essential for Interaction of Progenitor Cells during Cardiac Outflow Tract Development2020

    • Author(s)
      Kodo Kazuki、Shibata Shinsuke、Miyagawa-Tomita Sachiko、Ong Sang-Ging、Takahashi Hiroshi、Kume Tsutomu、Okano Hideyuki、Matsuoka Rumiko、Yamagishi Hiroyuki
    • Journal Title

      Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension

      Volume: - Pages: 377-379

    • DOI

      10.1007/978-981-15-1185-1_58

    • ISBN
      9789811511844, 9789811511851
    • Related Report
      2020 Annual Research Report
    • Open Access / Int'l Joint Research
  • [Journal Article] Polysplenia Syndrome as a Risk Factor for Early Progression of Pulmonary Hypertension2019

    • Author(s)
      Shibata A, Mori H, Kodo K, Nakanishi T, Yamagishi H.
    • Journal Title

      Circulation Journal

      Volume: 83 Issue: 4 Pages: 831-836

    • DOI

      10.1253/circj.CJ-18-0933

    • NAID

      130007620474

    • ISSN
      1346-9843, 1347-4820
    • Year and Date
      2019-03-25
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Type 2 inositol 1,4,5-trisphosphate receptor inhibits the progression of pulmonary arterial hypertension via calcium signaling and apoptosis.2019

    • Author(s)
      Shibata A, Uchida K, Kodo K, Miyauchi T, Mikoshiba K, Takahashi T, Yamagishi H.
    • Journal Title

      Heart and Vessels

      Volume: 34 Issue: 4 Pages: 724-734

    • DOI

      10.1007/s00380-018-1304-4

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Presentation] 発生学から考えるCHD-PH2022

    • Author(s)
      山岸敬幸
    • Organizer
      第86回日本循環器学会学術集会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 心臓発生学2022

    • Author(s)
      山岸敬幸
    • Organizer
      第52 回日本心臓血管外科学会学術総会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 多彩な病態を示す先天性心疾患に伴う肺高血圧に対する治療戦略2021

    • Author(s)
      山岸敬幸
    • Organizer
      第6回日本肺高血圧肺循環学会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 先天性心疾患のエコー診断のための臨床心臓発生学2021

    • Author(s)
      山岸敬幸
    • Organizer
      第32回日本心エコー図学会学術集会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 臨床心臓発生学から考える先天性心疾患の診断と治療2021

    • Author(s)
      山岸敬幸
    • Organizer
      第46回東日本小児科学会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 心臓神経堤細胞の世界2020

    • Author(s)
      山岸敬幸
    • Organizer
      第56回日本小児循環器学会学術集会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Cutting-edge researches implicated in clinical cardiovascular embryology2020

    • Author(s)
      山岸敬幸
    • Organizer
      第85回日本循環器学会学術集会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Book] 新 先天性心疾患を理解するための臨床心臓発生学2021

    • Author(s)
      山岸 敬幸、白石 公
    • Total Pages
      336
    • Publisher
      メジカルビュー社
    • ISBN
      9784758319690
    • Related Report
      2020 Annual Research Report
  • [Book] Molecular Mechanism of Congenital Heart Disease and Pulmonary Hypertension2020

    • Author(s)
      Toshio Nakanishi, H. Scott Baldwin, Jeffrey R. Fineman, Hiroyuki Yamagishi
    • Total Pages
      405
    • Publisher
      Springer
    • ISBN
      9789811511844
    • Related Report
      2020 Annual Research Report

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Published: 2019-04-18   Modified: 2023-01-30  

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