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Study on the mechanism of lethal and serious drug-induced adverse event in fetus

Research Project

Project/Area Number 20390157
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Applied pharmacology
Research InstitutionChiba University

Principal Investigator

KITADA Mitsukazu  Chiba University, 医学部附属病院, 教授 (90110345)

Co-Investigator(Kenkyū-buntansha) ARIYOSHI Noritaka  千葉大学, 医学部附属病院, 准教授 (00243957)
Co-Investigator(Renkei-kenkyūsha) ISHII Itsuko  千葉大学, 大学院・薬学研究院, 准教授 (00202929)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥18,590,000 (Direct Cost: ¥14,300,000、Indirect Cost: ¥4,290,000)
Fiscal Year 2010: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2009: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2008: ¥10,400,000 (Direct Cost: ¥8,000,000、Indirect Cost: ¥2,400,000)
Keywords医薬品副作用 / 薬物相互作用 / 胎児毒性 / 心臓停止 / DHEA-S / 遺伝子多型 / CYP3A7 / STS / 心機能とステロイド
Research Abstract

Dehydroepiandrosterone-3-sulfate (DHEA-S) plays important roles during pregnancy and is clinically used as an agent (prasterone sulfate) to treat pregnant woman with cervical ripening deficiency in Japan. However, several cases of fetal death have been reported after administration of prasterone sulfate to expectant mothers. We found that CYP3A7.2 may have considerably reduced capacity for the metabolism of DHEA-S at a physiologically relevant concentration of this steroid in vivo. We discovered six novel SNPs of the STS gene. However, 5SNPs present in postulated regulatory regions did not affect transcriptional activity, and V476M appeared to have little effect on both posttranscriptional expression of the enzyme and sulfatase activity toward DHEA-S. On the other hand, there was no non-synonymous SNP in all of exons, but one known SNP (-18T>C) was found in 5'-flanking region of the SLC22A11 gene. The result of reporter gene assay revealed that the SNP did not appear to give considerable change in transcriptional activity of the SLC22A11 gene. Although it was suggested that functional deficiency of these proteins due to genetic polymorphisms appear to affect pharmacokinetics of DHEA-S in fetal or fetal-placental unit, no polymorphism directly related to DHEA-S-induced fetal death was found in the STS and SLC22A11 genes in this study.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (9 results)

All 2011 2010 2008 Other

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (5 results) Remarks (2 results)

  • [Journal Article] Six Novel Single Nucleotide Polymorphisms of the Steroid Sulfatase Gene in a Japanese Population.2010

    • Author(s)
      Matsumoto J, Ariyoshi N, Ishii I, Kitada M
    • Journal Title

      Drug Metab Pharmacokinet. 25(4)

      Pages: 403-407

    • NAID

      10027583501

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Six Novel Single Nucleotide Polymorphisms of the Steroid Sulfatase Geneina Japanese Population.2010

    • Author(s)
      Matsumoto J, Ariyoshi N, Ishii I, Kitada M.
    • Journal Title

      Drug Metab Pharmacokinet.

      Volume: 25 Pages: 403-407

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] 妊婦への子宮頚管熟化薬投与における胎児突然死の原因究明に関する研究(第2報)2011

    • Author(s)
      松本准、有吉範高, ら
    • Organizer
      日本薬学会第131年会
    • Place of Presentation
      静岡
    • Year and Date
      2011-03-30
    • Related Report
      2010 Final Research Report
  • [Presentation] 妊婦への子宮頚管熟化薬投与における胎児突然死の原因究明に関する研究2011

    • Author(s)
      松本准、有吉範高, ほか
    • Organizer
      第131回日本薬学会年会
    • Place of Presentation
      静岡(震災の影響で年会中止なるも発表成立)
    • Year and Date
      2011-03-30
    • Related Report
      2010 Annual Research Report
  • [Presentation] 妊婦への子宮頚管熟化薬投与における胎児突然死の原因究明に関する研究2010

    • Author(s)
      松本准、、有吉範高, ら
    • Organizer
      日本薬学会第130年会
    • Place of Presentation
      岡山
    • Year and Date
      2010-03-28
    • Related Report
      2010 Final Research Report
  • [Presentation] 妊婦への子宮頚管熟化薬投与における胎児突然死の原因究明に関する研究2010

    • Author(s)
      松本准, ほか
    • Organizer
      第130回日本薬学会年会
    • Place of Presentation
      岡山
    • Year and Date
      2010-03-28
    • Related Report
      2009 Annual Research Report
  • [Presentation] The Prevalence in Carrier of CYP3A7*2 Variant in Japanese, and Effects Substitution of CYP3A7 on the Metabolism of DHEA-S in vitro.2008

    • Author(s)
      有吉範高, ら, et al
    • Organizer
      The 23th JSSX
    • Place of Presentation
      Kumamoto
    • Year and Date
      2008-10-30
    • Related Report
      2010 Final Research Report
  • [Remarks] CYP3A7多型の機能解析に関する論文は J Steroid Biochem Mot Bio1 に投稿中である。

    • Related Report
      2010 Annual Research Report
  • [Remarks] CYP3A7多型の機能解析に関する論文は執筆中である。ST新規多型発見の論文は速報的要素があり、現在、修正原稿中の投稿中であり近々受理される予定である。

    • Related Report
      2009 Annual Research Report

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Published: 2008-04-01   Modified: 2025-11-18  

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