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The analysis of phosphate sensing system with the relationship between phosphate overload and vascular calcification in chronic kidney disease.

Research Project

Project/Area Number 20590982
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Kidney internal medicine
Research InstitutionWakayama Medical University

Principal Investigator

SHIGEMATSU Takashi  Wakayama Medical University, 医学部, 教授 (30187348)

Co-Investigator(Kenkyū-buntansha) SAKAGUCHI Toshifumi  和歌山県立医科大学, 医学部, 助教 (70343423)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2010: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2009: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2008: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords人工透析学 / リン過剰 / 異所性石灰化 / 腎機能不全 / 血管障害 / 高リン血症 / 血管石灰化 / FGF-23 / リン受容体(感受性機構) / Osteoprotegerin / 二次性副甲状腺機能亢進症 / 進行性腎障害 / osteoprotegerin / 二次性副甲腺機能亢進症 / リンセンサー
Research Abstract

This study is the analysis for the relationship between phosphate overload and vascular calcification in chronic kidney disease. We have performed the study using FGF-23 (Fibroblast Growth Factor-23) as a marker of the phosphate sensing system with novel phosphaturic factor. This study is also the trial of novel prophylaxis modality for vascular damage with vascular calcification and aging.
We have established the model of secondary hyperparathyroidism with vascular calcification as a phosphate and bone disorder in chronic kidney disease. In this in vivo model, we have revealed that main place on phosphate and FGF-23 metabolism is bone. We have also established medial vascular calcification in vitro model using vessel organ culture model. Using the in vitro model, the medial vascular calcification is accelerated under the high phosphate condition via apoptosis and sodium phosphate Pit-1 co-transporter system.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (37 results)

All 2011 2010 2009 2008 Other

All Journal Article (20 results) (of which Peer Reviewed: 19 results) Presentation (14 results) Book (1 results) Remarks (2 results)

  • [Journal Article] Calcium oxalate crystal deposition in metabolic syndrome model rat kidneys.2010

    • Author(s)
      Okamoto M, Kohjimoto Y, Iba A, Saji F, Hara I, Shigematsu T.
    • Journal Title

      Int J Urol. 17(12)

      Pages: 996-1003

    • NAID

      10027730928

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Improved assessment of aortic calcification in Japanese patients undergoing maintenance hemodialysis.2010

    • Author(s)
      Ohya M, Otani H, Kimura K, Saika Y, Fujii R, Yukawa S, Shigematsu T.
    • Journal Title

      Intern Med. 49(19)

      Pages: 2071-2075

    • NAID

      130000413498

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Fibroblast growth factor 23 production in bone is directly regulated by 1 {alpha}, 25-dihydroxyvitamin D, but not PTH.2010

    • Author(s)
      Saji F, Shigematsu T, Sakaguchi T, Ohya M, Orita H, Maeda Y, Ooura M, Mima T, Negi S.
    • Journal Title

      Am J Physiol Renal Physiol. 299(5)

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Reduced expression of perlecan in the aorta of secondary hyperparathyroidism model rats with medial calcification.2010

    • Author(s)
      Shibata M, Shigematsu T, Hatamura I, Saji F, Mune S, Kunimoto K, Hanba Y, Shiizaki K, Sakaguchi T, Negi S.
    • Journal Title

      Ren Fail. 32(2)

      Pages: 214-223

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] CKD-MBD (Chronic Kidney Disease-Mineral and Bone Disorder). Lanthanum carbonate and new phosphate binders in patients with chronic kidney disease].2010

    • Author(s)
      Negi S, Shigematsu T.
    • Journal Title

      Clin Calcium. 20(7)

      Pages: 1096-10102

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Calcium oxalate crystal deposition in metabolic syndrome model rat kidneys.2010

    • Author(s)
      Okamoto M, Kohjimoto Y, Iba A, Saji F, Hara I, Shigematsu T.
    • Journal Title

      Int.J.Urol.

      Volume: 12 Pages: 996-1003

    • NAID

      10027730928

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Improved assessment of aortic calcification in Japanese patients undergoing maintenance hemodialysis.2010

    • Author(s)
      Ohya M, Otani H, Kimura K, Saika Y, Fujii R, Yukawa S, Shigematsu T.
    • Journal Title

      Intern.Med.

      Volume: 49 Pages: 2071-2075

    • NAID

      130000413498

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Fibroblast growth factor 23 production in bone is directly regulated by 1{alpha}, 25-dihydroxyvitamin D, but not PTH.2010

    • Author(s)
      Saji F, Shigematsu T, Sakaguchi T, Ohya M, Orita H, Maeda Y, Ooura M, Mima T, Negi S.
    • Journal Title

      Am.J.Physiol.

      Volume: 299

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reduced expression of perlecan in the aorta of secondaryhy perparathyroidism model rats with medial calcification.2010

    • Author(s)
      Shibata M, Shigematsu T, Hatamura I, Saji F, Mune S, Kunimoto K, Hanba Y, Shiizaki K, Sakaguchi T, Negi S.
    • Journal Title

      Ren.Fail.

      Volume: 32 Pages: 214-223

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reduced expression of perlecan in the aorta of secondary hyperparathyroidism model rats with medial calcification2010

    • Author(s)
      Shibata M, Shigematsu T, Hatamura I, Saji F, Mune S, Kunimoto K, Hanba Y, Shiizaki K, Sakaguchi T, Negi S
    • Journal Title

      Ren Fail 32

      Pages: 214-223

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Mechanism of phosphate-induced calcification in rat aortic tissue culture: possible involvement of Pit-1 and apoptosis.2009

    • Author(s)
      Mune S, Shibata M, Hatamura I, Saji F, Okada T, Maeda Y, Sakaguchi T, Negi S, Shigematsu T.
    • Journal Title

      Clin Exp Nephrol. 13(6)

      Pages: 571-577

    • NAID

      10027227436

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Clinical aspect of recent progress in phosphate metabolism. Management of hyperphosphagtemia.2009

    • Author(s)
      Sakaguchi T, Shigematsu T.
    • Journal Title

      Clin Calcium. 19(6)

      Pages: 844-851

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Regulation of fibroblast growth factor 23 production in bone in uremic rats.2009

    • Author(s)
      Saji F, Shiizaki K, Shimada S, Okada T, Kunimoto K, Sakaguchi T, Hatamura I, Shigematsu T.
    • Journal Title

      Nephron Physiol. 111(4)

      Pages: 59-66

    • Related Report
      2010 Final Research Report 2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Long-term cinacalcet HCl treatment improved bone metabolism in Japanese hemodialysis patients with secondary hyperparathyroidism.2009

    • Author(s)
      Shigematsu T, Akizawa T, Uchida E, Tsukamoto Y, Iwasaki M, Koshikawa S; KRN1493 Study Group
    • Journal Title

      Am J Nephrol. 29(3)

      Pages: 230-236

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Mechanism of phosphate-induced calcification in rat aortic tissue culture : possible involvement of Pit-1 and apoptosis2009

    • Author(s)
      Mune S, Shibata M, Hatamura I, Saji F, Okada T, Maeda Y, Sakaguchi T, Negi S, Shigematsu T
    • Journal Title

      Clin Exp Nephrol. 13

      Pages: 571-577

    • NAID

      10027227436

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Clinical aspect of recent progress in phosphate metabolism. Management of hyperphosphagtemia2009

    • Author(s)
      Sakaguchi T, Shigematsu T.
    • Journal Title

      Clin Calcium. 19

      Pages: 844-851

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Long-term cinacalcet HCl treatment improved bone metabolism in japanese hemodialysis patients with secondary hyperparathyroidism.2009

    • Author(s)
      Shigematsu T, Akizawa T, Uchida E, Tsukamoto Y, Iwasaki M, Koshikawa S
    • Journal Title

      Am J Nephrol. 29(3)

      Pages: 230-236

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multicenter prospective randomized, double-blind comparative study between lanthanum carbonate and calcium carbonate as phosphate binders in Japanese hemodialysis patients with hyperphosphatemia.2008

    • Author(s)
      Shigematsu T; Lanthanum Carbonate Group
    • Journal Title

      Clin Nephrol. 70(5)

      Pages: 404-410

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Osteoprotegerin affects the responsiveness of fibroblast growth factor-23 to high oral phosphate intake.2008

    • Author(s)
      Kagami S, Ohkido I, Yokoyama K, Shigematsu T, Hosoya T.
    • Journal Title

      Clin Nephrol. 70(4)

      Pages: 306-311

    • Related Report
      2010 Final Research Report 2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multicenter prospective randomized, double-blind comparative study between lanthanum carbonate and calcium carbonate as phosphate binders in Japanese hemodialysis patients with hyperphosphatemia.2008

    • Author(s)
      Shigematsu T, Lanthanum Carbonate Group.
    • Journal Title

      Clin Nephrol. 70(5)

      Pages: 404-410

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Presentation] the Japan COLC Study Group Combined Therapy with Lanthanum Carbonate and Calcium Carbonate for Hyperphosphatemia Decreases Serum FGF-23 Level Independently of Calcium and PTH2011

    • Author(s)
      根木茂雄, 重松隆
    • Organizer
      7^<th>, international Society of Uremic Toxin Reseach
    • Place of Presentation
      Nagoya
    • Related Report
      2010 Final Research Report
  • [Presentation] The evaluation of affecting factors for phosphate removal during hemodialysis session using direct measurement of dialysate phosphate.2011

    • Author(s)
      Shigematsu T, Ueki H, Arima H, Sakaguchi T, et al.
    • Organizer
      7^<th>, international Society of Uremic Toxin Reseach
    • Place of Presentation
      Nagoya
    • Related Report
      2010 Final Research Report
  • [Presentation] Fibroblast growth factor 23 synthesis in bone is directly regulated by 1α, 25-dihydroxyvitaminD, but not PTH.2010

    • Author(s)
      Saji F, Sakaguchi T, Ohya M, Negi S, Shigematsu T
    • Organizer
      国際腎臓学会(ISN)NEXUS Symposium.
    • Place of Presentation
      京都市、日本
    • Year and Date
      2010-04-16
    • Related Report
      2010 Annual Research Report
  • [Presentation] Combination therapy with cinacalcet for patients with secondary hyperparathyroidism (SHPT) during intravenous vitamin D treatment-a randomized controlled trial comparing dose escalation of vitamin D pharmaceutical infusion and dose escalation of calcium carbonate-.2010

    • Author(s)
      根木茂雄, 重松隆
    • Organizer
      43rd Annual Meeting of American Society of Nephrology.
    • Place of Presentation
      Denver
    • Related Report
      2010 Final Research Report
  • [Presentation] Sevelamer hydrochloride can improve the patients' survival in secondary hyperparathyroidism (2HPT) patients undergoing maxacalcitol therapy.2010

    • Author(s)
      重松隆, 根木茂雄
    • Organizer
      International Society of Blood Purification 28th Annual Meeting.
    • Place of Presentation
      Calofornia
    • Related Report
      2010 Final Research Report
  • [Presentation] モーニングセミナー5「CKD 患者におけるリンとカルシウムのコントロール」2010

    • Author(s)
      重松隆
    • Organizer
      第53回日本腎臓学会学術総会
    • Place of Presentation
      神戸
    • Related Report
      2010 Final Research Report
  • [Presentation] シンポジウム2「リン吸着薬の効果的な使用」2010

    • Author(s)
      根木茂雄・重松隆
    • Organizer
      第55回(社)日本透析医学会学術集会・総会
    • Place of Presentation
      神戸
    • Related Report
      2010 Final Research Report
  • [Presentation] ワークショップ4生命予後改善には透析量増大を併用した血清リン値低減と血清アルブミン値維持が重要である」2010

    • Author(s)
      藤田寿実子・北林豊文・半羽慶行・重松隆
    • Organizer
      第55回(社)日本透析医学会学術集会・総会
    • Place of Presentation
      神戸
    • Related Report
      2010 Final Research Report
  • [Presentation] Session 1 「Hemofiltration and sorbent:Experience in Japan」2010

    • Author(s)
      重松隆
    • Organizer
      The 3rd Indonesian Nephrology Forum(INF).
    • Place of Presentation
      Jakarta
    • Related Report
      2010 Final Research Report
  • [Presentation] Vascular calcification estimated by aortic calcification area index is significant predictive parameter of cardiovascular mortality in hemodialized patients.2010

    • Author(s)
      Ohya M, Otani H, Kimura K, Saika Y, Fujii R, Yukawa S, Shigematsu T
    • Organizer
      ISN NEXUS Symposium.
    • Place of Presentation
      Kyoto
    • Related Report
      2010 Final Research Report
  • [Presentation] Fibroblast growth factor 23 synthesis in bone is directly regulated by 1α, 25-dihydroxyvitaminD, but not PTH.2010

    • Author(s)
      Saji F, Sakaguchi T, Ohya M, Negi S, Shigematsu T
    • Organizer
      ISN NEXUS Symposium.
    • Place of Presentation
      Kyoto
    • Related Report
      2010 Final Research Report
  • [Presentation] How early should be the referral to the nephrologist to ameliorate the condition of CKD patients at the time of hemodialysis initiaton?2010

    • Author(s)
      Sakaguchi T, Shigematsu T
    • Organizer
      ISN NEXUS Symposium.
    • Place of Presentation
      Kyoto
    • Related Report
      2010 Final Research Report
  • [Presentation] Sevelamer hydrochloride can improve the CKD-5D patients survival in secondary hyperparathyroidism (2HPT) patients undergoing maxacalcitol therapy.2010

    • Author(s)
      重松隆
    • Organizer
      ISN NEXUS Symposium.
    • Place of Presentation
      Kyoto
    • Related Report
      2010 Final Research Report
  • [Presentation] シンポジウム「CKD-MBDについて~リンコントロール中心に~」第54回(社)日本透析医学会学術集会・総会2009

    • Author(s)
      重松隆
    • Organizer
      第54回(社)日本透析医学会学術集会・総会
    • Place of Presentation
      横浜
    • Year and Date
      2009-06-07
    • Related Report
      2009 Annual Research Report
  • [Book] 最新透析医学、XI慢性腎臓病に伴う骨ミネラル代謝異常(CKD-MBD)の治療、リン吸着剤2008

    • Author(s)
      重松 隆
    • Total Pages
      736
    • Publisher
      医薬ジャーナル社、東京
    • Related Report
      2008 Annual Research Report
  • [Remarks] 和歌山県立医科大学腎臓内科・血液浄化センター

    • URL

      http://www.wakayama-med.ac.jp/med/nephrology/index.html

    • Related Report
      2010 Final Research Report
  • [Remarks] 日本腎循環器病研究会

    • URL

      http://jjbkk.mitsuihosp.or.jp/

    • Related Report
      2010 Final Research Report

URL: 

Published: 2008-04-01   Modified: 2016-04-21  

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