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A Study of Therapeutic Mechanism of rTMS for Cognitive Dysfunction of Schizophrenia by Evaluation of GABAergic Function

Research Project

Project/Area Number 24591727
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionWakayama Medical University

Principal Investigator

UKAI Satoshi  和歌山県立医科大学, 医学部, 准教授 (80324763)

Co-Investigator(Kenkyū-buntansha) SHINOSAKI Kazuhiro  和歌山県立医科大学, 医学部, 教授 (40215984)
TSUJI Tomikimi  和歌山県立医科大学, 医学部, 講師 (10347586)
TAKAHASHI Shun  和歌山県立医科大学, 医学部, 助教 (10508021)
YAMAMOTO Masahiro  和歌山県立医科大学, 医学部, 助教 (80423937)
SAKAMOTO Yuka  和歌山県立医科大学, 医学部, 助教 (90423938)
KISE Asami  和歌山県立医科大学, 医学部, 助教 (10405425)
OKUMURA Masatoshi  和歌山県立医科大学, 医学部, 助教 (00464678)
UEYAMA EIKO  和歌山県立医科大学, 医学部, 助教 (40405444)
HASHIMOTO Tadahiro  和歌山県立医科大学, 医学部, 学内助教 (00438277)
OSAWA Kyoko  和歌山県立医科大学, 医学部, 学内助教 (50612107)
Co-Investigator(Renkei-kenkyūsha) UEYAMA Keiji  和歌山県立医科大学, 医学部, 教授 (50264875)
KANEOKE Yoshiki  和歌山県立医科大学, 医学部, 教授 (20280589)
HOTOMI Muneki  和歌山県立医科大学, 医学部, 准教授 (90336892)
IWATANI Jun  
ISHIDA Takuya  
SHOYAMA Masaru  
Project Period (FY) 2012-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2014: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2012: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords統合失調症 / 認知機能 / 磁気刺激療法 / GABA / 磁気刺激治療 / 磁気刺激 / NIRS
Outline of Final Research Achievements

Repetitive transcranial magnetic stimulation (rTMS), a new therapeutic method for depression, is studied for application of treatment of cognitive dysfunction of schizophrenia. On the other hand, its cognitive dysfunction is supposed to relate with cortical GABAergic dysfunction. In this study, we aimed to examine therapeutic mechanisms and their evidences of this rTMS treatment by complementarily using paired-pulse transcranial magnetic stimulation that can evaluate cortical GABAergic function, real-time cortical blood flow responsivity to rTMS, and several functional/structural neuroimaging techniques. Due to the time shortage, we did not reach the final stage to conduct rTMS treatment in parallel with these measurements within this study period. However, using these measurements and techniques, we obtained several important results those can contribute to clarify pathophysiology of neuropsychiatric diseases including schizophrenia.

Report

(5 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (54 results)

All 2016 2015 2014 2013 2012 Other

All Journal Article (27 results) (of which Peer Reviewed: 15 results,  Open Access: 2 results) Presentation (27 results) (of which Invited: 11 results)

  • [Journal Article] rTMS(反復経頭蓋磁気刺激)によるうつ病治療の現況と課題2016

    • Author(s)
      鵜飼聡
    • Journal Title

      精神神経学雑誌

      Volume: 118 Pages: 98-105

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 神経精神領域における反復経頭蓋磁気刺激:統合失調症を中心に2016

    • Author(s)
      鵜飼聡、高橋隼、篠崎和弘
    • Journal Title

      最新精神医学

      Volume: 21 Pages: 131-137

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Reduction of cortical excitability and increase of thalamic activity in a low-frequency rTMS treatment for chronic tinnitus2015

    • Author(s)
      Takahashi S, Ukai S, Tsuji T, Ueyama T, Kono M, Yamanaka N, Shinosaki K
    • Journal Title

      Neurocase

      Volume: 21 Issue: 3 Pages: 339-344

    • DOI

      10.1080/13554794.2014.893000

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Evaluation of regional cerebral blood flow in patient with atypical senile dementia with asymmetrical calcification2015

    • Author(s)
      Masaru Shoyama, Satoshi Ukai, Kazuhiro Shinosaki
    • Journal Title

      Psychogeriatrics

      Volume: 3 Issue: 4 Pages: 272-276

    • DOI

      10.1111/psyg.12110

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Microstructural abnormalities in anterior callosal fibers and their relationship with cognitive function in major depressive disorder and bipolar disorder: A tract-specific analysis study2015

    • Author(s)
      Yamada S, Takahashi S, Ukai S, Tsuji T, Iwatani J, Tsuda K, Kita A, Sakamoto Y, Yamamoto M, Terada M, Shinosaki K
    • Journal Title

      Journal of Affective Disorders

      Volume: 174 Pages: 542-548

    • DOI

      10.1016/j.jad.2014.12.022

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Alterations of regional cerebral blood flow in tinnitus patients as assessed using single-photon emission computed tomography2015

    • Author(s)
      Ueyama T, Donishi T, Ukai S, Yamamoto Y, Ishida T, Tamagawa S, Hotomi M, Shinosaki K, Yamanaka N, Kaneoke Y
    • Journal Title

      PLoS One

      Volume: 10 Issue: 9 Pages: e0137291-e0137291

    • DOI

      10.1371/journal.pone.0137291

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Use of T1-weighted/T2-weighted magnetic resonance ratio images to elucidate changes in the schizophrenic brain2015

    • Author(s)
      Iwatani J, Ishida T, Donishi T, Ukai S, Shinosaki K, Terada M, Kaneoke Y
    • Journal Title

      Brain Behav

      Volume: 5 Issue: 10 Pages: 1-14

    • DOI

      10.1002/brb3.399

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] rTMS/NIRS同時測定による上側頭回-前頭葉の脳部位間結合性の評価2015

    • Author(s)
      高橋隼、鵜飼聡、喜多彬、山田信一、正山勝、辻富基美、篠崎和弘
    • Journal Title

      日本薬物脳波学会雑誌

      Volume: 16 Pages: 23-28

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] rTMSの一般臨床治療への導入2015

    • Author(s)
      篠崎和弘、鵜飼聡、高橋隼
    • Journal Title

      精神科治療学

      Volume: 30 Pages: 71-74

    • Related Report
      2015 Annual Research Report 2014 Research-status Report
  • [Journal Article] 精神生理・神経画像と統合失調症-グルタミン酸とGABAの関連から-2014

    • Author(s)
      鵜飼聡
    • Journal Title

      精神科

      Volume: 25 Pages: 577-581

    • Related Report
      2014 Research-status Report
  • [Journal Article] 音楽性幻聴2014

    • Author(s)
      鵜飼聡、篠崎和弘
    • Journal Title

      Dementia Japan

      Volume: 28 Pages: 252-258

    • Related Report
      2014 Research-status Report
  • [Journal Article] Reduction of cortical excitability and increase of thalamic activity in a low-frequency rTMS treatment for chronic tinnitus2014

    • Author(s)
      Takahashi S, Ukai S, et al.
    • Journal Title

      Neurocase

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Reduction of cortical GABAergic inhibition correlates with working memory impairment in recent onset schizophrenia2013

    • Author(s)
      Takahashi S, Ukai S, et al.
    • Journal Title

      Schizophr Res

      Volume: 146 Issue: 1-3 Pages: 238-243

    • DOI

      10.1016/j.schres.2013.02.033

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Brain regions responsible for tinnitus distress and loudness: a resting-state fMRI study.2013

    • Author(s)
      Ueyama T, Donishi T, Ukai S, Ikeda Y, Hotomi M, Yamanaka N, Shinosaki K, Terada M, Kaneoke Y.
    • Journal Title

      PLoS ONE

      Volume: 8 (6) Issue: 6 Pages: 1-12

    • DOI

      10.1371/journal.pone.0067778

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Short latency afferent inhibition in schizophrenia patients2013

    • Author(s)
      Shoyama M, Ukai S, et al.
    • Journal Title

      ASEAN Journal of Psychiatry

      Volume: 14 Pages: 126-133

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 経頭蓋磁気刺激の臨床、研究への応用 統合失調症治療への応用2013

    • Author(s)
      鵜飼聡
    • Journal Title

      精神科

      Volume: 22 Pages: 152-156

    • Related Report
      2013 Research-status Report 2012 Research-status Report
  • [Journal Article] うつ病に対する反復経頭蓋磁気刺激(rTMS)治療2013

    • Author(s)
      鵜飼聡、篠崎和弘
    • Journal Title

      最新精神医学

      Volume: 18 Pages: 215-221

    • Related Report
      2013 Research-status Report
  • [Journal Article] Lamotrigineの大量服用後に横紋筋融解症を認めた1例2013

    • Author(s)
      正山勝、鵜飼聡、他
    • Journal Title

      臨床精神薬理

      Volume: 16 Pages: 261-265

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 重度の躁状態を呈した末期膵臓がんの1症例2013

    • Author(s)
      大沢恭子、鵜飼聡、他
    • Journal Title

      精神科

      Volume: 22 Pages: 457-462

    • Related Report
      2013 Research-status Report
  • [Journal Article] Variance and autocorrelation of the spontaneous slow brain activity.2012

    • Author(s)
      Kaneoke Y, Donishi T, Iwatani J, Ukai S, Shinosaki K, Terada M.
    • Journal Title

      PLoS One

      Volume: 7(5) Issue: 5 Pages: e38131-e38131

    • DOI

      10.1371/journal.pone.0038131

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 高齢者に対する向精神薬療法の工夫-疼痛2012

    • Author(s)
      鵜飼聡
    • Journal Title

      精神科

      Volume: 20 Pages: 149-155

    • Related Report
      2012 Research-status Report
  • [Journal Article] 多様化した現代のうつ病とその診療2012

    • Author(s)
      鵜飼聡
    • Journal Title

      和歌山県医師会医学雑誌

      Volume: 41 Pages: 26-28

    • Related Report
      2012 Research-status Report
  • [Journal Article] Mirtazapine投与後に悪夢が生じた1例2012

    • Author(s)
      正山勝、鵜飼聡、他
    • Journal Title

      精神科治療学

      Volume: 27 Pages: 401-405

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 音楽性幻聴:その発現機序2012

    • Author(s)
      鵜飼聡
    • Journal Title

      臨床精神医学

      Volume: 41 Pages: 739-744

    • Related Report
      2012 Research-status Report
  • [Journal Article] 精神疾患の病態の検討へのTMSの応用2012

    • Author(s)
      鵜飼聡
    • Journal Title

      日本生物学的精神医学会誌

      Volume: 23 Pages: 143-147

    • NAID

      130005395499

    • Related Report
      2012 Research-status Report
  • [Journal Article] 反復経頭蓋磁気刺激によるラット海馬における神経細胞新生の増加2012

    • Author(s)
      上山栄子、鵜飼聡、他
    • Journal Title

      精神神経学雑誌

      Volume: 114 Pages: 1018-1022

    • NAID

      10031156476

    • Related Report
      2012 Research-status Report
  • [Journal Article] 和歌山県立医科大学附属病院救命救急センターを受診した自殺企図者の特徴と過量服薬への介入の提案2012

    • Author(s)
      橋本忠浩、鵜飼聡、他
    • Journal Title

      総合病院精神医学

      Volume: 24 Pages: 33-39

    • NAID

      10031128535

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 経頭蓋磁気刺激を応用した神経精神疾患の病態研究2015

    • Author(s)
      高橋隼、鵜飼聡、正山勝、小瀬朝海、辻富基美、篠崎和弘
    • Organizer
      第45回日本臨床神経生理学会学術集会
    • Place of Presentation
      大阪市
    • Year and Date
      2015-11-07
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] rTMS(反復経頭蓋磁気刺激)によるうつ病治療の現況と課題2015

    • Author(s)
      鵜飼聡
    • Organizer
      第111回日本精神神経学会学術総会
    • Place of Presentation
      大阪市
    • Year and Date
      2015-06-04
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 側頭葉てんかんにおける脳梁での拡散テンソル画像の検討2015

    • Author(s)
      辻富基美、津田久美、山田信一、喜多彬、高橋隼、鵜飼聡、寺田正樹、篠崎和弘
    • Organizer
      第37回Fmθ研究会
    • Place of Presentation
      大阪市
    • Year and Date
      2015-03-07
    • Related Report
      2014 Research-status Report
  • [Presentation] Relationship of psychiatric symptom and cognitive function with global functioning in recent onset and chronic schizophrenia2014

    • Author(s)
      Takahashi S, Ukai S, Satogami K, Yamada S, Shinosaki K
    • Organizer
      The 9th International Conference on Early Psychosis
    • Place of Presentation
      Tokyo, Japan
    • Year and Date
      2014-11-18
    • Related Report
      2014 Research-status Report
  • [Presentation] Neuroimaging of brain regions responsible for tinnitus loudness and distress2014

    • Author(s)
      Ueyama T, Donishi T, Ukai S, Shinosaki K, Hotomi M, Ikeda Y, Tamagawa S, Terada M, Yamanaka N, Kaneoke Y
    • Organizer
      Inner Ear Biology Workshop 2014 in Kyoto
    • Place of Presentation
      Kyoto, Japan
    • Year and Date
      2014-11-03
    • Related Report
      2014 Research-status Report
  • [Presentation] rTMSによるヒトの皮質内GABA、グルタミン酸機能の変化2014

    • Author(s)
      鵜飼聡、高橋隼
    • Organizer
      第36回日本生物学的精神医学会・第57回日本神経化学会大会合同年会
    • Place of Presentation
      奈良市
    • Year and Date
      2014-09-30
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 統合失調症におけるGABA/グルタミン酸機能の進行性変化と認知機能障害の関連2014

    • Author(s)
      高橋隼、鵜飼聡、小瀬朝海、辻富基美、篠崎和弘
    • Organizer
      第36回日本生物学的精神医学会・第57回日本神経化学会大会合同年会
    • Place of Presentation
      奈良市
    • Year and Date
      2014-09-29
    • Related Report
      2014 Research-status Report
  • [Presentation] Reduced white matter integrity in anterior corpus callosum and its relationship with cognition in major depressive disorder: a DTI study2014

    • Author(s)
      Yamada S, Ukai S, Takahashi S, Tsuji T, Iwatani J, Tsuda K, Terada M, Shinosaki K
    • Organizer
      The XVI World Congress of Psychiatry
    • Place of Presentation
      Madrid, Spain
    • Year and Date
      2014-09-16
    • Related Report
      2014 Research-status Report
  • [Presentation] The effect of return-to-work program in Japan: a preliminary study on retrospective review of medical records2014

    • Author(s)
      Sakamoto Y, Takahashi S, Yamamoto M, Minamimura R, Arita N, Yamada S, Ukai S, Shinosaki K
    • Organizer
      The XVI World Congress of Psychiatry
    • Place of Presentation
      Madrid, Spain
    • Year and Date
      2014-09-16
    • Related Report
      2014 Research-status Report
  • [Presentation] Reduction of frontotemporal hemodynamic response correlates with cognitive impairment in schizophrenia: a multi-channel near-infrared spectroscopy (NIRS) study

    • Author(s)
      Takahashi S, Ukai S, et al.
    • Organizer
      The 4th Mind-Body Interface International Symposium
    • Place of Presentation
      Taichung, Taiwan
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Abnormality of lipid metabolism correlates with cognitive impairments in Japanese patients with schizophrenia

    • Author(s)
      Satogami K, Ukai S, et al.
    • Organizer
      The 4th Mind-Body Interface International Symposium
    • Place of Presentation
      Taichung, Taiwan
    • Related Report
      2013 Research-status Report
  • [Presentation] Changes of white matter integrity in the corpus callosum by rTMS for treatment-resistant depression: a preliminary DTI tractography stud

    • Author(s)
      Kita A, Ukai S, et al.
    • Organizer
      The 22nd European Congress of Psychiatry
    • Place of Presentation
      Munich, Germany
    • Related Report
      2013 Research-status Report
  • [Presentation] Relationship between callosal fiber integrity and clinical characteristics in bipolar and major depressive disorder: a diffusion tensor imaging study

    • Author(s)
      Yamada S, Ukai S, et al.
    • Organizer
      The 22nd European Congress of Psychiatry
    • Place of Presentation
      Munich, Germany
    • Related Report
      2013 Research-status Report
  • [Presentation] Deterioration of GABAergic function in the early course of schizophrenia: a cross-sectional study

    • Author(s)
      Takahashi S, Ukai S, et al.
    • Organizer
      The 11th World Congress of Biological Psychiatry
    • Place of Presentation
      Kyoto
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Relationship between callosal fiber integrity and cognition in schizophrenia and bipolar disorder: a diffusion tensor imaging study

    • Author(s)
      Yamada S, Ukai S, et al.
    • Organizer
      The 11th World Congress of Biological Psychiatry
    • Place of Presentation
      Kyoto
    • Related Report
      2013 Research-status Report
  • [Presentation] Simultaneous rTMS/NIRS for assessment of regional brain connectivity between superior temporal gyrus and frontal lobes

    • Author(s)
      Takahashi S, Ukai S, et al.
    • Organizer
      The 11th World Congress of Biological Psychiatry
    • Place of Presentation
      Kyoto
    • Related Report
      2013 Research-status Report
  • [Presentation] GABA/glutamatergic function in the early course of schizophrenia: a paired-pulse TMS study

    • Author(s)
      Takahashi S, Ukai S, et al.
    • Organizer
      TSBPN / TCNP (Taiwanese Society of Biological Psychiatry and Neuropsychopharmacology)
    • Place of Presentation
      Taipei, Taiwan
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 耳鳴症の音量と苦痛度に関与する脳領域-安静時機能的MRIを用いた解析

    • Author(s)
      上山敬司、鵜飼聡、他
    • Organizer
      第15回ヒト脳機能マッピング学会
    • Place of Presentation
      東京都
    • Related Report
      2013 Research-status Report
  • [Presentation] 統合失調症に対する2連発TMSを用いたGABA仮説の検討とrTMSによる治療

    • Author(s)
      鵜飼聡
    • Organizer
      第43回日本臨床神経生理学会学術大会
    • Place of Presentation
      高知市
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Short latency afferent inhibition (SAI)の簡易測定装置の検討

    • Author(s)
      正山勝、鵜飼聡、他
    • Organizer
      第43回日本臨床神経生理学会学術大会
    • Place of Presentation
      高知市
    • Related Report
      2013 Research-status Report
  • [Presentation] 音楽性幻聴

    • Author(s)
      鵜飼聡
    • Organizer
      第32回日本認知症学会学術集会
    • Place of Presentation
      松本市
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 和歌山県における電気けいれん療法の適応状況と実施回数

    • Author(s)
      高橋隼、鵜飼聡、他
    • Organizer
      第26回日本総合病院精神医学会総会
    • Place of Presentation
      京都市
    • Related Report
      2013 Research-status Report
  • [Presentation] 精神疾患の磁気刺激治療への脳機能画像の応用

    • Author(s)
      鵜飼聡
    • Organizer
      第14回日本脳機能マッピング学会
    • Place of Presentation
      札幌市
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 上側頭回-前頭葉の機能的結合性の評価に対するTMS-NIRS 同時測定の応用

    • Author(s)
      高橋隼、鵜飼聡、他
    • Organizer
      第14回日本脳機能マッピング学会
    • Place of Presentation
      札幌市
    • Related Report
      2012 Research-status Report
  • [Presentation] 統合失調症と双極性障害における白質神経線維の結合異常と認知機能・精神症状の関連:Diffusion Tensor Imageによる検討

    • Author(s)
      山田信一、鵜飼聡、他
    • Organizer
      第14回日本脳機能マッピング学会
    • Place of Presentation
      札幌市
    • Related Report
      2012 Research-status Report
  • [Presentation] rTMSの作用機序-主に神経生理学・生化学的側面から-

    • Author(s)
      鵜飼聡
    • Organizer
      第34回日本生物学的精神医学会
    • Place of Presentation
      神戸市
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 和歌山医大でのm-ECTの導入とその後の経過-rTMS治療の臨床研究との比較も含めて- 鵜飼聡

    • Author(s)
      鵜飼聡
    • Organizer
      首都圏ECTネットワーク第9回研究会
    • Place of Presentation
      東京都
    • Related Report
      2012 Research-status Report
    • Invited

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Published: 2013-05-31   Modified: 2019-07-29  

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