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Mechanism of body fluid regulation by sodium-glucose cotransporter

Research Project

Project/Area Number 15K21321
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Kidney internal medicine
Pharmacology in pharmacy
Research InstitutionJichi Medical University

Principal Investigator

Masuda Takahiro  自治医科大学, 医学部, 講師 (10424037)

Research Collaborator Vallon Volker  カルフォルニア大学, サンディエゴ校・医学部, 教授
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
KeywordsSGLT2阻害 / 体液量 / 利尿薬 / ホメオスタシス / Na利尿 / 生体電気インピーダンス / 浸透圧利尿 / SGLT / SGLT2阻害薬 / 体液貯留 / 生体恒常性 / 体水分量 / SGLT2 / Na輸送 / 生体電気インピーダンス法 / 糖尿病
Outline of Final Research Achievements

We revealed that SGLT2 inhibitor has a potent Na diuretic action, while it plays an important role in maintenance of homeostasis of body fluid volume.
We clarified that 1) SGLT2 inhibition induces a sustained diuretic and natriuretic tone 2) homeostatic mechanisms are activated to stabilize body fluid volume, including compensatory increases in fluid and food intake in euvolemic non-diabeitc rats 3) SGLT2 inhibitor decreases body fluid volume with an increase in urine volume in hypertensive rats with fluid retention. In patients with diabetic kidney disease with fluid retention, SGLT2 inhibitor predominantly decreases extracellular fluid with a transient urinary Na excretion.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (27 results)

All 2018 2017 2016 2015 Other

All Int'l Joint Research (4 results) Journal Article (5 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (18 results) (of which Int'l Joint Research: 4 results)

  • [Int'l Joint Research] University of California San Diego(米国)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] University of California San Diego(米国)

    • Related Report
      2016 Research-status Report
  • [Int'l Joint Research] University of California San Diego(米国)

    • Related Report
      2015 Research-status Report
  • [Int'l Joint Research] University of Wurzburg(Germany)

    • Related Report
      2015 Research-status Report
  • [Journal Article] Sodium-Glucose cotransporter 2 Inhibition with Dapagliflozin Ameriorates Extracellular Volume Expansion in Diabetic Kidney Disease Patients2017

    • Author(s)
      Masuda T, Ohara K, Murakami T, Imai T, Nakagawa S, Okada M, Miki A, Myoga A, Onishi A, Sekiguchi C, Miyazawa Y, Akimoto T, Saito O, Muto S, Nagata D
    • Journal Title

      POJ Diabetes and Obesity Management

      Volume: 1 Pages: 1-8

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] SGLT2阻害薬と浸透圧・Na利尿2017

    • Author(s)
      増田貴博、長田太助
    • Journal Title

      Medical Practice

      Volume: 34 Pages: 1849-1851

    • Related Report
      2017 Annual Research Report
  • [Journal Article] SGLT2阻害薬が水・電解質バランスに及ぼす効果の検討2017

    • Author(s)
      大原 健, 増田 貴博, 今井 利美, 岡田 麻里, 茗荷 宏昭, 伊藤 千春, 秋元 哲, 齋藤 修, 武藤 重明, 長田 太助
    • Journal Title

      臨床体液

      Volume: 44 Pages: 28-32

    • Related Report
      2017 Annual Research Report
  • [Journal Article] SGLT2が制御する心腎連関機序の解明 -新たな糖尿病治療戦略の構築-2015

    • Author(s)
      増田貴博
    • Journal Title

      自治医科大学紀要

      Volume: 37 Pages: 8-8

    • Related Report
      2015 Research-status Report
  • [Journal Article] Management of Diabetes Associated with Nephrotic Syndrome: Therapeutic Potential of Dapagliflozin for Protracted Volume Retention2015

    • Author(s)
      Toshimi Imai, Tetsu Akimoto, Chiharu Ito, Takahiro Masuda, Daisuke Nagata
    • Journal Title

      Drug Target Insights

      Volume: 11 Pages: 29-31

    • DOI

      10.4137/dti.s31710

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Comparative Effect of SGLT2 Inhibitor Dapagliflozin and Loop Diuretic Furosemide on Fluid Distribution2018

    • Author(s)
      Masuda T, Ken Ohara1, Takuya Murakami1, Toshimi Imai1, Saki Nakagawa1, Mari Okada1, Hiromichi Yoshizawa1, Atsushi Miki1, Akihiro Myoga1, Izumi Nagayama1, Taro Sugase1, Akira Onishi1, Chuji Sekiguchi2, Yasuharu Miyazawa2, Tetsu Akimoto1, Osamu Saito1, Shigeaki Muto1, Daisuke Nagata1
    • Organizer
      ISN Frontiers 2018
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Dahl食塩感受性ラットにおいてSGLT2阻害薬が尿中Na排泄, 体液量に及ぼす効果の検討2017

    • Author(s)
      増田貴博, 渡邉裕子, 渡邉南, 福田恵子, 大原健, 長田太助
    • Organizer
      第60回 日本腎臓学会学術総会
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2017-05-26
    • Related Report
      2016 Research-status Report
  • [Presentation] Effect of Sodium-Glucose Cotransporter 2 Inhibitor on Fluid Distribution: Comprasion with Furosemide and Tolvaptan2017

    • Author(s)
      Ohara K, Masuda T, Murakami T, Imai T, Nakagawa S, Okada M, Yoshizawa H, Miki A, Oka K, Asakura M, Sugase T, Onishi A, Akimoto T, Saito O, Muto S, Nagata D
    • Organizer
      ASN Kidney Week 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Dahl食塩感受性ラットにおいてSGLT2阻害薬が尿中Na排泄, 体液量に及ぼす効果の検討2017

    • Author(s)
      増田貴博、渡邉裕子、渡邉南、福田恵子、大原健、長田太助
    • Organizer
      第60回 日本腎臓学会学術総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] SGLT2阻害薬ダパグリフロジンが尿中Na排泄・体液 量に及ぼす効果の検討2017

    • Author(s)
      大原 健, 増田 貴博, 今井 利美, 岡田 麻里, 三木 敦史, 茗荷 宏昭, 秋元 哲, 齋藤 修, 武 藤 重明, 長田 太助
    • Organizer
      第114回 日本内科学会総会・講演会
    • Related Report
      2017 Annual Research Report 2016 Research-status Report
  • [Presentation] SGLTによる体液量調節メカニズム -生体恒常性維持機能としての新たな可能性-2017

    • Author(s)
      増田貴博
    • Organizer
      第2回 川島カンファレンス
    • Related Report
      2017 Annual Research Report
  • [Presentation] SGLT2 inhibitor Ipragliflozin increases fluid and food intake to maintain body fluid volume and weight2016

    • Author(s)
      Takahiro Masuda, Yuko Watanabe, Minami Watanabe, Keiko Fukuda, Akira Onishi, Volker Vallon, Daisuke Nagata
    • Organizer
      ASN Kidney Week 2016
    • Place of Presentation
      McCormick Place (Chicago, USA)
    • Year and Date
      2016-11-15
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] SGLTによる体液量調節メカニズム -生体恒常性維持機能としての新たな可能性-2016

    • Author(s)
      増田貴博
    • Organizer
      第2回 川島カンファレンス
    • Place of Presentation
      内藤記念くすり博物館(岐阜県各務原市)
    • Year and Date
      2016-10-22
    • Related Report
      2016 Research-status Report
  • [Presentation] 浮腫を伴う糖尿病性腎症患者へのダパグリフロジン投与経験2016

    • Author(s)
      大原健
    • Organizer
      北関東若手腎臓フロンティア
    • Place of Presentation
      自治医科大学 (栃木県下野市)
    • Year and Date
      2016-10-13
    • Related Report
      2016 Research-status Report
  • [Presentation] SGLT2阻害薬イプラグリフロジンは,体内Na量や体液量と独立した機序により血圧を降下させる2016

    • Author(s)
      増田貴博, 渡邉裕子, 渡邉南, 福田恵子, 大西央, Volker Vallon, 長田太助
    • Organizer
      第39回 日本高血圧学会総会
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2016-10-02
    • Related Report
      2016 Research-status Report
  • [Presentation] SGLT2阻害薬イプラグリフロジン(Ipra)は、飲水量・食餌量と独立した利尿作用により体液量を減少させる2016

    • Author(s)
      増田貴博, 渡邉裕子, 渡邉南, 福田恵子, 大西央, Volker Vallon, 長田太助
    • Organizer
      第59回 日本腎臓学会学術総会
    • Place of Presentation
      パシフィコ横浜 (神奈川県横浜市)
    • Year and Date
      2016-06-18
    • Related Report
      2016 Research-status Report
  • [Presentation] SGLTによる尿中Na排泄・体液量調節機構2016

    • Author(s)
      増田貴博
    • Organizer
      つくば腎セミナー
    • Place of Presentation
      つくば国際会議場
    • Year and Date
      2016-01-21
    • Related Report
      2015 Research-status Report
  • [Presentation] Role of SGLT2 on urinary Na excretion and body fluid volume2015

    • Author(s)
      Takahiro Masuda
    • Organizer
      Kidney Summit 2015
    • Place of Presentation
      第一ホテル東京
    • Year and Date
      2015-12-19
    • Related Report
      2015 Research-status Report
  • [Presentation] Effect of SGLT2 inhibitor Ipragliflozin on urinary Na excretion and body fluid volume2015

    • Author(s)
      Takahiro Masuda, Yuko Watanabe, Keiko Fukuda, Minami Watanabe, Akira Onishi, Hermann Koepsell, Volker Vallon, Daisuke Nagata
    • Organizer
      ASN Kidney Week 2015
    • Place of Presentation
      San Diego Convention Center
    • Year and Date
      2015-11-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] ナトリウム依存性グルコース輸送体(SGLT)2阻害時の尿中Na排泄・体液量調節機構の解明2015

    • Author(s)
      増田貴博, 渡邉裕子, 福田恵子, 渡邉 南, 大西央, Hermann Koepsell, Volker Vallon, 長田太助
    • Organizer
      第6回 分子 腎臓フォーラム
    • Place of Presentation
      グランフロント大阪
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
  • [Presentation] Effect of SGLT2 inhibitor Ipragliflozin on urinary Na excretion and body fluid volume2015

    • Author(s)
      Takahiro Masuda, Yuko Watanabe, Keiko Fukuda, Minami Watanabe, Hermann Koepsell, Volker Vallon, Daisuke Nagata
    • Organizer
      JMU SYMPOSIUM 2015
    • Place of Presentation
      自治医科大学
    • Year and Date
      2015-09-04
    • Related Report
      2015 Research-status Report
  • [Presentation] SGLT阻害による腎臓での多面的作用2015

    • Author(s)
      増田貴博
    • Organizer
      第27回 栃木腎フォーラム
    • Place of Presentation
      宇都宮グランドホテル
    • Year and Date
      2015-06-11
    • Related Report
      2015 Research-status Report
  • [Presentation] SGLT2阻害薬イプラグリフロジンが尿中Na排泄量, 体液量に及ぼす効果の検討2015

    • Author(s)
      増田貴博, 渡邉裕子, 福田恵子, 渡邉 南, Hermann Koepsell, Volker Vallon, 長田太助
    • Organizer
      第58回 日本腎臓学会学術総会
    • Place of Presentation
      名古屋国際会議場
    • Year and Date
      2015-06-07
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2022-06-07  

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