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Development for Personalized Medicine for Atherosclerotic Cardiovascular Disease based on Genomic Information and Lifestyle Habits

Research Project

Project/Area Number 21H03179
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 58020:Hygiene and public health-related: including laboratory approach
Research InstitutionKanazawa University

Principal Investigator

Takamura Masayuki  金沢大学, 医学系, 教授 (60362000)

Co-Investigator(Kenkyū-buntansha) 野村 章洋  金沢大学, 融合科学系, 准教授 (30707542)
多田 隼人  金沢大学, 附属病院, 助教 (90623653)
Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥16,120,000 (Direct Cost: ¥12,400,000、Indirect Cost: ¥3,720,000)
Fiscal Year 2023: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2022: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2021: ¥6,760,000 (Direct Cost: ¥5,200,000、Indirect Cost: ¥1,560,000)
Keywords動脈硬化性疾患個別化医療 / 多遺伝子リスクスコア / 個別化医療 / polygenic risk score / 心血管病 / ゲノム / 心血管疾患 / 冠動脈疾患 / リスクスコア / ゲノム解析 / コホート研究 / 動脈硬化性疾患
Outline of Research at the Start

本研究では日本人において、遺伝子配列情報から、生まれながらに有する心血管疾患発症リスクのスコア化を行い(心血管疾患多遺伝子リスクスコア)、心血管疾患発症リスクを層別化する新たなマーカーとしての有用性を評価すると同時に、そのリスクを低減しうる後天性環境要因(特定の薬物治療や生活習慣)を同定することを目的とする。

Outline of Final Research Achievements

(1) Development of cardiovascular disease-related PRS in East Asia:Compared to Europe and the United States, including East Asia and Oceania, we reported that the number of studies on GWAS, which is indispensable for the calculation of PRS, is extremely small relative to the population.
(2) Personalized medicine for familial hypercholesterolemia:In familial hypercholesterolemia, coronary artery calcium scores from coronary CT examination were strongly associated with arteriosclerotic disease as well as genetic background. In addition, in addition to congenital factors (genetic background), acquired lifestyle habits were associated with risk stratification of arteriosclerotic disease.

Academic Significance and Societal Importance of the Research Achievements

現状において東アジアおよびオセアニア地域を含めて欧州や米国と比較し、人口比に対して極めて研究数が少ないという実態を明らかとした。また、遺伝的背景の評価と同時に冠動脈CTなどの非侵襲的検査を加えることで、動脈硬化性疾患のリスク層別化に繋がることを示すとともに先天的要因(遺伝的背景)に加えて後天的生活習慣が、動脈硬化性疾患のリスク層別化と関連することを明らかとした。

Report

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

    (13 results)

All 2023 2022 2021

All Journal Article (6 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 6 results,  Open Access: 3 results) Presentation (7 results) (of which Invited: 3 results)

  • [Journal Article] Coronary artery calcium among patients with heterozygous familial hypercholesterolaemia2023

    • Author(s)
      Tada Hayato、Kojima Nobuko、Yamagami Kan、Nomura Akihiro、Nohara Atsushi、Usui Soichiro、Sakata Kenji、Hayashi Kenshi、Fujino Noboru、Takamura Masayuki、Kawashiri Masa-aki
    • Journal Title

      European Heart Journal Open

      Volume: 3 Issue: 3

    • DOI

      10.1093/ehjopen/oead046

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of the severe familial hypercholesterolemia status on atherosclerotic risks2023

    • Author(s)
      Tada H, Nohara A, Usui S, Sakata K, Kawashiri MA, Takamura M
    • Journal Title

      Sci Rep

      Volume: 13 Issue: 1

    • DOI

      10.1038/s41598-023-47147-z

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Polygenic Risk Scores for Atherosclerotic Cardiovascular Disease in the Asia-Pacific Region2023

    • Author(s)
      Tada H, Yeo KK, Li JJ, Tan K, Ako J, Krittayaphong R, San Tan R, Aylward PE, Lam CSP, Baek SH, Dalal J, Fong A, Li YH, O'Brien RC, Natalie Koh SY, Scherer DJ, Kang V, Nelson AJ, Butters J, Nicholls SJ
    • Journal Title

      JACC Asia

      Volume: 1 Issue: 3 Pages: 294-302

    • DOI

      10.1016/j.jacasi.2021.08.008

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Impact of Healthy Lifestyle in Patients With Familial Hypercholesterolemia2023

    • Author(s)
      Tada H, Kojima N, Yamagami K, Nomura A, Nohara A, Usui S, Sakata K, Hayashi K, Fujino N, Takamura M, Kawashiri MA
    • Journal Title

      JACC Asia

      Volume: 3 Issue: 1 Pages: 152-160

    • DOI

      10.1016/j.jacasi.2022.10.012

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Human genetics and its impact on cardiovascular disease2022

    • Author(s)
      Tada Hayato、Fujino Noboru、Hayashi Kenshi、Kawashiri Masa-aki、Takamura Masayuki
    • Journal Title

      Journal of Cardiology

      Volume: 79 Issue: 2 Pages: 233-239

    • DOI

      10.1016/j.jjcc.2021.09.005

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Polygenic risk scores for low-density lipoprotein cholesterol and familial hypercholesterolemia.2021

    • Author(s)
      Nomura A, Sato T, Tada H, Kannon T, Hosomichi K, Tsujiguchi H, Nakamura H, Takamura M, Tajima A, Kawashiri MA.
    • Journal Title

      J Hum Genet.

      Volume: 66 Issue: 11 Pages: 1079-1087

    • DOI

      10.1038/s10038-021-00929-7

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] ゲノム情報に基づく動脈硬化性疾患予防医学へのアプローチ2023

    • Author(s)
      多田隼人
    • Organizer
      第55回日本動脈硬化学会総会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 個別化医療時代の動脈硬化予防・包括的脂質異常症治療2023

    • Author(s)
      多田隼人
    • Organizer
      第23回日本抗加齢医学会総会
    • Related Report
      2023 Annual Research Report
  • [Presentation] ポリジェニックスコアを用いた心疾患の先制医療の可能性2022

    • Author(s)
      多田隼人
    • Organizer
      第95回日本産業衛生学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 循環器遺伝学の基礎知識 20222022

    • Author(s)
      多田隼人
    • Organizer
      第70回日本心臓病学会学術集会
    • Related Report
      2022 Annual Research Report
    • Invited
  • [Presentation] 意外と知らないFH類似疾患とpolygenic FH:鑑別とその治療について2021

    • Author(s)
      多田隼人
    • Organizer
      第53回日本動脈硬化学会総会
    • Related Report
      2021 Annual Research Report
  • [Presentation] ヒトゲノム情報を循環器病予防にどう活かすか?2021

    • Author(s)
      多田隼人
    • Organizer
      第57回 日本循環器病予防学会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 冠動脈疾患関連遺伝子リスクスコアによる個別化医療実践への試み2021

    • Author(s)
      多田隼人
    • Organizer
      第69回日本心臓病学会額学術集会
    • Related Report
      2021 Annual Research Report
    • Invited

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

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