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金城 健太大学院医学系研究科 未来社会医学専攻助教
研究活動情報
■ 受賞■ 論文
- BACKGROUND: Cardiac fibrosis is a hallmark of heart failure and can be quantified by the extracellular volume fraction (ECV) derived from diagnostic imaging. However, noninvasive assessment is limited by the lack of specific circulating biomarkers. Recent large plasma proteome analyses have identified SVEP1 (Sushi, von Willebrand factor type A, EGF, and pentraxin domain containing 1) as candidate molecules reflecting cardiac fibrosis. This study aimed to evaluate SVEP1 as a biomarker for cardiac fibrosis. METHODS: In 72 patients with heart failure due to aortic stenosis, computed tomography-based ECV, serum SVEP1, and BNP (brain natriuretic peptide) levels were assessed. Multivariable regression was used to determine independent predictors of ECV. Publicly available single-nucleus RNA sequencing of human hearts revealed the cellular origin of SVEP1. SVEP1 secretion was assessed in human cardiac fibroblasts after TGF-β (transforming growth factor-β) stimulation or small interfering RNA knockdown. Plasma Svep1 and cardiac hydroxyproline levels were measured in mice with angiotensin II- and phenylephrine-induced cardiac fibrosis. RESULTS: Serum SVEP1 correlated with ECV and outperformed BNP in detecting fibrosis. Multivariable analysis revealed SVEP1 as an independent predictor of ECV. In addition, snRNA-seq revealed fibroblast-specific expression, expanded in failing hearts consistent with activated fibroblast emergence. Furthermore, TGF-β increased SVEP1 secretion in human cardiac fibroblasts, whereas its knockdown reduced SVEP1 secretion. Plasma Svep1 and cardiac hydroxyproline levels were elevated and positively correlated in mice. CONCLUSIONS: Compared with BNP, SVEP1, derived from cardiac fibroblasts, is more strongly associated with ECV-defined fibrosis and may serve as a novel fibrosis-specific circulating biomarker in heart failure.2026年04月, Journal of the American Heart Association, e047119, 英語, 国際誌研究論文(学術雑誌)
- BACKGROUND: ATP citrate lyase (ACLY) is a key enzyme in de novo lipogenesis that generates acetyl-CoA from citrate. Although fatty acids are required for energy production and biomass synthesis in the heart, the regulatory mechanisms of ACLY-mediated de novo lipogenesis in pathological cardiac fibroblasts remain unknown. The aim of this study was to investigate the biological role of ACLY in cardiac remodeling. METHODS: Adeno-associated virus serotype 9-mediated shRNA targeting Acly was intravenously injected into C57BL/6J male mice. The mice were subsequently continuously infused with a mixture of angiotensin II and phenylephrine. Cardiac phenotypes were evaluated via histological staining. Cell proliferation assays, stable isotope tracing with 13C-labeled glucose, and chromatin immunoprecipitation assays were performed using human cardiac fibroblasts. RESULTS: ACLY expression was upregulated in the heart sections of mice treated with angiotensin II/phenylephrine, in particular in fibrotic areas. Masson trichrome staining revealed that Acly gene silencing significantly reduced cardiac fibrosis in these mice. Both siRNA-mediated ACLY knockdown and pharmacological ACLY inhibition suppressed the proliferation and expression of fibrous proteins in cultured human cardiac fibroblasts stimulated with transforming growth factor-β. Mechanistically, ACLY inhibition reduced de novo lipogenesis, limiting the fatty acid supply essential for cellular growth and proliferation. It also decreased H3K9 and H3K27 acetylation, in addition to the presence of acetylated H3K9 and H3K27 at the promoter regions of fibrotic genes. CONCLUSIONS: Our findings demonstrate that ACLY plays an important role in maladaptive cardiac fibrosis. ACLY could be a novel therapeutic target to prevent the development of heart failure.Ovid Technologies (Wolters Kluwer Health), 2025年03月, Hypertension[査読有り]研究論文(学術雑誌)
- Elsevier BV, 2024年01月, Biochemical and Biophysical Research Communications, 691, 149315 - 149315[査読有り]研究論文(学術雑誌)
- Abstract Endogenous DNA is released into the bloodstream as cell-free DNA (cfDNA) following cell death and is associated with various pathological conditions. However, their association with therapeutic drugs against rheumatoid arthritis (RA) remains unknown. Therefore, we investigated the significance of cfDNA in RA treated with tocilizumab and tumour necrosis factor inhibitor (TNF-I). Biological DMARDs (bDMARDs), including tocilizumab and TNF-I, were administered to 77 and 59 RA patients, respectively. Plasma cfDNA levels were measured at weeks 0, 4, and 12 by quantitative polymerase chain reaction. Disease activity was evaluated at the same time point using DAS28ESR. cfDNA levels from RA synovial cells treated with tocilizumab or etanercept for 24 h were measured. Human toll-like receptor 9 (hTLR9)-expressing HEK293 cells, which release secreted embryonic alkaline phosphatase (SEAP) upon NF-κB activation, were stimulated by cfDNA from RA patients, and subsequently, SEAP levels were determined. NF-κB translocation was evaluated by immunofluorescence staining with or without tocilizumab. The DAS28ESR significantly improved in both bDMARD groups at week 12. However, plasma cfDNA levels significantly decreased in the tocilizumab group at week 12 compared to that in week 0. cfDNA levels correlated with DAS28ESR in biological treatment-naïve patients administered tocilizumab. cfDNA levels in synovial cells were significantly suppressed by tocilizumab treatment and unaltered with etanercept. HEK293 cells released SEAP upon cfDNA stimulation, and the observed NF-κB nuclear translocation was suppressed by tocilizumab. Tocilizumab suppressed inflammation via the TLR9 pathway by decreasing cfDNA levels. Regulation of cfDNA may be a therapeutic target for RA.Oxford University Press (OUP), 2023年06月, Clinical and Experimental Immunology, 213(2) (2), 209 - 220[査読有り]研究論文(学術雑誌)
- (一社)日本リウマチ学会, 2020年08月, 日本リウマチ学会総会・学術集会プログラム・抄録集, 64回, 705 - 705, 日本語IL-6はミトコンドリア内因性経路を介して関節リウマチ滑膜細胞に細胞死抵抗性をもたらす
- Elsevier BV, 2020年07月, International Immunopharmacology, 84, 106549 - 106549[査読有り]研究論文(学術雑誌)
- Informa UK Limited, 2019年08月, Scandinavian Journal of Rheumatology, 48(5) (5), 353 - 361[査読有り]研究論文(学術雑誌)
- Oxford University Press (OUP), 2019年05月, Modern Rheumatology, 30(2) (2), 293 - 300[査読有り]研究論文(学術雑誌)
- Springer Science and Business Media LLC, 2018年03月, Arthritis Research & Therapy, 20(1) (1)[査読有り]研究論文(学術雑誌)
- Elsevier BV, 2018年01月, Biochemical and Biophysical Research Communications, 495(2) (2), 1675 - 1680[査読有り]研究論文(学術雑誌)
- Wiley, 2016年12月, International Journal of Rheumatic Diseases, 20(6) (6), 722 - 730[査読有り]研究論文(学術雑誌)
- (一社)日本臨床免疫学会, 2015年09月, 日本臨床免疫学会会誌, 38(4) (4), 361 - 361, 日本語
- 2025年, 日本動脈硬化学会総会・学術集会プログラム・抄録集(Web), 57th冠動脈リスク評価のためのHDL結合型ビリルビンを測定する蛍光UnaGベースアッセイの開発
- 2025年, 日本リウマチ学会総会・学術集会プログラム・抄録集, 69thIL-6はBikを介して関節リウマチ滑膜細胞の内因性経路による細胞死に抵抗する
- 2025年, 日本リウマチ学会総会・学術集会プログラム・抄録集, 69th関節リウマチ治療反応性を予測する循環細胞外遊離DNA検出システムの開発
- 2024年09月, ARTHRITIS & RHEUMATOLOGY, 76, 5265 - 5266, 英語Clock Gene Bmal1 Contributes to Inflammation via Phosphorylation of NF-κB/p65 in RA-FLS研究発表ペーパー・要旨(国際会議)
- 2017年10月, ARTHRITIS & RHEUMATOLOGY, 69, 英語IL-6 and TNF-a Cooperate to Modulate the Cell Cycle of RA-Fibroblast-like Synoviocytes Via Cyclin Dependent Kinase Inhibitors研究発表ペーパー・要旨(国際会議)
- 2017年06月, ANNALS OF THE RHEUMATIC DISEASES, 76, 499 - 499, 英語研究発表ペーパー・要旨(国際会議)
- 2016年10月, ARTHRITIS & RHEUMATOLOGY, 68, 英語A Novel Pharmacological Action of MTX on RA Fibroblast-like Synoviocytes Via Circadian Clock Genes研究発表ペーパー・要旨(国際会議)
- 2016年10月, ARTHRITIS & RHEUMATOLOGY, 68, 英語TCZ Modulates the Production of Ccfdna Derived from RA Synovial Cells研究発表ペーパー・要旨(国際会議)
- 2016年10月, ARTHRITIS & RHEUMATOLOGY, 68, 英語IL-6 and TNF-alpha Modulate Expressions of Cell Cycle Regulators of Rheumatoid Arthritis Fibroblast-like Synoviocytes研究発表ペーパー・要旨(国際会議)
- 2014年10月, ARTHRITIS & RHEUMATOLOGY, 66, S457 - S458, 英語TNF-a Modulates the Expression of Circadian Clock Genes Via Calcium Signaling in Rheumatoid Synovial Cells研究発表ペーパー・要旨(国際会議)
■ 共同研究・競争的資金等の研究課題
- 日本学術振興会, 科学研究費助成事業, 基盤研究(C), 神戸大学, 2025年04月 - 2028年03月時計遺伝子を標的とした心不全の新規検査法、治療法の開拓
- 公益財団法人 ひょうご科学技術協会 令和5年度学術研究助成, 2026年04月 - 2027年03月, 研究代表者難治性関節リウマチに挑む:時計遺伝子BMAL1を標的とした創薬戦略
- 2024年度 神戸大学GAPファンドプログラム(うりぼーファンド), 2024年07月 - 2025年03月, 研究代表者関節リウマチの新規治療薬「抗circulating cell-free DNA抗体」とコンパニオン診断薬の開発
- 日本学術振興会, 科学研究費助成事業, 若手研究, 神戸大学, 2023年04月 - 2025年03月関節リウマチ滑膜細胞の時計遺伝子Bmal1がNF-κBの転写活性に与える影響
- 日本学術振興会, 科学研究費助成事業, 若手研究, 神戸大学, 2021年04月 - 2023年03月時計遺伝子を介した滑膜細胞の炎症性メディエーター産生とオートクライン機構の研究TNF-α、IL-1β刺激下において、RA-FLSのBmal1が各種炎症性メディエーター(MMP-3/9, IL-6, CCL2)産生を制御していることがリアルタイムPCR、蛍光免疫染色によって明らかとなった。この研究成果は、骨軟骨破壊、細胞遊走に関わる炎症性メディエーター発現、関節破壊がBmal1によって広範囲に制御されることを示唆するものである。 以上を踏まえて、Bmal1が制御する炎症性メディエーター発現機構をNF-κB転写活性の観点から明らかにする発展的な研究課題を新たに立案することができた。
