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Identification of common therapeutic targets for major cardiovascular disease

Research Project

Project/Area Number 21K19455
Research Category

Grant-in-Aid for Challenging Research (Exploratory)

Allocation TypeMulti-year Fund
Review Section Medium-sized Section 52:General internal medicine and related fields
Research InstitutionJuntendo University

Principal Investigator

Iwata Hiroshi  順天堂大学, 医学部, 准教授 (00451807)

Project Period (FY) 2021-07-09 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥6,370,000 (Direct Cost: ¥4,900,000、Indirect Cost: ¥1,470,000)
Fiscal Year 2023: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2022: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2021: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords動脈硬化 / 不整脈 / 弁疾患 / 石灰化 / 炎症 / 心房細動 / 大動脈弁狭窄症 / 組織リモデリング / 加齢 / 予後 / 冠動脈疾患 / CHIP / micro RNA / non-coding RNA / 老化 / 治療標的
Outline of Research at the Start

本研究計画は、これまで独立した疾患と考えられてきた動脈硬化・心房細動・大動脈弁狭窄症の病態メカニズムを包括的に捉え、横断的なメカニズムの中核を「加齢・老化」による「組織リモデリング」とし、そのメカニズムに介入するための「新たな治療標的の発見」を目的に遂行する。

Outline of Final Research Achievements

In this project, we aimed to assess the common pathological pathway among clinically different major cardiovascular disorders, such as atherosclerotic coronary artery disease, rhythm disorder (atrial fibrillation) and valvular heart disease (aortic stenosis). While the project is going behind the originally planned schedule due to the lack of manpower, it demonstrated the significant and clinically relevant findings via analysis of clinical data registry, as well as the biological assessment of serum from actual patients. In particular, most significant finding might be the importance of persistent inflammation in Japanese patients with chronic coronary syndrome and the significant difference in the mechanism of valvular and vascular (mid-size and large) calcification. Based on these insightful findings of the present project, our team would like to continue this prpject to find a novel mechanism/therapeutic targets/ actual therapies in these common diseases in aged society like Japan.

Academic Significance and Societal Importance of the Research Achievements

本研究では、高齢化社会において重要性を増す、加齢性心血管疾患に共通する疾患メカニズムを検討し、新たな治療アプローチを開発して日本の社会に還元することを目指している。研究は道半ばであり、今後も継続して研究を行い、全く新たな治療法を開発することで医療のパラダイムシフトを目指したい。

Report

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

    (9 results)

All 2023 2022

All Journal Article (7 results) (of which Peer Reviewed: 5 results,  Open Access: 2 results) Presentation (2 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Study protocol and baseline characteristics of Randomized trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy Statin and Eicosapentaenoic Acid: RESPECT-EPA, the combination of a randomized control trial and an observational biomarker study2023

    • Author(s)
      Nishizaki Yuji、Miyauchi Katsumi、Iwata Hiroshi、Inoue Teruo、Hirayama Atsushi、Kimura Kazuo、Ozaki Yukio、Murohara Toyoaki、Ueshima Kenji、Kuwabara Yoshihiro、Tanaka-Mizuno Sachiko、Yanagisawa Naotake、Sato Tosiya、Daida Hiroyuki
    • Journal Title

      American Heart Journal

      Volume: 257 Pages: 1-8

    • DOI

      10.1016/j.ahj.2022.11.008

    • Related Report
      2023 Annual Research Report 2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] The Prognostic Efficacy of DPP-4?Inhibitors in Asian HFpEF2023

    • Author(s)
      Chikata Yuichi、Iwata Hiroshi、Minamino Tohru
    • Journal Title

      JACC: Asia

      Volume: 3 Issue: 1 Pages: 105-107

    • DOI

      10.1016/j.jacasi.2022.11.008

    • Related Report
      2023 Annual Research Report 2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Favorable Prognosis in Patients with Recovered Pulmonary Hypertension after TAVI: An Analysis of the LAPLACE-TAVI Registry2023

    • Author(s)
      Koike Takuma、Iwata Hiroshi、Chikata Yuichi、Doi Shinichiro、Naito Ryo、Yasuda Hidetoshi、Funamizu Takehiro、Endo Hirohisa、Miyazaki Sakiko、Okazaki Shinya、Higuchi Ryosuke、Takamisawa Itaru、Sato Kei、Tamura Harutoshi、Yokoyama Hiroaki、Tobaru Tetsuya、Takanashi Shuichiro、Tabata Minoru、Minamino Tohru
    • Journal Title

      Journal of Clinical Medicine

      Volume: 12 Issue: 2 Pages: 729-729

    • DOI

      10.3390/jcm12020729

    • Related Report
      2023 Annual Research Report 2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of simple equation for estimating appendicular skeletal muscle mass in patients with stable coronary artery disease undergoing percutaneous coronary intervention2023

    • Author(s)
      Nishio Ryota、Dohi Tomotaka、Fukase Tatsuya、Takeuchi Mitsuhiro、Takahashi Norihito、Endo Hirohisa、Doi Shinichiro、Okai Iwao、Iwata Hiroshi、Okazaki Shinya、Miyauchi Katsumi、Daida Hiroyuki、Minamino Tohru
    • Journal Title

      IJC Heart and Vasculature

      Volume: 44 Pages: 101163-101163

    • DOI

      10.1016/j.ijcha.2022.101163

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Red Cell Distribution Width Predicts Long-Term Cardiovascular Outcomes in Patients with Chronic Coronary Syndrome2022

    • Author(s)
      Moriya Soshi、Wada Hideki、Iwata Hiroshi、Endo Hirohisa、Doi Shinichiro、Ogita Manabu、Dohi Tomotaka、Okazaki Shinya、Suwa Satoru、Miyauchi Katsumi、Daida Hiroyuki、Minamino Tohru
    • Journal Title

      International Heart Journal

      Volume: 63 Issue: 6 Pages: 1041-1047

    • DOI

      10.1536/ihj.22-304

    • ISSN
      1349-2365, 1349-3299
    • Year and Date
      2022-11-30
    • Related Report
      2022 Research-status Report
  • [Journal Article] Identification of a novel therapeutic target in vascular dysfunction: a showcase of reverse and forward translational research linking bench to bedside2022

    • Author(s)
      Iwata Hiroshi、Minamino Tohru
    • Journal Title

      European Heart Journal

      Volume: 43 Issue: 6 Pages: 501-503

    • DOI

      10.1093/eurheartj/ehab263

    • Related Report
      2022 Research-status Report
  • [Journal Article] A Prognostic Merit of Statins in Patients with Chronic Hemodialysis after Percutaneous Coronary Intervention-A 10-Year Follow-Up Study2022

    • Author(s)
      Funamizu Takehiro、Iwata Hiroshi、Chikata Yuichi、Doi Shinichiro、Endo Hirohisa、Wada Hideki、Naito Ryo、Ogita Manabu、Kato Yoshiteru、Okai Iwao、Dohi Tomotaka、Kasai Takatoshi、Isoda Kikuo、Okazaki Shinya、Miyauchi Katsumi、Minamino Tohru
    • Journal Title

      Journal of Clinical Medicine

      Volume: 11 Issue: 2 Pages: 390-390

    • DOI

      10.3390/jcm11020390

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Synergistic adverse impact of diabetes and chronic kidney disease on cardiovascular mortality in patients underwent percutaneous coronary intervention2023

    • Author(s)
      S Moriya, H Iwata, Y Chikata, T Funamizu, S Doi, H Endo, I Okai, H Wada, R Naito, M Ogita, T Dohi, S Okazaki, K Miyauchi, H Daida, T Minamino
    • Organizer
      European Society of Cardiology
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Usefulness of a novel nutritional index associated with frailty and poor outcomes in patients with lower extremity arterial disease2023

    • Author(s)
      Y Chikata, H Iwata, S Moriya, T Koike, T Fukase T Funamizu, S Doi, H Endo, H Nishiyama, I Okai, T Dohi, S Okazaki, K Miyauchi, T Minamino
    • Organizer
      European Society of Cardiology
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research

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Published: 2021-07-13   Modified: 2025-01-30  

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