Updated on 2025/04/10

Information

 

写真a

 
MIYACHI YASUTAKA
 
Organization
Kyushu University Hospital Department of Endocrine and Metabolic Diseases / Diabetes Mellitus Assistant Professor
School of Medicine Department of Medicine(Concurrent)
Title
Assistant Professor
Profile
Research: Clinical and basic research on the prevention and treatment of diabetes mellitus. Education: For undergraduate and graduate students, lectures and research instructions in diabetes and endocrinology, respectively.

Degree

  • M.D. (Chiba University, Japan)

  • Ph.D. (Tokyo Medical and Dental University, Japan)

Research Interests・Research Keywords

  • Research theme: Research on prevention and treatment of the onset and progression of diabetes

    Keyword: Diabetes

    Research period: 2013.4

Awards

  • 第4回肝臓と糖尿病・代謝研究会 若手研究奨励賞

    2017.5   日本糖尿病学会と日本肝臓学会   肥満による肝臓への炎症細胞浸潤のメカニズムと糖代謝への影響を明らかにしたこと。

  • 第20回日本心血管内分泌代謝学会学術総会 若手研究奨励賞

    2016.12   日本心血管内分泌代謝学会   肥満による肝臓への炎症細胞浸潤のメカニズムと糖代謝への影響を明らかにしたこと。

Papers

  • High frequency of germline recombination in Nestin-Cre transgenic mice crossed with Glucagon-like peptide 1 receptor floxed mice. International journal

    Yusuke Kajitani, Takashi Miyazawa, Tomoaki Inoue, Nao Kajitani, Masamichi Fujita, Yukina Takeichi, Yasutaka Miyachi, Ryuichi Sakamoto, Yoshihiro Ogawa

    PloS one   18 ( 12 )   e0296006   2023.12   ISSN:1932-6203

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

    The Cre-loxP strategy for tissue-specific gene inactivation has become a widely employed tool in several research studies. Conversely, inadequate breeding and genotyping without considering the potential for non-specific Cre-recombinase expression may lead to misinterpretations of results. Nestin-Cre transgenic mice, widely used for the selective deletion of genes in neurons, have been observed to have an incidence of Cre-line germline recombination. In this study, we attempted to generate neuron-specific Glucagon-like peptide 1 receptor (Glp1r) knock-out mice by crossing mice harboring the Nestin-Cre transgene with mice harboring the Glp1r gene modified with loxP insertion, in order to elucidate the role of Glp1r signaling in the nervous system. Surprisingly, during this breeding process, we discovered that the null allele emerged in the offspring irrespective of the presence or absence of the Nestin-Cre transgene, with a high probability of occurrence (93.6%). To elucidate the cause of this null allele, we conducted breeding experiments between mice carrying the heterozygous Glp1r null allele but lacking the Nestin-Cre transgene. We confirmed that the null allele was inherited by the offspring independently of the Nestin-Cre transgene. Furthermore, we assessed the gene expression, protein expression, and phenotype of mice carrying the homozygous Glp1r null allele generated from the aforementioned breeding, thereby confirming that the null allele indeed caused a global knock-out of Glp1r. These findings suggest that the null allele in the NestinCre-Glp1r floxed breeding arose due to germline recombination. Moreover, we demonstrated the possibility that germline recombination may occur not only during the spermatogenesis at testis but also during epididymal sperm maturation. The striking frequency of germline recombination in the Nestin-Cre driver underscores the necessity for caution when implementing precise breeding strategies and employing suitable genotyping methods.

    DOI: 10.1371/journal.pone.0296006

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  • Dectin-2 Deficiency Promotes Pro-inflammatory Cytokine Release from Macrophages and Impairs Insulin Secretion. International journal

    Masamichi Fujita, Takashi Miyazawa, Keiichiro Uchida, Naohiro Uchida, Shojiro Haji, Seiichi Yano, Norifusa Iwahashi, Tomomi Hatayama, Shunsuke Katsuhara, Shintaro Nakamura, Yukina Takeichi, Maki Yokomoto-Umakoshi, Yasutaka Miyachi, Ryuichi Sakamoto, Yoichiro Iwakura, Yoshihiro Ogawa

    Endocrinology   2023.12

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    Pancreatic islet inflammation plays a crucial role in the etiology of type 2 diabetes (T2D). Macrophages residing in pancreatic islets have emerged as key players in islet inflammation. Macrophages express a plethora of innate immune receptors that bind to environmental and metabolic cues and integrate these signals to trigger an inflammatory response that contributes to the development of islet inflammation. One such receptor, Dectin-2, has been identified within pancreatic islets; however, its role in glucose metabolism remains largely unknown. Here we demonstrated that mice lacking Dectin-2 exhibit local inflammation within islets, along with impaired insulin secretion and β-cell dysfunction. Our findings indicate that these effects are mediated by pro-inflammatory cytokines, such as IL-1α and IL-6, which are secreted by macrophages that have acquired an inflammatory phenotype because of the loss of Dectin-2. This study provides novel insights into the mechanisms underlying the role of Dectin-2 in the development of islet inflammation.

    DOI: 10.1210/endocr/bqad181

  • Improved endurance capacity of diabetic mice during SGLT2 inhibition: Role of AICARP, an AMPK activator in the soleus. International journal

    Shintaro Nakamura, Yasutaka Miyachi, Akihito Shinjo, Hisashi Yokomizo, Masatomo Takahashi, Kohta Nakatani, Yoshihiro Izumi, Hiroko Otsuka, Naoichi Sato, Ryuichi Sakamoto, Takashi Miyazawa, Takeshi Bamba, Yoshihiro Ogawa

    Journal of cachexia, sarcopenia and muscle   2023.11

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    BACKGROUND: Diabetes is associated with an increased risk of deleterious changes in muscle mass and function or sarcopenia, leading to physical inactivity and worsening glycaemic control. Given the negative energy balance during sodium-glucose cotransporter-2 (SGLT2) inhibition, whether SGLT2 inhibitors affect skeletal muscle mass and function is a matter of concern. However, how SGLT2 inhibition affects the skeletal muscle function in patients with diabetes remains insufficiently explored. We aimed to explore the effects of canagliflozin (CANA), an SGLT2 inhibitor, on skeletal muscles in genetically diabetic db/db mice focusing on the differential responses of oxidative and glycolytic muscles. METHODS: Db/db mice were treated with CANA for 4 weeks. We measured running distance and handgrip strength to assess skeletal muscle function during CANA treatment. At the end of the experiment, we performed a targeted metabolome analysis of the skeletal muscles. RESULTS: CANA treatment improved the reduced endurance capacity, as revealed by running distance in db/db mice (414.9 ± 52.8 vs. 88.7 ± 22.7 m, P < 0.05). Targeted metabolome analysis revealed that 5-aminoimidazole-4-carboxamide-1-β-D-ribofuranosyl 5'-monophosphate (AICARP), a naturally occurring AMP-activated protein kinase (AMPK) activator, increased in the oxidative soleus muscle (P < 0.05), but not in the glycolytic extensor digitorum longus muscle (P = 0.4376), with increased levels of AMPK phosphorylation (P < 0.01). CONCLUSIONS: This study highlights the potential role of the AICARP/AMPK pathway in oxidative rather than glycolytic skeletal muscles during SGLT2 inhibition, providing novel insights into the mechanism by which SGLT2 inhibitors improve endurance capacity in patients with type 2 diabetes.

    DOI: 10.1002/jcsm.13350

  • Cyb5r3-based mechanism and reversal of secondary failure to sulfonylurea in diabetes. International journal

    Hitoshi Watanabe, Wen Du, Jinsook Son, Lina Sui, Shun-Ichiro Asahara, Irwin J Kurland, Taiyi Kuo, Takumi Kitamoto, Yasutaka Miyachi, Rafael de Cabo, Domenico Accili

    Science translational medicine   15 ( 681 )   eabq4126   2023.2

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

    Sulfonylureas (SUs) are effective and affordable antidiabetic drugs. However, chronic use leads to secondary failure, limiting their utilization. Here, we identify cytochrome b5 reductase 3 (Cyb5r3) down-regulation as a mechanism of secondary SU failure and successfully reverse it. Chronic exposure to SU lowered Cyb5r3 abundance and reduced islet glucose utilization in mice in vivo and in ex vivo murine islets. Cyb5r3 β cell-specific knockout mice phenocopied SU failure. Cyb5r3 engaged in a glucose-dependent interaction that stabilizes glucokinase (Gck) to maintain glucose utilization. Hence, Gck activators can circumvent Cyb5r3-dependent SU failure. A Cyb5r3 activator rescued secondary SU failure in mice in vivo and restored insulin secretion in ex vivo human islets. We conclude that Cyb5r3 is a key factor in the secondary failure to SU and a potential target for its prevention, which might rehabilitate SU use in diabetes.

    DOI: 10.1126/scitranslmed.abq4126

  • Reflections on the state of diabetes research and prospects for treatment.

    Domenico Accili, Wen Du, Takumi Kitamoto, Taiyi Kuo, Wendy McKimpson, Yasutaka Miyachi, Maria Mukhanova, Jinsook Son, Liheng Wang, Hitoshi Watanabe

    Diabetology international   14 ( 1 )   21 - 31   2023.1

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    Research on the etiology and treatment of diabetes has made substantial progress. As a result, several new classes of anti-diabetic drugs have been introduced in clinical practice. Nonetheless, the number of patients achieving glycemic control targets has not increased for the past 20 years. Two areas of unmet medical need are the restoration of insulin sensitivity and the reversal of pancreatic beta cell failure. In this review, we integrate research advances in transcriptional regulation of insulin action and pathophysiology of beta cell dedifferentiation with their potential impact on prospects of a durable "cure" for patients suffering from type 2 diabetes.

    DOI: 10.1007/s13340-022-00600-2

  • Differential effect of canagliflozin, a sodium-glucose cotransporter 2 (SGLT2) inhibitor, on slow and fast skeletal muscles from nondiabetic mice. International journal

    Hiroko Otsuka, Hisashi Yokomizo, Shintaro Nakamura, Yoshihiro Izumi, Masatomo Takahashi, Sachiko Obara, Motonao Nakao, Yosuke Ikeda, Naoichi Sato, Ryuichi Sakamoto, Yasutaka Miyachi, Takashi Miyazawa, Takeshi Bamba, Yoshihiro Ogawa

    The Biochemical journal   479 ( 3 )   425 - 444   2022.2

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    There has been a concern that sodium-glucose cotransporter 2 (SGLT2) inhibitors could reduce skeletal muscle mass and function. Here, we examine the effect of canagliflozin (CANA), an SGLT2 inhibitor, on slow and fast muscles from nondiabetic C57BL/6J mice. In this study, mice were fed with or without CANA under ad libitum feeding, and then evaluated for metabolic valuables as well as slow and fast muscle mass and function. We also examined the effect of CANA on gene expressions and metabolites in slow and fast muscles. During SGLT2 inhibition, fast muscle function is increased, as accompanied by increased food intake, whereas slow muscle function is unaffected, although slow and fast muscle mass is maintained. When the amount of food in CANA-treated mice is adjusted to that in vehicle-treated mice, fast muscle mass and function are reduced, but slow muscle was unaffected during SGLT2 inhibition. In metabolome analysis, glycolytic metabolites and ATP are increased in fast muscle, whereas glycolytic metabolites are reduced but ATP is maintained in slow muscle during SGLT2 inhibition. Amino acids and free fatty acids are increased in slow muscle, but unchanged in fast muscle during SGLT2 inhibition. The metabolic effects on slow and fast muscles are exaggerated when food intake is restricted. This study demonstrates the differential effects of an SGLT2 inhibitor on slow and fast muscles independent of impaired glucose metabolism, thereby providing new insights into how they should be used in patients with diabetes, who are at a high risk of sarcopenia.

    DOI: 10.1042/BCJ20210700

  • Aldo-ketoreductase 1c19 ablation does not affect insulin secretion in murine islets Reviewed

    Yasutaka Miyachi, Taiyi Kuo, Jinsook Son, Domenico Accili

    PLOS ONE   16 ( 11 )   e0260526 - e0260526   2021.11

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    Beta cell failure is a critical feature of diabetes. It includes defects of insulin production, secretion, and altered numbers of hormone-producing cells. In previous work, we have shown that beta cell failure is mechanistically linked to loss of Foxo1 function. This loss of function likely results from increased Foxo1 protein degradation, due to hyperacetylation of Foxo1 from increased nutrient turnover. To understand the mechanisms of Foxo1-related beta cell failure, we performed genome-wide analyses of its target genes, and identified putative mediators of sub-phenotypes of cellular dysfunction. Chromatin immunoprecipitation analyses demonstrated a striking pattern of Foxo1 binding to the promoters of a cluster of aldo-ketoreductases on chromosome 13: Akr1c12, Akr1c13, Akr1c19. Of these, Akr1c19 has been reported as a marker of Pdx1-positive endodermal progenitor cells. Here we show that Akr1c19 expression is dramatically decreased in <italic>db/db</italic> islets. Thus, we investigated whether Akr1c19 is involved in beta cell function. We performed gain- and loss-of-function experiments in cultured beta cells and generated Akr1c19 knockout mice. We show that Foxo1 and HNF1a cooperatively regulate Akr1c19 expression. Nonetheless, functional characterization of Akr1c19 both using islets and knockout mice did not reveal abnormalities on glucose homeostasis. We conclude that reduced expression of Akr1c19 is not sufficient to affect islet function.

    DOI: 10.1371/journal.pone.0260526

  • Antagonistic epistasis of Hnf4α and FoxO1 metabolic networks through enhancer interactions in β-cell function

    Taiyi Kuo, Wen Du, Yasutaka Miyachi, Prasanna K. Dadi, David A. Jacobson, Daniel Segrè, Domenico Accili

    Molecular Metabolism   53   101256 - 101256   2021.11

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    DOI: 10.1016/j.molmet.2021.101256

  • Ipragliflozin-induced adipose expansion inhibits cuff-induced vascular remodeling in mice

    Kentaro Mori, Kyoichiro Tsuchiya, Suguru Nakamura, Yasutaka Miyachi, Kumiko Shiba, Yoshihiro Ogawa, Kenichiro Kitamura

    Cardiovascular Diabetology   18 ( 1 )   2019.12

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    DOI: 10.1186/s12933-019-0886-1

  • A reduced M1-like/M2-like ratio of macrophages in healthy adipose tissue expansion during SGLT2 inhibition

    Yasutaka Miyachi, Kyoichiro Tsuchiya, Kumiko Shiba, Kentaro Mori, Chikara Komiya, Naomi Ogasawara, Yoshihiro Ogawa

    Scientific Reports   8 ( 1 )   2018.12

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    DOI: 10.1038/s41598-018-34305-x

  • Canagliflozin, an SGLT2 inhibitor, attenuates the development of hepatocellular carcinoma in a mouse model of human NASH

    Kumiko Shiba, Kyoichiro Tsuchiya, Chikara Komiya, Yasutaka Miyachi, Kentaro Mori, Noriko Shimazu, Shinobu Yamaguchi, Naomi Ogasawara, Makoto Katoh, Michiko Itoh, Takayoshi Suganami, Yoshihiro Ogawa

    Scientific Reports   8 ( 1 )   2018.12

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    DOI: 10.1038/s41598-018-19658-7

  • Antifibrotic effect of pirfenidone in a mouse model of human nonalcoholic steatohepatitis

    Chikara Komiya, Miyako Tanaka, Kyoichiro Tsuchiya, Noriko Shimazu, Kentaro Mori, Shunsaku Furuke, Yasutaka Miyachi, Kumiko Shiba, Shinobu Yamaguchi, Kenji Ikeda, Kozue Ochi, Kazuhiko Nakabayashi, Ken-ichiro Hata, Michiko Itoh, Takayoshi Suganami, Yoshihiro Ogawa

    Scientific Reports   7 ( 1 )   2017.4

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    DOI: 10.1038/srep44754

  • Roles for Cell-Cell Adhesion and Contact in Obesity-Induced Hepatic Myeloid Cell Accumulation and Glucose Intolerance

    Yasutaka Miyachi, Kyoichiro Tsuchiya, Chikara Komiya, Kumiko Shiba, Noriko Shimazu, Shinobu Yamaguchi, Michiyo Deushi, Mizuko Osaka, Kouji Inoue, Yuta Sato, Sayaka Matsumoto, Junichi Kikuta, Kenjiro Wake, Masayuki Yoshida, Masaru Ishii, Yoshihiro Ogawa

    Cell Reports   18 ( 11 )   2766 - 2779   2017.3

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    DOI: 10.1016/j.celrep.2017.02.039

  • Ipragliflozin Improves Hepatic Steatosis in Obese Mice and Liver Dysfunction in Type 2 Diabetic Patients Irrespective of Body Weight Reduction

    Chikara Komiya, Kyoichiro Tsuchiya, Kumiko Shiba, Yasutaka Miyachi, Shunsaku Furuke, Noriko Shimazu, Shinobu Yamaguchi, Kazuo Kanno, Yoshihiro Ogawa

    PLOS ONE   11 ( 3 )   e0151511 - e0151511   2016.3

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    DOI: 10.1371/journal.pone.0151511

  • IgG4-related retroperitoneal fibrosis and sclerosing cholangitis independent of autoimmune pancreatitis. A recurrent case after a 5-year history of spontaneous remission. International journal

    Hideaki Miura, Yasutaka Miyachi

    JOP : Journal of the pancreas   10 ( 4 )   432 - 7   2009.7

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    CONTEXT: A new clinicopathological concept of IgG4-related sclerosing disease affecting various organs has recently been proposed in relation to autoimmune pancreatitis. This report describes the case of IgG4-related retroperitoneal fibrosis and sclerosing cholangitis independent of autoimmune pancreatitis, which recurred after a long period of spontaneous remission. CASE REPORT: An 80-year-old Japanese man presented with obstructive jaundice owing to a hepatic hilum bile duct stricture. Coincidentally, a soft tissue mass surrounding the abdominal aorta, suggesting retroperitoneal fibrosis, was identified. Unexpectedly, spontaneous regression of obstructive jaundice together with retroperitoneal fibrosis occurred. The presence of high serum IgG4 concentrations measured later led us to consider a possible association with autoimmune pancreatitis; however, there were no clinical features confirming autoimmune pancreatitis. After a 5-year history of spontaneous clinical remission, there was an elevation of serum IgG4 levels and renal dysfunction owing to bilateral hydronephrosis caused by a reemergence of the retroperitoneal mass. Evaluation by endoscopic retrograde cholangiopancreatography revealed a biliary stricture, suggesting sclerosing cholangitis which was observed without the presence of any pancreatic duct abnormality. The subsequent excellent results obtained using steroid therapy, namely the decrease in serum IgG4 levels and the regression of the retroperitoneal mass, strongly suggested that the present case was an IgG4-related sclerosing disease. Aside from high serum IgG4 concentrations, markedly elevated levels of serum IgE was found retrospectively, although the clinical significance remains unknown. CONCLUSION: When we encounter fibrotic diseases of unknown etiology, we should measure serum IgG4 concentrations and monitor the disease activity over long periods even after achieving clinical remission.

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Presentations

  • SGLT2阻害薬が肥満糖尿病マウスの骨格筋代謝に与える影響の検討

    中村 慎太郎, 横溝 久, 大塚 裕子, 和泉 自泰, 高橋 政友, 佐藤 直市, 坂本 竜一, 宮地 康高, 宮澤 崇, 馬場 健史, 小川 佳宏

    糖尿病  2022.4 

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    Language:Japanese  

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  • 糖代謝における自然免疫受容体Dectin-2の意義

    藤田 政道, 宮澤 崇, 内田 啓一郎, 内田 尚宏, 宮地 康高, 坂本 竜一, 小川 佳宏

    糖尿病  2022.4 

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  • Sensor Augmented pump(SAP)療法により血糖管理をした膵全摘後糖尿病の2例

    大熊 英之, 辻本 和峰, 増田 誠三郎, 山下 大翔, 震明 あすか, 竹内 崇人, 宮地 康高, 南 勲, 泉山 肇, 橋本 貢士, 吉本 貴宣

    糖尿病  2018.10 

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  • 原発性副甲状腺機能亢進症を合併した多腺性自己免疫症候群3型の1例

    山下 大翔, 大熊 英之, 辻本 和峰, 関 隆実, 宮地 康高, 南 勲, 橋本 貢士, 泉山 肇, 吉本 貴宣

    糖尿病  2018.10 

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  • 急激な体重減少後からの回復期に生じた高インスリン血症を持続血糖モニタリングおよび経口ブドウ糖負荷試験により示した低血糖症の1例

    増田 誠三郎, 大熊 英之, 新津 吉博, 上田 恵利, 松田 祐輔, 竹内 崇人, 村上 正憲, 中野 雄二郎, 辻本 和峰, 宮地 康高, 坊内 良太郎, 南 勲, 泉山 肇, 橋本 貢士, 吉本 貴宣, 小川 佳宏

    日本内分泌学会雑誌  2018.4 

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  • マジンドール用量調節時の摂食抑制効果の定量にVisual analog scale(VAS)が有用であった高度肥満症の1例

    大熊 英之, 南 勲, 関 隆実, 山下 大翔, 増田 誠三郎, 小関 紗代, 安藤 真広, 新津 吉博, 宮地 康高, 辻本 和峰, 泉山 肇, 橋本 貢士, 吉本 貴宣

    日本内分泌学会雑誌  2017.12 

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  • 高インスリン血性低血糖症の責任病変の特定に難渋した多発神経内分泌腫瘍の1例

    五十嵐 晃子, 安藤 真広, 南 勲, 宮地 康高, 辻本 和峰, 泉山 肇, 橋本 貢士, 工藤 篤, 田邊 稔, 吉本 貴宣

    日本内分泌学会雑誌  2017.12 

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  • Physical Cell-Cell Interaction Regulates Hepatic Glucose Metabolism in Mice

    Kyoichiro Tsuchiya, Yasutaka Miyachi, Chikara Komiya, Kumiko Shiba, Noriko Shimazu, Shinobu Yamaguchi, Mizuko Osaka, Masayuki Yoshida, Koji Inoue, Kenjiro Wake, Yuta Sato, Junichi Kikuta, Masaru Ishii, Yoshihiro Ogawa

    DIABETES  2016.6 

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    Country:United States  

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MISC

  • HNF1A Mutations and Beta Cell Dysfunction in Diabetes.

    Yasutaka Miyachi, Takashi Miyazawa, Yoshihiro Ogawa

    International journal of molecular sciences   2022.3

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    Understanding the genetic factors of diabetes is essential for addressing the global increase in type 2 diabetes. HNF1A mutations cause a monogenic form of diabetes called maturity-onset diabetes of the young (MODY), and HNF1A single-nucleotide polymorphisms are associated with the development of type 2 diabetes. Numerous studies have been conducted, mainly using genetically modified mice, to explore the molecular basis for the development of diabetes caused by HNF1A mutations, and to reveal the roles of HNF1A in multiple organs, including insulin secretion from pancreatic beta cells, lipid metabolism and protein synthesis in the liver, and urinary glucose reabsorption in the kidneys. Recent studies using human stem cells that mimic MODY have provided new insights into beta cell dysfunction. In this article, we discuss the involvement of HNF1A in beta cell dysfunction by reviewing previous studies using genetically modified mice and recent findings in human stem cell-derived beta cells.

    DOI: 10.3390/ijms23063222

Professional Memberships

  • The Japan Diabetes Society

  • The Japanese Society of Internal Medicine

Research Projects

  • CD8+T細胞の分化における転写因子FoxO1の制御メカニズムの解明を目指して

    Grant number:22K16398  2022 - 2024

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Early-Career Scientists

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    Authorship:Principal investigator  Grant type:Scientific research funding

  • CD8陽性T細胞の分化に着目した1型糖尿病の進展抑制を目指した治療法の開発

    Grant number:21K20934  2021 - 2022

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Research Activity start-up

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    Grant type:Scientific research funding

  • CD8陽性T細胞の分化に着目した1型糖尿病の進展抑制を目指した治療法の開発

    Grant number:21K20934  2021 - 2022

    Japan Society for the Promotion of Science  Grants-in-Aid for Scientific Research  Grant-in-Aid for Research Activity start-up

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    Authorship:Principal investigator  Grant type:Scientific research funding

Educational Activities

  • For undergraduate and graduate students, lectures and research instructions in diabetes and endocrinology, respectively.

Class subject

  • 糖尿病(治療)

    2024.4 - 2024.9   First semester

  • 系統医学III 臨床診断学

    2023.10 - 2024.3   Second semester

  • 糖尿病(治療)

    2023.4 - 2023.9   First semester

  • 糖尿病(治療)

    2022.4 - 2022.9   First semester

Travel Abroad

  • 2018.4 - 2021.3

    Staying countory name 1:United States   Staying institution name 1:コロンビア大学メディカルセンター