Updated on 2025/04/17

Information

 

写真a

 
SETOYAMA DAIKI
 
Organization
Kyushu University Hospital Clinical Laboratories Assistant Professor
School of Medicine Department of Medicine(Concurrent)
Title
Assistant Professor
Contact information
メールアドレス
Tel
0926425752
Profile
検査部に設置された複数種の質量分析装置を管理し適切に運営する。 病院検査部所属の検査技師に対して、質量分析による次世代の臨床検査に向けた技術開発のための基礎研究およびバイオマーカー探索について指導する。 医学研究院臨床検査医学分野の研究として、質量分析を駆使したオミクスアプローチによるミトコンドリア代謝の基礎研究に従事する。 また、学内向けの勉強会(Rプログラミング講習会、臨床検査の機械学習応用に関する勉強会、質量分析に関する洋書の輪読会)、学術セミナー(メタボロミクスセミナー)等を定期的に主催した。
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Degree

  • Ph.D

Research History

  • Kyushu University Kyushu University Hospital Clinical Laboratories  Assistant Professor 

    2011.5 - Present

  • なし   

    なし

  • 福岡歯科大学 先端科学研究センター助教   

Education

  • Kyushu University    

    2004.4 - 2009.3

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    Country:Japan

Research Interests・Research Keywords

  • Research theme: Mitochondrial function in metabolism and aging Physiological roles of alien metabolites

    Keyword: molecular biology, metabolomics, proteomics, mass spectrometry, mitochondria

    Research period: 2014.4 - 2014.12

Awards

  • 日本医療検査科学会 令和元年度 優秀演題賞

    2019.10   日本医療検査科学会   個々人のパーソナリティを加味したLCMSによる血液うつ病バイオマーカー研究

  • 平成26年度がん研究助成金優秀賞

    2014.11   福岡県すこやか健康事業団  

Papers

  • Comparative Analysis of Primary Sarcopenia and End-Stage Renal Disease–Related Muscle Wasting Using Multi-Omics Approaches

    Setoyama D., Han D., Tian J., Lee H., Shin H., Nga H., Nguyen T., Moon J., Jang H., Kim E., Choe S.K., Ju S., Choi D., Kwon O., Yi H.S.

    Journal of Cachexia, Sarcopenia and Muscle   16 ( 2 )   e13749   2025.4   ISSN:21905991

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    Language:English   Publisher:Journal of Cachexia, Sarcopenia and Muscle  

    Background: Age-related primary sarcopenia and end-stage renal disease (ESRD)–related muscle wasting are discrete entities; however, both manifest as a decline in skeletal muscle mass and strength. The etiological pathways differ, with aging factors implicated in sarcopenia and a combination of uremic factors, including haemodialysis, contributing to ESRD-related muscle wasting. Understanding these molecular nuances is imperative for targeted interventions, and the integration of proteomic and metabolomic data elucidate these intricate processes. Methods: We generated detailed clinical data and multi-omics data (plasma proteomics and metabolomics) for 78 participants to characterise sarcopenia (n = 28; mean age, 72.6 ± 7.0 years) or ESRD (n = 22; 61.6 ± 5.5 years) compared with controls (n = 28; 69.3 ± 5.7 years). Muscle mass was measured using bioelectrical impedance analysis and handgrip strength. Five-times sit-to-stand test performance was measured for all participants. Sarcopenia was diagnosed in accordance with the 2019 Consensus Guidelines from the Asian Working Group for Sarcopenia. An abundance of 234 metabolites and 722 protein groups was quantified in all plasma samples using liquid chromatography with tandem mass spectrometry. Results: Muscle mass, handgrip strength and lower limb muscle function significantly lower in the sarcopenia group and the ESRD group compared with those in the control group. Metabolomics revealed altered metabolites, highlighting exclusive differences in ESRD-related muscle wasting. Metabolite set enrichment analysis revealed the involvement of numerous metabolic intermediates associated with urea cycle, amino acid metabolism and nucleic acid metabolism. Catecholamines, including epinephrine, dopamine and serotonin, are significantly elevated in the plasma of patients within the ESRD group. Proteomics data exhibited a clearer distinction among the three groups compared with the metabolomics data, particularly in distinguishing the control group from the sarcopenia group. The ciliary neurotrophic factor receptor was top-ranked in terms of the variable importance of projection scores. Plasma AHNAK protein levels was higher in the sarcopenia group but was lower in the ESRD group. Proteomic set enrichment analysis revealed enrichment of several pathways related to sarcopenia, such as hemopexin, defence response and cell differentiation, in sarcopenia group. Multi-omic integration analysis revealed associations between relevant metabolites, including catecholamines, and a group of annotated proteins in extracellular exosomes. Conclusions: We identified distinct multi-omic signatures in individuals with ESRD or sarcopenia, providing new insights into the mechanisms underlying ESRD-related muscle wasting, which differ from primary sarcopenia. These findings may support interventions for context-dependent muscle loss and contribute to the development of targeted treatments and preventive strategies for muscle wasting.

    DOI: 10.1002/jcsm.13749

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  • Cerebrospinal fluid proteomics exerts predictive potential for immune effector cell-associated neurotoxicity syndrome (ICANS) in CAR-T cell therapy

    Nomiyama, T; Setoyama, D; Yamanaka, I; Shimo, M; Miyawaki, K; Yamauchi, T; Jinnouchi, F; Sakoda, T; Sasaki, K; Shima, T; Kikushige, Y; Mori, Y; Akashi, K; Kato, K; Kunisaki, Y

    LEUKEMIA   39 ( 4 )   983 - 987   2025.3   ISSN:0887-6924 eISSN:1476-5551

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    Language:English   Publisher:Leukemia  

    DOI: 10.1038/s41375-025-02541-6

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  • Metabolite Changes during the Transition from Hyperthyroidism to Euthyroidism in Patients with Graves’ Disease Invited Reviewed International journal

    Ho Yeop Lee, Byeong Chang Sim, Ha Thi Nga, Ji Sun Moon, Jingwen Tian, Nguyen Thi Linh, Sang Hyeon Ju, Dong Wook Choi, @Daiki Setoyama, Hyon-Seung Yi

    Endocrinology and Metabolism   37 ( 6 )   891 - 900   2022.12   ISSN:2093-596X eISSN:2093-5978

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Endocrinology and Metabolism  

    Background: An excess of thyroid hormones in Graves’ disease (GD) has profound effects on systemic energy metabolism that are currently partially understood. In this study, we aimed to provide a comprehensive understanding of the metabolite changes that occur when patients with GD transition from hyperthyroidism to euthyroidism with methimazole treatment. Methods: Eighteen patients (mean age, 38.6±14.7 years; 66.7% female) with newly diagnosed or relapsed GD attending the endocrinology outpatient clinics in a single institution were recruited between January 2019 and July 2020. All subjects were treated with methimazole to achieve euthyroidism. We explored metabolomics by performing liquid chromatography-mass spectrometry analysis of plasma samples of these patients and then performed multivariate statistical analysis of the metabolomics data. Results: Two hundred metabolites were measured before and after 12 weeks of methimazole treatment in patients with GD. The levels of 61 metabolites, including palmitic acid (C16:0) and oleic acid (C18:1), were elevated in methimazole-naïve patients with GD, and these levels were decreased by methimazole treatment. The levels of another 15 metabolites, including glycine and creatinine, were increased after recovery of euthyroidism upon methimazole treatment in patients with GD. Pathway analysis of metabolomics data showed that hyperthyroidism was closely related to aminoacyl-transfer ribonucleic acid biosynthesis and branched-chain amino acid biosynthesis pathways. Conclusion: In this study, significant variations of plasma metabolomic patterns that occur during the transition from hyperthyroidism to euthyroidism were detected in patients with GD via untargeted metabolomics analysis.

    DOI: 10.3803/EnM.2022.1590

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  • Blood metabolic signatures of hikikomori, pathological social withdrawal Reviewed International journal

    @Setoyama D, #Matsushima T, Hayakawa K, @Nakao T, @Kanba S, @Kang D, @Kato TA

    Dialogues in Clinical Neuroscience   23 ( 1 )   14 - 28   2022.6   ISSN:1294-8322

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    Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1080/19585969.2022.2046978

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  • Changes in the metabolites of cerebrospinal fluid induced by rTMS in treatment-resistant depression: A pilot study. Invited Reviewed International journal

    Tateishi H, @Setoyama D, @Kato TA, @Kang D, Matsushima J, Nogami K, Mawatari S, Kojima R, Fujii Y, Sakemura Y, Shiraishi T, Imamura Y, Maekawa T, Asami T, Mizoguchi Y, Monji A.

    Psychiatry Research   313 ( 114636 )   114636   2022.5   ISSN:0165-1781 eISSN:1872-7123

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Psychiatry Research  

    Repetitive transcranial magnetic stimulation (rTMS) improves depressive symptoms in treatment-resistant depression (TRD). This study aimed to analyze changes in cerebrospinal fluid (CSF) metabolites in patients with TRD after rTMS. Five patients with TRD were enrolled in a high frequency (10-Hz) rTMS study. The concentration of 72 CSF metabolites were measured at baseline and at the end of the 6-week rTMS treatment. rTMS significantly increased CSF niacinamide, kynurenine, and creatinine levels and significantly decreased CSF cystine levels, but not the levels of the other 68 CSF metabolites. This is the first CSF metabolomics study on patients with TRD who underwent rTMS.

    DOI: 10.1016/j.psychres.2022.114636

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  • Metabolomics for mitochondria-centric metabolism

    Setoyama Daiki

    生化学   94 ( 2 )   159 - 169   2022.4   ISSN:00371017

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    Language:Japanese   Publisher:公益社団法人日本生化学会  

    細胞小器官の一つであるミトコンドリアは,「細胞のエネルギー発電所(powerhouse)」と呼ばれる.もちろん,エネルギーとはATPのことであり,「発電所」とは内膜に存在する酸化的リン酸化システム(OXPHOS)を指すことは常識であろう.ミトコンドリアの機能を一言でまとめると「ATPをよく産生する」ことになる.しかし当然ながら,これはミトコンドリア機能の一側面にすぎない.事実,ミトコンドリアはエネルギー産生以外にも数多くの代謝反応の場として,細胞機能を維持する上できわめて重要な役割を果たしている.本稿では,ミトコンドリアを場とする「代謝」の重要性を二つのファクトから浮き彫りにし,次にその代謝経路のいくつかを点描した後,最後にその活性を「代謝産物の変動」として正確に捉えるための方法論,すなわち,ミトコンドリア-メタボロミクスについて筆者らが開発した内容の一部を解説する.

    DOI: 10.14952/seikagaku.2022.940159

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  • ミトコンドリアメタボロミクスから明らかになったミトコンドリアDNA複製におけるβ-ニコチンアミドモノヌクレオチド代謝の役割(Mitochondria metabolomics reveals a role of β-nicotinamide mononucleotide metabolism in mitochondrial DNA replication)

    Nomiyama Tomoko, Setoyama Daiki, Yasukawa Takehiro, Kang Dongchon

    The Journal of Biochemistry   171 ( 3 )   325 - 338   2022.3   ISSN:0021-924X

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    Language:English   Publisher:(公社)日本生化学会  

    化膿レンサ球菌ストレプトリジンO(SLO)の溶血毒素を用いた迅速分離法によるミトコンドリア(MT)標的メタボロミクスの新手法を提案した。培養HEK293細胞からのMT-SLO分離は時間・労力を節約でき、他の細胞株にも適用しえた。更に、本手法は解糖阻止薬に応答してMT-ATPの時間依存性の低下を検出でき、代謝物分析能力保有MTの調製に適していた。本手法を用いて、MT-DNA複製活性化に関連する特異的MT代謝物を探索し、ヌクレオチドとNAD+が顕著に変化していた。HEK293細胞をNAD+前駆体のβ-ニコチンアミドモノヌクレオチド(β-NMN)で処理すると、MT内のヌクレオチドが増加し、分解生成物のヌクレオシドが減少して、MT-DNA複製の速度が活性化・改善された。

  • Immunometabolic signatures predict recovery from thyrotoxic myopathy in patients with Graves' disease Invited Reviewed International journal

    @Setoyama D, Lee HY, Moon JS, Tian J, Kang YE, Lee JH, Shong M, @Kang D, Yi HS.

    JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE   13 ( 1 )   355 - 367   2021.12   ISSN:2190-5991 eISSN:2190-6009

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Journal of Cachexia, Sarcopenia and Muscle  

    Background: Thyroid hormone excess induces protein energy wasting, which in turn promotes muscle weakness and bone loss in patients with Graves' disease. Although most studies have confirmed a relationship between thyrotoxicosis and muscle dysfunction, few have measured changes in plasma metabolites and immune cells during the development and recovery from thyrotoxic myopathy. The aim of this study was to identify specific plasma metabolites and T-cell subsets that predict thyrotoxic myopathy recovery in patients with Graves' disease. Methods: One hundred patients (mean age, 40.0 ± 14.2 years; 67.0% female), with newly diagnosed or relapsed Graves' disease were enrolled at the start of methimazole treatment. Handgrip strength and Five Times Sit to Stand Test performance time were measured at Weeks 0, 12, and 24. In an additional 35 patients (mean age, 38.9 ± 13.5 years; 65.7% female), plasma metabolites and immunophenotypes of peripheral blood were evaluated at Weeks 0 and 12, and the results of a short physical performance battery assessment were recorded at the same time. Results: In both patient groups, methimazole-induced euthyroidism was associated with improved handgrip strength and lower limb muscle function at 12 weeks. Elevated plasma metabolites including acylcarnitines were restored to normal levels at Week 12 regardless of gender, body mass index, or age (P trend <0.01). Senescent CD8+CD28−CD57+ T-cell levels in peripheral blood were positively correlated with acylcarnitine levels (P < 0.05) and decreased during thyrotoxicosis recovery (P < 0.05). High levels of senescent CD8+ T cells at Week 0 were significantly associated with small increases in handgrip strength after 12 weeks of methimazole treatment (P < 0.05), but not statistically associated with Five Times Sit to Stand Test performance. Conclusions: Restoring euthyroidism in Graves' disease patients was associated with improved skeletal muscle function and performance, while thyroid hormone-associated changes in plasma acylcarnitines levels correlated with muscle dysfunction recovery. T-cell senescence-related systemic inflammation correlated with plasma acylcarnitine levels and was also associated with small increases in handgrip strength.

    DOI: 10.1002/jcsm.12889

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  • Fully Automated Quantitative Measurement of Serum Organic Acids via LC-MS/MS for the Diagnosis of Organic Acidemias: Establishment of an Automation System and a Proof-of-Concept Validation Invited Reviewed International journal

    Ueyanagi Y, @Setoyama D, Kawakami D, @Mushimoto Y, Matsumoto S, Hotta T, @Kang D.

    DIAGNOSTICS   11 ( 12 )   2021.12

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    DOI: 10.3390/diagnostics11122195

  • Mitochondria metabolomics reveals a role of beta-nicotinamide mononucleotide metabolism in mitochondrial DNA replication Invited Reviewed International journal

    Nomiyama T, @Setoyama D, Yasukawa T, @Kang D

    JOURNAL OF BIOCHEMISTRY   171 ( 3 )   325 - 338   2021.12   ISSN:0021-924X eISSN:1756-2651

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    Language:English   Publishing type:Research paper (scientific journal)   Publisher:Journal of Biochemistry  

    Mitochondrial DNA (mtDNA) replication is tightly regulated and necessary for cellular homeostasis; however, its relationship with mitochondrial metabolism remains unclear. Advances in metabolomics integrated with the rapid isolation of mitochondria will allow for remarkable progress in analyzing mitochondrial metabolism. Here, we propose a novel methodology for mitochondria-targeted metabolomics, which employs a quick isolation procedure using a hemolytic toxin from Streptococcus pyogenes streptolysin O (SLO). SLO isolation of mitochondria from cultured HEK293 cells is time- and labor-saving for simultaneous multi-sample processing and has been applied to various other cell lines in this study. Furthermore, our method can detect the time-dependent reduction in mitochondrial ATP in response to a glycolytic inhibitor 2-deoxyglucose, indicating the suitability to prepare metabolite analysis-competent mitochondria. Using this methodology, we searched for specific mitochondrial metabolites associated with mtDNA replication activation, and nucleotides and NAD+ were identified to be prominently altered. Most notably, treatment of β-nicotinamide mononucleotide (β-NMN), a precursor of NAD+, to HEK293 cells activated and improved the rate of mtDNA replication by increasing nucleotides in mitochondria and decreasing their degradation products: nucleosides. Our results suggest that β-NMN metabolism plays a role in supporting mtDNA replication by maintaining the nucleotide pool balance in the mitochondria.

    DOI: 10.1093/jb/mvab136

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  • The changes in kynurenine metabolites induced by rTMS in treatment-resistant depression: A pilot study. Reviewed International journal

    Tateishi H, @Setoyama D, @Kang D, Matsushima J, Kojima R, Fujii Y, Mawatari S, Kikuchi J, Sakemura Y, Fukuchi J, Shiraishi T, Maekawa T, @Kato TA, Asami T, Mizoguchi Y, Monji A.

    Journal of Psychiatric Research   2021.4

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    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.1016/j.jpsychires.2021.04.009.

  • Personality classification enhances blood metabolome analysis and biotyping for major depressive disorders: two-species investigation. Reviewed International journal

    @Setoyama D, Yoshino A, Takamura M, Okada G, Iwata M, Tsunetomi K, Ohgidani M, Kuwano N, Yoshimoto J, Okamoto Y, Yamawaki S, Kanba S, @Kang D, @Kato TA.

    Journal of Affective Disorders   2021.1

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    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.1016/j.jad.2020.09.118.

  • Plasma acetylcholine and nicotinic acid are correlated with focused preference for photographed females in depressed males: an economic game study. Invited Reviewed International journal

    @Kubo H, @Setoyama D, Watabe M, Ohgidani M, Hayakawa K, Kuwano N, Sato-Kasai M, @Katsuki R, Kanba S, @Kang D, @Kato TA.

    Scientific Reports   2021.1

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    Language:Japanese   Publishing type:Research paper (scientific journal)  

    DOI: 10.1038/s41598-020-75115-4.

  • 第5土曜特集 脳科学研究が推進する うつ病の病態・診断・治療の発展 診断 うつ病の血液バイオマーカーを探索する

    松島 敏夫, 瀬戸山 大樹, 加藤 隆弘

    医学のあゆみ   292 ( 13 )   1129 - 1133   2025.3   ISSN:00392359

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    Publisher:医歯薬出版  

    DOI: 10.32118/ayu292131129

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  • Brown fat-specific mitoribosomal function is crucial for preventing cold exposure-induced bone loss

    Tian, JW; Moon, JS; Nga, H; Lee, HY; Nguyen, TL; Jang, HJ; Setoyama, D; Shong, M; Lee, JH; Yi, HS

    CELLULAR AND MOLECULAR LIFE SCIENCES   81 ( 1 )   314   2024.12   ISSN:1420-682X eISSN:1420-9071

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    Language:English   Publisher:Cellular and Molecular Life Sciences  

    This study examines the interplay between ambient temperature, brown adipose tissue (BAT) function, and bone metabolism, emphasizing the effects of cold exposure and BAT mitochondrial activity on bone health. Utilizing ovariectomized (OVX) mice to model primary osteoporosis and BAT-specific mitochondrial dysfunction (BKO) mice, we evaluated the impact of housing temperature on bone density, immune modulation in bone marrow, and the protective role of BAT against bone loss. Cold exposure was found to universally reduce bone mass, enhance osteoclastogenesis, and alter bone marrow T-cell populations, implicating the immune system in bone remodeling under cold stress. The thermogenic function of BAT, driven by mitochondrial oxidative phosphorylation, was crucial in protecting against bone loss. Impaired BAT function, through surgical removal or mitochondrial dysfunction, exacerbated bone loss in cold environments, highlighting BAT’s metabolic role in maintaining bone health. Furthermore, cold-induced changes in BAT function led to systemic metabolic shifts, including elevated long-chain fatty acids, which influenced osteoclast differentiation and activity. These findings suggest a systemic mechanism connecting environmental temperature and BAT metabolism with bone physiology, providing new insights into the metabolic and environmental determinants of bone health. Future research could lead to novel bone disease therapies targeting these pathways.

    DOI: 10.1007/s00018-024-05347-4

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  • Glutaminolysis is associated with mitochondrial pathway activation and can be therapeutically targeted in glioblastoma

    Miki, K; Yagi, M; Hatae, R; Otsuji, R; Miyazaki, T; Goto, K; Setoyama, D; Fujioka, Y; Sangatsuda, Y; Kuga, D; Higa, N; Takajo, T; Hajime, Y; Akahane, T; Tanimoto, A; Hanaya, R; Kunisaki, Y; Uchiumi, T; Yoshimoto, K

    CANCER & METABOLISM   12 ( 1 )   35   2024.11   ISSN:2049-3002 eISSN:2049-3002

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  • トピックス うつ病の客観的血液指標を求めて-メタボローム解析

    康 東天, 瀬戸山 大樹, 加藤 隆弘

    検査と技術   52 ( 11 )   1124 - 1126   2024.11   ISSN:03012611 eISSN:18821375

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    Publisher:株式会社医学書院  

    DOI: 10.11477/mf.1543209468

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  • Human Kidney Tissue Proteomics Unveils Complement Factor D Involved in the Pathogenesis of Focal Segmental Glomerulosclerosis

    Yamaguchi, S; Nakano, T; Setoyama, D; Sonawane, A; Iwamoto, T; Singh, S; Aikawa, M; Kunisaki, Y; Kitazono, T

    JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY   35 ( 10 )   2024.10   ISSN:1046-6673 eISSN:1533-3450

  • An N-terminal and ankyrin repeat domain interactome of Shank3 identifies the protein complex with the splicing regulator Nono in mice

    Okuzono, S; Fujii, F; Setoyama, D; Taira, R; Shinmyo, Y; Kato, H; Masuda, K; Yonemoto, K; Akamine, S; Matsushita, Y; Motomura, Y; Sakurai, T; Kawasaki, H; Han, K; Kato, TA; Torisu, H; Kang, D; Nakabeppu, Y; Ohga, S; Sakai, Y

    GENES TO CELLS   29 ( 9 )   746 - 756   2024.9   ISSN:1356-9597 eISSN:1365-2443

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    Language:English   Publisher:Genes to Cells  

    An autism-associated gene Shank3 encodes multiple splicing isoforms, Shank3a-f. We have recently reported that Shank3a/b-knockout mice were more susceptible to kainic acid-induced seizures than wild-type mice at 4 weeks of age. Little is known, however, about how the N-terminal and ankyrin repeat domains (NT-Ank) of Shank3a/b regulate multiple molecular signals in the developing brain. To explore the functional roles of Shank3a/b, we performed a mass spectrometry-based proteomic search for proteins interacting with GFP-tagged NT-Ank. In this study, NT-Ank was predicted to form a variety of complexes with a total of 348 proteins, in which RNA-binding (n = 102), spliceosome (n = 22), and ribosome-associated molecules (n = 9) were significantly enriched. Among them, an X-linked intellectual disability-associated protein, Nono, was identified as a NT-Ank-binding protein. Coimmunoprecipitation assays validated the interaction of Shank3 with Nono in the mouse brain. In agreement with these data, the thalamus of Shank3a/b-knockout mice aberrantly expressed splicing isoforms of autism-associated genes, Nrxn1 and Eif4G1, before and after seizures with kainic acid treatment. These data indicate that Shank3 interacts with multiple RNA-binding proteins in the postnatal brain, thereby regulating the homeostatic expression of splicing isoforms for autism-associated genes after birth.

    DOI: 10.1111/gtc.13142

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  • ATP1A3 regulates protein synthesis for mitochondrial stability under heat stress

    Fujii, F; Kanemasa, H; Okuzono, S; Setoyama, D; Taira, R; Yonemoto, K; Motomura, Y; Kato, H; Masuda, K; Kato, TA; Ohga, S; Sakai, Y

    DISEASE MODELS & MECHANISMS   17 ( 6 )   2024.6   ISSN:1754-8403 eISSN:1754-8411

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    Language:English   Publisher:DMM Disease Models and Mechanisms  

    Pathogenic variants in ATP1A3, the gene encoding the α3 subunit of the Na+/K+-ATPase, cause alternating hemiplegia of childhood (AHC) and related disorders. Impairments in Na+/K+-ATPase activity are associated with the clinical phenotype. However, it remains unclear whether additional mechanisms are involved in the exaggerated symptoms under stressed conditions in patients with AHC. We herein report that the intracellular loop (ICL) of ATP1A3 interacted with RNA-binding proteins, such as Eif4g (encoded by Eif4g1), Pabpc1 and Fmrp (encoded by Fmr1), in mouse Neuro2a cells. Both the siRNA-mediated depletion of Atp1a3 and ectopic expression of the p.R756C variant of human ATP1A3-ICL in Neuro2a cells resulted in excessive phosphorylation of ribosomal protein S6 (encoded by Rps6) and increased susceptibility to heat stress. In agreement with these findings, induced pluripotent stem cells (iPSCs) from a patient with the p.R756C variant were more vulnerable to heat stress than control iPSCs. Neurons established from the patient-derived iPSCs showed lower calcium influxes in responses to stimulation with ATP than those in control iPSCs. These data indicate that inefficient protein synthesis contributes to the progressive and deteriorating phenotypes in patients with the p.R756C variant among a variety of ATP1A3-related disorders.

    DOI: 10.1242/dmm.050574

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  • Cardiomyocyte-specific deletion of the mitochondrial transporter Abcb10 causes cardiac dysfunction via lysosomal-mediated ferroptosis

    Do, Y; Yagi, M; Hirai, H; Miki, K; Fukahori, Y; Setoyama, D; Yamamoto, M; Furukawa, T; Kunisaki, Y; Kang, DC; Uchiumi, T

    BIOSCIENCE REPORTS   44 ( 5 )   2024.5   ISSN:0144-8463 eISSN:1573-4935

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    Heart function is highly dependent on mitochondria, which not only produce energy but also regulate many cellular functions. Therefore, mitochondria are important therapeutic targets in heart failure. Abcb10 is a member of the ABC transporter superfamily located in the inner mitochondrial membrane and plays an important role in haemoglobin synthesis, biliverdin transport, antioxidant stress, and stabilization of the iron transporter mitoferrin-1. However, the mechanisms underlying the impairment of mitochondrial transporters in the heart remain poorly understood. Here, we generated mice with cardiomyocyte-specific loss of Abcb10. The Abcb10 knockouts exhibited progressive worsening of cardiac fibrosis, increased cardiovascular risk markers and mitochondrial structural abnormalities, suggesting that the pathology of heart failure is related to mitochondrial dysfunction. As the mitochondrial dysfunction was observed early but mildly, other factors were considered. We then observed increased Hif1α expression, decreased NAD synthase expression, and reduced NAD+ levels, leading to lysosomal dysfunction. Analysis of ABCB10 knockdown HeLa cells revealed accumulation of Fe2+ and lipid peroxides in lysosomes, leading to ferroptosis. Lipid peroxidation was suppressed by treatment with iron chelators, suggesting that lysosomal iron accumulation is involved in ferroptosis. We also observed that Abcb10 knockout cardiomyocytes exhibited increased ROS production, iron accumulation, and lysosomal hypertrophy. Our findings suggest that Abcb10 is required for the maintenance of cardiac function and reveal a novel pathophysiology of chronic heart failure related to lysosomal function and ferroptosis.

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  • Collagen Lattice Model, Populated with Heterogeneous Cancer-Associated Fibroblasts, Facilitates Advanced Reconstruction of Pancreatic Cancer Microenvironment

    Song, XY; Nihashi, Y; Imai, Y; Mori, N; Kagaya, N; Suenaga, H; Shin-ya, K; Yamamoto, M; Setoyama, D; Kunisaki, Y; Kida, YS

    INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES   25 ( 7 )   2024.4   ISSN:1661-6596 eISSN:1422-0067

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    Pancreatic ductal adenocarcinoma (PDAC) is a solid-tumor malignancy. To enhance the treatment landscape of PDAC, a 3D model optimized for rigorous drug screening is essential. Within the PDAC tumor microenvironment, a dense stroma comprising a large extracellular matrix and cancer-associated fibroblasts (CAFs) is well-known for its vital role in modulating tumor growth, cellular heterogeneity, bidirectional paracrine signaling, and chemoresistance. In this study, we employed a fibroblast-populated collagen lattice (FPCL) modeling approach that has the ability to replicate fibroblast contractility in the collagenous matrix to build dense stroma. This FPCL model allows CAF differentiation by facilitating multifaceted cell–cell interactions between cancer cells and CAFs, with the differentiation further influenced by mechanical forces and hypoxia carried within the 3D structure. Our FPCL models displayed hallmark features, including ductal gland structures and differentiated CAFs with spindle shapes. Through morphological explorations alongside in-depth transcriptomic and metabolomic profiling, we identified substantial molecular shifts from the nascent to mature model stages and potential metabolic biomarkers, such as proline. The initial pharmacological assays highlighted the effectiveness of our FPCL model in screening for improved therapeutic strategies. In conclusion, our PDAC modeling platform mirrors complex tumor microenvironmental dynamics and offers an unparalleled perspective for therapeutic exploration.

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  • 特集 うつ病のバイオマーカー開発の試み うつ病のメタボローム解析によるバイオマーカー開発の試み

    松島 敏夫, 瀬戸山 大樹, 加藤 隆弘

    精神医学   66 ( 2 )   130 - 136   2024.2   ISSN:04881281 eISSN:1882126X

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    DOI: 10.11477/mf.1405207185

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  • Exploring the Role of Desmoplastic Physical Stroma in Pancreatic Cancer Progression Using a Three-Dimensional Collagen Matrix Model

    Song, XY; Nihashi, Y; Yamamoto, M; Setoyama, D; Kunisaki, Y; Kida, YS

    BIOENGINEERING-BASEL   10 ( 12 )   2023.12   ISSN:2306-5354 eISSN:2306-5354

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    Pancreatic ductal adenocarcinoma (PDAC) is a refractory tumor with a poor prognosis, and its complex microenvironment is characterized by a fibrous interstitial matrix surrounding PDAC cells. Type I collagen is a major component of this interstitial matrix. Abundant type I collagen promotes its deposition and cross-linking to form a rigid and dense physical barrier, which limits drug penetration and immune cell infiltration and provides drug resistance and metabolic adaptations. In this study, to identify the physical effect of the stroma, type I collagen was used as a 3D matrix to culture Capan-1 cells and generate a 3D PDAC model. Using transcriptome analysis, a link between type I collagen-induced physical effects and the promotion of Capan-1 cell proliferation and migration was determined. Moreover, metabolomic analysis revealed that the physical effect caused a shift in metabolism toward a glycolytic phenotype. In particular, the high expression of proline in the metabolites suggests the ability to maintain Capan-1 cell proliferation under hypoxic and nutrient-depleted conditions. In conclusion, we identified type I collagen-induced physical effects in promoting Capan-1 cells, which cause PDAC progression, providing support for the role of dense stroma in the PDAC microenvironment and identifying a fundamental method for modeling the complex PDAC microenvironment.

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  • Improving lysosomal ferroptosis with NMN administration protects against heart failure

    Yagi, M; Do, Y; Hirai, H; Miki, K; Toshima, T; Fukahori, Y; Setoyama, D; Abe, C; Nabeshima, YI; Kang, DC; Uchiumi, T

    LIFE SCIENCE ALLIANCE   6 ( 12 )   2023.12   eISSN:2575-1077

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    Myocardial mitochondria are primary sites of myocardial energy metabolism. Mitochondrial disorders are associated with various cardiac diseases. We previously showed that mice with cardiomyocyte-specific knockout of the mitochondrial translation factor p32 developed heart failure from dilated cardiomyopathy. Mitochondrial translation defects cause not only mitochondrial dysfunction but also decreased nicotinamide adenine dinucleotide (NAD+) levels, leading to impaired lysosomal acidification and autophagy. In this study, we investigated whether nicotinamide mononucleotide (NMN) administration, which compensates for decreased NAD+ levels, improves heart failure because of mitochondrial dysfunction. NMN administration reduced damaged lysosomes and improved autophagy, thereby reducing heart failure and extending the lifespan in p32cKO mice. We found that lysosomal damage due to mitochondrial dysfunction induced ferroptosis, involving the accumulation of iron in lysosomes and lipid peroxide. The ameliorative effects of NMN supplementation were found to strongly affect lysosomal function rather than mitochondrial function, particularly lysosome-mediated ferroptosis. NMN supplementation can improve lysosomal, rather than mitochondrial, function and prevent chronic heart failure.

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  • Mitochondrial haplotype mutation alleviates respiratory defect of MELAS by restoring taurine modification in tRNA with 3243A > G mutation

    Ueda, S; Yagi, M; Tomoda, E; Matsumoto, S; Ueyanagi, Y; Do, Y; Setoyama, D; Matsushima, Y; Nagao, A; Suzuki, T; Ide, T; Mori, Y; Oyama, N; Kang, D; Uchiumi, T

    NUCLEIC ACIDS RESEARCH   51 ( 14 )   7480 - 7495   2023.8   ISSN:0305-1048 eISSN:1362-4962

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    The 3243A > G in mtDNA is a representative mutation in mitochondrial diseases. Mitochondrial protein synthesis is impaired due to decoding disorder caused by severe reduction of 5-taurinomethyluridine (τm5U) modification of the mutant mt-tRNALeu(UUR) bearing 3243A > G mutation. The 3243A > G heteroplasmy in peripheral blood reportedly decreases exponentially with age. Here, we found three cases with mild respiratory symptoms despite bearing high rate of 3243A > G mutation (>90%) in blood mtDNA. These patients had the 3290T > C haplotypic mutation in addition to 3243A > G pathogenic mutation in mt-tRNALeu(UUR) gene. We generated cybrid cells of these cases to examine the effects of the 3290T > C mutation on mitochondrial function and found that 3290T > C mutation improved mitochondrial translation, formation of respiratory chain complex, and oxygen consumption rate of pathogenic cells associated with 3243A > G mutation. We measured τm5U frequency of mt-tRNALeu(UUR) with 3243A > G mutation in the cybrids by a primer extension method assisted with chemical derivatization of τm5U, showing that hypomodification of τm5U was significantly restored by the 3290T > C haplotypic mutation. We concluded that the 3290T > C is a haplotypic mutation that suppresses respiratory deficiency of mitochondrial disease by restoring hypomodified τm5U in mt-tRNALeu(UUR) with 3243A > G mutation, implying a potential therapeutic measure for mitochondrial disease associated with pathogenic mutations in mt-tRNAs.

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  • IFN-g-STAT1-ERK Pathway Mediates Protective Effects of Invariant Natural Killer T Cells Against Doxorubicin-Induced Cardiomyocyte Death

    Sada, M; Matsushima, S; Ikeda, M; Ikeda, S; Okabe, K; Ishikita, A; Tadokoro, T; Enzan, N; Yamamoto, T; Miyamoto, HD; Tsutsui, Y; Miyake, R; Setoyama, D; Kang, D; Ide, T; Tsutsui, H

    JACC-BASIC TO TRANSLATIONAL SCIENCE   8 ( 8 )   992 - 1007   2023.8   ISSN:2452-302X

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    Doxorubicin (DOX)-induced cardiomyopathy has poor prognosis, and myocardial inflammation is intimately involved in its pathophysiology. The role of invariant natural killer T (iNKT) cells has not been fully determined in this disease. We here demonstrated that activation of iNKT cells by α-galactosylceramide (GC) attenuated DOX-induced cardiomyocyte death and cardiac dysfunction. αGC increased interferon (IFN)-γ and phosphorylation of signal transducers and activators of transcription 1 (STAT1) and extracellular signal-regulated kinase (ERK). Administration of anti-IFN-γ neutralizing antibody abrogated the beneficial effects of αGC on DOX-induced cardiac dysfunction. These findings emphasize the protective role of iNKT cells in DOX-induced cardiomyopathy via the IFN-γ-STAT1-ERK pathway.

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  • Shank3a/bアイソフォームはマウスの生後早期のてんかん発作感受性および視床皮質の発達を調節する(Shank3a/b isoforms regulate the susceptibility to seizures and thalamocortical development in the early postnatal period of mice)

    Okuzono Sayaka, Fujii Fumihiko, Matsushita Yuki, Setoyama Daiki, Shinmyo Yohei, Taira Ryoji, Yonemoto Kousuke, Akamine Satoshi, Motomura Yoshitomo, Sanefuji Masafumi, Sakurai Takeshi, Kawasaki Hiroshi, Han Kihoon, Kato Takahiro A., Torisu Hiroyuki, Kang Dongchon, Nakabeppu Yusaku, Sakai Yasunari, Ohga Shouichi

    Neuroscience Research   193   13 - 19   2023.8   ISSN:0168-0102

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    マウスの生後早期の視床機能の発達におけるShank3a/bアイソフォームの役割について検討した。WTマウスとShank3a/bノックアウトを使用した。評価項目は脳の各領域における定量PCR、カイニン酸治療、免疫蛍光染色、ウェスタンブロット法などとした。その結果、マウスShank3スプライシングアイソフォームShank3a/bは視床核で特異的に発現し、生後2~4週間でピークに達することが示された。また、Shank3a/bノックアウトマウスでは視床核のパルブアルブミンが低かった。一貫して、Shank3a/bノックアウトマウスは、カイニン酸処理後、WTマウスと比較して全般発作を起こしやすいことが示された。以上から、Shank3a/bのNT-Ankドメインは、マウス生後早期において、視床皮質ニューロンを過剰興奮から守る分子経路を制御していることが示された。

  • Decoding Metabolic Symbiosis between Pancreatic Cancer Cells and Cancer-Associated Fibroblasts Using Cultured Tumor Microenvironment

    Nihashi, Y; Song, XY; Yamamoto, M; Setoyama, D; Kida, YS

    INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES   24 ( 13 )   2023.7   ISSN:1661-6596 eISSN:1422-0067

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    Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer with a poor prognosis, largely due to its unique tumor microenvironment (TME) and dense fibrotic stroma. Cancer-associated fibroblasts (CAFs) play a crucial role in promoting tumor growth and metastasis, contributing to the metabolic adaptation of PDAC cells. However, the metabolic interactions between PDAC cells and CAFs are not well-understood. In this study, an in vitro co-culture model was used to investigate these metabolic interactions. Metabolomic analysis was performed under monoculture conditions of Capan−1 PDAC cells and CAF precursor cells, as well as co-culture conditions of PDAC cells and differentiated inflammatory CAF (iCAF). Co-cultured Capan−1 cells displayed significant metabolic changes, such as increased 2-oxoglutaric acid and lauric acid and decreased amino acids. The metabolic profiles of co-cultured Capan−1 and CAFs revealed differences in intracellular metabolites. Analysis of extracellular metabolites in the culture supernatant showed distinct differences between Capan−1 and CAF precursors, with the co-culture supernatant exhibiting the most significant changes. A comparison of the culture supernatants of Capan−1 and CAF precursors revealed different metabolic processes while co-culturing the two cell types demonstrated potential metabolic interactions. In conclusion, this study emphasizes the importance of metabolic interactions between cancer cells and CAFs in tumor progression and highlights the role of TME in metabolic reprogramming.

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  • Succinyl-CoA-based energy metabolism dysfunction in chronic heart failure Reviewed International journal

    Takada S, Maekawa S, Furihata T, Kakutani N, @Setoyama D, Ueda K, Nambu H, Hagiwara H, Handa H, Fumoto Y, Hata S, Masunaga T, Fukushima A, Yokota T, @Kang D, @Kinugawa S, Sabe H.

    Proc Natl Acad Sci U S A   119 ( 41 )   e2203628119   2023.6   ISSN:0027-8424 eISSN:1091-6490

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    Heart failure (HF) is a leading cause of death and repeated hospitalizations and often involves cardiac mitochondrial dysfunction. However, the underlying mechanisms largely remain elusive. Here, using a mouse model in which myocardial infarction (MI) was induced by coronary artery ligation, we show the metabolic basis of mitochondrial dysfunction in chronic HF. Four weeks after ligation, MI mice showed a significant decrease in myocardial succinyl-CoA levels, and this decrease impaired the mitochondrial oxidative phosphorylation (OXPHOS) capacity. Heme synthesis and ketolysis, and protein levels of several enzymes consuming succinyl-CoA in these events, were increased in MI mice, while enzymes synthesizing succinyl-CoA from α-ketoglutarate and glutamate were also increased. Furthermore, the ADP-specific subunit of succinyl-CoA synthase was reduced, while its GDP-specific subunit was almost unchanged. Administration of 5-aminolevulinic acid, an intermediate in the pathway from succinyl-CoA to heme synthesis, appreciably restored succinyl-CoA levels and OXPHOS capacity and prevented HF progression in MI mice. Previous reports also suggested the presence of succinyl-CoA metabolism abnormalities in cardiac muscles of HF patients. Our results identified that changes in succinyl-CoA usage in different metabolisms of the mitochondrial energy production system is characteristic to chronic HF, and although similar alterations are known to occur in healthy conditions, such as during strenuous exercise, they may often occur irreversibly in chronic HF leading to a decrease in succinyl-CoA. Consequently, nutritional interventions compensating the succinyl-CoA consumption are expected to be promising strategies to treat HF.

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  • Shank3a/b isoforms regulate the susceptibility to seizures and thalamocortical development in the early postnatal period of mice. Reviewed International journal

    @Okuzono S, @Fujii F, @Matsushita Y, @Setoyama D, @Shinmyo Y, @Taira R, @Yonemoto K, @Akamine S, @Motomura Y, @Sanefuji M, @Sakurai T, @Kawasaki H, @Han K, @Kato TA, @Torisu H, @Kang D, @Nakabeppu Y, @Sakai Y, @Ohga S.

    Neurosci Res.   193   13 - 19   2023.3   ISSN:0168-0102 eISSN:1872-8111

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    Epileptic seizures are distinct but frequent comorbidities in children with autism spectrum disorder (ASD). The hyperexcitability of cortical and subcortical neurons appears to be involved in both phenotypes. However, little information is available concerning which genes are involved and how they regulate the excitability of the thalamocortical network. In this study, we investigate whether an ASD-associated gene, SH3 and multiple ankyrin repeat domains 3 (Shank3), plays a unique role in the postnatal development of thalamocortical neurons. We herein report that Shank3a/b, the splicing isoforms of mouse Shank3, were uniquely expressed in the thalamic nuclei, peaking from two to four weeks after birth. Shank3a/b-knockout mice showed lower parvalbumin signals in the thalamic nuclei. Consistently, Shank3a/b-knockout mice were more susceptible to generalized seizures than wild-type mice after kainic acid treatments. Together, these data indicate that NT-Ank domain of Shank3a/b regulates molecular pathways that protect thalamocortical neurons from hyperexcitability during the early postnatal period of mice.

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  • The SGLT2 inhibitor empagliflozin improves cardiac energy status via mitochondrial ATP production in diabetic mice. Reviewed International journal

    Choi J, Matoba N, @Setoyama D, Watanabe D, Ohnishi Y, Yasui R, Kitai Y, Oomachi A, Kotobuki Y, Nishiya Y, Pieper MP, Imamura H, Yanagita M, Yamamoto M.

    Communications Biology   6 ( 1 )   278   2023.3   eISSN:2399-3642

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    Empagliflozin, a sodium-glucose co-transporter 2 inhibitor developed, has been shown to reduce cardiovascular events in patients with type 2 diabetes and established cardiovascular disease. Several studies have suggested that empagliflozin improves the cardiac energy state which is a partial cause of its potency. However, the detailed mechanism remains unclear. To address this issue, we used a mouse model that enabled direct measurement of cytosolic and mitochondrial ATP levels. Empagliflozin treatment significantly increased cytosolic and mitochondrial ATP levels in the hearts of db/db mice. Empagliflozin also enhanced cardiac robustness by maintaining intracellular ATP levels and the recovery capacity in the infarcted area during ischemic-reperfusion. Our findings suggest that empagliflozin enters cardiac mitochondria and directly causes these effects by increasing mitochondrial ATP via inhibition of NHE1 and Nav1.5 or their common downstream sites. These cardioprotective effects may be involved in the beneficial effects on heart failure seen in clinical trials.

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  • Glycolytic System in Axons Supplement Decreased ATP Levels after Axotomy of the Peripheral Nerve. Reviewed International journal

    Takenaka T, Ohnishi Y, Yamamoto M, @Setoyama D, Kishima H.

    eNeuro   10 ( 3 )   21 - 21   2023.3   eISSN:2373-2822

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    Wallerian degeneration (WD) occurs in the early stages of numerous neurologic disorders, and clarifying WD pathology is crucial for the advancement of neurologic therapies. ATP is acknowledged as one of the key pathologic substances in WD. The ATP-related pathologic pathways that regulate WD have been defined. The elevation of ATP levels in axon contributes to delay WD and protects axons. However, ATP is necessary for the active processes to proceed WD, given that WD is stringently managed by auto-destruction programs. But little is known about the bioenergetics during WD. In this study, we made sciatic nerve transection models for GO-ATeam2 knock-in rats and mice. We presented the spatiotemporal ATP distribution in the injured axons with in vivo ATP imaging systems, and investigated the metabolic source of ATP in the distal nerve stump. A gradual decrease in ATP levels was observed before the progression of WD. In addition, the glycolytic system and monocarboxylate transporters (MCTs) were activated in Schwann cells following axotomy. Interestingly, in axons, we found the activation of glycolytic system and the inactivation of the tricarboxylic acid (TCA) cycle. Glycolytic inhibitors, 2-deoxyglucose (2-DG) and MCT inhibitors, a-cyano-4-hydroxycinnamic acid (4-CIN) decreased ATP and enhanced WD progression, whereas mitochondrial pyruvate carrier (MPC) inhibitors (MSDC-0160) did not change. Finally, ethyl pyruvate (EP) increased ATP levels and delayed WD. Together, our findings suggest that glycolytic system, both in Schwann cells and axons, is the main source of maintaining ATP levels in the distal nerve stump.

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  • Blood metabolome analysis focusing on mental disorders from depression to hikikomori

    Kato Takahiro A, Matsushima Toshio, Setoyama Daiki

    Japanese Journal of Biological Psychiatry   34 ( 1 )   7 - 12   2023   ISSN:21866619 eISSN:21866465

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    Patients with mental disorders rarely visit psychiatrists from the early stages of illness, which tends to delay the introduction of appropriate medical care. On the other hand, it is not uncommon for these patients to visit non‐psychiatric physicians for their physical symptoms. Therefore, development of biomarkers by blood sampling that can be performed outside of psychiatry will lead to early detection and intervention of mental disorders. With this expectation, we are searching for objective blood biomarkers of mental disorders.
    We herein introduce about blood metabolome analysis and present our recent studies focusing on depression and hikikomori (pathological social withdrawal) . We have found significant associations between depressive severity and 3‐hydroxybutyrate, suicidal ideation and kynurenine metabolites, and hikikomori and acylcarnitine/arginine. Establishment of objective biological evaluation systems for mental disorders is expected to lead to the realization of early detection and intervention of mental disorders as well as to the elimination of prejudice and stigma against mental disorders.

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  • TFAM expression in brown adipocytes confers obesity resistance by secreting extracellular vesicles that promote self-activation Reviewed International journal

    @Fujii M, @Setoyama D, Gotoh K, #Dozono Y, @Yagi M, @Ikeda M, @Ide T, @Uchiumi T, @Kang D.

    iScience   25 ( 9 )   104889   2022.9   eISSN:2589-0042

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    The occurrence of diet-induced obesity has been increasing worldwide and has become a major health concern. Mitochondria are densely distributed in brown adipose tissue and are involved in lipid consumption. Therefore, increasing energy expenditure through the activation of brown adipocytes may be a potential therapy for obesity. Our findings showed that mitochondrial transcription factor A (TFAM) homozygous transgenic (TgTg) mice had highly activated brown adipocytes and increased expression of oxidative phosphorylation, leading to resistance to obesity. Transplantation models of TFAM-expressing brown adipocytes could mimic the phenotype of TFAM TgTg mice, and proving their anti-obesity effect. We found that brown adipocytes secrete exosomes which enable self-activation in an autocrine and paracrine manner. The secretion was enhanced in TFAM TgTg brown adipocytes, resulting in a higher activation. These findings may lead to a promising treatment strategy for obesity through selective stimulation of exosome secretion.

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  • Excess intracellular ATP causes neuropathic pain following spinal cord injury Reviewed International journal

    Nakajima N, Ohnishi Y, Yamamoto M, @Setoyama D, Imai H, Takenaka T, Matsumoto M, Hosomi K, Saitoh Y, Furue H, Kishima H.

    Cell Mol Life Sci.   79 ( 9 )   483   2022.8   ISSN:1420-682X eISSN:1420-9071

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    Intractable neuropathic pain following spinal cord injury (NP-SCI) reduces a patient’s quality of life. Excessive release of ATP into the extracellular space evokes neuroinflammation via purinergic receptor. Neuroinflammation plays an important role in the initiation and maintenance of NP. However, little is known about whether or not extracellular ATP cause NP-SCI. We found in the present study that excess of intracellular ATP at the lesion site evokes at-level NP-SCI. No significant differences in the body weight, locomotor function, or motor behaviors were found in groups that were negative and positive for at-level allodynia. The intracellular ATP level at the lesion site was significantly higher in the allodynia-positive mice than in the allodynia-negative mice. A metabolome analysis revealed that there were no significant differences in the ATP production or degradation between allodynia-negative and allodynia-positive mice. Dorsal horn neurons in allodynia mice were found to be inactivated in the resting state, suggesting that decreased ATP consumption due to neural inactivity leads to a build-up of intracellular ATP. In contrast to the findings in the resting state, mechanical stimulation increased the neural activity of dorsal horn and extracellular ATP release at lesion site. The forced production of intracellular ATP at the lesion site in non-allodynia mice induced allodynia. The inhibition of P2X4 receptors in allodynia mice reduced allodynia. These results suggest that an excess buildup of intracellular ATP in the resting state causes at-level NP-SCI as a result of the extracellular release of ATP with mechanical stimulation.

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  • Cancer genomic profiling identified dihydropyrimidine dehydrogenase deficiency in bladder cancer promotes sensitivity to gemcitabine

    Tsukahara, S; Shiota, M; Takamatsu, D; Nagakawa, S; Matsumoto, T; Kiyokoba, R; Yagi, M; Setoyama, D; Noda, N; Matsumoto, S; Hayashi, T; Contreras-Sanz, A; Black, PC; Inokuchi, J; Kohashi, K; Oda, Y; Uchiumi, T; Eto, M; Kang, D

    SCIENTIFIC REPORTS   12 ( 1 )   8535   2022.5   ISSN:2045-2322

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    Chemotherapy is a standard therapy for muscle-invasive bladder cancer (MIBC). However, genomic alterations associated with chemotherapy sensitivity in MIBC have not been fully explored. This study aimed to investigate the genomic landscape of MIBC in association with the response to chemotherapy and to explore the biological role of genomic alterations. Genomic alterations in MIBC were sequenced by targeted exome sequencing of 409 genes. Gene expression in MIBC tissues was analyzed by western blotting, immunohistochemistry, and RNA microarray. Cellular sensitivity to gemcitabine and gemcitabine metabolite was examined in bladder cancer cells after modulation of candidate gene. Targeted exome sequencing in 20 cases with MIBC revealed various genomic alterations including pathogenic missense mutation of DPYD gene encoding dihydropyrimidine dehydrogenase (DPD). Conversely, high DPYD and DPD expression were associated with poor response to gemcitabine-containing chemotherapy among patients with MIBC, as well as gemcitabine resistance in bladder cancer cells. DPD suppression rendered cells sensitive to gemcitabine, while DPD overexpression made cells gemcitabine-resistant through reduced activity of the cytotoxic gemcitabine metabolite difluorodeoxycytidine diphosphate. This study revealed the novel role of DPD in gemcitabine metabolism. It has been suggested that DPYD genomic alterations and DPD expression are potential predictive biomarkers in gemcitabine treatment.

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  • 経口糖尿病薬SGLT-2阻害薬服用中の高齢女性患者で気尿を呈した尿内発酵症候群の1例

    土居 壽孝, 瀬戸山 大樹, 宮本 哲哉, 康 東天

    臨牀と研究   99 ( 4 )   501 - 505   2022.4   ISSN:0021-4965

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    82歳女性。糖尿病に対する即効性インスリン、持効性インスリン、SGLT-2阻害薬服用中に気尿が出現した。精査結果から、本症例ではSGLT-2阻害薬による尿糖排泄量増加に伴う尿内発酵症候群が考えられ、膀胱内にはエタノール産生が確認された。SGLT-2阻害薬を一時中止したが、血糖コントロールが不安定となったため再開し、その後は慎重に経過観察しながら投与を継続している。

  • 気分障害をターゲットとしたメタボローム解析研究-九州大学病院でのトライアル

    瀬戸山 大樹, 加藤 隆弘

    臨床精神医学   51   1121 - 1129   2022

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  • Attenuating Effect of Chlorella Extract on NLRP3 Inflammasome Activation by Mitochondrial Reactive Oxygen Species. Reviewed International journal

    Nakashima Y, @Gotoh K, #Mizuguchi S, @Setoyama D, #Takata Y, Kanno T, @Kang D.

    Front Nutr.   2021.10

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  • Mitochondrial Reactive Oxygen Species Are Essential for the Development of Psoriatic Inflammation. Reviewed International journal

    #Mizuguchi S, @Gotoh K, Nakashima Y, @Setoyama #D, Takata Y, @Ohga S, @Kang D.

    Front Immunol.   2021.8

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    DOI: 10.3389/fimmu.2021.714897. eCollection 2021.

  • Mitochondrial Lon protease is a gatekeeper for proteins newly imported into the matrix. Reviewed International journal

    @Matsushima Y, Takahashi K, Yue S, Fujiyoshi Y, Yoshioka H, @Aihara M, @Setoyama D, @Uchiumi T, Fukuchi S, @Kang D.

    Commun Biol.   2021.8

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    DOI: 10.1038/s42003-021-02498-z.

  • Mitochondrial translation deficiency impairs NAD+ -mediated lysosomal acidification. Invited Reviewed International journal

    @Yagi M, Toshima T, Amamoto R, Do Y, Hirai H, @Setoyama D, @Kang D, @Uchiumi T.

    EMBO Journal   2021.4

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    DOI: 10.15252/embj.2020105268.

  • Rostro-caudal different energy metabolism leading to differences in degeneration in spinal cord injury. Invited Reviewed International journal

    Ohnishi Y, Yamamoto M, Sugiura Y, @Setoyama D, Kishima H.

    Brain Communication   2021.3

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    DOI: 10.1093/braincomms/fcab058

  • GNAO1 organizes the cytoskeletal remodeling and firing of developing neurons. Reviewed International journal

    Akamine S, @Okuzono S, Yamamoto H, @Setoyama D, @Sagata N, Ohgidani M, @Kato TA, Ishitani T, Kato H, Masuda K, Matsushita Y, Ono H, Ishizaki Y, Sanefuji M, Saitsu H, Matsumoto N, @Kang D, Kanba S, @Nakabeppu Y, @Sakai Y, @Ohga S.

    FASEB J.   2020.12

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    DOI: 10.1096/fj.202001113R.

  • Beta-hydroxybutyrate, an endogenous NLRP3 inflammasome inhibitor, attenuates anxiety-related behavior in a rodent post-traumatic stress disorder model. Invited Reviewed International journal

    Yamanashi T, Iwata M, Shibushita M, Tsunetomi K, Nagata M, Kajitani N, Miura A, Matsuo R, Nishiguchi T, @Kato TA, @Setoyama D, Shirayama Y, Watanabe K, Shinozaki G, Kaneko K.

    Scientific Reports   2020.12

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    DOI: 10.1038/s41598-020-78410-2.

  • Kynurenic acid is a potential overlapped biomarker between diagnosis and treatment response for depression from metabolome analysis. Reviewed International journal

    Erabi H, Okada G, Shibasaki C, @Setoyama D, @Kang D, Takamura M, Yoshino A, Fuchikami M, Kurata A, @Kato TA, Yamawaki S, Okamoto Y.

    Scientific Reports   2020.10

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    DOI: 10.1038/s41598-020-73918-z

  • Mitochondrial Protein Synthesis Is Essential for Terminal Differentiation of CD45- TER119-Erythroid and Lymphoid Progenitors. Reviewed International journal

    @Gotoh K, @Kunisaki Y, #Mizuguchi S, @Setoyama D, @Hosokawa K, @Yao H, @Nakashima Y, @Yagi M, @Uchiumi T, @Semba Y, @Nogami J, @Akashi K, @Arai F, @Kang D

    iScience   2020.10

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    DOI: 10.1016/j.isci.2020.101654.

  • Linoleic acid improves assembly of the CII subunit and CIII2/CIV complex of the mitochondrial oxidative phosphorylation system in heart failure Reviewed

    Satoshi Maekawa, Shingo Takada, Hideo Nambu, Takaaki Furihata, Naoya Kakutani, Daiki Setoyama, Yasushi Ueyanagi, Dongchon Kang, Hisataka Sabe, Shintaro Kinugawa

    Cell Communication and Signaling   17 ( 1 )   2019.10

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    Background: Linoleic acid is the major fatty acid moiety of cardiolipin, which is central to the assembly of components involved in mitochondrial oxidative phosphorylation (OXPHOS). Although linoleic acid is an essential nutrient, its excess intake is harmful to health. On the other hand, linoleic acid has been shown to prevent the reduction in cardiolipin content and to improve mitochondrial function in aged rats with spontaneous hypertensive heart failure (HF). In this study, we found that lower dietary intake of linoleic acid in HF patients statistically correlates with greater severity of HF, and we investigated the mechanisms therein involved. Methods: HF patients, who were classified as New York Heart Association (NYHA) functional class I (n = 45), II (n = 93), and III (n = 15), were analyzed regarding their dietary intakes of different fatty acids during the one month prior to the study. Then, using a mouse model of HF, we confirmed reduced cardiolipin levels in their cardiac myocytes, and then analyzed the mechanisms by which dietary supplementation of linoleic acid improves cardiac malfunction of mitochondria. Results: The dietary intake of linoleic acid was significantly lower in NYHA III patients, as compared to NYHA II patients. In HF model mice, both CI-based and CII-based OXPHOS activities were affected together with reduced cardiolipin levels. Silencing of CRLS1, which encodes cardiolipin synthetase, in cultured cardiomyocytes phenocopied these events. Feeding HF mice with linoleic acid improved both CI-based and CII-based respiration as well as left ventricular function, together with an increase in cardiolipin levels. However, although assembly of the respirasome (i.e., CI/CIII2/CIV complex), as well as assembly of CII subunits and the CIII2/CIV complex statistically correlated with cardiolipin levels in cultured cardiomyocytes, respirasome assembly was not notably restored by dietary linoleic acid in HF mice. Therefore, although linoleic acid may significantly improve both CI-based and CII-based respiration of cardiomyocytes, respirasomes impaired by HF were not easily repaired by the dietary intake of linoleic acid. Conclusions: Dietary supplement of linoleic acid is beneficial for improving cardiac malfunction in HF, but is unable to completely cure HF.

    DOI: 10.1186/s12964-019-0445-0

  • Impaired plasmalogen synthesis dysregulates liver X receptor-dependent transcription in cerebellum Reviewed International journal

    @Masanori Honsho, Fabian Dorninger, @Yuichi Abe, Daiki Setoyama, Ryohei Ohgi, @Takeshi Uchiumi, @Dongchon Kang, Johannes Berger, @Yukio Fujiki

    J Biochem   2019.5

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    DOI: 10.1093/jb/mvz043

  • Suicide and microglia Recent findings and future perspectives based on human studies Reviewed

    Hisaomi Suzuki, Masahiro Ohgidani, Nobuki Kuwano, Fabrice Chrétien, Geoffroy Lorin de la Grandmaison, Mitsumoto Onaya, Itaru Tominaga, Daiki Setoyama, Dongchon Kang, Masaru Mimura, Shigenobu Kanba, Takahiro A. Kato

    Frontiers in Cellular Neuroscience   13   1 - 10   2019.1

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    Suicide is one of the most disastrous outcomes for psychiatric disorders. Recent advances in biological psychiatry have suggested a positive relationship between some specific brain abnormalities and specific symptoms in psychiatric disorders whose organic bases were previously completely unknown. Microglia, immune cells in the brain, are regarded to play crucial roles in brain inflammation by releasing inflammatory mediators and are suggested to contribute to various psychiatric disorders such as depression and schizophrenia. Recently, activated microglia have been suggested to be one of the possible contributing cells to suicide and suicidal behaviors via various mechanisms especially including the tryptophan-kynurenine pathway. Animal model research focusing on psychiatric disorders has a long history, however, there are only limited animal models that can properly express psychiatric symptoms. In particular, to our knowledge, animal models of human suicidal behaviors have not been established. Suicide is believed to be limited to humans, therefore human subjects should be the targets of research despite various ethical and technical limitations. From this perspective, we introduce human biological studies focusing on suicide and microglia. We first present neuropathological studies using the human postmortem brain of suicide victims. Second, we show recent findings based on positron emission tomography (PET) imaging and peripheral blood biomarker analysis on living subjects with suicidal ideation and/or suicide-related behaviors especially focusing on the tryptophan-kynurenine pathway. Finally, we propose future perspectives and tasks to clarify the role of microglia in suicide using multi-dimensional analytical methods focusing on human subjects with suicidal ideation, suicide-related behaviors and suicide victims.

    DOI: 10.3389/fncel.2019.00031

  • Development and validation of the 22-item Tarumi's Modern-Type Depression Trait Scale Avoidance of Social Roles, Complaint, and Low Self-Esteem (TACS-22) Reviewed

    Takahiro A. Kato, Ryoko Katsuki, Hiroaki Kubo, Norihiro Shimokawa, Mina Sato-Kasai, Kohei Hayakawa, Nobuki Kuwano, Wakako Umene-Nakano, Masaru Tateno, Daiki Setoyama, Dongchon Kang, Motoki Watabe, Shinji Sakamoto, Alan R. Teo, Shigenobu Kanba

    Psychiatry and clinical neurosciences   73 ( 8 )   448 - 457   2019.1

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    Aim: Understanding premorbid personality is important, especially when considering treatment selection. Historically, the premorbid personality of patients with major depression in Japan was described as Shuchaku-kishitsu [similar to Typus melancholicus], as proposed by Shimoda in the 1930s. Since around 2000, there have been increased reports in Japan of young adults with depression who have had premorbid personality differing from the traditional type. In 2005, Tarumi termed this novel condition ‘dysthymic-type depression,’ and more recently the condition has been called Shin-gata/Gendai-gata Utsu-byo [modern-type depression (MTD)]. We recently developed a semi-structured diagnostic interview to evaluate MTD. Development of a tool that enables understanding of premorbid personality in a short time, especially at the early stage of treatment, is desirable. The object of this study was to develop a self-report scale to evaluate the traits of MTD, and to assess the scale's psychometric properties, diagnostic accuracy, and biological validity. Methods: A sample of 340 participants from clinical and community settings completed measures. Psychometric properties were assessed with factor analysis. Diagnostic accuracy of the MTD traits was compared against a semi-structured interview. Results: The questionnaire contained 22 items across three subscales, thus we termed it the 22-item Tarumi's Modern-Type Depression Trait Scale: Avoidance of Social Roles, Complaint, and Low Self-Esteem (TACS-22). Internal consistency, test–retest reliability, and convergent validity were all satisfactory. Among patients with major depression, the area under the curve was 0.757 (sensitivity of 63.1% and specificity of 82.9%) and the score was positively correlated with plasma tryptophan. Conclusion: The TACS-22 possessed adequate psychometric properties and diagnostic accuracy in an initial sample of Japanese adults. Additional research on its ability to support clinical assessment of MTD is warranted.

    DOI: 10.1111/pcn.12842

  • Mitochondrial p32/C1qbp Is a Critical Regulator of Dendritic Cell Metabolism and Maturation Reviewed

    Kazuhito Gotoh, Takafumi Morisaki, Daiki Setoyama, Katsuhiko Sasaki, Mikako Yagi, Ko Igami, Soichi Mizuguchi, Takeshi Uchiumi, Yoshinori Fukui, Dongchon Kang

    Cell Reports   25 ( 7 )   1800 - 1815.e4   2018.11

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    Dendritic cell (DC) maturation induced by Toll-like receptor agonists requires activation of downstream signal transduction and metabolic changes. The endogenous metabolite citrate has recently emerged as a modulator of DC activation. However, the metabolic requirements that support citrate production remain poorly defined. Here, we demonstrate that p32/C1qbp, which functions as a multifunctional chaperone protein in mitochondria, supports mitochondrial metabolism and DC maturation. Metabolic analysis revealed that the citrate increase induced by lipopolysaccharide (LPS) is impaired in p32-deficient DCs. We also found that p32 interacts with dihydrolipoamide S-acetyltransferase (E2 component of pyruvate dehydrogenase [PDH] complex) and positively regulates PDH activity in DCs. Therefore, we suggest that DC maturation is regulated by citrate production via p32-dependent PDH activity. p32-null mice administered a PDH inhibitor show decreased DC maturation and ovalbumin-specific IgG production in vivo, suggesting that p32 may serve as a therapeutic target for DC-related autoimmune diseases. Although mitochondrial metabolic pathways are essential for DC activation, the precise molecular mechanism remains poorly understood. Gotoh et al. show that mitochondrial p32/C1qbp supports dendritic cell metabolism and maturation. In addition, mitochondrial p32 and pyruvate dehydrogenase activity are necessary for DC maturation in vitro and in vivo.

    DOI: 10.1016/j.celrep.2018.10.057

  • Tryptophan-kynurenine and lipid related metabolites as blood biomarkers for first-episode drug-naïve patients with major depressive disorder An exploratory pilot case-control study Reviewed

    Nobuki Kuwano, Takahiro A. Kato, Daiki Setoyama, Mina Sato-Kasai, Norihiro Shimokawa, Kohei Hayakawa, Masahiro Ohgidani, Noriaki Sagata, Hiroaki Kubo, Junji Kishimoto, Dongchon Kang, Shigenob Kanba

    Journal of Affective Disorders   231   74 - 82   2018.4

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    Background: Early intervention in depression has been critical to prevent its negative impact including suicide. Recent blood biomarker studies for major depressive disorder (MDD) have suggested that tryptophan-kynurenine and lipid related metabolites are involved in the pathophysiology of MDD. However, there have been limited studies investigating these blood biomarkers in first-episode drug-naïve MDD, which are particularly important for early intervention in depression. Methods: As an exploratory pilot case-control study, we examined the above blood biomarkers, and analyzed how these biomarkers are associated with clinical variables in first-episode drug-naïve MDD patients, based on metabolome/lipidome analysis. Results: Plasma tryptophan and kynurenine levels were significantly lower in MDD group (N = 15) compared to healthy controls (HC) group (N = 19), and plasma tryptophan was the significant biomarker to identify MDD group (area under the curve = 0.740). Lower serum high density lipoprotein-cholesterol (HDL-C) was the predictive biomarker for severity of depression in MDD group (R2 = 0.444). Interestingly, depressive symptoms were variously correlated with plasma tryptophan-kynurenine and lipid related metabolites. Moreover, plasma tryptophan-kynurenine metabolites and cholesteryl esters (CEs) were significantly correlated in MDD group, but not in HC group. Limitations: This study had small sample size, and we did not use the multiple test correction. Conclusions: This is the first study to suggest that not only tryptophan-kynurenine metabolites but also HDL-C and CEs are important blood biomarkers for first-episode drug-naïve MDD patients. The present study sheds new light on early intervention in clinical practice in depression, and further clinical studies especially large-scale prospective studies are warranted.

    DOI: 10.1016/j.jad.2018.01.014

  • Analysis of spatiotemporal metabolomic dynamics for sensitively monitoring biological alterations in cisplatin-induced acute kidney injury Reviewed

    Miho Irie, Eisuke Hayakawa, Yoshinori Fujimura, Youhei Honda, Daiki Setoyama, Hiroyuki Wariishi, Fuminori Hyodo, Daisuke Miura

    Biochemical and Biophysical Research Communications   496 ( 1 )   140 - 146   2018.1

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    Clinical application of the major anticancer drug, cisplatin, is limited by severe side effects, especially acute kidney injury (AKI) caused by nephrotoxicity. The detailed metabolic mechanism is still largely unknown. Here, we used an integrated technique combining mass spectrometry imaging (MSI) and liquid chromatography–mass spectrometry (LC–MS) to visualize the diverse spatiotemporal metabolic dynamics in the mouse kidney after cisplatin dosing. Biological responses to cisplatin was more sensitively detected within 24 h as a metabolic alteration, which is much earlier than possible with the conventional clinical chemistry method of blood urea nitrogen (BUN) measurement. Region-specific changes (e.g., medulla and cortex) in metabolites related to DNA damage and energy generation were observed over the 72-h exposure period. Therefore, this metabolomics approach may become a novel strategy for elucidating early renal responses to cisplatin, prior to the detection of kidney damage evaluated by conventional method.

    DOI: 10.1016/j.bbrc.2018.01.012

  • Neural-specific deletion of mitochondrial p32/C1qbp leads to leukoencephalopathy due to undifferentiated oligodendrocyte and axon degeneration Reviewed

    Mikako Yagi, Takeshi Uchiumi, Noriaki Sagata, Daiki Setoyama, Rie Amamoto, Yuichi Matsushima, Dongchon Kang

    Scientific reports   7 ( 1 )   2017.12

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    Mitochondrial dysfunction is a critical step in the pathogenesis of many neurodegenerative diseases. The p32/ C1qbp gene functions as an essential RNA and protein chaperone in mitochondrial translation, and is indispensable for embryonic development. However, little is known about the consequences of mitochondrial dysfunction of p32 deletion in the brain development. Here, we found that mice lacking p32 in the central nervous system (p32cKO mice) showed white matter degeneration accompanied by progressive oligodendrocyte loss, axon degeneration and vacuolation in the mid brain and brain stem regions. Furthermore, p32cKO mice died within 8 weeks of birth. We also found that p32-deficient oligodendrocytes and neurons showed reduced oligodendrocyte differentiation and axon degeneration in primary culture. We show that mitochondrial disruption activates an adaptive program known as the integrated stress response (ISR). Mitochondrial respiratory chain function in oligodendrocytes and neurons is, therefore, essential for myelination and axon maintenance, respectively, suggesting that mitochondrial respiratory chain dysfunction in the central nervous system contributes to leukoencephalopathy.

    DOI: 10.1038/s41598-017-15414-5

  • Dysregulated gene expressions of MEX3D, FOS and BCL2 in human induced-neuronal (iN) cells from NF1 patients A pilot study Reviewed

    Noriaki Sagata, Takahiro A. Kato, Shin Ichi Kano, Masahiro Ohgidani, Norihiro Shimokawa, Mina Sato-Kasai, Kohei Hayakawa, Nobuki Kuwano, Ashley M. Wilson, Koko Ishizuka, Shiori Kato, Takeshi Nakahara, Makiko Nakahara-Kido, Daiki Setoyama, Yasunari Sakai, Shouichi Ohga, Masutaka Furue, Akira Sawa, Shigenobu Kanba

    Scientific reports   7 ( 1 )   2017.12

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    Direct conversion technique to produce induced-neuronal (iN) cells from human fibroblasts within 2 weeks is expected to discover unknown neuronal phenotypes of neuropsychiatric disorders. Here, we present unique gene expression profiles in iN cells from patients with neurofibromatosis type 1 (NF1), a single-gene multifaceted disorder with comparatively high co-occurrence of autism spectrum disorder (ASD). Microarray-based transcriptomic analysis on iN cells from male healthy controls and male NF1 patients (NF1-iN cells) revealed that 149 genes expressions were significantly different (110 upregulated and 39 downregulated). We validated that mRNA of MEX3D (mex-3 RNA binding family member D) was lower in NF1-iN cells by real-time PCR with 12 sex-mixed samples. In NF1-iN cells on day 14, higher expression of FOS mRNA was observed with lower expression of MEX3D mRNA. Interestingly, BCL2 mRNA was higher in NF1-iN cells on day 5 (early-period) but not on day 14. Our data suggest that aberrant molecular signals due to NF1 mutations may disturb gene expressions, a subset of which defines continuum of the neuronal phenotypes of NF1 with ASD. Further translational studies using induced pluripotent stem (iPS) cell-derived neuronal cells are needed to validate our preliminary findings especially confirming meanings of analysis using early-period iN cells.

    DOI: 10.1038/s41598-017-14440-7

  • Doxycycline induces apoptosis via ER stress selectively to cells with a cancer stem cell-like properties Importance of stem cell plasticity Reviewed

    Takashi Matsumoto, Takeshi Uchiumi, Keisuke Monji, Mikako Yagi, Daiki Setoyama, Rie Amamoto, Yuichi Matsushima, Masaki Shiota, Masatoshi Eto, Dongchon Kang

    Oncogenesis   6 ( 11 )   2017.11

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    Tumor heterogeneity can be traced back to a small subset of cancer stem cells (CSCs), which can be derived from a single stem cell and show chemoresistance. Recent studies showed that CSCs are sensitive to mitochondrial targeting antibiotics such as doxycycline. However, little is known about how cancer cells undergo sphere formation and how antibiotics inhibit CSC proliferation. Here we show that under sphere-forming assay conditions, prostate cancer cells acquired CSC-like properties: promoted mitochondrial respiratory chain activity, expression of characteristic CSC markers and resistance to anticancer agents. Furthermore, those CSC-like properties could reversibly change depending on the culture conditions, suggesting some kinds of CSCs have plasticity in tumor microenvironments. The sphere-forming cells (i.e. cancer stem-like cells) showed increased contact between mitochondria and mitochondrial associated-endoplasmic reticulum (ER) membranes (MAM). Mitochondrial targeting doxycycline induced activating transcription factor 4 (ATF4) mediated expression of ER stress response and led to p53-upregulated modulator of apoptosis (PUMA)-dependent apoptosis only in the cancer stem-like cells. We also found that doxycycline effectively suppressed the sphere formation in vitro and blocked CD44v9-expressing tumor growth in vivo. In summary, these data provide new molecular findings that monolayer cancer cells acquire CSC-like properties in a reversible manner. These findings provide important insights into CSC biology and a potential new treatment of targeting mitochondria dependency.

    DOI: 10.1038/s41389-017-0009-3

  • Cardiomyocyte-specific loss of mitochondrial p32/C1qbp causes cardiomyopathy and activates stress responses Reviewed

    Toshiro Saito, Takeshi Uchiumi, Mikako Yagi, Rie Amamoto, Daiki Setoyama, Yuichi Matsushima, Dongchon Kang

    Cardiovascular research   113 ( 10 )   1173 - 1185   2017.8

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    Aims Mitochondria are important organelles, dedicated to energy production. Mitochondrial p32/C1qbp, which functions as an RNA and protein chaperone, interacts with mitochondrial mRNA and is indispensable for mitochondrial function through its regulation of mitochondrial translation in cultured cell lines. However, the precise role of p32/C1qbp in vivo is poorly understood because of embryonic lethality in the systemic p32-deficient mouse. The goal of this study was to examine the physiological function of mitochondrial p32/C1qbp in the heart. Methods and results We investigated the role of p32 in regulating cardiac function in mice using a Cre-loxP recombinase technology against p32 with tamoxifen-inducible knockdown or genetic ablation during postnatal periods. Cardiomyocyte-specific deletion of p32 resulted in contractile dysfunction, cardiac dilatation and cardiac fibrosis, compared with hearts of control mice. We also found decreased COX1 expression, decreased rates of oxygen consumption and increased oxidative stress, indicating that these mice had cardiac mitochondrial dysfunction provoked by p32-deficiency at early stage. Next, we investigated lifespan in cardiac-specific p32-deficient mice. The mice died beginning at 12 months and their median lifespan was ∼14 months. Cardiac mitochondria in the p32-deficient mice showed disordered alignment, enlargement and abnormalities in their internal structure by electron microscopy. We observed that, in p32-deficient compared with control myocytes, AMPKI' was constitutively phosphorylated and 4EBP-1 and ribosomal S6K were less phosphorylated, suggesting impairment of mammalian target of rapamycin signalling. Finally, we found that expression levels of mitokines such as FGF21 and of integrated stress response genes were significantly increased. Metabolic analysis demonstrated that the urea cycle was impaired in the p32-deficient hearts. Conclusion These findings support a key role for mitochondrial p32 protein in cardiac myocytes modulating mitochondrial translation and function, and thereby survival.

    DOI: 10.1093/cvr/cvx095

  • Plasma Metabolites Predict Severity of Depression and Suicidal Ideation in Psychiatric Patients-A Multicenter Pilot Analysis. Reviewed International journal

    Setoyama D

    PLoS One   2016.12

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    Evaluating the severity of depression (SOD), especially suicidal ideation (SI), is crucial in the treatment of not only patients with mood disorders but also psychiatric patients in general. SOD has been assessed on interviews such as the Hamilton Rating Scale for Depression (HAMD)-17, and/or self-administered questionnaires such as the Patient Health Questionnaire (PHQ)-9. However, these evaluation systems have relied on a person's subjective information, which sometimes lead to difficulties in clinical settings. To resolve this limitation, a more objective SOD evaluation system is needed. Herein, we collected clinical data including HAMD-17/PHQ-9 and blood plasma of psychiatric patients from three independent clinical centers. We performed metabolome analysis of blood plasma using liquid chromatography mass spectrometry (LC-MS), and 123 metabolites were detected. Interestingly, five plasma metabolites (3-hydroxybutyrate (3HB), betaine, citrate, creatinine, and gamma-aminobutyric acid (GABA)) are commonly associated with SOD in all three independent cohort sets regardless of the presence or absence of medication and diagnostic difference. In addition, we have shown several metabolites are independently associated with sub-symptoms of depression including SI. We successfully created a classification model to discriminate depressive patients with or without SI by machine learning technique. Finally, we produced a pilot algorithm to predict a grade of SI with citrate and kynurenine. The above metabolites may have strongly been associated with the underlying novel biological pathophysiology of SOD. We should explore the biological impact of these metabolites on depressive symptoms by utilizing a cross species study model with human and rodents. The present multicenter pilot study offers a potential utility for measuring blood metabolites as a novel objective tool for not only assessing SOD but also evaluating therapeutic efficacy in clinical practice. In addition, modification of these metabolites by diet and/or medications may be a novel therapeutic target for depression. To clarify these aspects, clinical trials measuring metabolites before/after interventions should be conducted. Larger cohort studies including non-clinical subjects are also warranted to clarify our pilot findings.

    DOI: 10.1371/journal.pone.0165267

  • 質量分析による代謝解析アプリケーション〜ミトコンドリア障害を捉えるバイオマーカー探索〜 Invited Reviewed

    Setoyama D, Kang Dongchon

    福岡医学雑誌   106 ( 10 )   267 - 272   2015.10

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  • Direct induction of ramified microglia-like cells from human monocytes: dynamic microglial dysfunction in Nasu-Hakola disease. Reviewed International journal

    Setoyama D, Ohgidani M, Sagata N, Kato TA, Hashimoto R, Yoshida T, Hayakawa K, Shimokawa N, Shigenobu Kanba

    Scientific Reports   14 ( 4 )   4957   2014.5

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    DOI: 10.1038

  • Metabolomics reveals that carnitine-palmitoyltransferase-1 is a novel target for oxidative inactivation in human cells Reviewed International journal

    瀬戸山 大樹

    Genes to Cells   18 ( 12 )   1107 - 1119   2013.12

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  • High-throughput metabolic profiling of diverse green Coffea arabica beans identified tryptophan as a universal discrimination factor for immature beans Reviewed International journal

    瀬戸山 大樹

    PLoS ONE   8 ( 8 )   e70098   2013.8

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Books

  • 精神医学領域の論文を読みこなすキーワード100!

    @鬼塚 俊明、橋本 亮太 編集(Role:Joint author)

    新興医学出版社  2022.12 

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    Responsible for pages:「オミクス解析」 p212   Language:Japanese   Book type:General book, introductory book for general audience

  • 臨床化学 Vol.51 No.3

    Setoyama Daiki

    日本臨床化学会  2022 

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    Total pages:7  

    CiNii Research

Presentations

  • Mitochondrial metabolomics revealed the molecular mechanisms of b-NMN’s effect on mtDNA maintenance International conference

    @Daiki Setoyama

    Chungnam National University - Kyushu University Joint Conference on Mitochondria and Metabolism  2022.12 

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    Event date: 2022.12

    Language:English   Presentation type:Oral presentation (general)  

    Venue:福岡市   Country:Japan  

  • b-NMNサプリメントの真贋調査〜どれが本物でどの表示が正しいのか?〜

    @瀬戸山大樹、ふぇちゅいん

    第45回日本分子生物学会年会  2022.11 

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    Event date: 2022.11 - 2022.12

    Language:Japanese  

    Venue:千葉市   Country:Japan  

  • ミトコンドリアDNA複製を活性化するb-NMNの代謝機序

    @瀬戸山大樹、@野見山倫子、山本正道、@康東天

    第45回日本分子生物学会年会  2022.11 

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    Event date: 2022.11 - 2022.12

    Language:Japanese  

    Venue:千葉市   Country:Japan  

  • 臨床検査におけるLC-MSの未来図」有機酸代謝異常症の自動化分析法の確立とメンタルヘルスの臨床検査への挑戦 International conference

    @瀬戸山大樹

    第61回日本臨床化学会年次学術集会  2021.11 

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    Event date: 2021.11

    Language:Japanese   Presentation type:Symposium, workshop panel (public)  

    Venue:福岡市   Country:Japan  

  • Compartmentalized Metabolomics Reveals a Substantial Role of NAD#U+#U in Mitochondrial DNA Maintenance Invited International conference

    @Daiki Setoyama

    The 11th International Congress of Diabetes and Metabolism and The 13th AASD Scientific Meeting  2021.10 

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    Event date: 2021.10

    Language:English   Presentation type:Oral presentation (general)  

    Venue:on line   Country:Korea, Republic of  

  • 最近の研究事例から学ぶ、臨床検査の機械学習法〜COVID-19診断・重症化/死亡率予測アルゴリズム作成に関する文献を題材に〜

    @瀬戸山大樹

    日本医療検査科学会第53回大会  2021.10 

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    Event date: 2021.10

    Language:Japanese   Presentation type:Public lecture, seminar, tutorial, course, or other speech  

    Venue:横浜市   Country:Japan  

  • 自動前処理LC/MS/MSシステムを用いた血中有機酸分析自動化の確立

    @植柳 泰、@松本 信也、@瀬戸山 大樹、川上 大輔、@堀田 多恵子、@康 東天

    第52回日本臨床検査自動化学会  2020.10 

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    Event date: 2021.5

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:パシフィコ横浜   Country:Japan  

  • 臨床検査データ解析の実際-Rを用いた解析の基本・応用・発展-

    瀬戸山 大樹

    第52回日本臨床検査自動化学会  2020.10 

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    Event date: 2020.10

    Language:Japanese   Presentation type:Symposium, workshop panel (public)  

    Venue:パシフィコ横浜   Country:Japan  

  • 個々人のパーソナリティを加味したLCMSによる血液うつ病バイオマーカー研究

    @瀬戸山大樹, @康東天

    第51回日本臨床検査自動化学会  2019.10 

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    Event date: 2019.10

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:パシフィコ横浜   Country:Japan  

  • 臨床検査データ解析の実際 Invited

    瀬戸山大樹

    第51回日本臨床検査自動化学会  2019.10 

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    Event date: 2019.10

    Language:Japanese   Presentation type:Public lecture, seminar, tutorial, course, or other speech  

    Venue:パシフィコ横浜   Country:Japan  

  • 生理活性を担う血中の遊離型ステロイドホルモンの一斉分析法の開発

    @瀬戸山大樹,@康東天

    第59回日本臨床化学会年次学術集会  2019.9 

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    Event date: 2019.9

    Language:Japanese  

    Venue:仙台国際センター   Country:Japan  

  • 臨床検査のデータサイエンス Invited

    瀬戸山大樹

    職能拡大推進事業「診療情報、医療情報の知識・技術によるデータの活用・医療への貢献」  2019.9 

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    Event date: 2019.9

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:日本臨床衛生検査技師会館   Country:Japan  

  • LCMS-Based Plasma Metabolite Biomarker Analysis of Major Depressive Disorders: A Novel Approach Invited International conference

    Daiki Setoyama

    Shimadzu Global Innovation Summit2019  2019.7 

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    Event date: 2019.7

    Language:Japanese  

    Venue:京都   Country:Japan  

  • Rで広がるデータ解析の地平 Invited

    瀬戸山大樹

    福岡県保健環境研究所集談会  2019.2 

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    Event date: 2019.2

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:福岡県保健環境研究所   Country:Japan  

  • ミトコンドリアTCA回路中間体による間葉系細胞分化制御

    @瀬戸山大樹、@康東天

    第42回分子生物学会年会  2018.11 

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    Event date: 2018.11

    Language:Japanese  

    Venue:横浜   Country:Japan  

  • 「強く自殺したい」と思うひとを検査で見つけたい-自殺念慮に相関する血液LC-MS解析

    瀬戸山大樹

    第50回日本臨床検査自動化学会  2018.10 

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    Event date: 2018.10

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:神戸   Country:Japan  

  • 臨床検査値の機械学習応用〜病院データベース利用に関するプラクティカルな課題〜 Invited

    瀬戸山大樹

    第50回日本臨床検査自動化学会  2018.10 

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    Event date: 2018.10

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:神戸   Country:Japan  

  • Mass Spectrometry-Based Omics Approach Reveals Multifaceted Roles of Mitochondrial Metabolism in the Drug Target and Maintaining its Own DNA Invited International conference

    Daiki Setoyama

    第二回日本循環器学会基礎研究フォーラム  2018.9 

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    Event date: 2018.9

    Language:English   Presentation type:Oral presentation (general)  

    Venue:奈良国際フォーラムIRAKA   Country:Japan  

  • うつ病バイオマーカー探索のための血しょう代謝物の層別化解析法の提案

    @瀬戸山大樹、@堀田多恵子、@康東天

    第58回臨床化学会年次学術集会  2018.8 

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    Event date: 2018.8

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:名古屋国際会議場   Country:Japan  

  • メンタルヘルスの臨床検査に向けた質量分析の役割

    瀬戸山大樹

    第58回臨床化学会年次学術集会  2018.8 

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    Event date: 2018.8

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:名古屋国際会議場   Country:Japan  

  • 医療情報の利活用で見えてくる次世代の臨床検査システムのかたち〜機械学習による臨床検査診断支援システムの実現〜 Invited

    瀬戸山大樹

    先進医療技術科学会(AMeTS)  2018.7 

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    Event date: 2018.7

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:九州大学医学部保健学科   Country:Japan  

  • Highly Effective Preprocessing for LCMS-Based Plasma Metabolite Biomarker Analysis of Depression International conference

    @Daiki Setoyama, @Dongchon Kang

    Metabolomics 2018  2018.6 

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    Event date: 2018.6

    Language:English  

    Venue:シアトル   Country:United States  

  • 病院検査部における医療情報リテラシー教育〜機械学習・AI技術による臨床検査診断支援システムの実現を目指して〜

    瀬戸山大樹

    平成29年度 九州大学 数理・データサイエンスに関する教育・研究支援プログラム研究成果発表会  2018.3 

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    Event date: 2018.3

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:九州大学稲盛財団記念館 A会議室   Country:Japan  

  • 質量分析-代謝物解析によるうつ病に関連する血液成分の同定

    瀬戸山大樹、康東天

    第57回臨床化学会年次学術集会  2017.10 

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    Event date: 2017.10

    Language:Japanese  

    Venue:札幌   Country:Japan  

  • トリオミクスアプローチによるミトコンドリア表現型解析

    瀬戸山大樹、堀田多恵子、康東天

    日本臨床検査自動化学会第49回大会  2017.9 

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    Event date: 2017.9

    Language:Japanese  

    Venue:横浜   Country:Japan  

  • High-precision mitochondrial metabolomics reveals metabolic signatures linked to mitochondrial DNA replication deficiency International conference

    Daiki Setoyama, Dongchon Kang

    Euromit2017  2017.6 

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    Event date: 2017.6

    Language:English  

    Venue:ケルン   Country:Germany  

  • 臓器別ミトコンドリア機能障害を捉える血漿診断法の開発

    瀬戸山大樹, 後藤 和人, 八木 美佳子, 内海 健, KANG DONGCHON

    第九回メタボロームシンポジウム  2015.10 

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    Event date: 2015.9 - 2015.10

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:静岡県三島市三島文化会館   Country:Japan  

  • 質量分析法による糖尿病マウス血中に存在する糖化代謝物の同定

    瀬戸山 大樹, 後藤 和人, 堀田 多恵子, 内海 健, KANG DONGCHON

    第60回日本臨床検査医学会九州地方会/ 第26回日本臨床化学会九州支部総会  2015.3 

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    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:鹿児島   Country:Japan  

  • 糖尿病診断マーカーとしての糖化代謝物の有用性検討~病態モデルマウス血しょうのパイロット研究~

    瀬戸山 大樹, 後藤 和人, 内海 健, KANG DONGCHON

    第61回日本臨床検査医学会学術集会  2014.11 

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    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:福岡   Country:Japan  

  • ミトコンドリア病様表現型を示すホモ型hTFAM-Tgマウスの代謝適応戦略

    瀬戸山大樹

    第39回日本分子生物学会年会  2016.11 

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    Event date: 2016.11 - 2016.12

    Language:Japanese  

    Venue:パシフィコ横浜   Country:Japan  

  • オミクスアプローチによるミトコンドリア代謝を標的とするメトホルミン抗腫瘍活性の作用機序解明

    瀬戸山大樹

    第63回臨床検査医学会学術集会  2016.9 

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    Event date: 2016.9

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:神戸国際展示場   Country:Japan  

  • ミトコンドリア異常を反映する新たな血しょうバイオマーカーの探索

    瀬戸山大樹, 後藤和人, 内海 健, Dongchon Kang

    第62回日本臨床検査医学会学術集会  2015.11 

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    Event date: 2015.11 - 2016.5

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:岐阜   Country:Japan  

  • 血中カルジオリピンの分子種組成に着目した臓器別ミトコンドリア障害の診断法の開発

    植柳泰, 瀬戸山大樹, KANG DONGCHON

    第九回メタボロームシンポジウム  2015.10 

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    Event date: 2015.9 - 2015.10

    Language:Japanese  

    Venue:静岡県三島市三島文化会館   Country:Japan  

  • ミトコンドリアDNA修復障害を感知するマトリクス内代謝応答

    野見山倫子, 瀬戸山大樹, 安川 武宏, KANG DONGCHON

    第九回メタボロームシンポジウム  2015.10 

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    Event date: 2015.9 - 2015.10

    Language:Japanese   Presentation type:Oral presentation (general)  

    Venue:静岡県三島市三島文化会館   Country:Japan  

  • Metabolomic screening for identifying the oxidative stress vulnerable enzymes that involve in cellular metabolism International conference

    瀬戸山 大樹

    9th Annual Conference of The Metabolomics Society  2013.7 

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    Language:English  

    Country:United Kingdom  

  • 核膜構造の不安定化が細胞代謝に与える影響

    瀬戸山 大樹

    第36回日本分子生物学会年会  2013.12 

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    Language:Japanese  

    Venue:神戸   Country:Japan  

  • メタボローム解析による新規酸化ストレス脆弱性酵素群CPT1の発見

    瀬戸山 大樹

    第八回メタボロームシンポジウム  2013.10 

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    Language:Japanese  

    Venue:福岡   Country:Japan  

  • 糖尿病マウス血しょうにおける糖化代謝物の同定

    瀬戸山 大樹

    第八回メタボロームシンポジウム  2013.10 

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    Language:Japanese  

    Venue:福岡   Country:Japan  

  • 院内におけるLC-MS検査の内部精度管理

    瀬戸山 大樹, 植柳 泰, 柳内 千尋, 堀田 多恵子, 國崎 祐哉, 赤司 浩一

    医療検査と自動化  2023.8  (一社)日本医療検査科学会

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  • 質量分析を備えた大学病院検査部の使命 検査実装とバイオマーカー探索

    瀬戸山 大樹

    JSBMS Letters  2024.8  (一社)日本医用マススペクトル学会

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  • 質量分析による臨床化学研究の最前線 質量分析によるメンタルヘルスの血液検査の社会実装に向けて

    瀬戸山 大樹

    臨床化学  2024.7  (一社)日本臨床化学会

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    Language:Japanese  

  • 血液メタボローム解析を用いたメンタルストレスを評価するための新たなバイオマーカーの探索

    福應 温, 瀬戸山 大樹, 松田 洋和, 加藤 隆弘, 康 東天, 國崎 祐哉

    日本生化学会大会プログラム・講演要旨集  2023.10  (公社)日本生化学会

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  • 臨床症状と乖離する高アンモニア血症の原因究明を試みた一症例

    野見山 倫子, 瀬戸山 大樹, 丸山 奏恵, 酒本 美由紀, 堀田 多恵子, 國崎 祐哉

    臨床化学  2024.7  (一社)日本臨床化学会

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  • 慢性心不全モデルマウスの病態解析と治療戦略

    平井 遥, 八木 美佳子, 都 由羅, 瀬戸山 大樹, 堀田 多恵子, 内海 健

    臨床化学  2022.9  (一社)日本臨床化学会

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  • 急増する「ひきこもり者」の血液バイオマーカー

    瀬戸山 大樹

    医療検査と自動化  2022.8  (一社)日本医療検査科学会

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  • プロテオームが解き明かすFSGSにおける補体の関わり

    山口 佐歩美, 中野 敏昭, 瀬戸山 大樹, Sasha Singh, Abhijeet Sonawane, 相川 眞範, 國崎 祐哉, 北園 孝成

    日本腎臓学会誌  2024.6  (一社)日本腎臓学会

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  • うつ病の客観的血液指標を求めて

    康 東天, 加藤 隆弘, 瀬戸山 大樹

    日本臨床検査医学会誌  2024.6  (一社)日本臨床検査医学会

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  • うつ病の客観的血液指標を求めて

    康 東天, 加藤 隆弘, 瀬戸山 大樹

    日本臨床検査医学会誌  2023.10  (一社)日本臨床検査医学会

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  • Shank3aは生後早期マウスのけいれん感受性を制御する

    奥園 清香, 藤井 史彦, 松下 悠紀, 瀬戸山 大樹, 新明 洋平, 平良 遼志, 米元 耕輔, 赤峰 哲, 本村 良知, 實藤 雅文, 櫻井 武, 河崎 洋志, Han Kihoon, 加藤 隆弘, 鳥巣 浩幸, 康 東天, 中別府 雄作, 酒井 康成, 大賀 正一

    日本小児科学会雑誌  2023.2  (公社)日本小児科学会

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  • SGLT2阻害薬は糖尿病モデルマウスの心臓においてミトコンドリアATP産生を介して心臓のエネルギー状態を改善する

    山本 正道, 崔 廷米, 瀬戸山 大樹, 大西 諭一郎, 的場 直輝

    糖尿病  2024.4  (一社)日本糖尿病学会

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  • SGLT2阻害薬は糖尿病モデルマウスの心臓においてミトコンドリアATP産生を介して心臓のエネルギー状態を改善する

    山本 正道, 崔 廷米, 瀬戸山 大樹, 大西 諭一郎, 的場 直輝

    糖尿病  2024.4  (一社)日本糖尿病学会

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  • Shank3aは生後早期マウスのけいれん感受性を制御する

    奥園 清香, 藤井 史彦, 松下 悠紀, 瀬戸山 大樹, 新明 洋平, 平良 遼志, 米元 耕輔, 赤峰 哲, 本村 良知, 實藤 雅文, 櫻井 武, 河崎 洋志, Han Kihoon, 加藤 隆弘, 鳥巣 浩幸, 康 東天, 中別府 雄作, 酒井 康成, 大賀 正一

    日本小児科学会雑誌  2023.2  (公社)日本小児科学会

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  • うつ病の客観的血液指標を求めて

    康 東天, 加藤 隆弘, 瀬戸山 大樹

    日本臨床検査医学会誌  2024.6  (一社)日本臨床検査医学会

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  • うつ病の客観的血液指標を求めて

    康 東天, 加藤 隆弘, 瀬戸山 大樹

    日本臨床検査医学会誌  2023.10  (一社)日本臨床検査医学会

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  • プロテオームが解き明かすFSGSにおける補体の関わり

    山口 佐歩美, 中野 敏昭, 瀬戸山 大樹, Sasha Singh, Abhijeet Sonawane, 相川 眞範, 國崎 祐哉, 北園 孝成

    日本腎臓学会誌  2024.6  (一社)日本腎臓学会

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  • 急増する「ひきこもり者」の血液バイオマーカー

    瀬戸山 大樹

    医療検査と自動化  2022.8  (一社)日本医療検査科学会

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  • 慢性心不全モデルマウスの病態解析と治療戦略

    平井 遥, 八木 美佳子, 都 由羅, 瀬戸山 大樹, 堀田 多恵子, 内海 健

    臨床化学  2022.9  (一社)日本臨床化学会

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  • 臨床プロテオミクスによる脳脊髄液の循環遊離型ミトコンドリアDNA関連因子の探索

    野見山 倫子, 瀬戸山 大樹, 山中 基子, 堀田 多恵子, 國崎 祐哉

    臨床化学  2023.10  (一社)日本臨床化学会

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  • 血液メタボローム解析を用いたメンタルストレスを評価するための新たなバイオマーカーの探索

    福應 温, 瀬戸山 大樹, 松田 洋和, 加藤 隆弘, 康 東天, 國崎 祐哉

    日本生化学会大会プログラム・講演要旨集  2023.10  (公社)日本生化学会

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  • 質量分析を備えた大学病院検査部の使命 検査実装とバイオマーカー探索

    瀬戸山 大樹

    JSBMS Letters  2024.8  (一社)日本医用マススペクトル学会

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  • 院内におけるLC-MS検査の内部精度管理

    瀬戸山 大樹, 植柳 泰, 柳内 千尋, 堀田 多恵子, 國崎 祐哉, 赤司 浩一

    医療検査と自動化  2023.8  (一社)日本医療検査科学会

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  • 院内LC-MS/MS検査の精度管理に関する諸問題の報告

    瀬戸山 大樹, 植柳 泰, 藤島 章義, 松本 信也, 堀田 多恵子, 國崎 祐哉

    医療検査と自動化  2024.8  (一社)日本医療検査科学会

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    Language:Japanese  

  • 部内コードと標準コードのマッピングの課題 AIを用いたマッピング事例

    瀬戸山 大樹

    医療検査と自動化  2024.8  (一社)日本医療検査科学会

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  • 質量分析によるCAR-T療法前の脳脊髄液を用いたICANS予測因子の探索

    野見山 倫子, 瀬戸山 大樹, 山中 育未, 下茂 雅俊, 谷口 志保, 森 匡平, 宮脇 恒太, 山内 拓司, 陣之内 文昭, 迫田 哲平, 佐々木 謙介, 島 隆宏, 森 康雄, 山中 基子, 堀田 多惠子, 加藤 光次, 赤司 浩一, 國崎 祐哉

    日本血液学会学術集会  2024.10  (一社)日本血液学会

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    Language:English  

  • プロテオミクスによる概日リズム阻害薬の抗白血病効果を増強する標的経路の探索

    山中 育未, 瀬戸山 大樹, 後藤 和人, 大島 豪, 天池 一真, 伊丹 健一郎, 廣田 毅, 國崎 祐哉

    日本血液学会学術集会  2024.10  (一社)日本血液学会

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  • CAR-T療法の副作用発症を予測する脳脊髄液のバイオマーカー探索

    野見山 倫子, 瀬戸山 大樹, 山中 育未, 堀田 多恵子, 國崎 祐哉

    医療検査と自動化  2024.8  (一社)日本医療検査科学会

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  • 2型糖尿病における、糖尿病腎症発症・進展に対する貧血の影響

    勝田 仁, 平田 明恵, 古橋 寛子, 徳永 章二, 佐藤 直市, 瀬戸山 大樹, 國崎 祐哉, 赤司 浩一, 中島 直樹

    日本糖尿病インフォマティクス学会年次学術集会プログラム・抄録集  2024.8  (一社)日本糖尿病インフォマティクス学会

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MISC

  • 「メンタルヘルスの臨床検査」に向けた血液バイオマーカー探索 Reviewed

    @瀬戸山大樹

    臨床化学   2022.7

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  • ミトコンドリア代謝を知るためのメタボロミクス Reviewed

    @瀬戸山大樹

    生化学 Vol.94 No.2   2022.4

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    DOI: 10.14952/SEIKAGAKU.2022.940159

  • 経口糖尿病薬SGLT-2阻害薬服用中の高齢女性患者で気尿を呈した尿内発酵症候群の1例 Reviewed

    土居壽孝、@瀬戸山大樹、宮本哲哉、@康東天

    臨床と研究 Vol.99 No.4 pp97-100   2022.4

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    Language:Japanese   Publishing type:Internal/External technical report, pre-print, etc.  

  • 診断バイオマーカー うつ病の血液バイオマーカー開発の試み Reviewed

    @瀬戸山 大樹

    精神科(神経科)37(6): 592-598   2020.12

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  • うつ病の客観的血液指標を求めて メタボローム解析

    康 東天, 瀬戸山 大樹, 加藤 隆弘

    検査と技術   52 ( 11 )   1124 - 1126   2024.11   ISSN:0301-2611

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    Language:Japanese   Publisher:(株)医学書院  

    <文献概要>はじめに うつ病は気分障害の1つで,抑うつ気分と興味・喜びの喪失を主症状とし,自殺関連行動と最も関連のある疾患の1つでもある1).日本の生涯有病率は約10%で,現代社会のストレスの増加に伴い,うつ病の発症率も増加傾向にある.うつ病は職場離脱の主要な原因になることが多く,社会経済的な問題としてもますます注目を集めている.社会的ストレスの増加とうつ病の関連は,十分に対策が取られていない世界的な社会問題(unmet needs)として世界保健機関(WHO)も取り上げている2).このように,うつ病の早期発見と正確な重症度判断の重要性が増しているが,その診断は依然として精神科医の問診などによる主観的判断に依存しており,精神科医の経験と専門的技量に強く依存している.また,その診断にはかなりの時間がかかり,専門医の数が不足している現状では世界的な問題となっている.臨床検査の役割は客観的指標を提供することであり,現状では臨床検査がうつ病の診断にほとんど寄与していないといえる.そこで九州大学病院(以下,当院)の検査部は,精神科との共同研究のもと,うつ病に対する客観的パラメーターの提供と効率的な診断への寄与を目指し,2014年からメタボローム解析を開始した.

  • 【うつ病のバイオマーカー開発の試み】うつ病のメタボローム解析によるバイオマーカー開発の試み

    松島 敏夫, 瀬戸山 大樹, 加藤 隆弘

    精神医学   66 ( 2 )   130 - 136   2024.2   ISSN:0488-1281

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    <文献概要>メタボローム解析は質量分析を用いて代謝物を網羅的に測定するオミクス解析の一種である。生体内の代謝物は,複雑な細胞環境の最終表現型としてさまざまな生理機能を反映しており,その経時的変化を捉えることができると考えられる。九州大学病院「気分障害ひきこもり外来」では血液メタボローム解析を用いたうつ病をはじめとする気分障害の病態解明,客観的バイオマーカー開発,治療法開発を進めている。本稿では,血液メタボローム解析について概説し,筆者らが推進している抑うつ症状・自殺などに関連した血液メタボローム解析研究とその成果を紹介する。筆者らはこれまでに抑うつ重症度に関連する3-ヒドロキシ酪酸,自殺念慮に相関するキヌレニン系代謝物,さらには性格傾向に関連するいくつかの代謝物を予備的に同定してきた。こうした研究を基にした社会実装により,うつ病を客観的に評価できるシステムが導入されることで,うつ病への早期発見・早期介入の実現が期待される。

  • 【精神疾患とオミックス研究最前線】精神疾患の血液メタボローム解析研究 うつ病から社会的ひきこもりまで

    加藤 隆弘, 松島 敏夫, 瀬戸山 大樹

    日本生物学的精神医学会誌   34 ( 1 )   7 - 12   2023.3   ISSN:2186-6619

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    Language:Japanese   Publisher:日本生物学的精神医学会  

    うつ病など精神疾患をもつ患者が発症初期から精神医療機関を受診することはまれであり,適切な精神医療の導入は遅れがちである。他方,こうした患者は身体症状のために身体科を受診していることがまれではない。しかるに,筆者らは精神科以外でも実施可能な採血による血液バイオマーカーの開発が,精神疾患の早期発見・早期介入につながることを期待して,血液を用いた精神疾患の客観的バイオマーカー開発を進めている。本稿では,血液メタボローム解析について概説し,うつ病やひきこもりに関連した研究の成果を紹介する。筆者らはこれまで抑うつ重症度と3ヒドロキシ酪酸,自殺とキヌレニン経路代謝物,ひきこもりとアシルカルニチン/アルギニンとの関連を萌芽的に見いだしてきた。こうした研究の発展により精神疾患を採血で客観的に生物学的に評価できるシステムが構築されることで,精神疾患の早期発見・早期介入の実現に加えて精神疾患への偏見解消が期待される。(著者抄録)

  • 慢性心不全モデルマウスの病態解析と治療戦略

    平井 遥, 八木 美佳子, 都 由羅, 瀬戸山 大樹, 堀田 多恵子, 内海 健

    臨床化学   52 ( 1 )   47 - 50   2023.1   ISSN:0370-5633

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  • 【臨床につながる気分障害研究最前線】気分障害をターゲットとしたメタボローム解析研究 九州大学病院でのトライアル

    松島 敏夫, 瀬戸山 大樹, 加藤 隆弘

    臨床精神医学   51 ( 10 )   1121 - 1129   2022.10   ISSN:0300-032X

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  • 【質量分析法を活用したバイオマーカー分析研究】「メンタルヘルスの臨床検査」に向けた血液バイオマーカー探索

    瀬戸山 大樹

    臨床化学   51 ( 3 )   161 - 168   2022.7   ISSN:0370-5633

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  • 【ミトコンドリア研究の最前線と新潮流】ミトコンドリア代謝を知るためのメタボロミクス

    瀬戸山 大樹

    生化学   94 ( 2 )   159 - 169   2022.4   ISSN:0037-1017

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    Language:Japanese   Publisher:(公社)日本生化学会  

    細胞小器官の一つであるミトコンドリアは,「細胞のエネルギー発電所(powerhouse)」と呼ばれる.もちろん,エネルギーとはATPのことであり,「発電所」とは内膜に存在する酸化的リン酸化システム(OXPHOS)を指すことは常識であろう.ミトコンドリアの機能を一言でまとめると「ATPをよく産生する」ことになる.しかし当然ながら,これはミトコンドリア機能の一側面にすぎない.事実,ミトコンドリアはエネルギー産生以外にも数多くの代謝反応の場として,細胞機能を維持する上できわめて重要な役割を果たしている.本稿では,ミトコンドリアを場とする「代謝」の重要性を二つのファクトから浮き彫りにし,次にその代謝経路のいくつかを点描した後,最後にその活性を「代謝産物の変動」として正確に捉えるための方法論,すなわち,ミトコンドリア-メタボロミクスについて筆者らが開発した内容の一部を解説する.(著者抄録)

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Industrial property rights

Patent   Number of applications: 5   Number of registrations: 1
Utility model   Number of applications: 0   Number of registrations: 0
Design   Number of applications: 0   Number of registrations: 0
Trademark   Number of applications: 0   Number of registrations: 0

Professional Memberships

  • 日本分子生物学会

  • The Japan Association for Clinical Laboratory Science

  • The Japanese Society for Extracellular Vesicles

Committee Memberships

  • 日本医療検査科学会   医療情報委員会 ワーキング・グループ長   Domestic

    2018.4 - 2020.10   

Academic Activities

  • オーガナイザー International contribution

    九州大学-忠南大学合同研究会「ミトコンドリアと代謝」  ( Japan ) 2022.12

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    Type:Competition, symposium, etc. 

    Number of participants:11

  • 座長

    第70回質量分析総合討論会  ( Japan ) 2022.6

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    Type:Competition, symposium, etc. 

  • 第3回医療情報技術セミナーの講師

    日本医療検査科学会(旧日本臨床検査自動化学会)第53回大会  ( Japan ) 2021.10 - 2022.10

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    Type:Competition, symposium, etc. 

  • 第2回医療情報技術セミナーの講師

    日本医療検査科学会(旧日本臨床検査自動化学会)第52回大会  ( Japan ) 2020.10

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    Type:Competition, symposium, etc. 

    Number of participants:3,000

  • 日本医療検査科学会誌 医療検査と自動化

    2020.8

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    Type:Academic society, research group, etc. 

  • 第1回医療情報技術セミナーの講師

    日本臨床検査自動化学会第51回大会  ( Japan ) 2019.10

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    Type:Competition, symposium, etc. 

    Number of participants:3,000

  • 座長

    ミトコンドリアサイエンスワークショップ2016  ( Japan ) 2017.7

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    Type:Competition, symposium, etc. 

    Number of participants:70

  • 座長

    第61回日本臨床検査医学会  ( Japan ) 2014.11

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    Type:Competition, symposium, etc. 

    Number of participants:3,000

  • 運営委員会

    第八回メタボロームシンポジウム  ( Japan ) 2013.10

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    Type:Competition, symposium, etc. 

    Number of participants:300

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Research Projects

  • ヒトおよび疾患マウスモデルの内分泌異常のバイオマーカー探索 International coauthorship

    2024.5

    韓国国立忠南大学 韓国科学技術院(KAIST) 

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    Authorship:Principal investigator 

  • 心不全における細胞質内ミトコンドリアDNA蓄積と炎症惹起の新規分子機序の解明

    Grant number:24K11218  2024.4 - 2027.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    松島 将士, 瀬戸山 大樹, 絹川 真太郎

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    Grant type:Scientific research funding

    本研究は、心筋リモデリング・心不全の病態形成・進展における細胞質内ミトコンドリアDNA蓄積の機序を明らかにするとともに、その制御による心筋炎症抑制という独自のパラダイムに基づく新たな心筋リモデリング・心不全の予防・治療法の開発を目指すものである。 具体的には以下の点を明らかにすることを目的とする。
    1)心不全に陥った心筋において細胞質内ミトコンドリアDNA蓄積はどのように制御されているのか?
    2)細胞質内ミトコンドリアDNAによる炎症シグナルはどのように活性化されるのか?
    3)新規細胞質内ミトコンドリアDNA制御因子への介入で心筋炎症、心不全は改善するか?

    CiNii Research

  • 不均一かつ多様なミクログリア構成にもとづく脱髄性疾患の新規治療点の解明

    Grant number:23K07334  2023.4 - 2026.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    酒井 康成, 瀬戸山 大樹, 加藤 隆弘

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    Grant type:Scientific research funding

    小児の後天性脱髄性症候群(Acquired Demyelinating Syndrome: ADS)は、急性散在性脳脊髄炎、多発性硬化症、MOG抗体関連疾患など、多彩な臨床病型を含む疾患群の総称である。ADSの5-10%は15歳未満の小児に発症するが、若年発症に寄与する生物学的メカニズムは不明である。本研究では、ADS患児由来誘導脳オルガノイドおよびミクログリア(induced microglia-like cells: iMG)を用いた、新しいヒト脳疾患モデルを構築する。iMG内の遺伝子発現・代謝プロファイルを網羅的に解析し、臨床上有用な活動性指標および治療標的を抽出する。本研究を通して、小児ADSを克服するための分子医学的エビデンスを創出する。

    CiNii Research

  • スクシニルCoAによる心筋代謝機構の解明

    Grant number:23K28026  2023.4 - 2026.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

    高田 真吾, 植田 幸嗣, 瀬戸山 大樹, 佐邊 壽孝, 絹川 真太郎

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    Grant type:Scientific research funding

    我々は不全心筋のTCAサイクル代謝産物解析により、スクシニルCoAが唯一低下することを見出した。このスクシニルCoAは酸化的リン酸化の基質の前駆体、ヘム合成、ケトン体代謝、タンパク翻訳後修飾スクシニル化を介してミトコンドリア機能によるエネルギー産生に強く寄与することが推測できる。本研究の目的は、慢性期の不全心筋におけるスクシニルCoA低下の要因の解明すること、スクシニルCoAとミトコンドリア機能との直接的な関連の解明すること、スクシニルCoA低下の抑制による世界初のミトコンドリアATP産生を標的とした治療法の基礎を構築することである。

    CiNii Research

  • うつ病バイオマーカー(マルチマーカー)を評価指標とした休職・復職支援システムの開発

    2022.6 - 2023.6

    Joint research

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    Authorship:Coinvestigator(s)  Grant type:Other funds from industry-academia collaboration

  • Development of multi-dimensional hikikomori support system based on bio-psycho-social understandings

    Grant number:22H00494  2022.4 - 2026.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (A)

    加藤 隆弘, 瀬戸山 大樹, 征矢 英昭, 吉川 雄一郎, 疋田 貴俊, 熊崎 博一, 境 泉洋, 林 裕子

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    Grant type:Scientific research funding

    本研究では、世界初のひきこもり研究外来を拠点として、地域のひきこもり支援機関ネットワークを最大限活用し、分担研究者との連携により、1.ひきこもりの生物学的因子(モデルマウス解析含む)、2.心理学的因子、3.社会的因子を同定し、それらの相互関係も明らかにし、見出された複合的な因子を手がかりにして、心理社会的介入に加えて栄養療法・運動療法なども組み合わせた抜本的なひきこもり治療法を開発する。直接会うことが困難なひきこもり者のデータ取得をスムーズにするために遠隔操作ロボットやアバターなどのICT技術を最大限活用する。

    CiNii Research

  • Golgi apparatus-centered organelle network in cardiac remodeling

    Grant number:23K24331  2022.4 - 2025.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (B)

    筒井 裕之, 瀬戸山 大樹, 絹川 真太郎, 松島 将士

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    Grant type:Scientific research funding

    継続課題のため、記入しない。

    CiNii Research

  • LC-MS/MS を用いた有機酸およびアシルカルニチンの全自動LCMS 分析システムの評価

    2022.4 - 2023.3

    Joint research

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    Authorship:Principal investigator  Grant type:Other funds from industry-academia collaboration

  • 早期うつ病リスクのスクリーニングシステム開発

    2022.1 - 2023.5

    Joint research

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    Authorship:Coinvestigator(s)  Grant type:Other funds from industry-academia collaboration

  • Identification and Role of a Novel Blood Tryptophan-Kynurenine Carrier Associated with the Pathophysiology of Depression

    Grant number:21K07369  2021 - 2023

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

    Setoyama Daiki

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    Authorship:Principal investigator  Grant type:Scientific research funding

    Tryptophan-kynurenine metabolites are associated with depression and are bound to some unidentified transport proteins in the blood. The aim of this study was to identify the transport proteins and to analyze their association with the pathophysiology of depression. We identified them by gel filtration SDS-PAGE and mass spectrometry of plasma proteins, established a method for quantifying blood levels of the proteins, and evaluated their association with depression. Blood levels of alpha2-macroglobulin (A2M), identified as a tryptophan transport protein, were significantly decreased in the depressed patient group. In addition, proteomic analysis was performed to search for other tryptophan-kynurenine transporters in 300 plasma proteins, and several candidate binding factors were identified.

    CiNii Research

  • うつ病重症度や自殺願望を予測する新たな臨床検査法の確立

    Grant number:18K07417  2018 - 2020

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Scientific Research (C)

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    Authorship:Principal investigator  Grant type:Scientific research funding

  • AMED うつ病の病態に基づく層別化と神経回路調整による革新的診断・治療法開発

    2016.6 - 2021.6

    Joint research

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    Authorship:Coinvestigator(s)  Grant type:Other funds from industry-academia collaboration

  • オミクスアプローチによるミトコンドリア機能を標的としたメトホルミン抗腫瘍活性の作用機序解明

    2015

    福岡すこやか癌研究助成

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    Authorship:Principal investigator  Grant type:Contract research

  • 老化機序の鍵を握る、核構造と代謝ネットワーク相互作用の解明

    Grant number:26840070  2014 - 2015

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Young Scientists (B)

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    Authorship:Principal investigator  Grant type:Scientific research funding

  • 老化・疾病をもたらすミトコンドリア機能障害を鋭敏に捕らえる手法の開発

    Grant number:18H03180 

    松島 雄一, 瀬戸山 大樹, 相原 正宗, 内海 健

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    Grant type:Scientific research funding

    ミトコンドリア機能異常が老化や生活習慣病発症の引き金となることが示唆されている。しかしATP合成低下などのミトコンドリア機能異常を簡便に再現性良く評価する手法は見つかっていない。本研究ではミトコンドリアマトリクスに局在するプロテアーゼLONP1に着目し、LONP1は ATP加水分解に依存して機能していること、その機能低下はミトコンドリアマトリクスでのタンパク質凝集体の蓄積を引き起こすことを明らかにした。このことから、タンパク質凝集体の蓄積がミトコンドリアマトリクス内のATP量の低下を伴うミトコンドリア機能異常の指標となる可能性を示した。

    CiNii Research

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Educational Activities

  • 医学部生の研究指導
    修士、博士大学院学生の研究指導
    病院臨床検査技師に対する質量分析機器の講習
    九州大学医学部キャンパスにおいて、これまで2回の学術セミナーを主催した(メタボロミクスセミナー:全2回)
    学内学生向けの勉強会を定期的に主催(質量分析に関する洋書の輪読会:全6回、Rプログラミング講習会:全2回、機械学習による臨床検査応用勉強会:全16回)
    日本医療検査科学会大会における医療情報技術セミナー講師を担当した(2019年、2020年)

Visiting, concurrent, or part-time lecturers at other universities, institutions, etc.

  • 2022  純真学園大学  Classification:Part-time lecturer  Domestic/International Classification:Japan 

    Semester, Day Time or Duration:前期・生化学

  • 2021  純真学園大学  Classification:Part-time lecturer  Domestic/International Classification:Japan 

    Semester, Day Time or Duration:前期・生化学

  • 2020  純真学園大学  Classification:Part-time lecturer  Domestic/International Classification:Japan 

    Semester, Day Time or Duration:前期 生化学

Other educational activity and Special note

  • 2024  Lecture at Education Method and Practice  学術研究講演会〜メンタルヘルスの不調を測る新しい検査法〜

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    純真学園大学の学園祭日に一般向けのトークショーを開催した

  • 2020  Special Affairs  日本医療検査科学会(旧日本臨床検査自動化学会)第52回大会において、第2回医療情報技術セミナーの講師を務めた 「知っておきたい臨床検査データ解析のテクニック:臨床検査データ解析の実際〜Rを用いた解析の基本・応用・発展〜」

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    日本医療検査科学会(旧日本臨床検査自動化学会)第52回大会において、第2回医療情報技術セミナーの講師を務めた
    「知っておきたい臨床検査データ解析のテクニック:臨床検査データ解析の実際〜Rを用いた解析の基本・応用・発展〜」

  • 2019  Special Affairs  日本臨床検査自動化学会第51回大会において、第1回医療情報技術セミナーの講師を務めた 「知っておきたい臨床検査データ解析のテクニック:臨床検査データ解析の実際〜Rを用いた解析の環境づくりと基本操作〜」

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    日本臨床検査自動化学会第51回大会において、第1回医療情報技術セミナーの講師を務めた
    「知っておきたい臨床検査データ解析のテクニック:臨床検査データ解析の実際〜Rを用いた解析の環境づくりと基本操作〜」

  • 2019  Special Affairs  日本臨床衛生検査技師会主催のセミナー講師を務めた 「臨床検査のデータサイエンス~臨床検査データを利用する上での現状・課題とその克服に向けて~

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    日本臨床衛生検査技師会主催のセミナー講師を務めた
    「臨床検査のデータサイエンス~臨床検査データを利用する上での現状・課題とその克服に向けて~

  • 2019  Special Affairs  九州大学病院メディカルインフォメーションセンター(MIC)が主催する〜観察研究のススメ〜第9回シンポジウムの講師を務めた 「臨床検査のデータサイエンス〜現状と課題〜」

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    九州大学病院メディカルインフォメーションセンター(MIC)が主催する〜観察研究のススメ〜第9回シンポジウムの講師を務めた
    「臨床検査のデータサイエンス〜現状と課題〜」

  • 2018  Special Affairs  福岡県保健環境研究所主催の研究セミナーの講師を務めた 「Rで広がるデータ解析の地平」

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    福岡県保健環境研究所主催の研究セミナーの講師を務めた
    「Rで広がるデータ解析の地平」

  • 2017  Special Affairs  機械学習の臨床検査応用に関する自主勉強会を主催している

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    機械学習の臨床検査応用に関する自主勉強会を主催している

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Outline of Social Contribution and International Cooperation activities

  • 韓国忠南大学の研究者らと国際共同研究を進めている

Media Coverage

  • 日本におけるひきこもり研究の現状を取材 ひきこもり者の血液バイオマーカーの発見に関する取材

    CNA(シンガポール公共放送)  2022.2

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    日本におけるひきこもり研究の現状を取材
    ひきこもり者の血液バイオマーカーの発見に関する取材

  • うつの重症度を血中の代謝物マーカーで測定できる可能性を示した研究成果について TV or radio program

    NHKのニュース  2016.12

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    うつの重症度を血中の代謝物マーカーで測定できる可能性を示した研究成果について

  • うつの重症度を血中の代謝物マーカーで測定できる可能性を示した研究成果について Newspaper, magazine

    読売新聞(朝刊)、毎日新聞(朝刊)、朝日新聞(夕刊)  2016.12

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    うつの重症度を血中の代謝物マーカーで測定できる可能性を示した研究成果について