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The research to establish new therapeutic strategies for refractory hvKP infections

Research Project

Project/Area Number 19K16650
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 49050:Bacteriology-related
Research InstitutionOsaka Metropolitan University (2022)
Osaka City University (2019-2021)

Principal Investigator

Namikawa Hiroki  大阪公立大学, 大学院医学研究科, 講師 (60813417)

Project Period (FY) 2019-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2021: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2020: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords高病原性肺炎桿菌 / RFP / rpoB / magA / rmpA / hvKp / リファンピシン / 肺炎桿菌 / 高粘稠性
Outline of Research at the Start

Hypermucoviscous Klebsiella pneumoniae(hvKP)の高病原性には、菌体外多糖から成る粘性物質の関与が指摘されている。リファンピシン(RFP)に粘性物質を抑制する作用があることを発見したが、in vivoにおける作用や作用メカニズムに関しては未だ不明な点が多い。本研究では、①hvKP感染マウスに対するRFPの有用性②RFPの有無におけるhvKP株の分子レベルでの機能解析の検証を行う。 本研究が達成されれば、hvKPの高病原性抑制に対して、RFPの有用性が初めて明確になり、hvKP感染症に対する治療戦略の確立にむけた研究が大きく前進するものと期待される。

Outline of Final Research Achievements

We aimed to determine whether RFP exerts this effect at sub-growth-inhibitory concentrations via its binding to RpoB. Five spontaneous RFP-resistant mutants (R1~5) were prepared from an hvKP clinical isolate and subjected to whole genome sequencing and mucoviscosity analyses. Subsequently, we created a rpoB mutant R6 and revertants with wild-type rpoB from R1~5 (named R1'~5'). We evaluated transcription levels of rmpA and the capsular polysaccharide polymerase gene magA and capsule thickness of R1~5 and R1'~5' grown without or with RFP. R1~5 all had non-synonymous point mutations in rpoB and were highly resistant to the bacte- ricidal effects and anti-mucoviscous activity of RFP. While the properties of R6 were similar to those of R1~5,the responses of R1'~5' to RFP were identical to those of the wild type. rmpA and magA transcription levels and capsule thickness correlated well with the mucoviscosity levels. RFP exerts anti-mucoviscous activity by binding to RpoB.

Academic Significance and Societal Importance of the Research Achievements

RFPの粘性抑制作用はrpoBの機能抑制を介して生じるという仮説が強く裏付けられた。このことから難治性hvKP感染症に対する新たなる治療戦略の確立に向けてまた一歩前進したと考える。しかしながら、その作用機序やin vivoでの効果については、まだ多くの疑問が残されている。今後、さらに詳細な反応機構を解明し、RFPのユニークで有用な活性を利用した抗菌療法を開発することが必要である。

Report

(5 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (3 results)

All 2023 2022 2021

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (1 results)

  • [Journal Article] Rifampicin exerts anti-mucoviscous activity against hypervirulent Klebsiella pneumoniae via binding to the RNA polymerase β subunit2023

    • Author(s)
      Tohda Mitsunori、Oinuma Ken-Ichi、Sakiyama Arata、Tsubouchi Taishi、Niki Mamiko、Namikawa Hiroki、Yamane Kenshi、Yamada Koichi、Watanabe Tetsuya、Asai Kazuhisa、Kakeya Hiroshi、Kaneko Yukihiro、Kawaguchi Tomoya
    • Journal Title

      Journal of Global Antimicrobial Resistance

      Volume: 32 Pages: 21-28

    • DOI

      10.1016/j.jgar.2022.11.018

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Siderophore production as a biomarker for Klebsiella pneumoniae strains that cause sepsis: A pilot study2022

    • Author(s)
      Namikawa Hiroki、Niki Makoto、Niki Mamiko、Oinuma Ken-Ichi、Yamada Koichi、Nakaie Kiyotaka、Tsubouchi Taishi、Tochino Yoshihiro、Takemoto Yasuhiko、Kaneko Yukihiro、Kakeya Hiroshi、Shuto Taichi
    • Journal Title

      Journal of the Formosan Medical Association

      Volume: 121 Issue: 4 Pages: 848-855

    • DOI

      10.1016/j.jfma.2021.06.027

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] リファンピシンの高病原性肺炎桿菌に対する粘性抑制作用機序の解明2021

    • Author(s)
      東田 充功, 老沼 研一, 並川 浩己, 坪内 泰志, 山田 康一, 仁木 満美子, 渡辺 徹也, 浅井 一久, 掛屋 弘, 川口 知哉, 金子 幸弘
    • Organizer
      第64回 日本感染症学会中日本地方会
    • Related Report
      2021 Research-status Report

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Published: 2019-04-18   Modified: 2024-01-30  

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