Updated on 2025/06/18

Information

 

写真a

 
DOI GORO
 
Organization
Beppu Hospital Department of Internal Medicine Assistant Professor
Title
Assistant Professor

Research Areas

  • Life Science / Immunology

Degree

  • 医学博士 ( Kyushu University )

Research History

  • Kyushu University Beppu Hospital Department of Internal Medicine  Assistant Professor 

    2024.4 - Present

Education

  • Kyushu University   医学部   医学科

    2007.4 - 2013.3

Research Interests・Research Keywords

  • Research theme: immunology

    Keyword: rheumatology

    Research period: 2023.4

Papers

  • Strategic targeting of Cas9 nickase expands tandem gene arrays

    Takesue Hiroaki, Okada Satoshi, Doi Goro, Sugiyama Yuki, Kusumoto Emiko, Ito Takashi

    Cell Genomics   5 ( 4 )   100811   2025.4   ISSN:2666979X

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    Language:English   Publisher:Elsevier  

    Expanding tandem gene arrays facilitates adaptation through dosage effects and gene family formation via sequence diversification. However, experimental induction of such expansions remains challenging. Here, we introduce a method termed break-induced replication (BIR)-mediated tandem repeat expansion (BITREx) to address this challenge. BITREx places Cas9 nickase adjacent to a tandem gene array to break the replication fork that has just replicated the array, forming a single-ended double-strand break. This break is subsequently end-resected to become single stranded. Since there is no repeat unit downstream of the break, the single-stranded DNA often invades an upstream unit to initiate ectopic BIR, resulting in array expansion. BITREx has successfully expanded gene arrays in budding yeast, with the CUP1 array reaching ∼1 Mb. Furthermore, appropriate splint DNAs allow BITREx to generate tandem arrays de novo from single-copy genes. We have also demonstrated BITREx in mammalian cells. Therefore, BITREx will find various unique applications in genome engineering.

    CiNii Research

  • Strategic targeting of Cas9 nickase expands tandem gene arrays

    Takesue, H; Okada, S; Doi, G; Sugiyama, Y; Kusumoto, E; Ito, T

    CELL GENOMICS   5 ( 4 )   100811   2025.4   ISSN:2666-979X

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    Language:English   Publisher:Cell Genomics  

    Expanding tandem gene arrays facilitates adaptation through dosage effects and gene family formation via sequence diversification. However, experimental induction of such expansions remains challenging. Here, we introduce a method termed break-induced replication (BIR)-mediated tandem repeat expansion (BITREx) to address this challenge. BITREx places Cas9 nickase adjacent to a tandem gene array to break the replication fork that has just replicated the array, forming a single-ended double-strand break. This break is subsequently end-resected to become single stranded. Since there is no repeat unit downstream of the break, the single-stranded DNA often invades an upstream unit to initiate ectopic BIR, resulting in array expansion. BITREx has successfully expanded gene arrays in budding yeast, with the CUP1 array reaching ∼1 Mb. Furthermore, appropriate splint DNAs allow BITREx to generate tandem arrays de novo from single-copy genes. We have also demonstrated BITREx in mammalian cells. Therefore, BITREx will find various unique applications in genome engineering.

    DOI: 10.1016/j.xgen.2025.100811

    Web of Science

    Scopus

    PubMed

  • Successful control of recurrent MAS by canakinumab in a Sjögren syndrome patient with homozygous MEFV P369S variants and review of literatures

    Ono, N; Yoshimura, M; Nishida, T; Yamauchi, Y; Doi, G; Fuyuno, Y; Sonoda, M; Niiro, H

    MODERN RHEUMATOLOGY CASE REPORTS   2025.3   eISSN:2472-5625

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  • Comparative efficacy and safety of anifrolumab for belimumab-experienced and biologic-naïve patients with systemic lupus erythematosus: Results from the Kyushu Collagen Disease Network for Systemic Lupus Erythematosus (KCDN-SLE) registry

    Ayano, M; Ueda, N; Mishima, K; Ota, SI; Kushimoto, K; Tanaka, A; Doi, G; Nakayama, T; Maekawa, M; Tsuru, T; Akahoshi, M; Akashi, K; Horiuchi, T; Niiro, H

    JOINT BONE SPINE   92 ( 4 )   2025.3   ISSN:1297-319X eISSN:1778-7254

  • Treatment selection in the clinical practice of systemic lupus erythematosus: Results from the Kyushu Collagen Disease Network for Systemic Lupus Erythematosus(KCDN-SLE) registry(タイトル和訳中)

    Ayano Masahiro, Ueda Naoyasu, Mishima Koji, Ota Shun-Ichiro, Kushimoto Kazuo, Tanaka Atsushi, Kawano Shotaro, Nishimura Naoya, Kashiwado Yusuke, Doi Goro, Nakayama Tsuyoshi, Fukumoto Ryo, Tsuru Tomomi, Suzaki Midori, Akahoshi Mitsuteru, Maekawa Makiko, Omoto Aya, Tada Hitoshi, Akashi Koichi, Horiuchi Takahiko, Niiro Hiroaki

    Modern Rheumatology   35 ( 1 )   102 - 109   2025.1   ISSN:1439-7595

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    Language:English   Publisher:Oxford University Press  

  • Systematic review and meta-analysis for the 2024 update of the Japan College of Rheumatology clinical practice guidelines for the management of rheumatoid arthritis(タイトル和訳中)

    Nakayama Yoichi, Nagata Wataru, Takeuchi Yoichi, Fukui Sho, Fujita Yuya, Hosokawa Yohei, Ueno Masanobu, Ono Kumiko, Sumitomo Shuji, Tabuchi Yuya, Nakanishi Yuichiro, Saito Shuntaro, Ikeuchi Hiroko, Kawamori Kazutaka, Sofue Hideaki, Doi Goro, Minami Runa, Hirota Tomoya, Minegishi Kaoru, Maeshima Keisuke, Motoyama Ryo, Nakamura Shohei, Suzuki Shotaro, Nishioka Norihiro, Tsuzuki Wada Takuma, Onishi Akira, Nishimura Kenichi, Watanabe Ryu, Yanai Ryo, Kida Takashi, Nishiwaki Hiroki, Yajima Nobuyuki, Kaneko Yuko, Tanaka Eiichi, Kawahito Yutaka, Harigai Masayoshi

    Modern Rheumatology   34 ( 6 )   1079 - 1094   2024.11   ISSN:1439-7595

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    Language:English   Publisher:Oxford University Press  

  • Treatment selection in the clinical practice of systemic lupus erythematosus: Results from the Kyushu Collagen Disease Network for Systemic Lupus Erythematosus (KCDN-SLE) registry

    Ayano, M; Ueda, N; Mishima, K; Ota, SI; Kushimoto, K; Tanaka, A; Kawano, S; Nishimura, N; Kashiwado, Y; Doi, G; Nakayama, T; Fukumoto, R; Tsuru, T; Suzaki, M; Akahoshi, M; Maekawa, M; Omoto, A; Tada, H; Akashi, K; Horiuchi, T; Niiro, H

    MODERN RHEUMATOLOGY   35 ( 1 )   102 - 109   2024.8   ISSN:1439-7595 eISSN:1439-7609

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    Language:English   Publisher:Modern Rheumatology  

    Objectives: This study aimed to describe the treatment selection for systemic lupus erythematosus (SLE) using data from the Kyushu Collagen Disease Network for SLE (KCDN-SLE) registry, a multicentre prospective registry in Japan. Methods: This study used data from patients registered between August 2022 and November 2023. Clinical characteristics, purpose of agent initiation, other candidate agents, and short-term efficacy and safety were evaluated. Results: We analysed 69 previously treated patients with SLE (mean age 43.7 years; 62 females, 7 males). Hydroxychloroquine, biological agents, and immunosuppressive agents were initiated during the maintenance phase in 12, 41, and 16 patients, respectively. In patients with active organ involvement, hydroxychloroquine and biological agents were widely used for initiation. In those who already achieved treatment goals, biological agents alone were predominantly selected. The SLE Disease Activity Index 2000 score and prednisolone dose declined significantly over a 6-month follow-up period. Among 48 patients with active disease, 22 achieved a lupus low disease activity state, but this had no evident association with the initiation of a biological agent. In total, 14 adverse events, predominantly infections, were observed. Conclusions: Biological agents were used preferentially, and the therapeutic agents were appropriately effective and mostly achieved the purpose of agent initiation.

    DOI: 10.1093/mr/roae058

    Web of Science

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  • Systematic review and meta-analysis for the 2024 update of the Japan College of Rheumatology clinical practice guidelines for the management of rheumatoid arthritis

    Nakayama, Y; Nagata, W; Takeuchi, Y; Fukui, S; Fujita, Y; Hosokawa, Y; Ueno, M; Ono, K; Sumitomo, S; Tabuchi, Y; Nakanishi, Y; Saito, S; Ikeuchi, H; Kawamori, K; Sofue, H; Doi, G; Minami, R; Hirota, T; Minegishi, K; Maeshima, K; Motoyama, R; Nakamura, S; Suzuki, S; Nishioka, N; Wada, TT; Onishi, A; Nishimura, K; Watanabe, R; Yanai, R; Kida, T; Nishiwaki, H; Yajima, N; Kaneko, Y; Tanaka, E; Kawahito, Y; Harigai, M

    MODERN RHEUMATOLOGY   34 ( 6 )   1079 - 1094   2024.6   ISSN:1439-7595 eISSN:1439-7609

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    Language:English   Publisher:Modern Rheumatology  

    Objectives: The aim of this article is to update evidence on the efficacy and safety of disease-modifying antirheumatic drugs (DMARDs) and provide information to the taskforce for the 2024 update of the Japan College of Rheumatology clinical practice guidelines for the management of rheumatoid arthritis (RA). Methods: We searched various databases for randomised controlled trials on RA published until June 2022, with no language restriction. For each of the 15 clinical questions, two independent reviewers screened the articles, evaluated the core outcomes, and performed meta-analyses. Results: Subcutaneous injection of methotrexate (MTX) showed similar efficacy to oral MTX in MTX-naïve RA patients. Ozoralizumab combined with MTX improved drug efficacy compared to the placebo in RA patients with inadequate response (IR) to conventional synthetic DMARD (csDMARD). Rituximab with and without concomitant csDMARDs showed similar efficacy to other biological DMARDs (bDMARDs) in bDMARD-IR RA patients. Combined Janus kinase inhibitors and MTX achieved similar clinical responses and equal safety during a 4-year period compared to tumour necrosis factor inhibitors in MTX-IR RA patients. Biosimilars showed efficacy equivalent to that of the original bDMARDs in csDMARD-IR and bDMARD-IR RA patients. Conclusions: This systematic review provides latest evidence for the 2024 update of the Japan College of Rheumatology clinical practice guidelines for RA management.

    DOI: 10.1093/mr/roae049

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  • Immunosuppressive therapy and humoral response to third mRNA COVID-19 vaccination with a six-month interval in rheumatic disease patients

    Kashiwado, Y; Kimoto, Y; Ohshima, S; Sawabe, T; Irino, K; Nakano, S; Hiura, J; Yonekawa, A; Wang, QL; Doi, G; Ayano, M; Mitoma, H; Ono, N; Arinobu, Y; Niiro, H; Hotta, T; Kang, D; Shimono, N; Akashi, K; Takeuchi, T; Horiuchi, T

    RHEUMATOLOGY   63 ( 3 )   725 - 733   2024.3   ISSN:1462-0324 eISSN:1462-0332

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    Language:English   Publisher:Rheumatology (United Kingdom)  

    Objectives: To evaluate the long-term impact of immunosuppressive therapeutic agents on antibody response to severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) mRNA vaccination in patients with autoimmune rheumatic diseases (AIRD) in order to propose a strategy for annual vaccination. Methods: This prospective multicentre cohort study evaluated the humoral response to second and third BNT162b2 and/or mRNA-1273 vaccines in 382 Japanese AIRD patients classified into 12 different medication groups and in 326 healthy controls (HCs). The third vaccination was administered six months after the second vaccination. Antibody titres were measured using the Elecsys Anti-SARS-CoV-2 S assay. Results: The seroconversion rate and antibody titres were lower in AIRD patients than in HCs 3–6 weeks after the second vaccination and 3–6 weeks after the third vaccination. Seroconversion rates were <90% after the third vaccination in patients receiving mycophenolate mofetil and rituximab. Antibody levels after the third vaccination were significantly lower in the groups prescribed TNF inhibitor with or without methotrexate, abatacept and rituximab or cyclophosphamide than those of HCs in a multivariate analysis adjusting for age, sex, and glucocorticoid dosage. The third vaccination induced an adequate humoral response in patients treated with sulfasalazine, bucillamine, methotrexate monotherapy, iguratimod, interleukin-6 inhibitors or calcineurin inhibitors including tacrolimus. Conclusions: Repeated vaccinations in many immunosuppressed patients produced antibody responses similar to those observed in HCs. In contrast, annual vaccination in patients receiving TNF inhibitors, abatacept, mycophenolate mofetil and rituximab may require caution.

    DOI: 10.1093/rheumatology/kead275

    Web of Science

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Presentations

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MISC

Research Projects

  • 抗MDA5抗体陽性皮膚筋炎における末梢血単球のメチローム及びセルフリーDNA解析

    Grant number:23K15351  2023.4 - 2027.3

    Grants-in-Aid for Scientific Research  Grant-in-Aid for Early-Career Scientists

    土井 吾郎

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    Grant type:Scientific research funding

    抗MDA5抗体陽性皮膚筋炎は急速進行性間質性肺炎の合併により重篤な転帰をとる炎症性筋疾患である。単球などの自然免疫の関与を疑い、末梢血単球とcell-free DNA (cfDNA)に着目しエピゲノムを含めた多角的な解析を行う。疾患活動性に関与する単球のサブセットを同定し、単球のメチローム及びトランスクリプトームからエピゲノムレベルの特性を明らかにする。cfDNAについては少量の血清からシーケンシングが可能な独自のライブラリ作成技術を用いて質的な評価も試みる。疾患活動性や予後予測に関する新規バイオマーカーの探索を行い、既存治療の最適化や、単球を標的とした新規治療薬の開発につながる研究である。

    CiNii Research

Specialized clinical area

  • Biology / Medicine, Dentistry and Pharmacy / Clinical Internal Medicine / Collagen Disease, Allergy, Infectious Disease Internal Medicine

Clinician qualification

  • Specialist

    The Japanese Society of Internal Medicine(JSIM)

  • Specialist

    Japan College of Rheumatology(JCR)