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Development of a new treatment approach for chronic kidney disease by controlling CCN2 function

Research Project

Project/Area Number 16K09627
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionSaitama Medical University

Principal Investigator

Inoue Tsutomu  埼玉医科大学, 医学部, 准教授 (30406475)

Co-Investigator(Kenkyū-buntansha) 岡田 浩一  埼玉医科大学, 医学部, 教授 (60233342)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords腎線維化 / CCN2 / 慢性腎臓病 / インテグリン / 内科 / 腎臓内科
Outline of Final Research Achievements

Chronic kidney disease (CKD) is a national health issue, currently affecting 13 million people in Japan. However, there are no specific therapeutic agents available at present so CKD is treated with dietary measures. Disease progression leads to severe kidney impairment and dialysis is required. In addition, CKD is one of major risk factors for arteriosclerosis, which can lead to myocardial and cerebral infarction. In order to develop a new treatment approach for CKD, researchers first focused on a matricellular protein, CCN2, which is one of the factors responsible for kidney fibrosis, and examined its function in detail. The results show that CCN2 works on tubular epithelial cells in the kidney to alter their pathological function, leading to the development of CKD. This research could be used as a springboard for the development of new treatments approaches for CKD.

Academic Significance and Societal Importance of the Research Achievements

この研究成果には2つの意味がある。一つは慢性腎臓病の治療薬を開発する糸口をつかんだことである。透析が必要なほど腎の働きが悪くなる患者数を減らせるだけでは無く、腎臓が悪いことで起きる心臓病や脳血管疾患の発症も防ぐことができる。もう一つの意味は、この研究を応用すれば腎臓以外の病気の新薬が開発できることである。この研究で治療対象としたのは線維化であり、線維化は慢性腎臓病を進行させる主要な原因であるばかりか、肝硬変や肺線維症でもそれぞれの病気を進行させる主要な原因であることが知られている。線維化を治す新薬が開発できれば、慢性腎臓病以外の(線維化が原因となっている)不治の病気も治療が可能となるだろう。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (14 results)

All 2019 2018 2017 2016

All Journal Article (8 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results,  Open Access: 3 results) Presentation (6 results) (of which Int'l Joint Research: 3 results)

  • [Journal Article] Consensus-based technical recommendations for clinical translation of renal BOLD MRI2019

    • Author(s)
      Octavia Bane, Iosif A. Mendichovszky, Bastien Milani, et al.
    • Journal Title

      Magnetic Resonance Materials in Physics, Biology and Medicine

      Volume: 33 Issue: 1 Pages: 199-215

    • DOI

      10.1007/s10334-019-00802-x

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Glomerular solidification is associated with nephritis-related clinical parameters in IgA nephropathy2019

    • Author(s)
      Inoue Tsutomu、Luo Yankun、Seto Takeru、Suzuki Hiromichi、Okada Hirokazu
    • Journal Title

      Renal Failure

      Volume: 41 Issue: 1 Pages: 893-898

    • DOI

      10.1080/0886022x.2019.1665545

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Cellular communication network factor 2 (CCN2) promotes the progression of acute kidney injury to chronic kidney disease2019

    • Author(s)
      Inoue Tsutomu、Kusano Takeru、Amano Hiroaki、Nakamoto Hidetomo、Okada Hirokazu
    • Journal Title

      Biochemical and Biophysical Research Communications

      Volume: 517 Issue: 1 Pages: 96-102

    • DOI

      10.1016/j.bbrc.2019.07.024

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【腎硬化症への対策】 腎硬化症の薬物治療 糖尿病合併例、有蛋白尿例を含む2017

    • Author(s)
      岡田浩一
    • Journal Title

      日本医事新報

      Volume: 4854 Pages: 34-40

    • Related Report
      2017 Research-status Report
  • [Journal Article] 【動脈硬化up to date】 腎線維化を考慮したCKD治療戦略 腎線維化はどこまで解明されたか2017

    • Author(s)
      岡田浩一
    • Journal Title

      循環plus

      Volume: 17 Pages: 2-6

    • Related Report
      2017 Research-status Report
  • [Journal Article] 腎線維化を考慮したCKD治療戦略 腎線維化はどこまで解明されたか2016

    • Author(s)
      岡田浩一
    • Journal Title

      循環plus.

      Volume: 17 Pages: 4-6

    • Related Report
      2016 Research-status Report
  • [Journal Article] CKDの進展抑制と治療 RA系阻害薬を中心とする薬物療法の現状と今後への期待2016

    • Author(s)
      岡田浩一
    • Journal Title

      内科

      Volume: 118 Pages: 83-87

    • Related Report
      2016 Research-status Report
  • [Journal Article] 腎機能障害 慢性腎臓病(CKD)2016

    • Author(s)
      岡田浩一
    • Journal Title

      臨床泌尿器科

      Volume: 70 Pages: 150-153

    • Related Report
      2016 Research-status Report
  • [Presentation] CCN2 Module IV-Derived Decoy Peptides Attenuate Renal Fibrogenesis Through Inhibition of FAK Pathway in the Tubular Epithelium2019

    • Author(s)
      Hiroaki Amano, Tsutomu Inoue, Hirokazu Okada
    • Organizer
      Annual Meeting of American Society of Nephrology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] CCN2 module 4はFAKのリン酸化を介して腎線維化を促進する2019

    • Author(s)
      天野博明、井上勉、草野武、岡田浩一
    • Organizer
      日本腎臓学会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 初代皮膚線維芽細胞におけるCCN2 module-IVの作用機序について2018

    • Author(s)
      天野 博明, 井上 勉, 草野 武, 岡田 浩一
    • Organizer
      日本腎臓学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] CCN2 Module-IV Promotes Renal Fibrosis Through Activation of the FAK Pathway in the Tubular Epithelium2018

    • Author(s)
      Hiroaki Amano, Tustomu Inoue, Hirokazu Okada
    • Organizer
      Annual meeting of American Society of Nephrology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Module IV-defected mutant CCN2 knock-in transgenic mice grow and develop normally, but fibrotic properties are attenuated in a number of kidney diseases.2017

    • Author(s)
      Tsutomu Inoue, Ono Atsushi, Hirokazu Okada.
    • Organizer
      Annual Meeting of American Society of Nephrology 2018 (Kidney Week 2018)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 尿細管上皮細胞のCaspase活性とCCN2発現はAKIからCKDへの移行を修飾する2016

    • Author(s)
      草野 武, 井上 勉, 中元 秀友, 岡田 浩一
    • Organizer
      第59回日本腎臓学会学術総会
    • Place of Presentation
      横浜
    • Year and Date
      2016-06-17
    • Related Report
      2016 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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