Development of innovative drug dosage regimens compatible with diverse treatment responsiveness in depression and schizophrenia
Project/Area Number |
20K07134
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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 47060:Clinical pharmacy-related
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Research Institution | Kumamoto University |
Principal Investigator |
Saruwatari Junji 熊本大学, 大学院生命科学研究部(薬), 教授 (30543409)
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Co-Investigator(Kenkyū-buntansha) |
古郡 規雄 獨協医科大学, 医学部, 准教授 (20333734)
城野 博史 熊本大学, 病院, 准教授 (40515483)
鬼木 健太郎 熊本大学, 大学院生命科学研究部(薬), 准教授 (00613407)
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Project Period (FY) |
2020-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2022: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2021: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2020: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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Keywords | 精密医療 / 精神神経薬理学 / ファーマコメトリクス / 薬理ゲノム学 / 機械学習 / 精神疾患 |
Outline of Research at the Start |
本研究は、新たな治療戦略の開発が求められている、うつ病と統合失調症を対象疾患として、全ての患者でQOL向上と健康寿命の延長を目指した、精密で合理的な臨床薬学研究である。具体的には、多面的な生物統計学・情報科学的手法を駆使して、当該患者の治療効果・副作用発現に関連する、あらゆる内的・外的要因(遺伝子型や生活習慣等、未知の因子含む)を評価し、モデリング&シミュレーションの手法で統合処理する。その結果を基に、上記患者に対して、最も効果的で、かつ、副作用リスクの低い最適な治療を提供するための、独自の個別化医療支援システムを構築・提起し、その臨床応用を目指す。
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Outline of Final Research Achievements |
In this study, we attempted to predict treatment responsiveness based on patient information and other factors using the frequently used antidepressant paroxetine as the target drug. The results of the analysis using blood paroxetine concentration and MADRS as indices of treatment responsiveness showed that pharmacokinetic parameters in the first week after the start of treatment could effectively predict the amount of change in MADRS up to the 8th week thereafter. On the other hand, a search for factors associated with antipsychotic-induced metabolic abnormalities related to increased mortality in patients with schizophrenia revealed a higher frequency of overweight in female patients taking three or more antipsychotic medications and a higher frequency of overweight in both men and women taking high doses of risperidone.
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Academic Significance and Societal Importance of the Research Achievements |
うつ病は人口の3%以上が、統合失調症は約1%が罹患する極めて頻度の高い精神疾患である。その治療の中心は薬物療法であるが、寛解・再発を繰り返し、約30%の患者で治療抵抗性を示す。加えて、抗精神病薬の長期投与では、肥満や糖尿病等の生活習慣病関連病態をきたし、服薬アドヒアランスの低下の他、生活の質(QOL)の低下や心血管イベントの増加(死亡率の増加)にも関係することが臨床で問題となっている。本研究の結果から、臨床薬学的検討により、うつ病や統合失調症の個別化投与設計が実現できる可能性を示すことが出来た。
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Report
(4 results)
Research Products
(63 results)
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[Journal Article] Additive Effects of Drinking Habits and a Susceptible Genetic Polymorphism on Cholesterol Efflux Capacity2023
Author(s)
Matsumoto E, Oniki K, Ota-Kontani A, Seguchi Y, Sakamoto Y, Kaneko T, Imafuku T, Maeda H, Watanabe H, Maruyama T, Ogata Y, Yoshida M, Harada-Shiba M, Saruwatari J, Ogura M.
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Journal Title
Journal of Atherosclerosis and Thrombosis
Volume: 30
Issue: 1
Pages: 23-38
DOI
ISSN
1340-3478, 1880-3873
Year and Date
2023-01-01
Related Report
Peer Reviewed / Open Access
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[Journal Article] East Asian variant aldehyde dehydrogenase type 2 genotype exacerbates ischemia/reperfusion injury with ST-elevation myocardial infarction in men: possible sex differences2022
Author(s)
Ishida T, Arima Y, Mizuno Y, Harada E, Yamashita T, Sueta D, Sakamoto K, Suzuki S, Kaikita K, Yamada Y, Shimomura H, Oniki K, Saruwatari J, Hokimoto S, Yasue H, Tsujita K.
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Journal Title
Heart and Vessels
Volume: 37
Issue: 2
Pages: 184-193
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Predictive Ability of Visit-to-Visit Variability of HbA1c Measurements for the Development of Diabetic Kidney Disease: A Retrospective Longitudinal Observational Study2022
Author(s)
Yan Y, Kondo N, Oniki K, Watanabe H, Imafuku T, Sakamoto Y, Shigaki T, Maruyama A, Nakazawa H, Kaneko T, Morita A, Yoshida A, Maeda H, Maruyama T, Jinnouchi H, Saruwatari J.
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Journal Title
Journal of Diabetes Research
Volume: 2022
Pages: 6934188-6934188
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Comparison between the Effects of Loxoprofen and Acetaminophen on Postoperative Pain Following Radical Prostatectomy: A Propensity Score Matching Analysis2021
Author(s)
Nishimura F, Ushijima T, Nojima M, Hamada S, Hara K, Hamada Y, Kadowaki D, Miyamura S, Oniki K, Saruwatari J.
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Journal Title
Biological and Pharmaceutical Bulletin
Volume: 44
Issue: 10
Pages: 1427-1432
DOI
NAID
ISSN
0918-6158, 1347-5215
Year and Date
2021-10-01
Related Report
Peer Reviewed
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[Journal Article] Clinical profiles of Asians with NAFLD: A systematic review and meta-analysis2021
Author(s)
Kam L, Huang DQ, Teng MLP, Takahashi H, Tanaka K, Yasuda S, Fung J, Lee TY, Hyogo H, Ono M, Saruwatari J, Oniki K, Yeo YH, Barnett S, Henry L, Li J, Zou B, Cheung RC, Kumada T, Yuen MF, Eguchi Y, Toyoda H, Nguyen MH.
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Journal Title
Digestive Diseases(Basel, Switzerland)
Volume: -
Issue: 6
Pages: 734-744
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Clusterin and Related Scoring Index as Potential Early Predictors of Response to Sorafenib in Hepatocellular Carcinoma2021
Author(s)
Narahara S, Watanabe T, Nagaoka K, Fujimoto N, Furuta Y, Tanaka K, Tokunaga T, Kawasaki T, Yoshimaru Y, Setoyama H, Oniki K, Saruwatari J, Tateyama M, Naoe H, Tanaka M, Tanaka Y, Sasaki Y.
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Journal Title
Hepatology Communications
Volume: -
Issue: 5
Pages: 1198-1212
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Cysteinylated albumin as a potential biomarker for the progression of kidney disease in patients with type 2 diabetes2021
Author(s)
Imafuku T, Watanabe H, Oniki K, Yoshida A, Kato H, Nakano T, Tokumaru K, Fujita I, Arimura N, Maeda H, Sakamoto Y, Kondo N, Morita A, Saruwatari J, Tanaka M, Matsushita K, Wada T, Fukagawa M, Otagiri M, Fitzgerald ML, Jinnouchi H, Maruyama T.
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Journal Title
Diabetes Care
Volume: 26
Issue: 6
Pages: e115-e117
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] The epidemiology of NAFLD and lean NAFLD in Japan: a meta-analysis with individual and forecasting analysis, 1995-2040.2021
Author(s)
Ito T, Ishigami M, Zou B, Tanaka T, Takahashi H, Kurosaki M, Maeda M, Thin KN, Tanaka K, Takahashi Y, Itoh Y, Oniki K, Seko Y, Saruwatari J, Kawanaka M, Atsukawa M, Hyogo H, Ono M, Ogawa E, Barnett SD, Stave CD, Cheung RC, Fujishiro M, Eguchi Y, Toyoda H, Nguyen MH.
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Journal Title
Hepatol Int.
Volume: -
Issue: 2
Pages: 366-379
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] A Comparison of the Frequency of Prescription and Pharmacy Revisits between Baloxavir Marboxil and Neuraminidase Inhibitors in Influenza-Infected Pediatric Patients during the 2019–2020 Influenza Season2020
Author(s)
Norikoshi Y, Ikeda T, Sasahara K, Hamada M, Torigoe E, Nagae M, Tashiro T, Horio F, Saruwatari J, Uchida Y, Anraku M.
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Journal Title
Biological and Pharmaceutical Bulletin
Volume: 43
Issue: 12
Pages: 1960-1965
DOI
NAID
ISSN
0918-6158, 1347-5215
Year and Date
2020-12-01
Related Report
Peer Reviewed / Open Access
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[Journal Article] The<I> DsbA-L</I> gene is associated with respiratory function of the elderly via its adiponectin multimeric or antioxidant properties.2020
Author(s)
Kentaro Oniki, Hirofumi Nohara, Ryunosuke Nakashima, Yui Obata, Narumi Muto, Yuki Sakamoto, Keiko Ueno-Shuto, Tadashi Imafuku, Yu Ishima, Hiroshi Watanabe, Toru Maruyama, Koji Otake, Yasuhiro Ogata, Mary Ann Suico, Hirofumi Kai, Tsuyoshi Shuto, and Junji Saruwatari.
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Journal Title
Scientific Reports
Volume: 10
Issue: 1
Pages: 5973-5973
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Higher Blood Uric Acid in Female Humans and Mice as a Protective Factor Against Pathophysiological Decline of Lung Function2020
Author(s)
Fujikawa H, Sakamoto Y, Masuda N, Oniki K, Kamei S, Nohara H, Nakashima R, Maruta K, Kawakami T, Eto Y, Takahashi N, Takeo T, Nakagata N, Watanabe H, Otake K, Ogata Y, Tomioka NH, Hosoyamada M, Takada T, Ueno-Shuto K , Suico MA, Kai H, Saruwatari J, Shuto T.
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Journal Title
Antioxidants
Volume: 9
Issue: 5
Pages: 387-387
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] In vivo evaluation of drug dialyzability in a rat model of hemodialysis.2020
Author(s)
Fukunaga M, Kadowaki D, Mori M, Hagiwara S, Narita Y, Saruwatari J, Tanaka R, Watanabe H, Yamasaki K, Taguchi K, Ito H, Maruyama T, Otagiri M, Hirata S.
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Journal Title
PLoS One
Volume: 15
Issue: 6
Pages: 20-26
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Investigation of methods for more accurate estimation of kidney function in people with high muscle mass.2020
Author(s)
Ichigi M, Nakatani S, Murakami M, Harada Y, Utsumi S, Ogata M, Maehara Y, Ikeda H, Shimada H, Fukunaga M, Narita Y, Saruwatari J, Kondo Y, Ishitsuka Y, Irie T, Kadowaki D, Hirata S.
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Journal Title
Clinical nephrology
Volume: 94
Issue: 2
Pages: 86-96
DOI
Related Report
Peer Reviewed
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[Journal Article] Prostaglandin E2-EP4 axis promotes lipolysis and fibrosis in adipose tissue leading to ectopic fat deposition and insulin resistance.2020
Author(s)
Inazumi T, Yamada K, Shirata N, Sato H, Taketomi Y, Morita K, Hohjoh H, Tsuchiya S, Oniki K, Watanabe T, Sasaki Y, Oike Y, Ogata Y, Saruwatari J, Murakami M, Sugimoto Y.
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Journal Title
Cell Rep.
Volume: 33
Issue: 2
Pages: 108265-108265
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] ALT Levels for Asians With Metabolic Diseases: A Meta-analysis of 86 Studies With Individual Patient Data Validation.2020
Author(s)
Huang DQ, Yeo YH, Tan E, Takahashi H, Yasuda S, Saruwatari J, Tanaka K, Oniki K, Kam LY, Muthiah MD, Hyogo H, Ono M, Barnett SD, Li J, Zou B, Fung J, Lee TY, Wong VW, Yuen MF, Dan YY, Lim SG, Cheung R, Toyoda H, Eguchi Y, Nguyen MH.
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Journal Title
Hepatol Commun.
Volume: 4
Issue: 11
Pages: 1624-1636
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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