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Treatment approach against cardiovascular disease in hemodialysis patients through improvement of uremic toxins

Research Project

Project/Area Number 25461250
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionOsaka City University

Principal Investigator

Mori Katsuhito  大阪市立大学, 大学院医学研究科, 講師 (60382040)

Co-Investigator(Kenkyū-buntansha) SHOJI Tetsuo  大阪市立大学, 大学院医学研究科, 准教授 (40271192)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywordsfetuin-A / インドキシル硫酸 / 心血管イベント / 血液透析 / CKD / 尿毒症 / 血管石灰化 / 培養肝細胞 / 透析
Outline of Final Research Achievements

Fetuin-A is a liver-derived circulating protein that has potent calcification-inhibitory activity. Uremic patients exhibit decreased serum fetuin-A levels, increased vascular calcification and elevated cardiovascular mortality. Because the mechanisms for fetuin-A deficiency are unknown, we hypothesised that some uremic toxins suppressed hepatic fetuin-A production, which resulted in accelerated vascular calcification and poor outcome. Among these potential candidates, indoxyl sulfate (IS) has highly toxic properties. We examined the direct effects of IS on hepatic fetuin-A expression using the human hepatoma HepG2 cell line. IS suppressed hepatic fetuin-A expression by activating the aryl hydrocarbon receptor, suggesting a relationship among uremia, fetuin-A deficiency and cardiovascular mortality.

Report

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

    (16 results)

All 2015 2014 2013

All Journal Article (4 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (12 results)

  • [Journal Article] Indoxyl sulfate suppresses hepatic fetuin-A expression via the aryl hydrocarbon receptor in HepG2 cells2015

    • Author(s)
      Ochi A, Mori K, Nakatani S, Emoto M, Morioka T, Motoyama K, Fukumoto S, Imanishi Y, Shoji T, Ishimura E, Inaba M
    • Journal Title

      Nephrology, dialysis, transplantation

      Volume: 30 Issue: 10 Pages: 1683-1692

    • DOI

      10.1093/ndt/gfv250

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Improved Glycemic Control with Teneligliptin in Patients with Type 2 Diabetes Mellitus on Hemodialysis: Evaluation by Continuous Glucose Monitoring2015

    • Author(s)
      Wada N, Mori K, Nakagawa C, Sawa J, Kumeda Y, Shoji T, Emoto M, Inaba M
    • Journal Title

      J diabetes complications

      Volume: 29 Issue: 8 Pages: 1310-1313

    • DOI

      10.1016/j.jdiacomp.2015.07.002

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 個別化治療を目指した2型糖尿病治療戦略2015

    • Author(s)
      小田原雅人、野見山崇、森克仁
    • Journal Title

      Pharama Medica

      Volume: 33 Pages: 131-136

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Direct inhibitory effects of pioglitazone on hepatic fetuin-A expression.2014

    • Author(s)
      Ochi A, Mori K, Emoto M, Nakatani S, Morioka T, Motoyama K, Fukumoto S, Imanishi Y, Koyama H, Ishimura E, Inaba M
    • Journal Title

      PLoS One

      Volume: 9 Issue: 2 Pages: e88704-e88704

    • DOI

      10.1371/journal.pone.0088704

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] 2型糖尿病透析患者におけるリナグリプチンとボグリボースの血糖コントロールに対するランダム化比較試験2015

    • Author(s)
      森克仁、絵本正憲、庄司哲雄、稲葉雅章
    • Organizer
      第27回日本糖尿病性腎症研究会
    • Place of Presentation
      ベルサール汐留(東京都)
    • Year and Date
      2015-12-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] 2型糖尿病透析患者を対象とした血糖コントロールに対するリナグリプチンとボグリボースのランダム化比較試験2015

    • Author(s)
      森克仁、絵本正憲、庄司哲雄、稲葉雅章
    • Organizer
      第30回日本糖尿病合併症学会
    • Place of Presentation
      愛知県産業労働センターウインクあいち(愛知県・名古屋)
    • Year and Date
      2015-11-27
    • Related Report
      2015 Annual Research Report
  • [Presentation] 2型糖尿病透析患者の血糖コントロールにおけるリナグリプチンのボグリボースに対する優位性~ランダム化比較試験~2015

    • Author(s)
      森克仁、絵本正憲、庄司哲雄、稲葉雅章、Diamond study investigators
    • Organizer
      第60回日本透析医学会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜)
    • Year and Date
      2015-06-25
    • Related Report
      2015 Annual Research Report
  • [Presentation] 2型糖尿病透析患者の血糖コントロールに対するリナグリプチンの有効性ーボグリボースを対照としたランダム化比較試験ー2015

    • Author(s)
      森克仁 、絵本正憲、庄司哲雄、稲葉雅章
    • Organizer
      第58回日本糖尿病学会
    • Place of Presentation
      海峡メッセ(山口県・下関)
    • Year and Date
      2015-05-21
    • Related Report
      2015 Annual Research Report
  • [Presentation] Indoxyl Sulfate Suppresses Hepatic Fetuin-A Expression through Aryl Hydrocarbon Receptor2014

    • Author(s)
      Ochi A, Mori K, Nakatani S, Emoto M, Motoyama K, Morioka T, Fukumoto S, Imanishi Y, Shoji T, Ishimura E, Inaba M
    • Organizer
      ASN Kidney Week 2014
    • Place of Presentation
      Philadelphia (USA)
    • Year and Date
      2014-11-11 – 2014-11-16
    • Related Report
      2014 Research-status Report
  • [Presentation] Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand (TRAIL) as an Independent Predictor of Cardiovascular Events in Hemodialysis Patients2014

    • Author(s)
      Mori K, Shoji T, Ochi A, Okute Y, Sonoda M, Ichii M, Tshujimoto Y, Emoto M, Inaba M
    • Organizer
      ASN Kidney Week 2014
    • Place of Presentation
      Philadelphia (USA)
    • Year and Date
      2014-11-11 – 2014-11-16
    • Related Report
      2014 Research-status Report
  • [Presentation] インドキシル硫酸による肝細胞のfetuin-A発現抑制にはAryl Hydrocarbon Receptorは関与する2014

    • Author(s)
      越智章展、森克仁 、仲谷慎也、森岡与明、今西康雄、絵本正憲、庄司哲雄、石村栄治、稲葉雅章
    • Organizer
      第57回日本腎臓学会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2014-07-04 – 2014-07-06
    • Related Report
      2014 Research-status Report
  • [Presentation] 血中TRAILは透析患者における心血管疾患発症の独立した予測因子である2014

    • Author(s)
      森克仁 、庄司哲雄、越智章展、奥手祐次郎、園田実香 、一居充、辻本吉広、田畑勉、絵本正憲、稲葉雅章
    • Organizer
      第57回日本腎臓学会
    • Place of Presentation
      パシフィコ横浜(神奈川県・横浜市)
    • Year and Date
      2014-07-04 – 2014-07-06
    • Related Report
      2014 Research-status Report
  • [Presentation] インドキシル硫酸はAryl Hydrocarbon Receptorを介して肝細胞のfetuin-A発現を抑制する2014

    • Author(s)
      越智章展、森克仁 、仲谷慎也、森岡与明、今西康雄、絵本正憲、庄司哲雄、石村栄治、稲葉雅章
    • Organizer
      第59回日本透析医学会
    • Place of Presentation
      神戸国際会議場(兵庫県・神戸市)
    • Year and Date
      2014-06-12 – 2014-06-15
    • Related Report
      2014 Research-status Report
  • [Presentation] 透析患者における血中TRAILと心血管疾患発症との関連2014

    • Author(s)
      森克仁 、庄司哲雄、越智章展、奥手祐次郎、園田実香 、一居充、辻本吉広、田畑勉、絵本正憲、稲葉雅章
    • Organizer
      第59回日本透析医学会
    • Place of Presentation
      神戸国際会議場(兵庫県・神戸市)
    • Year and Date
      2014-06-12 – 2014-06-15
    • Related Report
      2014 Research-status Report
  • [Presentation] インスリン抵抗性惹起糖蛋白質fetuin-Aの肝での発現調節(pioglitazoneの影響)2013

    • Author(s)
      越智章展、森克仁、絵本正憲、仲谷慎也、元山宏華、森岡与明、福本真也、稲葉雅章
    • Organizer
      第56回日本糖尿病学会
    • Place of Presentation
      ホテル日航熊本
    • Related Report
      2013 Research-status Report
  • [Presentation] Effects of Pioglitazone on Fetuin-A Expression in Hepatocytes2013

    • Author(s)
      Ochi A, Mori K, Emoto M, Nakatani S, Morioka T, Motoyama K, Fukumoto S, Inaba M
    • Organizer
      American Diabetes Association, 73rd Scientific Sesseions
    • Place of Presentation
      Chicago, IL, USA
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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