SEARCH
Search Details
YOKOI AishaUniversity Hospital / Integrated Clinical Education CenterAssistant Professor
Research activity information
■ Award- Oct. 2024 第11回日本細胞外小胞学会学術集会, 奨励賞
- Mar. 2024 第37回日本糖尿病・肥満動物学会年次学術集会, 若手研究奨励賞
- Apr. 2023 第58回日本臨床分子医学会学術集会, 若手研究奨励賞
- BACKGROUND: The potassium voltage-gated channel subfamily Q member 1 (KCNQ1) gene has recently received much attention as a candidate susceptibility gene for type 2 diabetes mellitus, especially in Asian populations. We previously reported that Kcnq1 mutant mice exhibit reduced insulin secretion and hyperglycemia due to a decrease in pancreatic β-cell mass. Through in vivo and in vitro analyses, we ascertained that this mechanism is the result of the downregulation of the non-coding RNA 'Kcnq1ot1,' which is expressed in the paternal allele of the Kcnq1 gene region, causing an increase in the expression of the cell cycle inhibitor cyclin dependent kinase inhibitor 1C (Cdkn1c). It was found that decreased Kcnq1ot1 expression resulted in pancreatic β-cell failure; however, the degree of pancreatic β-cell volume reduction was not severe. METHODS: We induced obesity in Kcnq1ot1 truncation mice by feeding them a high-fat diet and evaluated pancreatic β-cell mass. RESULTS: In the present study, we reveal that CCAAT/enhancer binding protein beta (C/EBPβ), which is expressed at higher levels in pancreatic β-cells in obese individuals, further increases the expression of Cdkn1c, which is upregulated by the Kcnq1 gene mutation. We found that simultaneous Cdkn1c hypomethylation and C/EBPβ overexpression in pancreatic β-cells causes a synergistic decrease in pancreatic β-cell mass. CONCLUSION: This finding suggests that the synergistic effect of genetic factors such as Kcnq1 gene mutations and environmental factors such as obesity and overeating, which lead to increased expression of C/EBPβ, contribute to the regulation of pancreatic β-cell mass. This study is the first to show that the Kcnq1 gene is related to pancreatic β-cell mass through genetic-environment interactions.Jul. 2025, Diabetes & metabolism journal, English, International magazineScientific journal
- The condition in which the insulin secretory ability of pancreatic β-cells decreases in diabetes is extremely important, but there are currently no biomarkers that reflect pancreatic β-cell failure. Therefore, we conducted a search for biomarkers, using pancreatic β-cell-specific 3-Phosphoinositide-dependent protein kinase 1 (PDK1) knockout mice, which develop severe hyperglycemia due to a decrease in pancreatic β-cell mass without insulin resistance. The analysis was performed in young mice when metabolic abnormalities were not yet apparent. Comprehensive analysis of microRNAs contained in extracellular vesicles in the blood of these mice revealed that miR378a-3p levels were significantly lower in PDK1 knockout mice than in control mice. Furthermore, in other mouse models of diabetes, namely, db/db mice and streptozotocin-induced diabetic mice, there was an increase and decrease in miR378a-3p expression, respectively, in line with the number of β-cells. These results suggest that miR378a-3p contained in serum extracellular vesicles is a biomarker that reflects pancreatic β-cell mass before the onset of diabetes. It is hoped that miR378a-3p can be utilized to realize earlier diagnosis and treatment of diabetes.Mar. 2025, Biochemical and biophysical research communications, 750, 151367 - 151367, English, International magazineScientific journal
- In most cases, the diagnosis of diabetes in animal models is based solely on blood glucose levels. While hemoglobin A1c (HbA1c) is widely used in the diagnosis of diabetes in humans, it is rarely measured in mice in diabetes research. This is thought to be because there are no established reference values for mouse HbA1c, as well as the fact that there are very few reports on the variability and reproducibility of measurements taken using different devices. In this study, we measured HbA1c levels in diabetic mouse models using different devices based on different principles, including capillary electrophoresis, high-performance liquid chromatography, and enzymatic methods, and compared the results. A positive correlation was observed between blood glucose and HbA1c levels in all measurement methods, and high reproducibility was confirmed in the measurement of HbA1c. However, HbA1c levels measured using the enzymatic method were slightly higher than those measured using the other two methods. In addition, an examination of diabetic mice given a sodium-glucose cotransporter 2 inhibitor, which is used to treat diabetes, revealed that there was a 2-week difference in the fluctuation of mouse HbA1c levels compared with the fluctuation of blood glucose levels. Based on these results, it is thought that HbA1c can be a reliable indicator in diabetic mouse models, and it is expected to make the evaluation of abnormal glucose metabolism in mice more reliable.Jan. 2025, Experimental animals, English, Domestic magazineScientific journal
- Decreased pancreatic β-cell volume is a serious problem in patients with type 2 diabetes mellitus, and there is a need to establish appropriate treatments. Increasingly, sodium/glucose cotransporter 2 (SGLT2) inhibitors, which have a protective effect on pancreatic β-cells, are being prescribed to treat diabetes; however, the underlying mechanism is not well understood. We previously administered SGLT2 inhibitor dapagliflozin to a mouse model of type 2 diabetes and found significant changes in gene expression in the early-treated group, which led us to hypothesize that epigenetic regulation was a possible mechanism of these changes. Therefore, we performed comprehensive DNA methylation analysis by methylated DNA immunoprecipitation using isolated pancreatic islets after dapagliflozin administration to diabetic model mice. As a result, we identified 31 genes with changes in expression due to DNA methylation changes. Upon immunostaining, cystic fibrosis transmembrane conductance regulator and cadherin 24 were found to be upregulated in islets in the dapagliflozin-treated group. These molecules may contribute to the maintenance of islet morphology and insulin secretory capacity, suggesting that SGLT2 inhibitors' protective effect on pancreatic β-cells is accompanied by DNA methylation changes, and that the effect is long-term and not temporary. In future diabetes care, SGLT2 inhibitors may be expected to have positive therapeutic effects, including pancreatic β-cell protection.Sep. 2024, Biochemical and biophysical research communications, 725, 150254 - 150254, English, International magazineScientific journal
- Eif2ak4, a susceptibility gene for type 2 diabetes, encodes GCN2, a molecule activated by amino acid deficiency. Mutations or deletions in GCN2 in pancreatic β-cells increase mTORC1 activity by decreasing Sestrin2 expression in a TSC2-independent manner. In this study, we searched for molecules downstream of GCN2 that suppress mTORC1 activity in a TSC2-dependent manner. To do so, we used a pull-down assay to identify molecules that competitively inhibit the binding of the T1462 phosphorylation site of TSC2 to 14-3-3. l-asparaginase was identified. Although l-asparaginase is frequently used as an anticancer drug for acute lymphoblastic leukemia, little is known about endogenous l-asparaginase. l-Asparaginase, which is expressed downstream of GCN2, was found to bind 14-3-3 and thereby to inhibit its binding to the T1462 phosphorylation site of TSC2 and contribute to TSC2 activation and mTORC1 inactivation upon TSC2 dephosphorylation. Further investigation of the regulation of mTORC1 activity in pancreatic β-cells by l-asparaginase should help to elucidate the mechanism of diabetes and insulin secretion failure during anticancer drug use.Apr. 2023, Biochemical and biophysical research communications, 652, 121 - 130, English, International magazineScientific journal
- Left ventricular (LV) longitudinal myocardial dysfunction can be observed even in type 2 diabetes mellitus (DM) (T2DM) patients with preserved LV ejection fraction (LVEF), and is considered the earliest marker of DM-related cardiac dysfunction. Furthermore, diabetic nephropathy (DN), a common complication in DM, is strongly associated with LV longitudinal myocardial function in T2DM patients, but its association with type 1 DM (T1DM) has not been fully investigated. We studied 125 asymptomatic T1DM patients with preserved LVEF, and 75 age-, gender-, LVEF-matched non-diabetic healthy controls. Two-dimensional speckle-tracking strain LV was used to assess longitudinal myocardial function as global longitudinal strain (GLS). GLS of T1DM patients was significantly lower than that of normal controls (19.7 ± 3.6% vs. 20.6 ± 1.8%, P = 0.049). GLS of T1DM patients with DN was significantly lower that of T1DM patients without DN (17.3 ± 3.7% vs. 20.2 ± 3.5%, P < 0.001), but that of T1DM patients without DN was similar compared to normal controls (20.6 ± 1.8% vs. 20.2 ± 3.5%, P = 0.37). Moreover, multiple regression analysis identified DN the independent determinant parameters for GLS of T1DM patients also correlated significantly with duration of T1DM. Impaired LV longitudinal myocardial function was observed in asymptomatic T1DM patients with preserved LVEF, and DN was associated with LV longitudinal myocardial dysfunction. These findings are clinically useful for better management of T1DM patients to prevent impending development of cardiovascular disease.Sep. 2022, The international journal of cardiovascular imaging, 38(9) (9), 1991 - 1998, English, International magazineScientific journal
- 日本臨床分子医学会, Apr. 2025, 日本臨床分子医学会学術総会プログラム・抄録集, 60回, 49 - 49, Japanese糖尿病状態における膵β細胞由来エクソソームの動態解明
- (一社)日本糖尿病学会, Apr. 2025, 糖尿病, 68(Suppl.) (Suppl.), S - 187, Japanese骨格筋および脂肪細胞由来エクソソームの動態に関する検討
- 2025, 日本糖尿病・肥満動物学会年次学術集会プログラム・講演抄録集, 38th膵β細胞由来エクソソームの臓器連関に関する解析
- (一社)日本糖尿病学会, Apr. 2024, 糖尿病, 67(Suppl.1) (Suppl.1), S - 160, Japanese膵β細胞におけるmTORC1活性化が膵島可塑性に及ぼす影響の検討
- (一社)日本糖尿病学会, Apr. 2024, 糖尿病, 67(Suppl.1) (Suppl.1), S - 174, Japanese骨格筋由来エクソソームの動態および糖代謝に及ぼす影響の解析
- 2024, 日本内分泌学会雑誌, 100(1) (1)糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
- 2024, 日本糖尿病・肥満動物学会年次学術集会プログラム・講演抄録集, 37th糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
- 2024, 糖尿病(Web), 67(Suppl) (Suppl)骨格筋由来エクソソームの動態および糖代謝に及ぼす影響の解析
- 2024, 糖尿病(Web), 67(Suppl) (Suppl)膵β細胞におけるmTORC1活性化が膵島可塑性に及ぼす影響の検討
- (一社)日本糖尿病学会, Apr. 2023, 糖尿病, 66(Suppl.1) (Suppl.1), S - 186, Japanese膵β細胞におけるmTORC1活性化は膵外分泌細胞への分化を誘導する
- 2023, 糖尿病(Web), 66(Suppl) (Suppl)糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
- 日本先進糖尿病治療研究会, Dec. 2022, 日本先進糖尿病治療研究会雑誌, 16(2) (2), 63 - 63, Japanese1型糖尿病患者における心エコー図を用いた左室拡張機能の検討
- (一社)日本糖尿病学会, Apr. 2022, 糖尿病, 65(Suppl.1) (Suppl.1), S - 217, Japanese膵β細胞におけるmTORC1恒常的活性化と膵島可塑性の関連についての検討
- (一社)日本内分泌学会, Apr. 2021, 日本内分泌学会雑誌, 97(1) (1), 336 - 336, Japanese
- (一社)日本内分泌学会, Oct. 2019, 日本内分泌学会雑誌, 95(2) (2), 821 - 821, Japanese
- (一社)日本糖尿病学会, Apr. 2019, 糖尿病, 62(4) (4), 244 - 244, Japaneseパラガングリオーマの治療で著明な血糖コントロール改善を認めた高齢糖尿病患者の1例
- (一社)日本糖尿病学会, Apr. 2019, 糖尿病, 62(4) (4), 294 - 294, Japanese細菌性髄膜炎を発症し、脳皮質下出血を合併した2型糖尿病患者の1例
- (一社)日本内分泌学会, Apr. 2019, 日本内分泌学会雑誌, 95(1) (1), 384 - 384, Japanese
- (一社)日本糖尿病学会, Apr. 2019, 糖尿病, 62(Suppl.1) (Suppl.1), S - 355, Japanese低血糖により入院加療を要した2型糖尿病患者101例の検討
- (一社)日本内分泌学会, Sep. 2018, 日本内分泌学会雑誌, 94(2) (2), 675 - 675, Japanese
- (一社)日本糖尿病学会, Jun. 2018, 糖尿病, 61(6) (6), 423 - 423, Japanese2型糖尿病の治療中に1型糖尿病を発症した1例
- (一社)日本糖尿病学会, Apr. 2018, 糖尿病, 61(Suppl.1) (Suppl.1), S - 368, Japanese当院におけるデュラグルチド使用患者の特徴と有効性の検討
- 第58回日本医学教育学会学術大会, Aug. 2026研修医の医療安全意識向上に向けた当院研修開始時シミュレーション研修と診療科発信型報告体制の構築
- 第60回日本臨床分子医学会学術集会, Apr. 2025糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
- 第11回日本細胞外小胞学会学術集会(JSEV2024), Oct. 2024糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
- 第97回日本内分泌学会学術総会, Jun. 2024糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
- 第66回日本糖尿病学会年次学術集会, May 2023糖尿病病態における膵β細胞由来エクソソームの動態および役割の解明
