Elucidation of the stealth mechanism of infection chronicity by hepatitis B virus and drug discovery of inhibitory molecular targets
Project/Area Number |
19K08937
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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 54030:Infectious disease medicine-related
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Research Institution | Jikei University School of Medicine |
Principal Investigator |
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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: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2020: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
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Keywords | B型肝炎ウイルス / B型肝炎 / 肝炎慢性化 / microRNA / mRNA / miRNA / 慢性感染 |
Outline of Research at the Start |
B型肝炎は世界に蔓延し、特に慢性化への対応が急がれる。ヒト化肝臓キメラマウスモデルにB型肝炎ウイルス(HBV)を感染させトランスクリプトームを解析した結果、感染直後より持続的に高発現する3つのmicroRNA(miRNA)とHBVのステルス性を示唆する遺伝子プロファイルを得た。(1) miRNAがHBVのステルス性にどう関与しているのか、(2) miRNAと標的mRNAが慢性化を阻止する分子になるのか、(3) 核酸アナログ体との併用でHBVを排除できるのか、を検討し慢性化の成立機序を解明する。これによりB型肝炎の慢性化阻止に向けた新たな分子標的の創薬が期待される。
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Outline of Final Research Achievements |
We generated an HBV-infected humanized liver chimera mouse model and performed transcriptome analysis of liver tissues. As a result, three miRNAs were persistently and highly up-regulated throughout the period from immediately after HBV infection, and a comprehensive gene profile suggested the stealth property of HBV. When miRNAs were transfected into primary hepatocytes using lentiviral vectors, the amount of HBV in supernatant fluids/cells decreased in a dose-dependent manner. Conversely, it increased in a dose-dependent manner when those miRNA inhibitors were transfected as well. When siRNAs of target mRNAs specific to each miRNA confirmed by luciferase reporter assay were transfected into primary hepatocytes, the amount of HBV in supernatant fluids/cells showed an inversely correlated trend with the results of miRNA inhibitors. These results may help clarify the mechanism of HBV infection chronicity and drug discovery of inhibitory molecular targets.
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Academic Significance and Societal Importance of the Research Achievements |
B型肝炎は世界的に未だ主要な感染症であり、深刻な健康問題や経済的損失をもたらしている。特に感染の慢性化には急務な対応が必要である。肝炎が慢性化すれば、B型肝炎ウイルス(HBV)の特性上、感染肝細胞からの完全排除は困難だからである。これを克服するには、感染慢性化の機序解明と阻止が一つの戦略になる。 本研究で同定されたmicroRNA/mRNA分子がヒト肝細胞へのHBV感染効率や複製に影響を及ぼすことが明らかになった。これらの分子が免疫系に及ぼす影響やB型肝炎の慢性化阻止に向けた新たな分子標的としての有益性は今後の課題であるが、その一助になり得る研究成果と考えられ、将来的に社会還元が期待される。
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Report
(5 results)
Research Products
(61 results)
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[Journal Article] A novel noninvasive formula for predicting cirrhosis in patients with chronic hepatitis C2021
Author(s)
Atsukawa M, Tsubota A, Kondo C, Uchida-Kobayashi S, Takaguchi K, Tsutsui A, Nozaki A, Chuma M, Hidaka I, Ishikawa T, Iwasa M, Tamai Y, Tobari M, Matsuura K, Nagura Y, Abe H, Kato K, Suzuki K, Okubo T, Arai T, Itokawa N, Toyoda H, Enomoto M, Tamori A, Tanaka Y, Kawada N, Takei Y, Iwakiri K.
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Journal Title
PLOS ONE
Volume: 16
Issue: 9
Pages: e0257166-e0257166
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Liver fibrosis is associated with carotid atherosclerosis in patients with liver biopsy-proven nonalcoholic fatty liver disease.2021
Author(s)
Arai T, Atsukawa M, Tsubota A, Kato K, Abe H, Ono H, Kawano T, Yoshida Y, Tanabe T, Okubo T, Hayama K, Nakagawa-Iwashita A, Itokawa N, Kondo C, Kaneko K, Emoto N, Nagao M, Inagaki K, Fukuda I, Sugihara H, Iwakiri K.
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Journal Title
Sci Rep
Volume: 11
Issue: 1
Pages: 15938-15938
DOI
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Peer Reviewed / Open Access
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[Journal Article] Effect of Vitamin D Supplementation on Skeletal Muscle Volume and Strength in Patients with Decompensated Liver Cirrhosis Undergoing Branched Chain Amino Acids Supplementation: A Prospective, Randomized, Controlled Pilot Trial.2021
Author(s)
Okubo T, Atsukawa M, Tsubota A, Ono H, Kawano T, Yoshida Y, Arai T, Hayama K, Itokawa N, Kondo C, Kaneko K, Iwakiri K.
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Journal Title
Nutrients
Volume: 13
Issue: 6
Pages: 1874-1874
DOI
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Peer Reviewed / Open Access
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[Journal Article] Effect of sodium-glucose cotransporter 2 inhibitor in patients with non-alcoholic fatty liver disease and type 2 diabetes mellitus: a propensity score-matched analysis of real-world data.2021
Author(s)
Arai T, Atsukawa M, Tsubota A, Mikami S, Ono H, Kawano T, Yoshida Y, Tanabe T, Okubo T, Hayama K, Nakagawa-Iwashita A, Itokawa N, Kondo C, Kaneko K, Emoto N, Nagao M, Inagaki K, Fukuda I, Sugihara H, Iwakiri K.
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Journal Title
Ther Adv Endocrinol Metab
Volume: 12
Pages: 1-13
DOI
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Peer Reviewed
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[Journal Article] The effectiveness and safety of glecaprevir/pibrentasvir in chronic hepatitis C patients with refractory factors in the real world: a comprehensive analysis of a prospective multicenter study2020
Author(s)
Nozaki, A. Atsukawa, M. Ogawa, S. Itokawa, N. Arai, T. Ikegami, T. Tsubota, A. Genda, T. Okubo, H. Mikami, S. Morishita, A. Moriya, A. Tani, J. Tachi, Y. Hotta, N. Ishikawa, T. Okanoue, T. Tanaka, Y. Kumada, T. Iwakiri, K. Maeda, S. K. T. K. Liver Study Group
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Journal Title
Hepatol Int
Volume: -
Issue: 2
Pages: 225-238
DOI
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Peer Reviewed / Open Access
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[Journal Article] Analysis of factors associated with the prognosis of cirrhotic patients who were treated with tolvaptan for hepatic edema2020
Author(s)
Atsukawa M, Tsubota A, Takaguchi K, Toyoda H, Iwasa M, Ikegami T, Chuma M, Nozaki A, Uojima H, Hiraoka A, Fukunishi S, Yokohama K, Tada T, Kato K, Abe H, Tani J, Okubo H, Watanabe T, et al.
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Journal Title
Journal of Gastroenterology and Hepatology
Volume: -
Issue: 7
Pages: 1229-1237
DOI
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Peer Reviewed
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[Journal Article] Comparative assessment of sarcopenia using the JSH, AWGS, and EWGSOP2 criteria and the relationship between sarcopenia, osteoporosis, and osteosarcopenia in patients with liver cirrhosis2019
Author(s)
Saeki C, Takano K, Oikawa T, Aoki Y, Kanai T, Takakura K, Nakano M, Torisu Y, Sasaki N, Abo M, Matsuura T, Tsubota A, Saruta M
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Journal Title
BMC Musculoskelet Disord
Volume: 20
Issue: 1
Pages: 615-615
DOI
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Peer Reviewed / Open Access
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[Journal Article] Factors influencing subclinical atherosclerosis in patients with biopsy-proven nonalcoholic fatty liver disease2019
Author(s)
Arai T, Atsukawa M, Tsubota A, Kawano T, Koeda M, Yoshida Y, Tanabe T, Okubo T, Hayama K, Iwashita A, Itokawa N, Kondo C, Kaneko K, Kawamoto C, Hatori T, Emoto N, Iio E, Tanaka Y, Iwakiri K
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Journal Title
PLoS One
Volume: 14
Issue: 11
Pages: e0224184-e0224184
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Evaluation of 8‐week glecaprevir/pibrentasvir treatment in direct‐acting antiviral‐naive noncirrhotic HCV genotype 1 and 2 infected patients in a real‐world setting in Japan2019
Author(s)
Ikeda H, Watanabe T, Iio E, Tsubota A, Hiraoka A, Nozaki A, Okubo H, Tachi Y, Moriya A, Oikawa T, Matsumoto Y, Tsuruoka S, Tani J, Kikuchi K, Iwakiri K, Tanaka Y, Kumada T, et al.
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Journal Title
Journal of Viral Hepatitis
Volume: 26
Issue: 11
Pages: 1266-1275
DOI
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Peer Reviewed
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[Journal Article] Trends and Efficacy of Interferon-Free Anti-hepatitis C Virus Therapy in the Region of High Prevalence of Elderly Patients, Cirrhosis, and Hepatocellular Carcinoma: A Real-World, Nationwide, Multicenter Study of 10 688 Patients in Japan2019
Author(s)
Toyoda H, Atsukawa M, Uojima H, Nozaki A, Tamai H, Takaguchi K, Fujioka S, Nakamuta M, Tada T, Yasuda S, Chuma M, Senoh T, Tsutsui A, Yamashita N, Hiraoka A, Michitaka K, Shima T, Akahane T, Itobayashi E, Watanabe T, et al.
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Journal Title
Open Forum Infectious Diseases
Volume: 6
Issue: 5
DOI
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Peer Reviewed / Open Access
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[Journal Article] The efficacy and safety of glecaprevir plus pibrentasvir in 141 patients with severe renal impairment: a prospective, multicenter study.2019
Author(s)
Atsukawa M, Tsubota A, Toyoda H, Takaguchi K, Nakamuta M, Watanabe T, Michitaka K, Ikegami T, Nozaki A, Uojima H, Fukunishi S, Genda T, Abe H, Hotta N, Tsuji K, Ogawa C, Tachi Y, Shima T, Shimada N, Kondo C, Akahane T, Aizawa Y, Tanaka Y, Kumada T, Iwakiri K
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Journal Title
Aliment Pharmacol Ther
Volume: 49
Issue: 9
Pages: 1230-1241
DOI
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Peer Reviewed
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[Journal Article] Association of vitamin D levels and vitamin D-related gene polymorphisms with liver fibrosis in patients with biopsy-proven nonalcoholic fatty liver disease.2019
Author(s)
Arai T, Atsukawa M, Tsubota A, Koeda M, Yoshida Y, Okubo T, Nakagawa A, Itokawa N, Kondo C, Nakatsuka K, Masu T, Kato K, Shimada N, Hatori T, Emoto N, Kage M, Iwakiri K.
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Journal Title
Dig Liver Dis.
Volume: in press
Issue: 7
Pages: 1036-1042
DOI
Related Report
Peer Reviewed
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[Journal Article] Efficacy and safety of ombitasvir/paritaprevir/ritonavir and ribavirin for chronic hepatitis patients infected with genotype 2a in Japan.2019
Author(s)
Atsukawa M, Tsubota A, Toyoda H, Takaguchi K, Nakamuta M, Watanabe T, Tada T, Tsutsui A, Ikeda H, Abe H, Kato K, Uojima H, Ikegami T, Asano T, Kondo C, Koeda M, Okubo T, Arai T, Iwashita-Nakagawa A, Itokawa N, Kumada T, Iwakiri K
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Journal Title
Hepatol Res
Volume: 49
Issue: 4
Pages: 369-376
DOI
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Peer Reviewed
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[Presentation] 口頭 (O16): 肝性浮腫に対するtolvaptan導入例におけるDAA治療が与える影響.2021
Author(s)
北村倫香,厚川正則,豊田秀徳,高口浩一,中牟田 誠,渡邊綱正,坪田昭人,熊田 卓,河野惟道,田邊智英,新井泰央,糸川典夫,金子恵子,岩切勝彦.
Organizer
第57回日本肝臓学会総会
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[Presentation] NAFLD患者のvitamin D代謝の特徴~vitamin D介入試験の結果も含めて~2019
Author(s)
河野惟道, 厚川正則, 肥田 舞, 吉田祐士, 大久保知美, 新井泰央, 岩下 愛, 糸川典夫, 近藤千紗, 加藤慶三, 島田紀朋, 坪田昭人, 岩切勝彦
Organizer
第55回日本肝臓学会総会
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[Presentation] C型肝炎に対するダクラタスビル・アスナプレビルの肝障害に関連する遺伝子多型の検討2019
Author(s)
加藤慶三, 安部 宏, 厚川正則, 島田紀朋, 井家麻紀子, 清水晶平, 塙 紀子, 米澤 健, 遠藤慎治, 松尾亮太, 坪田昭人
Organizer
第55回日本肝臓学会総会
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[Presentation] 当院におけるHIV/HCV重複感染例に対するDAA治療2019
Author(s)
中野真範, 及川恒一, 木下勇次, 木下千夏, 富田陽一, 高野啓子, 石田仁也, 高倉一樹, 鳥巣勇一, 石川智久, 猿田雅之, 坪田昭人, 李 広烈, 保科斉生, 清水昭宏, 吉田正樹, 堀 誠治
Organizer
第61回日本消化器病学会大会
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