Development of novel therapeutic strategies for diabetic kidney diseases by tubular epithelium-specific protection
Project/Area Number |
19K08679
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 53040:Nephrology-related
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Research Institution | Kawasaki College of Allied Health Professions (2022) Okayama University (2019-2021) |
Principal Investigator |
Sugiyama Hitoshi 川崎医療短期大学, 医療介護福祉学科, 教授 (60325090)
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Project Period (FY) |
2019-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2021: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
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Keywords | トレフォイルファクター / 糖尿病性腎臓病 / 尿細管上皮細胞 / アルブミン尿 / 腎尿細管上皮 |
Outline of Research at the Start |
本研究では、腎尿細管上皮においてTFF3発現増強による、DKDの腎線維化に対する新規治療法の開発を行うことを目的とする。まずDKDのヒト腎生検組織におけるTFF3発現と線維化との関連を証明する。次に遺伝子改変動物に作成したDKDモデルを用いて、TFF3過剰発現による腎尿細管障害および線維化に対する治療効果を明らかにする。更に、高糖濃度培養した腎尿細管上皮細胞を用いて、TFF3発現亢進による腎線維化抑制の細胞内シグナル伝達機構を解明する。ヒトDKDにおける病態解析を起点にして、実験動物、培養細胞を用いた機序解析を行い、腎尿細管上皮におけるTFF3過剰発現によるDKDへの新たな治療戦略を開発する。
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Outline of Final Research Achievements |
Trefoil factor (TFF) is a mucosal protective protein produced by epithelial cells in various organs. Among them, TFF3 is expressed in renal tubular epithelial cells. In diabetic kidney disease (DKD), urinary TFF3 significantly correlated with urinary albumin excretion, and furthermore, urinary TFF3 excretion was enhanced in the microalbuminuric group than in the normal group, and urinary TFF3 was significantly correlated with urinary α1-MG. Thus, urinary TFF3 was suggested to be an indicator of tubular damage in the early stage of DKD. The intracellular signaling mechanism of TFF3 expression in cultured renal tubular epithelial cells and the therapeutic effect of TFF3 overexpression on inhibition of renal fibrosis in DKD remain unresolved.
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Academic Significance and Societal Importance of the Research Achievements |
わが国において腎不全から慢性透析療法を受ける患者数は34万人を超えており1.7兆円の医療費がかかっている。糖尿病性腎臓病(DKD)はわが国における透析導入の原疾患として最も多くを占めることから、DKDの早期発見と早期治療、重症化予防による透析導入の減少は医療経済的にも喫緊の課題である。本研究ではDKD早期から尿中TFF3上昇が見られており早期診断マーカーとしての可能性が示唆された。DKDの早期発見が可能となれば早期治療へと繋がり、重症化予防と透析導入の減少が可能となる。今後、多数例を対象とした検証を行うことにより有用性を検証していく必要がある。
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Report
(5 results)
Research Products
(67 results)
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[Journal Article] Predictors of early remission of proteinuria in adult patients with minimal change disease: a retrospective cohort study.2022
Author(s)
Yamamoto R, Imai E, Maruyama S, Yokoyama H, Sugiyama H, Takeda A, Uchida S, Tsukamoto T, Tsuruya K, Akai Y, Nitta K, Fukunaga M, Hayashi H, Masutani K et al.
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Journal Title
Scientific Reports
Volume: 12
Issue: 1
Pages: 9782-9782
DOI
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Peer Reviewed / Open Access
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[Journal Article] Acute Kidney Injury and Remission of Proteinuria in Minimal Change Disease.2022
Author(s)
Yamamoto R, Imai E, Maruyama S, Yokoyama H, Sugiyama H, Takeda A, Uchida S, Tsukamoto T, Tsuruya K, Akai Y, Nitta K, Fukunaga M, Hayashi H, Shoji T, Masutani K et al.
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Journal Title
Kidney International Reports
Volume: 7
Issue: 10
Pages: 2283-2288
DOI
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Peer Reviewed / Open Access
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[Journal Article] Comparison of administration of single- and triple-course steroid pulse therapy combined with tonsillectomy for immunoglobulin A nephropathy2021
Author(s)
Watanabe-Kusunoki K, Nakazawa D, Yamamoto J, Matsuoka N, Kaneshima N, Nakagaki T, Yamamoto R, Maoka T, Iwasaki S, Tsuji T, Fukasawa Y, Nishimoto N, Nishio S, Atsumi T
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Journal Title
Medicine (Baltimore)
Volume: Apr2100(50)
Issue: 4
Pages: 1135-1144
DOI
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Peer Reviewed
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[Journal Article] Clinical and histological features in pediatric and adolescent/young adult patients with renal disease: a cross-sectional analysis of the Japan Renal Biopsy Registry (J-RBR)2021
Author(s)
Urushihara M, Sato H, Shimizu A, Sugiyama H, Yokoyama H, Hataya H, Matsuoka K, Okamoto T, Ogino D, Miura K, Hamada R, Hibino S, Shima Y, Yamamura T, Kitamoto K, Ishihara M, Konomoto T, Hattori M; the Committee for Renal Biopsy and Disease Registry of the Japanese Society of Nephrology.
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Journal Title
Clin Exp Nephrol.
Volume: 25
Issue: 9
Pages: 1018-1026
DOI
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Peer Reviewed / Open Access
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[Journal Article] JCS 2017 Guideline on Management of Vasculitis Syndrome ― Digest Version ―2020
Author(s)
Isobe, M. Amano, K. Arimura, Y. Ishizu, A. Ito, S. Kaname, S. Takahashi, K. Tanemoto, K. Hasegawa, H. Harigai, M. Fujimoto, S. Miyazaki, T. et.al.
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Journal Title
Circulation Journal
Volume: 84
Issue: 2
Pages: 299-359
DOI
NAID
ISSN
1346-9843, 1347-4820
Year and Date
2020-01-24
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome.2020
Author(s)
Ogawa-Akiyama A, Sugiyama H, Kitagawa M, Tanaka K, Kano Y, Mise K, Otaka N, Tanabe K, Morinaga H, Kinomura M, Uchida HA, Wada J.
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Journal Title
PLoS One.
Volume: 15(1)
Issue: 1
Pages: 1-15
DOI
NAID
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Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Robotic Renal Autotransplantation: A Feasibility Study in a Porcine Model2020
Author(s)
Kubota R, Araki M, Wada K, Kawamura K, Maruyama Y, Mitsui Y, Sadahira T, Ariyoshi Y, Iwata T, Nishimura S, Takamoto A, Sako T, Edamura K, Kobayashi Y, Kano Y, Kitagawa M, Tanabe K, Sugiyama H, Wada J, Watanabe M, Watanabe T, Nasu Y.
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Journal Title
Acta Medica Okayama
Volume: 74
Issue: 1
Pages: 53-58
DOI
NAID
URL
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[Journal Article] A Patient with Type 3 Autoimmune Polyglandular Syndrome who Developed Systemic Lupus Erythematosus 8 years after the Diagnosis of Autoimmune Hepatitis2019
Author(s)
Mifune-Morioka T, Uchida HA, Fukushima K, Watanabe M, Ouchi C, Mise K, Kawakita C, Kano Y, Onishi A, Toma K, Eguchi J, Wada N, Ikeda F, Sasaki E, Suganami Y, Kishida M, Sugiyama H, Okada H, Wada J
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Journal Title
Acta Medica Okayama
Volume: 73
Issue: 4
Pages: 367-372
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NAID
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[Journal Article] Contrast-enhanced Computed Tomography-Guided Percutaneous Cryoablation of Renal Cell Carcinoma in a Renal Allograft: First Case in Asia2019
Author(s)
I Tsuboi , M Araki, H Fujiwara, T Iguchi, T Hiraki, N Arichi, K Kawamura, Y Maruyama, Y Mitsui, T Sadahira, R Kubota, S Nishimura, T Sako, A Takamoto, K Wada, Y Kobayashi, T Watanabe, H Yanai, M Kitagawa, K Tanabe, H Sugiyama, J Wada, H Shiina, S Kanazawa, Y Nasu
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Journal Title
Acta Medica Okayama
Volume: 73
Issue: 3
Pages: 269-272
DOI
NAID
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[Presentation] Association between Histologic Variants of Focal Segmental Glomerulosclerosis and Outcomes: Results from Japan Renal Biopsy Registry2019
Author(s)
Takehiko Kawaguchi, Toshiyuki Imasawa, Moritoshi Kadomura, Hiroshi Kitamura, Shoichi Maruyama, Takaya Ozeki, Ritsuko Katafuchi, Kazumasa Oka, Yoshitaka Isaka, Hitoshi Yokoyama, Hitoshi Sugiyama, Hiroshi Sato
Organizer
ASN Kidney Week
Related Report
Int'l Joint Research
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