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Development of clinical practice for rare intractable cardiomyopathy using deep phenotyping combined with iPS cell technology

Research Project

Project/Area Number 21H02915
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 53020:Cardiology-related
Research InstitutionOsaka University

Principal Investigator

Yasushi Sakata  大阪大学, 大学院医学系研究科, 教授 (00397671)

Co-Investigator(Kenkyū-buntansha) 肥後 修一朗  大阪大学, 大学院医学系研究科, 講師 (00604034)
大谷 朋仁  大阪大学, 大学院医学系研究科, 准教授 (30623897)
朝野 仁裕  大阪大学, 大学院医学系研究科, 特任准教授(常勤) (60527670)
Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥13,000,000 (Direct Cost: ¥10,000,000、Indirect Cost: ¥3,000,000)
Fiscal Year 2023: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2022: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2021: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Keywords心筋症 / 疾患iPS細胞 / ディープフェノタイピング / iPS細胞 / ゲノム編集
Outline of Research at the Start

心筋症は、これまでその形態により分類されてきました。遺伝子解析技術の進歩により、今後は、遺伝子診断を基盤とした分子機能による心筋症分類を確立していくことが必要です。本研究開発は、臨床データを用いたディープフェノタイピングと、iPS細胞技術を組み合わせた双方向からのアプローチにより、希少難治性心筋症に対する新たな診療体系を構築することを目的とします。特に特徴的な臨床経過を呈する希少心筋症を対象とし、3年間の研究開発期間において、臨床データフェノタイピングと疾患iPS細胞の樹立、希少難治性心筋症に対する治療介入点の探索、薬効薬理評価と臨床へのフィードバックを目指します。

Outline of Final Research Achievements

In this research project, we sought to develop a novel medical system focusing on intractable cardiomyopathies, by using a two-way approach that combines deep phenotyping (detailed phenotypic analysis) using clinical data and iPS cell technology. During the three-year research and development period from 2021 to 2023, we analyzed clinical and genomic data including myocardial pathological specimens, established disease-specific iPS cells, construct disease models, and search for therapeutic interventions for rare and intractable cardiomyopathies. Furthermore, we have established a genome diagnosis committee with the aim of applying genome analysis research results to clinical practice for genome medicine.

Academic Significance and Societal Importance of the Research Achievements

拡張型心筋症を含む難治性心筋症は、重症心不全の原因となる重篤な疾患です。本研究開発では、臨床データやiPS細胞技術を組み合わせることで、これら希少難治性心筋症に対する新たな診療体系を構築することを目的としました。3年間の研究開発期間において、心筋病理組織を含む臨床データやゲノムデータ解析を行うとともに、心筋症疾患iPS細胞を樹立し、分化心筋を用いた疾患モデルを構築し、希少難治性心筋症に対する治療介入点の探索を実施しました。更に、ゲノム解析研究結果を臨床に還元することを目的としたゲノム診断委員会を設置し、ゲノム医療を行う体制を構築しました。

Report

(4 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Annual Research Report
  • 2021 Annual Research Report
  • Research Products

    (36 results)

All 2023 2022 2021

All Journal Article (11 results) (of which Peer Reviewed: 10 results,  Open Access: 10 results) Presentation (23 results) (of which Int'l Joint Research: 1 results,  Invited: 12 results) Book (2 results)

  • [Journal Article] End-stage Hypertrophic Cardiomyopathy with Advanced Heart Failure in Patients Carrying <i>MYH7</i> R453 Variants: A Case Series2023

    • Author(s)
      Naito Susumu、Higo Shuichiro、Kameda Satoshi、Ogawa Shou、Tabata Tomoka、Akazawa Yasuhiro、Nakamura Daisuke、Nakamoto Kei、Sera Fusako、Kuramoto Yuki、Aasano Yoshihiro、Hikoso Shungo、Miyagawa Shigeru、Sakata Yasushi
    • Journal Title

      Internal Medicine

      Volume: 62 Issue: 21 Pages: 3167-3173

    • DOI

      10.2169/internalmedicine.1497-22

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2023-11-01
    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] SARS-CoV-2 spike receptor-binding domain is internalized and promotes protein ISGylation in human induced pluripotent stem cell-derived cardiomyocytes2023

    • Author(s)
      Okuno Shota、Higo Shuichiro、Kondo Takumi、Shiba Mikio、Kameda Satoshi、Inoue Hiroyuki、Tabata Tomoka、Ogawa Shou、Morishita Yu、Sun Congcong、Ishino Saki、Honda Tomoyuki、Miyagawa Shigeru、Sakata Yasushi
    • Journal Title

      Scientific Reports

      Volume: 13 Issue: 1 Pages: 21397-21397

    • DOI

      10.1038/s41598-023-48084-7

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Tenascin-C as a potential marker for immunohistopathology of doxorubicin-induced cardiomyopathy2023

    • Author(s)
      Nishikawa Tatsuya、Shiba Mikio、Ikeda Yoshihiko、Ohta-Ogo Keiko、Kondo Takumi、Tabata Tomoka、Oka Toru、Shioyama Wataru、Yamamoto Hironori、Yasui Taku、Higuchi Yoshiharu、Ishibashi-Ueda Hatsue、Honma Keiichiro、Izumi Chisato、Higo Shuichiro、Hatakeyama Kinta、Sakata Yasushi、Fujita Masashi
    • Journal Title

      European Heart Journal Open

      Volume: 3 Issue: 5 Pages: 1-12

    • DOI

      10.1093/ehjopen/oead104

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Modeling Reduced Contractility and Stiffness Using iPSC-Derived Cardiomyocytes Generated From Female Becker Muscular Dystrophy Carrier2023

    • Author(s)
      Kameda Satoshi、Higo Shuichiro、Shiba Mikio、Kondo Takumi、Li Junjun、Liu Li、Tabata Tomoka、Inoue Hiroyuki、Okuno Shota、Ogawa Shou、Kuramoto Yuki、Yasutake Hideki、Lee Jong-Kook、Takashima Seiji、Ikeda Yoshihiko、Hikoso Shungo、Miyagawa Shigeru、Sakata Yasushi
    • Journal Title

      JACC: Basic to Translational Science

      Volume: - Issue: 6 Pages: 599-613

    • DOI

      10.1016/j.jacbts.2022.11.007

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Disease modeling of desmosome-related cardiomyopathy using induced pluripotent stem cell-derived cardiomyocytes2023

    • Author(s)
      Higo Shuichiro
    • Journal Title

      World Journal of Stem Cells

      Volume: 15 Issue: 3 Pages: 71-82

    • DOI

      10.4252/wjsc.v15.i3.71

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Phospholamban p.Arg14del Cardiomyopathy: A Japanese Case Series2022

    • Author(s)
      Tabata Tomoka、Kuramoto Yuki、Ohtani Tomohito、Miyawaki Hiroshi、Miyashita Yohei、Sera Fusako、Kioka Hidetaka、Higo Shuichiro、Asano Yoshihiro、Hikoso Shungo、Sakata Yasushi
    • Journal Title

      Internal Medicine

      Volume: 61 Issue: 13 Pages: 1987-1993

    • DOI

      10.2169/internalmedicine.8594-21

    • NAID

      130008130223

    • ISSN
      0918-2918, 1349-7235
    • Year and Date
      2022-07-01
    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Human-Induced Pluripotent Stem Cell-Derived Cardiomyocyte Model for TNNT2 Δ160E-Induced Cardiomyopathy2022

    • Author(s)
      Kondo Takumi、Higo Shuichiro、Shiba Mikio、Kohama Yasuaki、Kameda Satoshi、Tabata Tomoka、Inoue Hiroyuki、Okuno Shota、Ogawa Shou、Nakamura Satoki、Takeda Maki、Ito Emiko、Li Junjun、Liu Li、Kuramoto Yuki、Lee Jong-Kook、Takashima Seiji、Miyagawa Shigeru、Sawa Yoshiki、Hikoso Shungo、Sakata Yasushi
    • Journal Title

      Circulation: Genomic and Precision Medicine

      Volume: 15 Issue: 5 Pages: 429-443

    • DOI

      10.1161/circgen.121.003522

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Multiplexed measurement of cell type-specific calcium kinetics using high-content image analysis combined with targeted gene disruption2022

    • Author(s)
      Tabata Tomoka、Masumura Yuki、Higo Shuichiro、Kunimatsu Suzuka、Kameda Satoshi、Inoue Hiroyuki、Okuno Shota、Ogawa Shou、Takashima Seiji、Watanabe Mikio、Miyagawa Shigeru、Hikoso Shungo、Sakata Yasushi
    • Journal Title

      Biochemical and Biophysical Research Communications

      Volume: 637 Pages: 40-49

    • DOI

      10.1016/j.bbrc.2022.10.088

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Modeling reduced contractility and impaired desmosome assembly due to plakophilin-2 deficiency using isogenic iPS cell-derived cardiomyocytes2022

    • Author(s)
      Inoue Hiroyuki、Nakamura Satoki、Higo Shuichiro、Shiba Mikio、Kohama Yasuaki、Kondo Takumi、Kameda Satoshi、Tabata Tomoka、Okuno Shota、Ikeda Yoshihiko、Li Junjun、Liu Li、Yamazaki Satoru、Takeda Maki、Ito Emiko、Takashima Seiji、Miyagawa Shigeru、Sawa Yoshiki、Hikoso Shungo、Sakata Yasushi
    • Journal Title

      Stem Cell Reports

      Volume: 17 Issue: 2 Pages: 337-351

    • DOI

      10.1016/j.stemcr.2021.12.016

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Genome Editing in Human Induced Pluripotent Stem Cells (hiPSCs)2021

    • Author(s)
      Higo Shuichiro、Hikoso Shungo、Miyagawa Shigeru、Sakata Yasushi
    • Journal Title

      Methods Mol Biol

      Volume: - Pages: 235-245

    • DOI

      10.1007/978-1-0716-1484-6_21

    • ISBN
      9781071614839, 9781071614846
    • Related Report
      2021 Annual Research Report
  • [Journal Article] Phenotypic recapitulation and correction of desmoglein-2-deficient cardiomyopathy using human-induced pluripotent stem cell-derived cardiomyocytes2021

    • Author(s)
      Shiba Mikio、Higo Shuichiro、Kondo Takumi、Li Junjun、Liu Li、Ikeda Yoshihiko、Kohama Yasuaki、Kameda Satoshi、Tabata Tomoka、Inoue Hiroyuki、Nakamura Satoki、Takeda Maki、Ito Emiko、Takashima Seiji、Miyagawa Shigeru、Sawa Yoshiki、Hikoso Shungo、Sakata Yasushi
    • Journal Title

      Human Molecular Genetics

      Volume: 30 Issue: 15 Pages: 1384-1397

    • DOI

      10.1093/hmg/ddab127

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 左室収縮能低下を伴う重症心不全に移行しMYH7 R453バリアントが同定された肥大型心筋症の3症例2023

    • Author(s)
      内藤 進, 肥後 修一朗, 亀田 聡士, 小川 翔, 田端 智香, 赤澤 康裕, 中村 大輔, 中本 敬, 世良 英子, 藏本 勇希, 朝野 仁裕, 彦惣 俊吾, 宮川 繁, 坂田 泰史
    • Organizer
      第9回日本心筋症研究会
    • Related Report
      2023 Annual Research Report
  • [Presentation] SARS-CoV-2 spike receptor-binding domain is internalized and promotes protein ISGylation in human induced pluripotent stem cell-derived cardiomyocytes2023

    • Author(s)
      Shota Okuno, Shuichiro Higo, Satoshi Kameda, Tomoka Tabata, Shou Ogawa, Shigeru Miyagawa, Yasushi Sakata
    • Organizer
      第27回日本心不全学会YIA基礎部門優秀賞
    • Related Report
      2023 Annual Research Report
  • [Presentation] 個別化医療を目的とした難治性心筋症ヒト疾患モデル細胞の構築2023

    • Author(s)
      肥後修一朗
    • Organizer
      第27回日本心不全学会シンポジウム 再生医療の進歩(疾患iPS を含む)
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] Elucidation of the pathological basis and therapeutic development for advanced heart failure using disease-specific iPS cell-derived cardiomyocytes2023

    • Author(s)
      Shuichiro Higo
    • Organizer
      Symposium, Genomic analysis and Genome editing, CVMW2023, The 7th JCS Council Forum on Basic Cardiovascular Research
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] Elucidation of the pathological basis and therapeutic development for advanced heart failure using disease-specific iPS cell-derived cardiomyocytes2023

    • Author(s)
      Shuichiro Higo
    • Organizer
      第97回 日本薬理学会年会 国際心臓研究学会 日本部会(ISHR)共催シンポジウム 「心不全研究の最前線から拓く治療戦略」
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] 分子機能による層別化を目的とした心筋症疾患iPS細胞ライブラリーの構築2022

    • Author(s)
      肥後 修一朗, 木岡 秀隆, 李 鍾國, 彦惣 俊吾, 朝野 仁裕, 宮川 繁, 坂田 泰史
    • Organizer
      第26回日本心不全学会学術集会 シンポジウム ゲノム情報を活かした心筋症医療
    • Related Report
      2022 Annual Research Report
    • Invited
  • [Presentation] 分子機能による難治性心筋症の層別化と病態解明2022

    • Author(s)
      肥後修一朗
    • Organizer
      第70回日本心臓病学会学術集会
    • Related Report
      2022 Annual Research Report
    • Invited
  • [Presentation] ドキソルビシン心筋症の病理学的診断におけるテネイシンC とマクロファージの有用性2022

    • Author(s)
      西川達哉, 志波幹夫, 池田善彦, 近藤匠巳, 肥後修一朗, 安井琢, 岡亨, 泉知里, 植田初江, 畠山金太, 坂田泰史, 藤田雅史
    • Organizer
      第5 回日本腫瘍循環器学会学術集会
    • Related Report
      2022 Annual Research Report
  • [Presentation] ヒトiPS細胞由来分化心筋細胞を用いた不整脈原性心筋症の病態解明2022

    • Author(s)
      肥後修一朗
    • Organizer
      第8回日本心筋症研究会
    • Related Report
      2022 Annual Research Report
    • Invited
  • [Presentation] 不整脈原性心筋症iPS細胞由来分化心筋細胞を用いたプラコフィリン2欠損が細胞骨格に与える影響の検討2022

    • Author(s)
      内藤 進, 井上 裕之, 肥後 修一朗, 小川 翔, 奥野 翔太, 田端 智香, 亀田 聡士, 近藤 匠巳, 坂田 泰史
    • Organizer
      第8回日本心筋症研究会
    • Related Report
      2022 Annual Research Report
  • [Presentation] ハイコンテントイメージングを用いた単一細胞カルシウム動態解析とゲノム編集への応用2022

    • Author(s)
      羽白 亮, 田端 智香, 肥後 修一朗, 近藤 匠巳, 亀田 聡士, 井上 裕之, 奥野 翔太, 小川 翔, 坂田 泰史
    • Organizer
      第8回日本心筋症研究会
    • Related Report
      2022 Annual Research Report
  • [Presentation] iPS細胞由来分化心筋細胞を用いたBecker型筋ジストロフィー(BMD)心筋収縮力・剛性低下の再現と病態解明2022

    • Author(s)
      亀田 聡士, 肥後 修一朗, 志波 幹夫, 近藤 匠巳, 李 俊君, 劉 莉, 田端 智香, 井上 裕之, 奥野 翔太, 高島 成二, 池田 善彦, 彦惣 俊吾, 宮川 繁, 坂田 泰史
    • Organizer
      第8回日本心筋症研究会 YIA最優秀賞
    • Related Report
      2022 Annual Research Report
  • [Presentation] Modeling Reduced Contractility and Impaired Desmosome Assembly due to Plakophilin-2 Deficiency using Isogenic iPS Cell-Derived Cardiomyocytes2022

    • Author(s)
      Hiroyuki Inoue,Satoki Nakamura,Shuichiro Higo,Mikio Shiba,Yasuaki Kohama,Takumi Kondo,Satoshi Kameda,Tomoka Tabata,Shota Okuno,Yoshihiko Ikeda,Junjun Li,Li Liu,Satoru Yamazaki,Maki Takeda,Emiko Ito,Seiji Takashima,Shigeru Miyagwa,Sawa Yoshiki,Shungo Hikoso,Yasushi Sakata
    • Organizer
      第86回 日本循環器学会学術集会 YIA (Basic Research部門)優秀賞
    • Related Report
      2021 Annual Research Report
  • [Presentation] Development of Personalized Medicine Targeting Arrhythmogenic Cardiomyopathy Concealed in Advanced Heart Failure2022

    • Author(s)
      Shuichiro Higo
    • Organizer
      第 86 回日本循環器学会学術集会 幹細胞・遺伝子治療・心臓再生の最前線 Cutting-edge Science in Stem Cell, Gene Therapy, and Regeneration for Cardiovascular Disease
    • Related Report
      2021 Annual Research Report
  • [Presentation] Nonpharmacological Approach2022

    • Author(s)
      Yasushi Sakata
    • Organizer
      第86回日本循環器学会学術集会 ヨーロッパ心臓病学会日本循環器学会合同シンポジウム
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 悪性心室性頻拍と重症心不全を特徴とする 日本におけるホスホランバン p.Arg14del心筋症の臨床像2021

    • Author(s)
      田端 智香,藏本 勇希,大谷 朋仁,宮脇 大,宮下 洋平,世良 英子,木岡 秀隆,肥後 修一朗,朝野 仁裕,彦惣 俊吾,坂田 泰史
    • Organizer
      第25回日本心不全学会学術集会
    • Related Report
      2021 Annual Research Report
  • [Presentation] Modeling Augmented Sarcomeric Calcium Retention and Altered Calcium Handling Pathway by TNNT2 Δ160E Mutation using Isogenic Human iPS Cell-derived Cardiomyocytes2021

    • Author(s)
      Takumi Kondo,Shuichiro Higo,Mikio Shiba,Yasuaki Kohama,Satoshi Kameda,Tomoka Tabata,Hiroyuki Inoue,Shota Okuno,Maki Takeda,Yuki Kuramoto,Jong-Kook Lee,Seiji Takashima,Shigeru Miyagawa,Shungo Hikoso,Yasushi Sakata
    • Organizer
      第25回日本心不全学会学術集会YIA基礎部門優秀賞
    • Related Report
      2021 Annual Research Report
  • [Presentation] Strategies to Promote Homology-directed Repair in Post-mitotic Cardiomyocytes2021

    • Author(s)
      Shuichiro Higo,Yasushi Sakata
    • Organizer
      ESC CONGRESS 2021 symposium CRISPR/Cas9 gene editing for heart disease: ready for prime time?
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 難治性心筋症に対する個別化医療2021

    • Author(s)
      肥後修一朗
    • Organizer
      第7回日本心筋症研究会 シンポジウム4「心筋症のゲノム研究最前線」
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] トロポニンTΔ160E変異を有するアイソジェニックiPS心筋を用いた拡張相肥大型心筋症の病態解明2021

    • Author(s)
      近藤匠巳,肥後修一朗,志波幹夫,小濱康明,亀田聡士,田端智香,井上裕之,奥野翔太,武田真季,藏本勇希,李鍾國,高島成二,宮川繁,彦惣俊吾,坂田泰史
    • Organizer
      第7回日本心筋症研究会
    • Related Report
      2021 Annual Research Report
  • [Presentation] 重症心不全患者の診療デザイン ライフデザインを決めるのに必要な循環器学は何か2021

    • Author(s)
      大谷朋仁, 坂田泰史
    • Organizer
      第25回日本心不全学会学術集会シンポジウム(市民公開講座)
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 心不全発症動向と新しい治療オプション2021

    • Author(s)
      坂田泰史
    • Organizer
      第8回日本心血管脳卒中学会学術集会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 心不全の非薬物治療2021

    • Author(s)
      坂田泰史
    • Organizer
      第3回日本在宅医療連合学会大会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Book] 非分裂心筋細胞のゲノム編集と難治性心筋症への治療介入2023

    • Author(s)
      肥後修一朗
    • Total Pages
      605
    • Publisher
      技術情報協会 ゲノム編集の最新技術と医薬品・遺伝子治療・農業・水畜産物・有用物質生産への活用
    • ISBN
      9784861049781
    • Related Report
      2023 Annual Research Report
  • [Book] Heart View 疾患iPS細胞を用いた心筋症個別化医療へのアプローチ2022

    • Author(s)
      肥後 修一朗
    • Publisher
      MEDICAL VIEW
    • Related Report
      2021 Annual Research Report

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Published: 2021-04-28   Modified: 2025-01-30  

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